Health planning in India is an integral part of national socio-economic planning. The guidelines for national health planning were provided by a number of committees.
India has grown up in health and education sectors. Many health programmes have been coordinated to proceed good status of health and health organization. For this many health committees are responsible to produce different health planning according to the need of public.
Various health committee in India
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Various health committee in India |
Bhore Committee 1946
- The Government of India in 1943 appointed the Health Survey and Development Committee with Sir Joseph Bhore as Chairman.
- The committee submitted her report in 1946.
- The Committee put forward, for the first time, comprehensive proposals for the development of a national programme of health services for the country.
- The Committee observed “if the nation’s health is to be built, the health programme should be developed on a foundation of preventive health work and that such activities should proceed side by side with those concerned with the treatment of patients.
Recommendations of the Bhore Committee
- Integration of preventive and curative services at all administrative levels.
- Major changes in medical education which includes 3 month’s training in preventive and social medicine to prepare ‘social physicians.
- The committee visualized the development of primary health centres in 2 stages:
a). As a short-term measure, it was proposed that each primary health centre in the rural areas should cater to a population of 40,000 with a secondary health centre to serve as a supervisory, coordinating and referral institution. For each PHC, two medical officers, 4 public health nurses, 4 midwives, 4 trained dais, 2 sanitary inspectors, 2 health assistants, one pharmacist, and 15 other class IV employees were recommended.
b). A long-term programme (also called the 3 million plan) of setting up primary health units with 75 bedded hospitals for each 10,000 to 20,000 population and secondary units with population and secondary units with 650- bedded hospitals, again regionalized around district hospitals with 2,500 beds.
Mudaliar Committee 1962
In 1959, the Government of India appointed another
Committee known an ‘Health Survey and Planning Committee’, popularly known as
the Mudaliar Committee.
This committee survey the progress made in the field of
health since submission of the Bhore Committee’s Report and to make
recommendations for future development and expansion of health services.
The Mudaliar Committee found the quality of services
provided by the Primary health centres inadequate, and advised strengthening of
the existing Primary health centres before new centres established.
It is also advised strengthening of subdivisional and
district hospitals so that they may effectively function as referral centres.
Recommendations of Mudaliar Committee
Chadah Committee 1963
This committee was appointed by the Government of India in
1963, under the chairmanship of M. S. Chadah, Director General of Health
Services.
This committee study the arrangements necessary for the
maintenance phase of the National Malaria Eradication Programme.
Recommendation of Chadah Committee
Mukerji Committee 1965
This committee was appointed by the Government of India in
1965, under the chairmanship of Shri Mukerji, Secretary, Ministry of Health and
Family Planning.
Main work of this committee is to review the strategy for
family planning programme.
Recommendations of Mukerji Committee
Mukerji Committee 1966
Following 13th Meeting of the Central Council of
Health held at Bangalore in June, 1966. State finding it difficult to take
burden of maintenance phase of malaria and other programme, like small pox,
leprosy, family planning, & trachoma.
This committee was formed by the Government of India in
1966, under the chairmanship of Shri Mukerji, Union Health Secretary.
Recommendations of Mukerji Committee 1966
Jungalwalla Committee 1967
The central Council of Health at its meeting held in
Srinagar in 1964, taking note of the importance and urgency of integration of
health services, and eliminate private practice by Government doctors,
appointed a committee known as the ‘Committee on Integration of Health
Services’.
Chairman of this committee was Dr. N. Jungalwalla,
Director, National Institute of Health Administration and Education, New Delhi.
The report was submitted in 1967.
Recommendations of Jungalwalla Committee
- Unified cadre
- Common seniority
- Recognition of extra qualifications.
- Equal pay for equal work.
- Special pay for specialized work.
- No private practice, and good service conditions.
Kartar Singh Committee 1973
Recommendations of Kartar Singh Committee
- Present Auxiliary Nurse Midwives to be replaced by the newly designated ‘Female Health Workers’.
- Present-day Basic Health Workers, Malaria Surveillance Workers, Vaccinators, Health Education Assistants, and the Family Planning Health Assistants to be replaced by ‘Male Health Workers’.
- Multipurpose workers to be first introduced in areas where malaria is in maintenance phase and smallpox has been controlled, and later to other areas as malaria passes into maintenance phase or smallpox controlled.
- One Primary health centre for a population of 50,000.
- Each primary health centre should be divided into 16 sub-centres, each having a population of about 3,000 to 3,500.
- Each sub-centre to be staffed by a team of one male and one female health workers.
- There should be a male health supervisor to supervise the work of 3 to 4 male health workers; and a female health supervisor supervise the work of 4 female health workers.
- The present-day lady health visitors to be designated as female health supervisors.
- The Doctor in charge of a primary health centre should have the overall charge of all the supervisors and health workers in his area.
Shrivastav Committee 1975
The Government of India in the Ministry of Health and
Family Planning in November 1974 set up a ‘Group on Medical Education and
Support Manpower’ popularly known as the Shrivastav Committee.
This Committee submitted its report in April 1975.
Recommendation of Shrivastav Committee 1975
- Creation of bands of para-professional and semi-professional health workers (e.g., school teachers, postmasters, gram sevaks) from within the community itself to provide simple, promotive, preventive and curative health services needed by the community.
- Establishment of 2 cadres of health workers, namely-multipurpose health workers and health assistants between the community level workers and doctors at the PHC.
- Development of a ‘Referral Services Complex’ by establishing proper linkages between the PHC and higher-level referral and service centres.
- Establishment of a Medical and Health Education Commission for planning and implementing the reforms needed in health and medical education on the lines of the University Grants Commission.
Rural Health Scheme 1977
‘Rural Health Scheme’ was launched by the government in
1977-78. The major steps initiated were:
- Involvement of medical colleges in the total health care of selected PHCs with the objective of reorienting medical education according to the needs rural people.
- Reorientation training of multipurpose workers engaged in the control of various communicable disease programmes into unipurpose workers.
Health For All By 2000 AD
The slogan Health for all was given by the World Health
Organization in the year 1977 (May).
As a signatory to the Alma-Ata Declaration in 1978, the
Govt of India was committed to taking steps to provide Health for All to its
citizens by 2000 AD.
Report of working group on ‘Health for all by 2000 AD’
sponsored by the ministry of Health and Family Welfare, Govt of India.
The Govt of India recognized and strengthened the infrastructure to implement primary health care.
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