HELTH Committee and its Objectives

• Establishment : -.    1943

• Report : -  1946.

• Founder : - Sir Joseph William Bhore.

• Purpose :-Its main objective was to bring about improvement in the public health system in India. 

• Recommendation : - Its recommendations were to provide preventive and curative services in every field.
• To establish primary health center and sub center and to establish hospital.

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 * Bhore committee:

 This committee was formed in 1943 and submitted its report in 1946.

 → He initially conducted a health survey in India and tried to know the health status of the people of India.

 Its chairman was Sir Joseph William Bhore.

 Its main objective was to bring about improvement in the public health system in India. → Its recommendations were to provide preventive and curative services in every field.

 To establish primary health center and sub center and to establish hospital.

 

Bhore Committee (1943-1946) :-

During pre independence era, to improve the preventive, promotive and curative heath

services of country, a National Planning Commission was set up by the Indian National

Congress in 1938. The rulers of that time, the British Empire realised the importance of

Public Health and instituted the ‘Health Survey and Development Committee,’ in the

year 1943 under the chairmanship of Sir Joseph Bhore. The committee was tasked to

survey the then health conditions and health organisations in the country, and to make

recommendations for future development. The committee submitted its report in1946.

The integration of preventive, promotive and curative health services and

establishment of Primary Health Centres in rural areas were the major

recommendations made by this committee.

Important recommendations of the Bhore Committee :-

1. Integration of Preventive, Promotive and Curative services at all administrative levels.

2. The development of Primary Health Centres for the delivery of comprehensive

health services to the rural India. Each PHC should cater to a population of 40,

000 with a Secondry Health Centre (now called Community Health Centre) to

serve as a supervisory, coordinating and referral institution.

3. In the long term (3 million plan), the PHC would have a 75 bedded hospital for a

population of 10,000 to 20,000.

4. It also reviewed the system of medical education and research and included

compulsory 3 months training in Community Medicine.

5. Committee proposed the development of National Programmes of health

services for the country

The details of the Long term plan recommended by Bhore Committee are as

follows:

The district health scheme, also called the three million plan, which represented an

average districts population was to be organized in a 3-tier system within a period of 30

to 40 years. At the periphery will be the primary unit, the smallest of these three types.

A certain number of these primary units will be brought under a secondary unit, which

will perform the dual function of providing a more efficient type of health service at its

headquarters and of supervising the work of these primary units. The headquarters of

the district will be provided with an organization which will include, within its scope, all

the facilities that are necessary for modern medical practice as well as the supervisory

staff who will be responsible for the health administration of the district in its various

specialized types of services.. 3

• Establishment : -  1961

• Report : - 1962

• Founder : - Dr. A. Laxmanswami                                   Mudali R.

• Purpose :-Its main purpose was to conduct a public survey in India.
• 
  

• Recommendation : -To improve the primary health center and sub center and hospital

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* Mudaliar committee:

 This committee was formed in 1961.  And submitted the report in 1962.

 The committee was tasked with conducting health surveys and planning.

 Its founder was Dr. A. Laxmanswami Mudali R.

 Its main purpose was to conduct a public survey in India.

 To improve the primary health center and sub center and hospital.

 

By the close of second five year plan (1956-61), "Health Survey and Planning

Committee", The Mudaliar Committee (1961), was appointed by the Government of

India to review the progress made in the health sector after submission of Bhore

committee report. The major recommendation of this committee report were

Report :-

a. to limit the population served by primary health centres to 40,000 with the 

improvement in the quality of health care provided by these centres.

b. Strengthning of the district hospitals with specialist services to serve as a 

central base of regional services.

c. Regional organisations in each state between headquarter organisation & the 

district incharge of a Regional deputy or assistant directors each to supervise 2 

or 3 district medical & health officers.

d. Constitution of an All India Health Service on pattern of Indian Administrative 

Service.

 Chadha committee

Chadha committee

• Establishment : - 1963

• Report : - -----

• Founder : -Dr. MS Chattha

• Purpose :-National Malaria Eradication Program.

• Recommendation : -National Malaria Eradication Program.

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* Chadha committee(Sixth Committee):

 This committee was established in 1963. Its Chairman was the Director General of Health, Dr. MS Chattha. The main objective of this committee was to strengthen the National Malaria Eradication Program.

The Chaddah committee (1964), recommended provision of one basic health

worker per 10,000 population for vigilance operations through monthly home visits

under national malaria eradication programme. These workers were envisaged as multipurpose health workers to look after additional duties of collection of vital

statiistics & family planning. The family planning health assistanst were to suprvise 3 or 4 of these basic health workers.

Mukharji committee

Mukharji committee

• Establishment : -1965

• Report : -------

• Founder : -Shri B. Mukherjee Health Secretary.

• Purpose :-The main purpose of this committee was to arrange separate staff for family planning operations.
• 
  

• Recommendation : -Family Planning Field Worker was recommended.
• 
  

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* Mukharji committee

 This committee was established in 1965.

 → Its Chairman was Shri B. Mukherjee Health Secretary.

 The main purpose of this committee was to arrange separate staff for family planning operations.

 Performing malaria related activities by MPHW.

 → Family Planning Field Worker was recommended.

In a short time after implementation of MPHW scheme it was realised that malaria

vigilance operations & family planning program could not be carried out satisfactorily. A committee known as Mukerjee committee was formed in 1965 & it recommended separate staff for Family planning activities so that malaria activities could receive undivided attention of its staff.

Junglewala committee

Junglewala committee

• Establishment : -1967

• Report : -1969

• Founder : --------

• Purpose :-This committee is known as the Coordinating Committee of Health Services.

• Recommendation : -.government doctors to abolish privatization and improve their services and conditions.

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Junglewala committee

  committee was established in 1967.

 The committee submitted its report in 1969.

 This committee is known as the Coordinating Committee of Health Services.

To unify the employees, to give equal priority, to arrange equal work, equal pay. Arranging pay for special work. - 

Recommended by government doctors to abolish privatization and improve their services and conditions.

 *

The Jungalwalla Committee in 1967 gave importance to integration of health

services & elimination of private practice by government doctors. Integrated health

services were defined as "a service with a unified approach for all problems instead of 

segmented approach for all different problems". Care of the sick & various public health

programmes functioning under a single administrator. The committee recommended:

a. Unified cadre

b. Common seniority

c. Recognition of extra

qualification

d. Equal pay for equal work

e. Special pay for specialised work

f. No private practice

Katar Singh committee

Katar Singh committee

• Establishment : -  1973

• Report : -

• Founder : - Katar Singh

• Purpose :-The main purpose of this committee is to introduce MPHW scheme.

• Recommendation : -Training basic staff such as ANM and nursing staff.

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* Katar Singh committee:

 > This committee was established in 1973.

 > The main purpose of this committee is to introduce MPHW scheme.

  Providing health services to rural people through MPHW.

 Its main purpose was to promote family planning program in India.

 Training basic staff such as ANM and nursing staff.

 *The Kartar Singh Committee on Multipurpose workers in 1973 laid down the

norms about health workers. For ensuring proper coverage the committee

recommended, one primary health centre to be established for every 50,000 population.

Each primary health centre to be divided into 16 sub-centres each for a population of

3,000 to 3,500. Each sub-centre to be staffed by a team of one male and one female

health worker. The work of 3-4 health workers to be supervised by one health assistant.

The doctor in charge of the PHC should have the overall charge of all supervisors &

health workers in his area.

The Shrivastav Committee on Medical Education and Support Manpower in 1975

suggested:

A. Creation of bands of Para-professional and semi-professional health workers

from within the community (e.g. school teachers, post masters, gramsevak, etc.)

to provide simple health services needed by the community.

B. the development of a "Referral Service Complex" by establishing linkages

between the primary health centre and higher level referral and service centres,

viz taluka/ tehsil, district, regional and medical college hospitals.

C. establishment of a medical & health education commission for planning &

implementation of reforms needed in health & medical education on the lines of

university grant commission.

D. One male & female HW should be available for every 5000 population.

E. The Health Assistants for every two HWs should be located at SC & not at PHC

Following the suggestions of the Shrivastav committee report, Rural Health

Scheme was launched in 1977, wherein training of community health workers,

reorientating medical education (ROME) training of multipurpose workers, and linking

medical colleges to rural health was initiated. It was based on principle “placing people’s

health in people’s hands”. Also to initiate community participation, the Community

Health Volunteer-Village Health Guide (VHG) Scheme was launched. The VHG was to be

a person from the village, mostly women, who was imparted short term training and

small incentive for the work.

Shrivastav committee

Shrivastav committee

• Establishment : -1974

• Report : -1975

• Founder : -

• Purpose :-The main goal of this was to strengthen the referral system

• Recommendation : -Medical and health education was to be encouraged
• He was to provide manpower in medical education

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 * Shrivastav committee:

 This committee was formed in 1974 and submitted its report in 1975.

 > The main goal of this was to strengthen the referral system.

 > Medical and health education was to be encouraged.

 He was to provide manpower in medical education

Shivaraman Committee health report :-

A Committee on Basic Rural Doctors was framed under the guidance of Shri

Shivaraman, then member of planning commission. The committee recommended

establishment of countrywide cadre of basic rural doctors consisting of traine

Bajaj committee

Bajaj committee

• Establishment : -1985

• Report : -1986

• Founder : - JS Bajaj

• Purpose :-The main purpose of this committee was to provide manpower in the national program

• Recommendation : -To prepare health related courses and provide vocational education.

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* Bajaj committee:-

 This committee was formed in 1985 and submitted its report in 1986. 

 Its Chairman Pro. JS Bajaj was. 

 The main purpose of this committee was to provide manpower in the national program. 

 To prepare health related courses and provide vocational education.

Bajaj Committee health report 1986 :-

A expert committee for ‘health manpower planning, production and management’ was

constituted under the chairmanship of Dr JS Bajaj, then member of planning

commission, to tackle the problem of health manpower planning, production and

management. Important recommendations of the Bajaj committee are:

1. Recommended for Formulation of National Health Manpower planning based on realistic survey.

2. Educational Commission for health sciences should be developed on the lines of UGC

3. Recommended for National and Medical education policy in which teachers are

trained in health education science technology.

4. Uniform standard of medical and health science education by establishing

universities of health sciences in all states.

5. Establishment of health manpower cells both at state and central level.

6. Vocational courses in paramedical sciences to get more health manpower .

Krushnan Committee

Krushnan Committee

• Establishment : - -----

• Report : -1982

• Founder : -   -----

• Purpose :-

• Recommendation : -It is recommended to provide basic services for the purpose of providing urban service, urban health care supervision facility and especially to provide every service in urban and slum area. Has been born.

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* Krushnan Committee: 

Report submitted in 1982. 

 > It is recommended to provide basic services for the purpose of providing urban service, urban health care supervision facility and especially to provide every service in urban and slum area. Has been born.

Krishnan Committee Health Report 1992

The committee under the chairmanship of Dr Krishnan reviewed the achievements and

progress of previous health committee reports and also made comments on shortfalls. The committee address the problems of urban health and devised the health post scheme for urban slum areas. The committee had recommended one voluntary health worker (VHW) per 2,000 population with an honorarium of Rs 100. Its report specifically outlines which services have to be provided by the health post. These services have been divided into outreach, preventive, family planning, curative, support (ereferral) services and reporting and record keeping. Outreach services include population education, motivation for family planning, and health education. In the present context, very few outreach services are being provided to urban slums.

Community Development Program

Community Development Program

• Establishment : -October 2, 1952

• Report : -

• Founder : -

• Purpose :-The main goal is to provide health services in rural and remote areas.

• Recommendation : -To establish primary health centers in each area on the basis of population.
• Organize services according to compiled statistics

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* Community Development Program:

 > The program was launched on October 2, 1952.

 The main goal is to provide health services in rural and remote areas.

 > To establish primary health centers in each area on the basis of population.

 > Organize services according to compiled statistics.

Five Year Plan

Five Year Plan

• Establishment : -1951

• Report : -

• Founder : -Amit Kaushish

• Purpose :-

• Recommendation : -

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Five Year Plan:

 In India, the five year plan has been started from 1951.

 So far a total of 12 five year plans have been completed.

 > 15th Five Year Plan was completed in 2012.

 The first five year plan was launched on April 1, 1951.

 > Currently 13th Five Year Plan - Implemented from 2018.

 > Which will be completed in 2023.

  Amit Kaushish is the Chief Advisor of 13th Five Year Plan.

 > The Prime Minister is the ex-officio chairman.