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1. 2Min Introduce the Five year plans Discussion - -

five year plans.
INTRODUCTION- In 1950 ,planning commission was
constituted to help government to plan out integrated
development plan for the entire country with in the available
resources for defined period of five years for its socio
economic progress .the planning commission has responsible
for ten five year plan .
In 1952, a central council of health
was set up to have close collaboration between the centre and
states and to coordinate and maintain the standard of health
throughout the country .the central health council is headed by
union minister of health and family welfare state health
minister as members similarly at the state level there is state
health minister as chairman .
The health constitution of India had
considered health as human being right and an set for over all
socio –economic development .the government of India and
planning commission give considerable importance to health in
five year plan .
Define five
2. 1min year plans DEFINITION- Planning is defined as an organized ,concise ,and Explanation Slide Define the
continuous attempt to select the best available alternatives to definition of
achieve specific goals ,since all programs and project are five year plan?
ultimately derived from the overall plan .it is important to
formulate the plan systematically and methodically.
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3 2min Enlist the OBJECTIVES OF 5 YEAR PLANS- Explanation Bulletin What are the
objectives of 1. Control and eradicate of various communicable diseases board objectives of
five year plan and chronic disease five year plan?
2. Strengthening of medical and health care unit , primary
health centers and subcenters.
3. Population control.
4. Development of health manpower resources and
research
5. Development of idegineous system of medicine .
6. Developing environmental sanitation
7. Drug control

4. 1min List out the THE FIVE YEAR PLANS Lecture chart List out the five
five year plans 1. First five year plan (1951-1956) method year plans?
2. Second five year plan (1956-1961)
3. Third five year plan (1961-1966)
4. Fourth five year plan(1969-1974)
5. Fifth five year plan (1974-1979)
6. Sixth five year plan (1980-1985)
7. Seventh five year plan (1985-1990)
8. Eighth five year plan (1992-1997)
9. Ninth five year plan (1997-2002)
10. Tenth five year plan (2002-2007)
11. Eleventh five year plan (2007-2012)
12. Twelfth five year plan (2012-2017)
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5. 3min Describe the THE FIRST FIVE YEAR PLAN (1951-1956) Discussion Slide What are the
first five year aim and priority
plan AIM- of first five year
1. To fight against disease ,malnutrition and unhealthy plan?
environment.
2. To build up health services for rural people
3. To provide services to mother and children ,to improve
general health status of people.

PRIORITIES-
1. Safe water supply and sanitation.
2. Control of malaria
3. Health care of rural population
4. Health services for mother and children
5. Education and training and health education
6. Self sufficiency in drug an equipment .
7. Family planning and population control

6. 1min Formulate the

THE HEALTH OUTLAY- Explanation Blackboard What are the
A sum of Rs. 140 crores was allocated for health programs
health outlay outlay for first
during the first five year plan which was 5.9 % of the total
for first five five year plan?
outlay (Rs 2356crores) for the entire development plan.
year plan

7. 5min Describe the THE MAJOR DEVELOPMENT-

major The major developments which took place to meet the Discussion Slide Describe the
development identified priority areas and objective are presented below in major
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according to sequence- . development of

year in first 1st five year
five year plan In 1951 plan?
The BCG vaccination program to prevent and control
tuberculosis was launched .

In 1952
1. A piolet project of community development programme
was launched in 55 project areas on 2 nd October ,the
.
birth day of mahatma Gandhi to get rid of three ills from
the society namely ,poverty ,ill health and ignorenace
through overall development of the rural areas .the
programme was based on the philosophy of self help
and working together .the provision of medical and
public health services were the part of this programme
2. The central council of health was constituted
3. Primary health centre were set up render health
services in rural areas
4. “Auxiliary nurse midwife” ANM training was started to
provide comprehensive maternal child health services
under the supervision of lady health visitor/ public
.
health nurse at the block level.
THE YEAR 1953
1. The community development programme was extended
to national level on 2nd October and was called as
community development and national extension
services .
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2. The national malaria control programme was launched. .

3. The national family planning programme was launched .

THE YEAR 1954 ,,

1. The central social welfare board was set up
2. The contributory central government health scheme
was started at Delhi.
3. The national leprosy control programme was launched
4. The national water supply and sanitation programme
was launched
5. The prevention of food adulteration Act was enacted.
6. VDRL Antigen production centre was set up at Kolkata. ‘’’’
7. Shetty committee was constituted by the government .
of India on 19th may 1954.

THE YEAR 1955

1. The national filarial control programme was launched
2. A filaria training centre was set up at Ernakulum ,
Kerala.
3. The central Leprosy teaching and research institute was
started at chingelput ,madras
4. National TB sample survey was started
5. The minimum marriage age of 18years for boys and 15
years for girls was prescribe by Hindu marriage act.
..
With all developmental ,health and medical
facilities improved to rural population from the primary health .
centers .
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8.. 5min Describe the THE SECOND FIVE YEAR PLAN (1956-1961)
five year plans THE AIM- The aim of the second five year plan was to expand Lecture slide Tell about the
existing health services .to bring them with in the reach of all second five
people son as to promote progressive improvement of nation year plan?
health.

9. 2min Indicate the THE PRIOPRITIES- The priorities of the second five yr plan-
priorities of 1. Establishment of institutional facilities for rural as wel as Lecture slide What are the
five year plans for urban population. priorities of
2. Development of technical manpower second five
3. Control of communicable disease year plan?
4. Water supply and sanitation
5. Family planning and other supporting programme

THE HEALTH OUTLAY

An outlay of Rs 225 crores was allotted for the second five yr
paln for health programmes which was 5.0% of entire outlay
for the total development plan .this proportionate outlay was
less than the first five year plan by.9%

10. 2min Classify the

THE MAJOR DEVELOPMENT – Explanation Slide Explain the
IN 1956-
major major
1. Draft model public health Act was prepared by the
development development of
committee and published.
of second five second five
2. Directorate ,Family planning was appointed at centre.
year plan year plan?
3. The central health education bureau was set up at the
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4. centre.
5. Immoral traffic act was enacted
6. The tuberculosis chemotherapy centre was established .. ;;
.. ,, in Madras
7. The pilot project of trachoma control programme was
launched ,,
..
IN 1957- ;;
1. The demographic research centre’s were established in
Delhi ,Kolkata, and madras.

THE YEAR 1958-

1. The national malaria control programme converted in to ;;
malaria eradication programme ..
2. The national tuberculosis survey was completed . ;;
3. The leprosy Advisory committee of the government of
India was launched.
4. A three tier structure of local self governing bodies ;;
from the village to the district level was recommended L
for decentralized power and responsibilities by Balwant
Rai Mehta committee on panchayati raj .these
recommendation were endorsed by national
development council.

THE YEAR 1959

1. The mudaliar committee was set up by the Government
of India
2. Panchayati raj was introduced in Rajasthan .
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3. The nutrition research laboratory at coonoor was ;;

shifted to Hyderabad
4. The national Institute of Tuberculosis was established at
Bangalore.
5. A central expert committee was constituted under the ‘’
ICMR to study the problem of small pox and cholera in
India. The committee recommended programmes for
,, their eradication .

THE YEAR 1960 ;; ;;

1. Pilot projects of small pox eradication were started.
2. Vital statistics were transferred from directorate general ‘’
of health services (DGHS) to the registrar general of
India. Ministry of home affairs
3. A national Nutrition advisory committee was formed to
render advice on nutrition policies .
4. The school health committee was appointed by the
Union ministry of health to assess the existing health
and nutrition status of school children and and
recommended measures to improve them.

THIRD FIVE YEAR PLAN (1961-1966) Lecture Slide Tell the aims
11. 3min Tell about the and priorities of
THE AIM – The main aim of the third five year plan was to
third five year third five year
remove the shortages and deficiencies which were observed at
plan plan ?
the end of the second five year plan in the field of health .these
were pertaining to institutional facilities especially in rural areas
and inadequate drainage system .
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THE PRIORITIES-
1. Safe water supply in villages and sanitation especially
the drainage programme in the urban areas .
2. Expansion of institutional facilities to promote
accessibility especially in the rural areas .
3. Eradication of malaria and smallpox and control of
various other communicable disease.
4. Family planning and other supporting services .
5. Development of manpower

THE HEALTH OUTLAY- An outlay of Rs 342 crores was

allocated fin or the third five year plan and which was 4.3% of
overall layout for the entire development plan .through the
layout for health plan in crores is more than the layout for
previous plan but the proportionate percentage of the total
layout for the development plan was much less than the
previous plan .

12. 2min Introduce the THE MAJOR DEVELOPMENT –The major development discussion slide What are the
major during the third five year plan were as under major
development development
of the third occur in third
five year plan THE YEAR 1961- five year plan?
1. The central bureau of health intelligence was
established.
2. The mudaliar committee report was submitted and
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published. The committee reported significant

development and progress made in all the areas of
health in terms of infrastructure , Manpower and
institutional and facility and quality of services.
3. Health centre to be on the pattern suggested by bhore
committee and of should serve population of 40,000.
4. Strengthening and up gradation of existing health
centers in stages.
5. Use of mobile health services till such centers are
opened.
6. Provision of ambulance service for emergency medical
care.
7. Provision of taluq hospital with 50 beds and three
medical officers dealing with medicine, surgery and
gynecology and obstetrical condition and also serve as
referral center fo two three primary health centre
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8. Provision of 300 to 500 baded district headquarter hospital

to provide facilities for diagnosis and treatment in all the
clinical specialties’ including 3 beaded isolation unit .
As for nursing education was concern committee
recommended :
Regrets of nursing : The basic nurse fwith four years course
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including six months in midwifery and six months in public

health nursing , the ouxilury nursing midwifery having two
years training and the nurse with degree.
Provide facilities for higher qualification and specialized
coursed,

Continue training of midwifes who should gradually repelace

dais working at certain places.

Replace health visitor by public health nurses who would have

basic nursing and midwifery and qualification and one year
further training in public health nursing,

THE YEAR 1962

1 . The national small pox eradication program and the nation
goiter control programme were lunched.
2 . The school health programme was started :
The district tuberculosis program was conceptualized.
The family training centre and family planning communication
and action research center were amalgamated to from the
central family planning Institute Delhi.

THE YEAR 1963

1. The applied nutrition programme was started by the
govt of India , with the support of UNICEF , WHO and
FAO.
2. The Malaria Institute at Delhi was converted to nation
institute of communicable disease.
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3. The name of “contributory health services scheme” was

changed to “ central govt health scheme”.
4. Extended family planning programme was introduced,
the emphasis in this programe shifted from clinical
approach to extended approach
5. The defense institute of physiology and allied sciences
were established .
6. A drinking water board was established.
7. The Chadha Committee was appointed by the Govt to
study the arrangement necessary for the maintenance
face of the national malaria eradication programme. The
committee recommended that :
-Primary health centers to take the responsibility of
vigilance operation regarding nation malaria eradication
programme,
- Vigilance operation through monthly home visit to be
conducted through basic health workers ,
- One basic health workers should be appointed for 10K
population,
-This worker to be multipurpose health workers and
take additional responsibility of collection of vital
statistics and family planning,
- Family planning health assistance to supervise 3-4
basic health workers .
- General health services at the district level should take
overall responsibility of maintenance face of malaria
eradication programme.
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THE YEAR 1964

1. The nation institute of health administration and
eradication established in collaboration with ford
foundation.
2. A committee under the chairmanship of Shri Shanti
Lal Shah was setup to study legislation of abortion.

THE YEAR 1965

1. Lippes loop was recommended as a safe and
effective family planning device by the director,
ICMR
2. Reinforced extended family planning programme
was launched.
3. B.C.G vaccination without tuberculin test was
introduce on house to house basis.
4. A committee under the chairmanship of Shri
Mukharjee, the health Secretary Govt of India was
setup to study the implementation of Chadha
committee recommendation and to review the
strategies of family planning programme , the
committee recommended:
- Separate staff for family planning program ,
Family planning assistance should undr take family
planning responsibilities only
-Basic health workers should not be given the
responsibility of family planning.
THE YEAR 1966
1. A separate dept of family planning was setup in the
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Union ministry of health to coordinate family

planning programme at the centre and the state
2. A committee under the chairmanship of health
secretary to the Govt of India (Mukharjee
Committee 1966) was constituted to study the
difficulties and countered by the state Govt in taking
over the burden of maintenance face of various
communicable diseases and to work out strategies
for the same.

THE YEAR 1967

A committee was setup on small norms to recommended
suitable incentives for those accepting small family norms
and practicing family planning.
1. The centre council of health recommended
compulsory payment by patient attending
hospital I,e a minimum charge of 10Ps per patient
and minimum charge of 25Ps per day hospital stay.

THE YEAR 1968

1. A medical education committee was appointed to
study the various aspects of medical education
within the frame work of nation needs and
resources.
2. A bill on registration of birth and death was
passed by the Parliament (1968)
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THE FOURTH FIVE YEAR PLAN

The fourth five year plan did not start after the third five yea
plan due to some political reason it started in 1969
THE AIM : The main aim was to strengthen primary health
centre network in the rural areas for undertaking preventive,
curative and family planning services and to take over tae
maintenance face of communicable diseases .The priorities:
1. Family planning program
2. Strengthening of primary health centre
3. Strengthening sub divisional and district hospital to
provide effective referral support to primary health
centre.
4. Intensification of control programme .
5. Expansion of medical and nursing education training of
paramedical personal to meet the minimum technical
manpower requirement.

THE HEALTH OUTLAY

The total outlay of Rs, 16774 Cr. On the entire development
plan, Rs 840 Cr were allocated to health and Rs 315 Cr to family
planning .

The major development :

THE YEAR 1969

1. The nutritional research laboratory was extended to
National Institute of Nutrition.
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2. Comprehensive legislation for control of river water

pollution from domestic and industrial wastes was
drafted.
3. The central birth and death registration Act (1969) was
promulgated.
4. The report of medical education committee was
submitted the committee recommended :
- The duration of M.B.B.S course should be 4 ½ year and
1 year for internship which should include three months
of placement in rural area,
-The teaching and training program should be able to
prepare basic doctors who are able deal with basic health
problem of rural and urban committees and who are able
to provide preventive and curative services .

THE YEAR 1970

1. The population council of India was setup.
2. All India hospital (Postpartum) Family planning program
was launched.
3. The demographic training and research centre at
Mumbai was changed to International Institute for
population study.
4. The registration act of birth and death came into force.
5. Mobile training cum service unit scheme was launched
on the birth centenary of Lt Shri Chiranjan Das on 5 th
November.
6. The drug (price control) order was promulgated.
THE YEAR 1971
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1. The family pension scheme (FPS) for industrial worker

was introduced,.
2. The medical termination of pregnancy(MTP) Bill was
passed by the parliament.
3. A committee was set up to draft legislation on air
pollution.
THE YEAR 1972
1. The MTP Act was implemented.
2. The National Nutrition monitoring Bureau was set up by
the ICMR at the National institute of Nutrition at
Hyderabad .Regional unit was were also established in
the states.
3. The National service Bill to compel medical personnel
below 30 years to work in the villages was passed .
4. The committee on Multipurpose worker under health
and family planning headed by Kartar Singh ,The
additional secretary of health was set up. The
committee was assigned to study and give
recommendation on :
- Integration of healtal services at supervisory and
periphery and level.
- Possibility of multipurpose worker and their necessary
training .
- Utilization of mobile health units under Family Planning
programme for integrated medical ,public health and
family planning services .

THE YEAR 1973

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1. The National Programme of minimum need programme

(MNP) was formulated.
2. A scheme of setting 30 bedded rural hospital serving
four primary health centers was conceptualized.
3. The kartar Singh committee submitted its report .the
salient recommendation are given below:
-To have multipurpose health worker both male and
female for providing integrated basic health services.
-To start with ,workers from only four programmes I.e.
malaria ,small pox ,trachoma, and Maternal child health
and family planning to be included in the multipurpose
concept .
-To designated these members as health workers both
male and female ,the later would be existing ANM.
-To have two such worker ,one male and one female in
subcentre
-T o have one health supervisor male for four health
workers (male) and one (female) for four health workers.
-To have one PHC for 50,000 population ,and to have 16
subcentres under one PHC
-The concept of integration must extended to higher level
and ,therefore recommended to:
- have chief medical officer Incharge of district health
who should be assisted by Deputy chief Medical officers.
-Have director of of medical and health services and who
would be assisted by additional / joint/Deputy Director.
The recommendation of kartar Singh committee were
considered and implemented in its modified form by the
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Government of India in successive five year plans.

THE FIFTH FIVE YEAR PLAN (1974-1979)

THE AIM –
The main aim of the fifth five year plan was to provide
minimum level of well integrated health ,MCH and FP, Nutrition
and immunization services to all the people with special
reference to vulnerable groups especially children ,pregnant
women and nursing mothers ,through a network of
infrastructure in all the block and well structured referral
system .the emphasis of the plan was on removing imbalance in
respect of medical facilities and strengthening the health
infrastructure in the rural and tribal areas .

THE PRIORITIES:-
1. Increasing accessibility of health services in rural areas.
2. Correcting regional imbalance .
3. Further development of referral services by removing
deficiencies in district and subdivision hospital.
4. Integration of health ,Family planning and nutrition .
5. Intensification of the control and eradication of
communicable disease especially malaria and small pox.
6. Qualitative improvement in the education and training of
health personnel.

THE HEALTH LAYOUT:-

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The total outlay for the overall development plan was

Rs.37,382crores out of which a sum of Rs 682 crores were
allocated for health programme and Rs 497 crores were
allocated to family planning programmes.
THE MAJOR DEVELOPMENTS:-

THE YEAR 1974:-

1. Revised strategy for Malaria control was suggested by
second indepth evaluation committee and the consultative
committee of experts on malaria eradication programme.
2. The year 1974 was declared as World population year by
the United Nation s.
3. The water (Prevention and control of pollution ) Act1974
was enacted by the parliament .
4. “A group on medical education and support manpower
“popularly known as the shrivastav committee was set up
in November 1974to:-
-Device suitable curriculum for training a cadre of health
assistants conversant with basic medical aid ,preventive
and nutritional services ,MCH and family welfare activities
so as to serve as a link between Medical officer and health
workers( male and female) and to form an effective team
to deliver service to people.
- suggest steps for improving medical education that fits in
to the national requirements.
-To make any other suggestion to realize the above
mentioned objectives and matters incidental thereto:-
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THE YEAR 1975

1. India became small pox free on 5th July 1975.
2. The revised strategy of National Malaria Eradication
Programme was accepted by the Government.
3. Integrated child development scheme was launched on 3 rd
October 1975.
4. Children’s welfare board was set up .
5. The ESI Act was amended.
6. The cigarette regulation Act 1975 was enacted by the
parliament .
7. Shrivastav committee ,”the group on medical education
and support manpower submitted its report . The
committee recommended for alternative strategy of health
services suitable for Indian situation and criteria for the
same which were as under-
-Integrated, preventive , promotive and curative health
care services originating from within the community and
reaching higher level.
-Universal coverage and equal accessibility of health care
services with in the resources .
-Full utilization of Para- professional from with in the
community.
-Getting away with over professionalization of health care
services .
-support of good referral system .
-Developing indigenous system of medicine .
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-Health education of all to prepare every one to take care

of oneself.
-community responsibility to provide safe environment
-state is responsible to develop well organized system of
providing comprehensive health care services needed by a
team of Para-professional (part time) workers from within
the community who can be prepared to be involved in
rendering comprehensive health care services.

THE YEAR 1977

1. Rural Health Scheme was launched on the basis of
Kartar Singh and Shrivastav Committee report.
2. The training of community health workers was initiated .
3. Revised modified plan of Malaria Eradication was
implemented .
4. The 42nd Amendment of the constitution i.e. “population
control and family planning “ the subject of concurrent
list was made.
5. The “Goal of Health for all “(HFA) was adopted by world
health organization .India was one of the no. of the
member countries in that assembly.
6. The ROME scheme was started .

THE YEAR 1978

1. The child marriage restraint (amended) Bill 1978 fixing

the minimum marriage age i.e. 21 years for boys and 18
years for girl was passed .
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2. Alma ata declared “primary health care strategy “ to

achieve goal” health for all “ by the year 2000.india was
one of the signatories to this declaration .
3. Extended program of immunization was started.

THE YEAR 1979

1. The declaration of Alma ata on primary health care
strategy was endorsed by WHO.

THE SIXTH FIVE YEAR PLAN (1980-1985)

The Aim : The main aim of sixth five year plan was to work out
alternate strategy and plan of action for primary Health Care as
part of national health system.Which is accsseble to all section
of socity and especially those living in tribal hilly, remote rural
area and urban slums.
The Priorities : The priorities of sixth five year plan were
listed as under:
1) Rural health service.
2) Control of communicable and other diseases.
3) Development of rural and urban hospital/dispensaries.
4) Improvement in medical education and training.
5) Medical research.
6) Drug contorl and prevention of food adulteration.
7) Population control and Family welfare including MCH.
8) Water supply and sanitation.
9) Nutrition.
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The Major Developments: The major developments during

the sixth Five year Plan are enumerated year wise.

THE YEAR 1980

1) WHO declared eradication of small pox from the World.
2) The working group on health was constituted by Planing
Commission under the Chairmanship of health Secreatry
Shri Kripa Narain on 18th of july .The objective were as
under:
- To review the current status inview of the physical and
qualitative implementation of plan prorammes, shortfalls
and deficiencies and measures for rectifieng them.
- To evolve plan outline for 1980-81 to 1984-1985 for the
health sector programmes and suggested measures,
including inter-sectoral support and community
participation so that foundation is laid for achiving health
for all.
-To suggest specific programmes to benifit rural,
tribal/backward areas and weaker sections/slum dewellers
and to review the health component of minimum Needs
Programme.

THE YEAR 1981

1) The 1981 census was under taken.
2) The primary health care strategy for Health For All was
evolved by WHO and adopted by member countries of
WHO.
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3) India commited itself to the goal of providing safe drinking

water supply and Santation Decade 1981-1990.
4) The Air Prevention and Control of Pollution Act 1981 was
enacted.
5) The working group on Health for All. Published its report
brief some of the recommendation were as under :
- State organized and provide very carefully a minimum
package of service which interalia,must include universal
provision of prevent, promotive and curative service health
education , MCH and Family Welfare service ; prevention
and control of endemic, communicable and non
communicable diseases ; promotion of food supply and
sanitation and population education.
- The Centre and State/Union Territories to achive the
indicator of Health for All by 2000 AD, identified by the
roup.
-Under the minimum need programme, each State/Union
Trritory to reveiw its health service structure and to adopt
the model health service structure as recommoended so as
to promote decentalised and participatory approach
involving the community in planning implementation and
maintenance of health services.
- To established health post in urban slums of 5000
population as extention of nearest hospital to provide
primary healthe care services.
- State/Union Territory invole a phased action plan by taking
into view what already exist and what would be required be
established by 2000 AD.
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The goverment Of India must evole and issue policy

statments in regard to : National Medical and Health
Administration Policy, and National Population Policy ,
The commitee gave recommendation in detail in regard : water
supply and sanitation, manpower development, incentive for
rural services, employment of unemployed doctors, approch
and strategy, infant and child health, schools health, control of
communicable diseases, hospital and dispensaries,medical
education and training, traditional system of medicine, dru
standard control and prevention pf food adulteration,health
education,school health education,population stablization and
financial inputs.

THE YEAR 1982

1) The Naional Health Policy was ennounced and placed in the
Parliament.
2) The 20 point programme was announced.

THE YEAR 1983

1) National Leprocy Control Proramme was chnged to National
Leprocy Eradication Programme.
2) Nation Health Policy was approved by the Parliament,
3) Nation Guinea Worm Education Programme was started.
4) National Plan of Action against Avoidable Disblement was
started.
5) Medical education review committee submitted its report.

THE YEAR 1984

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1) Bhopal Gas tragedy, a devastating industial accident

occured.
2) The ESI (ammendment) Bill 1984 was passed by the
parliament.
3) The Workmen`s review compensation (ammendment) Act
1984 came into force.

THE SEVENTH FIVE YEAR PLAN (1985-1990)

The Aim: The aim for the Seventh Five year Plan was to plan
and provide primary health care and medical services to all with
special consideration of vulnerable group and those who are
living in tribal,hilly and remote rural areas so as to achive the
Goal of Health For All (HFA) by 2000 A.D. The point emphsised
on community participation inter sectrol co-ordination and co-
operation.

The Priorities : The priorities of Seventh Five Year Plan were :

1) Health service in rural,traibal and hilly areas Minimum Need
Programme.
2) Medical education and training.
3) Control of emerging health problems especially in the area
of non communicable diseases.
4) MCH and Family welfare.
5) Medical research.
6) Safe water supply and sanitation.
7) Standradisation,intergation and application of Indain
system of medicine.
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The Health Outlay : The total amount of funds which were

allocated to the development plan was Rs. 180,000 Cr.,89,00 Cr.
(1.9%) was allocaated to for health and Rs. 3256.25Cr. (1.8%)
was allocated to family welfare,out of Rs. 3393.00Cr.

The Major Development : The major development during

the Seventh Six Year Plan was under :

THE YEAR 1985

1) The Universal Immunization Programme was launched on
19th of November,the birthday of Late Prime minister Smt
Indira Gandhi.
2) The Lepers Act 1898 was repealed (revoked) by the
parliament.
3) A separate department of women and child development
was established by the Ministry of Human Resources
Development.

THE YEAR 1986

1) The Enviroment Protection (Ammendment) 1986 was
promulgated.
2) The 20 point programme was modified.
3) Juvenile Justice Mental Health Bill.
4) Nation AIDS Control Programme was started.

THE YEAR 1987

1) World-wide Safe motherhood Campagin was started b
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World Bank.
2) New 20 point programme was launched.
3) The Factories (ammendment) Act 1987 started workin.
4) National Diabetes Controll Programme was launched.
5) A hih power committee of nursing and nursing profession
was setup by the Goverment of India on 29th July 1987
under the chairmanship of Smt. Sarojini Vardapan, an
eminent Social worker and former chairperson of Sentral
Board of Social Welfare and Smt. Rajkumari Sood,Nursing
Advisor to Goverment of India as the member secretary.The
objective of the committee were to review the role,
functions,status,prparation of the nursing personnel ;
nursing services and other issue related to the development
of the profession and to make suitable recommendation to
the Goverment.

THE YEAR 1988 TO 1991

1) The ESI (ammendment) Act 1989 came into force.
2) Acute Respiratory Infection(ARI) programme was started as
a pilot project in 14 district in 1990.
3) The 1991 census was conducted.
4) The hih power commitee on nursing and nursin profession
its report in 1989. The findings of the committee gave a very
gloomy picuter of the service condition of nurses,staffing
norms in the hospital and the community settings,education
of nursing personnel to meet the nursing manpower needs
at various levels and the role of nursing health care delivery
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system.The committee gave very comprehansive and

specific recommendation and reference to working
condition,nursing education,continuing education and staff
development, nursing services in hospital and community
nursing services,staffing norms,nursing
legislation,organization of nursing service and National
Nursing Policy. The salient recommendation are as under :
-To have two level of nursing,viz,Professional nursewith
University degree and Auxillary Nurse/Vocational Nurse to
work both in the hospital and community setting.
-To have higher education in nursing which includes Master
in Nursing and Ph.D. In Nursing and also specialised course
at postraduate level.
-To have definite policy of continuing education and staff
development.
-The strnthening of nursing structure at the Central.State
and District level with adequate number of well qualified
nursing personnel.

THE EIGHT FIVE YEAR PLANE (1992-1997)

The Aim: The main aim of this plan was continue
reorganisation ad strengthening of health infrastucture and
Medical services accessible to all especially vulnerable roup and
those livvin in traibal,hilly,remote rural areas etc.

The Priorities: The priority areas for the Eiht Five Year Plan
were:
1) Developing rural health infrastructure.
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2) Medical education and training.

3) Control of Communicable diseases.
4) Strngthening of health services.
5) Medical research.
6) Universal Immunization.
7) MCH and family Welfare.
8) Safe water supply santation.

The Health Outlay : The overall amount of the fund was

allocated to development plan was Rs.79800 Cr. Out of this
fund 7,575,92Cr was allocated to health and Rs. 6,500 Cr. Was
allocated to family welfare.

Major Development : The major development during Eight

Five Year plan were listed year wise as under:

THE YEAR 1992

1) Child survival and Safe Motherhood Programme (CSSM) was
started on 20th August.
2) The infant milk subtitute,feeding bottles and infant
foods(Reulation of production supply and distribution) Act
1952 came into operation.
THE YEAR 1993
1) A revised strategy or National Tuberculosis Programme
with district Observed Therapy (DOTS)- a community
based TB treatment and care strategy was introduced as
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a pilot project in phased manner.

THE YEAR 1994

1) The Panchayti Raj Act came into operation.
2) Outbreak of Plague epidemic.
3) The first Pulse Polio Immunization for children under 3
years as organized on 2nd October aand 4th December by
Delhi Goverment.
4) Post Basic Three year B.Sc Nursing Programme was
launched through distance education by Indira Gandhi
Naton Open University(IGNU)

THE YEAR 1995

1) Integrated Child development Scheme (ICDS) was chaned to
Integrated Mother abd child Development (IMCD) services.
2) Transplantation of human Organs Act was enacted.
3) Expert Committee on Malaria submitted report.

THE YEAR 1996

1) National wide Pulse Polio Immunization was conducted on
9th December 1995 and 20th January 1996 which was
repeated on 7th December 1996 and 18th January 1997.
2) Fmily Planing was made target free from 1st April.
3) Prenatal Diagnostic Technique (Reulation and Prevention of
Misuse) Act 1994 came into force from January.
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THE NINTH FIVE YEAR PLAN (1997-2002)

Due to some political reason the Ninth Five Year Plan couldn`t
commerence on 1st of April 1997. It could commerence on 19th
February 1999. Int mean time yearly plans were planned and
implemented.
During this period it was found that morbilty due to
communicable diseases and nutrition related diseases
continuted to be high. Also morbiltiy non communicable
diseases was on the increase became of alteration in life style
and increasing longetive.The health infrastucture was also
functioning suboptimally due to lack of appropriate
manpower,sutable equipments,supplies and refferal services.

The Aim: The ninth plan continued with same aim as that of
eight plan which was mainly concerned with recognization and
strengthening of infrastucture so as provide as primary health
care services accessible to all especially those living in remote
rural,hilly and tribal areas.

The Objectives : The objectives of the Ninth Five Year plan

were as under :
1) To takle both communicable and non-communicable
diseases effectively so that there is sustained improvement in
the health status of the population.
2) To further intensify the efforts to improve the health status
of the population by optimising coverages and quality care
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bye identifying the critical gaps in

infrastructure,manpower,equipments,essential diagnostic
reagents and drug etc.

The Priorities : The major priorities of the Ninth Five Year

Plan were:
1) Control of communicable and non-communicable diseases.
2) Efficient Primary Health care system as part of basic health
care services to optimise accessibility and quality care.
3) Strengthening of existing infrastructure.
4) Improvement of referral linkees.
5) Development of human resources,meeting increasing
demand of nurse specially and super speciallity areas.
6) Strgthening of health research.
7) Involvement of prctitioners from indigennus system of
medicine.Voluntary and private organization.
8) Inter-sector co-ordination.

The Approach During Ninth Five Year Plan :

1) Providin efficient Primary Health Care system as past of
basic services to improve accessibility and quality services.
2) Strnthening of existing infrastructure as primary,secondary
and tertiary care setting and improvement of referral linkage.
3) Development of human resources for health. Meeting the
increasing demands for trained nurses in specialised areas.
4) Strgthening of MCH and Family Welfare Programme.
5) Strenthening of existing programme for control
communicable diseases and horizontal integration of
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ongoing vertical programme at the district and below district

level.
6) Develop and implement integrated non-communicable
disease prevention and control programme.
7) Sceening for common nutrition deficiencies especially in
vulnerable group and render remedial services.
8) Strengthening of environment health programme for better
managment of health consequences.
9) Strengthening of occupational and industrial health
proramme.
10) Disaster and emergency management at all level of health
care.
11) Strengthening of food and drug saftey programme.
12) Increasing the involvement of voluntary,private organization
and self help group in the provision of health care.
13) Intersector co-ordinate in implemention of health
programmes.

Significant Events were as under :

1) Reproductive and Child Health Programme was launched.
2) Goverment of India announced National Population policy
2000.
3) National Malaria eradication programme was renamed as
National Anti Malaria Programme in 1999.
4) National Family Health survey -2 was undertaken in 1998-
1999.
5) Phase II of National AIDS Control programme started.
6) Census 3001 was completed.
7) Govt. of India announced National Health Policy 2002.
8) Govt of India announced National AIDS Prevention and
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Control Policy 2002.

TENTH FIVE YEAR PLAN(2002-2007)

The tenth five year plan ,the national development council
(NDC) , headed by prime minister Atal Bihari Vajpayee,
approved unanimously in December 2002 the tenth Five year
plan ,envasing an 8percent annual GDP growth.

THE FINANCIAL OUTLAY-

Total outlay ,Rs. 15,92,300crore, central plan outlay
Rs.9,21,291crore, state and territories Rs 6,71009cr.
Investments per year 28.4%of GDP, National Savings ;
26.8(23.3%)during the ninth plan.

THE MAIN OBJECTIVES-

1. Attain 8% GDP growth per year .
2. Reduction of poverty rate by5% by 2007 .
3. Providing gainful and high quality employment at least
to the addition to the labor force.
4. Reduction in gender gaps in literacy and wage rates by
at least 50% by 2007.
5. 20 point programme was introduced .
6. Target growth : 8.1% -growth achieved 7.7%.
7. The tenth plan was expected to follow a regional
approach to bring down regional inequalities .

ELEVENTH FIVE YEAR PLAN(2007-2012)

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It was in the period of Manmohan Singh as a prime minister.

AIM- It aimed to increase the enrolment in higher education of

18-23 years of age group by 2011-12.

PRIORITIES-

1. It focused on distant education ,coverage of formal non

formal ,distant and it education institutions,
2. Rapid and inclusive growth (poverty reduction)
3. Emphasis on social sector and delivery of service therein.
4. Empowerment through education and skill development .
5. Reduction of gender equality.
6. Environmental sustainability.
7. To increase the growth rate in agriculture ,industry and
services to 4% ,10% and 9% respectively .
8. Reduce total fertility rate 2.1%
9. Provide clean drinking water for all by 2009.
10. Increase agriculture growth to 4%

THE TWELTH FIVE YEAR PLAN (2012-2017)