UNIT I : Concepts of Health & Healthcare Delivery
Systems
Roles of Committees
Role Of Committees
The guide-lines for national health planning were provided by a
various committees of experts have been appointed by the
Government of India from time to time to review the existing
health situation and recommend measures for further action.
Landmark committees in the history
of Public Health in India
Bhore Committee (1946)
Mudaliar Committee (1962)
Kartar singh Committee(1973)
Shrivastava committee (1975)
Rural Health Scheme (1977)
Bhore Committee
(1946)
Known as “Health Survey and
Development Committee” was
appointed by the British India
government in 1943 under the
chairmanship of Sir Joseph
Bhore
The committee was conducted the
survey the about health conditions
and health organisations in the
country, and to make
recommendations for future
development.
Recommendations by Bhore
Committee
This committee used the term ‘Comprehensive Health care’ for the
first time, meaning provision of Integrated preventive, curative and
promotional health services from ‘Womb to Tomb’
Major changes in medical education which includes three months
training in preventive and social medicine to prepare social
physicians.
Visualized the development of primary health centres in 2 stages
Development of PHC in two stages:
2. Long term measure
1. Short term measures
The government should establish 1 Government should set up the
primary health center for every 40,000
population.
following ( termed as ‘3 million
plan’)
This should be staffed by
A 75 bedded primary health
2 doctors,
1 nurse,
center for 10,000-20,000 rural
population.
4 public health nurses,
A 65 bedded regional hospital.
4 midwives,
4 trained dais, A 2,500 bedded hospital at
2 sanitary inspectors, the district level.
2 health assistants
1 pharmacist.
Mudaliar
Committee (1962)
Constituted in 1959 under Dr.
A Lakshmanswamy Mudaliar,
Vice Chancellor, Madras
University
Known as “the Health Survey
and Planning Committee”
It’s purpose was to assess or
evaluate public health since
the submission of the Health
Survey and Development
Committee's Report (the
Bhore Committee)
Recommendation by Mudaliar
committee
The Mudaliar Committee found the quality of services at PHC’s
inadequate.
Recommendations – Consolidation of advances in the first 2 five year
plans
Strengthen District Hospitals with specialists
Each PHC not more than 40,000
Improve quality in PHC
Integrate medical and health services
Constitution of All India Health Services
KARTAR SINGH
COMMITTEE (1973)
It is called “Committee on
multipurpose worker under health
and Family Planning”
In the year 1972, the government of
India constituted a committee under
the chairmanship of Kartar Singh,
Additional Secretary, Ministry of
Health and Family Planning, to study
the structure for integrated services
at the peripheral and supervisory
levels, and the feasibility of having
multipurpose workers in the field.
This committee report is a milestone
in the history of public health
nursing service administration.
Kartar Singh Committee
Recommendations
One PHC for 50000 population
Each PHC should be divided into 16 sub- centres each having
population 3000-3500 and should be staffed by 1 male and female
health worker.
Doctor in charge of PHC should have overall charge of all the
supervisors and health workers in his area
Shrivastava committee (1975)
Known as “group on medical education and support manpower”
Appointed in 1974 with Mr. JB Shrivastava as its head
Recommendations :-
Creation of bands of paraprofessional and semi professional health
workers from the community itself e.g. school teachers, postmasters
etc.
Establishment of two cadres of health workers – MPWs and health
assistants
Acceptance of the recommendations of the Shrivastava Committee in
1977 led to the launching of the Rural Health Scheme.
Rural health scheme (1977)
This committee emerged out of the recommendation of the
Shrivastav committee
Recommendations
Involvement of medical colleges in health care of selected with the
objective of reorienting medical education according to rural
population called Re Orientation of Medical education (ROME). It led
to teaching and training of undergraduate students and Interns at
PHCs.
Train multipurpose workers on communicable diseases
