Topic: Health Policy, Committees, and Planning commission
in India
Class : 3rd year MBBS
Date : 22/10/2024
Dr. Antao Faye Rose
Assistant Professor,
Department of Community Medicine
PES Institute of Medical Sciences & Research
Competency 16.4
• Describe health planning in India and
National policies related to health and
health planning
Objectives
1) Describe the various aspects of health planning
in India
2) Discuss the National Policies related to health
planning & management
3) Explain how these health policies are
influencing health planning
“Plan ahead – it was not raining when
Noah built the ark”
Health Committees in India
Bhore Committee - 1946
Mudaliar Committee - 1962
Chadha Committee - 1963
Mukherjee Committee - 1965
Mukherjee Committee - 1966
Jungalwalla Committee - 1967
Kartarsingh Committee - 1973
Shri Vastav Committee - 1975
Rural Health Scheme - 1977
Bhore Committee (1946)
Also called “Health Survey & Development
Committee’’
Launching year -1943
Chairman - Sir Joseph Bhore
Recommendations of Bhore Committee
1. Integration of preventive & curative services at all
levels.
2. Development of primary health centre in two stages:
Short term measure-
1 PHC per 40,000 population.
With the secondary health centre- supervisory,
coordinating & referral institutions.
Recommendations of Bhore Committee
For each PHC:
two medical officers, - 4 public health nurses,
one nurse, - 4 midwives,
4 trained dais, - 2 sanitary inspectors,
2 health assistants, - one pharmacist, and
15 other class IV employees were recommended
Recommendations of Bhore Committee
Long term programme (3 million plan )
Primary health units with 75 bedded hospitals for each
10,000 and 20,000 population
Secondary units with 650 bedded hospitals
Regionalized district hospitals with 2500 beds
Recommendations of Bhore Committee
3. Three-months training of medical graduates
in preventive and social medicine
to prepare ‘Social Physicians’.
Mudaliar Committee (1962)
Also called
“Health survey and Planning committee’’
Chairman – AL Mudaliar
Recommendations of Mudaliar Committee
1) Consolidation of advances made in 1st 2 five year
plan.
2) Strengthening of the district hospital with specialist
services.
3) Each primary health centre not to serve more than
40,000 population.
Recommendations of Mudaliar Committee
4) To improve the quality of care provided by the
PHC.
5) Integration of medical and health services as
recommended by the Bhore Committee.
6) Constitution of All India Health Services in the
pattern of IAS.
Chadah Committee (1963)
Chairman- Dr.
M.S. Chadah, (the then
Director General of Health Services).
Also called “Basic health worker (BHW)
committee”
Recommendations of Chadah Committee
The “Vigilance” operations in respect of
National Malaria Eradication Programme
should be the responsibility of General
Health Services (PHC’s) and through
basic health workers.
One BHW per 10,000 population.
Recommendations of Chadah Committee
They were envisaged as Multi-Purpose Workers.
(Vital statistics, Family Planning)
The family planning health assistants were to
supervise 3 or 4 of these basic health workers.
Mukerji-1 Committee (1965)
Recommendations:
1) Separate staff for family planning
2) Basic health workers for work other than family
planning
3) De-link malaria from family planning.
Mukerji-2 Committee (1966)
Met in Bangalore in 1966
Recommendations:
Provision of “basic health services” at block level.
Jungalwala Committee (1967)
Dr. N. Jungalwala, Director, National Institute of
Health Administration and Education, New Delhi.
Also called “Committee on integration of health
services”
Jungalwala Committee (1967)
Recommendations: Steps towards integration:
- Unified cadre
- Common seniority
- Recognition of extra qualifications
- Equal pay for equal work
- Special pay for special work
- No private practice
Kartar Singh Committee (1973)
“Committee on multipurpose workers
under Health and Family Planning”
Chairman : Kartar Singh ( additional Secretary,
MOH & Family Planning)
Recommendations of Kartar Singh Committee
ANM to be replaced by HW(F) and basic health
workers, & malaria surveillance workers by HW (M).
PHC for 50,000 population.
PHC is divided into 16 sub-centres each is the
population of 3000 to 3500.
SC to have one HW (M) and HW (F)
Health supervisor for 3 - 4 HW
Srivastav Committee (1975)
Ministry health and family welfare setup
“A group on medical education &
support manpower”.
Srivastav Committee (1975)
To devise a suitable curriculum for
training a cadre of health assistants
so that they can be a link between
qualified medical practitioners & the MPW.
To suggest the steps for
improving Medical Education.
Recommendations of Srivastav Committee
1) Creation of a band of para-professional &
semi-professional from the community itself.
2) Establishment of 2 cadres of health workers namely
multipurpose health workers and health assistants.
3) Development of a “Referral Services Complex” by
establishing proper linkages between the PHC and
higher level referral and service centers.
Recommendations of Srivastav Committee
4) Establishing medical education commission.
5) One male and one female worker for
every 5000 population.
6) For two male and two female health workers, one
health assistant, health assistant should be
in the sub centre.
Rural health scheme (1977)
Involvement of medical colleges in the total
health care of selected PHC’s with Re-
Orienting Medical Education (ROME program) to
the needs of rural people.
Reorienting the multipurpose workers
engaged in control of various communicable
diseases programmes into uni-purpose work.
National Health Policy
Health Policy
Health policy refers to decisions,
plans, and actions that are undertaken to achieve
specific health care goals within a society.
National Health Policy- Aim
To inform, clarify, strengthen and prioritize the role
of the Government in shaping health systems in all
its dimensions.
National Health Policy – 2017
Specific Quantitative Goals and Objectives:
1. Health Status and Programme Impact
2. Health systems performance
3. Health systems strengthening
National Health Policy – 2017
Specific Quantitative Goals and Objectives:
1.Health Status
2.Health systems 3.Health systems
and Programme
performance strengthening
Impact
a.Life Expectancy a.Coverage of a.Health finance
and healthy life Health Services
b.Mortality by Age b.Cross sectoral b.Health
goals related to Infrastructure and
and/ or cause health Human Resource
c. Reduction of c. Health
disease Management
prevalence/ Information
incidence
Planning Commission
The Government of India set up a
Planning Commission in 1950 to
make an assessment of the material,
capital and human resources of the country, and
to draft developmental plans for the
most effective utilization of these resources.
Planning Commission
The Planning Commission consists of
a Chairman, Deputy Chairman and 5 members.
Over the years, it has been formulating
successive Five Year Plans.
It reviews the progress made in various directions and
recommends on problems and policies relevant to the
pursuit of rapid & balanced economic development.
The NITI Aayog
National Institution for Transforming India (NITI)
Replaced “Planning Commission” on 1st Jan 2015.
It is a policy “think tank” of the Government of India.
The NITI Aayog
Aim
To achieve sustainable development goals
with cooperative federalism by fostering the
involvement of State Governments of India in the
economic policy-making process using a bottom-up
approach.
The NITI Aayog- Composition
Chairperson- The Prime Minister.
Governing Council-
Chief Ministers of all the States and UTs
Regional Councils-
Chief Ministers of States and Lt. Governors of
UTs in the region to address specific issues.
Functions of NITI Aayog
New initiatives of NITI Aayog
• APMC
• Model land leasing laws
• Reforming medical education – NMC
• Digital payment methods
• Artificial intelligence in health
• Agricultural development
Summary
Health Planning in India:
Health Committees in India
National Health Policy- 2017
Planning Commission
NITI AYOG
Health Committees in India
Bhore Committee- 1946
− Integration of preventive and curative services
− 3 months training in PSM- Social physicians
− 3 million plan
− Short term measure- PHC
Mudaliar Committee- 1962
- specialist at district hosp
- AIHS
Chadha Committee- 1963
− Malaria by PHC’s
Health Committees in India
Mukherjee Committee- 1965
- Family planning separate staff
Mukherjee Committee- 1966
- Basic health services
Health Committees in India
Jungalwalla Committee- 1967
- Committee on integration of health services
- No private practice
Kartarsingh Committee- 1973
- Committee on MPW
Health Committees in India
Shri Vastav Committee- 1975
- Link between medical practitioners and MPW
- Medical education improvement
- Referral services complex
Rural Health Scheme- 1977
- Involve medical colleges
- Re-orientation of MPW in uni-purpose work
MCQs
• Which committee recommended a basic health worker
per 10,000 population?
(a) Bhore
(b) Mudaliar
(c) Chadha
(d) Kartar singh
MCQs
• 3 million plan was given by which committee?
(a) Bhore
(b) Mudaliar
(c) Chadha
(d) Kartar singh
MCQs
• Bhore committee was also known as:
(a) Health survey and planning committee
(b) Health survey and development committee
(c) Committee on integration of health services
(d) None of the above
MCQs
• NITI Aayog has replaced which of the following?
(a) Planning commission
(b) National COVID task force
(c) Central council of health
(d) All of the above
MCQs
• Which committee suggested constitution of an All India
Health Service on the pattern of Indian Administrative
Service?
(a) Mudaliar
(b) Chadha
(c) Kartar singh
(d) Jungalwalla
Thank you
