The document summarizes recommendations from two committees - the Shrivastava Committee from 1975 and the Bajaj Committee from 1986. The Shrivastava Committee recommended creating village health guides from local communities to provide primary health care, as well as creating multipurpose health workers and health assistants between village guides and medical officers. It also recommended reorienting medical education. The Bajaj Committee recommended establishing three cadres of health workers and developing referral services, as well as establishing commissions for reforming health and medical education.