Health committees

Various committees and commissions on health and
family welfare
Presentedby
Pratibhasrivastava
Associate professor
Ramauniversity
Uploadedon 17/6/2020

The goal of National Health Planning in
India is to attain Health for all by the year
2000.
 Bhore Committee, 1946
 Mudaliar Committee, 1962
 Chadha Committee, 1963
 Mukerjee Committee, 1965
 Jungalwala Committee, 1967
 Kartar Singh Committee, 1973
 Shrivastav Committee, 1975
 Bajaj Committee, 1986

BHORE COMMITTEE, 1946
The health services in India were developed after the Bhore
committee report.
 The government of India in 1943 appointed a committee known
as Bhore committee or the Health survey and development
committee.
 To make recommendations for future development.
 The necessity for initiating such a survey has arisen from the
fact that the time has come to make plans for post war
developments in the health field .

The chairman of committee was Sir Joseph Bhore.
Health it self was a wide field, so it was covered
between 5 advisory .
Committee dealing with the subjects :
 Public health
 Medical relief
 Professional education
 Medical research
 Industrial health
These advisory committees- which were composed of
members of the Health Survey Development.

The committee met regularly 2 years and submitted report in
1946 which was presented in four volumes.
Some of the important recommendations were:
Integration of preventive & curative services of all
administrative levels.
Development of PHC in two stages:
 Short term measures
 Long term measures

Short Term Measures:
One primary health centre will cater to a population of 40,000. Each PHC was to be
manned by:-
 Docter-2
 Nurse-1
 Public Health Nurse-4
 Midwives-4
 Trained dais-4
 Sanitary Inspector-2
 Health Assistants-2
 Pharmacist-1
 Class IV employes-15
 Secondary health centre was also envisaged to provide support to PHC and to co-
originate and supervise their functioning.

Long Term Measures:
 It was proposed to setup primary health units with the
bedded hospitals for each 10,000 to 20,000 population and
secondary unit with 650 bedded Hospital, again regionalised
around district hospitals with 2500 beds.
 It was proposed to have major changes in medical education
which include:
Three month training in preventive and social medicine to
prepare social physicians.

MUDALIAR COMMITTEE, 1962
 Government of India appointed Mudaliar committee also
known as health survey and planning committee was
appointed to assess the performance in health sectors
since the submission of Bhore committee report.
 Dr. A. Lakshamanaswami (Dr A.L. Mudalliar) was the
chair man and submitted the report in 27th Oct 1961.
 The committee found the condition of PHCs to be
unsatisfactory and suggested that the PHC already
established should be strengthened before new one are
opened.


 Six sub committees was set up for analysing the condition of
public health, medical relief, population problem,
communicable diseases, professional education and drugs and
medical appliances.

Recommendation of Mudaliar Committee-
 Medical care
 Public health
 Communicable diseases
 Population problem
 Professional education
 Medical research
 Indigenous system of medicine
 Drugs and medical supplies
 Legislation
 Health administration

CHADHA COMMITTEE, 1963
 A sub committee formed by government of India under
the chairmanship of Dr. M.S. Chadha who was the
Director general of health services (DGHS), to advice
about the necessary arrangements for the maintenance
phase of National malaria eradication programme.
 The committee suggested that the surveillance activity
under NMEP should be carried out by basic health
workers (one /10,000 population).
 They function as MPHW and would perform, in addition
to malaria work, the duties of family planning and vital
statistics under the supervision of family planning health
assistants.

MUKERJEE COMMITTEE, 1965
Very soon it was realized that basic health workers
could not function effectively as multipurpose
health workers. Neither malaria surveillance
activities nor family planning activities were
carried out effectively. So, a committee was
appointed under the chairmanship of Sri Mukerji
to review the strategy for the family planning
program.

Recommendation :
separate staff as family planning duties only, so
that the health workers can carry out malaria
surveillance activities effectively. The
recommendation were accepted by Govt. of India.

MUKERJEE COMMITTEE, 1966
 In the next year, same committee recommended creation of
network of rural family planning centers attached to each
PHC to integrate maternal and child health services and
family planning. It also recommended the establishment of
urban family planning centers for 50,000 population in the
urban areas along with necessary staff.

JUNGALWALA COMMITTEE, 1967
This committee was appointed by the Government
of India, under the Chairmanship of Dr.
Jungalwala, the then Director of National Institute
of Health Administration and Education ,to
integrate the health services. so ,this committee is
also known as ‘ Committee on Integration of
Health Services.’

The committee examined the service conditions of
various cadres in health services and made various
recommendations for the integration of health
services. They were unified cadre, common
seniority, recognition of extra qualifications, equal
pay for equal work, special pay for special work,
elimination of private practice by government
doctors and provision of good conditions.

KARTAR SINGH COMMITTEE, 1973
This committee was appointed under the Chairmanship of Kartar
Singh, who was the then additional secretary to the Ministry of
Health and Family Planning, Government of India, in 1972.
The objectives are:-
1. To suggest structure for integrated services at peripheral at
supervisory levels.
2. To assess the feasibility of having multipurpose workers in the
field.
3. To recommend the training requirements for the personnel’s .

 The committee observed that in PHCs , there were different caders of
health workers under different National Programs as vaccinatiors
(NSEP),surveillance workers(NMEP),Basic Health Workers for
(NFPCP),Health education assistants (N Trachoma CP),Leprosy
workers(NLCP),etc. Each worker covering a population of 10 to 20
thousand .It is not feasible in India for one worker to cater this
population size in rural areas .
The committee submitted the report in 1973.

The recommendations are :
 Replacement of the term Auxillary Nurse Midwife (ANM) by
Female Multipurpose Workers(MPW-F).
 BHW ,MSW, vaccinators etc to be merged into one cader i.e.
Health worker –male and female (BHW=Basic Health Worker,
MSW=Medico Social Worker).
 There should be a team of two health workers one male and one
female at the sub-center level, catering population of 3,000-
3,500.
 The medical officer of PHC will be overall in-charge of all health
workers and supervisors.
 There should be one Primary health center for a population of
50,000 including 16 sub-center.

SHRIVASTAV COMMITTEE,1975
 The committee was set up in 1974 as “Group on Medical
Education & Support Manpower”.
 Under the chairmanship of Dr. J. B. Srivastav, Director General
of health services to study the medical education and health care
delivery system in India and to formulate recommendations to
form a suitable curriculum for medical education and health
care delivery system.
 The committee submitted report in 1975 April.

 The committee recommended creation of paraprofessional
health workers from within the community itself (like teachers,
post masters, gram sevaks etc.) to provide simple preventive
promotive and curative services to the community. (this
recommendation resulted in the introduction of the rural health
scheme/community health workers scheme on October 2, 1977).

 The committee also recommended establishment of two caders, namely
multipurpose health workers and health assistants between community
health workers and medical officers of PHC.
 The committee also recommended the establishment of medical and
health education commission for implementing the reforms on the
lines of University Grants Commissions.
 During 1977-78, steps were under taken to involve medical colleges in
providing total health care of the selected PHCs and also Reorientation
of Medical Education (ROME) to the medical students and health
workers.

BAJAJ COMMITTEE (1985)
 The ministry of health &family welfare, government of India set
up on expert review committee for health man power planning
and development with major emphasis on creation of additional
facilities
 “An Expert committee for health manpower planning,
production and management “was constituted in 1985 under
Dr.J.S Bajaj ,then professor at AIIMS.

Major recommendation are:-
 Formulation of National Medical and Health Education Policy.
 Formulation of National Health Manpower Policy .
 Establishment of an educational commission for health services on lines of UGC.
 Establishment of Health science universities in various states &union territories.
 Establishment of health manpower cells at centre & in the states .
 Vocationalisation of education at 10+2 levels as regards health related fields with
appropriate incentives ,so that good quality paramedical personnel may be available
in adequate numbers.
 Carrying out a realistic health manpower survey .

Health committees

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