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Health Committee

The document discusses the various health committees appointed in India from 1946 onwards to review the country's healthcare system and recommend improvements. It outlines several key committees, including the Bhore Committee of 1946, the Mudaliar Committee of 1962, the Chadah Committee of 1963, and the Mukherjee, Jungalwalla, Kartar Singh, and Shrivastav committees of later decades. Each committee assessed the state of health services and resources and proposed measures to strengthen primary healthcare, integrate services, develop manpower, and better meet public health needs.

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5K views

Health Committee

The document discusses the various health committees appointed in India from 1946 onwards to review the country's healthcare system and recommend improvements. It outlines several key committees, including the Bhore Committee of 1946, the Mudaliar Committee of 1962, the Chadah Committee of 1963, and the Mukherjee, Jungalwalla, Kartar Singh, and Shrivastav committees of later decades. Each committee assessed the state of health services and resources and proposed measures to strengthen primary healthcare, integrate services, develop manpower, and better meet public health needs.

Uploaded by

shaila
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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You are on page 1/ 35

HEALTH COMMITTEE

Presented by:-
Ms. Shaila panchal
INTRODUCTION
Government of India appointed a ‘Health
Survey and Planning committee’ in 1959
towards the end of the 2nd five year plan to
assess the state of the healthcare field and to
measure the progress achieved after
implementing the suggestions of the Bhore
committee of 1946.
HEALTH PLANNING IN INDIA
health planning in India is an integral part of national
socio economic planning. the guidelines for health
planning were provided by a number of committees
dating back to the bhore committee in 1946. these
committee were appointed by the government of India
from time to time review the existing health situation
and recommend measures for further action.
HEALTH COMMITTEE
There are various health committees in India:-
 BHORE COMMITTEE
 MUDALIAR COMMITTEE
 CHADAH COMMITTEE
 MUKHERJEE COMMITTEE
 JUNGALWALA COMMITTEE
 KARTAR SINGH COMMITTEE
 SHRIVASTAV COMMITTEE
NPC subcommittee on national
health:-
Santhok singh shokhey of the Indian
medical services was made as the
chairmen of the NPC Sub commission
on National health. It was set up in
1938 and submitted an interim report
in 1940.
According to this report the large amount of
preventable suffering and mortality in the
country is mainly the result of inadequacy of
provision in respect of these fundamental
factors:
 Environmental sanitation
 Malnutrition and under nutrition reduce the

vitality
 Lack of general education and health

education.
BHORE COMMITTEE:-
The Govt of India in 1943 appointed the health
survey and development committee with sir
Joseph Bhore as chairman, to survey the
existing position regarding the health
condition and the health organizations in the
country, and to make the recommendation for
the future development.
Major recommendations
 Integration of preventive and curative services
at all administrative levels.

 The committee visualized the development of


primary health centers in 2 stages.

 Major changes in medical education which


includes 3 month’s training in preventive and
social medicines to prepare “social
physicians.
 Short term measure
It was proposed that each primary health center in
the rural areas should scatter to a population of
40000 with a secondary health center to serve as a
supervisory, coordinating and referral institution.
 Long term programme

Setting up primary health units with 75 bedded


hospitals for each 10000-20000 population and
secondary unit with 650 bedded hospitals, again
regionalized around district hospitals with 2500
beds.
MUDALIAR COMMITTEE,1962 :-
Dr. A. L. Mudaliar was the chairman of the
committee. The committee submitted its
report in 1962.
The Mudaliar committee found the quality of
services provided by the primary health centre
inadequate, and advised strengthening of the
existing primary health centers before new
centers were established. it also advised
strengthening of sub divisional and district
hospitals so that may effectively function as
referral centers.
The main committee was divided into six
subcommittee:-
 Professional education and research
 Medical relief
 Public heath including environmental hygiene
 Communicable disease
 Population problem and family planning
 Drugs and medical stores
Major recommendations
 Consolidate the progress made during the first
2 five year plans

 All India Health service similar to ‘Indian


Administrative service’

 Strengthen existing primary health centers

 One primary health center should cater to a


maximum of 50000 people
 Strengthening of district hospitals

 Create a regional administrative level  in


between the state level and district level

 Integration of medical and health services as


recommended by Bhore committee
Manpower requirement:-
the basic infrastructure of health services
consisting of sub centres, PHCs, district
health organizations etc., have remained the
same over the years, the structure on health
man power manning these complex process
undergoing a change from time to time.
Recommendations related to nursing
sector:-
 There should be three grade of nurses.

 Candidate admitted to the general nursing course


should have the minimum qualification of
matriculation or equivalent.

 The medium of instruction should preferably be


English for the general nursing course, while the
degree course should be taught in English only.

 The minimum age of admission of the course should


be 17 years.
 Student nurses should be provided:
 free furnished accommodation,

 free board,

 free supply of uniforms, laundry arrangements,

 free books,

 free medical services, medical checkups twice a

year and suitable recreational facilities.


 the stipend during training should be a

minimum of Rs. 35 increasing by Rs. 10 every


year.
 There should be a nursing advisory
committee in school for advising on
admission and welfare of trainees.

 Promotion of degree course nurses and basic


nurse to post of higher responsibility should
be considered only after a minimum of 3 to 5
year practical experiences
CHADAH COMMITTEE:-
In 1963, a committee was appointed by the
Govt of India, under the chairmanship of Dr.
Chadah, Director General of health services to
study the necessary for the maintenance
phase of the National Malaria Control
programme.
Major recommendations
MUKHERJEE COMMITTEE:-
A committee known as Mukherjee committee
under the chairmanship of Sri. Mukherjee was
appointed to review the strategy for the family
planning programme.
After the implementation of Chadah committee
recommendations, some state realized that the
basic health workers could not function
effectively as multiple workers that result
malaria vigilance operations has suffered and
also the work of family planning could not be
carried out satisfactory.
Major recommendations
 Separate staff for the family planning programme.

 The family planning assistants were to undertake


family planning duties only.

 The basic health workers were to be utilized for


purposes other than family planning.

 Delink the malaria activities from family planning so


that the latter would receive undivided attention of
its staff.
JUNGALWALLA COMMITTEE:-
 The central council of health at its meeting held at
Srinagar in 1964,taking notes of the importance
and urgency of integration of health service and
elimination of private practice by government
doctors, appointed a committee known as the
“committee on integration of health services”,
under the chairmanship of Dr. N Jungalwalla,
director, NIHAE, New Delhi to examine the various
problems including those of service condition and
submit a report to the central government in the
light of these considerations. The report was
submitted in 1967.
The committee defined integrated health
services as :
 A service with a unified approach for all

problems.

 The medical care of the sick and conventional


public health programmes functioning under
a single administrator and operating in
unified manner at all level of hierarchy.
KARTAR SINGH COMMITTEE,1973:-
The government of India constituted a
committee in 1972 known as “ the committee
on multipurpose workers under Health and
Family planning” under the chairmanship of
Kartar Singh, Additional secretary, Ministry of
health and family planning, Government of
India.
SHRIVASTAV COMMITTEE:-
The government of India &the ministry of
health and family welfare planning ,in
November 1974 set up a “Group on medical
education and support manpower” popularly
known as Shrivastav committee.
The main focus on:
 To device a suitable curriculum to training a cadre

of health assistant so that they can serve as a link


between the qualified medical practitioners and the
multipurpose workers.

 Thus forming a effective team to deliver health care,


family welfare and nutritional services to the people.

 To suggest step for improving the existing


educational process.
Major recommendations
 Creation of brands of Para-professional and semi
professional health workers from within the community.

 Establishment of the 2 cadre of health services, namely


multipurpose health workers, and health assistant.

 Development of a referral service complex by


establishing proper linkage between the PHC and higher
level referral service centers.

 Development of a medical health education commission


for planning and implementing the reforms.
EVALUATION
Q-1 the chadah committee submitted the
report in:
a) 1965
b) 1967
c) 1963
d) 1970

Ans:- c
Q-2:- the other name of the Mudaliar
committee:-
a) Family planning programme
b) Health survey and planning committee
c) Integrated health services
d) Multipurpose workers

Ans:- b
Q- 3:- the kartar singh committee submitted
the repot in:
a) 1975
b) 1972
c) 1974
d) 1973

Ans:- d
Q-4 the main focus of the Shrivastav committee
on:-
a) Medical education & support manpower
b) Multipurpose workers

c) Family planning
d) Malaria programme

Ans:- a
Q-5 the kartar singh committee on:-
a) Medical education
b) Integrated health services
c) Multipurpose workers under health & family
planning
d) Health survey

Ans:- c
BIBLIOGRAPHY:-
 Park. K, ‘Text Book of Preventive and social
medicine’ 21st edition published by M/S
Banarasidas Bhanot, page no.816-817.
 Swarnkar’S ‘community health nursing’ 3rd

edition N.R. Brothers publication, page no.


618-620.

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