Health Planning Committees in India

Bhore committee –

• also called the Health survey and development committee.
• Report submitted in 1946.

Recommendations-

• Short-term – 1 Primary health center per 40,000 population in the rural areas (30 beds, 3 sub-centers 2 medical officers, 1 nurse, 4 public health nurses, 4 midwives, 4 trained dais, 2 sanitary inspectors, 2 health assistants, 1 pharmacist, 15 other class IV employees ).

• Long-term– also called 3 million plan

• Primary health units with 75-bedded hospitals per 10,000 to 20,000 population;

2. Secondary health units with 650-bedded hospitals,
3. District hospitals with 2,500 beds;

• Prepare social physicians – introduction 3 months of training in Social and Preventive Medicine into the medical curriculum to prepare social physicians.

Mudaliar committee-

• also called – Health survey and planning committee.
• Report submitted in – 1962
• Recommations-
• 1 PHC per 40000 population maximum
• Constitution of All India Health Service on the pattern of Indian Administrative Service (IAS).

Chadah committee-

• Report submitted in – 1963
• to advise about the necessary arrangements for the maintenance phase of National Malaria Eradication Programme.
• The committee suggested that the vigilance activity in the NMEP should be carried out by basic health workers (one basic health worker per 10,000 population)
• Basic health workers would function as multipurpose workers and would perform, in addition to malaria work, the duties of family planning and vital statistics data collection under supervision of family planning health assistants.

Mukherji committee (1965)-

• Report submitted in 1965.
• Delink malaria activities from family planning.
• Separate staff for family planning programme.

Mukherji committee (1966)

• Report submitted in 1966
• Basic Health services should be provided at the Block level, and some consequential strengthening is required at higher levels of administration.

Jungalwalla committee-

• also called – Committee on Integration of Health Services
• Report submitted in 1967.

• Unified Cadre
• Common Seniority
• Recognition of extra qualifications
• Equal pay for equal work
• Special pay for special work
• Abolition of private practice by government doctors
• Improvement in their service conditions

Kartar Singh committee-

• Committee on Multipurpose worker under Health and Family Planning.
• Report submitted in 1937.
• Recommendations:
• 1 PHC for 50000 population.
• 15 to16 subcenters each for 3000 to 5000 populations.
• ANMs to be replaced by female health workers.
• Basic health workers, vaccinators, malaria surveillance workers, health education assistants, Family planning health assistants to be replaced by Male health workers.
• 1 Male supervisor per 3 to 4 male health workers.
• 1 Female supervisor per 3 to 4 female health workers.

Shrivastava committee

• Group on Medical education and support manpower.
• Report submitted in 1975.

It recommended immediate action for :

1. Creation of bonds of paraprofessional and semiprofessional health workers from within the community itself.
2. Establishment of 3 cadres of health workers namely – multipurpose health workers and health assistants between the community level workers and doctors at PHC.
3. Development of a “Referral Services Complex”
4. Establishment of a Medical and Health Education Commission for planning and implementing the reforms needed in health and medical education on the lines of University Grants Commission.

Acceptance of the recommendations of the Shrivastava Committee in 1977 led to the launching of the Rural Health Service.

Krishnan Committee

• Report submitted in 1983.
• Urban revamping Scheme to address the problem of Urban health.

Bajaj Committee-

• Report submitted in 1986.
• Formulation of National Medical and Health Education policy.
• Formulation of National Health Manpower Policy.
• Education Commission.
• Health Manpower cells.

High-Level Expert Group

• Planning commission of India, 2010
• Universal health coverage- 3.5 Years Graduate course for serving rural population.
• Rural doctors called Community Health Officers.
• 3.5 Yr Degree given – B.Sc Community Health