Brief about pillars for health Policy In India

1. Health policy Since
Independence ATK
1946– BHORE COMMITTEE.
HEALTH SERVICE TO BE FREE.
CLOSE TO PEOPLE SHOULD BE
C O M P H R E N S I V E . I N T EG R A T ED
PREVENTIVE,PROMOTIVE,CURATIVE.
3 TIER-SUBCENTER,PRIMARY HEALTH
C E N T E R , S U B DI S T R I C T A N D D I S T R I C T .
PHC– SHORT TERM- 40,000.
LONG TERM--- 10,000-20,000

2. Bhore Committee-contd.
 1Bed for 175
 Doctors 1600
 Nurse-600
 650 bedded hospital at taluka-( 3 lakhs population
 2500 beds a district
 15% of govt. expenditure on health
ATK

3. Mudiliar Committe
 1961
 Integration of Curative and Preventive services
 PHC- 40000
 1 Bed- 1000
 1 Doc for 3000
 Taluk – 50 bedded hospital/500 bedded hospital at
district level

4. Chadha Committee 1963
 Integration of maintenance phase of malaria with
general health services in the country consisting of
subentries, primary health centers and district level
organization
 Designating the Malaria surveillance workers as basic
health workers at the scale of 1 per 10000 population.
 One sanitary inspector/ health inspector at the rate of
1 per 30,000 population for intensification of family
planning measures.
 Utilization of extension education educators for all
national.

5. Mukherjee Committee 1996
 One family planning field worker( FPFW) for every
two sub centres or 20000 population
 One day health visitors for 40000 population.
 Inceptive to Government Doctors and practitioners

6. Jain Committee 1966
 One bed per 1000 population
 One 50 beds hospital at Taluka level.
 Enhancing maternity facilities at each level
 Health insurance for larger population coverage

7. Kartar Singh Committee - 1974
 Change of uni-purpose workers to multipurpose
health workers.
 One male and one female multipurpose health
workers
 One PHC for 50000 population.

8. Srivastave Committee 19775 (Group on medical
education and support manpower)
 Health guides at the community level one for 1000
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population
One male and one female health worker per 5000
population
One additional doctor and nurse at PHC for MCH
services.
Increase in PHC drug budget
Compulsory national service of two years at PHC by
every doctor.
Establish medical and health education commission

9. National Health Policy( NHP) - 1983
 Involvement of private practitioners and NGOs to
expand coverage of services.
 Evolving a decentralize system of health care and
establishment of a referral system
 Encourage private investment in health sector to
reduce Government burden.
 Specification of health and demographic outcomes
targets to be achieved by year 2000.

10. Approach
 To invest 55% of public health investment in primary
health care, 35% for secondary and 10% for tertiary
care.
 To provide essential drugs and equipments at
primary health care, 35% for secondary and 10% for
tertiary care.
 To provide essential drugs and equipments at
primary health centre by the central government.

11. National Rural Heath Mission( NRHM) - 2005
 To raise public spending on health from 0.9% of GDP to
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2-3% of GDP.
To strengthen sub centers, PHCs, CHCs and districts
health services.
To achieve convergence of service of various sectors like
health, nutrition, water supply and sanitation at various
levels.
To enhance community participation by enhancing
capacity of PRIs.
To promote access to health care through accredited
social health activist (ASHA).