2. HEALTH PLANNING IN INDIA
Bhore committee set up by Govt. of India in 1943 ,Sir Joseph bhore
was the chairman of this committee which submitted their report in
The main objective was:-
• To survey the then existing position regarding the health condition
and health organizations
• To make future recommendations
3. OBSERVATION BY COMMITTEE
“If the nation’s health is to be built ,the health programme
should be developed on a foundation of preventive health
work and that such activities should proceed side by side
with those concerned with the treatment of patients”
4. GUIDING PRINCIPLES ADOPTED
• No individual should be denied to secure adequate medical
care because of inability to pay
• Facilities for proper diagnosis and treatment.
• Health programme must lay special emphasis on preventive
• As much medical relief and preventive health care should be
provided to the vast rural population
• Health services should be located close to the people to ensure
maximum benefit to the community.
• Doctor should be a social physician protecting the people.
• Medical services should be free to all, without distinction.
6. OBSERVATIONS MADE BY THE
• Health status of the country as indicated by various indicators was poor.
• Mortality rates were very high.
• Life expectancy at birth was about 27yrs.
• Incidence of communicable diseases was very high.
• Many of the health problems were preventable.
• Committee stated that health and development are interdependent.
• Improvement in sector other than health will also lead to improvement in
health like water supply ,sanitation improvement ,nutrition ,elimination of
7. IMPORTANT RECOMMENDATIONS..
• Integration of preventive and curative services at all administrative levels.
• Minimum required ratio 567 hospital beds,62 doctors,151 nurses per 1,00,000
• The committee visualised the development of PHC in 2 stages:
• 1. A short term measure :- Each PHC-40,000 POP, 2 MOs, 4 PHN, 1 nurse, 2
midwives, 4 trained dais, 2 sanitory inspectors, 2 health assistants, 1
pharmacist and 15 other class Iv employees.
• 2. A long term programme (3 million plan): - consist of health care system in 3
8. PRIMARY UNIT
• 10000-20000 pop,75 hospitals beds,6 MOs, 6 PHN, 2 sanitory
inspectors,2 health assistants and 6 midwives.
• 25-med ,10-sur ,10-obs&gyn, 20-infect ds, 6-malaria & 4-TB.
• Highly dense province - 20,000/PU
• Highly dispersed province - 10,000/PU
9. SECONDARY UNIT
• 60 primary units under a secondary unit
• 650 hospital bed,140 doc,180 nurses, 178 other staffs,15 hosp
social workers,50 ward attendants and 25 compounders.
• 150-med , 200-sur ,100-obs&gyn , 20-inf ds, 10-malaria ,120-
TB , 50-ped.
• First level referral hospital.
10. DISTRICT HOSPITAL
• 2500 beds,269 doc,625 nurses,50 hosp social workers and 723
• 300-med, 350-sur,300-obs, 54-TB, 250-ped, 300-lep,40-inf
• Nutrition ,health education , professional/UG/PG education
• 2 grades in nursing profession.
• Village health committee, medical research.
• Special attention to diseases like malaria ,TB ,small pox
,leprosy ,plague ,cholera , veneral ds , filariasis ,mental illness.
• Special programmes for health of mothers and children,
environmental hygiene and occupational health for industrial
12. SIGNIFICANCE & IMPORTANCE OF BHORE
• Important landmark in public health in india.
• • Initiated the concept of integrated development &
comprehensive health care.
• Idea of primary health care.
• The three tier pattern of health care services.
• 1. Government of India, Health Survey and Development (Bhore) Committee, Report, Volume-1, Delhi,
Publications Division, 1946
• 2. National Planning Committee, Subcommittee on National Health (Sokhey) Committee, Report, Bombay, Vora,
• 3. World Health Organization, Primary Health Care. Report of International Conference on Primary Health Care,
Alma Ata, USSR, September 6-12, 1978, Geneva, WHO, 1978.
• 4. Government of India. National Health Policy 2002, New Delhi, Ministry of Health and Family Welfare, 2002.
• 5. Government of India, National Rural Health Mission: Mission Document, New Delhi, MOHFW, 2005
• 6. Indian Public Health Standards (IPHS) for Community Health Centers, Draft Guidelines, Directorate General of
Health Services, MOHFW, GOI, April 2005
• 7. Indian J Pediatr 1991; 58 : 395-406