Five year plans, NITI Aayog and Health Committees!

SHAMIL.C.B
Associate Professor
TMU, Moradabad
Five Year Plans

Introduction
 In India, after the independence, the government
set up a Planning Commision in 1950. This
commission would be responsible for framing and
implementing the five year plans of the country.
They began their efforts with the first five year
plan in 1950.

FIVE YEAR PLANS
 The five year plan was conceived to rebuild rural
India to lay the foundations of industries progress
and secure the balanced development of all parts
of the country.
 For the smooth functioning of any economy,
planning plays an important role. The Planning
Commission has been entrusted with the
responsibility of the creation, development and
execution of India's five-year plans.

Objectives Of Five Year Plan
 Control or eradication of major communicable
diseases, deficiency and chronic diseases.
 Development of health manpower resources.
 Improvement of environmental sanitation.
 Strengthening of basic health services through the
establishment of PHCs and sub centers.
 Family planning & Population control.
 Improvement of environmental sanitation.
 Drug control.

* Prasanta Chandra Mahalanobis

Five Year Plans (1951 – 2017*)
2014*
1. First Five Year Plan(1951 – 56).
2. Second Five Year Plan of India
(1956-61).
3. Third Five Year Plan of India
(1961-66).
Three Annual Plans (From 1966-
69).
4. Fourth Five Year Plan of India
(1969-74).
5. Fifth Five Year Plan of India
(1974-79)
Annual Plan (1978-80).
6. Sixth Five Year Plan of India
(1980- 85).
7. Seventh Five Year Plan of
India (1985 – 90).
8. Eighth Five Year Plan of
India (1992 – 97).
9. Ninth Five Year Plan of
India (1997 – 2002).
10. Tenth Five Year Plan of
India (2002 – 07).
11. Eleventh Five Year Plan
of India (2007-12).
12. Twelfth Five Year Plan of
India (2012 – 17)

Five Year Plans
(1951- 2017*)
*2014

First Five Year Plan
(1951 – 56)

1st Plan (1951-56)
On December 8, 1951, the Prime Minister
Jawaharlal Nehru presented the first five-year plan to
the Parliament of India. The main objectives of the
first five-year plans were agriculture, community
development, communications, land rehabilitation.
A 7-point public health programme with the
following priorities formed the basis of first five-year
plan
1. Provision of water supply and sanitation
2. Control of malaria
3. Preventive health care of rural population through
health units and mobile units
PTO

Cont….
4. Health services for mother and children
5. Education and training in health care
6. Self sufficiency in drugs and equipment
7. Family planning and population control

Major Programmes & development
 1951: BCG Vaccine to prevent & control
tuberculosis launched.
 1953: National Malaria control programme was
launched.
 1953: The National Family Planning Programme
was launched.
 1954: National leprosy control programme was
launched in.
 1955: National filaria control programme
launched.

2nd Plan (1956-61)
The second five-year plan mainly focused
on hydroelectric projects, steel Mills, production of
coal, railway tracks.
The specific objectives were-
1. Establishment of institutional facilities to serve as the
basics from which services can be rendered to the
people both locally and in the surrounding territories
2. Development of technical manpower through
appropriate training programme
3. Intensifying measures to control wide spread
communicable diseases

Cont…..
4. Encouraging active campaign for environmental
hygiene.
5. Provision of family planning and other
supporting services for raising standard of
health.
6. Water supply and sanitation.

Major Developments
 1957: Demographic research centre was established.
 1959: Panchayati Raj was introduced in Rajasthan.
 1959: National Institute of Tuberculosis was
established at Bangalore.

Third Five Year Plan
(1961- 66)

3rd Plan (1961-66)
The main objectives of the third five year plan were
1. Defence
2. Price stabilization
3. construction of dams.
4. Cement and fertilizers plants.
5. Education
6. Rural water supply scheme.
7. Control of communicable diseases.
8. Malaria eradication, filarial control, mental health and
family planning programme and nutrition was given
emphasis

Priorities Of Third Five Year Plan
1. Safe water supply in village and sanitation especially
the drainage programme in the urban areas.
2. Expansion of institutional facilities to promote
accessibility especially in rural areas.
3. Eradication of malaria and Smallpox and control of
various other communicable diseases.
4. Family planning and other supporting services for
improving health status of people.
5. Development of manpower.

Major Development
 1961: The central Bureau of Health Intelligence
was establishment.
 1962: The school health programme started.
 1962: The national smallpox eradication
programme and the National Goiter control
programme were launched.

Fourth Five Year Plans
(1969 – 1974)

Fourth Five Year Plan
 The fourth five year plan did not start soon after
the Third Five Year Plan due to some political
reasons. It STARTED IN 1969. Annual plans were
made having the same objectives from 1966 –
1969.
 AIM: The main aim of this plan was to
strengthen primary Health Centre Network in
rural areas of undertaking, preventive, curative
and family planning services and to take over the
maintenance phase of communicable diseases.

Cont…
At this time Indira Gandhi was the prime
minister and she nationalized 19 major banks. The
funds rose for industrialization was used in the
Indo-Pak war of 1971. India also conducted nuclear
tests in 1974.
The public health and medical programme has
been divided into five broad groups-
1. Medical & nursing education and training research.
3. Medical care including hospitals, dispensaries and
primary health centres.
4. Other public health services.
5. Indigenous system of medicine .

5th Plan (1974-79)
The major objectives of the fifth five year plan were
employment, poverty alleviation, justice etc. “Minimum
need programme” operated through state government, is
considered to be of great importance. Objectives are-
1. Establishment of one primary health care centre for each
100000 population
2. Establishment of one sub centre for every 10000
population
3. Making up for the deficiencies in buildings including
residential quarters of the existing PHC and sub centres
4. Provision for the drugs at the scale of Rs.12000 per annum
per PHC and Rs.2000 per annum per sub centre
5. Upgrading of one, in every 4 PHC, to the status of a 30 bed
rural hospital with specialized services in surgery,
medicine, obstetrics and gynaecology

CONT….
6. Increasing accessibility of health services in rural
areas.
7. Correcting the regional imbalance.
8. Development of referral services by removing
deficiencies in district and sub divisional level.
9. Control and eradication of communicable diseases.
10. Qualitative improvement in the education and
training of health personnel by converting workers to
multipurpose workers.
11. Development of referral services by providing
specialists attention to common diseases in rural
areas.

Programmes & Developments
 1977: Rural health scheme.
 1975: Integrate Child Development Scheme.
 1977: Community Health Workers Scheme.

6th Plan (1980-85)
The sixth five year plan focused on
information technology, Indian national highway
system, tourism, economic liberalization, price control,
family planning etc.
The objectives of this plan were as follows-
1. A progressive reduction in the incidence of poverty
and unemployment
2. To set up the rate of growth of Indian economy
3. Promoting policies for controlling the population
growth through acceptance of small family norm
4. To improve the quality of life of people in general
through minimum need programmes

Priorities of 6th Plan (1980-85)
 Rural health services.
 Control of communicable and other diseases.
 Development of rural and urban hospitals.
 Improvement in medical and training.
 Medical research.
 Drug control and prevention of food education.
 Population control and family welfare including
MCH.
 Water supply and sanitation.

Programmes & Development
 1983: National Health Policy was approved.
 1983: Guinea worm Eradication Programme.

Seventh FIVE Year Plan(1985-89)

7th Plan (1985-89)
The objectives of the seventh five-year
plan were Improving productivity by upgrading
technology. The major objectives were-
1. Strengthening of the PHC infrastructure and services by
opening of new PHCs and sub centers with necessary
attainment of HFA by 2000 AD
2. Further reducing the regional imbalances in facilities
available at different levels of institution
3. Shifting of emphasis from curative based medicine to
preventive medicine, sanitation, nutritional support,
provision of water supply etc

Cont….
4. Making improvement of facilities available in
institution and to put the existing institutions to
their optimal use.
5. In improving the quality of medical education
training and research.

Priorities
 Health services in rural, tribal and hilly areas
under minimum need programme.
 Medical education and training.
 Control of emergency health problems especially
in the area of non-communicable diseases.
 MCH and family welfare.
 Medical and family welfare.
 Medical Research.
 Safe water supply and sanitation.
 Standardization, integration and application of
Indian system of medication.

Programmes introduced
 1987: National Diabetes control programme.
 1987: National AIDS Control programme.

8th Plan (1992-97)
Modernization of industries was the main target
of the eight five-year plans. A 20-point programmes
was initiated and its objectives are-
 Point 1 Attack on rural poverty
 Point 7 Clean drinking water
 Point 8 Health for all
 Point 9 Two child norm
 Point 10 Expansion of education
 Point 14 Housing for the people
 Point 15 Improvement of slums
 Point 17 Protection of environment

 20 Points The 20 points of the Programme and its
66 items have been carefully designed and
selected to achieve the above objectives.

Point No. Item
1 Poverty Eradication
2 Power to People
3 Support to Farmers
4 Labour Welfare
5 Food Security
6 Housing for All
7 Clean Drinking Water
8 Health for All
9 Education for All
10 Welfare of Scheduled Castes, Scheduled Tribes, Minorities and OBCs
11 Women Welfare
12 Child Welfare
13 Youth Development
14 Improvement of Slums
15 Environment Protection and Afforestation
16 Social Security
17 Rural Roads
18 Energization of Rural Areas
19 Development of Backward Areas
20 IT enabled e-Governance
The 20 points of the Programme

Priorities
1. Developing rural health infrastructure.
2. Medical education and training.
4. Strengthening of health services.
5. Medical research.
6. Universal immunization.
7. MCH and family welfare.
8. Safe water and sanitation.

Programmes introduced
 1992: Child Survival and Safe Motherhood
Programme(CSSM) started.
 1994: CSSM was converted into Reproductive and
child health programme.
 1997: Revised TB Control programme.
 1995: Right to persons with disabilities

AIM:
 Reorganization and strengthening of
infrastructure so as to provide primary health
care services accessible to all especially those
living in remote rural, hilly and tribal areas.
OBJECTIVES
1. To tackle both communicable and non-
communicable diseases effectively so that there
is sustained improvement in the health status of
the population.
9th Plan (1997-2002)

2. Improve the health status of the population by
optimizing coverage and quality care by
identifying the critical gaps in infrastructure,
manpower, equipments, essential diagnostic
reagents and drugs.

Priorities
1. Control of communicable and non-
communicable diseases.
2. Efficient primary health care system as part of
basic health care services to optimize
accessibility and quality care.
3. Strengthening of existing infrastructure.
4. Improvement of referral linkages.
5. Development of human resources, meeting
increasing demands of nurses in speciality and
super speciality areas.

6. Strengthening of existing national health
programmes.
7. Disaster and emergency management.
8. Strengthening of health research.
9. Involvement of practioners from indigenous
system of medicine.
10. Involvement of private and voluntary
organizations.
11. Inter sector co-ordination.

OBJECTIVES:
1. Reduce the infant mortality rate.
2. Reduce the maternal mortality rate.
3. Restructure exisiting health infrastructure.
4. Upgrade the skills of health personnel.
5. Improve the quality of reproductive and child
health.
6. Improve health supplies.
7. Ensure effective intersectoral cooperation
10th Plan (2002-07)

8. Carry out research on nutritional deficiencies
and on the optimum daily requirement of
nutritients for Indian men and women.

 11th five year plan defines new effective policies to
achieve rapid, broad-based and all-inclusive
growth and development.
11th Plan (2007-12)

STRATEGIES
1. A comprehensive approach that ensures,
individual health care, public health services,
sanitation, safe and adequate drinking water,
access to food…etc.
2. Increased budgetary allocation and spending on
health by both the centre and the states.
3. The active involvement of the private sector in
providing primary, secondary and tertiary
health care services.
4. Good goverence, transparency and
accountability in the delivery of health services.

5. Implementation of the necessary measures to
make ‘Health as a right of all citizens’ a reality.

GOALS
1. Reduce the elementary school dropout rate.
2. Lower the gender gap.
3. Increase the literacy rate.
4. Reduce the infant mortality rate.
5. Provide safe drinking water for all.
6. Reduce the total fertility rate.
7. Reduce the malnutrition among children <3
years.
8. Reduce anemia in women and girls.

Important Measures of 11TH
Five year Plan

1. NON-NEGOTIABLE RECOMMENDATIONS IN
THE AREAS OF:
 ICDS AND Nutrition
 Early Childhood Education
 Child Protection
 Girl Child

2. PUBLIC HEALTH SERVICES
(INCLUDING WATER &
SANITATION):
 Access to clean drinking water will need to be
planned for and rigorously implemented .
 Explore replicating on a large scale the
experience of Sulabh Shauchalaya of
establishing low-cost sanitation technology.
 Introduce environmental sanitation in all
schools in the rural areas/urban slums etc.

3. POLICY MEASURES AND STRATEGIES
FOR ADDRESSING PROBLEMS OF
SLUMS
 Creating and updating database on slums
(through using Geographic Information System
 Augmenting and facilitating access to serviced
land for slum dwellers
 Granting Tenure Security for Slum Dwellers

4. EMPOWERMENT OF WOMEN
 Nutrition and gender
Emphasis will be on provision of adequate
supplementary nutrition and micro nutrient
supplements
Health and gender
Use life cycle approach, strengthen institutional
deliveries, capacitate health staff and make health
centers operational, address high rate of MMR.

EMPOWERMENT OF WOMEN
Vulnerable groups
Special attention will be paid to:
1. Women impacted by Violence
2. Women impacted by internal displacement, disasters
and Migration
3. Women and Labour (domestic labour, destitute women
who are homeless)
4. Women and Health( women affected by HIV/ AIDS,
women suffering from life threatening diseases, women
with disabilities, elderly and aged women)
5. Slum Dwellers
6. Single women (Adolescents, widows, Divorcees)

Objectives of the Twelfth Five-Year
Plan
 To create 50 million new work opportunities in the
non farm sector.
 To remove gender and social gap in school enrolment.
 To enhance access to higher education.
 To reduce malnutrition among children aged 0–3
years.
 To provide electricity to all villages.
 To ensure that 50% of the rural population have
accesses to proper drinking water.
 To increase green cover by 1 million hectare every
year.
 To provide access to banking services to 90% of
households.

13th Five-Year (2017-22)
A re-run of the past

On 1 January 2015 a Cabinet resolution was passed
to replace the Planning Commission with the newly
formed NITI Aayog (National Institution for
Transforming India). The Union Government of
India announced the formation of NITI Aayog on 1
January 2015

History - NITI Aayog
 On 29 May 2014, the Independent Evaluation Office
submitted an assessment report to Prime
Minister Narendra Modi with the recommendation to
replace the Planning Commission with a "control
commission."
 On 13 August 2014, the Union Cabinet scrapped the
Planning Commission, to be replaced with a diluted
version of the National Advisory Council (NAC) of
India.
 On 1 January 2015 a Cabinet resolution was passed to
replace the Planning Commission with the newly
formed NITI Aayog (National Institution for
Transforming India). The Union Government of India
announced the formation of NITI Aayog on 1 January
2015.
 The first meeting of NITI Aayog was chaired
by Narendra Modi on 8 February 2015.

Objectives
1. To evolve a shared vision of national development
priorities, sectors and strategies with the active
involvement of States.
2. To foster cooperative federalism through structured
support initiatives and mechanisms with the States
on a continuous basis, recognizing that strong States
make a strong nation.
3. To develop mechanisms to formulate credible plans
at the village level and aggregate these progressively
at higher levels of government.
4. To ensure, on areas that are specifically referred to
it, that the interests of national security are
incorporated in economic strategy and policy.
Cooperative federalism, also known as marble-cake federalism, is a concept
of federalism in which federal, state, and local governments interact cooperatively
and collectively to solve common problems, rather than making policies separately
but more or less equally

5. To pay special attention to the sections of
our society that may be at risk of not
benefiting adequately from economic
progress.
6. To design strategic and long term policy and
programme frameworks and initiatives, and
monitor their progress and their efficacy.
The lessons learnt through monitoring and
feedback will be used for making innovative
improvements, including necessary mid-
course corrections.

7. To provide advice and encourage partnerships
between key stakeholders and national and
international like-minded Think tanks, as well
as educational and policy research institutions.
8. To create a knowledge, innovation and
entrepreneurial support system through a
collaborative community of national and
international experts, practitioners and other
partners.
9. To offer a platform for resolution of inter-
sectoral and inter departmental issues in order
to accelerate the implementation of the
development agenda.

10. To maintain a state-of-the-art Resource Centre,
be a repository of research on good governance
and best practices in sustainable and equitable
development as well as help their dissemination
to stake-holders.
11. To actively monitor and evaluate the
implementation of programmes and initiatives,
including the identification of the needed
resources so as to strengthen the probability of
success and scope of delivery.

12. To focus on technology upgradation and
capacity building for implementation of
programmes and initiatives.
To undertake other activities as may be
necessary in order to further the execution of the
national development agenda, and the objectives
mentioned above.

Features of NITI Aayog
 NITI Aayog is developing itself as a State-of-the-art
Resource Centre, with the necessary resources,
knowledge and skills, that will enable it to act with
speed, promote research and innovation, provide
strategic policy vision for the government, and deal
with contingent issues*.
NITI Aayog’s entire gamut of activities can be
divided into four main heads:
 Design Policy & Programme Framework.
 Foster Cooperative Federalism.
 Monitoring & Evaluation.
 Think Tank and Knowledge & Innovation Hub.
Contingent Issue. An issue of a security that occurs
automatically, but only when certain conditions are met.

 Agriculture
 Health
 Women & Child Development
 Governance & Research
 HRD
 Skill Development & Employment
 Rural Development
 Sustainable Development Goals
 Energy
 Managing Urbanization

 Industry
 Infrastructure
 Financial Resources
 Natural Resources & Environment
 Science & Tech
 State Coordination & Decentralized Planning (SC&DP)
 Social Justice & Empowerment
 Land & Water Resources
 Data management & Analysis
 Public-Private Partnerships
 Project Appraisal and Management Division (PAMD)
 Development Monitoring and Evaluation Office
 National Institute of Labour Economics Research and
Development (NILERD)

Sustainable Development Goals
 The Sustainable Development Goals (SDGs)
are a collection of 17 global goals set by the United
Nations General Assembly in 2015 for the year
2030.

Sustainable Development Goals
1. No Poverty
2. Zero Hunger
3. Good Health and Well-being
4. Quality Education
5. Gender Equality
6. Clean Water and Sanitation
7. Affordable and Clean Energy
8. Decent Work and Economic Growth
9. Industry, Innovation, and Infrastructure
10. Reducing Inequality

11. Sustainable Cities and Communities
12. Responsible Consumption and Production
13. Climate Action
14. Life Below Water
15. Life On Land
16. Peace, Justice, and Strong Institutions
17. Partnerships for the Goals.

HEALTH COMMITTEES
1) BHORE COMMITTEE. 1946.
2) MUDALIAR COMMITTEE. 1962.
3) CHADHA COMMITTEE, 1963.
4) MUKHERJEE COMMITTEE. 1965.
5) MUKHERJEE COMMITTEE. 1966.
6) JUNGALWALLA COMMITTEE, 1967.
7) KARTAR SINGH COMMITTEE.1973
8) SHRIVASTAV COMMITTEE.1975
9) Rural Health – 1977.
10)Health for all by 2000AD Report of the working
group. 1980

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
REPORT DETAIL RECCOMDATION
1. The Government
of India
appointed a
committee The
Bhore
Committee or
the Health
Survey and
Development
Committee.
IN 1943 SIR
JOSEPH
1943
TO
1958
-In 1946 a famous
report, which runs
into 4 volumes.
-Comprehensive
proposals for
development of a
national
programme of
health services for
the country. If the
nation’s health is to
be built the health
programme should
be developed on a
foundation of
preventive health
work.
-Integration of
preventive and
curative services at all
administrative levels.
-The committee
visualized the
development of
primary health centers
in 2 stages
-As a short term
measure
-A long term
programme
(3 million plan)
* Major changes in
medical education
which includes 3
months training in
preventive and social
medicine to prepare
“Social Physicians”

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
-The main fields
where the
committee gave
-
Recommendations
include
-Nutrition of
people.
-Health education.
-Physical
education.
-Health services for
mothers and
children.
-Health services for
school children.
-Occupation health
including industrial
health

S.
N.
NAME OF
THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
2 Mudaliar or
Health
Survey and
Planning
Committee
In 1959
12th
June
Dr. A.
Lakshma
na Swami
Mudaliar
1959
to
1962
-The Mudaliar
Committee found
the quality of
services provided by
the primary health
centers inadequate
and advised
strengthening of the
existing primary
health centers
before new centers
are established.
-It also advised
strengthening of sub
divisional and
district hospitals so
that, they may
effectively function
as referral centers.
-The committee
decided to set up six
sub-committees in
the following aspect.
-The main
recommendation are
Consolidation of
advances made in the
first two five year plans.
-Strengthening of the
hospital with specialist
services to serve as
central base of regional
services.
-Regional organizations
in each state between
the headquarters
organization and the
district in charge of a -
Regional Deputy or
Assistant Directors – -
Each two supervise 2 or
3 district medical and
health officers.
-Each primary health
centre not to serve more
than 40,000
population.

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
Professional education
and research.
Medical relief (Urban
Rural)
Public health
including
environmental
hygiene.
Communicable
diseases.
Population problem
and family planning.
Drugs and medical
store.
The first phase of work
the committee
consisted of –
Elucidating
information and views
through
questionnaries.
Visit to representative
institutions.
--To improve the
quality of health
care provided by
the primary health
centers.
-Integration of
medical and health
services as
recommended by
the Bhore -
Committee.
-Constitution of an
All India Health
Service on the
pattern of Indian
administrative
service.

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
c. Interview with
representative of
organizations.
d. Scrutiny of memo-
randa received from
various sources.
3 Chadah
Committee
IN 1963 Dr.M.S.
Chadah,
the then
Director
General
of
Health
Services
-Committee was
appointed by the
-Government of India to
study the arrangements
necessary for the
maintenance phase of the
-National Malaria
Eradication programme.
-The committee
recommended that the
“Vigilance” operations in
respect of the National
Malaria Eradication
Programme should be the
responsibility of the
general health services
i.e. primary health
centers at the block level.
- The vigilance
operations through
monthly home visits
should be implemented
through basic health
workers.

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
-One basic health
workers per 10,000
population was
recommended.
-These workers were
envisaged as
“Multipurpose”
workers to look after
additional duties of
collection of vital
statistics and family
planning, in addition
to malaria vigilance.
-The family planning
Health Assistants were
to supervise 3 or 4 of
these basic health
workers.
-At the district level,
the general health
services were to take
the responsibility for
the maintenance
phase.

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
4. Mukerji
Committee
1965 Shri.
Mukerji
1965 to
1966
-Review the
strategy for the
family planning
programme.
-The committee
recommended
separate staff for
the family planning
programme.
-The family
planning assistants
were to undertaken
family.
-Planning duties
only.
-The basic health
workers were to be
utilized for
purposes other
than family
planning.
-The
recommendations
were accepted by
the Government of
India.

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
5
6.
Mukerji
Committee
Jungalwala
Committee
“Committee on
Intigration of
health
Services”
IN 1966
IN 1967
Shri.
Mukher
ji
Dr. N.
Jungal
wala
1966 –
1967
1967-
1972
-To take over the
whole burden of the
maintenance phase
of malaria and
other mass
programmes like
family planning,
small pox, leprosy,
trachoma etc. due
to paucity of funds
the matter came up
discussion at a
meeting of the
central council of
health held in
Bangalore in 1966.
-Examine the
various problems
including those of
service conditions
and submit a report
to the Central
Government in the
light of these
consideration.
The council
recommended that
these and related
questions may be
examined by this
committee. The
committee worked out
the details of the Basic
Health Service which
should be provided at
the block level and
some consequential
strengthening
required at higher
levels of
administration.
-Committee
recommended
integration from the
highest to the lowest
level in the services,
organization and
personal.
-The main steps
recommended

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
-Importance and
urgency of
integration of
health services
and elimination
of private
practice by
Government
doctors.
-Unified cadre.
Common seniority.
-Recognition of
extra qualifications.
-Equal pay for
equal work.
Special pay for
specialized work.
-No private practice
and good service
condition.
-The committee
stated that
“integration should
be a process of
logical evolution
rather than
revolution.”

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADED BY DURAT
ION
7. Kartar Singh
Committee
“The
Committee on
Multipurpose
workers under
Health and
Family
Planning.
1973 Kartar Singh
Additional
Secretary,
Ministry of
Health and
Family
Planning
Govern-
ment of
India.
1972
to
1973
-Kartar Singh
Committee gave
greater importance
to family planning
programme with a
view to reduce the
rate of population
growth.
-The Kartar Singh
Committee report
acted as the basis
for the fifth five
year plan.
--The main
recommendations
were –
-The present Auxiliary
Nurse Midwives to be
replaced by the newly
designated “Female
Health Workers”.
-The present day Basic
Health Workers,
Malaria Surveillance
Workers, Vaccinators,
Health Education
Assistants (Trachoma)
and the family
planning Health
Assistants to be
replaced by “Male
Health Workers”.
-The programme for
having multipurpose
workers to be first
introduced in areas

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
REPORT
DETAIL
RECCOMDATION
-where malaria is in
maintenance phase and
small pox has been
controlled, and later to
other areas as malaria
passes into maintenance
phase or small pox
controlled.
-One primary health
centre for a population of
50,000.
-Each Primary Health
Centre should be divided
into 16 sub-centres each
having a population of
about 3,000 to 3500
depending upon
topography and means of
communications..

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
REPORT
DETAIL
RECCOMDATION
-Each sub-centre to be
staffed by a team of one
male and one female
health worker should be
a male health supervisor
to supervise the work of
3 to 4 male health
workers and a female
health supervisor to
supervise the work of 4
female health workers.
-The present day lady
health visitors to be
designated as female
health visitors to be
designated as female
health supervisors.

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADED
BY
DURATION REPORT DETAIL RECCOMDATION
8. Shrivastav
Committee
“Group on
Medical
Education and
Support
Manpower”.
1975
Dr. J.B.
Shrivast
av The
Director
General
of
Health
Services
1974
to1975
-To advise a suitable
curriculum for
training a cadre of
health assistants so
that they can serve
as a link between
qualified medical
practitioners and
the multipurpose
-The doctor in charge
of a primary
health centre
should have the
over all charge of
all the supervisors
and health
workers in his
area. The
recommendations
of the Kartar
Singh Committee
were accepted by
the Government
of India to be
implemented in a
phased manner
during the Fifth
Five Year Plan.
-The most important
recommendations
were :
-The primary health
care should be
provided within the
community itself
through specially train
workers so that, health
of the people is placed

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
REPORT
DETAIL
RECCOMDATION
workers thus
forming an
effective team to
deliver health
care, family
welfare and
nutritional
services to the
people.
-To suggest steps
for improving
the existing
medical
educational
process
-To make any
other
suggestions to
realise above
objectives and
matters
incidental
thereto.
the hands of of the
people themselves.
Creation of bands of
para-professional and
semi-professional
health workers from
within the community
itself (e.g. school
teachers, post
masters, gram sevaks)
to provide simple
promotive, preventive
and curative health
services needed by the
community.
-Establishment of
medical and health
education commission
for planning and
implementing, the
reforms needed in
health and medical
education on

S.
N.
NAME OF THE
COMMITTEE
YR.OF
ESTD.
HEADE
D BY
DURATI
ON
REPORT
DETAIL
RECCOMDATION
9 Rural Health In 1977 Dr. J.B.
Shrivas
tav
1976 to
1977 Launching of
the Rural
Health
Scheme.
the lines of the
University Grant
Commission.
-Committee felt that by
the end of Sixth Plan one
male and one female
should be available for
every five thousand
population.
-One male and female
health assistant for two
male and two female
health workers
respectively.
-The health assistants
should be located at the
subcentre.
-The basic
recommendations were
expected by the Govern-
ment in 1977, which led
to the launching of the
Rural Health Scheme.

S.
N.
NAME OF
THE
COMMITTEE
YR.OF
ESTD.
HEADED
BY
DURATI
ON
10 Health for all
by 2000AD
Report of the
working
group.
1980 The
Secretary,
Ministry of
Health and
Family
Welfare
1980
to1981
-To identify in
programme
terms the goal is
Health for All by
2000 AD.
-Involvement of
medical colleges in
the total health care
of selected PHCs
with the objectives
of re-orienting
medical education
to the needs of
rural people.
-Re-orientation
training of
multipurpose
workers.
-Evolved fairly
specific indices
and targets to be
achieved in the
country by 2000
AD.

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