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    Committes of Health in India

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    Raghavendr Kore
    Various expert committees have been appointed by the Indian government over time to advise on health issues and reform health services. Key recommendations from early committees included establishing primary health centers, integrating preventive and curative care, and reforming medical education. Later committees focused on strengthening primary health centers, creating an All India Health Service, and developing a framework for integrating health services at local levels through multipurpose workers. The goal of national health planning in India is to achieve health for all citizens by 2000 through a strengthened primary healthcare system.

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    Committes of Health in India

    Uploaded by

    Raghavendr Kore
    296 views5 pages
    Various expert committees have been appointed by the Indian government over time to advise on health issues and reform health services. Key recommendations from early committees included establishing primary health centers, integrating preventive and curative care, and reforming medical education. Later committees focused on strengthening primary health centers, creating an All India Health Service, and developing a framework for integrating health services at local levels through multipurpose workers. The goal of national health planning in India is to achieve health for all citizens by 2000 through a strengthened primary healthcare system.

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    Various expert committees have been appointed by the Indian government over time to advise on health issues and reform health services. Key recommendations from early committees included establishing primary health centers, integrating preventive and curative care, and reforming medical education. Later committees focused on strengthening primary health centers, creating an All India Health Service, and developing a framework for integrating health services at local levels through multipurpose workers. The goal of national health planning in India is to achieve health for all citizens by 2000 through a strengthened primary healthcare system.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    296 views5 pages

    Committes of Health in India

    Uploaded by

    Raghavendr Kore
    Various expert committees have been appointed by the Indian government over time to advise on health issues and reform health services. Key recommendations from early committees included establishing primary health centers, integrating preventive and curative care, and reforming medical education. Later committees focused on strengthening primary health centers, creating an All India Health Service, and developing a framework for integrating health services at local levels through multipurpose workers. The goal of national health planning in India is to achieve health for all citizens by 2000 through a strengthened primary healthcare system.

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    of 5

    Committee & Commission National Health Committees

    Various committees of experts have been appointed by the government from time
    to time to render advice about different health problems. The reports of these
    committees have formed an important basis of health planning in India. The goal
    of National Health Planning in India is to attain Health for all by the year 2000.

    1. BHORE COMMITTEE. 1946.


    This committee, known as the Health Survey & Development Committee, was
    appointed in 1943 with Sir Joseph Bhore as its Chairman. It laid emphasis on
    integration of curative and preventive medicine at all levels. It made
    comprehensive recommendations for remodeling of health services in India. The
    report, submitted in 1946, had some important recommendations like :-

    1.Integration of preventive and curative services of all administrative levels.

    2. Development of Primary Health Centres in 2 stages :


    a. Short-term measure – one primary health centre as suggested for a population of
    40,000. Each PHC was to be manned by 2 doctors, one nurse, four public health
    nurses, four midwives, four trained dais, two sanitary inspectors, two health
    assistants, one pharmacist and fifteen other class IV employees. Secondary health
    centre was also envisaged to provide support to PHC, and to coordinate and
    supervise their functioning.

    b. A long-term programme (also called the 3 million plan) of setting up primary


    health units with 75 – bedded hospitals for each 10,000 to 20,000 population and
    secondary units with 650 – bedded hospital, again regionalised around district
    hospitals with 2500 beds.

    3. Major changes in medical education which includes 3 - month training in


    preventive and social medicine to prepare “social physicians”.

    2. MUDALIAR COMMITTEE. 1962.


    This committee known as the “Health Survey and Planning Committee”, headed
    by Dr. A.L. Mudaliar, was appointed to assess the performance in health sector
    since the submission of Bhore Committee report. This committee found the
    conditions in PHCs to be unsatisfactory and suggested that the PHC, already
    established should be strengthened before new ones are opened.
    Strengthening of sub divisional and district hospitals was also advised. It was
    emphasised that a PHC should not be made to cater to more than 40,000 population
    and that the curative, preventive and promotive services should be all provided at
    the PHC. The Mudaliar Committee also recommended that an All India Health
    service should be created to replace the erstwhile Indian Medical service.

    3. CHADHA COMMITTEE, 1963.


    This committee was appointed under chairmanship of Dr. M.S. Chadha, the then
    Director General of Health Services, 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 per 10,000 population), who 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.

    4. MUKHERJEE COMMITTEE. 1965.


    The recommendations of the Chadha Committee, when implemented, were found
    to be impracticable because the basic health workers, with their multiple functions
    could do justice neither to malaria work nor to family planning work. The
    Mukherjee committee headed by the then Secretary of Health Shri Mukherjee, was
    appointed to review the performance in the area of family planning. The committee
    recommended 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 utilised for purposes other than family planning. The
    committee also recommended to delink the malaria activities from family planning
    so that the latter would received undivided attention of its staff.
    5. MUKHERJEE COMMITTEE. 1966.
    Multiple activities of the mass programmes like family planning, small pox,
    leprosy, trachoma, NMEP (maintenance phase), etc. were making it difficult for
    the states to undertake these effectively because of shortage of funds. A committee
    of state health secretaries, headed by the Union Health Secretary, Shri Mukherjee,
    was set up to look into this problem. 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.

    6. JUNGALWALLA COMMITTEE, 1967.


    This committee, known as the “Committee on Integration of Health Services” was
    set up in 1964 under the chairmanship of Dr. N Jungalwalla, the then Director of
    National Institute of Health Administration and Education (currently NIHFW). It
    was asked to look into various problems related to integration of health services,
    abolition of private practice by doctors in government services, and the service
    conditions of Doctors. The committee defined “integrated health services” as :-

    a. A service with a unified approach for all problems instead of a segmented


    approach for different problems.

    b. Medical care and public health programmes should be put under charge of a
    single administrator at all levels of hierarchy.

    Following steps were recommended for the integration at all levels of health
    organisation in the country

    1 Unified Cadre

    2 Common Seniority

    3 Recognition of extra qualifications

    4 Equal pay for equal work

    5 Special pay for special work

    6 Abolition of private practice by government doctors

    7 Improvement in their service conditions

    7. KARTAR SINGH COMMITTEE. 1973.


    This committee, headed by the Additional Secretary of Health and titled the
    "Committee on multipurpose workers under Health and Family Planning" was
    constituted to form a framework for integration of health and medical services at
    peripheral and supervisory levels. Its main recommendations were :-

    a. Various categories of peripheral workers should be amalgamated into a single


    cadre of multipurpose workers (male and female). The erstwhile auxiliary nurse
    midwives were to be converted into MPW(F) and the basic health workers, malaria
    surveillance workers etc. were to be converted to MPW(M). The work of 3-4 male
    and female MPWs was to be supervised by one health supervisor (male or female
    respectively). The existing lady health visitors were to be converted into female
    health supervisor.
    b One Primary Health Centre should cover a population of 50,000. It should be
    divided into 16 subcentres (one for 3000 to 3500 population) each to be staffed by
    a male and a female health worker.

    8. SHRIVASTAV COMMITTEE. 1975.


    This committee was set up in 1974 as "Group on Medical Education and Support
    Manpower" to determine steps needed to (i) reorient medical education in
    accordance with national needs & priorities and (ii) develop a curriculum for
    health assistants who were to function as a link between medical officers and
    MPWs. 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 “Refferal 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.

    9. BAJAJ COMMITTEE, 1986.


    An "Expert Committee for Health Manpower Planning, Production and
    Management" was constituted in 1985 under Dr. J.S. Bajaj, the then professor at
    AIIMS. Major recommendations are :-

    1.Formulation of National Medical & Health Education Policy.

    2.Formulation of National Health Manpower Policy.

    3.Establishment of an Educational Commission for Health Sciences (ECHS) on the


    lines of UGC.

    4.Establishment of Health Science Universities in various states and union


    territories.

    5.Establishment of health manpower cells at centre and in the states.

    6.Vocationalisation of education at 10+2 levels as regards health related fields with


    appropriate incentives, so that good quality paramedical personnel may be
    available in adequate numbers.

    7.Carrying out a realistic health manpower survey.

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