FIVE YEAR PLAN

Introduction:- Five year plan is mechanism to bring about uniformity in policy

formulation in programme an national importance. Recognising the health as an
important contributory favtor in utilization of man power and in the economic
condition of the country. The planning commission gave considerable importance
of health programme in the five year plan.
Objective:-
1. Control and eradicate of major communicable disease.
2. Strengthening of basic health service through the establishment of primary
health centres and sub centres.
3. Population control.
4. Development of health manpower resources.
FIRST FIVE YEAR PLAN 1951-1956
Due to inadequate financial resources and lack of trained health personnel the
whole programme of health development was tied with a broader programme of
social development. Following things were in 1st plan.
1. Provision of water supply and sanitation.
2. Control of malaria.
3. Prevention health care of rural population through health units and mobile
units.
4. Health service for mother and children.
5. Education and training in health.
6. Self sufficiency in drug and equipment.
7. Family planning and population control.
SECOND FIVE YEAR PLAN 1956-1961
It was continuation of the development efforts commended in the 1 st plan.
Specific objectives are-
1. Establishment of institutional facilities to serve as a basic from which service
could be rendered to the people both locally and surrounding territories.
2. Development of technical manpower through appropriate training programmes.
3. Intensifying measures to control widely spread communicable diseases.
4. Encouraging acute campaign for environment hygiene.
5. Provision of family planning and other supporting services for raising standard
of death of the people.

THIRD FIVE YEAR PLAN 1961-1966

The objective of the 3 rd five year plan were in time with 1st and 2nd year plans
except that-
1. Integration of public health with maternal and child welfare.
2. Nutrition and health education.
3. Preventive health service and on the evaluation and control of communicable
disease.
 FOURTH FIVE YEAR PLAN- 1969-1974
Certain objective of the Mudaliar committee were the base for the 4 th five year
plan in to relation to health. These are as follows-
1. To provide an effective base for health service in rural areas by strengthening
the primary health centres.
2. Strengthening of sub divisional and district hospital; to provide effective
referral service for PHC.
3. Expansion of the medical and nursing education and training of Para medical
personnel to meet the minimum technical manpower requirement.
FIFTH FIVE YEAR PLAN 1974-1979
It was launched on April , 1974 with an out lay of Rs.37250crore 3277 crores
were allotted to health centre sectors.
Primary objective was as follows:-
To provide minimum public health planning and nutrition for vulnerable
groups, especially children, pregnant women and feeding mothers.
Specific objective:-
1. Increasing accessibility of health service to rural areas.
2. Correcting regional imbalances.
3. Further development of referral service by removing deficiency in district and
sub divisional hospital.
4. Integration of health family planning and nutrition.
5. Integration of the control and eradication of communicable disease especially
malaria and small pox.
6. Development of referral service by providing specialist attention in common
disease in rural areas.
SIXTH FIVE YEAR PLAN 1980-1985
Main objective were:-
1. Progressive reduction in the incidence of poverty and unemployment.
2. To step up the rate of growth of the India economy.
3. Promoting policies for controlling the population growth through voluntary
acceptance of the small family norm.
4. To improve the quality of life of the people in general through “Minimum
needs programme”.
The following schemes are include in the health sector MNP.
1. Centrally sponsored scheme (100%)
a. Health guide scheme.
b. Establishment of sub centres.
c. Basic training of community health officers.
2. Centrally assisted schemes
a. Multipurpose workers scheme.
3. State scheme
a. Subsidiary health centres.
b. PHC.
c. CHC/ upgraded PHC.
 SEVENTH FIVE YEAR PLAN 1985-1990
The objective of five year plan have been formulated as part of the long term
strategy which seeks by the year of 2000 objective were as follows.
1. To eliminate poverty and illiteracy.
2. Achieve near full employment.
3. Secure satisfaction of the basis need of food, clothing shelters.
4. Health for all by the year 2000 through provision of universal primary health
care.
5. SPI was changed in to UIP.
6. Under new programme all pregnant women were given tetanus toxic and all
infants were immunized against the vaccine preventable diseases.
EIGHT FIVE YEAR PLAN1992-1997
It is based on the national health policies goals and objective are as follows-
1. Human developmental through-
a. Employment generations measures.
b. Population control measures.
c. Universal water supply.
d. Literacy enhancement measures.
e. Provision of adequate food at affordable cost.
2. To strengthened by filling up staff vaccines supplying equipment and drugs
physical facilities.
3. To provide secondary health care service at district and tertiary care service at
medical college level.
4. To control AIDS by AIDS control programme and involvement of social welfare
youth organization in AIDS control.
NINTH FIVE YEAR PLAN 197-2002
During the programme vertical health programmes was integrate horizontally
with general health services.
The reproduction and children health (RCH) programme was improved under
following guideline-
1. Decentralize RCH to the level of primary health centres.
2. Base planning for RCH service on assessment of local needs.
3. Meet the need of contraceptive.
4. Involve the general practiocner and industries in family welfare work.
For improving health care and medical education in 9th five year plan prescribed
the following-
a. Ensure optimal functioning of primary health care.
b. Strengthen primary health institutions and improve and referral linkage.
c. Explore cheaper modalities to tertiary care.
d. Organise periodic session of continuity education for doctors.

TENTH FIVE YEAR PLAN 2002-2007

In this plan the focus of planning has shifted from expansion of services to
enhancement of human well being and laid down the following targets.
 1. Bring down the decadal growth rate by 16.2% in the decade from 2001 to 2010.
2. Reduce infant mortality rate to 35/1000 lives by 2007 and 28/1000 live birth by
2012.
3. Reduce the MMR 2/1000 lives birth by 2007 and 1/1000 lives birth by 2012.
To achieve the above government planning to do the following
a. Restrictive existing health infrastructure.
b. Up grade the skills of health personnel.
c. Improve the quality of reproductive and child health.
d. Improve logistic supplies.
e. Ensure the effective intersectoral co-operation.
f. Increase the affectivity of I.E.C. activities.
g. Carry out research on nutrition.
Deficiency and on the optimum daily requirement of nutrients for Indian
mans and women.
h. Promote the rational drug use.
ELEVENTH FIVE YEAR PLAN 2007-2O12
On the eve of the 11th Plan, our economy is in a much stronger position than it
was a few Years ago.
The eleventh plan has the following objectives:
1. Income & Poverty
 Accelerate GDP growth from 8% to 10% and then maintain at 10% in the
12th Plan in order to double per capita income by 2016-17
 Increase agricultural GDP growth rate to 4% per year to ensure a broader
spread of benefits
 Create 70 million new work opportunities.
 Reduce educated unemployment to below 5%.
 Raise real wage rate of unskilled workers by 20 percent.
 Reduce the headcount ratio of consumption poverty by 10 percentage points.
2. Education
 Reduce dropout rates of children from elementary school from 52.2% in
2003-04 to 20% by 2011-12
 Develop minimum standards of educational attainment in elementary school,
and by regular testing monitor effectiveness of education to ensure quality
 Increase literacy rate for persons of age 7 years or above to 85%
 Lower gender gap in literacy to 10 percentage point
 Increase the percentage of each cohort going to higher education from the
present 10% to 15% by the end of the plan
3. Health
 Reduce infant mortality rate to 28 and maternal mortality ratio to 1 per 1000
live births
 Reduce Total Fertility Rate to 2.1
 Provide clean drinking water for all by 2009 and ensure that there are no
slip-backs
  Reduce malnutrition among children of age group 0-3 to half its present
level
 Reduce anaemia among women and girls by 50% by the end of the plan
4. Women and Children
 Raise the sex ratio for age group 0-6 to 935 by 2011-12 and to 950 by 2016-
17
 Ensure that at least 33 percent of the direct and indirect beneficiaries of all
government schemes are women and girl children
 Ensure that all children enjoy a safe childhood, without any compulsion to
work
5. Infrastructure
 Ensure electricity connection to all villages and BPL households by 2009
and round-the-clock power.
 Ensure all-weather road connection to all habitation with population 1000
and above (500 in hilly and tribal areas) by 2009, and ensure coverage of all
significant habitation by 2015
 Connect every village by telephone by November 2007 and provide
broadband connectivity to all villages by 2012
 Provide homestead sites to all by 2012 and step up the pace of house
construction for rural poor to cover all the poor by 2016-17
6. Environment
 Increase forest and tree cover by 5 percentage points.
 Attain WHO standards of air quality in all major cities by 2011-12.
 Treat all urban waste water by 2011-12 to clean river waters.
 Increase energy efficiency by 20 percentage points by 2016-17.
BIBLIOGRAPHY
1. B.T.Basavanthappa “Teaxtbook of community Health Nursing” 2005, 2nd
edition,Jaypee brother medical publisher page no. 859-895.

2. Kamalam S “ Essential in Community Health Nursing practice, 1 st edition

Jaypee Brother medical practitioners page no. 52 to 74.

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4. Rao Sundar Kastiri “ An Introductory to Community Health Nursing” 2004 4 th

edition publisher Mr. M.K. Mathew page no. 363 to 365.

5. Rao Shridhar B “ Comunity Health Nursing” 2006 1 st edition AITBS publisher

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6. http://www.planningcommissionnic.in/plans/five/year/welcome.html.

7. http://planningcommission.gov.in/plans/plan/fiveyr/welcome.htm/(firstfive
year plan,planningcommission.governmentofIndia.)

8. En.wikipedia.org/wiki/five-year-plan-of-India.

9. Patney Sunita “Textbook of Community Health Nursing” 1st edition, Modern

publisherpage no.20 to 25.
 SANDIPANI ACEDEMY
PENDRI (MASTURI) BILASPUR C.G.

M.Sc. NURSING 1ST YEAR

SUBJECT :- CHILD HEALTH NURSING

ASSESSMENT ON :- FIVE YEAR PLAN

SUBMITTED TO :- SUBMITTED BY:-

MRS R. S. RAMYA RUBINA RASHMI MASIH
M.Sc. NURSING 1st YEAR