COMMITTEE

REPORTS ON
HEALTH
 INTRODUCTION

Health planning in India is

an integral part of national
socio- economic planning. The
guide lines for national health
planning were provided by
number of committees.

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• BHORE COMMITTEE
• MUDALIAR COMMITTEE
• CHADAH COMMITTEE
• MUKERJI COMMITTEE
• JUNGALWALLA COMMITTEE
• KARTAR SINGH COMMITTEE
• SHRIVASTAV COMMITTEE

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 BHORE COMMITTEE(1946)
•Apponited -1943
•Health survey and development
committee
•Chairman - Sir Joseph William
Bhore{indias civil servant}
•Function –
to survey the existing position
regarding the health condition and the
health organizations in the country
to make the recommendation for the
future development.
• Submit – 1946
• Four volumes :
1. A survey of the state of the public
health and existing health
organization.
2. Recommendations
3. Appendices
4. Summary
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 BHORE COMMITTEE
Major recommendations
• Integration of preventive and
curative services at all
administrative levels
• The committee visualized the
development of primary health
centers in 2 stages
 short term measure
• To be implemented within 5 to 10 years
• Each primary health center in the rural
areas should cater to a population of
40000
• It should have a secondary health center
to serve as a supervisory, co-ordinating
and referral institution.
• For each PHC, medical officers-2,public
health nurse-4,1 nurse,4 midwifes,trained
dias 4,sanitary inspectors 2,HA 2,1
pharmasist,15 other class IV employees
were recommended
long term programme
• health care system in three tier
• 3 month’s training in preventive and
social medicines to prepare “social
physicians”
• Special emphasis on preventive work
(integration of curative and
preventive services )
• Basic essentials like housing and
sanitary surroundings,safe drinking
water supply
3 – TEIR HEALTH CARE SYSTEM
Primary health units with 75 bedded
FIRST hospital for each 10000-20000 with
TIER staff of 6 MO,6PHN,2SI,2HA and other
supportive staff

650 bedded regional health units to

serve as a referral center for 30-40
SECON
D TIER
peripheral health units , again
regionalized around district hospitals
with 2500 beds

THIRD District hospitals with 2500 beds to serve

TIER the needs of about 3 millions
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 Criticism
• Although the bhore
committee recommendations
didn’t form the part of
comprehensive plan for
national socio economic
development but has provided
guidelines for National Health
planning in India
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• Constituted - 1959
• Health survey and planning committee”
• Chairman - Dr. A Lakshmanaswami
Mudaliar)
• Submitted - 1962
Functions
• to survey the progress made in the field
of health since submission of the Bhore
committee’s report
• to make recommendations for future
development and expansion of health
services.
• To review the first and
SONY second five year
 MAJOR OBSERVATIONS
• It was found that the basic health
facilities had not reached at least
half of the 3 nation
• To review the first and second
five year plan health projects
• To make further
recommendations for health and
development of the country .
 Recommendations
• To consolidate the advances made in
the period of first two five year plan
• To strengthen district hospitals to
function as central base for providing
specialist services
• Each primary health centre should
cover the population not exceeding
40000 ans should 1 basic health
worker per every 10000 population
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• To improve the quality of health
services at primary health centre
• Improve secondary level services
• Integration of medical and health
services .

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 CHADAH COMMITTEE
• In 1963,
•Dr. M S Chadah(Director
General of health services )
Function
•to study and plan the
activities required to be
adopted in the maintenance
phase of the Malaria.
 Major recommendations
• Vigilance operations programme
should be the responsibility of the
general health services
• Vigilance operations through monthly
home visit should be implemented
through basic health workers.
• One basic health worker per 10000
populations was recommended.
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 Major recommendations….
• These multipurpose workers to look
after additional duties of collection of
vital statistics and family planning in
addition to malaria vigilance
• Family planning health assistants were
to supervise 3 or 4 of theses basic
health workers
• At the district level the general health
services were to take the responsibility
for the maintenance phase.
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 MUKERJI COMMITTEE
After 2 years of the
implementation of Chadah
committee recommendations,
some state realized that the basic
health workers could not function
effectively as multipurpose
workers.
As a result malaria vigilance
operations has suffered and also
the work of family planning could
not be carried out satisfactorily.
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 MUKERJI COMMITTEE
•1965
•Sri. Mukerji (secretary of
health to the GOI)
Purpose
•to review the strategy for the
family planning programme.

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 Major
recommendations
• To set up strong executive agency in
health directorate of each state govt to
exclusively deal with family planning.
• Approval of existing urban family
welfare planning centre
• The basic health workers were to be
utilized as MPW for general services
• The family planning assistants to
undertake only their duties and no
need to supervise BHW s.
• Delink the malaria activities from
family planning
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 MUKERJI COMMITTEE

• As state finds difficult to take over

the whole burden of the maintenance
phase of malaria and other mass
programmes due to paucity of funds
and was discussed same in meeting
of central council of health held in
Bangalore in 1966.

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• Council recommended these
problems may be examined by a
committee of health secretaries
under chairmanship of Shri B
Mukherjee(Union Health Secretary)
• .

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 Recommendations
• Basic health services at block level
• Any attempt to give more work to
BHW would need large number of
BHWs than recommended.
• Health workers at the lower levels
should become increasingly oriented
to multipurpose
• Adopt integrated approach in the
entre health field
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• 1964
• “ committee on integration of health
services”
• Dr. Jungalwalla, Director, National
Institute of Health Administration and
Education
Purpose
• To study problems of the health
servces and its conditions
• Taking note the importance and
urgency of integration of health
services
• elimination of the private practice by
the government doctors
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Major recommendations
• Unified cadre
• Common seniority
• Recognition of extra
qualifications
• Equal pay for equal work special
pay for special work posts
• No private practice and good
service conditions
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KARTAR SINGH COMMITTEE
•1972
•the committee on multipurpose
workers under Health and Family
planning”
•Kartar Singh, Additional
secretary, Ministry of health and
family planning, Government of
India.

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The committee were to study
and make recommendations
on:
• The structure for the integrated
services for the peripheral and
supervisory level.
• The feasibility of having multipurpose,
bipurpose workers in the field.
• The training requirement for such
workers.
• The utilizations of mobile service unit
set up under family planning
programme.
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Major recommendations
• The present auxiliary nurse
midwives to be replaced by the
newly designated female health
workers and the present- day
Basic health workers, Malaria
surveillance workers, vaccinators,
Health education assistant and
the Family planning Health
assistant to be replaced by “Male
health workers”.
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• The programme for having
multipurpose workers to be first
introduced in areas where malaria is
in maintenance phase and smallpox
has been controlled and later to
other areas
• For proper coverage, there should be
one primary centre for a population
of 50000.
• Each primary health centre is divided
into 16 sub-centers, each having a
population of having 3000- 3500.
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Major recommendations
• Each sub-centers has to be
staffed by a team of one male
and one female health workers.
• There should be a male health
supervisors to supervise the
work of 3 - 4 male health
workers and a female health
supervisors to be supervise the
work of 4 female health workers.
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Major recommendations

• The present day lady health

visitors to be designated as
female health supervisors
• The doctor in charge of the
primary health center has a
overall charge of all the
supervisors and health workers
in that area.
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SHRIVASTAV COMMITTEE
•November 1974
•“Group on medical education
and support manpower”.

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SHRIVASTAV COMMITTEE
Purpose
• To device a suitable curriculum for
training a cadre of health assistant
so that they can serve as a link
between the qualified medical
practitioners and the multipurpose
workers.Thus forming an effective
team to deliver health care, family
welfare and nutritional services to
the people.
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Major recommendations

• Creation of brands of Para-

professional and semi
professional health workers
from within the community
itself to provide
simple,pomotive ,preventive
and curative health services
needed by the community
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• Establishment of the 2 cadre of
health services ,namely
multipurpose health workers,
and health assistant between the
community level workers and the
doctors of the PHC
• Development of a referral service
complex by establishing proper
linkage between the PHC and higher
level referral service centers, via
thaluk,district,regional and medical
college hospitals
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• Establishment of a medical
health education commission
for planning and
implementing the reforms
needed in health and medical
education

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Ramaligaswamy committee
• Dr. Ramalingaswamy
Recommendations
• Involvement of community for health planning
and health pgm implementation
• 30 bedded hospital for every 1 lakh
population
• Integration of health services at all levels
• Redefined the role of doctor in the community
• Recommended that PHC and District health
centres should be under the control of 3 tier
panchayati raj system
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 Bajaj Committee 1986
• Health man power
planning,production and
management
• Dr. J S Bajaj
Purpose
• To tackle the problem of health
manpower planning ,production and
management

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 Recommendations
• Recommended for formulation of national health
manpower planning based on realistic survey
• Educational commission for health sciences
should be developed on the lines of UGC
• Recommended for national and medical
education policy in which teachers are trained in
health education science technology
• Uniform standard and health science education
by establishing university of health sciences in
all states
• Establishment of health manpower cells both at
state an d central level
• Voccational courses in paramedical sciences to
get more health manpower
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 Krishnan committee health report
1992
• Dr.Krishnan
Purpose
• Reviewed the achievements and progress of
previous health committee reports and also
made comments of short faults
• Addresses the problems of urban health
and devised the post health scheme for
unban slum area
Recommendation
• 1 voluntary health worker per 2000
population with an honorarium
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of Rs.100.
 Rural Health Scheme 1977
• Basic recommendation by Shrivastav
committee PH care
• Accepted by government –RHM
• Programme training of community
health workers
Steps
• Involvement of medical colleges in
total health care of PHC
• Reorientation training of MPW
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 Health for all by 2000 AD
• Working group on health was
constituted by the planning
commission -1980 with
secretary ,minister of health and
family welfare as its chairman to
identify programme goal for health
for all 2000 AD

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