Bhore committee

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1. BHORE COMMITTEE

2. HEALTH PLANNING IN INDIA
•Started in 1938
•Bhore committee,1943
•Sir Joseph bhore
•To survey the then existing position regarding
the health condition and health organisations
•To make future recommendations
•Submitted report in 1946

4. The committee observed that….
•“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”

5. 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 work.
•As much medical relief and preventive health care
should be provided to the vast rural population

6. Continued…
•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.

7. Observations made by the
committee….
•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.

8. Continued…
•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 unemployment.

9. 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 population.
•The committee visualised the
development of PHC in 2 stages:

10. Continued…
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 tiers

11. PRIMARY UNIT
•10000-20000 pop,75 hosp 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

13. SECONDARY UNIT
•60 primary units under a secondary unit
•650 hosp 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.

14. DISTRICT HOSPITAL
•2500 beds,269 doc,625 nurses,50 hosp social
workers and 723 other workers.
•300-med, 350-sur,300-obs, 54-TB, 250-ped,
300-lep,40-inf ds,20-malaria,400-mental illness.
•Nutrition ,health education , professional/UG/PG
education ,population problem.
•2 grades in nursing profession.

16. Continued…
•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 workers.

17. SIGNIFICANCE & IMPORTANCE
OF BC REPORT
•Imp 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.

18. Thank you
THANK YOU