Five year plans anand

ANANDGOWDA.S
ASST.PROF
COMMUNITY HEALTH NURSING
YENEPOYA NURSING COLLEGE, MANGALURU

1. FIVE YEAR PLANS IN INDIA MR.ANANDA.S ASSISTANT PROFESSOR COMMUNITY HEALTH NURSING YENEPOYA NURSING COLLEGE 1 9/4/2018 ANAND

2. The  economy of India  is based in part on  planning  through  five-year plans , which are developed, executed and monitored by the  Planning Commission. 2 9/4/2018 ANAND

3. In 1950, planning commission was constituted to help Government to plan out integrated development plan for the entire country within the available resources for a defined period of five years for its socio economic progress. The planning commission has been responsible for “five year plans”. 3 9/4/2018 ANAND

4. The general health objectives Control and eradication of various communicable disease, deficiency disease and chronic diseases. Strengthening of medical and basic health services by establishing district health units, primary health centers and sub centers. Population control. 4 9/4/2018 ANAND

5. Development of health manpower resources and research. Development of indigenous system of medicine. Improvement of environment sanitation. Drugs control. 5 9/4/2018 ANAND

6. First five year plan (1951-1956)  The first Indian Prime Minister,  Jawaharlal Nehru  presented the first five-year plan to the  Parliament of India  on 8 December 1951. 6 9/4/2018 ANAND

7. The Aim: The aim of first five year plan was to fight against diseases , malnutrition , and unhealthy environment and to build up health services for population and for mothers and children in order to improve general health status of people. 7 9/4/2018 ANAND

8. THE PRIORITIES: Provision of  safe water supply and sanitation Control of malaria Preventive health care Health services for mother and child Education and training in health Self-sufficiency in drugs and equipment Family planning and population control. 8 9/4/2018 ANAND

9. The Major Developments The Year 1951 The B.C.G vaccination programme to prevent and control tuberculosis was launched 9 9/4/2018 ANAND

10. The Year 1952 The pilot project of community development programme was launched in 55 project areas on 2 nd  October, the birth day of Mahatma Gandhi to get rid of three ills from the society namely poverty , ill health and ignorance through over all development of the rural areas. The provision of Medical and public Health services were the part of this programme . 10 9/4/2018 ANAND

11. Primary Health centers were set up to render health services in rural areas. Auxiliary Nurse Midwife training was started to train the ANM to function in a network of sub center and primary health center in the rural areas and provide comprehensive Maternal Child Health and Family Welfare Services. 11 9/4/2018 ANAND

12. The Year 1953 The National Malaria Control Programme was launched. The National Family Planning Programme was launched. 12 9/4/2018 ANAND

13. The Year 1954 The central social welfare board was set up. The national leprosy control programme was launched. The Prevention of Food Adulteration Act was enacted. The national water supply and sanitation programme was launched. The Antigen Production Center was set up at Kolkata. 13 9/4/2018 ANAND

14. The Year 1955 The national filaria control programme was launched. The minimum marriage age of 18 years for boys and 15 years of girls was prescribed by Hindu Marriage Act. 14 9/4/2018 ANAND

15. Second five year plan (1956-1961) The second five-year plan focused on industry, especially  heavy industry . Unlike the First plan, which focused mainly on agriculture, domestic production of industrial products was encouraged in the Second plan, particularly in the development of the  public sector . 15 9/4/2018 ANAND

16. The Aim: The aim of the second Five Year Plan was expand existing health services to bring them within in the reach of all people so as to promote progressive improvement of nation’s health. 16 9/4/2018 ANAND

17. The Priorities: Establishment of institutional facilities for rural as well as for urban population. Development of technical manpower. Intensifying measures to control widely spread communicable disease. Encouraging active campaign for environmental hygiene, water supply and sanitation. Provision of family planning and other supporting services. 17 9/4/2018 ANAND

18. The Major Developments The Year 1956 Director, family planning was appointed at the center. The center health education bureau was set up at the center. The Tuberculosis Chemotherapy center setup at Chennai. The pilot project of Trachoma Control program was launched 18 9/4/2018 ANAND

19. The Year 1957 The Demographic Research Center were established in Delhi Kolkata and Chennai. The Year 1958 The national Malaria Control Program was converted in to National Malaria Eradication Program. The Leprosy Advisory committee of the government of India was launched. 19 9/4/2018 ANAND

20. The Year 1959 The Mudaliar committee was setup by the government of India. The National Institute of Tuberculosis was established at Bangalore. 20 9/4/2018 ANAND

21. The Year 1960 Pilot project of Small Pox Eradication were started. The Nutrition Advisory committee was formed to render advice on nutrition policies. The School Health Committee was appointed by the Union Ministry of Health to access the existing health and nutrition status of school children and recommended measures to improve them. 21 9/4/2018 ANAND

22. Third five year plan(1961-1966) Many  primary schools  were started in rural areas. In an effort to bring democracy to the grass root level,  Panchayat  elections were started and the  states  were given more development responsibilities. 22 9/4/2018 ANAND

23. The Aim The main aim of the third five year plan was to improve the shortages and deficiencies, which were observed at the end of second five year plan in the field of health. These were pertaining to institutional facilities specially in rural areas , shortage of trained personnel and supplies ,lack of safe drinking water in rural areas and inadequate drainage system. 23 9/4/2018 ANAND

24. Major Developments The Year 1961 The Mudaliar Committee Report was submitted and published. The Year 1962 The National Small Pox Eradication Program and The National Goiter Control program was launched . The School Health Program was started. 24 9/4/2018 ANAND

25. The Year 1963 The Applied Nutrition Program was started by government of India with the support of UNICEF, WHO and FAO . The Drinking Water Board was established. The Chadha Committee was appointed by the government to study the arrangement necessary for the maintenance phase of the National malaria Eradication program. 25 9/4/2018 ANAND

26. The Year 1964 The National Institute of health Administration and Education was established in the collaboration with Ford foundation. The Year 1965 Lippes Loop was recommended as a safe and effective family planning device by the Director , ICMR . BCG vaccination without Tuberculin Test was introduced on house to house basis . The Year 1966 Separate department of family planning was setup in the Union Ministry health to coordinate Family planning Program at the center and the states. 26 9/4/2018 ANAND

27. The Year 1967 The committee was setup on small family norm to recommended suitable incentives for those accepting small family norm and practicing family planning. The Year 1968 The Medical Education Committee was appointed to study the various aspects of medical education within the framework of national need and resources. 27 9/4/2018 ANAND

28. Fourth five year plan (1969-1974) At this time  Indira Gandhi  was the  Prime Minister . Mrs.Indira Gandhi government  nationalized  14 major Indian banks and the  Green Revolution in India   advanced agriculture . 28 9/4/2018 ANAND

29. The Aim The Aim of this plan was to strengthen primary health center network in the rural areas for undertaking  preventive, curative family planning services and to take over the maintenance phase of communicable diseases. 29 9/4/2018 ANAND

30. The Priorities The Family planning Program to strengthening and primary health center strengthening . Sub divisional district hospital to provide effective referral support to primary health center. Expansion of medical and nursing education training of paramedical personnel to meet the  minimum technical manpower requirement 30 9/4/2018 ANAND

31. The Major Developments The Year 1969 The central births and deaths registration act was promulgated. The report of Medical Education Committee was submitted. The Year 1970 The population council of India was setup. Registration Act of Birth and death came in to force. 31 9/4/2018 ANAND

32. The Year 1971 The family pension scheme for industrial workers was introduced. The Medical Termination of Pregnancy Bill was passed by parliament. The Year 1972 The MTP Act was implemented. The Committee on “Multipurpose Workers Under Health and Family Planning” headed by Kartar Singh, The Additional Secretary of health was setup. 32 9/4/2018 ANAND

33. The Year 1973 The scheme of setting 30 bedded rural hospitals serving 4 primaries Health Centre was conceptualise . The Kartar Committee submitted its report. 33 9/4/2018 ANAND

34. Fifth five year plan(1974-1979) The Aim The main aim of the fifth five year plan was to provide minimum level of well integrated health, MCH and FP, nutrition and immunization services to all the people with especial reference to vulnerable groups especially children, pregnant women and nursing mother. The emphasis of the plan was on removing imbalance in respect of medical facilities and strengthening the health infrastructure in the rural and the tribal areas. 34 9/4/2018 ANAND

35. Stress was laid on employment ,poverty  alleviation and justice . The plan also focused on  self-reliance  in agricultural production and defense. 35 9/4/2018 ANAND

36. The Priorities Increasing accessibility of health services to rural areas Correcting regional imbalance Further development of referral services Integration of health, family planning and nutrition. 36 9/4/2018 ANAND

37. Intensification of the control and eradication of communicable diseases especially malaria and small pox. Qualitative improvement of the education and training of health Development of referral services 37 9/4/2018 ANAND

38. The Major Developments The Year 1974 The year 1974 was declared as world population year by the United nation . A group of Medical education and Support man Power popularly known as Srivastav Committee was setup in November. 38 9/4/2018 ANAND

39. The Year 1975 India became small Pox free on 5 th  July 1975  . The revised strategy of national Malaria Eradication Program was accepted by the government. Children Welfare board was setup. Integrated Child Development Scheme was launched on 3 rd  October 1975. Then the ESI Act was amended. 39 9/4/2018 ANAND

40. The Year 1976 Indian Factory Act of 1948 was amended. The prevention of Food Adulteration Act 1975 came in to force on 1 st  April 1976 A new population policy was announced by the government. The Year 1977 The training of community health worker was initiated. The “Goal of Health for All” was adopted WHO. 40 9/4/2018 ANAND

41. The Year 1978 The Child Marriage Restrained Bill 1978 fixing the minimum marriage age that is 21 years for boys and 18 year for girl was passed. Alma Ata declared “Primary Health Care Strategy” to achieve the goal of “Health for All” by the year 2000.    Extended program of immunization was started. The Year 1979 The declaration of Alma Ata on primary health care strategy was endorsed by WHO. 41 9/4/2018 ANAND

42. Sixth five year plan(1980-1985) Family planning  was also expanded in order to prevent  over population . In contrast to China’s strict and binding  one-child policy , Indian policy did not rely on the threat of force 42 9/4/2018 ANAND

43. The Aim The main aim of sixth five year plan was to workout alternative strategy and plan of action for primary health care as a part of national health system which is accessible to all section of society and especially those living in tribal hilly , remote rural areas and urban slums . 43 9/4/2018 ANAND

44. The  Priorities Rural health services control of communicable and other diseases . Development of rural and urban hospitals. Improvement in medical Education Medical Research. Population control and family welfare including MCH . Drug control and prevention of food adulteration. 44 9/4/2018 ANAND

45. The Major Development The Year 1980 WHO declared eradication of Small Pox from the world . The Year 1981 The 1981 census was undertaken The control of pollution act of 1981 was enacted. The Year 1982 The national health policy was announced and placed in parliament. 45 9/4/2018 ANAND

46. The Year 1983 National Leprosy control programme was changed to National Eradication Programme . National health policy was approved by the parliament. National guniaworm eradication Programme was started. The Year 1984 Bhopal Gas tragedy, a devastating industrial accident occurred. The ESI Bill 1984 was passed by the parliament. 46 9/4/2018 ANAND

47. Seventh five year plan(1985-1989) The main objectives of the 7th five year plans were to establish growth in areas of increasing economic productivity, production of food grains, and generating employment opportunities . 47 9/4/2018 ANAND

48. The Aim The main aim for the seventh five year Plan was to plan and provide primary health care and medical services to all with special consideration of venerable groups and those who are living in tribal, hilly and remote rural areas so as to achieve to achieve goal of health for all 2000 AD. 48 9/4/2018 ANAND

49. The Major Development The Year 1985 The Universal Immunization Program was launched on 19 th  November, the birth date of Late PM Shrimati Indira Gandhi. The Year 1986 Juvenile Justice Act started working. National AIDS Control program was started. The Year 1987 Worldwide Safe Motherhood Campaign was started by world bank . National Diabetes Control Program was launched . A high power committee on Nursing and Nursing Profession was setup by the government of India on 29 th 49 9/4/2018 ANAND

50. The Priorities Health Services in rural , tribal and hilly areas under Minimum Need Program. Medical Education and Training Control of emerging health problems especially in the area of  non communicable diseases . MCH and family welfare Medical Research Safe water supply and sanitation Standardization ,integration and application of Indian system of medicine . 50 9/4/2018 ANAND

51. The Year 1988-91 Acute Respiratory Infection Program was started as a pilot project in 14 districts in 1990. The high power committee on Nursing and Nursing profession published its report in 1989. The 1991 census was conducted 51 9/4/2018 ANAND

52.    1989-91 was a period of political instability in India and hence no five year plan was implemented. Between 1990 and 1992 , there were only Annual Plans. 52 9/4/2018 ANAND

53. Eighth five year plan(1992-1997) The major objectives included, controlling population growth, poverty reduction, employment generation, strengthening the infrastructure, Institutional building, tourism management, Human Resource development, Involvement of Panchayat raj, Nagarapalikas , N.G.O’S and Decentralization and people’s participation. 53 9/4/2018 ANAND

54. The Aim The main aim of this plan was to continue reorganization and strengthening of health infrastructure and medical services accessible to all especially to vulnerable groups and those living in tribal, hilly, remote rural areas etc. 54 9/4/2018 ANAND

55. The priorities: Developing rural health infrastructure Medical education and training Control of communicable disease Strengthening of health services. Universal immunization Safe water supply and sanitation MCH and Family Welfare 55 9/4/2018 ANAND

56. The Major Development The Year 1992 Child survival safe motherhood programme ( CSSM ) was started. The infant milk substitute, and infant foods Act 1952 came in to operation. The Year 1993 A revised strategy for National Tuberculosis Programme with Direct Observed Therapy, a community based TB treatment and care strategy was introduced as a pilot project in phased manner. 56 9/4/2018 ANAND

57. The Year 1994 The panchayati Raj Act came into operation. Outbreak of Plague epidemic occurred. The first Pulse Polio Immunization Programme for children under 3 years was organised on 2 nd  October and 4 th December by Delhi government. Post basic B.Sc nursing programme was launched through distance education by IGNOU . 57 9/4/2018 ANAND

58. The Year 1995 ICDS was changed to Integrated mother and child Development services. Transplantation of Human organs Act was enacted. The Year 1996 National wide Pulse polio Immunization was conducted on 9 th  December 1995 and 20 th  January 1996 which was repeated on 7 th  December 1996 and 18 th  January 1997. 58 9/4/2018 ANAND

59. Ninth five year plan(1997-2002) The Aim The main aim of ninth five year plan continued with the same aim as that eighth plan which was mainly concern with 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. 59 9/4/2018 ANAND

60. Main objectives: Providing gainful and high-quality employment All children in India in school by 2003, Reduction in gender gaps in literacy and wage rates Reduction in the decadal rate of population growth Increase in literacy rates Reduction of infant mortality rate Reduction of maternal mortality rate 60 9/4/2018 ANAND

61. Increase in forest and tree cover All villages to help sustain access to potable drinking water ,Cleaning of all major polluted rivers Economic growth further accelerated 61 9/4/2018 ANAND

62. The priorities Control of communicable and non communicable diseases Efficient Primary Health Care System as part of basic health care services to optimize accessibility and quality care. Strengthening of existing infrastructure. Improvement of referral linkage. 62 9/4/2018 ANAND

63. Development of human resources, meeting increasing demands of nurses in specialty and super specialty areas. Disaster and emergency management. Involvement of practitioners from indigenous system of medicine, Voluntary and private organizations. 63 9/4/2018 ANAND

64. Major Development National population policy -2000 National health policy -2000 Guineaworm worm disease was eradicated. Finding the shortcoming and faults in conducting national health programme and removing them Paying attention to IEC training, the trainers at the national and districts levels. 64 9/4/2018 ANAND

65. Giving more importance to RCH Arranging funds for the female health workers at subcenters . 65 9/4/2018 ANAND

66. Tenth five year plan(2002-2007) AIM:- Reduction of  poverty ratio  by 5 percentage points by 2007. Providing gainful and high-quality employment to all. Reduction in gender gaps in literacy and wage rates by at least 50% by 2007. 66 9/4/2018 ANAND

67. Main objectives: To prioritize agriculture sector & rural development To generate adequate employment To promote poverty reduction To stabilize prices to accelerate the growth rate of economy. To ensure food and nutritional security. 67 9/4/2018 ANAND

68. To provide for the basic infrastructural facilities. To check the growing population increase. To encourage social issues like women empowerment. To create liberal market for increase in private investment 68 9/4/2018 ANAND

69. Targets Reduction of poverty All children in school by 2003 Reduction in gender gaps in literacy and wage rates by 2007 Reduction in the population growth Increase in literacy rate to 75 percent within the period. Reduction of IMR to 45 per 1000 live births by 2007 and to 28 by 2012 69 9/4/2018 ANAND

70. Reduction of MMR to 2 per 1000 live births by 2007 and to 1 by 2012 All villages to have sustained access to potable drinking water within the plan period. 70 9/4/2018 ANAND

71. Major development During the tenth FY plan, there is continued commitment to provide Vandemataram scheme launched -2004 The RCH phase II (2005-10) NRHM –April 2005 Janani suraksha Yojana Scheme – 12 th April 2005 IMNCI Launched- 2006 71 9/4/2018 ANAND

72. Essential primary care Emergency life- saving services Services under national disease control programme free of cost Set targets to control diseases like HIV/AIDS, tuberculosis, leprosy, malaria and blindness etc. 72 9/4/2018 ANAND

73. Eleventh Five Year Plan (2007-2012) The health of a nation is an essential component of development, vital to the nation’s economic growth and internal stability. Assuring a minimal level of health care to the population is a critical constituent of the development process. 73 9/4/2018 ANAND

74. Main goals Reducing Maternal Mortality Ratio ( MMR ) to 1 per 100 live births. Reducing infant Mortality Rate ( IMR ) to 28 per 1000 live births. Reducing Total Fertility Rate ( TFR ) to 2.1 Providing clean drinking water for all by 2009 and ensuring no slip-backs. Reducing malnutrition among children of age group 0-3 to half its present level. Reducing anemia among women and girls by 50%. 74 9/4/2018 ANAND

75. The Thrust Areas The thrust areas to be pursued during the Eleventh Five Year Plan are summarized below: Improving health equity NRHM NUHM Adopting a system –centric approach rather than diseases-centric approach Strengthening health system through upgradation of infrastructure and Public Private Partnership. 75 9/4/2018 ANAND

76. Increasing survival Reducing maternal mortality and improving child sex ratio through gender responsive health care. Reducing infant and child mortality through IMNCI . Taking full advantages of local enterprises for solving local health problems. Integrating AYUSH in health system. Training the TBAs to make them SBAs . Propagating low cost and indigenous technology. 76 9/4/2018 ANAND

77. Preventing indebtedness due to expenditure on health/protecting the poor from health insurance. Creating mechanisms for health insurance. Decentralizing governance Increasing the role of NGOs, and civil society. Creating and empowering health committees at various levels. 77 9/4/2018 ANAND

78. Establishing e-Health Adapting IT for governance. Increasing role of telemedicine. Increasing focus on health human resources. Improving medical, paramedical, nursing, and dental educational and availability. Re-orienting AYUSH education and utilization. Reintroducing licentiate course in medicine. 78 9/4/2018 ANAND

79. Focusing on excluded/neglected areas Taking care of the older persons. Reducing disability and integrating disabled. Providing kind mental health services. Providing oral health services. Enhancing efforts at diseases Reversing trend of major diseases. Launching new initiatives (Rabies, Fluorosis , and Leptospirossis ). 79 9/4/2018 ANAND

80. Providing focus to health system and bio-medical research Focusing on conditions specific to our country. Making research accountable. Translating research into application for improving health. Understanding social determinants of health behavior, and health care seeking behavior. 80 9/4/2018 ANAND

81. Major development A toll free 108 –Ambulance services , free of cost in times of emergency was introduced. Govt. took all necessary measures to retain children in school and reduce drop out rates Mahatma Gandhi national employment guarantee scheme ( MGNRE ) launched 81 9/4/2018 ANAND

82. 12 th FIVE YEAR PLAN ( 2011-2017) 82 9/4/2018 ANAND

83. 12th Plan Strategy Strengthening of public sector health care Substantially increase in health care expenditure Efficient Financial and managerial systems Coordinated delivery of services Cooperation between the public and private sector 83 9/4/2018 ANAND

84. Expansion of skilled human resource Prescription drugs reforms Effective regulation through a Public Health Cadre Pilots on Universal Health Care 84 9/4/2018 ANAND

85. Priorities in 12th Plan Financing: Funding as an instrument of incentive and reform National Health Mission with universal coverage and greater flexibility to States Public Health Cadre for decentralized planning, program management, Behaviour Change Communication, community participation, quality control, HIS, regulation. 85 9/4/2018 ANAND

86. Access to Essential Medicines in All Public Facilities Human Resource strengthening Building effective Health Information Systems Health Systems Strengthening 86 9/4/2018 ANAND

87. 12th Plan goals Reduction of Infant Mortality Rate ( IMR ) to 25 Reduction of Maternal Mortality Ratio ( MMR ) to 100 Reduction of Total Fertility Rate ( TFR ) to 2.1 Prevention, and reduction of under-nutrition in children under 3 years Prevention and reduction of anaemia among women aged 15-19 years to 28 percent 87 9/4/2018 ANAND

88. Raising child sex ratio in the 0-6 years age group from 914 to 950 Prevention and reduction of burden of communicable and non-communicable diseases (including mental illnesses) and injuries Reduction of poor household's out-of-pocket expenditure 88 9/4/2018 ANAND

89. Planning commission The Government of India set up a Planning Commission in 1950 to make an assessment of the material, capital and human resources of the country, and to draft developmental plans for the most effective utilization of these resources. 89 9/4/2018 ANAND

90. The Planning Commission consists of a Chairman , Deputy Chairman and 5 members . The Planning Commission works through 3 major divisions - Programme Advisers , General Secretariat and Technical Divisions Over the years, the Planning Commission has been formulating successive Five Year Plans . 90 9/4/2018 ANAND

91. The Planning Commission also reviews from time to time the progress made in various directions and to make recommendations to Government on problems and policies relevant to the pursuit of rapid and balanced economic development . 91 9/4/2018 ANAND

92. NITI AAYOG Government of India has established NITI Aayog ( National Institution for Transforming India) to replace Planning Commission on 1st January 2015. It will seek to provide a critical directional and strategic input into the development process. 92 9/4/2018 ANAND

93. NITI Aayog will provide Governments at the central and state levels with relevant strategic and technical advice NITI Aayog will monitor and evaluate the implementation of programmes , and focus on technology upgradation and capacity building . 93 9/4/2018 ANAND