CLASS PRESENTATION ON HEALTH AND WELFARE COMMITTEES PRESENTED BY Amandeep kaur Roll. No. 1 M.sc.Nursing
At the end of the presentation students will be able to acquire knowledge regarding health & welfare committees and implement this knowledge in various health care settings.
INTRODUCTION For improvement in health planning and health system & for development of health services, Indian government has formed different committees from time to time.
BHORE COMMITTEE- 1946 Chairman- Sir Joseph Bhore IMPORTANT RECOMMENDATIONS:- Unification of preventive & curative services, at all administrative levels. Development of a 75 bed hospital & primary health units for every 10,000 to 20,000 population. Long term planning to develop 650 and 2500 bed hospitals as secondary units & district hospitals. Suggestion to bring about extensive changes in medical education.
MUDALIAR COMMITTEE-1962 Chairman- Dr. A.S Mudaliar IMPORTANT RECOMMENDATIONS:- Development & strengthening of subdivisional and district hospitals. Collection of facts about development in 1 st and 2 nd five year plans. Not to include a population bigger than 40,000 under a primary health centre. Improving the quality of health services provided by primary health centre. Formation of Indian medical services on the lines of Indian administrative service. Managing maternal & child health services in a better way. Increasing the number of nursing personnel (public health nurse, lady health visitor, ANM.
CHADDAH COMMITTEE -1963 Chairman- Dr. M.S Chaddah IMPORTANT RECOMMENDATIONS:- Appointing a basic health worker per 10,000 population, later maker it one worker per 5000 population. Along with Malaria, vital statistics and family planning work also should be look after. Family planning health assistant(FPHA) should be given the responsibility to supervise the Work of 3-4 basic health workers. The responsibility of National Malaria Eradication Programme should be general health services. Increasing the facilities for home health care. Appointing a health inspector per 20,000 population.
MUKHERJI COMMITTEE 1965-1966 Chairman- Mr. Mukherji IMPORTA NT RECOMMENDATIONS:- Reviewing the responsibilities of basic health workers as recommended by the chaddah committee. Arrangement of separate staff for family planning. Family planning health assistants should look after family planning work. Malaria programmme should be separated from family planning. Appointment of basic health worker for 10,000 population, a male supervisor should be appointed to supervise their work To supervise the work of 4 ANM, a lady health visitor (LHV) should be appointed. At district level a nursing supervisor should be appointed. Basic health services should be strengthen from block level right up to central level.
JUNGALWALLA COMMITTEE-1967 Chairman- Dr. N. Jungalwalla IMPORTA NT RECOMMENDATIONS:- Integration of health services, personnel & organization from top to bottom level. Similar seniority and unified cadre to be implemented. Recognization of extra qualification. Similar work should be given similar wages and for special work, special salary to be given. Better working conditions for health workers.
KARTAR SINGH COMMITTEE-1973 Chairman:- Mr. Kartar Singh IMPORTA NT RECOMMENDATIONS:- Multipurpose health worker should be appointed in place of ANM. MPHW(M) should be appointed in places of basic health worker, malaria surveillance workers, vaccinators health education assistants and family planning health assistants. Primary health centre should be limited to 50,000 population Every PHC should be divided into 16 subcentres , each of which can cover a population of 3000-3500. MPHW Programme should be started first at places where malaria control and small pox control programme are going on. Later it can be started in other places. At each sub centre, one male and one female health worker should be appointed.
To supervise the work of 3-4 male workers, a male supervisor should be appointed and to supervise the work of 4 female workers a female supervisor should be appointed. Female health supervisor should be appointed in place of lady health visitors. The responsibility of supervising the sub centred should be given to the medical officer inchrarge of primary health centre.
SHRIVASTAVA COMMITTEE- 1975 Chairman:- Mr. Shrivastava IMPORTA NT RECOMMENDATIONS:- In order to provide complete health facilities to the community, part time/ co professional (teacher, gram sewak , postmaster etc.) In between the community workers and the medical officer of the primary health centre, two categories of workers namely MPHW and Health assistant (HA) should be appointed. Developing ‘ Referal Service complex’ to establish close contact between primary centre, regional or district hospitals and medical college hospitals.
MEHTA COMMITTEE-1983 Chairman:- Mr. Mehta This committee is “Medical education Review committee”. Part I of the report deals with medical education in all aspects. Establishment of universities of medical sciences and medical and health education commission. Part II of the report specifically deals with lack of availability of health manpower data in India specially doctors, nurses and pharmacist