Health Committees In India for Community Health Nursing.pptx

Health committees In India in Community Health Nursing

1. Health Committees In India Mr Devendra Singh Faculty Of Nursing UPUMS Saifai

2. Sir Joseph Bhore (1946) (Health Survey and development Committee) Important Recommendations • Integration of preventive and curative services. • Short term measure 1 PHC per 40000 population 30 beds 3 subcentres - 2 medical officers Bhore Committee

3. Long term measures Primary health units – 75 bedded, 10000 – 20000 population Secondary health units 650 bedded Regional health units 2500 bedded

4. A Lakshamana Swami Mudaliar (1962) (Health Survey & Planning Committee) Recommendations Constitution of an All India Health Services on the pattern of IAS 1 PHC per 40000 poulation Specialist services at District Hospital Regional organization in each state Increasing the number of Public Health Nurse, Lady Health Visitor, ANM. Mudaliar Committee

5. Dr M.S Chadha (1963) Recommendations Appointing a basic health worker per 10,000 population, later make it one worker per 5000 population. Along with malaria, vital statistics and family planning work also should be looked after. Family planning health assistant (FPHA) should be given the responsibility to supervise the work of 3-4 basic health 16 workers. Chadha Committee

6. The responsibility of National Malaria Eradication Programme should be given to general health services. Increasing the facilities for home health care. Appointing a health inspector per 20,000 population.

7. Mr. Mukherjee (1965-66) Arrangement of separate staff for family planning. Malaria programme should be separated from family planning. Appointment of basic health worker for 10,000 population; At district level a nursing supervisor should be appointed. Basic health services should strengthen from block level right up to central level. Mukherji Committee

8. Dr N. Jungalwalla (1967) Recommendations Integration of health services, personnel and organization from top to bottom level. Similar seniority and unified cadre to be implemented. Recognition of extra qualification. Similar work should be given similar wages and for special work, special salary to be given. Prohibition on private practice. Jungalwalla committe

9. Mr. Kartar Singh (1973) Recommmendations Multipurpose health worker should be appointed in place of ANM. Multipurpose health worker (male) should be appointed in places of basic health workers, malaria surveillance workers, vaccinators, health education assistants and family planning health assistants. Primary health centre should be limited to 50,000 population. Kartar singh Committee

10. Every PHC should be divided into 16 sub centers, each of which can cover a population of 3000-3500. At each sub-centre, one male and one female health worker should be appointed. Female health supervisor should be appointed, in place of lady health visitors. The responsibility of supervising the subcentres should be given to the medical officer incharge of primary health centre.

11. Mr. Shrivastava 1975 Recommendations In order to provide complete health facilities to the community, part time/co- professional (teacher, gram sewak , post- master etc.) workers should be trained right from the community. In between the community workers and the medical officer of the primary health centre two categories of workers , namely; multipurpose health worker (MPHW) and health assistant (HA) should be appointed. Developing 'Referral service complex' to establish close contact between primary health centre, regional or district hospitals and medical college hospitals. Shrivastava Committee