Planning commission in community health nursing

planning commission in community health nursing

1. Planning commission In 1950 planning commission was constituted To help Government to plan out integrated development plan for the entire country The planning commission has been responsible for ten "Five Year Plans Considerable importance to health in five year plans.

2. Five year plans The health objectives Control and eradication of various communicable diseases, deficiency diseases and chronic diseases Strengthening of medical and basic health services Population control Development of health manpower and research Development of indigenous system of medicine Improvement of environmental sanitation. Drug control

3. Five year plans Objectives differed in each five year plan depending upon The priority needs of people, Technical considerations and Resources available.

4. The first five year plan (1951-1956): THE AIM: To fight against disease, malnutrition and unhealthy environment and To build up health services for rural population and for mothers and children in order to improve health status of people.

5. The first five year plan (1951-1956): THE PRIORITIES: Safe water supply and sanitation Control of malaria Health care of rural population Health services for mothers and children Education training and health education Self-sufficiency in drugs and equipment's Family planning and population control

6. The first five year plan The major developments are: 1951: The BCG vaccination programme launched 1952: The central council of health was constituted, Primary health centres --- rural areas, Auxiliary nurse midwife training-- started 1953: The NMCPwas launched, The NFPP was launched.

7. The first five year plan The major developments are: 1954: The central social welfare board was set up. The NLCP was launched, The NWSSP national was launched, The Prevention Of Food Adulteration Act was enacted.

8. The first five year plan The major developments are: 1955: The NFCP was launched, National TB sample survey was started, The minimum age for marriage 18 years for boys and 15 years for girl was prescribed by hindu marriage act

9. The second five year plan (1956-1961) : The aim: To expand existing health services to bring them within the reach of all people so as to promote progressive improvement of nation's health

10. The second five year plan (1956-1961): THE PRIORITIES: Establishment of institutional facilities for rural as well as for urban population Development of technical manpower Control of communicable diseases. Water supply and sanitation Family planning and other supporting programmes

11. The second five year plan (1956-1961): The Major developments: 1957: Demographic research centers were established 1958: The NMCP was converted to NMEP

12. The second five year plan (1956-1961): The Major developments: 1959: Mudaliar committee - set up GOI Panchayati raj was introduced The national institute of tuberculosis established at Bangalore

13. The second five year plan (1956-1961): The Major developments: 1960: The national nutrition advisory committee formed The school health committee appointed by the union ministry of health

14. the third five year plan (1961-1966): Aim To remove shortages and deficiencies which were observed at the end of the second five year plan in the field of health Institutional facilities -- rural area Trained personnel and supplies Lack of safe drinking water –rural area Inadequate drainage system

15. the third five year plan (1961-1966): The priorities Safe water supply – villages, sanitation especially drainage facility Expansion of institutional of facilities Eradication of malaria and small pox Family planning Development of manpower

16. the third five year plan (1961-1966): The Major developments: 1961: The central bureau of health intelligence was established The mudaliar committee report was submitted Upgrading of existing health centres Provision of ambulance services for emergency medical care

17. the third five year plan (1961-1966): The Major developments: 1962 The national small pox eradication programme National goitre control programme The district tuberculosis programme was conceptualized

18. the third five year plan (1961-1966): The Major developments: 1963 Applied nutritional programme started National trachoma programme was initiated 1964: The national institute of health administration and education was established

19. the third five year plan (1961-1966): The Major developments: 1965: Lippies loop was recommended as safe and effective family planning device: BCG vaccinations without tuberculin test was introduced on house to house basis, A Committee under the chairmanship of Shri Mukharji was appointed.

20. the third five year plan (1961-1966): The Major developments: 1967: The central council of health recommended compulsory payment by patients attending hospital. 1968: A medical education committee was appointed to study the various aspects of medical education bill on registration of births and deaths was passed

21. The fourth five year plan (1969-74): The aim: To strengthen primary health centre network in the rural areas for undertaking preventive, curative and family planning services and To take over the maintenance phase of communicable diseases

22. The fourth five year plan (1969-74): THE PRIORITIES: Family planning programme . Strengthening of primary health centres , Strengthening of sub-divisional and district hospitals to provide effective referral support to primary health centres .

23. The fourth five year plan (1969-74): THE PRIORITIES: Intensification of control programme . Expansion of medical and nursing education training of para -medical personnel to meet the minimum technical manpower requirements.

24. The fourth five year plan (1969-74): Major developments: 1969: The nutritional research laboratory was expanded to national institute of nutrition; the central birth and deaths registration act was promulgated

25. The fourth five year plan (1969-74): Major developments: 1970: The population council of India was set up All India hospital family planning programme was launched, Mobile training cum service unit's scheme was launched.

26. The fourth five year plan (1969-74): Major developments: 1971: The family pension scheme for industrial workers was introduced; The medical termination of pregnancy bill was passed by the parliament.

27. The fourth five year plan (1969-74): Major developments: 1972: The kartar singh committee report submitted. 1973: Minimum need programme was formulated: A scheme of setting 30 bedded rural hospital serving four primary health centres was conceptualized

28. The fifth five year plan (1974-79): The aim: To provide minimum level of well integrated health , MCH & FP, nutrition and immunization services to all the people and vulnerable groups The emphasis of the plan was on removing imbalance in respect of medical facilities and strengthening the health infrastructure in the rural and tribal areas.

29. The fifth five year plan (1974-79): The priorities: Increasing accessibility of health services in rural areas Correcting regional imbalance. Further development of referral services by removing deficiencies in district and subdivision hospitals.

30. The fifth five year plan (1974-79): The priorities: Integration of health, family planning and nutrition Intensification of the control and eradication of communicable diseases especially malaria and Smallpox. Qualitative improvement in the education and training of health personnel.

31. The fifth five year plan (1974-79): Major developments: 1974: World population year of united nations, Shrivastav committee was set up in november 1975: ICDS was launched; Children welfare board was set up, The cigarette regulations act was enacted Shrivastav committee submitted its report.

32. The fifth five year plan (1974-79): Major developments: 1976: Indian factory act of 1948 was amended; The prevention of food adulteration act 1975 came into force, A new population policy was announced.

33. The fifth five year plan (1974-79): Major developments: 1977: Rural health scheme was launched; The training of community health workers was initiated; Revised modified plan of malaria eradication was implemented; The goal of health for all was adopted by WHO

34. The fifth five year plan (1974-79): Major developments: 1978: The child marriage restraint bill 1978, fixing the minimum marriage age is 21 years for boys and 18 years for girls was passed; Alma Ata declared primary health care strategy. 1979: The declaration of Alma Ata on primary health care strategy was endorsed by WHO

35. The sixth five year plan (1980-1985): The aim: Workout alternative strategy and plan for action for primary health care as part of national health system, which is accessible to all sections of society

36. The sixth five year plan (1980-1985): The priorities: Rural health services Control of communicable and other diseases Development of rural and urban hospitals Improvement in medical education and training Medical research Drag control and prevention of food adulteration Population control and family welfare including MCH Water supply and sanitation Nutrition

37. The sixth five year plan (1980-1985): Major developments: 1980: The working group on health was constituted. 1981: The census was under taken, the health care strategy for health for all was evolved. The air prevention and control of pollution act of 1981 was enacted. 1982: The national health policy was announced: The 20 point programme was announced.

38. The sixth five year plan (1980-1985): Major developments: 1983: TheNLCP was changed to NLEP National health policy was approved, National guinea worm eradication programme was started; Medical education review committee submitted it's report. 1984: The Bhopal gas tragedy a devastating industrial accident occurred; the workmen's compensation act 1984 came into force

39. The seventh five year plan (1985-1990) Aim: To plan and provide primary health care and medical services with special consideration to vulnerable groups and those who are living in tribal, hilly and remote rural areas so as to achieve the goal of health for all by 2000 A.D.

40. The seventh five year plan (1985-1990) The priorities: Health services in rural, tribal and hilly areas under minimum need programme Medical education and training Control of emerging health problems especially im the area of non-communicable diseases

41. The seventh five year plan (1985-1990) The priorities: MCH and family welfare Medical research Safe water supply and sanitation Standardization, integration and application of Indian system of medicine

42. The seventh five year plan (1985-1990) The major developments: 1985: Universal immunization programme was launched, the leprosy act was repealed 1986: The environment protection was promulgated, parliament passed mental health bill Juvenile justice act started, national AIDS control programme was started

43. The seventh five year plan (1985-1990) The major developments: 1987: Worldwide safe mother hood campaign was started by world bank, The factories act started working, National diabetes control programme was launched

44. The seventh five year plan (1985-1990) The major developments: 1988 to 1991: The ESI Act 1989 came into force; Acute respiratory infection programme was started, The 1991 census was conducted, The high power committee on nursing and nursing profession published its report in 1989.

45. The eighth five year plan (1992-1997): The major developments: The aim: To continue reorganization and strengthening of health infrastructure and medical services accessible to all.

46. The eighth five year plan (1992-1997): The major developments: The aim: To continue reorganization and strengthening of health infrastructure and medical services accessible to all

47. The eighth five year plan (1992-1997) The priorities: Developing rural health infrastructure Medical education and training Control of communicable diseases Strengthening of health services. Medical research Universal immunization MCH and family welfare. Safe water supply and sanitation

48. The eighth five year plan (1992-1997): Major developments : 1992: CSSM programme was started. 1993: DOTS programme was implemented 1994: The panchayat raj act came into operation

49. The eighth five year plan (1992-1997): 1995: ICDS was changed to integrated mother and child development services. (the first pulse polio programme for children under 3 years was organized). 1996: Family planning programme was made target free approach

50. The ninth five year plan (1997-2002 ): The aim: The ninth plan continued with the same aim of the eight plans. 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

51. The ninth five year plan (1997-2002): Improvement of referral linkage Development of human resources, Meeting increasing demands of nurses in specialty and super specialty areas Strengthening of existing national vertical programmes

52. The ninth five year plan (1997-2002): Disaster and emergency management Strengthening of health research Involvement of practitioners from indigenous system of medicine . Significant events were : Reproductive and child health programme was launched Government of India announced national population policy 2000

53. The ninth five year plan (1997-2002 ): Significant events were : National malaria eradication programme was renamed as national anti-malaria programme in 1999 National family health survey-2 was undertaken Phase II of National AIDS control programme started Census 2001 was completed GOI announced National Health policy 2002 GOI announced National AIDS prevention and control policy 2002

54. Tenth five year plan (2002-2007): The aim: The focus of planning has shifted from expansion of services to the enhancement of human well-being

55. Tenth five year plan (2002-2007): The priorities : Restructuring of existing health infrastructures Upgrade the skills of health personnel Improve the quality of reproductive and child health Improve logistic supplies

56. Tenth five year plan (2002-2007): The priorities : Ensure effective intersect oral cooperation Increase the affectivity of IEC activities Carry out research on nutritional deficiencies and on optimum daily requirements of nutrients for Indian men and women Promote rational drug use

57. Tenth five year plan (2002-2007): Targets: Objectives Reduction of poverty ratio by 5 percentage points by 2007 Providing gainful and high-quality employment at least to the addition to the labor force All children in India in school by 2003 Reduction in gender gaps

58. Tenth five year plan (2002-2007 ): Objectives Increase in literacy rates to 75 per cent Reduction in the decadal rate of population growth Reduction of infant mortality rate (IMR) to 45 per 1000 live births by 2007 and to 28 by 2012

59. Tenth five year plan (2002-2007 ): Objectives Reduction of maternal mortality ratio (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 Cleaning of all major polluted rivers by 2007 and other notified stretches by 2012

60. Eleventh five year plan (2007-2012): The aim : To restructure policies to achieve a new vision Objective A chieving good health for people especially the poor and the underprivileged .

61. Eleventh five year plan (2007-2012): Goals: Reducing maternal mortality ratio to 1per 1000 live births . Reducing infant mortality rate to 28per 1000 live births . Reducing total fertility rate to 2.1 . Providing clean drinking water for all by 2009. Reducing malnutrition among children of age group 0-3 to half its present level.

62. GOALS OF 11TH FIVE YEAR PLAN Income and poverty Infra structure Education Environment Health Women and children.

63. 11TH FIVE YEAR PLAN Priorities: Improving the health equity . Adopting a system-centric approach rather than disease-centric approach . Increasing survival . Taking full advantage of local enterprise for solving local health problems . Preventing indebtedness due to expenditure on health/ protecting the poor from health expenditures

64. 11TH FIVE YEAR PLAN Priorities: Decentralizing governance . Establishing e-Health , Improving access to and utilization of essential and quality health care . Increasing focus on health human resources , Focusing on excluded/neglected areas . Enhancing efforts at disease reduction Providing focus to health system and bio-medical research .

65. The twelth five-year plan In order to meet people's growing demand for health and adapt to the new requirements for health sector in light of socioeconomic development, this plan is formulated Outcome indicators The twelth plan must work towards national health outcome 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 :.

66. Outcome indicators Prevention and reduction of under-nutrition in children under 3 years to half of NFHS-3 (2005- 06) levels: Prevention and reduction of anaemia among women aged 15-49 years to 28 percent Raising child sex ratio in the 0-6 year 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 households out-of-pocket expenditure :

67. Priority areas in 12th five year plan are Full immunisation among children under three years of age and pregnant women Full antenatal, natal and post natal care Skilled birth attendance with a facility for meeting need for emergency obstetric care Iron and folic acid supplementation for children, adolescent girls and pregnant women

68. Priority areas in 12th five year plan 5.Regular treatment of intestinal worms, especially in children and reproductive age women 6.Universal use of iodine and iron fortified salt 7.Vitamin-A supplementation for children aged 9 to 59 months 8. Access to a basket of contraceptives and safe abortion services 9Preventive and promotive health educational services,

69. Priority areas in 12th five year plan 10. Home based new-born care, and encouragement for exclusive breastfeeding till six months of age 11 . Community based care for sick children, with referral of cases requiring higher levels of care 12 . HIV testing and counselling during antenatal care 13 . Free drugs to pregnant HIV positive mothers to prevent mother to child transmission of HIV 14 . Malaria prophylaxis, using long lasting insecticide treated nets (LLIN), diagnosis using rapid diagnostic kits (RDK) and appropriate treatment

70. Priority areas in 12th five year plan 15 . School check-up of health and wellness, followed by advice, and treatment if necessary 16 . Management of diarrhoea , especially in children, using oral rehydration solution (ORS ) 17 . Diagnosis and treatment of tuberculosis, leprosy including drug and multi-drug resistant cases . 18 . Vaccines for hepatitis B and C for high risk groups 19 . Patient transport systems including emergency response ambulance services of the 'dial 108' model