STRUCTURE OF HEALTH SERVICE - EVOLUTION, COMMITTEES, DEVELOPMENT, ADMINISTRATION, BLOCK LEVEL INSTITUTES, PHCs, CHANGING CONCEPTS & PHASES IN HEALTH CARE.pptx

STRUCTURE OF HEALTH SERVICE - Evolution of Health Care System – Five Year Plans,
Recommendation of Committees, Development of Rural Health Services in India, Administration of Health Care Services in India, Decentralized Block Level Institutes, Primary Health Centres (PHCs), Changing Concepts and Phases in Health Care

1. STRUCTURE OF HEALTH SERVICE SUBMITTED BY B.ARTHI, ASSISTANT PROFESSOR, DEPARTMENT OF MICROBIOLOGY SRI SARADA NIKETAN COLLEGE OF SCIENCE FOR WOMEN, KARUR-5.

2. Evolution of Health Care System – Five Year Plans 1st Plan (1951–56): Focus on public health, sanitation, control of communicable diseases. 2nd Plan (1956–61): Strengthening of PHCs; emphasis on maternal and child health. 3rd Plan (1961–66): Expansion of PHCs and training of health workers. 4th & 5th Plans: Introduction of Minimum Needs Programme (MNP). 6th Plan (1980–85): Launch of the National Health Policy (1983). 7th–12th Plans: Focus on universal immunization, NRHM (2005), infrastructure strengthening, and health insurance schemes. Recent Plans/Post-2017: Health included in NITI Aayog planning framework, with emphasis on Ayushman Bharat and Health & Wellness Centres (HWCs) .

3. Recommendation of Committees Bhore Committee (1946): Integrated curative & preventive services. 3-tier system of health care (Primary, Secondary, Tertiary). PHCs as basic units. Mudaliar Committee (1962): Strengthening existing health services before expansion. PHC population norm: 40,000. Chadha Committee (1963): Integration of malaria control with general health services. Recommended multipurpose health workers. Mukherjee Committee (1965): Separation of family planning from general health services. Jungalwalla Committee (1967): Unified cadre and service conditions for health personnel. Kartar Singh Committee (1973): Introduction of Multipurpose Health Worker Scheme . Recommended sub- centre for every 3,000–5,000 population. Shrivastav Committee (1975): Creation of a cadre of community health workers . Development of referral services. Tungabhadra/ Tongawalla Committee (1967): Recommended integration of various national health programmes at field level.

4. Development of Rural Health Services in India Establishment of Sub- Centres (SCs) , Primary Health Centres (PHCs) , and Community Health Centres (CHCs) . Based on Bhore Committee ’s 3-tier model. Launch of NRHM (2005) and Ayushman Bharat (2018) enhanced rural health care. Health & Wellness Centres focus on comprehensive primary care.

5. Administration of Health Care Services in India Central Level (Ministry of Health & Family Welfare): Policy formulation, international health relations, centrally sponsored schemes. State Level (State Health Departments): Implementation of health programs, state hospitals, recruitment. Municipal/Local Level: Urban health services, sanitation, waste management, municipal hospitals.

6. Decentralized Block Level Institutes Implementation of District Health System under NRHM. Block Primary Health Centres (BPHCs) serve ~80,000 to 1 lakh population. Act as link between PHCs and CHCs. Involved in planning, supervision, and monitoring of health activities.

7. Primary Health Centres (PHCs) First point of contact between rural population and medical officers. Covers population of 30,000 (plains) and 20,000 (hilly/tribal). Staff: Medical Officer, Health Assistants, Lab techs. Provide OPD, immunization, maternal care, disease control.

8. Changing Concepts and Phases in Health Care Preventive to Curative to Comprehensive Care . Vertical programs → Integrated approach . Institutional → Community-based health care . Focus on social determinants of health. Shift towards universal health coverage and digital health (e.g., ABDM).

9. Thank you