Health policy class
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The document outlines several committees and policies related to India's health system since independence. It discusses recommendations from committees in 1946, 1961, 1963, 1966, 1974, and 1975 on establishing a three-tiered public health system with subcenters, primary health centers (PHCs), and district-level facilities. It also summarizes the key points of the National Health Policy of 1983 and National Rural Health Mission of 2005, including increasing public spending on health and strengthening primary healthcare infrastructure and community participation.
Health policy class
- 1. Health policy Since Independence ATK 1946¨C BHORE COMMITTEE. HEALTH SERVICE TO BE FREE. CLOSE TO PEOPLE SHOULD BE C O M P H R E N S I V E . I N T EG R A T ED PREVENTIVE,PROMOTIVE,CURATIVE. 3 TIER-SUBCENTER,PRIMARY HEALTH C E N T E R , S U B DI S T R I C T A N D D I S T R I C T . PHC¨C SHORT TERM- 40,000. LONG TERM--- 10,000-20,000
- 2. Bhore Committee-contd. ? 1Bed for 175 ? Doctors 1600 ? Nurse-600 ? 650 bedded hospital at taluka-( 3 lakhs population ? 2500 beds a district ? 15% of govt. expenditure on health ATK
- 3. Mudiliar Committe ? 1961 ? Integration of Curative and Preventive services ? PHC- 40000 ? 1 Bed- 1000 ? 1 Doc for 3000 ? Taluk ¨C 50 bedded hospital/500 bedded hospital at district level
- 4. Chadha Committee 1963 ? Integration of maintenance phase of malaria with general health services in the country consisting of subentries, primary health centers and district level organization ? Designating the Malaria surveillance workers as basic health workers at the scale of 1 per 10000 population. ? One sanitary inspector/ health inspector at the rate of 1 per 30,000 population for intensification of family planning measures. ? Utilization of extension education educators for all national.
- 5. Mukherjee Committee 1996 ? One family planning field worker( FPFW) for every two sub centres or 20000 population ? One day health visitors for 40000 population. ? Inceptive to Government Doctors and practitioners
- 6. Jain Committee 1966 ? One bed per 1000 population ? One 50 beds hospital at Taluka level. ? Enhancing maternity facilities at each level ? Health insurance for larger population coverage
- 7. Kartar Singh Committee - 1974 ? Change of uni-purpose workers to multipurpose health workers. ? One male and one female multipurpose health workers ? One PHC for 50000 population.
- 8. Srivastave Committee 19775 (Group on medical education and support manpower) ? Health guides at the community level one for 1000 ? ? ? ? ? population One male and one female health worker per 5000 population One additional doctor and nurse at PHC for MCH services. Increase in PHC drug budget Compulsory national service of two years at PHC by every doctor. Establish medical and health education commission
- 9. National Health Policy( NHP) - 1983 ? Involvement of private practitioners and NGOs to expand coverage of services. ? Evolving a decentralize system of health care and establishment of a referral system ? Encourage private investment in health sector to reduce Government burden. ? Specification of health and demographic outcomes targets to be achieved by year 2000.
- 10. Approach ? To invest 55% of public health investment in primary health care, 35% for secondary and 10% for tertiary care. ? To provide essential drugs and equipments at primary health care, 35% for secondary and 10% for tertiary care. ? To provide essential drugs and equipments at primary health centre by the central government.
- 11. National Rural Heath Mission( NRHM) - 2005 ? To raise public spending on health from 0.9% of GDP to ? ? ? ? 2-3% of GDP. To strengthen sub centers, PHCs, CHCs and districts health services. To achieve convergence of service of various sectors like health, nutrition, water supply and sanitation at various levels. To enhance community participation by enhancing capacity of PRIs. To promote access to health care through accredited social health activist (ASHA).