There are several instances where specific targeted programs and goals have wreaked havoc with the health services system in several countries. After the family planning program and the small-pox eradication drive, the recent case of such diversion happened due to the pulse-polio program. We have sufficient evidence now regarding the distortions the pulse-polio program created in the health services with its uni-focal and intensive drives which affected the total coverage of immunization. However, these experiences could serve as valuable lessons for the health planning process especially given the emphasis on Millennium Development Goals.
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The Health Survey and Development Committee , popularly known as the Bhore Committee was set by the Government of India in with Sir Joseph Bhore as Chairman to survey the then existing position regarding the health conditions and health organisation in the country and to make recommendations for future development. The Committee which had among its members some of the pioneers of public health , met regularly for two years and submitted in its famous report which runs in to four volumes.
The Committee put forward, for the first time, comprehensive proposals for the development of a national programme of health services for the country. The Committee observed: "if the nation's health is to be built, the health programme should be developed on a foundation of preventive health work and that such activities should proceed side by side with those concerned with the treatment of patients".
Some of the important recommendations of the Bhore Committee were:. Although the Bhore Committee recommendations did not form part of a comprehensive plan for national socio-economic development, the Committee's report continues to be a major national document and has provided guidelines for national health planning in India. Jump to: navigation , search. Some of the important recommendations of the Bhore Committee were: The integration of preventive and curative services at all administrative levels.
The Committee visualised the development of primary health centres in 2 stages a As a short term measure, it was proposed that each primary health centre in the rural areas should cater to a population of 40, with a secondary health centre to serve as a supervisory, coordinating and referral institution. For each primary health centre two medical officers , four public health nurses , one nurse, four midwives, four trained dais , two sanitary inspectors , two health assistants , one pharmacist and fifteen other Class Four workers were recommended b a long term plan also called the Three Million Plan of setting up prrimary health units with 75 bedded hospitals for each 10, to 20, population and secondary units with bedded hospitals, again reorganised around district hospitals with beds.
Major changes in medical education which included three month's training in preventive and social medicine to prepare 'social physicians'. References Park, K. Categories : Government committees and councils Books Digitized publications.
Gaps in Goals: The history of Goal-setting in Health Care in India
S Goel. The Internet Journal of Health. Following the acceptance of report of Bhore Committee by rulers of newly independent country, a start was made in to setup primary health centers to provide integrated promotive, preventive, curative and rehabilitative services to entire rural population, as an integral component of wider Community Development Programme. In , India was the first country to launch a national programme emphasizing family planning to stabilize the population at a level consistent with the requirement of national economy. India has come quite close to Alma Ata Declaration on Primary Health Care made by all countries of the world in 3. The Declaration included commitment of governments to consider health as fundamental right; giving primacy to expressed health needs of people; community health reliance and community involvement; Intersectoral action in health; integration of health services; coverage of entire population; choice of appropriate technology; effective use of traditional system of medicine; and use of only essential drugs.
It laid emphasis on integration of curative and preventive medicine at all levels. It made comprehensive recommendations for remodeling of health services in India. The report, submitted in , had some important recommendations like Short-term measure — one primary health centre as suggested for a population of 40, Each PHC was to be manned by 2 doctors, one nurse, four public healthnurses, four midwives, four trained dais, two sanitary inspectors, two health assistants, one pharmacist and fifteen other class IV employees.