FIVE

YEAR
PLANS

By: Ms. Priyanka Bansal

Msc. Nursing- I year
Rufaida College of nursing.
  Before India attained
INTRODUCTION independence on 15 August 1947,
some of the provinces & princely
states of India were parted to
constitute Pakistan. This effected
change in demographic, political
& socio-economic aspects. The
Government of India at that time
faced a large number of socio-
economic & public health
problems.
 In 1950, planning commission was
constituted to help government
to plan out integrated
development plans for entire
country within available recourses
for a definite period of five years
for its socio economic progress.
  The planning commission
consists of a Chairman, Deputy
PLANNING Chairman and 5 members. The
planning commission works
COMMISION through 3 major divisions –
Programme advisers, general
secretariat and Technical
divisions which are responsible
for sruitinising and analysing
various schemes and projects
to be incorporated in the five
year plans. By its term of
reference, the planning
commission also reviews from
time to time the progress made
in the various directions and to
make recommendations to
government on problems and
policies relevant to the pursuit
of rapid and balanced
economic development
HEALTH SECTOR PLANNING
 Since “health” is an important contributory factor in the
utilization of man power, the planning commission gave
considerable importance to health programmes in the Five
Year Plans. For purpose of planning, the health sector has
been divided into the following sub- sectors:
 Water supply and sanitation
 Control of communicable diseases
 Medical education, training and research
 Medical care including hospitals, dispensaries and primary
health centres
 Public health services
 Family planning
 Indigenous systems of medicine
FIVE YEAR PLANS
The following general Health objectives have been
considered in “Five Year Plans” right from the beginning:
 Control and eradication of various communicable diseases,
deficiency disease and chronic diseases.
 Strengthening of medical and basic health services by
establishing District Health Units, Primary Health Centres
and Sub-Centres.
 Population control
 Development of health manpower resources and research.
 Development of Indigenous System of Medicine.
 Improvement of environmental sanitation.
 Drug control
THE FIRST FIVE YEAR PLAN

(1950 – 1955)
The aim:
 To fight against diseases, malnutrition, & unhealthy
environment.
 To built up health services for rural population & for mothers 7
children in order to improve general health status of people.

The priorities:
 The areas in order of priorities included:
 Safe water supply & sanitation.
 Control of malaria.
 Health care of rural population.
 Health services of mother & children.
 Education, training & health education.
 Self sufficiency in drugs & equipments.
 Family planning & population control.
 The Health Outlay:

 A sum of Rs.140 crores was allocated for

health programmes during first five year plan
which was 2.9% of total outlay (Rs.2356
crores) for entire development plan.
 The Major Developments:
 BCG vaccination programme to prevent & control tuberculosis was
launched.
 Primary health centers were set up by to render health services in
rural areas.
 The National Malaria Control Programme was launched.
 The National family planning Programme was launched.
 The National Leprosy Control Programme was launched.
 The National Water Supply & Sanitation Programme was launched.
 The prevention of food Adulteration Act was enacted.
 The committee made various recommendations in general to
improve nursing care & nursing service condition of nurses.
 The national filaria control programme was launched.
 The minimum age of 18 year for boys & 15 year for girls was
prescribed by Hindu act marriage act.
THE SECOND FIVE YEAR PLAN

(1956 – 1961)
 The aim :
 The aim of second five year plan was extend existing
health services to bring them with in reach of all
people so as promote progressive improvement of
nation’s health.

 The priorities:
 Establishment of institutional facilities for rural as
well as for urban population.
 Development of technical manpower
 Control of communicable diseases.
 Water supply & sanitation.
 Family planning & other supportive programmes.
 The health outlay

An out play of 225 cores was allocated for

second five year plan for health programmes
which was 5.0 percent of entire outlay for
total development plan. This proportionate
outplay was less than the first year plan by
0.9 percent.
The major developments
 The Central Health Education Bureau was established.
 The National Malaria Control Programme Was
converted into National Malaria Eradication
Programme.
 The Mudliar committee was set up by government of
India .
 Pilot project of small pox eradication was started.
 A National Nutrition Advisory committee was formed
to render services on nutrition policies.
 The School Health Committee was appointed by the
Union Ministry of health
THE THIRD FIVE YEAR PLAN

(1961 – 1966)
 The aim :
 The aim of third year plan was to remove the shortage &
deficiencies which are observed at the end of second five year plan
in the field of health .these were pertaining to institutional facilities
especially in rural areas shortages of trained personnel & supplies
lack of safe water in rural areas & inadequate drainage system.
 
 The priorities:
 Safe water supply in villages & sanitation especially the drainage
program in urban areas.
 Expansion of institutional facilities to promote accessibility
especially in rural areas
 Eradication of malaria & smallpox control of various communicable
diseases.
 Family planning & other supporting services for improving the
health status of people
 Development of manpower
 The health outlay
 An outlay of Rs. 342 crores was allocated for
3rd five year plan which was 4.3% of the total
outlay for the entire development plan.
Though the outlay for health plan in crores is
more than the outlay for previous plan but
the proportionate percentage of the total
outlay of the development plan was much
less than the previous plan.
The major developments:
 The central bureau of Health intelligence was established.
 The Mudliar Committee report was submitted & published.
As for nursing education was concerned the committee
recommended:
 Three grades of nurses: the basic nurse with 4 years of course
including 6 months in midwifery & 6 months in public health
nursing.
 Providing facilities for higher qualification & specialized
courses.
 Continue training of midwives who will gradually replace the
dais working at central places
 Replace health visitors by public health nurses who would have
basic nursing & midwifery qualifications & one year further
training in public health nursing.
 The National Smallpox Eradication programme was
launched & National Goiter Control Programme was
launched.
 The school health programme was started.
 The Applied Nutrition Programme was started by the
government of India, with the support of UNICEF, WHO, &
FAO.
 The drinking water board was established.
 The Chadha committee was appointed by the government
to study the arrangements necessary for the maintenance
phase of National Malaria Eradication Programme.
 A medical education committee was appointed to study the
various aspects of medical education with in the frame work
of national needs & recourses./
 A bill on registration of births & deaths was passed by the
parliament.
THE FOURTH FIVE YEAR PLAN

(1969 – 1974)
 The aim:
The main aim of this plan was to strengthened primary health
center in the rural area for undertaking preventive, curative,
& family planning services & to take over the maintenance
phase of communicable diseases.
 
 The priorities:
 Family planning programme
 Strengthening of PHC
 Strengthening of sub divisional & district hospital to provide
effective referral support of PHC.
 Intensification of control programmes.
 Expansion of medical & nursing education, training of
paramedical personnel to meet the minimum technical
manpower requirements.
 The health outlay

 Of the total outlay of Rs.16, 774 crores on the

entire development plan, Rs. 340 crores were
allocated to health & Rs. 315 crores to family
planning.
The major developments:
 The comprehensive legislation for control of the
river & water pollution form domestic & industrial
wastage was drafted.
 The Central Births & Deaths Registration Act (1969)
was promulgated.
 The Population Council of India was setup.
 All India Hospital (postpartum) Family Planning
Programme was launched.
 The MTP Act was implemented.
 The National Programme of Minimum Needs
Programme (MNP) was formulated.
 The Kartar Singh committee submitted its report.
THE FIFTH FIVE YEAR PLAN

(1974 – 1979)
 AIM
 To provide minimum level of well integrated health, MCH and FP,
Nutrition and immunization services to all with special reference to
vulnerable group especially children, pregnant & nursing mothers
 To remove imbalance in respect of medical facilities and
strengthening the health infrastructure in rural and tribal areas.

 PRIORITIES
 Increasing accessibility of health services in rural areas
 Correcting regional imbalance
 Further development of referral services by removing deficiencies
in district & subdivision hospitals.
 Intensification of the control and eradication of communicable
disease especially Malaria & Smallpox.
 Qualitative improvement in the education and training of health
personnel.
 THE HEALTH LAYOUT

Total Outlay For Overall Development Plan Was

Rs.32,382 crore. Out Of Which Rs.682 crore
for Health Programs and Rs.497 crore were
allocated to Family Planning.
MAJOR DEVELOPMENTS
 The year 1974 was declared as World Population
Year by United Nations.
 India became small pox free on 5th July 1975.
 Integrated Child Development Scheme was
launched on 3rd Oct 1975.
 The ESI act was amended.
 The Child marriage Restraint (Amendment) Bill 1978
fixing the minimum marriage age i.e. 21 years for
boys & 18 years for girls was passed.
 Alma Ata declared “Primary Health Care Strategy” to
achieve the goal of “Health for all by the year 2000.
THE SIXTH FIVE YEAR PLAN

(1980 – 1984)
 AIM AND OBJECTIVES
 Increasing the accessibility of health services to rural
areas.
 Correcting regional imbalances.
 Further development of referral services by removal of
deficiencies in District/Sub-divisional hopitals;
 Intensification of the control/eradication of
communicable diseases especially Malaria and Smallpox;
 Qualitative improvement in the education and training of
health personnel; and
 Development of referral services by providing specialist
attention to common diseases in rural areas.
 THE HEALTH LAYOUT

 The total outlay for the Health Sector was Rs.

3392.89 crores.
MAJOR DEVELOPMENTS
 1980- Small pox was declared eradicated from entire
world by World Health Assembly

 1981- India committed to the goal of providing safe

drinking water and adequate sanitation for all by 1990.
 Prevention and control of Air Pollution was introduced.

 1982- National Health Policy announced.

 1984- Bhopal gas Tragedy – An Industrial accident

occurred in the union carbide Factory at Bhopal (M.P.)
THE SEVENTH FIVE YEAR PLAN

(1986 – 1991)
OBJECTIVES, GOALS AND
STRATEGY
 Nutrition, safe drinking water supply and sanitation,
housing, education information and communication and
social welfare will be made as part of the package for
achieving the goal of Health for all by 2000 AD.
 Urban health services, school health services and mental
and dental health services also need special efforts to
ensure comprehensive coverage.
 For the control and eradication of communicable
diseases, programme implementation at all levels needs
strengthening with strict adherence to the sharing of the
costs of the programme by State Government.
 Medical training must be need-based, problem-centered
and community-oriented.
 THE HEALTH LAYOUT

 The outlays for the family welfare

programme are being stepped up to Rs. 3,256
crores
 MAJOR DEVELOPMENTS
 1985- Universal Immunization Programme was launched

 1986- The environment Protection Act was promulgated.

 1987-
 National Aids control programme started.
 The Government of India appointed a High Power Committee on Nursing
Profession to go into the working conditions of nurses, nursing education
and other related matter.

 1989- Blood Safety Programme was launched

 1990- Control of acute respiratory infections (ARI) programme initiated as

a pilot project in 14 districts.

 1991- India stages the last decadal census of the country.

THE EIGHTH FIVE YEAR PLAN

(1992 – 1997)
 OBJECTIVES
 Eight Plan priority is for the development of
the social sector with particular stress on
human development.

 MAIN THRUSTS
 Health facilities must reach the entire
population by the end of plan.
 “Health for under privileged” will be promoted
consciously and consistently.
 Health for high risk vulnerable groups i.e.
mothers and children.
 OUTLAY
 The size of the State's Eighth Five Year Plan (1992-97) was kept
at Rs. 11500.00 crores. Compared with the size of the Seventh
Five-Year Plan, it was higher by 283 per cent. This substantial
step up was necessary in view of the comparative backwardness
of the State. Sector-wise, the highest priority had been
assigned to the Power sector, for which 28.31 per cent of the
total Plan size had been earmarked. Social and Community
Services (21.41 per cent), Irrigation and Flood Control (16.70 per
cent), Agriculture and Allied Activities (11.19 per cent) and Rural
Development (8.88 per cent) followed. Among other sectors,
Transport claimed 6.82 per cent, Industry and Minerals 4.66 per
cent, Special Area Programmes 0.73 per cent and Economic and
General Services and Scientific Services 1.30 per cent.
 MAJOR DEVELOPMENTS
 1992: Child survival and safe motherhood programme (CSSM) was started .

 1993: A revised strategy for National Tuberculosis Programme with (DOTS) was
introduced.

 1994:
 The first Pulse Polio immunization programme for child under 3 years was
organized.
 Post-Basic three year B.Sc. Nursing programme was launched through distance
education by Indira Gandhi National Open University (IGNOU).

 1995:
 Integrated child development scheme (ICDS) was changed to Integrated Mother
and Child Development (IMCD) services.

 1996:
 Prenatal Diagnostic Techniques (Regulation and Prevention of Misuse) Act 1994
came into force form January.
THE NINTH FIVE YEAR PLAN

(1997 – 2002)
 The aim- attaining objectives like speedy industrialization, human
development, full-scale employment, poverty reduction, and self-reliance on
domestic resources.

 
 The priorities:
 The areas in order of priorities included:
 To prioritize agricultural sector and emphasize on the rural development
 To generate adequate employment opportunities and promote poverty
reduction
 To stabilize the prices in order to accelerate the growth rate of the economy
 To ensure food and nutritional security
 To provide for the basic infrastructural facilities like education for all, safe
drinking water, primary health care, transport, energy
 To check the growing population increase
 To encourage social issues like women empowerment, conservation of
certain benefits for the Special Groups of the society
 To create a liberal market for increase in private investments
 MAJOR DEVELOPMENTS
 1997: Reproductive and Child Health Programme launched.

 1998-99:
 National Malaria Eradication Programme renamed as National Anti- Malaria
Programme.
 National Policy for older persons announced.

 2000:
 Government of India announced National Population Policy- 2000.
 Declared guinea worm free country.
 Signatory to UN Millennium Declaration.
 National Commission on Population constituted.

 2001:
 National Policy for empowerment of women launched on 20th March 2001.

 2002:
 National Health Policy 2002 announced.
 Govt. announces National AIDS Prevention and control Policy 2002.
THE TENTH FIVE YEAR PLAN

(2002 - 2007)
 OBJECTIVES:
 Attain 8% GDP growth per year.
 Reduction of poverty ratio by 5 percentage points by
2007;
 Providing gainful and high-quality employment at
least to the addition to the labour force;*All children
in India in school by 2003; all children to complete 5
years of schooling by 2007;
 Reduction in gender gaps in literacy and wage rates
by at least 50% by 2007;*Reduction in the decadal
rate of population growth between 2001 and 2011 to
16.2%;*Increase in Literacy Rates to 75 per cent
within the Tenth Plan period (2002 to 2007).
 MAJOR DEVELOPMENTS
 2003:
 Parliament approves the Cigarettes and other Tobacco Products
Act.
 National Vector Borne Disease Control Programme approved as
umbrella programme for prevention of vector borne diseases viz.
malaria, filarial, Kala-azar, Dengue and Japanese Encephalitis.

 2004:
 Vandemataram Schedule launched.
 Revised Programme of Nutritional support to primary education
(Mid-day meal scheme launched).
 Low osmolarity oral rehydration salt replaces the existing formula.
 Integrated Disease Surveillance project launched.
 National guidelines on Infant and Young Child Feeding formulated.
 2005:
 RCH II launched.
 Janani Suraksha Yojana launched.
 National Rural Health Mission launched.
 Indian Public Health Standards for CHCs formulated.
 India achieved leprosy elimination target.
 National Plan of Action for Children 2005 formulated.

 2006:
 WHO releases new pediatric growth chart based on breast fed children.
 Ban on child labour as domestic servant.
 RNTCP covers whole country since March 2006.
 National Family Health Survey III conducted.
 Ministry of women and Children development carved out of the Ministry of human
resources and development.
 IMNCI was launched in 16 states.

 2007:
 Indian Public Health Standards for PHC and Sub- centers formulated.
 Maintenance and welfare of parents and senior citizen bill 2007 passed.
THE ELEVENTH FIVE YEAR PLAN

(2007 - 2012)
OBJECTIVES:

 Reduce infant mortality rate to 28 and

maternal mortality ratio to 1 per 1000 live births
 Reduce Total Fertility Rate to 2.1
 Provide clean drinking water for all by 2009 and
ensure that there are no slip-backs
 Reduce malnutrition among children of age group 0-3
to half its present level
 Reduce anaemia among women and girls by 50% by
the end of the plan
 Raising the sex ratio for age group 0-6 to 935 by 2011-
12 and 950 by 2016-17.
 The thrust areas to be pursued
during the 11th FYP :
1. Improving health equity
 NRHM
 NUHM

2. Adopting a systemic-centric approach rather than a disease-centric

approach:
 Strengthening health system through upgradation of infrastructure and PPP.
 Converging all programs and not allowing vertical structures below district
level under different programs

3. Increasing survival:
 Reducing MMR and improving child sex ratio through gender responsive
health care.
 Reducing infant and child mortality through HBNC and IMNCI.
 Taking full advantage of local enterprise for solving local health
problems:
 Integrating AYUSH in health system.
 Increasing the role of RMPs
 Training the TBAs to make them SBA
 Propagating low cost and indigenous technology

 Preventing indebtedness due to expenditure on health/protecting

the poor from health expenditures:
 Creating mechanisms for health insurance
 Health insurance for the unorganized sector

 Establishing E-health:
 Adapting IT for governance.
 Establishing E-enabled HIMS
 Increasing role of tele-medicine
 Enhancing efforts at disease reduction:
 Reversing trend of major diseases
 Launching new initiatives

 Providing focus to health system and bio-

medical research:
 Focusing on conditions specific to our
country.
 Making research accountable.
 SUMMARY
Five year plans are basis for economic
development of the country. Health is an
important factor for manpower utilization and
thus is a part of FYP. Many sub-sectors were
under consideration for the health sectors.
Health program are main feature of five year
plan. Despite achievements under plans, health
status was still unsatisfactory.
 CONCULUSION
 Five year plans made to have uniform policy
for sectors. After every five year, Planning
Commission of India plans for the
development of country which includes health
sector. Many health programs are introduced
and recommended under five year plan. For
the development of any country in any sector,
five year plans are necessary.
 REFERENCES
 BOOKS:
 Gulani, K.K, COMMUNITY HEALTH NURSING, PRINCIPLES &
PRACTICES, 1st edition, Kumar Publishing House, new Delhi, 2005, 65-
73
 Basavanthappa, B.T., “NURSING ADMINISTRATION” , 1st edition,
Jaypee brothers, New Delhi, 2005, 232-236
 Basavanthappa, B.T., “COMMUNITY HEALTH NURSING” , 1st edition
Jaypee brothers, New Delhi, 2005,: 613- 615
 Park. K , “PREVENTIVE & SOCIAL MEDICINE” , 20th edition
,Banarsidas Bhanot publishers, Jabalpur,2009: 778- 780

 WEB LINKS:
 http://ddws.nic.in/popups/xiplan_bharat%20nirman.pdf
 http://en.wikipedia.org/wiki/Five-year_plans_of_India
THANK YOU!