VARIOUS HEALTH AND FAMILY

WELFARE COMMITTEES

Mittal Patel
S.Y.M.Sc Nursing
 Health services in India began in the
middle of the 18th century. They were initially
intended to protect the health of the British
army stationed in India. Separate medical
and public health departments came into
existence. It was only after independence, the
health services began to develop realistically
based on the health needs of the country.
Indian National Congress was set up in
1938 when Subhaschandra Bose was the
President at the Indian National Congress.
National Planning Committee (NPC) :
Jawaharlal Nehru as the Chairman at the
National Planning Committee. This committee set
up a subcommittee on National health which made
assessment of the health situation and health
services in the country and recommended the
measures for their improvement.
Santhok Singh Sokhey, Dr. BC Roy, Dr. CV
Deshmukh, Dr. JC Roy, S Abdul Rehman and J K
Kripalani were members. It was set up in 1938 and
submitted an interim report in 1940. Final report
could be submitted only during 1948.
BHORE COMMITTEE 1946
 Recommendations

a) A Comprehensive blue print for the distant future (20 to

40 years from then) and the smallest service unit was to
be Primary Health Unit, serving a population of 10,000
to 20,000

b) A short-term scheme covering 2 to 5 years period from

then with emphasis on setting up 30 bedded hospitals,
one for every two Primary Health Care
OTHER RECOMMENDATION

 . Formation of village health committee to secure active

cooperation and support in the
 development of health program.

 . Provision of Doctors of future who should be .Social Doctor.,

combines both curative and preventive of the public.
 . Formation of District Health Board for each district with
district health officials and representatives of the public.
 . To ensure suitable housing, sanitary surroundings, safe
drinking water supply elimination of unemployment and lay
special emphasis on preventive work.
MUDALIAR COMMITTEE 1962
 Recommendations:
a) Consolidation of advances made in the first two-year plans
b) Strengthening of the district hospital with specialist services
c) Regional organizations in each state
d) Each primary health centre not to serve more than 40,000
populations.
e) To improve the quality of health care provided by primary
health centres
f) Integration of medical and health services on the pattern of
Indian Administrative service.
CHADAH COMMITTEE, 1963
 Recommendations
1. Vigilance operations in respect of the NMEP should be
the responsibility of the general health services (e.g.)
PHC.
2. The vigilance operations should be should be done
through monthly home visits by basic workers (Junior
Health Assistant male)
3. Now each Junior Health Assistant Male to cover 3000 –
5000 population
MUKHERJEE COMMITTEE, 1965
Recommendations

 To have separate staff for the family planning program.

 The family planning assistants were to undertake family
planning duties only
 The basic health workers were to be utilized for purposes
other than family planning.
 To delink the malaria activities from family planning of
it‘s that the later would receive undivided attention of its
staff.
JUNGALWALLA COMMITTEE, 1967

Recommendation

1. The main steps recommended towards integration were

a) Unified cadre
b) Common Seniority
c) Recognition of extra qualifications
d) Equal pay for equal work
e) No private practice and good service conditions
KARTAR SINGH COMMITTEE, 1973
Recommendations
 The Present Auxiliary Nurse Midwives to be
replaced by the newly designated .Female Health
Workers. and the present day Basic Health Workers,
malaria surveillance workers, vaccinators, health
education assistants (Trachoma)and the family
planning health assistants to redesignated by .Male
Health Workers..
 The program has to be introduced in areas where
malaria is in maintenance phase and smallpox has
been controlled and later to other areas.
 . One primary health centre for 50,000 populations.
 . Each PHC should be divided into 16 sub centers and each
covers 3,000 to 35, 00 population.
 . Each sub centre to be staffed by a male and female health
worker.
 . One male health supervisor to supervise 3 to 4 male health
workers and one female health supervisor to supervise the
work of 4 female health workers.
 . The lady health visitors to be designated as female health
supervisors.
 . The doctor in charge of a primary health centre should have
the overall in charge of all the supervisors and health workers
in the area.
SHRIVASTAV COMMITTEE, 1975
Recommendations
 . Creation of bands of paraprofessional and
semiprofessional health workers from within the
community itself (e.g. school teachers, postmasters,
gram sevaks) to provide simple promotive, preventive
and curative health services needed by the community.
 . Establishment of 2 cadres of health workers, namely
multipurpose health workers and health assistants
between the community level workers and doctors at
PHC.
 . Development of a Referral Services Complex‘ by
establishing proper linkages between PHC and higher
level referral services.
 . Establishment of a Medical and Health Education
Commission for planning and implementing the referrals
needed in health and medical education on the lines of
the University Grants Commission.
SHETTY COMMITTEE 1980
 The initial move for the appointment of the Nursing
Committee was made by the then Union Minister for
Health, Rajkumari Amrit Kaur. She emphasized the
importance of good nursing and drew attention to the
many factors that hindered its development. The
Government of India constituted a Committee on 19th
May, 1980 under the Chairmanship of Shri Shetty.
 Recommendations:
 The appointment of a Superintendent of Nursing services
in each State.
 Combining the Nursing service for hospitals and that for
the public health field into one service.
 In planning to provide an adequate Nursing service.

 Hospitals

 Domiciliary midwifery

 Public health field

 Nursing Education

 Nursing Service
MEHTA COMMITTEE 1983

 The “Medical Education Review Committee” was

headed by Shri Mehta, known as Mehta Committee
1983. Recommendations regarding the methods of
updating such data and manpower projections for
doctors, nurses and pharmacists.
BAJAJ COMMITTEE 1986-87
 This Committee reviewed the state of Nursing
education at the 10+2 level and has predicted the
Nursing Manpower required.
 Nursing education: The Committee strongly
recommends health related vocational courses for
Auxillary Nurse Midwife (Female Health Worker).
To provide for vertical mobility to the products of the
vocational courses. Ten percent seats to be reserved in
higher technical courses.
 The Bajaj Committee, while recommending staffing
norms for Hospital Nursing services has made calculations
of Nursing manpower requirements for Community
Health Centres and Primary Health Centres.
 The role and functions expected of the professional Nurse
have been limited to the indoor patients, District
Hospitals, etc. contrary to the preparation acquired and the
role played by nurses in Primary Health Care.
 The reasons could be non-involvement of Nurses at the
policy formulation, planning, and decision making levels,
not provided adequate budget for the development of the
Nursing profession during the last 43 years
 Sarojini Varadapan Committee:
A high power committee on Nursing and
Nursing profession was set up by the Govt. of
India in July, 1987 under the Chairmanship of
Smt Sarojini Varadapan. Their
recommendations on the organization of Nursing
Services at Central, State and District levels and
the norms for Nursing Service and Education
only are given.
 Varadapan Committee - feels that if the full potential of the
Nursing's contribution to health care delivery (Primary Health
Care) system has to be actualised, it is essential that the
Government should accept the placement of nurse leaders at
all levels in the administration where they can actively
participate in policy formulation and decision making process.
 The changes needed in Nursing and in the reorganization of
the health system that will enable Nursing personnel to
function effectively in health care delivery system, including
Primary Health Care.
 This will require that the Nurse should have a voice in
developing that national health plan.
QUESTIONS, IF ANY ??????
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