COMMITTEES IN

INDIA
JUNGALWALIA COMMITTEE (1967)

• Jungalwalia committee was constituted under the chairmanship

of Dr jungalwalia, additional director general of health services
and referred as ‘Committee on Integration of Health Services.’
• This committee has submitted its reportin 1967.
OBJECTIVES

1. To study the problems of health services and it’s condition.

2. Integrate health services.
3. Eliminate private practice by government doctors.
RECOMMENDATION

• Use unified approach instead of segmental approach in serving

all the problems.
• Medical care and health program to function under a single
administrator.
• Operating in unified manner at all levels of hierarchy with due
priority for each program.
• The integration of services from the lowest to highest level should
include –
• Unified cader
• Common seniority
• Recognition of extra qualification
• Equal pay for equal work.
KARTAR SINGH COMMITTEE (1973)

• In 1972, the govt of India during Central Family Planning

Council meet , appointed a committee called ‘ the committee on
multipurpose workers under Health and Planning ‘ under the
chairmanship of Kartar Singh ( additional secretary of health
and family welfare.
• This committee had submitted its report in 1973.
TERMS OF REFERENCE

• The structure of integrated service at the peripheral and

supervisory level.
• The feasibility of having multipurpose and bipurpose workers in
the field or each worker.
• The training requirements for such workers.
RECOMMENDATION

• Multipurpose workers – feasible and desirable.

• Re- designation:
• ANM s should be replaced by female health workers.
• Basic health workers, Malaria surveillance workers, vaccinators,
should be replaced by male health workers.
• Lady health visitors should be designated as female health
supervisor.
• These MPHWs should be initially introduced in malaria
maintenance phase areas and small pox controlled areas.
• Clearly spelt out the job responsibilities of HWs and
supervisors.
• One PHC per 50, 000 population.
• One primary health centre will have 16 health subcentre. Each
health subcentre to provide services to 2000-3500 population.
• One health subcentre will have one MPHW- one male and one
female MPHWs .
• One male supervisor for every for MHWs male
• One female supervisor for every four FHWs female.
• Doctor will be in charge of all supervisors.
• All these to be implemented in 5th five year plan
SHRIVASTAV COMMITTEE (1975)

• In 1974 Government of India assigned a group named ‘ group

on medical education and supports manpower’s known as
Shrivastav committee.
• The group has submitted its report in 1975.
RECOMMENDATION

• Organization of the basic health services within the community

to impart training to the personnel required for these purposes.
• Introduction of paraprofessional and semi professional health
workers who can provide comprehensive health services as para
professionals.
• Placing the health in community’s hands by involving the people
within the community.
• Organization of economically efficient health services to link the
community with the first level referral centre- the PHC.
• Creation Of MPWs and health assistance ( HA) in between the village
health guides(VHG) and medical officer ( MO) in charge of PHC.
• One male and one female health workers for every 5,000
population.
• Reorganization of the medical program and health education.
• Establishment of ‘ The Medical and Health Education
Commission.’
• Based on these recommendations ‘ Rural Health Scheme was
launched by the government of India in the year 1977-1978.
RURAL HEALTH SCHEME (1977-78)

• The major steps taken under these scheme are as follows:

• Involvement of medical Colleges in health care was assessed
with the objective of reorienting medical education according to
rural population need called ‘ Reorientation of Medical
Education ‘ (ROME)
• Under this scheme train all the undergraduate students and
interns at PHCs.
• Reorientation training to all multipurpose workers and training
of Village Health Guides and utilizing the services in the general
health service system.
BAJAJ COMMITTEE (1987)

• It was constituted under Dr JS Bajaj, Professor of Medicine.The

committee was popularly known as ‘ health manpower
planning, production and management.
• Following areas were emphasized by the committee:
• Procedures relating to admission to undergraduate courses.
• Procedures relating to admission to the postgraduate course
• Duration of the undergraduate course and internship.
• Duration of the postgraduate courses and thesis.
KRISHNAN COMMITTEE HEALTH REPORT(1992)

• This committee worked under the chairmanship of Dr Krishnan

to review the recommendation and achievements of previous
health committees and comment on any deficits.
• Consequent to this the committee devised the health post
scheme for urban slum areas.
RECOMMENDATION

• It recommended one voluntary health workers per 2,000

population with an honorarium of ruppee 100.
• Its report specifically outline which services have to be provided
by the health post.
• These services have been divided into outreach , preventive,
family planning , curative , referral , reporting and record keeping