ANANDGOWDA.S ASST.PROF COMMUNITY HEALTH NURSING YENEPOYA NURSING COLLEGE, MANGALURU

1. FIVE YEAR PLANS IN INDIA
MR.ANANDA.S
ASSISTANT PROFESSOR
COMMUNITY HEALTH NURSING
YENEPOYA NURSING COLLEGE
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2. • The economy of India is based in part
on planning through five-year plans, which are
developed, executed and monitored by
the Planning Commission.
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3. • In 1950, planning commission was constituted
to help Government to plan out integrated
development plan for the entire country within
the available resources for a defined period of
five years for its socio economic progress.
• The planning commission has been responsible
for “five year plans”.
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4. The general health objectives
• Control and eradication of various
communicable disease, deficiency disease and
chronic diseases.
• Strengthening of medical and basic health
services by establishing district health units,
primary health centers and sub centers.
• Population control.
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5. • Development of health manpower
resources and research.
• Development of indigenous system of
medicine.
• Improvement of environment sanitation.
• Drugs control.
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6. First five year plan (1951-1956)
• The first Indian Prime Minister, Jawaharlal
Nehru presented the first five-year plan to
the Parliament of India on 8 December
1951.
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7. The Aim:
• The aim of first five year plan was to fight against
diseases, malnutrition, and unhealthy
environment and to build up health services for
population and for mothers and children in order
to improve general health status of people.
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8. THE PRIORITIES:
• Provision of safe water supply and sanitation
• Control of malaria
• Preventive health care
• Health services for mother and child
• Education and training in health
• Self-sufficiency in drugs and equipment
• Family planning and population control.
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9. The Major Developments
The Year 1951
• The B.C.G vaccination programme to prevent
and control tuberculosis was launched
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10. • The Year 1952
• The pilot project of community development
programme was launched in 55 project areas
on 2nd October, the birth day of Mahatma
Gandhi to get rid of three ills from the society
namely poverty, ill health and ignorance
through over all development of the rural
areas.
• The provision of Medical and public Health
services were the part of this programme.
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11. • Primary Health centers were set up to render
health services in rural areas.
• Auxiliary Nurse Midwife training was started
to train the ANM to function in a network of
sub center and primary health center in the
rural areas and provide comprehensive
Maternal Child Health and Family Welfare
Services.
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12. The Year 1953
• The National Malaria Control Programme
was launched.
• The National Family Planning Programme
was launched.
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13. The Year 1954
• The central social welfare board was set up.
• The national leprosy control programme was
launched.
• The Prevention of Food Adulteration Act was
enacted.
• The national water supply and sanitation
programme was launched.
• The Antigen Production Center was set up at
Kolkata.
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14. The Year 1955
• The national filaria control programme was
launched.
• The minimum marriage age of 18 years for
boys and 15 years of girls was prescribed by
Hindu Marriage Act.
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15. Second five year plan (1956-1961)
• The second five-year plan focused on industry,
especially heavy industry. Unlike the First plan,
which focused mainly on agriculture, domestic
production of industrial products was
encouraged in the Second plan, particularly in
the development of the public sector.
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16. The Aim:
• The aim of the second Five Year Plan was
expand existing health services to bring them
within in the reach of all people so as to
promote progressive improvement of nation’s
health.
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17. The Priorities:
• Establishment of institutional facilities for
rural as well as for urban population.
• Development of technical manpower.
• Intensifying measures to control widely spread
communicable disease.
• Encouraging active campaign for
environmental hygiene, water supply and
sanitation.
• Provision of family planning and other
supporting services.
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18. The Major Developments
• The Year 1956
• Director, family planning was appointed at the
center.
• The center health education bureau was set
up at the center.
• The Tuberculosis Chemotherapy center setup
at Chennai.
• The pilot project of Trachoma Control program
was launched
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19. The Year 1957
• The Demographic Research Center were
established in Delhi Kolkata and Chennai.
The Year 1958
• The national Malaria Control Program was
converted in to National Malaria Eradication
Program.
• The Leprosy Advisory committee of the
government of India was launched.
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20. The Year 1959
• The Mudaliar committee was setup by the
government of India.
• The National Institute of Tuberculosis was
established at Bangalore.
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21. The Year 1960
• Pilot project of Small Pox Eradication were
started.
• The Nutrition Advisory committee was formed
to render advice on nutrition policies.
• The School Health Committee was appointed
by the Union Ministry of Health to access the
existing health and nutrition status of school
children and recommended measures to
improve them.
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22. Third five year plan(1961-1966)
• Many primary schools were started in rural
areas. In an effort to bring democracy to the
grass root level, Panchayat elections were
started and the states were given more
development responsibilities.
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23. The Aim
• The main aim of the third five year plan was to
improve the shortages and deficiencies, which
were observed at the end of second five year
plan in the field of health.
• These were pertaining to institutional facilities
specially in rural areas , shortage of trained
personnel and supplies ,lack of safe drinking
water in rural areas and inadequate drainage
system.
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24. Major Developments
• The Year 1961
• The Mudaliar Committee Report was
submitted and published.
• The Year 1962
• The National Small Pox Eradication Program
and The National Goiter Control program was
launched.
• The School Health Program was started.
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25. The Year 1963
• The Applied Nutrition Program was started by
government of India with the support of
UNICEF, WHO and FAO.
• The Drinking Water Board was established.
• The Chadha Committee was appointed by the
government to study the arrangement
necessary for the maintenance phase of
the National malaria Eradication program.
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26. The Year 1964
• The National Institute of health Administration and
Education was established in the collaboration with
Ford foundation.
The Year 1965
• Lippes Loop was recommended as a safe and effective
family planning device by the Director ,ICMR.
• BCG vaccination without Tuberculin Test was
introduced on house to house basis .
The Year 1966
• Separate department of family planning was setup in
the Union Ministry health to coordinate Family
planning Program at the center and the states.
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27. The Year 1967
• The committee was setup on small family norm
to recommended suitable incentives for those
accepting small family norm and practicing
family planning.
The Year 1968
• The Medical Education Committee was
appointed to study the various aspects of
medical education within the framework of
national need and resources.
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28. Fourth five year plan (1969-1974)
• At this time Indira Gandhi was the Prime
Minister. Mrs.Indira Gandhi
government nationalized 14 major Indian
banks and the Green Revolution in
India advanced agriculture.
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29. The Aim
• The Aim of this plan was to strengthen
primary health center network in the rural
areas for undertaking preventive, curative
family planning services and to take over
the maintenance phase of communicable
diseases.
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30. The Priorities
• The Family planning Program to strengthening
and primary health center strengthening .
• Sub divisional district hospital to provide
effective referral support to primary health
center.
• Expansion of medical and nursing education
training of paramedical personnel to meet
the minimum technical manpower requirement
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31. The Major Developments
The Year 1969
• The central births and deaths registration act
was promulgated.
• The report of Medical Education Committee
was submitted.
The Year 1970
• The population council of India was setup.
• Registration Act of Birth and death came in to
force.
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32. The Year 1971
• The family pension scheme for industrial
workers was introduced.
• The Medical Termination of Pregnancy Bill was
passed by parliament.
The Year 1972
• The MTP Act was implemented.
• The Committee on “Multipurpose Workers
Under Health and Family Planning” headed by
Kartar Singh, The Additional Secretary of health
was setup.
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33. • The Year 1973
• The scheme of setting 30 bedded rural
hospitals serving 4 primaries Health Centre
was conceptualise.
• The Kartar Committee submitted its report.
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34. Fifth five year plan(1974-1979)
• The Aim
• The main aim of the fifth five year plan was to
provide minimum level of well integrated health,
MCH and FP, nutrition and immunization services
to all the people with especial reference to
vulnerable groups especially children, pregnant
women and nursing mother.
• The emphasis of the plan was on removing
imbalance in respect of medical facilities and
strengthening the health infrastructure in the rural
and the tribal areas.
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35. • Stress was laid on employment
,poverty alleviation and justice. The plan also
focused on self-reliance in agricultural production
and defense.
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36. The Priorities
• Increasing accessibility of health services to
rural areas
• Correcting regional imbalance
• Further development of referral services
• Integration of health, family planning and
nutrition.
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37. • Intensification of the control and eradication
of communicable diseases especially malaria
and small pox.
• Qualitative improvement of the education and
training of health
• Development of referral services
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38. The Major Developments
• The Year 1974
• The year 1974 was declared as world population
year by the United nation .
• A group of Medical education and Support man
Power popularly known as Srivastav Committee
was setup in November.
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39. The Year 1975
• India became small Pox free on 5th July 1975 .
• The revised strategy of national Malaria
Eradication Program was accepted by the
government.
• Children Welfare board was setup.
• Integrated Child Development Scheme was
launched on 3rd October 1975.
• Then the ESI Act was amended.
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40. The Year 1976
• Indian Factory Act of 1948 was amended.
• The prevention of Food Adulteration Act 1975
came in to force on 1st April 1976
• A new population policy was announced by
the government.
The Year 1977
• The training of community health worker was
initiated.
• The “Goal of Health for All” was adopted
WHO.
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41. The Year 1978
• The Child Marriage Restrained Bill 1978 fixing the
minimum marriage age that is 21 years for boys
and 18 year for girl was passed.
• Alma Ata declared “Primary Health Care Strategy”
to achieve the goal of “Health for All” by the year
2000.
• Extended program of immunization was started.
The Year 1979
• The declaration of Alma Ata on primary health
care strategy was endorsed by WHO.
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42. Sixth five year plan(1980-1985)
• Family planning was also expanded in order to
prevent over population. In contrast to China’s
strict and binding one-child policy, Indian
policy did not rely on the threat of force
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43. The Aim
• The main aim of sixth five year plan was to
workout alternative strategy and plan of
action for primary health care as a part of
national health system which is accessible
to all section of society and especially
those living in tribal hilly , remote rural
areas and urban slums.
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44. The Priorities
• Rural health services
• control of communicable and other diseases .
• Development of rural and urban hospitals.
• Improvement in medical Education
• Medical Research.
• Population control and family welfare
including MCH.
• Drug control and prevention of food
adulteration.
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45. The Major Development
The Year 1980
• WHO declared eradication of Small Pox from
the world .
The Year 1981
• The 1981 census was undertaken
• The control of pollution act of 1981 was
enacted.
The Year 1982
• The national health policy was announced and
placed in parliament.
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46. The Year 1983
• National Leprosy control programme was
changed to National Eradication Programme.
• National health policy was approved by the
parliament.
• National guniaworm eradication Programme
was started.
The Year 1984
• Bhopal Gas tragedy, a devastating industrial
accident occurred.
• The ESI Bill 1984 was passed by the parliament.
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47. Seventh five year plan(1985-1989)
• The main objectives of the 7th five year
plans were to establish growth in areas
of increasing economic productivity,
production of food grains, and generating
employment opportunities.
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48. The Aim
• The main aim for the seventh five year Plan
was to plan and provide primary health care
and medical services to all with special
consideration of venerable groups and those
who are living in tribal, hilly and remote rural
areas so as to achieve to achieve goal of
health for all 2000 AD.
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49. The Major Development
The Year 1985
• The Universal Immunization Program was launched on
19th November, the birth date of Late PM Shrimati
Indira Gandhi.
The Year 1986
• Juvenile Justice Act started working.
• National AIDS Control program was started.
The Year 1987
• Worldwide Safe Motherhood Campaign was started by
world bank .
• National Diabetes Control Program was launched .
• A high power committee on Nursing and Nursing
Profession was setup by the government of India on
29th
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50. The Priorities
• Health Services in rural , tribal and hilly areas under
Minimum Need Program.
• Medical Education and Training
• Control of emerging health problems especially in
the area of non communicable diseases .
• MCH and family welfare
• Medical Research
• Safe water supply and sanitation
• Standardization ,integration and application of
Indian system of medicine .
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51. • The Year 1988-91
• Acute Respiratory Infection Program was
started as a pilot project in 14 districts in
1990.
• The high power committee on Nursing and
Nursing profession published its report in
1989.
• The 1991 census was conducted
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52. 1989-91 was a period of political
instability in India and hence no five
year plan was implemented.
Between 1990 and 1992, there were
only Annual Plans.
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53. Eighth five year plan(1992-1997)
• The major objectives included, controlling
population growth, poverty reduction,
employment generation, strengthening the
infrastructure, Institutional building, tourism
management, Human Resource development,
Involvement of Panchayat raj, Nagarapalikas,
N.G.O’S and Decentralization and people’s
participation.
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54. The Aim
• The main aim of this plan was to continue
reorganization and strengthening of
health infrastructure and medical services
accessible to all especially to vulnerable
groups and those living in tribal, hilly,
remote rural areas etc.
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55. The priorities:
• Developing rural health infrastructure
• Medical education and training
• Control of communicable disease
• Strengthening of health services.
• Universal immunization
• Safe water supply and sanitation
• MCH and Family Welfare
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56. The Major Development
The Year 1992
• Child survival safe motherhood programme
(CSSM) was started.
• The infant milk substitute, and infant foods Act
1952 came in to operation.
The Year 1993
• A revised strategy for National Tuberculosis
Programme with Direct Observed Therapy, a
community based TB treatment and care strategy
was introduced as a pilot project in phased
manner.
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57. The Year 1994
• The panchayati Raj Act came into operation.
• Outbreak of Plague epidemic occurred.
• The first Pulse Polio Immunization Programme
for children under 3 years was organised on
2nd October and 4thDecember by Delhi
government.
• Post basic B.Sc nursing programme was
launched through distance education by
IGNOU.
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58. The Year 1995
• ICDS was changed to Integrated mother and
child Development services.
• Transplantation of Human organs Act was
enacted.
The Year 1996
• National wide Pulse polio Immunization was
conducted on 9th December 1995 and
20th January 1996 which was repeated on
7th December 1996 and 18th January 1997.
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59. Ninth five year plan(1997-2002)
The Aim
• The main aim of ninth five year plan continued
with the same aim as that eighth plan which
was mainly concern with reorganization and
strengthening of infrastructure, So as to
provide primary health care services accessible
to all especially those living in remote rural,
hilly, and tribal areas.
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60. Main objectives:
• Providing gainful and high-quality employment
• All children in India in school by 2003,
• Reduction in gender gaps in literacy and wage
rates
• Reduction in the decadal rate of population
growth
• Increase in literacy rates
• Reduction of infant mortality rate
• Reduction of maternal mortality rate
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61. • Increase in forest and tree cover
• All villages to help sustain access to potable
drinking water ,Cleaning of all major polluted
rivers
• Economic growth further accelerated
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62. The priorities
• Control of communicable and non
communicable diseases
• Efficient Primary Health Care System as part of
basic health care services to optimize
accessibility and quality care.
• Strengthening of existing infrastructure.
• Improvement of referral linkage.
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63. • Development of human resources,
meeting increasing demands of nurses in
specialty and super specialty areas.
• Disaster and emergency management.
• Involvement of practitioners from
indigenous system of medicine, Voluntary
and private organizations.
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64. Major Development
• National population policy -2000
• National health policy -2000
• Guineaworm worm disease was eradicated.
• Finding the shortcoming and faults in
conducting national health programme and
removing them
• Paying attention to IEC training, the trainers at
the national and districts levels.
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65. • Giving more importance to RCH
• Arranging funds for the female health workers
at subcenters.
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66. Tenth five year plan(2002-2007)
AIM:-
• Reduction of poverty ratio by 5 percentage
points by 2007.
• Providing gainful and high-quality employment
to all.
• Reduction in gender gaps in literacy and wage
rates by at least 50% by 2007.
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67. Main objectives:
• To prioritize agriculture sector & rural
development
• To generate adequate employment
• To promote poverty reduction
• To stabilize prices to accelerate the
growth rate of economy.
• To ensure food and nutritional security.
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68. • To provide for the basic infrastructural
facilities.
• To check the growing population increase.
• To encourage social issues like women
empowerment.
• To create liberal market for increase in private
investment
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69. Targets
• Reduction of poverty
• All children in school by 2003
• Reduction in gender gaps in literacy and wage
rates by 2007
• Reduction in the population growth
• Increase in literacy rate to 75 percent within
the period.
• Reduction of IMR to 45 per 1000 live births by
2007 and to 28 by 2012
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70. • Reduction of MMR to 2 per 1000 live births by
2007 and to 1 by 2012
• All villages to have sustained access to potable
drinking water within the plan period.
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71. Major development
• During the tenth FY plan, there is continued
commitment to provide
• Vandemataram scheme launched -2004
• The RCH phase II (2005-10)
• NRHM –April 2005
• Janani suraksha Yojana Scheme – 12th April
2005
• IMNCI Launched- 2006
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72. • Essential primary care
• Emergency life- saving services
• Services under national disease control
programme free of cost
• Set targets to control diseases like HIV/AIDS,
tuberculosis, leprosy, malaria and blindness
etc.
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73. Eleventh Five Year Plan (2007-2012)
• The health of a nation is an essential
component of development, vital to the
nation’s economic growth and internal stability.
Assuring a minimal level of health care to the
population is a critical constituent of the
development process.
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74. Main goals
• Reducing Maternal Mortality Ratio (MMR) to 1
per 100 live births.
• Reducing infant Mortality Rate (IMR) to 28 per
1000 live births.
• Reducing Total Fertility Rate (TFR) to 2.1
• Providing clean drinking water for all by 2009 and
ensuring no slip-backs.
• Reducing malnutrition among children of age
group 0-3 to half its present level.
• Reducing anemia among women and girls by
50%.
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75. The Thrust Areas
The thrust areas to be pursued during the
Eleventh Five Year Plan are summarized below:
Improving health equity
• NRHM
• NUHM
Adopting a system –centric approach rather than
diseases-centric approach
• Strengthening health system through upgradation
of infrastructure and Public Private Partnership.
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76. • Increasing survival
• Reducing maternal mortality and improving child
sex ratio through gender responsive health care.
• Reducing infant and child mortality through
IMNCI.
• Taking full advantages of local enterprises for
solving local health problems.
• Integrating AYUSH in health system.
• Training the TBAs to make them SBAs.
• Propagating low cost and indigenous technology.
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77. Preventing indebtedness due to expenditure on
health/protecting the poor from health
insurance.
• Creating mechanisms for health insurance.
Decentralizing governance
• Increasing the role of NGOs, and civil society.
• Creating and empowering health committees
at various levels.
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78. Establishing e-Health
• Adapting IT for governance.
• Increasing role of telemedicine.
Increasing focus on health human resources.
• Improving medical, paramedical, nursing, and
dental educational and availability.
• Re-orienting AYUSH education and utilization.
• Reintroducing licentiate course in medicine.
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79. Focusing on excluded/neglected areas
• Taking care of the older persons.
• Reducing disability and integrating disabled.
• Providing kind mental health services.
• Providing oral health services.
Enhancing efforts at diseases
• Reversing trend of major diseases.
• Launching new initiatives (Rabies, Fluorosis,
and Leptospirossis).
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80. Providing focus to health system and bio-
medical research
• Focusing on conditions specific to our country.
• Making research accountable.
• Translating research into application for
improving health.
• Understanding social determinants of health
behavior, and health care seeking behavior.
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81. Major development
• A toll free 108 –Ambulance services , free of
cost in times of emergency was introduced.
• Govt. took all necessary measures to retain
children in school and reduce drop out rates
• Mahatma Gandhi national employment
guarantee scheme (MGNRE) launched
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82. 12th FIVE YEAR PLAN ( 2011-2017)
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83. 12th Plan Strategy
• Strengthening of public sector health care
• Substantially increase in health care
expenditure
• Efficient Financial and managerial systems
• Coordinated delivery of services
• Cooperation between the public and private
sector
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84. • Expansion of skilled human resource
• Prescription drugs reforms
• Effective regulation through a Public Health
Cadre
• Pilots on Universal Health Care
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85. Priorities in 12th Plan
• Financing: Funding as an instrument of
incentive and reform
• National Health Mission with universal
coverage and greater flexibility to States
• Public Health Cadre for decentralized
planning, program management, Behaviour
Change Communication, community
participation, quality control, HIS, regulation.
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86. • Access to Essential Medicines in All Public
Facilities
• Human Resource strengthening
• Building effective Health Information Systems
• Health Systems Strengthening
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87. 12th Plan goals
1. Reduction of Infant Mortality Rate (IMR) to
25
2. Reduction of Maternal Mortality Ratio
(MMR) to 100
3. Reduction of Total Fertility Rate (TFR) to 2.1
4. Prevention, and reduction of under-
nutrition in children under 3 years
5. Prevention and reduction of anaemia among
women aged 15-19 years to 28 percent
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88. 6. Raising child sex ratio in the 0-6 years age
group from 914 to 950
7. Prevention and reduction of burden of
communicable and non-communicable
diseases (including mental illnesses) and
injuries
8. Reduction of poor household's out-of-pocket
expenditure
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89. Planning commission
The Government of India set up a
Planning Commission in 1950 to make
an assessment of the material, capital
and human resources of the country,
and to draft developmental plans for
the most effective utilization of these
resources.
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90. • The Planning Commission consists of a
Chairman, Deputy Chairman and 5 members.
• The Planning Commission works through 3
major divisions - Programme Advisers,
General Secretariat and Technical Divisions
• Over the years, the Planning Commission has
been formulating successive Five Year Plans.
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91. • The Planning Commission also reviews
from time to time the progress made in
various directions and to make
recommendations to Government on
problems and policies relevant to the
pursuit of rapid and balanced economic
development.
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92. NITI AAYOG
• Government of India has established NITI
Aayog (National Institution for Transforming
India) to replace Planning Commission on 1st
January 2015.
• It will seek to provide a critical directional and
strategic input into the development process.
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93. • NITI Aayog will provide Governments at the
central and state levels with relevant strategic
and technical advice
• NITI Aayog will monitor and evaluate the
implementation of programmes, and focus on
technology upgradation and capacity building.
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