Five year plans of Healtcare in India

1. Five Year Plans in
HealthCare
Presented by
Iqra Zeenat
B.Sc, DNA, M.Sc
Community Nursing

2. HISTORY
• The Planning Commission was set up in March 1950.
• The main objective of the Government to promote a rapid rise in the
standard of living of the people by
– efficient exploitation of the resources of the country
– increasing production and
– offering opportunities to all for employment in the service of the
community
• The Planning Commission was charged with the responsibility of
making assessment of all resources of the country,
augmenting resources, formulating plans for the most
effective and utilization of resources and determining priorities.
• Jawaharlal Nehru was the first Chairman of the Planning
Commission.
•

3. FUNCTIONS OF THE PLANNING
COMMISSION OF INDIA
• To make an assessment of the resources of the country and to see which
resources are deficient.
• To formulate plans for the most effective and balanced utilization of country's
resources.
• To indicate the factors which are hampering economic development.
• To determine the machinery, that would be necessary for the
successful implementation of each stage of plan.
• Periodical assessment of the progress of the plan.
• The commission is seeing to maximize the output with minimum resources with
the changing times.
• The Planning Commission has set the goal of constructing a long term strategic
vision for the future.
• It sets sectoral targets and provides the catalyst to the economy to grow in the
right direction.
• The Planning Commission plays an integrative role in the development of a
holistic approach to the formulation of policies in critical areas of human and
economic development.

4. FIVE YEAR PLAN
• First Plan (1951 – 55)
• Second Plan (1956 – 60)
• Third Plan (1961 – 66)
PLAN HOLIDAY
• Fourth Plan (1969 -74)
• Fifth Plan (1974 – 79)
• Sixth Plan (1980 – 85)
• Seventh Plan (1985 – 90)
• Eighth Plan (1992 – 97)
• Ninth Plan (1997 – 2002)
• Tenth Plan
• Eleventh plan
(2002 – 2007)
(2007-2011)
• Twelth plan (2012-2016)

5. The first Indian Prime Minister, Jawaharlal Nehru presented the first
five-year plan to the Parliament of India on December 8, 1951.
The total planned budget of Rs.2.069 CRORE was allocated to seven
broad areas
1. irrigation and energy (27.2 percent)
2. agriculture and community development (17.4 percent)
3. transport and communications (24 percent)
4. industry (8.4 percent)
5. social services (16.64 percent)
6. land rehabilitation (4.1 percent), and
7. for other sectors and services (2.5 percent).

6. 1. To fight against disease, malnutrition and unhealthy environment
2. To build up health services for rural population mothers and children's
to improve general health status of peoples
1. Safe water supply and sanitation
2. Control of malaria
3. Health care of rural population
4. Health services for mother and children
5. Health Education and training
6. Self sufficiency in drugs and equipments
7. Family planning and population control

7. • It was started with outlay of 2.365 corers
• B.C.G vaccination programmes was started in
India
• PHC (primary health centre) was setup
• Delhi community development programme
started on 2nd
October 1952 for rural development.
• The central council of health was constituted
• Virus research centre was setup in Poona
• ANM (auxiliary nurse midwife) training was started

8. • National malaria control programme was started.
• National small pox eradication programme launched
• National family planning programme was launched.
• The community development programme was extended
to national level on 2nd
October.
• National water supply and sanitation programme was
initiated.
• National leprosy control programme was launched.
• Central government health scheme (CGHS)started at
Delhi
• Prevention of adult act passed by parliament
• SHETTY committee was constituted by the government
of India.

9. • The national filaria control programme was launched.
• Central leprosy research institute started in madras
• TB sample survey started
• Hindu marriage act fixed marriage age for boys 18 yrs and
for girls 15 years.

10. • The second five-year plan focused on industry, especially heavy industry.
• The Second plan, particularly in the development of the public sector.
• The plan followed the Mahalanobis model, an economic development model
developed by the Indian statistician Prasanta Chandra Mahalanobis in 1953.
The total amount allocated under the second five
year plan in India was Rs.4,600 Crore.
• This amount was allocated among various sectors:
– Power and irrigation
– Social services
– Communications and transport
– Miscellaneous

11. • To promote progressive improvement of national health
• Development of institutional facilities.
• Development of technical manpower through appropriate training
programme.
• Development of institution to control communicable disease.
• Improvement of environmental hygiene through active campaign.
• Family planning and other supportive programme.
• Setup another 3000 PHC .
• Provision of safe water supply and sanitation
• Control of malaria
• Preventive health care for rural population
• Health services for mother and children
• Health education and training
• Self sufficiency in drugs and equipments
• Family planning and population control

12. • Public health act was prepared by committee and published
• Central health education bureau was established under the ministry of
health.
• Family planning director appointed in union health ministry.
• Trachoma control pilot project was initiated.
• Demography training and research centers was started in Bombay.
• Demography training and research centers started in Delhi Calcutta
and Thiruananthapuram
• National TB survey was completed
• National malaria control programme was changed to national malaria
eradication programme.
• Leprosy advisory committee was constituted.

13. Conti
….
• Mudaliar committee was appointed to survey of Bhore
committee and suggestion for future development and
extension of health programme .
• The first Panchyati Raj was introduced in Rajasthan
• National TB institute was started in Bangalore
• National nutritional advisory committee (NNAC) was
constituted.
• School health committee was formed to assess the existing
health
and nutritional status of school children and to improve them.
• Pilot project of small pox eradication was started

15. • The third plan stressed on agriculture and improvement in the production
of wheat, but the brief Sino-Indian War of 1962 exposed weaknesses
in the economy and shifted the focus towards the Defense industry.
• Many cement and fertilizer plants were also built.
• Punjab began producing an abundance of wheat.
• Many primary schools have been started in rural areas.
• To remove the shortage and deficiency which were observed at the end
of second five year plan in the field of health
• To provide the institutional facilities especially in rural areas
• To remove the shortage of trained personnel and supplies, lack of safe
drinking water in rural area and inadequate drainage system.

16. • Safe water supply in village and sanitation especially
the drainage programme in the urban areas
• Eradication of malaria and small pox and control of
various other communicable disease.
• Family planning and supporting services for
improving health status of the people.

17. • The central bureau of health intelligence was established
• The MUDALIAR COMMITTEE report was submitted and published
• National goiter programme were launched.
• School health programme was started.
• District TB programme was conceptualized
• Central family planning institute was established in Delhi.
• Applied nutrition programme started by government of India with
the
help of WHO, UNICEF and FAO.
• National institute of communicable disease was established in Delhi
• Safe drinking water branch (SDWB) was setup
• Extended family planning programme was initiated
• National trachoma control programme was initiated

18. • National institute of health administration and education
was started
• SHANTI LAL SHAH COMMITTEE was setup to study
the legalization of abortion.
• Reinforced extended family planning was launched
• Direct home to home BCG vaccination was initiated.

19. • MUKHERJEE COMMITTEE was formulated to look into the
minimum man power required for primary health centers.
• Ministry of family planning was appointed under the ministry of
health and family planning Programme for better result in
controlling of population
• MUKHERJEE COMMITTEE was appointed to review the
working of national malaria eradication programme and to
suggest the further improvement.
• Small family norms was encouraged to provide suitable
incentive to peoples who were willing to the small family norms
• Birth and death registration act was reinforced by RAJYA
SABHA for compulsory registration of birth within 15 days and
death within 7 days.

21. • In this time INDRA GANDHI was the prime minister of the India. In this
period the government of India nationalized 19 major indian banks
• AIMS – to strengthen the primary health centre network in the rural
area for undertaking preventive, curative and family planning services.
• To take over the maintenance phase of communicable disease.
• To reform and restructure its expenditure agenda.
• To facilitated growth in export
• To alert the socio economic structure of the society
• Strengthening the primary health centre. Sub divisional and district
hospital.
• Intensification of control programme
• Expansion of medical and nursing education
• Training of paramedical personnel for minimum technical manpower
requirements.

22. • The nutritional research laboratory was expanded to national institute of nutrition.
• comprehensive legislation for control of river water pollution from domestic and
industrial wastes was dropped
• The control of births and deaths registration act was prolonged.
• The population council of India was setup
• All Indian hospital family planning programme was launched.
• The programme demographic training and research centre at Mumbai was
changed to international institute for population studies.
• Registration of births and deaths was came into the force .
• Medical termination of pregnancy bill was passed by the parliament.
• Expert committee was appointed for control of air pollution
• Family pension scheme was launched

23. • Medical termination act came in to the force
• National institute of nutrition was setup in Hyderabad it
was set up by the ICMR
• The committee of multipurpose worker under health
and
family planning headed by KARTAR SINGH
• The additional secretary of health was setup

25. • .The fifth plan was prepared and launched by D.D. Dhar.
• It proposed to achieve two main objectives:
– Removal of poverty (Garibi Hatao)
– Attainment of self reliance and
– Education and justice
• Promotion of high rate of growth, better distribution of income and
significant growth in the domestic rate of savings were seen
as key instruments
• The plan was terminated in 1978 (instead of 1979) when Janta Party
Govt. rose to power.
• To provide the minimum level of well integrated health, MCH and
family Planning, nutrition and immunization services to all the
peoples with special reference to vulnerable groups specially
children pregnant women and nursing mothers.
• To removing imbalances in respect to medical facilities and
strengthening the health infrastructure in the rural and tribal areas.

26. • Increasing the accessibility of health services in rural
community
• Correction the regional imbalances
• Further development of referral services by removing
deficiencies in district and sub divisional hospitals
• Integration of health family planning and nutrition.
• Intensification of control and eradication of
communicable disease specially malaria ,and small pox
• Qualitative improvement in the education and training
of the health personnel.

27. • Report of evaluation committee and consultative committee suggested
revised strategy for national malaria eradication programme .
• Prevention and control of water pollution act was passed by parliament
• The year 1974 was declared as world pollution year by united nations
• A group on medical education and support man power popularly known
as the shrivastava committee was setup in November 1974.
• India was declared as the small pox free country by the WHO on 5th
July.
• Government of India adopted revised strategies for malaria is
eradication programme as suggested by the national malaria
control programme committee
• ESI act amended.
• Integrated child development programme was started.
• SHRIVASTAVA COMMITTEE submitted it’s report in regard to
medical
education and man power support .

28. • National programme for prevention of blindness or visual
impairments was initiated
• Prevention of food adulteration act was amended and passed.
• India factory act was formulated.
• A new policy for population announced by the govt. of India.
• Who adopted the goal of health for all.
• Eradication of small pox declared in April by the international
committee.
• Rural health scheme was initiated
• Revised modified plan of malaria control was under operation.
• National institute of health and family planning formed in new Delhi.
• The training programme of community health workers was
initiative.

29. • Alma-Ata declaration
• phasing primary health care concepts.
• Air pollution bill initiated in LOK SABHA
• Child marriage restrain act was approved by the parliament with
minimum age for boys 21 years and 18 year for girls for marriage.
• Expended pragramme for immunization was launched by the WHO
against six killer diseases.
• The declaration of alma ata on primary health care strategy was called
by WHO
• THE OFFICES of health and family planning were merged to
formulated regional office of health and family welfare programme.

31. • In this five year plan Rajeev Gandhi was elected as the prime minister of India.
• The young prime minister………act rapid industrial development specially in area of
information, technologies and its progress
• Aimed for rapid industrial development
• Improve the tourism industries
• Family planning concepts
• To introduce minimum need programme for the poor.
• Rural health services
• Control of communicable and other disease
• Development of rural hospitals dispensaries.
• Improvement in medical education and training
• Medical research
• Drug control and prevention of food adulteration
• Population control an family welfare including MCH
• Water supply and sanitation
• Nutrition

32. • The working group on health was considered by the commission
under the health secretary on 18th
of July 1982.
• Census of India was taken.
• Air pollution act was activated.
• International drinking water and sanitation started from 1981 – 1990.
• WHO and other member countries adopted the strategy “HEALTH
FOR ALL.”
• The national health policy as adopted by the govt. of India
• New 20th points programme was started to uplift the poor section of
the country.

33. • National leprosy control programme was converted into the
national leprosy eradication programme
• Who met in Geneva for special training of nurses and doctors
for
primary health centre.
• Nation al health policy was adopt by the parliament.
• Guinea warm eradication programme was started
• ESI bill was passed by the parliament.
• The worker compensation act was came into
force.

35. • This five year plan laid stress on improving the productivity
level of industries by up gradation of technologies. In this plan
congress party came in to the force
• To upgrade the industrial sector
• To generate more scope of employment
• To improve the facility for girl’s education
• increase the productivity of the small and large scale formers
• To use the modern technology.
• TO plan and improve the primary health care and medical
services to
all and who are living in tribal and hilly and remote areas.
• To achieve the goal of health for all.
• This plan emphasis on community participation, inter-sectoral,
co- ordination and cooperation.

36. • Health services in rural tribal areas under minimum need
programme
• Medical education and training
• Control of emerging health problems specially in the area
of non communicable diseases
• MCH and family welfare programme and services
• Medical research
• Safe water supply and sanitation.
• Standardization integration and application of Indian
system of medicine.(AYUSH)

37. • The universal immunization programme launched on 19th
November
• A separate department of women and child development was
establish by the ministry of human resource development.
• The environment protection act 1986 was
promulgated.
• The 20th point programme was modified
• Mental health bill was passed by the parliament
• Juvenile delinquency justice act started working.
• National AIDS control programme was started

38. • India standard institute was renamed as bureau of of India standard
• Safe mother hood programme was promulgated by world bank
organization world wide.
• National diabetes control programme and national aids control programme
were initiated.
• High power committee was appointed by the govt. of India for nursing
standard and to assess the working condition of nurse nursing education
and related matters
• The ESI amendment act 1989 came into force
• The high power committee on nursing and nursing profession published its
report in 1989
• Acute respiratory infection programme was as a pilot project in 14 district in
1990.
• The 1991 census was conducted.

40. • Modernization of industries was a major highlight of the eight five year plan.
• Under this plan the gradual opening of the Indian economy was under taken to
correct the burgeoning deficit.
• Population growth
• Poverty reduction
• Employment generation
• Strengthening the infrastructure.
• Human resource development
• Involvement of panchayat raj, nagar palikas N.G.Os
• Development of rural health infrastructure
• Medical education and training
• Control of communicable disease
• Strengthening of the health service
• Medical research
• Universal immunization
• MCH and family welfare.
• Safe water supply and sanitation

41. • Child survival and safe mother hood programme was started on 20th
august
• The infant milk substitute, feeding bottles and infants foods came into
operation.
• A revised strategy for national T.B. programme with observed therapy, a
community based T.B treatment and care strategy as introduced as
pilot project.
• The panchayat raj act came into operation.
• Outbreak of plague epidemic
• The first pulse polio immunization programme for child udder 3 year was
organized on 2nd
October and 4th
December by the Delhi government.
• Pots basic 3 year programme was launched through distance education
by IGNOU.

42. • Integrated child Development scheme was changed to integrated mother and
child development services.
• Transplantation of human organ act was enhanced
• Expert committee on malaria was submitted its report on the guidelines for
modified plan of action
• National pulse polio immunization was conducted on 9th
December 1995 and
1996 which was repeated on 7th
December 1996 and 18 January 1997
• Family planning programme was made target free from 1st
April.
• prenatal diagnostic technique act 1994 came into force from January .

44. • Ninth five year plan runs through the period from
1997 to 2002.
• It was developed in the context of four important
dimensions:
– Quality of life
– generation of productive employment
– regional balance and
– self-reliance
✔ Attaining objectives like speedy industrialization
✔ Human development
✔ Full scale employment
✔ Poverty reduction
✔ Self reliance on domestic resources

45. ✔ To prioritize agriculture sector and emphasis 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 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

46. • Control of communicable and non communicable
disease
• Efficient primary health care as a part of basic
health care service to optimize accessibility and
quality care
• Strengthening ofinfrastructure
• Improvement of referral linkage
• Development of human resources meeting the
increasing demand of nurses in specialty and super
special areas
• Disaster and emergency management
• Strengthening oh health research
• Inter- sector coordination

47. • Reproductive and child health programme was launched.
• Govt. or India announced national population policy 2000
• National eradication programme was renamed as
national anti- malaria programme in 1999
• Phase 2 of national aids control programme started
• Census 2001 was completed
• Govt. of India announced national health policy 2002.
• National family health survey 2 was under taken in 1998-
1999

48. • Introduction of reproduction and child health programme.
• Annual surveillance for HIV infection started in the country.
• Govt. of India adopted the national population policy for stabilizing
population
• WHO declared India Gunia worm free.
• Glaucoma and cornea research laboratories inaugurated.
• J.P NARAYAN Trauma centre inaugurated
• National programme for control and treatment of occupational
disease.
• National technical committee on child health was constituted

50. • The tenth five year plan cover the period from 1st
April
2002 to march 2007
• During the tenth five year efforts were further intensified
to improve the health status of the population by the
optimizing the coverage and quality of care by identifying
the critical gaps in infrastructure manpower equipments
essential diagnostic reagents and drugs
• Reduction of poverty ratio by 5% by 2007
• Providing gainful and high quality employment at least to
addition to the labour force.
• All children in India in school by 2003.

51. • Improvement in quality of life
• Provision of universal education.
• Reduction in gender gaps
• Reduction in growth of population
• Environment protection.
• Provision of safe drinking water
• To correct the health care system
• Prevention and management of communicable and non
communicable disease
• Increase in Literacy Rates to 75 per cent within the Tenth Plan
period (2002 to 2007);
• Reduction of Infant mortality rate (IMR) to 45 per 1000 live
births by 2007 and to 28 by 2012;
• Reduction of Maternal Mortality Ratio (MMR) to 2 per 1000 live
births by 2007 and to 1 by 2012

52. • National health policy announced
• Govt. Of India announced national aids prevention and control
programme
• Parliament approves the cigarette and tobacco products act.
• National vector born disease control programme (NVBDCP)
started.
• VANDE MATRAM scheme launched.
• National guideline on infant and young child feeding formulated.
• IDSP(Integrated Disease Surveillance Project) Lunched

53. • RCH- ll launched
• NRHM launched (National rural health mission)
• National plan of action for children formulated
• India achieve the leprosy elimination target
• WHO release pediatric growth chart
• RNTCP (REVISED NATIONAL TUBERCULOSIS
CONTROL
PROGRAMME) covers whole country.
• NFHS –ll( National family health services) introduced.
• IMNCI (integrated Management of Neonatal and
childhood illness) launched.

55. • THE national development council has approved the eleventh five year plan
for the period from 2007 to 2011
• The plan entitles toward faster and more inclusive growth. The five year plan
will provide an opportunities restructure policy to achieve the new vision
based on faster, broad based and inclusive growth.
• Accelerate GDP growth from 8% to 10% and then maintain at 10% in the 12th Plan in
order to double per capita income by 2016-17
• Increase agricultural GDP growth rate to 4% per year to ensure a broader spread of
benefits
• Create 70 million new work opportunities.
• Reduce educated unemployment to below 5%.
• Raise real wage rate of unskilled workers by 20 percent.
• Reduce the headcount ratio of consumption poverty by 10 percentage points.

56. • Reduce dropout rates of children from elementary school from 52.2% in 2003
04 to 20% by 2011-12
• Develop minimum standards of educational attainment in elementary school,
and by regular testing monitor effectiveness of education to ensure quality
• Increase literacy rate for persons of age 7 years or above to 85%
• Lower gender gap in literacy to 10 percentage points
• Increase the percentage of each cohort going to higher education from the
present 10% to 15% by the end of the plan
• 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 anemia among women and girls by 50% by the end of the plan

57. ▪ Raise the sex ratio for age group 0-6 to 935 by 2011-12 and to 950 by 2016-
▪ Ensure that at least 33 percent of the direct and indirect beneficiaries of all
government schemes are women and girl children
▪ Ensure that all children enjoy a safe childhood, without any compulsion to wor
• Ensure electricity connection to all villages and BPL households by 2009 and
round-the-clock power.
• Ensure all-weather road connection to all habitation with population 1000 and
above (500 in hilly and tribal areas) by 2009, and ensure coverage of all
significant habitation by 2015
• Connect every village by telephone by November 2007 and provide
broadband connectivity to all villages by 2012
• Provide homestead sites to all by 2012 and step up the pace of house
construction for rural poor to cover all the poor by 2016-17

58. ❖ Increase forest and tree cover by 5 percentage points.
❖ Attain WHO standards of air quality in all major cities by
2011-12.
❖ Treat all urban waste water by 2011-12 to clean river waters.
❖ Increase energy efficiency by 20 percentage points by
2016-17.

59. • Rapid growth
• Inclusive growth
• Mail focus on private
are
• Agriculture
• Urban Infrastructure
• Highways
• Airport
• Railways
• Power generation
• Rural infrastructure
• Irrigation
• Rural road’s
• Rural housing
• Rural water

60. • Rural electricity
• Rural, telephone
• Industries
• Employment
• Education
• Health
• Social sector
• Increase in national income
• Increase in per capital income
• Development of agriculture
• Industrial development
• Infrastructure development
• Generation of employment
• Development of social services
✔ Life expectancy
✔ Death rate
✔ Education
✔ Health
• Self reliance
• Structural and institutional changes

61. • No substantial increasing in the standard of
living
• Increases In unemployment
• Inequality in distribution of income and
wealth
• Less growth in productive sector.

63. • The union cabinet approve the twelth five year plan with its in
to renew Indian economy.
• The plane would infuse the huge fund of 47.7 lacks cror. And
this will help to accomplish the economic growth to an average
level of 8.2%.
• Better performance in agriculture faster creation of job in
manufacturing
• Wider industrial growth
• Stronger affords at health education and skill
development
• Reforming the implementation of flagship programme
• Special challenges focused on vulnerable group and
back word section
• Economic stability

64. 12th
• five year plan focused on growth with which is faster inclusive and
sustainable
✔ Economic growth
✔ Poverty and employment
✔ Education
✔ Health
✔ Infrastructure
✔ Environment
• Real GDP growth at 8%
• agriculture growth at 4%
• Manufacturing growth at 10%
• Every state must attain higher growth rate that the rate achieved during 11th
five year plan
• Poverty rate to be reduce by 10%. Than the rate at the end of eleventh five
year plan
• Five Crore new work opportunities and skilled certification in nonfarm sector

65. • Reduce gender gap and social gap in school’s environment
• Reduce IMR 25% and MMR to 1% and increase child sex ratio
950
• Reduce total fertility rate to 2.1
• Reduce under nutrition mal nutrition of children in age group 0-3
years
• Provide electricity to all villages
• Connect villages with all road whether national highway or state
highway to a minimum of two lane standard
• Increase the rural Tele-density to 70%

66. Increase the green cover by the 1million
hectare
every year
30 000 mega Watt energy during 12th five year plan should be
provided
Banking services to 90% of Indian house
holds .

67. • Enhancing the capacity for growth and development
• Enhancing the skill and faster generation of employment.
• Managing the environment marked for efficiency and
inclusion.
• Decentralization improvement and information
• Technology and innovation.
• Securing the energy for future of India
• Accelerated development of transport infrastructure
• Rural transformation and sustained growth of agriculture
• Managing the urbanization
• Improvement of education system in India
• Betterment of preventive and curative health care services

69. – NATIONAL RURAL
EMPLOYMENT GUARANTEE ACT
- INDIAN AWAS YOJNA
- NATIONAL RURAL LIVELIHOOD
MISSION
- TOTAL SANITATION PROGRAMME
- INDIAN WATER MANAGEMENT
PROGRAMME