Health committees In India in Community Health Nursing

1. Mr Devendra Singh
Faculty Of Nursing
UPUMS Saifai

2.  Sir Joseph Bhore (1946)
(Health Survey and development
Committee)
Important Recommendations
• Integration of preventive and curative services.
• Short term measure
- 1 PHC per 40000 population
- 30 beds
- 3 subcentres
- 2 medical officers

3.  Long term measures
- Primary health units – 75 bedded, 10000 –
20000 population
- Secondary health units 650 bedded
- Regional health units 2500 bedded

4. A Lakshamana Swami Mudaliar (1962)
(Health Survey & Planning Committee)
 Recommendations
 Constitution of an All India Health
Services on the pattern of IAS
 1 PHC per 40000 poulation
 Specialist services at District Hospital
 Regional organization in each state
 Increasing the number of Public Health Nurse,
Lady Health Visitor, ANM.

5. Dr M.S Chadha (1963)
 Recommendations
 Appointing a basic health worker per 10,000
population, later make it one worker per 5000
population. Along with malaria, vital statistics
and family planning work also should be looked
after.
 Family planning health assistant (FPHA) should
be given the responsibility to supervise the
work of 3-4 basic health 16 workers.

6.  The responsibility of National Malaria
Eradication Programme should be given to
general health services.
 Increasing the facilities for home health care.
 Appointing a health inspector per 20,000
population.

7. Mr. Mukherjee (1965-66)
 Arrangement of separate staff for family
planning.
 Malaria programme should be separated from
family planning.
 Appointment of basic health worker for
10,000 population;
 At district level a nursing supervisor should
be appointed.
 Basic health services should strengthen from
block level right up to central level.

8.  Dr N. Jungalwalla (1967)
Recommendations
 Integration of health services,
personnel and organization from top to
bottom level.
 Similar seniority and unified cadre to be
implemented.
 Recognition of extra qualification.
 Similar work should be given similar wages
and for special work, special salary to be
given.
 Prohibition on private practice.

9.  Mr. Kartar Singh (1973)
Recommmendations
 Multipurpose health worker should be
appointed in place of ANM.
 Multipurpose health worker (male) should be
appointed in places of basic health workers,
malaria surveillance workers, vaccinators,
health education assistants and family
planning health assistants.
 Primary health centre should be limited to
50,000 population.

10.  Every PHC should be divided into 16 sub
centers, each of which can cover a population
of 3000-3500.
 At each sub-centre, one male and one female
health worker should be appointed.
 Female health supervisor should be
appointed, in place of lady health visitors.
 The responsibility of supervising the
subcentres should be given to the medical
officer incharge of primary health centre.

11.  Mr. Shrivastava 1975
Recommendations
 In order to provide complete health facilities to the
community, part time/co- professional (teacher,
gram sewak, post- master etc.) workers should be
trained right from the community.
 In between the community workers and the medical
officer of the primary health centre two categories of
workers , namely; multipurpose health worker
(MPHW) and health assistant (HA) should be
appointed.
 Developing 'Referral service complex' to establish
close contact between primary health centre, regional
or district hospitals and medical college hospitals.