Teen age pregnancy

1. NATIONAL HEALTH PLANNING
[1ST – 5TH YEAR PLANS]
SUBMITTED TO:
MRS. AMNINDER
(ASST. PROFESSOR)
SUBMITTED BY:
ARSHPREET KAUR (16)
B.SC (N) 4TH YEAR

2. INTRODUCTION
Establishing health planning in india is a key to improve the health
status of the indian population.
Health planning programme started in india since first five year plan
from 1st april 1951. From first five year plan to till present 12th five
year plan (2012 -2017) has been completed.
In 1950, planning commission was constituted to help the
government to plan out integrated development plan for the entire
country within the available resources for defined period of time i.E
for five year for its socio economic progress.

3. PLANNING COMMISSION
The planning commission was setup by the government of India in march
1950 to promote a rapid rise in the standards of living of the people by
efficient use of resources of the country by increasing production and
offering opportunities to all the employment in the service of the
community.
Jawahar Lal Nehru was the first chairman of the planning commission.

4. FUNCTIONS OF PLANNING
COMMISSION
To make an assessment of the resources of the country.
To formulate plans for the most effective and balanced utilization of the resources.
To indicate the factors which are hampering economic development.
Periodical assessment of the progress of the plans.
To maximize the output within the minimum resources with changing time.
To set the sectoral targets and monitor the progress in right direction.
To set the holistic approach for the formulation of policies in critical areas of
human and economic development.

5. FIVE YEAR PLANS
Five year plans forms an important portion of planning process in
india. These are formulated, executed and monitored by the planning
commission of the india. The government of india and planning
commission give considerable importance to health in “five year
plans”.
Constitution of india has considered health as human being’s right
and asset for overall socioeconomic development.

6. FIVE YEAR PLANS
Plan Year
First five year plan 1951-1956
Second five year plan 1956-1961
Third five year plan 1961-1966
Fourth five year plan 1969-1974
Fifth five year plan 1974-1979
Sixth five year plan 1980-1985
Seventh five year plan 1985-1989
1989-1991
Eighth five year plan 1992-1997
Ninth five year plan 1997-2002
Tenth five year plan 2002-2007
Eleventh five year plan 2007-2012
Twelfth five year plan 2012-2017

7. GENERAL OBJECTIVES
To control and eradicate various communicable and chronic
diseases.
To strengthen medical and basic health services by
establishing the district health units, primary health centre and
sub centre.
To control population.
To develop health, manpower resources, research.
To develop indigenous system of medicine.
To empower the environmental sanitation.

8. FIRST FIVE YEAR PLAN (1951-1956)
The first indian prime minister, jawahar lal 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. These areas are:
Area Budget
Irrigation and energy. 27.2%
Agriculture and community
development
17.4%
Transport and communication. 24%
Industry. 8.4%
Social services. 16.64%
Land rehabilitation. 4.1%
Other sector and services. 2.5%

9. AIMS
To fight against diseases malnutrition and unhealthy
environment.
To build up health services for rural population, mothers and
children in order to improve general health status of people.

10. PRIORITIES
Safe water supply and sanitation.
Control of malaria.
Health care of rural population.
Health services for mothers and children.
Education, training and health education.
Self sufficiency in drugs and equipments.
Family planning and population control.

11. MAJOR DEVELOPMENTS
YEAR 1951 :
It was started with outlay of rs.2356 crores
B.C.G vaccination programme was initiated in the country.
YEAR 1952:
Primary health centre was set up.
Delhi community development programme started on 2nd october for
rural development.
Virus research centre was set up in pune.
“Auxiliary nurse midwife” training was started.

12. YEAR 1953:
National malaria control programme started.
National small pox eradication programme launched.
The community development programme was extended to national level
2nd october.
YEAR 1954:
National water supply and sanitation programme initiated.
National leprosy control programme launched.
Central government health scheme started at delhi.
Prevention of food adulteration act was passed by parliament.
Shetty’s committee was constituted on 19th may.

13. YEAR 1955:
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 years and
for girls 15 years.

14. SECOND FIVE YEAR PLAN (1956-
1961)
The second five year plan focused on industry, especially heavy industry.
Domestic production of industrial products was encouraged, in the
development of the public sector.
ALLOCATION : The total amount allocated under the second five year plan in
india was rs. 4,600 crore.
This amount was allocated among various sectors:
a. Power and irrigation
b. Social services
c. Communication, transport and miscellaneous.

15. AIMS
To expand existing health services to bring them within the reach of
people.
To promote progressive improvement of nation’s health.
development of institutional facilities.
Family planning and other supportive programme.
Setup another 3000 PHC.
Development of technical manpower through appropriate training
programme.
Improvement of environmental hygiene through active campaign.

16. PRIORITIES
Establishment of institutional facilities for urban population.
Control of communicable diseases.
Water supply and sanitation.
Health education and training.
Self sufficiency in drugs and equipments.

17. MAJOR DEVELOPMENTS
YEAR 1956:
Draft model public health act was prepared and published by
committee.
Central health education bureau established under the ministry of
health.
Family planning director appointed in union health ministry.
Trachoma control pilot project initiated.
T.B chemotherapy centre established.
Demography training and research centre was started in Bombay.

18. YEAR 1957:
Demography research centre started in Delhi, Calcutta and
Thiruvananthapuram.
YEAR 1958:
National TB survey was completed.
National malaria control programme was changed to National
malaria eradication programme.
Leprosy advisory committee was constituted.
Three tier structures were recommended as self governing bodies at
villages, districts and tehsils.

19. YEAR 1959:
Mudaliar committee was appointed to survey the progress made
after the recommendation of Bhore committee and to give
suggestions for future development and extension of health
programme.
Central expert committee to study the measures for small pox and
cholera eradication.
The first Panchyati Raj introduced in Rajasthan.
National TB institute started in Bangalore.

20. YEAR 1960:
National nutrition advisory committee (NNAC) was constituted.
School health committee was formed to assess the existing health
and nutrition status of school children and to improve them.
Pilot project of small pox eradication was started.
Vital statistics were transferred from Directorate General of Health
Services to register general of India, ministry of home affairs.

21. THIRD FIVE YEAR PLAN (1961-1966)
The third five year plan stressed in agriculture and improving
production of rice but Sino Indian war in 1962 exposed weaknesses in
the economy and shifted the focus towards defense. Punjab began
producing an abundance of wheat. Many primary schools were started
in the rural area. In an effort to bring democracy to the grass root
level, Panchayat elections were started and the states were given more
development responsibilities.

22. AIMS
To remove the shortage and deficiencies observed at the end of the
second five year plan in the field of health.
Deficiencies were pertaining to institutional facilities especially in
rural areas, shortage of trained personnel and supply, lack of safe
drinking water in rural areas and inadequate drainage system.

23. PRIORITIES
Safe water supply in villages and sanitation especially the drainage
programme in the urban areas.
Expansion of institutional facilities to promote accessibility
especially in rural areas.
Eradication of malaria and small pox and control of various other
communicable diseases.
Family planning and supporting services for improving health status
of people.

24. MAJOR DEVELOPMENTS
YEAR 1961:
The central bureau of health intelligence was established.
The Mudaliar committee report was submitted and published.
YEAR 1962:
National small pox eradication programme and National goiter
control programme were launched.
School health programme was started.
District TB programme was conceptualized.
Central family planning institute established in Delhi.

25. YEAR 1963:
Applied nutrition programme started by Government of India with
aid from WHO, UNICEF & FAO.
National institute of communicable disease were established in
Delhi.
Chadha committee recommended a norm of one basic health worker
for every 10,000 population for multipurpose work.
Safe drinking water board (SDWB) was setup.
Extended family planning programme was launched.
National trachoma control programme was initiated.

26. YEAR 1964:
National institute of health administration and education Murika, Delhi
was started.
Shanti Lal shah committee was setup to study the legislation of abortion.
YEAR 1965:
Reinforced extended family planning was launched.
Direct house to house BCG vaccination was initiated.
Director of ICMR introduced lippies loop as safe and effective method of
family planning.

27. YEAR 1966:
Mukherjee committee was formulated to look into the minimum
manpower required for primary health centre.
Ministry for family planning was appointed under ministry of health
and family planning programme at centre and state for better result
in controlling population.

28. YEAR 1967:
Mukherjee committee was appointed to review the working of national
malaria eradication programme and to suggest further improvement.
Small family norm was encouraged to provide suitable incentives to
people who are willing for small family.
YEAR 1968:
Birth and death registration act was reinforced by Rajya Sabha for
compulsory registration of birth within 15 days and death within 7 days.

29. FOURTH FIVE YEAR PLAN (1969-
1974)
At this time Indira Gandhi was the prime minister. The Indira Gandhi
government nationalized 14 major Indian banks and the green revolution
in India for advanced agriculture. This plan did not start very soon after
the third five year plan due to some political reasons.
It started in 1969, so annual plan were made having the same objective
from 1966-1969.

30. AIMS
To strengthen primary health centre network in the rural area for
undertaking preventive, curative and family planning services.
To take over the maintenance phase of communicable diseases.
To alert the socio economic structure of the society
To facilitate the growth in exports.

31. PRIORITIES
Strengthening of primary health centre, sub divisional and district
hospital.
Intensification of control programme.
Expansion of medical and nursing education training of para medical
personnel to meet the minimum technical manpower requirement.

32. MAJOR DEVELOPMENT
YEAR 1969:
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 drafted.
The central birth and death registration act (1969) was promulgated.
The report of medical education committee was submitted.

33. YEAR 1970:
The population council of India was set up.
All India hospital (postpartum) family planning programme was
launched.
The demography training and research centre at Mumbai was
changed to international institute for population study.
Registration act of the birth and death came into force.
The drug (price control) order was promulgated.

34. YEAR 1971:
Medical termination of pregnancy bill was passed by parliament.
Expert committee was appointed for control of air pollution.
Family pension scheme was initiated.

35. YEAR 1972:
Medical termination act came into force.
National institute of nutrition was set up in Hyderabad by ICMR.
The national service bill to compel medical personnel below 30 years
to work in the village was passed.
The committee on “Multipurpose worker” under “Health and family
planning” headed by Kartar Singh.
The additional secretary of health was setup.

36. FIFTH FIVE YEAR PLAN(1974-1979)
In the fifth five year plan, the focus is on the employment, poverty
alleviation and justice.
This plan also focused on self-reliance in agriculture production and
defence.
In 1978, the newly elected Morarji Desai government rejected the
plan.
Electricity supply act was enacted in 1975, which enabled the central
government to enter into power generation and transmission.

37. AIMS
To provide minimum level of well integrated health, MCH & FP,
Nutrition and immunization services to all the people with special
reference to vulnerable groups especially children, pregnant women
and nursing mothers.
To remove imbalance in respect to medical facilities and
strengthening the health infrastructure in rural and tribal areas.

38. PRIORITIES
Increasing accessibility of health services in rural area.
Correcting regional imbalance.
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 diseases
especially malaria and small pox.
Qualitative improvement in the education and training of health
personnel.

39. MAJOR DEVELOPMENTS
Reports 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
nation.
“A group on medical education and support manpower” popularly
known as the shirvastava committee was set up in November 1974.

40. YEAR 1975:
India was declared small pox free by WHO on 5th July.
Government of India adopted revised strategy for malaria eradication
programme as suggested by NMEP committee.
ESI act was amended.
Integrated child development programme was started, shirvastava
committee submitted its report in regard to medical education and
manpower support.
Cigarette regulation act for production and distribution was passed
by parliament.

41. YEAR 1976:
National programme for prevention of Blindness and visual
impairment was initiated.
Prevention of food adulteration act (1975) was amended and passed.
India factory act was formulated
A new policy for population was announced by government.
The central council of health proposed a 3 tier for medical care in
villages.

42. YEAR 1977:
WHO adopted the goal of health for all by 2000 A.D.
Eradication of small pox declared in April by international council.
Rural health scheme was initiated.
Revised modified plan of malaria control was under operation.
National institute of health and family planning formed in Munirka,
new Delhi, this was earlier known as National institute of health
administration and education.
Training of community health worker was initiated.

43. YEAR 1978:
Alma Ata declaration emphasizing primary health care concept.
Air pollution bill initiated in Lok Sabha.
Child marriage restrain act was approved by parliament with
minimum age for boys 21 years and girls 18 years.
EPI (expanded programme on immunization) was launched by WHO
against six killer diseases.

44. YEAR 1979:
The declaration of alma Ata on primary health care strategy was
called by WHO.
The offices of health and family planning were merged to formulate
regional offices of health and family welfare.