PDF | On Jul 1, , Ravi Duggal and others published Bhore Committee ( ) and its relevance today. HEALTH PLANNING IN INDIA• Started in • Bhore committee,• Sir To make future recommendations• Submitted report in ; 3. Bhore Committee () and its Relevance Today The Bhore Committee begins w~.th a (*Source for data: World Development Report, World Bank).
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RCH Phase-2 aims at sector wide, outcome oriented program based approach with emphasis on decentralization, monitoring and supervision which brings about a comprehensive integration of family planning into safe motherhood and child health. Reports were four volumes long. It has been observed that health care system has expanded considerably over last few decades but quality of services are not upto the mark.
It adopts a very simple approach to a highly complex problem.
The selection criteria include educational level upto eight repotr which may impose a bias against women from disadvantaged groups which despite forming majority in her village is denied the post because of less formal education. Regulation of Private Sector to improve equity, and ensure availability of quality services at reasonable cost.
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Development of Primary Health Centres in 2 stages: InIndia was the first country to launch a national programme emphasizing family planning to stabilize the population at a level consistent with the requirement of national economy.
The NRHM claims to integrate various national health programmes. InGovernment made a major move in health politics by coming up very sharply against the health work done in the country in last 35 years. It laid out the proposal for a national program of health services in Feport and also stressed the importance of preventive care in addition to curative treatment.
While RCH forms one of the key component of mission, the disproportionate influence may not be healthy for integrated strengthening of rural health systems.
relort There are few concerns that emerge from reading of mission documents. The National Rural Health Mission 5 is a major undertaking by United Progressive Alliance Government to honor its commitments under common minimal programme. The development committee worked under Sir Joseph William Bhorewho acted as the chairman of committee.
NRHM lists a set of core and supplementary strategies to meets its goals of reduction in IMR and MMR; universal access of public health services such as women health, child health, water, sanitation and hygiene, immunization and nutrition; prevention and control of communicable and non communicable diseases; access to integrated comprehensive primary health care; population stabilization; revitalization of local health tradition and mainstreaming AYUSH; and promotion of healthy lifestyles.
The second concern relates to influence of globalization-privatization framework on the mission. These set of standards are lesser resource intensive as compared to already existing Bureau of Indian Standards for 30 bedded hospitals.
Under the Safe Motherhood component, training of traditional birth attendants, provision of aseptic delivery kits and strengthening of first referral units to deal with high risk and obstetric emergencies are being taken up. Lack of sensitization among service providers, weak coordination among various stakeholders, unorganized public sector infrastructure and poor living environment further compounded problem of urban poor.
A long-term programme also called the 3 million plan of setting up primary health units with 75 — bedded hospitals for each 10, to 20, population and secondary units with — bedded hospital, again regionalised around district hospitals with beds.
Strengthening capacities for data collection, assessment and review for evidence based planning and empowering health care institutions for preventive health care. Supplementary Strategies- Regulation of Private Sector to improve equity, and ensure availability of quality services at reasonable cost Foster public- private partnerships for achieving public health goals Mainstreaming AYUSH and thus revitalizing traditional health systems Reorienting committre education to support rural health issues Risk pooling and social health insurance to provide health security to repkrt population It has been observed that health care system has expanded considerably over last few decades but quality of services are not upto the mark.
Health status and access of RCH services of slum dwellers are poor. Each PHC was to be manned by 2 doctors, one nurse, four public healthnurses, four comittee, four trained 9146, two sanitary inspectors, two health assistants, one pharmacist and fifteen other class IV employees. It made comprehensive recommendations for remodeling of health services in India. Integration of preventive and curative services of all administrative levels.
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Urban population constitutes nearly third of national population and growing urban population needs to be included in the scope at three times the national population growth rate. Risk pooling and social health insurance to provide health security to under-privileged population. The report, submitted inhad some important recommendations like: Train and enhance capacity of Panchayati Raj Institutions to own, control and manage public health services.
Medical College, Kangra and I. The mission covers the entire country, with special focus on 18 states, which have relatively poor infrastructure. Primary Health Centres were built across the nation to provide integrated promotive, preventive, curative and rehabilitative services to entire urban as well as rural population, as an integral component of wider community development programme.
A Critical Review S Goel. You would need to login or signup to start a Discussion. In addition, there is a prerequisite to allocation of funds to states requiring signing of Memorandum of Understanding with Government of India, stating the agreement to the policy framework of NRHM and timeliness and performance benchmarks against identified activities. The Universal Immunization Programme UIP was launched in to provide universal coverage of infants and pregnant women with immunization against identified vaccine preventable diseases.
Secondary health centrewas also envisaged to provide support to PHC, and to coordinate and supervise their functioning. Nevertheless, the strategies of NRHM are based on sound management principals and an attempt has been made to overcome shortcomings of similar previous schemes.
Promote access to improved health care at household level through female health activist ASHA Setting up Village Health Committee to develop health plan for each village Strengthening sub-centers through untied fund and provision of bedded CHC per lakh population for improved curative care to Indian Public Health Standards IPHS Integrating vertical health programmes at all levels Technical support to National, State and District Health Mission in preparation of District Health Plan Strengthening capacities for data collection, assessment and review for evidence based planning and empowering health care institutions for preventive health care.
The setting up of NRHM is seen as yet another political move by the UPA government to make another promise to the long suffering rural population to improve their health status. It was a health survey taken by a development committee to assess health condition of India.