logging in or signing up bhore committee spk123spk123 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1676 Category: Education License: All Rights Reserved Like it (6) Dislike it (0) Added: December 16, 2009 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: frank_s (6 month(s) ago) Hello sir, Thank you for sharing this ppt. Pls send me a copy of this ppt.Good work. My email id is frank_s@rediffmail.com Saving..... Post Reply Close Saving..... Edit Comment Close By: zuhair5961 (7 month(s) ago) hello sir...first of all i would like to thank you for sharing such a knowledgeable ppt here. sir, i need this ppt for my course work as i am pursuing pgdhm. thanking in anticipation sir regards Dr. Zuhair Saving..... Post Reply Close By: spk123spk123 (7 month(s) ago) hai dr. zuhair, kindly send me your email id... Saving..... Edit Comment Close By: hemeuda (12 month(s) ago) Dear Sir This is Indian Naval Medical Officer, sending you this mail. Sir I found your presentation very informative. I will be extremely grateful to you if you can send this presentation to me for my personal consumption.My emil id is hemendradr@gmail.com Warm regards-Dd Hemendra Saving..... Post Reply Close Saving..... Edit Comment Close By: anindambasu (15 month(s) ago) Hello Sir. Greetings of the day... Sir I went through the presentation and it was awesome. Sir I would be highly obliged if you could send me the presentation. My email id is: anindam.basu@gmail.com Thanking You With Regards Anindam Basu Saving..... Post Reply Close Saving..... Edit Comment Close By: bincymulla (15 month(s) ago) I am bincy. My email Id is- bincymulla@rediffmail.com Thank you sir for your generocity. thanks. Saving..... Post Reply Close Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript : HEALTH SURVEY AND DEVELOPMENT COMMITTEE HEALTH PLANNING IN INDIA : HEALTH PLANNING IN INDIA India has been pioneer in planning its requirements both in pre-independent and post-independent era. The planning started in India in 1938, when National Planning Committee of Indian National Congress was set up. In 1943 the Bhore Committee was set up. BHORE COMMITTEE (1946) : BHORE COMMITTEE (1946) The Health Survey and Planning Committee in 1943. Sir Joseph Bhore the chairman. To survey the then existing position regarding the health conditions and health organization in the country To make recommendations for the future development. The committee submitted its report in 1946 its famous report which had for volumes. The committee observed that.... : The committee observed that.... “If the nation’s health is to be built, the health programme should be developed on a foundation of preventive health work and that such activities should proceed side by side with those concerned with the treatment of patients.” GUIDING PRINCIPLES ADOPTED : GUIDING PRINCIPLES ADOPTED No individual should be denied to secure adequate medical care because of inability to pay. There should be facilities for proper diagnosis and treatment. The health programme must lay special emphasis on preventive work. Slide 7: As much medical relief and preventive health care should provide to the vast rural population. The health services should be located/ placed as close to the people as possible to ensure maximum benefits to the community. Health development must be entrusted to ministries of health who enjoy the confidence of the people. Slide 8: The doctor of the future should be a social physician protecting the people. The extent of provision of hospital and dispensaries in rural areas has been considerably less than that in urban areas. Medical services should be free to all without distinction. OBSERVATIONS MADE BY THE COMMITTEE : OBSERVATIONS MADE BY THE COMMITTEE The health status of the country as indicated by various indicators was poor. The mortality rates were very high (CDR 22.4/1000; IMR 162/1000 live births; MMR 20/1000 live births). Life expectancy at birth was about 27 years. Slide 10: The incidence of communicable disease also was very high. Diseases like chicken pox, cholera etc occurred in epidemics. The committee also observed that many of the health problems were preventable. It also observed that the investment made in preventing these problems would give high returns in the forms of increased productivity and development. Slide 11: The committee stated that, health and development are interdependent. An improvement in sectors other than health will also lead to improvement in health. Some of the identified sectors were housing, communication, water supply, sanitation improvement in nutrition, elimination of unemployment, improvement in agriculture and industrial production. IMPORTANT RECOMMENDATIONS : IMPORTANT RECOMMENDATIONS Integration of preventive and curative services at all administrative levels. The committee visualized the development of primary health centres in two stages: Short term plan: this plan was implemented within 5-10 years. Each primary health centre in the rural area should cater to a population of 40,000 with a secondary health centre to serve as a supervisory, coordinating and referral institution. For each PHC 2 medical officers, 4 public health nurses, one nurse, 4 midwives, 4 trained dais and 15 class IV employees were recommended. Slide 13: A long term plan (3 million plan): It consists of health care system in three tires. First tier:- Setting up primary health units with 75 bedded hospital for each 10,000 – 20,000 population with staff of 6 medical officers, 6 public health nurses, 2 sanitary inspectors, 2 health assistants and other supportive staff. Slide 14: Second tier:-This consists of 650 bedded Regional Health Unit (RHU) to serve as a referral centre for 30 – 40 PHUs. Third tier: -This consists of district hospitals with 2,500 beds to serve the needs of about 3 million. Major changes in medical education which includes 3 months training in preventive and social medicine to prepare ‘social physicians THE SHORT TERM PROGRAMME : THE SHORT TERM PROGRAMME The bed population ratio should be raised from 0.24/1000 to 1.03 at the end of 10 years. Dental sections should be established in the hospitals at the secondary health centres. Provision of accommodation for health staff is essential in the interest of efficiency. Village communication should be developed. For each 30 bed hospital there should be 2 motor ambulances and one animal drawn ambulance. Travelling dispensaries should be provided to supplement the health services rendered by primary health centres. THE LONG TERM PROGRAMME : THE LONG TERM PROGRAMME The smallest administrative unit should be the primary unit serving an area with a population of about 10,000 to 20,000. About 15 t0 25 primary units will together constitute a secondary unit. The objectives to be kept in view after the first 10 years should be: The raising of hospital accommodation to 2 beds/ 1000 population. The creation of 18 new medical colleges in addition to the 43 to be established during the first 10 years. The establishment of 100 training centres for nurses. The nursing training of 500 hospital workers. Slide 17: Nutrition: food planning should have the provision of an optimum diet for all. Eight ounces of milk should be included in the average Indian diet. For improving the diet of people there should be an increase in milk production to the extent of at least 110% Health education: health education must promote health consciousness and these are best achieved when health practices become part of an individual’s daily life. The instruction of school children in hygiene should begin at the earliest possible stage. Slide 18: Physical education: there should be one or two physical training colleges in each province. The National Physical Education Programme should include indigenous games, sports and folk dances. Health services for mother and children: measure directed towards a reduction of sickness and mortality among mothers and children must have the highest priority in the health development programmes. Slide 19: School health services: it should focus on preventive services, nutritional services and health education. Occupational health including industrial health: special measure should be taken to protect the health of employees. Environmental hygiene: legislation should be enacted in all provinces on a uniform basis including within its scope both urban and rural areas. Slide 20: Public health personnel: the diploma courses in public health should be integrated with the undergraduate and post graduate courses. Professional education: at the end of the first 10 years the population of doctors should be at the annual rate of 4,000 to 4,500. Slide 21: Undergraduate education: there should be a reorganisation of teaching in the pre-clinical fields, compulsory internship for a period of one year. Up gradation of existing medical colleges and establishment of new medical colleges. Post graduate education: post graduate education should develop specialists who can work in one specialized areas. Slide 22: Dental education: provisions should be made in medical and dental colleges for training dental surgeons, dental hygienist and dental mechanics. Pharmaceutical education: education facilities for licentiate pharmacist, graduate pharmacist and pharmaceutical technologist should be provided. Medical research: a statutory central research organization should be constituted. Development research activities in special subjects like malaria are also recommended. Slide 23: Drugs and medical requisites: The Drug Act of 1940 should be brought into operation throughout the country and rigidly enforced. Population problem: birth control through positive means should be given importance as limitation of families through self control may not be possible. Slide 24: Doctor of the future: the highly trained type of physician whom we have termed ‘basic doctors’ should be the focus. Stipends to the medical and nursing students: the student those who complete their medical course should be given an annual stipend of Rs. 1000. The need for nurses is higher in the country. The committee recommended Rs. 60 per month for pupil nurses. Slide 25: Nurses, midwives and Dais: By 1971, the number of trained nurses in the country should be raised to 740,000 from the existing number of 7000. The nursing education conditions should be improved. 100 training centres at the first step, each taking 50 pupil should be started two years before the health organization is being established Another set of 100 institutions should be established during the first two years of the scheme A third group of the same number of centres should be established before the third year. Slide 26: The committee has suggested that there should be two grades in the nursing profession:- A junior grade and a senior grade. The entrance qualification for the former should be a completed course of middle school For the latter a completed course of matriculation. The committee also recommended the establishment of nursing colleges in order to provide a five year degree course in nursing. Slide 27: Male nurses: male nurses and male staff nurses should be trained should be trained and employed in large numbers in the male wards and male outpatient departments. Public health nurses: the committee also made recommendations with regard to the training of public health nurses. They are fully qualified nurses with training in public health and midwifery. Slide 28: Midwives: there is a shortage in the availability of midwives in the country. Existing training schools for midwives require considerable improvement. There should be improvement in the conditions of training centres. Dais: the continuing employment of these women is inevitable for some period. The committee has advocated the training of dais as an interim measure until an adequate number of midwives become available. Slide 29: Other recommendations are:- Formation of village health committee to secure active cooperation and support in the development of health programme. Formation of district health board for each district with district health officials and representatives of the public. To ensure suitable housing, sanitary surroundings, safe drinking water supply elimination of unemployment and lay special emphasis on preventive work. 4. Intersectoral approach to health services. Slide 30: The significance and importance of Bhore Committee Report. It is an important land mark in public health in India. It initiated the concept of “integrated development” i.e. simultaneous development of health and other sectors. Slide 31: The committee also initiated the concept of “comprehensive health care”. The essence of the report has in it the very idea of primary health care. The recommendations of the committee could not be implemented immediately. But the three tier pattern of PHC, Rural hospitals and District hospital is largely based on the recommendations. REFERENCES : REFERENCES Park. K. Preventive and Social Medicine. 20th edition. Banrsidas Bhanot.; Jabalpur. 2009. Kamalam. S. Essentials in community health nursing practices. 1st edition. New Delhi: Jaypee brothers; 2005 BT Basavanthappa. Community Health Nursing. 2nd edition. Bengaluru (India): Jaypee publications; 2008 Baride. J. P. and Kulkarni. A. P. Text book of community medicine. 3rd edition. Mumbai: Vora medical publications;2006 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
bhore committee spk123spk123 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1676 Category: Education License: All Rights Reserved Like it (6) Dislike it (0) Added: December 16, 2009 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: frank_s (6 month(s) ago) Hello sir, Thank you for sharing this ppt. Pls send me a copy of this ppt.Good work. My email id is frank_s@rediffmail.com Saving..... Post Reply Close Saving..... Edit Comment Close By: zuhair5961 (7 month(s) ago) hello sir...first of all i would like to thank you for sharing such a knowledgeable ppt here. sir, i need this ppt for my course work as i am pursuing pgdhm. thanking in anticipation sir regards Dr. Zuhair Saving..... Post Reply Close By: spk123spk123 (7 month(s) ago) hai dr. zuhair, kindly send me your email id... Saving..... Edit Comment Close By: hemeuda (12 month(s) ago) Dear Sir This is Indian Naval Medical Officer, sending you this mail. Sir I found your presentation very informative. I will be extremely grateful to you if you can send this presentation to me for my personal consumption.My emil id is hemendradr@gmail.com Warm regards-Dd Hemendra Saving..... Post Reply Close Saving..... Edit Comment Close By: anindambasu (15 month(s) ago) Hello Sir. Greetings of the day... Sir I went through the presentation and it was awesome. Sir I would be highly obliged if you could send me the presentation. My email id is: anindam.basu@gmail.com Thanking You With Regards Anindam Basu Saving..... Post Reply Close Saving..... Edit Comment Close By: bincymulla (15 month(s) ago) I am bincy. My email Id is- bincymulla@rediffmail.com Thank you sir for your generocity. thanks. Saving..... Post Reply Close Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript : HEALTH SURVEY AND DEVELOPMENT COMMITTEE HEALTH PLANNING IN INDIA : HEALTH PLANNING IN INDIA India has been pioneer in planning its requirements both in pre-independent and post-independent era. The planning started in India in 1938, when National Planning Committee of Indian National Congress was set up. In 1943 the Bhore Committee was set up. BHORE COMMITTEE (1946) : BHORE COMMITTEE (1946) The Health Survey and Planning Committee in 1943. Sir Joseph Bhore the chairman. To survey the then existing position regarding the health conditions and health organization in the country To make recommendations for the future development. The committee submitted its report in 1946 its famous report which had for volumes. The committee observed that.... : The committee observed that.... “If the nation’s health is to be built, the health programme should be developed on a foundation of preventive health work and that such activities should proceed side by side with those concerned with the treatment of patients.” GUIDING PRINCIPLES ADOPTED : GUIDING PRINCIPLES ADOPTED No individual should be denied to secure adequate medical care because of inability to pay. There should be facilities for proper diagnosis and treatment. The health programme must lay special emphasis on preventive work. Slide 7: As much medical relief and preventive health care should provide to the vast rural population. The health services should be located/ placed as close to the people as possible to ensure maximum benefits to the community. Health development must be entrusted to ministries of health who enjoy the confidence of the people. Slide 8: The doctor of the future should be a social physician protecting the people. The extent of provision of hospital and dispensaries in rural areas has been considerably less than that in urban areas. Medical services should be free to all without distinction. OBSERVATIONS MADE BY THE COMMITTEE : OBSERVATIONS MADE BY THE COMMITTEE The health status of the country as indicated by various indicators was poor. The mortality rates were very high (CDR 22.4/1000; IMR 162/1000 live births; MMR 20/1000 live births). Life expectancy at birth was about 27 years. Slide 10: The incidence of communicable disease also was very high. Diseases like chicken pox, cholera etc occurred in epidemics. The committee also observed that many of the health problems were preventable. It also observed that the investment made in preventing these problems would give high returns in the forms of increased productivity and development. Slide 11: The committee stated that, health and development are interdependent. An improvement in sectors other than health will also lead to improvement in health. Some of the identified sectors were housing, communication, water supply, sanitation improvement in nutrition, elimination of unemployment, improvement in agriculture and industrial production. IMPORTANT RECOMMENDATIONS : IMPORTANT RECOMMENDATIONS Integration of preventive and curative services at all administrative levels. The committee visualized the development of primary health centres in two stages: Short term plan: this plan was implemented within 5-10 years. Each primary health centre in the rural area should cater to a population of 40,000 with a secondary health centre to serve as a supervisory, coordinating and referral institution. For each PHC 2 medical officers, 4 public health nurses, one nurse, 4 midwives, 4 trained dais and 15 class IV employees were recommended. Slide 13: A long term plan (3 million plan): It consists of health care system in three tires. First tier:- Setting up primary health units with 75 bedded hospital for each 10,000 – 20,000 population with staff of 6 medical officers, 6 public health nurses, 2 sanitary inspectors, 2 health assistants and other supportive staff. Slide 14: Second tier:-This consists of 650 bedded Regional Health Unit (RHU) to serve as a referral centre for 30 – 40 PHUs. Third tier: -This consists of district hospitals with 2,500 beds to serve the needs of about 3 million. Major changes in medical education which includes 3 months training in preventive and social medicine to prepare ‘social physicians THE SHORT TERM PROGRAMME : THE SHORT TERM PROGRAMME The bed population ratio should be raised from 0.24/1000 to 1.03 at the end of 10 years. Dental sections should be established in the hospitals at the secondary health centres. Provision of accommodation for health staff is essential in the interest of efficiency. Village communication should be developed. For each 30 bed hospital there should be 2 motor ambulances and one animal drawn ambulance. Travelling dispensaries should be provided to supplement the health services rendered by primary health centres. THE LONG TERM PROGRAMME : THE LONG TERM PROGRAMME The smallest administrative unit should be the primary unit serving an area with a population of about 10,000 to 20,000. About 15 t0 25 primary units will together constitute a secondary unit. The objectives to be kept in view after the first 10 years should be: The raising of hospital accommodation to 2 beds/ 1000 population. The creation of 18 new medical colleges in addition to the 43 to be established during the first 10 years. The establishment of 100 training centres for nurses. The nursing training of 500 hospital workers. Slide 17: Nutrition: food planning should have the provision of an optimum diet for all. Eight ounces of milk should be included in the average Indian diet. For improving the diet of people there should be an increase in milk production to the extent of at least 110% Health education: health education must promote health consciousness and these are best achieved when health practices become part of an individual’s daily life. The instruction of school children in hygiene should begin at the earliest possible stage. Slide 18: Physical education: there should be one or two physical training colleges in each province. The National Physical Education Programme should include indigenous games, sports and folk dances. Health services for mother and children: measure directed towards a reduction of sickness and mortality among mothers and children must have the highest priority in the health development programmes. Slide 19: School health services: it should focus on preventive services, nutritional services and health education. Occupational health including industrial health: special measure should be taken to protect the health of employees. Environmental hygiene: legislation should be enacted in all provinces on a uniform basis including within its scope both urban and rural areas. Slide 20: Public health personnel: the diploma courses in public health should be integrated with the undergraduate and post graduate courses. Professional education: at the end of the first 10 years the population of doctors should be at the annual rate of 4,000 to 4,500. Slide 21: Undergraduate education: there should be a reorganisation of teaching in the pre-clinical fields, compulsory internship for a period of one year. Up gradation of existing medical colleges and establishment of new medical colleges. Post graduate education: post graduate education should develop specialists who can work in one specialized areas. Slide 22: Dental education: provisions should be made in medical and dental colleges for training dental surgeons, dental hygienist and dental mechanics. Pharmaceutical education: education facilities for licentiate pharmacist, graduate pharmacist and pharmaceutical technologist should be provided. Medical research: a statutory central research organization should be constituted. Development research activities in special subjects like malaria are also recommended. Slide 23: Drugs and medical requisites: The Drug Act of 1940 should be brought into operation throughout the country and rigidly enforced. Population problem: birth control through positive means should be given importance as limitation of families through self control may not be possible. Slide 24: Doctor of the future: the highly trained type of physician whom we have termed ‘basic doctors’ should be the focus. Stipends to the medical and nursing students: the student those who complete their medical course should be given an annual stipend of Rs. 1000. The need for nurses is higher in the country. The committee recommended Rs. 60 per month for pupil nurses. Slide 25: Nurses, midwives and Dais: By 1971, the number of trained nurses in the country should be raised to 740,000 from the existing number of 7000. The nursing education conditions should be improved. 100 training centres at the first step, each taking 50 pupil should be started two years before the health organization is being established Another set of 100 institutions should be established during the first two years of the scheme A third group of the same number of centres should be established before the third year. Slide 26: The committee has suggested that there should be two grades in the nursing profession:- A junior grade and a senior grade. The entrance qualification for the former should be a completed course of middle school For the latter a completed course of matriculation. The committee also recommended the establishment of nursing colleges in order to provide a five year degree course in nursing. Slide 27: Male nurses: male nurses and male staff nurses should be trained should be trained and employed in large numbers in the male wards and male outpatient departments. Public health nurses: the committee also made recommendations with regard to the training of public health nurses. They are fully qualified nurses with training in public health and midwifery. Slide 28: Midwives: there is a shortage in the availability of midwives in the country. Existing training schools for midwives require considerable improvement. There should be improvement in the conditions of training centres. Dais: the continuing employment of these women is inevitable for some period. The committee has advocated the training of dais as an interim measure until an adequate number of midwives become available. Slide 29: Other recommendations are:- Formation of village health committee to secure active cooperation and support in the development of health programme. Formation of district health board for each district with district health officials and representatives of the public. To ensure suitable housing, sanitary surroundings, safe drinking water supply elimination of unemployment and lay special emphasis on preventive work. 4. Intersectoral approach to health services. Slide 30: The significance and importance of Bhore Committee Report. It is an important land mark in public health in India. It initiated the concept of “integrated development” i.e. simultaneous development of health and other sectors. Slide 31: The committee also initiated the concept of “comprehensive health care”. The essence of the report has in it the very idea of primary health care. The recommendations of the committee could not be implemented immediately. But the three tier pattern of PHC, Rural hospitals and District hospital is largely based on the recommendations. REFERENCES : REFERENCES Park. K. Preventive and Social Medicine. 20th edition. Banrsidas Bhanot.; Jabalpur. 2009. Kamalam. S. Essentials in community health nursing practices. 1st edition. New Delhi: Jaypee brothers; 2005 BT Basavanthappa. Community Health Nursing. 2nd edition. Bengaluru (India): Jaypee publications; 2008 Baride. J. P. and Kulkarni. A. P. Text book of community medicine. 3rd edition. Mumbai: Vora medical publications;2006