 Food
and agriculture
 Education
 Health and family planning
 Industry
 Transport and communication
 Housing and power
 Social welfare
 Control
of communicable diseases
 Strengthening of health services
 Population control
 Match the limited resources
 To eliminate wasteful expenditure
 To develop best course of action
 To raise the standard of living
 Utilizing
the resources effectively
 Reducing inequalities
 Aim
:fight against disease, malnutrition and
unhealthy environment.
 THE PRIORITIES
- Safe water supply
- Control of malaria
- Health care of rural population
- Health services to mother and child
- Health education
- Self sufficiency in drugs
- Family planning
 The
-
-
-
major developments
BCG vaccination program in 1951
The central council of health was set up
in1952
The PHC was set up 1952
The malaria control program 1953
Central leprosy program1954
Prevention of food adulteration act 1954
National filaria control program 1955
The central leprosy and research
institute1955
National TB sample survey1955
 Aim
:expand existing health services
 THE PRIORITIES
- Establishment of institutional facilities
- Development of technical manpower
- Control of communicable diseases
- Water supply and sanitation
- Family planning
-
-
Director, family planning was appointed 1956
The demographic training and research
centre 1957
National malaria eradication program 1958
The TB survey was completed1958
The mudaliar committee1959
The nutrition research laboratory shifted to
Hydrabad 1959
National nutrition advisory committee 1960.
 AIM:
Remove shortage and deficiencies of
second five year plan.
 THE
-
PRIORITIES
Safe water supply in villages
Expansion of institutional facilities
Eradication of malaria
Family planning
Development of manpower
-
-
The central bureau of health intelligence
1961
National small pox eradication program 1962
The school health program1962
The applied nutrition program1963
National trachoma control program1963
The chadda committee1963
National institute of health administration
1964
The lippes loop recommended1965
 Extended
family planning program 1965
 BCG vaccine with out tuberculin house to
house 1965
 Separate department of family planning 1966
 The post partum family planning
program1966
 Small family norm 1967
 Medical education committee 1968
 Aim:
 THE
-
Strengthening PHC in rural area.
PRIORITIES
Family planning program
Strengthening of PHC
Strengthening of district hospitals
Intensification of control program
Expansion of education
 The
nutrition research laboratory 1969
 Birth and death registration act1969
 The population council of India 1970
 The drug order1970
 The MTP act1972
 Minimum need program1973
 The kartar sing committee report1973
 Aim
:minimum level of integrated health,
MCH, nutrition and immunization
 THE
-
PRIORITIES
Increasing accessibility
Correcting regional imbalance
Development of referral services
Intensification of eradication of disease
Qualitative improvement
 The
water act 1974
 Shrivastav committee1975
 Small pox free1975 july 5th
 Child welfare board 1975
 The ESI act1975
 Indian factory act1976
 Prevention of food adulteration 1976
 The
training of community health
workers1977
 Extended program on immunization1978
 Alma atta declaration of primary health care
strategy 1979
 Aim:
Alternative strategy and plan of action
for primary health care.
 THE PRIORITIES
- Rural health scheme
- Control of communicable diseases
- Development of dispensaries
- Improvement of medical education
- Medical research
 Drug control
 Population control
 Water supply and sanitation
 nutrition
 WHO
declared eradication of small pox 1980
 1981 census
 The national health policy was announced
1982
 20 point program 1982
 National leprosy eradication program1983
 Bhopal gas tragedy 1984
 The ESI amendment bill1984
 The workmen compensation act1984
 Aim
: providing Primary health care and
and medical services to vulnerable groups
of remote areas.
 THE PRIORITIES
- Health services in rural areas
- Medical education and training
- Control of emerging health problems
- MCH
- Medical research
 Safe
water supply and sanitation
 Standardization of Indian system of medicine
-
Universal immunization program 1985
-
-
The environment protection
1986
-
20 point program modified 1987
-
Diabetes control programme 1987
 ARTI
program 1990
 1991 census
 The ESI act came into force 1991
 Aim
: Reorganising and strengthening
infrastructure and medical services.
 THE PRIORITIES
- Developing rural infrastructure
- Medical education and training
- Control of communicable diseases
- Strengthening health services
- Medical research
-MCH
-Safe water supply and sanitation
CSSM 1992
 DOTS1993
 Panchayat raj act 1994
 1st pulse polio immunization 1994 forchildren
under 3 years.
 PC B.Sc program IGNOU 1994
 Transplantation of human organ act1995
 Prenatal diagnostic technique act 1996

Aim : same like 8th
 THE PRIORITIES
- Control of communicable and non
communicable
- Strengthening of existing infra structure
- Improvement of referal linkages
 Strengthening of research.
 Disaster management
 Inter sectoral co- ordination f human
resources
 RCH
program
 National anti malaria program1999
 National family health survey- 2 1998-1999
 National population policy 2000
 Census 2001
 national health policy 2002
 National AIDS prevention and control policy
2002
Aim : annum growth and human well being
TARGETS
 Reduction of poverty ratio by 5%
 All children in school
 Reduction of gender gap
 Reduction in population growth
 Increase in literacy rate
 Reduction in IMR
 Reduction of MMR
GOALS
 Reducing MMR to 1% per 1000 live births
 Reducing IMR to 28% per 1000 live births
 Reducing TFR to 2.1%
 Providing clean drinking water
 Reducing malnutrition among children
 Reducing anemia
 Reducing sex ratio
 Improving
health equity
 Increasing survival
 Taking full advantage of local enterprise
 Preventing indebtedness
 Decentralizing governance
 Establishing e- health
 Improving access to health care
 Focus
on human resources
 Focusing on neglected areas
 Efforts at disease reduction
 Focus on research ARTI program 1990
 Aim
: To renew economy and improve
facilities –education, sanitation and health.
Components :
Environmental sustainability.
Developing capabilities.
Strategic challenges
Enhancing capacity for growth
Enhancing skill and faster generation of
employment
Managing environment
Markets for efficiency and inclusion
Decentralization ,empowerment and information
Technology and innovation
Securing energy for the future
Development of transport
Rural transformation and sustained growth of
agriculture
Managing urbanization
Quality education
Preventive and curative health care

 Highlights
Average growth 8.2%
Thrust areas-infrastructure, health and
education
Direct cash transfer of subsidies
Agriculture
Poverty alleviation
Drinking water and sanitation
 Health
perspectives
Strategic plan to reduce IMR to 25 and MMR to
100 and total fertility rate2.1
reduction of underweight under 3 years to23%
Prevention and reduction of anemia
28%among women of 15-49
Raising child sex ratio
Prevention and reduction of communicable and
non communicable disease burden
Reduction of pocket expenditure of poor
house holds
s
Health
goals
Activities
Critical
proposed
on going activities
 TWELFTH
FIVE YEAR PLAN AND
ICDS:
 Aim
 Package
 Beneficiaries
 Key
features
Strategic
challenges of 12th five
year plan.
 Bhore
-
-
committee
1943, to survey the existing position
regarding health conditions
Met regularly for 2 years and submitted its
report in 1946
Recommendations
Integration
Development of PHC- short term and long
term
 Major
changes in medical education
 1959,
health survey and planning committee
 To survey the progress made in the field of
health
 PHC services inadequate- strengthening
Recommendation
 Consolidation of advances of 1st and 2nd five
year plan
 Forming regional organization
 Strengthening of district hospitals
 Regional deputy to supervise district medical
and health officer
 Each
PHC not more than 40,000
 Improve quality of health
 Constitution of all India health service
 1963,
to study the arrangement for
maintenance phase of malaria eradication
 It should be the responsibility of PHC
 Vigilance
 Monthly home visit, 1 basic health worker for
10,000 population
 Multipurpose health workers
 Family planning health assistant to supervise
 1965,
malaria vigilance had suffered
 Separate staff for family planning
 Basic health care workers to be utilized for
other program
 1966,
states were finding difficult to take
over the whole burden
 Services should be provided at block level
 Higher level of administration
 1967
 Recommendations
 Unified
cadre
 Common seniority
 Recognition of extra qualification
 Extra pay for extra work
 Special pay for special work
 No private practice
 1973,
the committee of multi purpose
workers
 Training for MPW
 ANM replaced by female health workers
 PHC for 50,000
 PHC divided into 16 sub centers
 Sub centre- male and female health worker
 Female health supervisor – 4 FHW
 1975,
group on medical education and
support manpower
 To revise suitable curriculum
 To suggest steps for improving medical
education
 Creation of bands of Para professionals
 Medical care and education commission
 1977,for
involvement of medical college
 Reorientation training of MPW
Health for all by2000 AD