The Many Committees in PSM tell a story- lets read it. (Questions asked have been marked with *) Story begins in 1943. Government of India (still under the British) appointed BHORE (SIR JOSEPH BHORE) to assess the health situation in India and make recommendations. He took 2 years roaming around and made his recommendations in 4 volumes! Key words we need to remember- • Integration of preventive and curative services at all administrative levels • Development of PHC in 2 stages- short term and long term (called the 3 million plan) (*) • Concept of “social physicians” (3 months training) Then we got independence and apparently got smarter. We decided to see if what the Goron ka Bhore had recommended is working or not! So came the MUDALIAR COMMITTEE in 1962 to provide a fresh look. It said strengthen what we have, don’t build more. Next year (1963) came the CHADAH COMMITTEE. It was made to study arrangements for the NMEP’s maintenance phase. It said one basic health worker should work for 10,00 population. And they should be multipurpose health workers- malaria + family planning + vital statistics (*) Then 2 years later (1965) came the MUKERJI COMMITTEE. They very smartly realized that what Chadah ji said is not working. Neither Malaria nor Family planning work is being done properly. So let’s separate them. Let’s make basic health worker work for all other random stuff. And family planning assistant to do only family planning jobs. They also said separate malaria from family planning! Then in 1966, same committee found that it got too much for the states to do because of lack of funds. So they worked out a system called “Basic Health Service” being provided at the block level to figure out the administration jargon. JUNGALWALLA COMMITTEE came the year after that (1967). Srinagar mein baithke they talked about how to eliminate private practice for government doctors and just how to integrate health services. So they came up with the idea of “Integrated Health Services” (*) Next KARTAR SINGH COMMITTEE met in 1973 (6 years later) and this committee was called the “Committee on Multipurpose workers under Health and Family planning” (because we like revisiting the past!). They said • Convert the current Auxilary Nurse Midwives into Female Health Workers • Convert the Basic Health Workers/Malaria Surveillance Workers/Vaccinators/Health Education Assistants/Family planning health assistants into Male Health Workers • Introduce MPWs first into Malaria maintenance phase and Small pox controlled areas, then spread them out • One PHC for 50,000 people • Every PHC should have 16 subcentres • Every subcentre should have 1 male and 1 female health worker Then two years later came SHRIVASTAV COMMITTEE (1975). They wanted to make a plan to train all these new position people. They said we need more people (these positions aren’t enough!). So their recommendations were • Train para and semi professional workers- like school teachers etc to help out in the community • Establish 2 more cadres of health workers- Multipurpose Health Workers and Health Assistants between the community level and doctors at PHCs • Develop a Referral Services Complex • Something about medical education also • Most importantly it said that Primary health care should be provided within the community itself through specially trained people – place the health of the people in the hands of the people themselves! (*)
Posted on: Wed, 06 Nov 2013 20:10:29 +0000
Trending Topics
Recently Viewed Topics
© 2015