Se ha denunciado esta presentación.
Utilizamos tu perfil de LinkedIn y tus datos de actividad para personalizar los anuncios y mostrarte publicidad más relevante. Puedes cambiar tus preferencias de publicidad en cualquier momento.

Health committees and recommendations

  • Sé el primero en comentar

Health committees and recommendations

  1. 1.  BHORE COMMITTEE  MUDALIAR COMMITTEE  CHADHA COMMITTEE  MUKHERJI COMMITTEE  JUNGALWALLA COMMITTEE  KARTHAR SINGH COMMITTEE  SHRIVASTAV COMMITTEE  RURAL HEALTH SCHEME
  2. 2. RECOMMENDATIONS :-  integration of preventive and curative services at all administrative levels  The Committee visualized the development of primary health centers in 2 stages :  as a short-term measure, it was proposed that each primary health centre should cater to a population of 40,000 with a secondary health centre.  long-term programme (also called the 3 million plan) consisting of 3 tiers.
  3. 3.  First tier: 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.  Second tier: 650 bedded Regional Health Unit (RHU) to serve as a referral centre for 30 – 40 PHUs.  Third tier: 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"
  4. 4. RECOMMENDATIONS :-  Consolidation of advances made in the first two five year plans  Strengthening of the district hospital with specialist services to serve as central base of regional services  Regional organizations in each state between the headquarters organization and the district in charge of a Regional Deputy or Assistant Directors — each to supervise 2 or 3 district medical and health officers
  5. 5.  Each primary health centre not to serve more than 40,000 population;  To improve the quality of health care provided by the primary health centres;  Integration of medical and health services recommended by the Bhore Committee; and constitution of an All India Health Service on the pattern on Indian administrative service.
  6. 6.  Dr. M.S. Chadah  "vigilance" operations in respect of the National Malaria Eradication Programme should be the responsibility of the general health services  through monthly home visits should be implemented through basic health workers  One basic health worker per 10,000 population
  7. 7.  ―multipurpose" workers to look after additional duties of collection of vital statistics and family planning, in addition to malaria vigilance.  The Family Planning Health Assistants were to supervise 3 or 4 of these basic health workers.
  8. 8.  under the Chairmanship of Shri Mukerji, the then Secretary of Health to the Government of India, was appointed to review the strategy for the family planning programme.  The Committee recommended separate staff for the family planning programme.  To delink the malaria activities from family planning
  9. 9. Defined Integrated Health Services as:  a service with a unified approach for all problems instead of a segmented approach for different problems  medical care of sick and conventional public health programmes functioning under a single administrator and operating in a unified manner at all levels of hierarchy with due priority for each programme obtaining at a point of time.
  10. 10.  unified cadre  common seniority  recognition of extra qualifications  equal pay for equal work  special pay for specialized work  no private practice, and good service conditions.
  11. 11.  The structure for integrated services at the peripheral and supervisory levels:  The feasibility of having multipurpose, bi purpose workers in the field:  The training requirements for such workers; and  The utilization of mobile service units set up under family planning programme for integrated medical, public health and family planning services operating in the field.
  12. 12. Recommendations :-  That the present Auxiliary Nurse Midwives to be replaced by the newly designated "Female Health Workers", and the present-day Basic Health  Workers, Malaria Surveillance Workers, Vaccinators, health education assistants -trachoma and the family planning health assistants to be designated as male health workers.
  13. 13.  For proper coverage there should be one primary health centre for population of 50,000.  Each primary health centre to be divided into 16 sub centres each having a population of 3000 to 3500 depending upon topography and means of communications
  14. 14.  Each sub centre to be staffed by a team of one male and one female health worker  There should be a male health supervisor to supervise the work of 3 to 4 male health workers; and a female health supervisor to supervise the work of 4 female health workers  The present-day lady health visitors to be designated as female health supervisors  The doctor in charge of a primary health centre should have the overall charge of all the supervisors and health workers in his area.
  15. 15.  'Group on Medical Education and Support Manpower'  Organization of the basic health services (including nutrition, health education and family planning) within the community itself and training the personnel  Organization of an economic and efficient programme of health services to bridge the community with the first level referral Centre, viz., the PHC
  16. 16.  The creation of a National Referral Services Complex by the development of proper linkages between the PHC and higher level referral and service centres;  To create the necessary administrative and financial machinery for the reorganization of the entire programme of medical and health education from the point of view of the objectives and needs of the proposed programme of national health services
  17. 17.  Involvement of medical colleges in health care with the objective of reorienting medical education according to rural population called Re Orientation of Medical education (ROME). It led to teaching and training of undergraduate students and Interns at PHCs.  Training of Village Health Guides and utilising their services in the general health service system.
  18. 18. Under the chairmanship of Shri.P.Chidambaram and Dr. Anbumani Ramadas
  19. 19.  The mission, initially planned for 7 years (2005-2012), is run by the Ministry of Health.  Includes training local residents as Accredited Social Health Activists (ASHA), and the Janani Surakshay Yojana (motherhood protection program).  special focus on 18 states
  20. 20.  Reduction of MMR to < 100 per 100000 live births  Reducing IMR to < 27 per 1000 live births  Reduction in NMR to < 18 per 1000 live births  Reducing TFR to 2.1  Elimination of Filaria – in all 250 districts; Kala- azar in all 514 Blocks and Leprosy in all districts  Reduction in TB prevalence and mortality by 50%  Reduction in Annual Malaria incidence to <1/1000 pop.  Reduction in JE mortality by 50%
  21. 21.  Sustaining case fatality rate of less than 1% for Dengue  Leprosy prevalence rate : reduce from 1.8/10,000 in 2005 to less than 1/10,000  Upgrading CHC to Indian Public Health Standards  TB DOTS SERVICES : 85% Cure rate  Increase utilisation of FIRST REFERRAL UNITS from <20% to 75%  Engaging 250,000 female ASHA in 10 states
  22. 22.  Upgradation of Health Institutions  Quality Assurance  HMIS  School health  Tribal health  ASHA  ARSH  NCD  RSBY
  23. 23.  JSY  WHNDs  Immunization strengthening  Disease Control Programmes  BCC/IEC  AYUSH  Capacity building  Human resource management  Finance  Medical guidelines and protocols
  24. 24.  Geriatric care project  Community based mental health project  Cuban model health care  Polyclinic services  Radio Health  Tele medicine  Floating dispensary  Palliative care project  Menstrual hygiene project  MCTS
  25. 25.  KMSCL  PEMT  SPARK  KSWAN
  26. 26.  Creation Of ASHA (Accredited Social Health Activist)  Strengthening Of Sub Centres  Strengthening Of PHC  Strengthening Of CHC
  27. 27.  Urban poor population living in listed and unlisted slums.  All the other vulnerable population such as homeless, rag- pickers, street children, rickshaw pullers, construction and brick kiln workers, sex workers, any other temporary migrants.  Public health thrust on sanitation, clean drinking water and vector control.  Strengthening public health capacity of urban local bodies (ULBs).
  28. 28. GOALS  To address the health concerns by facilitating equitable access to available health facilities by rationalizing and strengthening the capacity of the existing health care delivery system.  Partnership with all efforts made for accessing community buildings under various health programmes to ensure full utilization of created infrastructure.  It aims to synergize the mission with the existing progammes such as Jawahar Lal Nehru National Urban Renewal Mission (JNNURM), Swarn Jayanti Shahri Rozgar Yojana (SJSRY) and ICDS which have similar objectives to NUHM.
  29. 29.  Urban Social Health Activist (USHA)  Mahila Arogya Samitee (MAS)  Primary Urban Health Centre  Rogi Kalyan Samiti and Referrals  Community health Insurance  IT enabled services (ITES) and e- governance
  30. 30. ANY DOUBTS????

×