Bhore committee
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Transcript of Bhore committee
![Page 1: Bhore committee](https://reader035.fdocuments.in/reader035/viewer/2022081419/587993b41a28ab95318b6109/html5/thumbnails/1.jpg)
BHORE COMMITTEE
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HEALTH PLANNING IN INDIA
• Started in 1938• Bhore committee,1943• Sir Joseph bhore
• To survey the then existing position regarding the health condition and health organisations
• To make future recommendations
• Submitted report in 1946
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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”
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Guiding principles adopted…• No individual should be denied to secure adequate
medical care because of inability to pay
• Facilities for proper diagnosis and treatment.
• Health programme must lay special emphasis on preventive work.
• As much medical relief and preventive health care should be provided to the vast rural population
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Continued…
• Health services should be located close to the people to ensure maximum benefit to the community.
• Doctor should be a social physician protecting the people.
• Medical services should be free to all,without distinction.
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Observations made by the committee….
• Health status of the country as indicated by various indicators was poor.
• Mortality rates were very high.
• Life expectancy at birth was about 27yrs.
• Incidence of communicable diseases was very high.
• Many of the health problems were preventable.
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Continued…
• Committee stated that health and development are interdependent.
• Improvement in sector other than health will also lead to improvement in health like water supply ,sanitation improvement ,nutrition ,elimination of unemployment.
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Important Recommendations..
• Integration of preventive and curative services at all administrative levels.
• Minimum required ratio 567 hospital beds,62 doctors,151 nurses
per 1,00,000 population.
• The committee visualised the development of PHC in 2 stages:
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Continued…
1.A short term measure Each PHC-40,000 POP,2 MOs,4
PHN,1 nurse,2 midwives,4 trained dais, 2 sanitory inspectors,2 health assistants 1 pharmacist and 15 other class Iv employees.
2.A long term programme (3 million plan) consist of health care system in 3 tiers
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PRIMARY UNIT
• 10000-20000 pop,75 hosp beds,6 MOs,6 PHN,2 sanitory inspectors,2 health assistants and 6 midwives.
• 25-med ,10-sur ,10-obs&gyn, 20-infect ds, 6-malaria & 4-TB.
• Highly dense province - 20,000/PU• Highly dispersed province - 10,000/PU
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SECONDARY UNIT• 60 primary units under a secondary unit
• 650 hosp bed,140 doc,180 nurses, 178 other staffs,15 hosp social workers,50 ward attendants and 25 compounders.
• 150-med , 200-sur ,100-obs&gyn , 20-inf ds, 10-malaria ,120-TB , 50-ped.
• First level referral hospital.
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DISTRICT HOSPITAL• 2500 beds,269 doc,625 nurses,50 hosp social
workers and 723 other workers.
• 300-med, 350-sur,300-obs, 54-TB, 250-ped, 300-lep,40-inf ds,20-malaria,400-mental illness.
• Nutrition ,health education , professional/UG/PG education ,population problem.
• 2 grades in nursing profession.
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Continued…
• Village health committee, medical research.
• Special attention to diseases like malaria ,TB ,small pox ,leprosy ,plague ,cholera , veneral ds , filariasis ,mental illness.
• Special programmes for health of mothers and children, environmental hygiene and occupational health for industrial workers.
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SIGNIFICANCE & IMPORTANCE OF BC REPORT
• Imp landmark in public health in india.
• Initiated the concept of integrated development & comprehensive health care.
• Idea of primary health care.
• The three tier pattern of health care services.
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Thank you
THANK YOU