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KHAMMAM
SUBJECT: Nursing Management
TOPIC: COMMITTEE REPORTS
GUIDED BY: Dr. Mrs. Ratna Philip, Principal
DATE:
PRESENTED BY: Mrs. Udaya Sree.G, M.Sc. (N) II year
TIME:
3. CHADHA COMMITTEE
A committee of health administrators and Malariologists reviewed
the National Malaria Eradication programme and recommended that a
special Committee should study in detail the preparations that are to be
made for the entry into the maintenance phase and formulate a plan.
Constituted in 1963 by government of India under Dr. MS. Chadha,
Director General of Health Services
TERMS OF REFERENCE:
The committee should go into the details of the requirement related
to the primary health centres, their planning, the necessary priority
required according to the needs of the maintenance phase of the Malaria
Eradication programme.
The committee should also consider the Staffing pattern required
for the malaria eradication programme but also for other health
activities and the manner in which the technical and supervisory staff of
the National Malaria Eradication programme organization should be
utilised after malaria eradication has been achieved
RECOMMENDATIONS
Maintenance to be done by general health services (block and
district level)
Through basic health worker per 10,000 population
Basic health workers should visit house to house once in a month to
implement malaria activities.
Basic health worker to serve as MPHW for family planning and vital
statistics Family Planning Health Assistance to supervise 3-4 basic health
worker
4. MUKERJI COMMITEE:
Following the Central Family Planning Council meet at Madras
Constituted in 1965 Headed by Shri Mukerji, Secretary, Ministry of Health
and Family Planning
OBSERVATION:
It was realised that the basic health worker could not function effectively
as multi -purpose worker.
RECOMMENDATIONS:
The committee recommended separate staff for family
programme
The family planning assistance were to undertake family
planning duties only
The basic health worker were to be utilised for purpose other
than family planning
The committee also recommended to delink the malaria
activities from family planning so that the later would receive
undivided attention of its staff
Health held at
take burden of
like small pox,
Government Of
TERMS OF REFERENCE
To review the staffing pattern of the primary health centre complex and
to recommend the minimum staff of various categories required at
different levels within the district so as to provide an integrated health
service capable of fully catering to the needs of the vigilance services in
the maintenance phase of National Malaria Eradication Programme,
smallpox eradication, tuberculosis, leprosy and trachoma control, etc. To
recommend the pattern of Central assistance for the States
RECOMMENDATIONS
Basic Health Services to be provided at block level
Strengthening required at higher level
Integrated approach in the entire health field - Programmes of
public health and medical care should be integrated to the
maximum extent possible and so also the programmes within
each field.
Health workers at the lower levels should become increasingly
multipurpose workers.
JUNGALWALLA COMMITTEE
Central Council of Health, 1964 Srinagar Dr. N.Jungalwalla, Director
General of Health Services Committee on Integration of Health
Services Submitted report under 1967
TERMS OF REFERENCE
To study the problems of the health services Service conditions
Elimination of Private practice
Definition of Integrated Health Services:
A service with a unified approach for all problems instead of segmented
approach for different problems
Medical care of the sick and conventional public health programmes
functioning under a single administrator and operating in unified manner
at all levels of hierarchy with due priority for each programme obtaining
at a point of time
RECOMMENDATION:
Integration from highest to lowest level in services
Integration of preventive and curative services
TERMS OF REFERENCE:
To devise a suitable curriculum for training a cadre of Health
Assistants
To suggest steps for improving the existing medical educational
processes as to provide due emphasis on the problems particularly
relevant to national requirements
To make any other suggestions to realise the above objectives and
matters incidental thereto
RECOMMENDATIONS
Organization of the basic health services (including nutrition,
health education and family planning) within the community
itself and training the personnel needed for the purposes; Creation of Village Health Guide (VHG) or community health
volunteers from the community itself like teachers, postmasters,
gram sevaks who can provide comprehensive health services as
paraprofessionals. - Primary health care be provided within the
community itself through specially trained workers so that the
health of the people is placed in the hands of people themselves
Creation of MPW and Health Assistants (HA) in between the VHG
and MO at PHC to bridge the community with the first level
referral Centre
The creation of a National Referral Services Complex by the
development of proper linkages between the PHC and higher
level referral and service centres;
Establishment of The Medical and Health Education Commission
for planning and implementing the reforms needed in health and
medical education
The committee recommended that by the end of 6 th five year
plan, 1 male and 1 female health worker should be available for
every 5000 population
There should be 1 male and 1 female health assistant for 2 male
and 2 female health worker
8. RURAL HEALTH SCHEME
Based on these recommendations Rural Health Scheme was launched
by the government in 1977-78.
The major steps initiated were:
a) Involvement of medical colleges in health care of selected 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.
b) Training of Village Health Guides and utilising their services in the
general health service system.
17. REPORT
OF
THENATIONAL
COMMISSION
ON
MACROECONOMICS AND HEALTH (2005)
Under chairmanship of P. Chidambaram, Finance Minister and Dr.
Anbumani Ramadass, Health Minister
promoting equity by reducing household expenditure on total
health spending and experimenting with alternate models of
health financing;
restructuring the existing primary health care system to make it
more accountable;
reducing disease burden and the level of risk;
establishing institutional frameworks for improved quality of
governance of health;
Investing in technology and human resources for a more
professional and skilled workforce and better monitoring.
SUMMARY
The participation of nurses is essential in the local governments
decision-making and in the direction of community health services-in
health centres, clinics, hospitals and other settings of nursing practice.
The placement of nurses in policy making, administrative and
managerial posts will eliminate the inadequate knowledge of nursing
potential in the health care delivery system.
BIBLIOGRAPHY
Park. K (2009), Preventive and Social Medicine 20th edition,
Banrsidas Bhanot; Jabalpur.
Kamalam. S. (2005), Essentials in community health nursing
practices 1st edition. New Delhi: Jaypee brothers
BT.Basavanthappa (2008), Community Health Nursing2nd edition,
Bangalore (India): Jaypee publications
Baride. J. P. and Kulkarni. A. P. (2006), Text book of community
medicine 3rd edition, Mumbai: Vora medical publications