MUDALIAR COMMITTEE
PRESENTED BY:
MAJ ASHISH GUPTA
Dr. ANANYA SINGH
MUDALIAR COMMITTEE

THE HEALTH SURVEY AND PLANNING
COMMITTEE

Headed by Dr. A.L. Mudaliar

August 1959-October 1961

Implementation : 1962

Two Volumes. Volume I having 15 chapters and
Volume II having Appendices.
MUDALIAR COMMITTEE
CHAPTERS
I. Appointment of the Committee, Terms of
reference etc.
II. Introduction: Important developments
since the Bhore Committee.
III. Role of International Organisations.
IV. Present State of the Nation’s Health.
V. Medical Care.
VI. Public Health.
VII. Communicable Diseases.
CHAPTERS
VIII. Professional Education.
IX. Research.
X. The Population Problem.
XI. Drugs and Medical Supplies.
XII. Legislation.
XIII. Indigenous Systems of Medicine.
XIV. Health Administration.
XV. Financial Aspects and Conclusion.
CHAPTER I
1.
CONSTITUTION OF THE COMMITTEE AND ITS
TERMS OF REFERENCE
(a)
The assessment of developments in the
field of medical relief and public health since
the Bhore Committee.
(b)
Review of the First and Second Five-Year
Plan Health projects.
(c)
Formulation of recommendations for the
future plan of health development in the
country.
CHAPTER I

“I feel that twelve years of development
necessitate today a resurvey of the whole
field of, health including its preventive and
social aspects medical relief, preventive
health care, water supply, environmental
insanitation, medical education and selfsufficiency in the supply of drugs and
medical appliances as well as the place of
indigenous systems of medicine in the health
programme of the country”.
-Hon'ble Shri D. P. Karmarkar,
Union Minister of Health
12th August 1959
CHAPTER I

“We shall be able to submit a report that
will be not only practical, but also fair
and firm in its assessment of our health
problems and in the recommendations
we make to solve these problems. It will
be our endeavour to avoid both
exaggeration and skipping over of
essential matters”.
-Dr. A. Lakshmanaswami Mudaliar,
Vice-Chancellor,
University of Madras
CONSTITUTION OF THE COMMITTEE AND ITS
TERMS OF REFERENCE
(d)
Six sub-committees:
(i)
Professional Education, and Research.
(ii)
Medical Relief (Urban and Rural).
(iii)
Public Health including Environmental
Hygiene; Communicable diseases.
(iv)
Population “problem” & family planning.
(v)
Drugs and medical stores.
CHAPTERS
I. Appointment of the Committee, Terms of
reference etc.
II. Introduction: Important developments
since the Bhore Committee.
III. Role of International Organisations.
IV. Present State of the Nation’s Health.
V. Medical Care.
VI. Public Health.
VII. Communicable Diseases.
CHAPTER II
1.
Recapitulates the observations and
recommendations of the Bhore Committee.
2.
Important developments in India since Bhore
Committee Report.
3.
New Constitution.
4.
Health Administration consequent to the new
Constitution.
CHAPTER II
1.
BHORE COMMITTEE
(a) Appointed in 1943 during “British India”
(b) Health survey & development
committee
(c) Submitted the report in Jan 1946
(d) Main focus on rural population
(e) Short term 5-10 Years
(f) Long term 30-40 Years
CHAPTER II
1.
BHORE COMMITTEE
(g)
PHC / 40,000 populace, SHC /
600,000 populace.
(h) Village Health Committee.
(j)
Control of Communicable diseases.
(k) Increasing Bed : Population ratio.
(l)
School health service.
(m) Population control through Birth
control.
CHAPTER II
1.
BHORE COMMITTEE
(n)
43 Medical Colleges including an All India
Institution.
(o)
Special emphasis was warranted on fwg
aspects of health:
(i)
Nutrition
(ii)
Health education
(iii)
Physical education
(iv) Maternal and child health services
(v)
School health services
(vi) Occupational health including
industrial health
CHAPTER II
2.
IMPORTANT DEVELOPMENTS SINCE BHORE
COMMITTEE REPORT
(a)
Independence
(b)
Partition
(c)
Merger of Princely States
(d)
Reorganisation of states
(e)
Abolition of Indian medical service,
women's medical service & medical research
department
(f)
Planning commission
(g)
First and Second Five-Year Plan
(h)
Community development
CHAPTER II
IMPORTANT DEVELOPMENTS SINCE BHORE
COMMITTEE REPORT
TOTAL BUDGET
I Five Year
Plan
II Five Year
Plan
III Five Year
Plan
2,356
4,500
8,000
5.9%
5%
4.25%
140
225
341
(IN CRORES)
% ALLOCATION
BUDGET FOR
HEALTH (IN
CRORES)
CHAPTER II
IMPORTANT DEVELOPMENTS SINCE BHORE
COMMITTEE REPORT
Domain
Post I & II Five year Plans
2,800
Increased from 7,400 to 12,600
•Increased from 1,15,000 to 1,85,000
•From 0.24/1000 to 0.4/1000 (as against 1.03/1000 proposed).
•4,500 MCH centers
•20,000 maternity beds.
•Reduction of proportional case rate from 10.8% to 2.88%
•Proportional case rate as compared between 1953 & 1960
•30,000 beds
•60 Million vaccinations
CHAPTER II
IMPORTANT DEVELOPMENTS SINCE BHORE
COMMITTEE REPORT
Domain
Post I & II Five year Plans
•61 medical colleges in the country with an annual
admission of about 5,900; as against 43 medical colleges
visualised.
•AIIMS, AFMC
•Facilities for post-graduate studies and dental surgery.
•Departments of Preventive and Social Medicine in many
medical colleges.
•Leprosy Control Scheme
•Central Leprosy Teaching and Research Institute,Thirumani
All India Institute of Mental Health at Bangalore
CHAPTER II
IMPORTANT DEVELOPMENTS SINCE BHORE
COMMITTEE REPORT
Domain
Post I & II Five year Plans
•Nutrition Research centres at Bombay and Calcutta
•Prevention of Food Adulteration Act
•National Nutrition Advisory committee
Central Health Education Bureau
Two cancer research centres were set up, one at Bombay
and the other at Calcutta.
•Increasing popularity of sterilisation
•A net-work of urban and rural family planning clinics
•The Pharmacy Act and the Drugs and Magic Remedies Act
•The Central Drugs Laboratory
CHAPTER II
IMPORTANT DEVELOPMENTS SINCE BHORE
COMMITTEE REPORT
Domain
Post I & II Five year Plans
•National Water Supply and sanitation Programme,
1954.
•Central Public Health Engineering Organisation, 1955.
•Master of Engineering in Public Health was
established at the All India Imitate of Hygiene and
Public health, Calcutta in 1948-49.
•Central Public Health Engineering Research Institute,
Nagpur
•Statistical cells in States.
•International Collaborations with WHO & TCM.
CHAPTER II
4.
HEALTH ADMINISTRATION CONSEQUENT TO
THE NEW CONSTITUTION
(a)
The suggestions of this committee didn’t
necessitate any constitutional changes.
(b)
Simpler recommendations would be
accepted by Centre and States alike.
(c)
Legislative measures were felt necessary
in the public interest in respect of food
adulteration and adulteration of drugs.
CHAPTER II
4.
HEALTH ADMINISTRATION CONSEQUENT TO
THE NEW CONSTITUTION
(d)
Formation of a Central Health cadre.
(e)
UGC should include the fields of Medicine,
Engineering, Agriculture and Veterinary Science.
(f)
National Institutions
for
Malaria
eradication, Small-pox, Cholera, Leprosy,
TB
and Filariasis.
(g)
Making the Central Health Council more
effective.
CHAPTERS
I. Appointment of the Committee, Terms of
reference etc.
II. Introduction: Important developments
since the Bhore Committee.
III. Role of International Organisations.
IV. Present State of the Nation’s Health.
V. Medical Care.
VI. Public Health.
VII. Communicable Diseases.
CHAPTER III

ROLE OF INTERNATIONAL ORGANISATIONS
WHO
U.N.I.C.E.F.
COLOMBO PLAN
TECHNICAL COOPERATION MISSION
FORD FOUNDATION
ROCKEFELLER
FOUNDATION
F.A.O.
NORWEGIAN AID
RUSSIAN AID
CARE
Other Countries
CHAPTERS
I. Appointment of the Committee, Terms of
reference etc.
II. Introduction: Important developments
since the Bhore Committee.
III. Role of International Organisations.
IV. Present State of the Nation’s Health.
V. Medical Care.
VI. Public Health.
VII. Communicable Diseases.
CHAPTER IV
THE PRESENT STATE OF THE NATION’S HEALTH
The Upside
(a) Significant reduction in mortality and morbidity.
(b) Higher Life expectancy. Reduced Death Rate.
(c) An optimistic perception of the ESI corp.
(d) Increase in the no. of Medical Colleges, Medical
students and Nursing Institutions has been well
acknowledged.
(e) Availability of courses in Industrial and
Occupational health.

CHAPTER IV

THE PRESENT STATE OF THE NATION’S HEALTH
180
160
140
120
100
80
60
40
20
0
162
135
27,4 21,6
20
18
26,56
42
1946
1960
CHAPTER IV

THE PRESENT STATE OF THE NATION’S HEALTH
Death Rate
1931-41
1941-51
1956-61
31.2
27.4
21
Parameter
1947-1950
1958-1960
Medical Colleges
25
61
Medical Students
1983
5900
Nurses
15,000
27,000
Nursing Institutions
206
270
ANM Trg Institutions
229
535
CHAPTER IV
THE PRESENT STATE OF THE NATION’S HEALTH
The Lacunae
(a) Lack of uniform health measures across the
country.
(b) Health of School Children α Sanitation standards
in schools.
(c) Rural – Urban migration and Population growth.
(d) Post partition immigration mainly in Eastern India.
(e) Overcrowding in hospitals, inadequate staff, nonavailability of essential drugs etc.
(f) Maladjustment of trained manpower.

CHAPTER IV

RECOMMENDATIONS
(a) Hygiene awareness.
(b) Mitigate to Overcrowding in hospitals, inadequate
staff, mixing of serious with minor cases)
(c) Right person for the right job.
(d) Use of statistical data of outbreaks/epidemics.
(e) Improvement in the Sanitation facilities at the
schools.
CHAPTERS
I. Appointment of the Committee, Terms of
reference etc.
II. Introduction: Important developments
since the Bhore Committee.
III. Role of International Organisations.
IV. Present State of the Nation’s Health.
V. Medical Care.
VI. Public Health.
VII. Communicable Diseases.
CHAPTER V
MEDICAL CARE OBSERVATIONS
(a)
Ill equipped & overburdened PHC, SHC.
(b)
Inadequate diagnostic facilities at GH, DH.
(c)
Disheartening doctor : Population ratio.
(d)
Free healthcare for all- as envisaged in past ain’t
possible / feasible.
(e)
Worrisome Bed : Population ratio.
(f)
Inadequate Ambulance services at all echelons.
(g)
Significant rise in OPD clientele; inadequate attention.
(h)
Rise in casualty cases.
(j)
Varried facilities at Taluq Hospitals.
CHAPTER V
ESI
(a) States must assume greater responsibility.
(b) Urgent need of more hospitals and upgradation of
dispensaries to polyclinics having lab facilities.
(c) Provision of multiple specialties prior to extending
benefits to families.
(d) Panel doctors for a max. pd of 3 years with provision
of further extension.
(e) Land acquisition in excess of immediate need.
(f) Domiciliary visits by doctors for preventive health
aspects.
CHAPTER V
TRIBAL AND BACKWARD AREAS
(a) Around 20 million population.
(b) Troglodytic voodooist outlook.
(c) Acknowledgement of ongoing public health
activities. E.g. Yaws control programme.
(d) Lack of basics.
(e) Prevalence of communicable diseases and
nutritional deficiencies.
(f) Inherent rules of Quarantine like measures.
CHAPTER V

HEALTH SERVICES FOR DEFENCE SERVICES
AND CIVIL-MILITARY COOPERATION.
(a)
Applauds the integration of services under
DGAFMS.
(b)
Acknowledgement of pioneering work done
at premier institutions.
(c)
Inadequacy of GD MOs, Specialists and
MNS Officers was highlighted.
(d)
Civil-Military interchange of specialists.
(e)
PHCs should seek guidance and assistance
from SHOs.
RECOMMENDATIONS

MEDICAL CARE (Chapter V)

Aims at 1 bed / 1,000 population by IVth or Vth Plan
periods.


Financing of medical care needs a careful study.
Extending the gambit of ESI & CHSS.

District hospitals: Expansion and specialist facilities.

Taluk hospitals should be developed to take over the
routine medical, surgical , obstetrical and gynecological
services.
RECOMMENDATIONS
PHC
 Discontinuation of PHC on the existing pattern
 1PHC/
40,000 Population
 Mobile
health van facility
 Residential
 Bed
accommodation
strength of 10
 Each
PHC should be provided with a jeep
CHAPTER V
RECOMMENDATIONS
Sub Centre (4 beds)
PHC : 10 beds
 1 Medical officer
 2 Medical officer
 1 Public health nurses
 1 Sanitary officer
 1 Auxillary health workers
 2 Public health nurses
 3 Auxillary health workers  3 Midwifes
 1 Pharmacist
 3 Midwifes
 1 Pharmacist
RECOMMENDATIONS
PHC
 PHC
preferably located in association with
other developmental activities of the
Government
 Rural service should be an essential prerequisite for confirmation in government
service
 PHC medical officer should not be allowed for
private practice
 PHC should be provided with communication
facility
RECOMMENDATIONS
Taluk Hospitals
Minimum
bed strength of 50 & 03 MO’s dealing
with medicine, surgery and OB&G
 Referral unit for 02 or 03 PHCs
 03 lab technicians & lab should be able to
handle all routine work other than serology &
culture
.
RECOMMENDATIONS
District Hospitals:






Each with 300 to 500 beds
All specialist services & blood bank
The TB clinic and Public health laboratory should work
in close association with DH
Link with teaching hospital for expert advice
Mobile unit in each DH to visit taluq hospital and PHCs
Dental and TB clinics to have their own mobile vans
fitted with x-ray units to visit the peripheral units
RECOMMENDATIONS
Distribution of beds:
 At
least 1bed/1000 population in each district
 PHC’s
- 10beds
 Taluk Hospital
- 50beds
 District Hospital
- 300 to 500 beds
 10 to 15 beds in Taluk hospital & 30 to 40 beds
in District Hospital for isolation
of TB cases
 Each District hospital to have
a psychiatric clinic & 5 to 10 beds
CHAPTER V
RECOMMENDATIONS
TB cases
 10-15
beds for infectious TB cases in each taluk
 30-50 beds in each District Hospital where a
separate TB hospital does not exist
 Leprosy hospitals
 Leprosy hospitals for treatment, isolation, surgery
and rehabilitation.
 Such hospitals are required in the endemic
areas.
RECOMMENDATIONS
Ophthalmic hospitals:
•
•
•
•
•
•
•
District Hospital - 10 to 15 beds,
Medical College - 50 to 100 beds
One such hospital for each state with 300-500
beds
Establishment of rehabilitation centre for
visually blind
Mass campaign against blindness causing
diseases (trachoma, small pox etc)
Adequate training at under graduate level
Training of personnel for propaganda and mass
therapy in rural areas
RECOMMENDATIONS
Mental Health Care:
 5-10
beds at district level for psychiatry cases
 Mental hospital should be developed on regional
basis with approx 750 beds
Orthopaedic hospitals:
 Every State should have an orthopedic hospital
with wings for accident service
 Casualty department should also be encouraged
 Training institute for physiotherapy at Bombay
should be fully developed & enabled to take on
Limb Fitting activities as done by Army LimbFitting Centre at Poona.
RECOMMENDATIONS
Medical care In Railways:
 Subject all employees to periodic physical
examination.
 Checks against pts.having infectious diseases freely
using trains & platforms.
 Specialist referral services should be availed
.
RECOMMENDATIONS
Tribal & Backward areas





.
Local conditions & peculiarities must be taken into
account
Civilising influences should be extended without
violating their cultural practices
Expansion of facilities to train health assistants, sanitary
inspectors & other technicians out of local tribes
To meet shortage of doctors, the tribal students should
be trained by the state
Duty in the tribal area should be made compulsory
RECOMMENDATIONS
Role Of Private Practitioners:
 Opportunities
to serve in government hospitals
on a part time or honorary basis
 Hospital authorities should encourage them to
admit in the hospital their patients needing
inpatient care
 Utilization of services
in schemes like ESI,
Family planning, school health service & mass
immunization
 Measures be adopted to eliminate quack
CHAPTERS
I. Appointment of the Committee, Terms of
reference etc.
II. Introduction: Important developments
since the Bhore Committee.
III. Role of International Organisations.
IV. Present State of the Nation’s Health.
V. Medical Care.
VI. Public Health.
VII. Communicable Diseases.
CHAPTER VI
PUBLIC HEALTH
(a) Malaria, Filariasis, Cholera, Dysentery, Smallpox.
(b) Nutritional Disorders.
(c) Deficit production of Cereal, Pulses, Milk and
Vegetables.
(d) Inadequate data and statistical lacunae.
(e) Safe Water supply to all households.
(f) Concerns of Water and Air Pollution.
(g) Incomplete coverage of School Health Service.
(h) Unavailability of drainage and sewerage system.
CHAPTER VI
PUBLIC HEALTH
(j) Untrained personnel in PHED.
(k) Overcrowding, Slums and Lack of housing.
(l) 20,000 maternity beds; 1.5 Crore births per
year.
(m) Paucity of trained Midwives, ANMs, rural health
workers in foreseeable future.
(n) Mental Health Statistics weren’t available.
(o) 15,000 beds for mental hospitals.
CHAPTER VI
RECOMMENDATIONS
CHAPTER VI
RECOMMENDATIONS
Maternal and child Health:
 Need
of agency to ensure follow-up of ANC, PNC,
maternal & child welfare services.
 Enough maternity beds must be provided in teaching
hospitals to allow each under graduate to do the
normal quota of 20 cases.
Trained mid-wifery should also be domiciliary
Extension of these services to rural areas.
 Creches in commercial & industrial estb.
(Aanganwadi, Balwadis)
CHAPTER VI
RECOMMENDATIONS
Maternal and child Health:
 Inclusion
of immunization, nutrition, education apart
from routine mother and child care
 Establishment of Independent maternity hospitals
 MCH staff to give talks, demonstrations, film shows,
family planning education, home visits and health
education
 Planned development of maternity homes/ hospitals
with attached antenatal clinics and ambulance service
to attend to emergency cases at homes
RECOMMENDATIONS
School Health:
 Medical checkup at the time of school
entrance and at 04 yearly intervals
 Provision
of immunization and
sanitary facilities
 Mid
day meals to cater for one third of daily calorie
requirements
 Compulsory
production of birth and vaccination
certificates for admission in schools
 Improvement
of general hygiene & sanitation in
school premises & their surroundings
RECOMMENDATIONS
Nutrition
 cultivable
land need to be Developed.
 Increased poultry farming, milk and fish
production
 Special
attention
production
 Employment
dieticians
 Provision
of
to
vegetables
qualified
&
nutritionist
fruits
and
of iron supplements, protein rich food
& vitamins to vulnerable groups in rural areas
RECOMMENDATIONS
Housing
 Removal
of slums & alternate provision of
accommodation
 Encouragement
schemes
 Proper
to
Co-operative
housing
planning before sanctioning of housing
schemes and regulation by special boards
CHAPTERS
I. Appointment of the Committee, Terms of
reference etc.
II. Introduction: Important developments
since the Bhore Committee.
III. Role of International Organisations.
IV. Present State of the Nation’s Health.
V. Medical Care.
VI. Public Health.
VII. Communicable Diseases.
CHAPTER VII
COMMUNICABLE DISEASES
(a) Collaboration of Central and State Govts.
(b) Unsatisfactory notification of diseases.
(c) Malaria and TB continue to remain major issues.
(d) Lack of refinements and precision in spraying
operations.
(e) Emergence of DDT resistance among vectors for
Malaria, Filariasis and Plague.
(f) Outbreaks of Influenza and other viral illnesses
reaching Indian shores.
CHAPTER VII
COMMUNICABLE DISEASES
(g) Failure of Quarantine measures towards
international travel.
(h) Polio epidemics in 1952, 1954, 1960-61.
(j) Presence of Types I, II and III in the population.
(k) Sabin’s vaccine used during outbreak in Andhra
Pradesh.
(l) Encephalitis epidemics among children were
attributed to Coxsackie A or B types.
(m) Need of increases intense research towards viral
illnesses was felt.
RECOMMENDATIONS
Communicable Diseases (Chapter VII)
RECOMMENDATIONS
Communicable Diseases (Chapter VII)
Malaria
 Malaria
eradication programme is expected to
achieve the targets in course of 4th plan period
 Possibility
of resistance
development
mosquitoes to the insecticides
in
 Possibilities
of insects other than malaria
vectors becoming resistant to the insecticides
 Careful
consideration of the routine use of
insecticides to insect borne diseases of man and
RECOMMENDATIONS
Tuberculosis:
 Continuation
of Mass BCG vaccination during
3rd plan
 Integration of vaccination programme with
other TB schemes
 Establishment of fully equipped and staffed TB
clinics in each district
 State wise demonstration and training centre
 Provision for rehabilitation and after care
facilities
RECOMMENDATIONS
Leprosy
 Segregation
considered as impractical approach
for eradication of leprosy
 Emphasis
on early detection and treatment of
 Training
both
cases
medical
and
personnel
 Provision of rehabilitation facilities
 Establishment
surgery
paramedical
of centres for reconstructive
RECOMMENDATIONS
Venereal Diseases:
 Collection
of monthly reports from all the states
on the types of different Venereal diseases
treated
 Serological surveys- in
selected population
groups
 Free supply of penicillin
 Strengthening of training centres
 Measures to discourage prostitution
 PHC should be provided with communication
facility
 Initiation National Venereal disease control
programme
CHAPTERS
VIII. Professional Education.
IX. Research.
X. The Population Problem.
XI. Drugs and Medical Supplies.
XII. Legislation.
XIII. Indigenous Systems of Medicine.
XIV. Health Administration.
XV. Financial Aspects and Conclusion.
CHAPTER VIII
PROFESSIONAL EDUCATION
“The whole efficiency of the medical
services of any country ultimately
depends upon the standards which
that country has adopted for and
which re prevalent among the general
practitioners”.
CHAPTER VIII
PROFESSIONAL EDUCATION
(a) No. of colleges had increased.
(b) Shortage of qualified teachers by 2,000.
(c) AIIMS (1956) was no exception.
(d) Insufficient English knowledge as a hindrance
to admissions.
(e) Over evaluation of under-taught students.
CHAPTER VIII
PROFESSIONAL EDUCATION
(f) Pay scale disparity of clinical and non-clinical
professors.
(g) Non uniformity in the admission procedures,
internships and even recruitment of faculty.
(h) Need to formulate methods of selection for
PG.
(j) Upgradation of Post-graduate teaching
institutions in allied fields to be at par.
RECOMMENDATIONS
PROFESSIONAL EDUCATION (Chapter VIII)
RECOMMENDATIONS
PROFESSIONAL EDUCATION (Chapter VIII)
UG
•
•
•
•
•
•
•
One medical college for at least 5 million
population
Number of admissions should not ordinarily
exceed 100
Selection based on the merit only
Integrated method of teaching involving
professors of both clinical & para-clinical subjects
Teacher-student ratio be increased to 1:5
PSM should be taught right from the start of
course
3 months of internship period should be spent in
RECOMMENDATIONS
PROFESSIONAL EDUCATION (Chapter VIII)
PG
 Establishment
of 6 regional PG centers in addition
to AIIMS during the 3rd plan
 At least one well developed PG centre of training
in each state
 Admission should be on a regional basis
 National Council for PG education should take
charge of the inspection, recognition etc
 Granting of PG diploma courses
 Refresher courses for general practitioners &
service doctors
 Liaison between Indian & Foreign universities
RECOMMENDATIONS
MEDICAL RESEARCH (Chapter IX)
RECOMMENDATIONS
 MEDICAL
RESEARCH (Chapter IX)
 The
research institutes-the source for two types of
research activities – fundamental & field research
 ICMR-a central organization to collect information
from international centers
Research unit set up in every medical college
 Research facilities in every post graduate medical
centre
 Attached statistics unit in every research institute

 Augmentation
& better utilization of funds
pertaining to industrial health & research schemes
by common pooling of resources of Railways,
Labour, Health & Industrial Ministries
CHAPTERS
VIII. Professional Education.
IX. Research.
X. The Population Problem.
XI. Drugs and Medical Supplies.
XII. Legislation.
XIII. Indigenous Systems of Medicine.
XIV. Health Administration.
XV. Financial Aspects and Conclusion.
CHAPTER X
THE POPULATION PROBLEM
(a) National Family Planning Programme:
(i)
Service
(ii)
Training
(iii) Education
(iv) Research
(b) Rate of increase of population:
1901-1911
6.4
1921-1931
10.6
1931-1941
13.6
1951-1961
21.5
RECOMMENDATIONS
POPULATION PROBLEM (Chapter X)
RECOMMENDATIONS
POPULATION PROBLEM (Chapter X)
Family Planning services:
 Demographic,
sociological and anthropological
studies for deciding contraceptive methods
suited to each area
 Setting
up of plants for the indigenous
manufacture of contraceptive appliances
 Strengthening
of educational aspects of Family
Planning movement
 Each
& every health worker should be oriented
in methods of Family Planning
RECOMMENDATIONS
DRUGS & MEDICAL SUPPLIES (Chapter XI)
 Stringent
measures be taken to enforce the
conditions of licensing.
 Establishment
of fully equipped analytical labs in
states having substantial drug manufacture
 Attachment of
research wings with selected
laboratories.
 The
import, manufacture, distribution & sale of
drugs should be confined to the list prepared by
the expert committee.
CHAPTERS
VIII. Professional Education.
IX. Research.
X. The Population Problem.
XI. Drugs and Medical Supplies.
XII. Legislation.
XIII. Indigenous Systems of Medicine.
XIV. Health Administration.
XV. Financial Aspects and Conclusion.
LEGISLATION (Chapter XII)
 Universities
should
accept
IMC
laid
down
standards.
 Recognition of degrees should be with reference
to universities.
 No necessity for IMC to seek approval of other
countries’ medical councils towards recognition
of Indian degrees.
 Reconstituted Post graduate committee of IMC
 Registration is must to start practice.
 Legislative action in regard to radiological clinics.
 Each state should have a PHA of its own on the
basis of the MPHA framed by the Ministry of
health.
CHAPTERS
VIII. Professional Education.
IX. Research.
X. The Population Problem.
XI. Drugs and Medical Supplies.
XII. Legislation.
XIII. Indigenous Systems of Medicine.
XIV. Health Administration.
XV. Financial Aspects and Conclusion.
INDIGENEOUS SYSTEM OF MEDICINE (Chapter XIII)
 Establishment
of Chairs of Indian system of
medicine in all medical colleges.
 Promote
integration of Modern Medicine and
Ayurveda.
 Setting
 The
up of PG centers in Ayurveda.
Central & State
Govts should provide
sufficient financial support to trainees in ISM.
CHAPTERS
VIII. Professional Education.
IX. Research.
X. The Population Problem.
XI. Drugs and Medical Supplies.
XII. Legislation.
XIII. Indigenous Systems of Medicine.
XIV. Health Administration.
XV. Financial Aspects and Conclusion.
HEALTH ADMINISTRATION (Chapter XIV)
•
Central level
•
•
•
•
•
Create an ‘All India Health service’ similar to ‘Indian
Administrative service’
Establishment of a health intelligence bureau in central
health organization.
Formation of a separate division on medical education
in DGHS
Separate section dealing with international health
matters in the directorate
Health education bureau should be set up in the
central & state health directorates
HEALTH ADMINISTRATION (Chapter XIV)
 State
Level
Health directorate in each state headed by DHS
 State Health Advisory Board

 District

level
District Medical & Health Officer
 Peripheral
level
PHC medical officers should belong to the state cadre
 Directly answerable to DHS

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