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1. BHORE COMMITTEE

2. 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

4. 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”

5. 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

6. 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.

7. 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.

8. 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.

9. 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:

10. 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

11. 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

13. 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.

14. 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.

16. 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.

17. 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.

18. Thank you
THANK YOU