final 5 year plan.docx

COMMUNITY HEALTH NURSING
SEMINAR ON
NATIONAL HEALTH
POLICY &FIVE
YEAR PLANS
MR. SURAJ PANDE

GENERALOBJECTIVES:
At the end of the seminar the group will be able to understand about
the “NationalHealth PolicyAndFive-year plans” and will be able to apply
this knowledge in their daily professional practice.
SPECIFIC OBJECTIVE:
At the end of the class the group will be able to:
1. get introduced to national health policy
2. discuss the key element of national health policy
3. enlist the goal to be achieved by 2000-2015
4. describe the millennium development goals
5. give brief introduction about five-year plans
6. define the term ‘plan’&‘five-year plan’
7. enlist the planning commission members in five-year plans.
8. describe objectives of five-year plans
9. list down the purposes offive-year plans
10.discuss in detail about 1st -12thfive-year plans

NATIONAL HEALTH POLICY
Introduction
Since India became independent, several measures have been taken under by the
National Government to Improve the health of the people. Program among these
measures are the NATIONAL HEALTH PROGRAMS, which have been
launched by the central government of control/ eradication of communicable
diseases, improvement of environmental sanitation, raising the standard of
nutrition, controlof population and improving rural health.
National health policy in India was not framed and announced until 1983. The
ministry of health and family welfare evolved a National Health Policy in 1983,
keeping in view the national commitment to attain the goal healthfor all by 2000
A.D. The policy lays stress on the preventive,promotive, public health and
rehabilitationaspects of health care.To attain the objectives “Health for all by
2000 AD”, the Union Ministry of Health and Welfare
formulated National Health Policy 1983.
key element of national health policy
 Creation of greater awareness of health problemsin the community and
means to solve the problemsby the community.
 Supply of safe drinking waterand basicsanitationusing technologies that
people can afford.
 Reduction of existing imbalance in health services by concentrating more
on the rural health infrastructure.
 Establishing of dynamic health management information system to
supporthealth planning and health program implementation.
 Provision of legislative support to health protection and promotion.
 Concerned actions to combat wide spread malnutrition.
 Research in alternative method of health care delivery and low costhealth
technologies.
 Greater co-ordination of different system of medicine.

Goal to be achieved by 2000-2015
2003 –
 Enactment of legislation for regulating minimum standard inclinical
Establishment / Medical institution
2005 –
 Eradication of Polio & Yaws
 Elimination Leprosy
 Increase State Sectorhealth spending from 5.5% to 7% to ofthe budget.
 Establishment of an integrated system of surveillance,National Health
Accounts and Health Statistics
 1% of the total budget for Medical Research
 Decentralization of implementation of public health program
2007-
 Achieve of Zero level growth of HIV/AIDS
2010-
 Elimination of Kala- Azar
 Reduction of mortality by 50% on account of Tuberculosis, Malaria,
Other vector & water borneDiseases
 Reduce prevalence of Blindness to 0.5%
 Reduction of IMR to 30/1000 live births &MMR to100/Lakh live births
 Increase utilization of public health facilities fromcurrent level of <20%
to > 75%
 Increase health expenditure by government from theexisting 0.9% to
2.0% of GDP
 Increase share of Central grants to constitute at least25% of total health
spending

 Further increase of State sectorHealth spending from
7% to 8%
 2% of the total health budget for medical Research
2015-
 Elimination lymphatic Filariasis
Millennium development goals
There are Eight Millennium Development Goals adopted by United Nation.
1.To eradicate extreme poverty and hunger
2.To achieve universal primary education
3.To promote gender equality and empower women
4.To reduce child mortality
5.To improve maternal health
6.To combat HIV/AIDS, malaria and other diseases
7.To ensure environmental sustainability
8.To develop a global partnership for development.

FIVE YEAR PLANS
INTRODUCTION:
The five-year plans were conceived to re-build rural India, to lay the
foundation of industrial progress & to secure the balanced development
of all parts of the country.Recognizing ‘health’ as an important
contributory factor in the utilization of manpower & the uplifting of the
economic conditions of the country, the Planning Commission gave
considerable importance to health programmes in the five-year plans.
After independence, India was in dire conditions and needed tostart
acting soonSome of the problems necessitated need for an immediate
plan:
 Vicious circle of poverty
 Foreign Trade
 Need for Rapid industrialization
 Population pressure
 Development of Natural resources
 Capital Deficiency & Market imperfections
PLAN: -
Definition:
A‘Plan’isadeliberateattempttospellouthowthe resources of a country should be
put to use.
 Ithassomegeneralandspecificgoals,whicharetobe achieved within a
specific period of time.
 The general goals of a Plan are growth, modernization, full employment,
self-reliance and equity. But all Plans may not give equal importance to
all of them.

 Each Plan can have some specific goals like improvement of agriculture.
For example, our first five-year plan was geared to improving the state of
agriculture and the second to improving Industry.
PLANNING COMMISSION OF INDIA
The Planning Commission was set up in March, 1950 by a Resolution of the
Government of India.
The economy of India is based on planning through its five-year plans,
developed, executed and monitored by the Planning Commission. With the
Prime Minister as the ex-official Chairman, the commission has a nominated
Deputy Chairman, who has rank of a Cabinet minister. Montek Singh
Ahluvaliya is currently the Deputy Chairman of the Commission. The
eleventh plan started its term in March 2007 and the twelfth plan is currently
underway.
 Chairman – Prime Minister of India
 Deputy Chairman
 Minister of state (Planning)
 Members
 Member Secretary
 Senior Officer
FIVE YEAR PLAN:-
Definition
“Five-year plan is mechanism to bring about uniformity in policy
formulation in programmes of national importance.”

OBJCECTIVES:
1. Control or eradication of major communicable diseases.
2. Strengtheningof the basic health services through the establishment of
primary health centres &subcentres.
3. Population control.
4. Development of health manpower resources.
5. To eliminate wasteful expenditure.
6. To develop the bestcourse of action to accomplish as defined objective.
7. To raise the standard of living of the people and to open them
opportunities.
8. Reducing inequalities
PURPOSES
1. Water supply and sanitation
2. Control of communicable diseases
3. Medical education training and research
4. Medical care including hospitals dispensary and PHC
5. Public health services
6. Family planning
7. Indigenous system of medicines
FIRST FIVE YEAR PLAN (1951-1956)
The first Indian Prime Minister, Jawaharlal Nehru presented the first five-year
plan to the Parliament of India on December 8, 1951.
The first plan sought to get the country's economy out of the cycle of poverty.

OBJECTIVES:
Improve living standards of the people in India which was possible by making
judicious use of Natural Resources.
Total outlay of this plan -- A massive Rs. `2069 Cr
The segregation –
1. Irrigation and energy (27.2 percent),
2. Agriculture and community development (17.4 percent),
3. Transportand communications (24 percent),
4. Industry (8.4 percent),
5. Social services (16.64 percent),
6. Land rehabilitation (4.1 percent), and
7. Other (2.5 percent).
 The target growth rate was 2.1 percent annual gross domestic product
(GDP)
growth; the achieved growth rate was 3.6 percent.
 During the first five-year plan the net domestic productwent up by 15
percent.
 The monsoonwas good and there were relatively high crop yields,
boosting
exchange reserves and the per capita income, which increased by 8
percent.
 National income increased more than the per capita income due to rapid
population growth.
 Many irrigation projects were initiated during this period, including the
BhakraDam and Hirakud Dam.
 The World Health Organization, with the Indian government, addressed
children's health and reduced infant mortality, indirectly contributing to
population growth.
 At the end of the plan period in 1956, five Indian Institutes of Technology
(IITs) were started as major technical institutions.
 University Grant Commission was set up to take care of funding and take
measures to strengthen the higher education in the country.

Following programmed was started during first five-year plan;
 1951-BCG vaccination programme.
 1952- PHC was setup at Delhi; 2nd Oct1952.
 Virus research Centre was setup at Pune.
 1954-National leprosy control programme.
 Central government health scheme started in Delhi.
 VDRL antigen productionwas setup in Calcutta
 Prevention of food adulteration act was held.
 1955-Hindu marriage act
SECOND FIVE YEAR PLAN (1956-1961)
OBJECTIVES:
 To increase the national income by 25%
 To make the country more industrialized
 Development of the public sector
 To increase employment opportunities so that every citizen gets a job
ACHIVEMENTS:
 Five steel mills at Bhilai, Durgapur, and Jamshedpur
 Hydroelectric power projects
 Production of coal increased Coal productionwas increased.

 More railway lines were added in the north east.
 Improved the living standards of the people
 The large enterprises in seventeen industries were nationalized
Following programmed was started during first five year plan;
 1956- TB Chemotherapy centre
 Central health education.
 1957- A talent search and scholarship program was begun to find
talented youngstudents to train for work in nuclear power.
 The Tata Institute of Fundamental Research – established as
a researchinstitute
 Demographic Research Centre started in Delhi.
 1958- 1stPanchayat Raj introduced in Rajasthan.
 National TB institute started.
 1960- Schoolhealth committee.
 National nutritional advisory committee was constituted.
THIRD FIVE YEAR PLAN (1961-1966)
OBJECTIVES
1. More stress to agriculture
i. Subsidies
ii. Sufficient help
2. To increase the national income by 5% per annum
3. Making India self-sufficient in food grains by increasing agricultural
production
4. Minimizing rate of unemployment

5. To establish equality among all the people of the country
ACHIVEMENTS:
a. The Panchayat Organization was formed
b. Many primary schools were started in rural areas
c. State electricity boards and state secondary education boards were
formed
d. State road transportation corporations were formed
e. Many cement and fertilizer plants were also built formed and local
road building became a state responsibility
f. The third plan stressed on agriculture and improving production of
rice.
g. The Sino-Indian war led to inflation and the priority was shifted to
price stabilization.
h. The construction of dams continued.
i. Punjab began producing an abundance of wheat.
j. Panchayat elections were started and the states were given more
development responsibilities.
1) 1961-Central Bureau of health intelligence was established.
2) 1962-National small poxeradication program.
 Schoolhealth programme was initiated.
 Goitre control programme started.
3) 1963- Applied nutrition programme started.
 Safe drinking water board was setup.
 extended family planning programme was launched.
4) 1965- direct house to house BCG vaccination was initiated.
 lippies loop as safe & effective method for family
planning was introduced.
5) 1967- Small family norm was encouraged to provide suitable incentives
to people who were willing for small family.
 Birth & Death registration act was reinforced by Rajya
Sabha for compulsory registration of birth within
15days & death within 7 days.

PROBLEMS FACED:
o Sino-Indian War of 1962 exposed weaknesses in the economy and
shifted the focus towards the Défense industry.
o In 1965-1966, India fought a war with Pakistan. The war led
to inflation and the priority was shifted to price
stabilization. GDP rate during this duration was lower at 2.7%.
FOURTH FIVE YEAR PLAN (1969 TO 1974)
At this time Indira Gandhi was the Prime Minister. The Govt. nationalized
19 major Indian banks.
OBJECTIVES:
1) To reform and restructure its expenditure agenda (Défense became one
major expense)
2) To facilitated growth in exports
3) To alter the socio-economic structure of the society
ACHIVEMENT
 Great advancement has been made with regard to India's national income
 Spending on war efforts reduced industrial spending
 Tested the first nuclear weapon with Smiling Buddha in 1974
 Considered as one of the emerging powers
 Food grains production increased to bring about self-sufficiency in
production
 1969-Central birth &death registration act was started.
 1970-Drug controlpolicy was initiated.
o India post-partum family planning programme started.
o Population council of India was formed.
 1971- Medical termination of pregnancy bill was passed by per claimed.
o Family pension scheme was initiated.

 1972- Medical termination act came into force.
o National institute of nutrition was setup in Hyderabad
 1973- Committee proposedthat auxiliary nurse’s midwives should be
replaced as female
o health workers & sanitary workers to be replaced as male health
workers.
PROBLEMS FACED:
a. India was attacked in 1962 followed by another one in 1965.
Worse– India faces drought.
b. A gap was created between the people of the rural areas and those
of the urban areas.
FIFTH FIVE YEAR PLAN (1974 TO 1979)
OBJECTIVES:
1) To reduce social, regional, and economic disparities
2) Reduce poverty and to attain self-sufficiency in agriculture and defence
3) Reducing rate of Unemployment both in Urban & Rural sectors
4) Encourage Self-employment
5) Encourage growth of Small scale industries
6) Prevent over population
ACHIEVEMENTS:
 Food grain production was above 118 million tons due to the
improvement of infrastructural facilities
 Increasing accessibility of health services to rural areas.

 Correcting regional imbalances.
 Further development of referral services by removing deficiencies in
district & sub-divisional hospitals.
 Integration of health, family planning & nutrition.
 Intensification of the control & eradication of communicable diseases
especially malaria & smallpox.
 Quantitative improvement in the education & training of health personnel
by convertingunpurposive workers to multipurpose workers.
 Development of referral services by providing specialists attention to
common diseases in rural areas.
1. 1974- Prevention & control of water pollution act was passed by
parliament.
i. National malaria eradication programme.
2. 1975- India was declared smallpox free by WHO on 5th July.
i. Integrated child development programme was started.
3. 1976- National programme for prevention of blindness & visual
impairment was initiated.
i. Prevention of food adulteration act was amended & passed.
4. 1977- Eradication of smallpox declared in April by international
commission.
i. Rural health scheme initiated.
ii. Revised modified plan of malaria controlwas under
operation.
5. 1978- Alma ata declaration emphasing primary health care concept.
i. Child marriage restrain act was approved by parliament.
ii. Expanded programme on immunization was launched
formulate regionaloffices of health & family welfare.

SIXTH FIVE YEAR PLAN (1980-1985)
6th Five Year Plan -- Known as Janata Government Plan
It’s Existence – Tourism industry increased, I.T sector develops!!!!!
The issues – Rajiv Gandhi being the PM, & hence emphasized on Industrial
Development
Some agreed, but the communist groups protested
OBJECTIVES:
1. Aimed for rapid Industrial Development
2. Improve the Tourism Industry
3. Family Planning conceptintroduced, but not forcibly
4. To introduce min Needs Program for the poor
ACHIEVEMENTS:
1. Planned GDP growth - 5.1% a year, achieved 5.4%
2. When Rajiv Gandhi was elected as the Prime Minister, the young prime
minister aim for rapid industrial development, especially in the area of
information technology.
3. The Indian national highway system was introduced for the first time and
many roadswere widened to accommodatethe increasing traffic.
4. The sixth plan also marked the beginning of economic liberalization.
Price controls were eliminated and ration shops were closed. This led to
an increase in food prices and an increased costof living.
5. Progressive reduction in the incidence of poverty & unemployment.
6. To step up the rate of growth of the Indian economy.
7. Promoting policies for controlling the population growth through
voluntary acceptance of the “small family norms”.
8. To improve the quality of life of the people in general through “minimum
needs program”.

1. 1980-Total plan investments were Rs.97, 500crore
i. health:1821crore
ii. family welfare:1010crore
2. Smallpox was officially declared free for entire world by WHO.
3. 1981- Census was taken.
a. Air pollution act was activated.
b. International drinking water & sanitation decadestarted
(1981-90)
4. 1983- National Leprosy control programme was converted as
national leprosy eradication programme.
SEVENTH FIVE YEAR PLAN (1985 TO 1989)
Congress comes into power
OBJECTIVES:
1. To upgrade the industrial sector
2. To generate more scopeof employment
3. Improved facilities for Education to girls
4. Increase productivity of small and large-scale farmers
ACHIVEMENTS
1. Using modern technology
2. Full supply of food, clothing, and shelter
3. Making India an Independent Economy

4. Anti-poverty programs The Seventh Plan marked the comebackof the
Congress Party to power.
5. The plan lay stress on improving the productivity level of industries
by up gradation of technology.
The thrust areas of the 7th Five-year plan have been enlisted
below:
 Social Justice
 Removal of oppressionof the weak Using modern technology
Agricultural development
 Anti-poverty programs
 Full supply of food, clothing, and shelter
 Increasing productivity of small and large-scale farmers Making
India an Independent Economy
During this plan period, the central government took steps to
improve the following:
 Primary health care.
 Control of communicable diseases.
 Health education.
 Health service research.
 Water supply & control of cancers & mental diseases.
 1985-Universal Immunization programme was launched by WHO
under the new program all pregnant women were given tetanus
toxoid & immunize all children against six killer diseases.
 1986-Environment Protection Act was started.
 1987-World wide “safe motherhood” programme was held.

PERIODBETWEEN1989-91
1. 1989-91 was a period of political instability in India and hence no five-
year plan was implemented. Between 1990 and 1992, there were only
Annual Plans.
2. In 1991, India faced a crisis in Foreign Exchange (Forex) reserves, left
with reserves of only about $1 billion (US). Thus, under pressure, the
country took the risk of reforming the socialist economy.
3. P.V. Narasimha Rao (28 June 1921 – 23 December 2004), also called
Father of Indian Economic Reforms, was the twelfth Prime Minister of
the Republic of India and head of Congress Party, and led one of the most
important administrations in India's modern history overseeing a major
economic transformation and several incidents affecting national security.
4. At that time Dr. Manmohan Singh launched India's free market reforms
that brought the nearly bankrupt nation back from the edge. It was the
beginning of privatization and liberalization in India.
EIGHTH FIVE YEAR PLAN (1991-1995)
OBJECTIVES:
 Modernization of Industrial Sector
 The plan focused on technical development
 Strengthening the infrastructure
 Involvement of Panchayat raj, Nagarpalika, N.G. O’s& people's
participation

Something about Agriculture during this period:
Agriculture happens to be the largest contributor to the GDP of India. In
fact,two third of the work force was dependent on Agriculture. Industries
made good use of Agricultural producein their productionprocess.
Self-sufficiency in agricultural productionwas a top priority during this
plan.
Reason: The whole of India depends on it.
ACHIEVEMENTS:
1. Production of food increased from 51 million to 176.22 million
2. GDP shoots up to a whopping 6.3% ………. the target was 1.6%
3. The plan was more successfulthan the 7th year plan
4. 24.4% domestic savings, it contributed 10.1% to the GDP in regards
toExport Earnings
Many flawed plans & Policies were rectified in this plan. During this
period India was the only lucky one to become a member of the WTO (1st
Jan 1995)
The thrust during the eight FYP was on human development
through the following:
1) Employment generation measures.
2) Population controlmeasures.
3) Universal water supply.
4) Literacy enhancement measures.
5) Provision of adequate food at affordable cost.
6) Modernization of industries was a major highlight of the Eighth Plan.
7) Under this plan, the gradual opening of the Indian economy was
undertaken to correctthe burgeoning deficit and foreign debt.

8) Meanwhile India became a member of the World Trade Organization on
1 January 1995.This plan can be termed as Rao and Manmohan model of
Economic development.
The major objectives included, containing
1. population growth,
2. poverty reduction,
3. employment generation,
4. strengthening the infrastructure,
5. Institutional building,
6. Human Resourcedevelopment,
7. Involvement of Panchayat raj, Nagarapalikas, N.G.O.S and
Decentralisation and people’s participation.
 1992-positive health approachwith emphasis on disease prevention &
health promotion including rehabilitation of physically & other
handicapped.
 1993-CSSM (Child survival and safe motherhood) programme initiated.
 1995-(1) pulse polio immunization campaign took place on 11th
December 1994 & 20 January 95.
“transplantation of Human Organ” act was passed to regulate the
removal storage & transplantation of human organs for therapeutic
purpose.
 1996-pulse polio immunization second phase on 7th December 1995 &
18th January 1996.

NINTH FIVE YEAR PLAN (1997 TO 2002)
By Planning Commission;
General:
 target 6.5%!!!
 achieved 5.35% L
OBJECTIVES:
1. To prioritize rural development
2. To generate adequate employment opportunity
3. To stabilize the prices
4. To ensure food & nutritional security
5. To provide for basic infrastructural facilities
a. Education
b. Water
c. Health
d. Transport
e. Energy
6. Encourage Women improvement
7. To create a liberal market for Private investment
ACHIEVEMENTS:
Yes! India managed to bring together the giant power, support& effort of
public, private & all level of Govt
 Ensure optimal functioning of primary health care.
 Strengthen primary health institutions and improve referral linkage.
 Explore cheaper modalities of tertiary care.
 Organize periodic sessions of continuing education education for doctors.

1. 1997-introduction of reproduction & child health programme.
2. 2001-J. P Narayan Trauma centre inaugurated National programme
for control & treatment of occupational diseases.
TENTH FIVE YEAR PLAN (2002 TO 2007)
The Tenth Five Plan will cover a period from 1st April 2002 to 31st March 2007.
The Tenth plan provides an opportunity at the start of the new millennium, to
build upon the gains of the past but also to address the weakness that have
emerged. Some of the gains of the past are:
 The growth rate of the national income has important from average of
about 5.7% in the eighties to an average of about 6.5% in the Eighth and
NinthPlan periods making India one of the ten fastest growing developing
countries.
 The percentage of the population in poverty has continued to decline.
 Population growth has decelerated below 2% for the first time in four
decades.
 Literacy has increased from 52% in 1991 to 65% in 2001.
 Sectors such as software services and IT enabled services have emerged
as new sourceof strength, creating confidence about India’s potential to
be competitive in the world economy.
Main OBJECTIVES ofthe tenth plan are:
1. Reduction of poverty ratio by 5 percentage points by 2007; Providing
gainful and high-quality employment at least to the addition to the labour
force;

2. All children in India in schoolby 2003; all children to complete 5 years
of schooling by 2007;
3. Reduction in gender gaps in literacy and wage rates by at least 50% by
2007;
4. Increase in Literacy Rates to 75 per cent within the Tenth Plan period
(2002 to 2007);
5. Reduction in the decadal rate of population growth between 2001 and
2011 to 16.2%;
6. Reduction of Infant mortality rate (IMR) to 45 per 1000 live births by
2007 and to 28 by 2012;
7. Reduction of Maternal Mortality Ratio (MMR) to 2 per 1000 live births
by 2007 and to 1 by 2012;
8. Increase in forest and tree cover to 25 per cent by 2007 and 33 per cent by
2012;
9. All villages to have sustained access to potable drinking water within the
Plan period;
10.Cleaning of all major polluted rivers by 2007 and other notified stretches
by 2012;
WEAKNESSES:
1) The decline of unemployment is relatively high at above 7%.
2) More than half of the children 1-5 years old in rural areas are under
nourished.
3) The girl children are suffering even more severe malnutrition.
4) The infant mortality rate has stagnated at 72 per 1000 forthe last several
years.
5) As many as 60% of rural households and about 20% of urban household
do not have a power connection.
6) Only 60% our urban households have taps within their homes.

7) The Tenth Plan must learn from past experience. It must strengthen what
has worked well, but it must also avoid repeating past failures.
Five Year Plan is being drawn up as a ReformPlan instead of merely
having a ResourcePlan.
Planning;
 Restructure existing health infrastructure
 Upgrade the skills of health personnel
 Improve the quality of reproductive and child health
 Improve logistic supplies
 Ensure effective intersectoral cooperation
 Increase the affectivity of IEC activities
 Carry out research on nutritional deficiencies and on the optimum daily
requirement of nutrients for Indian men and women.
 Promote rational drug use.
ASSUMPTIONS
The objective of 8% growth rate of Tenth Plan is based on the following
assumptions:
1) Incremental capital output ratio will be 4:1.
2) Rate of investment will be 32%.
3) There will be improvement in efficiency development.
4) Sufficient political supportwill be mobilized to ensure progress in
critical areas.
5) The Rate of Domestic Savings will be 29.8% and of foreign savings will
be 2.8%.
6) The Fiscal Deficit will be 2.6 per cent.
7) The revenue receipts of the central government will be 10.2 percent and
revenue expenditure will be 10.7 per cent of the gross domestic product.

ELEVENTH FIVE YEAR PLAN (2007-2012)
INTRODUCTION:
The National Development Council has approved the 11th Five Year Plan for
the period from 2007 to 2012. The plan document is entitled ͞Towards Faster
and More Inclusive Growth
͟ . The Indian economy on the eve of 11th Plan is much
stronger than it was on the eve of 10th Plan. 10th Plan has achieved the highest
growth rate of GDP at 7.8 percent. The 11th plan enters with a saving rate at 34.8
percent of GDP and the investment rate at 35.9 percent of GDP. The priority
areas for this plan are agriculture, irrigation and water resources, education,
health, infrastructure, employment, upliftment of SCs/STs,other backward
classes, minorities, women and children.
The Central vision of the 11th plan is to build on our strengths to trigger a
development process which ensures broad-based improvement in the quality of
life of the people, especially the poor, SCs/STs, OBCs, minorities and women.
The National Development Council has endorsed a target of 9% GDP growth
for 11th Plan. Government has visualized not only the faster but inclusive growth
also. Inclusive growth means a growth process which yields broad-based
benefits and ensuresequality of opportunity for all
The eleventh plan has the following objectives:
1. Income & Poverty
 Accelerate GDP growth from 8% to 10% and then maintain at 10% in the
12th Plan in order to double per capita income by 2016- 17
 Increase agricultural GDP growth rate to 4% per year to ensure a broader
spread of benefits
 Create 70 million new work opportunities.
 Reduce educated unemployment to below 5%.
 Raise real wage rate of unskilled workers by 20 percent.

 Reduce the headcount ratio of consumption poverty by 10 percentage
points.
2. Education
 Reduce dropoutrates of children from elementary schoolfrom 52.2% in
2003-04 to 20% by 2011-12
 Develop minimum standards of educational attainment in elementary
school, and by regular testing monitor effectiveness of education to
ensure quality
 Increase literacy rate for persons of age 7 years or above to 85%
 Lower gender gap in literacy to 10 percentage points
 Increase the percentage of each cohortgoing to higher education from the
present 10% to 15% by the end of the plan
3. Health
 Reduce infant mortality rate to 28 and maternal mortality ratio to 1 per
1000 live births
 Reduce Total Fertility Rate to 2.1
 Provide clean drinking water for all by 2009 and ensure that there are no
slip-backs
 Reduce malnutrition among children of age group 0-3 to half its present
level
 Reduce anemia among women and girls by 50% by the end of the plan
4. Women and Children
 Raise the sex ratio for age group 0-6 to 935 by 2011-12 and to 950 by
2016-17
 Ensure that at least 33 percent of the direct and indirect beneficiaries of
all government schemes are women and girl children
 Ensure that all children enjoy a safe childhood, without any compulsion
to work
5. Infrastructure

 Ensure electricity connection to all villages and BPL households by 2009
and round-the-clock power.
 Ensure all-weather road connection to all habitation with population 1000
and above (500 in hilly and tribal areas) by 2009, and ensure coverage of
all significant habitation by 2015
 Connect every village by telephone by November 2007 and provide
broadband connectivity to all villages by 2012
 Provide homestead sites to all by 2012 and step up the pace of house
construction for rural poorto cover all the poorby 2016-17
6. Environment
 Increase forest and tree cover by 5 percentage points.
 Attain WHO standards of air quality in all major cities by 2011-12.
 Treat all urban waste water by 2011-12 to clean river waters.
 Increase energy efficiency by 20 percentage points by 2016-17.
TWELTH FIVE YEAR PLAN(20012-2017)
INTRODUCTION:
The union cabinet today approved the 12th Five Year Plan that seeks an average
annual economic growth of 8.2 percent and identifies infrastructure, health and
education as thrust areas. The growth rate has been lowered to 8.2 percent from
the 9.0 percent projected earlier in view of the current slowdown in the
economy and adverse international situation. The duration of the plan is 2012 to
2017.
During the 11th Plan period, the average annual growth was 7.9 percent. A full
Planning Commission chaired by Prime Minister Manmohan Singh September
15 endorsed the document which has fixed the total plan size at Rs.47.7 lakh
crore.

The 12th Plan seeks to achieve 4 percent agriculture sector growth during the
five-year period "critical to achieve inclusive growth".
Highlights of 12th Five Year Plan (2012-17):
 Average growth target has been set at 8.2 percent
 Areas of main thrust are-infrastructure, health and education
 Growth rate has been lowered to 8.2 percent from the 9.0 percent projected
earlier in view adverse domestic and global situation.
 During the 11th Plan period, the average annual growth was 7.9 percent
 A full Planning Commission chaired by Prime Minister Manmohan Singh on
September 15 endorsed the document which has fixed the total plan size at
Rs.47.7 lakh crore
 The 12th Plan seeks to achieve 4 percent agriculture sector growth during the
five-year period
 Agriculture in the current plan period grew at 3.3 percent, compared to 2.4
percent during the 10th plan period. The growth target for manufacturing
sectorhas been pegged at 10 percent
 On poverty alleviation, the commission plans to bring down the poverty ratio
by 10 percent. At present, the poverty is around 30 per cent of the population.
 According to commission Deputy Chairperson Montek Singh Ahluwalia,
health and education sectors are major thrust areas and the outlays for these in
the plan have been raised.
 The outlay on health would include increased spending in related areas of
drinking water and sanitation.
 The commission had accepted Finance Minister P. Chidambaram's suggestion
that direct cash transfer of subsidies in food, fertilizers and petroleum be made
by the end of the 12th Plan period
 After the cabinet clearance, the plan for its final approval would be placed
before the National Development Council (NDC), which has all chief
ministers and cabinet ministers as members and is headed by the Prime
Minister.
Agriculture
Agriculture in the current plan period has grown at 3.3 percent, compared to 2.4
percent during the 10th plan period. The growth target for manufacturing sector
has been pegged at 10 percent.

Infrastructure
The document stresses the importance of infrastructure development, especially
in the power sector, and removal of bottlenecks for high growth and
inclusiveness. It also sets targets for various economic and social sectors
relating to poverty alleviation, infant mortality, enrolment ratio and job creation.
Poverty
On poverty alleviation, the commission plans to bring down the poverty ratio by
10 percent. At present, the poverty is around 30 per cent of the population.
Health and Education
According to commission Deputy Chairperson Montek Singh Ahluwalia, health
and education sectors are major thrust areas and the outlays for these in the plan
have been raised.
The outlay on health would include increased spending in related areas of
drinking water and sanitation.
The commission had accepted Finance Minister P. Chidambaram's suggestion
that direct cash transfer of subsidies in food, fertilizers and petroleum be made
by the end of the 12th Plan period.
Direct cash transfers would bring down the government's subsidy burden as the
money would go directly to the "genuine" beneficiaries and "plug leakages" in
the implementation of these schemes.
After the cabinet clearance, the plan for its final approval would be placed
before the National Development Council (NDC), which has all chief ministers
and cabinet ministers as members and is headed by the Prime Minister.
SUMMARY:
Todaywe have seen about National health policy andfive-year plan
 get introduced to national health policy
 discuss the key element of national health policy
 enlist the goal to be achieved by 2000-2015
 describe the millennium development goals
 brief introduction about five-year plan,
 definition of plan &five-year plan,
 purposesof five-year plan,
 overall objectives of five-year plan,

 objectives&achievements of each plan.
CONCLUSION:
Here I conclude the topic of five-yearplan, this plan was mainly focus on the
growth & development of rural community. Since 1951 the planning
commission was working with different objectives set in every plan. As you all
used this knowledge while working in the community for the betterment of
community & development of community on following aspects
health,education,discrimination,health facilities etc.
REFERENCES:
1. K. Park, Textbook of preventive & social medicine,24th edn.2017,
Banarsidas Bhanot publishers, pg.913-915,552
2. Gulani S., Community health nursing, reprint 2011, Kumar
publisher, pg.65-81
3. Sunita Patney, Textbook of Community health nursing, CBS
publishers,2011; pg.23
4. History, Constitution of Planning commission in India: Available
on URL: http://www.planningcommission.nic.in/index.php
5. Https://en.wikipedia.org/wiki/Five-Year_Plans_of_India
6. https://plan.maharashtra.gov.in/.../plan/.../Annual_Plan_2012-
13_PC_29.5.2012

Expenditure under the programmes from the first
to twelfth five year plan
Period Expenditure ( Rs. In crores)
First plan(1951-56) 0.65
Second plan (1956-61) 5.00
Third plan(1961-66) 27.00
Fourth plan(1969-74) 285.80
Fifth plan (1974-79) 285.60
Sixth plan (1980-1985) 1,309.00
Seventh plan (1985-90) 2,868.00
Eight plan (1992-97) 6,195.00
Ninth plan (1997-2002 14,170.00
Tenth plan (2002-2007) 58,920.00
Eleventh plan (2007-2012 136,147.00
Twelfth plan (2012-17) 372,600.00

ResourceAllocationin11th FiveYearPlan:
EleventhPlanOutlayandItsAllocation(at2006-07Prices)
(Source:EconomicSurvey,2007-08,p.a-47)
Items ProposedOutlay(Rs.`Crore) Percentage ofTotaloutlay
1.Agriculture andAllied Activities 1,36,381 3.7
2.RuralDevelopment 3,01,069 8.3
3.SpecialAreaProgrammefor
BackwardRegions
26,329 0.7
4.Irrigation andFloodControl 2,10,326 5.8
5.Energy 8,54,123 23.4
6.Industry andMinerals 1,53,600 4.2
7.Transport 5,72,443 15.7
8.Communication 95,380 2.6
9.Science,Technology and
Environment
87,933 2.4
10.GeneralEconomicServices 62,523 1.7
11.SocialServices 11,02,237 30.3
12.GeneralServices 42,284 1.2
TOTAL 36,44,718 100

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