FIVE YEAR PLANS

Ms. Neethu vincent

Asst professor
Kvm college of nursing
 INTRODUCTION
 The economy of India is based in part on 
planning through five-year plans, which are
developed, executed and monitored by the 
Planning Commission.

 In1950, planning commission was constituted to

help Government to plan out integrated
development plan for the entire country within
the available resources for a defined period of
five years for its socio economic progress.
FIRST FIVE YEAR PLAN (1951-1956)

 The Aim:
The aim of first five year plan was to fight against diseases,
malnutrition, and unhealthy environment and to build up
health services for population and for mothers and children
in order to improve general health status of people.
 THE MAJOR DEVELOPMENTS:
 The Year 1951
 The B.C.G vaccination programme launched.

 The Year 1952

 The pilot project of community development

programme was launched
 Primary Health centres were set up

 Auxiliary Nurse Midwife training was started

 The Year 1953
 The National Malaria Control Programme was launched.

 The National Family Planning Programme was launched.

 The Year 1954

 The central social welfare board was set up.

 The national leprosy control programme was launched.

 The Prevention of Food Adulteration Act was enacted.

 The national water supply and sanitation programme was

launched.
 The Antigen Production Centre was set up at Kolkata.

 The Year 1955

 The national filaria control programme was launched.

 The minimum marriage age of 18 years for boys and 15 years

of girls was prescribed by Hindu Marriage Act.
SECOND FIVE YEAR PLAN (1956-
1961)
 The Aim:

The aim of the second Five Year Plan was

expand existing health services to bring them
within in the reach of all people so as to promote
progressive improvement of nation’s health.
THE PRIORITIES:
 Establishment of institutional facilities for rural
as well as for urban population.
 Development of technical manpower.

 Intensifying measures to control widely spread

communicable disease.
 Encouraging active campaign for environmental
hygiene, water supply and sanitation.
 Provision of family planning and other
supporting services.
THE MAJOR DEVELOPMENTS
 The Year 1956
 Director, family planning was appointed at the centre.

 The centre health education bureau was set up at the centre.

 The Tuberculosis Chemotherapy centre setup at Chennai.

 The pilot project of Trachoma Control program was launched.

 The Year 1957

 The Demographic Research Centre were established in Delhi

Kolkata and Chennai.
 The Year 1958

 The national Malaria Control Program was converted in to

National Malaria Eradication Program.
 The Leprosy Advisory committee of the government of India
was launched.
 The Year 1959
 The Mudaliar committee was setup by the government of
India.
 The National Institute of Tuberculosis was established at
Bangalore.
 The Year 1960

 Pilot project of Small Pox Eradication were started.

 The Nutrition Advisory committee was formed

 The School Health Committee was appointed by the Union

Ministry of Health
THIRD FIVE YEAR PLAN(1961-1966)
 The Aim
 The main aim of the third five year plan was to remove the
shortages and deficiencies, which were observed at the end
of second five year plan in the field of health.
PRIORITIES
 Safe water supply in villages and sanitation
especially the drainage facilities in urban area
 Expansion of institutional facilities to promote
accessibility especially in the rural areas
 Eradication of malaria and smallpox and control
of various other communicable diseases
 Family planning and other supporting services
for improving health status of people
 Development of man power
 MAJOR DEVELOPMENTS
 The Year 1961
 The Mudaliar Committee Report was submitted and
published.
 The central bureau of health intelligence established

 The Year 1962

 The National Small Pox Eradication Program and The
National Goitre Control program was launched.
 The School Health Program was started.
 The Year 1963
 The Applied Nutrition Program was started by government of
India with the support of UNICEF, WHO and FAO.
 The Drinking Water Board was established.

 The Chadha Committee was appointed

 The Year 1964

 The National Institute of health Administration and Education

was established in the collaboration with Ford foundation.
 The Year 1965

 Lippes Loop was recommended as a safe and effective family

planning device by the Director ,ICMR.
 BCG vaccination without Tuberculin Test was introduced on
house to house basis .
 The Year 1966
 Separate department of family planning was setup in
the Union Ministry health
 The Year 1967

 The committee was setup on small family norm

 The Year 1968

 The Medical Education Committee was appointed to

study the various aspects of medical education within
the framework of national need and resources.
FOURTH FIVE YEAR PLAN (1969-
1974)

 The Aim

 The main of this plan was to strengthen primary

health centre network in the rural areas for
undertaking preventive, curative family planning
services and to take over the maintenance phase of
communicable diseases.
THE PRIORITIES
 The Family planning Program to strengthen
primary health centre strengthening .
 sub divisional district hospital to provide
effective referral support to primary health
centre.
 Intensification of control programmes

 Expansion of medical and nursing education

training of paramedical personnel to meet the
minimum technical manpower requirement .
 THE MAJOR DEVELOPMENTS
 The Year 1969
 The central births and deaths registration act was
promulgated.
 The report of Medical Education Committee was submitted.

 Nurtritional research laboratory –National institute of

nutrition
 The Year 1970

 The population council of India was setup.

 Registration Act of Birth and death came in to force.

 The Year 1971

 The family pension scheme for industrial workers was

introduced.
 The Medical Termination of Pregnancy Bill was passed
by parliament.
 The Year 1972

 The MTP Act was implemented.

 The Committee on “Multipurpose Workers Under

Health and Family Planning” headed by Kartar
Singh, The Additional Secretary of health was setup.
 The Year 1973

 The scheme of setting 30 bedded rural hospitals serving

4 primaries Health Centre was conceptualise.
 The Kartar Committee submitted its report.
 FIFTH FIVE YEAR PLAN(1974-
1979)
 The Aim

 The main aim of the fifth five year plan was to provide
minimum level of well integrated health, MCH and FP,
nutrition and immunization services to all the people
with especial reference to vulnerable groups especially
children, pregnant women and nursing mother.
 THE PRIORITIES
 Increasing accessibility of health services to rural areas
 Correcting regional imbalance

 Further development of referral services

 Integration of health, family planning and nutrition.

 Intensification of the control and eradication of

communicable diseases especially malaria and small
pox.
 Qualitative improvement of the education and training
of health
 Development of referral services
 THE MAJOR DEVELOPMENTS
 The Year 1974
 world population year by the United nation .

 Srivastava Committee was setup in November.

 The Year 1975

 India became small Pox free on 5th July 1975 .

 The revised strategy of national Malaria Eradication

Program was accepted by the government.
 Children Welfare board was setup.
 Integrated Child Development Scheme
 ESI Act was amended.

 The Year 1976

 Indian Factory Act of 1948 was amended.

 The prevention of Food Adulteration Act

 A new population policy

 The Year 1977

 The training of community health worker was initiated.

 “Goal of Health for All” was adopted WHO.

 The Year 1978
 The Child Marriage Restrained Bill 1978 fixing the
minimum marriage age that is 21 years for boys and
18 year for girl was passed.
 Alma Ata declared “Primary Health Care Strategy” to
achieve the goal of “Health for All” by the year 2000.
 Extended program of immunisation was started.

 The Year 1979

 The declaration of Alma Ata on primary health care

strategy was endorsed by WHO.
 SIXTH FIVE YEAR PLAN(1980-1985)

 The Aim
 The main aim of sixth five year plan was to workout alternative
strategy and plan of action for primary health care as a part of
national health system which is accessible to all section of
society and especially those living in tribal hilly , remote rural
areas and urban slums.
THE PRIORITIES
 Rural health services
 control of communicable and other diseases .

 Development of rural and urban hospitals.

 Improvement in medical Education

 Medical Research.

 Population control and family welfare including

MCH.
 Drug control and prevention of food
adulteration.
THE MAJOR DEVELOPMENT
 The Year 1980
 WHO declared eradication of Small Pox from
the world .
 The Year 1981

 The 1981 census was undertaken

 The control of pollution act of 1981 was enacted.

 The Year 1982

 The national health policy was announced and

placed in parliament.
 The Year 1983
 National Leprosy control programme was changed
to National Eradication Programme.
 National health policy was approved by the
parliament.
 National gunia worm eradication Programme was
started.
 The Year 1984

 The ESI Bill 1984 was passed by the parliament.

 SEVENTH FIVE YEAR PLAN(1985-
1989)

 The Aim
 The main aim for the seventh five year Plan was to plan
and provide primary health care and medical services to
all with special consideration of venerable groups and
those who are living in tribal, hilly and remote rural
areas so as to achieve to achieve goal of health for all
2000 AD.
 
THE PRIORITIES
 Health Services in rural , tribal and hilly areas
under Minimum Need Program.
 Medical Education and Training

 Control of emerging health problems especially

in the area of non communicable diseases .
 MCH and family welfare

 Medical Research

 Safe water supply and sanitation

 Standardisation .integration and application of

Indian system of medicine .
 THE MAJOR DEVELOPMENT
 The Year 1985
 The Universal Immunisation Program was launched on 19th
November, the birth date of Late PM Shrimati Indira Gandhi.
 The Year 1986

 Environment Protection was promulgated

 Mental health bill passed

 Juvenile Justice Act started working.

 National AIDS Control program was started.

 The Year 1987

 Worldwide Safe Motherhood Campaign was started by world

bank .
 National Diabetes Control Program was launched .
 A high power committee on Nursing and Nursing Profession
was setup by the government of India on 29th July.

 The Year 1988-91

 The ESI (Amendment Act) came in to force.
 Acute Respiratory Infection Program was started as a pilot
project in 14 districts in 1990.
 The 1991 census was conducted.
 The high power committee on Nursing and Nursing
profession published its report in 1989.
 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.
 EIGHTH FIVE YEAR PLAN(1992-
1997)

 The Aim
 The main aim of this plan was to continue
reorganisation and strengthening of health
infrastructure and medical services accessible to all
especially to vulnerable groups and those living in tribal,
hilly, remote rural areas etc.
THE PRIORITIES:
 Developing rural health infrastructure
 Medical education and training

 Control of communicable disease

 Strengthening of health services.

 Universal immunisation

 Safe water supply and sanitation

 MCH and Family Welfare

THE MAJOR DEVELOPMENT
 The Year 1992
 Child survival safe mother hood programme was started on
20th August.
 The infant milk substitute, Feeding bottles and infant foods
Act 1952 came in to operation.
 The Year 1993

 A revised strategy for National Tuberculosis Programme with

Direct Observed Therapy, a community based TB treatement
and care strategy was introduced as a pilot project in phased
manner.
 The Year 1994

 The panchayati Raj Act came into operation.

 Outbreak of Plague epidemic.

 The first Pulse Polio Immunisation Programme for children
under 3 years was organised on 2nd October and 4th December by
Delhi government.
 Post basic B.Sc nursing programme was launched through
distance education by IGNOU.
 The Year 1995

 ICDS was changed to Integrated mother and child Development

services.
 Transplantation of Human organs Act was enacted.

 The Year 1996

 National wide Pulse polio Immunisation was conducted on 9th

December 1995 and 20th January 1996 which was repeated on 7th
December 1996 and 18th January 1997.
 Family Planning Programme was made target free from 1st
April.
NINTH FIVE YEAR PLAN(1997-
2002)

 The Aim
 The main aim of ninth five year plan continued
with the same aim as that eighth plan which
was mainly concern with reorganization and
strengthening of infrastructure so as to
provide primary health care services accessible
to all especially those living in remote rural,
hilly, and tribal areas.
THE PRIORITIES
 Control of communicable and non communicable
diseases
 Efficient Primary Health Care System
 Strengthening of existing infrastructure.
 Improvement of referral linkage.
 Development of human resources,
 Disaster and emergency management.
 Involvement of practitioners from indigenous system of
medicine, Voluntary and private organizations.
SIGNIFICANT EVENTS
 RCH programme launched
 Government of India announced National Population
Policy 2000
 National Malaria eradication Programme renamed as
National Anti malarial Programme in 1999
 National Family Health Survey -2 was undertaken

 Phase 2 of National AIDS Control Programme started

 Census 2001 was completed

 Government of India Announced National Health Policy

2002
 Government of India announced National AIDS
Prevention and Control Policy 2002
 TENTH FIVE YEAR PLAN(2002-
2007)
Aim
The focus of planning has shifted from expansion of
services to the enhancement of human well being
THE PRIORITIES
 Restructuring of existing health infrastructures
 Upgrade the skills of health personnel

 Improve the quality of reproductive and child health

 Improve logistic supplies

 Ensure effective intersect oral cooperation

 Increase affectivity of IEC activities

 Carry out research on nutritional deficiencies and on

optimum daily requirements of nutrients for Indian men
and women
 Promote rational drug use
 THE MAJOR DEVELOPMENT
 State Health Missions have constituted in all states
 ASHA training modules revised

 Over 1500 management professional appoints in

programme management units
 RCH II launched &under implementation

 IMNCI started in 142 districts

 AYUSH doctors in PHC

 Village health and sanitation committee

 SC- 2 ANM

 PHC -3 staff nurse

ELEVENTH FIVE YEAR PLAN
(2007-2012)
Aim
 Plan provides an opportunity to
restructure policies to achieve a new
vision based on faster broad based and
inclusive growth .
 MAIN GOALS
 Reducing Maternal Mortality Ratio (MMR) to 1 per 100
live births.
 Reducing infant Mortality Rate (IMR) to 28 per 1000 live
births.
 Reducing Total Fertility Rate (TFR) to 2.1.

 Providing clean drinking water for all by 2009 and

ensuring no slip-backs.
 Reducing malnutrition among children of age group 0-3 to
half its present level.
 Reducing anemia among women and girls by 50%.

 Raising sex ratio for age group 0-6 to 935 by 2011-12 and
950 2016-17
PRIORITIES
 Improving health equity
 Adopting a system –centric approach rather than a
diseases-centric approach
 Increasing survival

 Taking full advantages of local enterprises for solving

local health problems.
 Preventing indebtedness due to expenditure on
health/protecting the poor from health insurance.
 Decentralizing governance

 Establishing e-Health

 Increasing focus on health human resources.

 Focusing on excluded/neglected areas

TIME BOUND GOALS FOR 11 TH 5
YEAR PLAN
TWELFTH FIVE YEAR PLAN (2012-2017)
 The 12 th five year plan was formulated based on the
recommendation of a high level expert group and other
stakeholder consultations .
Objective :
 To establish a system of universal health coverage in the
country
VISION OF 12TH FIVE YEAR
PLAN(2012-17)

Twelfth Five Year Plan focuses on Growth

– Growth which is
•Faster
•Inclusive
•Sustainable
1. Enhancing the Capacity for Growth
2. Enhancing Skills and Faster
Generation of Employment
3. Managing the Environment
4. Markets for Efficiency and Inclusion
5. Decentralization, Empowerment and
Information
6. Technology and Innovation
7. Securing the Energy Future for India
8. Accelerated Development of Transport
Infrastructure
9. Rural Transformation and Sustained Growth
of Agriculture
10. Managing Urbanization
11. Improved Access to Quality Education
12. Better Preventive and Curative Health Care
 Target at least 4% growth for agriculture.
 Cereals are on target for 1.5 to 2% growth.

 Land and water are the critical constraints. Technology

must focus on land productivity and water use efficiency.
 Farmers need better functioning markets for both outputs
and inputs. Also, better rural infrastructure, including
storage and food processing
 Investment and capacity additions are critical for
sustained industrial growth.
Need to grow at 11-12% per year to create 2 million
additional jobs per year. Growth in 11th Plan is in 8%.
Indian industry must develop greater domestic value
addition.
 Must aim at universalisation of secondary education by
2017
 Must aim at raising the Gross Enrolment Ratio (GER) in
Higher Education to 20 percent by 2017 and 25 percent by
2022
 Must focus on quality of education. Must invest in faculty
development and teachers’ training
 Must aim at significant reduction in social, gender and
regional gaps in education. Targets to be set for this
purpose
 Better health is not only about curative care, but about better
prevention, Clean drinking water, sanitation and better nutrition,
childcare, etc. Convergence of schemes across Ministries is
needed.
 Expenditure on health by Centre and States to increase from
1.3% of GDP to at least 2.0%, and perhaps 2.5% of GDP by end
of 12th Plan
 Desperate shortage of medical personnel. Need targeted
approach to increase seats in medical colleges, nursing colleges
and other licensed health professionals
 Health insurance cover should be expanded to all disadvantaged
groups
 Focus on women and children; ICDS needs to be revamped
India’s urban population is expected to increase from 400
million in 2011 to about 600 million or more by 2030
Critical challenges are basic urban services especially for the
poor: water, sewerage, sanitation, solid waste management,
affordable housing, public transport
Investment required in urban infrastructure is estimated at `60
lakh crore over the next 20 years
We need to develop and propagate innovative ways of
municipal financing, through Public-Private Partnerships (PPPs)
Land management strategies key for good urban development
as well as financing urban infrastructure development
 Railways’ Western and Eastern Dedicated Freight Corridors
must be completed by the end of the Twelfth Plan
 High Speed Rail link between Delhi-Mumbai and Delhi-
Kolkata in the Twelfth Five Year Plan
 Complete the linkages between the ports and the existing
road and rail network. Need to deepen existing ports.
Increase bulk/container capacity
 Ensure sufficient provision for maintenance of the already-
built roads
 Invest in unified tolling and better safety on highways
 Improve bus services/public transport in smaller cities,
towns and districts.