Fiveyear Plans of India@entha nannavate e lokam

FIVE YEAR PLAN
INTRODUCTION
     In 1950, 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 socioeconomic progress.
The constitution of India had has considered health as human being’s right and an asset for overall socioeconomic developments. The government of India and the planning commission give considerable importance to health in five year plans.
The following are the general health objective have been considered in the “FIVE YEAR PLANS” right from the beginning.

*     Control and eradication of various communicable diseases, deficiency diseases and chronic diseases.
*     Strengthening of medical and basic health services by establishing District health units., primary health centers and sub centers.
*     Population control.
*     Development of health man power resources and research.
*     Development of indigenous system of medicine.
*     Improvement of environmental sanitation.
*     Drug control.

These objectives different in each five year plan depending upon the priority needs of people, technical considerations and resources available. The five year plan approach resulted in extensive and continuous progresses in the field of public health and also to quite an extent in nursing. These are –

THE FIRST FIVE YEAR PLAN (1951-1956)

The first five year plan India (1951-1956) had been presented by the then Prime Minister Jawaharlal Nehru in the Indian Parliament on 8th December, 1951.
THE AIMS-
The aim of the first five year plan was to fight against diseases, malnutrition and unhealthy environment and to build up healthy services for rural population and for mother and children in order to improve general health status of people.




THE PRIORITIES-

The areas in order of priorities included:

·       Safe water supply and sanitation.
·       Control of malaria.
·       Health care of rural population.
·       Education and training and health education.
·       Self sufficiency in drugs and equipments.
·       Family planning and population control.

THE HEALTH OUTLAY:
A  sum of Rs.140 crores was allotted for health programme during the first five year plan which was 5.9 present of the total outlay (Rs.2356 crores)for the entire development plan.

THE MAJOR DEVELOPMENT:

 The major developments which took place to meet the identified priority areas and objectives are presented below according to year wise-

THE YEAR 1951-
Ø  The B.C.G. vaccination programme to prevent and control tuberculosis was launched.
THE YEAR 1952-

Ø  A pilot project of community development programme was launched in 55 project areas on 2nd October the birthday of Mahatma Gandhi to get rid of three ills from the society namely poverty, ill health and ignorance through overall development of the rural areas. The programme was based on the philosophy of self help and working together. The provision of medical and public health services were the part of this programme.
Ø  The central council of health was constituted.
Ø  Primary health centers were set up to render health services in rural areas.
Ø  Auxiliary nurse midwife ANM training was started to train ANM to function in a network of sub centre and primary health centre in the rural areas and provide comprehensive maternal child health and family welfare services under the direct supervision of lady health visitors/public health nurses at the block level.
THE YEAR 1953-

Ø  The community development program was extended to national level on 2nd October and was called as community development and national extension service programme.
Ø  The national malaria control program was launched.
Ø  The national family planning program was launched.
Ø  A committee was set up to draft a model public health act for the country.

THE YEAR 1954-

Ø  The contributory central government health scheme was started at Delhi.
Ø  The central social welfare board was set up.
Ø  The national leprosy control programme was launched.
Ø  The national Water supply and sanitation programme was launched.
Ø  The prevention of food adulteration act was enacted.
Ø  VDRL antigen production center was set up at Kolkata.
Ø  Shetty committee was constituted by the government of India on 19th may 1954 to survey the existing facilities for nursing services and emoluments available to nurses, to assess minimum requirement of nurses in the country and to make recommendation to overcome shortage or nurses and improve service conditions and emoluments. The finding of the committee revealed a grim picture with regard to working conditions, emoluments status of nursing education and nursing services in the hospital and the community.
Ø  Create a post of nursing superintendent in each state and to combine hospital nursing services and public health nursing service into one service.
Ø  Integrate public health nursing in basic general nursing and midwifery courses.
Ø  Have 1 nurse for 3 patient in hospital with school of nursing,1 nurse for 5 patient in non teaching hospital, 1 midwife for 100 births in rural areas,1 mid wife for 150 birth in towns and cities, 1 public health nurse or health visitor for 10,000 population.
Ø  Improve condition of training of nurses like proper accommodation, proper facilities for proper work, qualified tutor and ward sisters, proper health care of students, shorter working hours.
Ø  The committee also made recommendation for admission criteria, compulsory hostel stay for students and two years of service bond.
Ø  The committee made various recommendations in general to improve nursing care and nursing service condition of nurse.

THE YEAR 1955-

Ø  The national filarial control programme was launched.
Ø  A filarial training center was set up at Ernakulum Kerala.
Ø  The central leprosy teaching and Research institute was started at Chingelput, Madras
Ø  National TB sample survey was started.
Ø  The minimum marriage age of 18year for boys and 15 year girl was prescribed by the Hindu marriage act.
Ø  With all these development, health and medical facilities have improved. Health services were rendered to rural population from the primary health centers the standard of these centers varied from state to state and even within a state.

THE SECOND FIVE YEAR PLAN (1956-1961)

THE AIM-
The aim of second five year plan was to expand existing health services to bring them within the reach of all people so as to promote progressive improvement of nation’s health.

THE PRIORITIES-

The priorities of the second five year plan were-

·       Establishment of institutional facilities for rural as well as for urban population.
·       Development of technical man power.
·       Control of communicable diseases.
·       Water supply and sanitation.
·       Family planning and other supporting programmes.


THE HEALTH OUTLAY:

An outlay of Rs.225 crores was allocated for the second five year plan.

THE MAJOR DEVELOPMENTS:
THE YEAR 1956:
Ø  Draft model public health act was prepared by the committee and published.
Ø  Director, family planning was appointed at the centre.
Ø  The demographic training and research centre was established in Mumbai.
Ø  The central education bureau was set up at the centre.
Ø  The immoral traffic act was enacted.
Ø  The tuberculosis chemotherapy centre was set up at madras.

THE YEAR 1957:

Ø  The demographic research centre was established in Delhi, Kolkata madras.

THE YEAR 1958:

Ø  The national malaria control program was converted into national eradication programme.
Ø  The national tuberculosis survey was completed.
Ø  The leprosy advisory committee of the government of India was launched.

THE YEAR 1959:

Ø  The mudaliar committee was set up by the government of India.
Ø  Panchyat raj was introduced In Rajasthan.
Ø  The national institute of tuberculosis was established at Bangalore.
Ø  The nutrition research laboratory at coonoor was shifted to Hyderabad.

THE YEAR 1960:

Ø  Pilot project of small pox eradication were started.
Ø  The national nutrition advisory committee was formed to render advice on nutrition policies.
Ø  The school health committee was appointed by the union ministry of health to assess the existing health and nutrition status of the school children and recommend measure to improve them.

THE THIRD FIVE YEAR PLAN(1961-1966)

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. These were the pertaining to institutional facilities especially in rural area, shortage of trained personnel and supplies, lack of safe drinking water in rural area and inadequate drainage system.
THE PRIORITIES:
·       Safe water supply in village and sanitation especially the drainage programmer in the urban area.
·       Expansion of institutional facilities to promote accessibility especially in the rural area.
·       Eradication of malaria and small pox and control of various other communicable diseases.
·       Family planning and other supporting services for improving health status of people.
·       Development of man power.

HEALTH OUTLAY:
An out lay of Rs.342 crore was allotted for the third five year plan.

THE YEAR 1961:
Ø  The central bureau of health intelligence was established.
Ø  The Mudaliar committee report submitted and published. The committee   reported a significant development and progress made in all area of health in terms of infrastructure, man power, institutional facilities and qualities and quality of services etc.
Ø  The committee observed decline in crude death rate to 21.6 in 1961 from 27.4 in 1941-1951 and from 31.2 in 1931-1941.the infant mortality rate was found to be 135 per 1000 life birth.
Ø  In general the committee emphasized on the need for the housing adequate and wholesome food, supply of safe drinking water, proper disposal of sewage ,prevention of crowding, clearance of slum, Supply of safe milk, the development of conscience for sanitation in community and hygienic conditions in school for promotion of health of people.

THE YEAR 1962-

Ø  The national small pox eradication programme and national goiter control programme were launched.
Ø  The school health programme was started.
Ø  The district tuberculosis programme was conceptualized.

THE YEAR 1963:

Ø  The applied nutritional programme was started by the government of India.
Ø  The national trachoma control programme was initiated.
Ø  Extended family planning programme was introduced, the emphasis in this programme shifted from clinical approach to extended approach.

THE YEAR 1964:

Ø  The national institute of health administration and education was established in collaboration with food foundation.

THE YEAR 1965-

Ø  Lippes loop was recommended as a safe and effective method of family planning.
Ø  Reinforced extended family planning programme was launched.
Ø  B.C.G. vaccination without tuberculin test was introduced.

THE YEAR 1966:
Ø  A separate department of family planning was set up in the union ministry of health to co ordinate family planning programme at the centre and states.

THE YEAR 1967:
Ø  A committee was set up on the small family norm to recommend suitable incentives for those accepting small family norm and practicing family planning.
Ø  The central council of health recommended compulsory payment by patient attending hospitals.

THE YEAR 1968:
Ø  A medical education committee was appointed to study the various aspects of medical education within the framework of national needs and resources.

 THE FOURTH FIVE YEAR PLAN (1969-1974)

The fourth five year plan did not start soon after the third five year plan due to same political reasons. It started in 1969.

AIM:

The main aim of this plan was to strengthen primary health centre network in the rural areas for undertaking preventive, curative and family planning services and to take over the maintenance phase of communicable diseases.

PRIORITIES:

·       Family planning programme.
·       Strengthening of primary health centers.
·       Strengthening of sub divisional and district hospital to provide effective referral support to PHC.
·       Intensification of control programme.
·       Expansion of medical and nursing education training of Para medical personnel to meet the minimum technical manpower requirement.

THE HEALTH OUTLAY:

Of the total outlay of Rs.16, 774 crores on the entire development plan

THE YEAR 1969:

Ø  The nutritional research laboratory was expanded to national institute of nutrition.
Ø  Comprehensive legislation for control of river water pollution from domestic and industrial waste was drafted.
Ø  The central birth and death registration act was promulgated.

THE YEAR 1970:

Ø  The population council of India was set up.
Ø  All India hospital family planning programme was launched.
Ø  Registration act of birth and death came into force.
Ø  Mobile training cum service units’ scheme was launched.
Ø  The drug Order was promulgated.

THE YEAR 1971:

Ø  The family pension scheme (FPS) for industrial worker was introduced.
Ø  The medical termination of pregnancy Bill was passed by the Parliament.
Ø  A committee was set up to draft legislation on air pollution.

THE YEAR 1972:

Ø  The MTP act was implemented.
Ø  The national nutrition monitoring Bureau was set up by ICMR at the National Institute of Nutrition at Hyderabad.
Ø  The national service Bill to compel medical personnel below 30 year to work in the villages was passed.

THE YEAR 1973:
Ø  The national programme of minimum need program was formulated.
Ø  A scheme of setting 30 bedded rural hospitals serving four primary health centers was conceptualized.
Ø  The Kartar Singh committee  submitted its report:
§  To have multipurpose health worker both male and female for providing integrated basic health services.
§  To start with, worker from only four programmes that is Malaria, Small pox, trachoma and maternal and child health and family planning to be included in the multipurpose concept.
§  To designate these members as health workers both male and female, the later would be the existing ANM.
§  To have two such workers one male and one female in a sub center.
§  To have one health supervisor male for four health workers (male)  and one supervisor female for four health workers female.
§  To have one PHC for 50,000 populations, and to have 16 sub centers under one PHC.

THE FIFTH FIVE YEAR PLAN (1974-79):

THE AIM:
The main aim of the fifth five year plan was to provide minimal level of well integrated health, MCH & FP, nutrition and immunization services to all the people with special references to vulnerable groups specially children, pregnant women and nursing mothers through a network of infrastructure in all the blocks and well structured referral system.

THE PRIORITIES:  
It is based on the minimum need programme and were as under:
·       Increasing accessibility of health services in rural areas.
·       Correcting regional imbalance.
·       Integration of family planning, health and nutrition.
·       Intensification of the control and eradication of communicable diseases especially Malaria and Small pox.
·       Qualitative improvement in the education and training of health personnel.

THE HEALTH OUT LAY:
The total outlay for the overall development plan was Rs.37, 382 crores out of which a sum of Rs.682 crores was allocated for health program.

THE YEAR 1974:
Ø  Revised strategy for malaria control was suggested.
Ø  The year 1974 was declared as World Population year by the United Nation.
Ø  The water (prevention and control of pollution) act 1974 was enacted by the Parliament.
Ø  “A group of medical education and support manpower” popularly known as Shrivastava
Committee was set up in November 1974.

THE YEAR 1975:

Ø  India became small pox free on 5th July 1975.
Ø  The revised strategy of National Malaria Eradication Programme was accepted by the Government.
Ø  Integrated child development Scheme was launched on 3rd October 1975.
Ø  Children’s welfare board was setup.
Ø  The ESI act was amended.
Ø  The cigarette regulation act 1975 was enacted by the parliament.
Ø   A group of medical education and support manpower” popularly known as Shrivastava committee submitted their report .The committee recommended for alternative strategy of health  services suitable for Indian situation and suggested the criteria for the same which were as under:
§  Integrated, preventive, promotive and curative health care services originating from within the community and reaching higher level.
§  Universal coverage and equal accessibility of health care services within the recourses.
§  Full utilization of Para professional from within the country.
§  Developing indigenous system of medicine.
§  Health education of all to prepare every one to take care of oneself.

THE YEAR 1976:
Ø  Indian factory act of 1948 was amended.
Ø  The prevention of food adulteration act 1975 came into force .
Ø  A new population policy was announced by the government.

THE YEAR 1977:
Ø  Rural health scheme was launched on the basis of Kartar Singh and Shrivastava committee report.
Ø  The training of community health worker was initiated.
Ø  Revised modified plan of Malaria Eradication was implemented.

THE YEAR 1978:
Ø  The child marriage restraint Bill 1978 fixing the minimum marriage age that is 21 year for boys and 18 year for girl was passed.
Ø  Alma Ata declared “Primary Health Care Strategy” to achieve the goal of “Health for all” by the year 2000.
Ø  Extended programme of immunization was started.

THE YEAR 1979:
Ø  The declaration of Alma Ata on primary health strategy was endorsed by W H O.


THE SIXTH FIVE YEAR PLAN (1980-1985)
THE AIM-
The main aim of the sixth five year plan was to work out alternative strategy and plan of action for primary health care as part of national health system, which is accessible to all sections of society and especially those living in tribal ,hilly , remote rural area and urban slums.

THE PRIORITIES:
The priorities of the sixth five year plan were listed as:
·       Rural health services.
·       Control of communicable and other diseases.
·       Development of rural and urban hospitals and dispensaries.
·       Improvement in medical education training.
·       Medical research.
·       Drug control and prevention of food adulteration.
·       Population control and family welfare including MCH.
·       Water supply and sanitation.
·       Nutrition.

THE HEALTH OUTLAY:
The overall layout for the sixth five year plan was Rs.97, 500 Crores.

THE YEAR 1980:
Ø  W H O declared eradication of small pox from the world.
Ø  The working group on health was constituted by the planning commission.

THE YEAR 1981:
Ø  The 1981 census was undertaken.
Ø  The primary health care strategy for health for all  was evolved by WHO and adopted by the member country of WHO.
Ø  India committed itself to the goal of providing safe drinking water and adequate sanitation for all, by 1990, under the international drinking and water supply and sanitation Decade1981-1990.
Ø  The air prevention and control of pollution act of 1981 was enacted.

THE YEAR 1982:
Ø  The National health policy was announced and placed in the parliament.

THE YEAR 1983:
Ø  National leprosy control programme was changed to national leprosy eradication programme.
Ø  National health policy was approved by the parliament.
Ø  National guinea worm eradication programme was started.
Ø  A national plan of action against avoidable disablement was started.
Ø  Medical education review committee submitted its report.

THE YEAR 1984:
Ø  Bhopal gas tragedy, a devastating industrial accident occurred.
Ø  The ESI Bill 1984 was passed by the Parliament.
Ø  The workmen’s compensation act 1984 came into force.

THE SEVENTH FIVE YEAR PLAN (1985-1990)
THE AIM:
The aim for the seventh five year plan was to plan and provide primary health care and medical services to all with special consideration of vulnerable group and those who are living in tribal, hilly and remote areas so as to achieve the goal of health for all by 2000 A.D. The plan emphasis on community participation, intersectorial co ordination and co-operation.

THE PRIORITIES:
·       Health services in rural, tribal and hilly areas under minimum needed programme.
·       Medical education and training.
·       Control of emerging health problem especially in the area of non communicable diseases.
·       MCH and Family welfare.
·       Medical research.
·       Safe water supply and sanitation.
·       Standardization, integration and application of Indian system of medicine.

HEALTH OUTLAY:
The total amount of funds which were allocated to the development plan was Rs.180, 000 crores.

THE YEAR 1985:
Ø  The universal immunization programme was launched on 19th of November.
Ø  The leprosy act 1898 was repeated by the parliament.
Ø  A separate department of women and child development was established by the ministry of human resource development.

THE YEAR 1986:
Ø  The environment protection 1986 was promulgated.
Ø  The 20 point programme was modified.
Ø  Parliament passed mental health bill.
Ø  Juvenile justice act started working.
Ø  National AIDS control programme was started.

THE YEAR 1987:
Ø  Worldwide safe motherhood campaign was started by World Bank.
Ø  New 20 point programme was launched.
Ø  The factories act 1987 started working.
Ø  National diabetes control programme was launched.
Ø  A high power committee on nursing and nursing profession was set up by the government of India. The object of the committee were to review the role, functions, status,  preparation of nursing personnel; nursing services and other issues related to the development of the profession and to make suitable recommendations to the government.

THE YEAR 1988- 1991:
Ø  The ESI Act 1989 came into force.
Ø  Acute respiratory infection programme was started as a pilot project in 14 districts in 1990.
Ø  The 1991 census was conducted.
Ø  The high power committee on nursing and nursing profession published its report in 1989.the finding of the committee gave a very gloomy picture of the service conditions of nurses, staffing norms in the hospital and community settings, education of nursing personnel to meet the manpower needs at various levels and the role of nursing in health care delivery system.

THE EIGHT FIVE YEAR PLAN (1992-1997)

THE AIM:-
The main of the plan was to continue reorganization and strengthening of health infrastructure and medical services accessible to all especially to vulnerable groups and those living in tribal, remote rural areas etc.

THE PRIORITIES:
The priority areas for eight five year plan were-
·       Developing rural health infrastructure.
·       Medical education and training.
·       Control of communicable diseases.
·       Strengthening of health services.
·       Medical research.
·       Universal immunization.
·       MCH and Family Welfare.
·       Safe water supply and sanitation.

THE HEALTH OUTLAY:
The overall amount of funds which was allocated to development plan was Rs/-79800 crores.

MAJOR DEVELOPMENT

THE YEAR 1992:
Ø  Child survival and safe motherhood programme was started on 20th august.
Ø  The infant milk substitute, feeding bottles and infant foods act 1952 came into operation.

THE YEAR 1993:
Ø  A revised strategy for National Tuberculosis Programme with DOTS- a community based TB treatment and care strategy was introduced as a pilot project in phased manner.

THE YEAR 1994:
Ø  The Panchyat raj act came into operation.
Ø  Outbreak of plague epidemic.
Ø  The first pulse polio immunization programme for children under 3 years was organized on 2nd October and 4th December by Delhi government.
Ø  Post basic three year B.Sc nursing programme was launched through distance education by Indira Gandhi open university.




THE YEAR 1995:
Ø  Integrated child development scheme was changed to integrated mother and child development programme.
Ø  Transplantation of human organ act was enacted.
Ø  Expert committee on Malaria submitted its report.

THE YEAR 1996:
Ø  National wide pulse polio immunization was conducted on 9th December 1995 and 20th January 1996 which was repeated on 7th December 1996 and 18th January 1997.
Ø  Family planning programme was made target free from 1st April.
Ø  Prenatal diagnostic technique act 1994 came into force from January.

THE NINTHE FIVE YEAR PALN (1997-2002)
THE AIM:-
The main aim is to attain objectives like speedy industrialization, human development, full-scale employment, poverty reduction and self-reliance on domestic resources.

Objectives
The main objectives of the Ninth Five Year Plan India are:
  • To prioritize agricultural sector and emphasize on the rural development
  • To generate adequate employment opportunities and promote poverty reduction
  • To stabilize the prices in order to accelerate the growth rate of the economy
  • To ensure food and nutritional security
  • To provide for the basic infrastructural facilities like education for all, safe drinking water, primary health care, transport, energy
  • To check the growing population increase
  • To encourage social issues like women empowerment, conservation of certain benefits for the Special Groups of the society.  
  • To create a liberal market for increase in private investments.

THE APPROACH DURING NINTH FIVE YAER PLAN:
Ø  Providing efficient primary health care system as part of basic services to improve accessibility and quality services.
Ø  Strengthening of existing infrastructure at primary, secondary and tertiary care settings and improvement of referral linkage.
Ø  Development of human resources for health. Meeting the increasing demand for trained nurses in specialized areas.
Ø  Strengthening of MCH and family welfare programme.
Ø  Strengthening of existing programs for control of communicable diseases and horizontal integration of ongoing vertical programmes at the district and below district level.
Ø  Develop and implement integrated non communicable diseases prevention and control programme.
Ø  Screening for common nutrition deficiencies especially in vulnerable groups and render remedial services.
Ø  Strengthening of environmental health programme for better management of health consequences.
Ø  Strengthening of occupational and industrial health programme.
Ø  Disaster and emergency management at all levels of health care.
Ø  Strengthening of food and drug safety programme.
Ø  Increasing the involvement of practitioners from indigenous system of medicine  in meeting health care needs of people.
Ø  Strengthening of basic, clinical and health system research.
Ø  Increasing the involvement of voluntary, private organizations and self help groups in the provision of health care.
Ø  Intersector co-ordination in implementation of health programmes.
TENTH FIVE YEAR PLAN (2002-2006)
THE AIM
This highlighted the need for reduction of poverty ratio, increase in literacy rate, reduction in IMR, economic growth, increase in forest & tree cover etc.
THE PRIORTIES
·       Reduction of poverty ratio by 5% points by 2007 & 15% points by 2012.
·       All children in school by 2003, all children to complete 5 years of schooling by 2007.
·       Reduction in gender gaps in literacy & wages rates by at least 50% by 2007.
·       Reduction of MMR to 2 per 1000 live births by 2007 & to 1 by 2012.
·       Reduction of IMR to 45 per 1000 live births by 2007 to 1 by 2012.
·       All villages to have sustained access to potable drinking water within the plan period.
·       Cleaning of all major polluted rivers by 2007.

 

CHIEF OBJECTIVES OF THE 10TH FIVE YEAR PLAN:


Ø  The Tenth Five Year Plan proposes schooling to be compulsory for children, by the year 2003.
Ø  The mortality rate of children must be reduced to 45 per 1000 livings births and 28 per 1000 livings births by 2007 and 2012 respectively
Ø  All main rivers should be cleaned up between 2007 and 2012
Ø  Reducing the poverty ratio by at least five percentage points, by 2007
Ø  Making provision for useful and lucrative employments to the population, which are of the best qualities
Ø  According to the Plan, it is mandatory that all infants complete at least five years in schools by 2007.
Ø  By 2007, there should be a decrease in gender discriminations in the spheres of wage rate and literacy, by a minimum of 50%
Ø  Taking up of extensive a forestation  measures, by planting more trees and enhance the forest and tree areas to 25% by 2007 and 33% by 2012
Ø  Ensuring persistent availability of pure drinking water in the rural areas of India, even in the remote parts
Ø  The alarming rate at which the Indian population is growing must be checked and fixed to 16.2%, between a time frame of 2001 and 2011
Ø  The rate of literacy must be increased by at least 75%, within the tenure of the Tenth Five Year Plan
Ø  There should be a decrease in the Maternal Mortality Ratio (MMR) to 2 per 1000 live births by 2007. The Plan also intended to bring down the Maternal Mortality Ratio to 1 per 1000 live birth by the year 2012.


ELEVENTH PLAN (2007-2012)


GOALS
Ø  Reducing MMR to 1/1000 live births.
Ø  Reducing IMR to 28/1000.
Ø  Reducing TFR to 2.1
Ø  Providing clean drinking water for all by 2009 & ensuring no slip backs.
Ø  Reducing malnutrition among children of age group 0-3 to half its present level.
Ø  Reducing anemia in girls & women by 50%.
Ø  Increasing the sex ratio for age group 0-6 to 935  by 2011-2012 & 950 by 2016-2017.
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.
  1. Education
    • Reduce dropout rates of children from elementary school from 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 cohort going to higher education from the present 10% to 15% by the end of the plan
  1. Health
  1. 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
  1. 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 poor to cover all the poor by 2016-17
  1. 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.


CONCLUSION
The achievements during the past 55 years of planned development are given below
Si no
Demographic changes
1st plan 1951-56
10th plan 2002-07
1.
Primary health centers
725
2, 29, 367
2.
Sub centers
NA
1, 38, 368
3.
Community health centers
NA
3076
4.
Total beds
1, 25,000
9, 08, 168(2001)
5.
Medical colleges
42
222
6.
Dental college
7
142
7.
Nurses
18, 500
8, 39, 862
8.
ANM
12, 750
5, 02, 503
9.
Health visitors
578
40, 536
The five year plans were conceived to re-built rural India, to lay the foundation of industrial progress and to secure the balanced development of all part of the country. Recognize health as an important contributory factor in the utilization of manpower and the uplifting of the economic condition of the country.

BIBLIOGRAPHY
1.     Gulani,k.k.(2008). Community health nursing principles and practices. Ed 1st. New Delhi: kumar publishing house; pp 64-80.
2.     Park ,k. (2005). Park’s text book of preventive and social medicine. Ed 18th . Jabalpur; M/S Banarsidas Bhanot; pp 673-675.
3.      http://en.wikipedia.org/wiki/Five-year_plans_of_India

4.     http://www.economywatch.com/five-year-plans/

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