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INTRODUCTION
“Constitution is a living document, an instrument which makes the government
system work’’
-Dr.K.N.Chaturvedi
1
CONSTITUTION OF INDIA
The constitution provides for a parliamentary form of government which is
federal in structure with certain unitary features. The constitutional head of the
Executive of the Union is the President.
TERMINOLOGY
1. Calligraphy
Calligraphy is a type of visual art related to writing. It is the design
and execution of lettering with a broad tip instrument or brush in one stroke.
It is "the art of giving form to signs in an expressive, harmonious and
skillful manner" .
2. PHOTOLITHOGRAPHY
A planographic printing process using plates made according to a
photographic image.
2
MEANING
A set of rules and principles that all persons in a country can agree
upon as the basis of the way in which they want the country to be governed.
2)1599 AD-1765 AD- East India Company takes total administrative control by
3)1765 AD-1858 AD-East India Company takes total unified control over the
whole of India from a single center in Calcutta. But its rule ended with the Revolt
of 1857.
4)1858 AD-1947 AD- This period of the British Raj was the time when the
This put India directly under the control of the British Government. In
India, the Governor-General Working under the Secretary of State led the
administration.
3
(iii) 1892-Indian Councils Act
This act increased the sizes of the councils again, and also gave the
legislative council the power to discuss certain matters and to ask questions.
4
(5)1950 AD
DEFINITION
CONSTITUTION
1. The collection of the principle or rules dealing with the organization to the
power of Government and the Rights and Duties of the people is called
constitution.
-Wiki.answers.com
2. The basic fundamental law of a state which sets out how that state will be
organized and the powers and authorities of government between different
political units and citizens.
-WWW.duhaime.Org
3. A constitution is a written document that contains a set of rules for
government.
-WWW.suramya.com
INDIAN CONSTITUTION
-en.wikipedia.org
5
OBJECTIVES OF THE INDIAN CONSTITUTION
The Constituent Assembly passed a resolution in 1947 January defining the
objectives of the constitution
1. To set up a union of India comprising British India and the princely states.
2. To set up a federal form of government with separate state and central
government.
3. To set up a democracy in which all powers is derived from the people
i. Where all people are guaranteed justice, equality and freedom.
ii. Where minorities, depressed classes and the tribe’s rights are
protected.
4. To protect the integrity of India and her sovereign rights over land, sea and
air.
5. To help India attain its rightful place in the world-and work for peace and
welfare of mankind.
6
5. To govern the country properly.
6. To define the political system of a country.
7. The constitution helps us guard against issue that might go against our larger
interests.
8. To provide a set of basic rules that allow for minimal coordination amongst
members of a society.
9. To specify who has the power to make decisions in a society. It decides how
the government will be constituted.
10.To set some limits on what a government can impose on its citizens. These
limits are fundamental in the sense that government may ever trespass them.
11.To enable the government to fulfill the separations of a society and create
conditions for a society.
1. Jawaharlal Nehru
2. Rajagopalachari
3. Rajendra Prasad
4. Sardar Vallabhai Patel
5. Maulana Abdul Kalam Azad
6. Shyama Prasad Mukherjee
7
7. Nalini Ranjan Ghosh.
The Assembly met in sessions open to the public, for166 days, spread over a
period of 2 years, 11 months and 18 days before adopting the constitution. It was
finally passed and accepted on Nov 26, 1949.In all the 284 members of the
Assembly signed the official copies (original) of the Indian Constitution.
After many deliberations and some modifications over 110 plenary sessions
in 114 days, the 308 members of the family signed two copies (Final)of the
document(one each in Hindi and English)on 24 January 1950.Same day the
Assembly unanimously elected Dr.Rajendra Prasad as the president of India.
8
The Constitution of India was borrowed from
i. UK
ii. USA
iii. Australia
iv. USSR
v. Germany
vi. Japan
vii. Canada
viii. South Africa
ix. Ireland
9
Indian citizenship of 1955 mentions the qualifications to acquire citizenship rights.
It can be acquired by birth, descent, registration, naturalization and other specified
ways.
7. FUNDAMENTAL
8. SECULARISM 1. WRITTEN
RIGHTS
CONSTITUTION
3. LENGHTHY
4. PARLIAMENTARY
5. A FEDERAL SYSTEM CONSTITUTION
FORM OF
GOVERNMENT
1. WRITTEN CONSTITUTION
10
name. The task was completed in 6 months, 254 pen-holder nibs were used and
No.303 Nib was used for this calligraphy. The original version was then signed by
all the constituent Assembly in January 1950.The Constitution itself came into
force on the 26 th of that month. Photo lithographed copies of it were then made at
the office of the survey of India at Dehra Dun.
2. ENACTED CONSTITUTION
th
The Constitution of India was enacted on 26 January 1950.Drafted on 26th
November,1949 by the Constituent Assembly of India, the Indian Constitution laid
the foundations for establishment of a sovereign socialist secular democratic
republic of India.
3. LENGHTHY CONSTITUTION
Indian Constitution can be called the largest written constitution in the world
because of its contents. In its original form, it consisted of 395 Articles and 8
schedules to which additions have been made through subsequent amendments. At
present it contains 395 Articles and 12 schedules and more than 80 amendments.
There are various factors responsible for the long size of the constitution. One
major factor was that the framers of the constitution borrowed provisions from
several sources and several other constitutions of the world (British, United States,
Irish, French, Canadian, Australian and Soviet Constitution).The word count 1,
17,369.
11
4. PARLIAMENTARY FORM OF GOVERNMENT
5. FEDERAL SYSTEM
a. Central government.
b. State government.
c. Local government.
6. SEPARATION OF POWERS
The Constitution is the supreme law of the land. All other laws have to
conform to the constitution. The Constitution contains laws concerning the
government and its relations with the people. A Constitution is concerned with 2
main aspects.
12
INDIAN CONSTITUTION
LEGISLATIVE
JUDICIARY
INTERPRET LAWS
The supreme court of India consists of a chief
justice and 30 associate justices
EXECUTIVE
ENFORCES LAWS
Vice President, Cabinet, executive departments
and agencies.
13
7.FUNDAMENTAL RIGHTS
FUNDAMENTAL RIGHTS
1. RIGHT
TO
EQUALITY
3. RIGHT AGAINST
2. RIGHT TO
EXPLOITATION
FREEDOM
5. CULTURAL
AND 6. RIGHT TO
4. RIGHT TO
EDUCATIONAL CONSTITUTIONAL
FREEDOM OF
RIGHTS REMEDIES
RELIGION
14
1. RIGHT TO EQUALITY
All persons are equal before the law. This means that all persons shall be
equally protected by the laws of the country.
2. RIGHT TO FREEDOM
Religious freedom is provided to all citizens. Every person has the right to
practice, profess and propagate the religion of their choice.
The constitution states that all minorities, religious or linguistic, can set up
their own educational institutions in order to preserve and develop their own
culture.
This allows citizens to move the court if they believe that any of their
fundamental rights have been violated by the state.
15
8. SECULARISM
India has many religions and to give freedom or religion to everyone and for
equality of religion, India was declared a secular country. The word secular was
added into the Preamble by the 42th Amendment (1976).As per this there would be
equality of all religions in India, along with religious tolerance and respect. As per
the written Constitution of India, India is a secular country and we as citizens of
India must abide by it.
Every person has the right to preach, practice and propagate any religion
they choose. The government must not favor or discriminate against any religion.
It must treat all religions with equal respect. India became a secular country in
which the Indian state did not have any one state religion, but here people were
free to follow or adopt any religion.
16
unitary features. The constitutional head of the Executive of the Union is the
President.
DIRECTIVE
PRINCIPLES
DUTIES
ARTICLES 45O
17
The elements of the constitution are described as follows
1. It indicates the source from which the constitution seeks to establish and
promote
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WE, THE PEOPLE OF INDIA, having solemnly resolved to constitute India
into a [SOVEREIGN SOCIALIST SECULAR DEMOCRATIC
REPUBLIC] and to secure to all its citizens:
JUSTICE, social, economic and political;
LIBERTY of thought, expression, belief, faith and worship;
EQUALITY of status and of opportunity;
and to promote among them all
FRATERNITY assuring the dignity of the individual and the [unity and
integrity of the Nation];
IN OUR CONSTITUENT ASSEMBLY this twenty-sixth
day of November, 1949, do HEREBY ADOPT, ENACT AND GIVE TO
OURSELVES THIS CONSTITUTION.
The first words of the Preamble-‘’We, the people’ ’signifies that power is
ultimately vested in the hands of the people of India, so far the Preamble has
been amended only once in 1976 by 42nd amendment(change)which inserted
the words socialism, secularism and integrity. A brief description of these
concepts is as follows (in the order they come in Preamble).
19
2. PARTS-25
The individual Articles of the Constitution are grouped together into the following
parts
20
xxiii. Part XX-Amendment of the constitution.
xxiv. Part XXI-Temporary, Transitional and Special Provisions.
xxv. Part XXII-Short title, date of commencement, Authoritative text in
Hindi and Repeals.
3. ARTICLE (1-450)
4. AMENDMENTS
5. SCHEDULES
This lists the states and territories of India, lists any changes to their borders
and the laws used to make that change.
21
Second Schedule (Articles 59(3), 65(3), 75(6), 97, 125, 148(3), 158(3), 164(5), 186 and 221)
This lists the salaries of officials holding public office, judges, and
Comptroller and Auditor General of India.
Third Schedule (Articles 75(4), 99, 124(6), 148(2), 164(3), 188 and 219)
Forms of Oaths – This lists the oaths of offices for elected officials and
judges.
This details the allocation of seats in the Rajya Sabha (the upper house of
Parliament) per State or Union Territory.
This provides for the administration and control of Scheduled Areas [Note
2] and Scheduled Tribes [Note 3] (areas and tribes needing special protection due
to disadvantageous conditions).
22
Ninth Schedule (Article 31-B)
6. APPENDICES (2)
The word fundamental suggests that these rights are so important that the
constitution has separately listed them and made special provisions for their
protection. The fundamental rights are so important that the constitution itself that
they are not violated by the government. Fundamental rights are protected and
guaranteed by the constitution of the country.
23
8.FUNDAMENTAL DUTIES(PART IV ARTICLE 51 A)
24
2. LIBERAL
1. SOCIO-ECONOMIC
PRINCIPLES PRINCIPLES
DIRECTIVE
PRINCIPLES
4. INTERNATIONAL
PRINCIPLES
3. GANDHIAN PRINCIPLES
25
SOCIO-ECONOMIC PRINCIPLES
26
2. LIBERAL PRINCIPLES
3. GANDHIAN PRINCIPLES
i. Article 40, state will strive to organize panchayats in villages and will
endow them with such powers which enable them to act as units of
self-government.
ii. Article 43, the state shall strive to develop the cottage industry in the
rural areas both, on individual or co-operative basis.
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iii. Article 47, the state will strive to ban the consumption of wine, other
intoxicating drinks and all such commodities which are considered
injurious to health.
iv. Article 48 reveals that state will ban slaughtering of cows, calves and
other milk cattle.
4. INTERNATIONAL PRINCIPLES
JOURNAL ABSTRACT
RIGHT TO HEALTH
The Constitution of India has provision regarding the right to health. The
obligation of the state to ensure the creation and the sustaining of conditions
congenial to good health is cast by the constitutional directives contained in
articles 38,39(e )(f),42,47 and 48 A in Part IV of the constitution of India. In this
article following aspects are studied in the light of provisions of constitution of
India and various judicial pronouncements. Medico-legal cases and Right to Health
Care and Medical Assistance; Medical Examination of rape victim and Right to
health care; working of blood banks and Right to Health care; Cases of HIV/AIDS
28
and Right to health care; Living and working conditions of workers and right to
health care: Mentally ill person and right to Health Care; Biomedical waste and
Right to Health Care; Pollution and Right to health care.
CONCLUSION
The Constitution is not an instrument for the government to restrain the people;
it is an instrument for the people to restrain the government.
-Patrick Henry.
INTRODUCTION
The democratic nature of the Indian sub-continent has been engraved in its
Constitution. A country that firmly believes that the government is ‘by the people,
for the people, of the people’ the Indian administration decides and acts for all the
citizens without any biases. While the Constitution of India is unique, the
administration is predominantly divided into three divisions, Executive, Legislative
and Judiciary administration.
29
In the long history of Indian administration, a number of administrative
organizations rose and fell.
a. Vedic literature
b. Buddhist treatises
c. Jain literatures
d. Dharmasastras
e. Indian Puranas
f. Ramayana
g. Mahabharata
h. Manu Smriti
i. Sukra Niti
j. Arthashastra.
The powers of administering the states were centralized in the hands of the
king during the ancient period in India. During the Vedic period the king was
30
assisted in his work by many officers. He was surrounded by a circle of his friends
and principal officers. There is a reference regarding this in the two epics of
Ramayana and Mahabharata. A similar reference is also to be found in Manu
Smriti and Sukra Niti. In Kautilya`s Arthashastra is obtained a detailed account
about the offices of the state for the first time in the history of India. By this time
administrative system was fully developed.
Thus the development of the ancient Indian administration had reached its peak
during the reigns of
During the ancient period state administration was divided into numerous
departments. In Vedic times the number of such departments was limited. In
ancient Indian administration there is also found a description of the principles of
public administration.
Thus, the principle of hierarchy had been given a practical shape and seeds
of co-ordination were present between different departments.
31
Such a full-fledged administrative system existed in the reigns of
Chandragupta Maurya and Ashoka. Great emphasis was placed on observation
and inspection along with the principle of hierarchy.
In brief, it can be said that the present Indian administration is the result of a
rich legacy and continuity. It is true to say that the steps of its evolution are some
way or the other connected with the past. However, the existing administrative
system in India may be said to be the contribution of the British government.
GOVERNMENT OF INDIA
Government of India is a parliamentary form of Government and follows
the democratic structure.
DIVISIONS IN
INDIAN
ADMINISTRATION LEGISLATIVE
32
JUDICIARY
These three units comprise the entire system of governance in India. Each of
the three organs of Government is responsible for a separate and
independent area of administration.
a. The executive is responsible for the overall governance and day-to-
day administration of the country.
b. The legislature sees to the making of laws and policies and
c. The judiciary is responsible for the legal aspects of governance.
The form, structure, functions and the organs of government are
related to the type of the political system adopted and the nature of the
distribution of powers among the units of government and organs of
the state.
The executive power of the country is vested in the Indian President. The
Constitution of India vests all executive powers in the President who exercises
power over his subsidiary officers and is aided and advised in the exercise of his
functions by the Indian Prime Minister and the Union Council of ministers.
However, though he is the nominal head of the country, real executive power is
exercised by the Prime Minister who is aided and advised by his Cabinet. All
matters pertaining to the governance of the country are executed by the executive
branch of the country. Among the various areas of responsibility which the
executive is responsible for a
i. re foreign affairs
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ii. defense
iii. home affairs
iv. post and telegraph
v. railways
vi. taxes
vii. Banking and currency etc.
The most important function of the Indian legislature is naturally the matter
of legislation. The making of laws on a variety of subjects, making, recommending
and passing or negating bills, financial powers by means of money bills,
amendment of the Constitution, discussion on treaties and international matters
area among some of the functions performed by the Indian legislature. The
legislature also exercises a certain check over the executive as the executive is
answerable to the parliament at all times.
34
that at the very top is the Supreme Court of India, in between there are a number of
District Courts, Munsiff Courts and High Courts of India and right at the very base
are the Nyaya Panchayats.
The subject matter which the courts deal with are divided into two
a. Civil and
b. Criminal.
The main function of the judiciary is to see to the implementation of laws, punish
offences against the state and citizens and the dispensation of justice. Great care
has been taken to ensure the independence of the judiciary and maintain and
impartial law system.
INDIAN PARLIAMENT
India`s Bicameral Parliament consists of
Lok Sabha
35
The Lok Sabha is also called as the "House of the People" or the lower
house. The citizens of India directly chose almost all of its members. It is more
influential between two houses and can even forego or overthrow the Rajya Sabha
in particular matters.
The Lok Sabha have got 552 members as conceived in the Article 81 of the
Constitution of India. It has a term of 5 years. In case of some special situations
arise, where no party acquires majority, the President has the right to nullify the
Lok Sabha preceding.
The people directly elect the representatives from States and Union
Territories on the basis of universal adult suffrage. Every citizen, regardless of
gender, caste, religion or race is eligible to vote. However he should be at least
eighteen years of age.
Rajya Sabha
36
The Rajya Sabha is an integral part of Indian Parliament. It is also called
"Council of States" or the upper house. Members of legislative bodies of the States
indirectly elect its members. The minimum age for a person to become a member
of Rajya Sabha is 30 years. The procedure of electing members, its composition is
unique and is an integral part of the Indian Parliament. It is specially mentioned in
Article 80 of the Constitution of India. The Rajya Sabha has a total membership of
250. What is interesting is that the elections procedure of rajya sabha is fixed and it
cannot be dismissed under any circumstances. Each member has tenure of six years
and elections are held for one-third of the seats after every 2 years.
The main function of both the Houses is to pass laws. Every Bill has to be
passed by both the Houses and assented to by the President before it becomes law.
The subjects over, which Parliament can legislate, are the subjects mentioned
under the Union List in the Seventh Schedule to the Constitution of India. The
principal Union subjects are
i. Defense
ii. Foreign Affairs
iii. Railways
iv. Transport and Communications
v. Currency and Coinage
vi. Banking
vii. Customs and
viii. Excise Duties.
37
Besides passing laws, India`s Bicameral Parliament can deal with certain affairs
like passing of resolutions, motions for adjournment, discussions etc.
Indian Parliament is located in New Delhi at Sansad Marg. The Central Hall
of the Parliament is used for combined sittings of the lower and upper houses and
is of great historical significance. Indian Parliament embodies authentic proof of
India`s success as being the largest democratic nation in the world.
The Constitution of India describes that the powers are divided in the union
and the state. Thus in every state, like the centre, the Governor is the representative
of the President. He is the head of the State Government in India. Nevertheless the
functioning of government in states is quite similar to the system of Union. It is
constitution of India that describes the structure of the state government.
As the Parliament, the states also include state assemblies. The legislature of
the state consists of the Governor and the Legislative Assemblies.
38
Nadu and Karnataka have a Legislative Council. Whereas other states of India are
unicameral in nature. In a unicameral state only one house exists and thus most of
the states have a Legislative Assembly.
The chief minister is elected and the election also requires an assembly
majority. The Chief Minister serves a five-year term with a requirement of re-
election. Furthermore, the composition of Council of Ministers in a state effects the
administration of the state. The Council of Ministers of India comprises of the
Ministers of important departments and the Ministers of the State.
39
Council of Members. The other elected members are appointed as the Minister of
State.
The State Government in India also possesses power to make laws for the
States. The subjects on which legislation can be enacted are specified in the
Seventh Schedule of the Constitution.
There are certain subjects that provide exclusive power to the State
Legislatures to make laws in relation to items appearing in List II. This list is
termed as the "State List". This list includes items like
1) Public order
2) Police
3) Public health
4) Communications
5) Agriculture
6) Taxes on entertainment and wealth, and sales tax.
There are certain items appearing in List III of the Constitution known as
``Concurrent List`` that include items like
1) Electricity
2) Newspapers
40
3) Criminal law,
4) Marriage and divorce,
5) Stamp duties,
6) Trade unions,
7) Price controls and both Parliament and the State Legislatures have the power
to legislate.
The district falls under the charge of a district officer, called either Deputy
Commissioner or District Collector. This officer acts as the representative of the
state government at this level. The district has also been the unit of administration
for various other departments of the State Government. Thus, many State
functionaries like the Superintendent of Police, Assistant Registrar of Cooperative
Societies, District Agricultural Officer, District Medical Officer, etc., are located at
the district headquarters and their jurisdiction extends to the district. Thus at the
district level there are multiple officers for administering the affairs of the
Government.
Revenue Division/Sub-division
41
The district is geographically divided into a number of units known as sub-
divisions in Uttar Pradesh and Madhya Pradesh, revenue divisions in Tamil Nadu,
and Prants in Maharashtra. The official-in-charge of this unit bears a variety of
names; he is called Sub-Divisional Officer (SDO) or Sub-Divisional Magistrate
(SDM) in Uttar Pradesh, Revenue Divisional Officer or Sub-Collector in Tamil
Nadu, Prant Officer (Deputy Collector or Assistant Collector) in Maharashtra. This
unit helps to further decentralize authority as well as to provide field training to
recruits to the Indian Administrative Service.
The SDO is either a newly recruited member of the IAS (and therefore quite
young in age) or a member of the State Civil Service. Like the District Collector,
the SDO is a generalist area administrator. He speaks with the voice of the
Government in his own sub-division. He is a link between the District Collector
and the Tahsildar in revenue matters and the District Magistrate and the Station
Officer (police) in matters relating to law and order.
There is `also a touring type sub-division in which the SDO does not
maintain an office. He is a touring officer gathering information, transmitting it to
his district chief, contacting people, supervising subordinate officials, and finally,
looking after the execution of governmental activities in his sub-division.
42
The SDO is thus a valuable field aide to the District Collector and is an
integral part of the district administration. The SDOs in many States do not live
within their sub-divisions. They reside at the district headquarters. As a matter of
policy, the SDO and other sub-divisional level officers must reside at the sub-
divisional headquarters.
Tahsil
The officer in charge of the Tahsil is the Tahsildar, who belongs to the State
Civil Service. He is the principal official in district administration responsible for
actual revenue collection. His performance, also, is judged by his efficiency as a
collector of revenues. He is the sub-treasury officer, thus accepting the payment of
the revenue. He recommends remissions or other concessions to the District
Collector in times of distress. He is assisted by a Naib or Deputy Tahsildar,
Quanungos and Patwaris. The administration at the Tahsil level is the farthest unit
of administration for revenue and land questions.
Pargana
The lowest unit for all administrative and fiscal purposes in all the States of
India is the village, which is administered by a village establishment. The Village
Headman is the most powerful governmental functionary at the village level,
combining as he does both police and revenue functions: he is the head of the
village police, and he also collects revenue and deposits it in the treasury. He is the
custodian of all Government property in the village.
44
Zila parishad District level
At Village Level
Gram Sabha
Gram Panchayat
Nyaya Panchayat.
a. Gram Sabha
It is the assembly of all the adults of the village, which meet at least
twice a year.
b. Gram Panchayat
It is the executive organ of the Gram Sabha, and agency for the
planning and development at the village level. Its strength varies from 15-30
members.
c. Nyaya Panchayat
At Block Level
45
The block consists about 1000 villages and a population of 80,000 to
120000.The Panchayati Raj agency at block level is Panchayat Samiti.It consists of
all the sarpanches of the village in the block,MLA,MPs residing in the block area
representative of various tribes and societies.
At District Level
The Zila Parishad is the agency of rural local self government at district
level. Members include all heads of Panchayat Samitis in the MPs,MLAs of the
districts and two persons of experience in administration, public life or rural
development.The zila Parishad is primarily supervisory and co-ordination body.
URBAN AREA
Big cities have City Corporation. Cities have City Municipal Committees.
Towns have Town Municipal committees. All these are elected bodies.
Administration is carried out by an appointed CHIEF Executive who is answerable
to elected bodies. Their main source of revenue is local tax and funds received
from State Government
state
Union
LISTS
46
concurrent
These lists specify the distribution of power. Distribution of power between
the Centre and states has been provided for in the Constitution of India for the
smooth running of the Government.
Union List
The Union list consists of subjects on which the central government or the
Indian Parliament can make laws. These subjects included in the list are of national
importance. These include subjects such as
i. Defence
ii. Foreign affairs
iii. Atomic energy
iv. Banking
v. Post and telegraph.
47
The central government has the power of making laws on these
subjects at all times also during emergencies. There are 97 subjects on
which the central government can make law.
State List
The State list contains 66 subjects of local or state importance. The state
governments have the authority to make laws on these subjects. These subjects
include
i. Police
ii. Local governments
iii. Trade
iv. Commerce and agriculture.
However, during national and state emergency, the power to make laws on these
subjects is transferred to the Parliament.
Concurrent list
The Concurrent list has 47 subjects on which both the Parliament and the
state legislatures can make laws. These subjects include
Yet, in case of conflict between a law made by the central government and a law
made by the state legislatures, the law made by the central government will prevail.
48
There are certain changes regarding the authority of making laws. Education was
shifted from the state list to the concurrent list by the 42nd Amendment Act of
1976.
Apart from the powers mentioned in these lists, there is also a list of
miscellaneous functions called residuary powers. These are not mentioned in any
of the three lists and the right to make laws on these subjects is called residuary
power. The central government has been given rights to legislate on these subjects.
CONSTITUTIONAL
PLANNING COMMISSION
BODIES
49
NATIONAL DEVELOPMENT COUNCIL
50
the President of India. It was formed to define the financial relations between the
centre and the state.
The Union Public Service Commission was given autonomous status both
at Federal and Provincial levels for ensuring unbiased recruitment to the civil
services and also for protection of service interests. All India Services are the civil
51
services of India that supports in the recruitment of employees on the basis of an
examination conducted through the Union Public Service Commission. The All
India Services Act of 1951 authorizes that the government of India can make rules
and regulation for the recruitment and conditions of service of the persons
appointed for the ranks of All India Service.
i. Ministry of Agriculture
ii. Ministry of Home Affairs
iii. Ministry of Commerce and Industry
iv. Ministry of External Affairs
v. Corporate Affairs
vi. Indian Ministry of Defense
vii. Ministry of Information and Broadcasting
viii. Ministry of Civil Aviation
ix. Ministry of Human Resource Development
x. Ministry of Railways
xi. Ministry of Environment and Forests
xii. Ministry of Finance and Company Affairs
xiii. Ministry of Health and Family Welfare
xiv. Heavy Industries & Public Enterprises
xv. Petroleum & Natural Gas,
xvi. Power
52
xvii. Labour
xviii. Tourism, Women and Child Development
xix. Youth Affairs and Sports
xx. Others
India faces elections at an interval of five years and with it the ministers
presiding over the Indian Government Departments may alter. However, the
bureaucrats and other officials working in these departments remain unaltered.
Most of these government officials are appointed through competitive exams that
are held throughout India. IAS, IPS, IFS, UPSC and other exams are held annually
across the nation. Managed by an efficient and erudite lot the Indian Government
Departments function collectively as a government machinery to provide proper
facilities for the citizens.
53
this status to them. This recognition adds a new dimension to the political parties.
Some recognized political parties in India are:
54
25.Telugu Desam Party
26.Arunachal Congress
27.Pattali Makkal Katchi
28.Uttarakhand Kranti Dal
29.All India Majlis-e-Ittehadul Muslimen
30.Jammu and Kashmir People`s Democratic Party
31.Janathipathiya Samrakshana Samithy
32.Jharkhand Mukti Morcha Jharkhand Mukti Morcha
33.Kerala Congress
34.Lok Jan Shakti Party
35.Rashtriya Janata Dal
36.Rashtriya Lok Dal
37.National Loktantrik Party
INDIAN ECONOMY
The Indian economy is diverse and embraces a huge area including
a. Agriculture
b. Mining
c. Textile industry
d. Manufacturing and a vast array of other services.
There is an enormous shift from what the economy used to be in the distant past.
Indian economy is the third largest in the world, as measured by "purchasing
power parity"(PPP). Still now two thirds of the population thrives on agriculture
directly or indirectly.
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The general budget of India is presented by the Finance Minister in the
Parliament which is passed by the Lok Sabha. It comes to effect on April 1, and the
budget is presented on the last working day of February. An economic survey is
conducted after the budget which involves various NGOs, business people, and
women organization and so on.
Indian currency ‘rupee’ is derived from Sanskrit meaning silver and was first
introduced by Sher Shah Suri during his reign from 1540-1545 CE as history puts
it. Since the British period this coin has been used as a standardized currency for
economic purposes. These days Rupee currency comes in denominations of 1, 2, 5,
10, 20, 50, 100, 500 and 1000. Rupee is the only payment of debt accepted in India
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National Emblem National symbols of India create the entity of the whole
nation, highlighting the pride and prestige. They represent the identifiable features
that make it exclusive and support the nation to remain distinctive and unique from
the rest of the world.
National Anthem
National Emblem
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among the people of Indian subcontinent. The national emblem symbolises
modern-day India`s reassertion of its ancient allegiance to goodwill and grace of
the whole of the humankind.
The four lions, one obscured from viewing, symbolise supremacy, valour
and poise. It reposes on a spherical calculating machine, and four small animals
encircle it. These animals are regarded as protectors of the "four directions". The
lion is for the north, the elephant for the east and the horse for the south and the
bull for the west. The "abacus" leans on a full-bloomed lotus flower, which
exemplifies the source of life and innovative motivation. At the bottom of the
emblem, the axiom "Satyameva Jayate" is carved out .It is written in Devanagari
script, which stands for Truth Alone Triumphs.
National Animals
The Royal Bengal Tiger, the national animal, stands apart in respect of
national symbols of India. Yellow colour, black -striped body, white belly makes
this specie an epitome of authority and grandeur. To protect the tigers to lose in
extension due to illegal hunting, The Government of India undertook Project Tiger
program.
National Flower
National bird is the Peacock. The magnificent display of its beautiful plume
and tail with the gathering of clouds in the sky, heralds the arrival of rainy seasons.
They prefer to live in the forests and near the water bodies. Peacocks are
decreasing in numbers and thus peacock hunting is banned in the country.
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National Tree and Flower
Banyan tree is the national tree, noted for its longevity and widely spread
branches and strong branches. Lotus is the national flower. It carries the heritage of
Indian tradition and is important one among other national symbols of India.
National Fruit
Mango is the national fruit. It is not only good in taste and also it has got
nutritional values. It is a source of Vitamins A, C and D. In India there are more
than hundred types of mangoes of various sizes, shapes and colours. Mangoes have
been cultivated in India since ancient period. Various Indian legendary
personalities mentioned about this fruit and its qualities. The great poet Kalidasa
composed songs in its praise. Foreigners like Alexander; Hieun Tsang almost fell
in love with this tasty fruit. Akbar implanted several mango trees in Darbhanga and
it became popular as Lakhi Bagh.
National Flag
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National symbols of India inspire Nationalism in the citizens of India even
in this modern age, not only by its characteristic features, but also its overall aura.
Indian Gallantry Awards are government approved and are handed over to
the defence personnel for their services in safeguarding the nation. There are
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several Indian Civil Awards pertaining to the fields of sports, performing arts and
literature. Personages like Sardar Vallabhbhai Patel, Sarvepalli Radhakrishnan, C.
Rajagopalachari, C. V. Raman, V. V. Giri, J. R. D. Tata, Jawaharlal Nehru, Atal
Bihari Vajpayee, Hazari Prasad Dwivedi, Buddhadeb Basu, B. R. Ambedkar,
Satyajit Ray, Bidhan Chandra Roy, Amartya Sen, Mother Teresa, Sunil Gavaskar
and others have been honoured by the Indian Civil Awards for their priceless
contribution to the Indian society.
Bharat Ratna National Bravery Award, Padma Bhushan Padma Shri Awards,
Padma Vibhushan Pravasi Bharatiya Samman Ramineni Foundation Awards,
Sahitya Akademi Award, Sangeet Natak Akademi Award.
JOURNAL ABSTRACT
CONCLUSION
61
witnessed major developments in the social and economic fields. The Government
today is no longer playing the traditional role of a regulator. Its role evolved to
that of a promotor and then to that of a facilitator and service provider.
PLANNING PROCESS
INTRODUCTION:
“Planning is For Tomorrow”
TERMINOLOGY:
1. Modernization:
2. Strategy:
Strategy is the direction and scope of an organization over the long term.
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DEFINITION:
HEALTH:
1. Health is a state of complete physical, mental and social wellbeing and not
merely the absence of disease or infirmity.
PLANNING:
PLANNING PROCESS:
1. Goal formulation
5. SWOT analysis
6. Gap analysis.
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GOAL FORMULATION (STRATEGIC PLANNING)
1. Vision
2. Mission
3. Goals
4. Objectives
Vision:
Mission:
Goals:
These refer to specific short term targets for which measurable results
can be obtained. It is intended to achieve within a given period of time. It should
be
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S - Specific
M - Measurable
A - Achievable
R - Rational
T - Time bound
ENVIRONMENTAL SCAN
S - Strengths
W - Weakness
O - Opportunities
T - Threats
GAP ANALYSIS
TYPES OF PLANNING
65
1. Passive Planning:
2. Panic planning:
Panic planning happens only after the trouble. At this point, all of the
organization’s resources are scrambled in a reactionary pattern in an attempt to
solve the problem. With panic planning, may or may not come out alive and
well.
3. Scientific planning:
4. Principle-Centered Planning:
5. Directional planning:
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6. Administrative planning:
7. Operational planning:
8. Intermediate Planning:
9. Contingency Planning:
It refers to managing the problems that interfere with getting work done.
10.Strategic planning:
PRINCIPLES OF PLANNING
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When were passionless, we procrastinate on the plan or burnout trying to
execute it. With passion, we approach our plans with excitement and a sense of
urgency. Passion gives planning energy.
Passion also gives planning focus. As Tim Redmond says, “There are many
things that will each my eye, but there are only a few things that will catch my
heart. It is those I consider to purpose. Passion narrows our vision so that the plan
dominates our attention and distractions fade into the background.
When you prepare your plans, ask yourself the question. “Am I able to
influence the resources needed to fulfill my planning and mission?. “To
accomplish your plan you” need influence over people, finances, and your
schedule.
The support of people, especially other influences, can make or break your
plan. Make a priority to build relationships with them. In particular, find the key to
their lives by learning what matters most to them. If you continually add, value to
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the influencers around you in meaningful ways, then you’ll be more likely to
receive their assistance when you need it.
Before taking the time to plan their careers, take time to prioritize their lives.
You have no right, nor any reason, to start planning your life until you know what
you’re living for and you’re willing to die for. Its important to find the purpose so
that you run, not on the fast track, but on your track.
When plans go away, don’t just stand there. By staying in motion, you create
movement. Be resourceful enough to improvise when circumstances push you off
course.
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Most of the time, our decisions are based on opur emotional environment
rather than reality. When we’re in the valleys of life, we don’t see clearly. Our
perspective is limited, and all we see are the problems around us. In the valleys we
make decisions, not to better ourselves, but to escape our problems.
Never make a major decision in the valleys. Wait until you get to the peak
where you can see clearer and farther. You’ll avoid making rash decisions that
you’ll regret later.
PLANNING CYCLE:
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TABULATE,ANALYZE,INTERPRET GATHER HEALTH DATA
FORMULATE
HEALTH PROBLEMS ASSIGN PRIORITIES AMONG
PROBLEMS
NO
YES
COLLECT DATA FOR EVALUATION
DEFINE PROGRAMME OBJECTIVES AND HOW
TO MEASURE ACHIEVEMENT
OPERATE PROGRAMME
ASSIGN PRIORITIES AND OBJECTIVES
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ORIENT AND TRAIN PERSONNEL
DESIGN ALTERNATIVE PROGRAMME TO SOLVE
PROBLEMS
(d) Medical care facilities such as hospitals, health centres and other health
agencies-both public and private.
(g) Attitudes and beliefs of the population towards disease, its cure and
prevention.
Objectives and goals are needed to guide efforts. Unless objectives are
established, there is likely to be haphazard activity, uneconomical use of funds and
poor performance. Objectives must be established at all levels, down to the
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smallest organizational unit. At upper levels, objectives are general, at
successively lower levels; they become more specified and detailed. The
objectives may be short-term or long-term. In setting these objectives, time and
resources are important factors. Objectives are not only a guide to action, but also
a yard-stick to measure work after it is done. Modern management techniques
such as “cost-benefit” analysis and “input-output” study of health services are
being used for defining goals, objectives and targets in more definite term.
3. Assessment of Resources:
4. Fixing priorities:
Once the problems, resources and objectives have been determined, the next
most important step in planning is establishment of priorities in order of
importance or magnitude, since the resources always fall short of the total
requirement. In fixing priorities, attention is paid to financial constraints, mortality
and morbidity data, diseases which can be prevented at low cost, saving the lives
of younger people in whom there has been considerable social investment, and also
political and community interests and pressures.
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The next major step in the planning process is the preparation of the detailed
plan or plans. The plan must be complete in all respects for the execution of a
project. For each proposed health programme, the resources (inputs) required are
related to the results (outputs) expected. Each stage of the plan is defined and
costed and the time needed to implement is specified. The plan must contain
working guidance to all those responsible for execution. It must also contain a
“built-in” system of evaluation. It will be left to the central planning authority and
the government to consider modifications of the plan relating to allocation of
resources.
Once the health plan has been selected and approved by the policy making
authorities, programming and implementation are began. Plan execution depends
upon the existence of effective organization. The organizational structure must
incorporate well-defined procedures to be followed and sufficient delegation of
authority to and fixation of responsibility of different workers for achieving the
predetermined objectives during the period prescribed. It is at the implementation
stage that shortcomings often appear in practice. Many well considered plans have
fallen down because of delays in critical supplies, inappropriate use of staff and
similar factors. The main considerations at the implementation stage include.
7. Monitoring:
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Monitoring is the day-to-day follow-up of activities during their
implementation to ensure that they are proceeding as planned and are on schedule.
It is a continuous process of observing, recording and reporting on the activities of
the organization or project. Monitoring thus consists of keeping track of the course
of activities and identifying deviations and taking correction action if excessive
deviations occur.
8. Evaluation:
9. Replanning:
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ELEMENTS OF PLANNING:
1. Objectives
2. Policies
3. Procedures
4. Rules
5. Budget
6. Programs
7. Strategies
PURPOSE OF PLANNING:
4. It also provides a basis for team work as when the goals are properly defined
assignments can be fixed.
5. It gives a sense of direction and ensured that efforts are being put to useful
purpose instead of being wasted.
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First year plans were introduced in 1928 for controlled and rapid economic
development. The National health planning is an integral part of general socio-
economic planning. A health plan is a predetermined course of action, based on
nature and extent of health problems. Health planning should be used as an
instrument for the improvement of services. Planning is a matter of team work and
consultation. The planning team consists of not only specialists within the field,
but also specialized in other fields, (ie) economics, statistics, sociology,
management etc. Planning should be recognized by both the public and its leaders.
Definition:
Data - Needed relevant, accurate, correctly selected and related data will
have to be available.
Steps:
1. Plan formulation
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2. Plan execution
3. Plan evaluation
Planning Commission:
Divisions
General Subject
Deal with broad matters, macroplanning Deal with particular sectors
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Functions of Planning Unit in Ministry of Health:
SUBMISSION
OF PROGRESS
REPORT
CO-ORDINATION
WITH STATES
RELATED TO
PLANNING UNIT IN
PLANS
MINISTRY OF HEALTH
PREPARATI
ON OF
CENTRAL
ANNUAL
HEALTH
PLANS
COMPILATION OF FIVE
DEVELOPMENT YEAR PLANS
OF STRATERGIES
FOR GETTING
PLANS
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Areas to be focused in Health Planning:
Women’s health
Increasing health
care programmes
Disease control
Areas to
be Increase public
focused health infrastructure
in Health Efficient doctors
Health research Planning and nurses
Family medicine
Low cost drugs
and vaccines
These sub sectors have received due consideration in the five year plans.
6. Family planning.
Our leader Jawaharlal Nehru has said the community project are bright, vital
and defnamic sparks all over India from which radiate rays of energy, hope and
enthusiasm. Health forms an integral part of community projects. Therefore it is
needless to say that community health nurse is an integral part of the whole team of
health and welfare services.
Five year plan were evolved to solve the country’s health as well as social
welfare problems. The planning commission gave considerable importance to
health programmes in the five year plans.
3. Population control.
Jawaharlal Nehru presented the first five-year plan in 1951 (December 8).
The first plan sought to get the country’s economy out of the cycle of poetry. The
plan addressed, mainly, the agrarian sector including investments in dams and
irrigation. It was based on Harrod-Domar Model. Community Development
program.
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1. Irrigation and energy
4. Industry
5. Social services
6. Land rehabilitation
Specific objectives:
2. Control of Malaria.
During this plan period the public sector outlay was Rs.2356 crore of which
Rs.140 crore were alloted for health programs.
The second five year plan is also called Mahalanobis plan after its chief
architect. (economic development model) (Indian statistician prasanta chandra
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Mahalanobis in 1953. The second five year plan focused on industry, especially
heavy industry (hydroelectric projects, steel, milks, production of coal, railway
tracks). The plan attempted to determine the optimal allocation of investment
between productive sectors in order to maximize dong ran-economic growth.
Specific objectives:
During this plan period the public sector outlay was Rs.4,800 crore of which
Rs.225 crore were allotted for health programs.
Specific objectives:
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In were in tuned with the 1st and 2nd five years plan except that integration
of public health with maternal and child welfare, nutrition and health education
was planned.
This plan was interrupted by the chinese aggression (1962), Indo-Pak War
(1965), severest drought in 100 years (1965-66). This was followed by three
annual plans between 1966 and 1968, Once again emphasizing on agriculture and
also on stimulating exports, in the process also devaluating the rupee in 1966.
During this plan period the public sector Outlay was Rs.7,500 crore of which
Rs.341.8 crores were allotted for health programs.
The fourth five year plan is called greater expenditure in the public sector,
but was not able to meet its national income growth target. This was the time
when the so-called “Green Revolution”. Main emphasis on agriculture’s growth
rate so that a chain reaction can start. It fared well in the first two years with
record production, last three years failure because of poor monsoon. At this time
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Indira Gandhi was the Prime Minister and she nationalized of 19 major banks. The
funds raised for industrialization was used in the Indo-Pak War of 1971 when India
had to tackle the influx of Bangladeshi refugees before and after 1971 Indo-Pak
War India also conducted nuclear tests in 1974.
Objectives:
During this plan period the public sector outlay was Rs.16,774 crore of which
Rs.1,156 crore were alloted for health programs.
The fifth plan prepared and launched by D.D. Dhar proposed to achieve two
main objectives viz, removal of poverty and attainment of self reliance through
promotion of high rate of growth, better distribution of income and a very
significant growth in the domestic rate of savings. This plan was only passed in
1976 after a series of revisions due to the global crisis over crude oil prices, but it
had to be prematurely terminated in 1978 (instead of 1979) when Fanta Govt
(Moraji Desai) came into power. There were two more annual plans in 1978 and
1979. The fifth five year plan period ensured food security and adequate butter
stocks for India.
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Specific objectives:
During this plan period the public sector outlay was Rs.37,250 crore of which
Rs.3,277 crores were alloted for health programs.
There were 2 sixth plans. One by Fanta Govt (for 78-83) which was in
operation for 2 years only and the other by the congress Govt when it turned to
power in 1980.
The sixth plan is called the fanata government plan. This plan is marked a
reversal of the Nebourian model. The main objectives of this plan were to increase
in national income, modernization of technology, ensuring continuous decrease in
poverty and unemployment, population control through family planning etc. It
focused on information technology, Indian national highway system, tourism,
economic liberalization, price control, family planning, etc. family planning was
expanded to prevent over population. In contrast to China’s harshly-enforced one-
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child policy, Indian policy did not rely on the threat of force. Most prosperous
areas of India adopted family planning more rapidly than less prosperous areas
which continued to have a high birth rate.
The objectives of the seventh five year plan were improving productivity by
upgrading technology, increasing economic productivity, production of food grains
and generating employment opportunities. The thurst areas of the 7th five year
plan have been enlisted below.
Social justice
Agricultural development
Antipoverty programs
Objectives:
2. Achieve near full employment secure satisfaction of the basic needs of food,
cloth, shelter and provide health for all.
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During this plan period the public sector outlay was Rs.1,80,000 crores of
which Rs.3,392 crores were alloted for Health programs. It was a great success,
the economy recorded 6% growth rate against the targeted 5%. It laid greater
emphasis on energy and social development.
Period between 1989-91 P.V. Narasimha Rao was the twelfth prime minister
of the Republic of India and head of congress party 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. 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. P.V. Narasimba Rao (28 June 1921-23 December 2004) also
called father of Indian economic reforms and head of congress party, and led one
of the most important administration in India’s modern history overseeing a major
economic transformation and several incidents affecting national security. At that
time Dr. Manmohan Singh (currently Prime Minister of India) 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.
Eight five year plan was launched in 1992, setting of economic liberalization
and market based reforms, the fruits of which are still being enjoyed today. This
plan can be termed as Rao and Manmohan Model of Economic development.
India became a member of the World Trade Organization on 1 January 1995.
Objectives:
1. Population growth
2. Poverty reduction
3. Employment generation
7. Involvement of panchayatraj
8. Nagarapalikas
9. NGO’s
3. Towards health for the underprivileged was the aim of this plan.
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The PHCs were strengthened staff vacancies, by supplying essential equipment and
The plan undertook various drastic policy measures to combat the bad
economic situation and to undertake an annual average growth of 5.6%.
Some of the main economic performances during eighth plan period were
rapid economic growth, high growth of agriculture and allied sector, and
manufacturing sector, growth in exports and imports, improvement in trade and
current account deficit.
Ninth five year plan India runs through the period from 1997 to 2002 with
the main aim of attaining objectives like speedy industrialization, human
development, full-scale employment, poverty reduction, and self-reliance on
domestic resources. Ninth Five year plan was formulated amidst the backdrop of
Indias Golden jubilee of Independence.
Objectives:
3. To stabilize the prices in order to accelerate the growth rate of the economy.
5. To provide for the basic infrastructural facilities like education for all, safe
drinking water, primary health care, transport, energy.
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During this plan, vertical health program were integrated horizontally with general
health services.
The reproductive and chief health program was improved under following
guidelines.
India’s tenth five year plan has been devised to complement and meet the
United Nations Millennium Development Goals (MDG) targets The MDG was
issued in 2000 to achieve eight targets to eradicate hunger and poverty eight targets
to eradicate hunger and poverty and raise the standards of living worldwide by the
year 2015 through global co-operation.
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- Reduce child mortality
Reduction in gender gaps in literacy and wage rates by atleast 50% by 2007.
Bring down the decadal growth rate by 16.2% in the decade from 2001 to
2011.
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Reduce Maternal Mortality Rate to 2/1000 live births by 2007 and 2/1000
live births by 2012.
Education
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Health
Reduce infant mortality rate to 28 and maternal mortality ratio to 1 per 1000
live births.
Provide clean drinking water for all by 2009 and there are no slip backs. For
rural poor to lover all the poor by 2016-2017.
Environment
INTRODUCTION
Before the National Health Policy (NHP) framed in 1983, and various
committees of experts appointed from time to time, the constitution, the planning
commission, the central council of health and family welfare and consultative
committees attached to the Ministry of Health and family welfare render a drive on
initiating health programmers, requirement of health manpower and other
resources in government, voluntary and private sectors based on health needs and
demands of the reduce malnutrition among children of age group o-3 of half its
present.
Raise the sex ration for age group o-6 to 935 by 2011- 2012 and to 950 by
2016- 17.
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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.
Infrastructure
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.
Provide homestead sites to all by 2012 and step up the pace of house
construction people through health surveys. The reports of these committees have
formed an important basis of health planning if India. National Health Planning in
India based on the National Health Policy (NHP) 1983 aimed to attain “Health for
All” by the year 2000. The main objective of the revised National Health Policy,
2002 is to achieve an acceptable standard of good health among the general
population of the country and has set goals to be achieved by the year 2015.
The Government of India in 1943 appointed the Health Survey and Development
committee with Sir. Joseph Bhore as chairman to survey the existing position
95
regarding the health conditions and health organization in the country and to make
recommendations for the future development. The committee which had among its
members some of the pioneers of public health, met regularly for 2 years and
submitted in 1946 its famous report which runs into 4 volumes. The committee
observed: “if the nation’s health is to be built, the health programme should be
development on a foundation of preventive health work and that such activities
should proceed side by side with those concerned with the treatment of patients”.
Some of the important recommendations of the Bhore committee were,
a. As a short- term measure it was proposed that each primary health centre in
the rural areas should later to a population of 40,000 with a secondary health centre
to serve as a supervisory, co-ordinating and referral institution. For each PHC, two
medical officers, 4 public health nurses, one nurse, 4 midwives, 4 trained dais, 2
sanitary inspectors, 2 health assistants, one pharmacist and 15 other class 1IV
employees were recommended.
b. A long term programme (also called the 3 million plan) of setting primary
health units with 75- bedded hospitals for each 10,000 to 20,000 population and
secondary units with 650- bedded hospitals, again regionalized around district
hospitals with 2,5000 beds. Major changes in medical education which include 3
months training in preventive and social medicine to prepare social physicians.
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1. Formation of village health committee to secure active cooperation and
support in the development of health program.
2. Provision of doctors of future who should be- social doctoral, combines both
curative and preventive of the public.
3. Formation of District Health Board for each district with district health
officials and representations of the public.
Industrial health
Public health
Medical Relief
Professional salutation
Medical Research
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1. Consolidation the following made in the first two year plans.
1. Basic health workers (Junior Health Assistant Male) one per 10,000
populations should carried out the NMEP activity. Now each Junior Health
Assistant Male to cover 3-5000 population.
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Mukherjee Committee, 1965
3. The basic health workers were to be utilized for purposes other than family
planning.
The state family planning bureaus should have two major divisions.
Administrative
Operational
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The administrative division should be headed by the administrative officer,
and has look after the administrative works including budgets and should have
small unit which deal with grants to voluntary organization.
The administrative section also have a store section under a store officer
which will be concerned with supply of all types of contraceptives, training,
materials, charts, hospital equipments for I.U.C.D. Sterilization.
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Jungalwala Committee 1967 (or) Committee on Integration of Health Services
The central council of health at its meeting held in 1964, taking note of the
importance of integration of health services and elimination of private practice by
government doctors appointed a committee known as the “committee on
Integration of Health Services under the chairmanship of Dr. N. Jungalwalla, the
then Director of National Institute of Health Administration and Education to
examine into various problems related to integration of health services, abolition of
private practice of doctors in government services and the service conditions of
Doctors. The report was submitted in 1967.
1. Unified cadre
2. Common seniority
B. Medical care and Public health programmes should be put under charge of a
single administrator at all levels of hierarchy.
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Kartar Singh Committee, 1973 Committee on Multi Purpose Workers.
4. The work of 3-4 male and female MPWs was to be supervised by one health
supervisor (male or female respectively).
5. The existing lady health visitors were to be converted into female health
supervisor.
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Shrivastav Committee, 1975, Group on Medical Education and Support Man
Power
ii. Develop a curriculum for health assistants who were to function as a link
between medical officers and MPWs constituted it in 1974.
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Part- II of the report specifically deals with the lack of availability of health
man power data in India, recommendations regarding the methods of updating
such data and man power projections for doctors, nurses and pharmacists.
The initial move for the appointment of the Nursing Committee was made
by the then Union Minister for Health, Rajkumari Amrit kaur, in her inaugural
speech at the second meeting of the central council of Health held at Rajkot on 8th,
9th, 10th February, 1954. She emphasized the importance of good nursing and
drew attention to the many factors that hindered its development. In pursuance of
this resolution, the Government of India Constituted a committee on 19th May,
1954 under the chairmanship of shri Shetty and Ms. TK. Adranvala, Nursing
Advisor to Govt. of India as the Member Secretary.
ii. Combining the Nursing service for hospitals and that of the public health
and Domiciliary Nursing in the basic course for nurses and midwives.
One Nurse (also qualified in Midwifery for women’s and maternity services)
including students to 3 patients in hospitals used for the training of Nurses and
Midwives. One nurse also qualified in Midwifery for women’s and maternity
services to 5 patients in all other hospitals.
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One Midwife to 100 births in rural areas. In towns and cities in compact
areas one Midwife to 150 births.
c. To look into the training of all categories and levels of Nursing Midwifery
personnel to meet the nursing man power needs at all levels of health services and
education.
d. To study and clarify the role of nursing personnel in the health care delivery
system including their interaction with other members of the health team at every
level of health services management.
e. To examine the need for organization of the nursing services at the National,
State, District and Lower levels with particular reference to the need for planning
106
and implementation of comprehensive nursing care service with the overall health
care system of the country at their respective levels.
f. To look into all other aspects which the committee may consider relevant
with reference, to their terms of reference, and
g. While considering the various issues under the above norms of reference, the
committee will hold consultations with the state Government.
2. Increase allocation of public health investment in the order of 55 per cent for
the primary health sector; 35 percent and 10 percent to secondary and
tertiary sectors respectively.
3. Gradual convergence of all health programmes, except the ones (such as TB,
Malaria, HIV/AIDS, RCH) which need to be continued till moderate levels
of prevalence are reached.
4. Need to levy used charges for certain secondary and tertiary public health
services, for those who can afford to pay.
5. Two year rural posting is mandatory before awarding the graduate medical
degree.
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9. Establishing two-tier urban health care system. Primary Health Centre for a
population of one lakh and Government General Hospital.
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that guides and provide discretion within limited boundaries. It sets priorities and
guide resource allocations.
DEFINITION
Health policy can be defined as the decisions, plans and actions that area
undertaken to achieve specific health care goals within a society.
The followings are the important policies that are concerned with health
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12.National Youth Policy 2003.
13.National Policy on Education.
14.National Water Policy.
15.National Health Research Policy .
16.National Policy and charter for children Draft.
17.National Policy for old person 1999.
18.Disability Policy.
19.Housing Policy.
National Health Policy was last formulated in 1983,since then there have
been marked changes in the determinant factors relating to the health sector.Some
of the policy initiatives outlined in the NHP-1983 have yielded results,while,in
several other areas,the outcome has not been as expected.
The public health investment in the country over the years has been
comparatively low,and as percentage of GDP has declined from 1.3 percent in
1990 to 0.9 percent in 1999.The aggregate expenditure in the Health sector is 5.2
percent of the GDP.Out of this,about 17 percent of the aggregate expenditure is
public health spending.
MAIN OBJECTIVES
a. To achieve an acceptable standard of good health amongst the
general population of the country.
b. Decentralized public health system by establishing new infrastructure
in deficient areas, and by upgrading the infrastructure in the existing
institutions.
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c. Ensuring a more equitable access to health services across the social
and geographical expanse of the country.
d. Emphasis will be given to increasing the aggregate public health
investment through a substantially increased contribution by the
Central Government.
e. Strengthen the capacity of the public health administration at the
state level to render effective service delivery.
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GOALS OF NHP 2002
Recognizing the health needs of the country and acknowledging the human
and financial constraints, the national health policy, 2002 has set up the goals for
the next two decades. These are to be achieved in the set time frame as given
below.
Eliminate Leprosy.
Reduce mortality on account ofTB,Malaria and other vector and H2O borne
diseases by 50 percent.
Increase utilization of public health facilities from current level of <20 percent to
7.75 percent.
It emphasizes that any significant improvement in the quality health services and
health status of citizens would depend on the following parameters.
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c. Quality of services.
d. A responsive health delivery system.
e. Improved governance.
The main objectives of the revised National Health Policy 2002 are to
achieve an acceptable standard of good health among the general population
of the country and have set goals to be achieved by the year 2015.
i. Emphasis will be laid on rational use of drugs within the allopathic
system. Increased access to tried and tested system of traditional
medicine will be ensured.
ii. The public health administration at the state level is to reduce
effective service delivery.
iii. The contribution of the private sector in providing health services
would be much enhanced, particularly for the population group, which
can afford to pay for services.
iv. Priority will be given to preventive and first-line curative initiatives at
the primary health level throughsect oral share of allocation.
2. Increase allocation of public health investment in the order of 55 per cent for
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3. Gradual convergence of all health programmes, except the ones (such as TB,
4. Need to levy used charges for certain secondary and tertiary public health
5. Two year rural posting is mandatory before awarding the graduate medical
degree.
9. Establishing two-tier urban health care system. Primary Health Centre for a
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11.Appreciation of the role of private sector in health and enactment of
facilities.
India.
State rural health mission was launched in Tamilnadu on 12-4-2005 with the
view to bring correction of the health system to enable it to effectively handle
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increased allocations and promote policies that strengthen public health
management and service delivery as prescribed under the programme.
To achieve the objectives of NRHM the Tamilnadu state health mission was
constituted and Tamilnadu state health society was registered under Tamilnadu
Society’s registration Act 1975.
For the first time, 10 our country population policy was framed in April 1976.
In 1977 this policy was the new government. In it the small family norm
was given special emphasis. The name of the programme was also changed to
family welfare and the target of birth rate 25 by 1985.
In April 1976 India formed its first national population policy. It is called
for an increase in the legal minimum age of marriage from 15 to 18 for females
and from 18 to 21 years for males.
National population policy 2000 it’s the latest in this series. The objectives
of national population policy is to achieve requirements of suitable economic
growth, social development and environment protection.
GOALS:
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The national socio-demographic goals to be achieved by the year 2010 are as
follows.
1. Address the Unmet needs for basic reproductive and child health services,
supplies and infrastructure.
6. Promote delayed marriage for girls, not earlier than age 18 and preferably
after 20 years of age
AYUSH PLANS:
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2. To provide high quality teaching to the post graduate students and produce,
post graduate with research aptitude and knowledge in the subjects of
modern science.
6. To provide high quality medical care to the public through Siddha system.
ACTIVITIES:
JOURNAL ABSTRACT:
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restrictions. The results show that a better implementation leads to better
implementation leads to better outcomes for clients.
CONCLUSION:
BIBLIOGRAPHY:
Text book:
1. Park, K. (2011). Text book of Preventive and social medicine. 19 th ed.
Jabalpur: Banarsidas Bhanot publication. Pg.No: 807-843.
5. Gupta, P. Ghai. O.P. Text book of preventive and social medicine. (2 nd ed.)
GBS publishers. Bangalore: Pg.No: 738-744.
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Journal Abstract:
1. DD. Wallace (1949) The Journal of Politics. The Indian Constitution. 13(2)
Pg.No: 269-275.
Electronic version:
1. Health planning.www.authorstream.com
2. Indian constitution.www.indianetzone.com
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