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    PLANNING COMMISION

    OF INDIARAKESH PATIDAR

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    WHAT IS PLAN ?

    A plan spells out how the resources of anation should be put to use. It should havesome general goals as well as specificobjectives which are to be achieved with in aspecified period of time. In India plans are offive year duration and are called FIVE YEARPLAN

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    National Health Planning

    National Health Planning has been defined asthe orderly process of defining communityhealth problems, identifying unmet needs &surveying the resources to meet them,establishing priority goals that are realistic &feasible and projecting administrative action

    to accomplish the purpose of the proposedprogramme .

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    Planning process

    8 steps Analysis of the health situation Establishment of objectives & goals

    Assessment of resources Fixing priorities Write-up of formulated plan Programming & implementation Monitoring Evaluation

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    PLANNING COMMISSION The PLANNING COMMISSION is an institution in the

    Government of India, which formulates Indias Fiveyear plan. Planning commission was set up on 15MARCH 1950 , with Prime minister JAWAHARLALNEHRU as the chairman.

    Planning commission (1950) Healthplanning in India is an integral part of nationalsocioeconomic planning. to raise the standard of

    health & living of the people by efficient exploitation ofthe resources of the country, increasing production andoffering opportunities to all for employment in theservice of the community .

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    Organizational set up

    Chairmen Dy. Chairmen

    Minister of State and Dy. Minister Members of Planning Commission Member Secretaries/ Secretaries of Planning

    Commission

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    Function of Planning Commission

    The Planning Commission's functions as outlinedby the Government's 1950 resolution arefollowing:

    1. To make an assessment of the material, capitaland human resources of the country, includingtechnical personnel, and investigate thepossibilities of augmenting those are relatedresources which are found to be deficient inrelation to the nation's requirement.

    2. To formulate a plan for the most effective andbalanced utilisation of country's resources.

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    3.To define the stages, on the basis of priority, inwhich the plan should be carried out and propose

    the allocation of resources for the duecompletion of each stage.4. To indicate the factors that tend to retard

    economic development.

    5. To determine the conditions which need to beestablished for the successful execution of theplan within the incumbent socio-politicalsituation of the country.

    6. To determine the nature of the machineryrequired for securing the successfulimplementation of each stage of the plan in all itsaspects.

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    7. To appraise from time to time the progress achieved inthe execution of each stage of the plan and alsorecommend the adjustments of policy and measureswhich are deemed important vis-a-vis a successfulimplementation of the plan.

    8. To make necessary recommendations from time totime regarding those things which are deemednecessary for facilitating the execution of thesefunctions. Such recommendations can be related to theprevailing economic conditions, current policies,

    measures or development programmes. They can evenbe given out in response to some specific problemsreferred to the commission by the central or the stategovernments.

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    The planning process The planning commission lays down long term goals

    which are approved by the Govt. 5 yr goals are tentatively formulated by planning

    commission The sector-wise working groups, headed by secretary/

    add sec/ Director general/advisor planningcommission, are set up & work out detail policies &programmes to achieve goals & targets

    PC prepares a short memorandum of 5 year plan inthe form of Approach paper

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    planning process This paper is placed before the cabinet & NDC

    where it is discussed & approved The guidelines are sent to the states to develop

    state plans The planning dept of each state prepares its plan

    on the basis of plan of each sectors in the state Each sectors get input from the districts & blocks

    The complete plan is submitted to the planningcommission The PC discusses & scrutinizes the plans in detail

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    The planning process

    The priorities are decided & funds are recommended The final allocation of funds is decided in a meeting bet

    the Dy. chairman & the chief minister of a respectivestate

    The draft FYP is prepared which states the objectives,essential resources, targets & programmes

    The draft is placed before NDC for approval

    It is placed in & presented before the parliament Then it becomes an official plan to be implemented by

    various depts of central & state govts.

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    Five Year Health Plans in India

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    1st five year plan : 1951-1955

    Aim :-to fight against diseases, malnutrition, and

    unhealthy environment

    - to build up health services for rural populationand for mothers & children in order toimprove general health status of the people.

    Outlay: Total- 2356 croresFor health sector- 140 crores (5.9%)

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    Achievements during 1st FYP The central council of health was

    constituted -1952 National malaria control programme-1953 National family planning programme-1953 National leprosy control programme- 1954 National water supply & sanitation programme-

    1954 National filarial control programme-1955 The prevention of food adulteration act -1954 Contributory health services scheme-1954

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    2nd five year plan : 1956-1960

    Aim:to expand existing health services to bring them

    with in the reach of people so as to promoteprogressive improvement of nations health.

    Outlay: Total 4800 croresFor health programmes 225crores (5%)

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    Achievements

    during 2nd FYP National malaria controlprogramme was switched over to nationalmalaria eradication programme-1958

    Institutions established-Central healtheducation bureau-1956, National Tuberculosisinstitute, Bangalore-1956

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    3rd five year plan : 1961-1965

    Aim:to remove the shortages & deficiencies which

    were observed at the end of the 2nd five yr planin the field of health. These were pertaining toinstitutional facilities especially in rural areas,shortages of trained personnel & supplies, lack ofsafe drinking water in rural areas and inadequatedrainage system

    Outlay: Total- 7500 croresFor health programmes- 342 crores( 4.3%)

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    Achievements

    National small pox eradication programme -1962 National goiter control programme -1962 School health programme- 1962 District TB control programme- 1962 National Trachoma control programme- 1963 Institutes: Central bureau of health intelligence

    (1961), National Institute of Communicable diseases

    (1963), National institute of health administration &

    Education (1964)

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    Annual Plans 1966-69

    The 4th FYP which was to commence from1966 was postponed till 1969 due to uncertaineconomic situation in the country due to Indo-Pak War. This intervening period was coveredby annual plans with an outlay of 6756cores,of which 316 crores (4.7%) were allotted for

    health programmes

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    4th five year plan : 1970-1974

    AimTo strengthen PHC network in the rural areas for

    undertaking preventive, curative, family planningservices & to take over the maintenance phase ofcommunicable diseases.

    Outlay: Total -16774 croresFor health programmes- 1156 crores (7.2%)

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    Achievements during 4th FYP

    Chittaranjan mobile hospitals (1970) Postpartum family planning programme

    (1970) Medical termination of pregnancy facility

    (1971) Multipurpose health workers scheme (1973) National programme of minimum needs

    (1973)

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    5th five year plan : 1975-1979

    Aim: To provide minimum level of well integrated health,

    MCH & FP, nutrition & immunization to all the peoplewith special reference to vulnerable groups especially

    children, pregnant women, & nursing mothers, througha network of infrastructure in all the blocks & wellstructured referral system.

    Outlay: Total- 37250 croresFor health programmes- 3277 crores (8.8%)

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    Achievements during 5th FYP Rural health scheme (1977) Integrated child development scheme (1975) Community health workers scheme (1977)

    National malaria eradication programme was replacedby modified plan of operation (1977) 20 point programme (1975) National programme for prevention of blindness (1976) Reorientation of medical education scheme (1977) Expanded programme of immunization (1978) Parliament approved child marriage restraint act (1978)

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    6th five year plan: 1980-1985

    Aim:To work out alternative strategy & plan of action

    for primary health care as part of national

    health system, which is accessible to all sectionof society.

    Outlay: Total- 97500 croresFor health programmes- 1822 crores (5.4%)

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    Achievements during 6th FYP:

    Alma Ata Declaration on PHC -1979 HFA/2000AD -1981

    National health policy 1983 The national drinking water & sanitation

    decade -1981 Leprosy control programme switched over to

    leprosy eradication programme 1983 Guinea worm eradication programme -1983

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    7th five year plan: 1985-1990

    Aim :To plan & provide primary health care&medical services to all with special

    consideration of vulnerable groups and toattain health for all by 2000AD.

    Outlay: Total- 180,000 croresFor health programmes- 3392 crores (1.9%)

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    Achievements during 7th FYP

    Universal immunization programme -1985 National Diabetes control programme 1987

    National AIDS control programme 1987 Control of acute respiratory infection

    programme 1990

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    8th five year plan: 1992-1997 Aim:

    To continue organization & strengthening ofhealth infrastructure & medical servicesaccessible to all especially to vulnerable groupsand those living in tribal, hilly, remote rural areasetc.

    Outlay: Total- 79,800 croresFor health programmes- 7576 crores (9.5%)

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    Achievements during 8th FYP:

    Child survival & safe motherhood programme-1992

    Reproductive & child health programme

    1994 Announcement of revised National Drug Policy

    1995

    Revised national TB Control programme 1997 Act on infant feeding & Infant foods- 1992

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    9th five year plan: 1998-2002 Aim:

    "Growth with Social Justice and Equity" Same as 8thFYP. Nursing education and nursing services have beengiven a high priority in order to bridge the large gap

    between requirement and availability of nurses andensure quality of nursing training. Efforts are made tomeet the increasing demand for nurses withspecialised training in speciality and sub-specialityareas intensive medical and surgical care in hospitals

    and for public health nurses in health care system.Outlay: Total- 859,200 crores

    For health programmes- 10818 crores (1.25%)

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    Achievements during 9th FYP:

    Intensive Pulse Polio immunizationprogramme -1999

    National Population Policy 2000 National health policy-2000 Guinea worm disease was eradicated.

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    New Initiatives in the Tenth Plan: The Reproductive and Child Health Programme, Phase

    II (2005-10), Janani Suraksha Yojana Support for six tertiary-level

    institutions on the lines of AIIMS, Delhi in the sixbackward states of Bihar, Madhya Pradesh, Orissa,

    Rajasthan, Chhattisgarh and Uttaranchal Integrated Disease Surveillance Project National Mental Health Programme A Capacity Building Project Expanding outreach of

    AYUSH Two new national programmes - National Programme

    on Diabetes and Cardiovascular Diseases & NationalProgramme on Hearing and Speech Impairment

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    Recommendations Implement a National Rural Health Mission Implement a National Mission on Sanitation and Public

    Health Provide access to maternity health Insuranceand community risk pooling

    Systematise insurance at secondary health care levelsthrough reform of the CGHS

    Institutionalise public private partnerships in healthcare

    Set up a Public Health Development Authority Set up a National Authority for Drugs and Therapeutics

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    11th five year plan: 2008 - 2012

    Aim: To achieve an overall growth rate of 7.6%. To reduce poverty levels from 38% to 25% To achieve the literacy rate of 84% by the end of the

    Plan and reduce gender gap in literacy to 14%. To achieve reduction in drop out rate from 46.8% in

    2003-04 to 20% by 2011-12 and eliminate genderdisparity in elementary education.

    To bring down population growth rate to 1.62% by2012. To improve health parameters-reduce MMR to125, IMR to 40

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    To improve the sex ratio (0 6 years) to 950 females per1000 males.

    To reduce malnutrition to 30% and anemia to 30%. To provide sustainable access to safe portable drinking

    water to all independent habitations. To empower women through their socio-economic

    development To strengthen social, economic and political

    empowerment of weaker sections of the societythrough welfare of SCs/STs, OBCs, minorities and poor.

    Outlay: Total - Rs. 69,33,800 croresFor Health - Rs 2,24,030 crore

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    INTERVENTIONS RECOMMENDED FORIMPLEMENTATION DURING THE ELEVENTHPLAN

    -Launch a Sarwa Swasthya Abhiyan- National Authority for Drugs and Therapeutics

    (NADT)- Public Health Development Authority (PHDA)

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    Recommendations for engenderingthe 11th FYP

    Promote the idea of Women-Governance Better accountability and monitoring mechanisms -Sex

    desegregated data Strong enforcement mechanisms Reconstruct poverty line to reflect reality - goal of "a

    hunger-free India" or "food and nutrition security forall.

    Eliminate all forms of Violence against Women (VAW) Redefine work and recognise women in the

    workforce

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    The government on 4th October approved the12th five year plan (2012-17) that set average

    growth target at 8.2 percent. The theme of the Approach Paper is

    Faster, Sustainable and more inclusive

    growth .

    15-05-2013 41

    12 th Five Year Plan

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    Twelfth Plan Objectives

    Basic objective : Faster, More Inclusive, andSustainable Growth.

    Could aim at 9.0 to 9.5 percent For growth to be more inclusive we need: Better

    performance in agriculture Faster creation of jobs, especially in manufacturing

    Stronger efforts at health, education andInfrastructure. Special plans for disadvantaged/backward regions

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    Based on an intensive process within the Commission,following "Twelve Strategy Challenges" have beenidentified1. Enhancing the Capacity for Growth2. Enhancing Skills and Faster Generation of

    Employment3. Managing the Environment

    4. Markets for Efficiency and Inclusion5. Decentralization, Empowerment and Information6. Technology and Innovation

    Strategic Challenges

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    7. Securing the Energy Future for India

    8. Accelerated Development of TransportInfrastructure

    9. Rural Transformation and Sustained Growthof Agriculture

    10. Managing Urbanization

    11. Improved Access to Quality Education

    12. Better Preventive and Curative Health Care

    Strategic Challenges

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    12th Five Year Plan :

    Sectors

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    Sector wise Growth Targets

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    Sl.No. Sectors 11 th FYP (achieved) (in %) 12 th FYP (in %)1 Agriculture, Forestry & Fishing 3.7 4.0

    2 Mining 4.7 8.0

    3 Manufacturing 7.7 9.8

    4 Elect. Gas & Water Supply 6.4 8.5

    5 Construction 7.8 10.0

    6 Trade, Hotels & Restaurant+Transport, Storage & Communication

    9.9 11.0

    7

    8 Financing, Insurance, Real Estate &Business services

    10.7 10.0

    9 Community, Social & PersonalServices

    9.4 8.0

    11 Industry 7.4 9.6

    12 Services 10.0 10.0

    Growth Rate Targets

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    Agriculture

    Target at least 4% growth for agriculture. Cereals are on target for 1.5 to 2% growth. Land and water are the critical constraints. Technology must

    focus on land productivity and water use efficiency. Farmers need better functioning markets for both outputs

    and inputs. Also, better rural infrastructure, including storageand food processing

    States must act to modify APMC Act/Rules, modernize landrecords and enable properly recorded land lease markets .

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    Industry Investment and capacity additions are critical for

    sustained industrial growth. Need to grow at 11-12% per year to create 2 million

    additional jobs per year. Growth in 11th Plan is in8%.

    Indian industry must develop greater domesticvalue addition. Tune-up FDI and trade policies to attract quality

    investment in critical areas.

    Improve business regulatory framework: cost ofdoing business, transparency, incentives for R&D,innovation etc.

    Better consultation and co-ordination in industrialpolicy making

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    Industry Some sectors should be given special attention because they

    contribute most to our objectivese.g. Create large employment: textiles and garments, leather andfootwear; gems and jewellery; food processing industries

    Deepen technological capabilities : Machine tools; IT hardware and electronics

    Provide strategic security : telecom equipment; aerospace; shipping; defence equipment

    Capital equipment for infrastructure growth : Heavy electrical equipment; Heavy transport and earth-moving

    equipment Sectoral plans are being prepared for each of the above with

    involvement of industry associations and the concerned Ministries

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    Educationand Skill

    Development Must aim at universalisation of secondary education by

    2017

    Must aim at raising the Gross Enrolment Ratio (GER) inHigher Education to 20 percent by 2017 and 25 percent by2022

    Must focus on quality of education. Must invest in facultydevelopment and teachers training

    Must aim at significant reduction in social, gender andregional gaps in education. Targets to be set for this purpose

    Research and innovation in higher education must beencouraged with cross-linkages between institutions andindustry

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    Health

    Better health is not only about curative care, but about betterprevention, Clean drinking water, sanitation and betternutrition, childcare, etc. Convergence of schemes across

    Ministries is needed. Expenditure on health by Centre and States to increase from

    1.3% of GDP to at least 2.0%, and perhaps 2.5% of GDP by endof 12th Plan

    Desperate shortage of medical personnel. Need targeted

    approach to increase seats in medical colleges, nursing collegesand other licensed health professionals Health insurance cover should be expanded to all

    disadvantaged groups Focus on women and children; ICDS needs to be revamped

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    Energy

    Commercial energy demand will increase at7% p.a. if GDP grows at 9%. This will require amajor supply side response and also demand

    management Energy pricing is a major issue. Petroleum and

    Coal prices are significantly below world prices

    and world prices are unlikely to soften.

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    1. Power Sector Issues

    We must set a target of 100,000 MW capacity in12th Plan (against achievement of 50,000 MW inEleventh Plan)

    Coal availability will be a major constraint Hydro-power development seriously hindered by

    forest and environment clearance procedures.Himalayan States complain strongly.

    Electricity tariffs not being revised to reflect risingcosts. Regulators are being held back fromallowing justified tariff increases.

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    2. Other Energy Sources

    Nuclear power programme must continue withnecessary safety review.

    Solar Mission is seriously underfunded. Need longer term energy solution for cooking in

    rural areas. Expand LPG network (with cashsubsidy for the deserving, not subsidized prices).

    Also use off grid solar and bio-mass energy Wind power development, including off shore

    wind power, needs to be encouraged

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    Energy: Targets

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    Urban Development

    Indias urban population is expected to increase from 400million in 2011 to about 600 million or more by 2030

    Critical challenges are basic urban services especially for thepoor: water, sewerage, sanitation, solid waste management,affordable housing, public transport

    Investment required in urban infrastructure is estimated at`60 lakh crore over the next 20 years

    We need to develop and propagate innovative ways ofmunicipal financing, through Public-Private Partnerships(PPPs)

    Land management strategies key for good urbandevelopment as well as financing urban infrastructuredevelopment

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    Infrastructure

    Railways Western and Eastern Dedicated Freight Corridors mustbe completed by the end of the Twelfth Plan

    High Speed Rail link between Delhi-Mumbai and Delhi-Kolkata inthe Twelfth Five Year Plan

    Complete the linkages between the ports and the existing roadand rail network. Need to deepen existing ports. Increasebulk/container capacity

    Ensure sufficient provision for maintenance of the already-builtroads

    Invest in unified tolling and better safety on highways Improve bus services/public transport in smaller cities, towns

    and districts.

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    12 th Five Year Plan:

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    12 Five Year Plan:Sectoral Contribution in GDP

    Compared to 11th

    Plan (2007-2012)

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    Resource Allocation Priorities in 12th Plan

    Health and Education received less than projected in Eleventh Plan.Allocations for these sectors have increased in 12th Plan

    Health, Education and Skill Development together in the Centres Plan have increased by 1.2 percent point of GDP

    Infrastructure, including irrigation and watershed management andurban infrastructure, will need additional 0.7 percentage point ofGDP over the next 4 years

    Use of PPP must be encouraged, including in the social sector, i.e.health and education. Efforts on this front need to be intensified

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