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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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