High Power Committee in Nursing

 

 

INTRODUCTION

 

          A high power committee on nursing and nursing profession was set up by the government of India in July 1987, under the chairmanship of Dr.Jyothi, Former Vice Chancellor of SNDT Women University Mrs. Rajkumari Sood, Nursing Advisor to Union Government as the member secretary and CPB Kurup, Principal Government College of Nursing, Bangalore and the then President, TNA was also one among the prominent members of the committee.


 

TERMS OF HIGH POWER COMMITTEE

 

          The terms of reference of the committee are

·        To look into the existing working conditions of nurses with, particular reference to the status of the nursing care services both in the rural and urban areas.

 

·        To study and recommend the staffing norms necessary for providing adequate nursing personnel to give the best possible care, both in the hospitals and community.

 

·        To look into the training of all categories and levels of nursing, midwifery personnel to meet the nursing manpower needs at all levels of health service and education.

 

·        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 service management.

·        To examine the need for organized nursing services at the national, state district and local levels with particular reference to the need for planning service with the overall health care system of the country at the respective levels.

 

·        To look into all other aspects, the committee will hold consultations with the state government.


RECOMMENDATIONS OF HIGH POWER COMMITTEE

 

          Accordingly the committee conducted periodical meetings and visited different status in India and studied aspects related to the terms of reference of the committee and recommending many measures to improve nursing and nursing profession in India.

 

Employment

·        Uniformity in employment procedures

·        Recruitment ruler should be made with uniform qualification and experience.

·        No bond for nurses students

Job description

·        Job description of all categories of nursing personal be prepared by central government.

Working hours

·        Working hours to be reduced to 40 hours per week.

·        Straight shift to be implemented.

·        Weekly day off and gazetted holidays.

·        Leave or extra payment for extra working hours.

 

Work load

·        Nursing norms for patient care and community care to be adopted as recommended by the committee.

·        Hospitals to develop central sterile supply department and central drug supply system and central lining services.

·        Not be made responsible for breakage or losses and regarding policies for breakage and losses to be made.

 

Pay and allowance

·        Special allowance for Nursing personnel should be uniform throughout the country.

 

Promotional Opportunities

·        Each nurses must have 3 promotions during service period.

·        Merit cum seniority based promotion.

·        Open selection for teaching and administrative posts.

·        Running scales and grades in case of stagnation.

Career Development

·        Provision of deputation for higher studies after 5 years of regular services.

·        One refresher course every 2 years.

 

Accommodation

·        Accommodation near the work place

·        Apartment type accommodation for married and unmarried nurses.

Transport

·        During odd hours, calamities etc, transport must be made for safety and security.

·        Chartered buses on payment.

Special Incentives

·        Scheme of special incentives in terms of awards, special increment for meritious work.

Occupation Hazard;

·        Free medical services.

·        Risk allowance to be paid.

Other welfare measures

·        Creche facilities for children of working staff, children education  allowance etc to be paid to nursing personnel.

 

For community Nursing services, the committee recommendations are as follows:-

1.      Appointment of ANM / LHV / HS / PHC/ANM for 2500 population (2 per subcentre)

a.   1 ANM for 1500 population in hilly areas.

b.   1 Health Supervisor for 7500 population.

c.    1 Public health nurse for 1 PHC. (30,000 population and 4 health supervisor).

d.   2 district PHN officers in each district.

2.      Specific standing orders be made available to ANM / LHV / HS.

3.      Adequate provision of supplies of drugs etc be made.

4.      Simplification of recording system.

5.      Gazette rank for the post of PHN and above grade.

 


United nations development programme

Introduction

United Nations Development Programme was established in 1965 with the objective to help poorer nations develop their own human and natural resources to the fullest extend.  WHO is the executing agency of the UNDP in public health promotions.

Aims of United Nations Development Programme

1.      Increased production and processing of food, timber, and other agricultural commodities.

2.      Expansion and modernization of industry, power – generation, transport and communication.

3.      Improvement of basic essential facilities for education, health care, housing, employment and administrative and social services.

4.      The growth of more suitable trade and other advances towards the goal of establishing a new international economic order.

5.      Progress in integrated rural development comprehensive urban renewal, equal participation of women in development and other pioneering fields.


Role of United Nations Development Programme

 

          The role of UNDP is to act as a catalyser of new ideas to help countries to solve their problems.


CONCLUSION

 

          The health programme is inherently one in which the UNDP can support country progrmames and fill in gaps within the broad aim to build self – sustaining capacity in by sectors.  UNDP is financial by voluntary contributions from various government.

 

          Urgent steps are taken to rectify the lopsided development of the nursing profession and to improve quality of nursing and nursing services in the hospital as well as the community.


 

BIBLIOGRAPHY

 

1.      B.T.BASAVANTHAPPA, “Community Health Nursing” Second Edition, Page No.888 - 890.

 

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