All of the following are the main recommendations of the Mudalier Committee. EXCEPT:

DSSSB 13 August 2024

Community Health Nursing

Medium

Appeared in: DSSSB 13 August 2024

Explanation

The appointment of a Basic Health Worker (BHW) for malaria maintenance was a key recommendation of the Chadha Committee in 1963, not the Mudaliar Committee.
The Mudaliar Committee, also known as the Health Survey and Planning Committee, submitted its report in 1962 and focused on consolidating existing health services.
The Chadha Committee was specifically formed to plan for the maintenance phase of the National Malaria Eradication Programme (NMEP).
Furthermore, the Chadha Committee recommended one BHW per 10,000 population, not 1,000 as stated in the option, making the statement incorrect on multiple grounds.

Option A: This is a valid recommendation of the Mudaliar Committee. The committee observed that primary health centers were grossly under-staffed and improving the workforce, including nurses and health visitors, was essential for strengthening services.
Option B: This is a core recommendation of the Mudaliar Committee. The committee emphasized the need to strengthen district hospitals with specialist services to act as the central base and referral point for the PHCs.
Option D: This is a valid recommendation of the Mudaliar Committee. To improve the quality of care and prevent overburdening, the committee suggested that a single Primary Health Centre should not be responsible for more than 40,000 people.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Recommendations of Public Health Committees in India (Mudaliar vs. Chadha) as background academic context rather than a clinical decision trigger.
Understanding the evolution of India's public health system through these committee reports is crucial for community health nurses. It explains the rationale behind the current structure of PHCs, CHCs, and the role of multipurpose health workers.
The recommendations laid the foundation for a tiered healthcare system, emphasizing referral from peripheral centers (PHCs) to better-equipped district hospitals, a system still in place today.
What if the question was about the Bhore Committee? The answer would likely relate to its 1946 recommendation for a 3-tier system and the initial concept of a PHC for 40,000 population, which the Mudaliar committee later reinforced.

How to Approach the Question

First, identify the negative keyword 'EXCEPT' in the question. This means you are looking for the option that is NOT a recommendation of the Mudalier Committee.
Recall the primary focus of the Mudalier Committee (Health Survey and Planning Committee, 1962), which was to assess progress since the Bhore Committee and consolidate health services.
Evaluate each option. Three options will align with the Mudalier Committee's goal of strengthening and organizing the existing health infrastructure.
The incorrect option will likely be a recommendation from a different committee (like Bhore, Chadha, or Kartar Singh) or a factually incorrect statement.
Differentiating between the malaria-focused Chadha Committee and the consolidation-focused Mudaliar Committee is key to identifying the correct exception.

Concept Tested & Keywords

Concept Tested: Recommendations of Public Health Committees in India (Mudaliar vs. Chadha)
Stem keywords: Mudalier Committee, main recommendations
Lead-in keywords: EXCEPT
Negative lead-in flag: Question asks for the EXCEPTION

QegifJxm3b33jJulDQxq7I

E6 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) pp. 70-72, 49-51, 69-71