Health Survey and Development Committee – recommendations MCQs With Answer

The Health Survey and Development Committee (Bhore Committee) report of 1946 provided a blueprint for India’s modern public health system, advocating an integrated, state-funded health service emphasizing preventive and curative care. Key recommendations included primary health centres, district and teaching hospitals linked to community health, strengthening medical education in preventive and social medicine, expansion of health manpower, maternal and child health, sanitation, communicable disease control, and government responsibility for health services and drug supply. For B.Pharm students, these recommendations explain pharmacists’ roles in drug distribution, rational drug use, community pharmacy, cold chain management, and public health programs. Now let’s test your knowledge with 30 MCQs on this topic.

Q1. Who chaired the Health Survey and Development Committee commonly known as the Bhore Committee?

  • William Beveridge
  • Joseph Bhore
  • Sir Joseph Bazalgette
  • Sir Edwin Chadwick

Correct Answer: Joseph Bhore

Q2. In which year was the Bhore Committee report submitted?

  • 1935
  • 1946
  • 1952
  • 1960

Correct Answer: 1946

Q3. What was the primary aim of the Bhore Committee recommendations?

  • To promote private medical practice and fee-based services
  • To establish an integrated, government-funded health service combining preventive and curative care
  • To focus solely on advanced tertiary medical research
  • To privatize pharmaceutical manufacturing

Correct Answer: To establish an integrated, government-funded health service combining preventive and curative care

Q4. Which of the following did the Bhore Committee specifically recommend regarding access to health services?

  • Restricting services to urban populations
  • Charging user fees for primary care
  • Provision of free medical services by the state
  • Outsourcing care to private insurers

Correct Answer: Provision of free medical services by the state

Q5. How did the Bhore Committee propose to align medical education with societal needs?

  • By emphasizing laboratory-based specialties only
  • By linking medical education to community health and preventive medicine
  • By reducing training in public health
  • By promoting overseas clinical attachments exclusively

Correct Answer: By linking medical education to community health and preventive medicine

Q6. Which health facility did the Bhore Committee identify as the first contact point for rural populations?

  • Private clinics in cities
  • Primary health centres
  • National super-specialty hospitals
  • Homeopathic dispensaries

Correct Answer: Primary health centres

Q7. The Bhore Committee advocated a multi-tier health system. Which description best fits that recommendation?

  • A two-tier system of private and charitable hospitals
  • A three-tier system linking primary, secondary (district), and tertiary (teaching) institutions
  • A system of only mobile clinics
  • A centralized single-hospital model for the whole country

Correct Answer: A three-tier system linking primary, secondary (district), and tertiary (teaching) institutions

Q8. Which recommendation of the Bhore Committee is most directly relevant to pharmacists in public health?

  • Expansion of cosmetic manufacturing
  • Ensuring supply and rational use of essential medicines through state-supported systems
  • Promotion of independent retail chains without regulation
  • Elimination of formal pharmacy training

Correct Answer: Ensuring supply and rational use of essential medicines through state-supported systems

Q9. Which hospital-level did the Bhore Committee emphasize to support district health needs?

  • Community health posts only
  • District hospitals to provide secondary care
  • Only metropolitan teaching hospitals
  • Ambulance-based tertiary care centers

Correct Answer: District hospitals to provide secondary care

Q10. What was the Bhore Committee’s stance on government responsibility for health financing?

  • Health financing should be left entirely to private insurers
  • The state should bear primary responsibility for financing health services
  • Communities should pay all costs through local taxes
  • International donors should fund the entire health system

Correct Answer: The state should bear primary responsibility for financing health services

Q11. Which area of health did the Bhore Committee place strong emphasis on to reduce disease burden?

  • Preventive medicine, sanitation, and disease control
  • Only cosmetic surgery services
  • Exclusive focus on heart transplants
  • Promotion of unregulated herbal remedies

Correct Answer: Preventive medicine, sanitation, and disease control

Q12. How did the Bhore Committee address maternal and child health?

  • It recommended deprioritizing maternal care
  • It emphasized strengthening maternal and child health services as a priority
  • It suggested maternal care be managed by private midwives only
  • It focused solely on geriatric care

Correct Answer: It emphasized strengthening maternal and child health services as a priority

Q13. What integration did the Bhore Committee specifically advocate in health service delivery?

  • Separate systems for preventive and curative services with no coordination
  • Integration of preventive and curative services at all administrative levels
  • Exclusive reliance on curative tertiary care
  • Splitting services by gender only

Correct Answer: Integration of preventive and curative services at all administrative levels

Q14. Which workforce recommendation was included in the Bhore Committee report?

  • Reduction of health personnel to cut costs
  • Expansion of health manpower and training, including paramedical staff
  • Replacing trained staff with volunteers only
  • Importing all health personnel from abroad

Correct Answer: Expansion of health manpower and training, including paramedical staff

Q15. What role did the Bhore Committee assign to teaching hospitals?

  • To function only as urban referral centers with no community link
  • To be linked with community health and serve as training centers for public health
  • To focus solely on private patient care
  • To be converted into commercial research firms

Correct Answer: To be linked with community health and serve as training centers for public health

Q16. Which of the following facility types did the Bhore Committee propose to strengthen rural health care?

  • Rural health units and primary health centres
  • Only metropolitan super-specialty hospitals
  • Private nursing homes in cities
  • Exclusive telemedicine without local presence

Correct Answer: Rural health units and primary health centres

Q17. Which policy did the Bhore Committee explicitly NOT support?

  • State provision of health services
  • Reliance on an entirely unregulated private sector as the main provider
  • Integration of medical education with community needs
  • Emphasis on preventive health measures

Correct Answer: Reliance on an entirely unregulated private sector as the main provider

Q18. How should B.Pharm graduates apply Bhore Committee principles in community settings?

  • Focus only on retail sales and ignore public health
  • Engage in rational drug use, inventory management, patient counseling, and public health activities
  • Promote unapproved medications for faster profits
  • Avoid participation in vaccination or disease prevention programs

Correct Answer: Engage in rational drug use, inventory management, patient counseling, and public health activities

Q19. Which emphasis in medical education recommended by the Bhore Committee is directly relevant to pharmacy training?

  • Exclusive training in pharmaceutical marketing
  • Strengthening preventive and social medicine (community medicine)
  • Reducing coursework in therapeutics
  • Eliminating laboratory training

Correct Answer: Strengthening preventive and social medicine (community medicine)

Q20. Regarding drug supply and distribution, what general approach is consistent with Bhore Committee recommendations?

  • State responsibility for organized procurement and distribution to ensure access
  • Complete deregulation and free-for-all trade
  • Importing all medicines without local production
  • Relying solely on charitable donations for medicines

Correct Answer: State responsibility for organized procurement and distribution to ensure access

Q21. Which public health interventions did the Bhore Committee prioritize to control communicable diseases?

  • Sanitation, vaccination, and disease surveillance
  • Only advanced surgical interventions
  • Promotion of ineffective home remedies
  • Building luxury hospitals in urban centers

Correct Answer: Sanitation, vaccination, and disease surveillance

Q22. In primary health centres envisioned by the Bhore Committee, what pharmacy-related function is essential?

  • Dispensing and counseling, maintaining drug inventory and cold chain for vaccines
  • Operating as a wholesale pharmaceutical manufacturer
  • Providing only herbal medicines
  • Restricting medicines to cosmetic products

Correct Answer: Dispensing and counseling, maintaining drug inventory and cold chain for vaccines

Q23. Which report is widely credited with laying the foundation for India’s post-independence public health infrastructure?

  • The Sir William Beveridge Report
  • The Bhore Committee Report (Health Survey and Development Committee)
  • The Flexner Report
  • The Alma-Ata Declaration

Correct Answer: The Bhore Committee Report (Health Survey and Development Committee)

Q24. What does “integration of preventive and curative services” mean in the Bhore Committee context?

  • Separating prevention and cure into different departments with no coordination
  • Combining disease prevention, health promotion, and treatment within the same health system and facilities
  • Focusing only on preventive measures and abandoning curative care
  • Outsourcing prevention to private firms while keeping cure public

Correct Answer: Combining disease prevention, health promotion, and treatment within the same health system and facilities

Q25. Which policy change was NOT advocated by the Bhore Committee?

  • Expansion of public health infrastructure
  • Integration of medical education and community health
  • Privatization and elimination of public health responsibilities
  • Emphasis on preventive medicine

Correct Answer: Privatization and elimination of public health responsibilities

Q26. Which specialty’s strengthening in teaching curricula did the Bhore Committee emphasize to meet population health needs?

  • Preventive and social medicine (community medicine)
  • Only cosmetic dermatology
  • Exclusively neurosurgery
  • Advanced lineage tracing in pharmacogenomics alone

Correct Answer: Preventive and social medicine (community medicine)

Q27. How did Bhore Committee recommendations influence rational drug use in public health?

  • They promoted unregulated polypharmacy
  • They supported systems that enabled rational, evidence-based use of medicines within public services
  • They removed the need for drug regulation
  • They recommended drugs be used only in tertiary centres

Correct Answer: They supported systems that enabled rational, evidence-based use of medicines within public services

Q28. Which area related to women’s health was strengthened by Bhore Committee recommendations?

  • Promotion of maternal and child health services
  • Limiting services to male-only clinics
  • Exclusive focus on cosmetic gynecology
  • Removal of antenatal care from primary centres

Correct Answer: Promotion of maternal and child health services

Q29. What financing principle for health services did the Bhore Committee endorse?

  • User-fee based financing at primary care level
  • Government-funded services aimed at universal access
  • Health financing by international charities only
  • Complete withdrawal of the state from health financing

Correct Answer: Government-funded services aimed at universal access

Q30. Which long-term impact on pharmacy education aligns with Bhore Committee principles?

  • Ignoring public health topics in pharmacy curricula
  • Incorporating community pharmacy, public health, drug supply management, and rational use principles
  • Focusing solely on pharmaceutical sales techniques
  • Eliminating coursework on therapeutics

Correct Answer: Incorporating community pharmacy, public health, drug supply management, and rational use principles

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