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For effective health services now there is need that entire Programme should be at national level to be reviewed to move with new medical developments. The responsibilities of community in health have more importance which should have trained health specialist along with workers and technologists and should be well equipped to give specified remedies for day to day illness. In the year 1981 are beloved permissible (Lab) Smt. Indra Gandhi said that population growth is a problem and to tackle it we will need trained Doctors/technicians to check this problem also to over come the diseases to achieve this target we need trained personal in various medical field.