1. Submitted by,
Rakshita Asati
10th “B”

2. Health :A state of complete physical, mental, and social
well-being and not merely the absence of disease or infirmity
System :this is word From late Latin systēma and
Ancient Greek (sustēma, "organised whole,
body") example respiratory system

3. Introduction :Health care delivery system is initially started from
central government of India. The scope of health
services is varies widely from country to country
and influenced by general and ever changing
national, state And local health Problem, need
attitude as well as available resources.
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4. Health care should be :Accessible
Acceptable
Provide scope for community participation
Comprehensive
Affordable at low cost
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5. 5
Resources:Man power
Money power
Material power
Minutes power

6. Organization and administration of health services in
india at different level.
National level
State an union territories
District health organization and basic specialties hospital/districts
Community health
Centers
sub-districts/
taluka hospital
P.H.C
Sub centers
Village health
Guides
People in
Population
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7. At central level:Union ministry of health and family
The director general of health services
The central council of health and family
welfare

8. Union ministry function
International heath relation and administor of port-quarantine
Administration of central health institutes such as “all India
institute of hygiene”
Promotion of research through research centers and other bodies
Regulation and development of medical, nursing and other allied
health promotion
Establishment and maintains of the drug
Census and collection and publication of other statistical data
Immigration and migration
Regulation of labor in the working in mines
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9. Director general of health services
General function :the general function are survey planning, coordination, programme and appraisal of all health
matters in the country
Specific funtion :international health relation and
quarantine
control of drug standards
medical stores depots
post graduation training
medical education
medical research
central govt. health scheme
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10. Central council health function are :Environmental hygiene, nutrition,
education, promotion, research
Making the proposal
Distribution sources to the state level
Promoting and maintain between central
and state level
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11. Panchayti Raj : it is rural administration
It is last phase in the system of the health care structure
Three institution of panchayati Raj are following:1) Panchayat :-(at village level)
1) Panchayat Samiti:- (at block level)
2) Zilla parishad :- (at district level)

12. 1)Panchayat :Gram sabha:They meet at least twice in a year and elected the
member of gram panchayat
 gram panchat : it constitude on the popullation of 5,000 to 15,000
15 to 30 panch as members
Headed by surpanch
It term upto 3 to 5 year
 nyaya panchat
 it villages platform to resolves the disputes between
villages /local group
Mainting peace among people

13. 2)Panchayat samiti :It consist of 100 villages
Covering 80,000 to 1 lack people
It consist of all surphanchs
B.D.O. headed
3) Zilla parishad at the district level
 collector also member of this team but not right of voting
Nearest 70 to 80 members
Mainly supervising by collector

14. Primary health care :Launched in 1977 base on rural health scheme
The principle is “placing people health in
people hand”
1983 national health policy based on PHc
approved by parliament
1)Village level
a) village health guide scheme
b) training of local dais
c) ICDS scheme(Anganwadi worker)
2)Sub centre
3)P.H.C
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15. a)Village level
one of the basic tends of primary health care.
implement the policy of primary care following
scheme are operating:Village health guides:a person with an aptitude for social services
and it not full time government functionary.
This scheme introduced on 2nd oct 1977
In May 1986 male guide replaced by female
health guides
They provide the first contact between the
individual and the health systems
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16. The guidelines for their selection are:they should be permanent residents of the
local community, preferably women
they should be able to read and write having
minimum formal education at least 10th
standard
Should be accept all section of the community
They should be spare at least 2 to 3 hrs every
day
Training for health guide:At the PHC
Duration 200 hrs
for 3 months
received stipend Rs. 200/month
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17. Local dais:Providing knowledge and training
Knowledge is emphasize on elementary concepts of maternal and
child health and sterilization
The training is 30 working days
Stipend of Rs.300
2 days training in a week
After completion each dais getting kit and certificate
Anganwadi worker
One anganwadi for 1000 people popullation
Under ICDS
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18. Sub-center level:it is peripheral outpost of the existing health
delivery systems in rural area
One sub centre …….
Every 3000 population in hilly and tribal ……
Each sub-center one male/female ANM
Primary health center level
it not new to India before in depended also
there was PHC
In 1946 Bhore community put the concept of
P.H.C.
One P.H.C. for 30,000/25,000
One P.H.C. for 20,000/15,000 in hilly and
tribal
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19. Function of P.H.C.
Medical care
MCH including family planning
Safe water supply and basic sanitation
Prevention and control of locally endemic
disease
collection and reporting of vital statistic
Education about health
National health programme as relevant
Referral services
Training of health guides health workers
local dais and health assistants
Basic laboratory services
(tubectomy vasectomy and tracheotomy MTP
and minor surgery)
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20. Staffing pattern of P.H.C
Medical officer
1
Pharmacist
1
Nurse mid-wife
1
Health worker
1
Block extension educator
1
Health assistant
1
Health assistant
1
U.D.C.
1
L.D.C.
1
Lab technician
1
Driver
1
Class VI
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21. Job description of members of the health team
1)Medical officer, P.H.C.
Captain
O.P.D. devotes work at morning
Supervised the field at afternoon
Supervising and leadership of health team
Each month one day participating in meeting at P.H.C.
He must to planner, promoter, director supervisor,
coordinator and evaluator too.
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22. 2)
Health care female:Registration:• Pregnant women
• Married women
• Number of home visits
Care at home:•Care of pregnant women
•Advice about nutrition and food hygiene
•Distributes iron & folic acid tab
•Immunization
•Finding gynecological problem
•Family planning
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23. •Supervises deliveries
•First Aid in emergency
•Notify disease
•Record and reports of birthdeath
•Test urine albumin
•Distribute conventional contraceptive
Care at clinic
• arrange help to M.O.
•Conduct MCH Family planning clinic at sub centre
Care in the community
•Participant in mahila mandal meeting
•Helping to other staff
other :• maintain cleanliness of centre
•Attend staff meeting at P.H.C.
•List the dais of same area
•Co- ordinating
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24. Health worker male:Record keeping
Malaria
(identification, O.P.D. investigation, records, control of
spreading,education,followup)
Communicable disease
Leprosy
Tuberculosis
Environmental sanitation
Expanded programme on immunization
Family planning
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25. hospital health centers :Community health centers:•31st march 2003 established by upgrading the
primary centers
•Covering 80,000 to 1.2 lack population
•30 beds
•Specialist surgery
C.H.C has provided following services :Care routine and emergencies cases in
surgery
Care of routine and emergencies in medicine
24 hrs delivery services
Cesareans section
Full range of family planning services,
laparoscopy too.
 safe abortion
New born care
Tracheotomy, nasal pack
National health programme
Other
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26. Staffing pattern at CHC:1) Existing clinical manpower:General surgeon
Physician
DGO
Pediatrician
2)Proposed clinical manpower: Anesthetist
Eye surgeon
Public health manager
3)Existing support manpower:Nurses + midwifes (7+2)
Dresser (certified by Red cross)
Pharmacist
Lab technician
 radiographer
Ophthalmic assistant
Ward boy
Sweeper

27.  O.P.D attendent
Statistical assistant (date entry,operator)
O.T. attendant
 registration clerk
 one ANM and one PHN for family welfare appointed under ASHA

28. Rural hospital :It’s convert the sub division hospital into sub
division health center .
Covering 5 lacks population
 In this covering P.H.C., sub centre, at
tehsil/sub division/ taluka .
P.H.C. patient are shifted for infusion level
District hospital
 it’s convert the district hospital
into district health centre
 hospital differs from health
centre in the following respect
 mostly curative services
No catchment area
Mix team work
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29. Specialist hospital :The specialist hospital include: trauma centers
Rehabilitation hospital
Seniors (geriatric) care
Psychiatric hospital
Cardiac
Oncology etc.
Hospital may in a single or number of
building on one campus
It may expensive or not expensive too.
Teaching hospital:providing clinical education and training to
future
Provide medical education to the doctor, nsg,
health profession
In additional providing patient care.
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30. Other agencies health insurance scheme:
employee state insurance
This act introduce in 1948
The principle of contribution by the employer and
employee
Provide kind and benefits in the contingency of sickness
Maternity care, employment injuries , pension on death
on field of work.
The act coves employees drawing wages not exceeding
Rs. 10,000/month
central Govt. health scheme :Introduced in Delhi in 1954 to provides
Provide comprehensive medical care to central govt.
employees
The facilities under scheme include:O.P.D. care
Supply of necessary drugs
Laboratory and x.ray investigation
Domiciliary visits
 hospitalization facilities as well as in private
hospital
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31. Specialist consultation
Pediatric services including immunization
Antenatal, natal and postnatal services
Emergency treatment
Supply of optical and dental aids at reasonable
rate
Family welfare services.
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32. Other agencies :Defense medical services: it is largest and almost best organization of
health care delivery systems in the country
Supported facilities:1. Ambulance
2. Mobile beds
3. Hospital (all)
4. Staff (doctors,nsg,co-workers)
Health care of railway employee:Through out railway hospital care are provide
MCH
School health services
Specialist unique hospital
Primary care
Health check-up
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33. Medical officer are working in sub-division centre
The economical sources are providing by railway
department for future care at the low cost.
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34. Private agencies:In a mixed economy such as India's private practice of medicine
a large share of health services available
The general practitioner constitute 70% of the medical
profession
The component of private agencies are poly Nsg home, general
practitioner
Indigenous systems :the practitioner of indigenous systems of
medicine are ayurveda.sidha,homoepathy
90% of ayurvedic physician serve the rural
area
The govt. of India is studying best utilized for
more effective or total health coverage.

35. Voluntary health agencies:Definition:An organization that is administrated by an autonomous board
which holds meeting collects funds for it supported chief from
private sources and expanded money.
Function :Supplementing the work of govt agencies
Pioneering
Education
Demonstration
Guarding work of govt. agencies
Advancing health legislation

36. Health programme in India:Since india become free several measure have
been undertaken by the national govt.
Central govt. for control eradication of
communicable disease, improved environmental
sanitation etc.
India given permission to the foreigner countries
to implement them organization in india

37. Factor influencing :Demographic trends:Population explosion
Declining mortality for both sex
Increasing old age and midline age people
Prevalent of non- communicable disease
Higher morbidity rates
Eliminating communicable disease
social trends: changing of life styles
Appreciation of quality of life
Changing families composition and living pattern
Rising household incomes

38. Economic trends:Improved in std of living
Training facilities
Allotment of social welfare funds to other job opportunities
Self employment scheme
Increasing nurses in hospital and non hospital setting
Impaired family planning
political trends :policy changes
Supports (economic, attitude)
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39. Thank you for patience