1. SEMINAR ON
PREVENTIVE, CURATIVE AND
RESTORATIVE CARE IN HEALTH
CARE DELIVERY SYSTEM
Presented by
S.Sivabanu
I Year M.Sc (N)

2. DEFINITION AND OBJECTIVES
DEFENITION
The term health care delivery system refers
to a multilevel industry transforms various
resources into essential services designed to
meet the health care needs of a population
OBJECTIVES OF HEALTH CARE DELIVERY
SYSTEM
 To increase the lifespan of healthy people
 To reduce health disparities and
 To provide all people with access to prevention
 Decrease the race-based disparity in life
expectancy

3. MODELS OF HEALTH CARE
DELIVERY
Tertiary level (District hospitals,
medical college hospitals)
Secondary level (community
health center taluka hospital)
Primary level (PHC, Sub
centers)

4. 1. PUBLIC HEALTH SECTOR
 PRIMARY HEALTH CARE
Primary health centre
Sub – centers
 HOSPITALS/HOSPITAL CENTERS
Community health centers
Rural hospitals
District hospitals / health centre
Specialist hospitals
Teaching hospitals
 HEALTH INSURANCE SCHEMES
Employees state insurance
Central Government Health scheme
 OTHERS AGENCIES
Defense services
Railways
HEALTH CARE SYSTEM

5. 2. PRIVATE SECTOR
 Private hospitals, polyclinics, nursing
homes and dispensaries
 General practitioners and clinics
2. INDIGENEOUS SYSTEM OF MEDICINE
Ayurveda and siddha
Unani
Homeopathy
Unregistered practitioners
2. VOLUNTARY HEALTH AGENCIES
3. NATIONAL HEALTH PROGRAMMES

6. PRIMARY HEALTH CARE
VILLAGE LEVEL
 Village – health Guide scheme (VHG –
scheme)
 Training of local dais
 ICDS scheme
SUB CENTRE LEVEL
PRIMARY HEALTH CENTER LEVEL

7. Staff pattern of PHC
Medical officer - 1
Pharmacist - 1
Staff nurse - 1
Health worker female (ANM) - 1
Block extension Educator - 1
Health Assistant male - 1
Health assistant female - 1
Upper division clerk - 1
Lower division clerk - 1
Lab technician - 1
Ophthalmic Assistant - 1
Driver - 1
class IV staff (peon/sweeper) - 4
Total - 16

8. FUNCTIONS OF THE PHC
Medical care
MCH services including family planning
Improvement of environmental sanitation with safe
water supply
Prevention and control of communicable diseases
Collection and reporting of vital statistics
Health education
Implementation of relevant National Health
programs
Basic lab services
Referral services
Training programs for health workers. Health
assistants, local dais etc..

9. MEDICAL OFFICERS
 General
 Curative
 Preventive work
 Promotive work
 Training
 Administration
JOB RESPONSIBILITIES OF
PHC STAFF

10. FEMALE HEALTH WORKER
 Maternal and child health
 Family planning
 Nutrition
 Communicable disease
 Immunization
 Training
 Vital events
 Record keeping
 Primary medical care
 Team activities

11. MALE HEATH WORKER
 Malaria
 Communicable disease
 Environmental sanitation
 Immunization
 Family planning
 Maternal and child health
 Nutrition
 Vital events
 Team activities

12. MALE HEALTH ASSISTANT
 Supervision and guidance
 Team work
 Maintain regular supplies and equipments
 Scrutinize and maintain records
 Radical treatment and insecticidal spray
 Communicable disease control
 Environmental sanitation
 Conduct, supervise immunization sessions
 Ensure family planning
 Nutrition
 Report vital events
 Primary medical care
 Health education
FEMALE HEALTH ASSISTANT

13. COMMUNITY HEALTH CENTRE
By upgrading primary health centers
Covers population of 80,000-1.2 lakhs
30 beds And specialists in medicine, surgery, OBG and pediatrics
X-ray and lab facilities available
STAFF PATTERN OF CHC
SERVICES PROVIDED
Inpatient and out patient services
Services of speacialists
Emergency care
Specialized diagnostic services

14. HOSPITALS
•Rural hospitals
•District hospitals
HEALTH INSURANCE
•Employees state insurance scheme
•Central government health scheme
OTHER AGENCIES
•Defence medical services
•Health care of railway employees
PRIVATE AGENCIES
•Nursing homes
•Poly clinics
•Private hospitals
•General practioners

15. INDIGENEOUS SYSTEM OF MEDICINE
Ayurveda
Yoga
Unani
Siddha
homeopathy…
VOLUNTARY HEALTH AGENCIES
Supplementing the work of government agencies
Pioneering
Education
Demonstration
Guarding the work of government agencies
Advancing health legislation
HEALTH PROGRAMMES

16. SUMMARY
CONCLUSION
ASSIGNMENT
THEORY APPLICATION
BIBLIOGRAPHY