health care delivery system in India

1. HEALTH CARE
DELIVERY
SYSTEM IN INDIA
Nidhi Chauhan
M.Sc Nursing Previous Year Batch2017
Govt. College of Nursing, Jodhpur

2. INTRODUCTIO
N

3. DEFINITION
“It implies the organization,
delivery, staffing, regulation and
quality control of health care
services.”
- J.E.Park

4. OBJECTIVES
To improve the health status of
population
To improve the experience of care
To reduce the economic burden of
illness
 to improve social justice equity

5. CHARACTERISTIC
SOrientation toward health.
Population perspective.
Intensive use of information.
Focus on consumer.
Knowledge of treatment outcome.
Constrained resources.
Coordination of resources.
Reconsideration of human values.
Expectations of accountability.
Growing interdependence

6. ORGANIZATION OF
HEALTH SERVICES
CENTRAL LEVEL
STATE LEVEL
DISTRICT LEVEL

7. CENTRAL LEVEL
Ministry
Of Health
And
Family
Welfare
Central
Council
Of
Health
Director
General
Of Health
Services

8. UNION MINISTRY OF
HEALTH AND FAMILY
WELFAREDept. of Health
Secretary
Joint
Secretary
Deputy
Secretary
Administrative
Staff
Dept. of Family
Welfare
Secretary
Additional
Secretary
Commissioner
Joint Secretary

9. FUNCTIONS
Functions are divided in two
forms according to the
responsibility of concerning
authority:-
Union list
Concurrent list

10. UNION LIST
International health relation and administration of port
quarantine
Administration of central institutes
Promotion of research through research centers
Regulation and development of medical,
pharmaceutical, dental and nursing professions
Establishment and maintenance of drug standards

11. Cont….
Census collection and publication of
other statistical data
Immigration and Emigration
Regulation of labor in the working
fields
Coordination with states and other
ministries

12. CONCURRENT LIST
Prevention of extension of communicable
diseases
Prevention of food adulteration
Control of drugs and poisons
Vital statistics
Labor welfare
Economic and social planning
Population control and family planning

13. CENTRAL COUNCIL
OF HEALTH
It was set up by a Presidential
order on 9th August1952, under
article 263 of the Indian
Constitution.
Chairman- The union
Health minister
Members- The state
health minister

14. Consider and
recommend broad
outline of the policy
Make proposal of
legislation in field of
medical and public
health
Recommendation
regarding
distribution of
available aid for
health purposes
Establish
organization to
maintain cooperation
b/t central and state
health dept.
FUNCTION
S

15. Director General of
Health Services
DGHS
Deputy DGHS
Medical care
Nursing
advisor
Deputy
nursing
advisor
Deputy DGHS
(Public health)
Deputy DGHS
(General
administration)

16. FUNCTIONS
General
 Survey
 Planning
 Coordination
 Programming
 Appraisal of all
health matters
Specific
 International health relation
 Control of drug standard
 Medical store depots
 Post graduate training
 Medical education
 Medical research
 Central govt. health scheme
 National health programmes
 Central health education
bureau
 Health intelligence
 National medical library

17. STATE LEVEL
STATE
MINISTRY OF
HEALTH
STATE
HEALTH
DIRECTORAT
E

18. STATE MINISTRY OF
HEALTH
Health secretary
Additional secretary
Deputy secretary
Administrative staff

19. Function
Assisting the ministers in policy making
Formulating, review and modification of
broad policy
Execution of policies
Coordination with Govt. of India and other
state
Control for smooth and efficient functioning
Budgeting and control over expenditure

20. STATE HEALTH
DIRECTORIATE
Functional deputy
director
Regional deputy
director
Additional
directors

21. FUNCTIONS
Provide adequate medical care
Medical education and research
National health program implementation
Provision for health scheme

22. Cont.
Food and drug administration control
Collection of health information
Control over ESI scheme
Enforcement of professional standards

23. Districtlevel
Subdivision
Tehsil
Community Development Blocks
Municipality corporation
Villages
Panchayti raj

24. Urban Area Districts
Corporations
Municipal boards
Town area committee

25. Functions of Municipal
boards
Construction and maintenance of roads
Sanitation and drainage
Street lighting
Public health
Maintenance of hospitals and dispensaries
Education and registration of births and deaths

26. Panchayti Raj
Panchayti
Raj
Panchayat
Gram Sabha
Gram
Panchayat
Panchayat
Samiti
Zila
Parishad

27. Primary health care
in India
Village
Level
Sub
Center
Primary
Health
Center
Community
Health
Center

28. Village level

29. Sub Center Level

30. Functions
Maternal and child health
Family planning
immunization
Nutritional services
Control over communicable diseases
Records of vital statistics

31. Primary Health
Center
Concept of PHC was given by
Bhore committee
1 PHC for every 30,000
population in plain area and
for 20,000 in hilly area

32. Functions
1.Medical care
2.MCH and family planning
3.Safe water supply and basic sanitation
4.Prevention and control of diseases
5. Collection and reporting of vital
statistics
6.Education about health
7.National health program involvement
8.Training of health workers

34. Community Health
Center

38. Functions