1.Organization and administration of health sytem in India.pptx

India is the biggest democracy of the world with population of 140 Cr (2022) and 36 states including Federal States and Union Territories. health organization at center, state and district level is mentioned here with Panchayti Raj. on August 7,2014 vide extraordinary Gazette notification, Department of AIDS control has been merged with department of Health and Family welfare. Besides this. as per the amendment notified by the cabinet secretariats dec8, 2014. department of AYUSH has been made Ministry of AYUSH with focused attention on education and research in AYUSH system.

1. Organization and administration of Health System in India DIVYA ANISH PARAMBI M.Sc (CCN) INSTITUTE OF NURSING EDUCATION

2. Organization and administration of Health System in India India's healthcare system serves a vast and diverse population of 1.4 billion people, operating on a multi-payer universal healthcare model. It’s a dynamic blend of public, private, and insurance-funded services, constantly evolving to meet the nation's unique health needs.

3. India is a union of 2 8 states and 8 union territories. States are largely independent in matters relating to the delivery of health care to the people. Each state has developed its own system of health care delivery, independent of the Central Government. The Central Government’s responsibility consists mainly of policy making , planning , guiding, assisting, evaluating and coordinating the work of the State Health Ministries.

4. Organization chart of health system in India Ministry of Health and family welfare National Health Authority (NHA) Department of Health and Family Welfare (DHFW) Ministry of AYUSH Directorate General of Health Service (DGHS) Central council of health and family welfare National AIDS Control Organization (NACO) Department of Health and Research (DHR)

5. Organization chart of health system in India Members of NITI Aayog State Health Minister Central council of health and family welfare 2 Members of Lok Sabha 2 Members of Rajya Sabha

6. Organization chart of health system in India AYURVEDA YOGA AND NATUROPATHY Ministry of AYUSH UNANI SIDDHA HOMEOPATGHY

7. According to 7 th constitution 3list are made for the division of function

8. According to 7 th constitution 3 list are made for the division of function UNION LIST FUNCTIONS UNDER CENTER, INCLUDES DEFENCE FOREIGN RELATION ETC International health relations and administration of port quarantine Administration of Central Institutes such as All India Institute of Hygiene and Public Health, Kolkata. Promotion of research through research centers Regulation and development of medical, pharmaceutical, dental and nursing Professions Establishment and maintenance of drug standards Census and collection and publication of other statistical data Immigration and emigration Regulation of labor in the working of mines and oil fields. Coordination with states and other ministries for promotion of health

9. According to 7 th constitution 3list are made for the division of function STATE LIST Areas and responsibility that include, finance, health, home, local administration. Planning health services in state. Implementing nation health programmes and evaluation Food adultration and sanitization MCH and RCH Nutrition and medical education Training of nurses , health workers and paramedics. Vital statistics

10. According to 7 th constitution 3list are made for the division of function CONCURENT LIST Prevention and extension of communicable diseases Prevention of adulteration of food stuffs Control of drugs and poisons Vital statistics Labor welfare Ports other than major Economic and social planning Population control and Family Planning Preparation of health education material for creating health awareness through Central Health Education Bureau. Collection, compilation, analysis, evaluation an dissemination of information through the Central Bureau of Health Intelligence National Medical Library

11. AT STATE LEVEL STATE MINISTRY OF HEALTH Health minister of state is the chief of state ministry of health. Deputy ministers act under him. At administrative level health secretary is in charge of health department . He is an IAS officer. Under him there are special secretaries, deputy secretaries and other staff. STATE HEALTH DIRECTORATE It is headed by Director of Medical and Health Services(DMHS) ,for his help there are addition directors, joint directors and deputy directors

12. MUNCIPAL CORPORATION: Population >2L Headed by mayor MUNCIPALITY Population between 10000 -2L TOWN AREA COMMITTEES Population between 5000-10000 Towns which are between the village and city Under- district collector SINGLE OBJECTIVE AUTHORITIES Urban Development Authority( uda ), Urban Improvement Trust, port Trust, etc CANTONMENT BOARDS In areas where military remain in cantonment, half members of board from military and half elected civilian NOTIFIED AREA COMMITTEES It is constituted where municipal board cannot be established . In developing cities or places where tourism is the main activity

13. ORGANIZATION AT DISTRICT LEVEL

14. District Level Districts Tehsils /Talukas (200- 600 villages) Community Development Blocks (approx 100 Villages & 80,000 - 1.2 Lac Pop) Municipalities & Corporations Municipal Board (10,000- 2 Lac Pop) Corporations (> 2 lac pop) Town Area Committee (5,000- 10,000 Pop) Panchayats Villages

15. District Level Districts Tehsils /Talukas (200- 600 villages) Municipalities & Corporations Municipal Board (10,000- 2 Lac Pop) Corporations (> 2 lac pop) Town Area Committee (5,000- 10,000 Pop) Panchayats Villages NYAYA

16. Structure of Healthcare Delivery in India Three-Tier System Healthcare is structured across Primary, Secondary, and Tertiary care levels. Governance Structure Managed at Central, State, and District levels. Central Leadership Ministry of Health & Family Welfare sets national policies. State Responsibility States oversee the organization and delivery of services.

17. Public Healthcare System India's public healthcare system is predominantly tax-funded, offering largely free outpatient and inpatient care. It operates through a network of Primary Health Centers (PHCs), Community Health Centers (CHCs), and District Hospitals, forming the backbone of rural and semi-urban healthcare. The National Health Mission plays a crucial role in enhancing infrastructure, upgrading equipment, and fostering community participation to strengthen these facilities. Government expenditure on healthcare has steadily increased, reaching approximately 2.1% of GDP in FY23, with a significant allocation of $74 billion since 2022, demonstrating a growing commitment to public health.

18. Private Healthcare Sector The private sector is a dominant force in India's healthcare landscape, delivering the majority of services. It encompasses a wide array of facilities, from local clinics and nursing homes to large corporate hospitals equipped with advanced technology. Patients typically cover costs out-of-pocket, although private insurance coverage is gradually expanding. India has also emerged as a global hub for medical tourism, attracting international patients seeking cost-effective access to high-quality, advanced medical care across various specialties.

19. Health Insurance and Financing and voluntary health agencies Ayushman Bharat This government scheme covers 40% of the population, providing financial protection for secondary and tertiary care. Government initiatives like Ayushman Bharat and Employees' State Insurance are expanding coverage. Out-of-pocket expenditure has notably reduced from 62% to approximately 42% recently, indicating progress in financial protection. Mandatory employer-provided insurance for private sector employees, instituted in 2020, further bolsters coverage. Total health expenditure is around 3.2% of GDP, with the government's share contributing roughly 2% of this figure.

20. Key Government Initiatives National Health Policy (2017) Focuses on universal coverage, non-communicable diseases (NCDs), and quality healthcare. Ayushman Bharat Provides INR 5 lakh coverage per family for secondary and tertiary care. Indra Dhanush Immunization Targets comprehensive immunization for children in rural and urban areas. Health and Wellness Centres Strengthening primary care delivery at the grassroots level across the nation.

21. Challenges in Healthcare Delivery Infrastructure Gaps: Shortage of healthcare professionals, with only 1 doctor per 1674 people. Urban-Rural Disparities: Significant differences in access and quality of care between urban and rural areas. Non-Communicable Diseases: High burden of NCDs, causing 4 million premature deaths annually. Underfunded Mental Health: Only 0.06% of the health budget is allocated to mental health services. Fragmented System: Challenges in coordination across diverse public and private providers.

22. Conclusion and Future Outlook Progress Achieved Significant strides in expanding health insurance coverage and increasing government funding for healthcare services. Innovation & Digital Health Ongoing developments in low-cost medical devices and the rapid adoption of digital health solutions. Areas for Improvement Continued need for increased investment, expansion of the healthcare workforce, and enhanced rural access. Future Transformation India is well-positioned for ongoing transformation towards a universal and high-quality healthcare system.