Health Administration in India

3rd Prof. BAMS, Swasthavritta, Community medicine syllabus topic

1. HEALTH ADMINISTRATION IN INDIA Dr. Jasminkumar Viramgami Reader & H.O.D., Dept. of Swasthavritta , Govt. Akhandanand Ayurved College, Ahmedabad , Gujarat

2. India is a union of 28 states and 9 union territories .

3. States are largely independent in the delivery of health care to the people. Health is a “State Subject” as per constitution. Each state has its own system of health care delivery, independent of the Central Government. The Central Government responsibility: mainly of policy making , planning , guiding, assisting, evaluating and coordinating the work of the State Health Ministries.

4. Health System in India The health system in India has 3 main links

5. At the central level The official “organs” of health system at national level are

6. Ministry of Health and Family Welfare

7. President of India Shri Ramnath Kovind

8. Vice President of India Shri M. Venkaiah Naidu

9. Prime Minister of India shri Narendra Modi

10. At the Center UNIOUN MINISTER OF HEALTH Dr. Harsh Vardhan

11. Shri Shripad Yesso Naik Minister of State (Independent charge) AYUSH Dept

12. Ministry of Health and Family Welfare

13. Functions Union List International health relations Admin of Central Institutes Promotion of research Regulation and development of medical, pharmaceutical, dental &nursing professions Establishment and maintenance of drug standards Census; collection and publication of statistical data Coordination with states

14. Concurrent List Prevention of CD Prevention of food adulteration Control of drug and poison Vital statistics Labour welfare Economic and social planning Poulation control and family planning

15. Directorate General of Health Services

16. Functions International health relations quarantine of all major ports and international airport. Control of drug standards Maintain medical store depots Admin of post graduate training programmes Admin of certain medical colleges in India medical research through Indian Council of Medical Research ( ICMR )

17. Central Government Health Schemes . national health programmes Preparation of health education material for creating health awareness through Health Education Bureau Collection, compilation, analysis, evaluation and dissemination of information National Medical Library

18. Central Council of Health

19. Functions To consider and recommend broad outlines of policy related to health like environment hygiene, nutrition and health education. To make proposals for legislation relating to medical and public health matters. To make recommendations to the Central Govt regarding distribution of grants-in-aid .

20. STATE LEVEL State Ministry of Health State Health Directorate

21. There are 33 Districts

22. Governor of Gujarat Shri Acharya Devvrat

23. Chief Minister of Gujarat Shri Vijay Rupani

24. Shri Nitin Patel (Minister of Helath ) Shri Kishor Kanani State Minister, Health and Family Welfare Dept, (Independent Charge)

25. State Level

26. Department of Health and Family Welfare Department of Health Department of Medical Services Department of Medical Education Department of Family Welfare

27. State Health Directorate The Director of Health Services is the chief technical adviser to the State Govt on all matters relating to medicine and public health responsible for the organization and direction of all health activities

28. Deputy and Assistant Directors of Health may be of two types — regional and functional . Regional Directors inspect all the branches of public health within their jurisdiction irrespective of their specialty. Functional Directors usually specialists in a particular branch of public health such as MCH, family planning, nutrition, TB, leprosy, health education etc.

29. DISTRICT LEVEL Principal unit of administration in India

30. At District level 6 types of administrative areas. 1. Sub –division 2. Tehsil ( Taluka ) 3. Community Development Blocks 4. Municipalities and Corporations 5. Villages and 6. Panchayat

31. 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

32. THE URBAN AREA Town area committees- in area with population ranging between 5,000-12,000 Municipal Boards- in area with population ranging between 10,000-2 lakhs Corporations - with population above 2 lakhs

33. The town area provide sanitary services . The municipal boards are headed by chairman or president , elected by the members. functions Construction & maintenance of roads Sanitation & drainage Street lighting & water supply Maintenance of hospitals & dispensaries Education & registration of births & deaths etc.

34. Panchayati Raj

35. 3 tier structure of rural local self government in India, linking the village to the district. The 3 institutions are; Panchayat- at the village level Panchayat Samiti- at the block level Zila Parishad- at the district level All development programmes are channelled through them.

36. AT THE VILLAGE LEVEL The Gram Sabha The Gram Panchayat The Nyaya Panchayat Gram Sabha The assembly of all the adults of the village, which meets at least twice a year . It considers proposals for taxation , discuss the annual programme & elects members of it self.

37. Gram Panchayat An agency for planning & development at the village level. panchayat has an elected President ( Sarpanch / Sabhapati / Mukhiya ), a vice President & a Panchayat Secretary. The functions- civic administration sanitation & public health & social & economic development of the village.

38. At the Block level Block consists of about 100 villages & population of about 80,000 to 1,20,000 . The Panchayati Raj agency at the block level is the Panchayat Samiti / Janpada Panchayat . It consists of all Sarpanchas of the village panchayats in the Block; MLAs, MPs residing in the block area; representatives of women, SC, ST & cooperative societies.

39. The Block Development Officer is the ex-officio secretary of it his staff give assistant to the village panchayats engaged in development programmes . Function- Execution of the community development programme in the block

40. AT THE DISTRICT LEVEL The Zilla Parishad is the agency of rural local self govt. The members are all heads of the Panchayat Samiti in the district; MPs, MLAs of the district, representatives of SC, ST & women, and 2 persons of experience in administration, rural development. The collector is a non voting member zilla parishad is primarily supervisory & coordinating body .

41. Gram Sevak The village level worker (gram sevak ) is the key person responsible for transforming the economic and social life of the people. Each gram sevak = 10 villages and 5 or 6 thousand people. lives in close touch with local people . link between the people and govt agencies.

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