Health care delivery system anp

health care delivery system

1. Health Care Delivery System Submitted By: Nisha Yadav MSc Nursing 1st Year

2. Content Definition Organization of health services Central level State level District level

3. Objectives Students will be able to- Define health care delivery system Explain organization of health services at: Central level State level District level

4. Health Care Delivery System Definition : It implies the organization of the people, institution and resources to deliver health care services to meet the health needs of target population.

5. ORGANIZATION OF HEALTH SERVICES

6. Organization Of Health Services at the central level The official “organs” of the health system at the national level consist of: Union ministry of health and family welfare The directorate general of health services The central council of health and family welfare

7. Union Ministry of Health and Family Welfare

8. Organization The union ministry of Health and Family Welfare is headed by a Cabinet Minister, a Minister of State and a Deputy Health Minister.Currently, the Union Health Ministry has ths the following departments: Department of Health Deparment of Family Welfare

9. Functions: The functions of the Union Health Ministry are set out in the seventh schedule of Article 246 of the Constitution of India under:

10. Union List International health relation and administration of port quarantine Administration of central institutes such as the All India Institute of Hygiene and Public Health,Kolkata Promotion of research through research centers Regulation and developement of medical, pharmaceutical, dental and nursing professions

11. Establishment and maintenance of drug standards Census collection and publication of other statistical data Immigration and emigration Regulation of labor in the working fields Coordination with states and other ministeries for promotion of health.

12. Concurrent List The functions listed under concurrent list are the responsibility of both the Union and State government. The Concurrent List includes : Prevention of extension of communicable disease from one unit to another Prevention of adulteration of foodstuffs

13. Control of drugs standards Vital statistics Labo u r Welfare Economic and social planning Population control and family planning Continue...

14. Directorate General of Health Services

15. O R GANIZATION : The D irector G eneral of H ealth S ervices is the principal adviser to the U nion G overnment in both medical and public health matters. He is assisted by an additional Director General of Health Services, a team of deputies and a large administrative staff. The Directorate comprises of the three main units- medical care and hospitals,public health and general health. Directorate General Of Health Services.

16. DGHS Additional Director general of health services Deputy DGHS for Public Health Deputy DGHS for General Administration Administrative staff Administrative staff Deputy DGHS for Medical care and Hospital Directorate General of Health Services Administrative staff Administrative staff

17. Functions: General functions are surveys, planning, co-ordination , programming and appraisal of health matters in the country. Specific functions are: International health relations and quarantine : A ll the major ports in the country are directly controlled by Directorate General of Health Services. All matters relating to the obtaining of assistance from the international agencies and the coordination of their activities in the country are undertaken by the Directorate General of Health Services.

18. C ontrol of drug standards : I ts primary function is to lay down and enforce standards and manufacture and distribution of drugs . Medical store depot s : These depots supply the civil medical requirements of the central government and of the various state government . Post graduate t r a i n i n g : T o d i f fer ent categories o f he a l t h personnel . Medical education : The Central Directorate is directly in charge of following medical colleges in India: the Lady Harding, the Maulana Azad and medical colleges at Goa. Medical research : Is organised by Indian Council of Medical Reseach ,funds of the council are derived wholly from the budget of Union Ministry of Health.

19. Continue..... . Central G ovt. Health S cheme National health programm e s : The Central Directorate helps in planning, guiding and coordinating all national health programmes in the country. Central health education bureau : It prepares education material for creating awareness among the people and also offers training courses in health education. Health Intelligence : To centralise collection,compilation, analysis,evaluation,dissemination of all information on the health statistics. National Medical Library : To help in advancement of medical, health and related sciences by collection, dissemination and exchange of information.

20. Central Council of Health

21. Central Council of Health The Central Council of Health was set up by a Presidential Order on 9 August, 1952 under Article 256 of the Constitution of India for cooperation between Centre and State in implementation of programmes. Organization : The Union Minister is the Chairman and the State Health Ministers are the members

22. Functions: To consider and recommend beyond outline of policy in regard to matters concerning health in all its aspects. To make proposals for legislation in fields of activity relating to medical and public matters and lay down the pattern of development for the country as a whole. To make recommendation to the central govt regarding distribution of available grants –in-aid for health purposes to the states and to review periodically the work accomplished in different areas through the utilization of these grants –in-aid. To establish any organization invested with appropriate functions for promoting and maintaining co-operation between the central and state health administrators.

23. The State Level

24. The State Level At present there are 29 states in India, with each having its own health administration . Organization It is headed by a minister of health and family welfare and a deputy minister of health and family welfar e, followed by health secretariat health secretary who is assisted by deputy secretary and a large administrative staff .

25. State Health Administration In all the states, the management sector comprises of the: State Ministry of Health S tate H ealth D irectorate

26. State Ministry of Health The state ministry of health is headed by a minister of health and family welfare and a deputy minister of Health and family welfare and is a technical wing of State Ministry. Functions Assisting in policy making and modifying it Coordinating policies, programs, supervision and control over their execution and review of results Budgeting and control of expenditure Maintaining contact with central and state government

27. S tate H ealth D irectorate For a long time, two departments, medical and public health, were functioning in the states but were intergrated into State Health Directorate as recommeneded by Bhore Committee report in 1946. Functions Proper implementation of National Health Programs Control of food and drug administration Collection and dissemination of health informations Promotion of indigenous system of medicine.

28. At The District Level

29. The District The principal unit of administration in India is the district under a collector. There are 7 93(year 20 20 ) districts in India. Within each district again there are 6 types of administrative areas : 1. Sub – divisions 2. T a hsils (Talukas) 3. Community Development Blocks 4. Municipalities and Corporations 5. Villages 6. Panchayats

30. At district level The district Sub divisions Community development block Muncipalities and Corporations Villages Panchayats T e hsils

31. District Most districts in India are divided into two or more sub divisions, each in charge of an assistant Collector or sub collector. Each division is again divided in to t a hsils ( talukas), in charge of a T a hsildar . A t e hsil usually comprises between 200 to 600 villages. Since the launching of the community Development programme in India in 1952. T e hsils

32. Community development block The block is a unit of rural planning and development, and comprises approximately 100 villages and about 80,000 to 1,20,000 population, in charge of a block development officer. Finally there are the village panchayats, which are institutions of rural local self government.

33. Continue..... The urban areas of the district are organized into the following institutions of local self-government : 1. Town area committees- (in areas with population ranging between 5,000 and 10,000) 2. Municipal Boards -(in areas with population ranging between 10,000 and 2 lakhs) 3. Corporations -(with population above 2 lakhs

34. Continue... The Town area committees are like panchayats . They provide sanitary services. The municipal Boards are headed by a chairman/President, elected usually by the members. The term of a Municipal Boards ranges between 3-5 years. The functions of a municipal board are: Construction and maintenance of roads, sanitation and drainage, street lighting, water supply, maintenance of hospitals and dispensaries, education registration of births and deaths, et c

35. Panchayati Raj The Panchayati Raj is a 3-tier structure of rural local self government in India, linking the village to the district. The three institutions ar e: 1. Panchayat-at the village leve l 2. Panchayat Samiti- at the block level 3. Zila Parishad- at the district level

36. Panchayati Raj at village level I t comprises of 3 level: The Gram Sabha : It is an assembly of adults of village, who considers proposals for taxation, discuss annual programme and elects members of gram panchayat. The Gram Panchayat : It is executive organ of the gram sabha and an agency for planning and developement at the village level. The Nyaya Panchayat : It settles disputes among the villagers, it can be civil or criminal cases .

37. Panchayati Raj at Block level The block consists of about 100 villages and a population of about 80,000 to 1,20,000.The Panchayati Raj agency at the block level is the Panchayat Samiti/ Janpada Panchayat. The prime function of the panchayat samiti is the execution of the community developement programme in the block.

38. Panchayati Raj at district level It is the agengy of rural local self governmentvat the district level. It is primarily supervisory and coordinating body.

39. Conclusion Health care delivery system covers a whole extent of health activities, health programmes, institutions providing medical care such as hospitals, clinics and primary health care centres.

40. References K.park (2019)“ Textbook of preventive and social medicine ” published by Banardidas Bhanot. 25th edition. p age no 942-945 “Fundamentals of Nursing A procedure manual” published by TNAI. 2nd edition. page no 30-32 Navdeep.B & H Rawat(2015) “Textbook of Advanced Nursing Practice” published by Jaypee.1st edition.page no155-162 http://en.wikipedia.org/wiki/Healthcare_in_india https://rajnursing.blogspot.com/2019/01/health-care-systems-in=india.html?m=1