Health care delivery system in india

An acceptable health care delivery sys- tem should have two primary objectives: (1) it must enable all citizens to access health care services, and (2) the services must be cost-effective and meet certain established standards of quality.

1. HEALTH CARE DELIVERY SYSTEM IN INDIA PREPARED BY, MRS. BHATT PRIYANKA I/C PRINCIPAL BHAGWAN MAHAVIR COLLEGE OF NURSING, SURAT.

2. HEALTH World Health Organization (WHO) defines health as a “state of completes physical, mental and social wellbeing, not merely the absence of disease or infirmity”.

3. ILLNESS It is a state in which a person’s physical, emotional, intellectual, social or spiritual functioning is diminished or impaired.

4. HEALTH CARE DELIVERY SYSTEM IN INDIA The health care delivery system in India in organized at three level. At the center level At the state level At the district level

5. AT CENTRAL LEVAL

6. UNION MINISTRY OF HEALTH AND FAMILY WELFARE Cabinet Minister Minister of State     Department of Health Department of Family Welfare Health Secretary to the Secretary to the government of India government of India Joint Secretaries Joint Secretary   Deputy Secretary Deputy Secretaries   Administrative Staff Administrative staff  

7. FUNCTIONS OF UNION MINESTRY OF HEALTH AND FAMILY WELFARE

8. UNION LIST : International health relation & administration of port quarantine. Administration of central institutes Promotion of research through research centers & other bodies. Regulation & development of medical pharmaceutical dental & nursing professions. Establishment & maintenance of drug standards Census & collection & publication of other statistical data Co-ordination with states & with other ministries for promotion of health.

9. CONCURRENT LIST: Prevention of extension of communicable diseases from one unit to another. Prevention of adulteration of food. Control of drugs & poisons. Vital statistics Labour welfare Economic & social planning Population control & family planning.

10. Directorate General of  Health Services The Director Council Of Health Services Additional DGHS Administrative Staff

11. FUNCTIONS OF DGHS International health relations and quarantine. Control of drug standards. Medical store depots. Post graduates training Medical education Medical research National health programmes Health intelligence. National medical library.

12. Central Council Of Health Union Health Minister State Health Minister

13. FUNCTIONS OF CENTRAL COUNCIL OF HEALTH To consider and recommend broad outline of policy in regard to matters concerning health in all its aspects. To make proposal for legislation in field of activity relating to medical and public health matters To make recommendation to the central government regarding distribution of available grants in aid for health purposes of the state. To establish any organizations and maintaining cooperation between the central and state health administrations

14. AT STATE LEVEL STATE

15. At State level Ministry of health welfare And family welfare State health minister  Deputy minister of health and Family welfare Health secretariat Health Secretary Deputy secretory Administrative staff

16. AT DISTRICT LEVEL District level

17. Sub –Division Tehsils ( Talukas ) Community Development Blocks Municipalities and Corporations Villages and Panchayats

18. FUNCTION OF MUNICIPAL BOARD Construction and maintenance of roads Sanitation and drainage Street lighting Water supply Maintenance of hospitals and dispensaries Education and Registration of births and deaths etc

19. PANCHAYATI RAJ Panchayat - at village level, Panchayat Samitii – at block level, Zila Parisad – At District level

20. PANCHAYAT- AT VILLAGE LEVEL The panchayat raj at village level consists of Gram Sabha Gram Panchayat Nyaya Panchayat GRAM SABHA It is the assembly of all the adults of the villages which meet at least twice a year. The gram sabha considers proposals for taxation discuss the annual programs & elects members of gram panchayat .

21. GRAM PANCHAYAT It is the executive organ of the gram sabha & an agency for planning & development at village level. Its strength varies from 15-30 & the population covered varied from 5000-15000. The member of the panchayat holds officer for a period of 3-4 years. Each panchayat has an elected president, vice president and a panchayat secretary. Functions: They cover the entire field of civic administration including sanitation and public health and of social and economic development of the village.

22. AT THE BLOCK LEVEL – PANCHAYAT SAMITI The block consists of 100 villages and population of 80000 – 1, 20,000. The panchayat samiti consists of all sarpanches of village panchayat in the Block, MLA, MP residing in block area, representative of woman, schedule caste, schedule tribes and co-operative societies. FUNCTIONS : Execution of community development programme in Block. Give technical assistance and guidance to village panchayats engaged in development works.

23. AT DISTRICT LEVEL – ZILLA PARISAD The zilla parisad is the agency of rural local self government at district level. The member of zilla parisad include all head of panchayat samiti in district, MP, MLA of district, representatives of schedule caste, schedule tribes and women and two person experienced in administration public life and rural development. The collector of district is a nonvoting member. The membership of zilla parisad varies from 40-70.

24. TYPE OF HEALTH CARE AGENCIES OUT PATIENT SERVICES CLINICS INSTITUTION - PUBLIC - PRIVATE - MILITERY

25. Out patient services  Patients who are not require   hospitalization can receive health care in a clinic. An out patient setting is designed to be convenient and easily accessible to the patient. Hospital Settings (To get the material) Out patient services are generally directed at primary and secondary health centers     Clinics  Clinics involve a department in a hospital   where patients not requiring hospitalization, receive medical care.   Institutions Hospitals - Hospital have been the major   agency of health care system. Hospitals are classified as:

26. A Public Hospital  are financed and operated by the   government agency at the local, state or national level. Hospitals provide services at free of cost. Private Hospitals  are owned and operated by   churches, corporations, individuals and charitable organizations. Private hospitals are operated on a for-profit-basis.     Military Hospitals  provide medical care for the   armed forces and their families.

27. Health care services. 1.    Health promotion   a.   Prenatal classes b.  Nutrition counselling c.   Family Planning d.  Stress management 2.  Illness prevention   a.   Screening programs ( Eg . Hypertension, breast cancer) b.  Immunization c.   Occupational health and safety measures d.  Mental health counseling e.   AIDS control program. 3.  Primary care a.     School health units b.    Routine physical examination c.     Follow up for chronic illnesses( eg - Diabetes, Epilepsy)    

28. 4.  Diagnosis   a.    Radiological procedure ( Eg . CT scans, X ray Studies) b.    Physical examination c.     Laboratory investigations 5.  Treatment   a.   Surgical intervention b.   Laser therapies c.   Pharmacological therapy   6.  Rehabilitation   a.    Cardiovascular programs b.    Sports medicine c.    Mental illness program  

29. HEALTH CARE DELIVERY SYSTEM IN RAILWAY To provide a good health service. To establish a good base for disease preventive and health pramotive services. To meet the administrative needs of the railways. To work for the acceptance of a small family norm by the staff. To ensure adequate physical standard of the employees and their periodical check-up. To provide and maintain Accident Relief Medical Equipment (ARME) To provide medical facilities to retired railway employees

30. HEALTH CARE DELIVERY SYSTEM IN RAILWAY Field Ambulance: There are two Field Ambulance Units in a division for providing medical cover. The Field Ambulance is capable of establishing a 45 beds field hospital. Air Force Medical Services: The main objective is to provide comprehensive health care to the Air Force personnel and their families, both in peace and war, and to carry out research in aeromedicine.