Health care delivery system in india

health care delivery system in india

1. HEALTH CARE DELIVERY SYSTEM IN INDIA By : K alyani S audagar

2. DEFINITION 1. “It implies the organization, delivery, staffing, regulation and quality control of health care services.” J. E. Park 2. “it is a system which ensures need based comprehensive health care services to people at large especially those living in remote and backward areas, using available resources, manpower, money and material.

3. 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

4. CHARACTERISTIC 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

5. ORGANIZATION OF HEALTH SERVICES

6. CENTRAL LEVEL Ministry of health and family welfare Central council of health Director general of health services

7. UNION MINISTRY OF HEALTH AND FAMILY WELFARE Dept of health Dept of family welfare secretary Joint secretary Deputy secretary Administrative staff secretary Additional secretary commissioner Joint secretary

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

9. Union list International health relation and administrative of port quarantine Administrative of central institutes Promotion of research through research centers Regulation and development of medical, pharmaceutical, dental and nursing profession 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 ministries

10. Concurrent list Prevention of extension of communicable disease Prevention of food adulteration Control of drugs and poisons Vital statistics Labor welfare Economic and social planning Population control and family planning

11. CENTRAL COUNCIL OF HEALTH It was set up by a presidential order on 9 th August 1952, under article 263 of the I ndian constitution.

12. DIRECTOR GENERAL OF HEALTH SERVICES Deputy nursing advisor

13. FUNCTIONS GENERAL SPECIFIC SURVEY INTERNATIONAL HEALTH RELATION PLANNING CONTROL OF DRUG STANDARD COORDINATION MEDICAL STORE DEPOTS PROGRAMMING POST GRADUATE TRAINING APPRAISAL OF ALL HEALTH MATTERS MEDICAL EDUCATION MEDICAL RESEARCH CENTRAL GOVT. HEALTH SCHEME NATIONAL HEALTH PROGRAMMES CENTRAL HEALTH EDUCATION BUREAU HEALTH INTELLIGENCE NATIONAL MEDICAL LIBRARY

14. STATE LEVEL STATE MINISTRY OF HEALTH STATE HEALTH DIRECTORATE

15. STATE MINISTRY OF HEALTH

16. FUNCTION Assisting the ministers in policy making Formulating, review and modification of broad policy Execution of policies Coordination with govt. of I ndia and other State Control for smooth and efficient functioning Budgeting and control over expenditure

17. STATE HEALTH DIRECTORIATE Functional deputy director

18. FUNCTIONS Provide adequate medical care Medical education and research National health program implementation Provision for health scheme Food and drug administration control Collection of health information Control over ESI scheme Enforcement of professional standards

19. DISTRICT LEVEL

20. URBAN AREA DISTRICTS

21. FUNCTIONS OF MUNCIPAL 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

22. PANCHAYATI RAJ

23. PRIMARY HEALTH CARE IN INDIA VILLAGE LEVEL SUB CENTER PRIMARY HEALTH CENTER COMMUNITY HEALTH CENTER

24. VILLAGE LEVEL AWW Under ICDS FOR EVERY 400-800 POPULATION

25. SUB CENTER LEVEL Ii is the peripheral outpost of the existing health care delivery system in rural area. they are being established on the basis of one sub center for every 5000 population in general and one for every 3000 population in hilly, tribal and backward areas. Currently a sub center is staffed by one female health worker know as- Auxiliary nurse midwife- 1, one male health worker, one health assistant known as lade health visitor

26. FUNCTIONS Maternal and child health Family planning Immunization Nutritional services Control over communicable diseases Records of vital statistics

27. PRIMARY HEALTH CENTER Concept of PHC was given by B hore committee 1 PHC for every 30,000 population in plain area and for 20,000 in hilly area 6 beds.

28. FUNCTIONS Medical care MCH and family planning Safe water supply and basic sanitation Prevention and control of disease Collection and reporting of vital statistics Education about health National health program involvement Training of health workers

29. COMMUNITY HEALTH CENTER The block is unit of rural planning and developing and comprises about 80,000 to 1.2 lakh population One CHC is being established in each block The officer in charge of CHC is k/as Superintendent CHC or block medical officer Normally one CHC should have- 30 bed hospital

30. FUNCTIONS Care of routine and emergency 24 hour delivery services Essential and emergency obstratics care Full range of family planning service Safe abortion services Newborn care Routine and emergency care of sick children Foreign body removal, tracheostomy etc. Implementation of national health programme