Health care organisation system

Health care organization system is vital link for maintain good coverage at all over the India for delivering quality assurance work to people of community.

2. PRESENTORPRESENTOR
Mr. jagdish sambad
HEALTH CARE
ORGANISATION SYSTEM
IN
INDIA

3. INTRODUCTION
INDIA is union of 29 states & 7 union territories
Older concept – Health care means patient care
Objective - freedom from the disease through
hospital system.

4. DEFDEFINITINITIONION
WHO – “As an integrated care containing
promotive, preventive and curative elements
that bear the longitudinal association with an
individual, extending from womb to tomb, and
continuing in the state of health as well as
disease.”

5. EVOLUTION OF HEALTH CARE
SERVICES IN INDIA

6. STILL…68 YRS. OF HEALTH
SERVICES
Crude Death Rate ↓
Crude birth rate ↓
Life expectancy ↑
S.pox & G. worm Eradicated
Leprosy Eliminated
IMR ↓
Infrastructure – Expanded
Polio Eradicated

7. PROBLEMS
Environment
Education
Empowerment
Diseases
Communicable
Non Communicable
New emerging
Fertility
Population
Growth rate
Total Fertility
Nutrition
Malnutrition
Obesity
INDIRECTLY RELATED TO
HEALTH
DIRECTLY RELATED TO
HEALTH

8. MODEL OF HEALTH CARE
SYSTEM
INPUTSrahMr
.rMdhr.
HEALTH CARE
SERVICES
HEALTH CARE
SYSTEMgsa sa.
OUTPUTS
Health Status or
Health Problems
Resourcesh(&

*
Curative
Preventive
Promotive
Public
Private
Voluntary
Indigenoush'&,)
&m'.&()
Changes in
Health Status

9. HEALTH DEMANDS &
NEEDS OF THE COMMUNITYhg% Mrrj.dr-
hg%%sjda"$.rihMr
COMPREHENSIVE &
COMMUNITY BASED CARE
CONSTITUTES
MANAGEMENT
SECTOR &
INVOLVES ORGANIZATIONd% Mgri
ra.aas.
r0 Mr..ridjarM%.g
dr.1.r.1ira
rMari1id.r.r. Mrrjari1
drr0 rharjh"
djhMr.ri
IMPROVED
HEALTH STATUS
EXPRESSED IN TERMS OF
LIVES,SAVES, DEATH A
VERTED, DISEASES PREVENTED,
LIFE EXPECTENCY
INCREASED

10. HEALTH ORGANISATION IN INDIA

11. AT THE CENTRE LEVEL

12. A. THE UNION MINISTRY OF HEALTH
AND FAMILY WELFARE

13. CENTRAL LIST
International Health,
Port Health Research
Technical & Scientific Education

14. FUNCTIONS

15. CONT…CONT…

16. 2. CONCURRENT LIST

17. B. DIRECTORATE GENERAL OF
HEALTH SERVICES (DGHS)

18. ORGANIZATION

19. FUNCTIONS OF DIRECTORATE
GENERAL OF HEALTH
Surveys
Planning
Coordination
Programming
Appraisal of all
health matters
International Health
relations
Control of drug
standards
Medical store depots
Postgraduate training
Medical education
Medical research
CGHS, NHP, CHEB
etc.
GENERAL FUNCTIONS SPECIFIC FUNCTIONS

20. C.THE CENTRAL COUNCIL OF
HEALTH AND FAMILY WELFARE
The central council of health was set up by the presidential
order on 9th August 1952 under article 263 of the constitution
of India for promoting coordinated and concerted action
between the center and the state for the implementation
of all the programmes and measures pirating to the health of
the nation.
Chairman The Union Health
Minister
Members The State
Health Minister

21. FUNCTION OF CENTRAL COUNCIL
OF HEALTH AND FAMILY
WELFARE
1.To consider and recommend broad outlines of policy
in regard to matters of health such as,
Provision of remedial and preventive care.
Environment Hygiene.
Nutrition.
Health education and
Promotion of facilities for training and research.

22. Cont..Cont..
2. To make proposals for legislation in fields of medical
and public health matters and to lay down.
3. To make recommendations to the central government
regarding the health.
4. To established any organization with appropriate
functions for promoting and maintain cooperation
between central and state health administrations

23. MILE STONES
NRHM-2005
NHP-2002
NPP-2000
RCH-1996
UIP-1985
NHP-1983
Alma Ata-1978 (HFA)
Juggling
Priorities
Small pox eradicated-July 5, 1975

NFPP-1952
India Joins WHO-1948
HSDC-1946

25. STATE LEVEL OF HEALTH
CARE

26. At present there are 29 States in
India, with each state having its
own health administration. In all
the States, devide in two
department
1.State ministry of health and family
welfare
2.State health directorate

27. State ministry of health and State ministry of health and
family welfarefamily welfare
State Ministry of health & family welfare
Minister of health & Family
Deputy Minister of health
Secretary of Health Minister
Deputy Secretary of Health Minister
Secretary of Urban Health Secretary of Rural Health

28. State Director Of Health
Directorate of medical
Education & Research
Directorate of health
Services
Dean of Medical CollegeAdditional Director
of health services of
medial care
Additional Director of
health services of
medial care
Medical Nursing
Medical Staff
Education
Matron Principal
Hospital Staff Tutor
Services Education
Joint D.H.S. Joint D. H. S.
Deputy D.H.S. Deputy D.H.S.
Regional
Deputy
D.H.S.
Functional
Deputy D.
H. S.
R. D.
D.H.
S.
R. D.
D.H.
S.

29. FUNCTIONS OF STATE FUNCTIONS OF STATE
HEALTH DEPARTMENTHEALTH DEPARTMENT
1. To provide adequate medical and preventive
health care services in rural and urban areas,
2. To carry out National Health Programme in the
State.
3. Control of communicable diseases.
4. To carry out health promotion activities like
maternal and child health, immunization,
nutrition programmes, school health services,
food control, etc.
5. To control adulteration of food and drugs and
enforce minimum standards Said down.

30. 6.To maintain health services in jails.
7. To collect and transmit information on health and
vital static
8. Collection and compilation of information
regarding incidence of notifiable diseases.
9. To provide education in medical, dental, nursing,
pharmacy, sanitation, etc.
10. To determine and maintain the standards of
professional education, research and
practice through statutory bodies like
University, State Medical Council, etc.
11. To co-operate and co-ordinate with Central
Health Ministry in their aided programmes.
12. To develop and encourage indigenous medical
systems like Ayurveda, Unani and
Homeopathy.
13. To maintain laboratories for production and
distribution of vaccines, Toxoid, etc.

31. 14. To maintain stores for hospital drugs
and hospital appliances.
15. To assist development of health services
by local bodies and carry out
supervision and co-ordination of
work,
16. To study the health problems in the
State and take active steps to
alleviate, morbidity.
17. To enact necessary legislation dealing
with public health and medical care.
18. Health education Maintain Regional
Laboratories for chemical and
bacteriologi-cal examination.

32. AT THE DISTRICT LEVEL

33. DISTRICT HEALTH ORGANIZATION

34. ORGANIZATION
Panchayats
Villages
Community
Development
Blocks
Town Area
Committees
Tahsil
(Taluka)
District
Sub-division
Corporations
Municipal
Boards
Rural
Urban

35. PANCHAYATI RAJ

36. 3- TIER SYSTEM

37. THE GRAM SABHA
It is comprised of all the adult men and
women of the village. This body meets at
least twice in a year and discuss important
issues. They elect members of panchayat.

38. THE GRAM PANCHAYAT
consists of 15-30 elected members
covers the population of 5000 to 20000.
chaired by the president i.e. sarpanch/ mukhya/ sabhapati.

There is a vice- president and a secretary.
Responsible for overall planning and development of the
villages.
The panchayat secretary has been given powers to
functions for wide areas such as maintenance of sanitation
and public health, socio-economic development of the
villages etc.

39. THE NYAYA PANCHAYAT
 It is comprised of 5 members from the panchayat.
 It tries to solve the dispute between two parties/
groups/ individuals over certain matters on mutual
consent.

40. AT THE BLOCK LEVEL
Is known as Panchayat samiti.
 Members of panchayat samiti are:
o Sarpanches from all the gram panchayats in the
block
o MLAs and MPs residing in the area
representative of women, schedule castes, schedule
tribes and cooperative societies.

41. AT THE DISTRICT LEVEL
The panchayati raj institution at the district
level is known as ZILA PARISHAD.
Is headed by the chairman also known as
adhikashak.

42. CONT….
It includes the following members:
 The heads of all the gram samities in the
district, MLA and MPs from the district,
Representatives of women, SC/ST, 2 persons
who have experience in administration, rural
development officer etc.

43. BIBLIOGRAPHY
Park K. Textbook of preventive & social medicine. 22
nd
ed.
Banarsidas Bhanot: Jabalpur; 2005. 671- 702,728,732,745
 Stanhope M , L ancaster J. Community & public health
nursing.Mosby publishers: U S. 2004;103-4 ,1097-1098
 Basavanthappa B T. Community health nursing.2
nd
edition.
Jaypee publishers : New Delhi. 2008; 38,43, 894- 903
Behind_the_numbers_Medical_cost_trends_for_2011
http://pwchealth.com/cgilocal/hregister.cgi?link=reg/
www.pubmed.com
 www.google.com

44. Indian Public Health Standards (IPHS) guideline for community
health centers, Revised 2012. DGHS, MOHFW, GOI. 1-94
http://www.newindianexpress.com/magazine/India-has-just-
one-doctor-for-every-1700-people/2013
www.tradingeconomics.com/india/health-expenditure.html
www.haryanahealth.nic.in
www.nrhm.gov.in/nrhm-in-state/state-wise-information.html

45. THANK YOU 