Health system in India / Health Administration

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1. Dr. Shubhangi Kshirsagar
Assistant Professor
Department of Swasthavritta & Yoga

2. IndiaisaUnionof28Statesand9Union
territories.
UndertheConstitutionofIndia,theStates
arelargelyindependentinmattersrelating
tothedeliveryofhealthcaretothepeople.
EachStatehasdevelopeditsownsystemof
healthcaredelivery,independentofthe
CentralGovernment.
TheCentralresponsibilityconsistsmainlyof
policymaking,planning,guiding,assisting,
evaluating,andcoordinatingtheworkofthe
StateHealthMinistries
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3. Health system of India has 3 main links
I.Central
II.State
III.Local / peripheral
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Dr. Shubhangi Kshirsagar

5. Official “organs” of health system at the
national level consist of –
1. Ministry of Health and Family Welfare
2. Directorate General of Health Service
3. Central Council of Health and Family
Welfare
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6. a. Organization
It is headed by Cabinet minister
Minister of state
Deputy health minister
Currently it has 2 departments
1.Department of health
2.Department of family welfare
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7. 1. Department of health
Head -Secretary to GOI as its
executive head
Assisted by –Joint secretary
Deputy Secretary
Large administrative staff
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8. 2. Department of family welfare
Created in 1966 within Ministry of Health
& Family Welfare
Secretary to GOI in MHFW overall charge
Assisted by -
Additional secretary
Commissioner(family Welfare)
Joint secretary(1)
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9. FunctionsofMHFW givenin7th
scheduleofArticle246ofthe
IndianConstitutionunderthe
union&concurrentlist
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10. 1.Internationalhealthrelationand
administrationofportquarantine
2.Co-ordinationwithstateandother
ministerforpromotionofhealth.
3.ImmigrationandEmigration
4.Censuscollection&publicationofother
statisticaldata.
5.Establishment&maintenanceofdrug
standards
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11. 6.Regulation&developmentofmedical,
Pharmaceutical,DentalandNursing
profession
7.Regulationoflabourworkingofmines
andoilsfields.
8.Promotionofresearchthroughresearch
centerandotherbodies.
9.Administrationofcentralinstitute.
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12. Functions listed under concurrent list is
responsibility of both union & state gov.
1.Control of drugs and poison
2.Population control and family planning
3.Vital statistics
4.Labourwelfare
5.Ports other than major
6.Economic and social planning
7.Prevention of adulteration of foodstuff
8.Prevention of extension of communicable
disease from one unit to another
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13. a. Organization
DGHS is principle adviser to Union Gov in
both Medical and public health matters.
Assisted by-
Director General of Health services
A team of Deputies
Large administrative staff
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14. Functions are general & specific
A. General functions
Survey
Planning all health matters
Co-ordination
Programming
Appraisal
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15. 1.Post graduate training
2.Medical education
3.Medical library
4.Medical research
5.Medical store depot
6.National health programme
7.Health intelligence
8.International health relation and quarantine
9.Central government health scheme ( CGHS)
10.Control of drug standard
11.Central health education bureau
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16. CCHwasseton9
th
August1952under
Article263ofanIndianConstitutionfor
promotingco-ordinatedandconcreted
actionbetweencenterandstatein
implementationofallprogrammes.
Chairman–Unionhealthminister
Members–Statehealthministers
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17. 1.Toconsiderandrecommendbroadoutlines
ofpolicyinregardtohealthmatters.Ex.
preventivecare,nutrition.
2.Tomakeproposalsforlegislationsinthe
fieldofmedicalandpublichealthmatter.
3.Make recommendation tocentral
government regardingdistributionof
availablegrantsinaidforhealthpurpose.
4.Toestablishanyorganizationforpromoting
andmaintainingco-operationbetween
centralandstatehealthadministration.
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18. State level
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19. At present there are 28 states in India ,
with each state having its own health
administration.
In all states, the management sector
comprises the State Ministry of Health
and a Directorate of Health.
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Dr. Shubhangi Kshirsagar

20. StateHealthAdministration
Atpresentthereare29statesinIndia,
witheachstatehavingitsownhealth
administration.
InalltheStates,themanagement
sectorcomprises-
1.StateMinistryofHealth
2.StateHeathDirectorate
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21. Headed by -
Minister of Health & Family Welfare
Deputy Minister of H & FW
Official organ –Health secretariats
Headed by –Secretary (Sr. IAS)
Assisted by –Deputy Secretary
Under secretaries -Large administrative
staff
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22. Medical health organization Public health orgn
Head –Surgeon General Head –Director of public health
& Inspector General of Civil Hospitals
Integrated by BhoreCommittee 1946 –one administrative officer
West Bengal integrated health services at the State level by creating
a post of the Director of Health Services in August 1947 and
by Maharashtra in May 1970.
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23. Directorofhealthservice(DHS)
1.Chieftechnicaladvisortostategovernment
inallmedicalandpublichealthmatters
medicineandpublichealth.
2.Responsiblefororganizationanddirectionof
allhealthactivities.
Adventoffamilyplanningasanimportant
programmedesignationofDHSchangedin
somestatesandisknownasDirectorof
family&healthwelfare.
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24. Directoroffamily&healthwelfare
Assistedby–suitablenumberofdeputies&
assistants.
Deputies&assistantdirectorsareof2types.
a.Regionaldirectors–inspectallthebranches
ofpublichealth.
b.Functionaldirector-arespecialistina
particularbranchofpublichealthsuchas
MCH,Nutrition,Familyplanning,TB,
Leprosy.
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25. District level
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26. PrincipleunitofadministrationinIndia
isthedistrictundercollector.
Administrativeareasunderdistrict-6
1.Subdivision
2.Tahsils
3.Communitydevelopmentblocks
4.Municipalitiesandcorporation
5.Villages
6.Panchayatas
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27. District
Subdivision 2/>2
Village
Community development blocks
(100 villages and 80000-1,20000
populations)
Muncipalities& corpration
Taluka/Tahsil
(200-600villages)
Panchayat
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28. 1. Districts in India are divided into 2 or more Sub
division, Each in charge of an Assistant collector
or sub collector.
2. Each division is divided into Tahasil(200-600
villages, in charge of a Tahasildar.
3. Community development blocks
100 villages and 80000-1,20000 populations, in
charge of community development officer .
4. Village Panchayat–institutions of rural local self
government.
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29. Theurbanareaofdistrictareorganized
intofollowinginstitutionsoflocalself
government.
1.Townareacommittee(5000-10,000
population)
2.Municipalboard(10,000&2lkhs
population)
3.Corporations>2lakhspopulation)
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30. 1.Town area committee
For 5000-10,000 population
It provide sanitary services
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31. 2. Municipal board
10000-2 lakhpopulation
Head –Chairman/ President
3-5 years
Functions –
1.Construction & maintenance of road
2.Sanitation & drainage
3.Street lighting
4.Water supply
5.Maintenance of hospitals and dispensaries
6.Education
7.Registration of birth and death
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Dr. Shubhangi Kshirsagar

32. 3. Corporation
Population more than 2lakh
Head –Mayor (elected from different
wards of city)
Activities –similar to municipalities,
but on wider scale
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33. Panchayati
Raj
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34. PanchayatiRaj is a three tier structure
of rural local self government in India;
linking village to district .
1.Panchayat–at the village level
2.Panchayatsamitee–at the block level
3.ZilhaParishad–at the district level
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35. PanchayatiRaj at the village level consist of -
I.The Gram Sabha
II.The Gram Panchayat
III.The NyayaPanchayat
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36. Itistheassemblyofalltheadultsofthe
village,whichmeetsatleasttwiceayear.
TheGramSabhaconsidersproposals
fortaxation,discussestheannual
programmeandelectsmembersofthe
grampanchayat.
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37. ItisexecutiveorganofGramSabhaandan
agencyforplanning&developmentatthevillage
level.
Forpopulationof5000-15000ormore.
Members–15-30forperiodof3-4years
EverypanchayathasanelectedPresident
(SarpanchorSabhapatiorMukhiya),aVice
PresidentandaPanchayatSecretary.
FunctionsofthePanchayatSecretarycovers
entirefieldofcivicadministration,including
sanitationandpublichealth;andofsocialand
economicdevelopmentofthevillage.
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Dr. Shubhangi Kshirsagar

38. The block consist of about 100 villages
( 80,000-1,20,000 population)
The PanchayatiRaj agency at the block level is the
PanchayatSamiti/JanpadaPanchayat.
The PanchayatSamiticonsists of
All Sarpanchasof the village panchayatsin the Block.
MLAs, MPs residing in the block area
Representatives of women,
Scheduled castes, Scheduled tribes
Cooperative societies.
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39. TheBlockDevelopmentOfficer(BDO)istheex-
officiosecretaryofthePanchayatSamiti.
TheprimefunctionofthePanchayatSamitiisthe
executionofthecommunitydevelopment
programmeintheblock,.
ThefundsprovidedbytheGovernmentforStage
IandStageIIdevelopmentarechannelledthrough
thePanchayatSamiti.
TheBlockDevelopmentOfficerandhisstaffgive
technicalassistanceandguidancetothevillage
panchayatsengagedindevelopmentwork
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40. The ZillaParishad/ZillaPanchayatis the
agency of rural local self-government at the
district level.
TheZillaParishadisprimarilysupervisory
andcoordinatingbody.
Itsfunctionsandpowersvaryfromstateto
state.
Insomestates,theZillaParishadsare
vestedwithadministrativefunctions.
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41. MembersoftheZillaParishadvaryingfrom40
to70.
ThemembersoftheZillaParishadinclude-
AllheadsofthePanchayatSamitisinthe
district
MPs,MLAsofthedistrict
RepresentativesofSCandSTcaste
Representativesofwomen
2personsofexperienceinadministration,
publiclifeorruraldevelopment.
TheCollectorofthedistrictisanon-voting
member.
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42. Thank you
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Dr. Shubhangi Kshirsagar