health system of india

organisation and administration of health system of india for nursing students.

1. HEALTH SYSTEM IN INDIA

2. DEFINITION OF HEALTH SYSTEM Health system covers a whole gamut of health activities, health programmes , institutions providing medical care such as hospitals, clinics and primary health care centres and the policies enunciated by governments to provide optimal health care for its citizens. A health system as described by WHO is the “sum total of all the organisations , institutions and resources whose primary purpose is to improve health. It implies the organization, delivery, staffing, regulation and quality control of health care services.” - J.E.Park

3. GOALS OF HEALTH SYSTEM 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. ORGANIZATION OF HEALTH SYSTEM IN INDIA CENTRAL LEVEL STATE LEVEL DISTRICT LEVEL

5. Ministry of Health and Family Welfare It is an official organ of health system in India. It is responsible for framing the health policy and for all the programmes that are related to family planning in India. Currently it has departments under its control: Department of health. Department of family welfare. Department of health reasearch . ,he +nion Ministry of Health and :amily;elfare is headed by a /abinet Minister" aMinister of tate" and a 3eputy HealthMinister/urrently the union health ministry has thefolloing departments&2. 3epartment of Health. 3epartment of :amily ;elfare1. 3epartment of 'ndian ystem ofMedicine and Homoeopathy                

6. Organizational Structure Of MoHFW

7. Department of health The Department of Health deals with health care, including awareness campaigns, immunization campaigns, preventive medicine, and public health. Bodies under the administrative control of this department are: National AIDS Control Organisation (NACO) Medical Council of India Dental Council of India Pharmacy Council of India Indian Nursing Council All India Institute of Speech and Hearing (AIISH), Mysore

8. Department of health(continued) All India Institute of Physical Medicine and Rehabilitation (AIIPMR), Mumbai All India Institute of Hygiene and Public Health, Kolkata Hospital Services Consultancy Corporation Limited (HSCC) Food Safety and Standards Authority of India Central Drugs Standard Control Organization National Centre for Disease Control COVID-19 Pandemic

9. Department of health(continued) 14 National Health Programmes National AIDS Control Programme (AIDS) Department Of Aids Control (National AIDS Control Organisation) (Details About Aids) National Cancer Control Programme  (cancer) (since 1985) National Filaria Control Programme (filariasis) National Iodine Deficiency Disorders Control Programme (iodine deficiency) National Leprosy Eradication Programme (leprosy) National Mental Health Programme (mental health) National Programme for Control of Blindness (blindness) National Programme for Prevention and Control of Deafness (deafness) National Tobacco Control Programme (tobacco control) National Vector Borne Disease Control Programme (NVBDCP) (vector-borne disease) Pilot Programme on Prevention and Control of Diabetes, CVD and Stroke (diabetes, cardiovascular disease, stroke) Revised National TB Control Programme (tuberculosis) Universal Immunisation Programme

10. Department of Family Welfare The Department of Family Welfare (FW) is responsible for aspects relating to family welfare, especially in reproductive health, maternal health, pediatrics, information, education and communications; cooperation with NGOs and international aid groups; and rural health services. The Department of Family Welfare is responsible for: 18 Population Research Centres (PRCs) at six universities and six other institutions across 17 states National Institute of Health and Family Welfare (NIHFW), South Delhi International Institute for Population Sciences (IIPS), Mumbai Central Drug Research Institute (CDRI), Lucknow Indian Council of Medical Research (ICMR), New Delhi: founded in 1911, it is one of the oldest medical research bodies in the world National Institute of Virology (NIV), Pune Viral Research & Diagnostic Laboratories (VRDL)

11. Department of Health Research (DHR) Department of Health Research (DHR) was created as a separate Department within the Ministry of Health & Family Welfare and became functional from November 2008 with the appointment of first Secretary of the Department. The aim of the DHR is to bring modern health technologies to the people through research and innovations related to diagnosis, treatment methods and vaccines for prevention; to translate them into products and processes and, in synergy with concerned organizations, introduce these innovations into public health system along with administering and monitoring of Indian Council of Medical Research (ICMR).

12. Department of Health Research (DHR) [continued] Promotion and co-ordination of basic, applied and clinical research including clinical trials and operational research in areas related to medical, health, biomedical and medical profession and education through development of infrastructure, manpower and skills in cutting edge areas and management of related information thereto. Promote and provide guidance on research governance issues, including ethical issues in medical and health research. Inter-sectoral coordination and promotion of public- private – partnership in medical, biomedical and health research related areas. Advanced training in research areas concerning medicine and health, including grant of fellowships for such training in India and abroad. International co-operation in medical and health research, including work related to international conference in related areas in India and abroad. Technical support for dealing with epidemics and natural calamities. Investigation of outbreaks due to new and exotic agents and development of tools for prevention. Matters relating to scientific societies and associations, charitable and religious endowments in medicine and health research areas. Coordination between organization and institutes under the Central and State Governments in areas related to the subjects entrusted to the Department and for the promotion of special studies in medicine and health. Administering and monitoring of Indian Council of Medical Research (ICMR).

13. Functions of MoHFW Union list : 1) International health relations and administration of port quarantine 2) Administration of Central Institutes 3) Promotion of research through research centers 4) Regulation and development of medical, pharmaceutical, dental and nursing professions 5) Establishment and maintenance of drug standards 6) Census and collection and publication of other statistical data 7) Coordination with states 8) Immigration and emigration 9) Regulations of labour in the working of mines & oil fields

14. Functions of MoHFW (continued) Concurrent List : 1) Prevention of Communicable disease 2) Prevention of food adulteration 3) Control of drug and poison 4) Vital statistics 5) Labour welfare 6) Economic and social planning 7) Population control and family planning.

15. Directorate General of Health Services The Directorate General of Health Services ( Dte.GHS ) is a repository of technical knowledge concerning Public Health, Medical Education and Health Care. It is an attached organisation of the Ministry of Health & Family Welfare. The Dte.GHS is headed by Director General of Health Services (DGHS), an officer of Central Health Services, who renders technical advice on all medical and public health matters to Ministry of Health and Family Welfare. The Directorate co-ordinates with the Health Directorates of all States/UTs for implementation of various National Health Programmes through its Regional Offices of Health and Family Welfare. The Dte.GHS oversees the functioning of Central Government Hospitals and their management . It also addresses health concerns of the people through its Subordinate Offices/Institutes spread all over the country.

16. Organisational structure

17. Functions of DGHS General functions: 1) Surveys 2) Planning 3) Coordination 4) Programming and appraisal of all health matters.

18. Functions of dghs (continued) Specific functions: International health relations and quarantine of all major ports in country and international airport. Control of drug standards. Maintain medical store depots. Administration of post graduate training programme National health programme. Administration of certain medical colleges in India. Conducting medical research through Indian Council of Medical Research ( ICMR ) Central Government Health Schemes. Implementation of national health programmes . Preparation of health education material for creating health awareness through Central Health Education Bureau[ CHBI ] Central bureau of health intelligence[CBHI] to Collection, compilation, analysis, evaluation and dissemination of information National Medical Library

19. Central Council of health(CCH) It was set up on August,1952 by the presidential order to promote coordinated concerted action between centre and state for the implementation of all the national health programmes .

20. Organisational structure of CCH

21. Function of CCH To consider and recommend broad outlines of health policies. To make proposal for legislation on matters related to public health. To make recommendations to the central Government grand -in –aid for the health purpose and review of utilisation of these grant in aid. To establish organisations invested with appropriate functions for promoting and maintaining cooperation between centre and state health administration.

22. Health system at state level States are largely independent in matters related to the delivery of health care to their people. Each state has developed its own system of health care machinery independent of the central government.

23. Health system at state level

24. Organisational structure state ministry of health

25. Functions of state ministry of health Prevention of extension of communicable diseases. Prevention of food adulteration. Labour welfare. Economic and social planning. Population control and family planning.

26. Oragnisational structure of state health directorate

27. Functions of state health directorate To study the health problems to identify the health needs of people. To provide curative and preventive services. To make provision for control of milk and food sanitation. To take all the remedial action at the time of outbreak of communicable diseases. To establish and maintain central laboratories for preparation of vaccines. To promote health awareness among people.

28. Functions of state health directorate(continued) To collect tabulate and publish vital statistic. To promote all the health programmes. To recruit health personnel for the rural health services. Supervision of PHC and staff. Planning and carrying out surveys of health related matters. Establishing training courses. To coordinate all health services with other states.

29. HEALTH SYSTEM AT DISTRICT LEVEL

30. Health system at district level Administrative areas in a district: Sub divisions Tehsils ( Taluka ) Community Development Blocks Municipalities and corporations Panchayats and Villages

31. Administrative set up

32. Local self government at the town area Town area committees- Population between 5000-10000. Like Panchayat and provide sanitary service in the area. Municipal board- Population between 10000-200000 Member elects its chairman/president. Term 3-5 years. Looks after sanitation, drainage, water supply, construction and maintenance of road, registration of birth and death,education , running hospital and dispensary.

33. Local self government at the town area Corporation : Population more than 200000. Headed by mayor elected by councillors. It has executive agency headed by the commissioner. Also has secretarial staff headed by secretary , health officers, engineers etc. Functions like municipal board on larger population.

34. Panchayati raj system It is a 3 tier structure of rural local self-government. It links village to the district. Involves people at various levels. It also implies application of democratic principles at the grass root level. 3 tier institutions at three different levels are described: At the village level- panchayat At the block level- panchayat samiti At the district level- zilla parishad

35. At Village level

36. At the block level Panchayati Raj institution at the block level is known as Panchayat Samiti . It includes following members: Sarpanch all gram panchayat of block. MLSs and MPS residing in the area. Represntative of women,scheduled castees,scheduled tribes And cooperative societies. Block Development Officer(BDO) is the ex-officio secretary of the panchayat samiti . Prime function-execution of community development program. BDO and his staff give technical assistance and guidance to the village panchayats engaged in development work.

37. At the district level Zilla parishad / Zilla Panchayat is the agency of rural local self government at the district level. It is primarily supervisory and coordinating body. Members: All heads of the Panchayat samitis in the district. MPs and MLAs of the district. Representative of women, scheduled castes, scheduled tribes 2 persons of experience in administration ,public life or rural development.

38. Health organization