Healthcare delivery - State level

Healthcare delivery system in India at the level of state only

1. Health Care Delivery System in India-State Level Dr Tanveer Rehman Dr Yogesh Arora 1

2. Health System in India In India healthcare delivery system is represented by five major sectors: - Public health sector Private health sector Indigenous health systems Voluntary groups National health programs 2

3. Revision - Health Care at Central Level Union Ministry of Health & Family Welfare Directorate General of Health services Central Council of Health and Family Welfare 3

4. Health Care at State Level The state health administration was started in 1919. States' responsibility is to provide: - Medical Care Preventive Health Care Pilgrimage within the state 4

5. Health Care at State Level 1. State Ministry of Health 2. State Health Directorate 5

6. 6 Organization pattern of State Ministry of Health

7. State Ministry of Health Headed by:- State Minister of Health & Family Welfare Deputy Minister of Health & Family Welfare Official Organ:- Health Secretariate – headed by Health Secretary (Senior Officer of Indian Administrative Services) who is assisted by deputy secretary, under secretary and other administrative staff 7

8. Sh. Balbir Singh Sidhu 8

9. Functions of State Ministry Assisting ministers in policy making Budgeting and control of expenditure Co-ordination with central and other state governments Formulating, monitoring and implementation of policies Reviewing and modifying existing policies 9

10. State Health Directorate 1. Health Services 2. Medical Education 10

11. 11 Organization pattern of State Health Services

12. 12 Organization pattern of Medical Education Directorate

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15. Functions of State Health Directorate Responsible for provision of adequate health care services in the state (curative & preventive services) Medical education and research including training courses for health personnel Food and drug administration control Implementation of National Health Programmes 15

16. Cont.… Coordination with other ministers of state (education, central health, voluntary agencies) Control over Employees’ State Insurance (ESI) scheme Enforcement of professional standards (like supervision of PHC) Provision for new health schemes based on needs of the state 16

17. Bibliography Park’s Textbook of Preventive and Social Medicine. 24 th Edition Health management modules – NIHFW 17