1STATE HEALTH ADMINISTRATIONAt present there are 28 states in India ,with each state having its own healthadministration ,In all the states ,the management sector comprises the state ministryof health and a Directorate of health.1.STATE MINISTRY OF HEALTH • The state ministry of health is headed by a minister of Health and Family Welfare and a Deputy Minister of health and Family Welfare • In many states health minister is also in charge of other portfolios • The Health is the official organ of State Ministry of Health and is headed by a i Secretary who is assisted by a Deputy Secretaries ,Under secretaries and a large administrative staffs. • The secretary is the senior officer of Indian Administrative Service. • The Bhore committee in 1946 recommented that the Director of Health services should be the Secretary to the State Government to facilitate administration ,but these recommendations has not been implemented. 2. STATE HEALTH DIRECTORATE • For long time the medical and the public health departments were functioning in the states ,the heads of these departments were known as Surgeon General and Inspector general of Civil hospitals and Director of Public Health respectively. • The bhore committee in 1946 recommented that the medical and public health organization should be integrated in all levels and therefore should
2 have the single administrative officer for the curative and the preventive departments of the health In August 1947;the process was completed by Maharastra in May 1970 RESPONSIBILITIES OF DIRECTOR OF HEALTH SERVICES • The director of health services is the chief technical advisor to the state government on all matters related to the medicine and public health • He also responsible for the organization and direction of all the health activities . The director of the health services has been changed now a days to Director of Health services and the family welfare in many states .Director Of Medical Education The Director Of Medical Education is in the view of increasing no of medicalcolleges.Some experts believe that there is no justification for the removal of themedical education from the removal of medical education from general healthservices because both goes hand in hand the ultimate aim is the protection of thehealth of the peopleDirector Of Health and Family WelfareIt is assissted by the suitable number of deputies and assisstants .The deputies andassisstants are of two types-regional and functional
3 The Regional Directors inspect all the branches of public health within theirjurishdiction,irrespective of their specialityThe Functional Directors are usually specialists in a particular branch of public healthsuch as mother and child health ,family planning,nutrition,tuberculosis,leprosy,healtheducation etc.The Public Health Engineering OrganisationIt is in most states are the part of Public Works Department of the StateGovernment.It has been recommended by the experts in the public health that thepublic health engineering organization in every state should be the part of the StateHealth Department, and the chief Engineer of Public Health should have the statusof an Additional Director of Health Services,
i PANCHAYATHI RAJ The panchayathi Raj is the three tier system of rural local self government in India,linkingvillage to the district 1.) Panchayat at the village level 2.) Panchayat Samiti at the Block level 3.) Zilla Parishad at the district level At the village level The panchayathi Raj at the village level consists of 1.Grama Sabha 2.Grama Panchayat 3.The Nyaya Panchayat 1.Grama Sabha:- It is the assembly of the all adults of the village which meets atleast twice a year.The gram sabha considers the proposals for taxation ,discuss the annual programme and elect the members of the gram panchayat. 2.Grama Panchayat:-It is an agency for planning and development at the village level,its strengths varies from 15-30 ,and population covered also varies widely from 5,000-15,000 or more.The members of the panchayat hold the office for the period of 3-4yrs .Every Panchayat has an elected president ,a vice president,and a panchayat secretary .The powers and functions of the panchayat secretary are wide –they cover the entire field of civic administration,including the sanitation and public health,and of social and economic development of the village. At the Block level The block consists of 100 villages and a population of about 80.000 to 1,20,000.The Panchayathi Raj agency at the block level is the Panchayat samithi/Janapada Panchayat.The panchayat samithi consist of all sarpanchas of the village panchayats in the block,MLAs,Mps residing in the block area ,epresentatives of the women ,scheduled caste ,scheduled tribe and cooperative societies.The BDO is the ex officio secretary of the Panchayat samithi.The prime function of the panchayat samithi is the excecution of the community development programme in the block. At the District level The Zila Parishad is the agency of the rural local self government at the district level .The members of the Zila Parishad include all the heads ot Panchayat samithi in the district like MPs, MLAs of the district ,representative of the scheduled caste and the scheduled tribe and the women and 2 persons of the experience in administration public life and rural development.The collectornof the district is the nonvoting member,Thus the membership is fairly large varyingm from 40-70.