Health care delivery

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Health care delivery

  1. 1. Prepared by Anu Issac
  2. 2.  Consumers of health care  Providers of health care  The funding sources  Other factors
  3. 3. Health status Curative Preventive Promotive Public Private Voluntary Indigenous Changes in health status Resources
  4. 4.  PUBLIC HEALTH SECTOR  PRIVATE SECTOR  CO-OPERATIVE SECTOR  INDIGENOUS SYSTEM OF MEDICINE  VOLUNTARY HEALTH AGENCIES  NATIONAL HEALTH PROGRAMMES
  5. 5.  P r i m a r y h e a l t h c a r e  H o s p i t a l s / h e a l t h c e n t r e s  H e a l t h i n s u r a n c e s c h e m e s  O t h e r a g e n c i e s – d e f e n s e s e r v i c e s , r a i l w a y s
  6. 6.  Primary health centers  Sub - centers
  7. 7.  Community health centers  Rural hospitals  District hospitals  Specialist hospitals  Teaching hospitals
  8. 8. o V o l u n t a r y h e a l t h i n s u r a n c e s c h e m e o r p r i v a t e - f o r – p r o f i t s c h e m e s o E m p l o y e r b a s e d s c h e m e s o I n s u r a n c e o f f e r e d b y N G O ’s / c o m m u n i t y b a s e d h e a l t h i n s u r a n c e o M a n d a t o r y h e a l t h
  9. 9.  Co- operative hospitals  Co- operative schemes
  10. 10.  A-  Y-  U-  S-  H-
  11. 11. VILLAGE LEVEL • Village health guide scheme • Local dais • Anganwadi worker • ASHA – Accredited social health activist
  12. 12.  SUBCENTER – for every 5000 population in general and for every 3000 population in hilly and tribal areas  PHC – for every 30000 rural populations in the plains and for every 20000 population in hill and tribal areas  CHC – 80,000- 1.20 lakh population
  13. 13.  General insurance corporation and its four subsidiary companies • National India assurance • New India assurance company • United insurance company • Life insurance corporation
  14. 14. o V o l u n t a r y h e a l t h i n s u r a n c e s c h e m e o r p r i v a t e - f o r – p r o f i t s c h e m e s o E m p l o y e r b a s e d s c h e m e s o I n s u r a n c e o f f e r e d b y N G O ’s / c o m m u n i t y b a s e d h e a l t h i n s u r a n c e o M a n d a t o r y h e a l t h
  15. 15. SOCIAL INSURANCE / MANDATORY HEALTH INSURANCE • ESI scheme • CGHS • RSBY – Rashtriya Swasthya Beema Yojana • CHIS – Comprehensive Health Insurance Scheme
  16. 16.  SEWA – Self Employed Women’s Association  Yeshaswini co- operative farmers health scheme
  17. 17. Theory: Tridosa or Tidhatu Kapha Pitta vatha
  18. 18. Yoga
  19. 19. Air therapy Massage therapy Mud therapy Space therapy Fire therapy Water therapy Food therapy
  20. 20. HOMEOPATHY
  21. 21.  Voluntary health agencies 1. Indian Red Cross 2. Bharat Sevak Samaj 3. All India Blind Relief Society 4. Hind Kusht Nivaran Sangh 5. The Kasturba Memorial Fund 6. TB Association Of India 7. All India Women’s Conference
  22. 22.  Supplementing the work of government agencies.  Pioneering  Education  Demonstration  Guarding the work of govt. agencies  Advancing health legislation
  23. 23.  National malaria eradication programme  National filaria control programme  National leprosy eradication programme  National tuberculosis control programme  National AIDS control programme  NRHM – national rural health mission
  24. 24.  Identify the role of health agency where she works in providing specific services to deal with specific problem.  Participate in screening of high risk cases, identification of cases.  Ensure the patient is diagnosed, treatment is done, care is given.  Follow up of cases and defaulters.  Maintain records, compile them and send to authority.
  25. 25.  Refer the cases to the concerned health agency when necessary  Educate the patient and concerned family members regarding necessary care, preventive measures, precautions to be followed, disinfection of excrements, soiled articles and articles used by the patients as when necessary in certain conditions.  Participate in regular immunization programme
  26. 26.  Supervise , train multipurpose health workers, village health guides, dais and anganwadi workers  Participate in community surveys to determine the extent and nature of problems.
  27. 27. CENTRAL LEVEL STATE LEVEL PERIPHERAL LEVEL
  28. 28. • MINISTRY OF HEALTH AND FAMILY WELFARE • DIRECTORATE GENERAL OF HEALTH SERVICES • CENTRAL COUNCIL OF HEALTH AND FAMILY WELFARE
  29. 29.  ORGANISATION DEPARTMENT OF HEALH SECRETARY Jt. SECRETARY Dy. SECRETARY ADMN. STAFF DEP. OF FAMILY WELFARE SECRETARY Jt. SECRETARY Dy. SECRETARY OFFICE STAFF
  30. 30. UNION LIST o International health relations ; administration of port quarantine o Administration of central institutes o Promotion of research through research centres o Regulation of medical, pharmaceutical, dental and nursing professions
  31. 31. o Establishment of drug standards o Census and collection & publication of other statistical data o Coordination with other states for promotion of health o Regulating labour in mines and oil mines o Immigration & emigration
  32. 32. o Prevention of extension of communicable diseases from one unit to another o Prevention of adulteration of food o Control drugs and poisons o Population control and family planning o Economic and social planning o Administration of ports other than major o Labour welfare
  33. 33.  ORGANISATION: DGHS Additional DGHS Dy.DGHS Dy.DGHS Dy.DGHS (medi care) (public health) (gen .Admn.) office staff office staff office staff
  34. 34. GENERAL: o Carrying out surveys o Planning, coordination, programming, and appraisal of all health matters in the country
  35. 35. SPECIFIC: o Control of drug standards o Medical store depots o Post graduate training o Medical education & medical research o National medical library o Health intelligence o monitoring of national health programmes
  36. 36.  The Union Health Minister is the chairman & the State Health State Ministers are the members  FUNCTIONS:  To recommend outlines of policy in regard to matters concerning health  To make proposals for legislation in fields of activity relating to medical & public health matters
  37. 37.  To make recommendations to the central govt. regarding distribution of available grants-in-aid for health purposes to the state & to review the work established in different areas  To establish organizations invested with appropriate functions for promoting & maintaining cooperation between the Central and State administrations
  38. 38. STATE MINISTRY OF HEALTH STATE HEALTH DIRECTORATE
  39. 39.  The principal unit of administration in India is the district under a Collector  Within each district there are six types of administrative areas -subdivisions - tehsils (taluks) - community development blocks - municipalities and corporations - villages - panchayats
  40. 40. ZILA PARISHAD(district) PANCHAYAT SAMITI(block) PANCHAYAT (village) Gram sabha gram panchayat nyaya panchayat
  41. 41.  PARK K, TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE, 20 TH EDITION, 2009, BANARSIDAS BHANOT PUBLISHERS, India, PAGE NO: 796- 815, 780- 783, 380  GULANI K.K, COMMUNITY HEALTH NURSING PRINCIPLES AND PRACTICES,FIRST EDITION,2005, KUMAR PUBLISHING HOUSE, India, PAGE NO: 616-623  MANIVANNAN C, RATHNMANI S, MANIVANNAN LATHA T, TEXTBOOK OF COMMUNITY
  42. 42. HEALTH NURSING, VOLUME 2, FIRST EDITION, 2011, EMMESS MEDICAL PUBLISHERS, BANGALORE, PAGE NO: 72-77, 94- 97, 39-50  SAXENA B. DEEPAK, COMMUNITY MEDICINE, SMART STUDY SERIES, 1ST EDITION, 2010,ELSEVIER PUBLICATIONS, India, PAGE NO: 38-40  SRIDHAR RAO B, COMMUNITY HEALTH NURSING, FIRST EDITION,2006, AITBS PUBLISHERS, DELHI,PAGE NO: 93- 115
  43. 43.  www.ncbi.nlm.nih.gov  www.mohfw.nic.gov

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