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Health system in india


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  • 1. Health System in IndiaDr. Muhammedirfan H. MominAssistant ProfessorCommunity Medicine DepartmentGovernment Medical College, Surat. DR IRFAN MOMIN
  • 3.  5,000 year old ancient civilization  325 languages spoken – 1,652 dialects  18 official languages  3.28 million sq. kilometers - Area  7,516 kilometers - Coastline  >1 Billion population. Worlds largest democracy.DR IRFAN MOMIN
  • 4. Worlds 4th largest economy. Largest English speaking nation in the world.  3rd largest standing army force  2nd largest pool of scientists and engineers in the World.DR IRFAN MOMIN
  • 5.  India is a union of 28 states and 7 union territories. DR IRFAN MOMIN
  • 6. Health System in IndiaThe health system in India has 3 main links1.Central2.State and3.Local or peripheral DR IRFAN MOMIN
  • 7.  States are largely independent in matters relating to the delivery of health care to the people. Each state has developed its own system of health care delivery, independent of the Central Government. The Central Government responsibility consists mainly of policy making , planning , guiding, assisting, evaluating and coordinating the work of the State Health Ministries. DR IRFAN MOMIN
  • 9.  President of India Shri Pranab Mukherjee DR IRFAN MOMIN
  • 10.  Vice President of India Muhammed Hamid Ansari DR IRFAN MOMIN
  • 11. Prime Minister of IndiaDr. Manmohan Singh DR IRFAN MOMIN
  • 12. At the Center The official “organs” of the health system at the national level consist of 1.Ministry of Health and Family Welfare UNIOUN MINISTER OF HEALTH Shree Ghulam Nabi Azad 2.The Directorate General of Health Services 3.The Central Council MOMIN DR IRFAN of Health and Family Welfare
  • 13. Ministry of Health and Family Welfare – Organization Structure DR IRFAN MOMIN
  • 14. Functions International health Concurrent List: relations  Prevention of Administration of Central Institutes Communicable disease Promotion of research  Prevention of food Regulation and adulteration development of  Control of drug and medical, pharmaceutical, poison dental and nursing professions  Vital statistics Establishment and  Labour welfare maintenance of drug  Economic and social standards planning Census and collection and  Poulation control and publication of other statistical data family planning Coordination with states DR IRFAN MOMIN
  • 15. Directorate General of Health Services – Organization chart DR IRFAN MOMIN
  • 16. 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 programmes 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 Health Education Bureau Collection, compilation, analysis, evaluation and dissemination of information DR IRFAN MOMIN National Medical Library
  • 17. Central Council of health To consider and recommend broad outlines of policy related to matters concerning health like environment hygiene, nutrition and health education. To make proposals for legislation relating to medical and public health matters. To make recommendations to the Central Government regarding distribution of grants-in-aid. DR IRFAN MOMIN
  • 18. There are 26 Districts DR IRFAN MOMIN
  • 19.  Governor of Gujarat Dr. Kamla Beniwal DR IRFAN MOMIN
  • 20.  Chief Minister of Gujarat Shri Narendrabhai Damodardas Modi DR IRFAN MOMIN
  • 21. State Level DR IRFAN MOMIN
  • 23.  Cabinet Minister: Health Shree Jaynarayan Narmadashankar Vyas Office Address 1st Block, 8th Floor, Sachivalaya, Gandhinagar. DR IRFAN MOMIN
  • 24.  State Minister: Health Shree Parbatbhai Patel DR IRFAN MOMIN
  • 25.  Principal Secretary :Shri Rajesh Kishore Office Address 7th Block, 8th Floor, Sachivalaya, Gandhinagar. DR IRFAN MOMIN
  • 26.  Commissioner : Shri P. K. Taneja Commissioner of Health,Medical Services & Medical Education & Ex-Officio Principal Secretary & Commissioner ( Public Health & Family Welfare) Office Address 7th Block, 7th Floor, Sachivalaya, Gandhinagar. Commissioner Medical Education Block No 4, Dr. Jivraj Mehta Bhavan, Old Sachivalaya, Gandhinagar DR IRFAN MOMIN
  • 28. Department of Health andFamily Welfare1) Department of Health2) Department of Medical Services3) Department of Medical Education4) Department of Family Welfare DR IRFAN MOMIN
  • 29.  Additional Director: Medical Education:Dr P D Vitthalaani Office Address 4, Dr. Jivraj Mehta Bhavan, Old Sachivalaya, Gandhinagar. DR IRFAN MOMIN
  • 31. Taluka -9 DR IRFAN MOMIN
  • 32. SURAT DISTRICTTaluka -9Gram Panchayat - 567Area - 7657 s/k.m.Population - 6,079,231Sex Ratio – 788 / 1000Literacy – 86.65 % DR IRFAN MOMIN
  • 33. At District level There are 6 types of administrative areas. 1. Sub –division 2. Tehsils ( Talukas ) 3. Community Development Blocks 4. Municipalities and Corporations 5. Villages and 6. Panchayats DR IRFAN MOMIN
  • 34.  Finally there are village panchayats, which are institutes of rural local self government. The Urban AreaTown area committees- in area with population ranging between 5,000- 12,000Municipal Boards- in area with population between 10,000-2 lakhsCorporations- with population above 2 lakhs DR IRFAN MOMIN
  • 35.  The town area provide sanitary services. The municipal boards are headed by chairman or president, elected by the members. The term of a municipal board ranges between 3-5 years, & functions area. Construction & maintenance of roadsb. Sanitation & drainagec. Street lighting & water supplyd. Maintenance of hospitals & dispensariese. Education & registration of births & deaths etc. DR IRFAN MOMIN
  • 36.  Panchayati Raj It is a 3 tier structure of rural local self government in India, linking the village to the district. The 3 institutions are;1. Panchayat- at the village level2. Panchayat Samiti- at the block level3. Zila Parishad- at the district level The Panchayati Raj institutions are accepted as agencies of public welfare. All development programmes are channelled through them. DR IRFAN MOMIN
  • 37.  They strengthen democracy at its root, & ensure more effective & better participation of the people in the government.1. At the village level It consists of(a) The Gram Sabha(b) The Gram Panchayat(c) The Nyaya PanchayatGram Sabha- The assembly of all the adults of the village, which meets at least twice a year. It considers proposals for taxation, discuss the annual programme & elects members of it self. DR IRFAN MOMIN
  • 38.  Gram Panchayat An agency for planning & development at the village level. Its strength varies from 15 to 30, & population covered varies widely from 5,000-15,000 or more. The members hold office for a period of 3 to 4 years. Every panchayat has an elected President (Sarpanch /Sabhapati /Mukhiya), a vice President & a Panchayat Secretary. DR IRFAN MOMIN
  • 39.  The functions- They cover the entire field of civic administration, including sanitation & public health & social & economic development of the village. DR IRFAN MOMIN
  • 40. 2. At the Block level It consists of about 100 villages & a population of about 80,000 to 1,20,000. The Panchayati Raj agency at the block level is the Panchayat Samiti /Janpada Panchayat. It consists of all Sarpanchas of the village panchayats in the Block; MLAs, MPs residing in the block area; representatives of women, scheduled castes, scheduled tribes & cooperative societies. DR IRFAN MOMIN
  • 41.  The Block Development Officer is the ex-officio secretary of it, & his staff give assistant to the village panchayats engaged in development programmes. Function- Execution of the community development programme in the block DR IRFAN MOMIN
  • 42. 3. At the District level The Zilla Parishad is the agency of rural local self govt. at the district level. The members are all heads of the Panchayat Samities in the district; MPs, MLAs of the district, representatives of scheduled castes, scheduled tribes & women , & 2 persons of experience in administration, rural development. The collector is a non voting member, the members varying from 40-70. DR IRFAN MOMIN
  • 43. Hon. President Mr.Ashvinbhai B.Patel District Panchayat DR IRFAN MOMIN
  • 44. District Development Officer Ms. Remya Mohan Muthadath District Panchayat Address:"VIKAS" D.D.O. Bunglow, opp. chopati Athhavalines , Surat Phone No:0261-2422160 Mobile No.:9978406247 Fax No.:0261-2450091,2412543 Profile:B.A. (English Literature) P.G. DIPLOMA (MANAGEMENT) DR IRFAN MOMIN
  • 45. Sr. Takuka Name TDO NameNo. 1 Mandavi Shri P. J. Patel 2 Mahuva Shri B. K. Patel 3 Baradoli Shri J. B. Vadar 4 Mangrol Shri R. V. Bhatt 5 Choryasi Shri R. H. Vankar 6 Olapad Shri J. V. Dave 7 Kamarej Shri B. D. Patel 8 Palasana Shri H. P. Vaghela 9 Umarapada MOMIN DR IRFAN Shri G. M. Gamit
  • 46. Collector Shri A. J. Shah DR IRFAN MOMIN
  • 47.  The zilla parishad is primarily supervisory & coordinating body. The District Health Officer ( CDHO) DR RK KANCHCHAL & the District Family Planning & MCH Officers (RCHO) DR GANERIWALA are under the control of the zilla panchayat. DR IRFAN MOMIN
  • 50.  Corporations are headed by Mayors, elected from different wards of the city. The executive agency includes the Commissioner, the Secretary, the Engineer & the Health Officer. The activities are same as municipalities but on a much wider scale. DR IRFAN MOMIN
  • 51. MAYORRajendra Desai(Raju Desai) DR IRFAN MOMIN
  • 52. Municipal Commissioner Manoj Kumar Das(IAS) DR IRFAN MOMIN
  • 53. Medical Officer Health Dr. Hemantkumar S. Desai ( In charge Commissioner Health and Hospitals) DR IRFAN MOMIN
  • 54. Statistics for Surat Municipal Corporation Surat CityOLDEST 1852 AD.MUNICIPALITYAREA 326.515 1634605 (1991)POPULATION 2876374 (2001) 4,462,002 (2011)ZONES DR IRFAN MOMIN 7
  • 56. Statistics for Surat Municipal Corporation*CENSUS 2011 Surat CitySEX RATIO 758 / 1000 Male*CHILD SEX RATIO 813 / 1000 Boys*CRUDE BIRTH RATE 18.25 / 1000 populationCRUDE DEATH RATE 4.37 / 1000 populationINFANT MORTALITY RATE 16.08 / 1000 live birthsMATERNAL MORTALITY 0.41 / 1000 live birthsRATELITERACY RATE 89.03 %*MALE 92.76 %*FEMALE DR IRFAN MOMIN 84.05 %*
  • 57. Health Care Evaluation Some Key Evaluation TermsAcceptable Cost QualityAccessible Data: primary and QuantityAccomplishment secondary RecordingAccountable Goals ReliabilityAccuracy Judgment ReportingAnalysis Metrics StandardsAppropriate Norms SynthesisAvailable Objectives TimeCohorts Outcomes TimelinesComparison Outputs ValidityContent Precision ValueContext Process WeightingControl Purpose Worth DR IRFAN MOMIN
  • 58. Health Care EvaluationDefinition Evaluation:Determining the value or worth of the health care initiative against a standard of acceptability. To examine or judge.(The key is who establishes the standard and who DR IRFAN MOMIN judges!)
  • 59. Health Care EvaluationTypes Process Evaluation: Examines theprocedures and tasks involvedduring the implementation of aprogram. DR IRFAN MOMIN
  • 60. Health Care EvaluationTypes Process Evaluation  When to use: As soon as the health initiative begins  What it shows: How well a program is working as it goes  Why is it useful: Identifies early problems DR IRFAN MOMIN
  • 61. Health Care Evaluation Types Outcome Evaluation: Used to obtaindescriptive data on a project and todocument short-term results. Focuses onan ultimate goal of a health care programor treatment. Generally measured by vitalstatistics in a population. DR IRFAN MOMIN
  • 62. Health Care Evaluation TypesOutcome Evaluation When to use: For ongoing programs at appropriate intervals or for one time programs when program is complete What it shows: Has program reached its ultimate goal. Why is it useful: Learn from successes and for future funding. DR IRFAN MOMIN
  • 63. Health Care Evaluation Types Impact Evaluation: Is the most comprehensive type of evaluation because it focuses on the long-range results and the resultant improvements in health status. Impact evaluation is the most costly. Information obtained from an impact evaluation can include changes in e.g.,morbidity and mortality. DR IRFAN MOMIN
  • 64. Health Care Evaluation TypesImpact Evaluation When to use: After the health program has made “contact” with at least one person or a population What it shows: Changes in knowledge, attitudes, and beliefs Why is it useful: Allows management to modify resources effectively DR IRFAN MOMIN
  • 65. Thank YouMobile: 9426845307 E-mail: