Health system in India / Health Administration

Dr. Shubhangi Kshirsagar
Assistant Professor
Department of Swasthavritta &Yoga

 India is a Union of 28 States and 9 Union
territories.
 Under the Constitution of India, the 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 responsibility consists mainly of
policy making, planning, guiding, assisting,
evaluating, and coordinating the work of the
State Health Ministries
2

Health system of India has 3 main links
I. Central
II. State
III. Local / peripheral
3

Official “organs” of health system at the
national level consist of –
1. Ministry of Health and FamilyWelfare
2. Directorate General of Health Service
3. Central Council of Health and Family
Welfare
5

a. Organization
It is headed by Cabinet minister
Minister of state
Deputy health minister
Currently it has 2 departments
1. Department of health
2. Department of family welfare
6

1. Department of health
 Head - Secretary to GOI as its
executive head
 Assisted by – Joint secretary
Deputy Secretary
Large administrative staff
7

2. Department of family welfare
Created in 1966 within Ministry of Health
& FamilyWelfare
Secretary to GOI in MHFW overall charge
Assisted by -
Additional secretary
Commissioner(familyWelfare)
Joint secretary(1)
8

Functions of MHFW given in 7th
schedule of Article 246 of the
Indian Constitution under the
union & concurrent list
9

1. International health relation and
administration of port quarantine
2. Co-ordination with state and other
minister for promotion of health.
3. Immigration and Emigration
4. Census collection & publication of other
statistical data.
5. Establishment & maintenance of drug
standards
10

6. Regulation & development of medical,
Pharmaceutical, Dental and Nursing
profession
7. Regulation of labour working of mines
and oils fields.
8. Promotion of research through research
center and other bodies.
9.Administration of central institute.
11

Functions listed under concurrent list is
responsibility of both union & state gov.
1. Control of drugs and poison
2. Population control and family planning
3. Vital statistics
4. Labour welfare
5. Ports other than major
6. Economic and social planning
7. Prevention of adulteration of foodstuff
8. Prevention of extension of communicable
disease from one unit to another 12

a. Organization
 DGHS is principle adviser to Union Gov in
both Medical and public health matters.
 Assisted by-
Director General of Health services
A team of Deputies
Large administrative staff
13

Functions are general & specific
A. General functions
 Survey
 Planning all health matters
 Co-ordination
 Programming
 Appraisal
14

1. Post graduate training
2. Medical education
3. Medical library
4. Medical research
5. Medical store depot
6. National health programme
7. Health intelligence
8. International health relation and quarantine
9. Central government health scheme ( CGHS)
10. Control of drug standard
11. Central health education bureau
15

CCH was set on 9th August1952 under
Article 263 of an Indian Constitution for
promoting co-ordinated and concreted
action between center and state in
implementation of all programmes.
Chairman – Union health minister
Members – State health ministers
16

1. To consider and recommend broad outlines
of policy in regard to health matters. Ex.
preventive care, nutrition.
2. To make proposals for legislations in the
field of medical and public health matter.
3. Make recommendation to central
government regarding distribution of
available grants in aid for health purpose.
4. To establish any organization for promoting
and maintaining co-operation between
central and state health administration .
17

State level
18

 At present there are 28 states in India ,
with each state having its own health
administration.
 In all states, the management sector
comprises the State Ministry of Health
and a Directorate of Health.
19

State Health Administration
At present there are 29 states in India,
with each state having its own health
administration.
 In all the States, the management
sector comprises -
1. State Ministry of Health
2. State Heath Directorate
20

 Headed by -
Minister of Health & FamilyWelfare
Deputy Minister of H & FW
 Official organ – Health secretariats
Headed by – Secretary (Sr. IAS)
Assisted by – Deputy Secretary
Under secretaries - Large administrative
staff
21

Medical health organization Public health orgn
Head – Surgeon General Head – Director of public health
& Inspector General of Civil Hospitals
Integrated by Bhore Committee 1946 – one administrative officer
West Bengal integrated health services at the State level by creating
a post of the Director of Health Services in August 1947 and
by Maharashtra in May 1970.
22

Director of health service (DHS)
1. Chief technical advisor to state government
in all medical and public health matters
medicine and public health.
2. Responsible for organization and direction of
all health activities.
Advent of family planning as an important
programme designation of DHS changed in
some states and is known as Director of
family & health welfare.
23

Director of family & health welfare
 Assisted by – suitable number of deputies &
assistants .
 Deputies & assistant directors are of 2 types.
a. Regional directors – inspect all the branches
of public health.
b. Functional director - are specialist in a
particular branch of public health such as
MCH, Nutrition, Family planning, TB,
Leprosy.
24

District level
25

Principle unit of administration in India
is the district under collector.
Administrative areas under district -6
1. Sub division
2. Tahsils
3. Community development blocks
4. Municipalities and corporation
5. Villages
6. Panchayatas
26

District
Subdivision 2/>2
Village
Community development blocks
(100 villages and 80000-1,20000
populations)
Muncipalities & corpration
Taluka /Tahsil
(200-600villages)
Panchayat
27

1. Districts in India are divided into 2 or more Sub
division, Each in charge of an Assistant collector
or sub collector.
2. Each division is divided intoTahasil (200-600
villages, in charge of aTahasildar.
3. Community development blocks
100 villages and 80000-1,20000 populations, in
charge of community development officer .
4. Village Panchayat – institutions of rural local self
government.
28

The urban area of district are organized
into following institutions of local self
government.
1. Town area committee (5000-10,000
population)
2. Municipal board (10,000 & 2lkhs
population)
3. Corporations >2 lakhs population)
29

1. Town area committee
 For 5000-10,000 population
 It provide sanitary services
30

2. Municipal board
10000-2 lakh population
Head – Chairman/ President
3-5 years
Functions –
1. Construction & maintenance of road
2. Sanitation & drainage
3. Street lighting
4. Water supply
5. Maintenance of hospitals and dispensaries
6. Education
7. Registration of birth and death 31

3. Corporation
 Population more than 2lakh
 Head – Mayor (elected from different
wards of city)
 Activities – similar to municipalities,
but on wider scale
32

Panchayati
Raj
33

Panchayati Raj is a three tier structure
of rural local self government in India;
linking village to district .
1. Panchayat – at the village level
2. Panchayat samitee – at the block level
3. Zilha Parishad – at the district level
34

Panchayati Raj at the village level consist of -
I. The Gram Sabha
II. The Gram Panchayat
III. The Nyaya Panchayat
35

 It is the assembly of all the adults of the
village, which meets at least twice a year.
 The Gram Sabha considers proposals
for taxation, discusses the annual
programme and elects members of the
gram panchayat.
36

 It is executive organ of Gram Sabha and an
agency for planning & development at the village
level .
 For population of 5000-15000 or more.
 Members – 15-30 for period of 3-4 years
 Every panchayat has an elected President
(Sarpanch or Sabhapati or Mukhiya), a Vice
President and a Panchayat Secretary.
 Functions of the Panchayat Secretary covers
entire field of civic administration, including
sanitation and public health; and of social and
economic development of the village.
37

 The block consist of about 100 villages
( 80,000- 1,20,000 population)
 The Panchayati Raj agency at the block level is the
Panchayat Samiti/Janpada Panchayat.
The Panchayat Samiti 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.
38

 The Block Development Officer (BDO) is the ex-
officio secretary of the Panchayat Samiti.
 The prime function of the Panchayat Samiti is the
execution of the community development
programme in the block,.
 The funds provided by the Government for Stage
I and Stage II development are channelled through
the Panchayat Samiti.
 The Block Development Officer and his staff give
technical assistance and guidance to the village
panchayats engaged in development work
39

The Zilla Parishad /Zilla Panchayat is the
agency of rural local self-government at the
district level.
The Zilla Parishad is primarily supervisory
and coordinating body.
Its functions and powers vary from state to
state.
In some states, the Zilla Parishads are
vested with administrative functions.
40

 Members of the Zilla Parishad varying from 40
to 70.
 The members of the Zilla Parishad include -
 All heads of the Panchayat Samitis in the
district
 MPs, MLAs of the district
 Representatives of SC and ST caste
 Representatives of women
 2 persons of experience in administration,
public life or rural development.
 The Collector of the district is a non-voting
member.
41

Thank you
42

Health system in India / Health Administration

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