3rd Prof. BAMS, Swasthavritta, Community medicine syllabus topic

1. Dr. Jasminkumar Viramgami
Reader & H.O.D.,
Dept. of Swasthavritta,
Govt. Akhandanand Ayurved College, Ahmedabad, Gujarat

2. India is a union
of
• 28 states and
• 9 union
territories.

3.  States are largely independent in the delivery of
health care to the people.
 Health is a “State Subject” as per constitution.
 Each state has its own system of health care
delivery, independent of the Central Government.
The Central Government responsibility:
 mainly of policy making , planning ,
 guiding, assisting, evaluating and coordinating
 the work of the State Health Ministries.

4. Health System in India
The health system in India has 3 main links

5. At the central level
The official “organs” of health system at national
level are
The Ministry of Health and Family welfare
(MoHFW)
The directorate general of Health Services
(DGHS)
The central council of health and
family welfare

6. Ministry of Health and
Family Welfare

7.  President of India
 Shri Ramnath Kovind

8.  Vice President of India
 Shri M. Venkaiah Naidu

9. Prime Minister of India
shri Narendra Modi

10. At the Center
 UNIOUN MINISTER OF HEALTH
Dr. Harsh Vardhan

11.  Shri Shripad Yesso Naik
 Minister of State (Independent charge)
 AYUSH Dept

12. Ministry of Health and Family Welfare

13. Functions
Union List
 International health relations
 Admin of Central Institutes
 Promotion of research
 Regulation and development of medical,
pharmaceutical, dental &nursing professions
 Establishment and maintenance of drug standards
 Census; collection and publication of statistical data
 Coordination with states

14. Concurrent List
 Prevention of CD
 Prevention of food adulteration
 Control of drug and poison
 Vital statistics
 Labour welfare
 Economic and social planning
 Poulation control and family planning

15. Directorate General of Health Services

16. Functions
 International health relations
 quarantine of all major ports and international
airport.
 Control of drug standards
 Maintain medical store depots
 Admin of post graduate training programmes
 Admin of certain medical colleges in India
 medical research through Indian Council of
Medical Research ( ICMR )

17.  Central Government Health Schemes.
 national health programmes
 Preparation of health education material for
creating health awareness through Health
Education Bureau
 Collection, compilation, analysis, evaluation
and dissemination of information
 National Medical Library

18. Central Council of Health

19. Functions
• To consider and recommend broad outlines of
policy related to 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
Govt regarding distribution of grants-in-aid.

20. STATE LEVEL
1. State Ministry of Health
2. State Health Directorate

21. There are 33 Districts

22.  Governor of Gujarat
 Shri Acharya Devvrat

23.  Chief Minister of Gujarat
 Shri Vijay Rupani

24. Shri Nitin Patel
 (Minister of Helath)
Shri Kishor Kanani
State Minister,
Health and Family Welfare Dept,
(Independent Charge)

25. State Level

27. Department of Health and Family Welfare
1) Department of Health
2) Department of Medical Services
3) Department of Medical Education
4) Department of Family Welfare

28. State Health Directorate
The Director of Health Services is
• the chief technical adviser to the State Govt
• on all matters relating to medicine and public
health
• responsible for the organization and direction
of all health activities

29. Deputy and Assistant Directors of Health may be
of two types — regional and functional.
Regional Directors
• inspect all the branches of public health within
their jurisdiction irrespective of their specialty.
Functional Directors
• usually specialists in a particular branch of
public health
• such as MCH, family planning, nutrition, TB,
leprosy, health education etc.

30. DISTRICT LEVEL
Principal unit of
administration in India

31. At District level
6 types of administrative areas.
1. Sub –division
2. Tehsil (Taluka)
3. Community Development Blocks
4. Municipalities and Corporations
5. Villages and
6. Panchayat

33. Districts
Tehsils /Talukas (200-600
villages)
Community Development Blocks
(approx 100 Villages & 80,000 -
1.2 Lac Pop)
Municipalities & Corporations
Municipal Board
(10,000- 2 Lac Pop)
Corporations (> 2 lac
pop)
Town Area Committee
(5,000-10,000 Pop)
Panchayats
Villages

34. THE URBAN AREA
Town area committees-
• in area with population ranging between
5,000-12,000
Municipal Boards-
• in area with population ranging between
10,000-2 lakhs
Corporations-
• with population above 2 lakhs

35. The town area provide sanitary services.
The municipal boards are headed by chairman
or president, elected by the members.
functions
a. Construction & maintenance of roads
b. Sanitation & drainage
c. Street lighting & water supply
d. Maintenance of hospitals & dispensaries
e. Education & registration of births & deaths
etc.

36. Panchayati Raj

37. • 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 level
2. Panchayat Samiti- at the block level
3. Zila Parishad- at the district level
 All development programmes are channelled
through them.

40. AT THE VILLAGE LEVEL
• The Gram Sabha
• The Gram Panchayat
• The Nyaya Panchayat
Gram 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.

41. Gram Panchayat
• An agency for planning & development at the
village level.
• panchayat has an elected President (Sarpanch
/Sabhapati /Mukhiya), a vice President & a
Panchayat Secretary.
The functions-
• civic administration
• sanitation & public health &
• social & economic development of the village.

42. At the Block level
• Block consists of about 100 villages & 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, SC, ST & cooperative
societies.

43. 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

44. AT THE DISTRICT LEVEL
The Zilla Parishad is the agency of rural local self govt.
The members are
• all heads of the Panchayat Samiti in the district;
• MPs, MLAs of the district,
• representatives of SC, ST & women, and
• 2 persons of experience in administration, rural
development.
• The collector is a non voting member
zilla parishad is primarily supervisory & coordinating
body.

45. Gram Sevak
• The village level worker (gram sevak) is the key
person
• responsible for transforming the economic and
social life of the people.
• Each gram sevak = 10 villages and 5 or 6
thousand people.
• lives in close touch with local people.
• link between the people and govt agencies.

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THANK YOU
Dr. J M Viramgami, HOD Swasthavritta,
GAAC