2. Health System in India
โข In India healthcare delivery system is represented by five major sectors: -
1. Public health sector
2. Private health sector
3. Indigenous health systems
4. Voluntary groups
5. National health programs
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3. Revision - Health Care at Central Level
1. Union Ministry of Health & Family Welfare
2. Directorate General of Health services
3. Central Council of Health and Family Welfare
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4. Health Care at State Level
โข The state health administration was started in 1919.
โข States' responsibility is to provide: -
1. Medical Care
2. Preventive Health Care
3. Pilgrimage within the state
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5. Health Care at State Level
1. State Ministry of
Health
2. State Health
Directorate
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Organization pattern of State Ministry of Health
Ministry of Health and Family Welfare (State Minister)
Deputy Minister of Health and family Welfare
Health Secretariat (Health Secretary)
Deputy Secretariat
Administrative Staff
7. State Ministry of Health
โข Headed by:-
1. State Minister of Health & Family Welfare
2. Deputy Minister of Health & Family Welfare
โข Official Organ:-
โข Health Secretariate โ headed by Health Secretary (Senior Officer of
Indian Administrative Services) who is assisted by deputy secretary,
under secretary and other administrative staff
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8. Functions of State Ministry
โข Assisting ministers in policy making
โข Budgeting and control of expenditure
โข Co-ordination with central and other state governments
โข Formulating, monitoring and implementation of policies
โข Reviewing and modifying existing policies
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Organization pattern of State Health Services
DHS (Director of health services)
Additional Director of Health Services
Deputy and Assistant Director
Functional and Regional Deputy Directors
Administrative Staff
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Organization pattern of Medical Education
Directorate
Director of Medical Education
Dean of Medical College
Superintendent
Ward-in-charge
Administrative Staff
14. Functions of State Health Directorate
โข Responsible for provision of adequate health care services in
the state (curative & preventive services)
โข Medical education and research including training courses for
health personnel
โข Food and drug administration control
โข Implementation of National Health Programmes
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15. Cont.โฆ
โข Coordination with other ministers of state (education, central
health, voluntary agencies)
โข Control over Employeesโ State Insurance (ESI) scheme
โข Enforcement of professional standards (like supervision of
PHC)
โข Provision for new health schemes based on needs of the state
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