1. HEALTH CARE DELIVERY SYSTEM
IN INDIA
MS. ANGELINE
MSC NURSING PREVIOUS YEAR
CHOITHRAM COLLEGE OF NURSING
2. HEALTH
CARE
Health care is the maintenance
or improvement of health via
the prevention ,diagnosis and
treatment of disease, illness,
injury and other physical and
mental impairments.
3. DELIVERY SYSTEM
The delivery of modern health care
depends on group of trained
professional coming together as
interdisciplinary teams .
1.Primary care
2.Secondary care
3.Tertiary care
4. ORGANIZATION OF HEALTH CARE
As India has 29 states and 7 union territories
under constitution of India, each and every states
are largely independent in matters of relating to
delivery of health care to the people.
The constitutions of India consider the “ right to
life” to be fundamental and obliges the
government to ensure the right to health for all
5. Each state therefore has
developed its own system of
health care delivery
independent to the central
government.
7. ROLE OF
CENTRAL
GOVERNMENT
The Planning Commission
of India among its various
function formulates a plan
for the most effective and
balanced utilization of the
country resources.
Every state has its own
Planning Commission
and is primarily
responsible for giving
necessary support to
urban and local bodies.
9. MINISTRY OF
HEALTH AND
FAMILY
WELFARE
(CABINET
MINISTER)
Formed -1976
The Ministry Of Health And
Family Welfare Is An Indian
Government ministry charged with
health policy in India
It is also responsible for all
government programs relating to
family planning in India .
11. DEPARTMENT OF HEALTH
The Department Of
Health deals with health
care including awareness
Campaigns,
Immunization
Campaigns, Preventive
Medicine And Public
Health.
MEMBERS :
•SECRETORY
(EXECUTIVE HEAD )
ADMINISTRATIVE
STAFF
•JOINT SECRETARY
•DEPUTY SECRETARY
12. DEPARTMENT OF FAMILY WELFARE
Formed : 1966
Formed under Ministry of health and family welfare
Responsible for :
•Reproductive health
•Maternal health
•Paediatrics'
•Information education and communication
•Cooperation with NGOs , International aid growth
•Rural health services
13. DEPARTMENT OFAAYUSH
Department of AAYUSH is
no more under Ministry Of
Health And Family Welfare,
It has been elevated as
Ministry of AAYUSH with
effect 9th Nov 2014.
14. 7th Scheduled
The 7th scheduled to the
constitutions of India
defines and specifies
allocation of powers and
functions between union
and states.
15. The constitutions of India has provided for division of
power between Central and state government under 7th
scheduled there are 3 list ;
UNION LIST STATE LIST CONCURRENT
LIST
16. Union list : It has range of subjects under which
the parliament makes laws .
State list : It includes subjects under which
legislature of states makes laws eg; public order ,
police , PH and sanitation hospital and dispensary.
Concurrent list : Include subjects that given power
to both centre and state government eg; technical
education , medical education , population control .
17. FUNCTION OF UNION MINISTRY OF HEALTH
AND FAMILY WELFARE
The function of Union Health Ministry are set
out in 7th schedule of article 246 of the
constitution of India under:
18. UNION LIST
International health
relation and
administration of Post
quarantine .
Administration of central
institute such as the All
India Institute of Hygiene
and Public Health
Kolkata.
Promotion of research
CONCURRENT LIST
Prevention of extension of
communicable disease from
one unit to another.
Prevention of adulteration
of food stuff.
Control of drugs and posion
19. • Regulation and
development of medical
pharmaceutical dental
and nursing
professionals.
• Establishment and
maintenance of drug
standard
• Census and collection
and publication of other
• Vital statistics
• Labour welfare
• Regulation of ports
other than major
• Economic and social
planning
• Population control and
20. DIRECTORATE GENERAL OF HEALTH
SERVICES (Dr. S. Venkatesh)
The director general of health
services is the union government in
both medical and public health
matters. He is assisted by ;
1. Additional director general of
health services
2. A team of deputies
3. A large administrative staffs
units
Comprises of
three main area :
1.Medical care
and hospitals
2. Public health
3. General health
administration
24. CENTRAL COUNCIL OF HEALTH
• It was set by presidential order on 9th August
1952.
• Main purpose :
Promote the coordinating between the centre and
state in the implementation of national
programmes and members of pertaining to health.
25. • Union minister of health is the chairman and
state health minister are its member.
26. FUNCTIONS
• Preparing proposed for making laws in areas of
medicine and health
• Making plans for development of health in entire
nation
• Preparing recommendations for providing grants
and financial assistance to state for medical services
and also review the activities in the light of grant
provided
27. • Encouragement of medical education and
training
• Cooperation between centre and state in health
administration and also to establish necessary
organization for better functioning.
28. STATE LEVEL
• There are 29 states in India ; each states has its
own health administration.
• It works under state health minister and is
assisted by Secretariat and several other
executive directors
29. STATE MINISTRIES OF HEALTH AND
FAMILY WELFARE:
The state ministry of health and family welfare is
headed by cabinet minister deputy minister. The
minister of cabinet rank is the political head of the
department of health and family welfare. The health
minister has to perform both the activities. i.e ;
political as well as administrative as follow
30. FUNCTION
• To support and safeguard the total policies of the
government because of the collective responsibility
of the cabinet .
• As a member of ministry ,he brings all the bills
pertaining to his department to approval of the
legislature.
31. • As a political head of the health department ,he
acts as an executive and administrator. He has to
see the policies approved by the legislature are
faithfully implemented.
• He is an custodian of the interest of the people in
general and his constituency in particular.
• As a member of government he performs
ceremonial duties
33. FUNCTION:
• Assisting the ministry in policy making in
modifying policies from time to time and in the
discharge of his legislative responsibility. Framing
draft legislation and rules and regulations.
• Coordination of policies and programme. “
supervision and control over their execution and
review of results.
34. • Budgeting and control of expenditure.
• Maintaining contact with government of India
and other state government.
• Overseeing the smooth and efficient running of
administrative machinery .
35. STATE HEALTH DIRECTORATE
ORGANIZATION
The director of health and family welfare is the
principal advisor to the state government on all
matters relating to medicine and public health as
he is technically qualified person in field ,may be
called as technical head of the department of
health and family welfare. He is assisted by Joint
Director, Deputy and Assistant Directors of major
wing
36. FUNCTION:
• To provide adequate medical care through hospitals ,
dispensaries , health centres and mobile domiciliary
units both in rural and urban areas.
• To make proper arrangements for medical education and
research.
37. • To make good the efficiency in nursing/
paramedical /ministerial/ and other services staff
in accordance with the norm prescribed by the
INC.
• To improve and expand common facilities like
hospitals , pharmacy , blood bank , emergency
services , intensive care unit and rehabilitation
services in the hospitals.
• Continuing encouragement to research activities
in medical colleges
38. REGIONAL LEVEL
• In the state of Bihar, Madhya Pradesh , Uttar
Pradesh, Andhra Pradesh , Karnataka and other,
zonal or regional or division setups have been
created between the state directorate of health
services and district health administration.
39. • Each regional zonal set up covers
three to five districts and acts
under authority delegated by state
directorate of health services. The
status of officers / in charge of
such regional /zonal organization
differs but they are known as
additional /joint / deputy directors
of health services in different
states.
40. DISTRICT LEVEL
• The major unit of administration in
India is the district, for administration
purpose the country is divided into 29
states and 7 union territories which in
turn are divided into administration
districts. Each district is divided into
sub districts or talukas ,under which is
situated the community development
blocks.
41. FUNCTION OF HEALTH ORGANIZATION
AT DISTRICT LEVEL OR LOCAL LEVEL :
• Coordinate health planning
• Investigate communicable disease
• Maintain free clinics for the early diagnosis of
communicable disease
• Provide laboratory services to assists doctors
• Conduct clinics for administration of vaccine
•
42. • Collect vital statistics
• Provide MCH services
• Maintain a public health nursing advice
• Supervise water supply and sewage disposal
• Supervise quality and safety to meat and other
foods.
