Health Care Adminsitration System of India, from the centre to the local.

1. HEALTH SYSTEM IN
INDIA
C.Lalramdini
Asst.Prof
CON, RIPANS

2. HEALTH SYSTEM IN INDIA
India is a union of 29 States and 8 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
therefore 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, so that health services
cover every part of the country, and no state lags
behind.

3. THE HEALTH SYSTEM IN INDIA HAS
THREE MAIN LINKS.
central level
state level
 local level

4. 4
At the centre
3.Central
Council of
Health
1.Union ministry
of Healh and
Family Welfare
2.Directorate
General of Healh
Services

5. 5
At the centre
3.Central
Council of
Health
1.Union ministry
of Healh and
Family Welfare
2.Directoerate
General of Healh
Services

6. ORGANIZATION OF UNION MINISTRY
OF HEALTH AND FAMILY WELFARE
Headed by a Cabinet Minister, a Minister
of State, a Deputy Minister
Ministry has one Dept. of Health and two
Dept. of Family Welfare
Each department is headed by a Secretary
and assisted by Joint Secretary, Deputy
Secretary, Assistant Secretary and a large
no. of administrative staffs

7. UNION MINISTRY OF H&FM ORGANISATION
CABINET MINISTER MINISTER OF STATES DEPUTY MINISTER
DEPT.OF HEALTH DEPT.OF FAMILY WELFARE
(EXE.HEAD)
SECY. TO GOVT.OF INDIA SECY. TO GOVT.OF INDIA
JT.SECY ADD.SECY 7 COMMISSIONER
DEPUTY SECY. JT.SECY
LARGE ADM.STAFF LARGE ADM.STAFF

8. FUNCTIONS OF MINISTRY OF HEALTH
AND FAMILY WELFARE
Function as in union list
International health relations and
administration
Administration of central institutions of health
like
All India institute of hygiene and public health,
Kolkata
 All India institute of medical science, Delhi
etc

9. Encouragement for research
Development and regulation of nursing,
dentistry, pharmacology and medical
profession
Arrangement for post quarantine
Establishing and maintaining standards
related to drugs
Collection and publishing of census and
other demographic data

10. Immigration and emigration
Regulation and control of workers in
areas like mines and petroleum
Coordination between state and
central ministries for best health care

11. Functions as in concurrent list
Control of spread of communicable disease
from one place to another
Prevention of adulteration of food items
Control over drugs and poisons
Functions related to vital statistics
Activities related to labour welfare
Social and economic planning
Population and control and family planning

12. Family Welfare dept has a
Commissioner, two deputy
commissioner and six regional
directors, in addition to above
staff

13. 13
At the centre
3.Central
Council of
Health
1.Union ministry
of Healh and
Family Welfare
2.Directorate
General of Healh
Services

14. DIRECTOR GENERAL OF
HEALTH SERVICES [DGHS ]
Organization
Principal advisor to Union Govt
Deals with both medical and public health
activities
Assisted by Additional Director-General of
health services, a team of doctors and large
administrative staff

15. It comprises of 3 main units
Medical care and hospitals
Public health
General administration

16. DIRECTOR GENERAL OF HEALTH SERVICES
[DGHS ] ORGANIZATION
EXECUTIVE HEAD
Director general of health services [DGHS ]
Additional Director-General of health services
Team of doctors
Large administrative staff

17. ACTIVITIES OF DGHS
General
Survey, planning, coordinate,
programming and approval of all the
health matters in the country
Specific
International health relation and
quarantine

18. Drug control, storage and standardization
Medical education, training and research
Central health services
National health programmes
Central health education bureau [CHEB]
National medical library

19. 19
At the centre
3.Central
Council of
Health
1.Union ministry
of Healh and
Family Welfare
2.Directoerate
General of Healh
Services

20. CENTRAL COUNCIL OF HEALTH
It as set by presidential order on 9th Aug
1952
Purpose is to promote the coordination
between the Centre and States in the
implementation of national programmes
and measures pertaining to health
Union Minister of Health is the chairman
and State Health Ministers are its
members

21. Functions of CCH
Preparing proposals 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 grants provided

22. Considering policies and
recommendations related to medical care,
environment, nutrition and medical
education and preparing draft
Encouragement of medical education and
training
Cooperation between centre and state in
health administration and also to establish
necessary organizations for better
functioning

23. NURSING ORGANIZATION AT
CENTRAL LEVEL
At central level, nursing services are within
the Ministry of Health and Family Welfare
and under the control of Directorate
General of Health Services
DGHS is assisted by Director General,
Additional Director Generals, Deputy
Director Generals

24. To deal with nsg education and nsg
service there is a Nursing advisor
Under Nsg advisor, there is Deputy
Assistant Director General Nursing
[DADG(N)], nsg officers and nsg
section

25. state level

26. 26
At the state
2.State Health
Directorate
1.State Ministry of
Health

27. HEALTH ORGANIZATION
AT STATE LEVEL
State Health Dept function under a State
Health Minster who is assisted by
Secretariat and several other executive
directors
Secretariat is headed by Health Secretary
who is assisted by Deputy Secretaries,
Assistant Secretaries and other staff

28. Minister is also guided by an Advisory
Council, Technical Advisory Committees,
Ad hoc Committees
Dept of Health deals with administration,
budget, finance and makes or approves
policies
Professional and technical Divisions are
represented by State Health Directors and
Medical Directors

29. STATE HEALTH DIRECTORATE
In state, State Health Directorate takes
responsibilities of health services, technical
services, execution of health policies and
programmes and evaluation
Chief of health directorate is director who
is assisted by additional director, joint
director and deputy director

30. STATE HEALTH DIRECTORATE
Directorate of Health Services(Official Organ)
Director of Health Services
Director of Medical and Health Services
Director of Health &Family Welfare
Deputy Directors
Asst. Directors
Large Administrative Staff

31. Director gives technical advices
to State Health Ministry and
Govt on matters related to health,
family welfare, public health,
family planning etc

32. FUNCTIONS OF STATE HEALTH
DIRECTORATE
Planning for health services in the state
Implementation of national health
programmes and evaluating their
achievements
Providing all types of health services in
state
Controlling food adulteration and also
sanitation in milk and edibles

33. Collection of vital statistics
Encouraging reproductive and child health
Improvement of nutrition programme and
medical education
Training of nurses, female health workers
and other health workers
Controlling rural and urban health services
through district medical officer

34. Providing feedback to state
health ministry regarding health
Following directives of union
ministry of health/state health
ministry

35.  local level
LOCAL / DISTRICT /PERIPHERAL
LEVEL

36. THE DISTRICT
The principal unit of administration in India is the
district under a Collector.
Within each district again there are 6 types of
administrative areas:-
1) Sub-divisions-(Assistant collector/sub collector)
2) Tahsils(Talukas)-200-600 villages
3) Community Development Blocks-100 villages/80,000-
12,0000 population
4) Municipalities and corporations.
5) Villages
6) Panchayats

37. THE DISTRICT
The principal unit of administration in India is the district
under a Collector.
Within each district again there are 6 types of
administrative areas:-
1) Sub-divisions-(Assistant collector/sub collector)
2) Tahsils(Talukas)-200-600 villages
3) Community Development Blocks-100 villages/80,000-
12,0000 population
4) Municipalities and corporations.
5) Villages
6) Panchayats Institutions for rural local self government

38. URBAN AREAS OF THE DISTRICT ARE
ORGANIZED INTO THE FOLLOWING
INSTITUTIONS OF LOCAL SELF GOVERNMENT
1.Town area committee- 5000-10,000
population
2.Municipal boards-10,000-2 lakhs
population
3.Corporations:Above 2 lakhs population

39. HEALTH ORGANIZATION AT DISTRICT
LEVEL
District health organization is headed by Chief
Medical Officer [ CMO], who is Director of
health services at district
CMO is Assisted by three Deputy CMO
Dy.CMOs are in-charge of all health
administration and all National Health
Programmes and Family Welfare Programme
implemented in the district .

40. ORGANIZATIONAL STRUCTURE OF
NURSING SERVICES AT STATE AND
DISTRICT LEVELS
No special organizational structure for
nursing services
Post of joint director and deputy director
for nursing service is under the state
directorate of health
In some state at district level, there is a
post of District Public Health Nurse
[DPHN]

41. 41
Panchayat Raj
3.Zilla
parishad at
district level
1.Panchayat at
Village level
2.Panchayat
Samiti at block
level

42. 42
Panchayat at Village
level
3.Nyaya
Panchayat
1.The Gram
Sabha
2.Gram Panchayat

43. 43
Panchayat Samiti at
block level
BDO is ex-
officio secretary
100 Villages
80,000-1,20,000
population
All Sarpanches
are members

44. 44
Zilla parishad
at district level
Collector of
district non-
voting
member
All member of
Panchayat Samiti
MPs and MLAs of
the
district,representa
tive of Sc, ST,and
women,2
prominent citizen

45. ANY QUESTIONS?