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Health care organisation system

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Health care organization system is vital link for maintain good coverage at all over the India for delivering quality assurance work to people of community.

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Health care organisation system

  1. 1. PRESENTORPRESENTOR Mr. jagdish sambad HEALTH CARE ORGANISATION SYSTEM IN INDIA
  2. 2. INTRODUCTION  INDIA is union of 29 states & 7 union territories  Older concept – Health care means patient care  Objective - freedom from the disease through hospital system.
  3. 3. DEFDEFINITINITIONION WHO – “As an integrated care containing promotive, preventive and curative elements that bear the longitudinal association with an individual, extending from womb to tomb, and continuing in the state of health as well as disease.”
  4. 4. EVOLUTION OF HEALTH CARE SERVICES IN INDIA
  5. 5. STILL…68 YRS. OF HEALTH SERVICES Crude Death Rate ↓ Crude birth rate ↓ Life expectancy ↑ S.pox & G. worm Eradicated Leprosy Eliminated IMR ↓ Infrastructure – Expanded Polio Eradicated
  6. 6. PROBLEMS Environment Education Empowerment Diseases Communicable Non Communicable New emerging Fertility Population Growth rate Total Fertility Nutrition Malnutrition Obesity INDIRECTLY RELATED TO HEALTH DIRECTLY RELATED TO HEALTH
  7. 7. MODEL OF HEALTH CARE SYSTEM INPUTS HEALTH CARE SERVICES HEALTH CARE SERVICES HEALTH CARE SYSTEM OUTPUTSOUTPUTS Health Status or Health Problems Resources Curative Preventive Promotive Curative Preventive Promotive Public Private Voluntary Indigenous Changes in Health Status Changes in Health Status
  8. 8. HEALTH DEMANDS & NEEDS OF THE COMMUNITY COMPREHENSIVE & COMMUNITY BASED CARE COMPREHENSIVE & COMMUNITY BASED CARE CONSTITUTES MANAGEMENT SECTOR & INVOLVES ORGANIZATION IMPROVED HEALTH STATUS EXPRESSED IN TERMS OF LIVES,SAVES, DEATH A VERTED, DISEASES PREVENTED, LIFE EXPECTENCY INCREASED IMPROVED HEALTH STATUS EXPRESSED IN TERMS OF LIVES,SAVES, DEATH A VERTED, DISEASES PREVENTED, LIFE EXPECTENCY INCREASED
  9. 9. HEALTH ORGANISATION IN INDIA
  10. 10. AT THE CENTRE LEVEL
  11. 11. A. THE UNION MINISTRY OF HEALTH AND FAMILY WELFARE
  12. 12. CENTRAL LIST International Health, Port Health Research Technical & Scientific Education
  13. 13. FUNCTIONS
  14. 14. CONT…CONT…
  15. 15. 2. CONCURRENT LIST
  16. 16. B. DIRECTORATE GENERAL OF HEALTH SERVICES (DGHS)
  17. 17. ORGANIZATION
  18. 18. FUNCTIONS OF DIRECTORATE GENERAL OF HEALTH Surveys Planning Coordination Programming Appraisal of all health matters International Health relations Control of drug standards Medical store depots Postgraduate training Medical education Medical research CGHS, NHP, CHEB etc. GENERAL FUNCTIONS SPECIFIC FUNCTIONS
  19. 19. C. THE CENTRAL COUNCIL OF HEALTH AND FAMILY WELFARE he central council of health was set up by the presidential rder on 9th August 1952 under article 263 of the constitution f India for promoting coordinated and concerted action etween the center and the state for the implementation f all the programmes and measures pirating to the health of he nation. Chairman The Union Health Minister Members The State Health Minister
  20. 20. FUNCTION OF CENTRAL COUNCIL OF HEALTH AND FAMILY WELFARE 1. To consider and recommend broad outlines of policy in regard to matters of health such as, Provision of remedial and preventive care. Environment Hygiene. Nutrition. Health education and Promotion of facilities for training and research.
  21. 21. Cont..Cont.. 2. To make proposals for legislation in fields of medical and public health matters and to lay down. 3. To make recommendations to the central government regarding the health. 4. To established any organization with appropriate functions for promoting and maintain cooperation between central and state health administrations
  22. 22. MILE STONES NRHM-2005 NHP-2002 NPP-2000 RCH-1996 UIP-1985 NHP-1983 Alma Ata-1978 (HFA) Juggling Priorities Small pox eradicated-July 5, 1975 NFPP-1952 India Joins WHO-1948 HSDC-1946
  23. 23. STATE LEVEL OF HEALTH CARE
  24. 24. At present there are 29 States in India, with each state having its own health administration. In all the States, devide in two department 1. State ministry of health and family welfare 2. State health directorate
  25. 25. State ministry of health andState ministry of health and family welfarefamily welfare State Ministry of health & family welfare Minister of health & Family Deputy Minister of health Secretary of Health Minister Deputy Secretary of Health Minister Secretary of Urban Health Secretary of Rural Health
  26. 26. State Director Of Health Directorate of medical Education & Research Directorate of health Services Dean of Medical College Additional Director of health services of medial care Additional Director of health services of medial care Medical Nursing edical Staff Education Matron Principal Hospital Staff Tutor Services Education Joint D.H.S. Joint D. H. S. Deputy D.H.S. Deputy D.H.S. Regional Deputy D.H.S. Functional Deputy D. H. S. R. D. D.H. S. R. D D.H S.
  27. 27. FUNCTIONS OF STATEFUNCTIONS OF STATE HEALTH DEPARTMENTHEALTH DEPARTMENT 1. To provide adequate medical and preventive health care services in rural and urban areas, 2. To carry out National Health Programme in the State. 3. Control of communicable diseases. 4. To carry out health promotion activities like maternal and child health, immunization, nutrition programmes, school health services, food control, etc. 5. To control adulteration of food and drugs and enforce minimum standards Said down.
  28. 28. 6.To maintain health services in jails. 7. To collect and transmit information on health and vital static 8. Collection and compilation of information regarding incidence of notifiable diseases. 9. To provide education in medical, dental, nursing, pharmacy, sanitation, etc. 10. To determine and maintain the standards of professional education, research and practice through statutory bodies like University, State Medical Council, etc. 11. To co-operate and co-ordinate with Central Health Ministry in their aided programmes. 12. To develop and encourage indigenous medical systems like Ayurveda, Unani and Homeopathy. 13. To maintain laboratories for production and distribution of vaccines, Toxoid, etc.
  29. 29. 14. To maintain stores for hospital drugs and hospital appliances. 15. To assist development of health services by local bodies and carry out supervision and co-ordination of work, 16. To study the health problems in the State and take active steps to alleviate, morbidity. 17. To enact necessary legislation dealing with public health and medical care. 18. Health education Maintain Regional Laboratories for chemical and bacteriologi-cal examination.
  30. 30. AT THE DISTRICT LEVEL
  31. 31. DISTRICT HEALTH ORGANIZATION
  32. 32. ORGANIZATION Panchayats Villages Community Development Blocks Town Area Committees Tahsil (Taluka) District Sub-division Corporations Municipal Boards Rural Urban
  33. 33. PANCHAYATI RAJ
  34. 34. 3- TIER SYSTEM
  35. 35. THE GRAM SABHA It is comprised of all the adult men and women of the village. This body meets at least twice in a year and discuss important issues. They elect members of panchayat.
  36. 36. THE GRAM PANCHAYAT  consists of 15-30 elected members  covers the population of 5000 to 20000.  chaired by the president i.e. sarpanch/ mukhya/ sabhapati.  There is a vice- president and a secretary.  Responsible for overall planning and development of the villages.  The panchayat secretary has been given powers to functions for wide areas such as maintenance of sanitation and public health, socio-economic development of the villages etc.
  37. 37. THE NYAYA PANCHAYAT  It is comprised of 5 members from the panchayat.  It tries to solve the dispute between two parties/ groups/ individuals over certain matters on mutual consent.
  38. 38. AT THE BLOCK LEVEL Is known as Panchayat samiti.  Members of panchayat samiti are: o Sarpanches from all the gram panchayats in the block o MLAs and MPs residing in the area representative of women, schedule castes, schedule tribes and cooperative societies.
  39. 39. AT THE DISTRICT LEVEL The panchayati raj institution at the district level is known as ZILA PARISHAD. Is headed by the chairman also known as adhikashak.
  40. 40. CONT…. It includes the following members:  The heads of all the gram samities in the district, MLA and MPs from the district, Representatives of women, SC/ST, 2 persons who have experience in administration, rural development officer etc.
  41. 41. BIBLIOGRAPHY  Park K. Textbook of preventive & social medicine. 22nd ed. Banarsidas Bhanot: Jabalpur; 2005. 671- 702,728,732,745  Stanhope M , L ancaster J. Community & public health nursing.Mosby publishers: U S. 2004;103-4 ,1097-1098  Basavanthappa B T. Community health nursing.2nd edition. Jaypee publishers : New Delhi. 2008; 38,43, 894- 903  Behind_the_numbers_Medical_cost_trends_for_2011  http://pwchealth.com/cgilocal/hregister.cgi?link=reg/  www.pubmed.com  www.google.com
  42. 42.  Indian Public Health Standards (IPHS) guideline for community health centers, Revised 2012. DGHS, MOHFW, GOI. 1-94  http://www.newindianexpress.com/magazine/India-has-just- one-doctor-for-every-1700-people/2013  www.tradingeconomics.com/india/health-expenditure.html  www.haryanahealth.nic.in  www.nrhm.gov.in/nrhm-in-state/state-wise-information.html
  43. 43. THANK YOU 

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