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Health system in india


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Health system in india

  1. 1. Health System in India Dr. Muhammedirfan H. Momin Assistant Professor Community Medicine Department Government Medical College, Surat.DR IRFAN MOMIN
  3. 3.  5,000 year old ancient civilization  325 languages spoken – 1,652 dialects  18 official languages  3.28 million sq. kilometers - Area  7,516 kilometers - Coastline  >1 Billion population. Worlds largest democracy. DR IRFAN MOMIN
  4. 4. Worlds 4th largest economy. Largest English speaking nation in the world.  3rd largest standing army force  2nd largest pool of scientists and engineers in the World. DR IRFAN MOMIN
  5. 5. India is a union of 29 states and 7 union territories. DR IRFAN MOMIN
  6. 6. Health System in India The health system in India has 3 main links 1.Central 2.State and 3.Local or peripheral DR IRFAN MOMIN
  7. 7.  States are largely independent in matters relating to the delivery of health care to the people.  Each state has developed its own system of health care delivery, independent of the Central Government.  The Central Government responsibility consists mainly of policy making , planning , guiding, assisting, evaluating and coordinating the work of the State Health Ministries. DR IRFAN MOMIN
  9. 9.  President of India  Shri Pranab Mukherjee DR IRFAN MOMIN
  10. 10. Vice President of India Muhammed Hamid Ansari DR IRFAN MOMIN
  11. 11. Prime Minister of India shri Narendra Modi DR IRFAN MOMIN
  12. 12. At the Center  The official “organs” of the health system at the national level consist of 1.Ministry of Health and Family Welfare UNIOUN MINISTER OF HEALTH Shree Jagat Prasad Nadda 2.The Directorate General of Health Services 3.The Central Council of Health and Family Welfare DR IRFAN MOMIN
  13. 13. Ministry of Health and Family Welfare – Organization Structure DR IRFAN MOMIN
  14. 14. Functions  International health relations  Administration of Central Institutes  Promotion of research  Regulation and development of medical, pharmaceutical, dental and nursing professions  Establishment and maintenance of drug standards  Census and collection and publication of other statistical data  Coordination with states Concurrent List:  Prevention of Communicable disease  Prevention of food adulteration  Control of drug and poison  Vital statistics  Labour welfare  Economic and social planning  Poulation control and family planning DR IRFAN MOMIN
  15. 15. Directorate General of Health Services – Organization chart DR IRFAN MOMIN
  16. 16. Functions  International health relations and quarantine of all major ports in country and international airport.  Control of drug standards  Maintain medical store depots  Administration of post graduate training programmes  Administration of certain medical colleges in India  Conducting medical research through Indian Council of Medical Research ( ICMR )  Central Government Health Schemes.  Implementation of 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 LibraryDR IRFAN MOMIN
  17. 17. Central Council of health  To consider and recommend broad outlines of policy related to matters concerning 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 Government regarding distribution of grants-in-aid.DR IRFAN MOMIN
  18. 18. There are 26 DistrictsDR IRFAN MOMIN
  19. 19. Governor of Gujarat Shri O.P Kohli DR IRFAN MOMIN
  20. 20.  Chief Minister of Gujarat  Smt. Anandiben Patel DR IRFAN MOMIN
  21. 21. State Level DR IRFAN MOMIN
  22. 22. DR IRFAN MOMIN
  23. 23.  Cabinet Minister: Health  Shree Nitinbhai Patel  Office Address  1st Block, 8th Floor, Sachivalaya, Gandhinagar. DR IRFAN MOMIN
  24. 24.  State Minister: Health Shree Shankarbhai chaudhari DR IRFAN MOMIN
  25. 25.  Principal Secretary (PH) & Commissioner: Shri J. P. Gupta  Office Address  7th Block, 8th Floor, Sachivalaya, Gandhinagar. DR IRFAN MOMIN
  26. 26. 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 DR IRFAN MOMIN
  27. 27.  Additional Director:  Medical Education: Dr P D Vitthalani  Office Address  4,  Dr. Jivraj Mehta Bhavan, Old Sachivalaya,  Gandhinagar. DR IRFAN MOMIN
  28. 28. DR IRFAN MOMIN
  29. 29. Taluka -9DR IRFAN MOMIN
  30. 30. SURAT DISTRICT Taluka -9 Gram Panchayat - 567 Area - 7657 s/k.m. Population – 19, 49, 238 DR IRFAN MOMIN
  31. 31. At District level There are 6 types of administrative areas. 1. Sub –division 2. Tehsils ( Talukas ) 3. Community Development Blocks 4. Municipalities and Corporations 5. Villages and 6. Panchayats DR IRFAN MOMIN
  32. 32.  Finally there are village panchayats, which are institutes of rural local self government.  The Urban Area Town area committees- in area with population ranging between 5,000- 12,000 Municipal Boards- in area with population between 10,000-2 lakhs Corporations- with population above 2 lakhs DR IRFAN MOMIN
  33. 33.  The town area provide sanitary services.  The municipal boards are headed by chairman or president, elected by the members.  The term of a municipal board ranges between 3-5 years, & functions are 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. DR IRFAN MOMIN
  34. 34.  Panchayati Raj  It is a 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  The Panchayati Raj institutions are accepted as agencies of public welfare.  All development programmes are channelled through them. DR IRFAN MOMIN
  35. 35.  They strengthen democracy at its root, & ensure more effective & better participation of the people in the government. 1. At the village level It consists of (a) The Gram Sabha (b) The Gram Panchayat (c) 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. DR IRFAN MOMIN
  36. 36.  Gram Panchayat  An agency for planning & development at the village level.  Its strength varies from 15 to 30, & population covered varies widely from 5,000-15,000 or more.  The members hold office for a period of 3 to 4 years.  Every panchayat has an elected President (Sarpanch /Sabhapati /Mukhiya), a vice President & a Panchayat Secretary. DR IRFAN MOMIN
  37. 37.  The functions-  They cover the entire field of civic administration, including  sanitation & public health &  social & economic development of the village. DR IRFAN MOMIN
  38. 38. 2. At the Block level  It consists of about 100 villages & a 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, scheduled castes, scheduled tribes & cooperative societies. DR IRFAN MOMIN
  39. 39.  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 DR IRFAN MOMIN
  40. 40. 3. At the District level  The Zilla Parishad is the agency of rural local self govt. at the district level.  The members are all heads of the Panchayat Samities in the district; MPs, MLAs of the district, representatives of scheduled castes, scheduled tribes & women , & 2 persons of experience in administration, rural development.  The collector is a non voting member, the members varying from 40-70. DR IRFAN MOMIN
  41. 41. Hon. President Mr.Ashvinbhai B.Patel District Panchayat DR IRFAN MOMIN
  42. 42. District Development Officer Shri Vijaybhai Kharadi District Panchayat  Address:"VIKAS" D.D.O. Bunglow, opp. chopati Athhavalines , Surat  Phone No:0261-2422160  Mobile No.:9978406247  Fax No.:0261-2450091,2412543   Profile:B.A. (English Literature) P.G. DIPLOMA (MANAGEMENT)DR IRFAN MOMIN
  43. 43. Collector Dr . Rajendrakumar  DR IRFAN MOMIN
  44. 44.  The zilla parishad is primarily supervisory & coordinating body.  The District Health Officer ( CDHO)  DR Megha Mehta  & the District Family Planning & MCH Officers (RCHO)  DR Megha Mehta  are under the control of the zilla panchayat. DR IRFAN MOMIN
  45. 45. DR IRFAN MOMIN
  47. 47.  Corporations are headed by Mayors, elected from different wards of the city.  The executive agency includes the Commissioner, the Secretary, the Engineer & the Health Officer.  The activities are same as municipalities but on a much wider scale. DR IRFAN MOMIN
  48. 48. MAYOR Shri Niranjan Zanzmera DR IRFAN MOMIN
  49. 49. Milind Toranwane (IAS) Municipal Commissioner DR IRFAN MOMIN
  50. 50. Dr. Hemantkumar S. Desai Deputy Commissioner Health and Hospitals DR IRFAN MOMIN
  51. 51. Statistics for Surat Municipal Corporation Surat City OLDEST MUNICIPALITY 1852 AD. AREA 326.515 POPULATION 1634605 (1991) 2876374 (2001) 4,462,002 (2011) ZONES 7DR IRFAN MOMIN
  52. 52. DR IRFAN MOMIN
  53. 53. Statistics for Surat Municipal Corporation *CENSUS 2011 Surat City SEX RATIO 758 / 1000 Male* CHILD SEX RATIO 813 / 1000 Boys* CRUDE BIRTH RATE 18.25 / 1000 population CRUDE DEATH RATE 4.37 / 1000 population INFANT MORTALITY RATE 16.08 / 1000 live births MATERNAL MORTALITY RATE 0.41 / 1000 live births LITERACY RATE 89.03 %* MALE 92.76 %* FEMALE 84.05 %*DR IRFAN MOMIN
  54. 54. Health Care Evaluation Some Key Evaluation Terms Acceptable Accessible Accomplishment Accountable Accuracy Analysis Appropriate Available Cohorts Comparison Content Context Control Cost Data: primary and secondary Goals Judgment Metrics Norms Objectives Outcomes Outputs Precision Process Purpose Quality Quantity Recording Reliability Reporting Standards Synthesis Time Timelines Validity Value Weighting Worth DR IRFAN MOMIN
  55. 55. Health Care Evaluation Definition Evaluation: Determining the value or worth of the health care initiative against a standard of acceptability. To examine or judge. (The key is who establishes the standard and who judges!)DR IRFAN MOMIN
  56. 56. Health Care Evaluation Types Process Evaluation: Examines the procedures and tasks involved during the implementation of a program. DR IRFAN MOMIN
  57. 57. Health Care Evaluation Types Process Evaluation  When to use: As soon as the health initiative begins  What it shows: How well a program is working as it goes  Why is it useful: Identifies early problems DR IRFAN MOMIN
  58. 58. Health Care Evaluation Types Outcome Evaluation: Used to obtain descriptive data on a project and to document short-term results. Focuses on an ultimate goal of a health care program or treatment. Generally measured by vital statistics in a population. DR IRFAN MOMIN
  59. 59. Health Care Evaluation Types Outcome Evaluation  When to use: For ongoing programs at appropriate intervals or for one time programs when program is complete  What it shows: Has program reached its ultimate goal.  Why is it useful: Learn from successes and for future funding. DR IRFAN MOMIN
  60. 60. Health Care Evaluation Types Impact Evaluation: Is the most comprehensive type of evaluation because it focuses on the long-range results and the resultant improvements in health status.  Impact evaluation is the most costly.  Information obtained from an impact evaluation can include changes in e.g.,morbidity and mortality. DR IRFAN MOMIN
  61. 61. Health Care Evaluation Types Impact Evaluation  When to use: After the health program has made “contact” with at least one person or a population  What it shows: Changes in knowledge, attitudes, and beliefs  Why is it useful: Allows management to modify resources effectively DR IRFAN MOMIN
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