Health Care Delivery Systems are the organizations that provide services to medical professionals like nurses, doctors, pharmacists, etc. their main aim is to provide health services at lower cost and in higher amount so that these can be made available to a large number of individuals.

1. TOPIC –HEALTH CARE DELIVERY
CONCERN,NATIONAL HEALTH &FAMILY
WELFARE PROGRAMS , INTERSECTORAL
COORDINATION,ROLES OF NGOs.
DR.ANJALATCHI MUTHUKUMARAN
VICEPRINCIPAL
ERA COLLEGE OF NURSING

2. HEALTH CARE DELIVERY CONCERN
 INTRODUCTION:-
Health and health care concern throughout the
world and each jurisdiction(community ,
state, national)has developed a system for
addressing these concerns. A health care
system is all of the societal services and
activities designed to protect and restore the
health of individual , family , group,
communities and these should cover full
range of preventive, curative, rehabilitative
services.

3. Health concern areas
 Communicable disease problems
 Nutritional problems
 Environmental sanitation problems
 Medical care problems
 Population problems
 Human response to disaster

4. 1- Communicable Problems
 Communicable disease continue to be major
problems in India . Disease considered to be of
great importance today are :
1. Malaria:-
 Malaria continues to be a major health problem
in India.
 Although total malaria cases has decline
compare to previous year, the proportion of P.
falciparum has increased.
 Malaria cases have increased in northeast state
MP, Jharkhand,Andhra
pradesh,Orissa,Maharashtra etc.

5. 2. Tuberculosis :-
 Tuberculosis remains a public health problem, with India
accounting for one-fifth of the world incidence.
 Every year about 2.6 million person develop tuberculosis.
 0.24 million people are die of TB every year.
3. Diarrheal diseases:-
 Diarrheal disease constitute one of the major causes of
morbidity and mortality, specially in children below 5 yrs
of age.
 10.76 million cases of diarrheal each year.
4. ARI:-
 Acute respiratory disease is one of the major cause of
morbidity and mortality in children below 5 yrs.

6. During 2013, 31.7 million episodes of ARI
were reported with 3.278 deaths.
5. Leprosy :-
Leprosy is another important public health
problems in India .
During the year 2013-2014 total of
1.27lakh new cases were detected, out of
which child cases were 9.49%.
India has achieved the goal of leprosy
elimination at national level.

7. 6. falaria:-
 The problem of filaria remains endemic in
about 250 district in 20 states.
 achieve the elimination of LF, the GOVT. of
India has launched nationwide annual MASS
DRUG ADMINISTRATION .with annual single
dose of diethylcar – bamazine citrates tablets
in addition to scaling up home based foot
care and hydrocele operations.
 In 2012 ,250 endemic district implemented
MDA targeting a population of about 554
million with the coverage rate of 87%.

8. 7. AIDS:-
 The problem of AIDS is stable .
 It is estimated that by the year 2012there were about
2.08 million HIV positive cases in the country .
8. Others :-
 Kala azar , meningitis , viral hepatitis , JE , dengue
fever , enteric fever, and helminthes infestation are
among the other important communicable disease
problems in India.
 These problems can be overcome by, such measures,
as manipulation of environment, practice if preventive
medicine and improvement of standards of living .

9. 2- Nutritional problems
 From the Nutritional points of , the indian
society is a dual society, consisting of
small group of well fed and a very large
group of undernourished.
 The specific nutritional problems in the
country are :-

10. 3- Environmental Sanitation
problems
 The most difficult problems to tackle in
the country is perhaps the environmental
sanitation problem, which is multifacted &
multifactorial.
 Sanitation is the hygienic means of
promoting health through prevention of
human contact the hazards of wastes.
 Hazards can be physical, microbiological,
biological, or chemical agents disease.

11.  Open defecation is a huge problems in rural
areas though it has reduced but the practice
not completely vanished .
 It is estimated that 1 in every 10 deaths in
Indian villages, is linked to sanitation and
hygiene.
 In 2012, minister of development stated
India has the worlds largest “open air toilet”.
 This is of greater concern as of deaths from
diarrhea occur because of unsafe water,
inadequate sanitation & poor hygiene .

12. 4- MEDICAL PROBLEMS
 The financial resources are considered
inadequate to furnish the costs of running such a
service.
 The government spending on health care is
grossly inadequate. It spends about 1% of the
national GDP on health care .
 The main medical problems are:-
 over crowded hospitals .
 Lack of manpower.
 Inadequate availability and accessibility

13. 5- POPULATION PROBLEMS
 Population problems is one of the major
problems of India that is called the
population explosion.
 In 2011, estimated that India with
1,220,200,000 (1.22 billion) people and is
the second most population country in the
worlds.
 Both domestic and global population growth
is adding to conflict over water , energy,
food, open space, and wilderness,
transportation infrastructure, schools rooms,
and numerous other problems .

14.  In developing countries , large family
size is a major cause of poverty and
poor health.
 Currently the growth rate of India is
1.8.

15. Strategies set by the govt. of
india to overcome the health
care delivery concern
 Operationalization of 24*7 facility at
PHC levels
 First refferal units (FRU)
 Mobile medical units(MMU)
 Patients transpost services(PTS)
 Special new born care unit
 Life saving anaesthetic skills
 Village health and sanitation
committee
 ASHA
 Facilities based on IMNCI:-

16. 1. Emergency obstetric care
2. Institutional delivery
3. Janani suraksha yojana
4. District mental health program

17. 2-national health & family welfare
programs
 Since India become free, several
measures have been taken by the
national government to improve the
health of the peoples.
 Promimnents among these measures
are the “ National health programs”.
Which have been lounched by the
central governments for the control
of communicable disease,
improvements of environment
sanitation, control of population

18. Objectives of nh & fwp
 To reduce period of sickness
 To prevents death due to communicable and
non-communicable disease.
 To maintain agriculture and and industrial
progress
 To reduce infant mortality and maternal
mortality
 Universal access to public health services
such as women health , child health ,
drinking water, sanitation , hygiene , nutrition
,universal immunization .

19. List of nh& fwp
 National ante – malarial program
 National filaria control program
 National leprosy eradication program
 National tuberculosis control program
 National AIDS control program
 National blindness control program
 Universal immunization program
 National cancer control program
 Rural sanitation program
 Urban sanitation program

20. Cont……
 Minimum need programs
 20- point program
 National mental heaaaalth program
 Child survival and safe motherhood program
 Guniea worm eradication program
 STD control program
 Dengue fever control program
 Diarrhoeal disase control program
 Kala-azar program
 Diabetes control program
 RCH, National population policcy,etc.

21. 3- intersectoral coordination
 The health care system is intended to dliver
health care services. It operates in context of
socio economics and political framework of
the country . In India , it is represented by 5
major sectors which differ from each other .
 These are:-
a) Public sectors
b) Private sectors
c) Indigenous system of medicine
d) Voluntary agenciese
e) National health programs

22. Cont……
Meaning of coordination:-
Co- ordination is an Administrative process
which seek to bring about unity of purpose
in order to achieve common objectives
NEED FOR CO-ORDINATION IN HEALTH
CARE DELIVERY SYSTEM:-
 To ensure unity of purpose and direction
and to encourage team work to deliver
primary health care at various levels.
 Intersectoral coordination for promotion of
intersectoral linkage which is required for
the effective implantation of health
services throughout the country .

23. Cont….
 Intersectoral coordination is the
coordination of health activities with
other sectors ; such sectors includes,
education, finance, agriculture,
information etc.
ADVANTAGES:
Overall human
development
Ensure economic
development
Ensure
efficient use
of resources
Make servies
early &easy
access
Attaining goal health
for all

24. 4- roles of NGOs in health servies
INTRODUCTION:-
 Private organization that pursue activities
to relieve suffering, promote the interst of
the poor, protect the environments,
provide basic social services or
undertaken community developments.
 A NGO are nonprofit, voluntary citizen
group which is organized on a local,
national, or international level.

25. Roles of NGO in health
services,
 NGO AS ADVOCATES
One of the important role of NGOs
because they are usually focused on
improving the lives of the communities
and peoples in which they work.
o NGOs as Trainer
Many NGOs are involved in training
programs for medical and para medical
health workers.
NGOs sometimes invited by governments
to assist in training programs.

26. Cont..
NGOs as partner
Mentor for ASHA in NRHM
 He Member of task group
 alth resources organization
 social auditor
NGOs as Innovator
 NGOs are experimenting with new
ways of promoting people centered
health services.

27. Cont..
OPERATIONAL ROLES:-
NGO have the responsibility of fund raising .
The implementation of services is depend
upon the NGO budget. NGOS help to
reinforce various norms promoted through
public education campaign .
NGOS have played a key in global progress.
EDUCATION ROLES:-
Provide education material as specific groups
1. Peer education
2. Improve access to experimental drug trial
3. Improve access to health care

28. Cont….
ANJALI a NGO established in 2000. in
west bengal dedicated work to bridge
the gap between governments inability
to workout the goals , Ideals and
framework in the mental health care
sector.
ANJALI undertake following activities for
mental pateints :-
 Life skill training
 Creative therapy
 Recreation therapy
 Relaxation therapy
 Occupational therapy
 Family counseling
 Cognitive therapy

29. Roles of NGOS in health care
-
Implemtation
System developments
Capacity building

30. Area of NGOS role
operational education advocacy

31. Thank you