The document summarizes India's health care delivery system. It describes the system at the central, state, district, and local levels. At the central level, the main organizations are the Union Ministry of Health and Family Welfare, Directorate General of Health Services, and Central Council of Health. At the state level, the key entities are the State Ministry of Health and Family Welfare and State Directorate of Health. Health services are delivered at the district, block, and village levels through primary health centers, community health centers, and subcenters. India's health care delivery system also includes the private sector, indigenous medicine systems, voluntary agencies, and national health programs.

1. c. m. patel college of nursing
HEALTH CARE DELIVERY
SYSTEM
PREPARED BY:
Madhavi upadhyay
F.Y M.Sc NURSING

2. INTRODUCTION
 Health care services in general are
rendered by the government through a
network of health centers from the grass
root areas to the block level in the rural
areas and through hospitals,
dispensaries, maternal, child health and
family welfare centers in the urban areas.
The hospitals in the sub divisional/Taluka
level, district level etc.

3. TERMINOLOGIES
Health system:
It intended to deliver health
services. It consists of e.g.
planning, determining priorities
mobilizing and allocate resources,
translating policies in to services,
evaluation and health education.

4. Health care services:
Health care services is defined
as a multiple services rendered to
individuals ,families or
communities by agents of the
health professionals for the
purpose of promoting, maintaining,
monitoring or restoring health.

5. Health care delivery system:
 Health care delivery system is
defined as the aggregate of
institutions, organizations and
persons who enter, the health care
system, Who has responsibility that,
Include the promotion of health,
prevention from illness, detection
and treatment of disease and
rehabilitation.

6. HEALTH CARE DELIVERY
SYSTEM IN INDIA
 India is a unit of 28 states and 7 union
territories. states are largely independent
in matter 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.

7.  The responsibility consists mainly of
policy making, planning, guiding,
assisting, evaluating and coordinating
the work of the state health ministers.
 The health system of India has main 3
links they are:

8. AT THE CENTERE
Health care organization at the centre
comprised of three organs. These are:
1) Union ministry of health and family
welfare.
2) The directorate general of health
services.
3) The central council of health.

9. 1).Union ministry of health and family welfare
Cabinet Minister
Deputy health Minister
Department of health Department of family welfare
Joint secretaries
Joint secretaries of
family welfare and
additional staffs
Additional secretory & commissioner
Health secretary to govt of
India
Secretary to the govt of India
Deputy secretary
Administrative
staff
Minister of state

10. FUNCTIONS:
The function of the union ministry is set
out in the seventh schedule in article 246
of the construction of India under:
Union list
Concurrent list

11. FUNCTIONS OF THE UNION LIST
 International health relations.
 Administration of port quarantine.
 Administration of central institutes such as
the all India institutes of hygiene and public
health,Calcutta; national institutes of
control communicable diseases,delhi.
 Promotion of research through research
centers and other bodies.
 Regulation and development of medical,
pharmaceutical, dental and nursing
professions.

12.  Establishment and maintenance of drug
standards.
 Census, and collected and publication of
other statistical data.
 Immigration and migration.
 Regulation of labor in the working of
mines and oil fields.
 Co –ordination with states and with other
ministries for promotion of health.

13. FUNCTIONS OF THE CON-CURRENT LIST
 Prevention of increasing of
communicable diseases from one unit to
another.
 Prevention of adulteration of food stuffs.
 Control of drugs and poisons.
 Vital statistics
 Economic and social planning.
 Population control and family planning.

14. THE DIRECTORATE GENERAL OF
HEALTH SERVICES.
Directorate General Of Health
Additional directorate general of
health
Deputy directorate general of
health .
Administrative staff

15. FUNCTIONS:
 General functions are surveys, planning,
co-ordination, programming and
appraisal of health matters in the
country.
 Specific functions are:
 International health relations and
quarantine.
 Control of drug standards.
 Medical store depots.

16.  Post graduate training to different
categories of health personnel.
 Medical education and research.
 Central govt. Health sheme.
 National health programms.
 Central health education bureau.

17. THE CENTRAL COUNCIL OF
HEALTH .
Union health minister
Chairperson
State health minister
(Members)

18. FUNCTIONS:
 To consider and recommended broad
outline of policy in regard to matters
concerning health in all its aspects such
as the provision of remedial and
preventive care , environmental hygiene,
nutrition, health education, and
promotion of facilities for training and
research.

19.  To make proposals for legislation
in fields of activity relating to
medical and public matters and lay
down the pattern of development
for the country as a whole.

20.  To make recommendation to the
central govt regarding distribution of
available grants –in-aid for health
purposes to the states and to review
periodically the work accomplished
in different areas through the
utilization of these grants –in-aid.

21.  To establish any organization invested
with appropriated functions for
promoting and maintaining co-
operation between the central and state
health administration.

22. AT STATE LEVEL
 1. State ministry of health and family
welfare
 2. State directorate of health

23. 1. State ministry of health and family
welfare
Deputy Minister of health and family
welfare
Cabinet Minister of health and family
welfare
Health secretary
Deputy secretary
Administrative staff members.

24. FUNCTIONS
 As a member of the state parliament, it is his
duty to support and safeguard the total
policies of the govt. because of the collective
responsibility of the cabinet.
 As a member of ministry, he brings all the bills
related to his department for approval of the
parliament.
 As a political head of the health department,
he acts as an executive and administrator. He
has to see the policies and approved by the
parliament are faithfully implemented.

25. 2. State directorate of health
 The director of health and family welfare
is the principal advisor to the state govt.
on all matters relating to medicine and
public health as he is technically
qualified person in the field, He is
assisted by joint director, regional joint
director and deputy and assistant
directors.

26. FUNCTIONS
 To provide adequate medical care through
hospitals, dispensaries, and health centers
both in rural and urban areas.
 To make proper arrangement for medical
education and research.
 Proper implementation of national health
programmes.
 Control of food and drug administration.
 Promotion of indigenous system of medicine.

27.  Supervision and control over the local bodies.
 Implementation of professional bodies.
 Provision of integrated family welfare services.

28. AT DISTRICT LEVEL
 There are 597 districts in India. Within
each districts, there are 6 types of
administrative areas.
1) Sub division.
2) Tehsils.
3) Community development blocks.
4) Municipalities and corporations.
5) Villages.
6) Panchayats.

29.  Most districts in India are divided into two or
more Sub division, each divisions in-charge of
an assistants collector.
 Each division is again divided into talukas, of
tehsildar. An taluka usually consists between
200 to 600 villages.
 The community development block comprises
approximately 100 villages, and about 80,000 to
1,20,000 population and in-charge is a block
development officer.

30.  Finally, there are the village panchayats,
which are institutions of rural local self
government.
 The urban area of the district are
organized into :
 Town area committees.(5,000 to 10,000)
 Municipal boards.(10,000 to 20,000)
 Corporations.(above 2,00,000)

31. Panchayat :
The Panchayat is a 3-tayer structure of rural
local self government in India, linking the
villages to the district
 Panchayat It consists of:
Gram sabha & the gram panchayat (at the
village level)
Panchayat samiti (at the block level)
Zila parisad ( at the district level)

32. AT LOCAL LEVEL
1. Village level
The following schemes are in operation to
implement primary health care at the
village level.
 Village health guides scheme:
For the treatment of simple ailment and
activities in first aid, mother and child
health including family planning, health
education, land sanitation.

33.  ASHA:
Under NRHM she is being trained to
provide MCH services.
 Local dais:
 ICDS scheme (anganwadi worker):
Services include health check-up,
immunization, supplementary nutrition,
health education, and non –formal
preschool education and referral
services.

34. 2. Sub centre level
3. Primary health center
4. Community health centre
5. Hospitals
The present organization of health
services of the government sector
consists of rural hospitals, sub-
divisional hospitals, district hospitals,
specialist hospitals, and teaching
institutions.

35. • Health insurance
• Employees state insurance scheme(ESI)

36. Other agencies
 Defense medical services
 Health care of railway employees

37. In India, health care delivery system
is represented by five major sectors
1. Public health sector
A) Primary health care
Primary health centre
Sub centre
b) Hospitals
Community health centre
FRU’s
Rural hospitals

38. District hospitals
Specialist hospitals
Teaching hospitals
c) Health insurance scheme
ESI
d) Other agencies.
Deference services
Railways

39. 2. Private sector
A) Private hospitals, poly clinics, nursing
homes and dispensaries.
b) General practitioners and clinics
3. Indigenous systems of medicine
Ayurveda and siddha
Unani
Homeopathy

40. 4. Voluntary health agencies
5. National health programmes

41. THANK YOU