Health care delivery system

1. HEALTH CARE DELIVERY
SYSTEM
NATIONAL
STATE
DISTRICT
COMMUNITY OR LOCAL LEVEL
PREPARED BY KALPANA H N.

2. INTRODUCTION
Organization of health.
• SYTEM IN INDIA.
UNDER THE CONSTITUTION OF INDIA, the states are largely independent in
matter relating to the delivery of health care to the people. The central
responsibility consist of mainly policy, planning, guiding, assisting, evaluating
and coordinating the work state health ministry’s.so that health services covers
every part of the country. The health care services organization in the country
extend from the national level to village level from the total organization
structure, we can slice the structure of health care system at
• National level
• State level
• District level
• Community level.

3. Objectives of Health care delivery system
• General objective.
At the end of this class students will be able to acquire in depth knowledge
regarding health care delivery system and can apply this knowledge in clinical
practice.

4. Learning objctives
• At the end of this class student will be able to
1. Define health care delivery system.
2. List objectives and functions of health care delivery system.
3. Enumerate principle of health care delivery system.
4. Explain organization of health system in india.
5. Enlist National health programmes in India.
6. List down current problems faced by health care services.
7. Discuss role of midwife in health care delivery system in India.

5. ORGANIZATION OF HEALTH
SERVICES AT THE NATIONAL LEVEL.
Ministry of health and
family welfare[cabinet
minister]
Central council of
health[policy making,
legislation or
recommendation]
DGHS[Advisor to Government of
India]
Dept. of health Dept. of Family welfare
Secretary to the Govt.
of India
Joint Secretary
Deputy Secretary
Administration Staff
Commissioner Regional
Directors
Joint Secretary
Deputy Secretary
Administration Staff
Ministry of Health and family Welfare

6. DGHS[Advisor to Government of India]
Deputy Nursing Advisor
Dy. DGHS
Medical care Administration
DGHS General
Dy. DGHS
Public Health
Addi. DGHS
Dy
Nursing Advisor

7. Functions of union health ministry.
• Union list.
• Concurrent list.

8. Union list
• International health relations and administration of post quarantine.
• Administration of central institutes
• Promotion of research
• Regulation and development of medical, pharmaceutical dental and
nursing professions.
• Establishment and maintenance of drug standards.
• Censes and collection and publication of other statistical data.
• Immigration and emigration.
• Regulation of labour in working of mines and oil fields.
• Coordination with states and with other ministries for promotion of
health.

9. Concurrent list
• Prevention of extention of communicable disease for one unit to another.
• Prevention of adulteration of foodstuffs.
• Control of drugs and poisons.
• Vital statistics.
• Labour welfare.
• Regulation of Parts.
• Economic and social planning.
• Population control and family planning.

10. Functions of Directorate General Health
Services Organization.
• Control of standards
• Medical Store Depots
• Post Graduate Training
• Medical Education
• Medical Research
• Central Government Health Schemes
• National Health Programme
• Central Health Education Bureau
• Health Intelligence
• National Medical Library.

11. Functions of Central Council of Health
• Provision of remedial and preventive care, environmental hygiene, nutrition,
health education and the promotion of facility for training and research.
• To make proposals for legislation
• To make recommendations to the central Government regarding distribution of
available grants
• To establish any organization or organizations invested with appropriate functions
for promoting and maintaining cooperation between the central and state Health
Administration.

12. DGHS
Addl. DG[PH] Addl. DDG[N] Addl. DG[M]
DDG[N]
ADG ADG ADG

13. HEALTH CARE DELIVERY SYSTEM AT STATE LEVEL
• At present there are 28 states in India, with each state having its own health
administration. In all states, the management sector comprises the state ministry
of health and a Directorate of Health.

14. Functions of State ministry of Health and
Family Welfare Organization.
• To support and safeguard the total policies of the Govt.
• As a member of ministry, he brings all the bills pertaining to his department for
approval of the legislation.
• He acts as an executive and administrator
• He is the custodian of the interests of the people in general and his constituency
in particular.
• As a member of Govt. he performs ceremonial duties.

15. Functions of Health Secretariat Organization
• Framing draft legislation and rules and regulation.
• Coordination of policies and programmers, supervision and control over their
execution and review of results.
• Budgeting and control of results.
• Maintaining contact with Govt. of India and other state governments.
• Overseeing the smooth and efficient running of administrative machinery.

16. Functions of State Health Directorate
Organization
• To provide adequate medical care in rural and urban areas.
• To make proper arrangement for medical education and research.
• Proper implementation of National Health Programmers.
• To make provisions for personal and impersonal health services.
a. Immunization services.
b. Nutrition
c. School Health.
d. Industrial Health.
e. Family planning.
f. Rural and Urban Sanitation.
g. Control of Fairs and Festivals
h. Drugs and Food control.
i. Production of vaccines and carrying out mass immunization programme.
j. Emergency health services during flood, famine, earthquake, refugee influx etc.
• Control of food and drug administration.

17. • Collection and Dissemination of Health information.
• Control over ESI scheme.
• Enforcement of Professional Ltd.
• Promotion of Indigenous systems of medicine.
• Setting up of laboratories.
• Supervision and control over the local bodies.
• Preparation for the enactment of Health legislation.
• Provision of Integrated family welfare services.

18. Reference.
A Concise Text book of ADVANCED NURSING PRACTICE
3rd Edition
Author name Shabeer. P. Basheer
S. Yaseen khan.
https://www.studocu.com.