An acceptable health care delivery sys- tem should have two primary objectives: (1) it must enable all citizens to access health care services, and (2) the services must be cost-effective and meet certain established standards of quality.

1. HEALTH CARE DELIVERY
SYSTEM IN INDIA
PREPARED BY,
MRS. BHATT PRIYANKA
I/C PRINCIPAL
BHAGWAN MAHAVIR COLLEGE OF
NURSING,
SURAT.

2. HEALTH
World Health Organization (WHO) defines
health as a “state of completes physical,
mental and social wellbeing, not merely
the absence of disease or infirmity”.

3. ILLNESS
It is a state in which a person’s
physical, emotional, intellectual, social
or spiritual functioning is diminished or
impaired.

5. HEALTH CARE DELIVERY
SYSTEM IN INDIA
 The health care delivery system
in India in organized at three
level.
At the center level
At the state level
At the district level

6. AT CENTRAL LEVAL

7. UNION MINISTRY OF HEALTH AND FAMILY
WELFARE
Cabinet Minister
Minister of State
Department of Health Department of Family
Welfare
Health Secretary to the Secretary to the
government of India government
of India
Joint Secretaries Joint Secretary
Deputy Secretary Deputy Secretaries
Administrative Staff Administrative staff

8. FUNCTIONS OF UNION
MINESTRY OF HEALTH
AND FAMILY WELFARE

9. UNION LIST :
 International health relation & administration
of port quarantine.
 Administration of central institutes
 Promotion of research through research
centers & other bodies.
 Regulation & development of medical
pharmaceutical dental & nursing
professions.
 Establishment & maintenance of drug
standards
 Census & collection & publication of other
statistical data
 Co-ordination with states & with other
ministries for promotion of health.

10. CONCURRENT LIST:
 Prevention of extension of communicable
diseases from one unit to another.
 Prevention of adulteration of food.
 Control of drugs & poisons.
 Vital statistics
 Labour welfare
 Economic & social planning
 Population control & family planning.

11. DIRECTORATE GENERAL
OF HEALTH SERVICES
The Director Council Of Health
Services
Additional DGHS
Administrative Staff

12. FUNCTIONS OF DGHS
 International health relations and
quarantine.
 Control of drug standards.
 Medical store depots.
 Post graduates training
 Medical education
 Medical research
 National health programmes
 Health intelligence.
 National medical library.

13. CENTRAL COUNCIL OF HEALTH
Union Health Minister
State Health Minister

14. FUNCTIONS OF CENTRAL COUNCIL OF HEALTH
 To consider and recommend broad outline of
policy in regard to matters concerning health in
all its aspects.
 To make proposal for legislation in field of activity
relating to medical and public health matters
 To make recommendation to the central
government regarding distribution of available
grants in aid for health purposes of the state.
 To establish any organizations and maintaining
cooperation between the central and state health
administrations

15. AT STATE LEVEL
STATE

16. At State level
Ministry of health welfare And family welfare
State health minister
Deputy minister of health and Family welfare
Health secretariat
Health Secretary
Deputy secretory
Administrative staff

17. AT DISTRICT LEVEL
District
level

18. Sub –Division
 Tehsils ( Talukas )
 Community Development
Blocks
 Municipalities and
Corporations
 Villages and

19. FUNCTION OF MUNICIPAL BOARD
 Construction and maintenance of
roads
 Sanitation and drainage
 Street lighting
 Water supply
 Maintenance of hospitals and
dispensaries
 Education and
 Registration of births and deaths etc

20. PANCHAYATI RAJ
 Panchayat
- at village level,
 Panchayat Samitii
– at block level,
 Zila Parisad
– At District level

21. PANCHAYAT- AT VILLAGE LEVEL
The panchayat raj at village level consists of
 Gram Sabha
 Gram Panchayat
 Nyaya Panchayat
• GRAM SABHA
It is the assembly of all the adults of the
villages which meet at least twice a year.
The gram sabha considers proposals for
taxation discuss the annual programs &
elects members of gram panchayat.

22. GRAM PANCHAYAT
 It is the executive organ of the gram sabha & an
agency for planning & development at village
level. Its strength varies from 15-30 & the
population covered varied from 5000-15000.
 The member of the panchayat holds officer for a
period of 3-4 years.
 Each panchayat has an elected president, vice
president and a panchayat secretary.
Functions:
They cover the entire field of civic administration
including sanitation and public health and of
social and economic development of the village.

23. AT THE BLOCK LEVEL – PANCHAYAT SAMITI
 The block consists of 100 villages and
population of 80000 – 1, 20,000.
 The panchayat samiti consists of all
sarpanches of village panchayat in the Block,
MLA, MP residing in block area, representative
of woman, schedule caste, schedule tribes and
co-operative societies.
FUNCTIONS :
 Execution of community development
programme in Block.
 Give technical assistance and guidance to
village panchayats engaged in development

24. AT DISTRICT LEVEL – ZILLA PARISAD
 The zilla parisad is the agency of rural local self
government at district level.
 The member of zilla parisad include all head of
panchayat samiti in district, MP, MLA of district,
representatives of schedule caste, schedule
tribes and women and two person experienced
in administration public life and rural
development.
 The collector of district is a nonvoting member.
 The membership of zilla parisad varies from 40-
70.

25. TYPE OF HEALTH CARE AGENCIES
 OUT PATIENT SERVICES
 CLINICS
 INSTITUTION
- PUBLIC
- PRIVATE
- MILITERY

26. Out patient services
Patients who are not require hospitalization can receive health
care in a clinic. An out patient setting is designed to be convenient and
easily accessible to the patient. Hospital Settings (To get the material)
Out patient services are generally directed at primary and secondary
health centers
Clinics
Clinics involve a department in a hospital where patients not
requiring hospitalization, receive medical care.
Institutions
Hospitals - Hospital have been the major agency of health care
system.
Hospitals are classified as:

27. A Public Hospital are financed and operated
by the government agency at the local, state or
national level. Hospitals provide services at free
of cost.
Private Hospitals are owned and operated
by churches, corporations, individuals and
charitable organizations. Private hospitals are
operated on a for-profit-basis.
Military Hospitals provide medical care for
the armed forces and their families.

28. Health care services.
1. Health promotion
a. Prenatal classes
b. Nutrition counselling
c. Family Planning
d. Stress management
2. Illness prevention
a. Screening programs (Eg. Hypertension, breast cancer)
b. Immunization
c. Occupational health and safety measures
d. Mental health counseling
e. AIDS control program.
3. Primary care
a. School health units
b. Routine physical examination
c. Follow up for chronic illnesses(eg - Diabetes, Epilepsy)

29. 4. Diagnosis
a. Radiological procedure ( Eg. CT scans, X ray Studies)
b. Physical examination
c. Laboratory investigations
5. Treatment
a. Surgical intervention
b. Laser therapies
c. Pharmacological therapy
6. Rehabilitation
a. Cardiovascular programs
b. Sports medicine
c. Mental illness program

30. HEALTH CARE DELIVERY SYSTEM IN RAILWAY
 To provide a good health service.
 To establish a good base for disease
preventive and health pramotive services.
 To meet the administrative needs of the
railways.
 To work for the acceptance of a small family
norm by the staff.
 To ensure adequate physical standard of the
employees and their periodical check-up.
 To provide and maintain Accident Relief
Medical Equipment (ARME)
 To provide medical facilities to retired railway
employees

31. HEALTH CARE DELIVERY SYSTEM IN RAILWAY
 Field Ambulance:
There are two Field Ambulance Units in a
division for providing medical cover. The Field
Ambulance is capable of establishing a 45 beds
field hospital.
 Air Force Medical Services:
The main objective is to provide
comprehensive health care to the Air Force
personnel and their families, both in peace and
war, and to carry out research in aeromedicine.