The document discusses India's health care delivery system. It notes that the system is made up of resources that are distributed to provide health services to the population. The goals of the system are to improve population health status, patient experience of care, reduce the economic burden of illness, and promote social justice and equity in health. The system aims to provide adequate health care services to the entire population. It discusses the various inputs, including health status, health problems, and resources, as well as the public, private, voluntary, and indigenous sectors that provide health care services and influence health outcomes.

1. Madhu S M
MPT- CBR

2. Health care delivery system is the
organization of people, institutions and
resources that deliver health care services
to meet the health needs of the country.
Apart from central government each state
has developed its own system of health
care delivery.

3. Health care delivery system refers to the
totality of resources that a population or
society distributes in the organisation and
delivery of health population services. It
also includes all personal and public
services performed by individuals or
institutions for the purpose of maintaining
or restoring health
 -
Stanhope(2001)

4. To improve the health status of population
and clinical outcomes of care.
To improve the experience of care of
patients, families and community.
To reduce the total economic burden of
care and illness.
To improve social justice equity in the
health status of the population.

5.  Aim : To reach whole
population with
adequate health care
services and to ensure
their utilization.
 Total failures to meet the
health needs of the
community have lead to
alternative models of
health care delivery
Large
hospitals
Small part of
the
population
benefited
Services
rendered are
mostly
curative
Raising costs
in the
maintainance
Ivory towers
of diseases
than centres
for health
care services

6. INPUTS
HEALTH CARE
SERVICES
HEALTH
CARE
SYSTEM
OUTPUT
Health status
Health
problems
Resources
 Curative
 Preventive
 Promotive
Public
Private
Voluntary
Indigenous
Changes in
health
status

7. Inputs
1. Health status
(a) Demographic profile
 Large population
 Illiterate population -74.04
(b) Mortality Profile
Life expectancy – 67.5years
2.Health problems
a. Communicable diseases: Malaria, TB, Diarrheal diseases, leprosy, AIDS etc.
b. Non communicable diseases: DM, CVD’s Cancer, stroke, Cataract etc.
c. Nutritional problems: PEM, Nutritional anaemia, LBW, Xerophthalmia, IDD etc.
d. Environmental problems: Lack of safe water, primitive methods of excreta disposal
etc.
e. Medical care problems: Lack of penetration of health services to periphery and rural
areas.
f. Population problems: annual growth rate – 1.2%
3. Resources
a. Money: India is spending around 3% of GDP on health and family welfare
development
b. Manpower: ASHA, ANM, MPW, Health assistant male/female, trained dais, nurses,
doctors etc.
c. Time: Proper use of man hours

8. Health care services
 Designed to meet the health needs of the community
 Purpose of health care service is to improve health
status of the population
 It should be comprehensive, acceptable, provide scope
of community participation and available at a cost the
community and country can afford
Health care delivery system
Delivers the health care services
Output
Changed or improved health status of the community
expressed in terms of cases treated, expectations of
life prolonged, lives saved, diseases prevented etc.

9. 1. Public sector
a. Health care workers and hospitals
b. Insurance schemes
c. Other agencies
2. Private sector
3. Indigenous sector (AYUSH)
4. Voluntary health agencies (NGO’s)
5. National health programs

10. 1. Health care workers and hospitals
a. Village level
- Village Health Guides (VHG)
- Accredited Social Health Activist(ASHA)
- local dai
b. Anganwadi centres
- Anganwadi workers
c. Sub centres
d. PHC
e. CHC
f. District hospitals
g. Medical colleges
2. Insurance schemes
a. Employees state insurance (ESI) scheme
b. Central government health schemes – LIC
3. Other agencies
a. Defence services
b. Railways

11. Private hospitals
polyclinics
Nursing homes
General practitioners

12. AYUSH
A – Ayurveda
Y – yoga
U – Unani
S – Siddha
H – Homeopathy
Quacks – Unregistered practitioners

13. 1.Indian red cross society -1920
2. Hind kusht nivaran sangh – 1950
3. Indian council for child welfare – 1952
4. Tuberculosis association of india – 1939
5. Bharat sevak samaj – 1952
6. Family planning association of india –
1949
7. All india women’s conference -1926

14. 1. National Mental Health Programme
2. National programme for prevention and
control of cancer, diabetes,
cardiovascular diseases and stroke
3. Reproductive and child health programme
4. National rural health mission
5. National urban health mission
6. National health mission