More Related Content
What's hot
What's hot (20)
Similar to HEALTH CARE DELIVERY-dr tanvir new.ppt
Similar to HEALTH CARE DELIVERY-dr tanvir new.ppt (20)
More from MANJUSINGH948460
More from MANJUSINGH948460 (20)
Recently uploaded
Recently uploaded (20)
HEALTH CARE DELIVERY-dr tanvir new.ppt
- 3. Health status or health problems Curative Preventive Promotive Public Private Voluntary Indigenous Changes in health status Resources Inputs Health care services Health care system Outputs Model of a health care system
- 4. Health status and health problems • Demographic profile • Mortality profile
- 5. • Health problems- 1.Communicable disease problems- • malaria • Tuberculosis • Diarrhoeal ds’s • ARI • Leprosy • Filaria • AIDS • Others 2.Non-communicable ds’s
- 6. 3.Nutritional problems- • PEM • Nutritional anaemia • LBW • Xerophthalmia • IDD • Others 4.Environmental sanitation 5.Medical care problems 6.Population problem
- 7. Resources • Health manpower • Money and material • Time
- 8. Health care services • Curative • Preventive • Promotive
- 9. Health care systems • 1.PUBLIC HEALTH SECTOR a) Primary Health Care Primary health centres Sub-centres b) Hospitals/Health Centres Community health centres Rural hospitals District hospital/health centre Specialist hospitals Teaching hospitals
- 10. c) Health Insurance Schemes ESI CGHS d) Other agencies defence services railways
- 11. 2. PRIVATE SECTOR a) Private hospitals, polyclinics, nursing homes, and dispensaries b) General practitioners and clinics
- 12. 3. INDIGENOUS SYSTEMS OF MEDICINE Ayurveda and siddha Unani and tibbi Homeopathy Unregistered practitioners
- 13. 4. VOLUNTARY HEALTH AGENCIES 5. NATIONAL HEALTH PROGRAMMES
- 14. HEALTH SYSTEM IN INDIA 1. AT THE CENTRE The ministry of health and family welfare The directorate general of health services The central council of health and family welfare
- 15. • Union ministry of health and family welfare Dept. of health Dept. of family welfare Functions- Union list Concurrent list
- 16. • Directorate general of health services- Organization Functions-general , specific • Central Council of health- functions
- 17. 2. AT THE STATE LEVEL State ministry of health State health directorate- director of health services director of medical education
- 18. 3. AT THE DISTRICT LEVEL Sub-divisions Tehsils Community development blocks Municipalities and corporations Villages Panchayats
- 19. • PANCHAYATI RAJ Panchayat-at the village level Panchayat samiti-at the block level Zilla parishad-at the district level
- 20. LEVELS OF HEALTH CARE • PRIMARY CARE LEVEL • SECONDARY CARE LEVEL • TERTIARY CARE LEVEL REFERRAL SYSTEM
- 23. PRIMARY HEALTH CARE • “Is the essential health care made universally accessible to individuals and acceptable to them, through their fulll participation and at a cost the community and country can afford.”
- 24. ELEMENTS • Education of prevailing health problems and methods of preventing and contolling them • Promotion of food supply and proper nutrition • Safe water and basic sanitation • MCH +FP
- 25. • Immunization • Locally endemic ds’s • Common ds’s and injuries • Essential drugs
- 26. PRINCIPLES • Equitable distribution • Community participation • Intersectoral coordination • Appropriate technology
- 27. Primary health care in India • VILLAGE LEVEL- village health guides scheme Local dais Anganwadi workers ASHA
- 28. SUB-CENTRE LEVEL • Immunization • Antenatal care • Natal care • Post natal care • Prevention of malnutrition • Common childhood illnesses • Family planning and counseling • Drugs for ARI, diarrhoea,fever,worm infestation • NHPs
- 29. staff • MHW(F)=ANM=1/2 • MHW(M)=BHW=1 • HA(F)=LHV • HA(M)=SI • VHW=1 • • Total=2-3/3-4
- 30. services • Maternal health care- ANC,INC,PNC • Child health care • FP and counseling • MTP • Adolescent health • School health services • Water quality monitoring • Sanitation
- 31. • Field visits • Community needs assessment • Curative • + AYUSH • Training-TBA/ASHA • NHP- NACP,NVBDCP,NLEP,IDSP,RNTCP,NBCP,NCDCP • Vital events
- 32. PRIMARY HEALTH CENTRE LEVEL • Medical care • MCH+FP • Safe water and sanitation • Local endemic ds’s • Vital stats • HE • NHP • Referral services • Training • Basic lab
- 33. IPHS standards • Medical care- OPD, 24 hr emergency, referral, IPD(6 beds) • MCH- ANC-lab,nut & counseling, supplementary, high risk, referral • Intranatal • PNC • New born care • IMNCI
- 34. • FP • MTP • HE • Nutrition • School health services • Adolescent health services • Ds surveillance and epidemic ds control • Vital events
- 35. • Sanitation • Water quality • NHP • Referral • Training • Basic lab • Monitoring and supervision • Selected surgical • AYUSH
- 36. staff • MO=1/3(1 F) • AYUSH=0/1 • Pharmacist=1/2 • Nurse=1/5 • HW(F)=1/1 • HA(M&F)=1/2 • HE=1/1 • Account manager=0/1
- 37. • Clerk=2/2 • LT=1/2 • Driver=1/optional • Class IV=4/4 Total=15/24-25
- 38. COMMUNITY HEALTH CENTRES IPHS std: • Care of routine & emergency surgery cases • Care of routine & emergency medicine cases • 24 hr delivery-normal &CS • Essential & emergency obstetric care • FP+ laparoscopic sterilization • Safe abortion
- 39. • New born care • Sick children • Others- tracheostomy, nasal packing, FB removal • NHPs • Others- blood storage, essential lab referral(transport)
- 40. staff • Surgeon=1/1 • Physician=1/1 • Obs/gynaecologist=1/1 • Paediatrician=1/1 • Anaesthetist=0/1 • PHM=0/1 • Opthalmologist= 0/1 for 5 CHCs • Dental surgeon=0/1 • MO=6 MBBS(2F) • AYUSH=0/2(1 ug+1pg) Total=4/15-16
- 41. • Nurse=7+2 • Dresser=1 • LT=1 • Radiographer=1 • OA=0-1 • Ward boy=2 • Sweeper=3 • OPD att./stat asst./data entry operater/OT att./reg clerk=5 Total=21-22+2
- 42. • SN=19 • PHN=1 • ANM=1 • Pharmacist=3 • Pharmacist AYUSH=1 • LT=3 • Radiographer=2 • OA=1 • Dresser=2 • Ward boy=5 • Sweeper=5
- 43. • Chowkidar=5 • Dhobi=1 • Mali=1 • Aya=5 • Peon=2 • OPD asst.=1 • Reg clerk=2 • Stat asst.=2 • Accountant=1 • OT tech=1 Total=64
- 44. Job descriptions MO, PHC HW(F)- • MCH • FP • MTP • Nutrition
- 45. • UIP • Dai training • Communicable ds’s • Vital events • Record keeping • Treatment • Team activity
- 46. HW(M) • Record keeping • Vector borne ds’s-malaria,filaria,JE,KA • Communicable ds • Leprosy • TB • NBCP • Environmental sanitation • EPI • FP
- 47. • ASHA • HA(M&F)
- 48. • HOSPITAL Vs HEALTH CENTRE