Health Administration deals with promoting health, preventive medicine, medical care, and delivery of health services. It focuses on principles like cooperation between official bodies, basing programs on scientific origins, and avoiding duplication of services. The objectives of health administration include providing total healthcare to improve quality of life. At the state level, the health directorate studies health problems and plans schemes to address them, while providing services and overseeing programs. Primary health centers (PHCs) and community health centers (CHCs) deliver primary care services. The Panchayati Raj system also plays an important role in rural healthcare administration from the village to district levels.

2. HEALTH ADMINISTRATION
Health Administration is a branch
of public administration which
deals with all the matters
relating to the Promotion of
health, Preventive Medicine,
Medical Care, Delivery of
health services, development
of health manpower, Medical
Education & Training.

3. PRINCIPLES OF HEALTH
ADMINISTRATION
 Any new or special function that is to be undertaken, it
should be done by the co-operation and active
participation of official bodies.
 A Clear hypothesis should be made before starting a
programme.
 Treatment and prevention of disease should be
administravely combined.
 Administration Should have a sound economic and
financial budgeting.
 Programme Should be based on scientific origins.
 There must be provision of desirable working
condition for all staff members.

4. PRINCIPAL TO BE CONT…..
 There should not be duplication and overlapping
of rendering services.
 In services education training, should be
continued for all the staff.
 Periodically, appraisal of services rendered,
evaluation and effectiveness of programme is
major responsibility of the health administration.
Centralized direction and decentralized activity
should be emphasized.

5. OBJECTIVE OF HEALTH
ADMINISTRATION
 To provide total health care to improve quality
and standard of life.
 To formulate and revise health policies.
 To improve the physical, mental and social
wellbeing of the individual.
To increase the average life span of humans.
To decrease the mortality and morbidity rates.
To upgrade primary health care centers for better
provision of health services.

8. DGHS is the principle advisor of union
government in both medical & public health
matters. The main function of Union
Ministry of health and family welfare at
central level as below:-

9.  Assume responsibility to fulfill all the obligation
undertaken with various international agencies.
 Responsible for study, evaluation and planning
health schemes all types in India & all modified
schemes from time to time Immunization
programmes, family planning, maternal and child
health in other schemes.
 Assist and coordinate with state government in
improving their health programmes.
 Responsible for undergraduate and post-graduate
education of medical, nursing and other personnel in
India and to see if proper facilities are provided or
not. There are several medical colleges directly
administered by Central Govt.

10.  Coordinate the activities of all health workers in the
field of public health in the existing agencies – both
official and non-official.
 Carry out intensive measures in the control of
communicable diseases.
 Collect, tabulated and publish vital statistics and
carry out epidemiological studies anywhere in India.
 Maintain standards by enforcing regulations in the
manufacture and distribution of drugs through
Central and State Govt. officers.
 It has the responsibility to test the quality of
imported and local drugs before distribution.
 Responsible for inter-state sanitary control of food.

11. CENTRAL COUNCIL OF HEALTH
This council of health was set up by Presidential
order 9th Aug.1952, by the constitution of
India for promotion of co-ordination action
between centre and state in implementation
of all the programme and efforts that are
taken in order to promote and upgrade the
health status of the nation.

12. Function of Central Council of Health
 To make proposal for legislation in the field related to
medical and public health matters.
 To recommend policy-outcome in order to promote health
of nation.
 To make recommendation to the central govt. regarding
distribution of available grants for health purpose to the
state.
 To establish any organization for the promotion and
maintenance of co-operation between central and state
health administration.

14. ORGANIZATIONAL CHART AT STATE LEVEL
MINISTRY OF HEALTH & FAMILY WELFARE
Deputy
Minister for
Health and
Family welfare
Health
Secretary
State Health
Directorate,
Director of Health
Services & Family
Welfare
Regional Deputy
Director
Deputy Director/
Asst.Director
Function of state
health Directorate
Static
s
Lepros
y
MCH Nutrition F.W. T.B. HEALT
H
PHCs Immunizatio
n

15. RESPONSIBILITIES OF STATE HEALTH
DIRECTORATE
• It studies in depth the health problems and needs in
the states and plans schemes to solve them.
• Providing curative and preventive services.
• Provision for control of milk and food sanitation.
• Assumes total responsibility for taking all steps in
prevention of communicable diseases.
• Establishment and maintenance of central laboratories
for preparation of vaccines, etc.
• Promotion of Health education.
• Recruitment of personnel for rural health services.
• Collection, tabulation and publication of vital statistics.

17. ORGANIZATIONAL CHART AT DISTRICT LEVEL
Deputy Director of
Health Services
Joint Director of
Health Services
Deputy
Director
(T.B.)
Deputy
Director
(Leprosy)
M.O. District
H.Q. Hospital
Deputy
Director
Siddha
Medicine
DDRHS/
DFWO
DDRHS : Deputy Director of Regional Health Services.
DFWO : District Family Welfare Officer.

18. FUNCTION OF DISTRICT PUBLIC HEALTH NURSE
 It is the duty and responsibility of the
Community/Public health nurse to learn and
understand the organization and administration of
state where she works.
 Nursing on state level is directed in most states by
nursing Superintendent. The organization provides
two Deputy Nursing Directors, one for
administration and other for nursing education.

19. Administration and Planning
 Recruitment of students for nursing and midwifery
schools.
 Selection or approval of nursing staff.
 Assignment of nurse to various position.
 Training and participation in state and central
nursing council and nursing organization.

21. Community Development
The community development programme in
India began on 2nd Oct.1952. Each project was
divided into three blocks, each block
comprising generally 100 villages, population
of 60,000-70,000 within one year.

22. Community Health Centre
In order to provide adequate treatment and reffered
services the government is establishing one community
health center at every village with a population of 80,000-
1,20,000 by upgrading some PHCs and Sub-district
Hospitals with 30 beds and specialists in:
 Surgery.
 Medicine.
 Obstetrics.
 Gynecology.
 X-Rays.
 Laboratory facilities.

24. Staffing Pattern of CHC No. of Staff
Medical Officer 4
Nurse Midwife 7
Pharmacist/Compounder 1
Lab Technician 1
Radiographer 1
Ward Boys 2
Sweeper 3
Dhobi 1
Mali 1
Chowkidar 1
Aya 1
Driver 1
Peon 1
Total 25

26. PRIMARY HEALTH CENTRE {PHCs}
The Bhore Committee recommendation
Primary Health Center as a basic health unit
to provide a possible curative and preventive
health care. According to national health
plans, primary health center on the basis of
health plans provide one PHC to a population
of 30,000(20,000 population in hilly and
backward areas).

28. Staffing Pattern of PHC No. of Staff
Medical Officer 1
Health Officer 1
Pharmacist/Compounder 1
Nurse Midwife (Staff Nurse) 1
ANM 1
Health Educator (Block Extension Educator) 1
Health Assistant {Male} 1
Health Assistant {Female} 1
U.D.C. 1
L.D.C. 1
Lab Technician 1
Driver 1
Class IV 4
Total 16

29. FUNCTION OF PHCs
Medical Care Including Referral & Laboratory services.
Control of Communicable Diseases.
Environmental Sanitation & Safe Water supply.
MCH Services.
Family Planning.
School Health Services.
Health Education.
Vital Statistics.
National Health Programme.
Training of Personnel.

31. The Sub-Centre at local level covers a population of 6000
{3000 population in tribal, hilly and backward areas}. Six
Sub-Centre are located in each PHC area.
Staffing Pattern of Sub-Centre No. of Staff
Health Worker {Male} 1
Health Worker {Female} 1
Voluntary Worker {Monthly honorarium Rs.50} 1
Total 3

33. The Panchayati Raj is a 3-tire structure of rural
local self government in India, linking the village
to the district. The three institution are :
Panchayat at the village level.
Panchayat Samiti at the block level.
Zila Parishad at the district level.

35. The Panchayati Raj at the village
level consist of :
The Gram Sabha.
The Gram Panchayat.
The Nyaya Panchayat.

36. ☻GRAM SABHA
It is an assembly of all the adult of
village which meets at least twice a year.
The Gram Sabha considers proposal for
taxation, discusses the annual
programme and elects members of the
Gram Panchayat.

37. ☻ GRAM PANCHAYAT
It is the executive organ of the Gram Sabha and an
agency for planning and development at the village level.
Its strength varies from 15 to 30 population covered also
varies widely from 5000 to 15000 or more.
The members of Panchayat hold office for a period of 3
to 5 years.
Every Panchayat has an elected President and vice
president and Panchayat Secretary.
The power and function of the panchayat secretary are
very wide- they cover the entire field of civic
administration, including sanitation and public health
and of social and economic development of the village.

38. ☻ NYAYA PANCHAYAT
It is composed of 5 members from the
Panchayat. It tries to solve the dispute between
the Panchayat. It also tries to solve the dispute
between the two parties over certain matters
on mutual consent.

39. Function of Nyaya Panchayat
 Developmental Function : All developmental functions
e.g. agriculture, animal husbandary, medical relief, and
public health are to be implemented.
 Judicial Function : Nayaya Panchayat which is to be
established for a group of village panchayat and its
members are elected by Gram Sabha.
 Law and other Function : The panchayat also help in
maintaining law and order in village.
 Administrative and Civic Function : The Panchayat is
expected to perform all the elementry civic function such
as arrangement of sanitation, conservancy, construction
and repair the road, water supply and street lights etc.

41. At block level, the Panchayati Raj is known as
“Panchayat Samiti”. The body mainly works to
arise and encourage the people to utilize their
resource fully for the developmental activities
under the community development programme.
The fund for the developmental activities are
processed through Panchayat Samiti.
Each Panchayat Samiti office is headed by block
development officer who is the secretary of the
Panchayat Samiti and is incharge of the entire
administrative staff of the block for carriying out
the function.

42. Function of Panchayat Samiti
 Scrutiny and approval for Gram Panchayat budget
within a prescribed limit.
 Provision of relief in case of natural calamities.
 Settlement of disputes between the two or more
panchayat.
 Co-ordination of the plan of the Gram Panchayat and
necessary supervision and guidence in the execution
of works.
 Implementation of various development works
concerning more than one panchayat.
 Promotion of small scale industries, cottage
industries and education.

44. THE Zila Parishad/ Zila Panchayat is the
agency of rural local self govt at the district
level.
The Zila Parishad in general supervises and
co-ordinates development programmes being
carried by the gram samitis in the blocks of a
district. The Collector is designed as advisor
to Zila Parishad.

45. MEMBERS OF ZILA PARISHAD
District head of all department who are ex-
official. This include the district health
officer.
All the members of parliament in the
district.
All chairmen of Block Samitis.
All Members of sate legislature in the
district.
Representative of scheduled castes,
scheduled tribes and women.

46. Function of Zila Parishad
It is the primarily a co-ordinating and
supervisory agency.
It plans such schemes or the district as a
whole.
Any special programme may be assigned to
a Zila Parishad by the state govt from time
to time.
It scrutinizes and approves the budgets of
the block samitis.

47. ADMINISTRATION
OF
NURSING
PERSONNEL

48. NURSING ADMINISTRATION AT
CENTRE LEVEL

49. It is the primary responsibility of nursing
advisor to co-ordinate all nursing
programmes in the country. Nursing
Education and Community health nursing is
always being assisted and advised by Indian
Nursing Council. Public health programmes
are co-ordinated by deputy nursing advisor.
The whole organization set-up need full
support of the govt.

50. NURSING ADMINISTRATION AT STATE LEVEL
The administration pattern differs as per the
state norms. Nursing at state level is co-
ordinated by additional director of health
services. In West Bengal, there are two
nursing personnel of such position- one for
education and another for nursing
administration. At state level, the nursing
personnel is responsible for administration,
planning and recruitment of staff.

51. NURSING ADMINISTRATION AT DISTRICT LEVEL
As per the recommendation of Bhore Committee on
posting of public health nurses at primary health
centres, but public health nurses are not placed in
community and primary health centres. The only
position of professional public health nurses is at
district level in the district family welfare bureau.
At district level, the major areas of responsibility are
administration and management of nursing and
midwifery services. In-service training programme
for nurses, participation in teaching programme of
the school or nursing, helping in collecting reports
from CHC/PHC in the district.

52. Community Development Programme
The Community Development programme was
launched on 2nd Oct, 1952 for development of rural
areas. In this programme emphasize is given more
on provision of medical relief and preventive health
services. This programme was mainly launched in
community to eliminate poverty, disease and
illiteracy.
Community development was defined as a process
designed to create conditions of economic and social
progress for the whole community with its active
participation and the fullest possible reliance up on
community initiative.

53. Organizational Set-Up
The whole rural area is divided into blocks-
each block comprising approximately 100
village and population of one lakh. There are
about 6000 community development blocks in
the country. Each block is governed and
headed by block developmental officer.

54. Functions of Community Development Block
The community development block activities are
improvement of agriculture, improvement of
communication, education, health, and sanitation,
social welfare and training in rural arts-craft.
Each block passed through
two stages of development stage I & stage II. The
central govt supports the programme by providing
fund of Rs. 12 Lakh during First stage and Rs 5
Lakh during Second stage.

55. Integrated Rural Development Programme
{IRDP}
This programme was launched in April 1978 to rule out poverty
from rural areas and raise their quality of life. The main target of
the programme are agriculture laborers, small cultivators and
craftsman. The IRDP is being implemented through District Rural
Development Agency.
The existing scheme were integrated through Ninth Five Year Plan.
 SITRA : Supply of Improvement Toolkits to Rural Areas.
 DWCRA : Development of Women and Children in Rural Area.
 GKY : Ganga Kalyan Yojana.
 TRYSEM : Training of Rural Youth for Self Employment and
Management.