The document summarizes the health care delivery system in India at the state level. It outlines that states are responsible for providing medical care, preventive health care, and pilgrimage services within the state. The key components of state-level health systems include the state ministry of health, the state health directorate, and various organizations under each. The state ministry of health is headed by a minister and secretary and is responsible for policymaking, budgeting, and implementing health programs. The state health directorate focuses on health services and medical education through various departments and directors.

1. Health Care Delivery
System in India-State Level
Dr Tanveer Rehman
Dr Yogesh Arora
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2. Health System in India
• In India healthcare delivery system is represented by five major sectors: -
1. Public health sector
2. Private health sector
3. Indigenous health systems
4. Voluntary groups
5. National health programs
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3. Revision - Health Care at Central Level
1. Union Ministry of Health & Family Welfare
2. Directorate General of Health services
3. Central Council of Health and Family Welfare
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4. Health Care at State Level
• The state health administration was started in 1919.
• States' responsibility is to provide: -
1. Medical Care
2. Preventive Health Care
3. Pilgrimage within the state
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5. Health Care at State Level
1. State Ministry of
Health
2. State Health
Directorate
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Organization pattern of State Ministry of Health
Ministry of Health and Family Welfare (State Minister)
Deputy Minister of Health and family Welfare
Health Secretariat (Health Secretary)
Deputy Secretariat
Administrative Staff

7. State Ministry of Health
• Headed by:-
1. State Minister of Health & Family Welfare
2. Deputy Minister of Health & Family Welfare
• Official Organ:-
• Health Secretariate – headed by Health Secretary (Senior Officer of
Indian Administrative Services) who is assisted by deputy secretary,
under secretary and other administrative staff
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8. Functions of State Ministry
• Assisting ministers in policy making
• Budgeting and control of expenditure
• Co-ordination with central and other state governments
• Formulating, monitoring and implementation of policies
• Reviewing and modifying existing policies
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9. State Health Directorate
1. Health Services 2. Medical
Education
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Organization pattern of State Health Services
DHS (Director of health services)
Additional Director of Health Services
Deputy and Assistant Director
Functional and Regional Deputy Directors
Administrative Staff

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Organization pattern of Medical Education
Directorate
Director of Medical Education
Dean of Medical College
Superintendent
Ward-in-charge
Administrative Staff

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14. Functions of State Health Directorate
• Responsible for provision of adequate health care services in
the state (curative & preventive services)
• Medical education and research including training courses for
health personnel
• Food and drug administration control
• Implementation of National Health Programmes
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15. Cont.…
• Coordination with other ministers of state (education, central
health, voluntary agencies)
• Control over Employees’ State Insurance (ESI) scheme
• Enforcement of professional standards (like supervision of
PHC)
• Provision for new health schemes based on needs of the state
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16. Bibliography
• Park’s Textbook of Preventive and Social Medicine. 24th Edition
• Health management modules – NIHFW
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17. Thank You
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