health care delivery concerns in india

1. HEALTH CARE DELIVERY
CONCERNS, NATIONAL HEALTH AND
FAMILY WELFARE
PROGRAMMS,INTERSECTORAL
COORDINATION,ROLE OF NGOS
PRESENTED BY : JASKOMALDEEP KAUR
M.SC (N)FIRST YEAR
MEDICAL SURGICAL NURSING

2. HEALTH CARE DELIVERY SYSTEM
DEFINITION
This is an organization of people , institutions and
resources to deliver health care services to meet the
health needs of target population

3. HEALTH CARE DELIVERY CONCERNS
INTRODUCTION
India health ministry, national level and state has its own health
ministry. The constitution of india clearly recoganises the
responsibility for the health and state that “the state shall regard
the raising the level of nutrition and standard of living of the
people and the improvement of public health as among its
primary duties.

4. HEALTH CONCERNED AREAS:-
•Nutritional problems
•Environmental sanitation problems
•Medical care problems
•Community diseases problems
•Population problems
•Problem of inequality
•Socio economic issues

5. COMMUNITY DISEASE PROBLEMS
Physical activity and nutrition
•0verweight and obesity
•Tobacco
•Substance abuse
•HIV /AIDS
•Injury and violence
•Environmental quality

6. NUTRITIONAL PROBLEMS
1. PEM(protein energy malnutrition )
2. Vitamin A
3. Iron deficiency anaemia
4. Iodine deficiency disorder

7. ENVIORNMENTAL SANITATION
•Basic sanitation
•Onsite sanitation
•Food sanitation

8. MEDICAL CARE PROBLEMS
Neglect of rural
population
Emphasis on
culture method
Social
inequality
Shortage of
medical
personnels
Expensive
health services

9. POPULATION PROBLEMS
• Food and water shortages
• Global warming
• Environmental pollution
• Habitat loss
• Depletion of natural resources

10. PROBLEMS OF INEQUALITY
Urban rich
Ratio of hospital
Ratio of doctors

11. SOCIO ECONOMIC PROBLEMS
I. Lack of education
II. Cultural and religious discrimination
III. overpopulation

12. NATIONAL HEALTH AND FAMILY WELFARE
PROGRAMME
• A nation wide family planning programme was laucnhed in
1952 by the union ministry of health and family welfare its
components are education, services and training

13. OBJECTIVE OF NATIONAL HEALTH AND
FAMILY WELFARE PROGRAMME
• To improve the facilities for the prevention and treatment of
major disease
• Reduction in population growth
• To assess the need for reproductive and child health at PHC
level
• To reduce infant morbidity rate

14. NEW FOCUS
Antenatel care
Natel care
Postnatel care

15. • Antenatel care
Registration of antenatel cases.
Providing antenatal care by three visits .
Detection of anemic pregnant mothers

16. • Natel care
Delivery must be at PHC, hospital,sub centers
Detection of high rish labour cases
Identificatiion of dais and training

17. • Post natel care
Monitering new born growth
Neonatel resuscitation where facilities are available

18. PROGRAMMES BY NATIONAL HEALTH AND
FAMILY WELFARE
A. Universal immunization programme
B. The oral rehydration therepy
C. Child survival and safe other motherhood programmes
D.Reproductive and child health

19. INTERSECTORAL COORDINATION
• It is for achieving health goals has been accepted as one of the
guiding principles of the health strategy that was adopted at
the international conference on primary health care

20. NEED OF INTER SECTORAL COORDINATION
• To improve the vertical nature of program
• To focus on primary health care
• To provide direction
• To promote team work
THIS INCLUDES:- THIRST

21. PRE-REQUISITES FOREFFECTIVE
INTERSECTORAL COORDINATION
1. Leadership style and
willingness
2. Health policies and priorities
3. Sharing of a common vision
4. Defining roles and
responsibilities of agencies
5. Participatory decision making
• Developing informal contact
• Learning more about quality
services
• Spelling out strategies and
procedures
• Conducting joint monitoring
• Problems solving with
coordination

22. AREAS OF INTERSECTORAL COORDINATION
NUTRITION ADRICULTURE
EDUCATION
SOCIAL WELFARE OF
WOMEN AND CHILD
AREAS

23. ADVANTAGES
• More achievement at lower cost.
• Sense of responsibility.
• Increase efficiency.
• Reduces workload.
• Inhances communication

24. NON GOVERONMENTAL ORGANIZATIONS
• DEFINITION
NGO is defined by world bankas private organizations that pursue
activities to relieve suffering ,promote the interests of the poor, protect
the environment , provide the basic social services.
OR
Organization which are independent of govt involvement are known as
non govt organizations these are the sub group of the agencies
founded by citizens to provide services to community .

25. TYPE OF NGOS
charitable participatory
service empowering

26. ROLE OF NGOS
• They can present health care needs based
on their contacts with communities
• Provide assistance to develop and
strengthen local NGO activities
• Develop innovative programmes
• Conducting assessment and evaluations
• Ensure full participation by individuals
and communities
• Extends efforts to develop health
technologies
• Recoganize role of women
• Providing goods and services
• Safeguarding human rights
• Providing relief to victims
• Assisting poor
• Solving environment issues
• Develop infrastructure
• Technical assistance and training
• Assist national policies formation
• Provide valuable resources