The document discusses India's healthcare system and its organization at different levels. At the central level, the Ministry of Health and Family Welfare oversees various departments and bodies like the Central Council of Health. State health systems are managed by state health ministries and directorates. Primary healthcare is delivered through a network of subcenters, primary health centers (PHCs), and community health centers (CHCs) at the village, block, and district levels respectively. The objectives of India's healthcare system include improving population health, access to care, reducing illness costs, and promoting equity and social justice.

1. By : Kalyani Saudagar

2. DEFINITION
1.
“It implies the organization, delivery, staffing,
regulation and quality control of health care
services.”
J. E. Park
2.
“it is a system which ensures need based
comprehensive health care services to people
at large especially those living in remote and
backward areas, using available resources,
manpower, money and material.

3. OBJECTIVES
To improve the health status of population
To improve the experience of care
To reduce the economic burden of illness
To improve social justice equity

4. CHARACTERISTIC
 Orientation toward health
 Population perspective
 Intensive use of information
 Focus on consumer
 Knowledge of treatment outcome
 Constrained resources
 Coordination of resources
 Reconsideration of human values
 Expectations of accountability
 Growing interdependence

5. ORGANIZATION OF HEALTH SERVICES
CENTRAL LEVEL
STATE LEVEL
DISTRICT LEVEL

6. CENTRAL LEVEL
Ministry of health and family welfare
Central council of health
Director general of health services

7. UNION MINISTRY OF HEALTH AND
FAMILY WELFARE
Dept of health
Dept of family welfare
secretary
Joint
secretary
Deputy
secretary
Administrativ
e
staff
secretary
Additional
secretary
commissio
ner
Joint
secretary

8. FUNCTIONS
Functions are divided in two forms according
to the responsibility of concerning
authority:-
Union list
Concurrent list

9. Union list
 International health relation and administrative of port quarantine
 Administrative of central institutes
 Promotion of research through research centers
 Regulation and development of medical, pharmaceutical, dental and
nursing profession
 Establishment and maintenance of drug standards
 Census collection and publication of other statistical data
 Immigration and emigration
 Regulation of labor in the working fields
 Coordination with states and other ministries

10. Concurrent list
 Prevention of extension of communicable disease
 Prevention of food adulteration
 Control of drugs and poisons
 Vital statistics
 Labor welfare
 Economic and social planning
 Population control and family planning

11. CENTRAL COUNCIL OF HEALTH
It was set up by a presidential order on 9th
August 1952, under article 263 of the Indian
constitution.
Chairmen – the union health
minister
Members – the state health minister

12. Consider and
recommend broad
outline of the policy
Make proposal of
legislation in field of
medical and public
health
Recommendation
regarding distribution of
available aid for health
purposes
Establish organization
to maintain cooperation
b/t cenrtal and state
health dept.
FUNCTIONS

13. DIRECTOR GENERAL OF HEALTH
SERVICES
DGHS
Deputy DGHS
Medical care
Nursing
advisor
Deputy DGHS
(general
administration)
Deputy DGHS
(public health)
Deputy
nursing
advisor

14. FUNCTIONS
GENERAL SPECIFIC
SURVEY INTERNATIONAL HEALTH
RELATION
PLANNING CONTROL OF DRUG STANDARD
COORDINATION MEDICAL STORE DEPOTS
PROGRAMMING POST GRADUATE TRAINING
APPRAISAL OF ALL HEALTH MATTERS MEDICAL EDUCATION
MEDICAL RESEARCH
CENTRAL GOVT. HEALTH
SCHEME
NATIONAL HEALTH
PROGRAMMES
CENTRAL HEALTH EDUCATION
BUREAU
HEALTH INTELLIGENCE
NATIONAL MEDICAL LIBRARY

15. STATE LEVEL
 STATE MINISTRY OF HEALTH
STATE HEALTH DIRECTORATE

16. STATE MINISTRY OF HEALTH
HEALTH
SECRETARY
Additional secretary Deputy secretary
Administrative
staff

17. FUNCTION
 Assisting the ministers in policy making
 Formulating, review and modification of broad
policy
 Execution of policies
 Coordination with govt. of India and other
State
 Control for smooth and efficient functioning
 Budgeting and control over expenditure

18. STATE HEALTH DIRECTORIATE
Regional
deputy director
Additional
directors
Functional
deputy
director

19. FUNCTIONS
 Provide adequate medical care
 Medical education and research
 National health program implementation
 Provision for health scheme
 Food and drug administration control
 Collection of health information
 Control over ESI scheme
 Enforcement of professional standards

20. DISTRICT LEVEL
SUBDIVISION
TEHSIL
COMMUNITY DEVELOPMENT BLOCKS
MUNCIPALITY CORPORATION
VILLAGES
PANCHAYATI RAJ

21. URBAN AREA DISTRICTS
CORPORATIONS
MUNCIPAL BOARDS
TOWN AREA
COMMITEE

22. FUNCTIONS OF MUNCIPAL BOARDS
 construction and maintenance of roads
 Sanitation and drainage
 Street lighting
 Public health
 Maintenance of hospitals and dispensaries
 Education and registration of births and
deaths

23. PANCHAYATI RAJ
PANCHAYATI
RAJ
PANCHAYT
GRAM
SABBHA
GRAM
PANCHAYT
ZILA
PARIDHAD
PANCHAYAT
SAMITI

24. PRIMARY HEALTH CARE IN INDIA
 VILLAGE LEVEL
 SUB CENTER
 PRIMARY HEALTH CENTER
 COMMUNITY HEALTH CENTER

25. VILLAGE LEVEL
• Started in 1977
• Now replaced by ASHA
VILLAGE
HEALTH GUIDE
• Started under rural health scheme
• Training of local dais for 30 days
• Now not preferred
TRINING OF
LOCAL DAIS
• Advent with NRHM(per 1000 population)
• Imp link between community & health servicesASHA
AWW
•Under ICDS
•FOR EVERY 400-800
POPULATION

26. SUB CENTER LEVEL
 Ii is the peripheral outpost of the existing health
care delivery system in rural area. they are being
established on the basis of one sub center for
every 5000 population in general and one for every
3000 population in hilly, tribal and backward areas.
 Currently a sub center is staffed by one female
health worker know as-
Auxiliary nurse midwife- 1,
one male health worker,
one health assistant known as lade health visitor

27. FUNCTIONS
 Maternal and child health
 Family planning
 Immunization
 Nutritional services
 Control over communicable diseases
 Records of vital statistics

28. PRIMARY HEALTH CENTER
o Concept of PHC was given by Bhore
committee
o 1 PHC for every 30,000 population in plain
area and for 20,000 in hilly area
o 6 beds.

29. FUNCTIONS
 Medical care
 MCH and family planning
 Safe water supply and basic sanitation
 Prevention and control of disease
 Collection and reporting of vital statistics
 Education about health
 National health program involvement
 Training of health workers

31. COMMUNITY HEALTH CENTER
 The block is unit of rural planning and
developing and comprises about 80,000 to
1.2 lakh population
 One CHC is being established in each block
 The officer in charge of CHC is k/as
Superintendent CHC or block medical officer
 Normally one CHC should have- 30 bed
hospital

35. FUNCTIONS
 Care of routine and emergency
 24 hour delivery services
 Essential and emergency obstratics care
 Full range of family planning service
 Safe abortion services
 Newborn care
 Routine and emergency care of sick children
 Foreign body removal, tracheostomy etc.
 Implementation of national health programme