The document discusses healthcare delivery concerns in India and the role of national health programs and non-governmental organizations. It outlines several health concerns facing the country including nutritional problems, environmental issues, and limited access to medical care. It then describes national health programs that aim to improve facilities, reduce population growth, and enhance reproductive and child health. The importance of intersectoral coordination between different sectors and organizations is emphasized. Finally, the role of NGOs in assisting health programs, developing innovative solutions, and aiding vulnerable populations is covered.

1. HEALTHCARE DELIVERY
CONCERNS, NATIONAL HEALTHAND
FAMILY WELFARE
PROGRAMMS, INTERSECTORAL
COORDINATION, ROLE OF NGOS

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:
• In India Centre level, national level and state has its own
health ministry. The constitution of India clearly recognizes
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.  NUTRITIONAL PROBLEMS
• PEM (protein energy malnutrition)
• Vitamin A deficiency
• Iron deficiency anaemia
• Iodine deficiency disorder

6.  ENVIORNMENTAL SANITATION
•Basic sanitation
•Onsite sanitation
•Food sanitation

7.  MEDICAL CARE PROBLEMS
• Neglect of rural population
• Social inequality
• Shortage of medical personnels
• Expensive health services

8.  COMMUNITY DISEASE PROBLEMS
• Physical activity and nutrition
• Overweight and obesity
• Tobacco/ Substance abuse
• HIV /AIDS
• Injury and violence

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
•Lack of education
•Cultural and religious discrimination
•Overpopulation

12. NATIONAL HEALTH AND FAMILY WELFARE
PROGRAMME
• A nation wide family planning programme was launched 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
• To reduce population growth
• To assess the need for reproductive and child health at PHC
level
• To reduce infant mortality/ morbidity rate

14. NEW FOCUS
Antenatal care
Intranatal care
Postnatal care

15.  ANTENATAL CARE
•Registration of Antenatal Cases
•Providing Antenatal Care By Three Visits
•Detection of Anemic Pregnant Mothers

16.  INTRANATAL CARE
•Delivery Must Be At PHC, Hospital, sub Centers
•Detection Of High Risk Labor Cases
•Education and Training of Dais

17.  POST NATAL CARE
•Monitoring new born
growth
•Neonatal resuscitation
where facilities are
available

18. PROGRAMMES BY NATIONAL HEALTH AND
FAMILY WELFARE
A. Universal Immunization Programme (1985)
B. The Oral Rehydration Therapy (1986-87)
C. Child Survival and Safe Motherhood Programmes (1992)
D. Reproductive and Child Health programme (1997)

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. DEFINITIONS:
• INTER: Inter means between or it self.
• SECTOR: Sector refers to the different – different areas or
they may be different organizations.
• COORDINATION: Coordination is an administrative
process which seeks to bring about unity of purpose in order
to achieve common objectives.

21. INTER SECTORAL
COORDINATION
•Intersectoral coordination refers to the promotion and
co- ordination of the activities of different sectors of
health care system to enhance and to provide a
qualitative services to community.

22. NEED OF INTER SECTORAL COORDINATION
• There are many governmental departments and agencies
working for people whose activities are closely linked with
health, as health itself is a multi-sectoral subject that needs
clean water
Sanitation
pollution free environment
economic conditions
food production etc.
• Earlier health care system focused more on “curative’ rather
than ‘preventive’ aspects.

23. NEED FOR COORDINATION IN
HEALTH CARE DELIVERY SYSTEM
•To improve vertical nature of programs.
•To maintain focus on primary health care.
•To provide directionality.
•To promote team work.

24. PRE-REQUISITES FOR EFFECTIVE
INTERSECTORAL COORDINATION
1. Leadership style and willingness
2. Health policies and priorities
3. Sharing of a common vision and perspective
4. Defining roles and responsibilities of participatory
agencies
5. Participatory decision making

25. CONT..
6. Developing informal contacts with involved groups.
7. Learning more about quality of services.
8. Spelling out strategies and procedures.
9. Conducting joint monitoring and evaluation.
10. Taking immediate remedial measures in solving problems
related to coordination/resource mobilization.

26. AREAS OF INTERSECTORAL COORDINATION
•Promotion of Nutrition
•Agriculture
•Education
•Social welfare/ women and child
development

27. ADVANTAGES
•More Achievement At Lower Cost.
•Sense Of Responsibility.
•Increase Efficiency.
•Reduces Workload.
•Enhances Communication

28. NON GOVERONMENTAL
ORGANIZATIONS

29. DEFINITION:
NGO is defined as 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 .

30. TYPE OF NGOS
•Charitable
•Participatory
•Service
•Empowering

31. 1. CHARITABLE ORIENTATION
• NGOs who were primarily involved in campaigns focused on
fulfilling the necessities of the lower income group
communities with the aid of clothing, medicine, food
distribution drives, housing facility, school, transport, etc.
2. Service orientation: Those NGOs which campaign
dedicatedly towards the promotion and awareness of education,
health, family planning for the underprivileged section of the
society.

32. 3. Participatory orientation
• In these types of NGOs, localities play a primary role by
engagement with the organization of a project.
• They organize, manage in every possible way by themselves,
they collect donations in terms of money, land, tools, labour,
material, etc.
4. Empowering orientation: The aim is to provide aids to the
deprived section and nurture the understanding of the social,
political & economic aspects affecting their lives,

33. ROLE OF NGOS
• Provide assistance to develop and strengthen local NGO
activities
• Develop innovative programmes
• Conducting assessment and evaluations
• Solving environment issues
• Assist national policies formation
• Provide valuable resources

34. CONT..
•Ensure full participation by individuals and communities
•Extends efforts to develop health technologies
•Recognize role of women
•Providing goods and services
•Safeguarding human rights
•Providing relief to victims
•Assisting poor

35. •THANK YOU