04 HEALTH CARE DELIVERY SYSTEM INDIA For CHO
04 HEALTH CARE DELIVERY SYSTEM INDIA For CHO
04 HEALTH CARE DELIVERY SYSTEM INDIA For CHO
Health Nursing
CCH
State Level
Village/ Local
Functions
• Surveys
• Planning
• Co-ordination
• Programming
• Appraisal of all health matters in the country
02- STATE LEVEL
1. State ministry of health
2. State health directorate
Functions
• Prevention of of communicable and NCDs
• Prevention of adulteration of food stuffs
• Controls of drugs and poisons
• Vital statistics
• Labour welfare
• Ports other than major
• Economic and social planning
• Population control and family planning
03- DISTRICT LEVEL
Administration in India is the district under the
Collector ( 720 districts in 2019). Within each district
again there are 6 types of administrative areas:
1. Sub-Divisions
2. Talukas or Tehsils
3. Community Development Blocks (Rural)
4. Municipalities and Corporations (Urban)
5. Villages
6. Panchayats
( District Collector, Dy.DC, MP, MLA, BDO, Parsad,
Sarpanch, Ward member etc)
Function at district level
1. construction and maintenance of roads
2. sanitation and drainage
3. street lighting
4. water supply
5. maintenance of hospitals and dispensaries
6. education
7. registration of births and deaths.
4. LOCAL LEVEL/Village
1. Panchayat ( at the village level)
2. Panchayat samiti(at block level)
3. Zila parishad(at district level)
HEALTH HEALTH
INPUT CARE CARE
OUTPUTS
SERVICES SYSTEM/
Organization
HEALTH
STATUS & PUBLIC CANGES
CURATIVE
Health Problems PRIVATE IN
PREVENTIVE
VOLUNTARY HEALTH
PROMOTIVE
INDEGENOUS STATUS
Rehabilitative
RESOURCES NGOs
HEALTH STATUS
AND
HEALTH PROBLEMS
IN INDIA
Major HEALTH PROBLEMS IN INDIA
1.COMMUNICABLE DISEASES:
1. Malaria
2. Tuberculosis
3. Diarrheal diseases
4. Leprosy
5. Filaria
6. HIV Aids
7. ARI
8. Others
Kala-azar, meningitis, viral hepatitis, Japanese
encephalitis, enteric fever, guinea worm diseases.
2.NUTRITIONAL PROBLEMS
a) Protein-energy malnutrition
b) Nutritional anemia
c) Low birth weight
d) Xerophthalmia
e) Iodine deficiency disorders
3. ENVIRONMENTAL SANITATION:
a) employment
b) education
c) housing
d) health care
e) sanitation
f) environment
Kolkata, India
Organizational framework of Health Care Systems
PUBLIC Sector Private Sector AYUSH NGOs & Health
Agencies
A. Primary Health a. Private a. Ayurveda a. SEVA Bharati
Care hospitals, b. Siddha Rural
a. Primary health polyclinics, nursing c. Unani b. Bhansali
centers homes d. Tibbi Trust
b. Sub centers b. General e. Homeopathy c. ARCH Mangrol
B. Hospitals practitioners’ f. Yoga ( Action Research in
a. CHC /Taluka clinics g. Unqualified and Community Health
Hospitals c. Dispensaries unregistered & Development)
b. District hospitals practitioners.
c. Teaching hospitals
d. Specialist hospitals
C. Other agencies
a. ESIC Hospitals
b. Railway hospitals
c. Defense hospitals
Primary Health Care
• The Alma (1978) –Ata conference called for
proclaimed primary health care as way to
achieving health for all.
• Health For All (HFA)
DEFINITION:
Primary health care is the essential
health care made universally
accessible to individuals and
acceptable to them, through their full
participation and at a cost the
community and the country can
afford.
PURPOSES
1. Increase in life expectation.
2. Improvement in nutritional status.
Affordable
Appropriate
Adaptable
ATTRIBUTES OF PRIMARY HEALTH
CARE
• Essential health care
• Universally accessible
• Acceptable
• Community based
• Affordability
ATTRIBUTES Contd...
• Adaptability
• Appropriateness
• Community participation
• Continuity
• Comprehensiveness
• Coordination
Principles
1. Equitable distribution
2. Manpower development
3. Community participation
4. Inter-sectoral coordination
5. Appropriate technology
Tier of health care in India
The health care services in India are organized at three levels,
each level supported by the higher level, to which the patient is
referred.
Tertiary
State Hospital
Medical Colleges
Secondary
DH / CHC / Taluka
Ho spital
Primary
PHC / Sub Centre
Staffing of Primary health care in India – in
rural areas
1. Village level
• At village level there are health functionaries chosen
by the local community themselves.
1. Village health guide,
2. Local Dai ,
3. ASHA and
4. Anganwadi worker.
2. Sub-centre (SC) level