a small ppt on national and state health care delivery system

1. PRESENTED BY
Mr. Anvin Thomas
1st year MSC

2. States are largely independent in
matters relating to the delivery of
health care to the people.
Each state has developed its own
system of health care delivery,
independent of the Central
Government .

3. The Central Government responsibility
consists mainly of policy making,
planning, guiding, assisting, evaluating
and coordinating the work of the State
Health Ministries.
The health system in India has 3 main links
1. Central
2. State and
3. Local or peripheral

4. Ministry of health and family welfare
The directorate general of
health services
The central council of health
and family welfare
Additional DGHS,
deputy staff,
administrative staff
The director general of
health services
Union health minister
State health ministers
Department
of health
Department of
Family welfare
Secretary
Joint secretary, deputy
secretary and
administrative
staff
Secretary
Additional
secretary, joint
secretary
AT NATIONAL
LEVEL

5. Union list
1.International health relations and administration of
post quarantine.
2. Administration of Central Institutes such as All India
Institute of Hygiene and Public Health, Kolkata.
3. Promotion of research through research centers
4.Regulation and development of medical,
pharmaceutical, dental and nursing Professions.

6. 5.Establishment and maintenance of drug
standards
6.Census and collection and publication of
other statistical data
7. Immigration and emigration
8.Regulation of labor in the working of
mines and oil fields
9.Coordination with states and with other
ministries for promotion of health

7. The functions listed under the concurrent list are the
responsibility of both the union and state governments.
1.Prevention and extension of communicable
diseases
2. Prevention of adulteration of food stuffs
3. Control of drugs and poisons
4. Vital statistics
5. Labor welfare
6. Ports other than major

8. 7. Economic and social planning.
8. Population control and Family Planning.
9. Preparation of health education material
for creating health awareness through Central
Health Education Bureau.
10. Collection, compilation, analysis,
evaluation an dissemination of information
through the Central Bureau of Health
Intelligence
11. National Medical Library

9. 1.International health relations and quarantine of all
major ports in country and International airport
2. Control of drug standards
3. Maintain medical store depots
4.Administration of post graduate training
programmes
5. Administration of certain medical colleges in India
6. Conducting medical research through Indian
Council of Medical Research
7. Central Government Health Schemes.

10. 8. Implementation of national health
programmes
9. Preparation of health education material for
creating health awareness through Central
Health Education Bureau of Intelligence.
10.Collection, compilation, analysis, evaluation
and dissemination of information through
the Central Bureau of Health Intelligence
11. National Medical Library

11. 1.To consider and recommend broad outlines
of policy regard to matters concerning health
like environment hygiene, nutrition and
health education.
2. To make proposals for legislation relating to
medical and public health matters.
3. To make recommendations to the central
government regarding distribution of grants-
in-aid

12. 1) State Ministry of Health & family welfare
↓
Deputy Minister of Health and Family
Welfare
↓
Health Secretary
↓
Deputy Secretaries
↓
Administrative staff

13. 2) State Director of health
↓
Director of Medical Education Director of Health Services
↓ ↓
Dean of medical college Additional Director of Health Services
↓ ↓
State nursing superintendent Deputy Director of Health Services
↓ ↓
Hospital Education Regional Function
↓ ↓ ↓ ↓
Nsg Supt Nsg Officer MCH,TB,Leprosy Immunization
↓ ↓
Ward In charge Senior tutor
↓ ↓
Nsg Staff junior tutor

14. (1)Studies in depth the health problem and needs in the
state and plans scheme to Solve them.
(2) Providing curative &preventive services.
(3)Provision for control of milk and food sanitation.
(4)Prevention of any outbreak of communicable diseases.
(5) Promotion of health education
(6) Promotion of health programmes such as school
health, family planning, occupational health

15. 7)Supervision of PHC
8)Establishing training courses for
health personnel
9) Co-ordination of all health services
with other minister of state such as
minister of education, central health
minister & voluntary agency

16. According to the research conducted by
Boyd on Right to a healthy environment ;a
prescription for Canada.
He states that there should be good
constitutional laws or environmental laws
which will limit air pollution and green
house effect, thus promote health of
people

17. •K Park. Park’s text book of preventive and social medicine.19Ed.Banarsidas Bhanot;730-731.
•BT Basavanthappa.Community health nursing.2ed.Jaypee Brothers;2008.896-900.
•Alt Suryakantha. Community Medicine with recent advances.3ed.Jaypee Brothers;2014.760-774.
•Kasturi sundar rao. Community health nursing. BI publications.363-9.
•MC Gupta, BK Mahajan. Text book of preventive and social medicine.3ed.Jaypee brothers;2003.450-452.
•Boynd DR. Right to a healthy environment a prescription to Canada. Canadian journal of public health.
[serial online]2015 oct30[ cited on 2016nov 13at 5pm] ;106(6):e353-4.
Available from https://www.ncbi.nlm.nih.gov/pubmed/26680424