1. Health System in India
Dr. Muhammedirfan H. Momin
Assistant Professor
Community Medicine Department
Government Medical College, Surat.DR IRFAN MOMIN
3. 5,000 year old ancient
civilization
325 languages spoken – 1,652
dialects
18 official languages
3.28 million sq. kilometers -
Area
7,516 kilometers - Coastline
>1 Billion population.
Worlds largest democracy.
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4. Worlds 4th largest economy.
Largest English speaking nation
in the world.
3rd largest standing army force
2nd largest pool of scientists
and engineers in the World.
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5. India is a
union of 29
states and 7
union
territories.
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6. Health System in India
The health system in India has 3
main links
1.Central
2.State and
3.Local or peripheral
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7. 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.
The Central Government responsibility consists
mainly of policy making , planning , guiding,
assisting, evaluating and coordinating the work of
the State Health Ministries.
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12. At the Center
The official “organs” of the health system at the
national level consist of
1.Ministry of Health and Family Welfare
UNIOUN MINISTER OF HEALTH
Shree Jagat Prasad Nadda
2.The Directorate General of Health
Services
3.The Central Council of Health and Family
Welfare
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13. Ministry of Health and Family Welfare – Organization Structure
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14. Functions
International health
relations
Administration of Central
Institutes
Promotion of research
Regulation and
development of medical,
pharmaceutical, dental
and nursing professions
Establishment and
maintenance of drug
standards
Census and collection and
publication of other
statistical data
Coordination with states
Concurrent List:
Prevention of
Communicable disease
Prevention of food
adulteration
Control of drug and
poison
Vital statistics
Labour welfare
Economic and social
planning
Poulation control and
family planning
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16. Functions
International health relations and quarantine of all
major ports in country and international airport.
Control of drug standards
Maintain medical store depots
Administration of post graduate training programmes
Administration of certain medical colleges in India
Conducting medical research through Indian Council of
Medical Research ( ICMR )
Central Government Health Schemes.
Implementation of national health programmes
Preparation of health education material for creating
health awareness through Health Education Bureau
Collection, compilation, analysis, evaluation and
dissemination of information
National Medical LibraryDR IRFAN MOMIN
17. Central Council of health
To consider and recommend broad outlines of policy related to
matters concerning health like environment hygiene, nutrition
and health education.
To make proposals for legislation relating to medical and public
health matters.
To make recommendations to the Central Government regarding
distribution of grants-in-aid.DR IRFAN MOMIN
24. State Minister: Health
Shree Shankarbhai chaudhari
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25. Principal Secretary (PH) & Commissioner:
Shri J. P. Gupta
Office Address
7th Block, 8th Floor,
Sachivalaya,
Gandhinagar.
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26. Department of Health and
Family Welfare
1) Department of Health
2) Department of Medical Services
3) Department of Medical Education
4) Department of Family Welfare
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27. Additional Director:
Medical Education:
Dr P D Vitthalani
Office Address
4,
Dr. Jivraj Mehta Bhavan,
Old Sachivalaya,
Gandhinagar.
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31. At District level
There are 6 types of administrative
areas.
1. Sub –division
2. Tehsils ( Talukas )
3. Community Development Blocks
4. Municipalities and Corporations
5. Villages and
6. Panchayats
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32. Finally there are village panchayats, which are institutes
of rural local self government.
The Urban Area
Town area committees-
in area with population ranging between 5,000-
12,000
Municipal Boards-
in area with population between 10,000-2 lakhs
Corporations-
with population above 2 lakhs
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33. The town area provide sanitary services.
The municipal boards are headed by chairman or
president, elected by the members.
The term of a municipal board ranges between 3-5
years, & functions are
a. Construction & maintenance of roads
b. Sanitation & drainage
c. Street lighting & water supply
d. Maintenance of hospitals & dispensaries
e. Education & registration of births & deaths etc.
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34. Panchayati Raj
It is a 3 tier structure of rural local self government in
India, linking the village to the district. The 3
institutions are;
1. Panchayat- at the village level
2. Panchayat Samiti- at the block level
3. Zila Parishad- at the district level
The Panchayati Raj institutions are accepted as
agencies of public welfare.
All development programmes are channelled
through them.
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35. They strengthen democracy at its root, & ensure more
effective & better participation of the people in the
government.
1. At the village level It consists of
(a) The Gram Sabha
(b) The Gram Panchayat
(c) The Nyaya Panchayat
Gram Sabha- The assembly of all the adults of the village,
which meets at least twice a year.
It considers proposals for taxation, discuss the annual
programme & elects members of it self.
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36. Gram Panchayat
An agency for planning & development at the village
level.
Its strength varies from 15 to 30, & population covered
varies widely from 5,000-15,000 or more.
The members hold office for a period of 3 to 4 years.
Every panchayat has an elected President (Sarpanch
/Sabhapati /Mukhiya), a vice President & a Panchayat
Secretary.
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37. The functions-
They cover the entire field of civic administration,
including
sanitation & public health &
social & economic development of the village.
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38. 2. At the Block level
It consists of about 100 villages & a population of about
80,000 to 1,20,000.
The Panchayati Raj agency at the block level is the
Panchayat Samiti /Janpada Panchayat.
It consists of all Sarpanchas of the village panchayats in
the Block; MLAs, MPs residing in the block area;
representatives of women, scheduled castes, scheduled
tribes & cooperative societies.
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39. The Block Development Officer is the ex-officio
secretary of it, & his staff give assistant to the village
panchayats engaged in development programmes.
Function-
Execution of the community development programme
in the block
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40. 3. At the District level
The Zilla Parishad is the agency of rural local self govt.
at the district level.
The members are all heads of the Panchayat Samities
in the district; MPs, MLAs of the district,
representatives of scheduled castes, scheduled tribes &
women , & 2 persons of experience in administration,
rural development.
The collector is a non voting member, the members
varying from 40-70.
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44. The zilla parishad is primarily supervisory &
coordinating body.
The District Health Officer ( CDHO)
DR Megha Mehta
& the District Family Planning & MCH Officers
(RCHO)
DR Megha Mehta
are under the control of the zilla panchayat.
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46. "THE SILK CITY", "THE DIAMOND CITY",
"THE GREEN CITY",
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47. Corporations are headed by Mayors, elected from
different wards of the city.
The executive agency includes the Commissioner, the
Secretary, the Engineer & the Health Officer.
The activities are same as municipalities but on a
much wider scale.
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50. Dr. Hemantkumar S. Desai
Deputy Commissioner Health and
Hospitals
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51. Statistics for Surat Municipal Corporation
Surat City
OLDEST
MUNICIPALITY
1852 AD.
AREA 326.515 sq.km.
POPULATION
1634605 (1991)
2876374 (2001)
4,462,002 (2011)
ZONES 7DR IRFAN MOMIN
53. Statistics for Surat Municipal Corporation
*CENSUS 2011 Surat City
SEX RATIO 758 / 1000 Male*
CHILD SEX RATIO 813 / 1000 Boys*
CRUDE BIRTH RATE 18.25 / 1000 population
CRUDE DEATH RATE 4.37 / 1000 population
INFANT MORTALITY RATE 16.08 / 1000 live births
MATERNAL MORTALITY
RATE
0.41 / 1000 live births
LITERACY RATE 89.03 %*
MALE 92.76 %*
FEMALE 84.05 %*DR IRFAN MOMIN
54. Health Care Evaluation
Some Key Evaluation Terms
Acceptable
Accessible
Accomplishment
Accountable
Accuracy
Analysis
Appropriate
Available
Cohorts
Comparison
Content
Context
Control
Cost
Data: primary and
secondary
Goals
Judgment
Metrics
Norms
Objectives
Outcomes
Outputs
Precision
Process
Purpose
Quality
Quantity
Recording
Reliability
Reporting
Standards
Synthesis
Time
Timelines
Validity
Value
Weighting
Worth
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55. Health Care Evaluation
Definition
Evaluation:
Determining the value or worth of the health
care initiative against a standard of
acceptability.
To examine or judge.
(The key is who establishes the standard and who
judges!)DR IRFAN MOMIN
56. Health Care Evaluation
Types
Process Evaluation: Examines the
procedures and tasks involved
during the implementation of a
program.
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57. Health Care Evaluation
Types
Process Evaluation
When to use: As soon as the health initiative
begins
What it shows: How well a program is
working as it goes
Why is it useful: Identifies early problems
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58. Health Care Evaluation
Types
Outcome Evaluation: Used to obtain
descriptive data on a project and to
document short-term results. Focuses on
an ultimate goal of a health care program
or treatment. Generally measured by vital
statistics in a population.
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59. Health Care Evaluation
Types
Outcome Evaluation
When to use: For ongoing programs at
appropriate intervals or for one time programs
when program is complete
What it shows: Has program reached its
ultimate goal.
Why is it useful: Learn from successes and for
future funding.
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60. Health Care Evaluation
Types
Impact Evaluation: Is the most comprehensive type
of evaluation because it focuses on the long-range
results and the resultant improvements in health
status.
Impact evaluation is the most costly.
Information obtained from an impact evaluation can
include changes in e.g.,morbidity and mortality.
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61. Health Care Evaluation
Types
Impact Evaluation
When to use: After the health program has
made “contact” with at least one person or a
population
What it shows: Changes in knowledge,
attitudes, and beliefs
Why is it useful: Allows management to
modify resources effectively
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