health system in India or Health organization is set up at three level at central level at state level at district level Headed by Union Ministry of health and family welfare Apex body of health sector Make health policies and plans Instrumental and implements large scale national programmes Indian System of Medicine and Homeopathy (ISMH) established in March 1995. ISMH renamed as AYUSH in November 2003. Ministry of AYUSH formed in 9 November 2014 It has two statutory body CENTRAL COUNCIL OF INDIAN MEDICINE (CCIM) CENTRAL COUNCIL OF HOMEOPATHY (CCH)

1. HEALTH SYSTEM IN
INDIA
BY;
ANUSHRI SRIVASTAV

2. INTRODUCTION
• Also known as Health Organization
At central
level
At state level
At district
level

3. AT CENTRAL LEVEL
AT CENTRAL LEVEL
MINISTRY OF
HEALTH AND
FAMILY WELFARE
(MoHFW)
DIRECTOR
GENERAL OF
HEALTH AND
SERVICES
(DGHS)
CENTRAL
COUNCIL OF
HEALTH AND
FAMILY WELFARE
(CCHFW)

4. MINISTRY OF HEALTH AND FAMILY
WELFARE
• Headed by Union Ministry of health and family welfare
• Apex body of health sector
• Make health policies and plans
• Instrumental and implements large scale national programmes

5. MINISTRY OF HEALTH AND FAMILY WELFARE
(MoHFW)
• Department of health and family welfare
• Department of health
• Department of family welfare
• Department of AYUSH
• Department of Health Research
• Department of AIDS control

6. Department of Health
Administrative staff
Assistant Secretary
Deputy secretary
Joint secretary
Secretary of GOI

7. Department of Family Welfare
• Established in 1966
ADDITIONAL STAFF
6 REGIONAL DIRECTORS
2 DEPUTY COMMSSIONER
COMMISSIONER

8. Department of AYUSH
• Indian System of Medicine and Homeopathy (ISMH) established in March
1995.
• ISMH renamed as AYUSH in November 2003.
• Ministry of AYUSH formed in 9 November 2014
• It has two statutory body
1. CENTRAL COUNCIL OF INDIAN MEDICINE (CCIM)
2. CENTRAL COUNCIL OF HOMEOPATHY (CCH)

9. DEPARTMENT OF HEALTH RESEARCH
• Announced in 17th September 2007
• Launched in 5 October 2007

10. DEPARTMENT OF AIDS CONTROL
• NACO established in December 2008
• 35 HIV/AIDS prevention societies
• First AIDS control programme came in 1992

11. FUNCTION OF MINISTRY OF HEALTH
AND FAMILY WELFARE
• UNION LIST
• CONCURRENT LIST

12. UNION LIST
MNEMONIC – IPA REC IRC
• International health relation and administration port quarantine
• Promotion of research through research centres and other bodies
• Administration of central health institutes
• Regulation and development of medical, nursing and other allied health professionals
• Established and maintenance of drug standards
• Census and collection and publication of other statistical data
• Immigration and emigration
• Regulation of labour and working of mines and oil fields
• Coordination with states and with other ministers for promotion of health

13. CONCURRENT LIST
MNEMONIC – 2P C VLAEP
• Prevention of extension of communicable diseases from one unit to another
• Prevention of adulteration of food stuffs
• Control of drug and poisons
• Vital statistics
• Labour welfare
• Administration of ports other than the major
• Economic and social health planning
• Population control and family planning

14. DIRECTOR GENERAL OF HEALTH
SERVICES (DGHS)
• Principal Advisor
• Three main units-
1. Medical care and hospital
2. Public health
3. General administration

15. Organization of DGHS
Administrative staff
Team of deputies
Additional director general
Director general

16. Functions of DGHS
• General function (MNEMONIC- SPCPA)
• Survey
• Planning
• Coordinating
• Programming
• Approval of all health matter in country

17. • Specific functions (MNEMONIC – DIMCN CCN)
• Drug control, storage and standardization
• International health relation and quarantine
• Medical, education, training and research
• Central Govt. health services
• National health programmes
• Central health education bureau
• Central bureau of health institutes
• National medical library

18. CENTRAL COUNCIL OF HEALTH AND
FAMILY WELFARE
• Set up by presidential order on 9th Aug. 1952 under article 263
• Link state to central for concurrent.
• Chairman is the union health ministers and members are the state health
ministers

19. Function of CCHFW
• To consider and recommend broad outlines of health policy and promotion
of facilities for training and research
• To make proposals for legislations in medical and public health matters
• To lay down the pattern of development for a country as a whole
• To make recommendation to central govt. regarding distributon of available
grants
• To maintain cooperation between central and state health administration

20. At state level
At state level
State ministry
of health
Directorate
of health

21. State Ministry of Health
• Headed by state health Minister
• Assisted by deputy minister
• Administrative level- health secretary (rank IAS officer) (incharge of health
department) assisted by-
• Special secretary
• Deputy secretary
• Other staff

22. State Health Directorate
• Director – chief technical advisor
• Also known as director of health and family welfare in some states
• Two types-
• Regional – inspects all branches of public health
• Functional – specialists in particular branch

23. Functions
• Planning of health services in the state
• Implementation of national health programmes and evaluating their achievements
• Controlling food adulteration and also sanitation in milk and edibles
• Collection of vital statistics
• Encouraging reproductive and child health
• Improvement of medical education
• Training of health personnells

24. At District Level
At district level
Chief
Medical
Officer
of
Health
(CMOH)
1/2
Deputy
CMOH
District Family
Health Officer
(DFWO)
District Health
Officer (DHO)
ADHO
PA
District Public Health Nurse (DPHN)
DMO
District Statistical Assistants
Drug Inspectors
District Malaria
Officer (DMO)

25. At district level
• On the basis of political handling
Urban Administration
Municipal corporation
Municipality/Municipalboard
Town Area Community
Rural Administration
Panchayat (at village level)
• Gram Sabha
• Gram Panchayat
• Nyay Panchayat
Panchayat Samiti (at block level)
Zila Parishad (at district level)

26. At Block Level
At
block
level
Community
health centers
Primary Health
Centers
Sub Centers

27. ORGANIZATION, STAFFING AND
FUNCTIONS OF RURAL HEALTH
SERVICES
• Village Health Guide Scheme
• Village Health and Sanitation Committee
• ASHA
• Anganwadi Worker
• Village Health Fund

28. VILLAGE HEALTH GUIDE SCHEME
• Introduced as Community Health Worker (CHW) scheme in 1977, community health
volunteer in 1980, Village Health Guide in 1981.
• Aim: provision of health services at the doorstep of villager.
• Sponsored under FWP until April 2002
• Function:
• Train 1 community health volunteer for every village with 1000 population
• 3 month training in simple and basic health care at PHC.
• Monthly stipend with Rs. 200 during training
• 2-3hrs/day of health work in community

29. VILLAGE HEALTH AND SANITATION
COMMITTEE
• 50% MEMBER- WOMEN
• Privileged to women, SC, ST

30. VILLAGE HEALTH FUND
• Rs. 10k grant to committee for activities such as nutrition, education,
sanitation, environmental protection and public health measures

31. ANGANWADI WORKER
• Primary tool
• 1975 by Government of India (part of ICDS) to combat child hunger and
malnutrition
• Population coverage- 1000 population
• 20-25 Anganwadi worker supervised by MUKHYA SEVIKA headed by
CHILD DEVELOPMENT PROJECT OFFICER (CDPO)

32. FUNCTIONS
• Organize health day once/twice a week
• Health orientation
• IEC activities through display of posters, folk dance, etc
• Depot holder for drug kits and issue to ASHA
• Participation in National Filaria Day

33. ASHA
• Stands for ACCREDITED SOCIAL HEALTH ACTIVIST
• Introduced by Ministry of Health and Family Welfare in 2006.
• Population coverage- 1000 population
• Eligibility
• Age- 25-45 years
• Formal education- 8-10th class

34. FUNCTION
• Health awareness
• Social Mobilizer
• Work with local health committees to develop a comprehensive health plan
• Provide primary medical care for minor ailments and DOTS therapy
• Inform birth, deaths and disease outbreak to SC/PHC
• Participation in National Filaria Day
• Maternal and Child Health Services

35. CONCLUSION
• Health organization is the system of health at various level with the aim to
develop, restore, promote the health and prevent the disease in the country