1. 1
STATE HEALTH ADMINISTRATION
At present there are 28 states in India ,with each state having its own health
administration ,In all the states ,the management sector comprises the state ministry
of health and a Directorate of health.
1.STATE MINISTRY OF HEALTH
• The state ministry of health is headed by a minister of Health and Family
Welfare and a Deputy Minister of health and Family Welfare
• In many states health minister is also in charge of other portfolios
• The Health is the official organ of State Ministry of Health and is headed by a
i
Secretary who is assisted by a Deputy Secretaries ,Under secretaries and a
large administrative staffs.
• The secretary is the senior officer of Indian Administrative Service.
• The Bhore committee in 1946 recommented that the Director of Health
services should be the Secretary to the State Government to facilitate
administration ,but these recommendations has not been implemented.
2. STATE HEALTH DIRECTORATE
• For long time the medical and the public health departments were
functioning in the states ,the heads of these departments were known as
Surgeon General and Inspector general of Civil hospitals and Director of
Public Health respectively.
• The bhore committee in 1946 recommented that the medical and public
health organization should be integrated in all levels and therefore should

2. 2
have the single administrative officer for the curative and the preventive
departments of the health In August 1947;the process was completed by
Maharastra in May 1970
RESPONSIBILITIES OF DIRECTOR OF HEALTH SERVICES
• The director of health services is the chief technical advisor to the
state government on all matters related to the medicine and public
health
• He also responsible for the organization and direction of all the health
activities .
The director of the health services has been changed now a days to
Director of Health services and the family welfare in many states .
Director Of Medical Education
The Director Of Medical Education is in the view of increasing no of medical
colleges.Some experts believe that there is no justification for the removal of the
medical education from the removal of medical education from general health
services because both goes hand in hand the ultimate aim is the protection of the
health of the people
Director Of Health and Family Welfare
It is assissted by the suitable number of deputies and assisstants .The deputies and
assisstants are of two types-regional and functional

3. 3
The Regional Directors inspect all the branches of public health within their
jurishdiction,irrespective of their speciality
The Functional Directors are usually specialists in a particular branch of public health
such as mother and child health ,family planning,nutrition,tuberculosis,leprosy,health
education etc.
The Public Health Engineering Organisation
It is in most states are the part of Public Works Department of the State
Government.It has been recommended by the experts in the public health that the
public health engineering organization in every state should be the part of the State
Health Department, and the chief Engineer of Public Health should have the status
of an Additional Director of Health Services,

4. 4

5. i
PANCHAYATHI RAJ
The panchayathi Raj is the three tier system of rural local self government in India,linking
village to the district
1.) Panchayat at the village level
2.) Panchayat Samiti at the Block level
3.) Zilla Parishad at the district level
At the village level
The panchayathi Raj at the village level consists of
1.Grama Sabha
2.Grama Panchayat
3.The Nyaya Panchayat
1.Grama Sabha:- It is the assembly of the all adults of the village which meets atleast
twice a year.The gram sabha considers the proposals for taxation ,discuss the annual programme
and elect the members of the gram panchayat.
2.Grama Panchayat:-It is an agency for planning and development at the village
level,its strengths varies from 15-30 ,and population covered also varies widely from 5,000-15,000
or more.The members of the panchayat hold the office for the period of 3-4yrs .Every Panchayat
has an elected president ,a vice president,and a panchayat secretary .The powers and functions of
the panchayat secretary are wide –they cover the entire field of civic administration,including the
sanitation and public health,and of social and economic development of the village.
At the Block level
The block consists of 100 villages and a population of about 80.000 to 1,20,000.The
Panchayathi Raj agency at the block level is the Panchayat samithi/Janapada Panchayat.The
panchayat samithi consist of all sarpanchas of the village panchayats in the block,MLAs,Mps
residing in the block area ,epresentatives of the women ,scheduled caste ,scheduled tribe and
cooperative societies.The BDO is the ex officio secretary of the Panchayat samithi.The prime
function of the panchayat samithi is the excecution of the community development programme in
the block.
At the District level
The Zila Parishad is the agency of the rural local self government at the district level
.The members of the Zila Parishad include all the heads ot Panchayat samithi in the district like
MPs, MLAs of the district ,representative of the scheduled caste and the scheduled tribe and the
women and 2 persons of the experience in administration public life and rural development.The
collectornof the district is the nonvoting member,Thus the membership is fairly large varyingm
from 40-70.