2. DEFINITION AND OBJECTIVES
DEFENITION
The term health care delivery system refers
to a multilevel industry transforms various
resources into essential services designed to
meet the health care needs of a population
OBJECTIVES OF HEALTH CARE DELIVERY
SYSTEM
To increase the lifespan of healthy people
To reduce health disparities and
To provide all people with access to prevention
Decrease the race-based disparity in life
expectancy
3. MODELS OF HEALTH CARE
DELIVERY
Tertiary level (District hospitals,
medical college hospitals)
Secondary level (community
health center taluka hospital)
Primary level (PHC, Sub
centers)
4. 1. PUBLIC HEALTH SECTOR
PRIMARY HEALTH CARE
Primary health centre
Sub – centers
HOSPITALS/HOSPITAL CENTERS
Community health centers
Rural hospitals
District hospitals / health centre
Specialist hospitals
Teaching hospitals
HEALTH INSURANCE SCHEMES
Employees state insurance
Central Government Health scheme
OTHERS AGENCIES
Defense services
Railways
HEALTH CARE SYSTEM
5. 2. PRIVATE SECTOR
Private hospitals, polyclinics, nursing
homes and dispensaries
General practitioners and clinics
2. INDIGENEOUS SYSTEM OF MEDICINE
Ayurveda and siddha
Unani
Homeopathy
Unregistered practitioners
2. VOLUNTARY HEALTH AGENCIES
3. NATIONAL HEALTH PROGRAMMES
6. PRIMARY HEALTH CARE
VILLAGE LEVEL
Village – health Guide scheme (VHG –
scheme)
Training of local dais
ICDS scheme
SUB CENTRE LEVEL
PRIMARY HEALTH CENTER LEVEL
7. Staff pattern of PHC
Medical officer - 1
Pharmacist - 1
Staff nurse - 1
Health worker female (ANM) - 1
Block extension Educator - 1
Health Assistant male - 1
Health assistant female - 1
Upper division clerk - 1
Lower division clerk - 1
Lab technician - 1
Ophthalmic Assistant - 1
Driver - 1
class IV staff (peon/sweeper) - 4
Total - 16
8. FUNCTIONS OF THE PHC
Medical care
MCH services including family planning
Improvement of environmental sanitation with safe
water supply
Prevention and control of communicable diseases
Collection and reporting of vital statistics
Health education
Implementation of relevant National Health
programs
Basic lab services
Referral services
Training programs for health workers. Health
assistants, local dais etc..
9. MEDICAL OFFICERS
General
Curative
Preventive work
Promotive work
Training
Administration
JOB RESPONSIBILITIES OF
PHC STAFF
10. FEMALE HEALTH WORKER
Maternal and child health
Family planning
Nutrition
Communicable disease
Immunization
Training
Vital events
Record keeping
Primary medical care
Team activities
11. MALE HEATH WORKER
Malaria
Communicable disease
Environmental sanitation
Immunization
Family planning
Maternal and child health
Nutrition
Vital events
Team activities
12. MALE HEALTH ASSISTANT
Supervision and guidance
Team work
Maintain regular supplies and equipments
Scrutinize and maintain records
Radical treatment and insecticidal spray
Communicable disease control
Environmental sanitation
Conduct, supervise immunization sessions
Ensure family planning
Nutrition
Report vital events
Primary medical care
Health education
FEMALE HEALTH ASSISTANT
13. COMMUNITY HEALTH CENTRE
By upgrading primary health centers
Covers population of 80,000-1.2 lakhs
30 beds And specialists in medicine, surgery, OBG and pediatrics
X-ray and lab facilities available
STAFF PATTERN OF CHC
SERVICES PROVIDED
Inpatient and out patient services
Services of speacialists
Emergency care
Specialized diagnostic services
14. HOSPITALS
•Rural hospitals
•District hospitals
HEALTH INSURANCE
•Employees state insurance scheme
•Central government health scheme
OTHER AGENCIES
•Defence medical services
•Health care of railway employees
PRIVATE AGENCIES
•Nursing homes
•Poly clinics
•Private hospitals
•General practioners
15. INDIGENEOUS SYSTEM OF MEDICINE
Ayurveda
Yoga
Unani
Siddha
homeopathy…
VOLUNTARY HEALTH AGENCIES
Supplementing the work of government agencies
Pioneering
Education
Demonstration
Guarding the work of government agencies
Advancing health legislation
HEALTH PROGRAMMES