2. HEALTH SYSTEM IN INDIA
India is a union of 29 States and 8 union territories.
Under the constitution of India , the states are
largely independent in matters relating to the
delivery of health care to the people. Each state
therefore has developed its own system of health
care delivery, independent of the Central
Government. The central responsibility consists
mainly of policy making, planning, guiding,
assisting, evaluating and coordinating the work of
the State Health Ministries, so that health services
cover every part of the country, and no state lags
behind.
3. THE HEALTH SYSTEM IN INDIA HAS
THREE MAIN LINKS.
central level
state level
local level
6. ORGANIZATION OF UNION MINISTRY
OF HEALTH AND FAMILY WELFARE
Headed by a Cabinet Minister, a Minister
of State, a Deputy Minister
Ministry has one Dept. of Health and two
Dept. of Family Welfare
Each department is headed by a Secretary
and assisted by Joint Secretary, Deputy
Secretary, Assistant Secretary and a large
no. of administrative staffs
7. UNION MINISTRY OF H&FM ORGANISATION
CABINET MINISTER MINISTER OF STATES DEPUTY MINISTER
DEPT.OF HEALTH DEPT.OF FAMILY WELFARE
(EXE.HEAD)
SECY. TO GOVT.OF INDIA SECY. TO GOVT.OF INDIA
JT.SECY ADD.SECY 7 COMMISSIONER
DEPUTY SECY. JT.SECY
LARGE ADM.STAFF LARGE ADM.STAFF
8. FUNCTIONS OF MINISTRY OF HEALTH
AND FAMILY WELFARE
Function as in union list
International health relations and
administration
Administration of central institutions of health
like
All India institute of hygiene and public health,
Kolkata
All India institute of medical science, Delhi
etc
9. Encouragement for research
Development and regulation of nursing,
dentistry, pharmacology and medical
profession
Arrangement for post quarantine
Establishing and maintaining standards
related to drugs
Collection and publishing of census and
other demographic data
10. Immigration and emigration
Regulation and control of workers in
areas like mines and petroleum
Coordination between state and
central ministries for best health care
11. Functions as in concurrent list
Control of spread of communicable disease
from one place to another
Prevention of adulteration of food items
Control over drugs and poisons
Functions related to vital statistics
Activities related to labour welfare
Social and economic planning
Population and control and family planning
12. Family Welfare dept has a
Commissioner, two deputy
commissioner and six regional
directors, in addition to above
staff
14. DIRECTOR GENERAL OF
HEALTH SERVICES [DGHS ]
Organization
Principal advisor to Union Govt
Deals with both medical and public health
activities
Assisted by Additional Director-General of
health services, a team of doctors and large
administrative staff
15. It comprises of 3 main units
Medical care and hospitals
Public health
General administration
16. DIRECTOR GENERAL OF HEALTH SERVICES
[DGHS ] ORGANIZATION
EXECUTIVE HEAD
Director general of health services [DGHS ]
Additional Director-General of health services
Team of doctors
Large administrative staff
17. ACTIVITIES OF DGHS
General
Survey, planning, coordinate,
programming and approval of all the
health matters in the country
Specific
International health relation and
quarantine
18. Drug control, storage and standardization
Medical education, training and research
Central health services
National health programmes
Central health education bureau [CHEB]
National medical library
20. CENTRAL COUNCIL OF HEALTH
It as set by presidential order on 9th Aug
1952
Purpose is to promote the coordination
between the Centre and States in the
implementation of national programmes
and measures pertaining to health
Union Minister of Health is the chairman
and State Health Ministers are its
members
21. Functions of CCH
Preparing proposals for making laws in
areas of medicine and health
Making plans for development of health in
entire nation
Preparing recommendations for providing
grants and financial assistance to state for
medical services and also review the
activities in the light of grants provided
22. Considering policies and
recommendations related to medical care,
environment, nutrition and medical
education and preparing draft
Encouragement of medical education and
training
Cooperation between centre and state in
health administration and also to establish
necessary organizations for better
functioning
23. NURSING ORGANIZATION AT
CENTRAL LEVEL
At central level, nursing services are within
the Ministry of Health and Family Welfare
and under the control of Directorate
General of Health Services
DGHS is assisted by Director General,
Additional Director Generals, Deputy
Director Generals
24. To deal with nsg education and nsg
service there is a Nursing advisor
Under Nsg advisor, there is Deputy
Assistant Director General Nursing
[DADG(N)], nsg officers and nsg
section
27. HEALTH ORGANIZATION
AT STATE LEVEL
State Health Dept function under a State
Health Minster who is assisted by
Secretariat and several other executive
directors
Secretariat is headed by Health Secretary
who is assisted by Deputy Secretaries,
Assistant Secretaries and other staff
28. Minister is also guided by an Advisory
Council, Technical Advisory Committees,
Ad hoc Committees
Dept of Health deals with administration,
budget, finance and makes or approves
policies
Professional and technical Divisions are
represented by State Health Directors and
Medical Directors
29. STATE HEALTH DIRECTORATE
In state, State Health Directorate takes
responsibilities of health services, technical
services, execution of health policies and
programmes and evaluation
Chief of health directorate is director who
is assisted by additional director, joint
director and deputy director
30. STATE HEALTH DIRECTORATE
Directorate of Health Services(Official Organ)
Director of Health Services
Director of Medical and Health Services
Director of Health &Family Welfare
Deputy Directors
Asst. Directors
Large Administrative Staff
31. Director gives technical advices
to State Health Ministry and
Govt on matters related to health,
family welfare, public health,
family planning etc
32. FUNCTIONS OF STATE HEALTH
DIRECTORATE
Planning for health services in the state
Implementation of national health
programmes and evaluating their
achievements
Providing all types of health services in
state
Controlling food adulteration and also
sanitation in milk and edibles
33. Collection of vital statistics
Encouraging reproductive and child health
Improvement of nutrition programme and
medical education
Training of nurses, female health workers
and other health workers
Controlling rural and urban health services
through district medical officer
34. Providing feedback to state
health ministry regarding health
Following directives of union
ministry of health/state health
ministry
36. THE DISTRICT
The principal unit of administration in India is the
district under a Collector.
Within each district again there are 6 types of
administrative areas:-
1) Sub-divisions-(Assistant collector/sub collector)
2) Tahsils(Talukas)-200-600 villages
3) Community Development Blocks-100 villages/80,000-
12,0000 population
4) Municipalities and corporations.
5) Villages
6) Panchayats
37. THE DISTRICT
The principal unit of administration in India is the district
under a Collector.
Within each district again there are 6 types of
administrative areas:-
1) Sub-divisions-(Assistant collector/sub collector)
2) Tahsils(Talukas)-200-600 villages
3) Community Development Blocks-100 villages/80,000-
12,0000 population
4) Municipalities and corporations.
5) Villages
6) Panchayats Institutions for rural local self government
38. URBAN AREAS OF THE DISTRICT ARE
ORGANIZED INTO THE FOLLOWING
INSTITUTIONS OF LOCAL SELF GOVERNMENT
1.Town area committee- 5000-10,000
population
2.Municipal boards-10,000-2 lakhs
population
3.Corporations:Above 2 lakhs population
39. HEALTH ORGANIZATION AT DISTRICT
LEVEL
District health organization is headed by Chief
Medical Officer [ CMO], who is Director of
health services at district
CMO is Assisted by three Deputy CMO
Dy.CMOs are in-charge of all health
administration and all National Health
Programmes and Family Welfare Programme
implemented in the district .
40. ORGANIZATIONAL STRUCTURE OF
NURSING SERVICES AT STATE AND
DISTRICT LEVELS
No special organizational structure for
nursing services
Post of joint director and deputy director
for nursing service is under the state
directorate of health
In some state at district level, there is a
post of District Public Health Nurse
[DPHN]
43. 43
Panchayat Samiti at
block level
BDO is ex-
officio secretary
100 Villages
80,000-1,20,000
population
All Sarpanches
are members
44. 44
Zilla parishad
at district level
Collector of
district non-
voting
member
All member of
Panchayat Samiti
MPs and MLAs of
the
district,representa
tive of Sc, ST,and
women,2
prominent citizen