HEALTH CARE DELIVERY SYSTEM IN INDIA IN ENGLISH

                                                      

                HEALTH CARE DELIVERY SYSTEM IN INDIA IN ENGLISH

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HEALTH CARE DELIVERY SYSTEM IN INDIA-

Ø Every organization or couuntry should have a Well developed health care delivery system to provide health services to public. For easy understanding of health care delivery system in India we can study it under three headings such as-

Ø Health care delivery system at central level,

Ø Health care delivery system at state level and

Ø Health care delivery system at district level

 

AT CENTRAL LEVEL- 

Ø At central level we have 3 official organs which are at top of organizational set up and administration of health care in India. these are-

Ø Union Ministry of Health and family welfare -

Ø DGHS -

Ø Central Council of Health & family welfare -

 

Ø Union Ministry of Health and family welfare –The Ministry of health and family welfare plays a vital role on the national efforts to enable the citizens to lead a healthy and happy life. Ministry is headed by a union minister of health and ministers of state. For administration ministry have principal secretary health , additional secretary, joint secretaries, deputy secretary, under secretary and along with administrative staff .

Ø Functions of mohfw are as follows.

Ø  1.Formulation and implementation of National Health programs.

Ø 2.Prevention of Food Adulteration (PFA).

Ø 3.Control and regulation of Drugs Standards.

Ø 4.Regulation and promotion of Medical Education and research.

Ø 5. Health Intelligence and survey activities.

Ø 6. administration of national medical library.

Ø 7. Administration of Central Government Health Scheme.

Ø 8. International Cooperation for Health and Family Welfare.

Ø 9. Administration and regulation of port quarantine.

Ø 10. Regulation of Immigration and emigration

Ø 11. Regulation of labour in the working of mines and oil fields and

Ø 12.Coordination with States and with other ministries for promotion of health.

 

Ø DGHS –

Ø The Director General of health service is the principal advisor to government of India for medical and Public Health matters. He is assisted by additional director, Deputy Directors, Directors and large administrative staff .

Ø Functions of DGHS –

Ø DGHS is responsible for implementation of all the policies , decisions and instructions of Ministry of Health and Family Welfare . Main functional units of DGHS are medical care and hospitals, public health and general administration. All the functions of MOHFW are carried out by DGHS.

Ø Central Council of Health & family welfare -

Ø The Central Council of Health and Family Welfare was set up under Article 263 of the constitution by Government of India in 1952 to provide support and advice to the Department of Health on policy formulation and for promoting coordinated activities between center and state.

Ø The functions of central council of health  and family welfare includes-

Ø 1. To consider and recommend broad outline of policies in regard to the matters concerning to health, environmental hygiene, nutrition, health education and training.

Ø  2. To make proposal for legislation in the field of health  and family welfare.

 

Ø 3. To make recommendations to the Central Government regarding distribution of available grants-in-aid for health purposes to the States

Ø 4. To establish any organization or organizations invested with appropriate functions for promoting and maintaining cooperation between the Central and State Health administrations.

 

AT STATE LEVEL-

Ø Health administration at state level is divided into two divisions-

Ø State Ministry of Health -

Ø State health directorate -

 

Ø State Ministry of Health -State Ministry of Health is headed by a Minister of health and family welfare.  Health secretariat is the official unit of ministry. Principal health secretary, additional health secretary ,  joint secretary and large administrative staff are responsible for policy making in relation to health services for the state.

Ø State health directorate -Directorate of health services is headed by DHS (director health services). DHS is assisted by additional director, joint directors and mission directors or project directors for each departments. Directorate of health is responsible for implementation of the policies and decisions of state ministry for the health of state.

Ø Functions of State health directorate includes-

Ø Hospital administration,

Ø Medical, nursing and paramedical education

Ø Public Health and Family Welfare

Ø Implementation of national health programs and

Ø Implementation of state health programs 

 

AT DISTRICT LEVEL-

Ø CMHO (chief medical and health officer) is the head of medical and family welfare services at district level.  he is assisted by deputy  CMHOs. Each deputy  CMHO is head of a project such as NHM, Malaria, public health, family welfare etc. 

Ø health services for urban areas are provided by district hospitals, subdivision hospitals, urban dispensary and  MCH centres while the services in rural areas are provided by community and centre Primary Health Centre and sub centres.