Health Systems in India
Health Systems in India
Health Systems in India
State Health
Ministers
(Members)
Functions
• Recommend policy outlines
• Proposal for legislations
• Recommendation on distribution of
grant- in- aids
Establishment of organisations for promoting &
maintaining cooperation
State Health Administration
1. State Ministry of Health
2. State Health Directorate
State Health Ministry
• Headed by Minister of Health & Family
Welfare
• Executive organ – Health Secretariat
• Headed by Health Secretary
District Level
• Sub- divisions
• Talukas
• Community Development Blocks
• Municipalities and Corporations
• Villages
• Panchayats
Districts
• Principle unit of administration
• Headed by the Collector
• Sub divisions divided into taluks
• Blocks – is a unit of rural planning &
development
• Population 80,000-1,20,000
• Headed by Block Development Officer
Urban Areas
• Town area committees – (5000 – 10,000)
• Municipal Boards – (10,000 – 2 lakhs)
– Headed by Chairman /President
• Corporations – ( > 2 lakhs )
– Headed by Mayor
– Executive Organ : Commissioner, Secretary,
Engineer, Health Officer
Functions
• Construction & maintenance of roads
• Sanitation
• Drainage
• Street lighting
• Water supply
• Maintenance of hospitals,dispensaries
• Education
• Birth & death registrations
Panchayati Raj
• Rural , local self government
• Linking villages to districts
• 3 tier system
1. Panchayat – Village level
2. Panchayat Samiti - Block level
3. Zilla Parishad – District level
Village Level
• Gram Sabha
• Gram Panchayat
• Nyaya Sabha
Gram Sabha
• Assembly of all adults in the village
• Meets twice a year
– Proposal of taxation
– Discusses the annual programmes
– Elects members
Gram Panchayat
• Executive organ
• 15 – 30 members
• Holds office for 3-4 years
• President, Vice president, Panchayat Secretary
• Civic administration
• Socio economic development
Block Level
• Consists of 100 villages
• Population 80,000 – 1,20,000
• Panchayat Samiti
• Block Development officer is the ex-officio
secretary
• Looks after execution of the community
Development Programme
District Level
• Zilla Parishad is the Panchayat raj agency
• Consists of all heads of village panchayat in
the block, women representatives, Scheduled
castes, Scheduled tribes & cooperative
societies , MPs, MLAs
• Collector is a non voting member
• 40- 70 members
• Supervisory & Coordinating body
Rural Development
• Community Development Programme
• Integrated Rural Development Programme
• Village Level worker
Community Development Programme
• “ a process designed to create conditions of
economic and social progress for the whole
community with its active participation and
the fullest possible reliance upon community
intiative “
• Launched in Oct 2, 1952
• Community development blocks
• Aimed to eliminate poverty, disease, Illiteracy
Integrated Rural Development
Programme ( IRDP)
• Launched in 1978
• Eliminate poverty & improve quality of life
• Agricultural labourers, artisans, craftsmen
Evaluation of Health Services
• Determine what is to be evaluated
• Establish standards
• Plan Methodology
• Gather information
• Analyse the results
• Take action
• Re-evaluate