Health System in India
Health System in IndiaDr. Muhammedirfan H. MominAssistant
ProfessorCommunity Medicine DepartmentGovernment Medical College,
Surat.DR IRFAN MOMIN
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5,000 year old ancient civilization 325 languages spoken 1,652
dialects 18 official languages 3.28 million sq. kilometers - Area
7,516 kilometers - Coastline >1 Billion population.
Worlds largest democracy.
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Worlds 4th largest economy. Largest English speaking nation in
the world. 3rd largest standing army force 2nd largest pool of
scientists and engineers in the World.
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India is a union of 29 states and 7 union territories.
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Health System in IndiaThe health system in India has 3 main
links1.Central2.State and3.Local or peripheral
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States are largely independent in matters relating to the
delivery of health care to the people.
Each state has developed its own system of health care delivery,
independent of the Central Government.
The Central Government responsibility consists mainly of policy
making , planning , guiding, assisting, evaluating and coordinating
the work of the State Health Ministries.
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President of IndiaShri Pranab Mukherjee
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Vice President of IndiaMuhammed Hamid Ansari
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Prime Minister of Indiashri Narendra Modi
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At the CenterThe official organs of the health system at the
national level consist of1.Ministry of Health and Family Welfare
UNIOUN MINISTER OF HEALTH Shree Jagat Prasad Nadda2.The Directorate
General of Health Services3.The Central Council of Health and
Family Welfare
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Ministry of Health and Family Welfare Organization StructureDR
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FunctionsInternational health relationsAdministration of Central
InstitutesPromotion of researchRegulation and development of
medical, pharmaceutical, dental and nursing
professionsEstablishment and maintenance of drug standardsCensus
and collection and publication of other statistical
dataCoordination with states
Concurrent List: Prevention of Communicable diseasePrevention of
food adulterationControl of drug and poisonVital statisticsLabour
welfareEconomic and social planningPoulation control and family
planning
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Directorate General of Health Services Organization chartDR
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FunctionsInternational health relations and quarantine of all
major ports in country and international airport.Control of drug
standardsMaintain medical store depotsAdministration of post
graduate training programmesAdministration of certain medical
colleges in IndiaConducting medical research through Indian Council
of Medical Research ( ICMR )Central Government Health
Schemes.Implementation of national health programmesPreparation of
health education material for creating health awareness through
Health Education BureauCollection, compilation, analysis,
evaluation and dissemination of informationNational Medical
Library
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Central Council of healthTo consider and recommend broad
outlines of policy related to matters concerning health like
environment hygiene, nutrition and health education.To make
proposals for legislation relating to medical and public health
matters.To make recommendations to the Central Government regarding
distribution of grants-in-aid.
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There are 26 DistrictsDR IRFAN MOMIN
Governor of GujaratShri O.P Kohli
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Chief Minister of GujaratSmt. Anandiben Patel
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State Level
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Cabinet Minister: Health Shree Nitinbhai Patel
Office Address1st Block, 8thFloor,Sachivalaya,Gandhinagar.DR
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State Minister: Health Shree Shankarbhai chaudhari
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Principal Secretary (PH) & Commissioner:
Shri J. P. Gupta
Office Address 7thBlock, 8thFloor,Sachivalaya,Gandhinagar.DR
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Department of Health and Family WelfareDepartment of
HealthDepartment of Medical Services Department of Medical
EducationDepartment of Family Welfare
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Additional Director:Medical Education:Dr P D Vitthalani
Office Address4,Dr. Jivraj Mehta Bhavan,Old Sachivalaya,
Gandhinagar.DR IRFAN MOMIN
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Taluka -9DR IRFAN MOMIN
SURAT DISTRICTTaluka -9Gram Panchayat - 567Area - 7657
s/k.m.Population 19, 49, 238DR IRFAN MOMIN
At District levelThere are 6 types of administrative areas.1.
Sub division2. Tehsils ( Talukas )3. Community Development Blocks4.
Municipalities and Corporations5. Villages and6. Panchayats
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Finally there are village panchayats, which are institutes of
rural local self government.The Urban Area Town area committees- in
area with population ranging between 5,000-12,000Municipal Boards-
in area with population between 10,000-2 lakhsCorporations- with
population above 2 lakhsDR IRFAN MOMIN
The town area provide sanitary services.The municipal boards are
headed by chairman or president, elected by the members.The term of
a municipal board ranges between 3-5 years, & functions
areConstruction & maintenance of roads Sanitation &
drainage Street lighting & water supplyMaintenance of hospitals
& dispensariesEducation & registration of births &
deaths etc. DR IRFAN MOMIN
Panchayati Raj It is a 3 tier structure of rural local self
government in India, linking the village to the district. The 3
institutions are;Panchayat- at the village levelPanchayat Samiti-
at the block levelZila Parishad- at the district levelThe
Panchayati Raj institutions are accepted as agencies of public
welfare. All development programmes are channelled through them.DR
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They strengthen democracy at its root, & ensure more
effective & better participation of the people in the
government.At the village level It consists ofThe Gram SabhaThe
Gram PanchayatThe Nyaya PanchayatGram Sabha- The assembly of all
the adults of the village, which meets at least twice a year.It
considers proposals for taxation, discuss the annual programme
& elects members of it self. DR IRFAN MOMIN
Gram Panchayat An agency for planning & development at the
village level.Its strength varies from 15 to 30, & population
covered varies widely from 5,000-15,000 or more.The members hold
office for a period of 3 to 4 years. Every panchayat has an elected
President (Sarpanch /Sabhapati /Mukhiya), a vice President & a
Panchayat Secretary.
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The functions- They cover the entire field of civic
administration, including sanitation & public health &
social & economic development of the village.
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2. At the Block level It consists of about 100 villages & a
population of about 80,000 to 1,20,000.The Panchayati Raj agency at
the block level is the Panchayat Samiti /Janpada Panchayat.
It consists of all Sarpanchas of the village panchayats in the
Block; MLAs, MPs residing in the block area; representatives of
women, scheduled castes, scheduled tribes & cooperative
societies.
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The Block Development Officer is the ex-officio secretary of it,
& his staff give assistant to the village panchayats engaged in
development programmes.Function- Execution of the community
development programme in the block DR IRFAN MOMIN
3. At the District levelThe Zilla Parishad is the agency of
rural local self govt. at the district level.The members are all
heads of the Panchayat Samities in the district; MPs, MLAs of the
district, representatives of scheduled castes, scheduled tribes
& women , & 2 persons of experience in administration,
rural development.The collector is a non voting member, the members
varying from 40-70.DR IRFAN MOMIN
Hon. PresidentMr.Ashvinbhai B.PatelDistrict Panchayat
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District Development OfficerShri Vijaybhai KharadiDistrict
Panchayat
Address:"VIKAS" D.D.O. Bunglow, opp. chopatiAthhavalines ,
SuratPhone No:0261-2422160Mobile No.:9978406247Fax
No.:0261-2450091,2412543E-Mail:[email protected]:B.A.
(English Literature)P.G. DIPLOMA (MANAGEMENT)DR IRFAN MOMIN
CollectorDr . [email protected] IRFAN
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The zilla parishad is primarily supervisory & coordinating
body.The District Health Officer ( CDHO)DR Megha Mehta& the
District Family Planning & MCH Officers (RCHO)DR Megha Mehtaare
under the control of the zilla panchayat.DR IRFAN MOMIN
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"THE SILK CITY", "THE DIAMOND CITY", "THE GREEN CITY",DR IRFAN
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Corporations are headed by Mayors, elected from different wards
of the city.The executive agency includes the Commissioner, the
Secretary, the Engineer & the Health Officer. The activities
are same as municipalities but on a much wider scale. DR IRFAN
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MAYORShri Niranjan ZanzmeraDR IRFAN MOMIN
Milind Toranwane (IAS)Municipal CommissionerDR IRFAN MOMIN
Dr. Hemantkumar S. DesaiDeputy Commissioner Health and
Hospitals
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Statistics for Surat Municipal CorporationSurat CityOLDEST
MUNICIPALITY1852 AD.AREA326.515 sq.km.POPULATION1634605
(1991)2876374 (2001)4,462,002 (2011)ZONES7
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Statistics for Surat Municipal Corporation*CENSUS 2011Surat
CitySEX RATIO758 / 1000 Male*CHILD SEX RATIO813 / 1000 Boys*CRUDE
BIRTH RATE18.25 / 1000 populationCRUDE DEATH RATE4.37 / 1000
populationINFANT MORTALITY RATE16.08 / 1000 live birthsMATERNAL
MORTALITY RATE0.41 / 1000 live birthsLITERACY RATE89.03 %*MALE92.76
%*FEMALE84.05 %*
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Health Care EvaluationSome Key Evaluation Terms
Acceptable Accessible AccomplishmentAccountable AccuracyAnalysis
AppropriateAvailable Cohorts Comparison Content ContextControlCost
Data: primary and secondary Goals JudgmentMetricsNorms
ObjectivesOutcomes OutputsPrecision
ProcessPurposeQualityQuantityRecordingReliabilityReporting
Standards Synthesis TimeTimelines ValidityValueWeighting Worth DR
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Health Care EvaluationDefinition
Evaluation: Determining the value or worth of the health care
initiative against a standard of acceptability.To examine or
judge.
(The key is who establishes the standard and who judges!) DR
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Health Care EvaluationTypes
Process Evaluation: Examines the procedures and tasks involved
during the implementation of a program.
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Health Care EvaluationTypesProcess EvaluationWhen to use: As
soon as the health initiative beginsWhat it shows: How well a
program is working as it goesWhy is it useful: Identifies early
problemsDR IRFAN MOMIN
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Health Care EvaluationTypes
Outcome Evaluation: Used to obtain descriptive data on a project
and to document short-term results. Focuses on an ultimate goal of
a health care program or treatment. Generally measured by vital
statistics in a population.
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Health Care Evaluation TypesOutcome EvaluationWhen to use: For
ongoing programs at appropriate intervals or for one time programs
when program is completeWhat it shows: Has program reached its
ultimate goal.Why is it useful: Learn from successes and for future
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Health Care Evaluation Types Impact Evaluation: Is the most
comprehensive type of evaluation because it focuses on the
long-range results and the resultant improvements in health status.
Impact evaluation is the most costly.Information obtained from an
impact evaluation can include changes in e.g.,morbidity and
mortality. DR IRFAN MOMIN
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Health Care EvaluationTypesImpact EvaluationWhen to use: After
the health program has made contact with at least one person or a
populationWhat it shows: Changes in knowledge, attitudes, and
beliefsWhy is it useful: Allows management to modify resources
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Thank YouMobile: 9426845307 E-mail: [email protected]
