Organization and administration.HEALTH SYSTEM IN INDIA

Organization and administration

Health system in India
 States independent relating to the delivery of
healthcare to the people,
 Developed its own system of health care delivery
 Central responsibility –policy making, planning,
guiding, assisting,evaluating and coordinating the work
of state health ministeries

Health system in India
 Health system in India has three main links
Central
State &
Local or peripheral

At the central level
 The official “organs” of the health system
1. The ministry of health and family welfare
2. The directorate general of health sevices
3. The central council of health and family welfare

Union ministry of health and family welfare
---organisation
 Headed by
 Political appointments
A cabinet minister
a minister of state &
a deputy health minister

---organisation
Department of health
Department ofwelfare

---organisation
 Department of health
Headed by
 Secretary to the government of India(executive head)
Assisted by
 Joint secretaries, deputy secretaries &large adminstrative
staff

---organisation
 Department of family welfare (1966)
Overall charge
 Secretary to the GOI
Assisted by
 Additional secretary & commissioner, and 1 joint secretary

---functions
1. Union list
2. Concurrent list

---functions
(a) Union list:
(1) International health relations and administration of port quarantine
(2) Administration of Central institutes such as theAll India Institute of
Hygiene and Public Health, Kolkata;
(3) Promotion of research through research centers and other bodies
(4) Regulation and development of medical,
(5) Establishment and maintenance of drug standards
(6) Census, and collection and publication of other statistical data
(7) Immigration and emigration
(8) Regulation of labour
(9) Coordination with States and with other ministries for promotion of health.

---functions
(b) Concurrent list: Functions listed under the concurrent list are responsibility of both the
Union and State governments.The Centre and the States have simultaneous powers of
legislation:The concurrent list includes:
(1) Prevention of extension of communicable diseases from one unit to another (2) Prevention
of adulteration of foodstuffs
(3) Control of drugs and poisons
(4)Vital statistics
(5) LabourWelfare
(6) Ports other than major
(7) Economic and social planning, and
(8) Population control and Family Planning.

Directorate general of health services-
organisation
 The Director General of Health Services (principal adviser)
Assisted by
 Additional Director General of Health Services, a team of
deputies and a large administrative staff.
The Directorate comprises of three main units,
 Medical care and hospitals,
 Public health and
 General administration.

functions
The GENERAL functions are surveys, planning, coordination,
programming and appraisal of all health matters in the
country.
The SPECIFIC functions are
(1) International health relations and quarantine
(2) Control of drug standards:
(3) Medical store depots:
(4) Post graduate training:

Functions
(5) Medical education:
(6) Medical Research:
(7) Central Govt. Health Scheme:
(8) National Health Programmes:
(9) Central Health Education Bureau.
(10) Health Intelligence:established in 1961 to centralise collection, compilation,
analysis, evaluation and dissemination of all information on health statistics
for the nation as a whole.
(11) National Medical Library:

Central Council of Health
 Union Health Minister is the Chairman and the State Health Ministers
are the members.
FUNCTIONS:
(1) To consider and recommend broad outlines of policy --- provision of
remedial and preventive care, environmental hygiene, nutrition, health
education and the promotion of facilities for training and research.
(2) To make proposals for legislation in medical and public health matters.

Central Council of Health
(3) To make recommendations to the Central Government regarding distribution
of available grants-in-aid for health purpose to the States and to review
periodically the work accomplished in different areas through the utilisation of
these grants-in-aid.
(4) To establish any organization or organizations invested with appropriate
functions for promoting and maintaining cooperation between the Central
and State Health administrations.

At the state level
State ministry of health
State health directorate

1.State Ministry Of Health
 Headed by a minister and a deputy minister of health
and family welfare
 Health secretariat----official organ of the state ministry of
health
 Headed by a secretary (senior officer of the IAS)
Assisted by
 Deputy secretaries
 Large administrative staff

2. State Health Directorate
 The Director of Health Services (chief technical adviser)
assisted by
 deputies and assistants.
 Regional Directors Functional Directors

2. State Health Directorate
 chief technical adviser to the State Government on all matters
relating to medicine and public health.
 responsible for the organization and direction of all health
activities.
 Regional Directors inspect all the branches of public health
within their jurisdiction, irrespective of their speciality.
 The Functional Directors are usually specialists in a
particular branch of public health such as mother and child
health, family planning, nutrition, tuberculosis.

AT THE DISTRICT LEVEL
 The principal unit of administration in India is the
district under a Collector.
 Divided into two or more subdivisions each in charge
of an assistant collector

District -- rural area
District
Subdivisions
Tehsils (talukas) (200 to 600 villages.)
Community development blocks (100 villages)
village panchayats

District urban area
 The urban areas of the district are organized into the
following institutions
1. Town area committees(5,000 and 10,000)
2. Municipal boards(10,000 and 2 lakhs)
3. Corporations(above 2 lakhs)

District urban area
 Town area committees –like pachayats
 Muncipal boards ---chairman/president elected by members
 Term range between 3-5 years
 corporation ---mayors
 Councillors elected from different wards of the city
 The executive agency includes the commissioner, the secretary,
the engineer and the health officer

Panchayati Raj
 3-tier structure of rural local self government in India linking
the village to the district.The three institutions are
 Panchayat –at the village level
 Panchayat – at the block level
 Zilla parishad –at the district level

At the village level
 The panchayati Raj at village level consists of
i. The gram sabha
ii. The gram panchayat
iii. Nyaya panchayat

At the block level
 Consists of about 100 villages
 80,000-1,20,000 population
 Panchayat samiti consists of all heads of the village panchayats
in the block,MLAs, MPs residing in the block area;
representatives of women, SC, ST and cooperative societies
 BDO ex-officio secretary of the panchayat samiti
 Prime function—execution of the community development
programme in the block
 Funds channelled through panchayat samiti

At the district level
 Zilla parishad include all heads of the panchayat samitis in the
district; MPs, MLAs of the district represetatives of SC, ST,
and women and 2 persons of experience in administration,
public life or rural development

Organization and administration.HEALTH SYSTEM IN INDIA

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