Health System in India

Dr. Muhammedirfan H. Momin

Assistant Professor
Community Medicine Department
Government Medical College, Surat.
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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 India
The health system in India has 3
main links
1.Central
2.State and
3.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 India
 Shri Pranab Mukherjee

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 Vice President of India
 Muhammed Hamid Ansari

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Prime Minister of India
shri Narendra Modi

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 At the Center
 The official “organs” of the health system at the
national level consist of
1.Ministry of Health and Family Welfare
UNIOUN MINISTER OF HEALTH
Shree Jagat Prasad Nadda
2.The Directorate General of Health
Services
3.The Central Council of Health and Family
Welfare

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Ministry of Health and Family Welfare – Organization Structure

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 Functions
 International health
relations
 Administration of Central
Institutes
 Promotion of research
 Regulation and
development of medical,
pharmaceutical, dental
and nursing professions
 Establishment and
maintenance of drug
standards
 Census and collection and
publication of other
statistical data
 Coordination with states
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Concurrent List:
 Prevention of
Communicable disease
 Prevention of food
adulteration
 Control of drug and
poison
 Vital statistics
 Labour welfare
 Economic and social
planning
 Poulation control and
family planning
Directorate General of Health Services – Organization chart

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 Functions
 International health relations and quarantine of all
major ports in country and international airport.
 Control of drug standards
 Maintain medical store depots
 Administration of post graduate training programmes
 Administration of certain medical colleges in India
 Conducting medical research through Indian Council of
Medical Research ( ICMR )
 Central Government Health Schemes.
 Implementation of national health programmes
 Preparation of health education material for creating
health awareness through Health Education Bureau
 Collection, compilation, analysis, evaluation and
dissemination of information
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 National Medical Library
 Central Council of health

 To 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 Districts
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 Governor of Gujarat
 Shri O.P Kohli

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 Chief Minister of Gujarat
 Smt. Anandiben Patel

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State Level

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 Cabinet Minister: Health
 Shree Nitinbhai Patel

 Office Address
 1st Block, 8th Floor,
Sachivalaya,
Gandhinagar.
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 State Minister: Health
 Shree Shankarbhai chaudhari

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 Principal Secretary (PH) & Commissioner:

Shri J. P. Gupta

 Office Address
 7th Block, 8th Floor,
Sachivalaya,
Gandhinagar.

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Department of Health and
Family Welfare
1) Department of Health
2) Department of Medical Services
3) Department of Medical Education
4) Department of Family Welfare

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 Additional Director:
 Medical Education:

Dr P D Vitthalani
 Office Address
 4,
 Dr. Jivraj Mehta Bhavan,
Old Sachivalaya,
 Gandhinagar.

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Taluka -9
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SURAT DISTRICT
Taluka -9
Gram Panchayat - 567
Area - 7657 s/k.m.
Population – 19, 49, 238

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At District level
 There are 6 types of administrative
areas.
1. Sub –division
2. Tehsils ( Talukas )
3. Community Development Blocks
4. Municipalities and Corporations
5. Villages and
6. 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-
12,000
Municipal Boards-
in area with population between 10,000-2 lakhs
Corporations-
with population above 2 lakhs

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 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 are
a. Construction & maintenance of roads
b. Sanitation & drainage
c. Street lighting & water supply
d. Maintenance of hospitals & dispensaries
e. Education & registration of births & deaths etc.

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 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;
1. Panchayat- at the village level
2. Panchayat Samiti- at the block level
3. Zila Parishad- at the district level
 The Panchayati Raj institutions are accepted as
agencies of public welfare.
 All development programmes are channelled
through them.

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 They strengthen democracy at its root, & ensure more
effective & better participation of the people in the
government.
1. At the village level It consists of
(a) The Gram Sabha
(b) The Gram Panchayat
(c) The Nyaya Panchayat
Gram 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.

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 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

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3. At the District level
 The 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.

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Hon. President
 Mr.Ashvinbhai B.Patel
District Panchayat

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 District Development Officer
 Shri Vijaybhai Kharadi
District Panchayat

 Address:"VIKAS" D.D.O.
Bunglow, opp. chopati
Athhavalines , Surat
 Phone No:0261-2422160
 Mobile No.:9978406247
 Fax No.:0261-2450091,2412543
 E-Mail:ddo-sur@gujarat.gov.in
 Profile:B.A. (English Literature)
P.G. DIPLOMA (MANAGEMENT)
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Collector
 Dr . Rajendrakumar
 collector-sur@gujarat.gov.in

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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 Mehta
 are under the control of the zilla panchayat.

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"THE SILK CITY", "THE DIAMOND CITY",
"THE GREEN CITY",

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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.

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MAYOR
Shri Niranjan Zanzmera

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Municipal Commissioner

 Milind Toranwane (IAS)

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 Dr. Hemantkumar S. Desai
 Deputy Commissioner Health and
Hospitals

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Statistics for Surat Municipal Corporation
Surat City

OLDEST
1852 AD.
MUNICIPALITY

AREA 326.515 sq.km.

1634605 (1991)
POPULATION
2876374 (2001)
4,462,002 (2011)
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Statistics for Surat Municipal Corporation
*CENSUS 2011 Surat City
SEX RATIO 758 / 1000 Male*
CHILD SEX RATIO 813 / 1000 Boys*
CRUDE BIRTH RATE 18.25 / 1000 population
CRUDE DEATH RATE 4.37 / 1000 population
INFANT MORTALITY RATE 16.08 / 1000 live births
MATERNAL MORTALITY
0.41 / 1000 live births
RATE
LITERACY RATE 89.03 %*
MALE 92.76 %*
FEMALE DR IRFAN MOMIN 84.05 %*
 Health Care Evaluation
Some Key Evaluation Terms
Acceptable Cost Quality
Accessible Data: primary and Quantity
Accomplishment secondary Recording
Accountable Goals Reliability
Accuracy Judgment Reporting
Analysis Metrics Standards
Appropriate Norms Synthesis
Available Objectives Time
Cohorts Outcomes Timelines
Comparison Outputs Validity
Content Precision Value
Context Process Weighting
Control Purpose Worth
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Health Care Evaluation
Definition
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

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judges!)
Health Care Evaluation
Types

Process Evaluation: Examines the

procedures and tasks involved
during the implementation of a
program.
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Health Care Evaluation
Types
Process Evaluation
 When to use: As soon as the health initiative
begins
 What it shows: How well a program is
working as it goes
 Why is it useful: Identifies early problems

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 Health Care Evaluation
Types

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
Types
Outcome Evaluation
 When to use: For ongoing programs at
appropriate intervals or for one time programs
when program is complete
 What it shows: Has program reached its
ultimate goal.
 Why is it useful: Learn from successes and for
future funding.

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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.

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 Health Care Evaluation
Types
Impact Evaluation
 When to use: After the health program has
made “contact” with at least one person or a
population
 What it shows: Changes in knowledge,
attitudes, and beliefs
 Why is it useful: Allows management to
modify resources effectively

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 Thank You

Mobile: 9426845307 E-mail: drmhmomin@yahoo.co.in