Professional Documents
Culture Documents
KHAMMAM
Date:
Time:
SUBJECT: NURSING MANAGEMENT
TOPIC
: HEALTH CARE DELIVERY SYSTEM: NATIONAL, STATE AND LOCAL
GUIDE : MRS. RATNA PHILIP, PRINCIPAL
PRESENTED BY: UDAYA SREE.G, M.Sc. (N) II YEAR
In 1947
Ministries of health were established at the center and states. The post of
Director General Indian medical service and of public health commissioner
with government of India was integrated into the post of Director General
of health science (DHS).
In 1948
India becomes a member of world Health organization. The WHO is a
specialized non-political health agency constituted on 7 th April 1948 with
the objective of attainment of the highest level of health for all people. The
employee state insurance act (ESI) passed in the parliament.
Planning commission
The Government of India setup a planning commission in 1950 to make an
assessment of maternal, capital and human resources of the country and
to draft develop-mental plans for the most effective utilization of these
resources.
DEPUTY HEALTH
MINISTER
DEPARTMENT
OF HEALTH
DEPARTMENT OF
FAMILY WELFARE
HEALTH
SECRETARY TO
THE GOVERNMENT
JOINT
SECRETARIES
DEPUTY
SECRETARIES
SECRETARY TO THE
GOVERNMENT OF
INDIA
ADDITIONAL
SECRETARY AND
COMMISSIONER
(FAMILY WELFARE)
JOINT
SECRETARIES
ADMINISTRATIV
E STAFF
Functions
Union list
1. International health relations and administration of port quarantine
2. Administration of Central Institutes such as All India Institute of Hygiene
and Public Health, Kolkata.
3. Promotion of research through research centers
4. Regulation and development of medical, pharmaceutical, dental and
nursing professions
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 in the working of mines and oil fields
9. Coordination with states and with other ministries for promotion of
health
Concurrent list
The functions listed under the concurrent list are the responsibility of both
the union and state governments
1. Prevention and extension of communicable diseases
2. Prevention of adulteration of food stuffs
3. Control of drugs and poisons
4.
5.
6.
7.
8.
Vital statistics
Labour welfare
Ports other than major
Economic and social planning
Population control and Family Planning
ADDITIONAL DIRECTOR
GENERAL OF HEALTH
SERVICES
DEPUTY DIRECTOR GENERAL
OF HEALTH SERVICES
ADMINISTRATIVE STAFF
Functions of DGHS
1. International health relations and quarantine of all major ports in country
and international airport
2. Control of drug standards
3. Maintain medical store depots
4. Administration of post graduate training programmes
5. Administration of certain medical colleges in India
6. Conducting medical research through Indian Council of Medical Research
(ICMR)
7. Central Government Health Schemes.
8. Implementation of national health programmes
9. Preparation of health education material for creating health awareness
through Central Health Education Bureau.
10. Collection, compilation, analysis, evaluation and dissemination of
information through the Central Bureau of Health Intelligence
11. National Medical Library
3. Central Council of Health
The central council of health was set up by a presidential order on 9 th
August 195, under article 263 of constitution of India for promoting
coordinated and concerned action between the center and the states in the
implementation of all the programmes and measures pertaining to health
of the nation. The central health council has other consultative and
advisory bodies such as consultative committee of child welfare. Statutory
and technical advisory bodies
Functions
1. To consider and recommend broad outlines of policy regard to matters
concerning health like environment hygiene, nutrition and health
education.
2. To make proposals for legislation relating to medical and Public health
matters.
3. To make recommendations to the Central Government regarding
distribution of grants-in-aid.
4. To establish any organization/organizations for promoting and
maintaining cooperation between the central and state health
administrations.
HEALTH SECRETARIAT
HEALTH SECRETARY
DEPUTY SECRETARIES
ADMINISTRATIVE STAFF
MEMBERS
RESPONSIBILITIES
1. As a member of state legislature it is his duty to support, and
safeguard the total policies of the government.
2. As a member of ministry- he brings all the bills pertaining to his
department for approval of the legislature.
3. As political head of the health department he acts as executive and
administrator
The
Functions of the Panchayat raj at village level:a) Developmental functions - All developmental functions, e.g. agriculture,
animal husbandry, cottage industries medical relief and public health are
to be implemented.
b) Law and order functions-the panchayat also help in maintaining law and
orders in the village.
c) Administrative and civic functions- the panchayat is expected to perform
all the elementary civic functions such as arrangements of sanitation,
conservancy, construction and repair of roads, water supply streetlights,
etc.
Zilla Parishad (at the district level):
The Zilla Parishad is the agency of rural local self government at the
district level. Its functions and powers vary from state to state.
Zilla parshad functions:
a) It is the primarily a coordinating and supervisory agency.
b) It plans such schemes or the district as a whole.
c) Any special programme may be assigned to Zilla parishad by the
state government from time time to time.
d) It scrutinizes and approves the budget of the Block samitis.
SUMMARY AND CONCLUSION
Nurses make up the largest employment group in the health care
delivery system of in India. Nursing is the process of recognizing,
understanding and meeting the health needs of a person or society.
Health is a state of physical, mental and social wellbeing, not merely
the absence of disease or infirmity.
Illness is a state in which a persons physical, emotional, intellectual,
social or spiritual functioning is diminished or impaired.
Internal variables such as developmental stage, intellectual
background and emotional and spiritual factors influence the health
beliefs and practices of
Individuals
External variables such as family practices socioeconomic factors and
cultural background also influence the health beliefs and practices of
individuals.
BIBLIOGRAPHY
Text book of The Indian constitution
DC Joshi, Text book of hospital administration; Jaypee publications; I st
edition, 2009
AG. Chandorkar, Text book of hospital administration and planning;
2nd edition New Delhi.
B.T Basavanthappa, Text book of Nursing administration; Jaypee
brothers medical publishers (p) ltd.2007; New Delhi.