TEACHING

SR TIME SPECIFIC CONTENT LEARNING AV EVALUAT

.N OBJECTIVES METHODS -AIDS ION
O

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1. 30 Self introduction Good morning everyone. -
second My name is Priya Kumari.I am student of M.Sc.Nursing
1st year.
-
2. 30 To introduce the Topic is
second topic Today’s topic for presentation is “Health care delivery introduced
system”.
3. 1Min. To assess the
previous -
knowledge of
students/audien- Previous knowledge assessment:
ce Do you have any idea about health care delivery system?

4. 2min. To give an Introduction: Lecture PPT Explain

introduction of Health care services in general are rendered by the Cum health care
topic Govt.through a network of health centres from the grass Discussion delivery?
root areas to the block level in the rural area sand through
hospitals, dispensaries, maternal,child health and family
welfare centres in the urban areas.The hospital in the
subdivisional /Taluka level,district level etc. provide
referral services to the infrastructure in the rural area.There
are also voluntary and private agencies which are
functioning to deal with the health problems of the people.

5. 3Min. To define  Health is a state of complete physical,mental and L What is

health. social well being and not merely an absence of E PPT health?
disease or infirmity which allows a person to live a C
socio –economically productive life. WHO T

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 U
 Health is a condition of being sound in R
body,mind,orspirit. E

 A relative state in which one is able to function well 
phys
ically, mentally, socially, and spiritually in order to  C
express the full range of one's unique potentialities  U
within the environment in which one is living. M
What is
health care
D delivery?
3min. To define health • Health care delivery is defined as the aggregate of I PPT
care delivery. institution,organization and person who enter,the S
health care system,who has responsibility that C
include the promotion of health,prevention of U
disease and rehabilition. S
• The concerns is to develop a system which ensure S
need based comprehensive health care services to I
people at large specially those living in remote and O
hilly areas,using available resources. N
• A health care delivery system is an organization of
people,institution and resources to deliver health
care services to meet the health needs of a target
population.

5. 3min. To explain Health Care Delivery System In :- L

health care E
delivery system India is a union of 28 states and 9 union territories. States C PPT

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 in India. are largely independent in matters relating to the delivery T
of health care to the people U
The Central Government responsibility consists mainly R
of policy making, planning, guiding, assisting, evaluating E
and coordinating the work of the State Health Ministries
The health system in India has 3 main links:-
1. Centre or National level
2. State level C
3. Local or peripheral level U
M
6. 5min. To explain
organisational Central level/National Level:- Explain
setup at national D Organisation-
level. The health system at the central level consist of~ I PPT -al setup of
 Union ministry of health and family welfare. S National
 The directorate general of health services . C Level.
 The central council of health and family welfare U
S
Organisational Setup at National Level S
Union Ministery of health and family welfare Organization I
setup: O
Cabinet Minister N

Deputy Health Minister

Dept.of Health Dept.of Family

Welfare

Health Secretary to Secretaries to the

Govt.of the Govt. Of India india L
E

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 C
T
Assisted by joint secretory Assisted by additional U
&commissioner secretary R
E

Deputy Secretary Joint Secretary

C
Administrative Staff Administratio Staff U
M What do you
7. 5min. To explain 1.Union Ministry of Health and Family Welfare- understand by
union ministry was created in 1966 within the ministry of health union
of health and and familywelfare.The secretory to the govt.of india in the D ministry of
famiy welfare. ministry of health and family welfare is the overall I PPT health
incharge of the department of family welfare .He is S &family
assisted by the additional secretory and commissioner and C welfare.
one joint secretory . U
Function:- S
a) Union List- S
1. International health relations & administration of I
port quarantine. O
2. Administration of central institutes such as the All N
India institute of hygiene and public health, Enlist
Kolkata, National Institute for control of function of
communicable diseases, Delhi etc. Handouts union list.
3. Promotion of research through research center's and
other bodies.
4. Regulation & development of medical,
pharmaceutical, dental and nursing professions.
5. Establishment & m aintenance of drug standards.
6. Census collection & publication of other statistical L

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 data. E
7. Immigration & emigration. C
8. Regulation of labour in working of mines and oil T
fields. U Enlist
9. Coordination with states & with other ministeries R functions of
for promotion of health. E Handouts current list.
b) Current List-
• Prevention of extension of communicable disease
from one unit to another.
• Prevention of adultration of foodstuffs. C
• Control of drugs and poisons. U
• Vital statstics. M
• Labour welfare.
• Regulation of ports other than major.
• National medical library. D
• Economic and social planning. I
• Population control and family planing. S
• Preparation of health education material for C
creating health awareness through central health U
education bureu. S
S PPT
2. Directorate General of Health Services- I Define
8. 5min. To define The DGHS is the principal advisor to the union O DGHS.
DGHS& its Govt.in both medical and public health matters.He is N
functions. assisted by an additional director general of health
services,a team of deputies and a large administrative
staff.
e.g~Medical care and hospitals,public health and
general health administration.

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General Function: L
a) Survey E
b) Planning C
c) Co-ordination T
d) Programming and appraisal of all health matters in U PPT
the country. R
E

Specific Function:

1. INTERNATIONAL HEALTH RELATION &PORT C

QUARANTINE. U
M
All major ports in the country (Kolkata ,Vishakhapatnam
Chennai ,Mumbai ) & International airports ( Mumbai Explain
,Kolkata Chennai ,Delhi ) are directly controlled by DGHS. D functions of
I directorate
2. CONTROL OF DRUG STANDARDS S general of
C health
Headed by drug controller. It’s primary function is to lay U services.
down and enforce standards and control the manufacture S
and distribution of drugs . the act was passed in 1940 to S
empower the union govt. to test quality of imported drugs. I
O
3.MEDICAL STORE DEPOTS N

The union govt. run the medical store depots at mumbai

chennai kolkatta ,karnal ,gawhati.The function is to handle
the supply from foreign agencies and to ensure highest
quality of drugs which is low cost and promptly.

4.POSTGRADUATE TRAINING L

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 E
The DGHS is responsible for administration of various C
institutions in India such as all India institute of hygiene & T
public health ,Kolkata and all India institute of mental U PPT
health ,Bangalore and the national tuberculosis institute of R
control of communicable diseases. E

5.MEDICAL EDUCATION

The central directorate is directly in charge of national C

medical colleges like the lady Harding ,the Maulana U
Azad ,AIIMS. These colleges are guided and supported by M
the central government. PPT

6.MEDICAL RESEARCH D
I
It is organized largely through the Indian council of S
medical research (set up in 1911 ).It maintain the research C
center's such as tuberculosis chemotherapy centre at U
Chennai ,virus research centre at Pune ,national institute of S
nutrition at Hyderabad. S
I
O
9. 4min. To explain 3.Central Council Of Health: N
about central was set up by a Presidential order article 263 of the Explain
council of health consitution of India for promoting co-ordinated concerted central
and their action between the centre and the states in implementation council of
functions. of all the programmes and measures pertaining to the health and
health of the nation.The union health minister is the their function.
chairman and the state health ministers are the members.

ORGANISATIONAL PATTERN :-

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 ~ Chairman(Union Health Minister) L PPT
~ Members(State Health Minister) E
C
Function: T
1) To consider and recommend broad outline of policy in U
regard to matters concerning health in all its aspects such R
as provision or remedial and preventive care, E
environmental hygiene, nutrition, health education and the
promotion of facilities for training and research.
2) To make proposals for legislation in fields of activity
relating to medical and public health matters. C
3) To lay the pattern of development for the country as a U
whole. M
4) To establish any organization invested with appropriate
function for promoting and maintaining cooperation
between the central &state health administration. D
I
To explain AT THE STATE LEVEL :- S Explain
10. 5min. organisational At present there are 28 states in India with each state C functions of
structure of state having its own health administration. U central
level. S council of
Organisational Setup:- S PPT health.
I
State ministry of health State health directorate O
N Explain
organisationa-
Ministry of health Director of health l setup at state
service level.
&family Welfare

Health secretarit Regional deputy

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 director
L
E
Deputy health secretarit Assistant director C
-Family T
welfare U
- R
Immunisation E
Administrative Staff -Statstics

To explain Functions of ministry of health:

functions of • Policy making and modify the policy C PPT
ministry of • Coordination of policy and supervise the health U
health and state programmer M
health • Budgeting and control of expenditure.
directorate. • Maintaing contact with central level.
• Farming legislation and rule and regulation. D
Functions of state health directorate: I
S
-To provide adequate medical care through hospital & C
health centre in rural and urban area. U
-To make proper arrangement for medical education and S Enlist
research. S functions of
- Implementation of national health programme. I ministry of
-Central food and drug adulteration. O health and
-Setting up of laboratory. N state health
-Supervision and central over local bodies. directorate.
-Coordination of all health service with other ministry of
state.
-Promotion of health programme such as school health,
family planning & occupation health.
-Provide presentation and curative services.

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 -Presentation of indigenous system.

11. 2min. To explain AT THE DISTRICT LEVEL:-

about district It is headed by single chief medical officer(CMO) who is L Explain
level. responsible for all CMO service district. The district health E district level
officer is a incharge of all health administration. Health C organisationa-
national programmed are implemented in the district for T l sturcuture.
family welfare program. U
There are 5 type of administrative areas: R PPT
• Subdivision E
• Tehsil
• Community development block
• Village
• Panchyat C
U
M

12. 3min. To explain Distt.health organisational setup:-

organisational Chief medical officer of health D
setup of district I
level. Deputy medical officer of health S
C
U
Distt.family Distt. Programme Medical S
Welfare officer health officer suprintedent S
officer I
Distt.public O
health nurse Nursing N
officer suprintendent

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 Public health
Nurse Ward sister

Health supervisor
male &female Staff nurse

Health worker L
male&female Auxillary nurse E
midwife C
T
Trained DAI U
or village health R
guide E

1.Urban Area: the urban area of district are orgainsed

into the following instructions of local self government.
PPT
A) Towned Area Communitties:- C
in area with population ranging between 5000-10000 the U Enlist
13. 3min. To enlist town area community are like panchyat. M functions of
functions of Functions:- towned
towned -They provide sanitary service. communities,
communities, -Rational use of land. D municipal
municipal -Social and economical development. I boards and
boards,and S corporation.
corporation. B) Municipal boards:-in area with population ranging C
between 10,000-2,00000 . The municipal board are headed U
by chairman. S
The function of municipal board are:- S
1) construction and maintained of roads. I
2) Sanitation and drainage. O
3) Street lightning N PPT

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 4) Water supply.
5) Maintain of hospital and dispensaries.
6) Education
7) Registration of birth and death.

C)Corporation:- area with population above 2,00,000

corporation are headed by mayors.

Executive agency includes :-The member of executive

agency are selected from different area of city....
a) Commissioner
b) The secretary
c) The engineer PPT
d) Head officer L
E
C
14. 4min. To explain 2. Rural Area/Panchyati Raj: T
rural /panchyati The panchyati raj is a three tier structure of their local self U Briefly
raj. government in India. Linking to the district. the three R explain
institutions are- E panchayati
1.Panchayat- at the village level raj.
2.Panchayat Sammitee- at the block level C
3.Zila Parisadh- at the district level U
M
1.AT THE VILLAGE LEVEL(Panchayat)
The panchyat raj at the village level consist of:- D
i) the gram Sabah I
ii) gram panchayat S
iii) nyaya panchyat C
U
S
S

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 Gram Sabah: It is the assembly of all the adults of the I
village which meets at list twice a year. All the member O
will discuss important issues and considered proposal N
regarding to various development aspects including health
matters.
- Discuss the annual programme.
- Elects members of gram panchayat.
Gram Panchayat:

1) It is exhitutive of the gram Sabah and agency fare planning

and development at the village level.
2) It consist 15 to 30 member.
3) It covered population from 5000 to 15000 are more.
4) The power and function of the panchyat are very wide. They
covered the entire field of civil administration including
sanitation and public health and development of village. L
E
FUNCTION : C
-To prepare annual plan for the development of gram T
panchayat. U
-To prepare annual budget. R
-To prepare relief from natural calamities. E
-To remove illegal encroachments from public property.
- To collect necessary data about the village. C
U
Nyaya Panchayat:
M
It consist of 5 member from the panchayt.
Function: D
it strives to solve pitty criminal and civil cases,where in the I
parties in dispute explain thier sides to the members of the S
Panchyat and solve dispute between group and individual. C
2. AT BLOCK LEVEL (Panchayat Sammittee) U
15 2 MIN S

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To explain It include block level hospitals. S
block level • The block consist of about 100 village and population I Explain block
80,000-1,20000 . The pancahayt sammitee consist of all O level.
sarpanch of the village. MLA,MP representative of N
women schedule cast and cooperative societies.

• The panchayt samiti is responsible for block

development of activity under the community
development programme.

• The block development officer and his staff give

technical assistance and guide to the village, panchyat
engaged development work.

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 L Explain model
16. 3min To explain model THE MODEL OF HEALTH CARE E of health care
of health care C deivery system.
delivery system
DELIVERY SYSTEM:- T
It include -Public System U
Private System R PPT
Co-operative System E
Voluntary System
1.Public system.
This system is typically funded and aparted by the govt.It
provide services through agencies at various level.The C
funds are drived from general tax.The system is inresponse U
to state obligation to provide health care service to entire M
population.
D
. 2.Private system. I
The services are provided by private clinical nursing S
home,hospitals,homecare agencies etc. C
U
3.Co-operative system. S
In this system funding is done by the employer employee S
and the govt. I
O
N
e.g
L
E
ESI scheme and central Govt.health scheme for central
C
govt.employs. T
U
4.Voluntary system. R
This system is non-govt. Non profit E
system,initiated,establish and administrative by private
citizen.Their financial support comes from voluntary
contribution.
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 1.Public system. Flash cards
This system is typically funded and aparted by the govt.It
provide services through agencies at various level.The L
E
funds are drived from general tax.The system is inresponse
C
to state obligation to provide health care service to entire T
population. U
2.Private system. R
The services are provided by private clinical nursing E
home,hospitals,homecare agencies etc.
3.Co-operative system.
In this system funding is done by the employer employee
and the govt. e.g C
ESI scheme and central Govt.health schemr for U
central govt.employs. M
4.Voluntary system.
This system is non-govt. Non profit
D
system,initiated,establish and administrative by private I
citizen.Their financial support comes from voluntary S
contribution. C
E.g-cancer society of India,Tuberculosis association of U
India etc. S
S
I
Healthcare delivery system in India~ O
N
It includes management sector and involve
organisational matter.It
India it is represented by five majorsector or agencies
which differ from each other technology and by the source
of fund for operation these are:
1.Public health sector....

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i)Primary health care
1)Primary health centres
2)Subcentre
ii)Hospitals or health centre L
1)Community health centre E
C
2)Rural hospital
T
3)District hospital U
4)Specialist hospital R
5)Teaching hospital E
iii)Health Insurance scheme
ESI and CGHS
iv)other agencies
1)difence services C
2)railway U
2.Private sector... M
Private hospitals,polyclinics,nursing homes and
dispensaries
D
General practitioners and clinics
I
3.Indigious systems of medicine S
Ayurveda and siddha C
Unani U
Homeopathy S
4.Voluntary health agencies... S
some of the voluntary health agencies include I
Tuberculosis Association of India,Family Planning O
Association of India,Indian Red Cross Society,Hind Kust N
Nivaran Sangh,The Trained Nurses Association etc.
5.National health programmes...
Eradication Programme:-
-National Filaria Control Programme
-National Leprosy Eradication Programme
-Polio Eradication Programme

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 Control Programme:-
~National Tuberculosis Control Programme -
~National Diarrhoreal Control Program
~National Cancer Control Programme Explain role of
2min. To explain role Lecture nurse in health
~Anaemia Control Programme
of nurse. Cum care delivery
discussion services
Role of Nurse In Health Care Delivery Services:

-Supervise $ guide the health workers in the delivery of

health care services to the community.
-Strengthen the knowlrdge $ skill of the health workers in
different areas.
- Promote team work among the health workers.
-Co-ordinate the activities with other agencies and health
personnel.
-Assist With M.O of the P.H.C In the organisation to
provide health services to community.
-Provide all the health facility and health services to all
people without any discrimination.
-Educate the mothers individually and in group in better
family health including maternal and child health,family
5 min. To summarize the planning,nutrition,immunization,personal environmental Summarization
topic. hygiene. Green done.
board/white
board/ppt.
Summarization
Today we have discussed about the health care delivery.

Introduction:
Health care services in general are rendered by the
Govt.through a network of health centres from the grass
root areas to the block level in the rural area sand through
hospitals, dispensaries, maternal,child health and family

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welfare centres in the urban areas.

Definition: A health care delivery system is an

organization of people,institution and resources to deliver
health care services to meet the health needs of a target
population.
Green
Health care delivery board/white
board/ppt
at national level its organisational setup,union ministry of
health and family welfare,directorate general of health
services,the central council of health and family welfare
and its functions.

-at state level its organisational setup and its functions.

- at district level its organisational setup and

- at district level its organisational setup,
rural area /panchayati raj
-at village level panchayat
-at block level panchayat sammittee
-at the district level zila parisadh
Urban area
-towned area communitties
-municipal boards
-corporation

-Model of health care delivery system

Public system
Private sysem
Cooperative system
Voluntary system

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 -Health care delivery system in india
Public health sector
Private health sector
Indigious system of medicine
Voluntary health agencies
2min. To do National health programmes Recaptulization
recaptulization Verbel done.
-Role of nurse in health care delivery services.

Recaptulization

 Define health care delivery system.

 Explain national level its organisational setup and
functions.
 Explain state level its organisational setup and
functions.
 Explain district level organisational setup.
 Enlist functions of block,urban health
centres,primary health centres.
 Explain model of health care delivery system.

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 References
• Basheer. P. Shebeer, Khan Yaseen S, editors. A Concise Textbook of Nursing Practice.Health Care Delivery. 2ndedition. Bangalore: Emmess;
2017. p.79-84

• Park. k, editor. A Testbook of Preventive and Social Medicine. Health Care Delivery. 23rd edition. Jabalpur: Banarsides Bhanot; 2015. p. 895-
905.

• Basavanthappa BT, editor. A Textbook of Community Health Nursing. Health Care Delivery. 18th edition.Bangaluru: Jaypee; 2008. p.584-
605.

• Jenet Daniel.Health Care Delivery [Document on the Internet].I.K.D.R: The Institute [updated 2016 nov.1; cited on 3 feb.2021].Available
from https://www.slideshare.net/mobile. system.com

• Dr. Swapnil S.Bumb.Health Care Delivery System in India [ Document on the Internet].International Journal ofScientific Study [updated 2014
Jan.]. Available from https://www.ijiss-sn.com

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Netaji Subhash College of Nursing
24
 SEMINAR
ON
HEALTH CARE DELIVERY
SUBJECT: Advanced Nursing Practice
SUBMITTED TO : SUBMITTED BY:
Mrs. Kanchan Mala Priya Kumari
Assistant Professor, MHN M.Sc. Nursing 1st year
NSCNP NSCNP
SUBMITTED ON: 17 FEB, 2021

BACKGROUND OF INFORMATION

 Title of course: M.Sc.Nursing 1st year

 Unit: 02

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 Name of teacher: Priya Kumari
 Name of topic: Health care delivery
 Duration: 1hr 2 mins
 Date and time: 17/02/21 at 11am-12pm
 Place: classroom of M.Sc.Nursing 1st year
 Methods of teaching: Lecture cum discussion
 Total students: 08
 AV- aids: PPT, flash card, handouts
 Name of evaluator: Mrs. Kanchan Mala Ma,am
 Preivious background of trainees: students has liitlebit knowledge about health care delivery(yes/no)

General objective:
By the end of this lecturestudents will gain knowledge, attitude skills, practice about the health care delivery.
Specific objectives:
At the end of lecture students will be able to-
 define health and health care delivery.
 explain health care delivery system in India.
 explain centre level organizational structure and its functions.
 expalin state level organizational structure and its functions.
 explain centre council of health and family welfare and its functions.
 expalin distruct level organizational structure and its functions.
 explain health care delivery system model
 explain role of nurse in health care delivery services.

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