Health Care Delivery System in India

HEALTH CARE
DELIVERY SYSTEM
IN INDIA -
INTRODUCTION:
The health of a country is based on the Health services provided
to the people of that specific country. The health services help
to meet the health needs of the community through the use of
available knowledge and resources. The health services are
delivered by the “health system”.
The India which is a second most populated country, the health
services are delivered to the people and these health services
have a specific administrative and organizational pattern.
MODELS OF HEALTH CARE DELIVERY SYSTEM :
Administration and Organization according to sectors of health
care delivery:
A. Public health sector:
1. Primary Health Care: Primary health Centers, Sub – centre.

2. Hospitals and Health Centers: Community health centre, Rural
Hospitals, Specialist Hospitals, District hospitals, Teaching hospitals.
3. Health Insurance Schemes: Employees State Insurance scheme,
Central Government Health Scheme.
4. Other Agencies: Defensive, Railways.
B. Private Health sector:
1. Private hospitals, polyclinics, nursing homes and dispensaries.
2. General practitioners and clinics.
C. Indigenous System Medicine:
1. Ayurveda , Siddha
2. Unani and Tibetan.
3. Homeopathy, Yoga.
4. Unregistered Practitioners.
D. Voluntary health Agencies: Indian Red Cross, TB Association of
India etc.
E. National Health Programs : NRHM , National Malaria Health
Program. Etc.
PUBLIC HEALTH SECTOR :
Primary Health Care:
Keeping in view W.H.O. goal of ‘Health for All’ by
2000 A.D.,
The Govt. of India evolved a National Health policy
based on primary health care approach.
Steps are already under way to important the
National Health Policy objectives towards
achieving Health for all by the year 2000.
These are described as:
VILLAGE LEVEL( rural health scheme/sector)
Health Care must reach into the furthest reaches
or rural areas, and that everyone should have
access to it. To implement this policy at village
level, the following schemes are in operation.
◦ Village Health Guide Scheme

◦ Training of local dais
◦ ICDS scheme
• ASHA
a) Village Health Guide:
The village health guide scheme was

introduced on 2nd October 1977. The health
guides come from and are chosen by the
community in which they work. They provide
the first contact between the individual and
health system.
The guidelines for their selection are:
 They should be permanent residents of the
local community preferably women.
 They should be able to read and write,
having minimum formal education at least
up to the VI standard.
 They should be acceptable to all sections of
the community.  They should be able to
spare at least 2 to 3 hours every day for
community health work.
Training:-
Place = Nearest health Centre or sub centre.
Duration= 200 hour in 3 months.
Stipend = 200/ month during training period.

Duties of Health Guide:
 Treatment of simple ailments and

activities in first aid.
 Mother & Child health including family

planning.
 Health education and sanitation

The manual or guidebook gives them detailed
information about medical care of common
illnesses of what they can and cannot do.
In practical terms, they know exactly what should

be done when confronted with a situation when
they can begin treatment by themselves and when
they should refer the patient immediately to the
nearest health centre.
b) Local Dais:
An extensive program has been undertaken,
under the rural health scheme, to train all
categories of local dais (TBA) in the country to
improve their knowledge in the elementary
concepts of maternal and child health and
sterilization, besides, obstetric skills.
TRAINING
The training is for 30 working days. Each dais is
paid a stipend of Rs. 300 during her training
period.
TRAINING CENTRE
Training is given at the PHC, sub centre or MCH
centre for two days in a week, and on the
remaining four days of the week they accompany
the health worker (female) to the village
preferably in the dais's own area.
(c) Anganwadi Workers:
Under the ICDS Scheme, there is an
anganwadi worker for a population of 1000. The
aganwadi worker is selected from the community
she is expected to serve. She undergoes training
in various aspects of health nutrition and child
development for a mothers.
She is a part time worker and is paid an honorarium
of Rs., 200-250 per month for the services
rendered.
FUNCTION:
 Health Check – up
 Immunization
 Supplementary nutrition
 Health education
 Non-formal, preschool education  & referral
services

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HEALTH CARE

1. Primary Health Care: Primary health Centers, Sub – centre.

◦ Village Health Guide Scheme

The village health guide scheme was

Place = Nearest health Centre or sub centre.

Duration= 200 hour in 3 months.

Stipend = 200/ month during training period.

 Treatment of simple ailments and

 Mother & Child health including family

 Health education and sanitation

In practical terms, they know exactly what should

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