GRACIOUS COLLEGE OF NURSING

Subject – Community Health Nursing

Topic – Class Presentation On “organization at state level”

Submitted To Submitted by
Ms. Namita Singh Ms. Omeshwari
MSc Lecturer MSc(N) 1st Year
Community Health Nursing
0
Subject : Community Health Nursing

Topic : Class Presentation on “Organization at state level”

Name of evaluator : Ms. Namita Singh (M.Sc. Lecturer)

Name of Student : Ms. Omeshwari dewangan

Place : Basic B.Sc. 2nd Year Classroom

Time : 8am to 9am

Date :

Methods of Teaching : Lecture, Discussion

AV Aids : Power Point, Flash Card, Flip Book, Black

Board, Handout

Previous Knowledge : Students having little knowledge about the

“”
Central objective: - At the end of the class presentation student will be able to gain
knowledge regarding “organization at state level”

Specific objectives: - At the end of the class presentation the student will able to: -

 introduce the topic organization at state level

 To explain the organization
 To explain theadministration at state level.
 To Explain the function organization at state level.
 To enlist the structure organization at state level.
 To explain the setup at state level.
 To explain the setup at state level.
 Enlist the duties and responsibilities.
 To summarize the topic organization at state level.
 To conclude the organization at state level.
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1. 1min Self-Introduction: -

My Self Ms. Omeshwari dewangan M.Sc. Nursing

1st Year Student. I am going to take class
presentation on “organization at state level.”

2. 1min To introduce Introduction

the topic At the State level the Health Care Delivery System
is under the State Department of Health and Family
Welfare, headed by a Minister and with a Secretariat
under the charge of Secretary/Commissioner (Health
and Family Welfare). The State Directorate of Health
Services, as the technical wing, is an attached office
of the State Department of Health and Family
Welfare and is headed by a Director of Health
Services. The area of medical education, which is
with the Directorate of Health Services at the State,
is known as Directorate of Medical Education and
Research. This Directorate is under the charge of
Director of Medical Education, who is answerable
directly to the Health Secretary/ Commissioner of the
State.
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Some states have created the posts of Director

(Ayurveda) and Director (Homeopathy). These
officers enjoy a larger autonomy, although
sometimes they still fall under the Directorate of
Health Services of the state.

3. 3min To explain
the Health care organization at state level Lecture Listening Slide
organization

Political head:
 a minister of a cabinet rank is the political
head of the health department.
 Formulates policies, Monitoring &
implementation of these policies.

Administrative head: state secretariat

 Secretariat means a complex of departments.
 Headed by an IAS officer of the rank of
commissioner who functions as secretary to
the Government in the department of health
& FW.
 He is assisted by joint secretaries along with
other administrative staff
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Technical head: Executive department function

below secretariat.
 Headed by specialists & are concerned with
supervision, coordination & control of policy
framed by state govt.
 Headed by Director of Health services who
has under him Joint directors (-Medical, Food
& Drug, ESI, Administration, etc.) &deputy
directors responsible for inspection &
supervision of all National Health programs
along with program specialist of the rank of
Assistant Directors to dealwith individual &
specific programs.

4. 5min To explain
the Admirationof state level
organization
Admiration At present there are 29 States in India, with each
state having its own health administration. In all the
States, the management sector comprises the State
Ministry of Health and a Directorate of Health.
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 State Ministry of Health The State Ministry

of Health is headed by a Minister of Health
and Family Welfare and a Deputy Minister
of Health and Family Welfare. The Health
Secretariat is the official organ of the State
Ministry of Health and is headed by a
Secretary who is assisted by Deputy
Secretaries, Under Secretaries and a large
administrative staff. The Secretary is a senior
officer of the Indian Administrative Service.

 State Health Directorate The Director of

Health Services is the chief technical adviser
to the State Government on all matters
relating to medicine and public health. He is
also responsible for the organization and
direction of all health activities. With the
advent of family planning as an important
programme, the designation of Director of
Health Services has been changed in some
States and is known as Director of Health
and Family Welfare. A recent development
in some States is the appointment of a
Director of Medical Education in view of the
increasing number of medical colleges.
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The Director of Health and Family Welfare

is assisted by a suitable number of deputies
and assistants. The deputy and Assistant
Directors of Health may be of two types-
regional. Regional Directors inspect all the
branches of public health within their
jurisdiction, irrespective of their specialty.
The Functional Directors are usually
specialists in a particular branch of public
health such as mother and child health,
family planning, nutrition, and tuberculosis.

5. 4min To Explain
the function Functions: Lecture Listening Slide
organization.
 Integrating health care services
 During integration the state level
administrators may have to overcome many
of the barriers in integration of health
services such as insufficient understanding
about changing environment and issues
affecting healthcare organizations, ambiguity
about roles, responsibilities, relationships,
lack of readiness for change, accountability
etc.
 Availability of medical facilities
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 Plan health programmes and drawing

policies in providing health.
 Provision of medicines
 Provision of control of milk and food
sanitation
 Promotion of health education
 Promotion of health programs like school
health, family planning, occupational health
 Supervision of PHC
 Establishing training courses for health
personnel
 Co-ordination of health services with other
ministers of state like minister of education,
central health minister and voluntary
agencies.
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6. 2min To enlist Organizational structure of health services at state level Lecture Listening Chart What is
the services of
structure state level?
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7. 3min To explain the

setup at state Health care setup at state level
level. General Monitoring and overall-in-charge of Health
Administration on behalf of Director of

MINISTER OF HEALTH AND FAMILY WELFARE

And DEPUTY MINISTER HEALTH AND FAMILY
WELFARE ADMINISTRATORS (IAS CADRE)
1.Principal Secretary of health
2.Comissioner of health and

TECHNICAL EXPERTS (Example of Gujarat)

1.Director (Post abolished)
2.Additional Directors
– Health (PHCs/CHC)
- Family welfare
- Medical education and research
- Medical services (Sub district/District Hospital)
3.Deputy Directors (four)
4.Joint Directors (two)

8. 5min Enlist the Duties and responsibilities Lecture Listening Slide

duties and 1.Duties and Responsibilities of Additional Director
responsibilities. Health Services(Administration)
 General Monitoring and overall-in-charge of Health
Administration on behalf of Director of Health
Services
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 Monitoring of Central Medical Store

 Chairman, recruitment board for Directorate staff
 No demand Certificate for all categories of Officers
 Maintenance of Attendance Register of the erstwhile
Gazetted Officers of the Directorate.
 Initiation of proposals for the post of DDHS and above
 In-charge of Discipline cell
 Financial authority:
(a)Controlling function bills
(b)Sanction of cash equivalent of leave salary
 Establishment of Medical Officers
 Misc. cases of Post Mortem examination
 Setting up of Medical Team on request
 Medical Re-imbursement
 Police Morgue
 To tackle problems of hospitals in West Bengal
 Conduction of Enquiry and sending of reports to HRC
 Leave Travel Concession of the staff
 General enquiry related to Admn. Branch
 Renal Transplant Board
 Assembly Matters (3)
2.Duties and Responsibilities of Joint Director Health
Services(Administration)
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 Monitoring of Nursing Establishment

 Monitoring of health Transport system
Medical reimbursement
 Nodal Officer for Health Monitoring System
 Hospital Administration
 Financial Authority:-
 Sanction of Funeral Expenses
 Sanction of purchase of Type-writer machine and
Duplicating machine
 Sanction of purchase of drawing materials
 Sanction of repair of Furniture, Type-writing
machine, Duplicating machine and refrigerator
 Sanction of Telephone
 Sanction of expenditure for building petty repairs
 Sanction to the purchase and repair of X-ray
machine
 Sanction to the purchase of Instruments and
appliances
 PC & PNDT
 General Grievance and Public Grievance
 Court cases of Cadre Section
 Appointment & Transfer-posting cases of
Nursing cadre
 Establishment of Asstt. Superintendent
 Telephone Bills of Swasthya Bhavan
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 Courts cases related to ADHS (Admn.)

 Store purchase Committee
 Establishment of Linen Keeper/ Dietician/
Librarian
 Central Control Room
 Attendance of Gr –“A” Officer with monthly
working statement (3)
3.Duties and Responsibilities of Deputy Director
Health Services(Administration)
 Licensing Authority for private clinical
establishment
 Chairman, Central Diet Committee
 Maintenance of Service Book for Gr.A& B &
C employees upto ADHS
 Entitlement of Pay slip to all categories of
Employees
 Medical Coverage of VIP & VVIP
 Chairman, condemnation and disposal Board
 Post-mortem affairs
 Countersignature of Group Insurance of
Employees
 Financial Authority
 Sanction of purchase of Stationery articles, W
Wooden furniture, Steel Almirahs, Steel Rack,
Liveries of Gr.D Staff, Umbrella.
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 Controlling function over all employee of the

Directorate regarding TA bills upto the rank of
ADHS
 Cash equivalent of Leave Salary of Medical and
erstwhile gazetted officers upto the rank of ADHS(3)
 Part of Pension Cell 8
 Pay cell
 Right to Information
 Human Rights Commission
 Court Cases of Medical Officers
 Medical Coverage of V.V.I.P.
 Cooked Diet
 Grade Promotion and Cadre Promotion

9. 1min To Summary
summarize Question Answering
At the State level the Health Care Delivery System is
the topic. under the State Department of Health and Family
Welfare, headed by a Minister and with a Secretariat
under the charge of Secretary/ Commissioner (Health
and Family Welfare). It consists of political head,
administrative head & technical head. Each head
consists of various employees and their incharge that
performs their assigned duties &responsibilities to
ensure proper functioning of the health care delivery
system.
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10. 1min To conclude CONCLUSION

the topic Visual impairment affects all aspects of life. And
blindness is counted as a disgrace of the GOD.
Previously in some community, blind people had no
place.
To findout RECAPTUALIZATION
11. 2min. the outcome  What are organization level in state ?
of the topic  What is function of state level setup ?
BIBLIOGRAPHY

1) Swankarkeshav, “Community Health Nursing”, N.R Brothers Publishers, nursing 46 Jaora compound M.I Hospital road Indore,3rd edition
Page No – 24

2) Basavanthappa BT, “Community Health Nursing”, Jaypee Brothers Medical Publishers (P) LTD, Edition – 2nd,
P.P – 119-121

3) GulaniK,K, “Community Health Nursing Principle and practices”, Kumar publishing house New Delhi, Edition – 2nd ,
Page No – 14

4) Park K, “Preventive and Social Medicine”, Basarsidas Bharat Publishers Jabalpur India, 20th edition,
Page No – 22