LESSON PLAN

Name of supervisor: Respected Mrs. sandeep kaur

Name of student teacher: gurjeet kaur
Class: M.Sc. 1st year
Subject: community health nursing
Topic: health care delivery system in india
Date: 11-1-2018
Time: 45 min.
Place: G.N.M. 3rd Year class room
A.V.Aids: flash cards , chart, black board
Method of teaching: Lecture cum discussion method
General Objective: At the end group will be able to answer the question related to swine flu.
Specific Objective: At the end of the topic the group will be able to :
-define healthcare delivery system.s
-Explain the dshort comings
-explain the organization at central level
-describe the organization at state level
-enlist the organization at district level
-explain the set up at block level
-explain the set up at primary health center
-describe the set up at sub center
-explain the set up at village level

1
Serial Specific Tim Content Teaching A.V.Aid evaluation
numbe objective e learning s
r activities
1) To 2 INTRODUCTION: My self Student
maintain min Gurjeet kaur.I am student of teacher
IPR with msc first year in national gave self
group. institute of nursing. introducti
on

2) To review 2 Ask the question like what What do

the mint you know about health care you know
previous delivery system about the
knowledge health care
of group delivery
system

3) To 1 Today I am going to present Student

announce mint my topic on health care teacher
the topic delivery system announce
the topic

4) To 2 under the constitution of Student White Give the

introduce min india the states are largely teacher board introductio
the topic independent in matter introduce n of the
relating to the delivery of the topic topic
health care to the people
each state therefore has
developed its own system of

2
 health care delivery
independent of the central
government. central
resposilbilty consistsmainly
of policy making, planning,
guiding assisting,
evaluating, coordinating the
work of the state health
services cover every part of
the country and no state
behind fro want of these
servicesthe health system in
india has 3 main links
central , state, and local.

5) to define 2 a health care delivery Lecture black What is

health care min system is the totality of cum board health care
delivery services offered by all discussion delivery
system health disciplines. method system.
traditionally the primary
purpose of a health care
system had been to offer
care to ill and injured
6) To enlist main short comings are: Lecture black Explain
the -inverse care cum board the
common -impowerising care discussion different
shortcomin -fragmented care method short
gs of health -unsafe care comings?
care misdirected care.

3
 delivery
system

7) enlist the 13 AT THE CENTRAL lecture chart What are

organizatio min ELVEL: cum the
n setup of health care organization at discussion component
health care the centre comprised of method s of school
three oragns these are:
delivery health
system - union ministry of services
at the health and family
welfare
central
- central council of
level health
- central family
welfare council

UNION MINISTRY OF
HEALTH AND FAMILY
WELFARE

- the union ministry of

health and family welfare
at the centre plays a vital
role in governmental
efforts to enable the citizen
to live a healthier and
useful life . the ministry is
headed by cabinet minister
a minister of state and
deputy health minister

- these are political

appointment and have dual
role to serve political as
well as administrative
responsibilities for health

- they have to safe guard

4
political policies laid down
collectively by their
political parties

-all administrative purpose

the union health and family
welfare minister seeks the
help of health secretariat
headed by the secretary

-the secretary is assisted by

anumber of additional,
joint, deputy and assistant
secretaries and various
other administrative staff

-the union minister of

health and family welafer
department is comprised of
three departments namely

- the department of health

- the department of family

welfare

- the department of Indian

system of medicine and
homeopathy

- there are number of

subordinate offices llocated
at various places in the
country and functions
directly under the ministry

- the ministry is also

administratively concerned
with a number of
autonomous bodies and
three public sector

5
undertakings

THE DEPARTMENT OF
HEALTH

- the department of
health deals with
planning co-
ordination ,
programming ,
evaluation of
medical and public ,
health matters ,
including drug
control and
prevention of food
adulteration. it is
headed by the
secretary health to
the government of
india , the union
ministry of health
and family welfare
who is supported by
three additional
secretaries , a
number of joint
secretaries , deputy
secretaries and
other staff as per
hierarchy
- the department of
health functions
through the
directorate general
of health services as
an attached office
with a number of

6
 subordinate offices
- the directorate took
care of medical ,
public health ,
family planning
services
- the DGHS is headed
by director general
who renders
technical advice on
all medical and
public health
matters and is
involved in the
implementation and
monitoring of
various health
schemes
- the DG is assisted by
a team of additional
director general of
health services ,
deputy director
general, assistant
deputy director
general and large
number of other
administrative staff
in hierarchy

FUNCTIONS:

- conducting health
and morbidity
survey , planning
and organising
health programmes
with active
involvement of state

7
 government
- coordination of
health care activities
through central
health council
- appraisal of health
schemes and feed
back in order to
maintain
uniformity , norms
etc.
- achieve the goal of
health for all in the
country
- maintenance of
international health
relations
- administration of
port health and
quarantine laws
- administration of
central health
institutions , traning
colleges , laboratory
and hospitals
- DGHS is responsible
for the
administrations of
following
institutions:
- all india institute of
hygiene and public
health , Kolkata
- national institiute of
mental health and
neuro science ,
Bangalore
- cenral research

8
 institute , kasauli
- national institute of
communicable
disease delhi
- national institute of
health and family
welfare , new delhi
- raj kumara amrit
college of nursing ,
new delhi
- lady hardinge
medical college ,
new delhi
- maulana azad
medical college,
new delhi etc.
- promotion and
maintenance of
appropriate
standards of
education in
medical , nursing ,
dental ,
pharmaceutical and
ancillary health
personnel through
statutory bodies
following council
have been
established: Indian
medical council,
Indian nursing
council , dental
council of india,
pharmaceutical
council of india
- promotion of
medical and public

9
 health research
various research
units are
established : blood
group reference
centres Mumbai,
cancer research
centre
Chennai ,national
institute of nutrition
Hyderabad ,
tuberculosis
chemotherapy
centre Chennai,
virus research
institute poona .
- establishing and
maintenance of
drug standard ,
controlling of
manufacture and
sale of drugs for this
purpose the drug
control organization
is set up in the
DGHS and is headed
by the drug
controller . it is
responsible for
enforcing the
implementation of
the “drug and
cosmetics act 1940”
- the 6 medical
depots runs by
DGHS
- maintenance of
central medical

10
 library the central
medical library of
the DGHS was
declared as national
medical library
- establishment of
close contact with
other ministers in
respect of health
measures
- negotiation with
international and
bilateral agencies
- promulgation of
central enactments
on health matters in
accordance with
constitution of india
- planning ,
coordination and
organization of all
health programmes
- establishment of
total medical care
for the central
government
employees
- responsibilities for
helath services in
the centrally
administred area
- technical and
financial assistance
to states and
voluntary
organization

THE DEPARTMENT OF

11
FAMILY WELFARE-

- the department of
family welfare deals
with family welfare
matters
- the department is
headed by secretary
to the government
of india the union
ministry of health
and family welfare
- who is supported by
a team of two joint
secretaries , two
chief directors ,
number of deputy
secretaries , deputy
commissioners ,dire
ctors and other
technical and
administrative
officers
- the technical
divisions are under :
programme
appraisal
coordination and
training and
sterilisation division,
technical operations
division , maternal
and child health
division , evaluation
and intelligence
division, mass
education and
media division ,
nirodh marketing

12
 division , projects
division .
- on the secretariat
side there is policy
division, aided
programme division,
organised and
voluntary
organisation division
and plan budget
division
- technical division
look after all
components viz.
sterilization /IUD/
nirodh , post
partum scheme ,
maternal and child
health scheme
- media division is
responsible for
providind
educational ,
publicity and
extension support
- evaluation and
intelligence division
helps in perspective
planning ,
monitoring and
evaluating the
programme
performance and
also coordinate
demographic
research
- there are 17
regional offices of

13
 health and family
welfare functioning
ubder the union
ministry of health
and family welfare
licated in state
capitals
- these offices have
been established
with the aim of :
liason and
coordination of
various national
health and family
welfare programme
with in state ,
monitoring of
centrally sponsored
health and family
welfare programme

THE DEPARTMENT OF ISM

AND HOMEOPATHY

- This department is
headed by the
secretary to the
government of india
- the secretary is
assisted by one joint
secretary , one
director , four
advisors and several
deputy advisors of
AYUSH
- the total sanctioned
strength of the
department in
groups A,B,C,D is

14
 202 which include
secretariat and
technical posts and
senior level post
- there are 2 sub
ordinate officers
and 15 autonomus
bodies under this
department and
more than 4000
persons are working
in these offices and
institutions

CENTRAL COUNCIL OF
HEALTH

- health is a state
subject
- the union
government mainly
has an advisory ,
guiding and
coordinating
functions
- the union
government has
launched various
national health
programmes which
are to be
implemented with
active participation
of states
- the constitution
provide for
consultation
between various
state and central

15
 government
- central council of
health has been
formed in august
1952 under article
263 of the
constitution
- the union health
minister is the
chairman and the
state health
ministers are its
member
- the functions of
council are under
 to consider and
recommend
broad lines of
policy on all
matters of
health
 to make
proposal for
legislation in the
field of medical
and public
health matters
 to lay down the
pattern of
development in
the country as
whole
 to make
recommendatio
ns regarding
distribution of
available grants

16
 -in- aid
 to review
periodically the
achievement in
different areas
 to establish any
organization for
promoting and
maintaining
cooperation
cetween the
central and state
health
administrations
- there are zonal
health councils in
the central ,
northern , western ,
eatren , southern
zones

THE CENTRAL FAMILY

WELFARE COUNCIL

- there is central
family welfare
council on the
similar lines of
central council of
health
- the union health
minister is the chair
person and health
ministres are the
member
- the council meets as
and when necessary
, but usually once in
a year it perform

17
 following functions
 to consider and
recommend
broad policy
outlines on all
matters
pertaining to
family welfare
aspects
 to review the
implementation
of the family
welfare
programmes
 promoting and
maintaining
coordination
between centre
and state
governments
 ther are other
high level
advisory bodies
which are as
under:
population
advisory council,
cabinet sub
committee

8) To explain 6 lecture black Explain

the min introduction: the cum board about the
orginazatio organisational structure at discussion organizati
the state level is on the
n setup at on set up

18
state level similar pattern as that at method. of health
the central level. health care
being a state subject , state
delivery
government have
autonomy in dealing with system in
health matters .altogether india
there are 29 states and 7
union territories the
organization structure are
under

STATE MINISTRY OF
HEALTH AND FAMILY
WELFARE:

- the ministry of
health and family
welfare at the state
is headed by
minister of health
and family welfare
and deputy minister
of health and family
welfare
- these are political
appointments and
they are elected
members of
legislative assembly
- there are political
appointment and
they are elected
member of
legislative assembly
- they have political
responsibilities
towards their
constitutions as per
their political

19
 agenda

HEALTH SECRETRIAT

- the state health and

family welfare
minister is assisted
for all
administrative
aspects of health
care by the health
secretariat which is
the official organ of
the ministry
- the health
secretariat is
headed by the
secretary who is
assistant secretaries
and other hierarchy
of administrative
staff
- the number of
administrative staff
differ from the one
state to another
- the function are
following
 formulation,
review and
modifications of
broad policy
outlines
 execution of
policies
 coordination
with central
government and
state

20
 government
 control for
smooth and
efficient
functioning of
administrative
machinery

STATE HEALTH
DIRECTORATE

- the state directorate

is the technical wing
of state ministry of
health and family
welfare
- directorate of
health services are
recommended by
Dr. Bhore
committee report in
1946
- the directorate took
care of medical ,
public health and
family planning
services
- it is headed by
director of health
services
- director of health
services is chief
technical advisor to
the state
government on all
matters of medical ,
public and family
welafare
- he is assisted by a

21
 number of deputy
and assistant
director to plan and
provide health care
- 27 states family
welfare bureau are
functioning in
various state and
union territories in
the country

9) To explain 1 ADMINISTRATIVE Student black what is

setup and min SETUP teacher board full form
organizatio - for effective used of CMHO
n at district administration and lecture
level management of cum
health and socio
discussion
economic
development method.
activities the state
have been
organized into
districts
- the district is the
ultimate unit of
administration for
all purposes it is
properly known as
zila
- all together there
are 597 district in
the country
- each district is sub
divided into further
sub division these
are tehsils
- tehsils has number

22
 of villages ranging
from 200-600
- each district is
under the
administrative
charge of collector
- each sub division is
in the charge of sub
collector
- and each tehsil is in
the charge of
tehsildar
- there are 6000
blocks
- a block consist of
around 100 villages
and population
ranges from 80000-
1,20,000and it is in
the charge of block
development officer
who is assisted by
extension officer

PANCHAYATI RAJ SYSTEM

- parallel to this
official structure of
administration ther
are institutions of
local self
government in rural
areathis refer to
panchayati raj
sytem
- this system is
introduced in 1957
to link village to the
district to have

23
 peoples
participation and
strengthen the
administration at
the grass root level
- the sytem is
comprised of three
tier structure of
rural local self
government to
involve people at
various level of
administration and
making meaning ful
and effective the
three tier system
are:
- AT THE VILLAGE
LEVEL: the
panchayati raj at the
village level
comprise the gram
sabha, gram
panchayat , the
nyaya panchayat
- GRAM SABHA: it is
comprised of all the
adult men and
women of the
village . this body
meets at least twice
in ayear and discuss
important issues .
the gram sabha
elect the member of
panchayat
- GRAM
PANCHAYAT : it

24
 consist of 15-30
elected member . it
cover the
population of 5000-
20000. it is chaired
by the president .
there is vice
president and
secretary. it is
responsible for
overall planning and
development of the
village
- NYAYA
PANCHAYAT: it is
comprised of 5
members from the
panchayat . it tries
to solve the dispute
between two
parties

AT THE BLOCK LEVEL

- The panchayati raj

institution at the
block level is known
as panchayat samiti
- the panchayat
samiti include
following member
sarpanches from all
the gram panchayt
in the block ; MLAs
and MPs residing in
the area ,
representative of
women, schedule
caste , schedule

25
 tribes and
cooperative
societies
- the block
development officer
is the ex-offico
secretary of the
panchayat samiti
- this samiti is
responsible for the
development of
block
- the fund is
processed through
panchayat samiti

AT THE DISTRICT LEVEL

- The panchayati raj

institution at the
district level is
known as zila
parishad
- the zila parishad
include the
following members :
the head of all gram
samitis , MLAs, MPs
representative of
women , schedule
cast and schedule
tribes , two person
who have
experience in
administration ,
rural development
- the collector of the
district is non

26
 elected member

10) To describe 3 the block is unit of rural Lecture black What are
the min planning and development cum board the
organizatio and scomprise about 80,000 discussion functions
n at block to 1.2 lakh population method of CHC?
level -one community health
center is being established I
each block
- block medical officer is
incharge
-CHC should have 30 bed
hospital
-specialist doctors
-four medical officer
11) to describe 2 the delivery of PHC is lecture chart how much
organizatio min principal objective of rural cum population

n at health care system discussion covered by

PHC.
primary -one PHC cover about method
health care 20000-30000 population
center -PHC have medical officer
and paramedical staff

12) to describe 2 sub centres are peripheral chart how much

the mint out post of health care lecture population
organizatio delivery system cum covered by
n at sub -each sub centres cover discussion sub centres
centre level 3000-5000 population method
-each sub centre is run by
MPHW male MPHW
female,

27
 describe the 2 at village level following what is full
chart form of
13) organizatio mint workers perform fuctions.
ASHA
n set up at -ASHA
village -AWW lecture
level -village health guide cum
-trained dais discussion
method

today we learn about health

14) to 3 care delivery system in slecture
summarize mint india at different level that cum
the topic is at central, state district, discussion
block , and at village level . method
we learn about
ASHA,AWW ,village
health guide, dias.

bibliography:
park.k book of preventive
and social medicine edition
12th published by bhanot
s

28
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