HEALTH CARE DELIVERY

SYSTEM

Madhu S M
MPT- CBR
 INTRODUCTION
 Health care delivery system is the organization
of people, institutions and resources that
deliver health care services to meet the health
needs of the country.
 Apart from central government each state has
developed its own system of health care
delivery.
 DEFINITION
 Health care delivery system refers to the
totality of resources that a population or
society distributes in the organisation and
delivery of health population services. It also
includes all personal and public services
performed by individuals or institutions for the
purpose of maintaining or restoring health
 - Stanhope(2001)
 OBJECIVES
 To improve the health status of population and
clinical outcomes of care.
 To improve the experience of care of patients,
families and community.
 To reduce the total economic burden of care
and illness.
 To improve social justice equity in the health
status of the population.
 Challenges
 Aim : To reach whole
population with adequate
health care services and
to ensure their utilization.
Ivory towers
of diseases
than centres
Small part
of the
for health population
care services Large benefited

hospit
als
 Total failures to meet the
health needs of the Raising
Services

community have lead to

costs in
rendered
the
are mostly
maintainan
curative
alternative models of ce

health care delivery

MODEL OF HEALTH CARE SYSTEM
HEALTH
HEALTH CARE
INPUTS CARE OUTPUT
SERVICES
SYSTEM

Health status Public

 Curative
Health Private Changes in
 Preventive
problems Voluntary health status
 Promotive
Resources Indigenous
Inputs
1. Health status
(a) Demographic profile
 Large population
 Illiterate population -74.04
(b) Mortality Profile
Life expectancy – 67.5years

2.Health problems
a. Communicable diseases: Malaria, TB, Diarrheal diseases, leprosy, AIDS etc.
b. Non communicable diseases: DM, CVD’s Cancer, stroke, Cataract etc.
c. Nutritional problems: PEM, Nutritional anaemia, LBW, Xerophthalmia, IDD etc.
d. Environmental problems: Lack of safe water, primitive methods of excreta disposal etc.
e. Medical care problems: Lack of penetration of health services to periphery and rural areas.
f. Population problems: annual growth rate – 1.2%

3. Resources
g. Money: India is spending around 3% of GDP on health and family welfare development
h. Manpower: ASHA, ANM, MPW, Health assistant male/female, trained dais, nurses, doctors
etc.
i. Time: Proper use of man hours
Health care services
 Designed to meet the health needs of the community
 Purpose of health care service is to improve health status of the
population
 It should be comprehensive, acceptable, provide scope of community
participation and available at a cost the community and country can
afford

Health care delivery system

Delivers the health care services

Output
Changed or improved health status of the community expressed in
terms of cases treated, expectations of life prolonged, lives saved,
diseases prevented etc.
 Health care delivery system
1. Public sector
a. Health care workers and hospitals
b. Insurance schemes
c. Other agencies
2. Private sector
3. Indigenous sector (AYUSH)
4. Voluntary health agencies (NGO’s)
5. National health programs
 Public sector
1. Health care workers and hospitals
a. Village level
- Village Health Guides (VHG)
- Accredited Social Health Activist(ASHA)
- local dai
b. Anganwadi centres
- Anganwadi workers
c. Sub centres
d. PHC
e. CHC
f. District hospitals
g. Medical colleges

2. Insurance schemes
a. Employees state insurance (ESI) scheme
b. Central government health schemes – LIC

3. Other agencies
a. Defence services
b. Railways
 Private sector
Private hospitals

polyclinics

Nursing homes

General practitioners
 Indigenous systems of medicine
AYUSH
A – Ayurveda
Y – yoga
U – Unani
S – Siddha
H – Homeopathy

Quacks – Unregistered practitioners

 Voluntary health agencies
1.Indian red cross society -1920
2. Hind kusht nivaran sangh – 1950
3. Indian council for child welfare – 1952
4. Tuberculosis association of india – 1939
5. Bharat sevak samaj – 1952
6. Family planning association of india – 1949
7. All india women’s conference -1926
 Health programmes in India
1. National Mental Health Programme
2. National programme for prevention and
control of cancer, diabetes, cardiovascular
diseases and stroke
3. Reproductive and child health programme
4. National rural health mission
5. National urban health mission
6. National health mission
Thank you