Q.Discuss/ write note on Health delivery system in India.
Ans. Health subject is mention in Concurrent list of constitution of India. Hence in the central government there is “Union ministry of Health and Family Welfare” and in state there is “Ministry of Health” which formulates and plans the overall health schemes. The following chart explains the organization of health delivery system:Oraganisation at Central Government Level
                       Cabinet Rank Minister
                                    |

   Union Ministry of Health & Family Welfare

Minister of State                              Minister of State

Of Health                                             of family Welfare

       |                                                                       |

Secretary                                                      Secretary

      |                                                                        |

Joint secretary                                       Commissioner

       |                                                                       |

Deputy Secretary                             Deputy Commissioners

        |                                                                      |

Director General                                  Joint Secretary

       |                                                                       |

Of Health Services(DGHS)                Deputy secretary

       |                                                                       |

Additional DGHS                               Regional Directors

                |

Dy Director of                                    Dy Director of                                    Dy Director of

Health services:                                                Health Services:                                                Health Services:

Medical care & Hospitals               Public Health                                      General Administration

1.Health Admn for                           1.Public Health & Cholera             1.Central Administration: Civil Services

  (a) International Health               2. Health Education                         2. Supplies

  (b) Medical Care in Hospital       3. National Malaria                          3. Transport

  Eradication Programme              

2. Medical & Professional             4. National Institute of                   4.Workshops

   Education                                         Communicable Diseases

 Organisation of Health at State Government Level:

                                                                Health Minister

                                                                Ministry of Health

                                                                                |

                                                            Deputy Minister

                                                                                |

                                                                Health Secretariat

                                                                Health secretary Incharge

                                                                                |

                                                                Deputy Secretary

                                                                                |

                                                                Director of Health Services

                                                                              |

      Deputy Director Health Services

                                                                                |

ADHS            ADHS      ADHS           ADHS          ADHS                ADHS        ADHS          ADHS

Medical         Nursing      MCH          Family        Nutrition           School          PHC            Health

Education                                             Welfare                                   Health                         Education

At district level Chief Medical Officer is responsible for all government hospitals in district. The following chart explains organization at various levels:

       City                                         Towns                            District                     District

Admn by Corporation      Admn by Municipality         Medical Officer          Health Officer

        |                                                      |                               |                                         |

  Mayor                                      Chairperson           Asst.  District MO Primary Health Center               

      |                                                        |                                |                          (Incharge MO)

Health Officer                        Health Officer                Medical Officer            Medical Officer

Primary health center cater to health needs of the rural areas.