CENTRAL COUNCIL FOR HEALTH AND FAMILY

WELFARE

Ms.Sabeena Sasidharan

Asst.lecturerLourde college of

nursing

According to 7th schedule of constitution, three list are made for the division of functions

Union health ministry can be described under

a) Union listb) State listc) Concurrent list

Union list :- Functions of centre are included in

this list Defence, foreign relation etc

State list :-Areas of responsibilities of state are

included in this listFinance, health, home, local

administration etc

Concurrent list :-Matters of national significance

which requires the joint effort of centre and state come under this list

Public health, medical aid, sanitation, education, social welfare etc

Health organization of nation are classified under three headings

Health organization at central level

Health organization at state level Health organization at local level

Health organization at central level

Sections that come under union ministry of health and family welfare are

• Health department• Family welfare department• Department of AYUSH

Department of Health :-• Takes care of matters of medical

and public health, which includes drug control and prevention of adulteration in food materials

Department of Family Welfare :-• Established in 1966.• Objective is to conduct family

welfare programmes .• Conducted through state govt.

Department of AYUSH• Looks after policies regarding

Indian System of Medicine• Ayurveda, Yoga, Unani, Siddha,

homeopathy

Functions of ministry of health and family welfare

Function as in union list• International health relations and

administration of ports• Administration of central

institutions of health like All India institute of hygiene

and public health, Kolkata All India institute of medical

science, Delhi etc

• Encouragement for research• Development and regulation of

nursing, dentistry, pharmacology and medical profession

• Arrangement for post quarantine• Establishing and maintaining

standards related to drugs• Collection and publishing of

census and other demographic data

• Immigration and emigration• Regulation and control of

workers in areas like mines and petroleum

• Coordination between state and central ministries for best health care

Functions as in concurrent list• Control of spread of communicable

disease from one place to another• Prevention of adulteration of food items• Control over drugs and poisons• Functions related to vital statistics• Activities related to labour welfare• Social and economic planning• Population and control and family

planning• Ports other than major

Organization of Union ministry of health and family welfare

• Headed by a Cabinet Minister, a Health Minister of State, a Deputy Minister

• Ministry has Dept. of Health and Dept. of Family Welfare

• Health department is headed by a Secretary to the govt. of india and assisted by Joint Secretary, Deputy Secretary, Assistant Secretary and a large no. of administrative staffs

• Family Welfare dept has a Commissioner, two deputy commissioner and six regional directors, in addition to above staff

Directorate general of health services [DGHS ]

Organization Headed by Director General of health

services• Principle advisor to Union Govt• Deals with both medical and public

health activities• Assisted by Additional Director-General

of health services, a team of doctors and large administrative staff

It comprises of 3 main units

• Medical care and hospitals• Public heath• General administration

Activities of DGHS

General• Survey, planning, coordinate,

programming and approval of all the health matters in the country

Specific• International health relation and

quarantine

• Drug control, storage and standardization

• Medical education, training and research

• Central govt health services• National health programmes• Central health education bureau

[CHEB]• National medical library• Central bureau of health intelligence

Central Council Of Health

• It as set by presidential order on 9th Aug 1952

• Purpose is to promote the coordination between the Centre and States in the implementation of national programmes and measures pertaining to health

• Union Minister of Health is the chairman and State Health Ministers are its members

Functions of CCH• Preparing proposals for making laws

in areas of medicine and health• Making plans for development of

health in entire nation• Preparing recommendations for

providing grants and financial assistance to state for medical services and also review the activities in the light of grants provided

• Considering policies and recommendations related to medical care, environment, nutrition and medical education and preparing draft

• Encouragement of medical education and training

• Cooperation between centre and state in health administration and also to establish necessary organizations for better functioning

Nursing Organization At Central Level

• At central level, nursing services are within the Ministry of Health and Family Welfare and under the control of Directorate General of Health Services

• DGHS is assisted by Director General[nursing], Additional Director Generals, Deputy Director Generals

• To deal with nsg education and nsg service there is a Nursing advisor

• Under Nsg advisor, there is Deputy Assistant Director General Nursing [DADG(N)], nsg officers and nsg section

Health organization at state level

• State Health Dept function under a State Health Minster who is assisted by Secretariat and several other executive directors

• Secretariat is headed by Health Secretary who is assisted by Deputy Secretaries, Assistant Secretaries and other staff

• Minister is also guided by an Advisory Council, Technical Advisory Committees, Ad hoc Committees

• Dept of Health deals with administration, budget, finance and makes or approves policies

• Professional and technical Divisions are represented by State Health Directors and Medical Directors

State health directorate

• In state, State Health Directorate takes responsibilities of health services, technical services, execution of health policies and programmes and evaluation

• Chief of health directorate is director of health services who is assisted by additional director, joint director and deputy director

• Director gives technical advices to State Health Ministry and Govt on matters related to health, family welfare, public health, family planning etc

Functions of State Health Directorate

• Planning for health services in the state

• Implementation of national health programmes and evaluating their achievements

• Providing all types of health services in state

• Controlling food adulteration and also sanitation in milk and edibles

• Collection of vital statistics• Encouraging reproductive and

child health• Improvement of nutrition

programme and medical education

• Training of nurses, female health workers and other health workers

• Controlling rural and urban health services through district medical officer

• Providing feedback to state health ministry regarding health

• Following directives of union ministry of health/state health ministry

Health Organization at District Level

• District health organization is headed by chief medical officer of health [ CMOH], who is Director of health services at district

• CMOH is Assisted by one or two Deputy CMOH

• Assisted by District Family Welfare Officer [ DFWO], District Health Officer [DHO], District Malaria Officer [DMO]

• D.H.O is in-charge of all health administration and all National Health Programmes implemented in the district except Family Welfare Programme

• D.H.O is assisted by A.D.H.O, P.A to D.H.O, District Public Health Nurse [D.P.H.N], District Malaria Officer, District Statistical Assistants, Drug Inspectors

D.F.P.M &C.H.O is in-charge of family welfare programme

District Medical Officer is in-charge of medical care provision through the various medical institutions except primary health centres

Both D.H.O and D.F.P.M & C.H.O have control over primary health centre

Organizational structure of nursing services at state and district levels

• No special organizational structure for nursing services

• Post of joint director and deputy director for nursing service is under the state directorate of health

• In some state at district level, there is a post of District Public Health Nurse [DPHN]

HEALTH ORGANIZATION AT BLOCK LEVEL

Three tier structure comprises of Community Health Centers Primary Health Centers Sub Centers

Each block has one CHC covering a population of 80,000 to 1,20,000

• Each CHC has 30 sanctioned beds and has facility for specialized services in surgery, medicine, obstetrics, gynecology, pediatric, dental and ENT

• Services are rendered by a team of specialists, nurses and other personnel

• CHC is considered as a first referral unit• Each CHC has 3 to 4 PHC• Each PHC covers a population of

30,000 in plain areas and 20,000 in hilly and tribal areas

• Services are rendered by A team comprised of medical officer, nurse- midwife, ANM, block extension officer, health assistant male, health assistant female, lab technician and ancillary staff

• Each PHC has 5 to 6 Sub centres• Each Sub centre covers a

population of 5000 in general and 3000 in hilly, tribal and backward areas

• Each sub centre is manned by a team of male and female Health worker / ANM

• Services provided are much and family welfare, immunization, health education, training and supervision of indigenous dais

• Work of male and female health worker is supervised by male and female health supervisors [health assistants] in the ratio 1:4

• At village there is a village health guide for 1000 population

• Other personnels are indigenous dais and Anganwadi workers [for 1000 population]

• ASHA for 1000 population