Health%20Care%20Delivery%20Concepts%20and%20Issues - PowerPoint PPT Presentation

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Health%20Care%20Delivery%20Concepts%20and%20Issues

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Title: Health%20Care%20Delivery%20Concepts%20and%20Issues


1
Health Care DeliveryConcepts and Issues
  • Shiv Chandra Mathur
  • Professor of Public Health and Director
  • State Institute of Health and Family Welfare,
    Rajasthan
  • Jaipur, India

2
Issues
  • Health is a fundamental human right
  • National Governments all over the World are
    striving to expand and improve their health care
    services.

3
Current Criticism of Health Care
Services(Provided by the Governments)
  • Predominantly urban oriented
  • Mostly curative in nature
  • Limited Access

4
What is Health Care
  • It is more than Medical Care
  • It embraces a multitude of services provided to
    individuals and families by health professionals
    to promote, monitor and uphold the status of
    their health.
  • Medical care is a subset of health care.

5
Levels of Health Care
  • Primary Health Care
  • Secondary Health Care
  • Tertiary Health Care

6
Health Care Delivery - Changing Concepts
  • Comprehensive Health Care
  • Basic Health Services
  • Primary Health Care
  • Health Care System Development

7
Comprehensive Health Care
  • Term coined by Bhore Committee(1946) in India
  • Provision of preventive, curative and promotional
    health services from womb to tomb to every
    individual residing in a defined geographic area.

8
Basic Health Services
  • Coined jointly by WHO/Unicef in 1975
  • It is a network of coordinated, peripheral and
    intermediate health units capable of performing
    effectively a selected group of functions
    essential to the health of an area and assuring
    the availability of competent professionals and
    auxiliary personnel to perform these functions.

9
Primary Health Care
  • It is essential health care made universally
    accessible to individuals and acceptable to them,
    through their full participation and at a cost
    the community and country can afford.

10
Principles of Primary Health Care
  • Equitable Distribution
  • Community Participation
  • Intersectoral Coordination
  • Appropriate technology

11
Health For All
  • Attainment of a level of health that wil enable
    every individual to lead a socially and
    economically productive life.

12
Health Care Systems
  • Public Systems
  • PHC and Subentries
  • Rural Hospitals District Hospitals
    Teaching Hospitals
  • ESI and CGHS
  • Defense and Railways
  • Private Sector
  • Polyclinics and Nursing Homes
  • GPs and clinics
  • Indigenous Systems
  • Ayurveda and Siddha
  • Unani and Tibbi
  • Homeopathy
  • Naturopathy
  • Voluntary Health Agencies

13
Components of Health System Development
  • Quality Care component
  • Human Resources Development
  • NGO participation
  • Public-Private Participation
  • IEC

14
Health System Development
  • It is a combination of management sector and
    involves organizational matters to translate
    policies into services
  • In India, Health System has three main links i.e.
    Central, State, and local or peripheral
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