HEALTH CARE DELIVERY
CONCERNS, NATIONAL HEALTH AND
FAMILY WELFARE PROGRAMMES,
INTER-SECTORAL COORDINATION,
ROLE OF NGOS
PRESENTED BY : JASKOMALDEEP KAUR
M.SC (N)FIRST YEAR
MEDICAL SURGICAL NURSING
HEALTH CARE DELIVERY SYSTEM
DEFINITION
This is an organization of people , institutions and
resources to deliver health care services to meet the
health needs of target population
HEALTH CARE DELIVERY CONCERNS
INTRODUCTION
India health ministry, national level and state has its own health
ministry. The constitution of India clearly recognises the
responsibility for the health and state that “the state shall regard the
raising the level of nutrition and standard of living of the people
and the improvement of public health as among its primary duties.
HEALTH CONCERNED AREAS:-
• Community diseases problems
• Nutritional problems
• Environmental sanitation problems
• Medical care problems
• Population problems
• Problem of inequality
• Socio economic issues
COMMUNITY DISEASE PROBLEMS
1. Physical activity and nutrition
2. Overweight and obesity
3. Tobacco
4. Substance abuse
5. HIV /AIDS
6. Injury and violence
7. Environmental quality
8. Mental health
9. Adolescent pregnancy
NUTRITIONAL PROBLEMS
1. PEM (protein energy malnutrition )
2. Vitamin A
3. Iron deficiency anaemia
4. Iodine deficiency disorder
ENVIRONMENTAL SANITATION
• Basic sanitation
• Onsite sanitation
• Food sanitation
MEDICAL CARE PROBLEMS
Neglect of Emphasis on
Social
rural culture
inequality
population method
Shortage of Expensive
medical health
personnel's services
POPULATION PROBLEMS
a. Food and water shortages
b. Global warming
c. Environmental pollution
d. Habitat loss
e. Depletion of natural resources
PROBLEMS OF INEQUALITY
Urban rich
Ratio of hospital
Ratio of doctors
SOCIO ECONOMIC PROBLEMS
I. Lack of education
II. Cultural and religious discrimination
III.Overpopulation
NATIONAL HEALTH AND FAMILY
WELFARE PROGRAMME
• A nation wide family planning programme was launched
in 1952 by the union ministry of health and family
welfare its components are education, services and
training
OBJECTIVE OF NATIONAL HEALTH
AND FAMILY WELFARE PROGRAMME
• To improve the facilities for the prevention and treatment
of major disease
• Reduction in population growth
• To assess the need for reproductive and child health at
PHC level
• To reduce infant morbidity rate
NEW FOCUS
Antenatal care
Natal care
Postnatal care
• Antenatal care
Registration of antenatal cases.
Providing antenatal care by three visits .
Detection of anaemic pregnant mothers
• Natal care
Delivery must be at PHC, hospital, sub centres
Detection of high rash labour cases
Identification of dais and training
• Post natal care
Monitoring new born growth
Neonatal resuscitation where facilities are available
PROGRAMMES BY NATIONAL HEALTH AND
FAMILY WELFARE
A. Universal immunization programme
B. The oral rehydration therapy
C. Child survival and safe other motherhood programmes
D. Reproductive and child health
INTERSECT ORAL COORDINATION
• It is for achieving health goals has been accepted as one of the guiding
principles of the health strategy that was adopted at the international
conference on primary health care
NEED OF INTER SECTORAL COORDINATION
• To improve the vertical nature of program
• To focus on primary health care
• To provide direction
• To promote team work
THIS INCLUDES:- THIRST
PRE-REQUISITES FOREFFECTIVE
INTERSECTORAL COORDINATION
1. Leadership style and willingness • Developing informal contact
2. Health policies and priorities • Learning more about quality services
3. Sharing of a common vision • Spelling out strategies and
procedures
4. Defining roles and responsibilities
of agencies • Conducting joint monitoring
5. Participatory decision making • Problems solving with coordination
AREAS OF INTERSECTORAL COORDINATION
NUTRITION ADRICULTURE
AREAS
SOCIAL WELFARE OF
EDUCATION WOMEN AND CHILD
ADVANTAGES
• More achievement at lower cost.
• Sense of responsibility.
• Increase efficiency.
• Reduces workload.
• Enhances communication
NON GOVERONMENTAL ORGANIZATIONS
• DEFINITION
NGO is defined by world banks private organizations that pursue activities to relieve
suffering ,promote the interests of the poor, protect the environment , provide the basic
social services.
OR
Organization which are independent of got involvement are known as non got
organizations these are the sub group of the agencies founded by citizens to provide
services to community .
TYPE OF GNUS
participator
charitable
y
empowerin
service
g
ROLE OF GNUS
• They can present health care needs based on their • Providing goods and services
contacts with communities
• Safeguarding human rights
• Provide assistance to develop and strengthen local • Providing relief to victims
NGO activities
• Assisting poor
• Develop innovative programmes
• Solving environment issues
• Conducting assessment and evaluations
• Develop infrastructure
• Ensure full participation by individuals and
communities • Technical assistance and training
• Extends efforts to develop health technologies • Assist national policies formation
• Recognize role of women • Provide valuable resources
