Health System in India - At District Level - Simplified / Community Health Nursing.

Health System in India
3 Levels / Links
I. Central / National Level
II. State Level
III. District or Local Level

Organization and administration of Health System at District Level
Introduction
• The States and Union Territories have been organized into Districts.

• The principal unit of administration in India is the district under a
Collector.


• Organization and administration of health system in India at district
level.
I. General Administration Areas
II. Organization of health services – at District level

There are six type of administrative area in the Districts
1. Subdivisions
2. Tehsils
3. Community Development blocks
4. Municipality / Corporation
5. Villages

6. Panchayathi Raj


A. Urban areas of the District


1. Town area Committee
2. Municipality

3. Corporation


B. Rural areas Of the District
a. Community Development Block
b. Villages

c. Panchayati Raj System
- I have already uploaded a detailed video regarding Panchayati raj
System. Please refer for the detailed information.

II. Organization of health services – at District level
- Bhore committee recommendations
- Multi-Purpose workers Scheme
Thus. 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 Medical 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.F.W.O & 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.W.O have control over Primary Health Centre.

• The recent working group on Health for all by 2000AD, recommended that the district hospitals should be converted into District Health Centers, each center monitoring of all preventive promotive and curative services of one million population .

Thank You