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Health Care Delivery Concepts and Issues. Shiv Chandra Mathur Professor of Public Health and Director State Institute of Health and Family Welfare, Rajasthan Jaipur, India. Issues. Health is a fundamental human right

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Health Care DeliveryConcepts and Issues

Shiv Chandra Mathur

Professor of Public Health and Director

State Institute of Health and Family Welfare, Rajasthan

Jaipur, India


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Issues

  • Health is a fundamental human right

  • National Governments all over the World are striving to expand and improve their health care services.

Shiv Chandra Mathur


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Current Criticism of Health Care Services(Provided by the Governments)

  • Predominantly urban oriented

  • Mostly curative in nature

  • Limited Access

Shiv Chandra Mathur


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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.

Shiv Chandra Mathur


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Levels of Health Care

  • Primary Health Care

  • Secondary Health Care

  • Tertiary Health Care

Shiv Chandra Mathur


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Health Care Delivery - Changing Concepts

  • Comprehensive Health Care

  • Basic Health Services

  • Primary Health Care

  • Health Care System Development

Shiv Chandra Mathur


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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.

Shiv Chandra Mathur


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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.

Shiv Chandra Mathur


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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.

Shiv Chandra Mathur


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Principles of Primary Health Care

  • Equitable Distribution

  • Community Participation

  • Intersectoral Coordination

  • Appropriate technology

Shiv Chandra Mathur


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Health For All

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

Shiv Chandra Mathur


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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

    GP’s and clinics

  • Indigenous Systems

    Ayurveda and Siddha

    Unani and Tibbi

    Homeopathy

    Naturopathy

  • Voluntary Health Agencies

  • National Health Programme

Shiv Chandra Mathur


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Components of Health System Development

  • Quality Care component

  • Human Resources Development

  • NGO participation

  • Public-Private Participation

  • IEC

Shiv Chandra Mathur


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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

Shiv Chandra Mathur


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