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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 delivery concepts and issues

Health Care DeliveryConcepts and Issues

Shiv Chandra Mathur

Professor of Public Health and Director

State Institute of Health and Family Welfare, Rajasthan

Jaipur, India

  • 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

current criticism of health care services provided by the governments
Current Criticism of Health Care Services(Provided by the Governments)
  • Predominantly urban oriented
  • Mostly curative in nature
  • Limited Access

Shiv Chandra Mathur

what is health care
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

levels of health care
Levels of Health Care
  • Primary Health Care
  • Secondary Health Care
  • Tertiary Health Care

Shiv Chandra Mathur

health care delivery changing concepts
Health Care Delivery - Changing Concepts
  • Comprehensive Health Care
  • Basic Health Services
  • Primary Health Care
  • Health Care System Development

Shiv Chandra Mathur

comprehensive health care
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

basic health services
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

primary health care
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

principles of primary health care
Principles of Primary Health Care
  • Equitable Distribution
  • Community Participation
  • Intersectoral Coordination
  • Appropriate technology

Shiv Chandra Mathur

health for all
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

health care systems
Health Care Systems
  • Public Systems:

PHC and Subentries

Rural Hospitals; District Hospitals; Teaching Hospitals


Defense and Railways

  • Private Sector:

Polyclinics and Nursing Homes

GP’s and clinics

  • Indigenous Systems

Ayurveda and Siddha

Unani and Tibbi



  • Voluntary Health Agencies
  • National Health Programme

Shiv Chandra Mathur

components of health system development
Components of Health System Development
  • Quality Care component
  • Human Resources Development
  • NGO participation
  • Public-Private Participation
  • IEC

Shiv Chandra Mathur

health system development
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