Organisation of health services

Unit-2 OHS

Classroom-1

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When Ram or anybody from his village falls ill, they want immediate help to get better.

So they seek health care from services that are close to their house.

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Traditional healers

Unlicensed practitioners

Pharmacy shop

Some services that are close to their house

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Understanding this concept, the government introduced ASHA at the village level

Village

ASHA (Accredited Social Health Activist)

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She is responsible for the health of her community

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Village Government

health service

ASHA

Bridge

What does an ASHA do ?

• ASHA should advice Leela about healthy food and encourage her to go for routine antenatal checkups.

• She should accompany Leela to the health facility during these checkups.

• As the delivery date comes near, she should sit with Ram’s family and prepare an action plan as to where Leela should deliver.

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While the ASHA can advice Leela on care during pregnancy, she does not have the knowledge, skills and experience to conduct the delivery.

So for the delivery, Leelahas to go to a higher centrewhere deliveries can be conducted.

Health Sub Centre (HSC)

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It Covers 3,000-5,000 Population (3-5 Villages)

To address this problem, the government has built HSC, at the gram panchayat with an ANM (Auxiliary Nurse Midwife)

Functions of the Health sub centre (HSC)

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She conducts deliveries,

immunizes children

and gives medicines for

minor illnesses.

ANMBut, cannot conduct

complicated delivery

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Primary Health Centres (PHC)?

It Covers 20,000–30,000 Population

Resources at a PHC

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PHC

5-6 bedsOutpatient

facilitiesLabour Room

Laboratory facilities

Drug store

Medical officer & Team

• Eg clean drinking water for children

Promotes health and keeps people healthy

(promotive health care)

• Eg immunization of children

Prevents people from falling sick

(preventive health care)

• Eg treatment of diarrhea

Cures diseases of people when it happens

(curative health care)

Functions of a PHC

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Needs blood transfusion immediately

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Community Health Centres (CHC)?

It Covers 80,000–1,20,000 Population

CHC

Those available at PHC

30 BedsSpecialist

serviceOperation

theatre X ray

Blood storage unit

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Facilities at a CHC

The health team at the CHC are responsible for providing

Conducting caesarian section

Conducting surgeries

Looking after sick newborns and children

Seeing referral patients

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She needs emergency hysterectomy

District Hospital (DH)

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Responsible for providing specialized health care

Facilities at a DH

DH

100-500 beds

X ray, laboratory facilities and blood bank (24/7)

Specialities – psychiatry, dermatology, burns unit etc

Operation theatre and labour room

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• Cases that cannot be handled at the CHC and are thus referred to DH

• Complicated surgeries/ fractures

• Complicated caesarian sections

• Management of very sick neonates

Specialized health care

Education and training of health staff

The health team at the DH are responsible for providing :

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To summarize, our government health services is organized in a particular way

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This is about our government health services. What about private health sector and informal health sector?

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Private hospitals

City

District level

Block level

Gram panchayat

Panchayat

village

About 50% of Indians use the private health sector to procure health care

private nursing homes

Private hospitals

private nursing homes

private nursing homes

,

Unqualified practitioner

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Summary onprivate health sector in India

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See you back in the course

Close

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