Table of Contents
Indian Healthcare services are usually organised at three levels are as follows:-
- Primary Health Care
- Secondary Health Care
- Tertiary Health Care
Primary Health Care
- This is the first level of contact between the individual community and the health system where is a Health Care is provided.
- Amazing order of prevailing health complaints minor ailments and common infections along with preventive services can be satisfactorily dealt with at this level.
- In India village health Guide a s h a worker’s followed by sub centres and the Primary Health centres together constitute the primary level Health Care providers.
- Sub centres and Primary Health centres also provide reproductive Health Family planning services along with immunization for children.
- Most of the vertical programs used this level at the base of service provision.
- In a PHC a doctor along with a n m will be posted and they can handle or normal delivery where does the cases that require Caesarean section will be referred to chc or secondary Healthcare facility like district hospital where and gynaecology specialist is posted and other facilities like that of division is available.
Secondary Healthcare
- At this level more Complex health problems are dealt with that are not effectively belt at primary level.
- It is essentially curative service-oriented.
- It is provided by the district hospitals and the community health centres.
- They are also the first referral level in the health system.
- Facilities like x ray CT MRI scan blood bank etc will be available and specialist doctor will be posted here.
- Various departments like of steric and gynaecology, ophthalmology ENT oncology it is he will be functioning in this Hospital
Tertiary Health Care
- This level of a specialist and super specialist care these institutions also do planning developing managerial skills and teaching training the medical paramedical staff.
- Medical colleges and super speciality hospitals are included in this category.
- They are generally referral Hospital where highly specialised treatments are available.
- Understanding health as human rights creates a legal obligation on states to ensure access to timely acceptable and affordable health care of appropriate quality as well as providing for the underlying determinant of L such as save and portable water sanitation food housing health related information education and gender equality.
Right to health and components
Availability
- The health care services are available to all irrespective of the ability to pay, caste ‚class religion, gender etc.
Accessibility
- The health care services are physically and economically accessible to all the accessibility to information is also part of accessibility.
Acceptability
- Relates to respect for medical ethics culturally appropriate and sensitivity to gender.
- Acceptability requires that has facilities goods services and programs are people-centered and cater for the specific needs of diverse population groups and in accordance with international standards of medical ethics for confidentiality and informed consent.
Quality
- The services provided must be scientifically and internationally accepted.
- Safety factor versus efficiency and timely nature of services are covered in this aspect.
According to Srinivasan 2006 the following four criteria are important to consider evaluate our health care system and just and efficient
- Universal access access to an adequate level and access without excessive burden.
- Fair distribution of financial cost for axis and a constant search for improvement to a more efficient system.
- Training providers for competence sympathy accountability cost effective use of resources etc.
- Pay special attention to the vulnerable groups such as disabled aged and children.