Describe the health system of India at national level and critically analyze the structure of nursing at national level.
India is a union of 28 states and 7 union territories. Under the Constitution of India, the states
are largely independent in matters relating to the delivery of health care to the people. Each
State, therefore, has developed its own system of health care delivery, independent of the
Central Government. The Central responsibility consists mainly of policy making, planning,
guiding, assisting, evaluating and coordinating the work of the State Health Ministries. So that
health services cover every part of the country and no state lags behind for want of these
services. The health system in India has three main links i.e. Central, State and District and
Peripheral.
National Level
1) Union Ministry of Health and Famay Welfare Organizations
a) The Uplion List
The functions given in the union list are:
i) International health relations and administration of post quarantine.
ii) Administration of Central Institutes such as AII India Institute of Hygiene and Public
health, Calcutta, National Institute for the Control of Communicable Diseases, DeM.
iii) Promotion of research through Research Centres and other bodies.
iv) Regulation and development of medical pharmaceutical, dental and nursing profession.
v) Establishment and maintenance of drug standards.
vi) Census and collection and publication of other statistical data.
vii) Immigration.
viii) Regulation of labour in the working of mines and oil fields.
ix) Coordination with States and with other ministries for promotion of health
b) Concurrent List
The Centre and States have simultaneous powers of legislation, the powers of the latter are
restricted to the frame work of such legislation as may be undertaken by the Centre.
The concurrent list incmdes:
i) Prevention of extension of communicable diseases from one unit to another.
ii) Prevention of adulteration of food stuffs.
iii) Control of drugs and poisons.
iv) Vital statistics.
v) ~abourW elfare
vi) Ports other than major and minor
vii) Economic and Social planning
viii) Population Control and Family Planning.
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