9. INTRODUCTION TO HEALTH SYSTEMS AND ALL ONGOING NATIONAL HEALTH PROGRAMS IN INDIA, THEIR OBJECTIVES, FUNCTIONING, OUTCOME, AND THE ROLE OF PHARMACISTS

India’s health system consists of public, private, and voluntary sectors working together to deliver healthcare services. National health programs are major initiatives launched by the Government of India to control diseases, improve health standards, and provide equitable healthcare. Pharmacists play a key role in ensuring the success of these programs through counselling, medication management, and public awareness.

The Indian health system operates at three levels:

  • Primary level: Sub-Centres, Primary Health Centres (PHCs), Health & Wellness Centres
  • Secondary level: Community Health Centres (CHCs), District Hospitals
  • Tertiary level: Medical colleges, specialty hospitals, AIIMS and apex institutions

The system aims to provide affordable, accessible, and quality care through disease control programs and preventive services.

These programs focus on reducing disease burden and improving population health.

Includes NRHM and NUHM.

Objectives

  • Strengthen primary healthcare
  • Reduce maternal and child mortality
  • Improve access to drugs and diagnostics

Functioning

  • Health & Wellness Centres, ASHA workers, mobile units
  • Free drugs and diagnostics

Outcomes

  • Improved immunization
  • Reduced MMR and IMR
  • Strengthened rural health services

Objectives

  • Provide free vaccination for children

Functioning

  • Vaccines: BCG, OPV, DPT, Hepatitis B, MMR
  • Cold chain maintenance

Outcomes

  • Reduction in vaccine-preventable diseases

Objectives

  • Eliminate TB by 2025

Functioning

  • DOTS therapy, notification, free testing

Outcomes

  • Improved detection and treatment success

Objectives

  • Prevent HIV and provide ART

Functioning

  • HIV testing centres and ART clinics

Outcomes

  • Reduced HIV prevalence

Covers malaria, dengue, chikungunya, filariasis, and Japanese encephalitis.

Objectives

  • Vector control and disease reduction

Functioning

  • Fogging, larval control, nets, diagnosis

Outcomes

  • Reduced vector-borne deaths

Objectives

  • Control NCDs

Functioning

  • Screening and early diagnosis

Outcomes

  • Improved awareness of NCDs

Objectives

  • Improve mental health services

Functioning

  • District mental health programs

Outcomes

  • Better psychiatric care access
  • JSSK
  • National Iodine Deficiency Disorders Programme
  • NPCB
  • Leprosy Programme
  • Swachh Bharat Mission
  • Health education and counselling
  • Medication management
  • Immunization support
  • Disease surveillance
  • Adherence monitoring
  • Public awareness campaigns

National health programs play a vital role in improving healthcare access and reducing disease burden in India. Pharmacists contribute significantly through education, medication management, and community health support.

Government initiatives to control diseases and improve public health.

They support programs through counselling, medication, and awareness.

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