हिंदी

Measures for Social Infrastructure: Health Services

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Topics

  • Introduction
  • Structure of the Health System
  • Primary Tier
  • Secondary Tier
  • Tertiary Tier
  • Government Health Programmes
  • Real-Life Application
  • Key Point Summary
Maharashtra State Board: Class 11

Introduction

Maharashtra provides health services through a three-tier system: Primary, Secondary, and Tertiary care, aiming to ensure quality healthcare for all its citizens.

Maharashtra State Board: Class 11

Structure of the Health System

Maharashtra State Board: Class 11

Primary Tier

  1. Includes Primary Health Centres (PHCs) and Community Health Centres (CHCs).
  2. As of 31st March 2017:
    1,814 PHCs
    360 CHCs
  3. Serve as first contact points, offering basic treatment and prevention services to rural populations.
Maharashtra State Board: Class 11

Secondary Tier

  1. Consists of Sub-district hospitals and District hospitals.
  2. Handle specialised treatments and serious health issues, and act as referral centres for primary facilities.
Maharashtra State Board: Class 11

Tertiary Tier

  1. Comprises Medical colleges and super-speciality hospitals in major cities.
  2. Provide advanced and specialised healthcare (e.g., surgeries, research).
Maharashtra State Board: Class 11

Government Health Programmes

  1. National Rural Health Mission (NRHM): Improves rural health infrastructure.
  2. National Urban Health Mission (NUHM): Focuses on urban health needs.
  3. Addresses important determinants: sanitation, hygiene, nutrition, safe drinking water.
Maharashtra State Board: Class 11

Real-Life Application

Imagine the health system as a pyramid:

  • Most people use the base (local clinics).
  • Only a few need highly advanced care at the top.
Maharashtra State Board: Class 11

Key Point Summary

  • The three-tier system ensures most health needs are met near home, with advanced care in big cities.
  • Government missions strengthen infrastructure and address vital social factors impacting health.
  • Public health relies not just on hospitals, but also on hygiene, nutrition, and clean water.

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