GOVERNMENT

HOSPITAL
II SEMESTER PROJECT
TABLE OF CONTENTS
Chapter – I
Introduction Chapter –III
Need for the Study Strengths and Weakness of the program
Scope of the Study Problem identification
Objectives of the Study
Limitation of the Study Chapter –IV
Chapter –II Observation and findings
Program - Mission statement Recommendations to the above problem
Vision Statement Summary Report
Program Objectives
Projects covered till date
INTRODUCTION
Hospital is made of subsystem different clinical department; nursing department support
service, diagnostic service, auxillary services. The best way of service is matrix organization.
The hospital is made of series of departments which work together in rendering, medical,
nursing service, support service. Hospital as an organization within larger spectrum of health
care, hospital as complex organization having departments of multi-discipline managed by
medical, nursing, paramedical and service personnel.
Even there is no uniformity between all government hospitals; hence you would see that
there is no universal model that can be applied in organizing hospital.
In India, healthcare is delivered at private and government clinics, community health
centres (CHCs), Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH)
clinics, and hospitals. According to the classification set forth in the Ministry of Health’s
National Health Accounts, which measures the flow of expenditures in the health sector, the
Indian hospital system comprises general hospitals and specialised hospitals in the public and
private sectors, as well as mental hospitals in the public sector. Public general hospitals include
medical college hospitals, district hospitals, sub-district hospitals and CHCs.
NEED FOR THE STUDY
There is a need for strengthening research infrastructure in the departments of
community medicine in various institutes and to foster their partnerships with state health
services. There are several shortfalls that need to be addressed in the development of
human resources for public health services.
There is a dire need to establish training facilities for public health specialists
along with identifying the scope for their contribution in the field.
Check mechanisms to stop pilferage of government funds and vigilance measures
to stop corruption are governance issues that need to be attended. In order to ensure that
the benefits of social security measures reach the intended sections of society, there is
need for this study.
This process needs strengthening through separate budgets, provisions for
hosting audit results and powers for taking corrective action. To inform people of benefits
as well as the problems of government hospitals in our country. To provide
recommendations and solutions for existing problems and limitations of government
hospital.
SCOPE OF THE STUDY
The scope of our study is limited to government general hospital in Kakinada. We
reached out to dr.sravani in medical male -04 for this study. Our study is limited to medical
ward, general ward and paediatrics ward of government general hospital in Kakinada.
OBJECTIVES OF THE STUDY
In the context that the 12th Five-Year Plan Document has rolled out an ambitious scheme to
achieve “Universal Health Care” in the country, this review sets out the following objectives
before itself .
1. Elucidate the more important challenges facing public hospitals in India and their strengths
and weaknesses
2. To study the public hospital structure and healthcare services provided
3. In accordance with the analysis, propose solutions that are feasible’
4. To know about government and insurance policies about healthcare expenses.
LIMITATIONS OF THE STUDY

This study has made contributions but it also has certain limitations. They are as follows.

1. The data collection process for government hospitals was tough challenge.
2. There was a limitation for time for compiling this project.
3. The data obtained in some cases may be biased.
4. Due to COVID there were some limits to compile the study.
PROGRAM – VISION STATEMENT

Attainment of highest possible level of health and well-being of all , through preventive and
promotive health care and universal access to good quality health services without any one
having to face financial hardship as a consequence.
— vision statement of MoHFW.

To provide acceptable standards of good healthcare to amongst general population of the

country by the end of 12th five year plan.
— vision statement of health ministry department
PROGRAM – MISSION STATEMENT
Improving Maternal and Child health.
 Focusing on population stabilization in the country.
 Developing human resources for health to achieve health goals.
 Reducing overall disease burden of the society.
 Universal access to primary health care services by all sections heads of society with effective linkages
to secondary and tertiary health care.
 Strengthening Secondary and Tertiary health care.
— MISSION statement of health ministry department
PROGRAME OBJECTIVES
The main objectives of this policy are to achieve an acceptable standard of good health amongst
the general population of the Country, Enhance the understanding of basic concepts and
approaches to Health and Hospital Management Information Systems, increase skills to develop
indicators and select the appropriate indicators, improve abilities to use crucial indicators.

1.To improve health status of the people through concerted action

2. To expand promotive, preventive, curative, palliative and rehabilitative services provided
through public health care sector with focus on quality.
3. To progressively achieve universal health coverage.
— objective statement of MoHFW
PROJECTS COVERED TILL DATE
Under the national health misiion, the 6. Revised National TB Control Programme
government launches several schemes like. 7. National Leprosy Eradication
1. Reproductive, Maternal, New born, Child 8. Mission Indradhanush
and Adolescent Health [RMNCH+A] 9. PULSE POLIO
2. Rashtriya Bal Swasthya Karyakram 10. Pradhanmantri Swastiya Suraksha
[RBSK] Yojana [PMSSY]
3. The Rashtriya Kishor Swastiya Karyakram 11. Rastriya Arogya nidhi
4. Janani Shishu Suraksha Karyakram 12. National Tobbaco Control Programme

5. National AIDS Control Organisation 13. Integrated Child Development Service

14. Rastriya Swasthya Bima Yojana
STRENGTHS
1. India's competitive advantage lies in its large pool of well-trained medical professionals.
2. Indian healthcare sector is much diversified and is full of opportunities in every segment,
which includes providers, payers, and medical technology.
3. India's competitive advantage also lies in the increased success rate of Indian companies in
getting Abbreviated New Drug Application (ANDA) approvals.
4. Health insurance is gaining momentum in India. In June 2021, gross written premiums of
health insurance companies in the non-life insurance sector increased by 40% YoY (for the
FY period up to June 2021) to Rs. 17,497.4 crore (US$ 2.36 billion), driven by rising
demand for health insurance products amid the COVID-19 surge.
5. The Ministry of Health, in coordination with other ministries, provides technical assistance
in implementing disaster management and emergency preparedness measures.
WEAKNESS
In our opinion, the main weaknesses of government Hospitals today are as follows :

1. Deficient infrastructure
2. Deficient manpower
3. Unmanageable patient load
4. Equivocal quality of services
5. High out of pocket expenditure
PROBLEM IDENTIFICATION
There are several problems identified in government Hospital projects. They are as follows

Health system strengthening.

Health information system.
Health research system.
Regulation and enforcement in public health.
Health promotion .
Human resource development and capacity building.
FINDINGS
Here is a Short Analysis of GGH basing on the response posted by people in the Poll conducted
by InKakinada.com. Let’s list out why people are not looking at GGH or reluctant to use its
services in the order of societal hierarchy:
The Upper Class:
Generally, upper class is referred to as the rich and is the ones who have great influence and
wealth. Why upper class says NO to GGH?
1. Unhygienic Environment in terms of place and people
2. Long waiting queues to meet the shift-doctors
3. Poor Infrastructure
4. Lack of modern health equipment
5. Doctors Invitation to their Personal Clinics.
6. Fear of Internal Politics and replica medicines that might adversely effect their health
The Middle Class:

The middle class fall between the working class and the upper class those are good-educated and hold
a professional post. Why Middle Class says NO to GGH?

1. Unhygienic Environment in terms of place and people

2. Long waiting queues to meet the shift-doctors
3. Lack of modern health equipment
4. Doctors Invitation to their Personal Clinics
5. Irresponsible Treatment & Poor Service
6. Unavailability of doctors at high times
7. Fear of Internal Politics and replica medicines that might adversely effect their health.
8. Lack of knowledge of available services & Doctors Profiles
OBSERVATIONS
Rural health care system in India :
Community Health Centre (CHC) is a 30 bed Hospital or a referral Unit for four (4) PHCs with
Specialized services. Primary Health Centre (PHC) is a referral Unit for 6 Sub Centres 4-6 bed
manned with a Medical Officer – In – charge and 14 subordinate paramedical staff. Sub Centre Most
peripheral contact point between Primary Health Care System & Community manned with one HW
(F)/ANM and one HW(M).
Demand and supply:
Over the past decade, Indians’ demand for hospital care has increased, yet government spending on
hospital care and the availability of insurance has not kept pace with demand. In fiscal year 2013-
2014, only 12.78 percent of Indians had some type of government insurance, and only 2.47 percent
had private insurance, though the total rate of insurance coverage did increase 15-fold compared to
ten years earlier. Still, government health expenditures accounted for only 28.6 percent of total
health expenditure in 2013-2014, below the average of 36.2 percent in lower middle-income
countries. As a result, households remained the main source of healthcare financing at 67.7 percent
of total health expenditure, down only slightly from 71.1 percent ten years earlier
RECOMMENDATIONS
Population stabilization
There is all round realization that population stabilization is a must for ensuring quality of life
for all citizens. Formulation of a National Policy and setting up of a National Commission on
Population and Janasankhya Sthiratha Kosh reflect the deep commitment of the government.
However, parallel developments in women empowerment, increasing institutional deliveries and
strengthening health services and infrastructure hold the key to population control in the future.
Gender mainstreaming and empowerment
Women-specific interventions in all policies, programs and systems need to be launched. The
government should take steps to sensitize service providers in various departments to issues of
women. The Department of Women and Child Development must take necessary steps to
implement the provisions of “Protection of Women from Domestic Violence Act, 2005.”
Training for protection officers, establishment of counseling centers for women affected by
violence and creating awareness in the community are vital steps. Poverty eradication programs
and microcredit schemes need to be strengthened for economic and social empowerment of
women
Reducing the impact of climate change and disasters on health
Thermal extremes and weather disasters, spread of vector-borne, food-borne and water-borne infections,
food security and malnutrition and air quality with associated human health risks behavioral interventions.
Private sectors, civil societies and global partnerships
Effective addressing of public health challenges necessitates new forms of cooperation with private sectors
(public-private partnership), civil societies, national health leaders, health workers, communities, other
relevant sectors and international health agencies (WHO, UNICEF, Bill and Melinda Gates foundation,
World Bank).
Governance issues
In order to ensure that the benefits of social security measures reach the intended sections of society,
enumeration of Below Poverty Line families and other eligible sections is vital. Check mechanisms to stop
pilferage of government funds and vigilance measures to stop corruption are governance issues that need to
be attended. The government should take strict action in cases of diversion of funds and goods from social
security schemes through law enforcement, community awareness and speedy redressal mechanisms. Social
audits in MREGS through the Directorate of Social Audit in Andhra Pradesh and Rajasthan are early steps in
bringing governance issues to the fore.
SUMMARY REPORT
 In India, public hospitals (called Government Hospitals) provide  health care free at the point
of use for any Indian citizen or legal resident. These  are usually individual state funded.
However, hospitals funded by the central  (federal) government also exist. In many states (like
Tamil Nadu) the hospital  bill is entirely funded by the state government with patient not
having to pay  anything for treatment. However, other hospitals will charge nominal amounts
 for admission to special rooms and for medical and surgical consumables. The  reliability and
approachability of doctors and staff in private hospitals have  resulted in preference of people
from the public to private health centers.  However state owned hospitals in India are known
for high patient load.  According to the World Health Organization, in 2014, total expenditure
 on health reached 4.7% of GDP, i.e. $267 per capita. 
 Public health initiatives that affect people in all states, such as the  National Health Mission,
Ayushman Bharat, National Mental Health Program,  are instilled by the Union Ministry of
Health and Family Welfare.[1] There are  multiple systems set up in rural and urban areas of
India including Primary  Health Centres, Community Health Centres, Sub Centres, and
Government  Hospitals. These programmes must follow the standards set by Indian Public
 Health Standards documents that are revised when needed.
THANK YOU
PROJECT TEAM
HITESHI JAIN
BHAGYA SRI KANIGIRI
PARMESWARA RAO CHALLA
HARI GOPAL GANISETTI
VIJAY GEDELA
DEVENDRA SAI BHUPATHI