National health programs final 150324130140 Conversion Gate01

8/18/2019 National health programs final 150324130140 Conversion Gate01

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Dr. Priyanka Sharma

II Year MDS

Dept of Public Health Denti

JSS Dental College & Hospi

NATIONAL HEALTHPROGRAMS

OF INDIA


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!

• I"#$%DC#I%"

• "'#I%"'( H)'(#H MISSI%"

• $)P$%DC#I*) '"D CHI(D H)'(#H P$%+$'MS

• $)*IS)D "'#I%"'( #,)$C(%SIS C%"#$%( P$%+$'M -$"#CP

/ D%#S S#$'#)+Y

• "'#I%"'( 'IDS C%"#$%( P$%+$'M

• "'#I%"'( *)C#%$ ,%$") DIS)'S) C%"#$%( P$%+$'M

• "#$I#I%"'( P$%+$'MS

• "'#I%"'( '"#I0#%,'CC% P$%+$'M

CONTENT


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1

• "'#I%"'( %$'( H)'(#H P$%+$'M

• "'#I%"'( P$%+$'M 2%$ P$)*)"#I%" '"D C%"#$%( %2

C'"C)$3 DI',)#)S3 C*D '"D S#$%4)

•

I"#)+$'#)D DIS)'S) S$*)I(('"C) P$%J)C#

• ,'SIC MI"IMM S)$*IC) P$%+$'M

• P$%+$'MS 2%$ 5'#)$ '"D S'"I#'#I%"

• !60P%I"# P$%+$'M

• C%"C(SI%"

• $)2$)"C)S


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7

“ Those who would beneft most

rom a service are least likely toobtain it!”


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8

INTRODUCTION


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9

%:er the ;eca;es the public health is able to ;eli:er best

of its capacity to bring changes in :arious health

in;icators. -4oppaka $ !6.

I n t r o d u c t i o n

$e;uction of chil; mortality

'ccess to safe


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>

Po:erty3 Ine?uity

Public Deman;s3 Marginali@ing PublicHealth Ser:ices3 Public health ;eli:ery

)pi;emiological transition

Climatic change an; en:ironmentalhealth3 "e< psychosocial issues3 $api;population gro


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A

• Since In;ia became in;epen;ent3 se:eral measures ha:e

been taken un;er by the "ational +o:ernment to Impro:e

the health of the people.

•

Program among these measures are the "'#I%"'( H)'(#H

P$%+$'MS3


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B

• *arious International agencies like 5H% "IC)2 "2P'


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6

NATIONAL HEALTH

MISSION


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Major Milestones so ar are :

BB! Chil; Sur:i:al 'n; Safe Motherhoo; Program -CSSM

BB> $CH I

BB> $CH II

!668 "ational $ural Health Mission

!61 $M"CH ' Strategy

!61 "ational Health Mission

!67 In;ia "e< ,orn 'ction Plan -I"'P

N H M


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1

GOALS

#he en;ea:or of "HM


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7

> $e;uce annual inci;ence an; mortality from tuberculosis by half

A $e;uce pre:alence of leprosy to =6666 population an;

inci;ence to @ero in all ;istricts

B 'nnual malaria inci;ence to be =666

6 (ess than percent microlaria pre:alence in all ;istricts

4ala0a@ar elimination by !683 case per 6666 population in

all blocks.

! Sustaining ;engue case fatality rate as E

1 Containment of outbreak of chikungunya

7 $e;uce mortality from Japanese )ncephalitis by 16E N H M


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8

8 $e;uce ne< infections to @ero an; pro:i;e

comprehensi:e care & support to all persons li:ing


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9

INSTITUTIONAL STRUCTURE OF NHM:

'ppro:e; by cabinet

"ational le:el

MS+ nion Ministry of Health & 2amily 5elfare policy;irection to the mission.

Con:enor Secretary 3 Dept of Ministry of Health &

2amily 5elfare

Co0Con:enor ';;itional Secretary & Mission Director

Mission is hea;e; by him=her


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>

#echnical support to the Centre an; States "ational

Health Systems $esource Centre -"HS$C

CountryKs ape bo;y for training an; public health research

& support to health an; family


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A

STATE LEVEL :

State healthmission-SHM

Hea;e; byChief

Secretary

TRICT HEALTH MISSION (DHM)CHM: Chair person Lila Parisha;=

!"i#! He$%!h So#ie!& (DSH): District Collector

hese


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B

APPROACH :

Increase access to ;ecentrali@e; health systems by establishing

ne< infrastructure in ;ecient area.

Pro:i;e facility base; ser:ice ;eli:ery.

District Hospital an; 4no


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!6

Se"vi#e De%ive"& S!"$!e'ies :

• $epro;ucti:e3 Maternal3 "e


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!

- "ational Program for Health care of )l;erly -"PHC)

- "ational Mental Health Program - "MHP

- "'#I%"'( #obacco Control Program -"#CP

- "ational %ral Health Program -"%HP

- "ational Program 2or Palliati:e Care -"PPC

- "ational Program 2or Pre:enti:e 'n; Management %f ,urn

InGuries -"PPM,I- "ational Program 2or Pre:ention 'n; Control %f 2luorosis

-"PPC2

N H M

!!


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!!

Fin$n#in' :

-i "$HM=$CH 2lei0pool

-ii "HM 2lei0pool

-iii 2lei0pool for Communicable ;iseases

-i: 2lei0pool for "CD inclu;ing inGury an; trauma

-: Infrastructure maintenance

-:i 2amily 5elfare Central Sector Component

-:iiState / StateKs Program Implementation Plan -PIP

N H M

%n0;eman; group ofskille; an;

eperience; stathat agencies callupon


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!1

ecent New "nitiatives :

$ashtriya ,al S


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!7

NATIONAL RURALHEALTH MISSION

!8


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!8

• +o:ernment of In;ia (aunche; "H$M 8th 'pril !668

•

Perio; O > years -!6680!6!• )ten;e; upto !6>

• Impro:ing rural healthcare ;eli:ery system

• 2ocus on A states /

N # H

M

!9


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!9

• It is also bringing the In;ian system of me;icine -'YSH

to the main stream of healthcare.

'IM /$o provide accessible, aordable, accountable,eective and reliable primary health care and brid!in! !ap

in rural health care throu!h creation of a cadre of

#ccredited $ocial %ealth #ctivist $%#'(

+oals

of"$HM

$e;uction inIM$ 3MM$

'ccess toPublic Health

ser:ices

Pre: &Control of

communicable & "CDs

Integrate;comprehensi:e primary

health care

Populationstabili@ation

Mainstream'YSH

Promotion ofhealthylifestyle

N # H

M

!>


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!>

A#!ion Poin!s:

• Pro:ision of health acti:ist in each :illage

• *illage health plan prepare; through panchayat in:ol:ement

• Strengthening of rural hospitals

• Integration of :ertical health programs -leprosy3 #,3 malarial

programs3 etc. an; tra;itional me;icine

• Integration of plans at ;ierent le:els

• "e< health nancing mechanisms

N # H

M

!A


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!A

Co"e S!"$!e'ies:

#rain an; enhance capacity of Panchayat $aG institutions to o


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!B

S,,%emen!$"& s!"$!e'ies

. $egulation of pri:ate sector to ensure a:ailability of ?uality

ser:ice to citi@ens at reasonable cost.

!. Mainstreaming 'YSH re:itali@ing local health tra;itions.

1. $eorienting me;ical e;ucation to support rural health issues

inclu;ing regulation of Me;ical care an; Me;ical )thics.

7. )ecti:e an; :iable risk pooling an; social health insurance

to pro:i;e health security to the poor by ensuring accessible3

aor;able3 accountable an; goo; ?uality hospital care.

N # H M

16


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16

P%$n of $#!ionCom,onen!s:

• 'ccre;ite; social health acti:ists -'SH'

• Strengthening sub0centers

• Strengthening primary health centers

• Strengthening CHCs for rst referral

• District health plan un;er "$HM

• Strengthening ;isease control program

• Public0pri:ate partnership for public health goals3 inclu;ing

regulation of pri:ate sector

• "e< health nancing mechanisms

• $eorienting health=me;ical e;ucation to support rural health

issues

N # H M

1


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1

ASHA

•

$esi;ent of the :illage3 a


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1!

• Res,onsi-i%i!& of ASHA:

-

#o create a


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11

- $ole as a pro:i;er traine; for ne< born care an; management

-

Information about birth an; ;eaths in the :illage3 outbreak of any ;isease in

community to sub0centre an; PHCs

- Promote construction of house0hol; toilets.

)*+ #N "NT+,#T")N -"T% #N,#N-#" :

- %rgani@ing health ;ay once=t


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18


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18

)ther "nitiatives o N%M:

$ogi 4alyan Samiti -Patient


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19

/ew New "nitiatives :

Home ;eli:ery of contracepti:es by 'SH'

Con;ucting District (e:el Househol; Sur:ey

In:ol:ing 'SH' in home base; ne< born care

2ree ;rug an; ;iagnostic ser:ices

5I2S

$,S4 feb !61

$4S4 Gan !67

Mother an; chil; health


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#chievements:

A.69 lakhs=A.AB lakh 'SH's ha:e been traine; an; pro:i;e; lakh sub0centres in the country are pro:i;e; 6396A '"Ms3 173968 sta nurses3 13>!8 parame;ics ha:e been

appointe; on contract.

!3!> MM are operational)mergency transport systems are operational in ! states

In;ia ;eclare; polio free country3 neonatal tetanus ;eclare; eliminate; in > states 3 J)

:accination is complete; in ;istricts an; 7 states.

JSY in all states3 69.8> lakh got benette;

Integrate; management of neonatal an; chil;hoo; illness -IM"CI starte; in 16

;istricts.

Monthly health an; nutritional ;ays been organi@e; in :arious states

8.! lakh :illage health sanitation an; nutrition committee.

School health programs in !9 states initiate;. N # H M

1A


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NATIONAL UR.ANHEALTH MISSION

1B


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N0%M will ocus:

rban poor population li:ing in liste; an; unliste; slums.

! 'll other :ulnerable population

1 Public Health thrust on sanitation3 clean ;rinking


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REPRODUCTIVE ANDCHILD HEALTH PROGRAMS


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7!


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• RCH PHASE 0 PROGRAMME INCORPORATEDTHE 1 COMPONENT

# % H

71


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M$in Hi'h%i'h!s Of RCH P"o'"$m A"e

#he Program Integrates 'll Inter:entions %f 2ertility

$egulation3 Maternal 3Chil; $epro;ucti:e Health 2or ,oth

Men 'n; 5omen.

#he Ser:ices #o ,e Pro:i;e; 're Client %riente;

#he Program )n:isages pgra;ation %f #he (e:el %f

2acilities 2or Pro:i;ing *arious Inter:entions 'n; Ruality

%f Care. #he 2irst $eferral nits ,eing Set p 't Sub0

;istrict (e:el Pro:i;e Comprehensi:e )mergency

%bstetric 'n; "e< ,orn Care.

# % H

77


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7.#he facilities of obstetric care3 MTP an; IUD insertion in

the PHCs le:el are impro:e;. IUD insertion facilities are

also a:ailable at sub0centres.

8. Specialist facilities for STD 'n; RTI are a:ailable in all

;istrict hospitals an; in a fair number of sub0;istrict le:el

hospitals.

9. #he program aims at impro:ing the out reach of ser:ices

primarily for the :ulnerable population.

# % H

78


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C% services and major interventions

.)ssential obstetric care

!.)mergency obstetrical care

1.!7 0hour ;eli:ery ser:ices at PHCSCHCS

7.Me;ical termination of pregnancy M#P act B>

8. Control of repro;ucti:e tract infections an; seually transite;

;iseases

9.Immuni@ation

>.Drug an; e?uipment kits / e?uipment kits supplie; at :arious

le:els as follo


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• 't sub0centre le:el / nite; "ations %Tce for ProGect

Ser:ices Drug kit '

Drug kit ,

Mi;0 . ICD insertion kit. A. )?uipment=reagentsfor essential laboratoryin:estigations.

7>


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2IT A 2IT .

ftp/==ftp.solutionechange.net.in=public=mch=cr=cr0se0mch06>6966

7A


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• 4it0) (aparotomy set

• 4it02 0 Mini (aparotomy set

• 4it0+ ID insertion set

• 4it0H *asectomy set

• 4it0 I "ormal ;eli:ery set

• 4it0 J *acuum etraction set

• 4it0 k )mbryotomy set

• 4it0 ( terine e:acuation set

•

4it0M )?uipment for anesthesia• 4it0"0 "eonatal resuscitation set

• 4it0%0 )?uipment an; reagent for bloo; test

• 4it0P Donor bloo; transfusion set

7B


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n;er the program 3 ;oses of :itamin ' are gi:en to all chil;ren un;er 8

years of age.• #he rst ;ose- lakh units is gi:en at nine months of age along


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REPRODUCTIVE AND CHILD HEALTH PROGRAMME 3PHASE II

$CH PH'S) II began from st 'pril !6683the focus is to re;uce maternal

an; chil; mortality an; morbi;ity


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#here are 1 critical ;eterminants of facility

• ':ailability of surgical inter:entions

• "e


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•

NE4 INTIATIVES

. #raining of M,,S ;octors in life sa:ing anesthetic skills

for emergency obstetric care.

+o:t .of In;ia is also intro;ucing training of M,,S ;octors of

obstetric management skills3 prepare; training plan for 9


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5ANANI SURA2SHA 6O5ANA the national maternity benet

scheme has been mo;ie; into a -JSY J'"'"I S$'4SH'

Y%J'"'.

• It


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• VANDEMATARUM SCHEME

• It is a :oluntary scheme


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S!"$!e'& fo" $"essin' Ao%es#en! Re,"o#!ive $n

Se+$% He$%!h (ARSH)

' t


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Infe#!ion M$n$'emen! An Envi"onmen! P%$n

IM)P


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• SAFE A.ORTION PRACTICES

• Me;ical Metho;

• #ermination of early pregnancy -7B;ays using ! ;rugs

• mifeprestone follo


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Some Innov$!ive S!$!e Ini!i$!ives

+uGarat

▫ Increase access to safe ;eli:ery ser:ices. It is in partnership


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▫ Screening co;e for Ca Cer:i #amil "a;u

▫ Subsi;i@e; Me;ical Practitioner -SMP scheme0 'ssam3 ,ihar

▫

"urse Practitioners Scheme

▫ (aparoscopic #raining Maharashtra

▫ Implementation of Health Insurance scheme on pilot basis.

96


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REVISED NATIONALTU.ERCULOSIS CONTROLPROGRAM (RNTCP) : DOTS

STRATEG6

9


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The .e'innin' :N$!ion$% T-e"#%osis Con!"o%P"o'"$m

• ,efore the $e:ise; "ational #uberculosis Program

-"#CP came into force the eisting #uberculosis

program ha; the follo


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O"'$ni7$!ion $n $minis!"$!ion

• Central le:el

• ,esi;es the #uberculosis Di:ision in the Directorate +eneral

Health ser:ices3 "ational #uberculosis Institute3 ,angalore

an; #uberculosis $esearch Centre at Chennai

• District le:el

• ' ;istrict constitutes a functional unit of the "#CP an; is

calle; District #uberculosis Control Program

• Peripheral le:el

•Comprises of chest clinics an; Primary Health Centers -PHC # N

$ % &

91


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P"o'"$m Im,%emen!$!ion( ,"io" !o RNTCP)

Program acti:ities


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P"o'"$m ,e"fo"m$n#e $n evo%!ion of RNTCP

• Despite a nation


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Evo%!ion of T. Con!"o% in Ini$

•

B86s096s Important #, research at #$C an; "#I

• B9! "ational #, Program -"#P

• BB! Program $e:ie<

only 16E of patients ;iagnose;F

of these3 only 16E treate; successfully

• BB1 $"#CP pilot began

• BBA $"#CP scale0up

• !66 786 million population co:ere;

• !667 VA6E of country co:ere;

• !669 )ntire country co:ere; by $"#CP # N

$ % &

99


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Revise N$!ion$% T. Con!"o% P"o'"$m (RNTCP)

) (aunche; in BB> base; on 5H% D%#S Strategy

) )ntire country co:ere; in MarchK69 through an unprece;ente;

rapi; epansion of D%#S

) Implemente; as 66E centrally sponsore; program

) +o:t. of In;ia is committe; to continue the support till #,

ceases to be a public health problem in the country

) 'll components of the S#%P #, Strategy0!669 are being

implemente;

# N

$ % &

9>


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O-8e#!ives of RNTCP

) #o achie:e an; maintain a cure rate of at least A8E among

ne6E of such

cases in the population

# N

$ % &

9A


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S!"$!e'&

. 'ugmentation of organi@ational support at the central an;

state le:el for meaningful coor;ination

!. Increase in bu;getary outlay

1. se of Sputum microscopy as a primary metho; of

;iagnosis among self reporting patients

7. Stan;ar;i@e; treatment regimens.

# N

$ % &

9B


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> 'ugmentation of the peripheral le:el super:ision through

the creation of a sub ;istrict super:isory unit

A. )nsuring a regular uninterrupte; supply of ;rugs up to the

most peripheral le:el

B. )mphasis on training3 I)C3 operational research an; "+%

in:ol:ement in the program

# N

$ % &

>6


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Co"e e%emen!s of Ph$se I

• #he core element of $"#CP in Phase I -BB>0!669


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RNTCP Ph$se II( 9;300)

#he $"#CP phase II is en:isage; to/

• Consoli;ate the achie:ements of phase I

• Maintain its progressi:e tren; an; eect further impro:ement

in its functioning

• 'chie:e #, relate; MD+ goals !


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P-%i# P"iv$!e Mi+ (PPM) A#!ivi!ies fo" Invo%vemen! of A%% He$%!hC$"e P"ovie"s

• In:ol:ement of "+%s an; Pri:ate Practitioners

• Schemes re:ise; in !66A

• Presently V !866 "+%s3 >3666 PPs in:ol:e;

• In:ol:ement of professional bo;ies like IM'3 I'P

• %ther Central go:ernment ;epartments=PSs• C+HS3 $ail1


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• 5ell Dene; I)C Strategy

• 5eb base; resource centre

• Communication facilitators pro:i;e; to support I)C at ;istrict le:el

• %ngoing capacity buil;ing of program managers for planning an;

implementing nee; base; I)C acti:ities

• 5)(( D)2I")D I)C S#$'#)+Y # N

$ % &

>7


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Im,$#! of RNTCP

#ren;s in pre:alence of culture0positi:e an; smear0positi:e

tuberculosis in south In;ia-8 ,locks3 B9A0!669

*Source: WHO Report 2008, Global Tuberculosis Control; pg 7

# N

$ % &

>8


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T.3HIV: A##om,%ishmen!s

• !66> #he rst national frame


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>>


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RNTCP3 DOTS3P%s Vision

•

,y !66 D%#S0Plus ser:ices a:ailable in all states

• ,y !6!3 uni:ersal access un;er $"#CP to laboratory base;

?uality assure; MD$0#, ;iagnosis for all retreatment #,

cases an; ne< cases A


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T. in ,"e'n$n#& :

• "ational strategic plan -!6!0!6> X!th 2i:e year plan

*ision / #, 2ree In;ia

2ollo


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Fin$n#i$% Reso"#es:

5orl; ,ank

! Department of International ;e:elopment :ia 5H%

1 Supporte; by +lobal #, ;rug facility

7 +lobal fun; to ght 'IDS3 #uberculosis an; malaria

8 S'ID an; D'"ID'

9 +o:t of In;ia 66E grant0in0ai; to the implementing

agencies besi;es free ;rug

# N

$ % &

A6


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NATIONAL AIDS CONTROLPROGRAM

A


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• "'CP

• Ministry of Health an; 2amily 5elfare has set up "'C

organi@ation as a separate "'CP III launche; for 8 years -!66> !6!


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!66> "'CP III launche; for 8 years -!66>0!6!

!67 "'CP I* launche; for 8 years -!6!0!6>

N$!ion$% S!"$!e'& : Fo%%o=in' #om,onen!s :

• )stablishment of sur:eillance centres to co:er the


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• #he Pre:ention of Parent to Chil; #ransmission of HI*='IDS -PP#C#

programme


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NATIONAL VECTOR .ORNE

DISEASE CONTROLPROGRAM

A8


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• "ational Malaria control program B81 0>8 million ;eaths ;ue to malaria

• B8A "MCP


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Main activities:

2ormulating policies an; gui;elines

! #echnical gui;ance

1 Planning

7 (ogistics

8 Monitoring an; e:aluation

9 Coor;ination of acti:ities through state=#s an; in consultation Collaboration


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$trate.ic action 1lan or malaria control in "ndia &23425

2346'

• Vision / substantial an; sustaine; re;uction in the bur;en of

malaria in the near an; mi;0term3 an; elimination of malaria in

the long term3


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,oals:

Screening all fe:er cases suspecte; to malaria -96E through

?uality microscopy an; 76E by rapi; ;iagnostic test

! #esting all P.falciparum cases


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• #he maGor eternally supporte; proGects /

(I) G%o-$% Fn S,,o"!s In!ensi/e M$%$"i$ Con!"o%P"o8e#! -IMCP II / Implemente; since %ctober !66 for

:e years in:ol:ing > "orth )ast States.

(II) The 4o"% .$n> S,,o"!e P"o8e#! On M$%$"i$

Con!"o% An 2$%$3$7$" E%imin$!ion: March !66B0

December !61. 2inancial layout


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• 966 million people are epose;.

• "ational 2ilarial Control Program since B88

•

B>A Merge;


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• "ational Health Policy !66! O elimination of lymphatic lariasis by

!68.

• )limination ;ene; as lymphatic lariasis ceases to be the public

health problem3


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•

' centrally sponsore; program 36! cases in BB! to 13A9B

cases in !61.

• $trate.y /

)nhance; case ;etection an; complete treatment inclu;ing intro;uction

of P41B rapi; ;iagnostic kits an; oral ;rug Miltefosine.

! Interruption of transmission through :ector control. Deci;e; to replace

DD#


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• 4ala0a@ar fortnight sur:ey

•

$s.166=0 for each case i;entication to 'SH'


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•

Japanese encephalitis is a :ector borne ;isease.

• Se:eral species of mos?uitoes are capable of transmitting J) :irus.

• J) is a @oonotic infection.

• Con!"o% S!"$!e'&:

. Care of the patient to pre:ent se?uaele

!. De:elopment of a safe & Stan;ar; :accine

1. Sentinel sur:eillance inclu;ing clinical

sur:eillance of suspecte; cases.

7. Stu;ies to i;entify high risk cases

8. )pi;emiological monitoring of the ;isease an; eecti:e

implementation of pre:enti:e an; control measures

J'P'")S) )"C)PH'(I#IS

N A

$ I ' N A ( , - % $ ' #

. ' # N - ) I * - A *

- % ' N $ # ' (

B8


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• #here


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• Control $trate.y:

• Public a


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• *iral fe:er remerging after a gap of 1 ;eca;es.

• +o:t of In;ia continuously monitoring the situation.

• +ui;elines for pre:ention control ha:e been prepare;.

• Strategy of Dengue an; Chikungunya is same.

•

Support in the form of logistics an; fun; is pro:i;e;.

• Diagnostic kits are pro:i;e; by "ational Institute of

*irology3 Pune by the central go:ernment.

CHI4"+"Y' 2)*)$

N A

$ I ' N A ( , - % $ ' #

. ' # N - ) I * - A *

- % ' N $ # ' (

BA


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NUTRITIONAL

PROGRAMS

BB

Mi i ! f R % D % !


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Minis!"& of R"$% Deve%o,men!

'pplie; nutrition program

Minis!"& of So#i$% 4e%f$"e

Integrate; chil; ;e:elopment ser:ices scheme

,al


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6


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#his 6 un;er the ;epartment of social 6 ;ays in a year.

'lso pro:i;e


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• Starte; in B>6 by Ministry of Social 5elfare.

• %peration in urban slums3 tribal areas an; back


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• Initiate;0%ct.!3B>83 in 11 CD ,locks un;er 8th 2i:e Year Plan

• n;er Ministry of social


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O-8e#!ives

• (ay the foun;ation for proper psychological3 physical an; social

;e:elopment of chil;

• Impro:e nutritional & health status of chil;ren

• $e;uce inci;ence of mortality3 morbi;ity3 malnutrition an; school ;rop0

outs

• )nhance the capability of mother & family

• 'chie:e eecti:e coor;ination among :arious ;epartments

.ene/#i$"ies

• Chil;ren 9 years

• Pregnant & (actating


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69


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• Supplementary fee;ing an; +ro


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• Centrally sponsore; program3 launche; in BA9.

• Implemente; by the Ministry of 5omen & Chil; De:elopment

• Program follo


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Intro;uce; in the year !66!0!661


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Program 6 bythe Ministry of Health an; 2amily 5elfare

Pre:ention of nutritional anemia in mothers an; chil;ren

•R$!ion$%e

NATIONAL NUTRITIONAL ANEMIAPROPH6LA?IS PROGRAM

Supplementary iron on ;aily basis is consi;ere; necessary in;e:eloping countries because approaches like foo; fortication an;;ietary mo;ication are long term options.

$e?uirements ;uring !n; an; 1r; trimester canKt be ma;e by ;ailyintake.

MaGority of girls are anemic 3 e:en in their a;olescence. Souce/ +opalan C. chil; care in in;ia/ emerging challenger

bull.BB1

Deleterious eect on neural tube ;e:elopment in folic aci;;e:elopment ;uring st 7


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.ene/#i$"ies

Chil;ren 08years of age

)pecting an; lactating mothers

2amily planning -ID acceptors

Po%i#&

)pecting an; lactating mothers as


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'lso kno


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Ser:ices

I2' tablet to target population on


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(aunche; in B>6 as a centrally sponsore; scheme by Ministry of H&253

+o:t.

Component of "ational program for control of blin;nessB>9

R$!ion$%e

#arget group0 all chil;ren 01 years of age.

'cti:ity Mega;ose of :it.' -! lac I orally e:ery si months

NATIONAL PROPH6LA?IS PROGRAMMEAGAINST NUTRITIONAL .LINDNESS DUE

TO VITAMIN A DEFICIENC6

Human li:er can store :itamin '


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#he beginning04angra :alley stu;y -B890>!

"ational +oitre Control Program launche; in B9!3 at the en; of!n; 80year plan by Ministry of H&25 3+o:t.

2ocuses on use of Io;ise; Salt $eplace of common salt


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#he turning point0 meeting of prime minister in BA1.

BA10 ni:ersal io;i@ation of salt -16 ppm at manufacture

le:el an; 8ppm at consumption le:el

BB!0 program rename; as U"ational io;ine ;eciency

;isor;er controlK

)bjectives

Sur:eys to assess the magnitu;e of IDD.

Supply of io;ise; salt

$esur:eys 8yearly to assess impact of io;ise; salt & IDD

(ab monitering of io;ise; salt an; I)

Health e;ucation.

$trate.y

Io;ise entire e;ible salt in the countryby BB!.

,an of non0io;ise; salt un;er P2' act -B87.

9

MID3DA6 MEAL PROGRAM


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2irst starte; in #amilna;u.

'lso kno


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Starte; in !6663 fee;ing 866 chil;ren in 8 schools in ,angalore.

Successfully in:ol:e; pri:ate sector participation in the program.

Program manage;


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(aunche; by Dept. of 5omen an; Chil; De:elopment 3Ministry of Human

$esource De:elopment in BB

#argete; 'll a;olescent girls in the age group of 0A years

Common Se"vi#es . 5atch o:er menarche3

!. Immuni@ation3

1. +eneral health check0ups once in e:ery si0months3

7. #raining for minor ailments3

8. De0. $eferral to PHC. District hospital in case of acute nee;.

A. +irls are also pro:i;e; supplementary nutrition at $s. !.86 per girl3

per ;ay

NUTRITION PROGRAMME FOR ADOLESCENT GIRLS(2ISHORI SHA2TI 6O5NA)

B

MISCELLENOUS


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Ann$,"n$ S#heme

(aunche; in !6660!66 by Ministry of $ural De:elopment

Senior citi@ens of ]98 years of age3 not getting the pension un;er the "ational

%l; 'ge Pension Scheme -"%'PS

6 kgs. of foo; grains=person=month are supplie; free of cost.

M$$3moni

n;er 'ssam ,ikash YoGna.,eneciaries are pregnant mothers

$s. 666 pro:i;e; for nutrition an; ambulance

An!&o$&$ Ann$ 6o8n$

(aunche; in !8th Dec !666

'im0 to create hunger0free in;ia in net 8 year an; reform PDS

#arget group0 poor families


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NATIONAL TO.ACCOCONTROL PROGRAM

!

• #obacco control legislation #he Cigarettes an; other tobacco


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• #obacco control legislation #he Cigarettes an; other tobacco

pro;uct actQ in !661 'pril


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NATIONAL ORAL HEALTH

PROGRAM

!1

h i l h l h G il b i


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• ' comprehensi:e oral health care proGect on a pilot basis


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NATIONAL PROGRAM FORPREVENTION AND CONTROL

OF CANCER DIA.ETES CVDAND STRO2E

!8


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DI',)#)S3 C*D '"D S#$%4) C%MP%")"#S "D)$

"PCDCS

• rban Health check up scheme / ]16 years an; pregnant


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CANCER COMPONENT UNDER NPCDCS

•

"ational cancer control program launche; in B>80>9• $e:ise; in BA70A8 an; subse?uently in December !667

• !66 got integrate;


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INTEGRATED DISEASESURVEILLANCE PRO5ECT

!A


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• (aunche; in "o: !667 .

• 8 year proGect

• It is a ;ecentrali@e; base; sur:eillance system in the country.

• Detect early


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NATIONAL 4ATER SUPPL6AND SANITATION

PROGRAMS

16

• Initiate; in B87


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• B>! 'ccelerate; rural


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1!


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MINIMUM NEEDS

PROGRAM

11

• Intro;uce; in st year of 8th 2i:e year plan.


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• B>70>A

• %bGecti:e


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93POINT PROGRAM

18

• In a;;ition to :e year plan +o:t of In;ia initiate; a special acti:ity.


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• Describe; as an agen;a for national action to promote social Gustice

an; economic gro / Clean ;rinking


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CONCLUSION

1>

• #here are :arious other "ational Health programs as


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$abies control program

+uinea


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•

5ell0planne; in:estment3 complemente; by cooperation

bet


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. #)`#,%%4 P$)*)"#I*) '"D S%CI'( M)DICI") 4.P'$4

!1r; )DI#I%"

!. #)`#,%%4 %2 "'#I%"'( H)'(#H P$%+$'MS %2 I"DI' J.4ISH%$)0th )DI#I%"

1. 'gar


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8. +o:t. of In;ia. 'ccre;ite; Social Health 'cti:ist -'SH'

gui;elines. Ministry of Health an; 2amily 5elfare +o:t. of

In;ia.

9. 5H%. %pportunities of +lobal health initiati:es


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Documents

National health programs final 150324130140 Conversion Gate01