NATIONAL HEALTH AND FAMILY WELFARE PROGRAMMES.

INTERSECTORAL CO-ORDINATION ROLE OF NON

GOVERNMENTAL AGENCIES.

Presented By-

S.Bhaktiswarupa

Msc (N) 1st Year

Sum Nursing College

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME

National Anti Malaria Programme National Filaria Control Programme Kala–azar Control Programme JE Control programme Dengue fever control programme

NATIONAL ANTIMALARIA PROGRAMME

Launched in India -1953

ACTION- Indoor residual spray of DDT in endemic areas.

RESULT- 80% of reduction in Malaria cases.

NATIONAL MALARIA IRADICATION PROGRAMME

Launched in India -1958

ACTION- Programme in various phases. (Preparatory, Attack , Maintenance) RESULT- Early beginning successful very high, late set back.

REVISED STRATEGY Modified plan of action (1977)

OBJECTIVE : Prevent death Reduce morbidity Maintain Industrial and Agricultural production.

OUTCOMES: Brought down then 2.18 million in 1984 and

remain stable in 2 million up to 1993. Again number of death increased.

MALARIA ACTION PLAN Government of India adopted in 1994

OBJECTIVES: Management of critical complicated cases of

Malaria. Check death in high risk groups. Reduce morbidity rate. Checking malaria endemic. Limiting cases of drug resistance.

WORK POLICY: Finding and treating. Controlling of parasite. Indentifying primary areas.

URBAN MALARIA PLAN Launched in 1971

OBJECTIVES: Adopting recurrent antilarval measure in

urban areas. Indentifying malaria cases with help of

available system and health workers. Controlling malaria through treatment.

ENHANCED MALARIA CONTROL PROJECT (EMCP)

Launched in 1997

COMPONENTS: Early diagnosis and prompt treatment. Selective vector control and indivisual

protection. Information, Education, Communication. Developing capacity against infection. Epidemic planning and rapid response

CURRENT STATUS OF MALARIA IN INDIA

In 2010, India is on 18th position in total reported cases in the world and 21st position in total world death of Malaria.

85% cases from Odisha, Rajasthan, Chhattisgarh, Madhya pradesh, Tripura, Andhra pradesh, Gujurat, Maharastra, West Bengal, Assam.

NATIONAL FILARIA CONTROL PROGRAMME

Launched in 1955

MEASURES: Assessing the extend of problem of

filaria. Treating and Diagnosed cases with DEC. Continuing the disease control through

antilarval and anti parasitic programme in urban areas.

KALAAZAR CONTROL PROGRAMME

Launched in 1990-91

Goals: To eradicate 2010;

Actions: Reduce number of vector and the

transmission by sprinkling of chemical twice /year.

Primary diagnosis and treatment. Providing health education for protection

against disease.

JE AND DENGUE FEVER CONTROL PROGRAMMEJEo Started1958o ACTION

Treatment

Finding

Monitoring

Implementation

In 2005

23 affected

5 deaths reported

DENGUE 1996 1st case detected It has reduced

upto ,0.4% in 2011. ACTION

Identifying

Vector control

Case management

IEC

ARD CONTROL PROGRAMME

In year 1990 ARD control programme had launched

During 1992-93 it is implemented as a part of CSSM prog.

OBJECTIVESTo reduce mortality in children due to ARD

STRATERGIES To ensure standard care management To trained peripheral health staff To promote timely referral To improve maternal knowledge To promote immunisation

NATIONAL TUBERCULOSIS CONTROL PROGRAMME

Started in 1962

OBJECTIVES: Long term objective Short term objective

ORGANISATION: District TB centre on average 50

peripheral health centre PHC, CHC, General Hospital

RNTCP

Reviewed NTP and launched RNTCP on 1992.

Strategies: Achievement of at least 85% cure rate of

infections cases through short term Chemotherapy.

Case findings through Sputum Microscopy. Strengthening health care centre. Ensure the supply of Antituberculosis

medication . Being improvement of all NGO staffs and all

categories of health worker.

COUGH FOR 2 WEEKS OR MORE

3 Sputum smears

1 or 2 Positive2 Negatives

Antibiotics 10 – 14 days

Cough persists

Repeat 2 Sputum Examination

1 or 2 Positives 2 Negative

X-ray chest

Suggestive of TB Negative for TB

Sputum negative PTB Anti TB Treatment

Non TB

Sputum Positive PTBAnti TB Treatment

DIAGNOSIS OF TB IN RNTCP

DOTS

Success of DOTS depends Political commitment. Good quality Sputum Microscopy. Uninterrupted supply of good quality

drugs. Accountability

MAJOR ACHIVEMENT OF RNTCP

India is 2nd largest country in world in terms coverage of DOTS.

By October 2004, 83% of population covered under RNTCP.

About 9000 lab established. More than 85% success rate till 2006. Death reduced from 24% - 4%.

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NATIONAL LEPROSY ERADICATION PROGRAMME (1955)

OBJECTIVE: To remove leprosy from the country.

In 2002; India has 5/10,000 population Leprosy ratio.

OBJECTIVE: To treat Leprosy at home by DAPSONE

MONOTHERAPY

In 2007 onwards;OBJECTIVE: Early detection cases Treating with MDT

WORKING POLICY Home visit Providing service by health worker. Solving problem of ugliness and

Rehabilitation.

CURRENT SCENARIO

Between 2010-2011 -> 1,26,800 fresh cases of Leprosy around 4000 among them disabilities.

NATIONAL AIDS CONTROL PROGRAMME

Launched in 1987;

OBJECTIVES: Reducing the Morbidity and Mortality of AIDS. Minimizing the HIV infection.

ACTIVITIES: Strengthening the Management Potentials Rectifying IEC System Control of STD Safe Blood Monitoring Strengthening the diagnosis, Management,

Capability.

EXPANDED PROGRAMME ON IMMUNISATION (EPI)

Launched in India 1978.

OBJECTIVE: Reducing the Morbidity and Mortality resulting from six

vaccine preventable disease of childhood. To achieve self sufficiency in vaccine.UNIVERSAL IMMUNISATION PROGRAMME

(UIP)

Launched in 1985. 100% vaccination of children and pregnant women.

ACHIEVEMENT: By 2009 coverage level 90% in TT, 88% BCG, 80%

DPT, 78.2% OPV

NATIONAL DISEASE SURVILLENCE PROGRAMMEOBJECTIVE: To build capacity at district and state

level.

ACTIVITIES: Training of Paramedical and Medical

staffs. Publicity of technical information and

direction. Setting up a development Lab. Encouraging Participation of community. Modernization of Communication.

PROGRAMME FOR NON-COMMUNICABLE DISEASE

NATIONAL CANCER CONTROL PROGRAMME

Started in1975;

OBJECTIVES: Primary Prevention Secondary Prevention Tertiary Prevention

SCHEMES (2004-05): Regional cancer centre scheme. Oncology wing development scheme. District cancer control programme. IEC at central level.

NATIONAL DIABETES CONTROL PROGRAMME

Started in (1985-90) 7th five year plan.

OBJECTIVES: Identifying high risk group at early

stage. Early diagnosis and management. Prevention and complication

management. Rehabilitation.

NATIONAL MENTAL HEALTH PROGRAMME

Launched in 7th (Five Year plan)

OBJECTIVES: Mental health care service for all. Identify high risk group in communities.

NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS

Started in 1976

ACTIVITIES: Establishing Regional institute of

Ophthalmology. Improving level of Ophthalmic Services. Development of Mobile Ophthalmic Units. Training and appointing Ophthalmic

personnel. Vision 2020: RIGHT TO SIGHT School Level Programme:

NATIONAL NUTRITIONAL PROGRAMMES ICDS MIDDAY MEAL PROGRAMME SPECIAL NUTRITION PROGRAMME NATIONAL NUTRITIONAL ANAEMIA

PROPHYLAXIS PROGRAMMME NATIONAL IODINE DEFICIENCY

DISORDER CONTROL PROGRAMME

ICDS OBJECTIVES (1975)o To improve the nutrition and health

status of children 0-6 yrs.o To lay out the foundation between all

aspect of the childo To reduce mortality morbidity and

school drop out, of the childreno To enhance the capability of mother to

provide the child nutritional need

MID DAY MEAL PROG.(1961) To attract more school attendance . More literacy level should achieved School health fulfill 1/3 rd of total

requirement per day

SPECIAL NUTRITION PROGRAMME(1970) To improve the nutritional status of a

target group , For children below 6 yrs ,pregnant woman,nursing mother.

Provides 300Kcalorie,10-12 gm of protien per child per day

Mother get 500 kcalorie and 25 gms of protien

NATIONAL IODINE DEFICIENCY DISORDER PROGRAMME Launched in 1962 as national goitre

control programme

GOALS Surveying deficiency Distribution Evaluation of iodine salt. Health education Lab monitoring of iodine

RESEARCH AND TRENDS2011 Strategies: of malaria

Accessible cost diagnosis services. Treatment in identified high risk groups. Newer diagnostic techniques like Rapid

Diagnostic Test. Long lasting insecticidal nets to improve

quality must provide.

TUBERCULOSIS In 2011, the success rate was > 87%

Quality Sputum smear exam is available .

12th five year plan (2012-2017) = TB FREE INDIA

OPEN DISCUSSION