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Transcript of national health programmes
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%.
)
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