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Presented By-
S.Bhaktiswarupa
Msc (N) 1st Year
Sum Nursing College
ο‚ž National Anti Malaria Programme
ο‚ž National Filaria Control Programme
ο‚ž Kala–azar Control Programme
ο‚ž JE Control programme
ο‚ž Dengue fever control programme
ο‚ž Launched in India -1953
ο‚ž ACTION- Indoor residual spray of DDT in endemic
areas.
ο‚ž RESULT- 80% of reduction in Malaria cases.
ο‚ž Launched in India -1958
ο‚ž ACTION- Programme in various phases.
(Preparatory, Attack , Maintenance)
ο‚ž RESULT- Early beginning successful very high, late set back.
ο‚ž Modified plan of action (1977)
OBJECTIVE :
ο‚ž Prevent death
ο‚ž Reduce morbidity
ο‚ž Maintain Industrial and Agricultural production.
OUTCOMES:
ο‚ž Brought down then 2.18 million in 1984 and
remain stable in 2 million up to 1993.
Again number of death increased.
ο‚ž Government of India adopted in 1994
OBJECTIVES:
ο‚ž Management of critical complicated cases of
Malaria.
ο‚ž Check death in high risk groups.
ο‚ž Reduce morbidity rate.
ο‚ž Checking malaria endemic.
ο‚ž Limiting cases of drug resistance.
WORK POLICY:
ο‚ž Finding and treating.
ο‚ž Controlling of parasite.
ο‚ž Indentifying primary areas.
ο‚ž Launched in 1971
OBJECTIVES:
ο‚ž Adopting recurrent antilarval measure in
urban areas.
ο‚ž Indentifying malaria cases with help of
available system and health workers.
ο‚ž Controlling malaria through treatment.
ο‚ž Launched in 1997
COMPONENTS:
ο‚ž Early diagnosis and prompt treatment.
ο‚ž Selective vector control and indivisual
protection.
ο‚ž Information, Education, Communication.
ο‚ž Developing capacity against infection.
ο‚ž Epidemic planning and rapid response
ο‚ž In 2010, India is on 18th position in total
reported cases in the world and 21st position in
total world death of Malaria.
ο‚ž 85% cases from Odisha, Rajasthan, Chhattisgarh,
Madhya pradesh, Tripura, Andhra pradesh,
Gujurat, Maharastra, West Bengal, Assam.
ο‚ž Launched in 1955
MEASURES:
ο‚ž Assessing the extend of problem of filaria.
ο‚ž Treating and Diagnosed cases with DEC.
ο‚ž Continuing the disease control through
antilarval and anti parasitic programme in
urban areas.
ο‚ž Launched in 1990-91
Goals:
ο‚ž To eradicate 2010;
Actions:
ο‚ž Reduce number of vector and the transmission
by sprinkling of chemical twice /year.
ο‚ž Primary diagnosis and treatment.
ο‚ž Providing health education for protection
against disease.
JE
o Started1958
o ACTION
Treatment
Finding
Monitoring
Implementation
In 2005
23 affected
5 deaths reported
DENGUE
ο‚ž 1996 1st case detected
ο‚ž It has reduced upto ,0.4%
in 2011.
ο‚ž ACTION
Identifying
Vector control
Case management
IEC
 In year 1990 ARD control programme had
launched
 During 1992-93 it is implemented as a part of
CSSM prog.
OBJECTIVES
ο‚‘ To 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
ο‚ž Started in 1962
OBJECTIVES:
ο‚ž Long term objective
ο‚ž Short term objective
ORGANISATION:
ο‚ž District TB centre on average 50 peripheral
health centre
ο‚ž PHC, CHC, General Hospital
ο‚ž Reviewed NTP and launched RNTCP on 1992.
Strategies:
ο‚ž Achievement of at least 85% cure rate of infections
cases through short term Chemotherapy.
ο‚ž Case findings through Sputum Microscopy.
ο‚ž Strengthening health care centre.
ο‚ž Ensure the supply of Antituberculosis medication .
ο‚ž Being improvement of all NGO staffs and all
categories of health worker.
COUGH FOR 2 WEEKS OR MORE
3 Sputum smears
1 or 2 Positive
2 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 PTB
Anti TB Treatment
Success of DOTS depends
ο‚ž Political commitment.
ο‚ž Good quality Sputum Microscopy.
ο‚ž Uninterrupted supply of good quality drugs.
ο‚ž Accountability
ο‚ž India is 2nd largest country in world in terms
coverage of DOTS.
ο‚ž By October 2004, 83% of population covered
under RNTCP.
ο‚ž About 9000 lab established.
ο‚ž More than 85% success rate till 2006.
ο‚ž Death reduced from 24% - 4%.
OBJECTIVE:
ο‚ž To remove leprosy from the country.
In 2002; India has 5/10,000 population Leprosy ratio.
OBJECTIVE:
ο‚ž To treat Leprosy at home by DAPSONE
MONOTHERAPY
In 2007 onwards;
OBJECTIVE:
ο‚ž Early detection cases
ο‚ž Treating with MDT
ο‚ž Home visit
ο‚ž Providing service by health worker.
ο‚ž Solving problem of ugliness and
Rehabilitation.
ο‚ž Between 2010-2011 -> 1,26,800 fresh cases
of Leprosy around 4000 among them
disabilities.
ο‚ž Launched in 1987;
OBJECTIVES:
ο‚ž Reducing the Morbidity and Mortality of AIDS.
ο‚ž Minimizing the HIV infection.
ACTIVITIES:
ο‚ž Strengthening the Management Potentials
ο‚ž Rectifying IEC System
ο‚ž Control of STD
ο‚ž Safe Blood
ο‚ž Monitoring
ο‚ž Strengthening the diagnosis, Management, Capability.
ο‚ž Launched in India 1978.
OBJECTIVE:
ο‚ž Reducing the Morbidity and Mortality resulting from
six vaccine preventable disease of childhood.
ο‚ž To achieve self sufficiency in vaccine.
ο‚ž Launched in 1985.
ο‚ž 100% vaccination of children and pregnant women.
ACHIEVEMENT:
ο‚ž By 2009 coverage level 90% in TT, 88% BCG, 80% DPT,
78.2% OPV
OBJECTIVE:
ο‚ž To build capacity at district and state level.
ACTIVITIES:
ο‚ž Training of Paramedical and Medical staffs.
ο‚ž Publicity of technical information and
direction.
ο‚ž Setting up a development Lab.
ο‚ž Encouraging Participation of community.
ο‚ž Modernization of Communication.
ο‚ž Started in1975;
OBJECTIVES:
ο‚ž Primary Prevention
ο‚ž Secondary Prevention
ο‚ž Tertiary Prevention
SCHEMES (2004-05):
ο‚ž Regional cancer centre scheme.
ο‚ž Oncology wing development scheme.
ο‚ž District cancer control programme.
ο‚ž IEC at central level.
ο‚ž Started in (1985-90) 7th five year plan.
OBJECTIVES:
ο‚ž Identifying high risk group at early stage.
ο‚ž Early diagnosis and management.
ο‚ž Prevention and complication management.
ο‚ž Rehabilitation.
ο‚ž Launched in 7th (Five Year plan)
OBJECTIVES:
ο‚ž Mental health care service for all.
ο‚ž Identify high risk group in communities.
ο‚ž Started in 1976
ACTIVITIES:
ο‚ž Establishing Regional institute of Ophthalmology.
ο‚ž Improving level of Ophthalmic Services.
ο‚ž Development of Mobile Ophthalmic Units.
ο‚ž Training and appointing Ophthalmic personnel.
ο‚ž Vision 2020: RIGHT TO SIGHT
ο‚ž School Level Programme:
ο‚ž ICDS
ο‚ž MIDDAY MEAL PROGRAMME
ο‚ž SPECIAL NUTRITION PROGRAMME
ο‚ž NATIONAL NUTRITIONAL ANAEMIA
PROPHYLAXIS PROGRAMMME
ο‚ž NATIONAL IODINE DEFICIENCY DISORDER
CONTROL PROGRAMME
o To improve the nutrition and health status of
children 0-6 yrs.
o To lay out the foundation between all aspect
of the child
o To reduce mortality morbidity and school
drop out, of the children
o To enhance the capability of mother to
provide the child nutritional need
ο‚ž To attract more school attendance .
ο‚ž More literacy level should achieved
ο‚ž School health fulfill 1/3 rd of total
requirement per day
ο‚ž To improve the nutritional status of a target
group , For children below 6 yrs ,pregnant
woman,nursing mother.
ο‚ž Provides 300Kcalorie,10-12 gm of protien per
child per day
ο‚ž Mother get 500 kcalorie and 25 gms of
protien
ο‚ž Launched in 1962 as national goitre control
programme
GOALS
 Surveying deficiency
 Distribution
 Evaluation of iodine salt.
 Health education
 Lab monitoring of iodine
2011 Strategies: of malaria
ο‚ž Accessible cost diagnosis services.
ο‚ž Treatment in identified high risk groups.
ο‚ž Newer diagnostic techniques like Rapid
Diagnostic Test.
ο‚ž Long lasting insecticidal nets to improve
quality must provide.
ο‚ž In 2011, the success rate was > 87% Quality
Sputum smear exam is available .
ο‚ž 12th five year plan (2012-2017) = TB FREE
INDIA
OPEN DISCUSSION
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national health programmes

  • 1.
  • 2. Presented By- S.Bhaktiswarupa Msc (N) 1st Year Sum Nursing College
  • 3.
  • 4. ο‚ž National Anti Malaria Programme ο‚ž National Filaria Control Programme ο‚ž Kala–azar Control Programme ο‚ž JE Control programme ο‚ž Dengue fever control programme
  • 5. ο‚ž Launched in India -1953 ο‚ž ACTION- Indoor residual spray of DDT in endemic areas. ο‚ž RESULT- 80% of reduction in Malaria cases. ο‚ž Launched in India -1958 ο‚ž ACTION- Programme in various phases. (Preparatory, Attack , Maintenance) ο‚ž RESULT- Early beginning successful very high, late set back.
  • 6. ο‚ž Modified plan of action (1977) OBJECTIVE : ο‚ž Prevent death ο‚ž Reduce morbidity ο‚ž Maintain Industrial and Agricultural production. OUTCOMES: ο‚ž Brought down then 2.18 million in 1984 and remain stable in 2 million up to 1993. Again number of death increased.
  • 7. ο‚ž Government of India adopted in 1994 OBJECTIVES: ο‚ž Management of critical complicated cases of Malaria. ο‚ž Check death in high risk groups. ο‚ž Reduce morbidity rate. ο‚ž Checking malaria endemic. ο‚ž Limiting cases of drug resistance. WORK POLICY: ο‚ž Finding and treating. ο‚ž Controlling of parasite. ο‚ž Indentifying primary areas.
  • 8. ο‚ž Launched in 1971 OBJECTIVES: ο‚ž Adopting recurrent antilarval measure in urban areas. ο‚ž Indentifying malaria cases with help of available system and health workers. ο‚ž Controlling malaria through treatment.
  • 9. ο‚ž Launched in 1997 COMPONENTS: ο‚ž Early diagnosis and prompt treatment. ο‚ž Selective vector control and indivisual protection. ο‚ž Information, Education, Communication. ο‚ž Developing capacity against infection. ο‚ž Epidemic planning and rapid response
  • 10. ο‚ž In 2010, India is on 18th position in total reported cases in the world and 21st position in total world death of Malaria. ο‚ž 85% cases from Odisha, Rajasthan, Chhattisgarh, Madhya pradesh, Tripura, Andhra pradesh, Gujurat, Maharastra, West Bengal, Assam.
  • 11. ο‚ž Launched in 1955 MEASURES: ο‚ž Assessing the extend of problem of filaria. ο‚ž Treating and Diagnosed cases with DEC. ο‚ž Continuing the disease control through antilarval and anti parasitic programme in urban areas.
  • 12. ο‚ž Launched in 1990-91 Goals: ο‚ž To eradicate 2010; Actions: ο‚ž Reduce number of vector and the transmission by sprinkling of chemical twice /year. ο‚ž Primary diagnosis and treatment. ο‚ž Providing health education for protection against disease.
  • 13. JE o Started1958 o ACTION Treatment Finding Monitoring Implementation In 2005 23 affected 5 deaths reported DENGUE ο‚ž 1996 1st case detected ο‚ž It has reduced upto ,0.4% in 2011. ο‚ž ACTION Identifying Vector control Case management IEC
  • 14.  In year 1990 ARD control programme had launched  During 1992-93 it is implemented as a part of CSSM prog. OBJECTIVES ο‚‘ To 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
  • 15.
  • 16. ο‚ž Started in 1962 OBJECTIVES: ο‚ž Long term objective ο‚ž Short term objective ORGANISATION: ο‚ž District TB centre on average 50 peripheral health centre ο‚ž PHC, CHC, General Hospital
  • 17. ο‚ž Reviewed NTP and launched RNTCP on 1992. Strategies: ο‚ž Achievement of at least 85% cure rate of infections cases through short term Chemotherapy. ο‚ž Case findings through Sputum Microscopy. ο‚ž Strengthening health care centre. ο‚ž Ensure the supply of Antituberculosis medication . ο‚ž Being improvement of all NGO staffs and all categories of health worker.
  • 18. COUGH FOR 2 WEEKS OR MORE 3 Sputum smears 1 or 2 Positive 2 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 PTB Anti TB Treatment
  • 19. Success of DOTS depends ο‚ž Political commitment. ο‚ž Good quality Sputum Microscopy. ο‚ž Uninterrupted supply of good quality drugs. ο‚ž Accountability
  • 20. ο‚ž India is 2nd largest country in world in terms coverage of DOTS. ο‚ž By October 2004, 83% of population covered under RNTCP. ο‚ž About 9000 lab established. ο‚ž More than 85% success rate till 2006. ο‚ž Death reduced from 24% - 4%.
  • 21.
  • 22. OBJECTIVE: ο‚ž To remove leprosy from the country. In 2002; India has 5/10,000 population Leprosy ratio. OBJECTIVE: ο‚ž To treat Leprosy at home by DAPSONE MONOTHERAPY In 2007 onwards; OBJECTIVE: ο‚ž Early detection cases ο‚ž Treating with MDT
  • 23. ο‚ž Home visit ο‚ž Providing service by health worker. ο‚ž Solving problem of ugliness and Rehabilitation. ο‚ž Between 2010-2011 -> 1,26,800 fresh cases of Leprosy around 4000 among them disabilities.
  • 24. ο‚ž Launched in 1987; OBJECTIVES: ο‚ž Reducing the Morbidity and Mortality of AIDS. ο‚ž Minimizing the HIV infection. ACTIVITIES: ο‚ž Strengthening the Management Potentials ο‚ž Rectifying IEC System ο‚ž Control of STD ο‚ž Safe Blood ο‚ž Monitoring ο‚ž Strengthening the diagnosis, Management, Capability.
  • 25. ο‚ž Launched in India 1978. OBJECTIVE: ο‚ž Reducing the Morbidity and Mortality resulting from six vaccine preventable disease of childhood. ο‚ž To achieve self sufficiency in vaccine. ο‚ž Launched in 1985. ο‚ž 100% vaccination of children and pregnant women. ACHIEVEMENT: ο‚ž By 2009 coverage level 90% in TT, 88% BCG, 80% DPT, 78.2% OPV
  • 26.
  • 27. OBJECTIVE: ο‚ž To build capacity at district and state level. ACTIVITIES: ο‚ž Training of Paramedical and Medical staffs. ο‚ž Publicity of technical information and direction. ο‚ž Setting up a development Lab. ο‚ž Encouraging Participation of community. ο‚ž Modernization of Communication.
  • 28.
  • 29. ο‚ž Started in1975; OBJECTIVES: ο‚ž Primary Prevention ο‚ž Secondary Prevention ο‚ž Tertiary Prevention SCHEMES (2004-05): ο‚ž Regional cancer centre scheme. ο‚ž Oncology wing development scheme. ο‚ž District cancer control programme. ο‚ž IEC at central level.
  • 30. ο‚ž Started in (1985-90) 7th five year plan. OBJECTIVES: ο‚ž Identifying high risk group at early stage. ο‚ž Early diagnosis and management. ο‚ž Prevention and complication management. ο‚ž Rehabilitation.
  • 31.
  • 32. ο‚ž Launched in 7th (Five Year plan) OBJECTIVES: ο‚ž Mental health care service for all. ο‚ž Identify high risk group in communities.
  • 33. ο‚ž Started in 1976 ACTIVITIES: ο‚ž Establishing Regional institute of Ophthalmology. ο‚ž Improving level of Ophthalmic Services. ο‚ž Development of Mobile Ophthalmic Units. ο‚ž Training and appointing Ophthalmic personnel. ο‚ž Vision 2020: RIGHT TO SIGHT ο‚ž School Level Programme:
  • 34. ο‚ž ICDS ο‚ž MIDDAY MEAL PROGRAMME ο‚ž SPECIAL NUTRITION PROGRAMME ο‚ž NATIONAL NUTRITIONAL ANAEMIA PROPHYLAXIS PROGRAMMME ο‚ž NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME
  • 35. o To improve the nutrition and health status of children 0-6 yrs. o To lay out the foundation between all aspect of the child o To reduce mortality morbidity and school drop out, of the children o To enhance the capability of mother to provide the child nutritional need
  • 36. ο‚ž To attract more school attendance . ο‚ž More literacy level should achieved ο‚ž School health fulfill 1/3 rd of total requirement per day
  • 37. ο‚ž To improve the nutritional status of a target group , For children below 6 yrs ,pregnant woman,nursing mother. ο‚ž Provides 300Kcalorie,10-12 gm of protien per child per day ο‚ž Mother get 500 kcalorie and 25 gms of protien
  • 38. ο‚ž Launched in 1962 as national goitre control programme GOALS  Surveying deficiency  Distribution  Evaluation of iodine salt.  Health education  Lab monitoring of iodine
  • 39. 2011 Strategies: of malaria ο‚ž Accessible cost diagnosis services. ο‚ž Treatment in identified high risk groups. ο‚ž Newer diagnostic techniques like Rapid Diagnostic Test. ο‚ž Long lasting insecticidal nets to improve quality must provide.
  • 40. ο‚ž In 2011, the success rate was > 87% Quality Sputum smear exam is available . ο‚ž 12th five year plan (2012-2017) = TB FREE INDIA