national programme for the prevention and control of deafness

1. Dr. Hemant Nagar
NATIONAL PROGRAM FOR PREVENTION AND
CONTROL OF DEAFNESS

2. • Introduction
• Cause of hearing lose
• Objectives of the program
• Strategies of the program
• Organizational Structure
• Program Implementation
• Program Activities
• Achievements of the program
Contents

3. • Hearing loss is the most common sensory deficit in humans today.
• As per WHO estimate, in India there are approximately 63 million people who
are suffering from significant auditory impairment.
• There are 291 persons per 1 lakh population who are suffering from severe
hearing loss.
• Occupational hearing loss includes acoustic, traumatic injury and noise induced
hearing loss.
• Noise induced hearing loss is the second most common acquired hearing loss
after age related loss.
• 50% of causes of hearing impairment are preventable and can be corrected
surgically and can be rehabilitated with the use of hearing aids, speech and
hearing therapy.
INTRODUCTION

4. CAUSES OF HEARING LOSS
Sr.
No.
HEARING LOSS
1. Aging process
2. Occupational hazards(those who are working in noisy area)
3. Wax in the ear
4. Chronic ear infection
5. Diseases of tympanum
6. A hole in tympanic membrane
7. Growths and masses in the ear and bones and cancer like diseases

5. NPPCD
 The program was initiated in 2007 on pilot mode in 25 districts of 11
State/UTs.
 In first phase manner, the program was extended to 203 districts of 20
State/UTs by 2012.
 In 12th five year plan , its proposed to expand the program to additional
200 districts in a phased manner probably covering all the states and
union territories by 2017.

6. • To reduce the total deafness burden by 25% by the end of 11th five year plan.
LONGTERM
• Early identification, diagnosis and treatment of ear problems responsible for
hearing loss and deafness.
• To prevent the avoidable hearing loss on account of the disease/ injury.
• To medically rehabilitate persons of all age groups suffering with deafness.
• To develop institutional capacity for ear care services by providing support
for equipment, material and training personnel.
IMMEDIATE
Objectives

7. • To strengthen the service delivery including rehabilitation.
• To develop human resources for ear care.
• To promote out reach activities and public awareness through innovative
and effective IEC strategies with special emphasis on prevention
deafness.
STRATEGIES

8. ORGANISATIONAL STRUCTURE

9. A. Training of all the manpower.
B. Infrastructure Building
C. Service provision
D. IEC activities
COMPONENTS OF THE PROGRAM

10. • Central Coordination Committee will be constituted at the central level.
• This will consist of following members:
Representative of DGHS – 2
Representative of WHO – 1
ENT specialists and experts – 2
Audiologists and speech therapists – 2
Public Health expert – 1
Representative of Rehabilitation Council of India (RCI) – 1
CENTRAL LEVEL

11. • This Committee will evaluate and monitor the
implementation plan for program.
• Central Cell will be set up at the central level in the DGHS
to provide necessary leadership, technical support to the
State and District level functionaries.

12. • State Health Society and Program Committee is placed under NRHM
• It will function for….
 Preparation of district plans for implementation of NPPCD.
 Monitoring and supervise implementation of program.
 Release and Monitoring of flow of funds to the District Health Societies.
STATE LEVEL

13. • State Technical Committee will have
State Nodal Officer ; ENT Specialist / Surgeon
Audiologist – 1
To provide technical guidance and expertise to the State Health Society.

14. • District Hospital will post…
District Nodal Officer : ENT Surgeon – 1
Audiologist – 1
and they will be key persons for the implementation of the program in the
district.
• They can also employ additional staff;
Teacher for young hearing impaired – on contractual basis, to look after the
therapy and training of young hearing impaired children at district level.
DISTRICT LEVEL

15. • Centre of Excellence – The State Medical Collage – which supports the
program
• Main Focus of Activity of the Program – The District Hospital
• The program will be strengthened through training of…
- ENT doctors - Audiologist
• They would be provided with equipment for proper diagnostic, therapeutic and
rehabilitation activities.
PROGRAM IMPLEMENTATION

16. • The doctors at PHC and CHC will also be given training as well as the basic
diagnostic equipment to enable them to diagnose, treat and refer the patients
requiring treatment.
• The multipurpose workers at the sub central level and the gross level
functionaries (AWWs, ASHA), including Mahila Mandals will be sensitized
about the program which would facilitate in creating awareness and mobilizing
the communities.
• The School Health system will play a very important role in the program.
• The ear check up will be done by the PHC or CHC doctors.

21. THANK YOU FOR
LISTINING