The document summarizes India's national policies for the elderly, including the key challenges of a rapidly aging population. The National Policy on Older Persons (NPOP) aims to improve quality of life for seniors through income security, healthcare, shelter, education and welfare programs. The policy is implemented through various ministries and schemes that provide pensions, healthcare, housing assistance, and support for vulnerable groups. Recent initiatives expand insurance, pension and assistance programs to further support India's growing elderly population.
The National Policy for Older Persons (NPOP) 1999 India Sailesh Mishra
The Indian government after many years of debate finally declared the National Policy of the Older Persons in January 1999, the International Year of the Older Persons. The policy highlights the rising elderly population and an urgent need to understand and deal with the medical, psychological and socio-economic problems faced by the elderly. However what the policy did emphasize was on the dominant role the non governmental organizations should play to assist the government in bringing forth a society where the needs and the priorities of the elderly are taken into account. It recognized the Older Persons as a Resource of the Country.
UNIT-VII ROLE OF VOLUNTARY ORGANIZATION IN REHABILITATION.pptxanjalatchi
the main functions of the voluntary organization is to identifying the needs of individuals ,groups , communities , and initiate programmes and projects to meet them on their own or with the grant- in -aid of the government.
disability, impairment, rehabilitation, rehabilitation council of india, prosthsis, orthosis, vocational , occupational rehabilitation, causes, definition,
There are so many schemes under National trust act as Disha,Vikaas,Samarth,Gharaunda,Nirmaya,Sahyogi,Prerna
Gyan Prabha,Sambhav,Badhte Kadam.Unique Disability ID,National Fund and National Award also included in it.There are so many schemes for education, employment and for Disability Certificate.
The National Policy for Older Persons (NPOP) 1999 India Sailesh Mishra
The Indian government after many years of debate finally declared the National Policy of the Older Persons in January 1999, the International Year of the Older Persons. The policy highlights the rising elderly population and an urgent need to understand and deal with the medical, psychological and socio-economic problems faced by the elderly. However what the policy did emphasize was on the dominant role the non governmental organizations should play to assist the government in bringing forth a society where the needs and the priorities of the elderly are taken into account. It recognized the Older Persons as a Resource of the Country.
UNIT-VII ROLE OF VOLUNTARY ORGANIZATION IN REHABILITATION.pptxanjalatchi
the main functions of the voluntary organization is to identifying the needs of individuals ,groups , communities , and initiate programmes and projects to meet them on their own or with the grant- in -aid of the government.
disability, impairment, rehabilitation, rehabilitation council of india, prosthsis, orthosis, vocational , occupational rehabilitation, causes, definition,
There are so many schemes under National trust act as Disha,Vikaas,Samarth,Gharaunda,Nirmaya,Sahyogi,Prerna
Gyan Prabha,Sambhav,Badhte Kadam.Unique Disability ID,National Fund and National Award also included in it.There are so many schemes for education, employment and for Disability Certificate.
Seminar on the topic - Policies for care of elderly in India includes provisions, rights, legal protection and services available for elderly people in INDIA.
Unit-VII Community Based Rehabilitation m.sc II year.pptxanjalatchi
Community Based Rehabilitation (CBR) is a community development strategy that aims at enhancing the lives of persons with disabilities (PWDs) within their community.
An Age Friendly Initiative: Active Ageing Non-institutional Services To Olde...Alakananda Banerjee
Need of the hour: Integrated Approach Towards Community Wellness
Formulated on international research and knowledge based on important principles and guidelines by WHO Active Ageing Policy and Towards Building an Age Friendly City.
Rehabilitation restores normal or near-normal function after illness, injury, addiction, or imprisonment, through retraining and medical treatment.
Rehabilitation is crucial in comprehensive care, ideally starting at the moment a patient enters the healthcare system, with programs available in specialized hospital units or independent community centers.
Unit-VII WELFARE FACILITIES FOR REHABILITATION IN DISABLED PERSON.pptxanjalatchi
some of the benefits for disabled people?
Scholarship schemes for students with disabilities. ...
Concession in Railway and Air fare. ...
Rebate in income tax. ...
Reservation in government jobs. ...
Free travel in state transport buses. ...
Loan for starting own business.
UNITED NATION DEVELOPMENT PROGRAMME is the united nations global development network established in 1965. its headquarter is in new york city and current head is ACHIM STEINER.
Population policy in general refers to policies intended to decrease the birth rate or growth rate.
Statement of goals, objectives and targets are inherent in the population policy.
History
National Population Policy 2000
Objectives
National Socio-Demographic Goals
Conclusion
Chronic rehabilitation is a term used to refer to the regular maintenance of a component that is required over its serviceable life.
Chronic rehabilitation can be costly and resource intensive in the long run, as regular inspection, assessment and repair are required periodically to ensure that the component in question operates as intended.
National population policy and National policy on AYUSH and plans (NURSING M...dakshkarwal
This PowerPoint presentation aims to delve into two critical health policies shaping the landscape of healthcare in our country: the National Population Policy and the National Policy on Ayush. With a focus on population management and the promotion of traditional Indian systems of medicine, these policies play pivotal roles in addressing various healthcare challenges and shaping the future of public health in India.
Topics contained:
1) INTRODUCTION
2) EVENTS IN NATIONAL POPULATION POLICY
3) OBJECTIVES
4) STRATEGIC THEMES
5) LEGISLATIVE AND PUBLIC SUPPORT MEASURES AND MEASURES FOR THE CREATION OF NEW STRUCTURES TO SUPPORT POPULATION STABILIZATOIN MEASURES
Seminar on the topic - Policies for care of elderly in India includes provisions, rights, legal protection and services available for elderly people in INDIA.
Unit-VII Community Based Rehabilitation m.sc II year.pptxanjalatchi
Community Based Rehabilitation (CBR) is a community development strategy that aims at enhancing the lives of persons with disabilities (PWDs) within their community.
An Age Friendly Initiative: Active Ageing Non-institutional Services To Olde...Alakananda Banerjee
Need of the hour: Integrated Approach Towards Community Wellness
Formulated on international research and knowledge based on important principles and guidelines by WHO Active Ageing Policy and Towards Building an Age Friendly City.
Rehabilitation restores normal or near-normal function after illness, injury, addiction, or imprisonment, through retraining and medical treatment.
Rehabilitation is crucial in comprehensive care, ideally starting at the moment a patient enters the healthcare system, with programs available in specialized hospital units or independent community centers.
Unit-VII WELFARE FACILITIES FOR REHABILITATION IN DISABLED PERSON.pptxanjalatchi
some of the benefits for disabled people?
Scholarship schemes for students with disabilities. ...
Concession in Railway and Air fare. ...
Rebate in income tax. ...
Reservation in government jobs. ...
Free travel in state transport buses. ...
Loan for starting own business.
UNITED NATION DEVELOPMENT PROGRAMME is the united nations global development network established in 1965. its headquarter is in new york city and current head is ACHIM STEINER.
Population policy in general refers to policies intended to decrease the birth rate or growth rate.
Statement of goals, objectives and targets are inherent in the population policy.
History
National Population Policy 2000
Objectives
National Socio-Demographic Goals
Conclusion
Chronic rehabilitation is a term used to refer to the regular maintenance of a component that is required over its serviceable life.
Chronic rehabilitation can be costly and resource intensive in the long run, as regular inspection, assessment and repair are required periodically to ensure that the component in question operates as intended.
National population policy and National policy on AYUSH and plans (NURSING M...dakshkarwal
This PowerPoint presentation aims to delve into two critical health policies shaping the landscape of healthcare in our country: the National Population Policy and the National Policy on Ayush. With a focus on population management and the promotion of traditional Indian systems of medicine, these policies play pivotal roles in addressing various healthcare challenges and shaping the future of public health in India.
Topics contained:
1) INTRODUCTION
2) EVENTS IN NATIONAL POPULATION POLICY
3) OBJECTIVES
4) STRATEGIC THEMES
5) LEGISLATIVE AND PUBLIC SUPPORT MEASURES AND MEASURES FOR THE CREATION OF NEW STRUCTURES TO SUPPORT POPULATION STABILIZATOIN MEASURES
NPP National population policyAfter independence the first objective of India...AKHILAPK2
After independence the first objective of Indian government was economic and social development. In economic and social development, government focus on to create the choices for the people to enhance the wellbeing of the population.
In 1952 India was first country in the world who launch the family planning program to decrease the birth rates.
A positive population policy which aims at reducing the birth rate and ultimately stabilising the growth rate of population.
In India, where the majority of people are illiterate, fatalist, and custom-ridden, and do not believe in family planning, only the government’s initiative can help in controlling population growth.
India is the most populous country in the world with one-sixth of the world's population.
The estimated total population in India amounted to approximately 1.42 billion people.
The current population of India is 1,433,840,754 as of Friday, November 24, 2023.
India the population is equivalent to 17.76% of the total world population.
India ranks number 1 in the list of countries by population.
Stabilizing population is an essential requirement for promoting sustainable development with more equitable distribution.India the population is equivalent to 17.76% of the total world population.
India ranks number 1 in the list of countries by population.
Stabilizing population is an essential requirement for promoting sustainable development with more equitable distribution.
India the population is equivalent to 17.76% of the total world population.
India ranks number 1 in the list of countries by population.
Stabilizing population is an essential requirement for promoting sustainable development with more equitable distribution.
Major Causes:
Early marriage
Poverty and illiteracy
Age old cultural norm
Illegal migration
Effects:
Unemployment
Depletion of Natural Resources
High Cost of Living
Degradation of Environment
Conflicts and Wars
Pressure on infrastructure
Fragmentation of land
Government of India has accepted the National population policy on 15th February 2000.
According to this policy, stabilization of population is very important to ensure continuous growth ,socioeconomic development and quality life.
Reproduction and child health has been given an important place in this policy.There are three types of objectives for National Population Policy (NPP) 2000:
1. The Immediate Objective:
Paying attention to the short supply of contraceptives and unfulfilled demands of health system and health workers.
Arranging service organizations and supplies needed to look after the basic reproductive and child health care.
2. The Medium-Term Objective:
The medium-term objective is to bring the Total Fertility Rate (TFR) to replacement level by 2010 .
3. The Long-Term Objective:
Stabilizing the population by the year 2045,according to stable economic growth ,social development and environment safety.
Socio Demographic Targets: Paying attention to the reproductive and child health, health
Elderly age group needs special mention and special care always because that is the phase of a transition from a healthy , financially stable human being to a person who along with the physiology is also at a loss of emotional well being, mental well being, financial well being and spiritual well being..It is this time that he needs the aid and presence of a society which can think and act on his behalf.
Unit vi national policy on senior citizens 2011anjalatchi
• The foundation of the new policy, known as the “National Policy for Senior Citizens 2011” is based on several factors. These include the demographic explosion among the elderly, the changing economy and social milieu, advancement in medical research, science and technology and high levels of destitution among the elderly rural poor (51 million elderly live below the poverty line). A higher proportion of elderly women than men experience loneliness and are dependent on children. Social deprivations and exclusion, privatization of health services and changing pattern of morbidity affect the elderly. All those of 60 years and above are senior citizens. This policy addresses issues concerning senior citizens living in urban and rural areas, special needs of the “oldest old? and older women.
India Senior Citizens' guide Helpage India 2016Sailesh Mishra
Senior Citizens Guide - REVISED EDITION 2016, Complied and Published by Policy Research and Development Department - HelpAge India.
Awareness is the first step for concerted effort for advocacy. The Senior Citizens’ Guide and other such publications of HelpAge India are an effort to create awareness among older persons and other stake holders. We hope that the updated version will prove useful to the readers.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
3. INDIA: Phase of Demographic
Transition
In a new report, the United Nations
Population Fund has said the population of
elderly people in India will triple by 2050.
The percentage of elderly people,
classified as those above 60 years of age,
is expected to go up in India from 8% in
2015 to 19 % in 2050.
4. • The country now faces the major challenge of how to
take care of such a large population of senior citizens
– whose number is set to grow three-fold from around
103 million at present to 300 million by 2050.
• This challenge has been highlighted in a report released
by UN Population fund India titled ‘Caring for our elders:
Early response India Ageing Report 2017’.
• The report observes that the section that deserves
maximum attention remains old women, who are more
vulnerable than men due to their longer life
expectancy and no income.
5. The report has flagged some key concerns and mapped
possible policy responses from the government and civil
society.
The report also noted that between 2000 and 2050, the
population of 80-plus people would have grown 700% “with
a predominance of widowed and highly dependent very
old women” and so “the special needs of such oldest
old women would need significant focus of policy and
programmes”.
6. NATIONAL POLICY ON OLDER
PERSONS (NPOP) 1999:
The NPOP in India has been formulated as a
forward-looking vision of the government for
improving quality of life of older people in India
through
i) increased income security,
ii) health and nutrition,
iii) shelter,
iv) education, empowerment and welfare.
7. GOAL OF NATIONAL POLICY
Well being of older persons by
strengthening their legitimate place in
society and help to live their life with
purpose, dignity and peace.
8. OBJECTIVES OF POLICY
1. To encourage individuals to make various provisions
such as health and social insurance for their own as
well as their spouse’s old age;
2. To encourage families to take care of their older family
members.
3. To enable and support voluntary and nongovernmental
organisations to supplement the care provided by the
family, with greater emphasis on non institutional care;
4. To provide care and protection to the vulnerable elder
especially widows, frail, physically challenged, abused
and destitute elderly;
9. Contd……..
5. To provide health care facilities specially suited to
elderly
6. To promote research and training to train geriatric
care givers and organisers of services for the elderly;
7. To continually evaluate and upgrade existing services
and programs for older people;
8. To facilitate and strengthen inter sectoral
partnerships in the field; and
9. To create awareness regarding elder persons to
develop themselves into fully independent citizens.
10. ELEMENTS OF NPOP POLICY
1. Financial Security:
Pension scheme (in public and private sector)
Lower income tax rate and exemptions
2. Health care and Nutrition:
Setting up Geriatric wards and training on
Geriatric Specialized care
Expanding Mental Health Services for elderly
11. 3. Shelter:
Government and Private Housing Schemes for
elderly
Disposal of cases relating to property
transfer, mutation of property and tax.
4. Education:
Information to elderly about Concept of
wellness in old age
Evolving changes in lifestyle and living style.
12. 5. Welfare :
Identifying extremely vulnerable elderly who
are disabled, chronically sick and destitute.
Assistance to voluntary organisations to
construct and maintain old age homes, day
care centre, multi-service citizens centres,
supply of disability-related aids and appliances
Providing welfare funds for elderly with
support from corporate sector, trusts,
charities, individual donors and involvement
of NGOs.
13. 6. Research and Training:
Encourage medical colleges, training
institutions for Nurses and Para medical
institutes to introduce COURSES ON GERIATRIC
CARE.
Research and documentation in elderly care
NGO supported specialized training in
Geriatric care.
7. Sensitizing the Media:
Involvement of social medias and internet to
create awareness
14. INTER-MINISTERIAL CONTRIBUTIONS
TO NPOP:
NPOP implementation across several ministries
of the government lies with the nodal Ministry
of Social Justice and Empowerment (MOSJE).
MOSJE pulled together various elements of NPOP
under the National Initiative on Care of Elderly
(NICE).
15. List of Ministries/ Department of The Inter-Ministerial
Committee Implementing Indian National Policies On
Older Persons
1. Ministry of Social Justice and Empowerment
2. Ministry of Health and Family Welfare
3. Ministry of Finance
4. Ministry of Rural Development and Employment
5. Ministry of Urban Affairs and Employment
6. Ministry of Human Resource Development
7. Ministry of Labour
8. Ministry of Personnel, Public Grievances and Pensions
9. Ministry of Law Justice and Company Affairs
10. Ministry of Home Affairs
11. Ministry of Information and Broadcasting
12. Ministry of Communication
13. Ministry of Railways
14. Ministry of Agriculture
15. Ministry of Surface Transport
16. Ministry of Civil Aviation
17. Ministry of Petroleum and Natural Gas
18. Ministry of Food and Consumer Affairs
19. Ministry of External Affairs
16. 4 ministries may be considered core as they are responsible for a
large and important chunk of services to older persons.
These are:
1. Ministry of Social Justice and Empowerment (MOSJE) is
responsible for coordination across ministries and also for
implementing the central sector IPOP with the objective of
improving the quality of life of senior citizens by providing basic
amenities like shelter, food, medical care and entertainment
activities and by encouraging productive and active ageing.
2. Ministry of Health and Family Welfare (MOHFW) is
responsible for implementing the National Programme for
Health Care of Elderly (NPHCE) through primary, secondary and
tertiary services, dedicated for older persons.
17. 3. Ministry of Rural Development (MORD)
administers the National Social Assistance Programme
(NSAP) under which old-age pensions and family
benefits are provided to BPL families.
4. Ministry of Panchayati Raj (MOPR) is responsible for
empowerment, enablement and accountability of
Panchayati Raj Institutions (PRIs) to ensure inclusive
development with social justice and efficient delivery of
services and participatory self-governance. Under the
Sansad Adarsh Gram Yojana (SAGY), each Member of
Parliament has to adopt a Panchayat and work towards
convergence of various programmes to improve quality
of life in rural areas. When implemented, this scheme
will help rural elderly in many direct and indirect ways.
18. vision of the NPOP are covered as
(i)Maintenance and Welfare of Parent and Senior Citizens Act
2007: Parents and grandparents who are unable to maintain
themselves from their own income can demand maintenance from
their children, inclusive of food, clothing, residence, medical
attendance and treatment, to a maximum of 10,000 per month.₹
The Act provides for a tribunal to receive and take action on
complaints. In case the children themselves do not have sufficient
means to maintain them, the state governments are expected to
provide old-age homes in each district to accommodate a
minimum of 150 elderly. An important provision under the Act
legally empowers the elderly to claim their property back from
their children if the condition of maintenance is not satisfied
19. (ii) Integrated Programme for Older Persons (Revised 2016):
The IPOP (implemented since 1992) provides financial
assistance (up to 90 percent) to PRIs/local bodies, NGOs,
educational institutions, charitable hospitals/nursing homes
etc. for implementing a variety of facilities such as oldage
homes, mobile medical units for older persons living in rural
and isolated areas, day care centres, physiotherapy clinics,
provision of disability aids, running helplines and counselling
centres and sensitization of school and college students to
ageing issues.
(iii) National Programme for Health care of Elderly (NPHCE):
The health care programme for the elderly is being
implemented by the MOHFW from 2011 under the National
Rural Health Mission (NRHM).
20.
21. Under National Health Mission Program (NHM) dedicated 10-
bedded wards at district hospitals, strengthening of the eight
regional medical institutes to provide dedicated tertiary-level
medical facilities for the elderly, introducing postgraduate
courses in Geriatric Medicine, and in-service training of health
personnel at all levels. Regional geriatric centres with dedicated
geriatric out-patients’ departments and 30-bedded geriatric
wards are planned with necessary equipment such as video
conferencing facility.
(iv) National Social Assistance Programme (1995):
1. National Old Age Pension Scheme(NOAPS): in 2007
renamed as Indira Gandhi National Old Age Pension
Scheme(IGNOAPS).
22. 2. The Annapurna Yojana got added to the National Family
Benefit Scheme in 2000. The Annapurna Yojana aims to provide
food security to meet the requirement of those senior citizens
who, though eligible, have remained outside the old-age pension
scheme. It provides 10 kg of free rice every month to each
beneficiary.
3. Subsequently in 2009, NSAP was expanded to include the Indira
Gandhi National Widow Pension Scheme (IGNWPS) covering
widows aged 40–64 years, and the Indira Gandhi National
Disability Pension Scheme (IGNDPS) for persons with multiple or
severe disabilities aged 18–64 years living below poverty line.
23. •In 2011, the age limit for IGNOAPS was lowered from 65 to 60
years and monthly pension amount for those 80 years and
above was increased from ₹ 200 to 500.₹
•Age limits for IGNWPS and IGNDPS were changed to 40–79
years and 18–79 years respectively and amount increased
from 200 to 300₹ ₹ per month.
24. After about a decade of
implementation of NPOP, the MOSJE set
up expert committee to prepare a
revised “National Policy for Senior
Citizens (NPSC) 2011.”
25. FOCUS OF NEW POLICY
NPSC mainly focus on:
1.Elderly women need special attention;
2.Rural poor need special attention;
3.Factoring the advancements in medical technology
and assistive into the revised policy.
Specially broad categories of intervention include
income security in old age, health care, safety and
security, housing, productive ageing, welfare,
multigenerational bonding, media and protection
during natural disasters and emergencies
26. This policy has resulted in the launch of new schemes
such as
1. Strengthening of primary health care system to enable it to meet the
health care needs of older persons
2. Training and orientation to medical and paramedical personnel in health
care of the elderly.
3. Promotion of the concept of healthy ageing.
4. Assistance to societies for production and distribution of material on
geriatric care.
5. Provision of separate queues and reservation of beds for elderly patients
in hospitals.
6. Extended coverage under the Antyodaya Scheme with emphasis on
provision of food at subsidized rates for the benefit of older persons
especially the destitute and marginalized sections.
27. Areas of Intervention in NPSC:
I. Income security in old age
II. Health care
III. Safety and Security
IV. Housing
V. Productive Ageing
VI. Welfare
VII. Multigenerational Bonding
VIII. Social Media
28. Implementation Mechanism:
1. Establishment of Department of Senior Citizens -
under MOSJE
2. Establishment of Directorates of Senior Citizens in
- State & Union Territories
3. Establishment of Commissions - under National &
State Level
4. Establishment of Council for Senior citizens
5. Responsibility of implementation – other Ministry
6. Role of BDO, PRI and Tribal Councils /Gram Sabhas
29. Recent Initiatives under NPOP
1. Pradhan Mantri Suraksha Bima Yojana:
2015 All savings bank account holders 18–70 years
old can join the scheme. It offers a coverage of
200,000 for death or total and irrevocable loss of both₹
eyes and 100,000 coverage for the loss of an eye or₹
a limb.
30. 2. Atal Pension Yojana:
The government started the Swavalamban Scheme in
2010/11 which was replaced by the Atal Pension Yojana
(APY) in June 2015 for those persons engaged in the
unorganized sector, who are not members of any
statutory social security scheme. The existing subscribers
of Swavalamban Scheme would be automatically
migrated to APY, unless they opt out.
31. 3. Health Insurance for Senior Citizen:
Low premium life insurance (Pradhan Mantri Jeevan Jyoti
Bima Yojana)
General insurance (Pradhan Mantri Suraksha Bima Yojana),
The pension plan (Atal Pension Yojana). It is proposed to link
this to bank accounts of beneficiaries to directly transfer the
subsidy to the accounts. The government would subsidize the
premium for BPL elderly by up to 90 percent through direct
benefit transfer.
32. 4. Varistha Pension Bima Yojana (2017):
This scheme is a part of the government’s
commitment to financial inclusion and social security
during old age and to protect those aged 60 years
and above against a future fall in their interest
income due to uncertain market conditions. The
scheme will be implemented through LIC.
33. 5. Rashtriya Vayoshri Yojana : Scheme for
providing Aids and Assisted Living Devices to
Senior Citizens below Poverty Line
36. 8. Establishment of South Asia Senior
Citizen Forum(SASCF)
A regional body called South Asia Senior
Citizens’ Working Group aims to work closely
with the respective governments, NGOs and
civil society members of the region in order to
improve the well-being of the ageing
population.
42. CONCLUSION
The policy should emphasise the need for
expansion of social and community services
for older persons, particularly vulnerable
women group to get accessible to the user
friendly client oriented services.
Special efforts will be made to implement
the policy at the rural populations and
unorganized sectors where most of the older
population lives.