This document outlines various national health and family welfare programmes in India. It discusses programmes for controlling communicable diseases like vector borne diseases, tuberculosis, AIDS, as well as non-communicable diseases like blindness, iodine deficiency, diabetes, and mental health issues. It also describes malaria control strategies, national leprosy, guinea worm and filaria control programmes. Preventive programmes around immunization, elderly health, deafness prevention are discussed. Reproductive and child health programmes and the National Health Mission framework are summarized.

1. NATIONAL HEALTH AND
FAMILY WELFARE
PROGRAMMES

2. COMMUNICABLE
DISEASE
1) NATIONAL VECTOR BORN CONTROLE
PROGRAMMES
2) REVISED NATIONAL TUBERCULOSIS
CONTROLE PROGRAMME
3) NATIONAL AIDS CONTROL PROGRAMME

3. NON COMMUNICABLE
DISEASE
1) NATIONAL PROGRAMME FOR CONTROL
OF BLINDNESS (NPCB)
2) NATIONAL IODINE DEFICIENCY DISORDER
CONTROL PROGRAMME
3) NATIONAL PROGRAMME ON PREVENTION AND
CONTROL OF DIABETES, CVD AND STROKE
4) NATIONAL MENTAL HEALTH PROGRAMME

4. NATIONAL ANTI MALARIAL CONTROL
PROGRAMMES
National Malaria Control Programme in 1953.
Enhanced Malaria Control Project 1997
1999 renaming of programme to national
anti-malarial programme.

5. Strategies under NMCP
1. Principal operational activities under the control programme
comprised of residual insecticide spray of human dwelling and
cattle sheds;
2. Malaria control teams were organized and directed by the
state anti-malaria organization to carry out surveys and to
monitor the malaria incidence in the control areas; and
3. Anti-malarial drugs were made available for patients
reporting to an Institution.

6. ANTI MALARIA MONTH CAMPAIGN
• Anti-malaria month is observed every year in the month of
June throughout the country prior to the onset of monsoon to
enhance the level of awareness and encourage community
participation through mass media campaign and interpersonal
communication

7. NATIONAL FILARIA CONTROLE
PROGRAMME (1955)
STRATEGY
• Recurrent anti-larval measures at weekly intervals.
• Environmental methods including source reduction by filling ditches,
pits, low lying areas, deweeding, desilting, etc.
• Biological control of mosquito breeding through larvivorous fish.
• Anti-parasitic measures through 'detection' and 'treatment' of
microfilaria carriers and disease person with DEC by Filarial Clinics in
towns covered under the programme.

8. NATIONAL KALAAZAR
CONTROLE
PROGRAMME
1990-1991
OBJECTIVE
To reduce the annual incidence of Kala-azar to less than one per 10 000
population at block PHC level by the end of 2015 by:
• reducing Kala-azar in the vulnerable, poor and unreached populations
in endemic areas;
• reducing case-fatality rates from Kala-azar to negligible level;
• preventing the emergence of Kala-azar and HIV/TB co-infections in
endemic areas.

9. JAPANESE ENCEPHALITIS
• .First case was reported in 1955
• During recent past (1998-2004), 15 states and Union Territories have
reported JE incidence.
• Activities
Early diagnosis and proper case management, integrated vector
controle , particularly personel protection and use of larvivorus fishes,
community participation.

10. CHIKUNGUNYA
• Epidemics are sustained
by the human-mosquito-
human transmission
cycle. The Aedes
mosquitoes that transmit
chikungunya breed in a
wide variety of manmade
containers which are
common around human
dwellings

11. 2)REVISED NATIONAL TUBERCULOSIS
CONTROLE PROGRAMME
• Initiation of the National TB
Programme (NTP) in 1962
• Revised national
tuberculosis controle
programme 1993
• Directly Observed
Treatment, Short Course
(DOTS) strategy was
launched in 1993

12. STRATEGIES
•Achievement of at least 85% cure rate of
infectious cases of tuberculosis , through DOTS
•Augmentation of case findings activities through
quality sputum microscopy to detect at least 70%
of estimated cases.
•Strengthening health care centre
•Adequate supply of anti tuberculosis drugs

13. DOTS strategy
•This strategy adopted by RNTCP
in 1993 had the following
components
•Diagnosis by quality assured
sputum smear microscopy
•Adequate supply of drugs
•Directly observed treatment
•Systematic monitoring and
accountability

14. STOP TB Strategy
In 2006 the WHO announced
this strategy and RNTCP adopted this
strategy. The main components include
• Pursue high quality DOTS expansion
and enhancement
• Contribute to health system
strengthening
• Engage all care providers
• Empowering patients and communities
• Enabling research

15. 3)NATIONAL AIDS CONTROL PROGRAMME
• National AIDS control programme was launched in India in
the year 1987
• 3 phases
• Phase I
NACP‐I was launched during the 8th Five Year Plan (1992‐
1997).
1. Strengthening the Programme Management capacity at
National and State levels;
2. Surveillance & Clinical Management
3. Ensuring Blood Safety
4. Control of Sexually Transmitted Diseases
5. Public Awareness and Community support

16. •National AIDS Control Programme Phase ‐ II (1999 ‐
2006)
•National AIDS Control Program Phase III (2007‐2012)
Objectives
1. Prevention of new infections in high risk groups and
general population
2. Strengthening the infrastructure, systems and
human resources in prevention and treatment
program at the district, state and national levels.
3. Strengthening a nation‐wide strategic information
management system

17. NON COMMUNICABLE DISEASE CONTROLE
PROGRAMME
1) NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS
(NPCB)
1976
Strategies
• Continued emphasis on free cataract surgery
• Emphasis on the comprehensive eye care programmes by covering
diseases other than cataract, like diabetic neuropathy, glaucoma etc
• Reduction in the backlog of blind persons by active screening
• Screening of children to detect refractive error and provision of free
glasses

18. VISION 2020: THE RIGHT TO SIGHT

19. Universal eye health: a global action plan 2014-
2019
• The global eye health action
plan 2014–2019 aims to
reduce avoidable visual
impairment as a global public
health problem and to secure
access to rehabilitation
services for the visually
impaired

20. 2) National Iodine Deficiency Disorder Control
Programme

21. 3)National Programme on Prevention and
Control of Diabetes, CVD and Stroke
• Launched in 2010

22. 4) ) NATIONAL MENTAL HEALTH
PROGRAMME
Objectives
• To ensure the availability and accessibility of
minimum mental healthcare facility
• To encourage the application of mental health
knowledge in general healthcare and in social
development;
• To promote community participation in the mental
health service development
• To enhance human resource in mental health sub-
specialties.

23. NATIONAL ERADICATION PROGRAMME
1) NATIONAL LEPROSY ERADICATION PROGRAMME (1983)
• The National Leprosy Control Programme (NLCP) was
launched in 1955
• National Leprosy Eradication Program was launched in 1983
Strategy
1. Early detection through active surveillance by the trained
health workers;
2. Regular treatment of cases by providing Multi-Drug
Therapy (MDT)
3. Intensified health education and public awareness
campaigns to remove social stigma attached to the disease;
and
4. Appropriate medical rehabilitation and leprosy ulcer care
services

24. NATIONAL GUINEAWORM ERADICATION
PROGRAMME
• Government of India
launched the National
Guinea Worm Eradication
Programme (GWEP) in
1983-84

25. NATIONAL PREVENTIVE PROGRAMMES
1)UNIVERSAL IMMUNISATION PROGRAMME
• Immunization Programme in India was introduced in 1978 as
Expanded Programme of Immunization (EPI).
• Universal Immunization Programme (UIP) 1985
• Mission Indradhanush: Launched on 25th December, 2014, this seeks
to drive towards 90% full immunization coverage of India and sustain
the same by year 2020
• Vaccination is being provided against prevent eight vaccine
preventable diseases nationally, i.e. Diphtheria, Pertussis, Tetanus,
Polio, Measles, Tuberculosis and Hepatitis B and meningitis &
pneumonia and against Rotavirus Diarrhea and Japanese Encephalitis

27. NATIONAL PROGRAMME FOR HEALTH
CARE OF ELDERLY (NPHCE)
• It was launched in September 2011

28. NATIONAL PROGRAMME FOR
PREVENTION AND CONTROL OF
DEAFNESS (NPPCD)2007
The objectives of the programme are:-
1. To prevent available hearing loss
2. Early identification, diagnosis and treatment of ear problems
responsible for hearing loss and deafness.
3. To medically rehabilitate persons of all age groups suffering from
deafness.
4. To strengthen the existing inter sectoral linkage for continuously of
the rehabilitation programme for persons with deafness.

29. FAMILY WELFARE PROGRAMMES
1) CHILD SURVIVAL AND SAFE MOTHERHOOD
PROGRAMME(1992)
For Children
• New born care at home.
• Primary Immunisation by 12 months (100 per cent
coverage).
• Vitamin A prophylaxis (9 months to 3 years) (100 per cent
coverage).
• Correct management of pneumonia at home/at health
facilities.
• ORT at home/health facility; ORS in every village for
management of diarrhoea.

30. For Pregnant Women :
•Anaemia prophylaxis and therapy (100 per cent
coverage).
•Antenatal check-ups, at least 3 check-ups (100 per cent
coverage).
•Referral of those with high risks and complications.
•Care at birth and promotion of clean delivery.
•Birth time and spacing.

31. 2) REPRODUCTIVE AND CHILD HEALTH
• The Programme was formally launched on 15 October 1997.
• The RCH Programme incorporated the earlier existing Programmes
i.e. National Family Welfare Program and Child Survival & Safe
Motherhood Programmes( CSSM) and added two more components
one relating to sexually transmitted disease and the other relating to
reproductive tract infections.
• Two phases

32. RCH phase I
INTERVENTIONS
• Essential obstretic care
• Emergency obstretic care
• Medical terminations of pregnancy
• Controle of RTI and STD
• Immunization
• Prevention and controle of anemeia
• Training of dais

33. RCH Phase2
Essential obstetric care
• Promotion of institutional deliveries – 50% of the
PHCs and CHCs made operational as 24 hours delivery
centers.
• Skilled attendance at birth
• Policy descions to permit Health workers to use
drugs in emergency situations to reduce maternal
mortality

34. Emergency obstetric care
• 24 hours delivery services
• New born care and emergency care of the sick child
• Full range of family planning services
• Safe abortion services
• Treatment of RTI and STI
• Blood storage facility
• Essential laboratory services
• Referral ( transport ) service
Strengthening referral system

35. NATIONAL HEALTH MISSION
• National Health Mission (NHM)
was launched by the government
of India in 2013 subsuming the
National Rural Health Mission
and National Urban Health
Mission. It was further extended
in March 2018, to continue till
March 2020

36. NATIONAL RURAL HEALTH MISSION
• The National Rural Health Mission
(NRHM) was launched by the
Hon’ble Prime Minister on 12th
April 2005
• to provide accessible, affordable
and quality health care to the rural
population, especially the
vulnerable groups

37. NATIONAL URBAN HEALTH MISSION (NUHM)
• National Urban Health
Mission (NUHM) was
approved by the Union
Cabinet on 1st May, 2013
• for providing equitable and
quality primary healthcare
services to the urban
population with special focus
on slum and vulnerable
sections of the society.

38. For every 2.5 lakh population U- CHC
In patient facility 30-50 bedded
For every 50000 population U –PHC
Medical office -1
Nurse-3
LHW-1
Pharmacist -1
ANM- 3-5
Support staff -3
For every 10000 population 1 ANM
1000-2500 polulation Community health volunteers

39. MINIMUM NEED PROGRAMME
Minimum need programme was introduced in the fifth five year plan. The
objective of the programme is to provide certain basic minimum needs and
there by improve the living standerdes of the people. The components included
are
o Rural health
o Rural water supply
o Rural electrification
o Elementary education
o Adult education
o Nutrition
o Environmental improvement of slums
o Houses for landless labourers

40. 20 POINT PROGRAMME
• The twenty point programme was
initially launched by Prime
Minister Indira Ghandhi in 1975
and restructured in 1986 and
finally in 2006.
• The basic objectives of the 20
point programme is to eradicate
poverty and to improve the quality
of life of the poor and the under
priviledged populations of the
country.

41. The 20 points are
• Poverty eradication
• Power to people
•Support to farmers
• Labour welfare
• Food security
• Clean drinking water
• Housing for all
•Health for all
• Education for all

42. • Welfare of SC/ST/OBC and minorities
• Women welfare
• Child welfare
• Youth development
• Improvement of slums
• Environmental protection and afforastation
• Social security
• Rural roads
• Energising of rural areas
• Development of backward areas
• IT enabled and e-governance

43. • Journal abstract
• Characteristics and utilization of ante natal care services
amongst women of rural Punjab, India a community based
study
• Background; india has high meternal and infant mortality.
The meternal mortality ratio in india wa 167 per 100000 live
births and infant mortality rate was 40 per 1000 live births.
The objective of the present study is to assess the
characteristics and utilization of antenatal care services in
rural areas of Punjab , India
• Method ; a total of 820 women were interviewd in a
community based analytical cross sectional study from 20
villages of Amritsar, Punjab by standerd cluster sampling.

44. • BIBLIOGRAPGHY
• Park k. park’s textbook of preventive and social medicine. 24 th
edition. Jabalpur:banarsiad bhanot publications. 2017
• Basavanthappa BT. Community health nursing. Second
edition.newdelhi; JAYPEE publications.2014
• Clement I. basic concepts of community health nursing. Second
edition. Delhi; jaypee publications. 2015
• Swarankar. Community health nursing. Third edition. Bangalur; NR
brothers publications. 2015

45. • ONLINE REFERENCE
• https://scholar.google.co.in/scholar?start=30&q=schizoaffective+disorders&hl
=en&as_sdt=0,5&as_ylo=2018
• https://www.sciencedirect.com/science/article/pii/S0165178117319388
• www.ncbi.nlm.nih.gov › NCBI › Literature
• https://twitter.com/PubMedHealth