NPCDCS-INDIA

1. NATIONAL PROGRAMME FOR
PREVENTION AND CONTROL OF
CANCER,
DIABETES, CARDIOVASCULAR
DISEASES & STROKE (NPCDCS)
IN INDIA
• DR.MAHESWARI JAIKUMAR

2. HT & IHD & STROKE
• It is estimated that the overall
prevalence of diabetes,
hypertension, Ischemic Heart
Diseases (IHD) and Stroke is 62.47,
159.46, 37.00 and 1.54 respectively
per 1000 population of India.
• There are an estimated 25 Lakh
cancer cases in India.

3. • Considering the rising burden of NCDs
and common risk factors to major
Chronic Non –Communicable Diseases,
Government of India initiated an
integrated National Programme for
Prevention and Control of Cancers,
Diabetes, Cardiovascular Diseases and
Stroke (NPCDCS).

4. • The focus of the programme is on health
promotion and prevention,
strengthening of infrastructure including
human resources, early diagnosis and
management and integration with the
primary health care system through
NCD cells at different levels for optimal
operational synergies.
• National Cancer Control Programme, an
on-going programme, has been
integrated under NPCDCS.

5. • The programme is being implemented in 100
districts spread over 21 States during 2010-11
& 2011-12) at an estimated outlay of Rs.
1230.90 crore (Rs.499.38 crore for
interventions on diabetes and cardiovascular
diseases & stroke and Rs.731.52 crore for
cancer control) on a cost sharing basis
between the Centre and the States at the
rate of 80:20.
• These districts have been selected keeping
into account their backwardness,
inaccessibility & poor health indicators.

6. OBJECTIVES OF NPCDCS
1) Prevent and control common NCDs
through behaviour and life style
changes
2) Provide early diagnosis and
management of common NCDs

7. • Build capacity at various levels of health
care for prevention, diagnosis and
treatment of common NCDs,
• Train human resource within the public
health setup viz doctors, paramedics
and
• nursing staff to cope with the increasing
burden of NCDs, and
• Establish and develop capacity for
palliative & rehabilitative care.

8. RISK FACTORS (RF) AND LEVEL OF NCD
PREVENTION AND MANAGEMENT
PRIMARY
PREVENTION
(HEALTH
PROMOTION)
SECONDARY
PREVENTION
(EARLY DIAGNOSIS &
CASE MANAGEMENT)
TERTIARY CARE
(CASE MANAGEMENT
&
REHABILITATION)
•Tobacco
• Alcohol
• Physical inactivity
• Diet
BMI (obesity)
• Blood pressure
• Blood glucose
• Cholesterol
• Heart disease
• Stroke
• Diabetes
• Cancer
• Chronic resp
disease

9. SERVICES OFFERED UNDER NPCDCS
• Major risk factors for these NCDs
are raised blood pressure,
cholesterol, tobacco use, unhealthy
diet, physical inactivity, alcohol
consumption, and obesity which are
modifiable.

10. • Hence a majority of cancers and
CVDs can be prevented and treated
if diagnosed at an early stage.
• Health promotion and prevention of
chronic NCDs are yet to be
adequately addressed in the
country’s health system.

11. • Presently, Clinical services, too, are not
adequately equipped to provide the
required level of care for these diseases
in primary and secondary health-care
settings.
• Therefore, the appropriate strategies
have been devised to be implemented
under NPCDCS to ensure that the NCDs
can be prevented and managed in an
effective manner.

12. CARDIOVASCULAR DISEASES
(CVD), DIABETES & STROKE
• A Cardiac care unit at each of the 100
district hospitals.
• NCD clinic at 100 district hospitals and 700
Community Health Centres (CHCs) for
diagnosis and management of
Cardiovascular Diseases (CVD), Diabetes &
Stroke.

13. • Provision for availability of life saving
drugs, to each district hospital in 100
districts.
• Opportunistic Screening for diabetes
and high blood pressure to all persons
above 30 years including pregnant
women of all age groups at 20,000 Sub
Centres.

14. • Home based care for bed ridden
cases in 100 districts.
• Support for contractual manpower
and equipments at the 100 district
hospitals & 700 CHCs for
management of NCDs including
health promotion activities.

15. CANCER

16. • Common diagnostic services, basic
surgery, chemotherapy and
palliative care for cancer
• cases at 100 district hospitals.
• Support for Chemotherapy drugs at
each district hospital

17. • Day care Chemotherapy facilities at 100
district hospitals.
• Facility for laboratory investigations
including Mammography at 100 district
hospitals
Home based palliative care for chronic,
debilitating and progressive cancer
patients at 100 districts.

18. • Support for contractual manpower
and equipment for management of
cancer cases at the 100 district
hospitals.
• Strengthening of 65 centre Tertiary
Cancer Centres (TCCs)

19. ACHIEVEMENTS SO FAR
• Operational Guidelines developed
Training Modules developed for Health
Workers and Medical Officers.
• Human Resource under National NCD
Cell in place

20. • Human Resource under State and
District level in process
• Signed MOU Received from 11
States
• Setting up of State and District NCD
cells in process

21. • Funds for implementation of NPCDCS in 27
districts across 19 states were released
in March 2011 for opportunistic
screening, establishment of ‘NCD clinic’
at CHCs and District Hospitals.
• Efforts are being taken to increase
awareness for promotion of healthy
lifestyle through Mass media.
• Funds for conducting training workshops
were released to NIHFW and Indian
Nursing Counsel.

22. • Pilot Project on School based
Diabetes Screening Programme
initiated in 6 districts
Proposal for surveillance of NCD risk
factors is under submission

23. • Attempts to achieve behaviour change
in the community to adopt healthy life
styles including dietary patterns,
enhanced physical activity and reduced
intake of tobacco and alcohol resulting
in overall reduction in the risk factors of
common Non-Communicable Diseases
in the country.

25. TAMIL NADU, INDIA
• This project improved diabetes
health care delivery through
capacity building for the
implementation of the National
Diabetes Control Programme for
India.