This document summarizes the National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in India. It notes that NCDs account for 60% of deaths in India and aims to provide early diagnosis and management of common NCDs. The program has two components: (1) diabetes, cardiovascular diseases and stroke, focusing on prevention, capacity building, and integrating management into primary healthcare; and (2) cancer control, with objectives of prevention, screening and strengthening comprehensive therapy. It outlines the activities, schemes and initiatives undertaken at various levels of healthcare to implement this national program.

1. National Programme for
Prevention & Control of Cancer,
Diabetes, Cardiovascular
Diseases and Stroke
NPCDCS

3. Introduction
• India is experiencing a rapid health transition with
large and rising burden of chronic non-communicable
diseases
• In 2016, NCDs accounted for 60% of deaths
• NCDS surpass the burden of communicable diseases
• Thus, the need for National Programme on Prevention
and Control of Diabetes, Cardiovascular diseases and
Stroke was envisaged.

4. • Later on this programme was integrated with National
Cancer Control Programme and it became National
Programme for Prevention and Control of Cancer,
Diabetes, Cardiovascular diseases and Stroke.
• During the 11th FYP, 100 identified districts in 21 states
have been covered under the programme. During the
12th FYP, all the districts were brought under the
programme in a phased manner.

5. Components
• The National Programme has 2 components
• a.Diabetes, Cardiovascular Disease and
Stroke (DCS) component
• b.Cancer component

6. a.Diabetes, CVDs &
Stroke Component
• The programme focusses on
the
• i.health promotion,
• ii.capacity building including
human resource
development,
• iii.early diagnosis and Mx of
these diseases with
integration with the primary
health care system.

7. The main objectives are :
i.Prevent and control common NCDs through behaviour and life style changes
ii.Provide early diagnosis and Mx of common NCDs
iii.Build capacity at various levels of health care for prevention, diagnosis and treatment of
common NCDs
iv.Train human resource within the public health set-up viz. doctors, paramedics and
nursing staff to cope with the increasing burden of NCDs.
v.Establish and develop capacity for palliative and rehabilitative care.

8. Strategies
under the
programme
• i.promoting healthy lifestyle through
massive health education and mass media
efforts at country level,
• ii.opportunistic screening of persons above
the age of 30 years,
• iii.establishment of NCD clinics at CHC and
District level,
• iv.development of trained manpower and
• strengthening of tertiary level health
facilities

9. Activities at Sub
Centre
• Health promotion and life-style
change – by organizing camps,
interpersonal communication,
posters, banners etc.
• Opportunistic screening of
population above 30 years
• Suspected cases will be referred
to CHCs for further diagnosis and
Mx

10. Activities at CHC
• NCD clinic at CHC – diagnosis by required
investigations
• Home visits & monthly clinics – Appointed
nurses will visit bedridden cases, supervise
the work of health workers and attend
monthly clinics being held in the villages on a
random basis
• Referrals - complicated cases of DM, HTN
shall be referred from CHCs to DH for further
investigations and management

11. Activities at
District
Hospital
• NCD clinic at DH shall screen persons above 30 years
for DM, HTN, CVD etc. to identify high risk individuals
• Detailed investigation will be done in respect of
persons those who are referred from CHCs
• Shall provide regular Mx and annual assessment of
persons suffering from cancer, diabetes and HTN.

12. • People with established CVD are
managed at DH
• They shall provide home based
palliative care for chronic,
debilitating and progressive patients.
• Apart from clinical services, DH shall
be involved in promotion of healthy
life-style through health education
and counselling to the patients and
their attendants.

13. Urban Health check up scheme
• Urban Health Check up Scheme for
diabetes and high blood pressure
• The scheme has the following objectives
• a.To screen urban slum population for DM
and high blood pressure
• b.To create database for prevalence of
diabetes and high blood pressure in urban
slums
• c.To sensitise the urban slum population
about healthy life-style

14. • The NCD cells at the centre, state
and district will implement and
monitor the National Programme
for Prevention and Control of
Cancer, Diabetes, CVD and Stroke
in various states
• The National NCD cell has been
established at the centre.

15. New Initiatives under
the programme
• Intervention for prevention and
control of Rheumatic Heart Disease
under NPCDCS and Rashtriya Bal
Swasthya Karyakram.
• Integration of AYUSH with NPCDCS
• Integration of RNTCP with NPCDCS
to articulate a national strategy for
management of TB and Diabetes
comorbidities in India.

16. b.Cancer component
• Cancer is an important public health problem in India,
with nearly 10 lakh new cases occurring every year
• The National Cancer Control Programme was launches
in 1975-76
• During 2010, the programme was integrated with
NPCDCS
• The objectives of this programme were
• a.Primary prevention of cancers by health education
• b.Secondary prevention by screening/self examination
method ; and
• c.Tertiary prevention i.e strengthening of the existing
institutions of comprehensive therapy including
palliative therapy

17. The schemes under
this programme are
A.Regional Cancer
centre Scheme
B.Oncology Wing
Development
Scheme
C.Decentralised NGO
scheme
D.IEC activities at
central level
E.Research and
training

18. A.Regional Cancer centre scheme
• The existing regional cancer
centres are being further
strengthened to act as referral
centres for complicated and
difficult cases at the tertiary level.

19. B.Oncology Wing Development Scheme
• This scheme has been initiated to fill up the
geographic gaps in the availability of cancer
treatment facilities in the country.
• Central assistance is provided for purchase of
equipment, which include a cobalt unit besides
other equipment
• A part of the grant can be used for the civil
work, but the manpower is to be provided by
the concerned state govt/institution.

20. C.Decentralised NGO scheme
This scheme is meant for IEC
activities and early detection
of cancer
The scheme is operated by
the nodal agencies and the
NGOs are given financial
assistance for undertaking
health education and early
detection activities of cancer

21. D.IEC
activities at
central level
• IEC activities to give wider publicity about the
Anti Tobacco Legislation for discouraging the
consumption of cigarettes and other tobacco
related products, and for creating awareness
among masses about the ill effects of
consumption of tobacco and tobacco related
products.
• Nov 7th is observed as National Cancer
Awareness Day in the country

22. E.Research
and Training
• Training programmes, monitoring and
research activities will be organized at the
central level under this scheme.
• Following training manuals have been
developed under the NCCP for capacity
building in cancer control at district level.
• a.Manual for health professionals
• b.Manual for cytology
• c.Manual for palliative care
• d.Manual for tobacco cessation

23. Cancer services under national programme for prevention and control of
cancer, diabetes, CVD and Stroke :
1.Common diagnostic services, basic surgery, chemotherapy and palliative care
for cancer cases is being made available at 100 district hospitals.
2.Each district is being supported with 1.66 crores per annum for the following:
i.Chemotherapy drugs are provided for 100 patients at each DH
ii.Day care chemotherapy facilities is being established at 100 DHs
iii.Facility for lab investigations including mammography is being provided at
100 DHs and if not available, this can be outsourced at Govt rates

24. 3.Home based palliative care is being provided for chronic, debilitating and
progressive cancer patients at 100 districts
4.Support is being provided for contractual manpower through 1 Medical oncologist, 1
cytopathologist, 1 cytopathology technician, 2 nurses for day care
5.State Cancer Institutes will provide comprehensive cancer diagnosis, treatment and
care services. SCI will be apex institution in the state for cancer treatment activities
6.45 centres were to be strengthened as Tertiary Cancer Centres to provide
comprehensive cancer care services at a cost of 6 crores each.

25. Thankyou