This document provides an overview of various national health programs in India. It begins with an introduction to the programs and then lists and describes several key programs, including: the National Vector Borne Disease Control Programme, Revised National Tuberculosis Control Programme, National Leprosy Eradication Programme, National AIDS Control Programme, Universal Immunization Programme, and many others focused on nutrition, sanitation, cancer control, and more. It also discusses intersectoral coordination between programs and roles of non-governmental organizations in supporting public health in India.
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National Health Programs of India Explained
1. NATIONAL HEALTH PROGRAMS
OF INDIA
1
Dr. E Srikaanth Reddy
ā¢Associate Professor in
Community Medicine
ā¢Ex-National Medical Consultant
in N.T.EP, World Health
Organization , INDIA, posted at
Odisha 2019-2020
4. 6
Over the decades the public health is able to deliver best of its capacity
to bring changes in various health indicators. (Koppaka R 2011).
Introductio
Reduction of child mortality
Access to safe water and
control of HIV/AIDS Malaria
sanitation Prevention and
prevention and control of Tobacco
TB control
5. 7
Poverty, Inequity
Public Demands, Marginalizing Public
Health Services, Public health delivery
Epidemiological transition
Climatic change and environmental health,
New psychosocial issues, Rapid population
growth
Various challenges to Public
Health
Introductio
6. 8
ā¢ Since India became independent, several measures have been taken
under by the National Government to Improve the health of the
people.
ā¢ Program among these measures are the NATIONAL HEALTH
PROGRAMS, which have been launched by the central government of
control/ eradication of communicable diseases, improvement of
environmental sanitation, raising the standard of nutrition, control of
population and improving rural health.
Introductio
7. 9
ā¢ Various International agencies like WHO ,UNICEF, UNFPA ,world Bank, as
also a no. of foreign agencies like SIDA ,DANIDA ,NORAD ,USAID have
been providing technical and material assistance in the implementation of
these programs.
Introductio
8. *
*National Vector Borne Diseases Control Programme
(NVBDCP)
*Revised National Tuberculosis Control Programme
*National Leprosy Eradication Programme
*National AIDS Control Programme
*Universal Immunization Programme
*National Guinea worm Eradication Programme
*Yaws Control Programme
*Integrated Disease Surveillance Programme
9. *
ā¢ *National Cancer Control Program
ā¢ *National Mental Health Program
ā¢ *National Diabetes Control Program
ā¢ *National Program for Control and
treatment of Occupational Diseases
ā¢ *National Program for Control of Blindness
ā¢ *National program for control of diabetes,
cardiovascular disease and stroke
ā¢ *National program for prevention and control of
deafness
13. ADVANTAGES OF INTERSECTORAL COORDINATION
ā¢ To provide sustainable basic health service to the
community and to integrate these services with other
health services provided by other health sectors.
ā¢ Early detection, treatment of patients within the
community itself.
ā¢ To promote corporation and mutual understanding
among various sectors.
ā¢ To take pressure off the one sector alone.
ā¢ To make the services available to people with early and
easy access.
15. ļ¼This agencies arose because
there was an unmet health
need.
ļ¼They are the organizations that
are formed by groups of people
because of their interest in a
particular health concern.
ļ¼These are funded by
donations.
16. VOLUNTARY
AGENCIES
ļ¼Voluntary agencies play an important role in
research and education, although they may
provide a few direct health services.
ļ¼2 types, i.e. national & international.
17. PROFESSIONAL HEALTH ORGANIZATION
Professional agencies are
made of health professionals who
have completed specialized
education and have met the
standards of registration, licensure
for their respective fields. E.g. INC,
ANA.
18. ROLE OF PROFESSIONAL AGENCIES
ā¢Promoting high standards of
professional practice for their specific
profession, thus improving health of
society.
ā¢Certification of continuing education
programme for professional renewal.
ā¢Lobbying for example INC has a
powerful lobby nationally.
19. PHILANTHROPIC FOUNDATIONS
These foundation supports community
health throughout the world by funding
programmes and research on the
prevention, control and treatment of many
diseases.
20. SERVICE, SOCIAL AND RELIGIOUS
ORGANIZATIONS
ā¢These play an important role in community
health. E.g.:- Rotary clubs, lion clubs.
ā¢Members enjoy social interactions with
people of similar interests in addition to
fulfilling the needs of community.
ā¢Though their specific mission is not health but they
make important contribution in that direction by
raising money and funding health related problems.
21. CONTā¦
ā¢ Religious group donated money for
mission. It is should be noted that
some religious groups have hindered
the work of community health
workers.
ā¢ Almost every community in the
country can provide an example
where a religious organization has
protected the offering of a school
districtās sex education programme.
23. RECENT TRENDS
ļ¼ Worldās 1st malaria vaccine (mosquirix) approved
after 30yrs of trials.
ļ¼ NRHM included some new programs like
RMNCH+A, JSSK, Rashtria Kishor Swasthaya
Karyakram, Rashtriya Bal Swasthaya Karyakram.
ļ¼ India launched massive health campaign (Filaria
Free India/ Hathipaon Mukt Bharat) to eliminate
lymphatic filariasis.
ļ¼ A mobile app āTrackTheBiteā was launched to
track the mosquito infestation in India.
26. MISSION STATEMENT
Integrated accelerated action
towards:-
ļ§ Reducing mortality on account of Malaria,
Dengue and JE by half.
ļ§ Elimination of Kala-azar by 2025.
ļ§ Elimination of lymphatic
filariasis by year 2025.
27. STRATEGY UNDER NVBDCP
A)Disease management
B) Integrated vector
management
C)Supportive interventions
D) Environment
management
28. NATIONAL ANTI-MALARIA
PROGRAMME (NAMP)
ļ§ 1953- NMCP
Objectives- to reduce the morbidity rate of
malaria.
ļ§ 1958- NMEP
Objectives:- ending transmission of malaria by
killing entire vectors & elimination of reservoir of
infections.
ļ§ 1999- NAMP
29. NATIONAL FILARIA CONTROL
PROGRAMME (NFCP)
- Launched in 1955.
- Control measures:-
ā¢ Assessing the extent of problem of filaria.
ā¢ Treating & diagnosed cases with DEC.
ā¢ Controlling the disease through anti-larva & anti-
parasite measures in urban areas.
ā¢ IEC activities for community awareness.
31. KALA āAZAR CONTROL PROGRAM
ļ¼ Launched in 1990-91.
ļ¼ Goal- to eradicate by 2010.
ļ¼ Action:-
- reduce no. of vector &
the transmission by
sprinkling of chemical.
- early diagnosis & treatment
- providing health education
33. DENGUE FEVER CONTROL
PROGRAMME
ā¢ The National Dengue Prevention and
Control Program were first initiated by the
Department of health (DOH) in 1993.
34. CHIKUNGUNYA CONTROL
PROGRAMME
Chikungunya is a viral disease.
During 2006 there was huge outbreak
of Chikungunya in India. There is no
specific treatment. Only symptomatic &
supportive treatment is provided to
patients.
35. Launched in 1955 with the objective to
remove leprosy from our country.
36. Control measures:-
1) Decentralization and Institutional
Development
2) Strengthening Delivery sysem
3) Disability Prevention ,Care and
Rehabilitation
4) IEC activities
5) Training of staff of General Health
Services
India achieved elimination of leprosy in Dec.
2005.
Contā¦.
38. Contā¦
-NTCP was launched in 1962, with the
objective to detect the TB cases &
provide domiciliary treatment to TB
patients.
-In 1992, revised strategy of TB was
launched & renamed as RNTCP.
ļ¼WORLD TB DAY:- 24TH MARCH
39. Contā¦
Control measures:-
ļ¶Strengthen Intersectoral coordination
and involving Medical colleges
ļ¶ IEC activities.
ļ¶Improving laboratory facilities for
sputum culture and drug sensitivity
ļ¶Implementation of DOTS āPlus strategy
for Multi Drug Resistant Tuberculosis
(MDR-TB)
40. NACP Phase- I was launched in 1987 &
phase-II in 1999-2001 & phase-III in 2006-
2011.
41. AIMS:-
-To prevent further transmission of HIV.
-To decrease morbidity and mortality.
CONTROL MEASURES:-
ļ§ establishment of surveillance centers
ļ§ Identification of high risk groups
ļ§ Clinical management of detected cases
ļ§ Control of STDs & condom programme
43. NATIONAL PROGRAMME FOR
CONTROL OF
BLINDNESS
1963- National trachoma control
program 1970- national prophylaxis
program
against blindness
1976- National programme for
control of blindness
44. Activities:-
ā¢Establishing regional
institute of ophthalmology
ā¢Improving level of ophthalmic
services
ā¢Training & appointing ophthalmic
units.
ā¢Vision 2020: RIGHT TO SIGHT
ā¢School level program
45. NATIONAL NUTRITIONAL
PROGRAM
i) Special nutritional program(1970-71)(MNP)
ii) Balwadi nutritional program(1970-71)
iii) Applied nutritional program(in 1963, it was
introduced as a pilot scheme in Odisha. But
in 1973, it was extended to all the state of
country.)
iv) Mid-day meal program(1995)(Tamil Nadu)
v) National nutritional Anemia prophylaxis
program(1970)(RCH)
46. NATIONAL IODINE DEFICIENCY DISORDERS
CONTROL PROGRAMME(NIDDCP)
ā¢ 1962- national goiter control
program.
ā¢ 1992 - NIDDCP.
The major components are :
ā¢ Provision of iodized salt
ā¢ Monitoring
ā¢ Surveillance
ā¢ Mass communication
47. NATIONAL CANCER CONTROL
PROGRAMME(NCCP)
- started as cancer control program in
the year 1975-76 & and renamed as
NCCP in 1985 & revised in 2004 .
OBJECTIVES:-
ā¢ Primary prevention:- health education
ā¢ Secondary prevention:- early
detection & diagnosis.
ā¢ Tertiary prevention:- strengthening of the
existing institutions for
comprehensive therapy
includingpalliative care.
48. NATIONAL WATER SUPPLY AND
SANITATION PROGRAMME
-It was initiated in 1954.
ACTIVITIES:-
ā¢ Establishing
urban
developmental
fund
ā¢ Encouraging
participation
ā¢ low cost techniques
ā¢ Training to personals.
31
49. MINIMUM NEEDS PROGRAMME
It was introduced in 1974-78.
-The minimum needs are :
-Nutrition
-Elementary
education
-Rural water supply
-Rural electrification
-Rural health
-Adult
education
- Rural road
-Rural housing
-Environmental improvement of urban
slum
50. 20-POINT PROGRAMME
-It was initiated in 1975.
Objectives:-
ā¢Eradication of poverty
ā¢Raising productivity
ā¢Reducing inequality
ā¢Removing social and economic
disparities
ā¢Improving quality of life
52. NMHP
OBJECTIVES:-
ā¢ Mental health care services to all.
ā¢Identify the high risks group in community.
Activities:-
ā¢ Mass education
ā¢ Follow up of mental patients
ā¢ Guidance and Counseling
ā¢ Awareness programme
53. CHILD SURVIVAL AND SAFE
MOTHERHOOD PROGRAMME(CSSM)
-launched in 20 Aug
1992. Activities:
ā¢Control of infection & diseases
of reproductive system.
ā¢Safe abortion services,
Sterility removal services.
ā¢Referral services, Growth
monitoring, nutrition education.
ā¢Control on maternal morbidity &
mortality, Family planning services.
54. SURVEILLANCE PROGRAMME FOR
COMMUNICABLE DISEASES
-It was started in 1997-98.
Objectives:
ā¢ To develop skilled manpower.
ā¢ To strengthen surveillance activities for early
detection.
ā¢ To strengthen laboratory support.
ā¢ To institute a network of effective
communication link between district and state
level.
55. NATIONAL DIABETES CONTROL
PROGRAMME
It was started during
7th five year program
in 1987.
Objectives:-
ā¢ Prevention of diabetes through identification of
high risk groups.
ā¢ Diagnosis and treatment of diabetes at primary
health care centers and district level.
57. AIR QUALITY MONITORING
PROGRAMME
- It was started in1970.
- Countries across the globe have unique air
quality monitoring regulations to characterize
local air pollution.
60. UNIVERSAL IMMUNIZATION PROGRAMME
-EPI was renamed as UIP &
started in 1985.
Objectives:-
Immunization of pregnant
women against TT &
immunization of children.
61. NATIONAL FAMILY WELFARE
SCHEMES
ā¢It was started in 1977.
This programme include:
1. National family welfare programme
2. National population policy
3. National rural health mission
4. Urban family welfare schemes
5. Reproductive and child health progamme
63. NATIONAL POPULATION POLICY
ā¢ National Population Policy of India was
formulated in the year 2000.
Objective of the policy is
ā¢ to address the unmet needs for contraception, health
care infrastructure, and health personnel, and
ā¢ to provide integrated service delivery for basic
reproductive and child health care
ā¢ To reduce TFR & achieve stable population.
64. URBAN FAMILY WELFARE
SCHEMES
ā¢ It was introduced in 1983 , recommendation of
Krishnan committee
Aims
ļ± RCH services
ļ± Preventive services
ļ± First-aid and referral services
ļ± Distribution of contraceptives
65. A SCHEMES FOR
RESERVATION
It was introduced in 1964 in order to provide
immediate facilities for tubectomy operations in
hospital.
67. ā¢ Objectives:- to reduce maternal & child mortality
& morbidity with emphasis on rural health care.
ā¢ It was added various services :
a. Reproductive tract infection
b. Janani Suraksha Yojana
c. Rehabilitation of polio victims