National Health Programme

1. Various NHP’s
Dr Ubaid N P,
JR Community Medicine,
Pariyaram Medical College

2. National Guinea worm
Eradication Programme
▪ Launched in 1984 with assistance fromWHO
▪ Has well defined strategies, efficient information & evaluation system,
inter-sectoral coordination at all levels and close collaboration withWHO
& UNICEF
▪ Reported zero cases sinceAugust 1996
▪ In February 2000, the InternationalCommission for the Certification of
Dracunculiasis Eradication recommended that India be certified free of
dracunculiasis transmission

3. ▪ Activities still continuing as per recommendations of International
Commission for the Certification of Dracunculiasis Eradication are,
a. Health education activities with special emphasis on school children &
women in rural areas
b. Rumour registration & rumour investigation
c. Maintenance of guinea worm disease on list notifiable disease &
continuing surveillance in previously infected areas
d. Careful supervision of the functioning of hand pumps & other sources
of safe drinking water

4. Yaws Eradication Programme
▪ Was reported in tribal communities living in hilly forest & other difficult to
reach areas in 49 districts of 10 states
▪ National Institute of Communicable Diseases is the nodal agency for
planning, guidance, coordination, monitoring & evaluation of the
programme
▪ Programme is implemented in collaboration with department of tribal
welfare & other related institutions
▪ The no. of reported cases has comedown from 3500 to NIL during the period
from 1996 to 2004 & still continuing

5. National Programme for Control &
Treatment of Occupational Diseases
▪ Launched in 1998 by GOI
▪ National Institute of Occupational Health (Ahmadabad) is the nodal
agency
▪ Research projects proposed for this programme are,
a. Prevention, control & treatment of silicosis & silico-tuberculosis in
agate industry
b. Occupational health problems of tobacco harvesters and their
prevention

6. c. Hazardous process & chemicals, database generation, documentation
& information dissemination
d. Capacity building to promote research, education, training at National
Institute of Occupation Diseases
e. Health risk assessment & development of intervention programmes
with high risk of silicosis
f. Prevention & control of occupational health hazards among salt
workers in Gujarat &Western Rajasthan

7. Minimum Needs Programme
▪ Introduced in first year of fifth five year plan(1974-78)
▪ Objective is to provide certain basic minimum needs & thereby improve
the living standards of the people
▪ 2 basic principles to be observed in the implementation of MNP are,
a) The facilities under MNP are to be provided to those areas which are
at present underserved, so as to remove disparities between different
areas
b) The facilities under MNP should be provided as a package to an area
through inter-sectoral area projects to have a greater impact

8. Programme includes the following components:
▪ Rural health
▪ Rural water supply
▪ Rural electrification
▪ Elementary education
▪ Adult education
▪ Nutrition
▪ Environmental improvement of urban slums
▪ Houses for landless labourers

9. ▪ In ‘Rural health’ field, objectives to be achieved by the end of 8th five year
plan under MNP were;
 One PHC for 30000 population in plains & 20000 population in tribal &
hilly areas
 One Sub-centre for 5000 people in plains & 3000 population in tribal &
hilly areas
 One CHC for a population of 1 lakh population by the year 2000
 Upgradation of PHCs, construction of buildings are all included in the
State sector of MNP

10. ▪ In the field of ‘Nutrition’, the objectives are;
 To extend nutrition support to 11 million eligible persons
 To expand ‘special nutrition programme’ to all ICDS projects
 To consolidate the mid day meal programme and link it to health,
potable water & sanitation

11. 20 Point Programme
▪ It’s described as an agenda for national action to promote social justice
& economic growth
▪ Launched in 1975 & restructured in 1986
▪ Its objective are spelt by GOI as ‘eradication of poverty, raising
productivity, reducing inequalities, removing social & economic
disparities & improving quality of life’
▪ 20 point programme has been described as ‘the cutting edge of the plan
for the poor’

12. ▪ At least 8 of the 20 points are related directly or indirectly to health.
They are,
Point 1 – Attack on rural poverty
Point 7 – Clean drinking water
Point 8 – Health for all
Point 9 – Two child norm
Point 10 – Expansion of education
Point 14 – Housing for the people
Point 15 – Improvement of slums
Point 17 – Protection of the environment

13. National Family Welfare Programme
▪ Launched Family Planning Programme – 1952
▪ Department of Family Planning under Ministry of Health – 1966
▪ MedicalTermination of Pregnancy(MTP)Act – 1972
▪ First National Population Policy – 1976
▪ Renaming into Ministry of FamilyWelfare - 1977

14. ▪ UIP,ORS and other various programmes under MCH implemented
▪ Integration into Child Survival & Safe Motherhood Programme
(CSSM) -1992
▪ Reproductive & Child Health Programme (RCH) - 1997
▪ National Population Policy – 2000

15. National Mental Health Programme
▪ Launched in 1982
▪ Views to ensure Mental Health Care Service for all, to encourage
application of mental health knowledge in general health care & social
development
▪ Programme covers 94 districts at present

16. ▪ Objectives of the programme are:
a) To ensure availability & accessibility of minimum mental health care
for all, particularly to the most vulnerable & underprivileged sections
of population
b) To encourage application of mental health knowledge in general
health care & in the social development
c) To promote community participation in the mental health services
development, & to stimulate efforts towards self help in the
community

17. ▪ The programme strategies are:
a) Integration of mental health with primary health care
b) Provision of tertiary care institutions for treatment of mental disorders
c) Eradication stigmatization of mentally ill patient & protecting their
rights through regulatory institutions like Central Mental Health
Authority & State Mental Health Authority

18. ▪ District Mental Health Programme components are:
a) Training programmes of all workers in mental health team at the nodal
institute in the state
b) Public education in mental health to increase the awareness and decrease
the stigma
c) For early detection and treatment, OPD and indoor services are provided
d) Providing valuable data and experience at the level of community to state
& centre for future planning, improvement in service & research

19. District mental health programme has now incorporated promotive &
preventive activities for positive mental health, which includes;
 School mental health services – Life skills education in schools,
counseling services
 College counseling services –Through trained teachers/councellors
 Work place stress management – formal & informal sectors, including
farmers, women etc
 Suicide prevention services – Counseling centre at district level,
sensitization workshops, IEC, help lines etc

20. Integrated Disease Surveillance Project

21. National Water Supply &
Sanitation Programme
▪ Initiated in 1954
▪ Objective of providing safe water supply & adequate sanitation facilities
for the entire urban & rural population of the country
▪ Accelerated RuralWater Supply Programme – 1972
▪ ProblemVillage – one where no source of water is available within a
distance of 1.6Km or where water is available at a depth of more than 15
meters or where water source has excess salinity, iron, fluoride or other
toxic elements or where water is exposed to the risk of cholera’

22. ▪ The stipulated norm of water supply is 40 litres of safe
drinking water per capita per day, and at least one hand
pump/spot –source for every 250 persons
▪ Information, education and communication to adopt proper
environmental sanitation practices

23. Swajaldhara:
▪ Launched in 2002
▪ Community led participatory programme, which aims at providing safe
drinking water at rural areas
▪ Full ownership of the community
▪ Building awareness among the village community on the management of
drinking water projects
▪ Which includes better hygiene practices & encouraging water conservation
practices along with rain water harvesting
▪ Swajaldhara I – Gram panchyath/Block level, Swajaldhara II – District level