National health programme intro

3rd year BAMS swasthavritta syllabus topic

1. NATIONAL
HEALTH PROGRAMS
IN
INDIA
ANINTRODUCTION
Dr. Jasminkumar Viramgami
Reader & H.O.D.,
Dept. of Swasthavritta,
Govt. Akhandanand Ayurved College, Ahmedabad, Gujarat
Dr. J M Viramgami, Reader Swasthavritta, GAAC

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Dr. J M Viramgami, Reader Swasthavritta, GAAC

3. Introduction
•Ever since India became free, Govt. of
India has been putting various efforts to
improve (to promote) the health status of
the people.
•Prominent among these measures are the
National Health Programmes.
•As per the recommendations of Bhore
Committee,
•Govt. of India formulated and launched
specific programs right from the inception
of Five Year Plans (from 1951)
Dr. J M Viramgami, Reader Swasthavritta, GAAC

4. •Launched by Central Govt. to improve the
health of the people.
•Technical, Material assistance and Financial
help is also provided by---
International agencieslike-WHO, UNICEF,
UNFPA, World Bank
Foreign agencieslike-SIDA, DANIDA, NORAD,
USAID
Sometime helped by Non-Govt. & Other
agencies.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

5. Reasons
•To control/Eradication of communicable
diseases and health problems
•Improvement of environmental sanitation
•Raising the standard of nutrition
•Control of population
•Improving rural health
Dr. J M Viramgami, Reader Swasthavritta, GAAC

6. Why National Health Programs?
•Disease burden is high
•Geographical spread
•Proven strategies for prevention and control
are available
•Adequate infrastructure is in place
•Resources for programmeimplementation are
available.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

7. NHPs are of three kinds:
•100 % centrally sponsored,but implementation
by State Govt.
•50:50 centrally sponsored,implementation by
State Govt. 50 % expenses incurred by Central
Govt.and remaining 50 % by the State Govt.
•Vertical programs:In this type both the
implementation and incurring expenditure is by
the Central Govt. only.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

8. Vertical Health Programs
•Separate Health Structures with strong central
managementdedicated to the planning, management
& implementation of selected interventions
Advantages
•Clear objectives & targets motivates the staff
•Operational planning is focused & easy to deliver
•Efficient & effective delivery
•Better ability to monitor restricted output
Dr. J M Viramgami, Reader Swasthavritta, GAAC

9. Disadvantages
•No capacity to accommodate extra work in
disasters
•Resources used for specific activities only
•De-skilling of health worker
•No focus on overall development
•Dependent on donors for funding
•Placement of workers after completion-
Challenging
•Long term public motivation not sustained
•May not be cost effective in long run
Dr. J M Viramgami, Reader Swasthavritta, GAAC

10. Integrated Health Programs
Advantages
•Help national development on a broader
perspective
•Incorporates multi-dimensional concept of health
•Efficient & effective delivery through inter-sectoral
collaboration
•Has capacity to accommodate extra work
•Responds to community needs
•Cost effective in long run
Dr. J M Viramgami, Reader Swasthavritta, GAAC

11. •Sometimes fail to target priority
effectively
•Complex programming may lead to more
failure
•Lack of expertise in integrated
programme management
Disadvantages
Dr. J M Viramgami, Reader Swasthavritta, GAAC

12. Dr. J M Viramgami, Reader Swasthavritta, GAAC

13. Types of Programs
•Programmes for CommunicableDiseases
•Programmes for NonCommunicable
Diseases
•National NutritionalPrograms
•Program related to System Strengthening
/ Welfare/ Other
•National HealthPolicies
Dr. J M Viramgami, Reader Swasthavritta, GAAC

14. Programmesfor Communicable Diseases
•National Vector Borne Diseases Control Programme
(NVBDCP)
•Revised National Tuberculosis Control Programme
(RNTCP)
•National Leprosy Eradication Programme (NLEP)
•National AIDS Control Programme (NACP)
•Universal Immunization Programme (UIP)
•National Guinea worm Eradication Programme
•Yaws Control Programme
Dr. J M Viramgami, Reader Swasthavritta, GAAC

15. •Integrated Disease Surveillance Programme
•National Polio Eradication Program
(1995)
•National Acute Respiratory Infections
Control Program
•National Diarrheal Disease Control
Program
Dr. J M Viramgami, Reader Swasthavritta, GAAC

16. Programmesfor Non Communicable Diseases
•National Cancer Control Program
•National Mental Health Program
•National Diabetes Control Program
•National Program for Control and treatment of
Occupational Diseases
•National Program for Control of Blindness
•National program for control of diabetes,
cardiovascular disease and stroke
•National program for prevention and control of
deafness
Dr. J M Viramgami, Reader Swasthavritta, GAAC

17. National Nutritional Programs
•Integrated Child Development Services Scheme
(ICDS)
•Midday Meal Programme
•National Nutritional Anemia Prophylaxis
Program
•Vitamin A Prophylaxis Program (1970)
•National Iodine Deficiency Disorders Control
Programme(NIDDCP)
•National Special Nutrition Program (1970)
•National Balwadi Nutrition Program
Dr. J M Viramgami, Reader Swasthavritta, GAAC

18. System Strengthening /Welfare Programs
•Reproductive and Child Health Programme
(RCH)
•National Water supply & Sanitation Programme
•20 Points Programme (TPP)
•National Tobacco Control Program
•National Family Welfare Program (1953)
•Minimum Needs Program (1974)
Dr. J M Viramgami, Reader Swasthavritta, GAAC

19. Health system strengthening programs
•Ayushman Bharat Yojana
•PradhanMantriSwasthyaSurakshaYojana(PMSSY)
•LaQshya’ programme(LabourRoom Quality
Improvement Initiative)
•National Health Mission
Dr. J M Viramgami, Reader Swasthavritta, GAAC

20. Reproductive, Maternal,Neonatal, Child and
Adolescent health
•Janani Shishu Suraksha Karyakaram (JSSK)
•Rashtriya Kishor Swasthya Karyakram(RKSK)
•Rashtriya Bal Swasthya Karyakram (RBSK)
•Universal Immunisation Programme
•Mission Indradhanush / Intensified Misson
Indradhanush
•Janani Suraksha Yojana (JSY)
•Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
•Navjaat Shishu Suraksha Karyakram (NSSK)
•NationalProgrammefor Family planning
Dr. J M Viramgami, Reader Swasthavritta, GAAC

21. National Health Policies
•National Health Policy 2002
•National Population Policy 2000
•National AIDS control and Prevention Policy
•National Blood Policy
•National Policy for empowerment of Women 2001
•National Charter for Children
•National Youth Policy 2001998
•National Nutrition Policy
Dr. J M Viramgami, Reader Swasthavritta, GAAC

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Dr. J M Viramgami, Reader Swasthavritta, GAAC

23. National Anti Malaria Programme
(NAMP)
•major public health problems in India.
•An organized national levelprogram for its control in the
country has been in operation since 1953.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

24. •Strategies included
active and passive search for malaria cases and their
treatmentand
on door residual spraying with DDT twice a year in areas
worth splendid rate greater than 10%.
•The programme led to a significant reduction in malaria
cases in the country. From 75 million cases in 1953 the
incidence of malaria was brought to 2 million
Dr. J M Viramgami, Reader Swasthavritta, GAAC

25. National malaria eradication program
(NMEP)
•Encouraged by the excellent results achieved, the Govt. of
India launched NMEP in 1958 with the objective of
eradicating the disease from the country.
•The launch ofNMEP paid back quick dividends by
bringing down malaria cases to 0.1 million and no deaths
due to malaria in the country within six years of its
implementation.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

26. Vector control measures
these comprises of
measures against the adult mosquito,
measures against the larva and
educating the mass
Dr. J M Viramgami, Reader Swasthavritta, GAAC

27. Anti-adult measures
•Residual spraying: DDT, BHC, Malathionand fenitrothion
are used for indoor as well asoutdoorspraying.
•Space spraying: involves application of insecticides as fog
or mist using special spraying equipments.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

28. Anti larval measures
•application of larvicidaloil(MLO) temephosin the
watercollections every week
•environmental engineering methods such as filling the
ditches, drainage of water, use of larvae eating fish
(gambusisa,lobister) and other source reduction
techniques, all help in preventing mosquito breeding
Dr. J M Viramgami, Reader Swasthavritta, GAAC

29. Self protection
•protection from mosquito bites by various methods such
as mosquito repellanantcreams , mosquito nets and fine
wire meshing of windows and doors , coils , full-length
clothes etc
Dr. J M Viramgami, Reader Swasthavritta, GAAC

30. National filarial control programme
•Lymphatic filariasisis endemic in 20 states and union
territories.
•The national filarial control programme has been in
operation since 1955
•In June 1978, the operational component of the NFCP
merged worth the urban malaria scheme for maximum
utilization of available resources
Dr. J M Viramgami, Reader Swasthavritta, GAAC

31. •Filarial control strategy includes
vector control through anti larval operations
source reduction
Detection and treatment of microfilaria carriers
morbidity management .
Dr. J M Viramgami, Reader Swasthavritta, GAAC

32. Revised filaria control strategy
•The strategy follows the who recommendation of annual
single doss mass drug therapy with DEC/DEC with
albendazoleas supplement to existing NFCP strategy for 5
years or more in highly endemic districts to reduce
transmission of filariato a very significant low level .
Dr. J M Viramgami, Reader Swasthavritta, GAAC

33. •Inpursuit of achieving the goal of elimination of
lymphatic filariasisby 2015, govt of India has launched
nation wide mass drug administration (MDA) of DEC in
202 endemic districts of the country.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

34. National Vector borne diseases Control
Programme (NVBDCP)
•concerned with the prevention and control of vector
borne diseases namely Malaria, Dengue, Kala azar,
Filariasis, Chikungunya fever and Japanese Encephalitis.
Dr. J M Viramgami, Reader Swasthavritta, GAAC

35. Strategy under NVBDCP
1.Disease management
2.Integrated Vector management (for transmission risk
reduction)
3.Supportive Interventions
BehaviourChange Communication(BCC)
Public Private Partnership(PPP)
Dr. J M Viramgami, Reader Swasthavritta, GAAC