National Programme for Prevention and Control of Deafness (NPPCD)

National Programme for Prevention and Control of Deafness (NPPCD)
Introduction
Programme Execution & Expansion
Objectives of the Programme
Components of the Programme
Strategies
Expected Benefits of the Programme

1. National Programme for Prevention and Control of Deafness ( NPPCD) Presented by: Aditya Sharma M.S. (Pharm) Pharmaceutical Analysis NIPER Guwahati

2. CONTENTS Introduction Causes of Hearing Loss Programme Execution & Expansion Objectives of the Programme Components of the Programme Strategies Expected Benefits of the Programme

3. Introduction Hearing loss is the most common sensory deficit in humans today. World over, it is the second leading cause for  ‘Years lived with Disability (YLD)’  the first being depression.  There are large number of hearing impaired young people in India which amounts to a severe loss of productivity, both physical and economic. An even larger percentage of our population suffers from milder degrees of hearing loss and unilateral (one sided) hearing loss against the above background, The Ministry of Health and Family Welfare, Govt. of India launched the pilot phase of National Program for Prevention and Control of Deafness (from 2006 to 2008) in 10 States and 1 Union Territory in an effort to tackle the high incidence of deafness in the country, in view of the preventable nature of this disability.

4. Deafness  is defined as a degree of loss such that a person is unable to understand speech, even in the presence of amplification. Types of Deafness Conductive deafness: Due to defect in the conducting mechanism of the ear namely external and middle ear . Sensori -neural deafness / Perceptive deafness: Due to lesions in the labyrinth, 8th nerve & central connections. It includes psychogenic deafness . Mixed deafness: Both the above-mentioned types are present.

5. CAUSES OF HEARING LOSS Aging process Occupational hazards (those who are working in noisy areas) Wax in the ear Chronic ear infection Diseases of tympanum A hole in tympanic membrane Growths and masses in the ear & bones and cancer like diseases

6. Programme Execution & Expansion The Programme was a 100% Centrally Sponsored Scheme during 11 th  Five Year Plan. However, in as per the 12th Five Year Plan, the Centre and the States will have to pool in resources financial norms of NRHM mutas mutandis. The Programme was initiated in year 2007 on pilot mode in 25 districts of 11 State/UTs. The Programme has been expanded to 192 districts of 20 States/UTs. In the 12 th  Plan, it is proposed to expand the Programme to additional 200 districts in a phased manner probably covering all the States and Union territories by March, 2017 .

7. Objectives of the Programme To prevent the avoidable hearing loss on account of disease or injury. Early identification, diagnosis and treatment of ear problems responsible for hearing loss and deafness. To medically rehabilitate persons of all age groups, suffering with deafness. To strengthen the existing inter-sectoral linkages for continuity of the rehabilitation Program, for persons with deafness. To develop institutional capacity for ear care services by providing support for equipment and material and training personnel.

8. Components of the Programme Manpower training and development–  For prevention, early identification and management of hearing impaired and deafness cases, training would be provided from medical college level specialists (ENT and Audiology) to grass root level workers.  Capacity building –  For the district hospital, community health centres and primary health centre in respect of ENT/ Audiology infrastructure. Service provision –  Early detection and management of hearing and speech impaired cases and rehabilitation, at different levels of health care delivery system. Awareness generation through IEC/BCC activities –  For early identification of hearing impaired, especially children so that timely management of such cases is possible and to remove the stigma attached to deafness. 

9. Strategies To strengthen the service delivery for ear care. To develop human resource for ear care services . To develop institutional capacity of the district hospitals, community health centres and primary health centres selected under the Programme .

10. Expected Benefits of the Programme Availability of various services like prevention, early identification, treatment, referral, rehabilitation etc. for hearing impairment and deafness as the primary health centre / community health centres / district hospitals largely cater to their need. Decrease in the magnitude of hearing impaired persons.  Decrease in the severity/ extent of ear morbidity or hearing impairment.  Improved service network/referral system for the persons with ear morbidity/hearing impairment.  Awareness creation among the health workers/grass root level workers through the primary health centre medical officers and district health officers, which will percolate to the lower level health workers functioning within the community. Capacity building at the district hospitals to ensure better care.