Npcdcs ppt

national programme for prevention and control of cancer , diabetes , cardiovascular disease and stroke

1. NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE By  Ms. Arushi Negi M.Sc. Nursing  Ist  year (NPCDCS)

2. INTRODUCTION India is experiencing a rapid health transition with large and rising burden of chronic non-communicable diseases (NCDs) . It is estimated that in 2016 NCDs accounted for 60% of deaths.  As NCDs are surpassing the burden of communicable diseases in India, need for National Programme on Prevention and Control of Diabetes, Cardiovascular Diseases and Stroke was envisaged. This programme was merged with National Cancer Control Pr ogramme During 12th Five Year Plan , this programme has covered all the districts of the country in phased manner.

3. National Cancer Control Programme Every year about 4 lakh deaths occur due to cancer. Cancers of oral and lungs in males and cervix and breast in females account for over 50% of all cancer deaths in India. In 1975-76 National Cancer Control Programme was launched with priorities given for equipping the premier cancer hospital/institutions. National Cancer Registry Programme (NCRP): Initiated in 1982 by ICMR, which gives a picture of the magnitude and patterns of cancer.

4. GOALS & OBJECTIVES OF NCCP 

5. SCHEMES

6. National Diabetes Control Program The National Diabetes Control Program was initiated in 1987 during 7 th  five year plan  in some districts of Tamil Nadu, J&K, and Karnataka . Program was not expanded to other states due to shortage of funds.

7. PREVENTION

8. PILOT PHASE OF NPCDCS The pilot programme has been planned with the objectives of providing effective promotion, prevention and control strategies to provide an integrated action plan for these chronic diseases. The pilot programme was launched on 4 January 2008 in 7 states : Assam , Punjab , Rajasthan , Karnataka , Tamil Nadu , Kerala and Andhra  pradesh . 

9. The programme interventions has 3 components.

10. 1. Health Promotion for the General Population (a) Community based interventions Health education and health promotion (b) Workplace interventions Health promotion (c) School based-interventions Evaluation of the existing school health programme

11. 2. Disease Prevention for the High Risk (a) Reorienting the public health delivery system System strengthening , Training for screening ,Training programmes for ANM, paramedics and nurses (b) Setting up special clinics (c) Harnessing the private sector (d) Specific interventions at the tertiary level to enhance capacity to respond to the needs of NCD such as Identification of a referral centre and strengthening the linkage .

12. 3. Assessment of Prevalence of Risk Factors

13. IMPLEMENTATION STRUCTURE : STATE NCD CELL : At the state level: A state NCD cell with a nodal officer will be established. District NCD cell: The programme will be run through the district health society A nodal officer to coordinate the implementation of various activities . The nodal officer will be assisted by 2 contractual consultants with competencies to manage 2 separate units of health promotion and health prevention/surveillance aspects which will constitute the district NCD cell.

14. Diabetes, Cardiovascular Diseases and Stroke (DCS) Component The major objectives  of the programme are follows Prevent and control common NCDs through behaviour and lifestyle changes. Provide early diagnosis and management of common NCDs. Build capacity at various levels of health care prevention, diagnosis and treatment of common NCD. Train human resource within the public health set up viz doctors, paramedics and nursing staff to cope the increasing burden of NCDs Establish and develop capacity for palliative rehabilitative care.

15. The programme strategies  included :

16. Activities at Sub-Centre Health promotion carried out by organizing various camps, interpersonal communications, posters, banners, etc. Opportunity screening of population above 30 years will be carried using BP measurement and blood glucose by strip method. The suspected cases of diabetes and hypertension will referred to CHCs of higher health facility for further diagnosis and management. NCD clinic at CHC shall do the diagnosis by required investigations/test like blood sugar measurement, profile, ultrasound, X-ray and ECG etc. Management stabilization of common CVD, diabetes and stroke Nurse appointed under the programme shall undertake home visits bedridden cases, supervise the work of health workers and attend monthly clinics . Complicated cases of diabetes, high blood measure etc. shall be referred from CHC to the district hospital for further investigations and management. Activities at CHC

17. Activities at district hospital NCD clinic at district hospital shall screen persons above the age of 30 years for diabetes, hypertension, cardiovascular diseases etc. to identify individuals who are high-risk warranting further investigation/action. Detailed investigation will be done of those who at high-risk of developing NCDs on screening and those who are referred from CHCs. Regular management and annual assessment of persons suffering cancer, diabetes and hypertension. People with established cardiovascular diseases shall also be managed at hospital. Provide home based palliative for chronic, debilitating and progressive patients. Health education to the patients and their attendants.

18. Urban health check-up scheme for diabetes and high blood pressure objectives :

19. Cancer component under NPCDCS Cancer is an important public health problem in India, with nealy 10 lakh new cases occurring every year in the country. The national cancer control programme was launched in 1975-76. The programme was revised in 1984-85 and subsequently in December 2004. During 2010, the programme was integrated with National Programme on Prevention and Control of Diabetes, Cardiovascular Disease and Stroke.

20. The objectives  of the programme are: By health education Early detection and diagnosis of common cancer such as cancer of cervix, mouth, breast and tobacco related cancer by screening/self examination method Strengthening of the existing institutions of comprehensive therapy including palliative care.

21. Cancer services  under national programme for prevention and control of cancer, diabetes, CVD and stroke :

22. RECENT INITIATIVES UNDER NPCDCS : Inclusion of guidelines for prevention and management of Chronic Obstructive Pulmonary Disease (COPD) and Chronic Kidney Disease (CKD) under NPCDCS. For early detection of NCD, guidelines are being issued to the States for initiating “Population-based Screening of common NCDs ” utilising the services of the Frontline-workers and Health-workers. Pilot project on ‘ Integration of AYUSH with NPCDCS ’ has been initiated in six districts in the country Pilot intervention has been initiated for the prevention and control of Rheumatic Fever and Rheumatic Heart Disease under the platforms of NPCDCS and RBSK ( Rashtriya Bal Swasthya Karyakram ). Another initiative is the integration of RNTCP with NPCDCS , wherein the “National Framework for Joint Tuberculosis-Diabetes collaborative activities” has been developed

23. ACHIEVEMENTS UNDER THE PROGRAMME   Comparative progress in achievements 2014-2015   As on 31st March, 2014   As on September, 2015   State NCD Clinics 21 36 District NCD Cells 96 195 District NCD clinics 95 201 District CCU facilities 51 65 District day care centres 38 61 CHC NCD clinics 204 1362

24. GUIDELINES FOR REFERRAL AND TREATMENT

25. SUMMARY Through this topic we came to know about NPCDCS i.e National programme for cancer, diabetes, cardiovascular disease and stroke, national cancer programme, national diabetes programme, pilot phase of NPCDCS, its interventions, implementation structure, DCS component , Cancer component, strategies, activites at different level , recent initiatives , achivements and guidelines for referral.

26. CONCLUSION India is experiencing a rapid health transition with large and rising burden of chronic non-communicable diseases (NCDs) . As NCDs are surpassing the burden of communicable diseases in India, need for National Programme on Prevention and Control of Diabetes, Cardiovascular Diseases and Stroke was envisaged. The various steps includes :Health promotion carried out by organizing various camps, interpersonal communications, posters, banners, etc. Opportunity screening of population above 30 years . The suspected cases of diabetes and hypertension will referred to CHCs of higher health facility for further diagnosis and management.

27. BIBLIOGRAPHY Park K., Park’s textbook of preventive and social medicine , 26th edition, 2021, Banarsidas Bhanot publishers, page no 528-531. NPCDCS by NHM , available at : https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=1048&lid=604