Introduction to health system

National Health
Programme
Presented By
Ms. Monika P. Maske
Assistant Professor
M. Pharm
(Pharmaceutical Chemistry)
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Ms. M. P. Maske

Introduction of National Health
Programmes
• Government of India prepared several National
Programmes and implemented through public health
services.
• The sum total of all the organizations, institutions
and resources whose primary purpose is to improve
health.
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Ms. M. P. Maske

Objectives
• To create condition and developed personal
motivation, knowledge and skills.
• To choose healthy lifestyle and taking actions to
improve own health and others.
• To create environments supportive to health, work and
education.
• To reduces inequalities in health and health services.
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Ms. M. P. Maske

Main Activities
• Promote physical activity in general population.
• Promote healthy diet and improve food quality.
• To reduce tobacco smoking.
• To reduce alcohol consumption, changing
alcohol consumption patterns and reduce
alcohol abuse-related health damage.
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Ms. M. P. Maske

• To reduce psychoactive substances and drug
abuse-related health damage.
• To improve efficiency of health education and
health promotion programmes.
• To promote mental health and prevent mental
disorders.
• To reduce the accidents and traffic accients.
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Ms. M. P. Maske

Ongoing National Health Programmes
in India
All NHP are implemented through Director
General of Health Services (DGHS).
• National Iodine Deficiency Disorders Control
Programme
• National Leprosy Eradication Programme
• National Mental Health Programme
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Ms. M. P. Maske

• National Oral Health Programme
• National Organ Transplant Programme
• National Tobacco Control Programme
• National Programme on Health Care for Elderly
• National Programme for Privation and Control of
Cancer, Diabetes, CVS and stroke
• National Vector Borne Disease Control Programme
like chikun gunya, malaria, dengue, etc.
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Ms. M. P. Maske

National Iodine Deficiency Disorders
Control Programme (NIDDCP)
Objectives :
• Surveys of Iodine Deficiency Disorders (IDD) in
districts and survey in every five years.
• Supply of iodated salt in place of common salt.
• Health education and publicity.
• Monitoring of iodated salts in labs and excretion
of urinary iodine.
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Ms. M. P. Maske

Functions and Outcome
• Ministry implement and create the NIDDCP.
• Increased the consumption of iodated salt
from 51.1% (2005-2006) to 71.1% in 2009.
• National Reference Laboratory monitor IDD,
four regional laboratories and 35 state
laboratories have been formed.
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Ms. M. P. Maske

National Leprosy Eradication Programme
(NLEP)
Objectives :
• To reduce the rate of leprosy at national as well as district
level.
• Reduce grade II disability % < among new cases at national
level.
• Reduce grade II disability cases <1 case per million
population at national level.
• Zero disabilities among new child cases and persons affected
by leprosy. 10
Ms. M. P. Maske

• NLEP functions under NHM.
• Diagnosis and treatment of leprosy.
• Information, education and communication (IEC)
and counseling.
• Disability Prevention and Medical Rehabilitation.
• NGO services.
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Ms. M. P. Maske

National Mental Health Programme
(NMHP)
Objectives :
• Ensure the availability and accessibility of minimum
mental healthcare for all in future.
• To promote community participation in mental health
service development.
• To enhance resources in mental health .
• To encourage the mental health knowledge in socially.
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Ms. M. P. Maske

• District Mental Health Programme.
• Public – private Partnership (PPP) model activities.
• Mental health help line.
• Man power development schemes.
- centre of excellence
- PG training department of mental health facilities.
• IEC activities.
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Ms. M. P. Maske

National Palliative Care (NPPC)
Objectives :
• To improve the capacity of delivery patients.
• To develop national standards of palliative
care services.
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Ms. M. P. Maske

• To provide essential funding to build for non –
communicable diseases cancer, HIV and
efforts targeting elderly populations.
• To provide funds for establishing state
palliative care cell and services at district
hospitals.
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Ms. M. P. Maske

National Oral Health Programme
(NOHP)
Objectives :
• To improve determinants of oral health.
• To reduce causes from oral diseases.
• To promote, prevention and develop oral health
services.
• Promotions of Public Private Partnership for achieving
public health goals.
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Ms. M. P. Maske

• To develop a model health clinic in each district.
• IEC activities.
• Training of medical officer.
• Monitoring, supervision and evaluation.
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Ms. M. P. Maske

National Organ Transplant Programme
(NOTP)
Objective :
• To organize a system of organ and tissue procurement
and distribution for transplantation.
• To train required man power.
• To protect poor organ trafficking.
• To monitor organ and tissue transplant services.
• To bring policy.
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Ms. M. P. Maske

• Established National Organ and Tissue Transplant
Organization (NOTTO).
• Established of Regional Organ and Tissue Transplant
Organization (ROTTO).
• Established of State and Tissue Transplant Organization
(SOTTO).
• IEC activity.
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Ms. M. P. Maske

National Programme for Control of
Blindness and Visual Impairment (NPCBVI)
Objectives :
• To reduce the blindness.
• Develop and strengthen the strategy of “Eye Health for All”
and prevention of visual impairment.
• Strengthening and upgradation of Regional institutes of
Ophthalmology (RIOs) and other partners.
• Strengthening the infrastructure for providing high quality
eye care in all districts.
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Ms. M. P. Maske

• Developing multi-purpose district mobile
ophthalmic units in district hospitals.
• To distribute the free spectacles to old needy
persons.
• Strengthen the Eye care coverage.
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Ms. M. P. Maske

National Programme for Prevention
and Control of Fluorosis (NPPCF)
Objectives :
• Use the baseline survey data of fluorosis of
Ministry of Drinking water and sanitation.
• Capacity for prevention, diagnosis and
management of fluorosis cases.
• Management of fluorosis in the selected area.
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Ms. M. P. Maske

• Surveillance of fluorosis in the country.
• Build training and man power support.
• Establishment of diagnostic facilities in medical
hospitals.
• Management of fluorosis including surgery,
treatment, etc.
• Health education for prevention and control.
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Ms. M. P. Maske

National Tobacco Control Programme
(NTCP)
Objectives :
• Bring great awareness about the harmful
effects of tobacco use and laws.
• To implement the tobacco control laws.
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Ms. M. P. Maske

• Training of health and social workers, NGOs, school
teachers, etc.
• Information, education and communication activities.
• School programmes.
• Monitor tobacco control laws.
• Co-ordination with Panchayati Raj Institutions for village
level activities.
• Setting and strengthen the facilities.
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Ms. M. P. Maske

Revised National TB Control
Programme (RNTCP)
Objectives :
• Vision – TB free India with zero deaths,
disease and poverty due to tuberculosis.
• Goal – To achieve a rapid decline in burden of
TB.
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Ms. M. P. Maske

• Ministry of Health & Family Welfare evolve scheme to
address the patients seeking care.
• Modern Management and Information Service (MIS)
monitor newly diagnosed as well as existing cases of
TB.
• Rapid molecular gest is available.
• Improve compliance of TB patients.
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Ms. M. P. Maske

National Programme on Health Care
for Elderly (NPHCE)
Objectives :
• Provide affordable and high-quality long-term
care.
• Promote the concept of “Active and Healthy
Ageing.”
• Create a new framework for ageing.
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Ms. M. P. Maske

• Setting up geriatric OPD at district.
• Strengthening all sub-centres to provide with
equipment’s.
• Provide training to staff of public healthcare
system in geriatric care.
• Integration with NRHM.
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Ms. M. P. Maske

National Programme for Prevention
and Control of Deafness (NPPCD)
• Prevent hearing loss disease or injury.
• Early identification, diagnosis and treatment of
ear problems responsible for hearing loss and
deafness.
• To develop institutional capacity for ear care
services by providing support for equipment,
material and training personnel.
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Ms. M. P. Maske

• Strengthen the service delivery for ear care.
• Develop human resource for ear care.
• To promote public awareness.
• Effective IEC strategies.
• Develop institutional capacity of district hospitals,
primary health centres.
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Ms. M. P. Maske

National Programme for Prevention &
Control of Cancer, Diabetes, CVS Diseases &
Stroke
Objectives :
• Health promotion through change in media,
community communication, etc.
• Screening all the levels in the healthcare.
• Build capacity for prevention, early diagnosis, etc.
• To support for development of data base surveillance
system.
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Ms. M. P. Maske

• Health promotion awareness generation, healthy
lifestyle.
• Screening and early detection.
• Timely affordable and accurate diagnosis.
• Affordable treatment.
• Rehabilitation.
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Ms. M. P. Maske

National Vector Borne Disease Control Programme
a) Programme for Prevention and Control of
Leptospirosis (PPCL)
Objectives : Reduce morbidity and mortality.
Functions and Outcome :
• Develop trained man power.
• Strengthen the surveillance, diagnostic
laboratories.
• Create awareness.
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Ms. M. P. Maske

b) Programme National Rabies Control
(NRCP)
Objectives :
• Training of healthcare professionals on animal bite
management and rabies post exposure prophylaxis.
• Strengthen Human Rabies surveillance system.
• Strengthen Regional Laboratories under NRCP for
Rabies Diagnosis.
• Creating awareness in community.
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Ms. M. P. Maske

• Training and capacity building.
• Guidelines and technical support to states.
• Rabies and animal bite surveillance.
• ICE activities.
• Operational research.
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Ms. M. P. Maske

c) National Viral Hepatitis Surveillance
Programme (NVHSP)
Objectives :
• Establish labs for viral hepatitis in different
location.
• Develop techniques for creating awareness
about viral hepatitis.
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Ms. M. P. Maske

• Established laboratory based surveillance.
• Laboratories network with quality testing for
hepatitis.
• Training of man power/ 10 regional laboratories.
• IEC activities.
• Establishment of base line data for hepatitis.
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Ms. M. P. Maske

e) Six Vector – Borne Diseases
• Six vector diseases clubbed together.
• They are chikn gunya, malaria, filariasis, kala azar, Japanese
encephalitis and dengue.
Objectivise :
• Prevent mortality due to vector borne diseases.
• Reduce morbidity due to malaria, dengue, chikn gunya and
Japanese encephalitis .
• Elimination of filariasis and kala azar.
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Ms. M. P. Maske

Chikn Guniya
• Early diagnosis, complete treatment, vector
management and protection.
• Biological control, partnership with other
national programmes.
• Central government provide support.
• Improve the acceptability.
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Ms. M. P. Maske

Malaria
Surveillance and Case Management –
• Early case detection, complete treatment and surveillance.
Integrated Vector Management (IVM)
• Indoor residual sprays and insecticide treated bed nets.
• Capacity building, monitoring and evaluation, behaviour
change, etc.
• Antiviral measures reduces sources.
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Ms. M. P. Maske

Lymphatic Filariasis
Strategies :
• Detection and treatment of patient.
• Anti – viral work in urban areas.
• Mass Drug Administration (MDA) with anti -
filarial drugs (albendazole).
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Ms. M. P. Maske

Kala Azar
Strategies :
• Case detection, diagnosis and treatment.
• Interruption of transmission through vector control.
Drugs –
• Single dose Amphotericin B, Miltefosine.
• Amphotericin B emulsion, combination.
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Ms. M. P. Maske

Japanese Encephalitis (JE)
Strategies :
• Early diagnosis and case management.
• Vaccination of children between 1-15 years.
Prevention and Control Measures :
• Protection against mosquito bite, JE vaccine.
• Domestic pigs and wild birds carries virus.
• Maintaining fluid and electrolyte balance.
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Ms. M. P. Maske

Dengue Fever/ Dengue Haemorrhagic Fever
(DF/DHF)
• Diagnosis, ELISA and provide free of cost
treatment.
• Maintain uniformity and standard in treatment.
• 110 Sentinel surveillance with labs.
• National guidelines for dengue management.
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Ms. M. P. Maske

National Programme for Prevention &
Mangement of trauma & Burn Injuries
(NPPMTBI)
I. Trauma
Objectives :
• Establish care facilities to reduce death due to traffic accidents.
• Develop communication network between ambulances and trauma
centres, trauma registry centres for quality of services.
• Develop trauma plan, improve awareness through IEC.
Functions and Outcome :
• Infrastructure strengthening, IEC activities.
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Ms. M. P. Maske

II. Burn Injuries
Objectives :
• Establish network of burn units, management and rehabilitation.
• Improve awareness, women's, children, industrial areas, etc.
• Carry out research for behavioural, social and other injuries.
• Facilities effective programme planning, monitoring and evaluation.
• Organize training programme for doctors, nurses and para-medical
staff.
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Ms. M. P. Maske

• Prevention programme (IEC).
• Treatment
• Rehabilitation
• Training
• Monitoring and evaluation
• Research
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Ms. M. P. Maske

National Pulse Polio Programme
Objectives : Achieve 100% exposure under oral
Polio vaccine.
• Last polio case reported in district of west
Bengal 13th January 2011.
• WHO on 24th Feb. 2012 removed India from list
of countries with wild polio virus transmission.
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Ms. M. P. Maske

Health Programmes Monitored by National
Centre for Disease Control (NCDC)
1. Antimicrobial Resistance (AMR) Containment
• Objectives :
• Establish lab base AMR surveillance system.
• Carry out surveillance of antimicrobial use.
• Strengthen infection control practices and promote
rational use of antimicrobials.
• Generate awareness about antimicrobial resistance.
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Ms. M. P. Maske

• AMR Surveillance.
• National Treatment guidelines.
• IEC activities.
• Strengthening labs capacity for AMR detection.
• Prevent infection and control guidelines.
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Ms. M. P. Maske

2. National Programme on Climate Change
& Human Health (NPCCHH)
Objectives :
• Create awareness about climate change impacts.
• To strengthen capacity of healthcare system.
• Reduce illness due to climate change.
• Make strong research capacity and develop partnership
with other mission and ensure health.
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Ms. M. P. Maske

• Awareness and behavior modification about
impact, illness, prevention,.
• Regulation of air quality, water quality, food,
waste ,management, agriculture and transport.
• Integrated monitoring system for collection of
data about environment, economic.
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Ms. M. P. Maske

3. Integrated Disease Surveillance
Programme (IDSP)
Objectives :
• To maintain decentralized labs for surveillance
of diseases.
• Monitor diseases to detect and respond to
outbreaks Rapid Response Teams (RRTs).
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Ms. M. P. Maske

• Establishment of surveillance units at state, district
level.
• Stretching the public health labs.
• Use of information technology for collection, analysis
of data.
• Provide Training to state surveillance officers, district
officers, rapid response team and other medical,
paramedical staff.
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Ms. M. P. Maske

4. Yaws Eradication Programme (YEP)
• Yaws belongs to group of chronic bacterial
infections.
• Its caused by terponemes.
• Other diseases belongs to this are bejel and
pinta.
• India has been declared Yaws free in July
2016.
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Ms. M. P. Maske

Additional National Health
Programmes
• AIDS – To prevent, control and monitor the diseases.
• School Health Programme – Under the NRHM right to
survival, protection, development and participation are
given to child.
• Pradhan Mantri Swasthya Surksha Yojana (PMSSY) –
Correct the imbalance between affordable healthcare
facilities in different part of the country.
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Ms. M. P. Maske

• Poor Patients (Financial Support) Rashtriya
Arogya Nidhi : has launched to support poor
patients.
• 10.0 Lakhs rupees can be given to each people.
• Other programmes like Janani Shihu Surksha
Karyakram, National Programme for Family
planning, Universal Immunization Programme, etc.
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Ms. M. P. Maske

Role of Pharmacist in National Health
Programmes
1. It provides population-based care :
• By working with health care colleagues, pharmacist can
contribute disease management programs.
2. It develop diseases prevention and control programs :
• Develop screening programs, monitoring , and
reporting.
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Ms. M. P. Maske

3. It develops disease prevention and control programs :
• Advice on healthy eating, modification, prevention and
management of drug abuse, misuse, addiction screening
and education for diabetes, etc.
4. It develop health-education policies and programs :
• Develop programs on safe and effective medication use,
education, training and educate community leaders.
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Ms. M. P. Maske

5. It collaborates with local authorities, to address local
regional health care needs :
• Help in development, implementation, planning for
distribution, emergency situations and develop policies
to increase awareness in proper handling and disposal
of hazardous drugs.
6. It was engaged in population-based research and
about new knowledge.
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Ms. M. P. Maske

Introduction to health system

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