national health &family welfare

8/13/2019 national health &family welfare

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NATIONAL HEALTH

AND FAMILY

WELFAREPROGRAMMES


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Why National Health Programs?

Disease burden is high

Geogrpahical spread

Proven strategies for prevention and control areavailable

Adequate infrastructure is in place

Resources for programme impelmenation areavailable.


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Programmes for Communicable

Diseases

1. National Vector Borne Diseases ControlProgramme (NVBDCP)

2. Revised National Tuberculosis Control

Programme3. National Leprosy Eradication Programme

4. National AIDS Control Programme

5. Universal Immunization Programme

6. National Guinea worm Eradication Programme7. Yaws Control Programme

8. Integrated Disease Surveillance Programme


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Programmes for

Non Communicable Diseases

1. National Cancer Control Program

2. National Mental Health Program

3. National Diabetes Control Program

4. National Program for Control and treatmentof Occupational Diseases

5. National Program for Control of Blindness

6. National program for control of diabetes,

cardiovascular disease and stroke


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National Nutritional Programs

Integrated Child Development ServicesScheme

Midday Meal Programme

Special Nutrition Programme (SNP) National Nutritional Anemia Prophylaxis

Programme

National Iodine Deficiency Disorders ControlProgramme


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Programmes for Maternal

and Child Health

Reproductive and Child Health Programme

National Family Welfare Programmes

National Rural Health Mission

All India Hospital Postpartum Programme


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1.National Vector Borne Diseases

Control Programme (NVBDCP)

National Vector Borne Disease ControlProgramme is implemented in the states for

prevention and control of vector borne diseases

namely; Malaria,

Filariasis,

Kala-azar, Japanese encephalitis,

dengue

chikun gunya


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MALARIA

1953 Launching of National Malaria Control

Programme ( NMCP )

1958 NMCP was changed to National Malaria

Eradication Programme

1965 Cases reduced to 0.1 million

Early 1970s Resurgence of malaria

1977 Modified Plan of Operation implemented


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1997 World Bank assisted Enhanced Malaria

Control Project ( EMCP ) launched

1999 renaming of programme to National Anti

Malaria Programme ( NAMP )

2002

Renaming of NAMP to National Vector

Borne Control Programme

2005

Global Fund assisted Intensified MalariaControl Project ( IMCP )

2005 introduction of RDT in the programme


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ELIMINATION OF LYMPHATIC

DISEASES

Launched in 1955

The strategy of lymphatic filariasis elimination is

through;

Annual Mass Drug Administration ( MDA ) ofsingle dose of antifilarial drug for 5 years or more

to the eligible population

Home based management of lymphoedemacases and upscaling of hydrocele operations in

identified CHCs / district hospitals / medical

colleges


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KALA-AZAR

The strategies for kala-azar elimination are: Enhanced case detection and complete treatment

including introduction of PK 39 rapiddiagnostic

kits and oral drug miltefosine for treatment of

kala-azar cases.

Interruption of transmission through vector control

Communication for behavioral impact and

intersectoral convergence


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Capacity building

Monitoring, supervision and evaluation Research guidelines on prevention and control

of kala-azar have been developed

andcirculated to the state


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JAPANESE ENCEPHALITIS

Strategy for Prevention and Control

1. Strengthening early diagnosis and prompt

case management at PHCs CHCs and hospitals

through training of medical and nursing staff.

2. IEC for community awareness to promoteearly case reporting, personal protection,

isolation of amplifier host, etc.;

3. Vector control measures mainly fogging duringoutbreaks, space spraying in animal dwellings,

and antilarval operation where feasible; and

4. Development of a safe and standard

indi enous vaccine. Vaccination for hi h risk


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3. Vector control measures mainly fogging

during outbreaks, space spraying in animaldwellings, and antilarval operation where

feasible; and

4. Development of a safe and standardindigenous vaccine. Vaccination for high risk

population particularly children below 15 years

of age.


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NATIONAL LEPROSY

ERADICATION PROGRAMME

Strategy

1. Early detection through active surveillance by

the trained health workers;

2. Regular treatment of cases by providing Multi-

Drug Therapy (MDT) at fixed in or centres a

nearby village of moderate to low endemic

areas/district;.


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3. Intensified health education and public

awareness campaigns to remove social

stigma attached to the disease; and

4. Appropriate medical rehabilitation andleprosy ulcer care services


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REVISED NATIONAL

TUBERCULOSIS PROGRAMME

started in 1962

Strategy

1.Early detection and treatment thereby

converting infectious cases to noninfectious andpreventing noninfectious cases from becoming

infectious with treatment.

2. Diagnosis through radiology and sputummicroscopy.

3. Free Domiciliary treatment through Primary

Health Care Services


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4. Establishing District Tuberculosis Centre in

every district.

5. Extend coverage under Short Course

Chemotherapy (SCC).6. Strengthen state TB training and

Demonstration centres.


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NATIONAL AIDS CONTROL

PROGRAMME

National AIDS Control Programme Phase I

(!992-99)

National AIDS Control Programme Phase II

(1999-2004)

National AIDS control and prevention Phase

III

UNIVERSAL IMMUNIZATION


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UNIVERSAL IMMUNIZATION

PROGRAMME

1974- the WHO launched its expanded

programme on immunization against vaccine

preventable diseases

1978 - India launched EPI

1985 - renamed EPI as universal child

immunization

1989- 90 - The programme become

operational in all the districts of the country

1992 - become a part of CSSM program


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NATIONAL GUINEA WORM

ERADICATION PROGRAMME

India is the first country in the world to establish

the National Guinea Worm Eradication Programme

in1983-84 as a centrally sponsored scheme

St t


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Strategy:

1. GW case detection and continuous surveillance

through active case search operations and regular

monthly reporting

2. GW case management

3. Vector Control by the application of Tempos in

unsafe water sources eight times a year and use offine nylon mesh/double layered cloth strainers by

the community to filter Cyclops in all the affected

villages 4. Health education


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PROGRAMMES FOR NONCOMMUNICABLE DISEASES


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NATIONAL CANCER

CONTROL PROGRAMME

OBJECTIVES

Primary prevention of cancers by by health

education

Secondary prevention ie . early detection and

diagnosis of common cancers by screening / self

examination method

Tertiary prevention i.e strengthening of the existing

institutions of comprehensive therapy including

palliative care


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SCHEMES UNDER REVISED

PROGRAMME:

Regional cancer centre scheme Oncology Wing Development Scheme:

Decentralised NGO scheme:

IEC activities at central level: Research and Training:

NATIONAL MENTAL HEALTH


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NATIONAL MENTAL HEALTH

PROGRAM

The Government of India has launched theNational Mental Health Programme (NMHP) in

1982

Strategies


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Strategies

1.Integration mental health with primary health

care through the NMHP;

2. Provision of tertiary care insitutions for

treatment of mental disorders;

3. Eradicating stigmatization of mentally illpatients and protecting their rights through

regulatory institutions like the Central Mental

Health Authority, and State Mental health

Authority.

NATIONAL PROGRAM FOR


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NATIONAL PROGRAM FOR

CONTROL OF BLINDNESS

Activities

1. Cataract Operation

2. Involvement of NGOs:3. Civil Works:

4. Training:

5. Commodity Assistant:6. Information Education and Communication

7. Management Information System

8. Monitoring and Evaluation


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NATIONAL NUTRITIONALPROGRAMS


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Integrated Child Development

Services Scheme

Integrated Child Development Service (ICDS)

scheme was launched on 2nd October, 1975

Beneficiaries

1.Children below 6 years

2. Pregnant and lactating women

3. Women in the age group of 15-44 years

4. Adolescent girls in selected blocks


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The Package of services provided by ICDs

1. Supplementary nutrition, Vit-A, Iron and FolicAcid,

2. Immunization,

3. Health check-ups,

4. Referral services,5. Treatment of minor illnesses;

6. Nutrition and health education to women;

7. Pre-school education of children in the agegroup of 3-6 years, and

8. Convergence of other supportive services like

water supply, sanitation, etc.


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PROGRAMMES FORMATERNAL AND CHILD

HEALTH

Reproductive and Child Health


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Reproductive and Child Health

Programme

Essential Components of RCH Programme

1. Prevention and management of unwanted

pregnancy.

2. Maternal care that includes antenatal, delivery

and postpartum services.

3. Child survival services for newborns and infants.

4. Management of Reproductive Tract Infection

(TRIs) and Sexually Transmitted Infections (STIs).


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Strategy

Bottom-up Planning

Decentralized Participatory Planning &Implementation

Strengthening Infrastructure

Integrated Training Package

Improved Management


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RCH - 11

The main goals of RCH- 11 are; Immediate objective: To address the unmet needs

of contraception, health care infrastructure and

provide integrated service delivery for basic RCH

care with special focus on Empowerment Action

Group.

Medium Term Objective: Inorder to bring the Total

Fertility Rate ( TFR ) to replacement level by2010 through co ordinate implementation of the

intersectorial linkages.


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Long Term Objective : To achieve a stable

population by 2045, at a level consistent with

the requirements of sustainable economic

growth, social development andenvironmental protection.

NEW INITIATIVES


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NEW INITIATIVES:

Training of MBBS doctors in life saving

anaesthetic skills for emergency obstetrics care

Setting up of blood storage centres at FRUs

according to Govt. of India guidelines

Janani Suraksha Yojana

Vandemataram scheme

Safe abortion services


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Village health and nutrition day :

Maternal death review

Pregnancy tracking


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NATIONAL FAMILY WELFARE

PROGRAMME

India launched a nation wide family planning

programme in 1952

During the third five year plan 1961-66,family

planning was declared as the very centre of

planned development

1965- introduction of the lipples loop

1966- a full fledge department of family welfarewas set up family planning bureau were set up at

state and district levels


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NATIONAL RURAL HEALTH


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NATIONAL RURAL HEALTH

MISSION

The government of India launched national rural

health mission on 5 th April 2005 for a periodof

seven years (2005-12)

Plan of action to strengthen infra structure


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Plan of action to strengthen infra structure

creation of a cadre of ASHA

strengthening sub centers by

adequate supply of essential drugs

provision of multipurpose worker ,

sanction of new sub centre ,

stengthening existing sub centre with untied fund

of RS 10000 per year 3.

strengthening of PHCs


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strengthening of PHCs

adequate and regular supply of essential supply

and equipments

provision for 24 hrs services

following standard treatment guidelines;

up gradation of all PHCs for 24 hr referral service

and provision of a second doctor on the basis offelt need

strengthening the CHC for the first referral care

units by

ALL INDIA HOSPITAL


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ALL INDIA HOSPITAL

POSTPARTUM PROGRAMME

The Post Partum Programme - a maternity-

centred hospital based approach to family

welfare - was initiated in 1966 with the aim of

motivating women within the reproductiveage group (15-44 years) and their husbands

for adoption of small family norm

Main Goals


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Main Goals

1To provide mother and child care services.

2. To encourage temporary contraception so as to

reduce MMR & IMR and to increase the gap

between two children.

3.to train the medical & paramedical staff in family

welfare. 4. to provide community outreach services within

designated areas.

5. to offer health education so as to spreadawareness in people.

6. To provide referral services to high risk mothers.


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. OTHER PROGRAMMES:

NATIONAL WATER SUPPLY AND


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NATIONAL WATER SUPPLY AND

SANITATION PROGRAMME

was initiated in 1954- with the object

of providing safe water and supply and

adequate drainage facilities for the entire

urban and rural populationof the country.

In 1972 a special programme known as the

accelerated rural water supply programme

was started

MINIMUM NEEDS


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MINIMUM NEEDS

PROGRAMME (MNP)

Rural health

Rural water supply

Rural electrification Elementary education

Adult education

Nutrition Environmental improvement of urban slums


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Houses for landless labors

the facilities under MNP are to be first

provided to those areas which are at present

underserved so as to remove the disparities

between different areas

the facilities under MNP should be providedas a package to an area through

inter sectoral area projects, to have a greater

impact

20 POINT PROGRAMME


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20 POINT PROGRAMME

in 1975 , the government of India initiated

aspecial activity .

On august 20 , 1986 , the existing 20 point

programme was restructured.

INVOLEMENT OF NGOs IN THE NATIONAL


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HEALTH AND FAMILY WELFARE

PROGRAMME:

RCH- IEC Activities through Zila SaksharathaSamities:

Village Health Guide Scheme:

Post Partum Programme: Urban Revamping Scheme & Urban Family

Welfare Centre

Sterilization Bed Schemes: Mahila Swasthya Sangh:

Swasthya Mela:

Population research centres:


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ROLE OF NURSE IN NATIONAL HEALTH AND


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FAMILY WELFARE PROGRAMMES

Health Monitor

Provider of Nursing Care To The Sick And

Disabled

Health Teacher

Counsellor

Change Agent

Community Organizer


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Team Member

Trainer, Supervisor, Manager

Coordinator Of Health And Related

Services

Researcher

Role Model


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