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Time Specific Objective S Content AV Aids Teacher Student Activity Evaluation

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TIME SPECIFIC CONTENT AV TEACHER EVALUATION

OBJECTIVE AIDS STUDENT


S ACTIVITY
NATIONAL HEALTH PROGRAMS OF INDIA

CONTENT

• INTRODUCTION

• NATIONAL HEALTH MISSION

• REPRODUCTIVE AND CHILD HEALTH PROGRAMS

• REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP) : DOTS STRATEGY

• NATIONAL AIDS CONTROL PROGRAM

• NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAM

• NUTRITIONAL PROGRAMS

• NATIONAL ANTI-TOBACCO PROGRAM

• NATIONAL ORAL HEALTH PROGRAM

• NATIONAL PROGRAM FOR PREVENTION AND CONTROL OF CANCER,

• DIABETES, CVD AND STROKE

• INTEGRATED DISEASE SURVEILLANCE PROJECT

• BASIC MINIMUM SERVICE PROGRAM

• PROGRAMS FOR WATER AND SANITATION


• 20-POINT PROGRAM

Over the decades the public health is able to deliver best of its capacity to bring changes in various health indicators

 Reduction of child mortality


 Access to safe water and sanitation
 Prevention and control of HIV/AIDS
 Malaria prevention and control Tobacco
 control
 TB control
Various challenges to Public Health

 Poverty, Inequity
 Public Demands, Marginalizing Public Health Services, Public health delivery
 Epidemiological transition
 Climatic change and environmental health, New

Since India became independent, several measures have been taken under by the National Government to Improve the
health of the people.

Program among these measures are the NATIONAL HEALTH PROGRAMS, which have been launched by the central
government of control/ eradication of communicable diseases, improvement of environmental sanitation, raising the
standard of nutrition, control of population and improving rural health.

Various International agencies like WHO UNICEF UNFPA world Bank, as also a no. of foreign agencies like SIDA DANIDA
NORAD USAID have been providing technical and material assistance in the implementation of these programs.

Major Milestones so far are :

1992 – Child Survival And Safe Motherhood Program (CSSM) 1997 – RCH I
1997 – RCH II

2005 – National Rural Health Mission 2013 – RMNCH + A Strategy

2013 – National Health Mission

2014 – India New Born Action Plan (INAP)

Long standing need of urban health mission was accepted in MAY 2013 by the cabinet of the government of India and
rural and urban health mission merged to form National Health Mission in 12 th Five year plan.

The vision of mission is :

Attainment of Universal access to equitable, affordable and quality health care services, accountable and responsive to
people’s needs, with effective inter-sectoral convergent action to address the wider social determinants of health.

GOALS

The endeavor of NHM would be to ensure achievement of following indicators:

1) Reduce MMR to 100

2) Reduce IMR to 25

3) Reduce TFR to 2.1

4) Prevention and reduction of anemia in women aged 15-19 years to 28%

5) Prevention & reduce mortality and morbidity from communicable, non-communicable (including mental illness) ;
& injuries.

6) Reduce household out of pocket expenditure on total health care expenditure


7) Reduce annual incidence and mortality from tuberculosis by half

8) Reduce prevalence of leprosy to <1/10000 population and incidence to zero in all districts

9) Annual malaria incidence to be <1/1000

10) Less than 1 percent microfilaria prevalence in all districts

11) Kala-azar elimination by 2015,<1 case per 10000 population in all blocks.

12) Sustaining dengue case fatality rate as <1%

13) Containment of outbreak of chikungunya

14) Reduce mortality from Japanese Encephalitis by 30%

15) Reduce new infections to zero and provide comprehensive care & support to all persons living with HIV/AIDS and
treatment services for all those who require it.

INSTITUTIONAL STRUCTURE OF NHM:


 Approved by cabinet
 National level
 MSG – Union Ministry of Health & Family Welfare – policy direction to
 the mission.
 Convenor – Secretary , Dept of Ministry of Health & Family Welfare
 Co-Convenor – Additional Secretary & Mission Director – Mission is headed by him/her – with the team of Joint
Secretaries.
 Planning, Implementing and Monitoring mission activities.
 Technical support to the Centre and States – National Health Systems Resource Centre (NHSRC)
 Country’s apex body for training and public health research & support to health and family welfare program –
National Institute of Health & Family welfare (NIHFW)
 Knowledge resources of National Disease control program – National Centre for Communicable Diseases.
 Additional knowledge resources – AIIMS ,PGIMER & othe institutes of public health in states.
STATE LEVEL :

Headed by Chief Secretary

DISTRICT HEALTH MISSION (DHM)/CHM: Chair person Zila Parishad/Mayor

District Health Society (DSH): District Collector

 These will coordinate with the other departments and links with research institutes, public health colleges at
National and State level.

APPROACH :

 Increase access to decentralized health systems by establishing new infrastructure in deficient area.

 Provide facility based service delivery.

 District Hospital and Knowledge Centre (DHKC)

 Outreach services

 Village Health sanitation and nutrition committee ( VHSNC)

 Behavior change communication (BCC) Programs

 Partnership with NGOs , Civil society and for Profit Private sectors

 Health of Tribal

 Undertaking two Pilot districts for Universal health coverage

 Health management Information system (HMIS)


Service Delivery Strategies :

• Reproductive, Maternal, Newborn , Child Health and Adolescent services ( RMNCH + A)

• Control of communicable diseases :

- National Vector Borne Diseases Control Program (NVBDCP)

- Revised National Tuberculosis control Program (RNTCP)

- National Leprosy Control Program (NLCP)

- Integrated Disease surveillance project (IDSP)

• Control of NCD :

- National Program For Prevention And Control Of Cancer, Diabetes, CVD And Stroke (NPCDCS)

- National Program For Control Of Blindness (NPCB)

- National Program for Health care of Elderly (NPHCE)

- National Mental Health Program ( NMHP)

- NATIONAL Tobacco Control Program (NTCP)

- National Oral Health Program (NOHP)

- National Program For Palliative Care (NPPC)

- National Program For Preventive And Management Of Burn Injuries

- (NPPMBI)
- National Program For Prevention And Control Of Fluorosis (NPPCF)

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