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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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