National programme for prevention and control of cancer diabetes cvds and stroke npcdcs
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National Programme for Prevention and Control of Cancer , Diabetes , CVDs and Stroke (NPCDCS). State NCD Cell, 7 th Floor, Arogya Bhavan , St. George’s Hospital Compound, P.D’Mello Road, Fort, Mumbai 01

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National programme for prevention and control of cancer diabetes cvds and stroke npcdcs

National Programme for Prevention and Control ofCancer, Diabetes, CVDs and Stroke (NPCDCS)

State NCD Cell, 7th Floor, ArogyaBhavan, St. George’s Hospital Compound, P.D’Mello Road, Fort, Mumbai 01

Tel: 022-2262 3222 / 2027 FAX : 022-22642955

E-mail: ncd.mumbai@gmail.com


Programme objective
Programme Objective

Health promotion through behavior change with involvement of community, civil society, community based organizations, media etc.

Opportunistic screening at all levels in the health care delivery system from sub-centre and above for early detection of diabetes, hypertension and common cancers. Outreach camps are also envisaged.

To prevent and control chronic Non-Communicable diseases, especially Cancer, Diabetes, CVDs and Stroke.

To build capacity at various levels of health care for prevention, early diagnosis, treatment, IEC/BCC, operational research and rehabilitation.

To support for diagnosis and cost effective treatment at primary, secondary and tertiary levels of health care.

To support for development of database of NCDs through Surveillance System and to monitor NCD morbidity and mortality and risk factors.


Strategy
Strategy

Health promotion, awareness generation and promotion of healthy lifestyle

Screening and early detection

Timely, affordable and accurate diagnosis

Access to affordable treatment,

Rehabilitation


Ncd programme salient features
NCD Programme salient features

Screening of age >30 yearsindividual for Diabetes and Hypertension

The screening should be both Hospital and Community based

The Community based screening - by health worker at Subcentre both Male and Female

The Hospital based screening - by staff appointed under the programme at DH & CHC

Strengthening of District ICU for Cardiac care

Opportunistic screening of common cancers (Cervix, Breast and Oral) at DH and CHC level

Curative services should be made available from PHC and above

Health promotion and Counselling services available from PHC and above.


What is achieved
What is achieved

  • The programme was started in 6 districts of Maharashtra. (Amravati, Bhandara, Chandrapur, Gadchiroli, Wardha and Washim)

  • In 2013-14 we screened 21.16 lack individuals for DM & HT form 6 NCD districts

  • The confirmed DM patients were 94,401 – (P-4.46%)

  • The confirmed HT patients were 1,64,085 – (P-7.75%)

  • The confirmed patients of Common Cancers were – 946

  • Started 71 NCD clinics in 6 NCD districts

  • Develop a treatment protocol of DM & HT for PHC Medical officers

  • Develop Cancer related IEC material and distributed to the health facilities of 6 NCD districts

  • Training

    • PHC medical officers for DM & HT management

    • CHC/PHC Medical officers in cancer screening and early diagnosis

    • Subcentre’sANM in DM screening


Issues in implementation
Issues in implementation

Lack of coordination between DHO & CS

No review of programme from DHO or PHC Medical officer

Screening coverage is a problem

Duplication of reporting

Lack of ownership to the programme

Though horizontal programme, treated as a vertical programme

Availability of Specialist, MBBS doctors is a problem


National programme for prevention and control of cancer diabetes cvds and stroke npcdcs


Major tasks for new districts
Major Tasks for new districts another districts

Recruitment of man-power

Formal training of HT & DM screening to health workers

Programme sensitization in the existing health system

Initiation of Screening

To make medicine available for DM/HT/CVD management at DH & CHC

To make medicine available for DM/HT management at PHC as per the treatment protocol


National programme for prevention and control of cancer diabetes cvds and stroke npcdcs

For the recruitment process the advertisement will be published from state level

Application will be submitted at District level

The recruitment process of District Epidemiologist, Programme Co-ordinator and Finance Consultant will be done at state level, rest will be at CS level.


For new district additional hr to be recruited
For new district published from state levelAdditional HR to be recruited

  • At District level

  • District NCD Cell

    • District Epidemiologist/ Public Health Specialist – 1.

    • District Programme Coordinator – 1.

    • Finance cum Logistics Consultant – 1.

    • Data Entry Operator – 1.

  • District NCD clinic

    • General Physician – 1

    • GNM – 2

    • Physiotherapist – 1

    • Counsellor – 1

    • Technician – 1

    • Data Entry Operator – 1


National programme for prevention and control of cancer diabetes cvds and stroke npcdcs

  • CCU / Day Care Facility published from state level

    • Specialist – 1

    • GNM – 4

  • CHC NCD clinic

    • General Physician / Doctor – 1

    • GNM – 1

    • Counsellor– 1

    • Technician – 1

    • Data Entry Operator – 1


Focus points for deputy director
Focus Points for Deputy Director published from state level

Regular review of NCD programme progress in each and every meeting of CS and DHO.

Monthly review meeting with District Programme Officer and Finance cum Logistic Officer.

Co-ordination in establishment of linkages between District Hospital and Tertiary Care Centers


Focus points for civil surgeon
Focus Points for published from state levelCivil Surgeon

To make available sufficient space for NCD cell, Clinic and sitting arrangement for NCD staff, patients etc. at Dist. Hospital and RH\SDH

Appointment of qualified staff as per requirement and guidelines

Regular Medical Superintendent review in every meeting.

Proper utilization of fund as per guidelines.

Implementation of programme in co-operation with DHO.

Strengthening of Lab, CCU, Geriatric services, Oncology services etc. at DH and CHC

Awareness about NCD in public


Focus points for district health officer
Focus Points for published from state levelDistrict Health Officer

Co-operation and Co-ordination with Civil Surgeon in implementation of NCD activities.

Review of THO and MO for the progress of NCD programme.

Asked Medical officers to take the review of NCD programme

Regular data collection and maintenance of all NCD activities.(Data regarding suspected and confirm patients)

Proper utilization of fund as per guidelines.

Awareness in public about various NCDs


National programme for prevention and control of cancer diabetes cvds and stroke npcdcs

Thank you .. published from state level