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Trends & Projections of NCDs in India

Trends & Projections of NCDs in India. Diabetes 2000: 32 million (WHO) 2010: 51 million (International Diabetes Federation) 2030: 80 million (WHO) Cardio-vascular Diseases 1998: 19 million (ICMR) 2005: 38 million (Nat. Com. Macroeconomics & Health)

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Trends & Projections of NCDs in India

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  1. Trends & Projections of NCDs in India Diabetes • 2000: 32 million (WHO) • 2010: 51 million (International Diabetes Federation) • 2030: 80 million (WHO) Cardio-vascular Diseases • 1998: 19 million (ICMR) • 2005: 38 million (Nat. Com. Macroeconomics & Health) • 2015: 64 million (Nat. Com. Macroeconomics & Health) Cancer • Estimated number of persons with cancer: 2.8 million • Annual Incidence: 1.1 million NCD Deaths 5.2 million (50.5%) of all cause deaths

  2. Structure & Organisation • Union Govt. Ministry of Health & Family Welfare – NCD cell; still evolving • 35 States (provinces) - NCD cells at State & District planned (each distt. Is about 1.5 million) • About a dozen vertical NCD programs including National Program for prevention and control of Cancer, Diabetes, CVD & Stroke and National Rural Health Mission • NCD programs plan 10,000 US$ for 2012-17 (increase of nearly five times than last plan) • Many activities in NCD field, yet un-coordinated

  3. NRHM flow chart health care delivery in India NRHM State Project Management Unit State Health Mission State Health Society District Health Mission District Health Society District Project Management Unit Block Health & Sanitation committee CHC RKS PHC RKS Village Health & Sanitation committee Untied Fund Sub Centre ASHA PW

  4. Key Interventions of National Program for prevention and control of Cancer, Diabetes CVD & Stroke

  5. Activities in NCD Prev. & control • National NCD summit 23-24 Aug 2011 at N. Delhi • Food labeling for nutritional information by FSSAI food authority • Indian International Trade fair health ministry’s pavilion with NCD theme Nov 2011 • NCD theme painting competition and ministry’s calendar for 2012 • Awareness through National TV network in states. • Health promotion courses • Increase in the Post Graduate seats across India • Central Drug standard control organization (CDSCO) • AYUSH department for Yoga and others • School Health and School Health Policy • Tobacco Control & Increase in taxation on Tobacco

  6. Challenges • Large Population • Diversity in culture, belief and systems • Inaccessibility; difficult terrains • Individual & Institutional affordability • Private sector catering to 80% healthcare • Uniform model cannot work uniformly • Provision of lifelong care to NCD patients • Unwillingness of experts to go to villages • Medicare by quacks and chemists

  7. Lessons learnt • Shortage of Specialist (e.g. Medical Oncologist /Endocrinologist/Cardiologist/Medical Physicist/ Cyto-pathologist/Cyto-pathology technician • Need of intensive clinical training • Delay in procurement of equipment • Availability of space • Health Management Information System • Poor Record Management • Proper linkages/network with Tertiary centres and Medical colleges is absent • NCD management cannot replace the healthcare delivery system

  8. Next steps • The NCD Program needs to be taken into mission mode ( like NRHM - another program) • A dedicated male health worker in addition to Female Health Worker needs to be employed at sub-centre (lowest level) exclusively for NCD • Strengthening / development of health care delivery system at different levels • Screening needs to be sustained and be integrated with health care delivery system • Human Resource capacity building to be done • Provision of drugs for poor and needy at all levels

  9. Trade fair 2011 Ministry’s Pavilion - NCD Theme Thank You

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