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National Health Programs- India INTRODUCTION. Dr. KANUPRIYA CHATURVEDI. Lesson Objectives. To know about the National Health Programs ( NHP) in India Understand the relevance of the NHP Understand difference between vertical and horizontal programs. How to achieve health.

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National Health Programs-IndiaINTRODUCTION

Dr. KANUPRIYA CHATURVEDI


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Lesson Objectives

  • To know about the National Health Programs ( NHP) in India

  • Understand the relevance of the NHP

  • Understand difference between vertical and horizontal programs.


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How to achieve health

  • By improving host resistance to environmental hazards

  • By improving environmental safety

  • By improving health systems designed to increase the likelihood, efficiency & effectiveness of the first two goals


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Why National Health Programs?

  • DISEASE BURDEN IS HIGH

  • GEOGRPAHICAL SPREAD

  • PROVEN STRATEGIES FOR PREVENTION AND CONTROL ARE AVAILABLE

  • ADEQUATE INFRASTRUCTURE IS IN PLACE

  • RESOURCES FOR PROGRAMME IMPELMENATION ARE AVAILABLE.


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Vertical Health Programs

  • Separate Health Structures with strong central management dedicated to the planning, management & implementation of selected interventions

  • Advantages

    • Clear objectives & targets motivate staff

    • Operational planning is focused & easy to deliver

    • Efficient & effective delivery

    • Better ability to monitor restricted output


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Contd.

  • Disadvantages

    • No capacity to accommodate extra work in disasters

    • Resources used for specific activities only

    • Deskilling of health worker

    • No focus on overall development

    • Dependent on donors for funding

    • Placement of workers after completion-Challenging

    • Long term public motivation not sustained

    • May not be cost effective in long run


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Integrated Health Programs

  • Advantages

    • Help national development on a broader perspective

    • Incorporates multidimensional concept of health

    • Efficient & effective delivery through inter-sectoral collaboration

    • Has capacity to accommodate extra work

    • Responds to community needs

    • Cost effective in long run

    • Holistic approach to health


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Contd.

  • Disadvantages

    • Sometimes fail to target priority effectively

    • Complex programming may lead to more failure

    • Lack of expertise in integrated programme management


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Programmes for Communicable Diseases

  • National Vector Borne Diseases Control Programme (NVBDCP)

  • Revised National Tuberculosis Control Programme

  • National Leprosy Eradication Programme

  • National AIDS Control Programme

  • Universal Immunization Programme

  • National Guinea worm Eradication Programme

  • Yaws Control Programme

  • Integrated Disease Surveillance Programme


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Programmes for Non Communicable Diseases

  • National Cancer Control Program

  • National Mental Health Program

  • National Diabetes Control Program

  • National Program for Control and treatment of Occupational Diseases

  • National Program for Control of Blindness

  • National program for control of diabetes, cardiovascular disease and stroke

  • National program for prevention and control of deafness


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National Nutritional Programs

  • Integrated Child Development Services Scheme

  • Midday Meal Programme

  • Special Nutrition Programme (SNP)

  • National Nutritional Anemia Prophylaxis Programme

  • National Iodine Deficiency Disorders Control Programme


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Programs related to System Strengthening /Welfare

  • National Rural Health Mission

  • Reproductive and Child Health Programme

  • National Water supply & Sanitation Programme

  • 20 Points Programme


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National Health Policies

  • National Health Policy 2002

  • National Population Policy 2000

  • National AIDS control and Prevention Policy

  • National Blood Policy

  • National Policy for empowerment of Women 2001

  • National Charter for Children

  • National Youth Policy 2001998

  • National Nutrition Policy