nhp

2. NATIONAL HEALTH & FAMILY
WELFARE PROGRAMS
&
INTERSECTORAL COORDINATION
&
ROLE OF NONGOVERNMENTAL
AGENCIES
PRESENTED BY
MISS IPSITA SAHU
M. SC N 1ST YEAR

3. NATIONAL HEALTH
PROGRAMS

4. INTRODUCTION
Now a days India become free, from some
disease because several measures have been
taken by the National Government to improve
the health of people.
Prominent among this measures are the
national health programmes , which have been
launched by the Central Government for the
control of communicable diseases, improvement
of environmental sanitation , control of
population etc.

5. MEASURES FOR EFFECTIVE
IMPLEMENTATION OF NATIONAL
HEALTH PROGRAMS

6. Improving the quality of services.
Improving the implementation of programs.
Arranging appropriate training for the
workers to increase their capabilities & skill.
Ensuring the supply of required resources for
the implementation of program.
Increasing the awareness about NHPs
through IEC activities.
Filling the gap between infrastructure & the
health personnel.

7. LISTS OF VARIOUS
NATIONAL HEALTH PROGRAMS

8. NATIONAL VECTOR BORNE DISEASE
CONTROL PROGRAM

9. MISSION STATEMENT
Integrated accelerated action
towards:-
 Reducing mortality on account of
Malaria, Dengue and JE by half.
 Elimination of Kala-azar by 2010.
 Elimination of lymphatic
filariasis by year 2015.

10. STRATEGY UNDER NVBDCP
A) Disease management
B) Integrated vector management
C) Supportive interventions
D) Environment management

11. NATIONAL ANTI-MALARIA
PROGRAMME (NAMP)
1953- NMCP
Objectives- to reduce the morbidity
rate of malaria.
1958- NMEP
Objectives:- ending transmission of
malaria by killing entire vectors &
elimination of reservoir of infections.
1999- NAMP

12. NATIONAL FILARIA CONTROL
PROGRAMME (NFCP)
- Launched in 1955.
- Control measures:-
• Assessing the extent of problem of filaria.
• Treating & diagnosed cases with DEC.
• Controlling the disease through anti-larva &
anti-parasite measures in urban areas.
• IEC activities for community awareness.

13. FILARIA CONTROLSTRATEGIES…
Morbidity management cases:-

14. KALA –AZAR CONTROL PROGRAM
Launched in 1990-91.
Goal- to eradicate by 2010.
Action:-
- reduce no. of vector &
the transmission by
sprinkling of chemical.
- early diagnosis & treatment
- providing health education

15. JAPANESE ENCEPHALITIS CONTROL
PROGRAM
-This Disease caused by small virus spread by
mosquitoes
- This program was started in 1978.

16. DENGUE FEVER CONTROL
PROGRAMME
• The National Dengue Prevention and Control
Program were first initiated by the
Department of health (DOH) in 1993.

17. CHIKUNGUNYA CONTROL
PROGRAMME
Chikungunya is a viral disease. During
2006 there was huge outbreak of
Chikungunya in India. There is no specific
treatment. Only symptomatic & supportive
treatment is provided to patients.

18. Launched in 1955 with the objective to
remove leprosy from our country.

19. Control measures:-
1) Decentralization and Institutional
Development
2) Strengthening Delivery sysem
3) Disability Prevention ,Care and
Rehabilitation
4) IEC activities
5) Training of staff of General Health
Services
India achieved elimination of leprosy in
Dec. 2005.
Cont….

20. Launched in 1962.
renamed in 1992.

21. Cont…
-NTCP was launched in 1962, with the
objective to detect the TB cases &
provide domiciliary treatment to TB
patients.
-In 1992, revised strategy of TB was
launched & renamed as RNTCP.
WORLD TB DAY:- 24TH MARCH

22. Cont…
Control measures:-
Strengthen Intersectoral coordination
and involving Medical colleges
IEC activities.
Improving laboratory facilities for
sputum culture and drug sensitivity
Implementation of DOTS –Plus strategy
for Multi Drug Resistant Tuberculosis
(MDR-TB)

23. NACP Phase- I was launched in 1987
& phase-II in 1999-2001 & phase-III
in 2006-2011.

24. AIMS:-
-To prevent further transmission of HIV.
-To decrease morbidity and mortality.
CONTROL MEASURES:-
 establishment of surveillance centers
 Identification of high risk groups
 Clinical management of detected cases
 Control of STDs & condom programme

25. STD CONTROL PROGRAMME
It was Started in 1946.

26. NATIONAL PROGRAMME FOR CONTROL
OF BLINDNESS
1963- National trachoma control program
1970- national prophylaxis program
against blindness
1976- National programme for control of
blindness

27. Activities:-
•Establishing regional institute of
ophthalmology
•Improving level of ophthalmic services
•Training & appointing ophthalmic units.
•Vision 2020: RIGHT TO SIGHT
•School level program

28. NATIONAL NUTRITIONAL PROGRAM
i) Special nutritional program(1970-71)(MNP)
ii) Balwadi nutritional program(1970-71)
iii) Applied nutritional program(in 1963, it was
introduced as a pilot scheme in Odisha. But
in 1973, it was extended to all the state of
country.)
iv) Mid-day meal program(1995)(Tamil Nadu)
v) National nutritional Anemia prophylaxis
program(1970)(RCH)

29. NATIONAL IODINE DEFICIENCY DISORDERS
CONTROL PROGRAMME(NIDDCP)
• 1962- national goiter control program.
• 1992 - NIDDCP.
The major components are :
• Provision of iodized salt
• Monitoring
• Surveillance
• Mass communication

30. NATIONAL CANCER CONTROL
PROGRAMME(NCCP)
- started as cancer control program in the year
1975-76 & and renamed as NCCP in 1985 &
revised in 2004 .
OBJECTIVES:-
• Primary prevention:- health education
• Secondary prevention:- early detection &
diagnosis.
• Tertiary prevention:- strengthening of the
existing institutions for comprehensive therapy
including palliative care.

31. NATIONAL WATER SUPPLY AND
SANITATION PROGRAMME
-It was initiated in 1954.
ACTIVITIES:-
• Establishing urban
developmental fund
• Encouraging participation
• low cost techniques
• Training to personals.
31

32. MINIMUM NEEDS PROGRAMME
It was introduced in 1974-78.
-The minimum needs are :
-Nutrition -Rural health
-Elementary education -Adult education
-Rural water supply - Rural road
-Rural electrification -Rural housing
-Environmental improvement of urban slum

33. 20-POINT PROGRAMME
-It was initiated in 1975.
Objectives:-
•Eradication of poverty
•Raising productivity
•Reducing inequality
•Removing social and economic
disparities
•Improving quality of life

34. It was launched in 1985.

35. NMHP
OBJECTIVES:-
• Mental health care services to all.
• Identify the high risks group in community.
Activities:-
• Mass education
• Follow up of mental patients
• Guidance and Counseling
• Awareness programme

36. CHILD SURVIVAL AND SAFE
MOTHERHOOD PROGRAMME(CSSM)
-launched in 20 Aug 1992.
Activities:
• Control of infection & diseases of
reproductive system.
• Safe abortion services, Sterility removal
services.
•Referral services, Growth monitoring,
nutrition education.
• Control on maternal morbidity & mortality,
Family planning services.

37. SURVEILLANCE PROGRAMME FOR
COMMUNICABLE DISEASES
-It was started in 1997-98.
Objectives:
• To develop skilled manpower.
• To strengthen surveillance activities for early
detection.
• To strengthen laboratory support.
• To institute a network of effective
communication link between district and state
level.

38. NATIONAL DIABETES CONTROL
PROGRAMME
It was started during
7th five year program
in 1987.
Objectives:-
• Prevention of diabetes through identification
of high risk groups.
• Diagnosis and treatment of diabetes at
primary health care centers and district level.

39. NATIONAL DIARRHEAL DISEASES
CONTROL PROGRAMME
launched in 1981.
NATIONAL DIARRHEAL
DISEASES CONTROL PROGRAM
This programme was Launched
in 1981.

40. - it was started in1970.
- Countries across the globe have unique air
quality monitoring regulations to characterize
local air pollution.
AIR QUALITY MONITORING PROGRAMME

41. EPI was initiated in India in 1974 against 6
killer diseases. (WHO)

42. Pulse polio

43. UNIVERSAL IMMUNIZATION PROGRAMME
-EPI was renamed as UIP & started in
1985.
Objectives:-
Immunization of pregnant women
against TT & immunization of
children.

44. NATIONAL FAMILY WELFARE SCHEMES
• It was started in 1977.
This programme include:
1. National family welfare programme
2. National population policy
3. National rural health mission
4. Urban family welfare schemes
5. Reproductive and child health progamme

45. NATIONAL FAMILY WELFARE
PROGRAMME
It was launched in 1951.
Objectives
Reducing the birth rate
To stabilized the
population

46. NATIONAL POPULATION POLICY
• National Population Policy of India was
formulated in the year 2000.
Objective of the policy is
• to address the unmet needs for
contraception, health care infrastructure, and
health personnel, and
• to provide integrated service delivery for
basic reproductive and child health care
• To reduce TFR & achieve stable population.

47. NATIONAL RURAL HEALTH MISSION
•It was started in 2005 for a
periods of 7yrs(2005-12) to
improve rural health care delivery
system.

48. URBAN FAMILY WELFARE SCHEMES
• It was introduced in 1983 , recommendation
of Krishnan committee
Aims
RCH services
Preventive services
First-aid and referral services
Distribution of contraceptives

49. A SCHEMES FOR RESERVATION
It was introduced in 1964 in order to provide
immediate facilities for tubectomy operations
in hospital.

50. It was launched in
October 1997.

51. • Objectives:- to reduce maternal & child
mortality & morbidity with emphasis on rural
health care.
• It was added various services :
a. Reproductive tract infection
b. Janani Suraksha Yojana
c. Rehabilitation of polio victims

52. INTERSECTORAL COORINATION

53. ADVANTAGES OF INTERSECTORAL
COORDINATION
• To provide sustainable basic health service to
the community and to integrate these services
with other health services provided by other
health sectors.
• Early detection, treatment of patients within the
community itself.
• To promote corporation and mutual
understanding among various sectors.
• To take pressure off the one sector alone.
• To make the services available to people with
early and easy access.

54. NON-
GOVERNMENTAL
AGENCIES & ITS
ROLES

55. This agencies arose because there
was an unmet health need.
They are the organizations that are
formed by groups of people because
of their interest in a particular health
concern.
These are funded by donations.

56. Voluntary agencies play an important
role in research and education, although
they may provide a few direct health
services.
2 types, i.e. national & international.
E.g. TB association of India, FP
association of India, Indian red cross
society, WHO, UNICEF.
VOLUNTARY AGENCIES

57. ROLE OF VOLUNTARY AGENCIES

58. PROFESSIONAL HEALTH ORGANIZATION
Professional agencies are made
of health professionals who have
completed specialized education and have
met the standards of registration, licensure
for their respective fields. E.g. INC, ANA.

59. ROLE OF PROFESSIONAL AGENCIES
•Promoting high standards of professional
practice for their specific profession, thus
improving health of society.
•Certification of continuing education
programme for professional renewal.
•Lobbying for example INC has a powerful
lobby nationally.

60. PHILANTHROPIC FOUNDATIONS
These foundation supports community health
throughout the world by funding programmes
and research on the prevention, control and
treatment of many diseases.

61. SERVICE, SOCIAL AND RELIGIOUS ORGANIZATIONS
•These play an important role in community
health. E.g.:- Rotary clubs, lion clubs.
•Members enjoy social interactions with
people of similar interests in addition to
fulfilling the needs of community.
•Though their specific mission is not health
but they make important contribution in that
direction by raising money and funding health
related problems.

62. CONT…
• Religious group donated money for mission.
It is should be noted that some religious
groups have hindered the work of
community health workers.
• Almost every community in the country can
provide an example where a religious
organization has protected the offering of a
school district’s sex education programme.

63. CORPORATE AGENCIES
•These agencies support health related
programme both at and away from the
worksite.

64. RECENT TRENDS
World’s 1st malaria vaccine (mosquirix) approved
after 30yrs of trials.
NRHM included some new programs like
RMNCH+A, JSSK, Rashtria Kishor Swasthaya
Karyakram, Rashtriya Bal Swasthaya Karyakram.
India launched massive health campaign (Filaria
Free India/ Hathipaon Mukt Bharat) to eliminate
lymphatic filariasis.
A mobile app “TrackTheBite” was launched to
track the mosquito infestation in India.

67. • conclusion
CONCLUSION

68. REFERENCES
• Gulani k.k., Community Health Nursing (Principles &
Practices), Kumar publishing, 2nd edition, Pg. 643-750.
• Basheer Shebeer P, A concise text book of Advance
Nursing Practice, EMMESS medical publisher, 1st
edition, pg. 97-101.
• Park K, Preventive & Social Medicine, Bhanot publisher
(2011) 23rd edition, Pg. 380-420.
• Gupta MC & Mahajan BK, Preventive & Social Medicine,
Jaypee publisher, 4th edition, Pg. 260-341.
• www.nhp.gov.in
• www.nursingppt.in
•