In order to prevent and control major Non-Communicable Diseases, Government of India is implementing the NPCDCS in all States across the country with the focus on strengthening infrastructure, human resource development, health promotion, early diagnosis, management and referral.
Progress so far:
36 State NCD cells established
515 District NCD cells established
548 District NCD Clinics and 2591 NCD Clinics at CHC set up
167 Cardiac Care Units (CCU), 152 District Day Care Centers set up
More than 3.32 crore persons screened at NCD Clinics upto September 2018 in 2018-2019
Strengthening of Tertiary Care for Cancer
35 State Cancer Institutes/Tertiary Care Cancer Centers approved to mentor all Cancer-related activities in their respective areas.
National Cancer Institute being set up at Jhajjar in Haryana.
The second Campus of Chhitaranjan National Cancer Institute being set up in Kolkata
POPULATION-BASED PREVENTION, CONTROL, SCREENING & MANAGEMENT FOR DIABETES, HYPERTENSION AND COMMON CANCER (ORAL, BREAST and CERVICAL)
Recently launched population-based initiative for Diabetes, Hypertension and Common Cancers is an important move. Services of ASHAs will be used for risk profiling and front-line health workers and primary & secondary health care infrastructure will be leveraged for screening and service delivery. This activity will generate awareness on risk factors of NCDs as well.
Operational Guidelines for Screening and Management of NCDs as part of Comprehensive Primary Care under NHM has already been developed and circulated. Training of Trainers for Medical Officers, Staff nurse, ANMs and ASHAs have been completed and 70853 ASHAs, 20532 ANM/MPWs, 3160 staff nurses and 4111 medical officers have already been trained.
As on 1st October 2018, screening has been initiated in about 215 districts 12 states and 2 UTs and 96,60,870 people have been screened.
A software & tablet application has been developed and being deployed. This application will capture all processes and will help in efficient program management, quality service delivery, treatment adherence and awareness generation.
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND CHRONIC
KIDNEY DISEASE (CKD)
In order to prevent and manage the COPD and CKD, also major causes of death due to NCDs, their intervention has been included under NPCDCS.
Till date, CKD intervention as part of NPCDCS has been implemented in 40 districts and COPD intervention in 121 districts
NATIONAL MULTISECTORAL ACTION PLAN
National Multisectoral Action Plan to prevent and control NCDs has been developed with consultation with a range of stakeholders including 39 departments of Union Government. The plan and process of its development has led to scaling up of a number of interventions, having direct impact on NCDs, but outside the health sector. India’s multisectoral efforts in prevention and control of NCDs have been recognized by United Nations.
AMRIT (AFFORDABLE MEDICINE AND RELIABLE IMPLANTS FOR TREATMENT)
146 pharmacies have been set up across 23 states for providing medicines for Diabetes, CVDs, Cancer and other disease at discounted prices to the patients.
A total of more than 5200 drugs and other consumables are being sold at upto 50% discounts.
As on 30th November 2018, 104.75 Lakh patients have benefitted from AMRIT Pharmacies.
The value of drugs dispensed at MRP is Rs. 986.67 Crores and there is a savings of Rs. 526.26 Crore thereby reducing their out of pocket expenditure.