National Health ProgramsIndia

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

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

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.

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

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

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

Contd.

Disadvantages

Sometimes fail to target priority effectively Complex programming may lead to more failure Lack of expertise in integrated programme management

Programmes for Communicable Diseases

1. 2. 3. 4. 5. 6.

7.
8.

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

Programmes for Non Communicable Diseases

1. 2. 3. 4. 5. 6.

7.

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

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

Programs related to System Strengthening /Welfare

1. 2.

3.

4.

National Rural Health Mission Reproductive and Child Health Programme National Water supply & Sanitation Programme 20 Points Programme

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