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