ndcp_ncd_npcdcs

Last modified at 05/10/2016 12:21 by hfwnhm

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NATIONAL PROGRAM FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS)​


INTRODUCTION
The National Program for prevention & control of Cancer, Diabetes, Cardiovascular Diseases and Stroke program is being implemented in a phased manner in Karnataka as detailed under. NPCDCS program undertakes capacity building of health professionals at various levels. Health care providers are trained for health promotion, NCD prevention, early detection and management of Cancer, Diabetes, CVD’s and Stroke.

BACKGROUND
The Government of India launched a flagship programme called the NHM in 2005 with the objective of expanding access to quality health care to rural populations by undertaking architectural corrections in the institutional mechanism for health care delivery. The crucial strategies under NHM have been the integration of Family Welfare and National Disease Control Programmes under an umbrella approach for optimization of resources and manpower; strengthening of outreach services by incorporation of village health worker called ASHA; efforts for communitization of services through formation of Health and Sanitation Committees at village, block and district level; registering Rogi Kalyan Samities for improving hospital management; strengthening and upgrading the public health infrastructure to Indian Public Health Standards (IPHS); and consolidation of the District Level Programme Management Unit through the induction of professionals.
On 1st May 2013, National Urban Health Mission (NUHM) was launched as a Sub-mission of an over-arching National Health Mission (NHM), with National Rural Health Mission (NHM) being the other Sub-Mission of National Health Mission. The NPCDCS aims at integration of NCD interventions in the NHM framework for optimization of scarce resources and provision of seamless services to the end customer / patients as also for ensuring long term sustainability of interventions. Thus, the institutionalization of NPCDCS at district level within the District Health Society, sharing administrative and financial structure of NHM becomes a crucial programme strategy for NPCDCS. The NCD cell at various levels will ensure implementation and supervision of the programme activities related to health promotion, early diagnosis, treatment and referral, and further facilitates partnership with laboratories for early diagnosis in the private sector. Simultaneously, it will attempt to create a wider knowledge base in the community for effective prevention, detection, referrals and treatment strategies through convergence / linkage with the ongoing interventions of National Health Mission (NHM) including National Tobacco Control Programme (NTCP), National Mental health Programme and National Programme for Health Care of Elderly (NPHCE) for NCDs and convergence with other programmes dealing with : (i) Communicable Diseases like TB, (ii) RCH, iii) Adolescent / School Health etc. and build a strong monitoring and evaluation system through the public health infrastructure.
GOALS AND OBJECTIVES

 Health promotion through behavior change with involvement of community, civil society, community based organizations, media etc. 
 Opportunistic screening at all levels in the health care delivery system from sub- centre and above for early detection of diabetes, hypertension and common cancers. Outreach camps are also envisaged. 
 To prevent and control chronic Non-Communicable diseases, especially Cancer, Diabetes, CVDs and Stroke. 
 To build capacity at various levels of health care for prevention, early diagnosis, treatment, IEC/BCC, operational research and rehabilitation. 
 To support for diagnosis and cost effective treatment at primary, secondary and tertiary levels of health care. 
 To support for development of database of NCDs through Surveillance System and to monitor NCD morbidity and mortality and risk factors.

DISTRICTS COVERED 
 2010-11: Kolar, Shimoga 
 2011-12: Udupi, Tumkur, Chikmagulur 
 2014-15: Bagalkot, Bijapur, Belgaum, Gulbarga & Dharwad 
 2015-16: Bangalore urban, Mysore, Hassan, Raichur. 
District hospitals are supported for prevention, early detection and management of Cancer, Diabetes, Cardiovascular Diseases and Stroke. District hospitals NCD clinic, Cardiac care unit and CHC NCD clinic are functional in Shimoga, Tumkur, Chikmagalur, Kolar and Udupi. 
Bagalkot, Bijapur, Belgaum, Gulbarga , Dharwad, Bangalore urban, Mysore, Hassan and Raichur district hospitals will be strengthened with district NCD clinic and will be supported by additional staff by General physician, 2 GNM, Technician, Physiotherapist, Counselor and data entry operator.
District programme coordinator, Finance cum logistical consultant and Data entry operator, will support the district NCD cell