National Health Programs-India

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 healthHow to achieve health

By improving host resistance to By improving host resistance to environmental hazardsenvironmental hazards

By improving environmental safetyBy improving environmental safety By improving health systems designed to By improving health systems designed to

increase the likelihood, efficiency & increase the likelihood, efficiency & effectiveness of the first two goalseffectiveness 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 ProgramsVertical Health Programs

Separate Health Structures with strong central Separate Health Structures with strong central management dedicated to the planning, management dedicated to the planning, management & implementation of selected management & implementation of selected interventionsinterventions

AdvantagesAdvantages Clear objectives & targets motivate staffClear objectives & targets motivate staff Operational planning is focused & easy to deliverOperational planning is focused & easy to deliver Efficient & effective deliveryEfficient & effective delivery Better ability to monitor restricted outputBetter ability to monitor restricted output

Contd.

DisadvantagesDisadvantages

No capacity to accommodate extra work in disastersNo capacity to accommodate extra work in disasters Resources used for specific activities onlyResources used for specific activities only Deskilling of health workerDeskilling of health worker No focus on overall developmentNo focus on overall development Dependent on donors for fundingDependent on donors for funding Placement of workers after completion-ChallengingPlacement of workers after completion-Challenging Long term public motivation not sustainedLong term public motivation not sustained May not be cost effective in long runMay not be cost effective in long run

Integrated Health Programs

AdvantagesAdvantages Help national development on a broader Help national development on a broader

perspectiveperspective Incorporates multidimensional concept of healthIncorporates multidimensional concept of health Efficient & effective delivery through inter-sectoral Efficient & effective delivery through inter-sectoral

collaborationcollaboration Has capacity to accommodate extra workHas capacity to accommodate extra work Responds to community needsResponds to community needs Cost effective in long runCost effective in long run Holistic approach to healthHolistic approach to health

Contd.

DisadvantagesDisadvantages

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

managementmanagement

Programmes for Communicable Diseases

1. National Vector Borne Diseases Control Programme (NVBDCP)

2. Revised National Tuberculosis Control Programme

3. National Leprosy Eradication Programme4. National AIDS Control Programme5. Universal Immunization Programme6. National Guinea worm Eradication Programme7. Yaws Control Programme8. Integrated Disease Surveillance Programme

Programmes for Non Communicable Diseases

1. National Cancer Control Program2. National Mental Health Program3. National Diabetes Control Program4. National Program for Control and treatment

of Occupational Diseases5. National Program for Control of Blindness6. National program for control of diabetes,

cardiovascular disease and stroke7. National program for prevention and control

of deafness

National Nutritional Programs Integrated Child Development Services Integrated Child Development Services

SchemeScheme Midday Meal ProgrammeMidday Meal Programme Special Nutrition Programme (SNP)Special Nutrition Programme (SNP) National Nutritional Anemia Prophylaxis National Nutritional Anemia Prophylaxis

ProgrammeProgramme National Iodine Deficiency Disorders Control National Iodine Deficiency Disorders Control

ProgrammeProgramme

Programs related to System Strengthening /Welfare

1. National Rural Health Mission

2. Reproductive and Child Health Programme

3. National Water supply & Sanitation Programme

4. 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