Sh. Satya Pal Malik
Hon'ble Governor
J&K
    
Sh. K. Vijay Kumar
Advisor to
The Governor J&K
    
Sh. B. V. R. Subrahmanyam, IAS
Chief Secretary,
J & K
    
Sh. Atal Dulloo, IAS
Principal Secretary to Government, H & M Education
    
Dr. Kunzes Dolma
Director Health Services, Kashmir
    
Former
Directors




 ncdcellkashmir@gmail.com

National Programme for Prevention And Control of Cancer, Diabetes,CVD’s and Stroke.

Introduction

India is experiencing a rapid health transition with a rising burden of Non Communicable diseases (NCD). NCD s cause significant morbidity and mortality both in urban and rural population, with considerable loss in potentially productive years (aged 35-64 years ) of life. In order to control and prevent the NCD s central government proposed to supplement the efforts of states by providing technical and financial support through National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS). The NPCDCS Programme has two components viz.(i) Cancer (ii) Diabetes, CVD’s, & Stroke. These two components have been integrated at different levels as far as possible for optimal utilization of the resources.

As per census 2011, 7.5% of the population of India is above the age of 60 Years. The National Programme for Health care Of Elderly (NPHCE) is an articulation of the International and National policy on older persons.

The two programmes were initiated in the second half of 2010 with the focus on strengthening of infrastructure, human resource development, health promotion, early diagnosis, treatment & referral. These were implemented in 100 backward and inaccessible Districts across 21 states during 2010 – 2012 on pilot project basis. In Kashmir Division, the programmes were first implemented in Leh, Kargil & Kupwara. A MOU was signed in September 2011 between the MOHFW GOI and Department of Health J&K for implementation of these Programmes. As of now, all 12 Districts have been covered under NPCDCS Programme from Kashmir Division and NPHCE is currently functioning in Leh, Kargil and Kupwara.

It is pertinent to mention that (NPCDCS) has been included in Flexi Pool with four other Programmes including National Programme for Health Care of Elderly(NPHCE), National Tobacco Control Programme(NTCP) ,National Programme for Control of Blindness(NPCB) and National Mental Health Programme (NMHP, which are collectively known as NCD Flexipool.



Objectives

  • Prevent and control common NCDs through behavior and life style changes,
  • Provide early diagnosis and management of common NCDs ,
  • Build capacity at various levels of health care for prevention, diagnosis and treatment of common NCDs,
  • Train human resource within the public health setup viz, Doctors, paramedics and nursing staff to cope up with the increasing burden of NCDs and,
  • Establish and develop capacity for palliative rehabilitative care.


  • Packages of services to be made at different levels under NPCDCS


    Health Facility Packages of services
    Sub centre 1. Health promotion for behavior change and counseling
    2. ‘Opportunistic’ Screening using B.P measurement and blood glucose by gluco-strip method
    3. Identification of early warning signals of common cancer and referral
    4. Referral of suspected cases to CHC/ nearby health facility
    PHC 1.Health promotion for behavior change and counseling
    2.‘Opportunistic’ Screening using B.P measurement and blood glucose by gluco strip method
    3.Clinical diagnosis and treatment of simple cases of Hypertension and Diabetes
    4.Identification of early warning signals of common cancer and referral
    5.Referral of suspected cases to CHC
    CHC/SDH 1.Prevention and health promotion including counseling
    2. Early diagnosis through clinical and laboratory investigations
    (Common lab investigations: Blood Sugar, lipid profile, ECG, ultrasound, X ray etc. ,if not available, may be outsourced)
    3. Management of common CVD, diabetes and stroke cases
    4. ‘Opportunistic’ Screening of common cancers (Oral,Breast, and Cervical )
    5. Referral of difficult cases to District Hospital/higher health care facility
    District Hospital 1. Early diagnosis of diabetes, CVDs and Cancer
    2.Investigations :Blood Sugar, lipid profile, Kidney
    Function Tests (KFT), Liver Function Tests (LFT), ECG, Ultrasound, X ray, mammography etc., if not available, will be outsourced.
    3.Medical management of cases (outpatient , inpatient and intensive Care )
    4.‘Opportunistic’ Screening of common cancers (Oral, Breast, and Cervical)
    5.Referral of difficult cases to higher health care facility
    6.Health promotion for behavior change and counseling
    7.Follow up chemotherapy in cancer cases
    8.Rehabilitation and physiotherapy services


    NPCDCS Workdone
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