J & K
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.
|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