National Programme for Health Care of the Elderly (NPHCE)

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Introduction

Title of the Scheme	National Programme for Health Care of the Elderly (NPHCE)
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Funding Pattern of Scheme	The Centre will bear 90% of the total budget and the State Government will contribute 10% of the budget, for activities up to district level.
Brief Description	Keeping in view the recommendations made in the “National Policy on Older Persons” as well as the state’s obligation under the Maintenance & Welfare of Parents & Senior Citizens Act 2007”, The MoHFW launched the NPHCE during the year 2010-11, in the 11th plan period, to address various health related problems of elderly people.
Beneficiaries & Eligibility Criteria	All elderly People (above 60 Years) in the country.
Types of Benefits	Free, Specialized health care facilities exclusively for the elderly people through the State health delivery system.
How to Avail Benefits	The State Government/Union Territory should furnish programme Implementation plan in the prescribed format to avail the facility for implementation of the programme as per the guidelines and terms and conditions

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 committees of the Government. It is pertinent to mention that National Programme for Health Care of Elderly (NPHCE) has been included in Flexi Pool with four other Programmes including NPCDCS, National Tobacco Control Programme(NTCP) ,National Programme for Control of Blindness(NPCB) and National Mental Health Programme (NMHP).

Objectives

To provide an easy access to promotional, Preventive, Curative, and rehabilitative services to the elderly through community based primary health care approach.
To identify health problems in the elderly and provide appropriate health interventions in the community with a strong referral backup support.

Packages of services to be made available at different levels under NPHCE

Health Facility	Packages of services
Sub centre	• Health Education related to healthy ageing • Domiciliary visits for attention and care to home bound / bedridden elderly persons and provide training to the family care providers in looking after the disabled elderly persons. • Arrange for suitable calipers and supportive devices from the PHC to the elderly disabled persons to make them ambulatory. • Linkage with other support groups and day care centers etc. operational in the area
PHC	• Weekly geriatric clinic run by a trained Medical Officer • Maintain record of the Elderly using standard format during their first visit • Conducting a routine health assessment of the elderly persons based on simple clinical examination relating to eye, BP, blood sugar, etc. • Provision of medicines and proper advice on chronic ailments • Public awareness on promotional, preventive and rehabilitative aspects of geriatrics during health and village sanitation day/camps. • Referral for diseases needing further investigation and treatment, to Community Health Centre or the District Hospital as per need
Community Health Centre	First Referral Unit (FRU) for the Elderly from PHCs and below . • Geriatric Clinic for the elderly persons twice a week. • Rehabilitation Unit for physiotherapy and counseling • Domiciliary visits by the rehabilitation worker for bed ridden elderly and counseling of the family members on their home-based care. • Health promotion and Prevention • Referral of difficult cases to District Hospital/higher health care facility
District Hospital	• Geriatric Clinic for regular dedicated OPD services to the Elderly. • Facilities for laboratory investigations for diagnosis and provision of medicines for geriatric medical and health problems • Ten-bedded Geriatric Ward for in-patient care of the Elderly • Existing specialties like General Medicine; Orthopedics, Ophthalmology; ENT services etc. will provide services needed by elderly patients. • Provide services for the elderly patients referred by the CHCs/PHCs etc • Conducting camps for Geriatric Services in PHCs/CHCs and other sites • Referral services for severe cases to tertiary level hospitals
Regional Geriatric Centre	• Geriatric Clinic (Specialized OPD for the Elderly) • 30-bedded Geriatric Ward for in-patient care and dedicated beds for the elderly patients in the various specialties viz. Surgery, Orthopedics, Psychiatry, Urology, Ophthalmology, Neurology etc. • Laboratory investigation required for elderly with a special sample collection centre in the OPD block. • Tertiary health care to the cases referred from medical colleges, district hospitals and below