NP NCD Flashcards
NP NCD previous name
NPNCDCS( national program for prevention and control of cancer,diabetes,CVD ,stroke
When is it renamed by whom
May 2023
Ministry of health and family welfare
New diseases added to NPNCD
NAFLD(non alcoholic fatty liver disease)
STEMI( ST elevation MI)
CKD(chronic kidney disease)
Management structure of NPNCD
Village—sub centre
Block—CHC
District—district hospital
State—tertiary care
Nodal agency—national institute of health and family welfare
Activities of sub centre
Health promotion
Opportunistic screening
IEC
Referral
Activities of CHC
NCD clinic
Home visits
Investigations and diagnosis
Referral
Activities of district hospital
NCD clinic
Investigation and diagnosis
Cancer care unit
Cardiac care unit
Targets for prevention and control of NCD
Relative reduction of premature mortality from NCD by 25 %
Halt the rise of obesity and diabetes
Relative reduction of prevalence of insufficient physical activity by 10 %
Relative reduction of prevalence of salt intake by 30%
Relative reduction of prevalence of blood pressure by 25%
Tobacco use by 30%
Alcohol use by 10%
Availability and affordability of NCD medicine by 80%
Eligible people receiving drug therapy and counselling 50%
Newer initiatives in NP NCD
m diabetes and m cessation ( mobile)
K4H
Linkage with other programs like
NTEP
Mental health program
National tobacco control program
National program for health care of elderly
NUHM
RBSK
Two components of NPCDCS
Diabetes,CVD,stroke
Cancer
For the DCS component what are objectives and strategies
Objectives
Lifestyle modification
Palliative care
Human Resource training
Early diagnosis and treatment
Strategy
NCD clinic
Early diagnosis and treatment
Health education
Guidelines for referral and treatment of DCS component
BP >140/90
Random Blood sugar level > 140mg/dl
Precancerous lesions or cancer
Once diagnosed with diabetes or hypertension
One month supply of drugs
3monthly visit to NCD clinic for follow up
Yearly consult with experts
Follow up by ASHA for behaviour and lifestyle modification and course of treatment
On visiting private practitioners have choice of drugs to choose from
Urban health checkup scheme
Screen for diabetes and hypertension
Database of the above data
Focus on >30 and pregnant women
Education on lifestyle modification
Objectives of cancer component of NPCDCS
Primary prevention
Secondary prevention
Tertiary prevention
National cancer registry program
2 types of registry
Population based cancer registry
Hospital based cancer registry
National tobacco control program
Survey
Control cell
Cessation activities
Awareness
Lab diagnosis
Cigarette and other tobacco products act(COTPA)
Prohibition of smoking in public places
Prohibition of ads
Prohibition of sale near educational institutions
Prohibition of sale to below 18 years
Warninon tobacco packs
Contractual manpower under cancer component of NPNCD
1 medical oncologist
1 cytopathologist
1 cytopathology technician
2 nurses
Services under cancer component of NPCDCS
Chemotherapy
Surgery
Contractual man power
Diagnosis
Palliative care
Various schemes for prevention of cancer
Oncology wing department
Regional cancer centre scheme
Decentralised NGO
IEC
Research and training programs
