National Disease Control Programmes
The National Disease Control Programmes are being implemented in state under NRHM with a view to achieve the MDG goals to halt the spread of major diseases and reverse the trend by 2015 so as to reduce the mortality and morbidity and increase life expectancy and quality of life. The NDCP encompasses: Revised National TB Control Programme (RNTCP), National Vector Borne Disease Control Programme (NVBDCP), and National Programme for control of Blindness (NPCB), The National Leprosy Eradication Programme (NLEP), Integrated Disease Surveillance Programme (IDSP), and Iodine Deficiency Disorder Control Programme (IDDCP).
1. The National Vector Borne Disease Control Programme (NVBDCP)
NVBDCP include major vector borne diseases of public Health importance, such as Malaria, Filariasis, Japanese Encephalitis, Dengue, and Kala azar. As per the National Health Policy 2002 the goal is to reduce morbidity and mortality by 50% by 2010. In Rajasthan only Malaria and Dengue are prevalent the strategy for control of vector borne diseases includes:
Enhanced Surveillance with support of community based volunteers (ASHA) and grass root level workers.
Early diagnosis and proper case management through strengthening Primary and Secondary Health institutions.
Integrated vector management using bio-friendly methods and limiting use of insecticides.
Epidemic preparedness and rapid response.
Institutional strengthening and Capacity building of Health personnel.
Behavior change communication
Computerized Management information system.
2. The National Leprosy Eradication Programme.
Leprosy is a disease of public health concern in India. It is a disease of medico-social concern .Current prevalence is 1.8/10000. Rajasthan has achieved prevalence elimination level (prevalence below 1/10000) in 2000. Current prevalence Rate is 0.24/10000. Under the NRHM the strategies drawn under the National Leprosy Eradication Project to be continued. The fie component include Decentralization and institutional development , strengthening and integration of service delivery, disability care and prevention , IEC and training. Services will be continued to be provided at CHC, PHC, Additional PHC, and hospitals with support from the district nucleus. The sub-centers will be involved in delivery of second and subsequent doses of MDT. NGO will continue to be involved in reconstructive surgery, disability care and prevention and IEC. Village and district Health plans will enable identification and ensure referral of cases requiring disability treatment to the appropriate facility. CMHOs and medical officers will continue to be trained on Leprosy Programme management.
3. Integrated Disease Surveillance Programme (IDSP)
Objective of IDSP is to establish a state based system of surveillance through Information and communication technology (ICT) for communicable and non-communicable diseases so that a timely and effective public health action can be initiated in response to the health challenges. IDSP will also improve the efficiency of the existing surveillance activities of the different disease control Programs. Surveillance system will be strengthened through Capacity building of medical officers and health workers and technicians, strengthening of laboratory network and reporting system through ICT. This would p[provide a string foundation to the disease control Programmes under NRHM. ASHA being the link between community and public health system will strengthen the community based surveillance system.
4. Revised National Tuberculosis Control Programme (RNTCP)
The RNTCP is the vehicle through which through which the WHO recommended DOTS (Directly Observed Therapy Short course) is implemented in India. All the districts of Rajasthan are being covered. As part of the Programme Designated Microscopy centers (DMCs) have been established at PHC, CHC and district hospitals. RNTPC supports the salary of laboratory technicians, laboratory supplies and consumables. All medical officers are trained under RNTCP for diagnosis management and referral. All SCs, PHCs, CHCs and district hospitals function as DOTS centres. Community level DOTS providers are also trained in delivery of drugs. Para medical staff is trained in monitoring consumption of ant TB drugs. The RNTCP also involves the civil society organizations in its outreach of communication efforts. Under NRHM the ASHA will be the facilitator for early access to the diagnosis, referral and follow-up as a community DOTS provider.
5. National Blindness Control Programme (NPCB)
The National Blindness Control Programme aims at reducing prevalence of blindness from the current level of 1.5% to 0.34% by the 2010. Rajasthan state has set a target of about 3 lac cataract operations every year to achieve the goal. Under NPCB apart from providing surgical treatment through IOL (Intraocular lens) implant for cataract, which is major cause of blindness, the other causes of blindness such as childhood blindness, glaucoma and retinal disorders are also dealt. School health check up is also one of the major components of the Programme. ASHA would play an important role in creating awareness of the Programme and motivate people to seek treatment. NRHM would also seek to create synergy between the NPCB and Vitamin A supplementation Programme.