Best of PIB: 22 Jan 2017

Population based Prevention, Screening and Control for NCDs (Non-Communicable Diseases)

  • NCDs are cardio-vascular diseases such as heart attacks and stroke, Diabetes, Chronic Respiratory Diseases (Chronic Obstructive Pulmonary Diseases and Asthma) and Cancer inter alia account for over 60% of all mortality in India of which 55% are premature
  • As per WEF (World Economic Forum) India would lose $ 4.58 trillion (Rs 311.94 trillion) between 2012 and 2030 due to non-communicable diseases
  • These NCDs if detected at early stages will not only reduce the cost of treatment, will improve the awareness among people and will also contribute to health and developmental outcomes
  • The Ministry of Health and Family Welfare under the National Health Mission is launching population based prevention, screening and control programme for five common NCDs (Hypertension, Diabetes; Cancers of oral cavity, breast and cervix)
  • Likely to be launched on February 4, 2017 (World Cancer Day)
  • The training will be provided to ASHA (Accredited Social Health Activist) and ANM (Auxiliary Nurse Midwives)
  • 1st phase – The population based screening component will be provided in 100 districts in 32 states and UTs with about 1000 sub-centres undertaking screening before March 31st of this year
  • In subsequent phases, it will be expanded to other districts and Chronic Obstructive Respiratory diseases will also be included.

About NHM

  • The National Health Mission (NHM) aims at achieving universal access to equitable, affordable & quality health care services that are accountable and responsive to people’s needs
  • The government had launched National Urban Health Mission in 2013, and later was later merged with National Rural Health Mission to form National Health Mission (NHM)

Components of NHM

  • Health System Strengthening in rural and urban areas
  • Reproductive-Maternal- Neonatal-Child and Adolescent Health (RMNCH+A)
  • Communicable and Non-Communicable Diseases.

About ASHA

  • It Is one of the main components of NHM.
  • ASHA is a woman selected from the village itself (between 20 to 45 years and literate) and is trained
  • ASHA will act as interface between community and Public Health System
  • ASHA will be the first port of call
  • ASHA will receive performance based incentive for promoting universal immunisation, referral and escort services for Reproductive and Child Health (RCH), construction of household toilets etc
  • She will provide info on health determinants to the community, act as an activist in the community in order to create awareness and promote good health practices etc

About ANM

  • Are one of the main agents for increasing health and family welfare services
  • Acting as a resource person, along with Anganwadi Worker (AWW), for the training of ASHA
  • Participating and guiding in organising Health Days at Anganwadi Centre.
  • Holding weekly / fortnightly meeting with ASHA to discuss the activities undertaken during the week/fortnight.
  • Utilising ASHA in motivating the pregnant women for coming to Sub-Centre for initial check-ups and also guiding ASHA in motivating pregnant women for taking full course of iron folic acid (IFA) tablets and TT injections, etc


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