National Programme for Prevention and Control of
Cancer, Diabetes, CVDs and Stroke (NPCDCS)
STATE NCD CELL, 7 T H
F L O O R , A R O G Y A B H A V A N , S T. G E O R G E ’ S H O S P I T A L COMPOUND,
P. D ’ M E L L O R O A D , F O R T , M U M B A I 0 1
TEL: 022-2262 3222 / 2027 FAX : 022-
22642955
E-MAIL: [Link]@[Link]
Programme Objective
Health promotion through behavior change with involvement
of community, civil society, community based organizations,
media etc.
Opportunistic screening at all levels in the health care
delivery system from sub-centre and above for early detection
of diabetes, hypertension and common cancers. Outreach
camps are also envisaged.
To prevent and control chronic Non-Communicable diseases,
especially Cancer, Diabetes, CVDs and Stroke.
To build capacity at various levels of health care for
prevention, early diagnosis, treatment, IEC/BCC, operational
research and rehabilitation.
To support for diagnosis and cost effective treatment at
primary, secondary and tertiary levels of health care.
To support for development of database of NCDs through
Surveillance System and to monitor NCD morbidity and
Strategy
Health promotion, awareness generation and promotion
of healthy lifestyle
Screening and early detection
Timely, affordable and accurate diagnosis
Access to affordable treatment,
Rehabilitation
NCD Programme salient features
Screening of age >30 years individual for Diabetes and
Hypertension
The screening should be both Hospital and Community based
The Community based screening - by health worker at Subcentre
both Male and Female
The Hospital based screening - by staff appointed under the
programme at DH & CHC
Strengthening of District ICU for Cardiac care
Opportunistic screening of common cancers (Cervix, Breast and
Oral) at DH and CHC level
Curative services should be made available from PHC and above
Health promotion and Counselling services available from PHC
and above.
What is achieved
The programme was started in 6 districts of Maharashtra.
(Amravati, Bhandara, Chandrapur, Gadchiroli, Wardha and
Washim)
In 2013-14 we screened 21.16 lack individuals for DM & HT
form 6 NCD districts
The confirmed DM patients were 94,401 – (P-4.46%)
The confirmed HT patients were 1,64,085 – (P-7.75%)
The confirmed patients of Common Cancers were – 946
Started 71 NCD clinics in 6 NCD districts
Develop a treatment protocol of DM & HT for PHC Medical
officers
Develop Cancer related IEC material and distributed to the
health facilities of 6 NCD districts
Training
PHC medical officers for DM & HT management
CHC/PHC Medical officers in cancer screening and early diagnosis
Subcentre’s ANM in DM screening
Issues in implementation
Lack of coordination between DHO & CS
No review of programme from DHO or PHC Medical
officer
Screening coverage is a problem
Duplication of reporting
Lack of ownership to the programme
Though horizontal programme, treated as a vertical
programme
Availability of Specialist, MBBS doctors is a problem
Form this year 2014-15 the programme will be
expanded in 5 another districts
Nandurbar
Osmanabad
Parbhani
Satara
Sindhudurg
Major Tasks for new districts
Recruitment of man-power
Formal training of HT & DM screening to health
workers
Programme sensitization in the existing health system
Initiation of Screening
To make medicine available for DM/HT/CVD
management at DH & CHC
To make medicine available for DM/HT management at
PHC as per the treatment protocol
For the recruitment process the advertisement will be
published from state level
Application will be submitted at District level
The recruitment process of District Epidemiologist,
Programme Co-ordinator and Finance Consultant will be
done at state level, rest will be at CS level.
For new district
Additional HR to be recruited
At District level
District NCD Cell
District Epidemiologist/ Public Health Specialist – 1.
District Programme Coordinator – 1.
Finance cum Logistics Consultant – 1.
Data Entry Operator – 1.
District NCD clinic
General Physician – 1
GNM – 2
Physiotherapist – 1
Counsellor – 1
Technician – 1
Data Entry Operator – 1
CCU / Day Care Facility
Specialist – 1
GNM – 4
CHC NCD clinic
General Physician / Doctor – 1
GNM – 1
Counsellor – 1
Technician – 1
Data Entry Operator – 1
Focus Points for Deputy Director
Regular review of NCD programme progress in each
and every meeting of CS and DHO.
Monthly review meeting with District Programme
Officer and Finance cum Logistic Officer.
Co-ordination in establishment of linkages between
District Hospital and Tertiary Care Centers
Focus Points for Civil Surgeon
To make available sufficient space for NCD cell, Clinic
and sitting arrangement for NCD staff, patients etc. at
Dist. Hospital and RH\SDH
Appointment of qualified staff as per requirement and
guidelines
Regular Medical Superintendent review in every
meeting.
Proper utilization of fund as per guidelines.
Implementation of programme in co-operation with
DHO.
Strengthening of Lab, CCU, Geriatric services, Oncology
services etc. at DH and CHC
Awareness about NCD in public
Focus Points for District Health Officer
Co-operation and Co-ordination with Civil Surgeon in
implementation of NCD activities.
Review of THO and MO for the progress of NCD
programme.
Asked Medical officers to take the review of NCD
programme
Regular data collection and maintenance of all NCD
activities.(Data regarding suspected and confirm
patients)
Proper utilization of fund as per guidelines.
Awareness in public about various NCDs
Thank you ..