NATIONAL PROGRAMME FOR

HEALTH CARE OF THE ELDERLY (NPHCE)

Activities in 11th FYP1. Geriatric Department in 8 Regional medical Institutions/

State Medical Colleges

2. Dedicated Health Care in 91 Districts of 20 States

Geriatric unit at District Hospitals

Rehabilitation Units at CHCs

Weekly Geriatric Clinic at PHCs

Provision of supportive devices/equipments at sub centers

Financial StatusFund Released

2010-11 2011-12 2012-13

State 32.61 crore 52.23 crore 20.81 crore

Institutes 8.55 crore 6.30 crore Nil

Total 41.16 crore 58.53 crore 20.81 crore

•Utilization Certificate (Audited) for the year 2010-11 has been received from J&K, Karnataka, Madhya Pradesh, Maharashtra and Rajasthan•Provisional UC has been received from Chhattisgarh, Haryana, Kerala, Sikkim, Punjab and Uttarakhand.•Andhra Pradesh, Assam, Bihar, Gujarat, Himachal Pradesh, Orissa, Tamil Nadu and West Bengal has not furnished UC (neither provisional nor audited)•No fund has been released to Jharkhand and UP in 2010-11 due to non-receipt of Bank A/c Details.

Areas of concern• Further release of funds under NPHCE is possible only after

receipt of Utilization Certificate (duly signed by the authorized Charters Accountant / Audit Officer and countersigned by the competent authority of the State Govt.) & Audited Statement of Accounts (in original) for the year 2010-11, Provisional/Audited UC for the year 2011-12 and Statement of Expenditure as on 31.3.2012.

• Physical Performance Report not received from 3 Institutes and 12 States

• Among States, reports received from Gujarat, Haryana, J&K, Madhya Pradesh, Sikkim, Orissa, Punjab, Uttar Pradesh only

• Bank Account details are awaited from Uttar Pradesh (in the name of State Health Society –NPHCE)

Reports/details to be furnished by the States

• UC for the year 2010-11 (Audited) along with Statement of Expenditure (2010-11)

• UC 2011-12 (provisional/audited)• SOE up to 31.3.2012• Physical performance Report (1st Qr. 2012-13)• List of 5 districts proposed to be covered during 2012-13

(Arunachal Pradesh, Gujarat, Himachal Pradesh, Kerala, Nagaland, Orissa and Rajasthan furnished the list of 5 districts)

• District wise list of all District Hospitals, CHCs, PHCs and Sub-Centres in the State/UT (so far only Nagaland and Odisha has submitted the list)

12th Five Year Plan Proposals

• Cover the remaining districts in a phased manner (@ 100 districts per year)

• Develop 12 additional Regional Geriatric Centres in selected Medical Colleges of the country (in the first three years)

• National Institutes of Aging (NIA) at MMC, Chennai and AIIMS, New Delhi

National Mental Health Programme

Ministry of Health and Family Welfare

Government of India

National Mental Health Program

Started in 1982 with the following components:• District Mental Health Program • Upgradation of Psychiatric wings of Government

Medical Colleges/ General Hospitals• Modernization of State run Mental hospitals• Manpower Development Scheme• Research & Training• Information, Education, Communication (IEC)

11th Plan outlay was Rs.623 Crore which is to be enhanced in the 12th Plan Period

District mental Health Programme

• DMHP is operational in 123 districts across the country.

• DMHP would be expanded to cover all districts in the 12th plan.

• DMHP supplements man-power to states to operationalise community services.

List of Centers of Excellences Supported Under NMHP(Capital Work, Procurement of Equipments, Strengthenig of human-resource)

S.No.

Mental Hospital/ Institute Amount Released in 11th FYP

1. Institute of Mental Health & Hospital, Agra, Uttar Pradesh Rs. 28,81,00,000/-

2. Hospital for Mental Health, Ahmedabad, Gujarat Rs. 5,28,00,000/-

3. State Mental Health Institute, Pandit Bhagwat. Dayal Sharma University of Health Sciences, Rohtak, Haryana

Rs. 26,36,38,788/-

4. Institute of Psychiatry- Kolkata, West Bengal Rs. 5,28,00,000/-

5. Institute of Mental Health, Hyderabad, Andhra Pradesh Rs. 5,28,00,000/-

6. Psychiatric Diseases Hospital, Government Medical College, Srinagar, Jammu & Kashmir

Rs.28,84,00,000/-

7. Department of Psychiatry, Govt. Medical College, Chandigarh

Rs. 5,28,00,000/-

8. Mental Health Institute, Cuttack,Orissa Rs. 27,78,00,000/-

9 IMHANS, Kozhikode Rs. 28,84,00,000/-

10. IHBAS, Shahdra, Delhi Rs. 5,28,00,000/-

11. Maharashtra Institute of Mental Health, Pune, Maharastra

Rs. 30,00,00,000/-

Total Rs. 197,03,38,788/-

List of Institutes Supported Under Scheme B(Upgradation & strengthening of PG Departments in Mental Health Specialty for starting PG Courses in Mental Health Specialty)

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S.No. Mental Hospital/ Institute Amount Released in 11th FYP1. PDU Medical College, Rajkot, Gujarat Rs. 32,78,000/-

(For Psychiatric Nursing)2. Government Medical College, Surat, Gujarat Rs. 47,12,000/-

(For Clinical Psychology)3. CSM Medical University, Lucknow, Uttar Pradesh Rs. 1,73,66,000/-

(For Psychiatry, Clinical. Psychology, Psychiatric Social Work, Psychiatric Nursing)

4. Ranchi Institute of Mental Health & Neuro Sciences, Ranchi, Jharkhand

Rs. 1,21,00,000/-(For Psychiatry, Clinical. Psychology, Psychiatric Social Work,

Psychiatric Nursing)

5. Dr. RML Hospital, Delhi Rs. 1,65,16,000/-(For Psychiatric Social Work)

6. S.P Medical College, Bikaner, Rajasthan Rs. 58,60,000/-(For Psychiatry)

7. R. N. T. College, Udaipur, Rajasthan Rs. 58,60,000/-(For Psychiatry)

8. Institute of Mental Health, Chennai, Tamil Nadu Rs. 90,38,000/-(For Psychiatry & Psychiatric Nursing)

9. LGB Regional Institute of Mental Health, Tezpur, Assam

Rs. 1,73,66,000/-(For Psychiatry, Clinical Psychology, Psychiatric Social Work,

Psychiatric Nursing)10. Government Medical College, Trivandrum, Kerala Rs. 1,73,66,000/-

(For Psychiatry, Clinical Psychology, Psychiatric Social Work, Psychiatric Nursing)

11. NIMHANS, Bangalore, Karnataka87,12,000/-

(For faculty support for 1 unit each of Clinical Psychology and Psychiatric Social Work)

Total Rs. 11,81,74,000/-

New Initiative in the 12th Plan

• Expansion of DMHP to all the District of the country in a phased manner

• Strengthening District Hospitals for providing hospital services to mentally ill patients

• Participation of NGOs & private sector for providing extended treatment facility and rehabilitation through community outreach programme

Issues requiring attention• Further release in of funds in 2012-13 under NMHP is possible only after

receipt of UCs duly audited and SOE(in original) for 2010-11. • Provisional UC for the year 2011-12 and Statement of Expenditure as on

31.03.2012• Only 10 Districts in Tamil Nadu have been released funds as per the

revised guidelines. Others could not be released due to non submission of UCs & SOE.

• MCI clearance/approval to be obtained by States to start PG Courses under Manpower Development Programme

• To observe “World Mental Health Day” falling on 10th October, States may ensure awareness building through IEC activities.

National Program for Control of Blindness

Government of India

Ministry of Health & Family Welfare

Nirman Bhawan, New Delhi

Introduction

• National Programme for Control of Blindness was Launched in 1976 as a 100% Centrally Sponsored Programme to reduce prevalence of blindness from 1.4% to 0.3%

• As per rapid survey on avoidable blindness conducted during 2006-07, the prevalence of blindness has come down to 1%.

• 11th plan outlay was Rs. 1250 Crore.

• RIO Rs. 60L 20• Med College Rs. 40L 122• District Hospitals Rs. 20L *• Sub-district Hospitals Rs. 5L *• Vision Centres Rs.50,000/- 2208• Eye Banks Rs. 15 L 76• Eye Donation Centre Rs. I L 178• Teleophthalmology Rs. 60L 23• Dedicated Eye OT Rs. 75L 43• NGO Rs. 30 L 54

Non recurring assistance (NPCB) Facilities supported

State may ensure operationalisation of facilities supported and their functioning and reporting* Data not available

11th plan Initiatives Infrastructural strengthening

11th plan Initiatives (Contd.) New initiatives include

Construction of dedicated Eye Wards and Eye Operation theaters in NE and few other (poor infrastructure or newly formed )states

Appointment of Ophthalmic Surgeons @ Rs 25,000/- and Ophthalmic Assistants Rs 8,ooo/ and appointment of Eye Donation Counselors @Rs 10,000/- on contract basis.

Treatment of other eye diseases like DR, glaucoma, Childhood blindness, keratoplasty andVitreoretinal Surgery etc.

Maintenance of Ophthalmic Equipments supplied to Regional Institutes of Ophthalmology, Medical Colleges, District/Sub-District Hospitals, PHC/Vision Centres.

Comprehensive and quality delivery of eye care services

Issues in 11th plan

• Non implementation of new initiatives• Non appointment of contractual manpower• Release of sanctioned grants and inability of

SPOs to exercise their powers• Non submission of UCs and audited statement

of expenditure. Submission of UCs for 2010-11 is must for further grants

12th Plan

• Emphasis is on comprehensive eye care with quality delivery of services, infrastructural development, augmenting manpower and capacity building

• Proposal for presbyopic glasses primarily in women

• Development of mobile vans • Enhanced funding

National Programme for Prevention and Control of

Deafness (NPPCD)

Disease Scenario• Prevalence of severe to profound Hearing Loss is

291 per lakh population in India (NSSO Report of year 2002)

• As per WHO (year 2003) Prevalence of significant auditory impairment is 6.3% in India

• Causes of Hearing Impairment are - Acute Suppurative Otitis Media (ASOM), Chronic Suppurative Otitis Media (CSOM), Secretory Otitis Media, Trauma, Rubella, Noise Induced Hearing loss etc.

• Over 80% of the above causes are either preventable, treatable or rehabilitation is possible

Objectives of NPPCD

Preventing avoidable hearing loss on account of disease or injury

Early identification, diagnosis and treatment of ear problems responsible for hearing loss and deafness

Developing institutional capacity for ear care services by providing support for equipment, material and trained manpower

Rehabilitation of persons of all age groups suffering with Hearing Impairment

Strengthening inter-sectoral linkages with other Ministries for Prevention & Rehabilitation 22

Achievements & Strategies

• NPPCD was started in January 2007 in 25 districts of 10 States & 1 UT. Total of 184 districts of 16 States and 3 UTs covered till 31/3/2012

• Total Programme expenditure during 11th F.Y.P. was Rs. 47.57 crore out of which Grants-in-aid to State/UTs was Rs 36.78 crore

• Strategies of Programme are:

1. Capacity Building of Human resource for service delivery and development of institutional capacity

2. Promotion of outreach activities

3. Increased awareness through IEC

Provision of Funds at DH/CHC 1. Sound treated Room at DH for Audiological Assessment

2. Procurement of ENT & Audiological Equipments at DH & CHC/PHC (Surgical Microcsope, Audiometers, Microdrills etc.)

3. Salary for one Audiologist/ Audiometric Asst. & Hearing Impaired Instructor at DH level

4. Training programme for ENT Specialist, Obstetricians & Pediatricians, MO, CDPOs, ANM, AWW, ASHA

5. Procurement of Hearing Aids

6. Screening Camps in DH, CHC, PHC and Outreach

7. Approximately Rs 30 lakh is given to each district

CONCERNS…1. Less priority accorded to Programme by

States/UTs2. Lack of Coordination between State Nodal

Officer and District Health Administration3. Failure to procure Equipments and hiring of

Manpower by State/UTs4. Non submission of Utilization Certificates and

Progress Report to MoHFW by 11 States out of 19 States/UTs. (Assam, AP, Gujarat, Tamil Nadu, Uttarakhand, UP, Manipur, Madhya Pradesh, Jammu & Kashmir, Himachal Pradesh and Meghalaya) resulting in non release of funds in the current year.

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12th Plan Proposal• 12th Plan proposed outlay is Rs. 834.09 crore• All 642 districts to be covered by the end of 12th FYP.• ENT Department of State Govt. Medical Colleges to

be Strengthened by providing Rs 50 lakh. • IEC activity will be done both by MoHFW and State

Governments• PPP for Urban Slums screening and School Children

screening

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