Health Programme (Ayurveda Library - Dr. Vivek Tiwari) 2
Health Programme (Ayurveda Library - Dr. Vivek Tiwari) 2
Health Programme (Ayurveda Library - Dr. Vivek Tiwari) 2
) BHU 1
PART – B
Introduction
Hearing loss is the most common sensory deficit in humans today.
World over, it is the second leading cause for ‘Years lived with Disability (YLD)’ the
first being depression.
The Ministry of Health and Family Welfare, Govt. of India launched the pilot phase
of National Program for Prevention and Control of Deafness (from 2006 to 2008) in 10
States and 1 Union Territory in an effort to tackle the high incidence of deafness in the
country, in view of the preventable nature of this disability.
The Programme was initiated in year 2007 on pilot mode in 25 districts of 11 State/UTs.
The Programme has been expanded to 192 districts of 20 States/UTs. In the 12 th Plan, it
is proposed to expand the Programme to additional 200 districts in a phased manner
probably covering all the States and Union territories by March, 2017.
Malaria
National Anti-Malaria programme
Original programme
Filaria
National Filaria control programme (NFCP)
Leprosy
National Leprosy 'Eradication' programme (NLEP)
The National Leprosy control programme (NLCP) has been in operation since - 1955
NLCP was redesignated National Leprosy Eradication Programme (NLEP) in - 1983
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 4
NLCP started to achieve control of leprosy through early detection of cases and
DDS(dapsone) monotherapy.
Urban leprosy control programme was initiated in 2005 .
Aim of NLEP - to reduce case load to 1 or less than 1 per 10,000 population.
Five major endemic states are - Bihar, Uttar Pradesh, Madhya Pradesh, Orissa, West Bengal
Tuberculosis
National Tuberculosis programme (NTP)
AIDS
National AIDS Control Programme
YEARS MILESTONES
1986 1st Case of HIV detected.
National AIDS Committee established.
Blindness
National programme for control of Blindness
It is launched in - 1976
It incorporates earlier trachoma control programme started in - 1968
Most common cause of blindness in India is - Cataract
Most common cause of ocular morbidity in India is - Refractory error
Eye donation fortnight is observed from 25th August to 8th September every year.
Vision 2020 – It is a global initiative to reduce avoidable blindnessby the year 2020
Kala azar
A centrally sponsored programme for Kala azar launched in 1990-91
Revised strategy of total eradication of Kala azar was launched on 2nd September 2014.
The new strategy includes introduction of Rapid Diagnostic Kit developed by ICMR into
programme and single dose treatment with Liposomal Amphoterecin B
which is given intravenously in 10 mg dose. It is to reduce the human reservoir of infection.
WHO will supply the drug free of cost.
FAMILY PLANNING
Contraceptive Mehods
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 6
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 7
MCH
An Act to provide for the prohibition of sex selection, before or after conception, and for
regulation of pre- natal diagnostic techniques
The main purpose of enacting the act is to ban the use of sex selection techniques after
conception and prevent the misuse of prenatal diagnostic technique for sex
selective abortions.
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 8
MTP Act
The MTP Act 1971 and
The MTP Act Amendments 2021
Gestational Age Limit 20 weeks for all 24 weeks for rape survivors
indications Beyond 24 weeks for
substantial
fetal abnormalities
Medical practitioner One RMP till 12 weeks One RMP till 20 weeks
opinions required Two RMPs till 20 weeks Two RMPs 20-24 weeks
before termination Medical Board approval after
24 weeks
Launched – 1970
Beneficiary - All children under 5 yrs. of age.
1st dose - 1 Lakh IU - given at 9 months of age along with measles vaccination.
2nd dose-2 Lakh IU - given after 9 months.
Subsequent doses of 2 Lakh IU each - given at 6 months intervals upto 5 yrs of age.
This special programme was started in 1970 for the nutritional benefit of
children below 6 years of age, pregnant and nursing mothers and is in operation
in urban slums, tribal areas and backward rural areas.
Dengu Syndrome
It leads to -
Cardinal signs - Sudden onset with chills and high fever followed by Dengue hemorrhagic fever.
Malaria
Cause -Plasmodium parasites.
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 16
Life-history
2 cycles of development -
Human cycle (asexual cycle) - Man is intermediate host
Mosquito cycle (sexual cycle) - mosquito is definitive host
Incubation period
cerebral malaria, acute renal failure, liver damage, black water fever
Modified plan of operation - came into force from 1st April 1977, under NMEP
P. vivax Tab chloroquine single dose + tab primaquine daily for 5 days
falciparum - Tab chloroquine + tab primaquine Single dose
Severe and comoplicated malaria - choice of anti- malarial drug - quinine injection,
Artemisinin injectable derivative
Lymphatic Filariasis
Cause- 3 nematode worms Wuchereria Bancrofti, Brugia malayi and Brugia timori.
Heavily infected areas - Uttar Pradesh, Bihar, Jharkhand, Andhra prdesh, Orissa, Tamil Nadu,
Kerala and Gujrat
Agent factors
In Bancroftian and Brugian filariasis - Man is the definite host and mosquito is intermediate host.
Control measure –
इस वैक्सीन के 3 डोज है ।
1. Primary care level - is provided by the agency of multipurpose health workers, village health
2. Secondary care level - is provided in district hospitals and community health centres which also
3. Tertiary care level - is provided by the regional or central level institutions e.g. medical collage
Treatment of simple ailments and activities in firstaid, mother and chiled health including
family planning, health education and sanitation.
The national target is - one health guide for each village or 1000 rural population.
Local dais
The training is for 30 working days.
National target is to train 1 local dai in each village.
Function of dai are –
Delivery
Health education
Registration
Anganwadi workers
Under ICDS scheme - 1 anganwadi worker for a population of 1000 or for one village.
She undergoes training in various aspects of health nutrition and child development for 4
months.
She is a part time worker and is paid a stipend of Rs 200-250 per month .
Services provided by anganwadi worker – health checkup, immunization, supplementary
neutrition, health education, non-formal per-school education and referral services.
Beneficiaries-nursing mothers, other women (15- 45 years), children below age of 6 years.
Sub-centre level
One sub-center is established for every 5000 population in gereral and,
one for every 3000 population in hilly, tribal and backward areas.
WHO
It's specialized, non political, health agency of UN.
Headquarters - Geneva.
Birth of WHO
The WHO has its origin in April 1945, during the conference held at San Francisco to
set up the United Nations (UN).
Formal existence of WHO-7 April 1948
In 1946, the constitution was drafted by the "Technical Prepratory committee" under the
chairmanship of Rene Sand.
The constitution came into force on 7th APRIL 1948 which is celebrated every year as "World
Health Day".
Members of WHO
Responsibilities of WHO
1. Prevention and Control of Specific Discases
2. Development of Comprehensive HealthServices
3. Family Health
4. Environmental Health
5. Health Statistics
6. Bio-Medical research
7. Health Literature and Information
8. Cooperation with Other Organization
Structure of WHO
WHO-3 principal organs
Regions
WHO Regional Organizations - 6
Region Headquarters
The headquarters of the South East Asia Regional Office (SEARO) - New delhi
SEARO members - 11
Content of Services -
A. Child health
B. Child nutrition
C. Family and child welfare
D. Education
DANIDA
The Govt. of Denmark is providing assistance for development of services under National
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 22
AYUSH
The department was created in March 1995 as the department of Indian system of
Medicines and Homoeopathy (ISM & H).
The department is charged with upholding education standards inthe ISM & H
colleges, strengthening research, promoting the cultivation of medicinal plants and
working on pharmacopoeia standards.
It received Its current name in March 2003 as AYUSH department at that time it was
operated under the ministry of health and family welfare
The ministry of AYUSH was formed with effect from 9 No(v) 2014 by elevation of the
department of AYUSH.
Bodies under the control of department of AYUSH are:
Important Points.
Tsetse fly is known asglossina.
Phleboomus is known as sandfly.
Culex is know as nuisance-mosquito.
Bacili found in breast milk is mycobacterium leprae.
8th day disease is neonatal tetanus.
Riverine disease is cholera.
Poverty disease is chaga's diseases.
English disease is chronic bronchitis.
Farmer's disease is ancylostomlasis
Malaria endemicity is determined by spleen rate
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 23
मिशन इन्द्रधनुष कार्य क्रि - यह केन्द्रिय स्वाथ्य मंत्रालय के द्वारा गटित बच्चो के िीकाकरण के टलये है।
प्रारं भ-25 टिसंबर 2014
इिधनुष के सात रं गों को प्रिटशवत करने वाला टमशन इिधनुष का उद्दे श्य उन बच्चों का 2020 तक
िीकाकरण करना हैं ।
Disease - Diptheria, Titanus, Polio, T.B., measles, Pertusis, Hepatitis - B
Target- 2020 तक सभी बच्चों का िीकाकरण करना
प्रधान मंत्री नरे ि मोिी द्वारा 8 माचव 2018 अन्तराव ष्ट्रीय मटहला टिवस पर राजस्थान के झंुझुनु में राष्ट्रीय
पोषण टमशन की शुरुआत की थी।
इसकी घोषणा टशवराज टसंह चौहान के द्वारा अप्रै ल 2007 में की गई थी।
इसका मुख्य उद्दे श्य लड़टकयों के जीवन में पररवतवन लाना जैसे- बाल टववाह रोकना, गभवपात आटि
समस्याओं से टनपिना
SABLA Scheme-
इस योजना का लाभ जनवरी 2006 के बाि जन्मी बाटलकाओं को ही टमलेगा। मटहला एवं बाल टवकास
मन्त्रालय द्वारा टकशोरी शसन्द्रिकरण योजना-
SABLA (RGSEAG- Rajiv Gandhi Scheme for Empowerment of Adolescent Girls) की घोषणा
इं टिरा गां धी के जन्म टिन 19 नवम्बर 2010 पर की गई थी।
इस योजना को कायव रूप में पररटणत 1 अप्रै ल 2011 में अन्तराव ष्ट्रीय मटहला टिवस के अवसर पर टकया
गया था।
RBSK
म. प्र. मे 2013 में यह योजना लागू की गई इस योजना को National Health Mission के तहत लागू टकया
गया है।
यह योजना 0-18 साल के बच्चों के टलए बनाई गई है टजसमें मुख्य रूप से जन्मजात बच्चो की बीमारी का
इलाज करना है ।
RBSK के तहत िे श के नवजात टशशु से लेकर 18 साल के सभी बच्चों के अन्दर 4 D की कमी को ढूंढना
और इलाज करना ।
4D-
Defects at birth
Developmental delay
Deficiencies
Diseases
AYURVEDA LIBRARY ONLINE CLASSES ,VARANASI – Dr. Vivek Tiwari (M.S.) BHU 24