ANU MAM - Department of Health & Family Welfare

Report
National Programme for
Prevention and Control of Cancer, Diabetes,
CVDs and Stroke (NPCDCS)
Ministry of Health & Family Welfare
GOI
c.
12.09.2012
1
NCDs in India: Disease burden
Diabetes
• 2000: 2.58 crore (NCMH)
• 2011: 6.1 crore (IDF)
• 2030: 10.1 crore (IDF)
Cardio-vascular Diseases
• 1998: 1.9 crore (ICMR)
• 2005: 3.8 crore(NCMH)
• 2015: 6.4 crore(NCMH)
Cancer
• Estimated number of persons with cancer: 28 lakh
• Annual Incidence: 11 lakh (ICMR)
• Estimated annual deaths : 5 lakh
Existing Program components
• National NCD cell
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State NCD cell
Tertiary Cancer Centers
District NCD cell
District NCD clinic
Day Care Cancer Centre
Cardiac Care Unit (CCU)
CHC NCD clinic
Sub centre – screening
Health Promotion
Training
Monitoring including database
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Challenges
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Cardiac Care Unit (CCU)
• Support of Rs. 1.5 crores
• Functional in 20 districts so far
CCU at Pattanamthita, Kerala
CCU at Kupwara, J&K
Issues:
Procurement of equipments
 Non availability of specialists
 Lack of space in some district hospitals
5
Day Care Cancer Facility(Chemotherapy)
• Support of Rs. 1.66 crores:
Rs. 1 crore for chemotherapy
& Rs. 66 lakhs for other
components
•Functional in 4 districts so far
(Mewat, Leh, E.Sikkim &
Pathanamthitta)
• Issues:
 Non availability of specialists
 Lack of space in some district
hospitals
 Linkage with TCC
District Cancer Facility, Kerala
District Cancer Facility, Mewat
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Human Resource
• Support for contractual manpower at
State NCD cell, District NCD cell, NCD Clinic at
district hospital, Cardiac Care Unit, Day care
Cancer Facility & NCD clinic at CHC
Status of recruitment
% Completed
State NCD Cell
District NCD Cell
District NCD Clinic
52
27
38
CHC NCD Clinic (30 districts)
15
• Issues:
 State recruitment procedures
 Relaxation in term of references ( age, qualification)
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Tertiary Cancer Centres
• 65 TCCs to be funded in 2010-11 & 2011-12
• 50 proposals received
• Eight TCCs given assistance of Rs. 4.8 crore each (i.e. 80%
central share)
Criteria for assistance
 Govt. medical College & RCCS
 State recommendation, Atomic Energy Regulatory
 Board (AERB} clearance, manpower availability
 Separate MOU required( Tripartite)
• Issues:
 Less new proposals
 Incomplete proposals
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Screening for Diabetes and Hypertension -1
Logistics & training provided:
Glucometers
Glucostrips
Lancets
2010-11
2011-12
Total
6617
1.3crore
1.6crore
21500
4.3 crore
4.9crore
28117
5.6crore
6.5crore
Training to Health Workers : completed in 82 districts (out of 100
districts, 4 districts of TN : logistics not required)
Target population : 5.6 crore
Screened: 1.02 crore, 3.48 to be screened
 Suspected for diabetes : 7.5 lakh (7.4%)
Suspected for hypertension :6.5 lakh (6.5%)
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Financial status (Rs. in crore)
Diabetes , CVD
Cancer
Released to
districts/states
121.65
58.62
Unspent balance
120.36
57.88
20 % state share contribution
 4 States (Gujarat, Kerala ,Odisha & WB) contributed
complete share
 3 states (Chhattisgarh, Maharashtra & Rajasthan )
contributed partially
No information from remaining 13 states so far.
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Other issues
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Dedicated SNO& DNO
SOEs, UCs & audited account statement
Refrral
Analysis& regular reporting
Health promotion and mainstreaming
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12th Plan Proposal -1
• Thrust on health promotion
• Screening for diabetes and hypertension
continued
• PHCs to be included under the programme
to be
• Screening of common cancers ( oral, breast and
cervical) at CHC and above
• Cardiac Care unit / Intensive Care Unit (ICU) in at
least 25% district hospitals, wherever feasible
• Linkages with Medical Colleges for mentoring the
districts and to provide outreach and referral
services
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12th Plan Proposal- 2
• Screening of diabetes and hypertension in urban slums
in 33 cities of more than one million population
• Chemotherapy facilities in at least 25% of district
hospitals, where ever feasible.
• Establishment of 20 State Cancer Institutes & 50
Tertiary Cancer Centres with augmented funding
• Government of India (GOI) and State share : 75: 25
90: 10 in North East and hilly states under NPCDCS
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