Taking care of the old

The NPHCE envisages the provision of dedicated promotional, preventive and rehabilitative services for the elderly



India is experiencing a rapid health transition with a rising burden of non-communicable diseases (NCD). To promote health and prevent disease, an integrated National Programme for Prevention & Control of Cancers, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) has been formulated.
The objective of NPCDCS is to prevent and control common NCDs through behavior and life style changes, early diagnosis and management of these diseases. With increase in life expectancy, demographic ageing or population graying is an emerging phenomenon. According to estimated projections, elderly population will increase to 12% of the total population -  25% , 8% to 10% of which are estimated to be bed-ridden requiring utmost care. Keeping in view the problems faced by elderly people, National programme for Health Care of Elderly (NPHCE) was formulated to address the various health related problems of the elderly population. The NPHCE envisages the provision of dedicated promotional,  preventive and rehabilitative services for the elderly.
NCD comprises of the two related programmes NPHCE (National Programme of Health Care of the Elderly) and NPCDCS (National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke).
It was launched in 30 districts across the country and in J&K, two districts Leh and Udhampur were nominated for 2010-11.
For the year 2011-12, districts Kupwara, Kargil from Kashmir division being taken up. The program is being implemented in the 100 remotest districts of the country. The activities under the two programmes in the District hospitals of Leh, Kargil and Kupwara are:
Establishment of ten-bedded Geriatric ward.
Establishment of fully equipped physiotherapy units along with physiotherapists to rehabilitate patients.
Establishment of four-bedded Cardiac Care Units with ventilators, cardiac monitors, portable ECG etc.
Day Care Cancer wards established in Kargil and Kupwara. First ever chemotherapy treatment at District level started at District Hospital Handwara District Kupwara in Jammu and Kashmir.
Staff for the two programmes recruited under guidelines from MOHFW GOI.
Establishment of NCD clinic and Geriatric Clinic in the hospitals along with supply of medicines.
Separate collection counter available in OPD for NCD and elderly patients.
Strengthening of District Hospital laboratories with equipment, reagents and manpower.
Training of Medical Officers of the three districts in implementation of the programme at RIHFW Dhobiwan. Two batches of training of MO conducted from 27-02-2012 to 2-03-2012 and 15-03-2012 to 20-03-2012.
Training of Health Workers was done in five batches in Kargil and Kupwara.
Training of Nurses was conducted in SKIMS for a period of 6 weeks.
Screening of population above 30 years for diabetes and hypertension has been done. For the purpose of screening, Glucometers were received from GOI for the three districts. In Leh, 20,000 people were screened and of these 2% were found to be with suspected diabetes and 15.5% had hypertension. Similarly, of the nearly 1,40,000 people who were screened in Kupwara in a span of one and a half months, 6.5% were suspected diabetics and 10.05% had hypertension . In Kargil, nearly 20,000 people have been screened till now and of these 2.67% have high blood sugar and 7.34% have hypertension. These patients who tested positive for a high blood sugar or hypertension were referred to the nearest CHC/district Hospital for further diagnostic tests. A referral card is given to the patient so that he can be seen at the NCD Clinic.
Cancer Screening camps held at three different blocks of Kupwara. Screening was done for oral, breast and upper GI cancer with the help of endoscopy done by super specialists in gastroenterology. Such camps are being held regularly in all the blocks. The cost for biopsy was borne by the District NCD Cell.
Elderly Health camps held in all the districts where elderly patients are examined for different ailments by specialists and if needed are referred to the next level of care. Free medicine is distributed to the patients.
Started Pain & Palliative Care Clinic in District Hospital Handwara by an anesthetist trained in Pain management.
Procurement of aids and appliances for Geriatric patients such as calipers, walking sticks and their distribution among needy patients.
Pamphlets and posters made regarding risk factors of NCD and their prevention were made and distributed.
TV programmes and radio programmes broadcast for promotion of healthy lifestyle in Local languages.
IEC through radio in local language by Nodal Officers of Kargil, Kupwara and Leh.

Dr Rehana Kaunsar is  State Surveillance Officer (IDSP)

Lastupdate on : Thu, 25 Oct 2012 21:30:00 Makkah time
Lastupdate on : Thu, 25 Oct 2012 18:30:00 GMT
Lastupdate on : Fri, 26 Oct 2012 00:00:00 IST

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