National Vector Borne Disease Control Programme
This Programme is being implemented for prevention 'nd control of vector-borne diseases such as malaria, filariasis, kala-azar, Japanese encephalitis, dengue, and chikungunya. The government has taken various steps for tackling of vector-borne diseases including dengue and chikungunya by the states. There are 250 filaria endemic districts in 20 states/UTs in the country. The National Health Policy (2002) aims at elimination of lymphatic filariasis in country by 2015. Kala-azar is endemic in four states, namely Bihar, West Bengal, Jharkhand, and Uttar Pradesh. During 2011, 31,322 cases and 78 deaths have been reported. The disease has been targeted for elimination by 2015 as per a tripartite agreement between India, Nepal, and Bangladesh. Under the elimination programme, the centre provides 100 per cent operational cost to the states, besides anti kala-azar medicines, drugs, and insecticides.
Revised National Tuberculosis Control Programme (RNTCP)
The RNTCP, a centrally sponsored ongoing scheme, is an application in India of the WHO-recommended directly observed treatment short course popularly known as DOTS. Under the programme, quality diagnosis and treatment facilities including a supply of anti-TB drugs are provided free of cost to all TB patients. More than 13,000 microscopy centres have been established in the country. During 2010-11, the programme has achieved new sputum positive case detection rate of 71 per cent and treatment success rate of 87 per cent which is in line with global targets for TB control.
National Leprosy Eradication Programme (NLEP)
The NLEP was started in 1983 with the objective of eradication of the disease. In 2005, the dreaded disease aer 2 2 years recorded a case load less than 1 per 10,000 population at national level. The recorded prevalence further came down to 0.69 per 10,000 in March 2011.
National Programme for Control of Blindness (NPCB)
The NPCB, launched in the year 1976 as a 100 percent centrally sponsored scheme with the goal of reducing the prevalence of blindness to 0.3 per cent by 2020, showed reduction in the prevalence rate of blindness from 1.1 per cent (2001-2) to 1 per cent (2006-7).
National Programme for Health Care of the Elderly (NPHCE)
The NPHCE aims to provide separate and specialised comprehensive health care to senior citizens at various levels of the state healthcare delivery system including outreach services. Some of the strategies include preventive and promotive care, management of illness, health manpower development for geriatric services, medical rehabilitation, and therapeutic intervention and Information Education and Communication (IEC) activities. The major components of the NPHCE are establishment of 30 bedded departments of geriatrics in 8 identified regional medical institutions, and provision of dedicated health-care facilities at district, CHC, PHC and sub-centres levels in 100 identified districts of 21 states of the country.
The NPCDCS was launched during the Eleventh Five year plan. It envisages health promotion and health education advocacy, early detection of persons with high levels of risk factors through opportunistic screening and strengthening of health systems at all levels to tackle Non Communicable Disease (NCDs), and improvement of quality of care. At present the programme is being implemented in 100 districts covering 21 states.
National AIDS Control Programme (NACP)
The NACP goal was to halt and reverse the epidemic in India over the five years period of the Eleventh Plan. This was to be done by integrating programmes for prevention, care, support and treatment, as well as addressing the human rights issues specific people living with HIV/AIDS (PLWHA). Although the achievement of physical targets under the programme is satisfactory, MoHFW has yet to introduce an HIV/AIDS Bill to protect the rights of children, women and HIV infected persons and avoid discrimination at workplace. A National Blood Transfusion Authority is to be established during the remaining period of the Plan. Voluntary blood donation has to be encouraged further to bridge the gap in demand and supply of blood.
Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)
The PMSSY envisages substantial expansion of central and state government medical institutions. Phase I of PMSSY envisages establishment of six new AIIMS like institutions at Patna (Bihar), Bhopal (Madhya Pradesh), Bhubaneswar (Orissa), Jodhpur (Rajasthan), Raipur (Chhattisgarh) and Rishikesh (Uttarakhand). The original estimate of each institute was Rs. 332 crore and the latest estimate is about Rs. 820 crore. The second component of PMSSY Phase I includes upgradation of 13 State Government medical college institutions. The outlay provided is Rs.120 crore per institution, of which Rs. 100 crore would be borne by the Central Government and the remaining amount will be contributed by the respective States.
The State Governments will also provide the resources (human resources and recurring expenditure) for running the upgraded facilities. Phase II of PMSSY, approved recently, provides for the establishment of two new AIIMS like institutions in Uttar Pradesh and West Bengal and upgrading of six State Government medical college institutions at Government Medical College, Amritsar (Punjab); Government Medical College, Tanda (Himachal Pradesh); Government Medical College, Nagpur (Maharashtra); Jawaharlal Nehru College of Aligarh Muslim University, Aligarh (Uttar Pradesh); Government Medical College, Madurai (Tamil Nadu) and Pandit B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak (Haryana).