Year End Review 2018: Ministry of Health and Family Welfare (Download PDF)

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Ayushman Bharat is a centrally sponsored programme anchored in the Ministry of Health and Family Welfare (MoHFW). It is an umbrella of two major health initiatives, namely Health and Wellness Centres (HWCs) and Pradhan Mantri Jan Arogya Yojna (PMJAY).

Image of The Ministry of Health and Family Welfare (MoHFW)

Image of The Ministry of Health and Family Welfare (MoHFW)

Image of The Ministry of Health and Family Welfare (MoHFW)

Brief details of these components are as following:

Ayushman Bharat-Health & Wellness Centres (AB-HWC)

  • Delivery of comprehensive primary health care services through Health & Wellness Centres is a critical component of the newly announced Ayushman Bharat scheme. It places people and communities at the center of the health care delivery system, making health services responsive, accessible and equitable.

  • Nearly 1.5 lakh Sub-Centres and Primary Health Centres would be transformed as Health & Wellness Centres by 2022 to provide comprehensive and quality primary care close to the community while ensuring the principles of equity, affordability and universality.

  • Till date, 4503 HWCs have been operationalized in various states.

Key Components of AB-HWC

  • Additional Human Resource - New cadre of health care professional- referred to as the Mid-Level Health Provider- who is a nurse or an Ayurvedic Practitioner trained and accredited for a set of competencies related to primary health care and public health. Mid-Level Health Provider will lead the team of MPWs and ASHAs at SHC level

  • Multiskilling/Training of existing service providers - upgrading skills to provide expanded package of services

  • Efficient logistics system to ensure availability of wide range of drugs and point of care diagnostics

  • Robust IT system – to create unique health id and longitudinal health record of all individuals and provision of tele-consultation services

  • Provision of services related to indigenous health system and yoga etc for promotion of wellness

  • Linkages with schools to train Health and Wellness Ambassadors to enable creating healthy habits in schools.

Services Envisaged at AB-HWC

  • Care in pregnancy and child-birth.

  • Neonatal and infant health care services

  • Childhood and adolescent health care services

  • Family planning, Contraceptive services and other Reproductive Health Care services

  • Management of Communicable diseases including National Health Programmes

  • Management of common communicable diseases and outpatient care for acute simple illness and minor ailments.

  • Screening, Prevention, Control and Management of non-communicable diseases.

  • Care for Common Ophthalmic and ENT problems

  • Basic Oral health care

  • Elderly and palliative health care services

  • Emergency Medical Services

  • Screening and Basic management of Mental health ailments

Key Benefits under AB-HWC:

  • Expanded package of primary care services –ranging from maternal and child health, communicable diseases to non-communicable diseases (universal screening, prevention, control and management of five common communicable diseases: hypertension, diabetes and three common cancers – those of the oral cavity, breast and cervix, primary health care for diseases for the eye, oral health, ENT, mental health, provision of palliative care and care for the elderly, and medical emergencies)

  • Wide range of free drugs

  • Point of care diagnostics at the centres.

  • Tele-consultation services with Medical Officers for complications

  • Continuum of care ensured through referral linkages and protocols

  • Unique health id – longitudinal health record for each individual

  • Services related to indigenous health system and yoga for promotion of wellness.

Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)

  • Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PMJAY) aims to cover over 10 crore poor and vulnerable families (approx. 50 crore beneficiaries) providing coverage up to Rs. 5 lakh per family per year for secondary and tertiary hospitalization.

  • PMJAY has been launched on September 23,2018. After the launch of PMJAY, RSBY and SCHIS got subsumed in it.

Key Features

  • PMJAY is an entitlement based scheme. This scheme covers poor and vulnerable families based on deprivation and occupational criteria as per SECC (Socio-economic caste census) data. As on 30.12. 2018:

    • Number of Hospitals Empanelled: 16,112

    • Beneficiaries Admitted: 6,81,825

    • E-cards Issued: 39,48,496

  • PMJAY provides cashless and paperless access to services for the beneficiary at the point of service in any (both public and private) empanelled hospitals across India. All beneficiary families of RSBY and SCHIS are entitled for benefits under PMJAY.

  • Under PMAJY, the States are free to choose the modalities for implementation. They can implement the scheme through insurance company or directly through the Trust/Society or mixed model.

  • There is no restriction on family size, ensuring all members of designated families specifically girl child and senior citizens get coverage.

  • At National level, National Health Agency (NHA) in the form of Society has been registered under the Societies Registration Act, 1860, to implement the scheme. NHA is responsible for all operational matter of PMJAY. NHA is functioning w. e. f. 11.05. 2018.

  • MoU has been signed between National Health Agency, Government of India and 31 States/UTs namely, Uttar Pradesh, Andaman & Nicobar Island, Lakshadweep, Dadra & Nagar Haveli, Daman & Diu, Chhattisgarh, Mizoram, Jharkhand, Bihar, Puducherry, Madhya Pradesh, Assam, Haryana, Uttarakhand, Jammu & Kashmir, Manipur, Meghalaya, Gujarat, Himachal Pradesh, Chandigarh, Tripura, Nagaland, Arunachal Pradesh, Sikkim, West Bengal, Rajasthan, Goa, Maharashtra, Tamil Nadu, Karnataka and Andhra Pradesh.

  • Out of these 31 States/UTs, 25 states/UTs namely Arunachal Pradesh, Tripura, Chhattisgarh, Mizoram, Manipur, Gujarat, Nagaland, Sikkim, West Bengal, Dadra & Nagar Haveli, Himachal Pradesh, Tamil Nadu, Daman & Diu, Haryana, Jharkhand, Assam, Uttar Pradesh, Chandigarh, Maharashtra, Uttarakhand, Goa, Bihar, Lakshadweep, Madhya Pradesh, Andaman & Nicobar have launched PMJAY on 23.09. 2018.

  • Ayushman Bharat National Health Protection Mission Council, as an Apex body has been set up to provide policy direction to the scheme.

  • More than 1350 packages have been finalized by an expert committee headed by Director General, Health Services and peer reviewed by NITI Aayog.

  • Operational Guidelines on various operational matters of PMJAY, Model tender documents etc. are in place. Details are available on official website i. e. www.abnhpm.gov.in.

Jeevan Jyoti Bima Yojana (PMJJBY)

  • Estimated 9573032 ASHAs and ASHA Facilitators to be covered under Pradhan Mantri Suraksha Bima Yojana

  • Estimated 10,22,265 ASHAs will get at least minimum of Rs`2000 per month from current Rs. 1000 per Month for routine and recurring activities.

  • 41,405 ASHA facilitators to be benefitted with increased supervisory charges.

National Health Policy 2017

  • The National Health Policy of the country was launched after a gap of 15 years. The Cabinet in its meeting held on 15th March, 2017 approved the National Health Policy (NHP) 2017.

  • NHP 2017 addresses the current and emerging challenges necessitated by the changing socio-economic, technological and epidemiological landscape. The process of formulation of the new Policy entailed wide consultation with multiple stakeholders and regional consultations before its approval by the Central Council of Health and Family Welfare and Group of Ministers.

  • The major commitment of the NHP 2017 is raising public health expenditure progressively to 2.5 % of the GDP by 2025. It envisages providing larger package of assured comprehensive primary healthcare through the Health and Wellness Centres.

  • The Policy aims to attain the highest possible level of health and well-being for all at all ages through a preventive and promotive healthcare and universal access to quality health services without anyone having to face financial hardship as a consequence. This would be achieved through increasing access, improving quality and lowering the cost of healthcare delivery.

  • NHP 2017 advocates allocating major proportion (two-thirds or more) of resources to primary care and aims to ensure availability of two beds per 1,000 population distributed in a manner to enable access within golden hour.

  • The Policy also takes a fresh look at strategic purchase from the private sector and leveraging their strengths to achieve national health goals and seeks stronger partnership with the private sector.

Allied and Healthcare Professions Bill, 2018

The Union Cabinet approved the Allied and Healthcare Professions Bill, 2018 on 22ndNovember 2018 for regulation and standardisation of education and services by allied and healthcare professionals. The Bill provides for setting up of an Allied and Healthcare Council of India and corresponding State Allied and Healthcare Councils which will play the role of a standard-setter and facilitator for professions of Allied and Healthcare.

Key Features

  • Establishment of a Central and corresponding State Allied and Healthcare Councils; 15 major professional categories including 53 professions in Allied and Healthcare streams.

  • The Bill provides for Structure, Constitution, Composition and Functions of the Central Council and State Councils, e. g. Framing policies and standards, Regulation of professional conduct, Creation and maintenance of live Registers, provisions for common entry and exit examinations, etc.

  • The Central Council will comprise 47 members, of which 14 members shall be ex-officio representing diverse and related roles and functions and remaining 33 shall be non-ex-officio members who mainly represent the 15 professional categories.

  • The State Councils are also envisioned to mirror the Central Council, comprising 7 ex-officio and 21 non-ex officio members and Chairperson to be elected from amongst the non-ex officio members.

  • Professional Advisory Bodies under Central and State Councils will examine issues independently and provide recommendations relating to specific recognised categories.

  • The Bill will also have an overriding effect on any other existing law for any of the covered professions.

  • The State Council will undertake recognition of allied and healthcare institutions.

  • Offences and Penalties clause have been included in the Bill to check malpractices.

  • The Bill also empowers the Central and State Governments to make rules.

  • Central Govt. also has the power to issue directions to the Council, to make regulations and to add or amend the schedule.

Expected Benefits

  • Bring all existing allied and healthcare professionals on board during the first few of years from the date of establishment of the Council.

  • Opportunity to create qualified, highly skilled and competent jobs in healthcare by enabling professionalism of the allied and healthcare workforce.

  • High quality, multi-disciplinary care in line with the vision of Ayushman Bharat, moving away from a ‘doctor led’ model to a ‘care accessible and team based’ model.

  • Opportunity to cater to the global demand (shortage) of healthcare workforce which is projected to be about 15 million by the year 2030, as per the WHO Global Workforce, 2030 report.

Notification for Medical Devices Rules, 2017

  • MoHFW has notified Medical Devices Rules, 2017 for comprehensive regulation of Medical devices notified under the Drugs and Cosmetics Act, including their import, clinical investigation, manufacture, sale and distribution.

  • The new rules are harmonised with the international regulatory practices and provide comprehensive legislation for the regulation of Medical Devices to foster India specific innovation and provide a fillip to ‘Make in India’.

  • A separate and dedicated wing is set up under Drug Controller General of India for effective implementation of New Medical Devices Rules, 2017 with effect from 1.1. 2018.

  • Presently 15 notified categories of medical devices are regulated under the provisions of Drugs and Cosmetics Act, 1940 and Rules 1945.

Fixed Dose Combinations (FDCs) Regulation

  • MoHFW, in exercise of powers conferred by section 26A of the Drugs and Cosmetics Act, 1940, has prohibited the manufacture for sale, sale or distribution for human use of 328 FDCs through its gazette notifications dated 7thSeptember 2018.

  • It has also restricted the manufacture, sale or distribution of six FDCs subject to certain conditions.

National Medical Commission Bill, 2017

Cabinet approved the National Medical Commission Bill 2017 on 15th December, 2017. The Bill envisages to:

  • replace the Medical Council 1956 Act.

  • enable a forward movement in the area of medical education reform.

  • move towards outcome-based regulation of medical education rather than process-oriented regulation.

  • ensure proper separation of functions within the regulator by having autonomous boards.

  • create accountable & transparent procedures for maintaining standards in Medical Education.

  • create a forward-looking approach towards ensuring sufficient health workforce in India.

National Nutrition Mission (NNM)

Cabinet approved the National Nutrition Mission, a joint effort of MoHFW and the Ministry of Women and Child development (WCD) towards a life cycle approach for interrupting the intergenerational cycle of under nutrition.

  • The impact of the mission is envisioned to reduce the level of stunting, under-nutrition, anaemia and low birth weight babies.

  • It will create synergy, ensure better monitoring, issue alerts for timely action, and encourage States/UTs to perform, guide and supervise the line Ministries and States/UTs to achieve the targeted goals.

  • The mission aims to benefit more than 10 crore people.

  • It shall be launched in December 2017 with a three year budget of Rs. 9046.17 crore commencing from 2017 - 18, to cover 315 districts in 2017 - 18,235 districts in 2018 - 19 and remaining districts in 2019 - 20.

Major Components/Features of the Mission

  • Mapping of various Schemes contributing towards addressing malnutrition

  • Introducing a very robust convergence mechanism

  • ICT-based real time monitoring system

  • Incentivizing States/UTs for meeting the targets

  • Incentivizing Anganwadi Workers (AWWs) for using IT based tools

  • Eliminating registers used by AWWs

  • Introducing measurement of height of children at the Anganwadi Centres (AWCs)

  • Social Audits

  • Setting-up Nutrition Resource Centres, involving masses through Jan Andolan for their participation on nutrition through various activities, among others.

Mental Healthcare Act, 2017

  • The Act adopts a rights-based statutory framework for mental health in India and strengthens equality and equity in provision of mental healthcare services in order to protect the rights of people with mental health problem to ensure that they are able to receive optimum care and are able to live a life of dignity and respect.

  • The Act strengthens the institutional mechanisms for improving access quality and appropriate mental healthcare services.

  • The Act increases accountability of both government and private sectors in delivery of mental healthcare with representation of persons with mental health problem and their care-givers in statutory authorities such as Central and State Mental Health Authority.

  • The most progressive features of the Act are provision of advance directive, nominated representative, special clause for women and children related to admission, treatment, sanitation and personal hygiene; restriction on use of Electro-Convulsive Therapy and Psychosurgery.

  • Decriminalization of suicide is another significant facet of the Act, which will ensure proper management of severe stress as a precursor for suicide attempts.

HIV & AIDS (Prevention & Control) Act, 2017

  • It aims to end the epidemic by 2030 in accordance with the Sustainable Development Goals set by the United Nations.

  • A person living with AIDS cannot be treated unfairly at employment, educational establishments, renting a property, standing for public or private office or providing healthcare and insurance services

  • The Act also aims to enhance access to healthcare services by ensuring informed consent and confidentiality for HIV-related testing, treatment and clinical research.

  • Every HIV infected or affected person below the age of 18 years has the right to reside in a shared household and enjoy the facilities of the household.

  • The Act prohibits any individual from publishing information or advocating feelings of hatred against HIV positive persons and those living with them.

  • No person shall be compelled to disclose his/her HIV status except with their informed consent, and if required by a court order.

  • Every person in the care and custody of the State shall have right to HIV prevention, testing, treatment and counselling services.

  • The Act suggests that cases relating to HIV positive persons shall be disposed’ off by the court on a priority basis and duly ensuring the confidentiality.

Universal Immunization Programme (UIP)

India’s UIP is one of the largest public health programmes in the world. It targets 3 crore pregnant women and 2.7 crore new borns annually. More than 90 lakh immunization sessions are conducted annually. It is the most cost-effective public health intervention and largely responsible for reduction of vaccine preventable under-5 mortality rate.

New Initiatives under UIP

  • Mission Indradhanush: Government of India has launched Mission Indradhanush (MI) in December 2014, a targeted programme to immunize children who have either not received vaccines or are partially vaccinated. The activity focuses on districts with maximum number of missed children. Four phases of Mission Indradhanush have been completed wherein 3.38 crores children have been vaccinated, of which 81.67 lakh children have been fully immunized. In addition, 86.88 lakh pregnant women were vaccinated against tetanus. Under Mission Indradhanush, the annual rate of increase of full immunisation coverage has increased from 1 % to 6.7 % during the two rounds. The sixth phase of MI is ongoing in 75 districts across 17 States/UTs from October – December 2018.

  • Intensified Mission Indradhanush (IMI) : IMI has been launched by Hon’ble Prime Minister of India on 8th October 2017 from Vadnagar, Gujarat. The Intensified Mission Indradhanush has been carried out in 121 districts in 16 States, 52 districts in the North Eastern States and 17 urban areas where immunization coverage has been very low in spite of repeated phases of Mission Indradhanush and in UIP, with an aim to rapidly build up full immunization coverage to more than 90 % by December 2018.

Introduction of New Vaccines

  • Inactivated Polio Vaccine (IPV) : India is polio free but to maintain this status, the Inactivated Polio Vaccine (IPV) was introduced. Till August 2018, around 6.4 crore doses of IPV have been administered to children since its introduction.

  • Adult Japanese Encephalitis (JE) Vaccine: Japanese Encephalitis is a life-threatening viral disease affecting brain mainly in children aged less than 15 years. However, National Vector Borne Disease Control Programme (NVBDCP) had identified 31 high burden districts from Assam, Uttar Pradesh and West Bengal for adult JE vaccination in the age-group of 15 - 65 years. The Adult JE vaccination campaign has been completed in all 31 districts of Assam, UP, West Bengal, wherein more than 3.29 crore beneficiaries aged 15 - 65 years were vaccinated.

  • Rotavirus Vaccine: Rotavirus is one of the leading causes of severe diarrhoea and death among young children. At present, Rotavirus vaccine has been introduced in 9 States - Andhra Pradesh, Haryana, Himachal Pradesh, Odisha, Madhya Pradesh, Assam, Rajasthan, Tamil Nadu and Tripura. Approximately 2.6 crore doses of Rotavirus vaccine have been administered to children since its introduction till September 2018.

  • Measles-Rubella (MR) Vaccine: Rubella vaccine has been introduced in UIP as Measles-Rubella vaccine to provide protection against congenital birth defects caused by Rubella infection. The campaign has been completed in 20 states/UTs (namely, Andaman & Nicobar Islands, Andhra Pradesh, Arunachal Pradesh, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa, Haryana, Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Odisha, Puducherry, Tamil Nadu, Telangana, Uttarakhand, Mizoram, Manipur, Punjab) and ongoing in 8 states/UTs (namely, Assam, Chhattisgarh, Gujarat, J&K, Jharkhand, Meghalaya, Nagaland, Tripura). A total of 13.04 crore children vaccinated till 29th October 2018.

  • Pneumococcal Vaccine (PCV) : PCV was launched in a phased manner in UIP in May’17 for reducing infant mortality and morbidity caused by pneumococcal pneumonia. It has been launched on 13th May, 2017. PCV is given in entire Bihar, Himachal Pradesh, Madhya Pradesh, 12 district of Uttar Pradesh and 9 districts of Rajasthan. Till September 2018, around 59.48 lakh children have been covered under it.

National Viral Hepatitis Control Program

  • MoHFW launched the National Viral Hepatitis Control Program on World Hepatitis Day, 2018 – 28th July. MoHFW also released the Operational Guidelines for National Viral Hepatitis Control Program, National Laboratory Guidelines for Viral Hepatitis Testing and National Guidelines for Diagnosis and Management of Viral Hepatitis.

  • The program has been launched with the goal of ending viral hepatitis as a public health threat in the country by 2030. The aim of the initiative is to reduce morbidity and mortality due to viral hepatitis.

  • The key strategies include:

    • Preventive and promotive interventions with focus on awareness generation, safe injection practices and socio-cultural practices, sanitation and hygiene, safe drinking water supply, infection control and immunization

    • Co-ordination and collaboration with different Ministries and departments

    • Increasing access to testing and management of viral hepatitis

    • Promoting diagnosis and providing treatment support for patients of hepatitis B & C through standardized testing and management protocols with focus on treatment of hepatitis B and C

    • Building capacities at national, state, district levels and sub-district level up to Primary Health Centres (PHC) and health and wellness centres such that the program can be scaled up till the lowest level of the healthcare facility in a phased manner.

Labour Room Quality Improvement Initiative - LaQshya

  • MoHFW launched LaQshya to improve the quality of care that is being provided to the pregnant mother in the Labour Room and Maternity Operation Theatres, thereby preventing the undesirable adverse outcomes associated with childbirth.

  • The goal is to reduce preventable maternal and new-born mortality, morbidity and stillbirths associated with the care around delivery in Labour room and Maternity OT and ensure respectful maternity care.

  • The initiative will be implemented in Government Medical Colleges (MCs) besides District Hospitals (DHs), and high delivery load Sub- District Hospitals (SDHs) and Community Health Centres (CHCs).

Rashtriya Bal Swasthya Karyakram (RBSK)

  • Launched in February 2013 for child screening and free treatment for 4 Ds i. e. Defects at birth, Diseases, Deficiencies and Development delays including disability.

  • Provisions free management of 30 selected health conditions.

  • As on date:

  • 11020 teams in 36 State/UTs are in place.

  • 92 District Early Intervention Centres (DEICs) are functional.

  • Nearly 82.5 crore children were screened and 1.96 crore children availed services for treatment since inception.

National Deworming Day (NDD)

To combat STH infections, the Health Ministry has adopted a single day strategy called NDD, wherein single dose of albendazole is administered to children from 1 - 19 years of age group through the platform of schools and anganwadi centres.

Rashtriya Kishor Swasthya Karyakram (RKSK)

Started in 2014 as a comprehensive programme focusing on Sexual Reproductive Health, Nutrition, Injuries and violence (including gender based violence), Non-Communicable Diseases, Mental Health and Substance Misuse with a promotive and preventive approach.

Mission Parivar Vikas (MPV)

  • Launched in 146 districts of 7 States for substantially increasing the access to contraceptives and family planning services in districts with TFR of 3 and above.

  • MPV encompasses the following gamut of activities

  • Roll out of Injectable Contraceptives

  • Sterilization Compensation Scheme

  • Condom Boxes in public health facilities

  • MPV Campaigns and Saarthi (IEC vehicle)

  • Nayi Pehl Kits to the newly married couples

  • Saas Bahu Sammellan

Family Planning – Logistics Management Information System (FP-LMIS)

  • Launched to strengthen the supply-chain management system.

  • The National training of trainers (ToT) has been completed.

  • State level trainings have been completed in 28 states and 17 States/UTs have also initiated the district level trainings.

Swachhta Hi Sewa

  • Encouraged by the achievements of Kayakalp Scheme, National Accreditation Board for Hospitals & Healthcare Providers (NABH) has decided to consider assessment of healthcare facilities in the private sector on the lines of parameters of Kayakalp Scheme. The Health Ministry will recognise the outstanding work done by the private hospitals on an annual basis. This is an initiative as part of the Swachchta Hi Sewa cleanliness and sanitation campaign being undertaken across various parts of the country.

  • The initiative has resulted in bringing significant improvement in the sanitation and hygiene, patient satisfaction, behavioural change in the staff & employees of the Hospitals/Institutions, patients and their attendants towards cleanliness. Public perception towards cleanliness & hygiene in public healthcare facilities has also been changing.

National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)

  • In order to prevent and control major Non-Communicable Diseases, Government of India is implementing the NPCDCS in all States across the country with the focus on strengthening infrastructure, human resource development, health promotion, early diagnosis, management and referral.

  • Progress so far:

  • 36 State NCD cells established

  • 515 District NCD cells established

  • 548 District NCD Clinics and 2591 NCD Clinics at CHC set up

  • 167 Cardiac Care Units (CCU), 152 District Day Care Centers set up

  • More than 3.32 crore persons screened at NCD Clinics upto September 2018 in 2018 - 2019

  • Strengthening of Tertiary Care for Cancer

  • 35 State Cancer Institutes/Tertiary Care Cancer Centers approved to mentor all Cancer-related activities in their respective areas.

  • National Cancer Institute being set up at Jhajjar in Haryana.

  • The second Campus of Chhitaranjan National Cancer Institute being set up in Kolkata

Population-Based Prevention, Control, Screening & Management for Diabetes, Hypertension and Common Cancer (Oral, Breast and Cervical)

  • Recently launched population-based initiative for Diabetes, Hypertension and Common Cancers is an important move. Services of ASHAs will be used for risk profiling and front-line health workers and primary & secondary health care infrastructure will be leveraged for screening and service delivery. This activity will generate awareness on risk factors of NCDs as well.

  • Operational Guidelines for Screening and Management of NCDs as part of Comprehensive Primary Care under NHM has already been developed and circulated. Training of Trainers for Medical Officers, Staff nurse, ANMs and ASHAs have been completed and 70853 ASHAs, 20532 ANM/MPWs, 3160 staff nurses and 4111 medical officers have already been trained.

  • As on 1st October 2018, screening has been initiated in about 215 districts 12 states and 2 UTs and 96,60,870 people have been screened.

  • A software & tablet application has been developed and being deployed. This application will capture all processes and will help in efficient program management, quality service delivery, treatment adherence and awareness generation.

Chronic Obstructive Pulmonary Disease (COPD) and Chronic Kidney Disease (CKD)

  • In order to prevent and manage the COPD and CKD, also major causes of death due to NCDs, their intervention has been included under NPCDCS.

  • Till date, CKD intervention as part of NPCDCS has been implemented in 40 districts and COPD intervention in 121 districts

National Multisectoral Action Plan

National Multisectoral Action Plan to prevent and control NCDs has been developed with consultation with a range of stakeholders including 39 departments of Union Government. The plan and process of its development has led to scaling up of a number of interventions, having direct impact on NCDs, but outside the health sector. India’s multisectoral efforts in prevention and control of NCDs have been recognized by United Nations.

AMRIT (Affordable Medicine and Reliable Implants for Treatment)

  • 146 pharmacies have been set up across 23 states for providing medicines for Diabetes, CVDs, Cancer and other disease at discounted prices to the patients.

  • A total of more than 5200 drugs and other consumables are being sold at upto 50 % discounts.

  • As on 30th November 2018,104.75 Lakh patients have benefitted from AMRIT Pharmacies.

Revised National Tuberculosis Control Programme

  • The Government of India (GoI) launched the National TB Programme in 1962 to address TB in India. The Revised National TB Control Programme (RNTCP), based on the internationally recommended Directly Observed Treatment Short-course (DOTS) strategy, was launched in 1997 expanded across the country by 2006. In 2007, GoI introduced the Programmatic Management of Drug Resistant TB (PMDT) to combat drug resistance and achieved full geographical coverage by 2013.

  • The Ministry has developed the National Strategic Plan (NSP) for Tuberculosis (2017 - 25) which builds on the success and learning of the last NSP and encapsulates the bold and innovative steps required to achieve sustainable development goal on TB in India by 2025, five years ahead of the global timelines.

IT Initiatives

  • Allied & Healthcare Professionals’ Database Portal. More than 3000 professionals have already registered on the portal during the testing phase. The website portal is a2hp. mohfw. gov. in. The portal has a capacity of capturing more than 10 lakhs Allied and Healthcare Professionals’ data. It will help the Government to track the number of professionals and streams of allied and healthcare professions in the country. It may further prove helpful in expediting the envisaged processes viz. licensing of professionals, workforce policy planning and bringing transparency in the system by maintaining standards of educational and clinical practice etc.

  • Budget Dashboard on Budget, Expenditure and Bill Payment position of MoHFW. The Budget Dashboard also incorporates Ministry of AYUSH and Department of Health Research. Budget and expenditure is available in a snapshot and also drilled down details in various categories, such as flagship schemes, Central sector expenditure, North East, SC/ST, Centrally Sponsored Schemes, etc. Various related presentations, Demand for Grants and all relevant budget circulars are also available on the dashboard. The dashboard has the unique feature of Bill Position for All India Pay & Accounts Offices (PAOs) of this Ministry and also reason for return of bills. It is another step towards transparency.

  • Soft-launch of the Integrated Disease Surveillance Programme (IDSP) segment of Integrated Health Information Platform (IHIP) in seven states. The path-breaking initiative will provide near-real-time data to policy makers for detecting outbreaks, reducing the morbidity and mortality and lessening disease burden in the populations and better health systems. The first one-of-its-kind initiative by the GoI, IHIP uses the latest technologies and digital health initiatives. The State Secretaries have been urged to be earnest in adopting this platform to strengthen early outbreak detection and informed public health response. Further, for effective implementation of the platform, 32,000 people at the block level, 13,000 at the district level and 900 at the state level have been trained. The IHIP vision and a ready-reckoner have also been launched to navigate the platform.

  • National Health Portal (NHP) is functioning as citizen portal for healthcare providing health related information to citizens and stakeholders in different languages (currently six languages). A voice portal, providing information through a toll-free number 1800 - 180 - 1104 and Mobile App has also been launched. It serves as a single point access for information on Health and Diseases including health messages; on Regulations, Standards, Policies, Programs, Commissions etc. ; Directory Services – Hospitals, Blood Banks, Ambulances.

- Published/Last Modified on: March 21, 2019

Health, Govt. Schemes/Projects

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