Universal screening of common ncds H&WC Programme

Prevalence per 100 population It is estimated that the overall prevalence is: Disease Prevalence per 100 population Hypertension 15.9 Diabetes 6 Ischemic Heart Diseases(IHD) 3 Stroke 0.15

2-hours Post Glucose Load (mg/dl) Disease Parameter Diseases Fasting Glucose (mg/dl) 2-hours Post Glucose Load (mg/dl) Diabetes >=126 >=200 Pre Diabetes >=110 to <126 >140 to <200 Normal >110 >140 Diseases Systolic (mm/Hg) Diastoli Hypertension >=140 >=90 Pre Hypertension 120 to 139 80 to 89 Normal <120 <80

;wfuolZy LØhfuax vkWQ dkWeu ,ulhMht izksxzke ds vUrxZr dh tkus okyh xfrfof/k;ka fizfUVax%&Qsfeyh QkWYMj] O;fDrxr LokLF; dkMZ] leqnk; vk/kkfjr ewY;kadu psdfyLV (CBAC), izf’k{k.k ekWM~;wYl bR;kfnA izf'k{k.k%&vk’kk] ,,u,e] lh,pvks] LVkQ ulZ] ,y,poh@ih,p,e ,oa esfMdy vkWfQljA Qsfeyh losZa%& vk’kk lg;ksfxuh }kjk ?kj&?kj tkdj izR;sd ifjokj dk Qsfeyh losZ fd;k tkuk gSaA Qsfeyh QkWYMj dh rkfydk esa ml ifjokj ds 30 ls 65 vk;q oxZ ds O;fDr;ksa dk fooj.k Hkjuk gSaA 30 ls 65 vk;q oxZ ds izR;sd O;fDr;ksa dk leqnk; vk/kkfjr ewY;kadu psdfyLV (CBAC) izi= Hkjk tkosaA (CBAC) izi= esa Hkkx v eas ;fn fdlh O;fDRk dk Ldksj 4 ;k vf/kd vkrk gSa rks mldks vlaØked chekjh ds fy, gkbZfjDl xzqi esa ekuk tkosxk rFkk mldks izkFkfedrk ds vk/kkj ij ,ulhMh LØhfuax dh tkosaA (CBAC) izi= ds Hkkx c esa ;fn fdlh ejht ds chekjh ds y{k.k esa gka vkrk gSa rks mls vafre funku gsrq fpfdRlkf/kdkjh ds ikl jSQj fd;k tkosaA

Cont… mDRk izi= Hkjus ds lkFk&lkFk lacaf/kr O;fDr dh lgefr Hkh yh tkosaA losZ lgh gks bldk izekf.kdj.k gsrq ,,u,e@lh,pvks }kjk vk’kk lg;ksfxuh }kjk fd;s x;s losZ dk 10 izfr’kr dk izekf.kdj.k fd;k tkosaaA LØhfuax%& ftl vk’kk lg;ksfxuh ds {ks= losZ iw.kZ gks x;k gSa mlds {ks= esa dSEi dk ,,u,e }kjk Iyku cukdj dSEi dk vk;kstu fd;k tkosa ftlesa ,,u,e@lh,pvks }kjk CyM izs’kj ,oa CyM 'kqxj dh tkap dh tkosa ;fn fdlh O;fDr ds Mk;fcfVt ,oa gkbZijVsU’ku dh lEHkkouk ikbZ tkrh gSa rks mls vafre funku gsrq fpfdRlkf/kdkjh ds ;gka jSQj fd;k tkosaA tkap dh xbZ fjiksVZ dks ml O;fDr ds O;fDrxr LokLF; dkMZ eas bUnzkt fd;k tkosaaA O;fDRkxr LokLF; dkMZ ,,u,e@lh,pvks }kjk Hkjk tkosxkA Mk;fcfVt ,oa gkbZijVsU’ku dh LØhfuax o"kZ esa 1 ckj rFkk dkWeu dSalj dh LØhfuax 5 o"kZ esa ,d ckj dh tkuh gSA tc rd VscysV dk Ø; ugha fd;k tkrk gSa rc rd dk fjdkWMZ ladfyr dj lacaf/kr ih,plh ij j[kk tkosa rFkk losZ ds izi= lacaf/kr ,,u,e@lh,pvks ds ikl j[kk tkosaA fizfUVax%&¼eksM~;wYl] Qsfeyh QkWYMj] uohu lhch,lh izi=] fjiksfVZax izi= bR;kfn½

Cont… mipkj ,oa QkWyksvi%& fpfdRld }kjk tkap djus ij ;fn fdlh O;fDr dks Mk;fcfVt ,oa gkbZijVsU’ku ik;k tkrk gSa rks mls ,d ls rhu ekg rd dh nokbZ nh tkosaA vafre funku ,oa mipkj dk Hkh O;fDrxr LokLF; dkMZ eas bUnzkt fd;k tkosaA ftu O;fDr;ksa ds vlaØked chekjh ikbZ tkrh mudk ,,u,e@vk’kk lg;ksfxuh }kjk le;≤ ij QkWyksvi fd;k tkosa ;fn QkWvksvi ds le; fdlh ejht dks mDr chekjh ls lacaf/kr dksbZ dfBukbZ ikbZ tkrh gSa rks mls fpfdRld ds ikl jSQj fd;k tkosaA Treatment Protocol & Algorithm

¶ykspkVZ Family Survey (By Asha) 1. Family Folder 2. Individual Health Card. 3. CBAC CBAC Score ≥4 (1st Priority Screening) CBAC <4 DM/HTN/Ca Breast/Oral-ANM/CHO Other Cancer -PHC by MO & Trained Staff Nurse Suspected case of DM/HTN/Common Cancer Refer to Confirmation – PHC and Higher Center Confirm Case – Proper Treatment/Follow-up Report Keeping/Online Entry

Role of H&WCs (SHC) Initial screening & diagnostic will be taken care by H&WC with the help of MLHC Referral to higher centre as per requirement. The drug of NCD (as per list) stored on Swasthya Kalyan Kendra (H&WC ). Once the patient is diagnosed in higher health facility, required essential drugs will be prescribed by authority & drugs will be available in respective H&WC for follow treatment. Follow up visit will be communicated through CHO in respective H&WC(Tele communication)

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