1. Universal screening of common ncds H&WC Programme

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

4. 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

5. ;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] ,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

6. Cont…
mDRk izi= Hkjus ds lkFk&lkFk lacaf/kr O;fDr dh lgefr Hkh yh tkosaA
losZ lgh gks bldk izekf.kdj.k gsrq }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 }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 }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 ds ikl j[kk tkosaA
fizfUVax%&¼eksM~;wYl] Qsfeyh QkWYMj] uohu lhch,lh izi=] fjiksfVZax izi= bR;kfn½

7. 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 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

8. ¶ykspkVZ Family Survey (By Asha)
1. Family Folder Individual Health Card 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

9. 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)

10. THANK YOU