1. National Health Programs- India INTRODUCTION
Dr. KANUPRIYA CHATURVEDI
Series of National Health Programs lectures

2. Lesson Objectives
To know about the National Health Programs ( NHP) in India
Understand the relevance of the NHP
Understand difference between vertical and horizontal programs.

3. How to achieve health
By improving host resistance to environmental hazards
By improving environmental safety
By improving health systems designed to increase the likelihood, efficiency & effectiveness of the first two goals

4. Why National Health Programs?
DISEASE BURDEN IS HIGH
GEOGRPAHICAL SPREAD
PROVEN STRATEGIES FOR PREVENTION AND CONTROL ARE AVAILABLE
ADEQUATE INFRASTRUCTURE IS IN PLACE
RESOURCES FOR PROGRAMME IMPELMENATION ARE AVAILABLE.

5. Vertical Health Programs
Separate Health Structures with strong central management dedicated to the planning, management & implementation of selected interventions
Advantages
Clear objectives & targets motivate staff
Operational planning is focused & easy to deliver
Efficient & effective delivery
Better ability to monitor restricted output

6. Contd.
Disadvantages
No capacity to accommodate extra work in disasters
Resources used for specific activities only
Deskilling of health worker
No focus on overall development
Dependent on donors for funding
Placement of workers after completion-Challenging
Long term public motivation not sustained
May not be cost effective in long run

7. Integrated Health Programs
Advantages
Help national development on a broader perspective
Incorporates multidimensional concept of health
Efficient & effective delivery through inter-sectoral collaboration
Has capacity to accommodate extra work
Responds to community needs
Cost effective in long run
Holistic approach to health

8. Contd. Disadvantages Sometimes fail to target priority effectively
Complex programming may lead to more failure
Lack of expertise in integrated programme management

9. Programmes for Communicable Diseases
National Vector Borne Diseases Control Programme (NVBDCP)
Revised National Tuberculosis Control Programme
National Leprosy Eradication Programme
National AIDS Control Programme
Universal Immunization Programme
National Guinea worm Eradication Programme
Yaws Control Programme
Integrated Disease Surveillance Programme

10. Programmes for Non Communicable Diseases
National Cancer Control Program
National Mental Health Program
National Diabetes Control Program
National Program for Control and treatment of Occupational Diseases
National Program for Control of Blindness
National program for control of diabetes, cardiovascular disease and stroke
National program for prevention and control of deafness

11. National Nutritional Programs
Integrated Child Development Services Scheme
Midday Meal Programme
Special Nutrition Programme (SNP)
National Nutritional Anemia Prophylaxis Programme
National Iodine Deficiency Disorders Control Programme

12. Programs related to System Strengthening /Welfare
National Rural Health Mission
Reproductive and Child Health Programme
National Water supply & Sanitation Programme
20 Points Programme

13. National Health Policies
National Health Policy 2002
National Population Policy 2000
National AIDS control and Prevention Policy
National Blood Policy
National Policy for empowerment of Women 2001
National Charter for Children
National Youth Policy
National Nutrition Policy