NON COMMUNICABLE DISEASE CONTROL PROGRAMME
Introduction
Non- Communicable disease (NCD), also known as chronic disease include Cardiovascular diseases, diabetes, stroke most forms of cancers and injuries. Such diseases mainly result from lifestyle related factors such as unhealthy diet, lack of physical activity and tobacco use. Changes in lifestyle, behavioural patterns, demographic profile (aging population), socio-cultural and technological advancements are leading to sharp increase in the prevalence of NCD. These diseases by and large can be prevented by making simple changes in the way people live their lives or simply by changing our lifestyle.
To contain the increasing burden of Non-Communicable Diseases, Ministry of Health and Family Welfare, Government of India has initiated the National programme for Prevention and control of Cancer, Diabetes, Cardiovascular diseases and Stroke (NPCDCS) which focuses on health promotion and prevention, strengthening of infrastructure including human resources, early diagnosis and management and integration with the primary health care system through NCD cells at different levels for optimal operational synergies.
The NPCDCS Programme was initiated at 2 Districts (East and South Districts) of Sikkim in year 2010-11.
Objectives:
Health promotion through behavior change with involvement of community, civil society, community based organizations, media etc.
Opportunistic screening at all levels in the health care delivery system from sub-centre and above for early detection of diabetes, hypertension and common cancers. Outreach camps are also envisaged.
To prevent and control chronic Non-Communicable diseases, especially Cancer, Diabetes, CVDs and Stroke.
To build capacity at various levels of health care for prevention, early diagnosis, treatment, IEC/BCC, operational research and rehabilitation.
To support for diagnosis and cost effective treatment at primary, secondary and tertiary levels of health care.
To support for development of database of NCDs through Surveillance System and to monitor NCD morbidity and mortality and risk factors.
NPCDCS IN CONVERGENCE WITH CHIEF MINISTERS COMPREHENSIVE ANNUAL & TOTAL CHECK-UP FOR HEALTHY SIKKIM (CATCH).
The National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) has been converged with CATCH( Chief Ministers Comprehensive Annual and Total Check up for Healthy Sikkim) the flagship programme of Government of Sikkim . Screening in conversion with CATCH includes the risk profile of individual, early detection of all communicable and non-communicable disease including hypertension, Diabetes, detection of common cancer i-e oral, cervical and breast cancer . IEC on Healthy lifestyles along with Counseling on risk reduction strategy are carried out throughout the state through CATCH Camp. Follow up of the case is being done at VHSND and NCD Clinics
NCD Clinic Data for FY 2015-16
| Indicators | Person Checked (2015-16) | ||
|---|---|---|---|
| No. of persons attended NCD Clinic | 52982 | ||
| No of persons reported in-referral | 210 | ||
| Patients Diagnosed with | Diabetes | 2088 | |
| HTN | 4814 | ||
| CVDs | 133 | ||
| Cancers | 6 | ||
| Persons put on Treatment | Diabetes | 2088 | |
| HTN | 4814 | ||
| CVDs | 119 | ||
| No. person treated at CCU | CVDs | 53 | |
| Strokes | 53 |
Financial Report Under NPCDCS for the FY 2015-16
| Programme | Opening Balance as on 01.04.2014 (Rs.) | Fund Received from GOI during the Year | Interest Accrued (Rs. In Lakhs) | Total (Rs. In Lakhs) | Expenditure reported during the year (Rs. In Lakhs) | Unspent Balance as on 31.03.2016 (Rs. In Lakhs) | Remarks |
|---|---|---|---|---|---|---|---|
| NPCDCS | 3607769.5 | Nil | 28.45 | 764.53 | 142.05 | 622.486 | Balance includes Rs. 480 Lakhs of TCC fund |