Topic – Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.
4) The National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) stresses on the preventive and promotive aspects of healthcare. Discuss.(250 words)
Why this question
Non-communicable and lifestyle diseases have become increasingly common and there is an urgent need to address such diseases along with the communicable diseases. NPCDCS is one of such efforts of the GOI aimed and it is important to discuss in detail as to how the scheme stresses on preventive as well as promotive aspects of healthcare in India.
Discuss- this is an all-encompassing directive which mandates us to write in detail about the key demand of the question. we also have to discuss about the related and important aspects of the question in order to bring out a complete picture of the issue in hand.
Key demand of the question.
The question wants us to write in detail about the NPCDCS scheme and its salient provisions. It wants us to write in detail as to how the scheme caters to the preventive as well as promotive aspects of healthcare.
Structure of the answer
Introduction– write a few introductory lines about the burden of non communicable diseases in india and their increasing prevalence due to lifestyle changes, environmental pollution etc. e.g In 2008, out of the 57 million global deaths, 36 million deaths, or 63%, were due to NCDs, principally cardiovascular diseases, diabetes, cancers and chronic respiratory diseases. Nearly 80% of NCD deaths occur in low-and middle-income countries. It is projected that globally NCDs will account for nearly 44 million deaths in 2020.
- Discuss in detail about the provisions of the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). E.g briefly discuss the objectives of the scheme- 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. 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.
- Discuss the strategy envisaged by the scheme. E.g Health promotion, awareness generation and promotion of healthy lifestyle Screening and early detection Timely, affordable and accurate diagnosis Access to affordable treatment, Rehabilitation the focus of the programme is on health promotion, prevention, detection, treatment and rehabilitative services at decentralized level up to district hospital under the overall umbrella of National Health Mission for primary and secondary level health care services. The programme division at the national level will develop broad guidelines and strategy for implementation of different components of the programme. The States may adopt and modify these guidelines as per their need and circumstances for implementation of the programme. Involvement of community, civil society and private sector partnership would be vital, and suitable guidelines would be made for the same etc.
Conclusion– sum up your discussion in a few lines and form a fair and a balanced conclusion on the above issue.