CONTENTS > INTRODUCTION » CAUSES OF HEARING LOSS » OBJECTIVES OF THE PROGRAM POM RYU C)| tO a an 016151 N00) » ORGANISATIONAL STRUCTURE >» PROGRAM IMPLEMENTATION > PROGRAM ACTIVITIES >» ACHIEVEMENTS OF THE PROGRAM » CONCLUSIONINTRODUCTION > Hearing loss is the most common sensory deficit in humans today and is the second leading cause for ‘Years Lived with Disability (YLD)’ , the first beiig depression, > As per WHO estimate, in India there are approximately 63 million people who are suffering from significant auditory impairment. Sa eM waeMe \-eolal Moles ML ea belo) Wel MU iNoe i LC) from severe hearing loss. Smo MCU Mate (elt Mola lM iis citstMole)l lll Reh Ine RAB industry and causing severe hearing loss in every country in the world.> Occupational hearing loss includes acoustic , traumatic injury and noise induced hearing loss. > Noise induced hearing loss is the second most common acquired hearing loss after age related loss. > 50% of causes of hearing impairment are preventable and can be corrected surgically and can be rehabilitated with the use of hearing aids , speech and hearing therapy.CAUSES OF HEARING LOSS > Aging process > Occupational hazards (those who are working in noisy areas ) > Wax in the ear > Chronic ear infection emer Mela er- Ui) > Ahole in tympanic membrane > Growths and masses in the ear & bones and cancer like diseasesTypes of Deafness > Conductive deafness : Due to defect in the conducting mechanism of the ear namely external and middle ear. > Sensori-neural deafness / Perceptive deafness : Due to lesions in the labyrinth, 8th nerve & central connections It includes psychogenic deafness. > Mixed deafness : Both the above mentioned types are ccaNPPCD > The Program was initiated in 2007 on pilot mode in 25 districts of 11 State/UTs. > In first phase manner , the program was-extended to 203 districts of 20 State/UTS by 2012, SPUR Ce cUMice ie secs ako uleh wee etelciay to additional 200 districts in a phased manner probably covering all the states and union territories by 2017.OBJECTIVES ee) tenis) > To reduce the total disease burden by 25% by the end of 11" five year Cie IMMEDIATE MSU Mlle ore le Mellel eke eMC rl sles e ol -la oles le) cl y responsible for hearing loss and deafness. > To prevent the avoidable hearing loss on account of the disease/injury.> To medically rehabilitate persons of all age groups suffering with deafness. > To strengthen the existing intersectoral linkage for continuity of the rehabilitation program. > To develop institutional capacity for ear care services by providing support for equipment, material and training personnel.STRATEGIES > To strengthen the service delivery including rehabilitation. EMMCoRelo (Males igecahioet-le cleo > To promote out reach activities and public awareness through innovative and effective IEC strategies with special emphasis on prevention of deafness.ORGANISATIONAE STRUCTUREHealth Minister Secretary Health & Family Director General of Health Welfare Services Additional Secretary Central Coordination Committee ; Additional Director Joint Secretary ened eae Director (Public Health Deputy Director General Under Secretary(Public Health) Chief Medical Officer Program ManagerCOMPONENTS OF THE PROGRAM i) 1) Training of all the manpower 2) Infrastructure Building 3) Service provision 4) IEC activities‘National Programme for Preventi: Components/Year 2012-13 | 2013-14 IEC 21.06 Training 1780 Manpower 11.00 Equipments ea Hearing Aid 23.02 Screening Camps 8 Monitoring PPP Research & Evaluation ‘Toral aCENTRAL LEVEE > Central Coordination Committee will be constituted at the central UN > This will consist of following members: Representative of DGHS =2 elu wema he) Sa SN Solera ite ile cli rs Audiologists and speech therapists -2 Public Health expert = - 1 Representative of Rehabilitation Council of India (RCI) - 4> This Committee will evaluate and moniter the Haveceueialce telecom elneyel tlie Smee MSO moe lmt) Mle -Ne:-lalie- 18 Wl a BCL fem cey provide necessary leadership, technical support to'the State ET MBI wed Nn (e are (olar Ul tomSTATE LEVEL este CMa lteter iN alel ace): ie Ore WT CCLaises clecrem ao oie St > It will function for... - Preparation of district plans for implementation of NPPCD , - Monitoring and supervise: implementation of program , - Release and Monitoring of flow of funds to the District Health Societies.Bamana ec MOM ALAC) State Nodal Officer; ENT Specialist / Surgeon Audiologist a to provide technical guidance ‘and expertise to the State Health SocietyDISTRICT LEVEL PNM UMS a chic eM CMe) lela a (riot Neco Cele eel TR TM el ae (01) col meen - Planning and Implementation of the program , ~ Financial and material management , - Social mobi ion and public awareness , ROU Aces miele lou leet La - Arrangement for Screening camps and monitoring the activities for NGOsSee) telaa Cee) Ulises District Nodal Officer ; ENT Surgeon - 1 Audiologist = 1 and they will be the key persons for the implementation of the program in the district. Mens er cla kis Sra neun tise lcs paca neculte enema ton ocel after the therapy and training of young hearing impaired children at district level.PROGRAM IMPLEMENTATION > Center of Excellence — The State Medical College — which EM eee R Urea cee(c-Ui) > Main Focus of Activity of the Program - The District Hospital > The program will be strengthened through training of ... - ENT doctors - Audialogist earl eel Mul crel OSC ik hime beri therapeutic, & rehabilitation activities.SM Rece eeu en ees OR UEC ao te lan ee CROCE Ca Bees Colrvel Me rstCom crs Pet Ua COT 12 oR Bet Red lel elem eee MC Uy Peete Manne cals SMO R eu eel IIe Date fessR Mics Celica Asean ra iLe reel MU cll cmc ialetclES RTL eRe aoe ea Boerne ime leeH loll cM emetrc le) awareness and mobilizing the communities. Reena Cum Ne RA lula aU cL The ear check up will be done by the PHC or CHC doctorsSCREENING TESTs 1) Audiometry BERA ( Brainstem Evoked Response Audiometry) - Simple rave oiLcc] Baa clli-le)(<9 But COST is prohibiting factor to make it available in all the placesPanett et RO) sar eam ee (luis a =.esa0) eas MEM LCI OR LTE MCT team nC IN and duration of sounds presented > Respond to 70db noise = i) a new born baby— eye blink , 6ye widiening or startle ii) between age of 6— 16 weeks — arousal , eye blink or eye shift can be useful to detect to indicate hearing eI LdACHIEVEMENTS > Modules of training ef doctors , multipurpose workers and technicians have been developed. > In some places such as Delhi, training of trainers has been ES Clitok > In many districts, hearing aids are distributed to poor fon ela > This program is integrated with the NRHM framework.OL@ VIN [Sli ike} SMO lator eM-te rTM Corolle tM Mc) ual-| ova e=lo(* (eae r= (nTosceLae) TPT Moms cree me Ue ial} -2-1((9]0 Re) 09 -r- oe tala ea AWWs indicates poor planning. SMMC em Tel ciao ila NU mel UCR eie Ut Mater] UM) are neither the permanent health staff nor skilled enough to handle.pom Ol acero efor Mi= 0 (Selene kL rT aol all levels of health professionals without identifying the impact factors of previous trainings on other subjects > In 124 Five Year Plan not much emphasis is given on this program. > Similarly in NRHM, it is low priority.CONCLUSIONThank you for “LISTENING”