Health Care Management

National Health Programs (NHP) in India

Prof (Dr) Giri P V

MD PhD MHA
Vaidyaratnam Ayurveda College, Ollur
Social sciences and Health

Social scientists who investigate Health and health services try to

understand people’s perceptions, behaviors and experiences regarding health

and illness, their experiences regarding health care, their coping and

management strategies in relation to illness and functioning of health

services in relation to their effects on people.

Health and illness The Bio medical Model
Dominant model in the west

This model is based on the assumption that disease is generated by specific

aetiological agents which lead to changes in body’s structure and function

Cartesian philosophy – machine

If a part malfunctions, it can be repaired or replaced, the disease is treated

not the illness which is a subjective experience of dysfunction. Mind &
body functioning independently
Germ theory
The tracing of the causes of diseases to specific aetiological agents which can
be identified treated or cured through either biological means (vaccines) or
chemical means
The Social model of health
The SS differentiate between
the medical concept of the disease
And feeling and perceptions of the disease
Illness and sickness
Cannot be measured by biological indicators
Can be ill no sickness (HTN), can feel ill without BI (LBP)
Def. of health
Epidemiological triad
Host
Agent VECTOR
environment
Determinants of health transition
(social factors affecting health)
Individual predispositions
Ecological predispositions
Current circumstances
Opportunities
Health Impact Assessment (WHO)
These factors in turn are affected by economic, social, political, educational
and other systems
Health and development
are associated
Change in one affects the other
Two way relation between Health and development
Health and economic growth
burden of diseases
Disability-adjusted life year
The disability-adjusted life year (DALY) is a measure of overall disease
burden
DALY = YLL + YLD
Lesson Objectives

To know about the National Health Programs ( NHP) in India

Understand the relevance of the NHP

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
Why National Health Programs?
Disease burden is high
Geographical spread
proven strategies for prevention and control are available
Adequate infrastructure is in place
Resources for programme implementation are available.
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
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
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 Programmear
Programs related to System Strengthening / Welfare
National Rural Health Mission
Reproductive and Child Health Programme
National Water supply & Sanitation Programme
20 Points Programme
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 2001998
National Nutrition Policy