NATIONAL IODINE

DEFICIENCY
DISORDER CONTROL
PROGRAMME
BY
MRS. ATHIRA B PRASAD
LECTURER, SJCON
INTRODUCTION

• National Goitre Control Programme (NGCP) launched in 1962 (100% centrally

• sponsored)
• • National Iodine Deficiency Disorders Control Programme (NIDDCP) was launched
• in 1992.
• Realizing the magnitude of the problem, the Government of India launched a 100
per cent centrally assisted National Goitre Control Programme (NGCP) in
1962.   In August, 1992 the National Goitre Control Programme (NGCP)
was renamed as National Iodine Deficiency Disorders Control
Programme (NIDDCP) with a view of wide spectrum of Iodine Deficiency
Disorders like mental and physical retardation, deaf mutisim, cretinism,
still births, abortions etc.. The programme is being implemented in all the
States/UTs for entire population.
GOAL

•  1. To bring the prevalence of IDD to below 5% in the country

•  2. To ensure 100% consumption of adequately iodated salt (15ppm) at the
household level.
OBJECTIVES

•  Surveys to assess the magnitude of Iodine Deficiency Disorders in the districts.

• Supply of iodated salt in place of common salt.

•  Resurveys to assess iodine deficiency disorders and the impact of iodated salt
after every 5 years in the districts.
•  Laboratory monitoring of iodated salt and urinary iodine excretion.

• Health Education and Publicity.       

POLICY

• On the recommendations of Central Council of Health in 1984, the Government

took a policy decision to Iodate the entire edible salt in the country by 1992. 
• The   programme started in April, 1986 in a phased manner.
NODAL MINISTRY

• Ministry of Health & Family Welfare is the nodal Ministry for implementation of National Iodine Deficiency Disorders Control
Programme (NIDDCP).
Financial assistance to all States /Uts for the following

Human resource of State IDD Cell i.e Technical Officer, Statistical Asst. & LDC and State IDD monitoring laboratory i.e. Lab
Technician & Lab Assistant.
•   Health education and publicity activities including global IDD Day activities.

•  Conducting district IDD survey/resurvey to assess magnitude of IDD.

•  Procurement of salt testing kits by State/UTs for IDD endemic districts for creating awareness at the community level about
consumption of iodized salt and monitoring of salt for presence of adequate iodine at household level ( since 2013-14).
•  Performance based incentive to ASHA @ Rs. 25/- per month for conducting 50 salt samples testing by STK at
household/community level (since 2013-14).
 ACHIEVEMENTS

•  Over the years the Total Goiter Rate (TGR) in the entire country is reduced significantly.

• Production of iodized salt in the country reached to 65.00 lakh MT which is adequate to
meet the requirement of population.
•     The consumption of adequately iodated salt at household level has been increased
from 51.1% (as     per      NFHS III report 2005-06) to 71.1%
•   Regulation of Food Safety and Standards (Prohibition and Restriction on Sales),
Regulation, 2011 restricts the sale of common salt for direct human consumption
unless the same is iodized.
CONTD...

• National Reference Laboratory for monitoring of IDD has been set up at NCDC, Delhi. Four
Regional laboratories one each at NIN, Hyderabad, AIIH&PH, Kolkata, AIIMS and NCDC, Delhi
have been set up to conduct training, monitoring, quality control of salt and urine testing.
• For effective implementation of NIDDCP 35 States/UTs have established IDD Control Cells in their
State Health Directorate. 35 States/UTs have set up State IDD monitoring laboratories in their
respective States/UTs.
• Extensive IEC activities have been carried out to create awareness about the regular consumption
of iodated salt in prevention and control of IDD through Doordarshan, All India Radio, Directorate of
Field Publicity, Song and Drama, Directorate of Advertising and Visual Publicity.
INDICATORS TO MONITOR SUCCESS OF
NIDDCP
Process Indicators: Indicators to monitor and evaluate the salt iodization process
• –– Salt iodine content at the production site
• –– Salt iodine content at point of packaging
• –– Salt iodine content at wholesale and retail levels
• –– Salt iodine content in households
Impact Indicators: Indicators to assess baseline (Iodine Deficiency Disorders) IDD status
and to monitor and evaluate the impact of salt iodization on the target population.
• –– Urinary Iodine Levels
• –– Goitre assessment:
• –– Neonatal thyroid stimulating hormone (TSH) levels:
• •Sustainability Indicators: Indicators to assess whether iodine deficiency has been
successfully eliminated and to judge whether achievements can be sustained and
maintained for the decades to come
• –– Median urinary iodine levels in the target population
• –– Availability of adequately iodized salt at the household level
• –– Set of programmatic indicators (as evidence of sustainability).
THANK YOU