Disease

• Lack of funding: Funding

• Early detection, diagnosis & prompt MDT
• Involvement of ASHAs, PHCs, CHCS, ANMs
• Information, Education & Communication (IEC) activities
• Rare disease Component under Rashtriya Arogya Nidhi

Malaria

• RTS,S (Trade name: Mosquirix) malaria vaccine for falciparum
• Malaria Elimination Research Alliance (MERA)
India' to prioritise, plan and scale up research to eliminate the disease from India by 2030



• 'National framework for malaria elimination 2016-30
• WHO global technical strategy malaria elimination 2016-30
• Global Malaria Programme

Vaccine





Intensified Mission Indradhanush (IMI)

Hepatitis





 National Viral Hepatitis Control Program

TB

• Mycobacterium tuberculosis
• 2.8 million confirmed cases in 2015
• Who MultiDrug Resistant TB
• World TB report 2018:
○ 27% of new infections in India


• Misuse of Drugs:
• Unaware abt disease & delayed diagnosis
• Non accessibility - anti-TB drugs such as Bedaquiline and Delamanid 
• Linkage with air pollution
• Multidrug resistance, extreme drug resistance

• National Strategic Plan to end TB in India by 2025.
• Detect – Treat – Prevent – Build” (DTPB)
• DBT for nutritional need
• Revised National TB Control Programme (RNTCP)
• Nikshay: web based TB monitoring system.
• WHO end TB strategy
• Triple Billion Goals - 1 bn insurane

Leprosy

• Mycobacterium leprae, highly contagious
• NLEP indicated an all-time high of nearly 50,000 new leprosy cases in Bihar.

• Antimicrobial resistance in leprosy:
• Stigma about leprosy
• Undeveloped region

• Mycobacterium Indicus Pranii (MIP) -indigenous vaccine
• Multidrug therapy MDT, WHO free of charge to all patients
• National Leprosy Eradication Programme <NLEP>
• Decentralized integrated leprosy services through General Health Care system.
• Carrying out house hold contact survey in detection of Multibacillary (MB) & child cases.
• Early detection, diagnosis & prompt MDT
• Involvement of Accredited Social Health Activists (ASHAs)
• Strengthening of Disability Prevention & Medical Rehabilitation (DPMR) services.
• Information, Education & Communication (IEC) activities in the community to improve self-reporting to Primary Health Centre (PHC) and reduction of stigma.
• Intensive monitoring and supervision at Primary Health Centre/Community Health Center

NCD

• 71% of all deaths globally, 60% death in India
• SDG 4 component
• WHO framework for NDC
• Four major, cardiovascular, cancer, respiratory, diabetes