HEALTH ORGANISATIONS. National Health Programme

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HEALTH ORGANISATIONS National Health Programme There are various National Health Programmes launched in India to eradicate fatal diseases. National Health Programme launched by Indian government after independence in 1947, took up the task of improving the people s quality of life. Main reasons for a very long time suffering of people due to infectious diseases included lack of safe drinking water, poor sanitation, poverty and ignorance. Infectious disease resulted in increase of death rate which created an urge for launching National Health Programme in 1983. Primary Health Centres (PHC) Primary Health Centres were started to provide various health care facilities to rural people. Each PHC comprised a Medical Officer, a Block Extension Educator, one female Health Assistant, a compounder, a driver and a laboratory technician. Every Primary Health Centre covers a population of one lakh and at about 100 villages. Every PHC was also equipped with a vehicle to carry patients to the nearest hospital if required. PHC also had necessary facilities to carry out small surgeries. Apart from the health care facilities and PHC s, the government has launched many other programmes.

National Leprosy Control Programme The National Leprosy Control Programme was launched in 1955. Leprosy is a chronic infection caused by Mycobacterium leprae. Because of the social stigma attached to leprosy and the misconception that it got transmitted by merely touching an infected person, patients had to be isolated and segregated for treatment. To tackle this problem efficiently, patients were identified in the early stage of the disease for treatment. Leprosy control centres were set up at several places. After getting treated by multi-drug therapy, these patients were rehabilitated. National Malaria Eradication Programme Another health programme launched by Government of India in 1958 was the National Malaria Eradication Programme. Malaria has been a problem in India for centuries. Its annual incidence was estimated at around 75 million cases in 1953 with about 8 lakh deaths annually. As the programme was launched in 1961, the incidence dropped to a mere 5,000 cases a year. The primary aim of the programme was the eradication of malaria with the help of community cooperation. Workers of PHCs and the Department of Malaria Control collected blood samples of people suffering from fever. The blood samples were tested for malaria. If the tests were positive for malaria, then the appropriate drugs were distributed through health workers and members of the panchayat samitis. Insecticides were also sprayed in the areas where those with the positive tests live, to control the disease.

National Tuberculosis Control Programme The National Tuberculosis Control Programme (NTCP) was launched in 1962 to control tuberculosis or TB. This disease was a major public health problem in India. It accounts for one-fifth of global TB incidence. The objectives of the programme were to achieve and maintain a cure rate of at least 85 per cent among newly detected infectious TB cases. A district tuberculosis disease in-charge was appointed in every district, who carries out identification and examination of the patients. The patients were then given the required treatment. National Guinea Worm Eradication Programme India was also the first to launch a programme to eradicate the guinea worm. The National Guinea Worm Eradication Programme was launched in 1983. Naru or the guinea worm disease is a vector-borne parasitic disease that affects the tissues of the legs and feet. Water infested with Cyclops is the main link in the transmission of the guinea worm disease. In India, cases of guinea worm were found in Karnataka, Rajasthan, Madhya Pradesh, Maharashtra and Gujarat. The number of cases was rising steadily. Alarmed by the spread of the disease, the government made sure that thousands of wells and ponds filled with contaminated water were sealed. Safe and clean water sources were provided. People were educated about the need to drink boiled water.

Health camps were held where guinea worms could be extracted. In the year 2000, the World Health Organisation certified that India was free of the guinea worm. National AIDS Control Programme National AIDS Control Programme was implemented across India in 1991. After the first case of HIV was detected in Chennai in 1986, the virus spread rapidly across the country in both urban and rural areas. HIV epidemic has established itself in the states of Andhra Pradesh, Maharashtra, Manipur, Nagaland, Karnataka and Tamil Nadu. The objectives of the National AIDS Control Programme are elucidated. To check the spread of HIV To prevent HIV transmission To reduce future mortality and the impact of AIDS To minimise the socio-economic impact of HIV infection. Pulse Polio Immunisation The Pulse Polio Immunisation Campaign was started by the Government of India in 1994 to eradicate polio by vaccinating all children under age five with a dose of Oral Polio Vaccine (OPV) against poliovirus annually. The campaign proved to be successful and the incidence of polio in India has decreased.

Other programmes The other national health programmes included environment cleanliness, population control, vaccination, improvement of nutritional habits and the village health programme. International organisations Apart from the efforts of the government, international organisations like World Health Organisation (WHO), United Nations International Children s Fund (UNICEF) and World Bank also provide aid in controlling the spread of diseases. WHO is a specialised agency of the United Nations (UN) that acts as a coordinating authority on international public health. The organisation was established in April 1948 with its headquarters in Geneva, Switzerland. The objective of WHO is the attainment of good health by all people. WHO also carries out various programmes in India, such as eye camps, health awareness campaigns, community health meals and environmental cleanliness in government hospitals. UNICEF was set up on December 11, 1946, by the United Nations. Headquartered in New York City, UNICEF provides long-term humanitarian and developmental assistance to children and mothers in developing countries. It works for promoting the health and well-being of children and spreading awareness of children's rights.

All these national health programmes and international organisations have proved beneficial in the reduction and control of various fatal diseases, thus decreasing the mortality rate considerably.