Sector Expert Consultation on Non-Communicable Diseases

On November 24th, 2017, the sector expert consultation on non-communicable diseases. A total number of 23 experts participated in the consultation.

The consultation included experts from government agencies such as the National Urban Health Mission, State Institute of Health and Family Welfare, Department of Medical and Health Services, Jaipur, National Federation of Indian Women, SMS Medical College along with other leading stakeholders from NCD sector of Rajasthan State. 

All experts contributed to a meaningful discussion on the solutions to address challenges for governance sector. A total of 41 interventions for the sector were listed.

Interventions

• Database for patient record to keep track of disease life
• Education for healthy lifestyle – with focus on providing awareness among school going children  
• Education for early warning sign and diagnosis of 1) cancer, 2) cardiovascular disease, 3) cerebrovascular and 4) diabetics  
• Vaccination for hepatitis-B 
• Universal HPV vaccination (including HPV into primary vaccination program) – 3 vaccines to be given at pre-puberty age 
• Provision of reliable data capturing and disease pattern (duplicity of patient records, incorrect data capturing etc)  
• Online data management system for NCD and integration of HMIS (main reporting system for health department) 
• Online profiling of patient with facility of feeding it from all sources – Integration of data with AADHAR (to ensure monitoring, follow up and regular preventive care suggestions)  
• One surveillance system for NCD and data capturing, with collection from the first level of contact with patient 
• Statistics on detection of disease and feed in back to One surveillance system
• Training and awareness of frontline workers including ASHA  
• Cushion for Health shock or out of pocket expenditure (alternate option or insurance cover) 
• Strengthening the free medicine and diagnostic program (PM free medicine program) 
• Increase the incentive for ASHA or increasing ASHA working per unit of population  
• Mental health issue to be given higher priority 
• Reduce the salt intake in food and advisory on maximum permissible limit of salt 
• NCD risk factor surveillance systems institutionalization and integration into the national health system
• Joint meeting of CMHO and district program nodal officer for better administration and monitoring  
• Counseling service for hypertension, self-injury and suicide cases (including in rural area and women population)    
• Regulated and reduced sugar intake            
• Continuity of existing scheme for NCD without much alteration 
• Higher resources and provision for technical staff for NCD clinics
• Ensuring mandatory follow-up after the first level of screening for NCD and connecting them with main health system  
• Awareness about of NCD in urban slums and remote rural area (area with hidden higher prevalence) 
• Public awareness and advertisement on warning sign for NCDs through mass media on diet and physical activity
• Mandatory warning and Smoke-free indoor workplaces and public places
• Replacement or trans-fat with polyunsaturated fat
• Promotion of improved stoves (to avoid Indore air pollution due to cooking stoves) 
• Task shifting to improve mental health issue 
• Awareness of consumption of alcohol targeting the age group of 12 to 24 years  
• Reduce fertilizer and pesticide usage in agriculture (promote usage of organic manure)  
• Reduce/prevent usage of tobacco (including smokeless tobacco) and alcohol 
• Tobacco cessation program and Audit of tobacco cessation clinic
• Tobacco quitline to be integrated with main health line  
• Promotion of healthy living, health information, and warnings
• Regulation of marketing for tobacco, alcohol and fast food 
• More research and data generation initiative to encourage research 
• Sanitary napkin wending machine in rural area 
• Awareness of mensuration hygiene            
• Diseases to be added in NCD like self-injury, suicide, road accident 
• Better IEC for NCD awareness along with communication material for ready reference 

List of Participants

• Dr. Hemant Malhotra, Professor, and head Oncology department, SMS Medical College, Jaipur 
• Dr. Rashi Gupta, Urban Health Planning Consultant, National Urban Health Mission, Govt of Rajasthan
• Dr. G L Meena, District Project Officer, Jaipur, CMHO
• Dr. Naresh Ahlawat, In-charge-NCD Clinic Jaipur, Govt of Rajasthan
• Tushita Mukherjee, Project Coordinator, PRAYA Jaipur 
• Kiran Manth, Urban Health Planning Consultant, Jaipur -II, CMHO
• Bhanwari Lal, CEO, Lok Kalyan Samitee, Barmar
• Vijay Kumar, Research Officer, IIHMR University 
• Charu Mathur, Associate Professor, IIHMR University
• Piyusha Majumdar, Assistant Professor, IIHMR University 
• Dr. Devendra Sharma, SNO, Department of Medical and Health Services, Jaipur 
• Dr. R, N Meena, SNO, Department of Medical and Health Services, Jaipur
• Dr. Daya Krishan Mangal, Research Dean, IIHMR University
• Dr. Neeraj Sharma, Research Officer, IIHMR University
• Jitendra Dadhich, Scheme Examination Officer, National Health Mission 
• C P Sharma, SPA-NCD, National Health Mission, Department of Medical and Health Services, Jaipur
• Ashok Pareek, SPA, National Health Mission, Department of Medical and Health Services, Jaipur
• Dr. Mamta Chauhan, Associate Professor, State Institute of Health and Family Welfare, Govt of Rajasthan
• Nishanka Chauhan, SRO, State Institute of Health and Family Welfare, Govt of Rajasthan
• Raj Kumari Dogra, Vice President, National Federation of Indian Women, Rajasthan     
• Dr. Rakesh Gupta, President RCF and Hon Consultant-SDMH and Piramal Swasthalaya
• Raj Kumari Dogra, Vice president State CNFIW, NFIW
• Dr.Sameer Phadnis, Associate Professor, IIHMR University, Jaipur