SDG goal 33 to combat viral hepatitis Universal Health Coverage Umbrella for Viral Hepatitis Indias response MCH Immunization NACP HCW Injection Safety Across all geographies all people focus on priority groups finances under NHM domestic budget Linkages to other programs ID: 927442
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Slide1
National Viral Hepatitis Control Program
SDG goal 3.3 to ….combat viral hepatitis
Slide2Universal Health Coverage Umbrella for Viral Hepatitis- India’s response
MCH
Immunization
NACP
HCW
Injection Safety
Across all geographies, all people ( focus on priority groups), finances under NHM ( domestic budget), Linkages to other programs and schemes ( NCD,
Ayushman
Bharat)
Swachh Bharat
Surveillance
Slide3Ensuring Universal Health CoverageAll states and UTsIdentifying key Population- for different virusesAddressing priority populationsIdentifying appropriate intervention
Training and capacity building
Data quality
Quality services
Quality commodities
Integrated approach
Avoiding duplication
Domestic funding for sustainability
Ensuring
AccessAddressing Quality
Ensuring Financing
Slide4Five key documents
Slide5AimsElimination of Hepatitis C by 2030Reduction in the infected population, morbidity and mortality associated with Hepatitis B and CReduce the risk, morbidity and mortality due to Hepatitis A and E.
Slide6Key ObjectivesEnhance community awareness on hepatitis and lay stress on preventive measuresProvide early diagnosis and management of viral hepatitis at all levels of healthcareDevelop capacities for implementation of standard diagnostic and treatment protocols
Slide7Key ObjectivesStrengthen the existing infrastructure facilitiesbuild capacities of existing human resource raise additional human resources, only where required Develop linkages with the existing programs/ ministerial activitiesNACP, Immunisation, MH, Mo Drinking water and SanitationDevelop a web-based “Viral Hepatitis Information and Management System
” to maintain a registry of persons affected with viral hepatitis and its sequelae.
Slide8Overall Framework- SnapshotAnnual PIP and targets, State level planning & scaleup, intersectoral coordination, M & EDiagnosis, Treatment, Referral, Quality Control
Guideline and Policy Formulation
M & E, Surveillance, Research
Central Procurement
Coordination
Key Documents:
National Action Plan- costed; Operational plan for roll out of NVHCP; National Laboratory Guidelines for Testing of Viral Hepatitis; National Guidelines for Diagnosis and management of Viral hepatitis; Technical Guidelines for management of hepatitis B; National M & E framework and the electronic MIS
Slide9Key interventions-PreventionAwareness generation & Behavior Change CommunicationImmunization for hepatitis B – birth dose, high risk groups, health care workersProvision of safe blood and blood productsInjection Safety by Use of RUP/AD syringes in all government HCFsSafe socio-cultural practices
Slide10Key interventions-Diagnosis & TreatmentScreening - serological testsConfirmation - molecular tests (where required)Treatment of uncomplicated cases - at treatment centres, drug dispensation up to HWCTreatment of complicated cases at model treatment centres
Referral and linkages
Capacity building and quality assurance
Slide11Model for Diagnosis
Slide12Model for Treatment Model Treatment centers for Treatment of Hepatitis B & C for complicated cases & management of other hepatitis; Treatment centers for Treatment of Hepatitis B & C; Refer complicated cases to Model Treatment Centers
Dispensation
Phased scale up
Slide13Key Enablers for NVHCP Inter-sectoral coordinationHarnessing Existing CapacitiesCentral Procurement for Economies of ScaleCommunity InvolvementTechnical Working GroupsSupply Chain ManagementOnline M & E SystemSustained Domestic Funding
Slide14Operationalizing the plan for testing and Treatment: the stepwise approachInputsDevelopment of the National Action Plan- the guiding documentFinancing the plan: 100% domestic budget, integrated planningConstitution of Technical Resource Groups: Policy and guidelines developmentDevelopment of standard training manualsLaboratory guidelinesClinical Management guidelines
The Process
Advocacy on World Hepatitis Day and other forums
Constitution of state steering committees
Inclusion of Viral hepatitis in State annual plans- integrated approach
Training of master trainers- over
435 across the countryDevelopment of on line recording and reporting systemProcurement of test kits and distribution in the vast country
Slide15Operationalizing the plan for testing and Treatment: the stepwise approachOutcomes / Progress till date 95 centers functional in 22 states20,000 approx. patients started treatment in short duration (Sept 2018 to Sept 2019)Consolidated the smaller projects and state programs under the National program for harmonization Introduction of Hepatitis B testing for pregnant womenGuidance on vaccination for health care workers at riskGuidance to shift towards RUP in government sector in a phased mannerTargeted testing started: vulnerable population groups prioritized
Slide16Status update of State/UT
Slide17Issue
Action required
Establishment of State
Viral Hepatitis Management Unit
Established : 31 States/UTs
Pending in
–
MP, A&N
Islands, Chandigarh, D&NH and Daman & Diu
State Steering Committee
Established : 25 States/UTs
Pending in
–
Goa, MP, Mizoram, Uttarakhand & all UTs
Model Treatment Centre/Treatment Centre
MTCs Established in 22 States/UTs
–
24 functional
Pending in:
AndhraPradesh,Chhattisgarh,Karnataka,Kerala,MP,Meghalaya,Mizoram,Odisha, Puducherry, UP, Uttarakhand, A&N, Chandigarh, Assam
TCs functional in 95
districts
–
(Completed in Punjab, Haryana, J&K ,Gujarat
)
National Viral Hepatitis Control Program
Slide18Activities
Status
Training Progress
Medical Officers
Training Completed: 18 States
Lab Tech
Training Completed: 15 states
M& E Portal
Training Completed: 10 states
Bihar, Goa & Sikkim
have done only for M&E
Immunization of Health Workers
Completed in Himachal & Maharashtra
Started in
Gujarat, Mizoram, Tamil Nadu & Telangana, Haryana
National Viral Hepatitis Control Program
Slide19Thank You