ORGANIZATIONAL STRUCTURE OF NPPCD Central NPPCD Division DGHS MOHampFW Addl Director General of Health Service NPPCD Central Coordination Committee 1 Additional DGHS 2 Advisor NPPCD ID: 1047148
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1. NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF DEAFNESS. (NPPCD), ASSAM
2. ORGANIZATIONAL STRUCTURE OF NPPCDCentral NPPCD DivisionDGHS, MOH&FWAddl. Director General of Health Service - NPPCDCentral Coordination Committee. 1. Additional DGHS. 2. Advisor NPPCD3. Representative of WHO. 4. ENT Experts / Specialist. 5. Audiologist & Speech therapist. 6. Public Health Expert. 7. Representative of RCI. State CellState Nodal OfficerConsultant – 1Programme Asstt. – 1DEO - 1District Nodal Officer (Ent)Audiologist / Audiometric Asstt.CHC / PHCM.O. / Premedical Staff. District Cell
3. NPPCDName of State : AssamTotal Districts in State : 27Number of Implementing District : 9Number of newly implementing district 2016-17 = 9 . Population of State : As per 2011 census, total population of Assam was 3,11,69,272.Background: Hearing loss is the most common sensory deficit in human today. Currently there are 291 per one lakh population who are suffering from severe to profound hearing loss, of these a large percentage are Children between the ages of 0 to 14 years. It amounts to a severe loss of productivity, both physical and economic.
4. Objectives of the programme : To prevent avoidable hearing loss on account of disease or injury. Early identification, diagnosis and treatment of ear problem responsible for hearing loss and deafness. To medically rehabilate persons of all age groups suffering with deafness. To develop institutional capacity for ear care service by providing support for equipment, material and training personal
5. Programme execution & expansion : The programme was initiated in 2007 on pilot mode in 11 States / UTS in INDIA including 9 (nine) districts of Assam. The districts are namely :- Nalbari / Darrang / Sonitpur / Lakhimpur / Kamrup (M) / Nagaon / Jorhat / Sivsagar / Goalpara. It was proposed to expand the programme additional 9 (nine) more districts during financial year 2016-17 and it has been approved for the districts namely - Kokrajhar / Barpeta / Kamrup (R) / Golaghat / Dibrugarh / Dhubri / Cachar / Karimganj / Hailakahdhi.
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7. (B) Human Resource Position : State Nodal Officer – 1State Cell. Sanctioned In Position Vacant approvedConsultant 1 Newly appointed 0 1Programme Asstt. 1 Nil 1 1DEO - To be recruited under PPP mode as per ROP approval 2016-17.
8. At District Level : District Nodal Officer (ENT Specialist) Sanctioned In Position Vacant approvedAudiologist - 9 2 7 9 (Newly appointed)Audiometric. Asstt. – 18 13 5 13 (8 Newly appointed )Instructor for Hearing Impaired Children 18 2 16 9 (Newly appointed )
9. (C) Steps taken for filling up of vacant post at all levels : The file for remaining vacant post of HR on contractual basis is under process at NHM. (D) Activities : The district hospital of all the implemented districts have been equipped with ear surgery instruments. Screening of ear care service and detection of hearing loss done on regular basis at the District hospital and periphery. Hearing aids is being provided by ALIMCO as per MOU between MoSJ&E and Ministry of Health & Family Welfare. All the DNOs are instructed to takes steps accordingly.
10. Infrastructure Number & Name of District Hospitals covered in NPPCD with status of equipments procuredName of District Hospital Approved unit amount Equipment procured 1.Civil Hospital Sivsagar 1. Pure Tone Audiometry 2. Impedance Audiometry.2.SMK Civil Hospital Nalbari ENT Operating Microscope, Microdrill with burrheads, Micro ear Surgery instrument, Puretone Audiometer, Impedance Audiometer, OAE Machine, Sound treated room.3. Lakhimpur Civil HospitalMicroscope & Microsurgery instrument, Microdrill, , Puretone Audiometer, Impedance Audiometer,4. JorhatOne set of Micro Ear Instrument, , Puretone Audiometer, Impedance Audiometer.5. Sonitpur, Kanaklata Civil HospitalPuretone Audiometer, Impedance Audiometer.6. Goalpara, Civil HospitalOperating Microscope, Micro drill, Micro Ear Hand.7. KamrupPuretone Audiometer, Impedance Audiometer, OAE equipment procurement, ENT Set Microscope, Micrometer Micro Surgery equipment.8. Nagaon Civil Hospital Micro drill, Micro Ear hand, Portal digital, UPS unit, PHC kit, Surgical operating Microscope for ENT.9. DarrangNil
11. (E) Monitoring : At district level by dist. Nodal officer is going on. (F) Reporting System (Feed back) : All the performance report from the districts are received at State Nodal officer Quarterly and conveyed to DDG, NPPCD, New Delhi with a compilation report. G) Fund Position : 2012-13 & 2013-14 No fund received during the year. 2014-15 ROP approved but fund not received. 2015-16 Fund received Rs. 1129830.00 on 31/03/2016. 2016-17 Fund approved Rs. 38134000.00 and transferred to bank account. Rs. 110,000,00 on 05/12/2016. Unspent balance of 2011-12 & 2015-16 = Rs. 24027262 (Including Bank interest)ExpenditureArrear Salary 2015-16 = 900000.00Regular Salary = 525000.00Balance at present Rs. 33854432.00
12. No. of Surgeries PerformedNo. of cases examined with0-5 years5-15 years15-50 years50 yearsNo. of cases examined with0-5 years5-15 years15-50 yearsMaleFemaleMaleFemaleMaleFemaleMaleFemaleDeafness475810811887804125Mild24307582137992729Moderate1429761011041267256Severe24245356761158268Profound81316332125159SurgeriesMaleFemaleMyrinogoplasty66Tympanoplasty1211Myringotomy2525Grommet Insertion3926Stapdectomy1Mastoidectomy309Monthly Report upto Sept. 2016-17
13. Report to be submitted by 15th of every quarter to National Programme for Prevention & Control of Deafness in Directorate General of Health Services, Nirman Bhawan, New Delhi.Referred forUpto 14years15-50 years50 yearsReferred forUpto 14years15-50 yearsMaleFemaleMaleFemaleMaleFemaleNumber of hearing aids fittedNilNilNilNilNilNilNo. of persons referred for rehabilitation2840172088
14. (H) Action Plan as per ROP has been prepared. Steps have been taken for filling up of the vacant post as per ROP (2016-17). IEC activities:- Action Plan submitted for approval of NHM. All district Nodal officers are asked to prepare for spreading awareness regarding ear problem, early detection of deafness, available treated and Health care facility for referral of such care. Training : The Joint DHS are requested to nominate the names of the ENT Doctors Gynaecologist, Paediatrician & Paramedical Staff to undergo training under NPPCD, at Guwahati / Dist. H.Q.
15. (I) Issues : Until & unless a State cell is formed, the programme could not be run smoothly. Formation of State cell is under process at NHM level. Monitoring & supervising the district is practically could not done due to non approval of fund for mobility. A letter requesting fund for mobility had been sent to DDG, NPPCD, New Delhi. PIP for office contingency was not approved for 2016-17. Communications have been made to DDG, NPPCD, New Delhi for the same. Once the State cell is formed and recruitment of manpower is completed the NPPCD will gear-up and achieve fulfilment.
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