National Viral Hepatitis Control Program - PowerPoint Presentation

National Viral Hepatitis Control Program
National Viral Hepatitis Control Program

National Viral Hepatitis Control Program - Description

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 Download Presentation


amp hepatitis viral treatment hepatitis amp treatment viral national key management states training state quality plan model completed testing

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Presentation on theme: "National Viral Hepatitis Control Program"— Presentation transcript


National Viral Hepatitis Control Program

SDG goal 3.3 to ….combat viral hepatitis


Universal Health Coverage Umbrella for Viral Hepatitis- India’s response





Injection Safety

Across all geographies, all people ( focus on priority groups), finances under NHM ( domestic budget), Linkages to other programs and schemes ( NCD,



Swachh Bharat



Ensuring 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


AccessAddressing Quality

Ensuring Financing


Five key documents


AimsElimination 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.


Key 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


Key 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.


Overall 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


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


Key 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


Key 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


Model for Diagnosis


Model 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


Phased scale up


Key Enablers for NVHCP Inter-sectoral coordinationHarnessing Existing CapacitiesCentral Procurement for Economies of ScaleCommunity InvolvementTechnical Working GroupsSupply Chain ManagementOnline M & E SystemSustained Domestic Funding


Operationalizing 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


Operationalizing 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


Status update of State/UT



Action required

Establishment of State

Viral Hepatitis Management Unit

Established : 31 States/UTs

Pending in


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


(Completed in Punjab, Haryana, J&K ,Gujarat


National Viral Hepatitis Control Program




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


Thank You

Shom More....