National Viral Hepatitis Control Program - PowerPoint Presentation

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National Viral Hepatitis Control Program

SDG goal 3.3 to ….combat viral hepatitis

Universal 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

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

Ensuring

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

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

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

Dispensation

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

Issue

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

Activities

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

Thank You