emblem

DIRECTORATE GENERAL OF HEALTH SERVICES

Ministry of Health & Family Welfare
Government of India

National Programme on Health Care for Elderly

 

NATIONAL PROGRAMME FOR HEALTH CARE OF ELDERLY

1.      Introduction:

National Programme for Health care for Elderly was launched in 2010. EFC for an amount of Rs. 288.00 Crores including 20% of State share was approved in June 2010 for the remaining period of 11th plan. The programme is State oriented and basic thrust of the programme is to provide dedicated health care facilities to the senior citizens (>60 year of age) at various level of primary health care.

1.1. Objectives:

·         To provide accessible, affordable, and high-quality long-term, comprehensive and dedicated care services to an Ageing population;

·         Creating a new "architecture" for Ageing; to build a framework to create an enabling environment for "a Society for all Ages";

·         To promote the concept of Active and Healthy Ageing;

·         Convergence with National Rural Health Mission, AYUSH and other line departments like Ministry of Social Justice and Empowerment.

1.2. Expected Outcome of Programme

·         Setting up of 325 District Geriatric Units with dedicated Geriatric OPD and 10-bedded Geriatric ward in 80-100 District Hospitals by the end of 12th plan period;

·         Setting up of biweekly Geriatric Clinics and Rehabilitation units in all Community Health Centres of selected districts;

·         Setting up of weekly Geriatric Clinics in all  Primary Health Centres of selected districts;

·         Strengthening all sub-centres of selected districts to provide with equipment for community outreach services;

·         Provide training to staff of Public Health Care System in Geriatric Care. 

2.       Programme Organization:

2.1. Institutional Framework:

·         Integration with NRHM

·         Constitution of State Health Society (SHS)

·         Constitution of District Health Society (DHS)

2.2. Package of Services

·         Sub Centre:  Health Education and home based care to bedridden elderly persons and provide training to the family health care providers in looking after the disabled elderly persons.

·         Primary Health Centre: Conducting weekly geriatric clinic health assessment of the elderly persons and simple investigation including blood sugar, etc.

·         Community Health Centre: Conducting biweekly geriatric clinic, organizing rehabilitation services, domiciliary visits by the rehabilitation worker for bed-ridden elderly and counselling to family members for care such patients.

·         District Hospitals:  Dedicated Geriatric OPD services, In-door admissions through 10 bedded geriatric ward, laboratory investigations and rehabilitation services 

·         Regional Geriatric Centers: Providing tertiary care services through OPD and in-door admission in 30 bedded ward, development of specialized human resource through MD courses in geriatric medicine as well as research

 

2.3. Package of Human Resources:

S. No Categories of Staff RGCs DHs CHCs

1

prof. of Geriatrics

1

 

 

2

Assistant  Prof Geriatrics

2

 

 

3

Medical Officers

4

2

 

4

Nurses

16

6

 

5

Physiotherapists

4

1

1

6

Med. Social Worker

1

 

 

7

Lab. Tech

1

 

 

8

Programme Assistant

1

 

 

9

Hospital Attendant

4

2

 

10

Sanitary Attendant

4

2

 

 

Total

38

13

1

 

2.4.  Package of Financial Support

(Amount in lakh of INR)

Budget lines RMI DH CHC PHC SHC

Non-Recurring

 

 

 

 

 

         Construction/ renovation

200

80

 

 

 

         Mach./Equip./Appliance 

50

7

0.5

0.3

0.2

         video conferencing

120

0

 

 

 

Total Non-recurring

370

87

0.5

0.3

0.2

Recurring cost

 

 

 

 

 

         Mach./Equip./Appliance 

10

3

0.5

0.2

0.1

         Training & IEC

5

0.8

1.2

0.3

 

         Manpower

88.44

28.2

1.8

 

 

         Drugs & consumables

20

10

 

 

 

         IEC activities

 

2

 

 

 

         Research Activities

40

 

 

 

 

Total Recurring

163.44

44

3.5

0.5

0.1

Grand Total

533.44

131.00

4.00

0.80

0.30

 

3.       Expansion of programme during 12th plan period

Years Districts RGCs NCA

Existing

100

8

0

2012-13

 

 

 

2013-14

25

4

 

2014-15

25

4

2

2015-16

75

4

 

2016-17

100

0

0

Total

325

20

2

100 Districts are covered under programme as on date

25 new districts are planned to be covered during 2014-15

75 new districts are planned to be covered during 2015-16

125 new districts are planned to be covered during 2014-15

325 districts are expected under programme by the end of 12th plan period 

Progress in implementation of Programme:

4.1. Progress in implementation of Programme

National programme for Health Care of Elderly was launched in last year of the 11th plan period in 100 districts of 21 states. 4 new districts were inducted under programme during 2013-14. As on date , the programme activities are being implemented in 104 districts. Institutes covered under programme are as under;

Activities Completed District Hospitals RGCs NCAs

Institutions  sanctioned till March 2015

96

08

 

Institutions  sanctioned during 2015-16

131

05

02

OPD Services Established

71

08

 

Indoor Wards Services

61

04

 

Physiotherapy Services

62

07

 

Equips & Appliances

50

07

 

Drugs & Consumables

45

07

 

Contractual staff Recruited

43

04

 

Training for staff organized

43

04

 

 

5.       Services provided

5.1. Services through District Hospitals and sub-District PHC system:

Institutions OPD services Indoor admissions Physiotherapy Home visits Supportive devices given

Distt. Hosptls.

279275

29249

69339

NA

567

CHCs

378367

NA

29601

1532

240

PHCs

197611

NA

NA

2310

48

SCs

NA

NA

NA

8300

280

·         Districts Hospitals provided OPD, indoor admission and physiotherapy to 279275, 29249 and 69339 elderly respectively.    

·         CHCs provided OPD, and physiotherapy services to 378367 and 29601 elderly respectively.

·         PHCs provided OPD abd home care services to 197611 and 2310 elderly respectively.

·         Home based care to 8300 elderly people and supportive devices to 280 elderly people.

 

5.2. Services through RGCs

Institutes Identified OPD Services Indoor Wards Physiotherapy Lab. Tests

IMS, BHU

530

136

471

 

GMC Trivandrum

0

 

 

 

GMC Guwahati

1789

126

261

3840

SN MC Jodhpur

0

 

 

 

MMC Chennai

 

 

 

 

GMC, Mumbai

6836

 

3824

10093

SEK IMS Srinagar

1660

68

499

1283

AIIMS Delhi

19590

610

1934

38761

Total

30405

942

6990

53979