DIRECTORATE GENERAL OF HEALTH SERVICES

National Programme on Prevention and Management of Burn Injuries

1. Pilot Programme for Prevention of Burn Injuries (PPPBI) - 11^th Five Year Plan:

A pilot programme was initiated in the year 2010 by Ministry of Health & Family Welfare in the name of “Pilot Programme for Prevention of Burn Injuries” (PPPBI) with a total budget of Rs. 29 crore.  The programme was initiated in the following three Medical Colleges and six Districts Hospitals:

• Haryana: Post Graduate Institute of Medicals Sciences Rohtak; General Hospital, Gurgaon; Civil Hospital, Panipat. 
• Himachal Pradesh: Dr. Rajendra Prasad Medical College, Tanda at Kangra, District Hospital, Hamirpur; Zonal Hospital, Mandi.
• Assam: Guwahati Medical College; District Hospital, Nagaon; District Hospital, Dhubri.

The Goal of PPPBI was to ensure prevention of Burn Injuries, provide timely and adequate treatment in case burn injuries do occur, so as to reduce mortality,  complications and ensuing disabilities and to provide effective rehabilitative interventions if disability has set in.

2. National Programme for Prevention & Management of Burn Injuries (NPPMBI) - 12^th Five Year Plan:

The proposal for continuation of pilot project as full-fledged programme was approved by Empowered Finance Committee (EFC) on 17.05.2013 and subsequently by Cabinet Committee for Economic Affairs (CCEA) on 6^th February, 2014, for covering 67 State Government Medical Colleges and 19 District Hospitals during the 12^th Five Year Plan. The District Hospital component was undertaken under National Health Mission (NHM).

Now, the scheme has been extended beyond the 12^th FYP, till March, 2020 as “National Programme for Prevention & Management of Trauma and Burn Injuries”.

2.1    Objectives

• To establish a network of burn units with adequate infrastructural facility for burn management and rehabilitation in all identified Govt. Medical Colleges and District Hospitals.
•  To improve the awareness among the general masses and vulnerable groups especially the women, children, industrial and hazardous occupational workers.
•  To establish Burn data registry under NPPMBI with integration with National Injury Surveillance Centre for collection, compilation and analysis of burn injury data to bring down the incidence of burn injury cases.
•  To carry out Research for assessing behavioral, social and other determinants of Burn Injuries in the country to facilitate effective need based program planning, monitoring and evaluation.
•  To organize burn Injury training Programmes for doctors, nurses and paramedical staff associated in management of burn injuries from the identified District Hospitals and Govt. Medical Colleges.

2.2   Components

• Prevention Programme (IEC)
• Treatment
• Rehabilitation
• Training
• Monitoring and Evaluation
• Research

2.3  Achievements during 12^th FYP

• The list of equipment, manpower and the architectural design of the proposed burn unit/ ward has been revised in expert group meeting, with technical design specifications supplied by Central Design Bureau.
• The Practical Handbook/ Manual for Burn Injury Management developed during the 11^th FYP has been revised. A chapter on the Standard Treatment Guidelines for Acid attack victims has been incorporated in the practical handbook.
• Operational Guidelines for the Programme have been finalized and circulated to all States and UTs. Operational Guidelines for the District Hospital component have also been finalized and uploaded on the website of NHM Division.
• The Quarterly report format has been finalized and circulated to states.
• 47 Medical Colleges have been approved for financial assistance under the Programme. 17 District Hospitals have been identified to be financially supported under NHM. 
• Burn Data Registry and software have been developed and will soon be implemented at National level to collect, compile and analyze data related to Burn Injuries in the country. 
• Under Information Education and Communication (IEC) activities, following activities have been undertaken:
• Print IEC material (8 posters/pamphlet) has been developed and distributed in states through Mass Mailing Unit (MMU).
• Audio-visuals developed on first aid on acid burns and translated into major Regional languages.
• Publicity campaigns undertaken through telecast, broadcast, digital cinema and campaign of external train wrapping.
• The 6-day practical training of Medical Officers in Burn Injury management for doctors organized at Safdarjung Hospital and Dr. RML Hospital. Around 80 doctors have been provided the training so far.
• A manual on dressing techniques for paramedics has been developed and a pilot training for 25 dressers was undertaken during the WOUNDCON2017. 
• Technical Resource Group has been re-constituted which has finalized the Standard Treatment Guidelines for burn injuries.
• The activity of Situational Analysis of burn injuries is being undertaken through AIIMS, New Delhi. A 2-day Workshop was held to orient the participating Hospitals (around 20) for this project.