DIRECTORATE GENERAL OF HEALTH SERVICES

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 11^th 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 12^th 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:

2.4.  Package of Financial Support

(Amount in lakh of INR)

3.       Expansion of programme during 12^th plan period

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 12^th 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 11^th 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;

5.       Services provided

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

·         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