CHN-NATIONAL HEALTH PROG-SYNP-16-PHC

๐Ÿฅ National Health Programmes (NHPs) โ€“ India

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, RRB, GPSC, BSc/GNM Nursing & Community Health Nursing Exams


๐Ÿ”ฐ Introduction

The National Health Programmes are government-initiated public health initiatives launched to control and prevent specific diseases or to promote overall health and well-being in India.

๐Ÿ‘‰ These are centrally sponsored schemes under the Ministry of Health & Family Welfare (MoHFW).


๐ŸŽฏ Objectives of National Health Programmes

โœ”๏ธ Control communicable and non-communicable diseases
โœ”๏ธ Reduce mortality and morbidity
โœ”๏ธ Improve maternal and child health
โœ”๏ธ Ensure universal immunization
โœ”๏ธ Promote nutrition and sanitation
โœ”๏ธ Enhance health awareness and education
โœ”๏ธ Provide accessible & affordable healthcare to all


๐Ÿงฉ Major National Health Programmes (Categorized)

๐Ÿฆ  Communicable Disease Control

๐Ÿงช Programme๐Ÿ“ Focus
NACP โ€“ National AIDS Control ProgrammeHIV/AIDS control & ART
RNTCP/NTEP โ€“ National Tuberculosis Elimination ProgrammeTB diagnosis & treatment
NVBDCP โ€“ National Vector Borne Disease Control ProgrammeMalaria, dengue, filariasis, etc.
National Leprosy Eradication Programme (NLEP)Leprosy detection & MDT
IDSP โ€“ Integrated Disease Surveillance ProgrammeEarly outbreak detection

๐Ÿงฌ Non-Communicable Disease (NCD) Control

โค๏ธ Programme๐Ÿ“ Focus
NPCDCS โ€“ Cancer, Diabetes, CVDs, StrokeEarly detection & lifestyle education
NTCP โ€“ National Tobacco Control ProgrammePrevent tobacco use
NMHP โ€“ Mental HealthCommunity-based psychiatric services
NPHCE โ€“ Elderly CareGeriatric clinics & rehab

๐Ÿ‘ฉโ€๐Ÿผ Maternal and Child Health

๐Ÿ‘ถ Programme๐Ÿ“ Focus
RMNCH+AReproductive, maternal, newborn, child & adolescent health
JSY โ€“ Janani Suraksha YojanaPromote institutional deliveries
JSSK โ€“ Janani Shishu Suraksha KaryakramFree services for mother & baby
RKSK โ€“ Adolescent healthAFHCs, mental health, nutrition
RBSK โ€“ Child screening4Ds โ€“ Defects, Diseases, Deficiencies, Developmental delays

๐Ÿ’‰ Immunization & Nutrition

๐Ÿฒ Programme๐Ÿ“ Focus
UIP โ€“ Universal Immunization ProgrammeRoutine childhood vaccines
Mission IndradhanushIntensified immunization coverage
NNAPP โ€“ National Nutrition Anaemia ProphylaxisIFA tablets & education
ICDS โ€“ Integrated Child Development ServicesSupplementary nutrition, preschool education

๐Ÿงผ Environmental & Lifestyle-Related Health

๐Ÿงด Programme๐Ÿ“ Focus
Swachh Bharat Abhiyan (Rural & Urban)Sanitation & hygiene
National Water Quality MonitoringSafe drinking water
NSSK โ€“ Navjaat Shishu Suraksha KaryakramNewborn resuscitation

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in NHPs

๐ŸŸข Educate community on disease prevention
๐ŸŸข Conduct screenings (BP, diabetes, anemia, etc.)
๐ŸŸข Ensure immunization and maternal care
๐ŸŸข Provide health education and counseling
๐ŸŸข Refer high-risk cases to PHC/CHC
๐ŸŸข Collect and maintain health data for reporting


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NACP โ€“ HIV/AIDS control and ART distribution
๐ŸŸจ RNTCP (Now NTEP) โ€“ Goal: Eliminate TB by 2025
๐ŸŸจ JSY โ€“ Started in 2005 to promote safe delivery
๐ŸŸจ Mission Indradhanush โ€“ Intensify vaccine coverage
๐ŸŸจ NPHCE โ€“ Provides elderly care services at district level


โœ… Top 5 MCQs for Practice

Q1. Which programme is aimed at eliminating tuberculosis in India?
๐Ÿ…ฐ๏ธ NACP
โœ… ๐Ÿ…ฑ๏ธ NTEP (Earlier RNTCP)
๐Ÿ…ฒ๏ธ NVBDCP
๐Ÿ…ณ๏ธ RMNCH+A


Q2. What is the full form of RBSK?
๐Ÿ…ฐ๏ธ Rashtriya Bal Shakti Karyakram
๐Ÿ…ฑ๏ธ Rural Bal Suraksha Kendra
โœ… ๐Ÿ…ฒ๏ธ Rashtriya Bal Swasthya Karyakram
๐Ÿ…ณ๏ธ Reproductive Baby Screening Kendra


Q3. Which programme focuses on elderly healthcare?
๐Ÿ…ฐ๏ธ RKSK
๐Ÿ…ฑ๏ธ NPCDCS
โœ… ๐Ÿ…ฒ๏ธ NPHCE
๐Ÿ…ณ๏ธ RNTCP


Q4. What is the main focus of the National Mental Health Programme (NMHP)?
๐Ÿ…ฐ๏ธ Leprosy care
โœ… ๐Ÿ…ฑ๏ธ Psychiatric illness care
๐Ÿ…ฒ๏ธ Malaria control
๐Ÿ…ณ๏ธ Maternity services


Q5. Which programme provides free healthcare for mother and newborn?
๐Ÿ…ฐ๏ธ JSY
โœ… ๐Ÿ…ฑ๏ธ JSSK
๐Ÿ…ฒ๏ธ RBSK
๐Ÿ…ณ๏ธ NSSK

๐Ÿงช๐Ÿ“Š Integrated Disease Surveillance Programme (IDSP)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & Community/Public Health Exams


๐Ÿ”ฐ Introduction

The Integrated Disease Surveillance Programme (IDSP) is a central health surveillance system in India that collects, analyzes, and interprets disease data to detect early warning signals of outbreaks and epidemics.

๐Ÿ—“๏ธ Launched: 2004
๐Ÿ›๏ธ Implemented by: National Centre for Disease Control (NCDC), MoHFW
๐Ÿ”„ Part of World Bank-supported initiatives for health system strengthening


๐ŸŽฏ Objectives of IDSP

โœ”๏ธ Detect and respond to disease outbreaks early
โœ”๏ธ Strengthen epidemiological capacity at all levels
โœ”๏ธ Improve laboratory-based diagnosis of diseases
โœ”๏ธ Enhance data management and analysis
โœ”๏ธ Improve inter-sectoral coordination and communication


๐Ÿงฉ Key Features of IDSP

๐Ÿ”น Component๐Ÿ’ก Details
๐Ÿง  Surveillance UnitsSet up at district, state, and national levels
๐Ÿ“… Weekly ReportingSyndromic, presumptive, and lab-confirmed data
๐Ÿงช Laboratory SupportStrengthening labs for outbreak confirmation
๐Ÿ“ข EIS (Epidemic Intelligence Services)For trained field epidemiologists
๐Ÿ“ž 24×7 Media ScanningEarly warning signals from news and media
๐Ÿง‘โ€โš•๏ธ Rapid Response Teams (RRTs)Immediate outbreak investigation

๐Ÿ” Diseases Covered Under IDSP

IDSP monitors 33 epidemic-prone diseases, including:

๐Ÿฆ  Cholera
๐ŸŒก๏ธ Dengue
๐Ÿงซ Malaria
๐Ÿค’ Typhoid
๐Ÿ˜ท Influenza
๐Ÿงฌ COVID-19 (added in recent years)
๐Ÿชฑ Leptospirosis
๐Ÿ’‰ Hepatitis
๐Ÿ‘ถ Measles
๐Ÿค• Meningitis


๐Ÿ” Types of Surveillance under IDSP

๐Ÿ” Surveillance Type๐Ÿ“ Description
๐ŸŸ  Syndromic Surveillance (S)Based on symptoms observed by paramedical staff
๐ŸŸก Presumptive Surveillance (P)Based on clinical diagnosis by doctors
๐Ÿ”ต Laboratory Surveillance (L)Based on lab-confirmed diagnosis

๐Ÿฅ Structure of IDSP Surveillance Units

  • ๐Ÿ›๏ธ National Surveillance Unit (NSU) โ€“ at NCDC Delhi
  • ๐Ÿข State Surveillance Units (SSU) โ€“ in all States/UTs
  • ๐Ÿ˜๏ธ District Surveillance Units (DSU) โ€“ in each district

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurses in IDSP

๐ŸŸข Report suspected cases timely (especially for fever, diarrhea, rash, etc.)
๐ŸŸข Assist in active and passive surveillance
๐ŸŸข Collect and transport clinical samples
๐ŸŸข Participate in outbreak control and awareness
๐ŸŸข Maintain surveillance registers and weekly reports
๐ŸŸข Educate community on reportable diseases


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ IDSP launched in 2004 for epidemic surveillance
๐ŸŸจ Implements S, P, and L-level surveillance
๐ŸŸจ Works under NCDC with state and district surveillance units
๐ŸŸจ Key aim: early detection & control of outbreaks
๐ŸŸจ Monitors 33+ epidemic-prone diseases, now includes COVID-19


โœ… Top 5 MCQs for Practice

Q1. In which year was IDSP launched in India?
๐Ÿ…ฐ๏ธ 2002
โœ… ๐Ÿ…ฑ๏ธ 2004
๐Ÿ…ฒ๏ธ 2005
๐Ÿ…ณ๏ธ 2010


Q2. IDSP is managed by which central agency?
๐Ÿ…ฐ๏ธ ICMR
๐Ÿ…ฑ๏ธ AIIMS
โœ… ๐Ÿ…ฒ๏ธ NCDC (National Centre for Disease Control)
๐Ÿ…ณ๏ธ CBHI


Q3. Which of the following is a disease under IDSP surveillance?
๐Ÿ…ฐ๏ธ Cancer
๐Ÿ…ฑ๏ธ Fracture
โœ… ๐Ÿ…ฒ๏ธ Dengue
๐Ÿ…ณ๏ธ Hypertension


Q4. What is ‘Syndromic Surveillance’?
๐Ÿ…ฐ๏ธ Based on lab reports
โœ… ๐Ÿ…ฑ๏ธ Based on symptoms observed
๐Ÿ…ฒ๏ธ Based on x-rays
๐Ÿ…ณ๏ธ Based on prescriptions


Q5. What is the role of RRT under IDSP?
๐Ÿ…ฐ๏ธ Funding
๐Ÿ…ฑ๏ธ Research only
โœ… ๐Ÿ…ฒ๏ธ Outbreak investigation
๐Ÿ…ณ๏ธ IT support

๐ŸฆŸ๐Ÿงช National Vector Borne Disease Control Programme (NVBDCP)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, RRB, GPSC, BSc/GNM Nursing & Community Health Nursing Exams


๐Ÿ”ฐ Introduction

The National Vector Borne Disease Control Programme (NVBDCP) is the central program under MoHFW to prevent and control vector-borne diseases in India.

๐Ÿ—“๏ธ Launched: 2003 (by merging multiple disease-specific programs)
๐Ÿ›๏ธ Nodal Agency: Directorate General of Health Services (DGHS), MoHFW


๐ŸŽฏ Objectives of NVBDCP

โœ”๏ธ Reduce morbidity & mortality from vector-borne diseases
โœ”๏ธ Provide early diagnosis & prompt treatment
โœ”๏ธ Ensure effective vector control measures
โœ”๏ธ Promote community awareness & participation
โœ”๏ธ Strengthen surveillance and outbreak response


๐Ÿงฌ Diseases Covered Under NVBDCP

๐Ÿฆ  Disease๐Ÿšซ Vector๐Ÿ“ Key States
MalariaFemale Anopheles mosquitoOdisha, Chhattisgarh, Jharkhand
DengueAedes aegypti mosquitoUrban/semi-urban areas
ChikungunyaAedes aegypti mosquitoPAN India
Lymphatic FilariasisCulex mosquitoBihar, UP, Jharkhand
Kala-azar (Leishmaniasis)SandflyBihar, WB, UP, Jharkhand
Japanese Encephalitis (JE)Culex mosquitoAssam, UP, Odisha

๐Ÿ”Ž Major Activities Under NVBDCP

๐Ÿ”น Surveillance: Active & passive case detection
๐Ÿ”น Early Diagnosis & Treatment: Use of RDT kits, ACT (Malaria)
๐Ÿ”น Vector Control: Indoor residual spraying, fogging, larvicides
๐Ÿ”น Mass Drug Administration (MDA): For filariasis
๐Ÿ”น Insecticide-treated bed nets (LLINs): For malaria-endemic zones
๐Ÿ”น Vaccination (JE): JE vaccine in endemic districts
๐Ÿ”น IEC/BCC: Health education, behavior change campaigns


๐Ÿ’Š Treatment Highlights

๐Ÿ’‰ Disease๐Ÿ’Š Treatment
MalariaACT (Artemisinin-based Combination Therapy)
Dengue/ChikungunyaSymptomatic (no specific antiviral)
FilariasisDEC + Albendazole (annual dose)
Kala-azarMiltefosine, Amphotericin-B
JESymptomatic + JE vaccine for prevention

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse/Health Worker in NVBDCP

๐ŸŸข Identify and report suspected cases
๐ŸŸข Assist in RDT (Rapid Diagnostic Testing)
๐ŸŸข Distribute insecticide-treated bed nets
๐ŸŸข Support MDA campaigns (DEC + Albendazole)
๐ŸŸข Participate in indoor residual spray & fogging drives
๐ŸŸข Educate the public on vector control and hygiene
๐ŸŸข Encourage early diagnosis and hospital referral


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NVBDCP launched in 2003 to merge disease-specific programs
๐ŸŸจ Malaria vector: Female Anopheles, Dengue: Aedes aegypti
๐ŸŸจ DEC + Albendazole = Combo for Lymphatic Filariasis
๐ŸŸจ JE controlled through vaccination in endemic areas
๐ŸŸจ LLINs = Long-lasting insecticidal nets to prevent malaria


โœ… Top 5 MCQs for Practice

Q1. NVBDCP was launched in which year?
๐Ÿ…ฐ๏ธ 1998
๐Ÿ…ฑ๏ธ 2000
โœ… ๐Ÿ…ฒ๏ธ 2003
๐Ÿ…ณ๏ธ 2010


Q2. What is the vector for Dengue?
๐Ÿ…ฐ๏ธ Anopheles
๐Ÿ…ฑ๏ธ Culex
โœ… ๐Ÿ…ฒ๏ธ Aedes aegypti
๐Ÿ…ณ๏ธ Sandfly


Q3. Which disease is controlled using DEC and Albendazole?
๐Ÿ…ฐ๏ธ Malaria
๐Ÿ…ฑ๏ธ Dengue
โœ… ๐Ÿ…ฒ๏ธ Filariasis
๐Ÿ…ณ๏ธ Kala-azar


Q4. What is the treatment of choice for uncomplicated malaria?
๐Ÿ…ฐ๏ธ Paracetamol
๐Ÿ…ฑ๏ธ Chloroquine
โœ… ๐Ÿ…ฒ๏ธ ACT (Artemisinin Combination Therapy)
๐Ÿ…ณ๏ธ Albendazole


Q5. Which state is most affected by Kala-azar?
๐Ÿ…ฐ๏ธ Gujarat
๐Ÿ…ฑ๏ธ Kerala
โœ… ๐Ÿ…ฒ๏ธ Bihar
๐Ÿ…ณ๏ธ Maharashtra

๐Ÿซ๐Ÿ”ฌ RNTCP / NTEP โ€“ National Tuberculosis Elimination Programme

๐Ÿ“Œ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing, and Community Health Nursing Exams


๐Ÿ”ฐ Introduction

The Revised National Tuberculosis Control Programme (RNTCP) was renamed as National Tuberculosis Elimination Programme (NTEP) in 2020.

๐ŸŽฏ Aim: To eliminate TB from India by 2025, five years ahead of the global target of 2030 (WHO).

๐Ÿ‘ฅ TB is an airborne communicable disease caused by Mycobacterium tuberculosis.


๐ŸŽฏ Objectives of NTEP

โœ”๏ธ Detect all TB cases early and accurately
โœ”๏ธ Ensure prompt & complete treatment with quality drugs
โœ”๏ธ Prevent emergence of drug resistance
โœ”๏ธ Reduce morbidity, mortality, and transmission
โœ”๏ธ Support and monitor treatment adherence


๐Ÿงช Key Components of NTEP

๐Ÿงฉ Component๐Ÿ“˜ Details
๐Ÿงซ Case FindingActive (community) + Passive (health facility)
๐Ÿ” DiagnosisCBNAAT, TrueNat, sputum microscopy
๐Ÿ’Š Treatment RegimenDaily FDC (Fixed Dose Combination) as per weight
๐Ÿ“ฑ Nikshay PortalDigital system for TB patient tracking
๐Ÿ‘จโ€โš•๏ธ DOTS StrategyDirectly Observed Treatment โ€“ short-course
๐Ÿ’‰ Drug Resistance MgmtMDR, XDR TB diagnosis & treatment units
๐Ÿง  IEC/BCCBehavior change and TB awareness campaigns

๐Ÿ’Š TB Treatment Regimen (2024 Update)

๐Ÿ”น Intensive Phase (IP): 8 weeks
๐Ÿ”น Continuation Phase (CP): 16 weeks
๐Ÿ”น Drugs Used: HRZE (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol)
๐Ÿ”น For MDR-TB: Bedaquiline, Delamanid, Linezolid, etc.


๐Ÿ“ Target of NTEP

๐ŸŸข TB-free India by 2025
๐ŸŸข Achieve 80% reduction in TB incidence rate
๐ŸŸข Achieve 90% treatment success rate
๐ŸŸข Provide nutritional and financial support (Nikshay Poshan Yojana)


๐Ÿฅ Support Schemes under NTEP

๐Ÿ’ฐ Scheme๐Ÿ“Œ Details
Nikshay Poshan Yojanaโ‚น500/month to TB patients for nutrition
Private Provider InterfaceEncourage private reporting and management
Community DOT ProvidersLink workers/ASHAs involved in directly observed therapy
TB Preventive Therapy (TPT)Isoniazid given to high-risk contacts

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in NTEP

๐ŸŸข Identify and refer suspected TB cases
๐ŸŸข Collect and transport sputum samples
๐ŸŸข Administer DOT and monitor adherence
๐ŸŸข Educate about cough hygiene and nutrition
๐ŸŸข Follow-up for defaulter tracking
๐ŸŸข Maintain patient records via Nikshay App


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ RNTCP renamed to NTEP in 2020
๐ŸŸจ TB target elimination year = 2025 (India)
๐ŸŸจ Diagnosis: CBNAAT and TrueNat
๐ŸŸจ Treatment: Daily FDC under DOTS
๐ŸŸจ Financial support: โ‚น500/month under Nikshay Poshan Yojana


โœ… Top 5 MCQs for Practice

Q1. What is the new name of RNTCP?
๐Ÿ…ฐ๏ธ NTCP
๐Ÿ…ฑ๏ธ NPCDCS
โœ… ๐Ÿ…ฒ๏ธ NTEP
๐Ÿ…ณ๏ธ NMHP


Q2. What is the TB elimination target year in India?
๐Ÿ…ฐ๏ธ 2030
โœ… ๐Ÿ…ฑ๏ธ 2025
๐Ÿ…ฒ๏ธ 2022
๐Ÿ…ณ๏ธ 2040


Q3. Which test is commonly used for rapid TB diagnosis?
๐Ÿ…ฐ๏ธ VDRL
โœ… ๐Ÿ…ฑ๏ธ CBNAAT
๐Ÿ…ฒ๏ธ ELISA
๐Ÿ…ณ๏ธ Widal


Q4. Nikshay Poshan Yojana provides what benefit?
๐Ÿ…ฐ๏ธ Insurance
๐Ÿ…ฑ๏ธ Travel allowance
โœ… ๐Ÿ…ฒ๏ธ โ‚น500/month nutrition support
๐Ÿ…ณ๏ธ Free education


Q5. Which strategy ensures directly observed treatment?
๐Ÿ…ฐ๏ธ NACP
๐Ÿ…ฑ๏ธ RMNCH+A
โœ… ๐Ÿ…ฒ๏ธ DOTS
๐Ÿ…ณ๏ธ UIP

๐Ÿงด๐Ÿง‘โ€โš•๏ธ National Leprosy Eradication Programme (NLEP)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & CHN Exams


๐Ÿ”ฐ Introduction

The National Leprosy Eradication Programme (NLEP) is a centrally sponsored health program initiated by the Government of India to eliminate leprosy as a public health problem.

๐Ÿ—“๏ธ Launched: 1955 as NLCP โ†’ renamed to NLEP in 1983
๐ŸŽฏ Goal: Achieve elimination of leprosy (defined as <1 case per 10,000 population)


๐Ÿงซ What is Leprosy?

๐Ÿฆ  A chronic infectious disease caused by Mycobacterium leprae
๐Ÿฉป Affects skin, peripheral nerves, eyes, and mucous membranes
๐Ÿšถโ€โ™‚๏ธ Transmitted via prolonged close contact (not hereditary)


๐ŸŽฏ Objectives of NLEP

โœ”๏ธ Early case detection & complete treatment with MDT
โœ”๏ธ Prevent disability and deformity
โœ”๏ธ Reduce stigma and discrimination
โœ”๏ธ Promote awareness and community involvement
โœ”๏ธ Strengthen leprosy services at all levels


๐Ÿ’Š Treatment Regimen (WHO-MDT)

๐Ÿงโ€โ™‚๏ธ Type of Leprosy๐Ÿ’Š Treatment (WHO-MDT)
PB โ€“ PaucibacillaryRifampicin + Dapsone ร— 6 months
MB โ€“ MultibacillaryRifampicin + Dapsone + Clofazimine ร— 12 months

๐Ÿ“Œ Treatment is completely free and available at all public health facilities.


๐Ÿงฉ Key Components of NLEP

๐Ÿ”น Active Case Finding (ACF) in vulnerable populations
๐Ÿ”น Single Dose Rifampicin (SDR) for contacts
๐Ÿ”น LEC Campaigns โ€“ Leprosy Case Detection Campaigns
๐Ÿ”น IEC/BCC โ€“ Reduce stigma, promote early reporting
๐Ÿ”น Disability Prevention & Rehabilitation
๐Ÿ”น Integration with General Health Services
๐Ÿ”น Nikusth โ€“ National online leprosy reporting system


๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse & Health Worker in NLEP

๐ŸŸข Identify early symptoms โ€“ skin patches, loss of sensation
๐ŸŸข Ensure regular drug intake and follow-up
๐ŸŸข Support in case detection campaigns (LEC)
๐ŸŸข Educate on hygiene and self-care for ulcer prevention
๐ŸŸข Refer deformity cases to higher centers
๐ŸŸข Maintain patient data in Nikusth portal


โš ๏ธ Important Signs of Leprosy

๐Ÿ”ธ Light-colored or reddish skin patches
๐Ÿ”ธ Numbness or tingling in hands/feet
๐Ÿ”ธ Thickened peripheral nerves
๐Ÿ”ธ Muscle weakness or claw hand
๐Ÿ”ธ Recurrent non-healing ulcers


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NLEP aims for <1 case per 10,000 population
๐ŸŸจ Leprosy is caused by Mycobacterium leprae
๐ŸŸจ Treatment includes Rifampicin, Dapsone, Clofazimine
๐ŸŸจ Nikusth is Indiaโ€™s online leprosy case tracking system
๐ŸŸจ LEC campaigns help in active detection of new cases


โœ… Top 5 MCQs for Practice

Q1. What is the full form of NLEP?
๐Ÿ…ฐ๏ธ National Leprosy Elimination Project
๐Ÿ…ฑ๏ธ National Leprosy Education Programme
โœ… ๐Ÿ…ฒ๏ธ National Leprosy Eradication Programme
๐Ÿ…ณ๏ธ None of the above


Q2. Leprosy is caused by:
๐Ÿ…ฐ๏ธ Mycobacterium tuberculosis
โœ… ๐Ÿ…ฑ๏ธ Mycobacterium leprae
๐Ÿ…ฒ๏ธ Treponema pallidum
๐Ÿ…ณ๏ธ Bacillus anthracis


Q3. What is the standard treatment for Multibacillary leprosy?
๐Ÿ…ฐ๏ธ Dapsone only
๐Ÿ…ฑ๏ธ Rifampicin + Isoniazid
โœ… ๐Ÿ…ฒ๏ธ Rifampicin + Dapsone + Clofazimine
๐Ÿ…ณ๏ธ Tetracycline


Q4. What is โ€˜Nikusthโ€™ used for?
๐Ÿ…ฐ๏ธ TB Reporting
๐Ÿ…ฑ๏ธ Polio Data
โœ… ๐Ÿ…ฒ๏ธ Leprosy Surveillance
๐Ÿ…ณ๏ธ COVID Vaccination


Q5. What is the main aim of LEC (Leprosy Elimination Campaign)?
๐Ÿ…ฐ๏ธ Cure of leprosy
โœ… ๐Ÿ…ฑ๏ธ Early detection of hidden leprosy cases
๐Ÿ…ฒ๏ธ Blood donation
๐Ÿ…ณ๏ธ Cataract surgery

๐Ÿ’‰๐ŸŒ Universal Immunization Programme (UIP)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & CHN Exams


๐Ÿ”ฐ Introduction

The Universal Immunization Programme (UIP) is one of the largest public health programs in the world, launched to protect children and pregnant women from vaccine-preventable diseases.

๐Ÿ—“๏ธ Launched: 1985
๐Ÿ” Earlier known as Expanded Programme on Immunization (EPI) (1978)


๐ŸŽฏ Objectives of UIP

โœ”๏ธ Reduce childhood mortality and morbidity
โœ”๏ธ Prevent vaccine-preventable diseases (VPDs)
โœ”๏ธ Provide free vaccination to all eligible beneficiaries
โœ”๏ธ Ensure universal access through outreach and awareness
โœ”๏ธ Maintain cold chain and logistics for vaccine integrity


๐Ÿ‘ถ Target Beneficiaries

๐Ÿผ All infants (0โ€“1 year)
๐Ÿคฐ All pregnant women
๐Ÿ‘ง Children up to 5 years (for some boosters)
๐Ÿ‘ฆ Adolescents (Td doses at 10 & 16 years)


๐Ÿฆ  Diseases Covered Under UIP

๐Ÿ’‰ Disease๐Ÿ“Œ Vaccine Used
TuberculosisBCG
DiphtheriaPentavalent, DPT, Td
Pertussis (Whooping Cough)DPT, Pentavalent
TetanusDPT, Td
PoliomyelitisOPV, IPV
MeaslesMR (Measles-Rubella)
Hepatitis BPentavalent
Haemophilus Influenzae type BPentavalent
Rotavirus DiarrheaRotavirus vaccine
PneumoniaPCV (Pneumococcal Conjugate Vaccine)
Japanese Encephalitis (JE)JE vaccine (in endemic states)
RubellaMR vaccine

๐Ÿ“… Immunization Schedule (Selected Highlights)

๐Ÿ‘ถ Age๐Ÿ’‰ Vaccine
At birthBCG, OPV-0, Hepatitis B-0
6, 10, 14 weeksPentavalent (1โ€“3), OPV (1โ€“3), Rotavirus, IPV
9โ€“12 monthsMR-1, JE-1, Vitamin A (1st dose)
16โ€“24 monthsDPT b1, OPV b1, MR-2, JE-2, Vitamin A booster
5โ€“6 yearsDPT booster-2
10 & 16 yearsTd vaccine
During pregnancyTd-1, Td-2

โ„๏ธ Cold Chain System in UIP

๐ŸงŠ Maintains vaccine potency from manufacturer to recipient.
Key Equipment:
๐Ÿ”น ILR (Ice Lined Refrigerator)
๐Ÿ”น Deep Freezer
๐Ÿ”น Cold Box
๐Ÿ”น Vaccine Carrier
๐Ÿ”น Ice Packs


๐Ÿ“ฃ Recent Additions to UIP

โœ… PCV โ€“ for pneumonia (2017)
โœ… Rotavirus Vaccine โ€“ for diarrhea
โœ… MR Vaccine โ€“ to eliminate measles & rubella
โœ… IPV โ€“ Injectable polio vaccine (with OPV)


๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in UIP

๐ŸŸข Administer vaccines safely & accurately
๐ŸŸข Maintain immunization registers & reports
๐ŸŸข Ensure cold chain maintenance
๐ŸŸข Educate mothers on immunization schedule
๐ŸŸข Identify & manage adverse events following immunization (AEFI)
๐ŸŸข Conduct outreach sessions and support Mission Indradhanush


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ UIP launched in 1985, expanded from EPI (1978)
๐ŸŸจ Targets 12+ vaccine-preventable diseases
๐ŸŸจ BCG, OPV-0, Hep B-0 given at birth
๐ŸŸจ Mission Indradhanush (2014) aims to boost full immunization coverage
๐ŸŸจ Cold chain uses ILR, Cold Box, Vaccine Carrier for vaccine storage


โœ… Top 5 MCQs for Practice

Q1. Which year was the Universal Immunization Programme launched?
๐Ÿ…ฐ๏ธ 1978
๐Ÿ…ฑ๏ธ 1992
โœ… ๐Ÿ…ฒ๏ธ 1985
๐Ÿ…ณ๏ธ 2000


Q2. Which vaccine is given at birth under UIP?
๐Ÿ…ฐ๏ธ DPT
โœ… ๐Ÿ…ฑ๏ธ BCG
๐Ÿ…ฒ๏ธ Measles
๐Ÿ…ณ๏ธ Rotavirus


Q3. Td vaccine is given at what ages under UIP?
๐Ÿ…ฐ๏ธ 1 & 2 years
๐Ÿ…ฑ๏ธ 5 & 10 years
โœ… ๐Ÿ…ฒ๏ธ 10 & 16 years
๐Ÿ…ณ๏ธ At birth only


Q4. What is the main purpose of cold chain equipment in UIP?
๐Ÿ…ฐ๏ธ To transport patients
โœ… ๐Ÿ…ฑ๏ธ To preserve vaccine potency
๐Ÿ…ฒ๏ธ To freeze food
๐Ÿ…ณ๏ธ To refrigerate IV fluids


Q5. What does the pentavalent vaccine protect against?
๐Ÿ…ฐ๏ธ 2 diseases
๐Ÿ…ฑ๏ธ 3 diseases
โœ… ๐Ÿ…ฒ๏ธ 5 diseases
๐Ÿ…ณ๏ธ 6 diseases

๐Ÿšญ๐Ÿซ NTCP โ€“ National Tobacco Control Programme

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & Community Health Nursing Exams


๐Ÿ”ฐ Introduction

The National Tobacco Control Programme (NTCP) was launched by the Ministry of Health & Family Welfare (MoHFW) to reduce the health and economic burden of tobacco use in India.

๐Ÿ—“๏ธ Launched: 2007โ€“08 (11th Five Year Plan)
๐Ÿ›๏ธ Implemented under: National Health Mission (NHM)
๐ŸŽฏ Based on the Cigarettes and Other Tobacco Products Act (COTPA), 2003


๐ŸŽฏ Objectives of NTCP

โœ”๏ธ Prevent initiation of tobacco use, especially among youth
โœ”๏ธ Promote cessation (quitting) of tobacco use
โœ”๏ธ Protect people from second-hand smoke exposure
โœ”๏ธ Raise awareness about harmful effects of tobacco
โœ”๏ธ Ensure effective enforcement of tobacco control laws
โœ”๏ธ Build capacity of healthcare workers for tobacco cessation


๐Ÿ“Œ Key Components of NTCP

๐Ÿงฉ Component๐Ÿ“ Details
๐Ÿ“ข IEC/BCC ActivitiesMass media campaigns, awareness rallies
๐Ÿซ School ProgramsTobacco-free school initiatives
๐Ÿง  Tobacco Cessation ServicesCounselling at district hospitals, PHCs
๐Ÿง‘โ€โš–๏ธ COTPA EnforcementBan on smoking in public, sale to minors
๐Ÿ“Š Monitoring & ResearchGATS survey, local surveillance data

๐Ÿšญ COTPA 2003 โ€“ Key Provisions

๐Ÿ”น Ban on smoking in public places
๐Ÿ”น Ban on advertisements of tobacco products
๐Ÿ”น Prohibition on sale to minors (<18 years)
๐Ÿ”น Ban on sale within 100 yards of educational institutions
๐Ÿ”น Health warnings on tobacco packaging
๐Ÿ”น Pictorial warning covering 85% of tobacco pack


๐Ÿง‘โ€โš•๏ธ Role of Nurse in NTCP

๐ŸŸข Educate patients and community on dangers of smoking/chewing tobacco
๐ŸŸข Counsel tobacco users for quitting (behavioral + pharmacological)
๐ŸŸข Support school awareness programs
๐ŸŸข Identify signs of oral cancer, respiratory illness due to tobacco
๐ŸŸข Help implement and enforce COTPA rules locally
๐ŸŸข Record data for NTCP reports at PHC/CHC level


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NTCP was launched in 2007โ€“08 to reduce tobacco use
๐ŸŸจ Main law: COTPA 2003
๐ŸŸจ Sale of tobacco to persons <18 years is banned
๐ŸŸจ Tobacco packaging must have 85% pictorial warnings
๐ŸŸจ NTCP promotes cessation clinics and public awareness


โœ… Top 5 MCQs for Practice

Q1. In which year was the National Tobacco Control Programme launched?
๐Ÿ…ฐ๏ธ 2005
โœ… ๐Ÿ…ฑ๏ธ 2007โ€“08
๐Ÿ…ฒ๏ธ 2010
๐Ÿ…ณ๏ธ 2003


Q2. What is the full form of COTPA?
๐Ÿ…ฐ๏ธ Control of Tobacco Act
โœ… ๐Ÿ…ฑ๏ธ Cigarettes and Other Tobacco Products Act
๐Ÿ…ฒ๏ธ Central Oral Tobacco Prohibition Act
๐Ÿ…ณ๏ธ None of the above


Q3. What percentage of tobacco pack must be covered by health warning?
๐Ÿ…ฐ๏ธ 50%
๐Ÿ…ฑ๏ธ 65%
โœ… ๐Ÿ…ฒ๏ธ 85%
๐Ÿ…ณ๏ธ 25%


Q4. Who is prohibited from purchasing tobacco under COTPA?
๐Ÿ…ฐ๏ธ Smokers
โœ… ๐Ÿ…ฑ๏ธ Minors under 18 years
๐Ÿ…ฒ๏ธ Elderly
๐Ÿ…ณ๏ธ Women only


Q5. Under NTCP, which of the following is NOT true?
๐Ÿ…ฐ๏ธ Promotes cessation services
๐Ÿ…ฑ๏ธ Enforces smoking ban
โœ… ๐Ÿ…ฒ๏ธ Promotes tobacco farming
๐Ÿ…ณ๏ธ Conducts awareness programs

๐Ÿ‘๏ธ๐Ÿง‘โ€โš•๏ธ NPCB โ€“ National Programme for Control of Blindness and Visual Impairment

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & Community Health Nursing Exams


๐Ÿ”ฐ Introduction

The National Programme for Control of Blindness (NPCB) was launched in 1976, and later renamed in 2017 as:

โžก๏ธ National Programme for Control of Blindness and Visual Impairment (NPCB & VI)

๐ŸŽฏ Goal: To reduce the prevalence of blindness in India to 0.25% by 2025


๐ŸŽฏ Objectives of NPCB

โœ”๏ธ Reduce the burden of avoidable blindness
โœ”๏ธ Strengthen eye care infrastructure at all levels
โœ”๏ธ Promote free cataract surgeries
โœ”๏ธ Provide school eye screening
โœ”๏ธ Integrate preventive, promotive & curative services
โœ”๏ธ Conduct public awareness and screening camps


๐Ÿ“Š Blindness Status in India

๐Ÿ”น Blindness prevalence in 2001: 1.1%
๐Ÿ”น Target for 2025: โ†“ to 0.25%
๐Ÿ”น Major causes:
โ€ข Cataract (~60%)
โ€ข Refractive errors
โ€ข Glaucoma
โ€ข Corneal blindness
โ€ข Diabetic retinopathy


๐Ÿงฉ Key Activities under NPCB & VI

๐Ÿฉบ Service๐Ÿ“Œ Details
๐Ÿ‘๏ธ Free Cataract SurgeryAt DH/CHC/PHC and NGOs
๐Ÿ”Ž School Eye ScreeningVision check & free specs
๐Ÿฅ Strengthening Eye WardsDHs & Medical Colleges
๐Ÿ‘“ Distribution of SpectaclesTo school children & elderly
๐Ÿ‘จโ€๐Ÿซ IEC CampaignsAwareness for eye donation & prevention
๐Ÿ’‰ Vitamin A SupplementationTo prevent childhood blindness

๐Ÿง  Targeted Eye Diseases

๐Ÿ”น Cataract
๐Ÿ”น Refractive errors
๐Ÿ”น Childhood blindness
๐Ÿ”น Corneal opacity
๐Ÿ”น Glaucoma
๐Ÿ”น Diabetic Retinopathy
๐Ÿ”น Trachoma (in endemic areas)


๐Ÿฅ Levels of Eye Care Services

๐Ÿ“ Level๐Ÿ’ผ Service
Sub Centre / PHCBasic screening
CHC / SDHVision testing, referral
District HospitalCataract surgery, spectacles
Eye BanksCornea collection & transplantation

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in NPCB

๐ŸŸข Screen patients with visual complaints
๐ŸŸข Assist in eye camps and school screening
๐ŸŸข Educate public on eye hygiene & blindness prevention
๐ŸŸข Counsel patients on post-op eye care
๐ŸŸข Support in distributing spectacles
๐ŸŸข Refer for surgical or advanced care


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NPCB launched in 1976, renamed in 2017
๐ŸŸจ Goal: Reduce blindness to 0.25% by 2025
๐ŸŸจ Cataract is the most common cause of blindness
๐ŸŸจ Free spectacles for schoolchildren with poor vision
๐ŸŸจ School Eye Screening is a major activity under NPCB


โœ… Top 5 MCQs for Practice

Q1. What is the new name of NPCB after 2017?
๐Ÿ…ฐ๏ธ National Blindness Eradication Mission
๐Ÿ…ฑ๏ธ Visual Health Programme
โœ… ๐Ÿ…ฒ๏ธ National Programme for Control of Blindness & Visual Impairment
๐Ÿ…ณ๏ธ None of the above


Q2. What is the current target for blindness prevalence by 2025?
๐Ÿ…ฐ๏ธ 0.50%
โœ… ๐Ÿ…ฑ๏ธ 0.25%
๐Ÿ…ฒ๏ธ 1.0%
๐Ÿ…ณ๏ธ 2.0%


Q3. Which is the leading cause of blindness in India?
๐Ÿ…ฐ๏ธ Glaucoma
โœ… ๐Ÿ…ฑ๏ธ Cataract
๐Ÿ…ฒ๏ธ Diabetic Retinopathy
๐Ÿ…ณ๏ธ Retinoblastoma


Q4. Which of the following is a key activity under NPCB?
๐Ÿ…ฐ๏ธ Leprosy screening
๐Ÿ…ฑ๏ธ TB testing
โœ… ๐Ÿ…ฒ๏ธ School eye screening
๐Ÿ…ณ๏ธ Oral cancer detection


Q5. What service is provided free to children under NPCB?
๐Ÿ…ฐ๏ธ Dental checkup
๐Ÿ…ฑ๏ธ TB medicine
โœ… ๐Ÿ…ฒ๏ธ Spectacles
๐Ÿ…ณ๏ธ Protein supplement

๐Ÿ”ฅ๐Ÿง‘โ€โš•๏ธ National Programme for Prevention & Management of Burn Injuries (NPPMBI)

๐Ÿ“˜ Important for NHM, NORCET, AIIMS, RRB, GPSC, Emergency Nursing & Public Health Exams


๐Ÿ”ฐ Introduction

The NPPMBI was launched by the Ministry of Health & Family Welfare (MoHFW) in 2010โ€“11 to provide comprehensive care for burn injury patients across India.

๐ŸŽฏ Focus: Prevention, emergency care, and rehabilitation of burn victims.


๐ŸŽฏ Objectives of NPPMBI

โœ”๏ธ Prevent burn injuries through awareness and education
โœ”๏ธ Establish specialized burn care units at all levels
โœ”๏ธ Provide timely treatment and rehabilitation
โœ”๏ธ Train healthcare providers in burn care and first aid
โœ”๏ธ Strengthen referral linkages for emergency burn cases


๐Ÿงฉ Key Components

๐Ÿ”น Component๐Ÿ’ก Details
๐Ÿฅ InfrastructureBurn units in Medical Colleges, DHs & CHCs
๐Ÿ‘ฉโ€โš•๏ธ TrainingMedical officers, nurses, paramedics
๐Ÿ“ข IEC ActivitiesSafety campaigns (e.g., gas safety, Diwali safety)
๐Ÿง‘โ€๐Ÿฆฝ RehabilitationPhysiotherapy, plastic surgery, counseling
๐Ÿš‘ Referral LinkagesFrom PHC โ†’ CHC โ†’ District โ†’ Tertiary center

๐Ÿฅ Levels of Burn Care Units

๐Ÿ›๏ธ Facility๐Ÿ’ผ Services
Primary (CHCs)First aid, referral
Secondary (DHs)Dressing, stabilization
Tertiary (Medical Colleges)Surgery, ICU care, rehab

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in Burn Management

๐ŸŸข Initial first aid (cooling, dressing)
๐ŸŸข Monitor fluid and electrolyte balance
๐ŸŸข Provide emotional and psychological support
๐ŸŸข Prevent infection and promote wound healing
๐ŸŸข Educate on burn prevention at home/work


๐Ÿ“š Golden One-Liners for NPPMBI

๐ŸŸจ Launched in 2010โ€“11 by MoHFW
๐ŸŸจ Aims to reduce mortality, morbidity, and disability from burns
๐ŸŸจ Covers prevention โ†’ treatment โ†’ rehab
๐ŸŸจ Promotes awareness campaigns and IEC activities


โœ… Sample MCQ

Q. NPPMBI was launched in which year?
๐Ÿ…ฐ๏ธ 2005
๐Ÿ…ฑ๏ธ 2008
โœ… ๐Ÿ…ฒ๏ธ 2010โ€“11
๐Ÿ…ณ๏ธ 2014


๐Ÿšจ๐Ÿง  Programme on Trauma Care (National Trauma Care Programme โ€“ NTCP)


๐Ÿ”ฐ Introduction

The National Trauma Care Programme aims to provide organized and time-sensitive care to accident and trauma victims, especially from road traffic accidents, which are a major cause of death in India.

๐ŸŽฏ Goal: Reduce death & disability due to trauma by timely emergency care.


๐ŸŽฏ Objectives of NTCP

โœ”๏ธ Strengthen trauma care facilities at various levels
โœ”๏ธ Train doctors, nurses, and paramedics in ATLS/BTLS
โœ”๏ธ Establish dedicated trauma centers on highways
โœ”๏ธ Develop ambulance and referral systems
โœ”๏ธ Promote public awareness on accident prevention


๐Ÿงฉ Key Components

๐Ÿš‘ Component๐Ÿ’ก Details
๐Ÿฅ Trauma Care CentresLevel I to IV centers at hospitals
๐Ÿ“ฑ Emergency Response108 ambulance services, helpline
๐Ÿ‘จโ€โš•๏ธ Training ModulesATLS, BLS, First Responder programs
๐Ÿ“ˆ Data SystemsTrauma Registry & surveillance
๐ŸŽ“ Skill DevelopmentEmergency nursing, triage, pre-hospital care

๐Ÿฅ Levels of Trauma Care Centres

๐Ÿฉบ Level๐Ÿ“ Function
Level ISuper-specialty trauma unit (tertiary care)
Level IISurgery, ICU, ortho, CT scan facilities
Level IIIEmergency & surgical stabilization
Level IVBasic first aid, stabilization, referral

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in Trauma Programme

๐ŸŸข Triage patients based on injury severity
๐ŸŸข Administer first aid and life-saving measures
๐ŸŸข Assist in emergency surgeries
๐ŸŸข Monitor vitals, fluid balance, pain management
๐ŸŸข Psychological support to victims and families


๐Ÿ“š Golden One-Liners for NTCP

๐ŸŸจ NTCP addresses accidents and trauma cases
๐ŸŸจ Trauma centers are graded from Level I to IV
๐ŸŸจ Includes training of paramedics and nurses
๐ŸŸจ 108 ambulance system supports trauma response


โœ… Sample MCQ

Q. What is the primary aim of the National Trauma Care Programme?
๐Ÿ…ฐ๏ธ Treat diabetes
โœ… ๐Ÿ…ฑ๏ธ Reduce injury-related deaths
๐Ÿ…ฒ๏ธ Provide eye surgeries
๐Ÿ…ณ๏ธ Treat malnutrition


๐Ÿงฌ๐Ÿซ€ National Organ and Tissue Transplant Organization (NOTTO)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & CHN Exams


๐Ÿ”ฐ Introduction

NOTTO is a national-level organization set up under the Ministry of Health and Family Welfare, Government of India, to regulate, coordinate, and promote organ and tissue donation and transplantation.

๐Ÿ—“๏ธ Established: 2014
๐Ÿ›๏ธ Based at: Safdarjung Hospital, New Delhi
๐Ÿ“œ Operates under: Transplantation of Human Organs Act (THOA), 1994 (amended 2011)


๐ŸŽฏ Objectives of NOTTO

โœ”๏ธ Regulate organ and tissue donation & transplantation in India
โœ”๏ธ Maintain a national registry of donors and recipients
โœ”๏ธ Ensure equity and transparency in organ allocation
โœ”๏ธ Promote awareness and education on organ donation
โœ”๏ธ Train healthcare professionals for ethical transplantation practices


๐Ÿงฉ Structure of Organ Transplant Coordination in India

๐Ÿ›๏ธ Level๐Ÿฅ Organization
National LevelNOTTO
Regional LevelROTTO โ€“ Regional Organ & Tissue Transplant Organization
State LevelSOTTO โ€“ State Organ & Tissue Transplant Organization
Hospital LevelTransplant/Non-transplant Hospitals

๐Ÿ’š Types of Donations Encouraged by NOTTO

๐Ÿง‘โ€โš•๏ธ Donation Type๐Ÿ“ Explanation
Living DonationFamily members donate kidney/liver
Deceased DonationAfter brainstem death (organ retrieval from ventilated patient)
Tissue DonationCornea, skin, bones, heart valves, etc. even after cardiac death

๐Ÿซ Organs & Tissues for Transplantation

๐Ÿซ€ Organs๐Ÿงฌ Tissues
Kidney, Liver, Heart, LungsCornea, Skin, Heart valves, Bone, Tendons
Pancreas, IntestineBlood vessels, Cartilage

๐Ÿ“ฒ Key Functions of NOTTO

๐Ÿ”น Maintain National Waitlist and Registry
๐Ÿ”น Ensure fair allocation of donated organs
๐Ÿ”น Coordinate between donor hospitals and recipients
๐Ÿ”น Promote public education campaigns (e.g., Organ Donation Day โ€“ 13th August)
๐Ÿ”น Conduct training of transplant coordinators & clinicians
๐Ÿ”น Monitor compliance with ethical/legal protocols


๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in Organ Donation Awareness & Transplant Care

๐ŸŸข Educate public and patients about organ donation
๐ŸŸข Identify potential brain death cases for referral
๐ŸŸข Provide pre- and post-operative care to organ recipients
๐ŸŸข Support grieving families in deceased donation process
๐ŸŸข Maintain infection control and ethical care during transplant
๐ŸŸข Assist transplant team in counseling, documentation, follow-up


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NOTTO was established in 2014 under THOA Act
๐ŸŸจ Located at Safdarjung Hospital, New Delhi
๐ŸŸจ Promotes deceased and living organ donation
๐ŸŸจ Coordinates with ROTTO & SOTTO for national registry
๐ŸŸจ Organ Donation Day is celebrated on 13th August


โœ… Top 5 MCQs for Practice

Q1. In which year was NOTTO established?
๐Ÿ…ฐ๏ธ 2010
๐Ÿ…ฑ๏ธ 2005
โœ… ๐Ÿ…ฒ๏ธ 2014
๐Ÿ…ณ๏ธ 2000


Q2. What does NOTTO stand for?
๐Ÿ…ฐ๏ธ National Organ Transplant Team Organization
โœ… ๐Ÿ…ฑ๏ธ National Organ and Tissue Transplant Organization
๐Ÿ…ฒ๏ธ National Organ Therapy and Transplant Office
๐Ÿ…ณ๏ธ None of the above


Q3. Under which act does NOTTO operate?
๐Ÿ…ฐ๏ธ MTP Act
๐Ÿ…ฑ๏ธ Indian Medical Council Act
โœ… ๐Ÿ…ฒ๏ธ Transplantation of Human Organs Act (THOA), 1994
๐Ÿ…ณ๏ธ Biomedical Waste Rules


Q4. Which organ can be donated after brain death?
๐Ÿ…ฐ๏ธ Hair
๐Ÿ…ฑ๏ธ Skin
โœ… ๐Ÿ…ฒ๏ธ Heart
๐Ÿ…ณ๏ธ Teeth


Q5. Organ Donation Day in India is celebrated on:
๐Ÿ…ฐ๏ธ 5th June
โœ… ๐Ÿ…ฑ๏ธ 13th August
๐Ÿ…ฒ๏ธ 15th October
๐Ÿ…ณ๏ธ 1st December

๐Ÿ˜๐Ÿฆท National Oral Health Programme (NOHP)

๐Ÿ“˜ Useful for NHM, NORCET, AIIMS, GPSC, RRB, BSc/GNM Nursing & Community Health Nursing Exams


๐Ÿ”ฐ Introduction

The National Oral Health Programme (NOHP) was launched by the Ministry of Health & Family Welfare, Government of India to improve the oral health status of the Indian population through preventive, promotive, and curative services.

๐Ÿ—“๏ธ Launched: 2014
๐Ÿ“Œ Implemented under: National Health Mission (NHM)
๐ŸŽฏ Motto: โ€œSwachh Munh, Swasth Jeevanโ€ (Clean Mouth, Healthy Life)


๐ŸŽฏ Objectives of NOHP

โœ”๏ธ Prevent and control oral diseases like dental caries, gingivitis, periodontitis
โœ”๏ธ Provide accessible, affordable, and quality dental care
โœ”๏ธ Promote oral hygiene awareness in rural and urban areas
โœ”๏ธ Train healthcare workers and school teachers in oral health education
โœ”๏ธ Integrate oral health with general health systems


๐Ÿงฉ Key Components of NOHP

๐Ÿฅ Component๐Ÿ“˜ Details
๐Ÿฆท Oral Health UnitsEstablished at District Hospitals
๐Ÿ“ข IEC/BCC ActivitiesCommunity awareness, school-based education
๐Ÿ‘จโ€โš•๏ธ Manpower TrainingDentists, health workers, ASHA/ANMs
๐Ÿชฅ Preventive DentistryFluoride application, sealants, oral exams
๐Ÿง’ School Oral Health ProgrammesDaily brushing, early detection
๐Ÿ“ฒ Oral Health SurveillanceMonitoring through Health Management Information System (HMIS)

๐Ÿง  Common Oral Health Issues Addressed

๐Ÿ”ธ Dental caries (tooth decay)
๐Ÿ”ธ Periodontal disease (gum disease)
๐Ÿ”ธ Oral cancer
๐Ÿ”ธ Malocclusion
๐Ÿ”ธ Tooth loss
๐Ÿ”ธ Bad breath and stained teeth


๐Ÿซ Oral Health in Schools (Key Activity)

โœ… Orientation for school teachers
โœ… Distribution of dental hygiene kits
โœ… Tooth brushing demos
โœ… Early referral of suspected dental issues
โœ… Counseling for children and parents


๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in NOHP

๐ŸŸข Conduct community oral health awareness
๐ŸŸข Assist in school dental screenings
๐ŸŸข Teach brushing techniques and oral hygiene
๐ŸŸข Refer patients with cavities, ulcers, or pain
๐ŸŸข Help in IEC/BCC material distribution
๐ŸŸข Support oral health units in record-keeping


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NOHP launched in 2014 under NHM
๐ŸŸจ Focuses on prevention, education, and dental care
๐ŸŸจ Oral Health Units set up at District Hospitals
๐ŸŸจ Promotes school-based oral hygiene activities
๐ŸŸจ Integrated with general health services


โœ… Top 5 MCQs for Practice

Q1. In which year was the National Oral Health Programme launched?
๐Ÿ…ฐ๏ธ 2010
โœ… ๐Ÿ…ฑ๏ธ 2014
๐Ÿ…ฒ๏ธ 2005
๐Ÿ…ณ๏ธ 2020


Q2. What is the main goal of NOHP?
๐Ÿ…ฐ๏ธ Provide spectacles
๐Ÿ…ฑ๏ธ Prevent TB
โœ… ๐Ÿ…ฒ๏ธ Improve oral health
๐Ÿ…ณ๏ธ Offer free surgeries


Q3. Under which mission is NOHP implemented?
๐Ÿ…ฐ๏ธ Digital India
๐Ÿ…ฑ๏ธ RMNCH+A
โœ… ๐Ÿ…ฒ๏ธ National Health Mission (NHM)
๐Ÿ…ณ๏ธ Mid-Day Meal Scheme


Q4. Which oral disease is most common in school children?
๐Ÿ…ฐ๏ธ Asthma
โœ… ๐Ÿ…ฑ๏ธ Dental caries
๐Ÿ…ฒ๏ธ Glaucoma
๐Ÿ…ณ๏ธ Tonsillitis


Q5. โ€œSwachh Munh, Swasth Jeevanโ€ is the slogan of which programme?
๐Ÿ…ฐ๏ธ NPCDCS
๐Ÿ…ฑ๏ธ NTCP
โœ… ๐Ÿ…ฒ๏ธ NOHP
๐Ÿ…ณ๏ธ NPHCE

๐Ÿ’ง๐Ÿฆด National Programme for Prevention and Control of Fluorosis (NPPCF)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & CHN Exams


๐Ÿ”ฐ Introduction

The NPPCF was launched by the Ministry of Health & Family Welfare (MoHFW) to tackle the public health problem of fluorosis, caused by excess fluoride in drinking water.

๐Ÿ—“๏ธ Launched: 2008โ€“09
๐Ÿฅ Implemented under: National Health Mission (NHM)
๐ŸŽฏ Focus: Detection, prevention, and management of fluorosis


๐Ÿงช What is Fluorosis?

๐Ÿฆ  A crippling disease caused by long-term ingestion of fluoride in amounts higher than recommended (safe limit: โ‰ค 1.5 mg/L by WHO).

๐Ÿšจ Types of Fluorosis๐Ÿ” Key Features
Dental FluorosisBrown/yellow spots on teeth
Skeletal FluorosisJoint stiffness, pain, spinal deformity
Non-skeletal FluorosisGastro, muscular, and neurological symptoms

๐ŸŽฏ Objectives of NPPCF

โœ”๏ธ Identify and map fluorosis-affected areas
โœ”๏ธ Provide safe drinking water alternatives
โœ”๏ธ Prevent further exposure to excess fluoride
โœ”๏ธ Educate communities about fluoride toxicity
โœ”๏ธ Strengthen diagnosis and management services
โœ”๏ธ Promote inter-sectoral coordination (Health + Water + Sanitation)


๐Ÿฅ Services Provided Under NPPCF

๐Ÿฉบ Service๐Ÿ“Œ Details
๐Ÿงช Water quality monitoringIdentify high-fluoride areas
๐Ÿฅ Fluorosis diagnostic facilitiesX-ray, urine fluoride test
๐Ÿ’Š Medical managementPain relief, calcium + vitamin D3
๐Ÿšฐ Alternative safe waterRO plants, defluoridation units
๐Ÿ“ข Health education & IECSchool & community campaigns

๐Ÿ›๏ธ Implementation Structure

๐Ÿฅ Level๐Ÿ“‹ Role
District HospitalsDiagnostic centers, physiotherapy
CHCs/PHCsEarly detection, referral
Community OutreachIEC/BCC, school-based awareness

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in NPPCF

๐ŸŸข Screen for signs of dental & skeletal fluorosis
๐ŸŸข Educate about safe water usage and storage
๐ŸŸข Promote milk, calcium-rich foods, and supplements
๐ŸŸข Refer severe cases for orthopedic management
๐ŸŸข Support IEC/BCC activities in affected villages
๐ŸŸข Help in surveillance and data collection


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NPPCF was launched in 2008โ€“09
๐ŸŸจ Safe fluoride level in water = โ‰ค 1.5 mg/L (WHO)
๐ŸŸจ Brown-spotted teeth = Dental fluorosis
๐ŸŸจ Joint pain & stiffness = Skeletal fluorosis
๐ŸŸจ Programme focuses on prevention + water safety + awareness


โœ… Top 5 MCQs for Practice

Q1. When was the NPPCF launched in India?
๐Ÿ…ฐ๏ธ 2005
โœ… ๐Ÿ…ฑ๏ธ 2008โ€“09
๐Ÿ…ฒ๏ธ 2012
๐Ÿ…ณ๏ธ 1997


Q2. What is the main cause of fluorosis?
๐Ÿ…ฐ๏ธ Iron deficiency
๐Ÿ…ฑ๏ธ Air pollution
โœ… ๐Ÿ…ฒ๏ธ High fluoride in drinking water
๐Ÿ…ณ๏ธ Malaria parasite


Q3. What is the safe limit of fluoride in water as per WHO?
๐Ÿ…ฐ๏ธ 5 mg/L
๐Ÿ…ฑ๏ธ 2.0 mg/L
โœ… ๐Ÿ…ฒ๏ธ 1.5 mg/L
๐Ÿ…ณ๏ธ 0.5 mg/L


Q4. Which food is recommended to manage fluorosis?
๐Ÿ…ฐ๏ธ High salt foods
๐Ÿ…ฑ๏ธ Sugary drinks
โœ… ๐Ÿ…ฒ๏ธ Calcium-rich foods (like milk)
๐Ÿ…ณ๏ธ Spicy food


Q5. What is a visible sign of dental fluorosis?
๐Ÿ…ฐ๏ธ Red gums
โœ… ๐Ÿ…ฑ๏ธ Yellow/Brown teeth stains
๐Ÿ…ฒ๏ธ Black tongue
๐Ÿ…ณ๏ธ Tooth ulcers

๐ŸฅNRHM, NUHM & NHM โ€“ Explained Together

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & Community/Public Health Nursing Exams


๐Ÿงฉ OVERVIEW TABLE:

๐Ÿ“˜ Programme๐Ÿ—“๏ธ Launched๐Ÿ‘ฅ Target Population๐Ÿ™๏ธ Area of Focus
NRHM2005Rural populationRural health system
NUHM2013Urban poor & slum dwellersUrban health system
NHM2013Entire populationIntegration of NRHM + NUHM

๐ŸŒฟ 1. NRHM โ€“ National Rural Health Mission

๐Ÿ—“๏ธ Launched: 2005
๐ŸŽฏ Goal: Provide accessible, affordable, and quality healthcare to the rural population, especially vulnerable groups

โœ… Key Features:

  • Strengthening Sub-Centres, PHCs, CHCs
  • Introduction of ASHA (Accredited Social Health Activist)
  • Promotion of institutional delivery through JSY
  • Focus on maternal & child health, family planning, and communicable diseases
  • Village Health Sanitation & Nutrition Committees (VHSNCs)
  • AYUSH integration

๐Ÿ™๏ธ 2. NUHM โ€“ National Urban Health Mission

๐Ÿ—“๏ธ Launched: 2013
๐ŸŽฏ Goal: Provide essential primary healthcare to urban poor including slum dwellers, homeless, migrants

โœ… Key Features:

  • Establish Urban PHCs (U-PHCs) and Urban CHCs (U-CHCs)
  • Deploy Urban ASHAs and Mahila Arogya Samitis
  • Health outreach services in urban slums
  • Focus on non-communicable diseases (NCDs), sanitation, and environment-linked health issues
  • Convergence with Municipal Bodies and WASH

โค๏ธโ€๐Ÿฉน 3. NHM โ€“ National Health Mission

๐Ÿ—“๏ธ Launched: 2013
๐ŸŽฏ Goal: Provide universal access to equitable, affordable and quality healthcare to all

๐Ÿ‘‰ NHM = NRHM + NUHM

โœ… Key Components:

  • RMNCH+A approach (Reproductive, Maternal, Newborn, Child & Adolescent Health)
  • Health & Wellness Centres (HWCs)
  • Comprehensive Primary Healthcare
  • Free diagnostics & drugs initiative
  • NCD Screening (Hypertension, Diabetes, Cancers)
  • Strengthening Human Resource, Infrastructure, and Public-Private Partnership

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse/ANM/ASHA in NHM, NRHM & NUHM

๐ŸŸข Health promotion & education
๐ŸŸข Immunization & family planning
๐ŸŸข Maternal and newborn care (ANC, PNC, institutional delivery)
๐ŸŸข Home visits, community-based care
๐ŸŸข NCD screening, referral & follow-up
๐ŸŸข Maintain health records and reports


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NRHM launched in 2005 for rural health
๐ŸŸจ NUHM launched in 2013 for urban poor health
๐ŸŸจ NHM integrates NRHM + NUHM under one umbrella
๐ŸŸจ ASHA is a key community link worker under NRHM
๐ŸŸจ NHM promotes universal health coverage


โœ… Top 5 MCQs for Practice

Q1. When was the National Rural Health Mission (NRHM) launched?
๐Ÿ…ฐ๏ธ 2010
โœ… ๐Ÿ…ฑ๏ธ 2005
๐Ÿ…ฒ๏ธ 2013
๐Ÿ…ณ๏ธ 2000


Q2. Which programme focuses on urban slum populations?
๐Ÿ…ฐ๏ธ NRHM
โœ… ๐Ÿ…ฑ๏ธ NUHM
๐Ÿ…ฒ๏ธ JSY
๐Ÿ…ณ๏ธ NACP


Q3. What is the full form of NHM?
๐Ÿ…ฐ๏ธ National Hygiene Mission
๐Ÿ…ฑ๏ธ National Hospital Mission
โœ… ๐Ÿ…ฒ๏ธ National Health Mission
๐Ÿ…ณ๏ธ National Hepatitis Mission


Q4. What is the name of the female community health worker under NRHM?
๐Ÿ…ฐ๏ธ ANM
๐Ÿ…ฑ๏ธ Staff Nurse
โœ… ๐Ÿ…ฒ๏ธ ASHA
๐Ÿ…ณ๏ธ MPW


Q5. NHM was launched in which year?
๐Ÿ…ฐ๏ธ 2005
โœ… ๐Ÿ…ฑ๏ธ 2013
๐Ÿ…ฒ๏ธ 2015
๐Ÿ…ณ๏ธ 2008

๐ŸฅPMSSY โ€“ Pradhan Mantri Swasthya Suraksha Yojana

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & Public Health Nursing Exams


๐Ÿ”ฐ Introduction

The Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) is a centrally sponsored scheme by the Ministry of Health and Family Welfare, Government of India.

๐Ÿ—“๏ธ Launched: 2006
๐ŸŽฏ Aim: To correct the regional imbalances in tertiary healthcare services and enhance medical education capacity across India.


๐ŸŽฏ Objectives of PMSSY

โœ”๏ธ Strengthen tertiary healthcare infrastructure
โœ”๏ธ Establish new AIIMS-like institutions across underserved regions
โœ”๏ธ Upgrade existing Government Medical Colleges (GMCs)
โœ”๏ธ Provide affordable super-specialty care
โœ”๏ธ Enhance medical education and training opportunities


๐Ÿฅ Components of PMSSY

1๏ธโƒฃ Setting up AIIMS-like Institutes

โœ… High-quality tertiary healthcare institutes
โœ… Autonomous bodies under MoHFW
โœ… Provide super-specialty services, medical education & research

๐Ÿ”น AIIMS Institutes set up under PMSSY (as of 2024):
AIIMS Bhopal, Bhubaneswar, Jodhpur, Patna, Raipur, Rishikesh, and many more new AIIMS across India


2๏ธโƒฃ Upgradation of Existing Government Medical Colleges (GMCs)

โœ… Addition of super-specialty departments
โœ… Strengthen infrastructure, ICU, trauma care, diagnostics
โœ… Fund sharing: Central:State = 90:10 (NE & Hill states), 60:40 (others)


๐ŸŒ Key Features

๐Ÿ—๏ธ Focus Area๐Ÿ“Œ Details
New AIIMS Institutes22 announced (many operational)
Super-Specialty ExpansionCardiothoracic, Neurology, Oncology, etc.
Medical Education StrengtheningMore PG seats, modern equipment
Affordable HealthcareServices to underserved & rural regions
Regional EquityReduce travel burden for critical care

๐Ÿ‘ฉโ€โš•๏ธ Role of Nursing in PMSSY Implementation

๐ŸŸข Training in super-specialty nursing care
๐ŸŸข Participate in research, skill labs in AIIMS
๐ŸŸข Provide tertiary-level nursing care in upgraded GMCs
๐ŸŸข Involve in teaching and mentoring junior staff
๐ŸŸข Support critical care, transplant, and advanced units


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ PMSSY launched in 2006 to reduce regional imbalances in tertiary care
๐ŸŸจ Under PMSSY, new AIIMS are established across India
๐ŸŸจ Existing GMCs are upgraded to provide super-specialty services
๐ŸŸจ PMSSY supports affordable quality care + medical education
๐ŸŸจ Funded by MoHFW, with state sharing pattern


โœ… Top 5 MCQs for Practice

Q1. In which year was PMSSY launched?
๐Ÿ…ฐ๏ธ 2000
โœ… ๐Ÿ…ฑ๏ธ 2006
๐Ÿ…ฒ๏ธ 2010
๐Ÿ…ณ๏ธ 2015


Q2. What is the main goal of PMSSY?
๐Ÿ…ฐ๏ธ Promote herbal medicine
โœ… ๐Ÿ…ฑ๏ธ Strengthen tertiary healthcare and medical education
๐Ÿ…ฒ๏ธ Only fund private hospitals
๐Ÿ…ณ๏ธ None of the above


Q3. Which institutions are created under PMSSY?
๐Ÿ…ฐ๏ธ IITs
๐Ÿ…ฑ๏ธ IIMs
โœ… ๐Ÿ…ฒ๏ธ AIIMS
๐Ÿ…ณ๏ธ NITs


Q4. PMSSY also upgrades which of the following?
๐Ÿ…ฐ๏ธ Private nursing homes
โœ… ๐Ÿ…ฑ๏ธ Government Medical Colleges
๐Ÿ…ฒ๏ธ Homeopathy clinics
๐Ÿ…ณ๏ธ Ayurvedic shops


Q5. Fund sharing for NE & Hill states under PMSSY is:
๐Ÿ…ฐ๏ธ 50:50
๐Ÿ…ฑ๏ธ 70:30
โœ… ๐Ÿ…ฒ๏ธ 90:10
๐Ÿ…ณ๏ธ 100% Central

๐Ÿ’ง๐Ÿฅ Pradhan Mantri Jan Arogya Yojana (PM-JAY)

๐Ÿ“˜ Ayushman Bharat Scheme โ€“ Indiaโ€™s Largest Government Health Assurance Program


๐Ÿ”ฐ Introduction

PM-JAY was launched by the Ministry of Health & Family Welfare (MoHFW) under Ayushman Bharat to provide financial protection for secondary and tertiary healthcare to poor and vulnerable families.

๐Ÿ—“๏ธ Launched: 23rd September 2018
๐Ÿฅ Under: National Health Authority (NHA), NHM
๐ŸŽฏ Focus: Cashless hospitalization, reducing out-of-pocket health expenditure


๐Ÿงพ Key Features of PM-JAY

๐Ÿท๏ธ Feature๐Ÿ“Œ Details
๐Ÿ’ฐ Coverage Amountโ‚น5 lakh per family per year
๐Ÿ‘จโ€๐Ÿ‘ฉโ€๐Ÿ‘งโ€๐Ÿ‘ฆ Family SizeNo cap on family size, age, or gender
๐Ÿฅ Type of CareSecondary & tertiary care (hospitalization)
๐Ÿ“„ ModeCashless, paperless via Ayushman card
๐Ÿ” IdentificationSECC-2011 data-based eligibility
๐Ÿ›๏ธ Empanelled UnitsBoth public and private hospitals

๐Ÿง‘โ€โš•๏ธ Objectives of PM-JAY

โœ”๏ธ Provide financial protection against catastrophic health costs
โœ”๏ธ Ensure access to quality healthcare services for poor & needy
โœ”๏ธ Promote universal health coverage (UHC)
โœ”๏ธ Strengthen infrastructure in health sector
โœ”๏ธ Encourage public-private partnerships


๐Ÿฅ Services Covered Under PM-JAY

๐Ÿฉบ Service๐Ÿ“‹ Details
๐Ÿจ Hospitalization CoverageInpatient, pre (3 days) & post (15 days) hospitalization expenses
๐Ÿ’Š Medical ManagementMedicines, ICU, diagnostics, OT, implants
๐Ÿ“ƒ No Pre-paymentBeneficiary doesn’t pay during treatment
๐Ÿ›Œ Cashless TreatmentAvailable at empanelled hospitals
๐Ÿงพ e-Card GenerationThrough CSC, empanelled hospital, or PM-JAY help desk

๐Ÿ› ๏ธ Implementation Structure

๐Ÿฅ Level๐Ÿงพ Role
๐ŸŸฆ District HospitalsEmpanelment, high-end procedures
๐ŸŸฉ CHCs/PHCsBeneficiary awareness, screening
๐ŸŸจ Communitye-card generation, IEC/BCC activities
๐ŸŸง Call Center/HelplineGrievance redressal, information support

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurse in PM-JAY

๐ŸŸข Help in screening eligible families
๐ŸŸข Guide patients on accessing empanelled hospitals
๐ŸŸข Educate community on e-card registration & use
๐ŸŸข Support discharge, follow-up, and IEC activities
๐ŸŸข Act as link between community & healthcare system
๐ŸŸข Aid in grievance redressal and documentation


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ PM-JAY launched in 2018 under Ayushman Bharat
๐ŸŸจ โ‚น5 lakh per family per year โ€“ secondary & tertiary care
๐ŸŸจ Eligibility based on SECC-2011 data
๐ŸŸจ Cashless & paperless care using Ayushman card
๐ŸŸจ Implemented under NHM via National Health Authority (NHA)


โœ… Top 5 MCQs for Practice

Q1. When was the Pradhan Mantri Jan Arogya Yojana launched?
๐Ÿ…ฐ๏ธ 2016
๐Ÿ…ฑ๏ธ 2010
โœ… ๐Ÿ…ฒ๏ธ 2018
๐Ÿ…ณ๏ธ 2020


Q2. What is the annual coverage provided under PM-JAY?
๐Ÿ…ฐ๏ธ โ‚น2 lakh
๐Ÿ…ฑ๏ธ โ‚น3 lakh
โœ… ๐Ÿ…ฒ๏ธ โ‚น5 lakh
๐Ÿ…ณ๏ธ โ‚น1 lakh


Q3. What type of healthcare services are covered under PM-JAY?
๐Ÿ…ฐ๏ธ Only outpatient care
โœ… ๐Ÿ…ฑ๏ธ Secondary and tertiary hospitalization
๐Ÿ…ฒ๏ธ Alternative medicine only
๐Ÿ…ณ๏ธ Vaccination programs


Q4. PM-JAY is based on which of the following data?
๐Ÿ…ฐ๏ธ BPL 2002
โœ… ๐Ÿ…ฑ๏ธ SECC 2011
๐Ÿ…ฒ๏ธ NSSO 2007
๐Ÿ…ณ๏ธ Census 2001


Q5. What is the role of the nurse under PM-JAY?
๐Ÿ…ฐ๏ธ Perform surgeries
๐Ÿ…ฑ๏ธ Diagnose complex conditions
โœ… ๐Ÿ…ฒ๏ธ Assist in awareness, registration, referral
๐Ÿ…ณ๏ธ Collect taxes

๐Ÿ’—๐Ÿ‘ฉโ€๐Ÿผ PMSMA โ€“ Pradhan Mantri Surakshit Matritva Abhiyan

๐Ÿงท A nationwide initiative launched by the Ministry of Health & Family Welfare (MoHFW) to provide quality antenatal care (ANC) to all pregnant women on a fixed day every month.


๐Ÿ—“๏ธ Launched: 9th June 2016

๐Ÿฅ Under: National Health Mission (NHM)
๐Ÿ“… Check-up Day: 9th of every month
๐ŸŽฏ Focus: High-risk pregnancy identification and reduction of maternal & neonatal mortality


๐Ÿคฐ Objectives of PMSMA

โœ”๏ธ Provide assured, comprehensive, and quality antenatal care
โœ”๏ธ Detect and manage high-risk pregnancies (HRP) early
โœ”๏ธ Promote institutional deliveries
โœ”๏ธ Reduce maternal and infant mortality
โœ”๏ธ Mobilize private sector specialists for public health


๐Ÿ“‹ Key Features

๐Ÿท๏ธ Feature๐Ÿ“Œ Details
๐Ÿ—“๏ธ Fixed DayANC services on 9th of every month
๐Ÿฅ CoverageAll pregnant women in 2nd and 3rd trimesters
๐Ÿ‘ฉโ€โš•๏ธ Specialist SupportVoluntary services by private OB-GYNs
๐Ÿ“Œ Colour-Codingโœ… Green โ€“ Normal pregnancy
๐Ÿ”ด Red Sticker โ€“ High-risk pregnancy
๐Ÿ“‘ MCP CardEnsures regular ANC documentation

๐Ÿงช๐Ÿฉบ Services Provided Under PMSMA

๐Ÿฉบ Service๐Ÿ“‹ Details
๐Ÿงช Blood Pressure, Weight, FHRBasic ANC check-up
๐Ÿ’‰ Blood & Urine TestsHb%, HIV, Syphilis, sugar, albumin
๐Ÿ“ Tetanus + IFA + CalciumSupplementation and immunization
๐Ÿฉป Ultrasound (if needed)Fetal well-being and dating
๐Ÿงพ High-Risk IdentificationHistory of anemia, preeclampsia, DM, RH incompatibility
๐Ÿ“ข CounselingDiet, hygiene, danger signs, institutional delivery

๐Ÿง‘โ€โš•๏ธ Role of Nurse in PMSMA

๐ŸŸข Register pregnant women
๐ŸŸข Perform basic ANC assessment
๐ŸŸข Administer TT, IFA, and supplements
๐ŸŸข Educate about danger signs and birth preparedness
๐ŸŸข Refer HRP to higher facility
๐ŸŸข Update MCP card & PMSMA register
๐ŸŸข Support IEC/BCC & mobilization efforts


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ PMSMA launched on 9th June 2016
๐ŸŸจ ANC check-up day is 9th of every month
๐ŸŸจ 2nd & 3rd trimester pregnant women are beneficiaries
๐ŸŸจ Focus on high-risk pregnancy detection & management
๐ŸŸจ Red sticker = High-risk pregnancy
๐ŸŸจ Provided under National Health Mission (NHM)


โœ… Top 5 MCQs for Practice

Q1. When is PMSMA check-up held every month?
๐Ÿ…ฐ๏ธ 15th
๐Ÿ…ฑ๏ธ 1st
โœ… ๐Ÿ…ฒ๏ธ 9th
๐Ÿ…ณ๏ธ 30th


Q2. Who is the target beneficiary of PMSMA?
๐Ÿ…ฐ๏ธ Lactating mothers
โœ… ๐Ÿ…ฑ๏ธ Pregnant women in 2nd and 3rd trimester
๐Ÿ…ฒ๏ธ Children under 5
๐Ÿ…ณ๏ธ Elderly


Q3. What does a red sticker on the MCP card indicate?
๐Ÿ…ฐ๏ธ First ANC visit
โœ… ๐Ÿ…ฑ๏ธ High-risk pregnancy
๐Ÿ…ฒ๏ธ Anemia only
๐Ÿ…ณ๏ธ Complete ANC


Q4. Which of the following is NOT part of PMSMA services?
๐Ÿ…ฐ๏ธ IFA distribution
โœ… ๐Ÿ…ฑ๏ธ Delivery services
๐Ÿ…ฒ๏ธ BP measurement
๐Ÿ…ณ๏ธ HIV testing


Q5. Under PMSMA, who can voluntarily provide specialist care?
๐Ÿ…ฐ๏ธ School teachers
๐Ÿ…ฑ๏ธ Anganwadi workers
โœ… ๐Ÿ…ฒ๏ธ Private Obstetricians & Gynecologists
๐Ÿ…ณ๏ธ Panchayat members

๐Ÿ’ป๐Ÿ“Š Health Management Information System (HMIS)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & CHN Exams

๐Ÿ”ฐ Introduction

HMIS is a data collection, analysis, and reporting system designed by the Ministry of Health and Family Welfare (MoHFW), India to monitor and improve health service delivery under National Health Mission (NHM).

๐Ÿ› ๏ธ Launched: 2008
๐Ÿ–ฅ๏ธ Type: Web-based monitoring system
๐ŸŽฏ Focus: Evidence-based planning, real-time data entry, and decision-making in public health


๐Ÿ“Œ Objectives of HMIS

โœ”๏ธ Collect timely and reliable health data from facilities
โœ”๏ธ Monitor health service delivery across India
โœ”๏ธ Strengthen decision-making based on real-time data
โœ”๏ธ Reduce manual errors and duplication
โœ”๏ธ Help in planning and policy formulation
โœ”๏ธ Evaluate program outcomes and impact


๐Ÿฅ Key Features of HMIS

๐Ÿ”น Feature๐Ÿ“‹ Details
๐Ÿ“ฒ PlatformOnline, centralized web-based portal
๐Ÿฅ Facility-level DataFrom Sub-centers to District Hospitals
โŒ› Real-Time EntryMonthly and daily data entry possible
๐Ÿ“Š Data VisualizationDashboards, graphs, trends
๐Ÿ—ƒ๏ธ Data FlowHealth Facility โ†’ Block โ†’ District โ†’ State โ†’ MoHFW
๐Ÿ” Secure AccessRole-based login credentials
๐Ÿงฎ OutputService coverage, health indicators, performance metrics

๐Ÿ—ƒ๏ธ Components of HMIS Data

๐Ÿ“ Category๐Ÿ’ก Examples
๐Ÿฉบ Service DeliveryOPD, IPD, ANC, immunization
๐Ÿง‘โ€๐Ÿผ Maternal & Child HealthDeliveries, stillbirths, birth weight, PNC
๐Ÿ’‰ ImmunizationBCG, DPT, Measles, Polio
๐Ÿฉธ Communicable DiseasesTB, malaria, HIV reporting
๐Ÿฅ Hospital ServicesBed occupancy, deaths, referrals
๐Ÿ“ˆ Logistics & SuppliesMedicine stocks, equipment

๐Ÿง‘โ€โš•๏ธ Role of Nurse in HMIS

๐ŸŸข Record accurate and timely patient data
๐ŸŸข Report maternal, child health, immunization, OPD/ANC data
๐ŸŸข Enter data in registers/computerized formats
๐ŸŸข Assist in data validation and error checking
๐ŸŸข Participate in monthly reporting and data quality meetings
๐ŸŸข Support community-based data collection (e.g., ASHA reports)


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ HMIS launched in 2008 by MoHFW
๐ŸŸจ It is a web-based data reporting and analysis tool
๐ŸŸจ Facilitates evidence-based decision-making in healthcare
๐ŸŸจ Used from Sub-center to National level
๐ŸŸจ Core areas include MCH, disease surveillance, immunization, logistics


โœ… Top 5 MCQs for Practice

Q1. In which year was the Health Management Information System (HMIS) launched in India?
๐Ÿ…ฐ๏ธ 2010
๐Ÿ…ฑ๏ธ 2005
โœ… ๐Ÿ…ฒ๏ธ 2008
๐Ÿ…ณ๏ธ 2012


Q2. HMIS is primarily used for:
๐Ÿ…ฐ๏ธ Treating diseases
๐Ÿ…ฑ๏ธ Organ donation
โœ… ๐Ÿ…ฒ๏ธ Health data reporting and analysis
๐Ÿ…ณ๏ธ Drug manufacturing


Q3. Which organization launched the HMIS in India?
๐Ÿ…ฐ๏ธ WHO
๐Ÿ…ฑ๏ธ UNICEF
โœ… ๐Ÿ…ฒ๏ธ MoHFW
๐Ÿ…ณ๏ธ ICMR


Q4. Which of the following is a key feature of HMIS?
๐Ÿ…ฐ๏ธ It is a mobile gaming app
๐Ÿ…ฑ๏ธ It is a pharmacy billing tool
โœ… ๐Ÿ…ฒ๏ธ It collects and analyzes health data
๐Ÿ…ณ๏ธ It is used only by private hospitals


Q5. What is the nurseโ€™s role in HMIS?
๐Ÿ…ฐ๏ธ Operate machinery
๐Ÿ…ฑ๏ธ Administer anesthesia
โœ… ๐Ÿ…ฒ๏ธ Record and report patient health data
๐Ÿ…ณ๏ธ Perform radiology scans

๐Ÿซ€๐Ÿง  National Organ and Tissue Transplant Organization (NOTTO)

๐Ÿ“˜ Important for NORCET, NHM, AIIMS, GPSC, RRB, BSc/GNM Nursing & CHN Exams


๐Ÿ”ฐ Introduction

NOTTO is a national-level organization established by the Ministry of Health and Family Welfare (MoHFW), Government of India to oversee the organ and tissue donation and transplantation program in India.

๐Ÿ—“๏ธ Established: 2011
๐Ÿ›๏ธ Headquarters: Safdarjung Hospital, New Delhi
๐ŸŽฏ Focus: Organ donation awareness, allocation, and transplantation regulation


๐Ÿฅ Divisions of NOTTO

๐Ÿ”ท Division๐Ÿ“‹ Function
๐Ÿข National Human Organ and Tissue Removal and Storage Network (NHOTRS)Maintains national-level registry and database for donors and recipients
๐Ÿงฌ National Biomaterial Centre (National Tissue Bank)Storage and distribution of tissues like cornea, bones, skin

๐ŸŽฏ Objectives of NOTTO

โœ”๏ธ Promote organ donation awareness and deceased donor programs
โœ”๏ธ Maintain national registry of organ/tissue donors & recipients
โœ”๏ธ Regulate organ allocation based on medical urgency, transparency & fairness
โœ”๏ธ Provide training and support for transplant coordinators & healthcare staff
โœ”๏ธ Ensure ethical practices and legal compliance under THOA (1994)
โœ”๏ธ Collaborate with state and regional transplant organizations


โš–๏ธ Legal Basis:

๐Ÿ“œ The Transplantation of Human Organs Act (THOA) โ€“ 1994

  • Governs organ donation, removal, storage, and transplantation
  • Defines brain death criteria
  • Makes sale of organs illegal and punishable

๐Ÿ“Œ Key Activities of NOTTO

๐Ÿง  Activity๐Ÿ“‹ Details
๐Ÿ“š TrainingFor transplant coordinators, ICU staff, and counselors
๐Ÿ’ป IT PlatformOnline registry, donor-recipient matching
๐Ÿ“ข AwarenessPublic campaigns like Organ Donation Day (Aug 13)
๐Ÿ“Š Data CollectionNational statistics of donations and transplants
๐Ÿ› ๏ธ Policy MakingGuidelines for organ allocation, transplant ethics

๐Ÿง‘โ€โš•๏ธ Role of Nurse in NOTTO & Organ Donation

๐ŸŸข Educate patients/families about organ donation
๐ŸŸข Identify potential brain-dead donors
๐ŸŸข Assist in donor maintenance & ICU care
๐ŸŸข Support legal formalities and documentation
๐ŸŸข Collaborate with transplant team
๐ŸŸข Encourage voluntary donor registration
๐ŸŸข Participate in awareness campaigns


๐Ÿ“š Golden One-Liners for Quick Revision โœจ

๐ŸŸจ NOTTO established in 2011 under MoHFW
๐ŸŸจ HQ: Safdarjung Hospital, New Delhi
๐ŸŸจ Functions under the Transplantation of Human Organs Act, 1994
๐ŸŸจ Manages National Organ & Tissue Donation Registry
๐ŸŸจ Organ Donation Day: August 13
๐ŸŸจ Illegal sale of organs is punishable under law


โœ… Top 5 MCQs for Practice

Q1. Where is the headquarters of NOTTO located?
๐Ÿ…ฐ๏ธ Mumbai
โœ… ๐Ÿ…ฑ๏ธ New Delhi
๐Ÿ…ฒ๏ธ Chennai
๐Ÿ…ณ๏ธ Kolkata


Q2. What is the main legal act regulating organ transplantation in India?
๐Ÿ…ฐ๏ธ Biomedical Waste Act
โœ… ๐Ÿ…ฑ๏ธ Transplantation of Human Organs Act, 1994
๐Ÿ…ฒ๏ธ Clinical Establishment Act
๐Ÿ…ณ๏ธ Epidemic Act


Q3. Which of the following is a function of NOTTO?
๐Ÿ…ฐ๏ธ Vaccine manufacturing
โœ… ๐Ÿ…ฑ๏ธ Maintaining national registry of organ donation
๐Ÿ…ฒ๏ธ Licensing medical colleges
๐Ÿ…ณ๏ธ Monitoring health insurance


Q4. What role can nurses play in the organ donation process?
๐Ÿ…ฐ๏ธ Perform surgeries
โœ… ๐Ÿ…ฑ๏ธ Identify and manage potential organ donors
๐Ÿ…ฒ๏ธ Prepare legal contracts
๐Ÿ…ณ๏ธ Issue driving licenses


Q5. On which day is National Organ Donation Day celebrated in India?
๐Ÿ…ฐ๏ธ 5th September
๐Ÿ…ฑ๏ธ 1st December
โœ… ๐Ÿ…ฒ๏ธ 13th August
๐Ÿ…ณ๏ธ 14th November


Published
Categorized as CHN-SYNOPSIS-PHC, Uncategorised