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Sector Expert Consultation on Health: Communicable & Non Communicable Diseases

On 25th Oct 2017, the sector expert consultation on diseases was held at Hotel Fortune Murali Park, Vijayawada. A total of 27 experts participated in the consultation.

 

The consultation included experts from Government agencies like Andhra Pradesh Vaidya Vidhana Parishad (APVVP); Director of Health, GoAP; MEPMA; Sarva Shiksha Abhiyan;  Medical Officer, State Senior Coordinator for School Health; Indian Medical Association; Chairperson, Dean - Research and Research Officer from IIHMR University, Jaipur; Health Consultants from UNICEF; Senior faculty from Siddhartha Medical College; researchers from Azim Premji University, Bengaluru, and private sector stakeholders from hospitals including Ramesh Hospital etc.

Key participants included: Dr. Reddy, Joint Commissioner, APVVP ; Dr. Geetha Prasadini, Addl. Director Non-Communicable Diseases, GoAP; Dr. Sridhar Reddy, Red Cross Society, Vijayawada; Dr. Gupta  - Chairman, IIHMR University, Jaipur; Dr. Mangal, Dean - Research, IIHMR University Jaipur; Dr. MSC Bose, President Indian Medical Association; Dr. Kumar, State Consultant – Nutrition, UNICEF; Professor Shreelata Rao Seshadri, Azim Premji University, Bengaluru etc. 

The Sector Expert Consultation Communicable & Non communicable Diseases came up with 56 interventions. The complete list can be found below.

Communicable Diseases

  1. Supply of clean drinking potable water.
  2. Complete awareness regarding TB treatment. 
  3. Emerging drug resistance needs to be prioritized with research on new antibiotics.
  4. Improving awareness in community to manage and complete treatment of TB.
  5. Active case finding and treatment for TB
  6. TB treatment should be strictly adhered.
  7. Dropout rate post 3 months to 6 months for TB treatment should be controlled.
  8. Treatment of all forms of drug resistant TB 
  9. Proper education of people suffering from MDR TB.
  10. Health system needs to be ready to address new and emerging infections such as H1N1, swine flu.
  11. Single window delivery approach for HIV- TB care 
  12. Uniform treatment across all medical professionals in treating cases to limit MDR cases
  13. Hygienic practices and health education should be inculcated in community - focusing at the primary school level. 
  14. Contact tracing of TB patient.
  15. Provide nutrition support to the patient with improved dietary regime
  16. Systematic active TB case finding strategy
  17. Smoking in children and adolescents need to be restricted
  18. Transition from intermittent to daily regimen 
  19. Rapid diagnostic test kits for malaria should be limited only for areas where microscopic test results are not available within 24 hrs.
  20. Local facility for diagnosis of TB.
  21. Acute respiratory infections and diarrhoea in children need to monitored
  22. Cost of treatment and cost of detection very prohibitive - health insurance programs should cover outpatient care for communicable diseases.
  23.  Address communication gap within the system to ensure guidelines and protocols for treatment are effectively communicated and reach the medical personnel at the primary level.
  24. Engage private sector to improve detection and treatment adherence for TB
  25. Use of new drug Bedaquiline along with DST guided treatment 
  26. Use of ICT enabled adherence support for patient centric care 
  27. Education of mothers and future mothers to take care of children
  28. Remove stigma attached to TB through health counselling.
  29. Screen the distribution of drugs at the health centre to avoid fear being instilled in patients when they see the after effects of medication.
  30. Ensuring care cascade monitoring
  31. Punitive measures to ensure strict adherence to TB treatment regimen

Non-Communicable Disease

  1. NCD risk factor surveillance systems institutionalized and integrated into the national health information systems
  2. Emphasis on implementation of Oral Health camps & policies in schools.
  3. Use of digital technology (Telemedicine, e-ICU and tele ECGs) for diagnosis
  4. Educating mothers to control childhood obesity.
  5. Counselling and multi-drug therapy for people with a high risk of developing heart attacks and strokes (including those with established CVD)
  6. Identification of silent killers such as diabetes and CVDs through medical camps needs to be supported by increasing awareness in the community.
  7.  PPPs for innovative pathways for effective diagnosis and treatment
  8. Reduced salt intake in food 
  9. Regulated and Reduced sugar intake
  10. Public awareness through mass media on diet and physical activity 
  11. Tax increases to control alcohol and tobacco use.
  12. Smoke-free indoor workplaces and public places 
  13. Screening of patients through ASHA and ANM workers for hypertension, diabetes and 3 cancers (oral, cervical and breast)
  14. Focus on prevention of NCDs - diet and lifestyle.
  15. Tackle associated co-morbidities of diseases such as diabetes, chronic renal failure.
  16. 15-year warranty scheme for CVDs.
  17. Promoting availability of affordable ECG devices.
  18. Trained staff nurse on MMUs for screening.
  19. Need for follow-up after screening is done.
  20. Treatment of heart attacks with aspirin 
  21. Health information and warnings 
  22. Promote self-care and long-term care at the household level in the community.
  23. Replacement of trans fat with polyunsaturated fat 
  24. Bans on tobacco and alcohol advertising, promotion and sponsorship.
  25. Implement intervention at the national level scale - not pilot projects.

List of Participants

  • A.V.Mohan Prasad, GM, Ramesh Hospitals, Vijayawada
  • C.S.R.Prasad Rai, Rtd Professor, AP Private Hospitals & Nursing homes Association
  • D.N.Murthy, State Senior Coordinator, School Health, TWD
  • D.Suneel Babu, Consultant, Tata Trusts
  • Dr.A.Sridhar Reddy, Chairman, Dr Sridhar Oral Health Foundation, Vijayawada
  • Dr.Anuj.Mundra, State Consultant, Neomatal and Child Health, UNICEF
  • Dr.Diya krishnan Mangal, Dean Research, IIHMR University, jaipur
  • Dr.J.L.Reddy, Joint Commissioner, APVVP
  • Dr.K.S.Karuna Murthy MD, Gen Secretary Vice President, IMA, IPHA, NSS
  • Dr.M.Venugopalakrishnan, Medical Officer, Ashwin, DM&HO, State Govt
  • Dr.Neeraj Sharma, Research Officer, IIHMR University, jaipur
  • Dr.P.V.Madhusudana Sharma, ENT Consultant, AP Private Hospitals & Nursing homes Association
  • Dr.R.Purnamma, Associate Professor, Dept. of Community Medicine, Sidhartha Medical College, Vijayawada
  • Dr.Rajesh Kumar, State Consultant - Nutrition, UNICEF
  • Dr.Ramesh Babu MD, Ramesh Hospitals, Vijayawada
  • Dr.S.D.Gupta, Chairman, IIHMR University, jaipur
  • Dr.Subhash Chandra Bose M, President Indian Medical Association Vijayawada, Medical Director Global Super Speciality Hospital
  • Dr.Sudrashan karupti, GM. Admin, Ramesh Hospitals, Vijayawada
  • Dr.V.Geetha Prasadini, Addl. Director NCD, Directorate of Public Health & Family Welfare
  • G.Priyanka, State School Health Consultant, SSA
  • K.Rani, Technical Expert HN&SS, MEPMA. Krishna Dist
  • Madhumathi Kosaraju, Internal Medicine, Ramesh Hospitals, Vijayawada
  • N.N V. Kanaka Durga, Technical Expert HN&SS, MEPMA VMC 
  • N.N.R.Sreenivas, State Mission Coordinator, MEPMA
  • Ramanaiah Dega, Program Manager, Tata Trusts
  • Shreelata Rao Seshadri, Professor, Azim Premji University
  • Uma shankar, State - RMNCH 101, UNICEF