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Non communicable diseases - Shanmugam IAS academy in coimbatore
Non communicable diseases


What’s in news?

Government of India initiated an integrated National Programme for Prevention and Control of Cancers, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under the National Health Mission as burden and common risk factors of NCDs is increasing.


  • The country is experiencing a rapid health transition with a rising burden of Non-Communicable Diseases (NCDs) which are emerging as the leading cause of death in India accounting for over 42% of all deaths with considerable loss in potentially productive years (aged 35-64 years) of life.
  • According to a WHO report (2002), cardiovascular diseases (CVDs) will be the largest cause of death and disability in India by 2020.
  • According to National Family Health Survey 4 (NFHS-4) 2015-16, in the age group of 15-49 years,
  • 8% of men and 5.8% of women in India have high random blood sugar levels and
  • 6% men and 8.8% women are hypertensive.
  • Major risk factors for these NCDs are raised blood pressure, cholesterol, tobacco use, unhealthy diet, physical inactivity, alcohol consumption, and obesity. Also, the other factors like age, sex and heredity.

National Programme for Prevention and Control of Cancers, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS):

AIM: To promote health and prevention, to strengthen infrastructure including human resources, early diagnosis and management and integration with the primary health care system through NCD cells at different levels for optimal operational synergies.

  • During the period 2010 – 2012, the programme was implemented in 100 districts across 21 States. The programme at present covers the entire country.
  • The NPCDCS program has two components;

(i) Cancer                                            (ii) Diabetes, CVDs and Stroke.

  • These two components have been integrated at different levels as far as possible for optimal utilization of the resources.
  • The institutionalization of NPCDCS at district level within the District Health Society, sharing administrative and financial structure of NRHM becomes a crucial programme strategy for NPCDCS.
  • The NCD cell at various levels will ensure implementation and supervision of the programme activities related to health promotion, early diagnosis, treatment and referral, and further facilitates partnership with laboratories for early diagnosis in the private sector.


  • Prevent and control common NCDs through behavior and life style changes.
  • Provide early diagnosis and management of common NCDs.
  • Build capacity at various levels of health care for prevention, diagnosis and treatment of common NCDs.
  • Train human resource within the public health setup viz doctors, paramedics and nursing staff to cope with the increasing burden of NCDs.
  • Establish and develop capacity for palliative and rehabilitative care.


  • Health promotion, Awareness generation and promotion of healthy lifestyle:The focus of health promotion activities will be on
    • Increased intake of healthy foods
    • Salt reduction
    • Increased physical activity/regular exercise
    • Avoidance of tobacco and alcohol
    • Reduction of obesity
    • Stress management
    • Awareness about warning signs of cancer etc.
    • Regular health check – up
  • Screening and early detection: Common cancers (breast, cervical and oral), diabetes and high blood pressure screening of target population (age 30 years and above) will be conducted either through opportunistic and/or camp approach at different levels of health facilities and also in urban slums of large cities.
  • Timely, affordable and accurate diagnosis
  • Access to affordable treatment
  • Rehabilitation

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