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National Viral Hepatitis Control Program

National Viral Hepatitis Control Program. Aims. Elimination of Hepatitis C by 2030 Reduction in the infected population, morbidity and mortality associated with Hepatitis B and C Reduce the risk, morbidity and mortality due to Hepatitis A and E. Key Objectives.

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National Viral Hepatitis Control Program

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  1. National Viral Hepatitis Control Program

  2. Aims • Elimination of Hepatitis C by 2030 • Reductionin the infected population, morbidity and mortality associated with Hepatitis B and C • Reduce the risk, morbidity and mortality due to Hepatitis A and E.

  3. Key Objectives • Enhance community awareness on hepatitis and lay stress on preventive measures • Provide early diagnosis and management of viral hepatitis at all levels of healthcare • Develop capacities for implementation of standard diagnostic and treatment protocols

  4. Key Objectives • Strengthen the existing infrastructure facilities • build capacities of existing human resource • raise additional human resources, only where required • Develop linkages with the existing National programs • Develop a web-based “Viral Hepatitis Information and Management System” to maintain a registry of persons affected with viral hepatitis and its sequelae.

  5. Key interventions-Prevention • Awareness generation & Behavior Change Communication • Immunization for hepatitis B – birth dose, high risk groups, health care workers • Provision of safe blood and blood products • Injection Safety by Use of RUP/AD syringes in all government HCFs • Safe socio-cultural practices

  6. Model for Diagnosis

  7. Model for Treatment Model Treatment centers for Treatment of Hepatitis B & C for complicated cases & management of other hepatitis; Phased scale up Treatment centers for Treatment of Hepatitis B & C; Refer complicated cases to special centers identified Establish Treatment centers for Treatment of Hep B & C; Refer complicated cases to special centers identified

  8. Regimens-Hepatitis C…

  9. Regimens-Hepatitis B

  10. Key interventions-Diagnosis & Treatment • Screening - serological tests • Confirmation - molecular tests (where required) • Laboratory capacity building and quality assurance • Treatment of uncomplicated cases - at treatment centres, drug dispensation up to HWC • Treatment of complicated cases at model treatment centres • Referral and linkages

  11. Update Till Date • National Action Plan for combating viral hepatitis conceptualized and released • Program launched by the Hon’ble HFM in July, 2018 on the occasion of the World Hepatitis Day. Guidelines to standardize the operations of the program and laboratory and treatment protocols were released • National Guidelines for Diagnosis and Management of viral hepatitis • National Laboratory Guidelines for testing of viral hepatitis • National Viral Hepatitis Control Program-Operational guidelines • Advocacy event ‘India’s Response to Viral Hepatitis’ was held on 24th Feb., 2019 wherein goodwill ambassador of WHO SEARO was invited as guest on honour. The following were released during that event in Mumbai a. Technical Guidelines for Diagnosis and Management of Hepatitis B b. National Action Plan-Combating Viral Hepatitis in India c. National Viral Hepatitis Control Program website

  12. Update Till Date • Two workshops have been held at the national level for the nodal officers to sensitize them about the services provided under the program. • Video-conferences held twice for the state principal secretaries, mission directors and state nodal officers for monitoring the program • Around 250 experts in the field of microbiology, gastroenterology, hepatology and medicine have been trained as master trainers from all the states/UTs at the national level to cascade down the training till lowest level of service delivery.

  13. Update Till Date • Total 35 states and UTs have proposed the budget of approximately Rs 144.4 crores (excluding HR) under NVHCP. • Guidelines for treatment of Hepatitis C adapted by Punjab - More than 8000 patients put on treatment for hepatitis C under the NVHCP

  14. Way Forward • Software for monitoring the components of NVHCP is under process. • A draft proposal for ECHO support under NVHCP is being prepared. • Drugs for Hep C and Rapid kits for Hep B & C are in the process of being transported to the states. Drugs of Hep B is expected to be supplied by October 2019.

  15. Status of States

  16. Request to States • State Steering committee under Principal Secy Health for guiding the program • State Viral Hepatitis Management Unit • Nodal officer • Key officers from Blood, SACS, Immunisation, Maternal Health, infection control in the unit • Hiring of contractual staff if not available • Supplementary proposal for Hepatitis B whole blood test kits and drugs for Hepatitis B

  17. Thank You

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