National Program for Palliative Care (NPPC)

NATIONAL PROGRAM FOR PALLIATIVE CARE

National Program for Palliative Care (NPPC) aims at provide palliative care services to the patients suffered from cancer and other diseases for pain relief, control symptoms  to minimize the sufferings. NPPC program was launched in year 2014 in Maharashtra. As of now the program is being implemented in 17 districts of Maharashtra. Under NPPC 159 PHC’s and population of 43,59,027 are covered for the palliative services in these districts.

The program provides funds for Human Resource, drugs and capacity building of the staff to provide palliative services to the patients. Since 2014 to March 2018, total 27755 new patients had been given OPD, IPD and Home visit services.

A Special programs of Palliative are running on pilot basis on PPP Mode at Jawhar and Igatpuri block in Palghar and Nashik districts respectively. In this project, ASHA worker are involved to identify & follow-up of beneficiaries of palliative. In year 2011-18, ASHAs have identified new patients to provide palliative services and on follow-up. The capacity building of the Medical staff is done with state Palliative Care Center, Mumbai.

It is expanded in 8 districts of Maharashtra, (Year of 2021-22) namely Aurangabad, Ahmednagar, Nagpur, Jalgaon, Beed, Hingoli, Latur & Thane.

It is expanded in 11 districts of Maharashtra, (Year of 2022-23) namely Akola, Buldhana, Yavatmal, Kolhapur, Sangli, Raigad, Gondia, Dhule, Solapur, Mumbai & Mumbai Suburban

 

Distracts Under palliative care program

Sr no	Name Of Districts Sanctioned Year 2013 -14	Sr no	Name Of Districts Sanctioned Year 2018-2019	Sr no	Name Of Districts Sanctioned Year 2021-2022	Sr no	Name Of Districts Sanctioned Year 2022-2023
1	Nashik (Igatpuri)	11	Pune	18	Aurangabad	26	Akola
2	Palghar (Javhar)	12	Osmanabad	19	Ahemadnagar	27	Buldhana
3	Bhandara	13	Parbhani	20	Nagpur	28	Yavatmal
4	Chandrapur	14	Sindhudurg	21	Jalgaon	29	Kolhapur
5	Gadchiroli	15	Nanded	22	Beed	30	Sangli
6	Wardha	16	Jalna	23	Hingoli	31	Raigad
7	Washim	17	Ratnagiri	24	Latur	32	Gondia
8	Nandurbar			25	Thane	33	Dhule
9	Satara					34	Solapur
10	Amravati					35	Mumbai
						36	Mumbai Suburban

                                                                    

 

 

 

Provide Palliative service

 

• OPD and IPD services at district hospital . Dedicated OPD days twice a week
• Provision of out-reach services at CHC/PHC/ HWCS by Palliative Care team and trained staff at fixed interval for providing palliative care to the patients admitted at CHC/PHC
• Home-based services and visit by HWC staff
• Establish referral linkages with comprehensive care

Disease –

 

• Malignancy, HIV /AIDS,, , Paralysis ( stroke , hemiplegic , Para , Quadriplegia) , Adult Neurological Disorder, Dementia, Alzimers, Parkinson’s, cronic Psychiatric disorder etc., Pediatric Neurological Disorder ( mental retardation , C.P. etc.) Epilepsy, MDR complicated TB, Hematological Disorder Thalassemia, Chronic Sickle Cell, Complicated Leprosy, , Metabolic Disorder , Sever congenital anomalies etc.

 

 

NPPC- District level Sanction Post
Sr. No.	Districts	Medical Officer/ Physician			Nurse/GNM			Multi task worker/social worker
		Sanction	Filled	Vacant	Sanction	Filled	Vacant	Sanction	Filled	Vacant
Total		34	10	24	86	42	40	34	8	26

 

Physical performance

 

Sr. No.	Health Professionals	Total no. in the district (Dec. 2024)
1.	Total no. of new patients seen in the OPD	56186
2.	Total No of patients admitted in IPD	19081
3.	Total no. of follow – up cases seen in the OPD	25858
4.	Total no of new patients seen in the home based care	3722
5.	Total no of follow-up cases seen in the home based care	14612

 

 

NPPC Financial Details –

 

Sr. No	Year	PIP	Expenditure	%
1	2022 – 23	63.47	12.31	19.39
2	2023 – 24	62.02	29.17	47.04
3	2024 – 25	33.65	7.26	21.57

 

Beneficiary:

Citizens

Benefits:

As above