NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF DEAFNESS (NPPCD)

NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF DEAFNESS (NPPCD)

 

Hearing loss is the most common sensory deficit in humans today. As per WHO estimates in India, there are approximately 63 million people, who are suffering from significant auditory impairment; this places the estimated prevalence at 6.3% in Indian population. As per NSSO survey, currently there are 291 persons per one lakh population who are suffering from severe to profound hearing loss (NSSO, 2001). Of these, a large percentage is children between the ages of 0 to 14 years. With such a large number of hearing impaired young Indians, it amounts to a severe loss of productivity, both physical and economic. An even larger  percentage of our population suffers from milder degrees of hearing loss and unilateral (one sided) hearing loss.

• Programme Execution & Expansion :-

The Program was initiated in year 2010-11 on pilot mode in 8 districts & Further it has been expanded to other 8 districts in 2011-12. In PIP 2021-22 additional 18 districts approved,National Programme for Prevention and Control of Deafness (NPPCD) is presently being implemented in 34  Districts Hospital of Maharashtra State.

Sr. no	Year	District Name	District Implemented
1	2010-11	Raigad, Pune, Satara, Nandurbar, Parbhani, Beed, Amravati, Chandrapur	8
2	2011-12	Thane, Nashik, Wardha, Sindhudurg, Jalna, Osmanabad, Buldhana, Gadchiroli	8
3	2021-22	Ahmednagar, Akola, Aurangabad, Bhandara, Dhule, Gondiya, Hingoli, Jalgaon, Kolhapur, Latur, Nagpur, Nanded, Palghar, Ratnagiri, Sangli, Solapur, Washim, Yavatmal	18
Total			34

• OBJECTIVES OF THE PROGRAMME :-

 

1. To prevent the avoidable hearing loss on account of disease or injury.
2. Early identification, diagnosis and treatment of ear problems responsible for hearing loss and deafness.
3. To medically rehabilitate persons of all age groups, suffering with deafness.
4. To strengthen the existing inter-sectoral linkages for continuity of the rehabilitation programme, for persons with deafness.

1. To develop institutional capacity for ear care services by providing support for equipment and material and training personnel.

 

Long term objective: To prevent and control major causes of hearing impairment and deafness, so as to reduce the total disease burden by 25% of the existing burden by the end of eleventh five year plan.

 

 

• EXPECTED BENEFITS OF THE PROGRAMME

The programme is expected to generate the following benefits :-

1. Availability of various services like prevention, early identification, treatment, referral, rehabilitation etc. for hearing impairent and deafness as the primary health center / community health centers / district hospitals largely cater to their need.
2. Decrease in the magnitude of hearing impaired persons.

iii.  Decrease in the severity/ extent of ear morbidity or hearing impairment.

1. Improved service network/ referral system for the persons with ear morbidity/hearing impairment.
2. Awareness creation among the health workers/grassroot level workers through the primary health centre medical officers and district officers which will percolate to the lowest level as the lower level health workers function within the community.
3. Capacity building at the district hospitals to ensure better care.

 

 

• Facility provided at district level under NPPCD :-
• IEC posters are displayed at DH, SDH,RH and CHC level.
• All high risk Neonatal are taken for OAE and after 3 fail (refer) report of OAE , pts is refer to BERA test.
• Universal hearing screening (OAE) was done of all newborn babies.
• For 0-15 yrs Pts Bera test is taken at DH level and also refer to rehabilitation.
• Audiometry test for decreased hearing, CSOM cases, fitness cases done.
• Pre and post operative audiometry done.
• Operatives for CSOM like Tympanoplasty, Mastoidectomy are done by ENTs from NPPCD doctors.
• Impedance test was done for middle ear pathology cases.
• UDID online certificate and Disability card is issued to patients.
• Cochlear Implant patients are refer to Higher center for rehabilitation..
• Hearing Aid are fitted through Mahatma Jyotibha Phule Yojana at DH level, CSR fund, trough NGO’s
• ‘World Hearing Day’ week celebrated every year on 3^rd March of every year, Camps at RH, SDH, Old age home, special schools, poster competition, rangoli competition, webinars for sensitisation, sensitisation at Ghrampanchayat sabhas, sensitisation lectures at schools and colleges are taken under ‘World Hearing Day’ week celebration are done.
• Speech therapy guidance given for Mentally Retarded, ADHD, Autistic, HI etc. children’s are given.

 

• Human Resource- (HR) Status at State & District level :-

Level	Post	Sanctioned	Filled	Vacant	Remark
State level	ENT Surgeon	1	0	1	State level requirement process is going on
	Consultant	1	0	1
	Programme Assistant	1	0	1
District level	ENT Surgeon (Regular)	41	33	8	Regular  ENT surgeons are working at District  Hospital where contractual post is vacant
	ENT Surgeon under NPPCD (Contractual)	28	6	22	District level post requirement process is going on.
	Audiologist	34	20	14
	Audiometric Assistant	34	29	5
	Instructor for Hearing Impaired Children	34	24	10

 

 

• Sound Treated Room construction in following districts :-

Audiometery room is available at district level from NPPD and DEIC program.

Now Audiometry room is available in following district.

Thane	NPPCD
Palghar	DRC Virara Bolinij
Raigad	NPPCD
Nashik	NPPCD
Dhule	DEIC
Nandurbar	DEIC
Jalgaon	GMC Jalgoan
Ahmednagar	NPPCD
Pune	NPPCD
Solapur	Not available
Satara	DEIC
Kolhapur	DEIC
Sangli	DEIC
Sindhudurg	NPPCD
Ratnagiri	NPPCD
Ch. Sambhajin Nagar	DDRC
Jalna	NPPCD
Parbhani	MGPJAY

 

Hingoli	DEIC
Latur	Room Not available
Osmanabad	NPPCD
Beed	NPPCD
Nanded	DEIC
Akola	DEIC
Washim	NPPCD
Amarawati	NPPCD
Yavatmal	DEIC
Buldhana	NPPCD & DEIC
Nagpur	DEIC
Wardha	NPPCD
Bhandara	NPPCD
Gondia	DEIC
Chandrapur	NPPCD, DEIC
Gadchiroli	NPPCD , DEIC

Beneficiary:

Citizens

Benefits:

As above