India is experiencing a rapid health transition with a rising burden of Non-Communicable Diseases (NCD) surpassing the burden of Communicable diseases like water-borne or vectorborne diseases, TB, HIV, etc. The Non-Communicable Diseases like cardiovascular diseases, Cancer, Chronic Respiratory Diseases, Diabetes, etc. are estimated to account for around 60% of all deaths. NCDs cause considerable loss in potentially productive years of life. Losses due to premature deaths related to heart diseases, stroke and Diabetes are also projected to increase over the years.
Fig. : Change in top 15 causes of DALYs, both sexes, ranked by number of DALYs, 1990–2016, Goa by ‘India: Health of the Nation’s States Report 2017’
Leading causes of DALYs 2016 in the state (India: Health of the Nation’s States The India State-Level Disease Burden Initiative –Report 2017) are:
In order to prevent and control major NCDs, the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) was launched with focus on strengthening infrastructure, human resource development, health promotion, early diagnosis, management and referral.
Under NPCDCS, NCD Cells are being established at State and District levels for programme management, and NCD Clinics are being set up at District and CHC levels, to provide services for early diagnosis, treatment and follow-up for common NCDs. Provision has been made under the programme to provide free diagnostic facilities and drugs for patients attending the NCD clinics. Cardiac Care Units (CCU) is set up in Hospicio Hospital for providing facilities for emergency Cardiac Care. Day Care Centres facilitities available at Goa Medical College & Hospital for Cancer care. Palliative Care OPD is set up at Hospicio Hospital, Margao.
The modified strategies are as follows:
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