NPHCE

National Program for Health Care
of Elderly (NPHCE)
NHM & Tertiary Component
Ministry of Health & Family Welfare

Rising Population of Elderly
• 2011 census:
– Elderly Population - 10.38 Crore
– Percentage of elderly - 8.6%
• 2050 Projections:
– Elderly Population - 32.43 crore
– Percentage of elderly - 20.6%
• Elderly population growth much faster
- Population growth rate (2001-2011) = +
18%
- Elderly population growth rate (2001-2011) = + 36%
Burden of Disease in Elderly
• Morbidity profile
• 75% of the elderly are suffering from more than one
chronic disease
• Approximately 50% have two at-least two chronic
diseases
• 25 % elderly have 3 or more chronic disessses
• Disability profile
• 25 % elderly suffer from visual disabilities
• 13% of elderly suffer from Hearing disabilities
• 10 % of elderly suffers from Locomotors disability
Source of Data: NSSO
MoSPI
National Programme for Health Care of Elderly (NPHCE)
Launched in 2010-11, to address various health related problems
of elderly people.
Objective
• To provide accessible, affordable, and high-quality long-term,
comprehensive and dedicated care services to an Ageing
population;
• Creating a new "architecture" for Ageing;
• To build a framework to create an enabling environment for "a
Society for all Ages";
• To promote the concept of Active and Healthy Ageing;
• Convergence with National Health Mission, AYUSH and other line
departments like Ministry of Social Justice and Empowerment.
11/04/2023
Program components
i. Dedicated geriatric care facilities through
primary health care system of service delivery
ii. Tertiary level geriatric care through

• Regional Geriatric Centres
• National Centre for Aging
11/04/2023
Package of services : Primary & Secondary Care
• Sub Centre:
– Health Education related to healthy ageing, environmental modifications, nutritional
requirements, life styles and behavioral changes.
– Special attention to home bound / bedridden elderly persons and provide training to the
family health care providers in looking after the disabled elderly persons.
• Primary Health Centre:
– A weekly geriatric clinic at PHC level by trained Medical Officer, Conducting Health
assessment of the elderly persons and simple investigation including blood sugar, etc.
• Community Health Centre
– Biweekly geriatric Clinic and Rehabilitation services to be arranged by trained staff and
rehabilitation worker at CHCs.
– Domiciliary visits by the rehabilitation worker will be undertaken for bed-ridden elderly and
counseling to family members for care such patients.
• District Hospitals:
– Dedicated Geriatric OPD services, In-door admissions through 10 bedded geriatric ward,
laboratory investigations and rehabilitation services.
– Provide services for the elderly patients referred by the CHCs/PHCs etc and refer severe cases
to tertiary level hospitals
11/04/2023
Package of services at tertiary level
• Regional Geriatric Centers:
– Provide tertiary level services for complicated/serious Geriatric Cases referred from Medical
Colleges, District Hospitals and below.
– Conduct post graduate courses in Geriatric Medicine. Each RGC to produce 2 post graduates (MD
geriatrics) every year.
– Providing training to the trainers of identified District hospitals and medical colleges
– Developing/and updating Training modules, guidelines and IEC materials.
– Research on specific elderly diseases.
• National center for Ageing:
– High level tertiary care with multidisciplinary clinical services involving medical and surgical
disciplines.
– specialised OPD care in various clinical disciplines. Special clinics like memory clinic, fall and syncope
clinic, frail elderly clinic, aids and appliances clinic, implants and cosmetic clinic.
– Day care centre for : Investigations, rehabilitation, respite care, dementia care ,continence care
– In patient care for: Intensive care, acute rehabilitation, diagnostic and therapeutic services, long
term rehabilitation service.
– Human resources development in all sub-specialties of Geriatric Medicine
– Developing evidence based treatment protocols for Geriatric diseases prevalent in the country.
– Special focus on care for 75+ aged population
11/04/2023
Progress in Operationalization of the
Programme activities 2019-20
As on date 713 districts have been sanctioned for geriatric care services of
dedicated OPD, 10 bedded geriatric ward, Physiotherapy and laboratory services.
Operational
S.
Institutions Sanctioned Physioth
No Indoor Laborator
OPD erapy
wards y services
services
1 RGCs 19 18 16 14 14
2 District hospitals 713 578 492 438 524
3 CHCs 4451 2704 - 974 2032
4 PHCs 18362 10168 - - -
SCs providing
5 home based care 89862 11330
(Based on the Annual Progress Report 2019-20 )

Paradigm of elderly care services provided in 2019-20
S.N Services RGCs DHs CHCs PHCs SCs Total
1 OPD care services 133545 7567744 7016670 9032922 2843211 2,65,94,092
2 In-door admissions 9992 688966 269286 9,68,244
3 Physiotherapy care 34637 754186 744964 15,33,787
4 Lab Tests 230749 4215883 2348922 2275600 90,71,154
No of Elderly
Screened & given 599908 719021 526754 273850 21,19,533
5 Health card
No of Elderly
Provided Home care 11157 92657 68674 68783 2,41,271
6 services
No of Elderly
Provided supportive 4820 18006 7256 17502 47,584
7 devices
8 Cases referred 32017 59202 65057 64119 2,20,395
Cases died in 17026 2156 384 19,566
9 hospitals
Overall 2.65 crore elderly have been provided OPD care, while 9.68 lakhs indoor
admissions, 15.33 lakhs sessions and 90.71 lakhs laboratory test have been undertaken for
elderly patients under NPHCE.
11/04/2023
(Based on the Annual Progress Report 2019-20)
Issues & Future Plans
• To operationalise all district hospitals of the country
for provision of geriatric care services.
• Dedicated geriatric services delivery at CHCs and
PHCs
• Home based care services through peripheral staff
• To operationalise all 19 Regional Geriatric Centers
for provision of specialized geriatric services,
training, research and initiate 2 seats of MD
Geriatrics per RGC.
2020-2030 has been identified as decade of HEALTHY AGING. Programme
•needsCapacity
to developbuilding of elderly
a multisectoral care service
Implementation providers
Framework for this
decade.
in the states through respective RGCs.
11/04/2023
Thank You
GIA Released and Expenditure Reported under NPHCE
since 2010-11
S.No. Implementing Agency GIA Released Expenditure Balance

(Rs. In Lakhs) Reported (Rs. In
(Rs. In lakhs) Lakhs)
1 Regional Geriatric 9118.89 3036.34 6082.55

Centres (RGCs) - 19
2 National Centre of 19919.00 16944.00 2975.00

Ageings (NCAs) - 2
3 IIPS for LASI 2920.00 2581.96 338.04
Total 31957.89 22562.30 9395.59
11/04/2023
Allocation & Releases under NCD Flexible Pool under NHM
and Expenditure under NPHCE programme since F.Y. 2015-16
Rs. In Crore
Central Allocation Expenditure under
Central Release
(BE) NPHCE
Financial Year
2015-16 527.33 379.00 28.16
2016-17 527.36 481.00 35.47
2017-18 925.00 904.31 32.99
2018-19 972.80 540.14 49.84
2019-20 670.92 670.86 24.04
2020-21 702.89 50.69 2.32
Total 4,326.30 3,026.00 172.82
1. The Programme(NPHCE) has been covered under NCD Flexible Pool including 4 other programmes
i.e. NPCB, NPCDCS, NMHP & Tabacco. The allocation and releases is shown under NCD Flexible
Pool and expenditure under National Programme for Health Care of the Elderly (NPHCE)
2. Release for the F.Y. 2020-21 is updated upto 15.10.2020 and is provisional.
3. Expenditure includes expenditure against Central Release, State release & unspent balances at
the beginning of the year. Expenditure for the F.Y. 2020-21 (upto 30.06.2020 as per FMR) are
provisional.
11/04/2023

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National Program for Health Care

NHM & Tertiary Component

Ministry of Health & Family Welfare

ii. Tertiary level geriatric care through

• National center for Ageing:

(Based on the Annual Progress Report 2019-20 )

S.No. Implementing Agency GIA Released Expenditure Balance

1 Regional Geriatric 9118.89 3036.34 6082.55

2 National Centre of 19919.00 16944.00 2975.00

3 IIPS for LASI 2920.00 2581.96 338.04

Total 31957.89 22562.30 9395.59

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