EXTRAORDINARY
PUBLISHED BY AUTHORITY
No. 219 CUTTACK, MONDAY, JANUAR Y 28, 2019/MAGHA 8, 1940
HEALTH & FAMILY WELFARE DEPARTMENT
NOTIFICATION
The 10th January, 2019
No.1023–PT4-HFW-SCH-MED-0004/2018/H.— A District Level Committee is hereby constituted with the following members under the chairmanship of District Collector to oversee implementation of the Cancer Care Programme in the District which would include integrating activities relating to awareness, campaigns & screening for Cancer Care.
1. District Collector -- Chairman
2. Superintendent of Police -- Member
3. Project Director - District Rural Development Agency
(PD-DRDA), DRDA -- Member
4. Project Administrator - Integrated Tribal Development
Agency or District Welfare Officer (PA-ITDA or DWO) -- Member
5. District Social Welfare Officer
(Women & Child Development) (DSW) -- Member
6. Circle Inspector or District Inspector of Schools
and Principals of Local Colleges -- Member
7. Medical officer trained in NCD care -- Member
8. Chief District Medical Officer -- Member Convenor
Role of District Committees in the Statewide Cancer Care Programme:
1. Capacity Building:
1.1. Support State Government in preparing short-term modules/ training curriculum, in different spheres of oncology, to train human resources for up-skilling and cross- skilling and get them accredited by recognized Central and State Institutions.
1.2. Support in Training of Trainers (ToT) for:
2• District Tobacco Control Cell, District Educational Officers (DEO), District Law Enforcement Personnel under NTCP.
• District NCD clinics under NPCDCS.
• Community health workers (ASHA/ANM), local self-group under NPCDCS.
1.3. Monitor training by master trainers:
• Handhold and monitor progress of master trainers and assist them in training of other manpower at DH/CHC/PHC/Community level.
2. Technology:
2.1. Population enumeration and tracking of patients:
• Conduct Training of Trainers (ToT) on usage of GoI NCD mobile application to ASHA/ANM and tablet/ website portal to Mobile officer of SC/ HWC, PHC etc. • Handhold and monitor progress of master trainers and assist them in training of other manpower on NCD application.
• Provide technical inputs on establishing Hospital Information System (HIS) at treatment centers.
2.2. Assist State NCD unit in establishing tele-medicine units for virtual consultation.
2.3. Provide guidance in organizing a weekly Virtual Tumour boards to advise all oncology centers in State on treatment planning.
3. Community Outreach:
3.1. Provide technical guidance to Government in implementation of population-based screening in priority districts under NPCDCS guidelines and in developing referral linkages for diagnosis and screening post screening.
3.2. Assist State NCD unit in designing IEC material, awareness campaigns, screening campaigns using MMU etc..
3.3. Help in developing home based palliative care in priority Districts in partnership with various local groups and NGOs.
3.4. Design and implement pilot incentive programs in collaboration with District NCD cells for better utilization ASHA/ANM/General Physicians network for creating awareness about various health programs and screening population for common non-communicable diseases.
3.5. Support in conducting study on delayed diagnosis to be conducted in every District. All reasons for delay between appearance of first symptom and beginning of treatment to be analyzed.
3.6. Design and implement community outreach programmes to increase awareness about cancer, reduce usage of tobacco and ensure adequate participation of the District population in screening programmes.
4. Evidence Based Disease Management:
4.1. Undertake enrolment drive in partnership with District NCD cells, of the covered population and conduct risk assessment for common Cancers to understand demand for healthcare in target geographies.
4.2. Work with national center for disease informatic research to establish cancer and other NCDs registry in selected Districts.
4.3. Support implementation of PBCR and HBCR in consultation with State Government and all treatment centres/general practitioners.
34.4. Coordinate establishment of Standard Treatment Protocols in consultation with medical experts and in line with NCG guidelines and support implementation in all treatment centres in the State.
5. Advocacy:
5.1. Provide technical advisory to Government in efficient implementation of various programs like NPCDCS, NOHP, NTCP, NPPC etc..
5.2. Give technical guidance to Government and monitor implementation, to ensure all the DHs, PHCs, SCs, CHCs have requisite infrastructure and manpower to screen, provide diagnosis and wherever possible required oncology care (including palliative) for NCDs as per guidelines under NPCDCS.
5.3. Provide technical advisory to strengthen cancer & other NCDs care in State & Central Insurance Program.
5.4. Work with State Department of Medical Education to devise policies in improving supply of human resources for NCD care.
5.5. Assist State Government in utilizing various central schemes like SCI TCCC scheme, PMSSY, Pradhan Mantri Jan-Aushadhi Yojana etc..
5.6. Provide technical advisory on all technical and manpower requirements to implement cancer & other NCDs registry.
6. Monitoring:
6.1. Support State Government, MD NHM and Tata Trusts in preparing program implementation plans (PIPs) for the NMH budget.
6.2. Jointly monitor and evaluate the performance of the overall NPCDCS, NPPC, NTCP, NOHP Programmes.
6.3. Provide guidance in participation of various National Cancer Grid (NCG) initiatives and monitor implementation through establishing State NCG chapter.
6.4. Define objective parameters and targets to be monitored by the District Committees. For instance, number of doctors/nurses trained, number of awareness campaigns held, % reduction in tobacco use, number of people screened etc..
By Order of the Governor
Dr. PRAMOD MEHERDA
Commissioner-cum-Secretary to Government
Printed and published by the Director, Printing, Stationery and Publication, Odisha, Cuttack-10 Ex. Gaz. 2170-173+200