NATIONAL GUINEA WORM

ERADICATION PROGRAMME
NEETHU VINCENT
ASSISTANT PROFESSOR

KVM COLLEGE OF NURSING

 INTRODUCTION

• Dracunculosis or Guinea Worm (GW)

disease is caused by the nematode
Dracunculus medinensis.
National Guinea Worm Eradication
Programme

• India is the first country in the world to

establish the National Guinea Worm Eradication
Programme in 1983-84 as a centrally sponsored
scheme on 50-50 sharing between Centre and
States with the objective of eradicating guinea
worm disease from the country.
• The National Institute of Communicable
Diseases (NICD), Delhi worked as the
nodal agency for planning, coordination
, guidance and evaluation of NGWEP in
the country.
THE IMPORTANT STRATEGY ADOPTED TO
ERADICATE THE GW IS:

1. GW case detection and continuous

surveillance through active case search
operations and regular monthly reporting
2. GW case management
3. Vector Control by the application of
Tempos in unsafe water sources eight times
a year and use of fine nylon mesh/double
layered cloth strainers by the community to
filter Cyclops in all the affected villages
4. Health education
5. Trained manpower development
6. Provision and maintenance of safe
drinking water supply on priority in
GW endemic villages
7.Concurrent evaluation and
operational research
 IMPLEMENTATION

• The endemic State, Health Directorate through

Primary Health Care system implemented the
programme.
• The Ministry of Rural Development , Govt. of
India and State Public Health Engineering
Departments (Rural Water Supply) assist the
Programme in provision and maintenance of
safe drinking water supplies and conversion of
unsafe drinking water sources, like step wells,
and ponds on priority in the guinea worm
affected areas.
• District Medical Officer and PHC
medical Officer were responsible for
planning, implementation, monitoring
and supervision of the GWEP.
• Annually the Task Force Group under the
chairmanship of Director General of
Health Services, Govt. of India, reviewed
the GWEP in depth.
 This task Force Group was
constituted by:

• a) Director and Deputy Director (Helminthology) of

NICD Delhi as convener and coordinator of the work
• b) Directors of Health and Medical Services, GWEP-
officers, chief engineers (Rural Water Supply) of GW
endemic states
• c) Director/Advisor of National Water Mission as
members
• d) Experts from WHO, UNICEF, Centre Health
Education Bureau (CHEB), Planning Commission and
related organizations.
 ACHIEVEMENT
• At the beginning of the programme i.e. in 1984,
there were around 40,000 GW cases in 12840
villages in 89 districts of 7 endemic states.
• During 1996 only 9 guinea worm cases have
been recorded in three villages from Jodhpur
(Rajasthan), rest of the country continued to
remain free from GW.
• Banwari Lal 25 years old from Jodhpur in
Rajasthan was the last case in India in 1996
(Lancet 2000).
 "GUINEA WORM
DISEASE FREE"

• "Zero" incidence has been maintained since

August 1996 through active surveillance and
intensified field monitoring in the endemic
areas.
• In the Meeting of WHO in February 2000
the India has been certified for the
elimination of Guinea Worm Disease and on
15th February 2001 declared India as
"Guinea Worm Disease Free".
The following activities are continuing as per
the recommendations of the international team
of international commission for certification of
Drancunculiasis eradication ,Geneva:
a)Health education activities with special
emphasis on school children and women in
rural areas.
b)Rumour registration and rumour investigation
• Maintenance of guniea-worm disease on
list of notifiable disease and continuation
of surveillance in previously infected areas
• Careful supervision of the functioning of
hand pumps and other sources of safe
drinking water and provision of additional
unit whenever necessary
20 POINT PROGRAMME
 Definition

• Discribed as an agenda for national

action for national action to promote
social justice and economic growth
• The Twenty Point Programme (TPP)
was launched by the Government of
India in 1975.
• The Programme was first revised in
1982 and again in 1986.
• 2006 the existing programme is
restructured
• Twenty Point Programme – 2006 (TPP-
2006), was approved by the Cabinet on
5thOctober, 2006 and operated w.e.f
1.4.2007
 OBJECTIVES

• It objectives are spelt out by

government as
“ eradicating poverty, raising productivity,
reducing income inequalities and
removing social and economic disparities
and improving the quality of life .”
 Aims

• preading the benefit of the development

evenly, with a view to promote socio-
economic justice by measuring that the
basic requirements in regard to food,
clothing and shelter medical care and
education are reasonably met.
•
• Promote socially desirable
programme like family planning
forestry, development of alternative
energy resources.
• Curb antisocial tendencies.
• The Twenty Point Programme – 2006
consists of 20 points and 66 monitorable
items.
LIST OF 20 POINTS-2006

1. • Poverty Eradication
2. • Power to People
3. • Support to Farmers
4. • Labour Welfare
5. • Food Security
6. • Housing for All
7. • Clean Drinking Water
8 Health for All
9 Education for All
10 Welfare of Scheduled Castes,
Scheduled Tribes, Minorities and OBCs
11. Women Welfare
12. Child Welfare
13. Youth Development
14. Improvement of Slums
15. Environment Protection and Afforestation
16. Social Security
17. Rural Roads
18. Energisation of Rural Area
19. Development of backward Areas
20.IT Enabled e-Governance
MINIMUM NEED
PROGRAMME
• Minimum Needs Programme
(India) was introduced during the 5th
Five year plan to provide the basic
needs of people so as to improve their
living standards
• Components:
– Rural health
– Rual Water supply
– Rural electrification
– Nutrition
– Elementary education
– Adult education
– Environmental Improvement of urban slums
– Houses for landless workers
• Principles:
– The facilities under MNP are to be first
provided to those areas which are at present
underserved so as to remove disparities
between different areas
– The facilities under MNP should be provided
as a package to an area through  intersectoral
area project ,to have a greater impact
The objectives set in different areas as part of
minimum needs program:

– Rural health (to be achieved by year

2000)
• one Primary Health Centre (PHC) for 30,000
population in the plains and 20,000
population in tribal and hilly areas
• one Subcentre for 5000 population in plains
and 3000 population in tribal and hilly areas
• one Community Health Centre (CHC) for 1
lakh population
– Rural health (to be achieved by year
2000)
• one Primary Health Centre (PHC) for
30,000 population in the plains and 20,000
population in tribal and hilly areas
• one Subcentre for 5000 population in plains
and 3000 population in tribal and hilly areas
• one Community Health Centre (CHC) for 1
lakh population
 YO
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