Non-Communicable Diseases: NPCDCS ... - SIHFW Rajasthan

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The 5 “W” Plan 1. What to eat 2. When to eat 3. Where to eat 4. Why to eat 5. Way to eat What you eat Have a balanced diet. Include micro and macro nutrients and fiber in adequate amounts Be careful about your fat intake. Avoid saturated fat. Restrict t salt and sugar intake. <strong>SIHFW</strong>: an ISO 9001: 2008 certified Institution 174
When to eat Set aside a time for breakfast ,lunch and dinner too. Have smaller meals at regular intervals. Never sleep immediately after your meals. Where to eat Decide one place in your house or office to eat food. While eating your meals, concentrate only on eating <strong>SIHFW</strong>: an ISO 9001: 2008 certified Institution 175
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Non-Communicable Diseases: NPCDCS &
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Risk factors and NCDs largely preve
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Drivers of NCDs SIHFW: an ISO 9001:
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SIHFW: an ISO 9001:2008 certified I
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Epidemiological Transition Communi
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Challenges Many communicable disea
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SIHFW: an ISO 9001:2008 certified I
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Magnitude SEAR-2008: 14.5million t
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50 45 40 35 30 25 Estimated %of pre
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Trends in estimated %of deaths 80%
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Estimated and Projected Deaths due
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Pop.(2010): 1 224 614 327 Age stand
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Metabolic Risk factor Trends 126 Me
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26 Mean BMI 24 22 Male 20 Female 18
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Reported Cases & Deaths due to NCD-
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Total Number of Diabetic Cases - Ra
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Reported Deaths :Type 1 DM- Distric
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District Reported Deaths of Type 2
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Reported Cases of Deaths Due to Can
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District -wise reported Cancer Deat
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SIHFW: An ISO:9001:2008 certified I
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Implications of ↑ burden of NCDs
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MDG-6 NCD burden threatenst the (Co
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2% annual reduction in Chronic Dise
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Answer to the problem: ACT NOW Prev
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Risk factor/disease Tobacco use: Us
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Action at National Level: Two comp
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Strategies Prevention through beha
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Services Preventive, promotive , c
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Facility DH Services Early diagnosi
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Institutional Framework Integratio
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Screening MO to do: To conduct com
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Work closely with other sectors/ de
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Surveillance Surveillance is the on
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Risk Factor Surveillance: Focus …
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Risk factors common to major non-co
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Levels of Risk Factor Surveillance
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Actions at Hospitals Proper depict
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Structure re of presentation Risk
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Risk factor in NCD Any attribute,
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Risk factors May be truly causativ
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NHD of NCD Changes in life style st
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The WHO STEP approach to Surveillan
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STEPS emphasizes that small amounts
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SIHFW: an ISO 9001: 2008 certified
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Step1:Questionnaire Based Assessmen
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Step 3: Biochemical Measurements D
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Core Items Expanded Items Optional
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Behavioral Risk Factors “Actions/
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Modifiable Risk Factor: 2008 estima
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B. Diabetes ‣ Obesity ‣ Sedenta
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D. Cancer ‣ Environment ‣ Life
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Risk factors and level of NCD preve
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Goals of implementing these guideli
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Follow up Once the condition of th
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High risk With established cardiov
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If cholestrol can not be measured S
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Prevention of CVD (according to ind
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NPCDCS Components Prevention throu
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Page 125 and 126: Problem on the rise : NCDs MI HT CO
Page 127 and 128: Major diet related NCDs Diabetes Ca
Page 129 and 130: Type of cancers Risk factors Diet R
Page 131 and 132: Prominent risk factor Disease Heart
Page 133 and 134: Life Style Modification Primary Pr
Page 135 and 136: Burden of the Bulge In India 1 in
Page 137 and 138: Android : Upper-body obesity--apple
Page 139 and 140: Assessment of central obesity Wais
Page 141 and 142: Why is this happening Drivers of th
Page 143 and 144: Nutrition transitions: Absolute cau
Page 145 and 146: Body Mass Index (BMI ) Quetlet’s
Page 147 and 148: Classification BMI Classification W
Page 149 and 150: Sleep apnea and respiratory problem
Page 151 and 152: Weight management Weight gain Calor
Page 153 and 154: Weight loss goals Realistic Achie
Page 155 and 156: Lifestyle medicine: Need for change
Page 157 and 158: Dietary interventions Managing g /
Page 159 and 160: Life style modification & Diet Bala
Page 161 and 162: SIHFW: an ISO 9001: 2008 certified
Page 163 and 164: Total energy requirement Total ener
Page 165 and 166: Diet for NCD: Main focus ‣ Gradua
Page 167 and 168: Promoting Healthy lifestyle le Tra
Page 169 and 170: Strategies for Obesity Prevention e
Page 171 and 172: Tips for weight reduction Slow and
Page 173: ‣ Avoid fried foods and bakery pr
Page 177 and 178: Way to eat Eat slowly. Chew prop
Page 179 and 180: Recommendations in preventing diabe
Page 181 and 182: Calculating balanced diet Know Rec
Page 183 and 184: How to calculate balance diet Step
Page 185 and 186: Key recommendations -Diet • Frui
Page 187 and 188: Thank you SIHFW: an ISO 9001: 2008
Page 189 and 190: Structure re of presentation Basic
Page 191 and 192: What is Cancer SIHFW: an ISO 9001:
Page 193 and 194: Growth of Cells • Undesirable •
Page 195 and 196: Common Cancer sites Male- • Mout
Page 197 and 198: Prefix adeno- chondro- Meaning Nami
Page 199 and 200: India 0.8 million new cases/year
Page 201 and 202: Five Common Cancers Rank World Indi
Page 203 and 204: Issues in Cancer control Burden of
Page 205 and 206: Cancer patterns Predominance of To
Page 207 and 208: Prevention ention and screening Se
Page 209 and 210: Early diagnosis ‣ Individual’s
Page 211 and 212: Diagnosis Radiological Biochemica
Page 213 and 214: Cancer Interventions in different E
Page 215 and 216: 350 Age wise distribution of deaths
Page 217 and 218: Common Cancer in Male 50000 45000 4
Page 219 and 220: No of Cancer Deaths -India 350 300
Page 221 and 222: Cancer Deaths -Rajasthan 60 50 40 5
Page 223 and 224: District wise Reported Cancer Death
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Projected Cases of Oral Cancer in I
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Age - wise distribution of Deaths d
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Symptoms of Cervical Cancer Post-m
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Evaluation and Management after Pap
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VIA Category Negative Positive Crit
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Cryotherapy (ablation) Management
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Age - wise distribution of Deaths d
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Sign and Symptoms A lump or thicke
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Diagnosis Breast awareness & breas
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Health professionals can - Key Mess
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Projected Cases of Lung Cancer in I
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Symptoms Persistent cough or worse
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National Programme SIHFW: An ISO:90
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National Cancer Registry Programme
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Schemes under NCCP Recognition of
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District Services under NCCP Healt
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Medical college Health Promotion &
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Why include Cancer In NPCDCS No u
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Objective e of TCC Scheme Develop
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Thank You For more details log on t
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Definition ‣ Group of brain dysfu
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Burden of Disease 7000000 6000000 5
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Risk Factors ‣ Age and Sex ‣ Hy
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Cerebrovascular Accident Risk Facto
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Cerebrovascular Accident Anatomy of
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Ischemic Cascade Cerebrovascular Ac
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‣ Trouble in walking Symptoms ‣
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Identification of an acute event S
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Diagnosis: CT without contrast Cer
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Cerebrovascular Accident Classifica
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CVA Recognition SIHFW: An ISO:9001:
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Cerebrovascular Accident Thrombotic
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Cerebrovascular Accident Common Sit
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Cerebrovascular Accident Embolic St
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Cerebrovascular Accident Goals for
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Cerebrovascular Accident Hemorrhage
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Cerebrovascular Accident Hemorrhagi
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Delayed Neurological deficit in Re
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Hemorrhagic-Subarachnoid Cerebral A
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Cerebrovascular Accident Clinical i
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Cerebrovascular Accident Clinical M
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Cerebrovascular Accident Treatment
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Cerebrovascular Accident Diagnostic
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CVA - Treatment Goals Surgical Tre
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Drug Therapy Cerebrovascular Accide
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Cerebrovascular Accident Rehabilita
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Cardio-Vascular Diseases SIHFW: An
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Source: WHO Burden of Disease Numb
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Cardiovascular Diseases group of di
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Newly emerging CVD risk factors ‣
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Resource Scenario-1 Scenario-2 Scen
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Prevention of CVD Heart disease and
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Hypertension “ high blood pressur
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Classification Primary / Essential
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Epidemiological Determinants Risk/
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Symptoms ‣ Headache ‣ Drowsines
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Criteria for diagnosing high blood
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Headache (severe hypertension) < mo
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Physical examination should include
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Desirable: (at CHC/sub-district/dis
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Life style advice is advocated for
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Treatment Goals The aim should be
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Diuretics Thiazide Inhibit Na + /C
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Beta blockers Act by decreasing ca
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α adrenergic blockers Lower BP by
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Medicines are tailored depending on
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‣ Start with calcium channel bloc
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Compelling Indications for Compelli
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Management of Hypertension at diffe
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Follow-up and Monitoring Patients
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Ischemic Heart Disease Myocardial i
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Burden of IH Disease 10000000 22367
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Symptoms ‣ Abrupt, unexpected car
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Treatment of IHD ‣ Medical treatm
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Management & Prevention: Modifying
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‣ Weakness in sternocleidomastoid
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Prevention ention ‣ Strokes are p
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‣ Physical therapy to improve str
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Rheumatic heart diseases ‣ Compli
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‣ Breathlessness ‣ Fatigue ‣
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Prevention ‣ Seek immediate medic
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Conceptualization ation of NPHCE U
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Objectives es Provide Preventive,
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Ageing Ageing is a progressive biol
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Ageing means….. Demographers: A
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Ageing Progressive and generalized
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Some Facts! World population of 6.
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Projections 60+ 24 million in 1961
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India: Some Facts! Life expectancy
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Household population p + 60 Age By
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Ageing: Common Myths Most elderly
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Integumentary System Production of
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Circulatory System Heart muscle be
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Nervous System Progressive loss of
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Urinary System Decreased circulati
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Reproductive e System Female: vagi
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Psychosocial Changes of Aging Lone
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Psychosocial changes can be a major
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Dementia Term used to describe a l
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Alzheimer’s Disease (continued)
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Meeting the Needs of the Elderly G
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Gender and Ageing g in India Discr
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Care - Services for Elderly l in In
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Primary Health Center Training of
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How to achieve it Ati Active advoc
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Mental Health : Problem, Strategies
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Health "Health is a state of compl
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Mental Health Problems in India 1%
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Extent of the problem… Mental He
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Mental Health Resources In India Ma
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Mental Health Resources In India…
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Mental Health Resources in India 2
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Objectives National Mental Health P
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Essentials of DMHP 1. A decentraliz
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Restrategised NMHP 2003 Components
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Integration of NMHP in NRHM Nation
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DMHP Evaluation Independent evalua
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NMHP Achievement Scheme Financial S
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Failures It is top down approach
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Urban Mental Health Meta analysis b
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NGO Work In INDIA SCARF (Schizophr
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Mental Health NGO Activities Treat
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Community Awareness Role of media
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Tobacco As per Global Adult tobacc
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Stepped Care Approach in Substance
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Future Direction Vision i 2020: Roa
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For more details log on to www. sih
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Non-Communicable Diseases: NPCDCS ... - SIHFW Rajasthan

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