NPHCE

🧓 National Programme for Health Care of the Elderly (NPHCE)

Objective:

To provide dedicated, specialized, and comprehensive healthcare to the elderly (60+ years), both at primary and secondary levels, including outreach and institutional care.

🔹 Structure and Governance at State Level

A. Governing Body of State Health Society

• Chairperson: Chief Secretary / Development Commissioner
• Co-Chair: Development Commissioner
• Vice-Chair: Principal/Secretary (Health & Family Welfare)
• Convener: Mission Director (NHM)
• Members:
• Secretaries of NHM-related departments: Health, Finance, AYUSH, Women & Child Development, etc.
• Representatives from MoHFW, NGOs, Development Partners, AYUSH, Public Health Experts
• Frequency of Meeting: At least once in 6 months
• Functions:
• Oversight & policy decisions
• Approving Annual Action Plan
• Monitoring NHM progress
• Promoting NHM visibility and advocacy

B. Executive Committee

• Chairperson: Principal Secretary (Health/Family Welfare)
• Vice-Chair: Director (Health & Family Welfare)
• Convener: Mission Director (IAS Officer recommended)
• Joint Secretaries: State Programme Managers, Project Directors
• Members:
• Director, AYUSH
• Officers from NHM sectors
• MoHFW representatives
• Regional Directors
• Frequency: Monthly
• Functions:
• Detailed expenditure review
• Approval of district plans
• Fund release as per Annual Plan
• Finalizing inter-sectoral coordination

C. Programme Committee for Health & Family Welfare Sector

• Chairperson: Director
• Member Secretary: State Programme Manager
• Members: Finance Manager (SPMSU), 2–3 related Programme Managers
• Function: Ensure focused planning and monitoring of NPHCE and other programmes

D. State Programme Management Support Unit (SPMSU)

• Headed by: Executive Director / Mission Director
• Functions:
• Acts as Secretariat for NHM & State Society
• Provides technical support (HR, finance, logistics, MIS, BCC)
• Recruits experts (MIS, RCH, CA, MBA, etc.) from open market
• Tracks fund usage, audits, utilization certificates

E. Fund Flow

• Post plan approval, funds released via joint signatories:
• State Programme Manager/DHS
• Secretary (HFW)/Mission Director
• Fund disbursal may be done by PMU or SPMSU
• SPMSU oversees financial tracking and audit

F. Merger of Existing Societies

• After State Society registration:
• Existing societies pass resolution for dissolution
• Assets & liabilities transferred to new State Health Society
• Filed with Registrar of Societies

🔹 Structure at District Level

A. District Health Mission (DHM)

• Chairperson: Zilla Parishad Chairperson
• Co-Chair: District Collector
• Vice-Chair: CEO, Zilla Parishad
• Convener: Chief Medical Officer (CMO/CDMO)
• Members:
• MPs, MLAs, DRDA, Hospital Mgmt. Committees, PHED, AYUSH, ICDS, Panchayati Raj, Education, NGO reps

B. District Health Society (DHS)

Governing Body

• Chair: District Collector / CEO ZP
• Co-Chair: DDC cum CEO, ZP
• Chief Executive Officer: CMO/CDMO
• Members: Project Officers, Programme Managers, NGO & Development Partner reps

Executive Committee

• Chair: DDC cum CEO (or CMO)
• Co-Chair: CMO/CDMO
• CEO & Convener: District Programme Manager
• Members: Hospital Superintendent, Programme Managers from various sectors (Health, ICDS, PHED, etc.)

C. District Programme Manager (DPM)

• Roles:
• Manage DHS Secretariat
• Planning, Monitoring, Evaluation
• Inventory, Procurement, Logistics
• Coordinate with State level and ULB/ZP bodies

✅ Expected Outcomes under NPHCE

• 325 District Geriatric Units with:
• Dedicated Geriatric OPD
• 10-bedded Geriatric wards in 80–100 district hospitals
• Biweekly Geriatric Clinics & Rehab Units in CHCs
• Weekly Geriatric Clinics in PHCs
• Sub-centre strengthening for community outreach
• Staff training in geriatric care at all public health levels