NATIONAL VIRAL HEPATITIS CONTROL PROGRAMME (NVHCP)

NATIONAL VIRAL HEPATITIS CONTROL PROGRAMME (NVHCP) 

1. Introduction:

Aims & Objectives

• Elimination of Hepatitis C by 2030
• Achieve significant reduction in the infected population, morbidity and mortality associated with Hepatitis B and C viz. Cirrhosis and Hepato-cellular carcinoma (liver cancer)
• Reduce the risk, morbidity and mortality due to Hepatitis A and E. 
  1. Operationalizing National Viral Hepatitis Control Programme in Mizoram
• Civil Hospital, Aizawl the biggest hospital in the state has been operationalized as Model Treatment Centre since 8^thNovemeber, 2019.
• 1 Physician has been identified as the Nodal Officer  at MTC.

State Laboratory :

• Civil Hospital, Aizawl has been operationalized as the State Laboratory.
• 1 Microbiologist has been identified as the Nodal Officer for State Lab.

District Laboratory:

• Civil Hospital, Lunglei& State Referral Hospital, Falkawn have been operationalized as District Laboratory.
• 1 Microbiologist each has been identified as the Nodal Officer for the District Lab.

DTC (District Treatment Centre):

District Treatment Centre has been operationalized at District Hospital Champhai, Mamit, Lunglei, Serchhip, Kolasib, Lawngtlai, State Referral Hospital, Falkawn&Siaha.

State Viral Hepatitis Management Unit (SVHMU):

• SVHMU was set up at Directorate of Hospital & Medical Education, New Secretariat Complex, Khatla under the guidance of State Nodal Officer. 

1. Target
   • Elimination of Hepatitis C by 2030
   • Achieve significant reduction in the infected population, morbidity and mortality associated with Hepatitis B and C.
   • Screening of High Risk Groups on Hepatitis B & C.
   • Screening of Pregnant women on Hepatitis B.
   • Reduce the risk, morbidity and mortality due to Hepatitis A and E
   • 
     
2. Achievement (FY 2021 - 2022)
   
   
   • Online Training on MIS for Lab Technicians, Pharmacists & Medical Officers on Hepatitis C Module on 5^th August, 2021.Zoom Online Meeting on Hepatitis B & challenges faced in Mizoram on 14^th June, 2021.
   • Zoom Online Meeting on issues relating to Viral Hepatitis in Mizoram on 14^th July, 2021.
   • Zoom Online Review Meeting on Viral Hepatitis in Mizoramon 16^th August, 2021.
   • Zoom Online Review Meeting on Viral Hepatitis in collaboration with RCH in Mizoramon 14^hSeptember, 2021.
   • Online Training through Webex for Mamit District on Diagnostic, Care & Treatment of Hepatitis B on 30^thSeptember & 1^st October, 2021.
   • Zoom Online Review Meeting on Viral Hepatitis in collaboration with Finance Consultant in NHM, Mizoramon 14^hOctober, 2021.
   • Online Client Portal Training with Core Diagnostics, New Delhi on 26^th October, 2021.
   • National Review Meeting under NVHCP on 29^th Dec, 2021 at New Delhi.Supervisory visitofDTC, Champhai on 9^th December, 2021.
3. 
   
   • Supervisory visitof DTC, Mamit on 27^th February, 2022.
   • Supervisory visit of  DTC, Lawngtlai on 23rd March, 2022
   • Supervisory visit of DTC, Siaha on 24th, March, 2022.

4.  

   Report on Status of Viral Hepatitis: (FY 2021-22)

    

   S.no	Activity	1st Qtr	2nd  Qtr	3rd Qtr	4th Qtr
   1.	No. of patients tested for Hepatitis C	6167	5864	5969	6677
   2.	No. of patients tested positive for Hepatitis C	347	370	395	398
   3.	No. of Hepatitis C positive patients tested for Viral load	169	275	358	447
   4.	No. of patients found eligible for treatment of Hepatitis C	103	76	163	201
   5.	No. of patients put on treatment for Hepatitis C	110	103	212	249
   6.	No. of Hepatitis C patients completed treatment	227	263	67	150
   7.	No. of patients tested for Hepatitis B	6155	5716	5993	7206
   8.	No. of patients tested positive for Hepatitis B	148	166	135	193
   9.	No. of Hepatitis B positive patients tested for Viral load	0	1	31	123
   10.	No. of patients found eligible for treatment of Hepatitis B	0	0	21	44
   11.	No. of patients put on treatment for Hepatitis B	0	0	7	24
   12.	No. of patients put on treatment for Hepatitis B (Cumulative)	0	0	7	55

5. 
   
   • 
     Achievements: 2020-21
     
   • Day Observance of Viral Hepatitis on 30^th July, 2019 at Conference Hall, DHS.
   • Training of Medical Officers on Diagnostic Treatment & Care of Viral Hepatitis on 30^th and 31^st July, 2019 at Conference Hall, DHME.
   • Training of Pharmacists on Diagnostic Treatment & Care of Viral Hepatitis on 2^nd August, 2019 at Recreation Hall, DHME
   • Training of Lab Technicians on Diagnostic Treatment & Care of Viral Hepatitis cum Hands on Training from 17^th – 19^th September, 2019 at Civil Hospital, Aizawl.
   • Free treatment of HCV started on 8th November, 2019 at Model Treatment Centre Civil Hospital, Aizawl.
   • Hands on Training of MOs, Lab Technicians, DEOs, Peer Support & Pharmacists of Aizawl East &Aizawl West Districts on 11^th& 12^th December, 2019 at Hotel Floria, Dawrpui.

Problems& Challenges

• Sample transportation is not regular due to Covid 19 pandemic and due to irregular flight schedule.

Future Perspective/Prospect

• Viral Load Testing of HCV to be carried out in ZMC, Falkawn by utilizing RT-PCR machine.

Facts & Figures in the form of data & statistics

There is no data to be shown yet for FY 2019-20 as NVHCP is a new programme and that data is being collected only from new FY i.e., April 2020