NATIONAL ORAL HEALTH PROGRAMME (NOHP)



1.INTRODUCTION & BACKGROUND


‘Oral Health’ is an integral part of general health. With increasing life expectancy Oral Health is bound to play a major role in improving the quality of life. The prevalence of oral diseases, such as Dental caries, Periodontitis (diseases of the gum), Mal-occlusion and Oral cancer, are very high in Mizoram. Mal-occlusion of teeth is common among 50% of school children. Oral Cancer accounts for almost 40% of the total diagnosed cancer cases and the wide usage of tobacco in various forms attributes to 90% of all oral cancers. Dental caries and Periodontitis are very common in all groups of ages.

‘Oral Health’ means being free of Chronic mouth and facial pain, oral and throat cancer, oral sores, birth defects such as cleft lip and cleft palate, periodontal (gum) diseases, tooth decay and tooth loss and other diseases and disorders that effect the mouth and oral cavity.

Oral Health Programme has never been implemented in the state before but started from 2014-2015. It used to be the most neglected part of all Health & Family Welfare Department activities. It is estimated that nearly 90% of the state’s population is suffering from one or the other dental disease. And it is noticed that this alarming rise in dental diseases is mainly due to the lack of awareness among the people and the almost non – existence infrastructure of the Oral Health Care Services in the State.

Civil Hospital, Aizawl is the oldest Hospital in the State of Mizoram. It was established at the time of the British rule in India. At present, Civil Hospital Aizawl is a 300 bedded Hospital. The Hospital delivers various clinical and para-clinical services to the people not only of Aizawl, but to the whole population of the State as Civil Hospital, Aizawl is functioning as a referral centre from other Districts.

The Dental Outdoor Patient Department (OPD) started functioning since 1975 with the then two working doctors – Dr. Sharma & Dr.Sinha. In 1979 the first Bachelor of Dental surgery (BDS) among the Mizos, Dr.Lalzarliana Ralte (L) had replaced them.

Civil Hospital, Aizawl has been certified as ISO 9001: 2008 on December, 2010 vide Certified NO. IRQS/1011025 from Indian Register Quality system.

Aims and objectives of the Programme 


Oral Health is an integral part of general health. With increasing life expectancy Oral Health is bound to play a major role in improving the quality of life. The Prevalence of oral diseases, such as Dental Caries, Periodontitis (diseases of the gum), Mal-occusion and Oral cancer are high in Mizoram.

Taking into account the oral health situation in the country, Government of India has initiated a National Oral Health Programme to provide integrated, comprehensive oral health care in the existing health care facilities with the following objectives:

  • To improve the determinants of oral health.
  • To reduce morbidity from oral diseases.
  • To integrate oral health promotion and preventive services with general health care system.
  • To encourage Promotion of Public Private Partnership (PPP) model for achieving better oral health.

 

The programme had been started with the functioning of 2(two) NOHP Centres: 1) Darlawn PHC of Aizawl East District and 2) Lungdai PHC of Kolasib District since 2015 and another 1(one) NOHP Centre Chawngte CHC of Lawngtlai District had been added since 2016, thus making a total of 3(three) NOHP Centres functioning in the 3(three) Districts of state, out of the 9(nine) districts. The intended benefit of the programme is being availed by the needy patients of the three centres along with the neighbouring villages.

1.Primary Health Centre, Darlawn, Aizawl East District

2.Primary Health Centre Lungdai, Kolasib District

3.Community Health Centre, Chawngte, Lawngtlai District

Each NOHP Centre had been equipped and staffed with 3(three) staff, and the team of the staff consists of:

  • Dental Surgeon
  • Dental Hygienist
  • Dental Assistant

Achievement both financial and physical 2020-21


Physical Achievemet at the NOHP centres: 

Currently there are three centres within Mizoram one each at Aizawl E, Kolasib and Lawngtlai district respectively.

SL/No

Lungdai PHC

Darlawn PHC

Chawngte CHC

Total

Dental Chair

1

1

1

3

Dental Surgeon

1

1

1

3

Dental Hygienist

1

1

1

3

Dental Assistant

1

1

1

3

 

  • Outreach programmes had been given priority in each of the NOHP centre besides running regular Dental OPD in the centres
  • The intended benefit of the programme is being availed by the needy patients of the 3 (three) towns along with the neighboring villages.

 

 Outcome/Output/Socio-economic impacts/results :

A free Oral Health Camp and Oral Cancer Screening had been organized in the diffrent  villages of the respective districts during 2019-2020 from district level to village level:

 

Oral Health Free Clinic at Village Level

IEC Avtivities

Broadcasting Awreness

Darlawn PHC

Lungdai PHC

Chawngte CHC

 

 

Banners at Hospital & Public places, leaflets, booklets, etc

 

 

Broadcasting at Radio and local TV Channels, Daily news paper, etc

 

No of visit

8-10 times per year

8-10 times per year

8-10 times per year

Level

District,School, villages,etc

District,School, villages,etc

District,School, villages,etc

Beneficiaries per visit

100-120 per visit

60-80 per visit

50-60 per visit

 

  • Training had been conducted successfully for Dental Surgeon, Dental Hygienists, selected School Teachers and selected Health workers from 9 districts of Heath Department.
  • World Oral Health Day, 20th March was succesfully observed in Aizawl.
  •  

 Problems and challenges in the stage of implementation :

Only 3(three) districts have been covered by the programme out of the 12(twelve) districts in the state & it is our expectation that all the 12(twelve) districts to be covered by the programme as had been done in the 3(three) districts.

 

 

 

 

 

Opportunity/endowment concerning the sector :

 

Equipments and Instrument had been supplied by the Purchase Committee of NHM, Mizoram for the year 2020 – 2021 as listed below :

  • Computer Full Sets & Printers, Ultrasonic Scaler, API Extraction Forceps Kit (Adult) , API Extraction Forceps Kit (Pedo), API Elevator , Woodpeker LED Light Cure, Kulzer Charisma Composite Kit, Scissor, Apron, Dustbin, Maintenance of Electric Wiring of Dental OPD for the 3 NOHP Centres 
  • Revolving Chair for Dental Surgeon & Dental Hygienist for 3 NOHP Centres (2 each for 1 Centre)
  • Table for Dental Surgeon & Dental Hygienist for 3 NOHP Centre (Two Table each for 1 Centre)
  • Revolving Chair for Computer Operator (Dental Assistant)
  •  

Future perpectives/prospects :

  • Training had been conducted successfully for Dental Hygienists, selected School Teacher and selected Health workers from 9 districts of Heath Department and intended to be continued in the year to come.
  • World Oral Health Day, 20th March, 2021 will be organized successful.
  • The 3 (three) District NOHP Centres will be upgradated to the utmost of one’s ability.

 

   Facts and figures to support the targets and outcomes in the form           of time series data statistics :

ORAL/DENTAL Health Report 2019-2020

Sl.No.

Particulars

Lungdai

Darlawn

Chawngte

TOTAL

1

Dental Caries

430

360

412

1202

2

Pericdontal Diseases

124

130

112

366

3

Moloclusion

26

22

13

61

4

Clett lip and Palate

2

2

3

7

5

Oral Cancer

0

0

0

0

6

Oral submucous tibrosis

0

0

0

0

7

Dental fluorasis

6

4

2

12

8

Edentulousness (tooth loss)

22

19

32

73

9

Oral lessons due to HIV AIDS

0

0

0

0

10

Birth defects involving oro facid complex

2

3

2

7

11

Extraction

72

54

65

191

12

Restoration/Filling

65

54

76

195

13

Oral Prophylaxis

12

20

19

51

 

       Grant TOTAL

761

668

736

2165

 

Physical Achievement during 2017-18



Ø  The programme had been functioning of 6 (Six) NOHP Centres: 1) Darlawn PHC of Aizawl East District and 2) Lungdai PHC of Kolasib District  3) Chawngte CHC of Lawngtlai District. In the year, 2016 – 17, the new three Centres – 1) Kawrthah CHC in Mamit district, 2) Thenzawl CHC in Serchhip district and 3) Pangzawl PCH in Lunglei district, thus making a total of 6(Six) NOHP Centres functioning in the 6 (Six) Districts of state, out of the 9 (nine) districts.

 

Ø  The intended benefit of the programme is being availed by the needy patients of the six centres along with the neighbouring villages. Outreach programmes had been given priority in each of the NOHP centre besides running regular Dental OPD in the centres, as much as possible.

 

Ø  NOHP Laminated Poster for Infants, Kids, Adults & Elderly in Mizo, received from NOHP Cell, NHM, Government of India, New Delhi at the total quantity in Nos. more than 10,000 have been disseminated throughout the state of Mizoram.

 

Ø  Leaflets & Booklets in regional language had been distributed regarding the importance of Oral Health and the maintenance of it, under the Directorate of Hospital & Medical Education.

 

Ø  Outreach Programme : Outreach programmes have been done in each centre of NOHP along with other programmes, namely – Blindness Control Programme, Malaria Programme etc. when need arises.


Any other information,
Contact Dr. Vanlalhuma Sailo,
Programme Officer, Oral Health, NHM, Mizoram
Phone No. 0389-2314302, Mob No. 9436141006