Introduction
Globally, injuries and violence take the lives of 4.4 million people and constitute 8% of all deaths. More than 10% of deaths in India could be attributed to injuries. Road traffic injuries, drowning, burn injuries and falls contribute to the majority of such deaths.
The National Program for Prevention & Management of Trauma and Burn Injuries (NPPMT& BI) works at pre-hospital, hospital & post-hospital levels to reduce both mortality and morbidity due to accidents. The Ministry of Health and Family Welfare (MOHFW) supported 196 hospitals/medical colleges in setting up Trauma Care Facilities (TCF) so far (Level I, II and III), in terms of human resources, equipment and infrastructure. Modules have been developed to support capacity development programs for health personnel working in the Emergency Department at all levels of the healthcare delivery system. In addition, virtual technical consultations on different thematic areas are organized regularly to support doctors working in the Emergency Department in different hospitals.
The instant programme was started on pilot mode under the 9th& 10th FYP as a “Pilot Project for strengthening emergency facilities along the highways”. During the 11th Plan, the programme was named “Assistance for capacity building for developing trauma care facilities in Govt. hospitals on National Highways”. 116 Trauma Care Facilities were identified and funded under the Programme during the 11th FYP. The scheme was extended to the 12th plan period as “Capacity building for developing Trauma Care Facilities in Govt. Hospitals on National Highways”, and was approved for the development of 80 new trauma care facilities. The scheme was extended beyond the 12th FYP later as the “National Programme for Prevention & Management of Trauma and Burn Injuries” under the umbrella scheme -Tertiary Care Programmes.
Burns is a global public health problem, accounting for an estimated 265,000 deaths annually. As per WHO, in India, over 1,000,000 people are moderately or severely burnt every year. As per the data extrapolated from the information received from 3 major Govt. Hospitals in Delhi, approx. 1.4 lakh people die of burn injuries annually. This comes to one death every 4 minutes due to burns. Since there is no burn registry existing in the country, only estimates of burn are available. The estimated annual burn incidence in India is approximately 6-7 million per year. The high incidence is attributed to illiteracy, poverty and low-level safety consciousness in the population.
The Government of India initiated a Pilot Programme for Prevention of Burn Injuries (PPPBI) during the 11th Five Year Plan with a total budget of Rs. 29 crores. The pilot project continued during the 12th FYP as “National Programme for Prevention & Management of Burn Injuries (NPPMBI)” with the Goal of PPPBI to ensure the prevention of Burn Injuries, provide timely and adequate treatment in case burn injuries do occur, so as to reduce mortality, complications and ensuing disabilities and to provide effective rehabilitative interventions if the disability has set in. Under this, the setting up of/upgradation of Tertiary-level Burn Units was sanctioned in 47 Government Medical College Hospitals.
Objectives
- To reduce the mortality and morbidities occurring due to injuries (including trauma and burns), by developing a system of services at pre- hospital & hospital level and continuum of care through rehabilitation.
- To generate awareness about prevention and first aid for emergency &trauma care among the general masses and vulnerable age groups by developing and disseminating IEC material.
- To develop linkages with other Ministries and Stakeholders, such as MoRTH, HRD, Home, etc. for coordinated efforts in preventing injuries.
- To improve the service delivery within the Trauma Care Facilities and Burn Units established in the State Government Hospitals during 11th & 12th FYP.
- To strengthen the National Injury surveillance center as - Central Nerve Centre (CNC) for Injury Management including Surveillance, Registry and Capacity Building, and for overall coordination with the States and other stakeholders.
- To provide technical support & knowledge assistance to create Center of Excellence for Trauma and Burn Care in existing Government Medical Colleges by undertaking needs assessment and providing guidance.
- To promote Training and Research in the field of Emergency, Trauma and Burn Care.
- To develop a model of Integrating Emergency Departments & Trauma Care Facilities for optimal utilization of available resources.
Recent Activities
- Technical Consultation on Trauma and Burn for the State Nodal Officers - August 2023.
- Celebration of Injury Prevention Week - September 2023
- Workshop on epidemiology and data analysis - September 2023
- National Orientation Meeting on Drowning Prevention - September 2023
- Worked for the Global Status Report on Drowning Prevention
- Official Release of Strategic Framework on Drowning Prevention in India - December 2023
- Visit to states for program review
- Published Referral Policy for Delhi/ NCR
- Celebration of World Drowning Prevention Day- July 2024
Last Updated On 21/11/2024
