copd

1. For
TRAINING PROGRAM ON PREVENTION AND MANAGEMENT OF CHRONIC OBSTRUCTIVE
PULMONARY DISEASE AND ASTHMA
(Training of Trainers Program)
National Health Mission, Government of Maharashtra, Mumbai
&
Bharati Vidyapeeth Medical College and Hospital, Pune
HEALTHY LUNGS – HEALTHY LIFE
SUPPORTED BY ‘CIPLA LIMITED’
WELCOME

2. GLOBAL BURDEN OF COPD AND ASTHMA
212 million cases of
COPD
262 million cases of
ASTHMA
Global Burden of Disease Report (2019)

3. BURDEN OF COPD AND ASTHMA IN INDIA
COPD
• An estimated 37.8 million (3,78,00,000) cases of COPD,
contributing to 17.8% of the global burden
• Ranks number two in the world in terms of global
burden of COPD, deaths as well as DALYs
• 2nd leading cause of deaths and DALYs in India
ASTHMA
• An estimated 34.3 million (3,43,00,000) cases of
Asthma, contributing to 13% of the global burden
• Rank number one in the world in terms of global burden
of Asthma, deaths as well as DALYs
• As per The National Commission on Macroeconomics and Health, the economic loss of COPD and Asthma
estimated for India is now Rs. 60,000 Crore assuming no specific government intervention and no substantial
change in the practice of treating COPD

4.  Understanding the rising burden of COPD & Asthma,
Government of India has formulated guidelines for;
• Prevention
• Early detection
• Management
 Prevention and management guidelines of COPD and
Asthma have been included under the National
Program for prevention and control of CVD,
diabetes, cancers, and stroke (NPCDCS) by Ministry
of Health & Family Welfare, Government of
India(GOI).
NEED FOR ACTION TO REDUCE THE BURDEN OF COPD AND ASTHMA IN INDIA

5. MEDICAL OFFICER’S Manual for Prevention and Management of COPD & Asthma Diseases
Guidelines;
• How to screen and refer suspected cases of
COPD & Asthma
• Diagnosis and Management of COPD and
Asthma Diseases
• Roles and Responsibilities of the staff at each
level in government facilities
• Infrastructure development at every level of
government facilities

6. OBJECTIVE OF THE TRAINING PROGRAM
• Capacity building of physicians/medical officers on prevention and management of COPD and
Asthma diseases by training the master trainers from various government facilities across
Maharashtra
• Medical officers trained as a master trainer will later train the other medical officers

7. THE PROPOSED COVERAGE
MAHARASHTRA STATE
Districts – 36
Talukas – 363
6 Revenue Divisions – Pune, Aurangabad, Konkan,
Nagpur, Nashik, Amravati
The training programmes will be imparted in three
Health and Family Welfare training centres i.e Pune,
Aurangabad and Nagpur which will cover six
revenue divisions of Maharashtra.
• Pune Training Centre – will cover Pune and
Konkan Division
• Aurangabad Training Center – will cover Nashik
and Aurangabad Division
• Nagpur Training Centre – will cover Nagpur and
Amaravati Division

8. TRAINING PROGRAMS FOR NAGPUR AND AMRAVATI REGION
847
No of Physicians/Medical Officers ( One from each
institution (PHC/RH/SDH/DH))
30
No of Training Programs (30 participants per batch)
29
No of Master Trainers ( 1 Trainer for 4 Talukas)
Maharashtra State, Public Health Department, February 2018 http://arogya.maharashtra.gov.in
Name of Division
(Headquarter)
2 11 119 847 30 29
Nagpur Division Bhandara 7 70 3 2
(HQ: Nagpur) Chandrapur 15 75 3 4
Gadchiroli 12 55 2 3
Gondia 8 64 3 2
Nagpur 13 95 3 3
Wardha 8 68 2 2
TOTAL 63 427 16 16
Amravati Division Akola 7 55 2 1
(HQ: Amravati) Amravati 14 144 5 4
Buldana 13 99 3 3
Yavatmal 16 69 2 4
Washim 6 53 2 1
56 420 14 13
DISTRICTS
TALUKAS MEDICAL
OFFICERS
No of
Training
Programs
(30 MOs in
one batch)
No of
Medical
Officers
To be
Trained

9. TRAINING PROGRAM
 Design of the training program
• Two days training program consist of theory and practical sessions
o Day 1 – Theory and Practical Training
o Day 2 – Theory and How to conduct further training sessions for medical officers
 Topics of the training program
TRAINING PROGRAM - DAY 1 TRAINING PROGRAM - DAY 2
 How to diagnose COPD and Asthma
 Assessing severity of COPD as per GOLD
guidelines
 Management of COPD and Asthma –
Complications, Treatment and Follow up
 How to reduce exacerbations
 Drugs and Devices ( Inhaler, Rotahaler, Spacer)
 Spirometry Test and Its interpretation
 How to perform Peak Flow Meter?
REFERRAL SYSTEM
 Screening by ASHA workers
 Criteria for referral to primary health centre
 Management at PHC level
 Management at RH / DH
DELIVERY OF THE TRAINING PROGRAM
How to train other medical officers
Use of training material
PULMONARY REHABILITATION
Role of physiotherapy, nutritional and psychological
components in pulmonary rehabilitation

10. Outcome of the training program
• The training of trainers programs imparted will improve and strengthen the knowledge and skills
of the master trainers (medical officers) on prevention and management of COPD and Asthma.
• This knowledge and skills will make the medical officers competent enough to conduct training
sessions on prevention and management of COPD and Asthma for other medical officers from
defined areas.
• All the medical officers from various government facilities will be able to diagnose and treat
patients with COPD and Asthma disease in accordance with government guidelines for
prevention and management of COPD and Asthma.
• It will help to improve and strengthen the health system, also will aid service delivery for
prevention and management of COPD and Asthma diseases.

11. THANK YOU