NICE International is supporting the Government of India to move towards Universal Health Care by providing technical assistance to the newly established STG Task Force.Latest news:
- Indian STGs nearing completion and preparations underway for pilot implementation at State level
Indian STGs nearing completion and preparations underway for pilot implementation at State level
Dr Francoise Cluzeau and Dr Laura Downey travelled to Delhi, India for meetings with colleagues at a number of allied institutions, including the WHO India office, the World Bank and the Bill and Melinda Gates Foundation. Important meetings were also held at the Ministry of Health and Family Welfare (MoHFW) with the joint secretary for health, and with the director of the Indian Council for Medical Research.
Topics for discussion included the progress of development of STGs in 10 high priority topics, including non-communicable diseases, child and family health, and respiratory diseases, on which NICE International have been providing technical assistance.
A number of these guidelines are now nearing completion and two (hypertension and diabetic foot) have been submitted to the MoHFW to be uploaded on the website for public consultation before being formally signed off by the Director General of Health Services.
Dr Downey and NICE International’s advisor in India, Dr Abha Mehndiratta, are working closely with the Primary Care Task Force of the MoHFW, state governments and non-governmental organisations to roll-out the pilot implementation of these STGs and related quality standards at the state-level in the new year. This will be an exciting and challenging undertaking for NICE international, with the average population of the larger states in India exceeding 60 million people.
Task force on Standard Treatment Guidelines (STGs) established
As part of its efforts towards Universal Health Care the Ministry of Health & Family Welfare (MoHFW), Government of India has established a task force on Standard Treatment Guidelines (STGs). This task force will oversee the development of authoritative, national STGs for healthcare services including those covered by existing large scale insurance schemes, and to help expand access to care which is affordable, equitable and effective.
This initiative is coordinated by the National Health System Resource Center (NHSRC). Responding to a direct request by the STG Task Force and NHSRC, NICE International is contributing on three fronts:
- It is a member of the STG Task Force, which has representation from the Directorate General of Health Services (DGHS), Indian Council of Medical Research (ICMR), public and private sector agencies, research and clinical institutes from across India, as well as clinicians from renowned hospitals. Members of a parallel Task Force on Primary Care also provide input into the group in recognition of the need for national guidance to tackle the rise of preventable, non-communicable diseases.
- It is helping the STG Task Force and NHSRC develop the process and methods manual underpinning the guidelines and associated Quality Standards for India. The manual aims to guide the STG developers to producing STGs that are of high quality, inclusive and relevant to India. It provides details on the adaptation of existing STGs that adhere to international criteria, as well as the development of de novo evidence-informed STGs.
- It is providing ongoing technical assistance to the 10 Clinical Subgroups that have been convened to develop the initial batch of STGs on 14 prioritised topics in the next 12 months. Each Clinical Subgroup includes clinicians (doctors, nurses and allied health professionals) with expertise in the respective clinical topics, both from the private and public sectors, and from different states of India. As a first step, NHSRC and NICE International jointly convened a workshop in May 2015 on the methods and processes for guideline adaptation. The workshop was attended by members of the STG Task Force and facilitators from the 10 Clinical Subgroups.
This NICE International technical assistance is funded by the Department for International Development (DFID) India. The list of specialties and topics for the first set of STGs are in the table below:
|Paediatrics||Cough in Children|
|Feeding of low birth weight new-borns|
|Diabetic foot surgery|
|Mental health||Alcohol dependence|
|Depression in primary care (including in the context of pregnancy)|
|Orthopaedics||Joint pain in adults|
|Obstetrics & gynaecology||Menstrual irregularity|
|ENT||Sinusitis in adults|
|Critical care / Emergency||Snake bite|