Community Health and Public Health Programmes
What this domain tests
This domain tests India’s public health programmes and the MPHW’s role in delivering them. Questions cover the National Health Mission, Universal Immunization Programme, tuberculosis, HIV, vector-borne disease, maternal and child health, non-communicable disease, and Ayushman Bharat.
Core rules
- The National Health Mission supports primary and secondary care, especially maternal, child, and adolescent health.
- The Universal Immunization Programme provides free immunization. Cold chain must be maintained; vaccines must not be frozen unless the label permits it.
- The National TB Elimination Programme provides free diagnosis and treatment. A person with cough for two weeks or more, fever, night sweats, and weight loss should be referred for sputum NAAT or other approved testing.
- The National AIDS and STD Control Programme provides counselling, testing, and treatment linkage; confidentiality is essential.
- The National Centre for Vector Borne Diseases Control covers malaria, dengue, chikungunya, Japanese encephalitis, and kala-azar. Source reduction and early referral are core tasks.
- RMNCH+A covers reproductive, maternal, newborn, child, and adolescent health. NPCDCS addresses non-communicable diseases.
Worked example
A 35-year-old man has cough for three weeks, evening fever, and weight loss. The MPHW should not start anti-TB drugs empirically. The correct action is to refer him to a designated microscopy or NAAT centre under NTEP, ensure sputum collection, and link him to free diagnosis and treatment. The reasoning is that programme diagnosis requires approved tests, and unsupervised treatment can cause drug resistance and miss other diseases.
Traps
Do not confuse BCG with TB treatment. Do not label every fever as malaria. Do not break the cold chain. Do not disclose HIV or TB status without need-to-know. Programme names and eligibility change, so use current state guidelines.