National Iodine Deficiency Disorders Control Programme (NIDDCP)

  • Status of the Programme

    • Since when the Scheme is in operation;
      • Established in 1987.
    • The objectives of the Scheme;
      • The important objectives and components of National Iodine Deficiency Disorders Control Programme (NIDDCP) are as follows :
        • Surveys to assess the magnitude of the Iodine Deficiency Disorders.
        • Supply of Iodated salt in place of common salt.
        • Resurvey after every 5 years to assess the extent of Iodine Deficiency Disorders and the Impact of Iodated salt.
        • Laboratory monitoring of Iodated salt and urinary iodine excretion.
        • Health education & Publicity.

    • Specific problems being faced in implementation of these schemes and the suggestions to overcome them;

      • The major problems of the programme are as follows :

        • Need for establishing IDD Control Cells in the Tripura State.
        • Slow progress in setting up of IDD Monitoring Laboratories for estimation of iodine content of Salt by the titration method and urinary iodine excretion.
        • It is necessary to improve the enforcement of quality control of iodated salt supplied to the consumer by the State /UT Governments by allocating more resources and deploying trained manpower.

        • Greater emphasis is required to be given to the creation of awareness about IDD and consumption of iodated salt for prevention of IDD.
        • Intensive training of medical/paramedical personnel is required for the implementation of NIDDCP.

    • Any other suggestion for better implementation of the scheme;

      • ASHA of NRHM may be actively involved along with Anganwari Workers, to creat awareness.
      • 21st October is celebrated as Global IDD Prevention Day in the State of every year.
      • At block level sensitilization workshop with panchayet samity, health infrastructure, NGOs, clubs may be held.

  • Present scenario.

    For implementation of Iodine Deficiency Disorder Control programme in Tripura, following activities will be taken up during 2011-12:
    • Strengthening of IDD Control Cell.

    • Strengthening of IDD monitoring lab. (Regional Food Laboratory).

    • Awareness programme will be carried out in the community level. This activity will be merged with village health and nutrition day.
    • Sensitization through media.
    • Survey in one district.
    • Advertisement in press electronic media.
    • Observation Global IDD Prevention Day on 21st October every year.
    • Training of Asha, ANM, and AWW regarding salt testing.
    • Half yearly review meeting with district designated Officers, CMOs etc.
    • IEC materials through electronic, print media, folk media, etc.
  • The State Government of Tripura will be filling up sanctioned vacantposts i.e. Technical Officer, Statistical Assistant, Laboratory Technician for establishment of IDD Cell & IDD Monitoring Laboratory contractual basis for one year and extension of service on performance basis for implementation of programme in the State.
    A file is under processes for obtaining kind revalidation and release of fund Rs. 38 Lakhs from Finance department for implementation of NIDDCP during 2011-12.
    During 2010-11 an amount of Rs. 9.19 lakhs has been utilised (Salaries & Non salaries).
    40.nos samples of salt collected and tasted in the year 2010-11. as per testing report the 4 nos. sample did not confirm to the PFA standard.

  • Salt Testing Kit Report under North, West Tripura District.
Name of the District  No. of kit received No. of household visited No. of ASHA involved Iodized / Non iodized salt
West Tripura 16,248 3,15,576 1086 Iodized salt
North Tripura 10,496 2,63,400 908 Iodized salt

 

5.  Impact on Health.

  • Iodine is an essential micro nutrient. It is required at 100-150 micrograms daily for normal human growth and development. The disorders caused due to deficiency of nutritional iodine in the food/diet are called Iodine Deficiency Disorders (IDDs).
  • Goiter is only the tip of the iceberg. Iodine deficiency results in physical and mental retardation. It affects people of all ages, both sexes and different socioeconomic status. It could results in abortion, stillbirth, mental retardation, deaf-mutism, dwarfism, squint, cretinism, goiter of all ages, neuromotor defects, etc.
  • Iodine deficiency during pregnancy leads to decreased availability of iodine to the feotus. This, in turn, leads to the decreased synthesis of thyroxine, an essential hormone manufactured by the thyroid gland of the feotus. The decreased availability of thyroxine prevents the normal development of the feotal brain and body. Such feotal brain damage is permanent and irreversible and irrevocably limits intellectual growth in later years.
Prevention is better than cure: It is a well established fact that with the exception of certain types of goiter, Iodine Deficiency Disorders are permanent and incurable. However, all these disorders can be easily prevented before they occur. The simplest method to prevent the broad spectrum of IDD is to consume iodated salt daily. This is the most effective and inexpensive mode to prevent IDD. The average consumption of iodated salt per person per day is about 10 gms.

Committed Expenditure for the financial year 2012-13 has been furnished below for preparation of State Programme Implementation Plan (SPIP) 2013-14.