An overview

2. National Viral Hepatitis Control Programme ( NVHCP)
This Programme was launched on 28th July, 2019 on the occasion of World Hepatitis Day in Maharashtra .
NVHCP Centers -
Model Treatment Centers -9
Treatment Center -27
Types of Hepatitis Viruses
A, B, C, D and E (HAV, HBV, HCV, HDV and HEV).
Transmission of Disease
• Hepatitis A and E
Through Infected water & food/ faeco-oral route
usually cause acute hepatitis & acute Liver failure
• Hepatitis B and C
Through unsafe injection practices /contaminated syringes and needles
. Infected blood and blood products
. Sexual transmission
. Infected mother to her child
B prevalence - average 1.1 %
C prevalence - average 0.09 %
Complication of Infection
Hepatitis B and C usually causes Cirrhosis of Liver and Liver cancer ( 50 to 65% due to .
B & C infection) , are responsible for 96% of overall hepatitis mortality .

3. • Achieve countrywide elimination hepatitis C by 2030
• Reduction in infected population , morbidity &
Mortality associated with B & C
Approach:
• Screening of high-risk groups, early diagnosis & treatment
• Immunization for Hepatitis B
• Reduction in risk, mortality and morbidity due to A & E
Approach:
• Prevention by improving sanitation and safe drinking water
• Awareness generation

4. NVHCP Model Treatment Center MTC
Sr No District Model Treatment Center ( MTC) Staff at MTC
Services
provided
at MTC
1 Mumbai KEM Hospital Mumbai 1. Medical officer
2. Pharmacist
3. Lab Technician
4. DEO
5. Peer Support
Testing
and
Treatment
for uncomplicated
&
complicated cases
2 Mumbai Sion Hospital Mumbai
3 Nagpur GMC Nagpur
4 Aurangabad GMC Aurangabad
5 Pune BJ GMC Pune
6 Yavtamal GMC Yavtamal
7 Nashik Civil Hospital Nashik
8 Prabhani Civil Hospital Prabhani
9 Rantnagir Civil Hospital Rantnagiri

5. Sr No District NVHCP Treatment Center (TC) Staff at TC
Services
provided at TC
1 Dhule Government medical college Hospital ,Dhule 1. Pharmacist
2. Lab Technician
3. Data Entry
Operator
4. Peer Support
Testing
and
Treatment
for
uncomplicated
cases
2 Jalgaon Government medical college Hospital ,Jalgaon
3 Solapur Government medical college Hospital ,Solapur
4 Kolhapur Government medical college Hospital ,Kolhapur
5 Sangli Government medical college Hospital ,Miraj
6 Latur Government medical college Hospital ,Latur
7 Nanded Government medical college Hospital ,Nanded
8 Akola Government medical college Hospital ,Akola
9 Chandrapur Government medical college Hospital ,Chandrapur
10 Thane District Hospital Thane
11 Raigad District Hospital Raigad
12 Nandurbar District Hospital Nandurbar
13 Ahmadnagar District Hospital Ahmadnagar
14 Satara District Hospital Satara
15 Sindhudurg District Hospital Sindhudurg
16 Jalna District Hospital Jalna
17 Hingoli District Hospital Hingoli
18 Osmanabad District Hospital Osmanabad
19 Beed District Hospital Beed
20 Amrawati District Hospital Amrawati
21 Buldhana District Hospital Buldhana
22 Washim District Hospital Washim
23 Wardha District Hospital Wardha
24 Bhandara District Hospital Bhandara
25 Gondia District Hospital Gondia
26 Gadchiroli District Hospital Gadchiroli
27 Palghar Rural Hospital Palghar

6. Hepatitis B & C Screening
• Patients on ART
• HRG Persons ( High Risk Group) Hep B Negative
FSW, Injection Drug user (IDUs), MSM,
Transgender, Truckers, Migrants ,
• Thalassemia Patient
• Patients on Dialysis
• Hepatitis B or C Positive blood donors (In coordination with SBTC )
• Preoperative patient
• Prisoners ( In coordination with Home Department )
ANC Screening ( with RCH Programme)
• Screening of ANC Pregnant women for Hepatitis B
• Hepatitis B Positive ANC should be referred to DH/WH /SDH/RH where inj HBIG available at the time of delivery
for further management ( i.e. New born baby shall received birth dose of Hepatitis B vaccination & Inj HBIG (Hepatitis
B Immunoglobulin) immediately within 72 hours after birth to prevent maternal to child transmission of Hepatitis B.
Immunization for hepatitis B
• Birth dose ( with Immunization programme)
• Health Care Workers
• High Risk Groups (In coordination with MSACS & MDACS )
Note
Hepatitis B or C positive persons found by Rapid test should undergo viral load of B or C respectively before initiation of
treatment . Viral load is done by HLL , Sion Hospital & GMC Aurangabad .
In coordination with
MSACS & MDACS

7. Lab Test Kits Types
1. HbsAg Kit (Plasma)
2. Hepatitis C Kit (Plasma)
3. HbsAg Elisa Kit
4. Hepatitis C Elisa Kit
5. RT PCR kit Hepatitis B
6. RT PCR kit Hepatitis C
Drugs are supplied by GOI
Hepatitis B Medicine
1. Entecavir (Ent 0.5 mg )
2. Entecavir (Ent 1 mg )
3. Tenofovir 300 mg
Hepatitis C Medicine
1. Daclatasvir 30 mg
2. Daclatasvir 60 mg
3. Sofosbuvir 400 mg
4. Sofosbuvir 400 mg +Velpatasvir 100 mg
4. Ribavirin 200 mg for Hepatitis C complicated cases

8. • Conducting outreach camps by the NGOs registered under MSACS &
MDACS for Screening of Hepatitis B & C - patients on ART , HRG
(FSW, Injection Drug uses (IDUs) ,MSM, Transgender, Truckers, Migrants, etc. )
• The target given per outreach camp is 100 HRGs/day
• Rs 5000 will be provided to NGOs for conducting outreach screening camp
Camp site arrangement
Refreshment
Travelling
Contingency & Publicity
Coordinating for Hepatitis B complete vaccination of Hep B negative HRGs
HRG sample collection & testing ,Reporting
Biomedical waste seggration etc
Rs 4000
Rs 1000 to Lab Technician @Rs 10 per HRG

9. Guideline regarding Treatment/ management of Hepatitis B & C
Protocol/SOP is available on
https://nvhcp.mohfw.gov.in/Guidelines online website.