ICMR Releases India's First National Essential Diagnostics L
The Indian Council of Medical Research (ICMR) has formulated a new list of essential diagnostics on the lines of the essential medicines list, to ensure that quality diagnosis is provided at all levels of healthcare facilities.

Recognizing the fact that availability of high quality diagnostics in healthcare system is crucial for imparting good quality health services, Indian Council of Medical Research (ICMR) has developed the National Essential Diagnostic List (NEDL). Following the release of first edition of EDL by WHO in May, 2018, India is the first country to launch the National EDL (NEDL). The current system is equipped to manage only the few notified devices.

With this, India has become the first country to compile such a list that would provide guidance to the government for deciding the kind of diagnostic tests that different healthcare facilities in villages and remote areas require.

“The list is on the lines of the drug list. It is a scientifically designed list, which has been based on the World Health Organization’s list of essential diagnostics for key areas like HIV and hepatitis, but it also takes into account the priority areas of non-communicable diseases and diseases prone to outbreaks such as dengue,” said Dr Kamini Walia, senior scientist at ICMR.

ICMR, the apex body in India for the formulation, coordination and promotion of biomedical research, however, is not the implementing authority and cannot fix prices of the test.

“The list prepared by ICMR may be considered by the committee that is in the process of developing the new national medicine list for 2018. If the diagnostic list is included, the prices will be regulated under the Drug Price Control Order, 2013,” said a senior official from the country’s apex drug regulator Central Drugs Standard Control Organisation (CDSCO).

The current committee formed for routine update of the medicine list, which is done every three years, has been given a wider mandate to include certain devices and products, like sanitary napkins.

The diagnostics list mentions 105 general laboratory tests for a broad range of common conditions, 30 disease-specific tests such as for HIV, hepatitis, tuberculosis, and 24 imaging tests including X-rays, CT and MRI scans and ultrasound sonography.

The diagnostics list was prepared after two national consultations of stakeholder and consultation with device manufacturers this year. The WHO also released its essential drugs list earlier this year focusing on priority areas like tuberculosis, malaria, HIV, and Hepatitis B and C.

The village-level diagnostics done by an Asha volunteer (village health worker), ANM (auxiliary nurse midwife) or other health workers includes tests for pregnancy, blood-sugar monitoring, malaria, urine albumin to detect kidney disease, blood sugar tests for diabetes and test for filaria, a parasitic disease that causes swelling of lymph nodes.

At the primary healthcare (PHC) level, the list includes electrocardiography (ECG) for diagnosing heart disease and X-ray. Tests to measure cholesterol levels and thyroid, along with a pap smear to detect cervical cancer, have also been included at the PHC level.

The list also includes specialised tests like fine-needle aspiration cytology for detecting cancerous lumps would be available at community health centres. Pulmonary function test to diagnose respiratory diseases has also been included as an essential test at district level hospitals.

Tests for eye disease have also been included at the district hospital level.

To read the complete document click on: https://pxmd.co/NEDL

The list of Essential Diagnostic Tests is available from Page No 9 of the above document.

Source: ICMR Website
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M●●●●r H●●●●●n General Medicine
Also a rigorous "Antibiotic Prescription Policy" is a requirement for our country. Lest in a couple of decades who knows what bugs we r going to be dealing with.
Aug 27, 2019Like5