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National Essential Diagnostics List |

National Essential Diagnostics List

Context:

∙ The Indian Council of Medical Research (ICMR) started revising the current National Essential Diagnostics List (NEDL) for the first time.

About the National Essential Diagnostics List (NEDL):

∙ Background: In 2018, the WHO had recommended the development and implementation of an NEDL to facilitate the availability of in-vitro diagnostics across the various tiers of the healthcare pyramid, in facilities with or without an onsite laboratory.

∙ India’s first NEDL was released in 2019 by ICMR, to make the availability of diagnostics an essential component of the healthcare system.

∙ It lists the essential and most basic tests that should be available at various levels of healthcare facilities at the village level, in sub-health centres, health and wellness centres, and primary health centres.

∙ It contains the minimum diagnostic tests that should be available at healthcare facilities;

Criteria for proposing additional tests:

a. Essentiality of the test: Essential diagnostic tests are those that satisfy the priority health care needs of the population and should be selected on the basis of:

i. Disease prevalence

ii. public health relevance;

iii. Evidence of efficacy 

iv. accuracy, 

v. Cost effectiveness.

b. Disease burden: The test should focus on conditions with a high disease burden or having significant public health relevance.

∙ There should be a clear impact on disease diagnosis and management by the introduction of diagnostic tests.

c. Alignment with Indian Public Health Standards (IPHS) 2022: The proposed test should have documented utility and necessity at the level for which it is suggested.

∙ The proposed addition should be in alignment with the availability of equipment, infrastructure and manpower, as per IPHS 2022.

About ICMR:

∙ It is the apex body in India for formulation, coordination and promotion of biomedical research

∙ It conducts, coordinates and implements medical research for the benefit of the Society.

∙ It translates medical innovations into products/processes and introduces them into the public health system.

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