ICMR Releases National Essential Diagnostics List (NEDL) 2025

January 14, 2025

The Indian Council of Medical Research (ICMR) has released a draft for the National Essential Diagnostics List (NEDL) 2025. This initiative aims to improve diagnostic services across various healthcare levels in India. The ICMR seeks public feedback until January 15, 2025, before finalising the list. The first NEDL was introduced in 2019 to ensure that diagnostics are a fundamental part of the healthcare system.

Overview of the NEDL 2025

The NEDL 2025 outlines the essential diagnostic tests required at different healthcare facilities. It covers village-level health centres, Ayushman Arogya Mandirs, primary health centres (PHCs), community health centres (CHCs), sub-district hospitals (SDHs), and district hospitals (DHs). This revised list includes crucial tests for diseases such as diabetes, malaria, tuberculosis, HIV, and syphilis.

Key Changes in Diagnostic Tests

The draft proposes increases in the number of diagnostic tests available at various healthcare levels. Ayushman Arogya Mandirs will now offer 16 tests, up from 12. PHCs will provide 74 tests, an increase from 64. CHCs will expand from 70 to 93 tests, and district hospitals will grow from 117 to 171 tests. Village-level testing will also see an increase, with Accredited Social Health Activists (ASHAs) conducting tuberculosis tests directly.

Hub-and-Spoke Model Implementation

The NEDL 2025 adopts a hub-and-spoke model for diagnostics. Sample collection occurs at all healthcare levels, while actual testing is centralised at equipped facilities. This model promotes efficient resource use and enhances access to essential diagnostics across the country.

Stakeholder Involvement and Feedback Process

The draft was prepared with input from various stakeholders through multiple consultation meetings. The ICMR encourages public comments and feedback via email at [email protected] before the feedback deadline. This collaborative approach aims to ensure the NEDL meets the healthcare needs of the population effectively.

Alignment with National Health Programmes

The revised NEDL aligns with existing Health Ministry guidance documents and national health programmes. It builds on the initial NEDL, reinforcing the importance of essential diagnostics in the public healthcare framework. This alignment ensures that the proposed tests correspond with the prevalent health concerns in the country.

ASHA – Accredited Social Health Activist, key in rural health.
FDSI – Free Diagnostics Service Initiative, aligns services with NEDL.
CT Scan – Imaging technique for detailed internal views.
HIV – Human Immunodeficiency Virus, affects immune system.
HbA1c – Test for long-term glucose control in diabetes.

Future of Diagnostic Services in India

The expansion of diagnostic services is crucial for achieving equitable healthcare in India. Enhanced testing capabilities in tier 2 and tier 3 cities will facilitate early detection and timely treatment. Integrating advanced technologies like AI and Electronic Health Records (EHRs) in government hospitals will further improve diagnostic accuracy and efficiency.

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