National Project Implementation Plan - NVBDCP

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Topic Type of risk Mitigating Action Agency Timeline Monitoring Weak Notifying one senior official MOHFW/ By October and Evaluation Complaints handling mechanism. at district, state and NVBDCP/MOHFW levels for receiving any complaint/feedback availability and quality of essential supplies under the project from village level functionaries and end beneficiaries. NVBDCP 2008 Loss of opportunity to apply mid course correction /efficiency gains. Designating state focal points for all project states from NVBDCP officers with clear terms of reference to provide technical support and implementation oversight. MOHFW/ NVBDCP Continuous Ensuring bi-annual program reviews satisfactory to the association. MOHFW/ NVBDCP Continuous Reliance on routine projects monitoring data Use of more data sources such as regular HH surveys and LQAS. MOHFW/ NVBDCP Continuous (baseline survey to be completed within six months of effectiveness ). 148
Chapter 14 Economic and Financial Analysis 14.1 Economic Analysis The project seeks to reduce malaria burden in selected, highly endemic areas as well as eliminate kala-azar. This project supports certain very important interventions such as the introduction of a new diagnosis and treatment protocol, strengthening service delivery mechanisms which are necessary for the effective implementation of the new protocol, a different strategy for effective surveillance, strong emphasis on the availability and use of long lasting insecticidal nets for vector control and so forth. The known interventions in both these diseases are highly cost-effective. Available evidence suggests that all malaria interventions are highly attractive (cost-effective) using a cutoff of US$150 per DALY averted.18 There are two broad types of interventions in Malaria control: case management and prevention. On the prevention side, the review of worldwide trials of ITNs and IRS by Curtis and Mnzava’s suggests that ITNs and IRS have equivalent effectiveness. Similar conclusion is reached also by Lengeler and Sharp (2003) who notes that choosing between IRS and ITNs is “largely a matter of operational feasibility and availability of local resources than one of malaria epidemiology or cost-effectiveness.” Given cost-effectiveness of both the strategies, choice between ITNs and IRS then essentially reduces to operational and logistical challenges in a given context. A number of studies from Sub-Sahara Africa, particularly, in the Gambia, Ghana, and Kenya have shown the provision and insecticide treatment of bed nets to be highly cost-effective under varying conditions.19 A study by Goodman et al. (2001) compared the cost and cost-effectiveness of insecticidetreated bednets and IRS KwaZulu-Natal in South Africa. The study concludes, “In view of the greater effectiveness of ITBN, policy makers may view ITBN as a cost-effective use of resources, even if the economic costs are higher.”20 18 Breman, J.G. et al, Conquering malaria, Chapter 21 in Disease Control Priorities in Developing Countries 2006, pages 413-432. 19 Goodman CA., and Mills AJ, (1999), The evidence base on the cost-effectiveness of malaria control measures in Africa, Health Policy and Planning, Review Article, 14(4): 301–312. 20 Goodman CA., et al. (2001), Comparison of the cost and cost-effectiveness of insecticide-treated bednets and residual house-spraying in KwaZulu-Natal, South Africa Tropical Medicine and International Health, Volume 6, No. 4, pp 280-295 April 2001. 149
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Project Credit No.: 4461-IN Project
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TABLE OF CONTENTS Abbreviations and
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CHAPTERS Page. No. 13. Governance a
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Abbreviations and Acronyms ABER ACD
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Chapter 1 Situational analysis Intr
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The following matrix summarizes the
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The Enhanced Malaria Control Projec
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Inadequate attention to mosquitogen
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Current Malaria Treatment Policy in
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chloroquine in P. falciparum cases
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the in depth review in 2006, the co
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incentives to assist kala-azar pati
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provision of general health service
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f. The project will introduce a sen
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Where microscopy result is not avai
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e. Supporting interventions for Kal
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The following table summarizes the
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e available within 24 hours. In oth
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4. Behavior Change Communication A
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and also support the implementation
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Chapter 5 Malaria Control 5.1 Proje
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Result Indicator Activity Severe ca
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contact key informants in the villa
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coverage and its quality. Other tha
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5.2 Other Issues 5.2.1 Therapeutic
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Chapter 6 Elimination of Kala-azar
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Table - 1 Activity schedule for the
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partner with the private and NGO se
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strategy will help economize insect
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esearch proposed for kala-azar will
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implementation of good pesticide ma
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Activity (include s malaria and kal
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Activity Sub Activity Tools Interna
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Environmental studies and impact of
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7.1.1.4.2 Assess drug quality This
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1. as staff responsible for providi
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S. No. Supportive Staff Designation
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The key malaria control and kala-az
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Project Districts for malaria contr
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and appraisal. Additional technical
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Sl. No. 1 2 3 4 5 6 7 8 9 10 11 Act
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Sl. No. 23 24 25 26 27 28 29 Activi
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Cost Summary of Training Training C
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area, and a strengthened supply cha
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Chapter 9 MONITORING AND EVALUATION
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year, covering all endemic district
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treat malaria correctly. Modules fo
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insecticides in use in 200 sites, w
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Purpose Level Person Frequency Comm
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Monitoring and Evaluation will incl
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finger-prick blood sample taken by
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A Total mid-year population B Total
Page 105 and 106: 2a. Elimination of kala-azar a.i. P
Page 107 and 108: Arrangements for Outcome and Result
Page 109 and 110: Component Three: Policy and Strateg
Page 111 and 112: Project Steering Committee: A steer
Page 113 and 114: service delivery in public and priv
Page 115 and 116: 2 Additional Staff in District VBD
Page 117 and 118: The quality of Diagnostic Kits on t
Page 119 and 120: Percentage of individuals in projec
Page 121 and 122: 11.2 Financial Management at the Ce
Page 123 and 124: separate financial management cell
Page 125 and 126: World Bank will review of the annua
Page 127 and 128: In parallel and in support of enhan
Page 129 and 130: Risk Residual Risk Rating Risk Miti
Page 131 and 132: Chapter 12 Procurement Arrangements
Page 133 and 134: agencies for taking up inspections
Page 135 and 136: contractor/supplier. However, the v
Page 137 and 138: 12.3.4 Procurement Methods The tabl
Page 139 and 140: (commercial or UN agency acting as
Page 141 and 142: procurement agent) which are not pr
Page 143 and 144: B) Consultancy Services (>US$200,00
Page 145 and 146: 4. Contract Awards for Consultancie
Page 147 and 148: monitoring of procurement undertake
Page 149 and 150: Topic Type of risk Mitigating Actio
Page 151 and 152: Topic Type of risk Mitigating Actio
Page 153 and 154: use, fraud, corruption may still re
Page 155: Topic Type of risk Mitigating Actio
Page 159 and 160: diagnosis and treatment, causing su
Page 161 and 162: Table 1: Estimated Costs of Current
Page 163 and 164: Table 3: Estimated Incremental Cost
Page 165 and 166: Chapter 15 Safeguard Policy Issues
Page 167 and 168: State/Uni on Territory Number of Pr
Page 169 and 170: 15.3.1 Surveillance, Case Diagnosis
Page 171 and 172: eluctant to allow their homes to be
Page 173 and 174: equipment, optimal coverage and qua
Page 175 and 176: Social Devpt. and BCC Consultants a
Page 177 and 178: Action to be Taken supportive drugs
Page 179 and 180: Action to be Taken Distributing LLI
Page 181 and 182: Action to be Taken At what Level 17
Page 183 and 184: National Level: As the Borrower is
Page 185 and 186: vulnerable groups. estimates. Table
Page 187 and 188: Routine Program Monitoring: At the
Page 189 and 190: 15.11.4 Application activities: Saf
Page 191 and 192: For effective implementation of the
Page 193 and 194: Action Responsibility By When Cost
Page 195 and 196: procured under the project; (6) bi-
Page 197 and 198: of each identified district to succ
Page 199 and 200: Annexure 1 MALARIA CASES & DEATHS S
Page 201 and 202: Annexure 2 KALA-AZAR CASES & DEATHS
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National Project Implementation Plan - NVBDCP

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