National Project Implementation Plan - NVBDCP

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Years Table: 3 Budget Allocations to and Actual Expenditure under NVBDCP (INR in million) Budget Allocations Actual Expenditure Diff. between DBS EAC Total DBS EAC Total Allocation & Expenditures 97-98 1500 500 2000 1380 40 1430 570 98-99 1470 1500 2970 1290 350 1640 1330 99-00 1300 1200 2500 1160 610 1770 730 00-01 1550 1000 2550 1110 790 1900 650 01-02 1250 1000 2250 1380 810 2190 60 02-03 1090 1260 2350 1080 980 2070 280 03-04 1350 1100 2450 1430 580 2010 440 04-05 1460 1230 2690 1500 670 2170 520 05-06 1940 1540 3490 1550 1060 2610 880 06-07* 1380 2340 3720 1670 1520 3190 530 07-08* 1420 2570 3990 1644 2209 3854 136 Total 15710 15240 30960 15194 9619 24834 6126 08-09 3219 1504 4723 N/A N/A N/A N/A Source: Budgets of Directorate of Vector Borne Disease Control Program. DBS = Domestic Budget Support, EAC = for Externally Aided Component. * Expenditure figures are provisional. 156
Chapter 15 Safeguard Policy Issues Vulnerable Communities’ Plan 15.1 Legal and Institutional Framework The term ‘vulnerable community’ describes groups with social, cultural, economic and/or political traditions and institutions distinct from the mainstream or dominant society that disadvantage them in the development process. ‘Indigenous people’ (known as ‘Scheduled Tribes’ (ST) or ‘tribal groups’ in India are recognized as vulnerable communities, and so too are the ‘Scheduled Castes’ (SCs) and economically poor (‘Below Poverty Line’ or BPL), including those among minority religions. 'Scheduled Castes ' are those who remain outside the four Hindu castes, and include some professing Buddhism or Sikhism who continue to be socio-economically deprived. Around 8% of India’s total population is ST and 17% is SC; about 27% of the total population is BPL. The Indian Constitution (Article 342) recognizes several communities as STs and SCs and confers a special status on them to make up for their disadvantages. A number of provisions in the Constitution aim to abolish all forms of discrimination against them, and many public programs target SC/STs and/or BPL people. The majority of STs and SCs continue to be vulnerable as reflected by their socio-economic characteristics, (e.g., low literacy, prevalence of poverty - 46% of rural STs are BPL and 35% of urban STs). The Indian Government designates areas where more than 50% of the population is tribal as ‘Scheduled Areas’ or ‘Tribal Sub-Plan’ (TSP) areas. In these areas, the interests of STs are especially protected and various tribal development programs targeted to them. Many districts or parts of districts in the states in this Project, notably Andhra Pradesh (A.P.), Chhattisgarh, Gujarat, Jharkhand, Madhya Pradesh (M.P.), Maharashtra and Orissa, are Scheduled Areas (Table 1) and others are TSP areas. There are no specific laws mandating provision of health care to STs and SCs. However, they are a key focus of the National Health Policy as it is recognized that improving their health is critical to achieving national health goals. As tribal habitations are concentrated in remote, forest or hilly areas the Government has enhanced the facility: population norms for health care infrastructure: one health Sub-centre staffed by an Auxiliary Nurse Midwife (ANM) is to be provided for every 3,000 people in tribal areas (instead of 5,000 people), a Primary Health Center (PHC) with two doctors for 20,000 (instead of 30,000) and a Community Health Center (CHC) with four medical specialists for 157
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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
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2a. Elimination of kala-azar a.i. P
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Arrangements for Outcome and Result
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Component Three: Policy and Strateg
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Project Steering Committee: A steer
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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
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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 153 and 154: use, fraud, corruption may still re
Page 157 and 158: Chapter 14 Economic and Financial A
Page 159 and 160: diagnosis and treatment, causing su
Page 161 and 162: Table 1: Estimated Costs of Current
Page 163: Table 3: Estimated Incremental Cost
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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