National Project Implementation Plan - NVBDCP

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ecommendations of the SABA are summarized below, and additional inputs from the consultations are provided in the next section. 160
15.3.1 Surveillance, Case Diagnosis and Management Personnel at health Sub-centers, village volunteers, functioning laboratories at PHCs/CHCs, and mobile vans are contributing to improvements in health services and disease surveillance. Rapid Diagnostic Kits (RDKs) and antimalarial blister packs have also contributed to quick diagnosis and treatment compliance. However, in difficult locations there are deficiencies in supplies, personnel and monitoring which steer the care-seeker to traditional healers or the unorganized private sector. These often dispense non-standardized diagnosis and treatment and may entail greater expenditure. Filling up critical vacancies at peripheral health centers (qualified practitioners, lab technicians, health workers), ensuring that drugs are not stocked out, and frequent monitoring and evaluation are needed to ensure timely diagnosis and effective treatment. 15.3.2 Public-private partnerships (PPP) PPP have been initiated in many areas. Private nursing homes and clinics report malaria cases to the District Programme Officer on a monthly basis and in the event of increases remedial measures are taken by the public health system. This system requires scaling up. The risk of VBDs varies seasonally. A Seasonality-based Action <strong>Plan</strong> was recommended at district level to ensure adequate coverage with drugs/ITNs and reduce the risk of epidemics. Intensified surveillance and information to the public (about what is being done and what it needs to do) using various communication channels were recommended. 15.3.3 SWOT analysis The role of health workers/volunteers in implementing programs with a focus on women and children was seen as major strength. It was suggested that they be better skilled and equipped and provided performance-based incentives to enhance effectiveness. Active involvement of panchayats was also seen as strength. Weaknesses to be addressed included: inadequacies in health care system, inter-sectoral coordination, monitoring, and stakeholder involvement in planning, implementation and monitoring. The NRHM was viewed as an opportunity to improve health infrastructure, stakeholder participation, community empowerment, capacity of health/non-health sector staff to address local needs and priorities, use of resources, and M&E. Potential threats were: inappropriate treatment by unqualified service providers, inadequate community mobilization and capacity-building, sub-optimal use or misuse of available resources and staff, and adverse impacts of unplanned development projects. 15.3.4 Capacity building 161
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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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service delivery in public and priv
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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 and 164: Table 3: Estimated Incremental Cost
Page 165 and 166: Chapter 15 Safeguard Policy Issues
Page 167: State/Uni on Territory Number of Pr
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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