National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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15.8 Measures to Address Potential Adverse Effects<br />
The Vulnerable Communities’ <strong>Plan</strong> will address any unintended or unforeseen<br />
effects of the <strong>Project</strong> that may increase peoples’ vulnerability to VBDs or its<br />
control operations. The potential adverse impacts could be related to vector<br />
management or case management and include insecticide resistance, drug<br />
resistance, poor health and environmental contamination caused by improper<br />
use, handling, storage, etc. of treatment agents. The program includes several<br />
activities to reduce these risks such as integrated vector management and case<br />
management, which are described in Annex 4: Detailed <strong>Project</strong> Description and<br />
in the Environment Management <strong>Plan</strong> below.<br />
In addition, micro-planning of all interventions will be undertaken at the district<br />
level to ensure that local needs are addressed appropriately. Health<br />
volunteers, PRIs, Tribal Councils and other CBOs will be sensitized, participate<br />
in planning and implementation, and take responsibility for monitoring vector<br />
control, treatment interventions and effects. BCC activities will be targeted to<br />
make the affected and surrounding communities aware of the causes and<br />
methods of VBD prevention, diagnosis and treatment options, and to stimulate<br />
appropriate behavioral responses. The BCC will also build in information on the<br />
potential adverse consequences of use, non-use and improper use of drugs and<br />
insecticides. Capacity building, supervision and monitoring activities planned<br />
under <strong>Project</strong> will also help to avoid, minimize, mitigate or compensate for<br />
adverse effects.<br />
A situation analysis of kala azar will be carried out at the commencement of the<br />
project to identify additional interventions that could be undertaken in the<br />
project or in other government programs to address the disease and its<br />
underlying causes. Similarly, studies to assess operational needs to address<br />
the disease burden of tribal and other vulnerable populations will be conducted<br />
during the project to strengthen program strategies.<br />
I. Activities, responsibilities, timeframe and costs for Vulnerable Communities’<br />
<strong>Plan</strong> (VCP)<br />
A focus on vulnerable communities is an integral part of the <strong>Project</strong> and its key<br />
activities were indicated in the Action <strong>Plan</strong> above. As such, the costs of most<br />
activities for vulnerable groups are included in the costs for the population at<br />
large. However, to ensure the effective provision of services to vulnerable<br />
groups some special efforts will be made to focus the attention of program<br />
managers; support action by the health system; facilitate community<br />
consultations, action, and oversight; and pilot innovative approaches to<br />
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