National Project Implementation Plan - NVBDCP

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