National Project Implementation Plan - NVBDCP

15.11.4 Application activities:
Safe and environmentally sound application of insecticides (space spraying and
IRS, impregnation of bed-nets, larviciding etc) can be achieved by intensive
training of all the spray workers and handlers and by timely availability of
protective gear. Equipment management is important and states have to
review all spray equipment and protective gear before start of each spraying
season and keep appropriate records. Close supervision of application
activities is essential and district and PHC level officials should be provided
adequate funds and training to ensure good practices are being followed.
Manufacturers are stipulated to provide instructions for disposal of pesticide
containers including plastic wrappings and one way of reducing wastage is by
provision of appropriately sized packages for spraying and impregnation
activities. It is also necessary to develop clear pictorial instructions to health
and spray workers on use, applications, preparation of suspension and disposal
of insecticides, insecticide treated materials, insecticide containers etc.
15.11.5 Integrated Vector Management:
The EMP Action Plan recommends that IVM activities will be piloted in 3
districts (malaria and Kala azar) during first year of the project. The NVBDCP
will develop a phase-down plan for gradual decrease in DDT use and promotion
of ITMN, biolarvicides and IGR compounds. This plan will be shared with the
World Bank. Other activities include mapping of insecticide resistance status of
malaria vectors through NIMR and training staff in effective IVM procedures.
15.11.6 Waste Management:
Since the Ministry of Health and Environment, through its various programs,
has developed a number of detailed guidelines for implementation of sound
infection control and waste management practices, which the NVBDCP can
utilize effectively. NVBDCP shall replicate standard protocols for waste
management during the first year of the project. This will be developed by the
Consultant (Environment). The project will ensure that these protocols are
disseminated to the states and training is provided to its field staff.
15.11.7 Occupational Health and Safety:
The EMP proposes that a National Surveillance Committee be constituted to
review health and environmental impacts of vector control activities, which can
review issues related to worker health and safety and recommend solutions
which are applicable and feasible in Indian conditions. Such committees at
national, state and district level will conduct periodic review on occupational
health safety measures every year during malaria & other VBD transmission
season. State and district has one such Task Force committee chaired by
Secretary (health) at state level and District Collector at district level for
observance of anti malaria month. The same members will monitor the safety
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