National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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Chapter 16<br />
Enhanced <strong>Implementation</strong> Support<br />
Background:<br />
The <strong>Project</strong> will enhance Government of India’s efforts to control malaria in<br />
high burden districts from eight states and eliminate kala-azar from highly<br />
endemic districts in three states. The project is expected to contribute to<br />
poverty reduction and to achieving the Millennium Development Goals (MDGs).<br />
The World Bank has supported an earlier project ‘Enhanced malaria control<br />
project’ for control of malaria which closed in December 2005.<br />
Based on the feedback from the Quality Enhancement Review, the project<br />
design has been significantly changed. From the original concept of supporting<br />
a nation-wide program covering all vector borne diseases, the project has now<br />
been limited to two diseases causing highest burden among the poorest<br />
covering the most endemic districts in 11 states. Some of the states having<br />
highest burden of malaria and kala-azar, especially the states of Chhattisgarh,<br />
Jharkhand, Orissa and Bihar, have weak implementation capacities and<br />
fiduciary oversight. This poses a major challenge for the implementation of new<br />
diagnosis and treatment policy for malaria control and elimination of kala-azar.<br />
Given the weak implementation environment and experience to-date with<br />
externally assisted projects in country, close and intensive implementation<br />
support will be critical for achieving the development objectives.<br />
16.1 Strategy for the enhanced <strong>Implementation</strong> Support<br />
The strategy involves a combination of continues oversight and periodic more<br />
intensive implementation support and will have specific focus on three broad<br />
areas:<br />
(a) Progress in <strong>Implementation</strong> of agreed technical reforms: The scope of these<br />
reviews will include new drug policy, introduction of RDKs and LLINs. This will<br />
be done through: (1) improvements in project MIS supported by GIS mapping;<br />
(2) World Bank tion of MIS through Lot Quality Assurance Surveys (LQAS); (3)<br />
two rounds of household surveys out which first will be during the early<br />
implementation review; (4) systematic monitoring of therapeutic efficacy of<br />
anti-malarial drugs and vector resistance for insecticides being used in the<br />
program; (5) monitoring the quality of pharmaceuticals and commodities<br />
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