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National Project Implementation Plan - NVBDCP

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incentives to assist kala-azar patients to mitigate the loss of income<br />

during kala-azar treatment should be explored.<br />

The programme should ensure practice of uniform standards in the<br />

public and private sector through training, effective dissemination of<br />

national treatment guidelines, oversight of diagnosis and treatment by<br />

private providers and establishing working public private partnerships.<br />

The existing effective interventions (e.g. ‘rK39’, miltefosine) and new<br />

tools (paromomycin) should be introduced as appropriate and an action<br />

plan to achieve a high coverage by these tools (target to be set by the<br />

<strong>NVBDCP</strong>) should be achieved.<br />

The passive case detection system should be strengthened through line<br />

listing, data management, timely reporting and feedback. This should be<br />

supplemented through sentinel surveillance and periodic surveys using<br />

IDR 2006 data as the base-line.<br />

Vector control should be planned well ahead of the IRS operations (at<br />

least 3-4 months). In 2008 the plan should be based on regular annual<br />

studies on vector behaviour, bionomics and level of susceptibility of the<br />

vector. The programme should consider ‘covering hot spots’ in an<br />

intensive manner through focal spraying.<br />

The <strong>NVBDCP</strong> should monitor the quality of insecticide, and equipments<br />

used for IRS and assist the states to maintain adequate capacity for<br />

implementing, and monitoring coverage and quality of IRS.<br />

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