National Project Implementation Plan - NVBDCP

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than 10%. Where the resistance exceeds 10% level, SSG will be replaced
by rescue drug Amphotericin B. Non responsive patients will also be treated
with rescue drugs. These measures will be accompanied by staff training
and intensive monitoring of each case for supervised treatment so that
treatment is complete and effective.
The project will use surveillance of ‘hot spots’ for early detection and
complete treatment.
Interventions to be supported for complete treatment will include
development of a system for individual treatment boxes for each patient, a
patient retained treatment card and supervised treatment.
In addition to improving services in the government sector, the NVBDCP
will seek to establish public-private partnerships with private health care
providers wherever feasible.
b. Strengthening of Kala-azar surveillance;
o Passive case detection will be strengthened through reporting and
information system at different levels of health care as well as the use of
treatment cards
o Reporting by the private sector will be a part of the information system
o Sentinel sites will be established in the public and private sectors to
obtain detailed and accurate information on Kala-azar.
o Periodic household surveys and LQAS will be done to support and validate
disease surveillance.
c. Effective Vector Control;
o Integrated Vector Management (IVM) approach will be used in areas as
per NVBDCP programme policies and would comprise of selection of the mix
of interventions from amongst IRS, personal protection including the use of
ITNs, improved housing of the poorest and the most affected.
o Insecticide Residual Spray with DDT will be the main control tool for
reducing sand fly and human contact. In districts where malaria is reported
and DDT resistance is a concern, pyrethroids or other alternatives for DDT
can be considered.
o Indoor DDT spraying in all cattle sheds and human dwellings is proposed.
NVBDCP has mapped Kala-azar areas through GIS mapping for focused IRS
interventions. This system shall be updated and applied to economize
insecticide consumption.
d. Monitoring of Kala-azar drugs and Insecticide efficacy;
o New drugs and diagnostics are proposed to be used in the elimination
of Kala-azar. It is proposed to do the monitoring of therapeutic efficacy
of Kala-azar drugs and pharmaco vigilance to assess side effects of drug
used
o Quality assurance of Rapid Diagnostic kits used for Kala-azar will be
established
o The insecticide resistance will be monitored to ensure that appropriate
and effective insecticides are used in the programme.
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