National Project Implementation Plan - NVBDCP

More documents

Recommendations

Info

Intervention and Current Status with DDT Agreed Change in Policy/Program new approaches in identified high risk prevalence areas Training and supervision of control workers to be improved Collaboration with local housing and sanitation programs to be increased New innovative IVM strategies like use of Insecticide treated nets Comments/ Challenges support and better monitoring and supervision in weaker locations Overall Program Management Current program Project will focus on implemented in many states states with more affected districts Widespread Project will introduce implementation with little attention to capacity or preparation district level readiness filters prior to implementation Weak monitoring Strengthened HMIS Slow introduction of plus focused sample and expert advice survey reviews Biannual technical reviews New processes need to be scaled up. Project will expand in two phases with major progress review before two years Additional staff support needed for implementation. Project will finance local staff, mobility, and training which will eventually be adopted into government system 4.1 Malaria control and Kala-azar elimination The main objectives, activities and reforms planned by NVBDCP for malaria control and Kala-azar elimination supported by the project are summarized below: 4.1.1 Malaria Control 1 Phased implementation focusing on high burden districts The NVBDCP will introduce the new policy for malaria diagnosis and treatment recommended by the 2007 Joint Monitoring Mission (JMM) in a phased manner, prioritizing States and districts with high Pf burden. Apart from 106 districts in North-eastern States, which are already covered by GFATM support for malaria, 93 districts in the country with high Pf malaria incidence have been selected for the proposed project. 2 Improved access to malaria case management All project districts will first be stratified according to the risk of Pf malaria in each PHC block. In PHC blocks with Slide Falciparum Rate (SFR) >= 2%, all fever patients will have an RDK for Pf, except if a microscopy result can 26
e available within 24 hours. In other PHC blocks, an RDK will only be used for patients at high risk. This selective use of RDKs will make diagnosis of PF malaria more cost-effective. The proposed changes will have important implications for the commodities to be procured by the program, especially RDKs, and ACTs, and in terms of training, M&E, and quality assurance. 3 Supporting innovations in malaria surveillance In surveillance, the project will support efforts to de-emphasize the collection of blood samples through outreach workers through house to house visit –i.e., Active Case Detection (ACD). Such collection will be restricted to high-risk areas with weak curative services, and when there is suspicion of an outbreak. In project districts, surveillance will be primarily based on the examination of blood samples from suspected malaria cases i.e., Passive Case Detection (PCD). In the initial phase, States will set tentative annual targets for the number of patients to be tested in PCD (e.g. at least 10% in highly endemic areas); when more experience has been gained NVBDCP will prepare norms adapted to different epidemiological situations. In the initial phase, blood slides will be collected from all patients suspected of malaria, whether or not an RDK test is also given. This will ensure continuity in surveillance and support quality control of the two methods of confirmatory diagnosis. After two years, the policy of blood slides on all fever cases where RDK is performed will be reviewed. By then it is likely that RDKs sensitive to PF as well as PV will be available. In addition, the project will support introduction of a sentinel surveillance system in the NVBDCP to monitor hospital admissions and deaths attributable to malaria at selected representative sites including those from government and in the private sector, and periodic surveys of health facilities and households in endemic areas. 4 Monitoring of anti-malarial drugs and insecticides efficacy The project will support nation-wide actions to update and strengthen monitoring of therapeutic efficacy of anti-malarial medicines, insecticide resistance and quality of medicines to contain the problems of drug and insecticide resistance and ensure their efficacy. Monitoring of therapeutic efficacy of SP and ACTs will be undertaken so that effective drugs are used in the treatment of malaria. To maintain the use of effective drugs and get the desired impact, at least five units will monitor the quality of medicines and insecticides at different sites in the country. One unit in each State will be responsible for quality assurance of diagnosis. In addition, there will be an independent inspection agency monitoring the quality of pharmaceuticals by testing random samples. 5 Enhancing effectiveness of existing vector control The project will support improvements in the effectiveness of its vector control operations in high Pf high burden districts by introducing microstratification of districts according to revised national guidelines based on epidemiological and ecological data, to delimit areas and populations which would be targeted for selected interventions, i.e. IRS or LLINs. Furthermore, the program will systematize insecticide rotation for IRS to lessen the risk of insecticide resistance and ensure the implementation of 27
Page 1 and 2: Project Credit No.: 4461-IN Project
Page 3 and 4: TABLE OF CONTENTS Abbreviations and
Page 5 and 6: CHAPTERS Page. No. 13. Governance a
Page 7 and 8: Abbreviations and Acronyms ABER ACD
Page 9 and 10: Chapter 1 Situational analysis Intr
Page 11 and 12: The following matrix summarizes the
Page 13 and 14: The Enhanced Malaria Control Projec
Page 15 and 16: Inadequate attention to mosquitogen
Page 17 and 18: Current Malaria Treatment Policy in
Page 19 and 20: chloroquine in P. falciparum cases
Page 21 and 22: the in depth review in 2006, the co
Page 23 and 24: incentives to assist kala-azar pati
Page 25 and 26: provision of general health service
Page 27 and 28: f. The project will introduce a sen
Page 29 and 30: Where microscopy result is not avai
Page 31 and 32: e. Supporting interventions for Kal
Page 33: The following table summarizes the
Page 37 and 38: 4. Behavior Change Communication A
Page 39 and 40: and also support the implementation
Page 41 and 42: Chapter 5 Malaria Control 5.1 Proje
Page 43 and 44: Result Indicator Activity Severe ca
Page 45 and 46: contact key informants in the villa
Page 47 and 48: coverage and its quality. Other tha
Page 49 and 50: 5.2 Other Issues 5.2.1 Therapeutic
Page 51 and 52: Chapter 6 Elimination of Kala-azar
Page 53 and 54: Table - 1 Activity schedule for the
Page 55 and 56: partner with the private and NGO se
Page 57 and 58: strategy will help economize insect
Page 59 and 60: esearch proposed for kala-azar will
Page 61 and 62: implementation of good pesticide ma
Page 63 and 64: Activity (include s malaria and kal
Page 65 and 66: Activity Sub Activity Tools Interna
Page 67 and 68: Environmental studies and impact of
Page 69 and 70: 7.1.1.4.2 Assess drug quality This
Page 71 and 72: 1. as staff responsible for providi
Page 73 and 74: S. No. Supportive Staff Designation
Page 75 and 76: The key malaria control and kala-az
Page 77 and 78: Project Districts for malaria contr
Page 79 and 80: and appraisal. Additional technical
Page 81 and 82: Sl. No. 1 2 3 4 5 6 7 8 9 10 11 Act
Page 83 and 84: Sl. No. 23 24 25 26 27 28 29 Activi
Page 85 and 86:
Cost Summary of Training Training C
Page 87 and 88:
area, and a strengthened supply cha
Page 89 and 90:
Chapter 9 MONITORING AND EVALUATION
Page 91 and 92:
year, covering all endemic district
Page 93 and 94:
treat malaria correctly. Modules fo
Page 95 and 96:
insecticides in use in 200 sites, w
Page 97 and 98:
Purpose Level Person Frequency Comm
Page 99 and 100:
Monitoring and Evaluation will incl
Page 101 and 102:
finger-prick blood sample taken by
Page 103 and 104:
A Total mid-year population B Total
Page 105 and 106:
2a. Elimination of kala-azar a.i. P
Page 107 and 108:
Arrangements for Outcome and Result
Page 109 and 110:
Component Three: Policy and Strateg
Page 111 and 112:
Project Steering Committee: A steer
Page 113 and 114:
service delivery in public and priv
Page 115 and 116:
2 Additional Staff in District VBD
Page 117 and 118:
The quality of Diagnostic Kits on t
Page 119 and 120:
Percentage of individuals in projec
Page 121 and 122:
11.2 Financial Management at the Ce
Page 123 and 124:
separate financial management cell
Page 125 and 126:
World Bank will review of the annua
Page 127 and 128:
In parallel and in support of enhan
Page 129 and 130:
Risk Residual Risk Rating Risk Miti
Page 131 and 132:
Chapter 12 Procurement Arrangements
Page 133 and 134:
agencies for taking up inspections
Page 135 and 136:
contractor/supplier. However, the v
Page 137 and 138:
12.3.4 Procurement Methods The tabl
Page 139 and 140:
(commercial or UN agency acting as
Page 141 and 142:
procurement agent) which are not pr
Page 143 and 144:
B) Consultancy Services (>US$200,00
Page 145 and 146:
4. Contract Awards for Consultancie
Page 147 and 148:
monitoring of procurement undertake
Page 149 and 150:
Topic Type of risk Mitigating Actio
Page 151 and 152:
Page 153 and 154:
use, fraud, corruption may still re
Page 155 and 156:
Page 157 and 158:
Chapter 14 Economic and Financial A
Page 159 and 160:
diagnosis and treatment, causing su
Page 161 and 162:
Table 1: Estimated Costs of Current
Page 163 and 164:
Table 3: Estimated Incremental Cost
Page 165 and 166:
Chapter 15 Safeguard Policy Issues
Page 167 and 168:
State/Uni on Territory Number of Pr
Page 169 and 170:
15.3.1 Surveillance, Case Diagnosis
Page 171 and 172:
eluctant to allow their homes to be
Page 173 and 174:
equipment, optimal coverage and qua
Page 175 and 176:
Social Devpt. and BCC Consultants a
Page 177 and 178:
Action to be Taken supportive drugs
Page 179 and 180:
Action to be Taken Distributing LLI
Page 181 and 182:
Action to be Taken At what Level 17
Page 183 and 184:
National Level: As the Borrower is
Page 185 and 186:
vulnerable groups. estimates. Table
Page 187 and 188:
Routine Program Monitoring: At the
Page 189 and 190:
15.11.4 Application activities: Saf
Page 191 and 192:
For effective implementation of the
Page 193 and 194:
Action Responsibility By When Cost
Page 195 and 196:
procured under the project; (6) bi-
Page 197 and 198:
of each identified district to succ
Page 199 and 200:
Annexure 1 MALARIA CASES & DEATHS S
Page 201 and 202:
Annexure 2 KALA-AZAR CASES & DEATHS
show all

National Project Implementation Plan - NVBDCP

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?