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National Project Implementation Plan - NVBDCP

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Table -2 Activity schedule for the first year<br />

Result Indicator Activity<br />

Adequate<br />

Microscopy<br />

centers are<br />

established<br />

in the<br />

districts<br />

No. of<br />

microscopy<br />

centers<br />

functional<br />

in private<br />

sector and<br />

government<br />

Listing the labs for<br />

microscopy<br />

Invite proposal from<br />

pvt. Sector<br />

Short list the labs<br />

Train the technicians<br />

Sign the MOU<br />

Monitor results and<br />

service quality<br />

Review the<br />

arrangements<br />

Time<br />

schedule<br />

Oct 08<br />

Oct 08<br />

Dec 08<br />

Jan 09<br />

Jan 09<br />

Ongoing<br />

April 09<br />

Responsi<br />

bility<br />

District<br />

District,<br />

state<br />

District,<br />

state<br />

District<br />

District,<br />

state<br />

State ,<br />

<strong>NVBDCP</strong><br />

<strong>NVBDCP</strong><br />

Apex<br />

microscopy<br />

centre<br />

established<br />

Functioning<br />

apex lab.<br />

NIMR is strengthened<br />

for Quality assurance<br />

by way of staff and<br />

equipment<br />

Jan 09<br />

<strong>NVBDCP</strong>/<br />

NIMR<br />

5.1.2. Sub-Component 1.b: Strengthening of Malaria Surveillance<br />

Surveillance will be primarily based on the examination of blood samples<br />

from suspected malaria cases, i.e., Passive Case Detection (PCD). Initially,<br />

tentative annual targets for the number of patients to be tested in PCD,<br />

e.g., 10% in highly endemic areas, will be set by the project districts. After<br />

gaining some experience, <strong>NVBDCP</strong> will prepare norms adapted to different<br />

epidemiological situations. At present RDKs sensitive both for Pf and Pv will<br />

not be introduced by the programme since conclusive evidence is awaited.<br />

To ensure continuity in surveillance and support quality control of the two<br />

methods of confirmatory diagnosis, blood slides will be collected initially<br />

from all patients suspected of malaria, whether or not an RDK test is given.<br />

After two years, the need for taking blood-slides will be reviewed. It is<br />

hoped, that at the end of second year, RDKs sensitive to both Pf and Pv will<br />

be available.<br />

Active case detection will be undertaken in high risk areas where the<br />

outreach is poor. Various options will be tried to net fever cases in<br />

collaboration with IDSP. Active case detection will also be done when there<br />

is a clustering of fever cases in the community or there is concern about<br />

malaria outbreak. For fever surveillance, the health care provider would<br />

36

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