National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
contact key informants in the village. The information on fever cases will be<br />
reviewed and analyzed to diagnose unusual fever activity or clustering of<br />
cases.<br />
In addition to active case detection and passive case detection, the project<br />
will support introduction of a sentinel surveillance system for PCD to<br />
additionally monitor hospital admissions and deaths attributable to malaria<br />
at selected representative sites, in both public and private sectors. These<br />
sentinel sites in each district, 2-3 hospitals/health centres with high malaria<br />
case load ( these can be private or mission hospital ) for recording of all in -<br />
patients with malaria and malaria related death shall be introduced as per<br />
criteria developed. The criteria shall be developed by <strong>NVBDCP</strong> and put in<br />
place within six months of project implementation with the help of experts,<br />
WHO and the World Bank. The Periodic health facility and household<br />
surveys will be carried out to supplement the information obtained from<br />
surveillance. The household and health facility surveys done by NIMR in<br />
2006 will serve as benchmark.<br />
1.b. a) Malaria Outbreaks<br />
Fever surveillance will play a key role in early detection of malaria<br />
outbreaks, initiation of prompt action such as IRS, testing by RDK for P<br />
falciparum and immediate treatment. Rapid response teams will initiate<br />
surveillance including entomological surveillance in situations where there is<br />
clustering of fever cases reported by IDSP or malaria staff. Active<br />
collaboration with IDSP program will ensure District surveillance team to<br />
undertake corrective measures jointly.<br />
Epidemic response teams will take action when;<br />
a. High reporting of fever cases is captured from Internal reports and IDSP<br />
b. Sentinel, sites showing unusual increase in malaria cases<br />
c. Health care providers are informed about unusual fever activity or<br />
clustering of cases during their visit to village or sub center.<br />
These activities shall be carried out in collaboration with RRT under IDSP<br />
and the state’s <strong>NVBDCP</strong> team will assist them.<br />
5.1.3 Sub-Component 1.c: Effective Vector Control<br />
The project will carry out micro-stratification of districts based on<br />
epidemiological and ecological data for more effective targeting of IRS or<br />
ITN or other vector control options. The high risk areas and populations<br />
identified will be targeted for either IRS or ITN.<br />
In the project districts the national policy of insecticide rotation for IRS will<br />
be introduced to lessen the risk of insecticide resistance and good pesticide<br />
management practices consistent with WHOPES recommendations will be<br />
supported.<br />
Gradually, the use of IRS will be restricted to high risk areas where ITNs are<br />
unacceptable to the population due to ecological conditions or there is other<br />
37