National Project Implementation Plan - NVBDCP

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