National Project Implementation Plan - NVBDCP

evidence for superior effectiveness of IRS and for the control of epidemics
with a focus on quality and completeness of IRS coverage.
The project will promote the use of Long Lasting Insecticidal Nets (LLINs).
Areas consistently reporting high Annual Parasite Incidence (API) in all agegroups
- indicating intra-domiciliary transmission - will be given priority for
this, with a target of achieving 80 percentage coverage.
The success of this thrust will require efficient distribution systems and
effective BCC strategies for demand generation and proper use. The LLINs,
expected to be available from the second year of the project, will be
distributed by the public sector free of charge, possibly through
performance contracts with NGOs. However, the project will support efforts
to enhance net distribution through public-private initiatives such as social
marketing, with the government providing a partial subsidy, depending on
household economy in a given area. This activity shall be expanded only
after 18-21 months following the early implementation review by the World
Bank. Under GFATM, PPP services of presence of CBOs, FBOs, VHSC will
also be utilized in selected blocks in project districts.
1.c. a) Indoor Residual Spraying (IRS)
IDR review by NVBDCP 2006 has shown that uniform and complete spray
has been carried out only in approximately 10% of house hold.
The programme is developing a strategy of limiting the areas to be sprayed
but ensuring spraying with good quality insecticide and spraying the
households completely and uniformly. The selection of villages and
households will be based on national recommendations about the focused
areas of spraying.
Geographical information system (GIS) and remote sensing (RS) has been
used by NVBDCP for stratification of areas for focused IRS operation in high
endemic districts. This strategy will help economize insecticide consumption
and also help reduce environmental degradation through in discriminate
spraying.
Selective IRS would be done when surveillance has been geared up and
geographic mapping with validation is made available. Until then IRS would
be undertaken on case reporting in the village on the basis of API. The main
strategy of vector control in malaria programme is IRS with DDT. In
districts where malaria is reported and DDT resistance is a concern,
Synthetic pyrethroids or other alternatives for DDT will be considered.
Rotating the insecticide every 3 years would reduce the development of
resistance development.
IRS would be done at the most appropriate time twice a year. IRS is
expected to achieve maximum coverage uniformly to have a lasting impact.
Spray staff would be trained for quality spray as well as environment safety
and personal protection. Community support will be taken for maximum
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