National Project Implementation Plan - NVBDCP

Chapter 6
Elimination of Kala-azar
6.1 Project Component 2: Improving access and use of
services for elimination of Kala-azar [Rs. 1676 million]
GoI proposes to achieve Kala-azar elimination by 2010. The target is to reduce
Kala-azar cases to 1 per 10,000 population at sub-district level. This
component will include activities to eliminate Kala-azar through introduction of
rapid diagnostic kits, effective new medicines, training, equipment, insecticides,
IEC/BCC materials, equipment, furniture, transport, computer hard and
software, incremental staff, honorarium for community mobilizers, and
operating costs and consultants in 46 Kala-azar endemic districts.
Sub-Component 2.a: Improving Kala-azar Case Management
[Rs. 1600 million]
Sub-Component 2.b: Strengthening Kala-azar Surveillance [Rs. 60
million]
Sub-Component 2.c: Effective Vector Control [RS. 16 million]
Activities in the project would include:
(a) effective and early diagnosis and complete treatment by supplying
‘rapid diagnostic kits, oral miltifosine capsules , providing treatment
completion cards, maintenance of individual patient treatment boxes,
training of health care providers and their supervisors, and
establishing partnerships with NGOs and other private sector
providers
(b) strengthening of disease and vector surveillance
(c) rationalization of selection of villages based on GIS and vector studies
and targeting complete and uniform coverage of targeted
households with quality insecticides (DDT)
(d) improved housing for the poorest of the poor in the villages where
the problem of kala-azar is maximal with support from rural health
development ministry
(e) behavior change communication at the local and national levels
(f) strengthening of management at state and district levels, and
provision of additional staff at district and sub-district level to
enhance supportive supervision and monitor treatment outcomes
(g) innovations like use of bed nets, operational studies with hand
compressor pumps with DDT 75% wdp insecticide
These interventions will be introduced in 16 districts in the state of Bihar
during the first year. The national programme in addition will continue its
efforts towards elimination of Kala-azar in the other endemic districts.
Based on the implementation experience during the first year, the
elimination efforts will be extended to other 32 districts in second year and
46 in third year. All 46 districts will be covered in the last three years of
project. The GOI target is to eliminate Kala-azar from the 52 endemic
districts by 2010. The impact objective of the project is to achieve the
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