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