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National Project Implementation Plan - NVBDCP

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partner with the private and NGO sectors for reporting of Kala-azar and<br />

PKDL.<br />

Active case search will be undertaken around hot spots and by organizing<br />

camps in the villages which report one or more cases. This is proposed as a<br />

strategy since Kala-azar occurs in the form of clusters of cases. Efforts will<br />

be made to strengthen BCC and active case search.<br />

Reporting and information systems will be developed and the focus will be<br />

on the use of reports for feedback and supportive supervision at the sub<br />

district and district level. Computerization is proposed at the district, state<br />

and central levels.<br />

Detailed information will be obtained through sentinel surveillance where<br />

information on the cases diagnosed and treated in the OPD and admitted<br />

patients inn selected sites will be provided through line listing of cases. This<br />

will help to provide detailed information and Kala-azar outcomes as<br />

proportional mortality and case fatality rates. The sentinel sites will also<br />

participate in pharmaco vigilance and drug resistance/non responsiveness.<br />

With success in implementation of the project, the active case search will be<br />

intensified. The activity schedule is presented is Table-2.<br />

Table –2 Passive case detection and active case search<br />

Result Indicator Activity<br />

Passive<br />

case<br />

detectio<br />

n in<br />

govt<br />

and<br />

private<br />

sector<br />

% of health<br />

institutions<br />

in Govt<br />

sector<br />

reporting on<br />

Kala-azar<br />

% of<br />

identified<br />

providers<br />

reporting on<br />

Kala-azar<br />

Reporting formats and<br />

guidelines developed<br />

Mapping of govt facilities and<br />

private facilities for reporting<br />

Training of health Workers,<br />

pvt providers & KTS<br />

System for data entry<br />

established<br />

Supportive supervision for<br />

validation of reports<br />

Reporting of cases monitored<br />

& supervised<br />

Guidelines & formats<br />

prepared for ACD<br />

Training on options to be<br />

used for ACD<br />

Time<br />

schedule<br />

June 08<br />

Oct 08<br />

Dec 08<br />

Jan 09<br />

Ongoing<br />

April 09<br />

Aug 08<br />

Dec 08<br />

Responsibility<br />

VBD, BMO,<br />

Concerned PHC<br />

/ KA Block<br />

Supervisor<br />

VBD ,BMO,<br />

Concerned PHC<br />

/ KA Block<br />

Supervisor<br />

Active<br />

case<br />

Number of<br />

active case<br />

Review of cases recognized<br />

through ACD<br />

Mar 09<br />

47

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