National Project Implementation Plan - NVBDCP

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Result Indicator Activity search searches done in a month Selection of sentinel sites Development of guidelines and formats Appointment & training of staff Establish system for line listing and use of software for reporting Time schedule Oct 08 Dec 08 Dec 08 Responsibility VBD ,BMO, Concerned PHC Sentinel surveilla nce No of sentinel sites reporting Reporting of cases and mortality Jan 09 Feb 09 The data obtained through passive case detection, active case detection and sentinel surveillance will be maintained separately for each district to facilitate analysis. 6.1.3 Sub Component 2.c: Effective Vector Control WHO has developed guidelines on Integrated Vector Management (IVM). This will be used in areas as per NVBDCP programme policies and would comprise of selection of the mix of interventions from amongst IRS, personal protection including the use of ITNs, improved housing of the poorest and the most affected. Based on this, the IVM strategic plan would be developed. Vector studies including vector behaviour and bionomics and vector surveillance would be an integral part of IVM strategy. The main thrust will be on IRS with DDT since the vector continues to respond to DDT. In districts where malaria is reported and DDT resistance is a concern, pyrethroids or other alternatives for DDT can be considered. However, this strategy shall be applied only after careful studies and strong evidence of vector resistance. 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. NVBDCP has mapped Kala-azar areas through GIS mapping for focused IRS interventions. This system shall be updated and applied in other Kala-azar areas also by using Geographical information system (GIS) and remote sensing (RS) after ensuring capacity for the use of these systems. This 48
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 villages. Spraying will be done in accordance with the national strategy. IRS would be done at the most appropriate time twice a year. IRS is expected to achieve maximum coverage and uniformly to have a lasting impact. Community support will be taken for maximum coverage and its quality. With the help of expertise available in the state IRS will be supported by entomological studies and vector monitoring to assess the efficacy of IRS. Surveillance of P argentipes i.e. vector is important to determine the distribution, population density, major habitats and spatial and temporal risk factors related to Kala-azar transmission. Insecticide resistance monitoring would be done on a regular basis. 6.1.3 2.c a) Insecticidal Residual Spray Indoor DDT spraying in all cattle sheds and human dwellings up to 6 ft. height from ground at the rate of 1 gm per sq. mt.) is proposed. Efforts will be made to plan IRS, supervise IRS, organize BCC and ensure safe disposal of the insecticide to minimize the risk from IRS. The activity schedule is presented is Table– 3 Table –3 Activity schedule for first year Result Indicator Activity High risk area receive complete and uniform spray with insecticid e of good quality % of houses that have received complete and uniform spray High risk area identified and mapped, villages selected for IRS , Plans developed for IRS 3 months before IRS Insecticide Procured Insecticide supplied up to PHC level Safe stocking of insecticides Time Schedule Oct 08 Dec 08 Jan 09 Jan 09 Responsibility SPO, DMO,DC, BMO/KA Supr. NVBDCP States States Staff trained in spraying and personal protection of spray team members & equipment for personal protection of spraying staff available 49 Jan 09 States/Dis trict
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Project Credit No.: 4461-IN Project
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TABLE OF CONTENTS Abbreviations and
Page 5 and 6: CHAPTERS Page. No. 13. Governance a
Page 7 and 8: Abbreviations and Acronyms ABER ACD
Page 9 and 10: Chapter 1 Situational analysis Intr
Page 11 and 12: The following matrix summarizes the
Page 13 and 14: The Enhanced Malaria Control Projec
Page 15 and 16: Inadequate attention to mosquitogen
Page 17 and 18: Current Malaria Treatment Policy in
Page 19 and 20: chloroquine in P. falciparum cases
Page 21 and 22: the in depth review in 2006, the co
Page 23 and 24: incentives to assist kala-azar pati
Page 25 and 26: provision of general health service
Page 27 and 28: f. The project will introduce a sen
Page 29 and 30: Where microscopy result is not avai
Page 31 and 32: e. Supporting interventions for Kal
Page 33 and 34: The following table summarizes the
Page 35 and 36: e available within 24 hours. In oth
Page 37 and 38: 4. Behavior Change Communication A
Page 39 and 40: and also support the implementation
Page 41 and 42: Chapter 5 Malaria Control 5.1 Proje
Page 43 and 44: Result Indicator Activity Severe ca
Page 45 and 46: contact key informants in the villa
Page 47 and 48: coverage and its quality. Other tha
Page 49 and 50: 5.2 Other Issues 5.2.1 Therapeutic
Page 51 and 52: Chapter 6 Elimination of Kala-azar
Page 53 and 54: Table - 1 Activity schedule for the
Page 55: partner with the private and NGO se
Page 59 and 60: esearch proposed for kala-azar will
Page 61 and 62: implementation of good pesticide ma
Page 63 and 64: Activity (include s malaria and kal
Page 65 and 66: Activity Sub Activity Tools Interna
Page 67 and 68: Environmental studies and impact of
Page 69 and 70: 7.1.1.4.2 Assess drug quality This
Page 71 and 72: 1. as staff responsible for providi
Page 73 and 74: S. No. Supportive Staff Designation
Page 75 and 76: The key malaria control and kala-az
Page 77 and 78: Project Districts for malaria contr
Page 79 and 80: and appraisal. Additional technical
Page 81 and 82: Sl. No. 1 2 3 4 5 6 7 8 9 10 11 Act
Page 83 and 84: Sl. No. 23 24 25 26 27 28 29 Activi
Page 85 and 86: Cost Summary of Training Training C
Page 87 and 88: area, and a strengthened supply cha
Page 89 and 90: Chapter 9 MONITORING AND EVALUATION
Page 91 and 92: year, covering all endemic district
Page 93 and 94: treat malaria correctly. Modules fo
Page 95 and 96: insecticides in use in 200 sites, w
Page 97 and 98: Purpose Level Person Frequency Comm
Page 99 and 100: Monitoring and Evaluation will incl
Page 101 and 102: finger-prick blood sample taken by
Page 103 and 104: A Total mid-year population B Total
Page 105 and 106: 2a. Elimination of kala-azar a.i. P
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Arrangements for Outcome and Result
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Component Three: Policy and Strateg
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Project Steering Committee: A steer
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service delivery in public and priv
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2 Additional Staff in District VBD
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The quality of Diagnostic Kits on t
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Percentage of individuals in projec
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11.2 Financial Management at the Ce
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separate financial management cell
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World Bank will review of the annua
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In parallel and in support of enhan
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Risk Residual Risk Rating Risk Miti
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Chapter 12 Procurement Arrangements
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agencies for taking up inspections
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contractor/supplier. However, the v
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12.3.4 Procurement Methods The tabl
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(commercial or UN agency acting as
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procurement agent) which are not pr
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B) Consultancy Services (>US$200,00
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4. Contract Awards for Consultancie
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monitoring of procurement undertake
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Topic Type of risk Mitigating Actio
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use, fraud, corruption may still re
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Chapter 14 Economic and Financial A
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diagnosis and treatment, causing su
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Table 1: Estimated Costs of Current
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Table 3: Estimated Incremental Cost
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Chapter 15 Safeguard Policy Issues
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State/Uni on Territory Number of Pr
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15.3.1 Surveillance, Case Diagnosis
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eluctant to allow their homes to be
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equipment, optimal coverage and qua
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Social Devpt. and BCC Consultants a
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Action to be Taken supportive drugs
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Action to be Taken Distributing LLI
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Action to be Taken At what Level 17
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National Level: As the Borrower is
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vulnerable groups. estimates. Table
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Routine Program Monitoring: At the
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15.11.4 Application activities: Saf
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For effective implementation of the
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Action Responsibility By When Cost
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procured under the project; (6) bi-
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of each identified district to succ
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Annexure 1 MALARIA CASES & DEATHS S
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Annexure 2 KALA-AZAR CASES & DEATHS
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National Project Implementation Plan - NVBDCP

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