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National Project Implementation Plan - NVBDCP

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Result Indicator Activity<br />

Time<br />

Schedule<br />

Responsibility<br />

BCC activities organized for<br />

community participation<br />

during IRS<br />

Spraying activities with<br />

supportive supervision of<br />

spray staff and BCC<br />

Post spray quality<br />

assessment<br />

Assessment of safe disposal<br />

of insecticides<br />

Feb 09<br />

Feb 09<br />

onwards<br />

Apr & Jun 09<br />

Apr –July 09<br />

District<br />

District<br />

<strong>NVBDCP</strong>/<br />

NIMR<br />

NIMR<br />

The procurement of DDT & spray worker’s wages shall be met from<br />

domestic budget centrally.<br />

6.2 Others issues – Kala-azar<br />

The priority would be on effectively and ensuring complete treatment of the<br />

cases reported at health facilities. This will require directly observed<br />

treatment and follow-up of cases with treatment cards for each patient and<br />

maintaining individual treatment boxes. Weekly analysis of the reported<br />

cases will identify the disease “hot spots” in each district where active cases<br />

search will be undertaken by the kala-azar technical supervisors who<br />

working in tandem with the ASHA community volunteers will undertake<br />

community mobilization activities to identify new cases as well as help in<br />

eliminating the breeding places for sand fly and improve community<br />

compliance for indoor residual spray operations and ensure quality of the<br />

spray operations. This will be done under the guidance and supervision of<br />

the district Kala-azar co-ordinator.<br />

Catholic Relief Agency is working in few districts in Jharkhand for effective<br />

kala-azar case management. This was through state health Society under<br />

NRHM. <strong>NVBDCP</strong> will utilize the services of Catholic Agency during the<br />

project period on single source basis to improve kala-azar case<br />

management services covering 3-4 districts in the state of Jharkhand. This<br />

contract will be awarded by the <strong>NVBDCP</strong>. However, the release of funds will<br />

be based on the performance reports from the state. The detailed<br />

modalities will be finalized with the state and the Catholic agency.<br />

Rajendra Memorial Research Institute (RMRI), Patna will complete two days<br />

standardized competency based training for the lab technicians in the 16<br />

districts selected for the first year of the project by July 31, 2008 and the<br />

<strong>NVBDCP</strong> will ensure availability of treatment cards and laboratory register.<br />

The <strong>NVBDCP</strong> will identify 4 sentinel sites in the state of Bihar covering all<br />

endemic regions of the state in consultation with RMRI which will position a<br />

Research Officer in each of these locations to monitor the severe cases,<br />

case fatality rates and undertake pharmaco-vigilance. The operations<br />

50

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