National Project Implementation Plan - NVBDCP

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Activity schedule Result Indicator Activity Status of vector resistance and effectivene ss is known No. of studies conducted Finalize the Study tool and protocol Approval of study Signing of agreement Time schedule June 08 Sept 08 Oct 08 Responsibility NVBDCP/NIM R/RMRI Agencies NVBDCP Studies commenced Report submission Joint review of progress Action taken for program Jan 09 Mar 09 and then quarterly progress Jul 09 Sep 09 NVBDCP/ AGENCY NVBDCP NVBDCP/ State/WB NVBDCP 7.1.1.4.4 Pharmaco- vigilance NVBDCP will undertake this activity alongwith therapeutic efficacy. This activity shall be outsourced to agency like NIMR and RMRI who will have an advisory group supported by full time Consultant (Pharmacologist). At the operational level, this activity shall be linked with the sentinel surveillance and facilities that treat severe and complicated malaria or patients with Kala-azar admitted to referral hospitals. This activity is proposed to be started early in the project phase by September 2008. NIMR and RMRI will develop detailed protocols including reporting formats for undertaking pharmaco-vigilance with the help of experts. 7.2 Sub-Component 3.b: Program Management and Capacity Building This sub-component would include additional human resources, activities for capacity building and management strengthening for effective malaria control and kala-azar elimination. For programme management functions, the staff in position and additional staff hired will be expected to provide managerial and operational support to malaria control and Kala-azar elimination. They will also contribute to the control of other vector borne diseases where appropriate. Capacity building is needed at the central regional, state, zonal, district and sub-district levels. Training includes staff dedicated fully to the control of malaria and elimination of Kala-azar as well 62
1. as staff responsible for providing general health services at district and sub district level. At the state/district levels, specific activities would include: provision of additional staff e.g., for procurement, financial management, BCC, M&E,; deployment of additional entomologists at state level; management training for state and district program teams; training on supportive supervision to MTS and KTS and integrated vector management training for inspectors and state entomologists. It would also include training, study tours, and exchange programs for national and state program managers. Training in insecticide management, usage and disposal will be provided to malaria officers, inspectors and spray workers respectively. 7.2 3.b a) Human Resource The project envisages additional human resources such as Malaria Technical Supervisors (MTS), Kala-azar technical supervisors (KTS) and VBD Consultants respectively at sub-district & district level to enhance the programme implementation. The table below shows the staff at present in sub-centre/district/state, regional level & national level. It is proposed to hire additional Consultants/supervisors for strengthening programme implementation at national, state, district & sub-district level. Level Existing Staff Additional Staff Remarks Village ASHA/AWW None Sub Centre MPHW (F); None MPHW(M) Addl. PHC Block PHC CHC/FRU/Sub Dist. Hosp. District Hospital District Zone MPHS (F); MPHS(M); MO Lab Technician, MPHS (F); MPHS(M); MO Lab Technician, MPHS (F); MPHS(M); MO Lab Technician, Staff Nurses, MO, Specialists District Malaria officer Entomologist and other support staff None MTS/KTS Malaria Technical Supervisor/KA Technical supervisors At sentinel sites – 4/ per dist Sr lab tech VBD consultant, Fin & Proc. Assistant & supporting staff Entomologist State SPO officer Social development /scientist, M&E, Consultant (training), Entomologist, Procurement. Fin. consultants; Accountant , GIS data entry & supporting staff States to fill vacant MPHW (M) positions under NRHM Fill vacancies Fill vaca ncies To be supported by NVBDCP 1 dist hosp, 1 Pvt 2 CHCs To be supported by NVBDCP To be supported by State 63
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Project Credit No.: 4461-IN Project
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TABLE OF CONTENTS Abbreviations and
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CHAPTERS Page. No. 13. Governance a
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Abbreviations and Acronyms ABER ACD
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Chapter 1 Situational analysis Intr
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The following matrix summarizes the
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The Enhanced Malaria Control Projec
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Inadequate attention to mosquitogen
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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 and 56: partner with the private and NGO se
Page 57 and 58: strategy will help economize insect
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: 7.1.1.4.2 Assess drug quality This
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
Page 107 and 108: Arrangements for Outcome and Result
Page 109 and 110: Component Three: Policy and Strateg
Page 111 and 112: Project Steering Committee: A steer
Page 113 and 114: service delivery in public and priv
Page 115 and 116: 2 Additional Staff in District VBD
Page 117 and 118: The quality of Diagnostic Kits on t
Page 119 and 120: 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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