National Project Implementation Plan - NVBDCP

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MIS MOHFW MOU MPO MTR MRC NACO NCB NFHS NGO NIMR NHSRC NMCP NMEP NPIP NRHM NS NVBDCP PCD PDO PBF Pf PHC PIP PPP PRI Pv RCH RDK RPRG SAG SSG SOP SP SA SC/ST SDR SOE SPAR SPIPs SWAp TA UNICEF USAID VBD VCP VCRC VGHP WB WHO Malaria Indicator Survey Ministry of Health and Family Welfare Memorandum of Understanding Modified Plan of Operation Mid-term review Malaria Research Centre National AIDS Control Program National Competitive Bidding National Family Health Survey Non-Governmental Organization National Institute of Malaria Research National Health Systems Resource Center National Malaria Control Programme National Malaria Eradication Programme National project implementation Plan National Rural Health Mission National Shopping National Vector Borne Disease Control Programme Passive Case Detection Project Development Objectives Performance Based Financing Plasmodium falciparum Primary Health Center Program Implementation Plan Public Private Partnerships Panchayat Raj Institutions Plasmodium vivax Reproductive and Child Health Rapid Diagnostic Kit Regional Programme Review Group Sodium Antimony Gluconate Sodium Stibo Gluconate Standard operating procedures Sulphadoxine-Pyrimethamine Social Assessment Scheduled Caste/ Scheduled Tribe Special Drawing Rights Statement of Expenses State Procurement Assessment Report State Program Implementation Plans Sector Wide Approach Technical Assistance United Nations Children’s Fund United States Agency for International Development Vector-borne disease Vulnerable Community Plan Vector Control Research Centre Vulnerable Group Health Plan World Bank World Health Organization ii
Chapter 1 Situational analysis Introduction The Vector-borne diseases (VBDs) are a cluster of infectious diseases transmitted by mosquitoes and other vectors. India’s population suffers from a significant disease burden from these diseases, in the form of morbidity and mortality from malaria, kala-azar (Visceral Leishmaniasis), lymphatic Filariasis (LF), Japanese Encephalitis (JE), Chikungunya and Dengue. There are considerable variations in epidemiology of these vector borne diseases on account of ecology, vector bionomics, economic, sociocultural and behavioral factors. The high risk areas for VBD are generally rural, tribal and urban slums inhabited by the poor, marginalized and vulnerable groups with limited access to quality health care, communication and other basic amenities. The National Vector Borne Disease Control Programme (NVBDCP) is an umbrella programme for prevention & control of vector borne diseases and an integral part of the India’s National Rural Health Mission (NRHM). The National Health Policy (NHP) of 2002 has set goals for achieving reduction of mortality due to malaria, dengue and JE by 50% by the year 2010 along with efficient morbidity control; eliminating Kala-azar by the year 2010; and elimination of Lymphatic Filariasis by 2015. The NVBDCP envisages a well informed and self-sustained, healthy India free from vector borne diseases with equitable access to quality health care and the Programme activities are in tandem with the NHP and NRHM goals as well as the Millennium Development Goal of halting and reversing the incidence of malaria and other vector borne diseases by the year 2015 towards reduction of poverty. The proposed World Bank supported project for malaria control and kalaazar elimination will be implemented within the overall policy and program framework of the NVBDCP. However, the project will focus on supporting efforts to prevent and control malaria and eliminate kala-azar from the most endemic districts. This approach makes World Bank support more strategic and better targeted as malaria contributes to highest morbidity and mortality rates among the VBDs while kala-azar is known to affect the poorest of the poor residing in inadequate and unhygienic housing conditions. 1.1 Burden and distribution of Malaria and Kala-azar in India 1.1 a. Malaria Situation Among the VBDs, malaria continues to pose a major public health threat. Malaria due to Plasmodium falciparum (Pf) is particularly prone for complications including death, if not treated early. During the past few 1
Page 1 and 2: Project Credit No.: 4461-IN Project
Page 3 and 4: TABLE OF CONTENTS Abbreviations and
Page 5 and 6: CHAPTERS Page. No. 13. Governance a
Page 7: Abbreviations and Acronyms ABER ACD
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 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
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implementation of good pesticide ma
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Activity (include s malaria and kal
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Activity Sub Activity Tools Interna
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Environmental studies and impact of
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7.1.1.4.2 Assess drug quality This
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1. as staff responsible for providi
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S. No. Supportive Staff Designation
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The key malaria control and kala-az
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Project Districts for malaria contr
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and appraisal. Additional technical
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Sl. No. 1 2 3 4 5 6 7 8 9 10 11 Act
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Sl. No. 23 24 25 26 27 28 29 Activi
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Cost Summary of Training Training C
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area, and a strengthened supply cha
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Chapter 9 MONITORING AND EVALUATION
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year, covering all endemic district
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treat malaria correctly. Modules fo
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insecticides in use in 200 sites, w
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Purpose Level Person Frequency Comm
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Monitoring and Evaluation will incl
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finger-prick blood sample taken by
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A Total mid-year population B Total
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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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Page 153 and 154:
use, fraud, corruption may still re
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Page 157 and 158:
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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