National Project Implementation Plan - NVBDCP

For Kala-azar elimination
(a) Strengthening of HMIS for tracking the progress of kala-azar elimination
and key operational indicators;
(b) Case detection and line listing of patients;
(c) Decentralized assessment to validate the outcomes at district, CHC and
PHC levels through LQAS and surveys (2010 and 2013);
(d) Logistic management information system for supply chain management;
(e) System to monitor the quality of ‘rk39’, and first line medicines.
Additional activities closely related to M&E, though not strictly a part of the
M&E system are:
Monitoring of parasite resistance to antimalarial medicines, in particular
the first-line ACT (artesunate plus sulfadoxine-pyrimethamine), anti kalaazar
medicines (especially new medicines), and vector resistance to
insecticides;
Pharmaco-vigilance focusing on the first-line ACT and first line medicines
for treatment of kala-azar ;
Operational research and impact evaluation;
Periodic Technical Program Reviews for malaria control and kala-azar
elimination by NVBDCP, and the World Bank with the help from WHO, the
and other international organization.
In the above list, activities (a)-(c) will be the main responsibility of malaria
technical supervisors (MTS) and kala-azar technical supervisors (KTS), who will
be science graduates recruited and trained for this work and employed on a
contractual basis. Depending on the population size, there will be 5-6 MTS/KTS
per district. These supervisors will also be trained to support activities (d) and
(e). Additional activities will be done with the help of institutions under the
Department of Health Research, especially National Institute for Malaria
Research (NIMR), Delhi for malaria and Rajendra Memorial Research Institute
(RMRI), Patna for kala-azar.
As most of the malaria high-burden districts in the country are financially
supported through grant–in–aid either GFATM or the World Bank (retroactive
financing), it has been envisaged that both GFATM and World Bank will work in
coherence for development of new M&E systems.T he mechanisms will be fully
harmonized in the districts concerned and will gradually, based on lessons
learnt, and with due consideration of different needs in districts with lower
endemicity, be adopted nationwide in malaria control. For example, MTSs will
have the same training and responsibilities across Global Fund and World Bank
supported districts. The kala-azar elimination initiatives however will be limited
to GoI and World Bank support in the endemic districts for kala-azar.
(a) Strengthening of HMIS
Malaria surveillance has been one of the strongest parts under the NVBDC
Pprogramme. Based on the examination of about 100 million blood slides per
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