National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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year, covering all endemic districts, it provides information on trends in malaria<br />
incidence and the geographic distribution of the disease in the country, but not<br />
absolute size of the burden. Strengthening of the disease surveillance and<br />
operational data management will take place as described below:<br />
<br />
<br />
<br />
<br />
The introduction of RDTs and ACTs will by itself improve data quality by<br />
attracting more patients to public services (and temporarily increasing the<br />
recorded annual case-load). A protocol has been devised to dove-tail the<br />
RDT data with microscopy at all levels. In the case of kala-azar similar<br />
results are likely to accrue following the introduction of ‘rapid diagnostic<br />
kits’ for diagnosis and new first line drugs are very effective and safe.<br />
New streamlined formats, including computerized data management from<br />
the block level and upwards have been prepared and will be piloted in three<br />
districts (Sundergarh, Mayurbhanj( Orissa) and Kanker (Chhattisgarh) from<br />
June to September 2008. These formats allow for example monitoring of<br />
proportion of villages with a provider of RDTs and ACTs and the comparison<br />
of operational data on coverage in populations at risk with data obtained<br />
through surveys and LQAS. Similar activities will be undertaken in the kalaazar<br />
elimination project to monitor the coverage and quality of case<br />
management services.<br />
A protocol under preparation by <strong>NVBDCP</strong> will be used by MTS/KTS to check<br />
data completeness of both surveillance and operational data on a sample<br />
basis at all levels in the district. During supportive supervision, kala-azar<br />
treatment supervisor will validate the data of the general health workers.<br />
Revamp of the web-based management information system, NAMIS<br />
through World Bank funding, which was introduced a few years ago, but<br />
has poor functionality due to poor connectivity in districts and lack of follow<br />
up.<br />
GIS is already being used in kala-azar elimination program and malaria high<br />
burden districts on a limited scale and this would be further strengthened and<br />
will be used for more effective planning of the spraying activities in the district.<br />
GIS would be utilized to track the progress of elimination of kala-azar.<br />
(b) Sentinel surveillance<br />
The weaknesses of the existing malaria surveillance are the lack of articulation<br />
with hospitals, which means that severe malaria cases are not reported<br />
separately (if at all) and that only a small fraction of malaria deaths is<br />
recorded. 9 Therefore, sentinel surveillance will be established, by selecting, in<br />
each district, 2-3 hospitals/health centres with high malaria case-loads (these<br />
can be private or mission hospitals) for recording of all in-patients with malaria<br />
and malaria-related deaths introducing classification according to defined<br />
criteria.<br />
9 Kumar A, et al. Burden of malaria in India: retrospective and prospective view. Am J Trop Med<br />
Hyg. 2007 Dec;77(6 Suppl):69-78<br />
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