National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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For kala-azar in each district 3 hospitals/health centers will be selected for<br />
undertaking sentinel surveillance where detailed information will be collected.<br />
Besides detailed information on patients who are treated at home the sentinel<br />
surveillance would also provide information on patients of kala-azar who are<br />
hospitalized and include case fatality rates.<br />
(a) A rapid population-based survey system including the LQAS method<br />
This will be established in each project district to track coverage and use of<br />
LLINs, RDTs and ACTs at the PHC level on an annual basis. Similar tracking in<br />
kala-azar would be done for Rapid diagnostic kits/rk39 (presently used), first<br />
line medicines and treatment completion. It will also be used to assess IRS<br />
coverage. LQAS is a rapid survey used by VBD Officer to determine whether<br />
Primary Health Centres (PHC) are reaching pre-established targets for key<br />
project indicators. The same data can be used to calculate point estimates for<br />
outcome indicators at district levels. The project will explore the possibility for<br />
use of hand held computers, tablets etc.for rapid data entry and to avoid<br />
information bottlenecks. A data for decision-making component will be<br />
established to determine underlying program problems identified with LQAS.<br />
All data will be used during annual work planning sessions to restructure and<br />
improve the project, as well as to set targets for the subsequent year. To<br />
ensure the accuracy of the information collected a small sample of<br />
questionnaires will be sampled and the corresponding interviewee, interviewed<br />
again. By counting the concordant pairs, the reliability of the data can be<br />
established. The data collection and preliminary analysis will be carried out by<br />
MTS. The LQAS is being used because it requires the least amount of<br />
information to judge whether outcomes are on track at the PHC level. This is<br />
due to its small sample size requirements. The following describes the process<br />
in more detail.<br />
Each District (N=1.2 to 1.5 million population) will have approximately 6 MTSs<br />
or 6 KATS whose primary job is program monitoring and supervision. As per<br />
NRHM norms each District consists of approximately 45 sectors (PHC areas,<br />
“new PHC” areas) with a population of 20-30,000, so there are about 15<br />
sectors per MTS. Each PHC area is comprised of approximately 30 villages<br />
(N=1000 each). All LQAS analyses will be at the PHC level and measure key<br />
project indicators using focused mini-questionnaires. Three mini-questionnaires<br />
are currently envisioned: (a) an ITN/LLIN coverage and use module, (b) a<br />
fever management and treatment seeking behavior module, and (c) an ASHA<br />
questionnaire. The fever management module may take place in the<br />
household where the previous mini-questionnaire is used or in subsequent<br />
households. It applies only to people who have had a fever in the last 2-weeks.<br />
The third mini-questionnaire requires the MTS to contact the frontline service<br />
provider to inspect the condition of ACTs and RDTs, whether stock-outs have<br />
occurred in the last 3-months, and whether this provider can use RDTs and<br />
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