National Project Implementation Plan - NVBDCP

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Studies on transmission dynamics in relation with vector, parasite and environmental conditions in different eco epidemiological stratum; Trial of compression sprayers in improving IRS with DDT 70%wdp; Assessment of different strategies for communication to promote the use of Insecticide treated nets , especially LLINs in tribal population including assessment of the influence of housing types and mobility; Studies on disease burden for both malaria and kala-azar In addition, protocols for two important randomized controlled studies have been developed for impact evaluation: (a) Assessment of the effect of delivering one net per household as a start and one net a year later, compared to delivering two nets from the outset. The hypothesis is that staggered delivery might be associated with higher usage rate and lower risk of being sold. (b) Assessment of the effect of strengthening supervision of ASHAs and other village volunteers providing curative services by increasing the number of supervisors to the point, where each volunteer is supervised monthly. (i) Technical Program Reviews The programme implementations are being reviewed periodically by experts, WHO and World Bank to guide the programme for optimum utilization of available tools, and suggestion to improve further. The last review that took place in late 2006/early 2007 was of crucial importance for introducing the new policies, which will be piloted and taken to scale through this Project. NVBDCP will undertake such exercises again in 2009, 2011 and 2013 and will seek permission, approval from MOHFW to set up a team to provide the external expertise. The emphasis in 2009 review will be on effectiveness, efficiency and quality of implementation rather than policy issues. Framework for Malaria MIS Purpose Level Person Frequency Comments Fever surveillance Village ASHA/AWW Weekly MF 11 Form has already been modified Malaria Case Management Village Sub centre Trained ASHA/AWW MPHW Monthly Requires a simple register to be maintained at village level and a form for preparation of monthly abstract by the MPHW (Draft already prepared by NVBDCP) Laboratory Designated Lab Monthly Requires a lab 88
Purpose Level Person Frequency Comments confirmation microscopy centre (Block PHC) technician register and updating of MF 8 for monthly reporting Consolidated report covering case management, IRS, ITN/LLINs and stock situation Block PHC Medical Officer IC, MTS Monthly MF 4 Form revised Reporting of trends in malaria ( including severe malaria cases) and malaria mortality Sentinel Centre (District hospital/ health centre; Private/NGO hospital) Lab Technician; Medical Doctor I/c Monthly Requires a new reporting form; being developed Supervision Checklist Sub division/ Malaria Unit MTS Weekly Requires updating of current checklist MF 12 & MF 13; being updated Consolidated district report District DMO/ VBD Consultant Monthly Requires a new form; being updated Framework for Kala-Azar MIS Purpose Level Person Frequency Active Case Search Village/subcentre ASHA/AWW Kala-azar activist/healt h worker Monthly Comments/ Additional needs Surveillance form Self-referred PHC PHC staff Daily KA Case Management PHC Follow up in SC/village PHC staff ASHA/AWW Kala-azar activist/healt h worker 89 Supervised treatment Treatment card (patient and facility retained) Individual treatment box Reporting format for program, Line listing of patients compatible
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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
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chloroquine in P. falciparum cases
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the in depth review in 2006, the co
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incentives to assist kala-azar pati
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provision of general health service
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f. The project will introduce a sen
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Where microscopy result is not avai
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e. Supporting interventions for Kal
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The following table summarizes the
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e available within 24 hours. In oth
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4. Behavior Change Communication A
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and also support the implementation
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Chapter 5 Malaria Control 5.1 Proje
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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 and 70: 7.1.1.4.2 Assess drug quality This
Page 71 and 72: 1. as staff responsible for providi
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: insecticides in use in 200 sites, w
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
Page 121 and 122: 11.2 Financial Management at the Ce
Page 123 and 124: separate financial management cell
Page 125 and 126: World Bank will review of the annua
Page 127 and 128: In parallel and in support of enhan
Page 129 and 130: Risk Residual Risk Rating Risk Miti
Page 131 and 132: Chapter 12 Procurement Arrangements
Page 133 and 134: agencies for taking up inspections
Page 135 and 136: contractor/supplier. However, the v
Page 137 and 138: 12.3.4 Procurement Methods The tabl
Page 139 and 140: (commercial or UN agency acting as
Page 141 and 142: procurement agent) which are not pr
Page 143 and 144: B) Consultancy Services (>US$200,00
Page 145 and 146: 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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