training module for medical officers primary health centre - NVBDCP

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1957 - Programme expanded every year and a population of 165.57 million was effectivelyprotected.1958 - Encouraged by the success of NMCP, the Government of India changed the strategyfrom control to eradication and the National Malaria Eradication Programme (NMEP) was launched.1961 - Epidemiological surveillance initiated.1962 - Many areas entered into consolidation and maintenance phases after annualindependent appraisals by international teams.1966 - 50% areas of the country from where malaria was practically eradicated entered intomaintenance phase on fulfilling technical criteria. The vertical organization of NMEP was withdrawn andpublic health services were made responsible for maintaining malaria free status.1968 - Due to extensive malaria outbreaks in consolidation and maintenance phases, apopulation of 91 million was reverted back to attack Phase for regular spray.1977 - Modified Plan of Operation implemented with change in strategy from eradication tocontainment. P.falciparum Containment Programme (PfCP) was added to NMEP.1995 - Accelerated Malaria Action Programme (MAP) was taken up in high risk areas.National Malaria Control Programme (NMCP)Launched in April 1953ObjectivesTo bring down malaria transmission to a level where it ceases to be a major problem.Thereafter, transmission will be held down.StrategyResidual insecticidal spray.Malaria control teams to survey and monitor incidence.No organized chemotherapy but drug made available on demand.AchievementsPopulation of 165.57 million covered in 5 years from 1953 to 1958.Reductions achieved in: Child spleen rate - 73% Child parasite rate - 79% Infant parasite rate - 62%3
National Malaria Eradication Programme (NMEP)The Sixth WHO Expert committee defined malaria eradication in 1956 as the ending of the transmissionof malaria and the elimination of the reservoir of infective cases in a campaign limited in time andcarried to such a degree of perfection that when it comes to an end there is no resumption oftransmission. Encouraged by the stupendous achievements of the National Malaria Control Programme(NMCP) in India, the programme was converted to National Malaria Eradication Programme (NMEP) in1958.Phases1. Preparatory phase Limited survey Planning of project Preliminary operations2. Attack phase Residual insecticidal spray Introduction of surveillance3. Consolidation phase Surveillance operations Focal spray Epidemiological investigations4. Maintenance phase Area handed over to General Health Services.Modified Plan of Operation (MPO)Implementation from April 1977ObjectivesPrevention of deaths due to malariaReduction of morbidity due to malariaMaintenance of industrial and green revolutions due to freedom from malaria, as well as retention ofachievements gained so far.Important changes State malariologists made overall in charge of the programme Zonal teams created with entomological component District Malaria Officer’s post created with direct responsibility for spray Spray staff provided on the basis of size of population MO-PHC made responsible for malaria work in PHC and MPW for surveillance Phasing of programme abolished Areas with 2 API and above to receive regular rounds of spray; other areas to receive focal spray DDCs/FTDs introduced4
Page 1 and 2: TRAINING MODULEFORMEDICAL OFFICERSP
Page 3: Distribution of malariaSESSION - 1:
Page 7 and 8: 1.2 : JOB RESPONSIBILITIES OF MO- P
Page 9 and 10: SESSION - 2: MALARIOLOGY2.1: EPIDEM
Page 11 and 12: 2.2: MORPHOLOGY, LIFE CYCLE AND TRA
Page 13 and 14: Table 2.1: Differentiation of chara
Page 15 and 16: 2.3: VECTOR MOSQUITOES AND THEIR BI
Page 17 and 18: Bionomics of vector species in Indi
Page 19 and 20: 2.4: EPIDEMIOLOGICAL AND ENTOMOLOGI
Page 21 and 22: Entomological parameters should be
Page 23 and 24: Cerebrospinal fluid (CSF) is clear
Page 25 and 26: 3.2: LABORATORY DIAGNOSIS OF MALARI
Page 27 and 28: Examination of blood films for mala
Page 29 and 30: Plate 1: Plasmodium falciparum thin
Page 31 and 32: 3.3: MALARIA CASE MANAGEMENTAntimal
Page 33 and 34: This ACT is highly effective agains
Page 35 and 36: within 72 hours of treatment. Such
Page 37 and 38: In pregnancy, malaria, especially P
Page 39 and 40: Advice to the patients / caretakers
Page 41 and 42: The choice between IRS and ITN/LLIN
Page 43 and 44: Deploy staff for active case detect
Page 45 and 46: Visit the PHCs, subcenters and vill
Page 47 and 48: The Rapid Diagnosis Test (RDT) is d
Page 49 and 50: It should also be ensured that the
Page 51 and 52: Common problems for reluctance to g
Page 53 and 54: 3. Programme management Monitoring
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Worker (SFW) to the PHC-MO where a
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The data collected through the syst
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Outcome - IRS Coverage - Population
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Level Staff FrequencySupervisor (wh
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With improved access to quality cas
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If an epidemic is predominantly due
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500@ 20-25 houses per pump per day
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3.1.6 Name of Laboratory Technician
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3. Therefore, unless the deceased h
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To accord priority for IRS in areas
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Consumption of insecticide as deter
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Step 9: Wash equipments (basin, mea
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ProgramComponentBed netimpregnation
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Benefit of indoor insecticidal spra
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The MO-PHC is expected to provide a
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Ensure that they have adequate supp
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4.8: LOGISTICS MANAGEMENTPlanningPl
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Planning of LLIN coverage is compli
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communication among the community f
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Examine level of stocksLook for unr
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During planned bednet distribution
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How many of the individuals actuall
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