training module for medical officers primary health centre - NVBDCP

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it to the state. The State should compile and forward the report to NVBDCP. The state report on BednetDelivery and Impregnation should reach NVBDCP within 45 days of completion all activity in the state.E. District Annual Stock report on Insecticides (VC 5)The district should furnish the detailed PHC wise stock report on insecticide usage during the year in VC5. The report corresponds with the Calendar year (1 st January to 31 st December). The columns are selfexplanatory. The report should be compiled by the district from PHC stock registers within 15 days ofcompletion of the reporting year. The state should compile and forward the report within 30 days ofcompletion of reporting year to NVBDCP. The Annual Stock Report on Insecticides for the year 2008should reach NVBDCP by 31 st January of 2009.F. District LLIN Log (VC 6)Data on annual distribution of LLINs is entered into District LLIN Log (VC6) at the end of each year fromVC4. For the annual planning, the cumulated number of LLINs is calculated from VC6. For LLINs withan expected effective life of 3 years sum the numbers distributed over the last 2 years is taken. Whenplanning for 2011, the numbers distributed in 2009 and 2010 should be used (LLINS distributed in 2008will expire during 2011 and must be replaced). For LLINs with an expected effective life of 5 years sumof the numbers distributed over the last 4 years is taken. When planning for 2011, the numberdistributed in 2007-2010 are added. LLINs delivered through ANC must also be included. If LLINs withtwo different durations are included, use two separate forms for keeping log. Besides when planning forLLIN distribution, the village level bednet surveys undertaken to enumerate the nos existing in eachvillage also needs to be undertaken.Programme Management Monitoring Report (PMMR)This report is to monitor progress made on different programme processes and other managementissues. Update on Training status of the staff as well as the trainings conducted, field visits & reviewsconducted and reviews undertaken as well as situation of logistics & stock outs are to be provided on aquarterly basis. The format is given in the Operational Manual. It has the following sections:Part A: Field visits & reviewsPart B: Quality of service deliveryPart C: Training ActivityPart D: BCC Activity for Malaria ControlPart E: Status of LogisticsA new cadre of Monitoring and Evaluation (M & E) staff in the form of Malaria Technical Supervisor(MTS) is being appointed at sub-district level. It is also envisaged to implement Lot Quality AssuranceSampling (LQAS) based system of annual/ biannual/ quarterly surveys to obtain quality data onavailability of diagnosis & treatment within 24 hours, on utilization of bed-nets and quality of IRScoverage and reasons for non-acceptance.A network of sentinel sites are being established which will provide data on trends of severe malaria anddeaths due to malaria; 1-2 sentinel sites will be established in each high endemic district.55
The data collected through the system of HMIS consists of volumes of information but this is of little use,unless it is converted to relevant information through the application of intelligence. Indicators aretherefore derived from this data and are used as variables that indicate a particular condition orsituation. These indicators point towards programme performance in different areas and help identifyproblem areas to enable corrective action. The monitoring indicators that are used in the programme aregiven in the following table.Table: Monitoring IndicatorsNo Area Indicator Definition Frequency Source1. Surveillance/ caseFever cases screenedfindingMalaria cases diagnosedNo of Fever casesNo of Malaria casesNo of Pf casesPf cases diagnosedFortnightly/Monthly/AnnualM1,M4-SC,M4-PHC2. Surveillance/ casefinding3. Surveillance/ casefinding4. Disease burden &impact5. Disease burden &impactMonthly BloodExamination Rate(MBER)(should be more than1%of population duringthe transmissionseason)Annual BloodExamination Rate(ABER)(expected to be morethan 10%of population)Annual ParasiteIncidence (API)Annual FalciparumIncidence (AFI)Number of blood smears examined& RDTs positive in a Month / TotalPopulation X 100Number of blood smears examined& RDTs positive in a year / TotalPopulation X 100Total No. of positive blood smears& positive RDTs for malariaParasite in a year / Total PopulationX 1000Total No. of blood smears & RDTspositive for Pf malariaParasite in a year / Total PopulationX 1000MonthlyM4-SC,M4-PHCAnnual M1,M4-SC,M4-PHCAnnual M1,M4-SC,M4-PHCAnnual M1,M4-SC,M4-PHC6. Disease burden &impact7. Disease burden &impact8. Disease burden &impactTest Positivity rate(TPR)(Test = Slide+RDT)Is independent ofsurveillance activity,therefore a betterindicator for impactassessmentTest falciparum Rate(TfR)It is independent ofsurveillance andindicates PfpreponderancePf Percentage (Pf %)Indicates trends inproportion of cases dueto Pf out of total casesTotal No. of positive blood smears &positive RDTs formalaria Parasite / Total No. of bloodsmears examined & positive RDTsX100Total No. of blood smears & RDTsfound Positive forP.falciparum / Total No. of bloodsmears examined & positive RDTsX 100Total No. of blood smears & RDTsfound Positive forP.falciparum / Total No. of positiveblood smears & positive RDTs forMonthly,Cumulativefor the yearMonthly,Cumulativefor the yearMonthly,Cumulativefor the yearM1,M4-SC,M4-PHCM1,M4-SC,M4-PHCM1,M4-SC,M4-PHC56
Page 1 and 2:
TRAINING MODULEFORMEDICAL OFFICERSP
Page 3 and 4:
Distribution of malariaSESSION - 1:
Page 5 and 6: National Malaria Eradication Progra
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
Page 55: Worker (SFW) to the PHC-MO where a
Page 59 and 60: Outcome - IRS Coverage - Population
Page 61 and 62: Level Staff FrequencySupervisor (wh
Page 63 and 64: With improved access to quality cas
Page 65 and 66: If an epidemic is predominantly due
Page 67 and 68: 500@ 20-25 houses per pump per day
Page 69 and 70: 3.1.6 Name of Laboratory Technician
Page 71 and 72: 3. Therefore, unless the deceased h
Page 73 and 74: To accord priority for IRS in areas
Page 75 and 76: Consumption of insecticide as deter
Page 77 and 78: Step 9: Wash equipments (basin, mea
Page 79 and 80: ProgramComponentBed netimpregnation
Page 81 and 82: Benefit of indoor insecticidal spra
Page 83 and 84: The MO-PHC is expected to provide a
Page 85 and 86: Ensure that they have adequate supp
Page 87 and 88: 4.8: LOGISTICS MANAGEMENTPlanningPl
Page 89 and 90: Planning of LLIN coverage is compli
Page 91 and 92: communication among the community f
Page 93 and 94: Examine level of stocksLook for unr
Page 95 and 96: During planned bednet distribution
Page 97: How many of the individuals actuall
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