training module for medical officers primary health centre - NVBDCP

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During supervision of all Malaria Clinics and PHC laboratory in his area, see the quality of bloodsmear collection, staining, efficiency of microscopic examination and check whether the stain isfiltered daily, look into the condition of microscope and other equipment, stains, glass slides, etc..While on tour, to verify that MPW (Male), MPW (Female) and ASHA carry out malaria casedetection as laid down in the policy.IEC/ BCCTo plan for anti-malaria month with DMO/ DVBDCO.To plan for IEC in the PHC area before spray operations, to improve their acceptance.Recording & ReportingTo ensure that records of all fever cases examined and found positive are maintained in thelaboratory.To ensure that all MPWs submit the monthly subcentre report by 5 th of the following month and thatthe monthly PHC report is submitted to the District by 7 th of the following month.7
SESSION – 2: MALARIOLOGY2.1: EPIDEMIOLOGY OF MALARIAEpidemiological factorsAgent factors (Parasite – Plasmodium) Three species prevalent in India P.vivax is the predominant species in India : 50 - 55% P.falciparum contributes about 40 - 45% of malaria cases P.malariae contributes less than 1% of malaria cases in India Sporogony longest in P.malariae and shortest in P.vivax. No relapses in P.falciparum and P.malariae Different strains of P.vivax show different relapsing patternsHost factorsAge: Parasitaemia in infancy, low initially and increases as maternally acquired immunitydecreases.Sex: No influence on susceptibility or parasite densityPregnancy: Primigravidae have higher parasitaemia with P.falciparum and are at greater riskthan multiparaeGenetic factorso HbF and Thalassaemia seem to protect against malaria infectiono Sickle cell trait: Relative protection against P. falciparum infectionHuman immune mechanismo Repeated exposure leads to immunityo Immunity is slow to develop but continues as long as parasitaemia is presento Immunity declines when the parasitaemia is cleared (naturally or by therapy) and usuallydisappears in 2 to 3 yearso Immunity is species and strain specifico Immunity restricts production of gametocyteso Immunity diminishes fertilization in vectoro Children have variable experience with malaria and are likely to suffer more.Environmental factorsClimate influences density, longevity and behaviour of vectors and duration of sporogonyRainfall influences the number of breeding places and their characteristicsType of soil, terrain and contours determine run-off rate of rain water and percolation into subsoilstratumRole of impounding reservoirs, irrigation canals and seepage of water from canalsHigh temperature and humidity:o Lower survival of mosquitoeso Affect blood meal frequencyo Affect sporogony8
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: 1.2 : JOB RESPONSIBILITIES OF MO- P
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 and 56: Worker (SFW) to the PHC-MO where a
Page 57 and 58: The data collected through the syst
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
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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
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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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