Transcript Document

Planning,
Management & Policy
of VBD Control Programme
NVBDCP
29.10.2010
Vector Borne Diseases
(under NVBDCP)
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Prevention and control of VBDs under NVBDCP:
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Epidemic prone
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Malaria
Dengue & Chikungunya
Japanese Encephalitis (JE)
Eliminable
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Lymphatic Filariasis- 2015
Kala-azar- 2015
NVBDCP
• NVBDCP - umbrella programme for prevention
& control of VBD
• An integral part of NRHM.
• The Millennium Development Goal:
– 6.C - Halting and reversing the incidence of malaria
by the year 2015 towards reduction of poverty.
Principle
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Vectors (mosquitoes or sand fly) involved in
transmission
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VBD control includes;
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Control of disease
Control of respective vectors
Planning and management of VBD control includes:
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Mapping of the Hot Spots (based on data set)
Vector control measures
Disease control measures
Hot spot Districts based on API - 2009
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GIS Mapping Based identification of High Risk Areas
Eg. Problematic Villages Identified through GIS for Focus
Intervention in District Nalbari, Assam
No. of Malarious Villages in Nalbari = 271 (Total Villages -800)
Priority
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API
Pf%
>5
> 50
>5
> 30 & <= 50
>3 & <= 5
> 50
>3 & <= 5
> 30 & <= 50
Total Villages
No. of Villages
106
5
5
1
117
VBD Control Strategies
The three pronged strategy for prevention and
control of VBD :
1. Integrated Vector Control
2. Early Diagnosis and Prompt Treatment
3. Supportive interventions
1. Integrated Vector Control
• Indoor Residual Spray- DDT, Synthetic
Pyrethroid
• Insecticide treated Bednets (ITNs) & Long
Lasting Insecticidal Nets (LLINs)
• Source Reduction
2. Early Diagnosis and Prompt Treatment
• Case Detection & management - Rapid
Diagnostic Kits (RDK), Artesunate Combination
Therapy (ACT)
• Disease Surveillance
• Epidemic Preparedness
Disease Surveillance
• Active surveillance
– In high risk areas
– Assess cost-effectiveness
• Passive surveillance
– Service provision at Health Centers
– Data recording and reporting
• Sentinel surveillance
– Establish SS centers
– Data recording and reporting
3. Supportive interventions
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Training & Capacity Building
Behaviour Change Communication
Inter-sectoral Collaboration
Community Participation
Public Private Partnership
(eg. NGO/ CBOs/ IMA etc.)
• Monitoring, Evaluation & Supportive Supervision
• Legislation
District Collector/Zilla Parishad Chairperson
Check List for Review of Malaria
• Status of following indicators
• ABER(> 10%), malaria Cases, Deaths; compared to the same
period of last year
• Financial
• SOEs / UCs / Audit of the district society
• Availability of funds
• Logistics
• Drugs, diagnostics and insecticides
• Human Resources / Training
• Community mobilization activities & involvement of VHSC
Thank You