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Review Meeting with State Health Secretaries on 11th

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Review Meeting with State Health Secretaries on 11th & 12th September, 2012. National Vector-Borne Disease Control Programme (NVBDCP) * * NVBDCP Malaria Kala-azar ... – PowerPoint PPT presentation

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Title: Review Meeting with State Health Secretaries on 11th


1
Review Meeting with State Health Secretaries on
11th 12th September, 2012.National
Vector-Borne Disease Control Programme (NVBDCP)
2
NVBDCP
  • Malaria
  • Kala-azar
  • Dengue
  • Chikungunya
  • JE/AES
  • Lymphatic Filariasis

3
General Strategy for Prevention and Control of
VBDs
  • Early diagnosis and complete treatment
  • (No specific drugs against Dengue, Chikungunya
    and J.E.)
  • Integrated vector Management (IRS, LLIN, fish,
    chemical and bio-larvicide, source reduction)
  • Supportive intervention (Vaccination only
    against J.E.)
  • Annual MDA (only against LF)
  • Behaviour change communication

4
Malaria Situation
2007 2007 2008 2008 2009 2009 2010 2010 2011 (Prov.) 2011 (Prov.)
Cases Death Cases Death Cases Death Cases Death Cases Death
1508927 1311 1526210 1055 1563574 1144 1599986 1018 1310656 753
5
Externally Aided Projects
  1. Global Fund Supported Project in North East
  2. World Bank Supported Project

6
Malaria Project States under GFATM
  • 7 NE States
  • 86Districts
  • 43 Million Pop.
  • 7 States
  • 86 Districts
  • 43 million Population

7
Global Fund Supported Intensified Malaria
Control Project-II
  • Seven NE states covered
  • Project staff - States advised to appoint train
  • Sentinel Surveillance Hospitals for trend of
    severe malaria cases and deaths - 14 hospitals
    identified and to be made functional
  • LLIN 11.38 million supplied and 10.24 million
    processed
  • States advised to plan for storage distribution
  • States to ensure availability of RDTs and ACTs

8
Malaria Project States under World Bank Project
(Phase I II)
Expansion of World Bank Project Districts
Chhattisgarh Districts 11 5
Jharkhand Districts 12 10
Madhya Pd. Districts 9 10
Gujarat District 12
West Bengal Districts 7
Maharashtra District 5
Orissa Districts 13 17
Andhra Pradesh. District 5 1
Karnataka Districts 7
  • Phase I 50 Districts in 5 States, Population
    71.04 Million
  • Phase II 74 Districts in 9 States (5 of P-I 4
    New), Population 170.77 Million
  • Total in Phase I II 124 Districts in 9
    States, Population 241.81 Million

New States
9
Malaria Surveillance- Annual Blood Examination
Rate (ABER) State-wise Performance
Status of ABER- 2011 (Target gt 10 of pop) Status of ABER- 2011 (Target gt 10 of pop)
Indicator States
ABER lt5 Bihar, Delhi, Lakshadweep, Manipur, Sikkim, Uttarakhand , Uttar Pradesh
ABER 5-10 Chandigarh, Himachal Pradesh, Jammu Kashmir, Kerala, Tripura, West Bengal
ABER gt10 AN Island, Andhra Pradesh, Arunachal Pradesh, Assam, Chhattisgarh, Dadra Nagar Haveli, Daman Diu, Goa Gujarat, Haryana, Jharkhand, Karnataka, M.P, Maharashtra, Meghalaya, Mizoram, Nagaland, Orissa, Puducherry Punjab, Rajasthan, Tamil Nadu
10
Entomological Surveillance
  • Entomological surveillance to be strengthened at
    state and zonal level to monitor prevalence of
    vectors and their susceptibility to insecticides
  • Current Status
  • Of 35 states/UTs, 31 have sanctioned post of
    State Entomologist .
  • Only 11 are in position.
  • Total 72 zones in country (1 added in
    Nagaland).
  • 36 zones have entomologists.
  • 37 are to be filled, and
  • Vehicles to be provided for entomological
    surveillance

11
Human Resources State-wise Status
Vacancies State-wise Vacancies
District Malaria Officer (DMO) 85 Vacancies in 15 States Assam 14, Nagaland 1, Sikkim 4, Andhra Pradesh 7, Orissa 6, Gujarat 4, Karnataka 4, Maharashtra 13, Himachal Pradesh 2, Kerala 3, Jammu Kashmir 1, Punjab 5, Uttar Pradesh 17, Uttarkhand 2, AN Island 1
Status of Trained ASHAs as on 31.07.2012
In-position (24 states) Trained In Malaria
653504 376017
12
Procurement Supply of Long Lasting Insecticidal
Nets (LLINs)
(in Lakhs) (in Lakhs) (in Lakhs) (in Lakhs)
S. No State/UTs Total Supplied(till Dec. 2011) Under Procurement(2012-13)
1 Assam 18.34 4.01
2 Andhra Pradesh 10.06 8.89
3 Arunachal Pradesh 1.20 0.50
4 Chhattisgarh 10.03 6.34
5 Madhya Pradesh 7.07 14.58
6 Manipur 0.55 0.50
7 Meghalaya 4.14 1.00
8 Mizoram 2.50 0.50
9 Nagaland 1.00 1.50
10 Tripura 6.03 1.80
11 Jharkhand 6.60 20.53
12 Orissa 38.02 31.39
13 West Bengal 8.31 3.00
14 Karnataka 0.00 2.50
15 Maharashtra 0.00 2.40
16 Gujarat 0.00 3.00
Total Total 113.85 102.44
Approx. Cost (Rs. in Crores) Approx. Cost (Rs. in Crores) 250.00 220.00
13
Malaria- Major Issues
  • Surveillance and reporting to be ensured
  • RDT, ACT availability to be ensured
  • Increase in malaria case to be monitored
  • Release of Funds to districts, work performance
    submission of SoE to be monitored and ensured
  • Required human resource to be filled up
  • Project staff allocated should be filled up on
    priority
  • Timely payment of salary to project staff to be
    ensured

14
Kala-azar Endemic Areas (52 Districts in 4 States)
6 districts Pop. 11.0 mil
31 districts, Pop. 62.3 mil
World Bank supported Kala-Azar Project Areas 46
districts (3 states)
BIHAR Districts 31
4 districts Pop 6.7 mil
11 districts Pop. 50 mil
States 4 Districts
52 Population 130 million
85 of all cases in Bihar. 9 distt in Bihar
contribute 65-70 of cases.
15
Kala-azar Cases and Deaths
16
Kala-Azar Issues
  • The focus on timely and quality Indoor Residual
    Spray with DDT to be maintained.
  • The vacancy position of Kala-azar Treatment
    Supervisors (83 in Bihar and 60 in West Bengal)
    and other staff to be filled up.
  • Standard treatment guidelines to be followed.
  • Regular monitoring and supervision to be
    strengthened at the district level (preferably
    under the Chairmanship of District Magistrate)
  • In Bihar a dedicated State Programme Officer
    should be appointed.

17
Dengue Situation
18
Diagnostic Facilities at State District Level
for Dengue Chikungunya (increased to 347 in
2012)
18 Karnataka 22
19 Lakshadweep 1
20 Maharashtra 23
21 Madhya Prd 17
22 Manipur 2
23 Meghalaya 3
24 Mizoram 1
25 Nagaland 2
26 Orissa 8
27 Pondicherry 4
28 Punjab 15
29 Rajasthan 20
30 Sikkim 2
31 Tamil Nadu 30
32 Tripura 1
33 Uttar Pradesh 22
34 Uttarakhand 7
35 West Bengal 13
1 Andhra Pradesh 32
2 AN Islands 3
3 Arunachal Pradesh 1
4 Assam 9
5 Bihar 5
6 Chandigarh 1
7 Chhattisgarh 2
8 Daman Diu 1
9 DN Haveli 1
10 Delhi 33
11 Goa 3
12 Gujarat 16
13 Haryana 14
14 Himachal Prd 2
15 J K 7
16 Jharkhand 4
17 Kerala 20
Locations of 14 Apex Referral Laboratories
19
Dengue Control Issues
  • Mid Term Plan approved by CoS emphasizes
  • Disease Surveillance Entomological Surveillance
  • Case management
  • Integrated vector control
  • Epidemic preparedness and Media management
  • Social mobilization
  • Inter-sectoral coordination
  • Initiatives
  • NS1 ELISA based test Introduced for early
    detection availability at all diagnostic
    facilities to be ensured
  • Numbers of Diagnostic facilities increased
    Functional status to be ensured.

20
JE/AES Situation
21
Japanese Encephalitis- Issues
  • Improving coverage of JE vaccination in campaign
    and under UIP.
  • Implementing model public health action plan.
  • Operationalization of designated sentinel sites.
  • Strengthening district hospitals for improving
    medical attention to admitted children.
  • Medical rehabilitation of disabled cases.

22
Elimination of Lymphatic Filariasis (1)
  • Elimination of Lymphatic Filariasis in India by
    2015.
  • The twin pillars of LF elimination strategy
    include
  • Transmission control by Annual MDA for 5-7
    years or more with DEC Albendazole
  • Disability Prevention and Management by
  • Home based management of lymphoedema cases and
  • up-scaling of hydrocele operations

23
Elimination of Lymphatic Filariasis (2)
Population at Risk of LF
  • MDA launched in 2004 has been expanded to 250
    endemic districts.
  • MDA coverage has increased from 72 in 2004 to
    88 in 2011.
  • Assessment by Medical Colleges reveals compliance
    from 40-80 in different states.
  • Mf Rate has declined below 1 mf rate in 180
    districts First step towards elimination
  • Morbidity Management initiated

Endemic districts 250 (in 20 States/UTs) Populat
ion at risk 600 million Population eligible for
MDA 509 Million
24
Thank You
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