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State

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

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Title: State


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
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
8
Malaria Surveillance- Annual Blood Examination
Rate (ABER) in 2011
(Target at least 10 of population at risk) (Target at least 10 of population at risk)
ABER States
lt5 Bihar, Delhi, Lakshadweep, Manipur, Sikkim, Uttarakhand , Uttar Pradesh
5-10 Chandigarh, Himachal Pradesh, Jammu Kashmir, Kerala, Tripura, West Bengal
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
9
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 posts 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 up
  • Mobility and logistic supports to be provided for
    entomological surveillance

10
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
11
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
12
Malaria - Action Points
  • Surveillance and reporting of cases and deaths to
    be monitored
  • Required human resource to be provided
  • Project staff allocated should be filled up on
    priority
  • Rapid Diagnosis Tests (RDTs) and Anti-malarial
    Drugs including Artemisinin based Combination
    Therapy (ACT) to be ensured
  • Release of Funds to districts submission of
    SoEs to be monitored
  • Timely payment of salary to project staff to be
    ensured

13
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.
14
Kala-azar Cases and Deaths
15
Kala-Azar Elimination Action Points
  • The focus on timely and quality Indoor Residual
    Spray with DDT to be maintained.
  • Vacant positions of Kala-azar Treatment
    Supervisors (83 in Bihar and 60 in West Bengal).
  • 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.

16
Dengue Situation
17
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
18
Dengue Control Action Points
  • Mid Term Plan approved by Committee of
    Secretaries and disseminated to states
    emphasizes
  • Entomological surveillance disease surveillance
  • Case management
  • Integrated vector control
  • Epidemic preparedness and Media management
  • 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.

19
Japanese Encephalitis (JE)/ Acute Encephalitis
Syndrome (AES) Situation
20
JE/AES Action Points(Specially in 60 Districts
of UP, Bihar, Assam, TN, WB)
  • Operationalization of designated sentinel sites.
  • Implementing model public health action plan.
  • Improving coverage of JE vaccination in campaign
    mode under UIP.
  • Strengthening district hospitals for improving
    medical attention to admitted children.
  • Medical rehabilitation of disabled cases.

21
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

22
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
23
Thank You
24
Status of ASHAs (1)
S. No States/UTs No. of ASHA In-position No . of ASHA Trained In Malaria
1 Assam 28387 22150
2 Arunachal Pradesh. 3862 2592
3 Meghalaya 6255 5307
4 Manipur 3878 3120
5 Mizoram 1786 1786
6 Nagaland 1541 1195
7 Tripura 7367 7367
8 Jharkhand 39125 36659
9 Orissa 41207 30037
10 West Bengal 30114 1500
11 Andhra Pradesh 67379 8020
12 Chattisgarh 59489 18240
25
Status of ASHAs (2)
S. No States/UTs No. of ASHA In-position No . of ASHA Trained In Malaria
13 Madhya Pradesh 50113 32033
14 Maharashtra 58022 53012
15 Gujarat 29675 24248
16 Bihar 78350 53000
17 Karnataka 32743 9044
18 Kerala 31252 24000
19 Sikkim 637 150
20 Uttrakhand 11086 0
21 Punjab 16590 15893
22 D N Haveli 150 150
23 Rajasthan 42496 25714
24 Haryana 12000 800
Total Total 653504 376017
26
Status of Project Staff (1)
States/UTs State consultant State consultant District VBD consultant District VBD consultant MTS MTS KTS KTS LTs LTs
States/UTs Allocation In position Allocation In position Allocation In position Allocation In position Allocation In position
Arunachal Pd 5 5 15 15 46 41 0 0 11 11
Assam 5 3 27 0 100 28 0 0 0 0
Manipur 5 3 9 0 16 14 0 0 12 12
Meghalaya 5 5 7 7 34 33 0 0 10 10
Mizoram 5 5 9 9 16 13 0 0 8 8
Nagaland 5 3 15 11 21 21 0 0 11 11
Tripura 5 0 4 0 25 2 0 0 10 2
Andhra Pd 6 3 6 5 36 26 0 0 18 15
Chhattisgarh 6 4 16 8 96 34 0 0 48 14
Jharkhand 10 6 26 8 132 48 24 16 66 23
27
Status of Project Staff (2)
States/UTs State consultant State consultant District VBD consultant District VBD consultant MTS MTS KTS KTS LTs LTs
States/UTs Allocation In position Allocation In position Allocation In position Allocation In position Allocation In position
Madhya Pd 6 3 19 7 114 42  0 0 57 18
Maharashtra 6 5 5 1 30 0 0 0 15 0
Orissa 7 7 30 27 180 127  0 0 90 62
Gujarat 6 4 12 2 72 64 0 0 36 18
West Bengal 10 3 18 8 42 0 66 31 21 0
Karnataka 6 5 7 7 42 32 0 0 21 18
Bihar 6 2 31 31 0 0 186 146 0 0
Total 104 66 256 146 1002 525 276 193 434 222
28
World Bank Phase I Malaria Project States
Jharkhand Districts 12
Madhya Pradesh Districts 9
Orissa Districts13
Chhattisgarh Districts 11
Andhra Pradesh Districts 5
States -5, Districts -50, Population -79.10
Million
29
World Bank Phase II Malaria Project States
Expansion of World Bank Project Districts
Chhattisgarh Districts 5
Jharkhand Districts 10
Madhya Pd. Districts 10
Gujarat District 12
West Bengal Districts 7
Maharashtra District 5
Orissa Districts 17
Andhra Pradesh. District 1
Karnataka Districts 7
74 Districts in 9 States (5 of P-I 4 New),
Population - 111 Million
New States
30
Inclusion of 74 Additional Districts under
World Bank Phase II Project (1)
S. No States Additional Districts- Phase II
1. Andhra Pradesh (1) Adilabad
2 Chhattisgarh (5) Janjgir (Champa), Mahasamund, Durg, Rajnandgaon and Kawardha
3 Jharkhand (10) Jamtara, Garhwa, Dhanbad, Bokaro, Chatra, Deoghar, Giridih, Hazaribagh, Kodarma and Palamu
4 Madhya Pradesh (10) Dhar, Ratlam, Rajgarh, Shivpuri, Sheopur, Satna, Sagar, Panna, Jabalpur and Seoni
5 Orissa (17) Angul, Balasore, Bargarh, Bhadrak, Bolangir, Boudh, Cuttack, Deogarh, Dhenkanal, Ganjam, Jagatsinghpur, Jaipur, Khurda, Kendrapada, Nayagarh, Sonepur and Puri
31
Inclusion of 74 Additional Districts under
World Bank Phase II Project (2)
S. No States Additional Districts- Phase II
6 Gujarat (12) Surendranagar, Patan, Vadodara, Godhra, Dahod, Surat, Rajkot, Kutchh (Bhuj), Junagarh, Valsad , Surat Mun. Corp and Ahmedabad Corp.
7 Karnataka (7) Kolar, Tumkur, Chitradurga, Belgaum, Raichur, Koppal and Dakahina Kannada
8 Maharashtra (5) Raigarh, Gr. Mumbai, Chandrapur, Gadchiroll and Thane
9. West Bengal (7) Bankura, Birbhum, Coochbihar, Jalpaiguri, Midnapur (E), Midnapur (W) and Purulia
Phase I - 50 Districts , Phase II 74
Districts, Total (5074) 124 Districts
32
Entomological Infrastructure (1)
Sr. No States State Entomologist (HQ) State Entomologist (HQ) State Entomologist (HQ) Zonal Entomological Units Zonal Entomological Units Zonal Entomological Units Vehicle
Sr. No States Sanctioned In position Vacant Sanctioned In Position Vacant Vehicle
1 Andhra Pradesh 2 0 2 6 5 1 0
2 Arunachal Pradesh 1 0 1 2 1 1 0
3 Assam 1 1 0 3 3 0 0
4 Bihar 1 0 1 4 0 4 0
5 Chattishgarh 1 0 1 2 0 2 0
6 Goa 1 1 0 0 0 0 0
7 Gujarat 1 1 0 6 4 2 0
8 Haryana 1 0 1 2 0 2 0
9 Himachal Pradesh 1 0 1 1 0 1 0
10 J K 1 0 1 0 0 0 0
11 Jharkhand 1 0 1 2 0 2 0
12 Karnataka 1 0 1 4 3 1 3
13 Kerala 1 1 0 1 1 0 1
14 Madhya Pradesh 1 1 0 5 2 3 0
15 Maharashtra 1 0 1 4 2 2 0
16 Manipur 1 1 0 0 0 0 0
17 Meghalaya 1 1 0 0 0 0 0
18 Mizoram 1 0 1 0 0 0 0
33
Entomological Infrastructure (2)
Sr. No States State Entomologist (HQ) State Entomologist (HQ) State Entomologist (HQ) Zonal Entomological Units Zonal Entomological Units Zonal Entomological Units Vehicle
Sr. No States Sanctioned In position Vacant Sanctioned In Position Vacant Vehicle
19 Nagaland 1 1 0 1 1 0 0
20 Orissa 1 1 0 3 0 3 0
21 Punjab 1 0 1 3 0 3 2
22 Rajasthan 1 0 1 7 4 3 0
23 Sikkim 1 0 1 0 0 0 0
24 Tamil Nadu 2 2 0 9 9 0 7
25 Tripura 1 0 1 0 0 0 0
26 Uttarakhand 1 0 1 2 0 2 0
27 Uttar Pradesh 1 0 1 9 6 3 0
28 West Bengal 1 0 1 3 0 3 0
29 A N Island 0 0 0 0 0 0 0
30 Chandigarh 0 0 0 0 0 0 0
31 D N Haveli 0 0 0 0 0 0 0
32 Daman Diu 0 0 0 0 0 0 0
33 Delhi 0 0 0 0 0 0 0
34 Lakshadweep 0 0 0 0 0 0 0
35 Puducherry 0 0 0 0 0 0 0
  Total 28 11 17 79 41 38 13
34
AES/JE Situation In India
Sl. No.   States/UTs   2009 2009 2010 2010 2011 2011
Sl. No.   States/UTs   C D C D C D
1 Andhra Pradesh 49 0 139 7 73 1
2 Assam 462 92 469 117 1319 250
3 Bihar 325 95 50 7 821 197
4 Chandigarh 0 0 0 0 0 0
5 Delhi 0 0 0 0 9 0
6 Goa 66 3 80 0 91 1
7 Haryana 12 10 1 1 90 14
8 Karnataka 246 8 143 1 397 0
9 Kerala 3 0 19 5 88 6
10 Maharashtra 5 0 34 17 35 9
11 Manipur 6 0 118 15 11 0
12 Punjab 0 0 2 0 0 0
13 Tamil Nadu 265 8 466 7 762 29
14 Uttar Pradesh 3073 556 3540 494 3492 579
15 West Bengal 454 5 70 0 714 58
16 Nagaland 9 2 11 6 44 6
17 Uttarakhand 0 0 7 0 0 0
18 Jharkhand     18 2 303 19
Grand Total Grand Total 4975 779 5167 679 8249 1169
Number of endemic districts 135 Population 330
million
35
State specific Recommendations for VBDs
36
State Specific Recommendations
State Recommendation
Arunachal Pradesh Filling up of vacant post in State at earliest. Regular Monitoring, Supervision Proper Programme Implementation.
Assam Filling up of vacant post in State at earliest. Regular Monitoring, Supervision Proper Programme Implementation State to follow GOI Guidelines (Dengue) Lab. Surveillance to be strengthened at sentinel sites. SSHs should be identified.
Manipur Filling up of vacant post in State at earliest. Regular Monitoring, Supervision Proper Programme Implementation State to follow GOI Guidelines (Dengue) Lab. Surveillance to be strengthened at sentinel sites. SSHs to be operationalized. JE Vaccination under RI to be given.
37
State Specific Recommendations
State Recommendation
Meghalaya Filling up of vacant post in State at earliest. Regular Monitoring, Supervision Proper Programme Implementation SSHs to be operationalized. Referral mechanism to be strengthened in highly affected districts and critical care services should be ensured at the referral centers to prevent the deaths due to malaria
Mizoram Training should be completed at the earliest. Regular Monitoring, Supervision Proper Programme Implementation SSHs to be operationalized.
Nagaland Proper Surveillance. Training of all ASHA Community Workers should be completed. SSHs to be operationalized. Orientation of training programme for laboratory person and clinicians
38
State Specific Recommendations
State Recommendation
Tripura Filling up of vacant post in State at earliest. Proper Surveillance. Training of all ASHA Community Workers should be completed. SSHs to be operationalized.
Sikkim Proper Surveillance. SSHs to be operationalized.
Andhra Pradesh Filling up of vacant post in State at earliest. Proper Surveillance. Training of all ASHA Community Workers should be completed. SSHs to be operationalized. Improved coverage of JE vaccination in routine immunization. Increased Monitoring and Supervision.
39
State Specific Recommendations
State Recommendation
Bihar Filling up of vacant post in State at earliest. Proper Surveillance. Training of all ASHA Community Workers to be completed. SSHs to be operationalized. Improved coverage of JE vaccination in RI. Increased Supervision Monitoring of IRS. Proper Inventory Management for logistics flow at grass root level Timely submission of reports. Timely observance of MDA for filaria. Improved Treatment compliance for Kala-azar. Involvement of Medical Colleges, ICMR Institutions and NCDC Centre for assessment of drug compliance during MDA.
40
State Specific Recommendations
State Recommendation
Chattisgarh Filling up of vacant post in State at earliest. Regular reporting Training of all ASHA Community Workers should be completed. SSHs to be operationalized. Monitoring of stock position of RDT and Anti malarials To improve IRS coverage. To improve Monitoring, Supervision for all VBDs.
Goa JE Vaccination under RI to be given a boost AES/JE Data to be transmitted regularly.
41
State Specific Recommendations
State Recommendation
Gujarat The referral mechanism to be strengthened. Surveillance needs to be improved. To improve timely referral of severe complicated cases of VBDs. Special focus for prevention and control of Dengue in Ahmedabad and other corporations.
Haryana Poor Surveillance Special focus for prevention and control of Dengue in satellite townships of Gurgaon and Faridabad. Strengthening of PHCs/CHCs for early case management of the AES/JE cases. JE Vaccination under RI to be given a boost.
42
State Specific Recommendations
State Recommendation
Himachal Pradesh Poor Surveillance Regular Monitoring, Supervision Proper Programme Implementation. Timely submission of reports by States. Capacity building of district programme officers.
Jammu Kashmir Filling up of vacant post in State at earliest. Capacity building of district programme officers.
43
State Specific Recommendations
State Recommendation
Jharkhand Filling up of vacant post in State at earliest. Surveillance needs to be improved. Train of all ASHAs and community volunteers Capacity building of district programme officers. Improve Monitoring, Supervision Proper Programme Implementation. Special focus for prevention and control of Dengue in industrial townships of Jamshedpur Improve IEC/BCC activities. Improve DDT Spray programme Kala-azar Case search . To improve drug compliance for achieving the goal of elimination of Filaria programme
44
State Specific Recommendations
State Recommendation
Karnataka Special attention for prevention of vector mosquito breeding in Bangalore corporation area and other urban areas Data submission to be regular. JE Vaccination under RI to be given a boost. Morbidity management and hydrocele operation to be intensified for filaria programme.
Kerala Filling up of vacant post in State at earliest. Special focus for Trivandrum Municipal Corporation and Plantation areas (rubber) for Dengue/Chikungunya. State to ensure use of ELISA based dengue NS1 kits only. Regular Monitoring, Supervision Proper Programme Implementation
45
State Specific Recommendations
State Recommendation
Madhya Pradesh Filling up of vacant post in State at earliest. The state to improve timely referral of severe complicated cases. Capacity building of district programme officers To accord priority for morbidity management in filaria elimination Programme.
Maharashtra Filling up of vacant post in State at earliest. To improve timely referral of severe complicated cases. Capacity building of district programme officers To accord priority for morbidity management in filaria elimination Programme.
46
State Specific Recommendations
State Recommendation
Orissa Filling up of vacant post in State at earliest. Proper vigilance and performance of activities as per schedule to be monitored in the Sub-Centres. Special attention needed for mining areas for DC. Capacity building of doctors of both public and private sectors on national guidelines for dengue case management. To accord priority for morbidity management and hydrocele operation in filaria elimination Programme.
Punjab Improve surveillance. Regular Monitoring, Supervision Proper Programme Implementation Special focus to Ludhiana for Dengue/Chikungunya
Rajasthan Filling up of vacant post in State at earliest. Regular Monitoring, Supervision Proper Programme Implementation. State to follow GOI Guidelines (Dengue) Strengthening of Surveillance activities.
47
State Specific Recommendations
State Recommendation
Tamil Nadu Filling up of vacant post in State at earliest. Improve surveillance. Ensure functioning of all the SSHs and availability of both dengue ELISA based NS1 kits and IgM kits JE Vaccination under RI to be given a boost.
48
State Specific Recommendations
State Recommendation
Uttar Pradesh Filling up of vacant post in State at earliest. Regular Monitoring, Supervision Proper Programme Implementation Improve surveillance. Preparation of district wise Action Plan for effective prevention and control of AES/JE IEC/BCC for identification and immediate referral of cases to nearby health facility. Involve the Medical Colleges, ICMR Institutions and NCDC Centre for Training, Monitoring assessment of drug compliance during MDA. To improve organized IRS activities. Timely submission of SOE UC. Line listing of cases through patient coding scheme to be followed. 
49
State Specific Recommendations
State Recommendation
Uttarakhand State to follow the GOI guidelines for diagnosis Regular samples of AES cases to be sent to NCDC for JE conformation. Surveillance needs to be improved. Regular Monitoring, Supervision Proper Programme Implementation.
50
State Specific Recommendations
State Recommendation
West Bengal Filling up of vacant post in State at earliest. State to follow the GOI guidelines for diagnosis Regular samples of AES cases to be sent to NCDC for JE conformation. Improve surveillance. Regular Monitoring, Supervision Proper Programme Implementation. AES/JE Data to be transmitted regularly. ASHAs honorarium to be paid timely for their reluctance to work for KA programme. To improve IEC/BCC activities. District Collectors need to be involved in regular review of the programme at district level.
51
State Specific Recommendations
State Recommendation
Delhi Surveillance needs to be improved. Enhance inter-sectoral convergence with all the stake holders. Timely reporting
Puducherry
Andaman Nicobar Island Malaria needs to be paid focused attention. Vacant post needs to be filled up. Increase Surveillance. Timely submission of SOE/UC
Chandigarh Surveillance needs to be improved. Monitoring needs to be improved.
Dadra Nagar Haveli Surveillance needs to be improved. Monitoring needs to be improved. Timely submission of SOE/UC
Daman Timely submission of SOE/UC
52
State Specific Recommendations
State Recommendation
Lakshadweep Regular Monitoring, Supervision Proper Programme Implementation. Timely submission of Reports. Timely submission of SOE/UC
53
Kala-azar Issues in Bihar (1)
  • Dedicated State Programme Manager.
  • KTS to be filled ( 83 KTS of 276 vacant).
  • Timely salaries to VBD consultants to be ensured.
  • Capacity building in the districts by filling
    keys posts of DMOs, Malaria Inspectors, MPHWs,
    Technicians etc.
  • Standard treatment guidelines.

54
Kala-azar Issues in Bihar (2)
  • Payment of loss of wages to the patients _at_ Rs 50
    per day.
  • Payment of incentive to ASHA/Health Volunteer
  • Quality and coverage of Indoor Residual Spray
    with DDT 50.
  • Monitoring and supervision need strengthening-
    Monthly Review at the level of District Collector
    at least once.

55
Kala-azar Issues in Jharkhand
  • Poor treatment Compliance.
  • No follow up mechanism.
  • IRS not well planed and organized.
  • Lack of monitoring and supervision.
  • Proper treatment guidelines
  • Case search activities not carried out during
    2010 2011.

56
Kala-azar Issues in West Bengal
  • 60 posts of KTS and 5 posts of VBD Consultants
    have not been filled up.
  • IRS activities delayed and not done with proper
    planning.
  • Inadequate supervision and monitoring.
  • Proper treatment guidelines to be followed.

57

Financial Issues
State Issues
Madaya Pradesh, Tripura, Uttarakhand Lakshadeep Huge unspent balance and contribution of states share
Orissa Huge unspent balance
Delhi Audit report 2009-10 2010-11 and SOE 2011-12 is awaited
58
Lymphatic Filariasis Major Issues
S. No Issues States
1 Poor Compliance Assam, Bihar, Chattisgarh, Jharkhand, Kerala, Orissa, Uttar Pradesh, West Bengal
2 Lymphodema Management to be geared up Bihar, Chattisgarh, Jharkhand, Karnataka, Kerala, Orissa, Uttar Pradesh, West Bengal
3 Hydrocele Operations to be geared up Bihar, Chattisgarh, Orissa, Uttar Pradesh and West Bengal
4 Mf Rate ( Night Survey) Crucial Parameter and needs proper supervision. Districts with less than 1 Mf rate needs validation
5 MDA-2011 round Bihar Not done, Jharkhand scheduled on 24th Sept. 2012 U.P. Could do only in 14 districts as DEC was not procured
59
Dengue Morbidity Trend and Case Fatality Rate
States Reported Increase in 2011 Andhra
Pradesh, Chhattisgarh, Manipur, Odisha,
Uttarakhand, Dadra Nagar Haveli and Puducherry
(7)
60
Chikungunya Situation in India
Year No. of States Affected Suspected Cases Samples Tested Confirmed Cases ( )
2006 16 1390322 15961 2001 (12.5)
2007 14 59535 7850 1826 (23.3)
2008 13 95091 7886 2461( 31.2)
2009 13 73288 17552 6811( 38.8)
2010 18 48176 14588 5602 (38.4)
2011 21 20402 12035 3642 (30.3)
2006-2011 total 21 states affected
61
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
  • Long Lasting Insecticidal Nets (LLINs) 11.38
    million supplied and 10.24 million processed
  • States advised to plan for storage distribution
  • States to ensure availability of RDTs and ACTs
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