Malaria

Summary About The Programme(NVBDCP)

The National Vector Borne Disease control Programme is an umbrella Programme for prevention and control of vector borne diseases (VBDS) viz, Japanese Encephalitis, Malaria, Kala Azar, Dengue, Fillariasis, Chikungunya and is an integral part of India’s National Rural Health Mission (NRHM). The National Vector Borne Disease Control Programme envisages a well informed and self sustained, healthy India with equitable accessed to quality health care and the Programme activities are in tandem with the National Health Policy (2002) and National Rural Health Mission (NRHM) goals as well as the Millennium Development Goal (MDG) of halting and reversing the incidence of malaria and other vector borne diseases by the year 2015 towards reduction of poverty.

The State Vector Borne Disease Control Programme (SVBDCP) is responsible for all the planning & implementation of the various strategies of the programme and the Dy. Director of Health Services (Malaria) is the State Programme Officer (SPO) The Malaria Control Society has been re-designated as Meghalaya State Vector Borne Disease Control Society with the Principal Secretary as the Chairman, the Commissioner Secretary, Health & Family Welfare as Vice Chairman, the DDHS (M) as the Member Secretary. Malaria is endemic in all the Districts of the State, with death cases being reported annually. Plasmodium Falciparum is the major parasite and is solely responsible for each malaria – attributable death case. The presence of an International border i.e Bangladesh and an Inter State Border with Assam make the State more vulnerable to the disease. The increase in Pf % is also a cause for concern, however with the distribution of Long Lasting Insecticide Nets (LLINs) since 2009, the scenario is changing and the impact can be seen on the Three Districts of Garo Hills with a declined in both malaria morbidity and mortality.

Overall Objectives

  • Prevention of deaths due to malaria
  • Prevention of morbidity due to malaria
  • Maintenance of ongoing socioeconomic development.

Specific Objectives

  • To reduce malaria related mortality and morbidity by at least 30% by 2015 as compared to 2008.
  • To halt & reverse the incidence of malaria by 2015(as per Millenium Development Goals)

Malaria control Strategies

  1. Early detection and prompt treatment (EDPT) through surveillance activities involving Govt. and Non-Govt. Functionaries.
  2. Identification of all high risk malaria areas and Epidemic prone villages.
  3. Interruption of Malaria transmission by:
    a. Two rounds of residual insecticidal spray of DDT 50% in areas with API2 and above.
    b. Distribution of insecticide treated bednets (IITBN) in high risk in accessible villages.
    c. Training and workshops on Malaria Vector Borne Diseases for all categories and opinion leaders. d. IEC activities

Activities

1. Early detection and Prompt treatment.
a. Gear up of active and passive surveillance at all levels so as to solve 10% of the total population annually and 1% monthly.
b. Rapid fever survey is to be carried out in areas with high fever rate.
c. Laboratory services to be made fully operationalised in all the PHC’s of the State.
d. AM Drugs equipments and Insecticides to be supplied in time and accordingly
e. Filling up the vacant posts as per norms or deployment of health staff whenever necessary.
f. Drug sensitivity test to be carried out in high risk areas in collaboration with the Office of the Regional Director Govt of India.
g. Cross Checking of all positive blood slides and 10% of all negative blood slides to be send by all PHC’s to Regional Office quarterly
h. Identification of project areas in the State and screening of labour population.
i. Selection of remote and in accessible areas in the PHC’s /SC’s for distribution of RDKs.
j. Involving the Ashas in all high risk villages in EDPT by provided them with drugs and
k. RDK and re-orientation training whenever necessary.

2. Vector Control
a) Two rounds of DDT spray will be carried out selectively in all areas with API 2 and above.
b) Focal spray is to be done in case of any outbreak in areas where regular spray has not done.
c) 80% is the target for spray operation.

ITBN (Insecticide Treated Bednet)
a) Survey of the community bednets to be completed.
b) Impregnation of community bednets to be done before transmission season in all high risk villages.

3. Larvivorous Fish: Suitable water bodies will be seeded with larvivorous fish which is an environmental friendly and cost effective vector control measure. NGO’s school children will be actively involved. The effort would be supported through Larvivorous Fish domestic resources.

4. Annual Indent of Anti Maria Drugs/Equipments: Calculation of requirement of drugs as per technical demand, detail information about the logistic position in the different districts for the state demand.

5. Training & Capacity Building : Training and orientation of the different categories of Health staff to be carried out.

6. IEC
a) Health Education programme by the different health staff in the respective health institutions and during field visit.
b) Procurement /printing of IEC materials, placement of hoarding in the district PHC’s and sub-centres levels.
c) Advocacy and Intersectoral meeting, awareness camp for Impregnation of bednets to be carried out as per scheduled.

7. Entomological Studies: The State Entomological cell had conducted some studies on the entomological aspects. This study includes month-wise prevalence of the Anopheles species in general and vector species in particular, as the susceptibility status of the species encountered.

Intensified Malaria Control Project Ii, Round - Ix(2010-2015): The Global Fund has approved the Project “Intensified Malaria Control Project- II” for the 7 North Eastern States (Assam, Arunachal Pradesh, Manipur, Mizoram, Meghalaya, Nagaland and Tripura) for period of 5 years (2010-2015). In the first Phase, the Project shall implement in all 86 Districts of North East States with effect from 1st October, 2010. This is a new Project which is in continuation of Round 4 Project ended 30th June, 2010(2005-2010).

The GOI has approved the addition contractual man power under Human Resource (technical & non-technical) under the IMCP Phase – II Round-9 for Malaria Control to accelerate the operational capacity and efficient project management at state & district levels. For recruitment against the sanctioned post under this project the matter has been placed to the higher authority for necessary approval.

List of Contractual Staff under the Programme(Funded GFATM, Round IX Project)

State level

Sl. No. Name of the Post No. of sanctioned post In position
1 M&E Consultant 1 1
2 Consultant, Social Mob/NGO/PPP 1 1
3 Consultant, Procurement and Supply Chain 1 1
4 Consultant, Financial Management 1 1
5 State Public Health Consultant 1 1
6 Secretarial Asst.(2 Nos.) 2 2
7 Statistical Assistant 1 1

District level

Sl. No. Name of the Post No. of sanctioned post In position
1 VBD Consultant 7 7
2 DEO 7 7
3 MTS/KTS 34 34
4 LT 10 10
5 MPW 100 100