briefing on intensified malaria control project-3...
TRANSCRIPT
Briefing on
Intensified Malaria Control
Project-3 (IMCP-3)
India CCM Induction and Orientation Workshop
3rd-4th December 2015
Directorate of National Vector Borne Diseases Control Programme , Delhi
Plan of Presentation
• Introduction
• Programme goals and Objectives
• Funds received
• State/Districts covered
• Strategies
• Planned Activities
• Achievements
• Way Forward
Introduction• GF is supporting malaria control in 7 NE states.
• Intensified Malaria Control Project-II (IMCP-II) Round-9: allocation of US$ 88million in 2 Phases:
– Phase-I: 2 Years, Oct. 2010- Sep. 2012
– Phase-II: 3 Years, Oct. 2012- Sep.2015
• Central Govt. also provides assistance to the states on the basis of approvednorms and technical requirements; and
• States also spend substantial amount on infrastructure, staff and statecomponents of programme.
• The focus under the funding model period would continue in 7 NE States an anadditional state Odisha due to high disease burden
• Together, these states have a population of approx. 91 Million in 125 districts.
• The target group/beneficiaries include marginalized groups, tribal population, and women and children and other key population like Jhum cultivators, forest workers, migrants and mobile population (especially in border areas)
Programme Goal and Impact Indicators
• To reduce malaria related morbidity by at least 50% and mortality by at least 50% in project areas (08 states) by 2017 as compared to 2012.
Programme Objective and outcome indicators1. To achieve near universal coverage by 2017 by effective preventive
interventions (LLIN) for population living in high risk project areas(API >1)
2. To achieve near universal coverage of fever cases by correct,affordable and appropriate parasitological diagnosis; and prompt,effective treatment according to the national drug policy in projectareas by 2017
3. To achieve coverage in project areas by appropriate BCC activitiesto improve knowledge, awareness and responsive behaviorregarding effective preventive and curative malaria controlintervention by 2017.
4. To strengthen surveillance and M&E, program planning andmanagement and co-ordination and partnership development toimprove service delivery in project areas by 2017
5. To strengthen health systems, community systems throughcapacity building (training) to improve service delivery in projectareas by 2017
Project aids will be utilized for the following Modules & Cost Groups
S.No Modules Total Year 1 Total Year 2 Total Year 3 TOTAL %
1 Vector Control (LLIN) 67,065,835 848,647 0 67,914,482 63%
2Case Management
(Diagnostics & Drugs)2,515,512 12,221,134 1,286,634 16,023,280 15%
3HSS - Health Information
Systems and M&E3,005,282 3,055,468 1,799,800 7,860,550 7%
4HSS - Health and
Community Workforce2,474,452 3,597,064 1,759,016 7,830,532 7%
5 Program Management 3,673,865 2,401,974 1,747,684 7,823,523 7%
TOTAL 78,734,946 22,124,287 6,593,134 107,452,367 100%
Cost in USD
Proposed Geographical Coverage under
NFM
States: 8
Districts: 125
Pop’n: Approx. 91
Million
RAJASTHAN
ORISSA
GUJARAT
MAHARASHTRA
MADHYA PRADESH
BIHAR
KARNATAKA
UTTAR PRADESH
ANDHRA PRADESH
JAMMU & KASHMIR
ASSAM
TAMIL NADU
CHHATTISGARH
PUNJAB
JHARKHAND
WEST BENGAL
ARUNACHAL PR.
HARYANA
KERALA
UTTARAKHAND
HIMACHAL PRADESH
MANIPUR
MIZORAM
MEGHALAYANAGALAND
SIKKIM
GOA
A&N ISLANDS
D&N HAVELI
PONDICHERRY
LAKSHADWEEP N
EW
S
API - 20120-1>1-2>2-5>5-10>10 & Above
Strategies:
• Prevention• Early Diagnosis and Complete Treatment• Behavior Change Communication (BCC)• Monitoring & Evaluation• Co-ordination and partnership development.• Capacity Building
Planned Activities:
• Human Resource and Capacity Building• Case Management including IEC/BCC• Vector Control including long lasting insecticidal nets (LLINs)- Mass
Campaign• Health Information System and Monitoring & Evaluation• Programme Management including infrastructure and other
equipments
Impact indicator for 7 NE + Odisha for NFM
Indicators (Sex, Agedisaggregation required)
Source2012
(Baseline)
Timeline wise Target
2015 2016 2017
Confirmed malaria cases (microscopy or RDT) per 1000 persons per year
HMIS 3.89 3.77 2.46 1.82
Number of confirmed malaria deaths
HMIS 192 176 115 96
Total Positivity Rate (Microscopy + RDT)
HMIS 3.51 3.00 2.25 1.75
Coverage/ Output Indicators in the Performance Framework
Indicators SourceTimeline-wise Target
2015 2016 2017
Number of Long Lasting Insecticidal Nets distributed to at-risk populations through mass campaign
HMIS6,517,277(Oct. 15 –Mar. 16)
16,726,505(Apr. 16 –Sep. 16)
Proportion of reported fever cases suspected of malaria that received a parasitological test at public sector health facilities
HMIS 100 100 100
Proportion of confirmed malaria (Pf) cases that received ACT as per National Policy at public sector health facilities
HMIS 100 100 100
Proportion of ASHAs trained/re-trained in malaria diagnosis and treatment
HMIS62.6(Oct. 15 –Mar. 16)
100(Apr. 16 –Sep. 16)
Outcome Indicators in the Performance Framework
Indicators SourceTimeline wise Target
2016 2017
Proportion of population that slept under an insecticide-treated net the previous night
HHS 60 80
Proportion of children under five years who slept under an insecticide-treated net the previous night
HHS 70 90
Proportion of pregnant women who slept under aninsecticide-treated net the previous night
HHS 70 90
Proportion of persons reporting fever within last two years, who have obtained a test result (RDT/Microscopy) within 24 Hrs. of reporting to health care system/provider
HHS 60 80
Proportion of people who know about the cause of symptoms of, treatment for and preventive measures Malaria
HHS 60 80
Drugs and Diagnostics proposed under NFM
LLINS: 7.24 million LLINs for 7 NE States: already
procured, being delivered to states, expected to complete by Dec. 2015.
11.34 million LLINs for Odisha are also proposed under NFM
RDKs, Inj, Artesunate & ACT-AL
Commodity/ State 7 NE States Odisha
RDKs 10,185,540 6,251,956
Inj. Artesunate 83,654 83,940
ACT-AL 357,176 569,484
Trainings proposed under NFMTraining of ASHAs: 1 Day The targets refer to: i) 07 NE states and Odisha under 'Allocation'. Total ASHA:
52,175 in NE states & 41773 in Odisha = 93948 Targets are set for 79850 ASHAs (85% by PR1 and 15% by PR2). 1000 batches in Year 1 and 597 batches in Year 2 with 50 trainees in a batch
Training of non- formal Private health providers: ½ Day 20 in each block (to be completed in Year 1)
Training of formal health providers: ½ Day 50 in each district (IMA/IAP)
100 at State HQ. (IMA/IAP) - 1 Day Training of MTSs Induction (10 Days) in Year 1 & Refresher (3 Days) in Year 2. Training of DVBD Consultant (Refresher in Year 2) and left out DVBDCs (no. to be
decided in RRM) – NIMR, Delhi; 40 Days Training of MOs (Refresher): 3 Days Induction & Refresher training of LTs (1 per district): 7 Days Miscellaneous meetings (High endemic, Low endemic, Medical Colleges etc.) Tea Estates/ Rubber plantation meeting – 1 Day SPO/DMO Training – 12 Days
Trend of Malaria in NE States (2001 to 2014)
0
100
200
300
400
500
600
700
800
900
1000
0.00
0.05
0.10
0.15
0.20
0.25
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Total Malaria Cases (in Millions)
Pf Cases (in Millions)
Deaths
•ACT& RDT in 2005 : 8.99% reduction in Malaria Cases11.55 % reduction in deaths 2014 against 2005
•LLIN in 2009 : 41.68% reduction in Malaria Cases54.41% reduction in deaths in 2014 against 2009
ACT & RDT
LLIN
Trend of Malaria Parameter in NE States (2001 to 2014)
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
AB
ER
AP
I, S
PR
& S
FR
API SPR SFR ABER
Way Forward….
• Effective implementation of the project and programme activities with complete utilization of available funds
• Early detection and timely public health interventions
• Increasing community awareness and involvement in VBD control activities
• Making available the drugs, diagnostics and preventive interventions at all levels with priority to high risk areas
• Innovative approaches
THANK YOU
Intensifying the
Fight Against Malaria