ACTION PLAN FOR ANTI-MALARIA MONTH
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ACTION PLAN
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ANTI-MALARIA MONTH - extracted text
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ACTION PLAN
FOR
ANTI-MALARIA MONTH
(JUNE 1997)
RROAD GUIDFLINFS
DIRECTORATE OF NATIONAL MALARIA
ERADICATION PROGRAMME
22 SHAMNATH MARG DELHI-110054
(IHRtCTOHiJi: MWKtl. OF HEALTH SEHVICES)
(MIMSTRY OF HEALTH A FAMILY WELFAHE)
GOVURyMEYT OF INDIA
Objectives
1.
To create awareness among the community
2.
To enlist community involvement in prevention
and control of malaria
3.
To propagate the theme "Malaria Control -
Everyone’s Concern” as first step to make
malaria control a people’s movement in the
country
1
Time frame
a)
Preparatory phase
January 1997 to May 1997
b)
Implementation phase
1st June to 30th June 1997
c)
impact Assessment phase
July 1997 to August 1997
y-
Broad Guidelines
for
Modalities
3
1.
Constitution of Task Force
a)
National Task Force
A Task Force with following composition has
already been constituted at national level:
1.
Secretary (Health), Govt, of India
Ministry of Health and family Welfare
Chairman
2.
Director General of Health Services,
Govt, of India
Member
3.
Additional Secretary (H),
Ministry of Health & Family Welfare
Member
4.
Joint Secretary
(Incharge of NMEP),
Ministry of Health & Family Welfare
Member
5.
Advisor (Health), Planning Commission
Government of India
Member
6.
Joint Secretary , Ministry of Agriculture
Department of Agriculture & Cooperation
Government of India
Member
7.
Joint Secretary , Department of Urban
Development, Government of India
Member
8.
Joint Secretary , Ministry of Environment
& Forest, Government of India
Member
9.
Joint Secretary, Department of Education
Government of India
Member
10.
Joint Secretary , Department of Rural
Member
Development, Government of India
A
11.
Joint Secretary, Ministry of Water
Resources, Government of India
Member
12.
Joint Secretary, Ministry of Welfare
(Dealing with Tribal Affairs)
Government of India
Member
13.
WHO Representative to India
Member
14.
Director, NICD, Delhi
Member
15.
Director, MRC, Delhi
Member
16.
Director, CHEB, Delhi
Member
17.
Executive Director,
Voluntary Health Association of India
Member
18.
President, Indian Medical Association
Member
19.
Director,
Member-Secretary
National Malaria Eradication Programme
£
b)
State Level Task Force
A similar Task Force shall be constituted at the State level under
the chairmanship of Chief Secretary/ Principal Health Secretary for
planning, supervision, monitoring
of implementation, resource
mobilization and guidance. State Programme Officer shall be the
Member Secretary to this committee.
In States where High Powered Board have been constituted, the
responsibilities of State Level Task Force could be assigned to these
High Powered Boards.
c)
District Coordination Committees
District level multi sectoral coordination committees shall be
constituted under the chairmanship of District Collector/District
Magistrate and District Malaria Officer shall be the Member Secretary
to this committee.
These committees shall essentially be multisectoral to enlist
effective inter-sectoral co-ordination. The local NGOs shall also be
included in such committees.
d)
Block Co-ordination Committees
Block level committees shall be constituted with the membership
of Block Development Officer and block level representatives from
different departments, NGOs, media and people’s representatives with
PHC Medical officer as convenor -cum-Secretary. The committee shall
be responsible for enlisting community support and effective
implementation at the grass root level.
2.
Development of micro-plans
Broad guidelines contained in this document as recommended
by the National Task Force shall be the basis for developing specific
micro-plans. State level Task Force shall formulate specific guidelines
and macro-plans that are locally suitable for achieving the over all
objectives. These macro-plans shall serve as the prototypes for
developing area specific micro plans at the block and district levels.
3.
Delimitation for area specific approaches
Since the area specific objectives as well as thrust area would be
different depending on endemicity and people’s perception of malaria
as a problem, delimitation of area has to be carried out in two broad
categories namely High Risk and Low Risk areas.
i)
Identification of high risk districts/blocks
For identification of high risk areas, the criteria already laid
down by the Expert Committee 1995 as contained in Operational
Manual For Malaria Action Programme is to be followed for both
urban and rural situations as indicated below:
Rural Areas
1.
Recorded deaths due to malaria (on clinical diagnosis or
microscopic confirmation) with P. falciparum infection during the
transmission period with evidence of locally acquired infection in an
endemic area, during any of the last three years.
2.
The Slide Positivity Rate (SPR) is to be used for the
identification of areas as follows:
Doubling of SPR during the last three years
7
provided the SPR in second or third year reaches
4% or more
Where SPR does not show the doubling trend as
above but the average SPR of the last three years is
5% or more
P. falciparum proportion is 30% or more provided
the SPR is 3% or more during any of the last three
years
An area having a focus of Chloroquine resistant
P. falciparum
A Chloroquine resistant PHC will be characterized
by detection of more than 25% of RII and R III
level cases in a minimum sample of 30 cases
Tropical aggregation of labour in project areas
New settlements in endemic/receptive and
vulnerable areas
Urban Areas
1.
The high risk Areas identified by the Expert Committee
are as follows:
All 15 Cities identified as high risk areas by the
Expert Committee are as given below :
1.
3.
5.
7.
9.
11.
13.
15.
Delhi
Calcutta
Hyderabad
Ahmedabad
Jaipur
Chandigarh
Visakhapatnam
Kanpur
8
2.
4.
6.
8.
10.
12.
14.
Chennai
Bombay
Bangalore
Bhopal
Lucknow
Vadodara
Vijayawada
2.
Among the remaining cities/towns presently
covered under UMS, the SPR 10% and above
during any of the last three years. The Expert
Committee further identified 14 cities/towns under
this criteria as given below :
1.
3.
5.
7.
9.
11.
13.
3.
Chaibasa(Bihar)
2.
Dohad(Gujarat)
4.
Jodhpur(Rajasthan) 6.
Bellary(Kamataka) 8.
Erode(Tamil Nadu) 10.
Rourkela(Orissa) 12.
Nabha(Punjab)
14.
Bharuch(Gujarat)
Godhra(Gujarat)
Bharatpur(Raj asthan)
Tuticorin(Tainil Nadu)
Dmdigal(Taniil Nadu)
Sambalpur(Orissa)
Dimapur(Nagaland)
Any other urban area with a population of 50,000
or more and SPR more than 5% or the ratio of
clinical malaria cases to fever cases more than one
third as per hospital/dispensaiy statistics during the
last calendar year.
Identification of areas and agencies for inter
sectoral co-operation
The task force shall identify specific areas of co
operation for various agencies including NGOs and media. This
will depend on area specific guidelines / plans.
iii) Specific planning for co-ordinated activity
implementation
The preparation of specific micro-plans shall be the
responsibility of district and block co-ordination committees
with the help of macro-plans and guidelines provided by the
9
State level Task Force. These plans shall be reviewed and
finalized at the Sate level before implementation.. As an example
, broad guidelines for development of area specific strategies for
Anti-Malaria Month are indicated below:
High Risk Areas
1.
Promotive actions
IEC activities covering following broad areas-
early diagnosis and prompt treatment
availability of EDPT services
importance of self protection from infective vector bites
including use of personal protection measures
source reduction including practices for sustainable
overall reduction in malariogenic potential of the area
importance of accepting and involving every one in
Governmental efforts like spray operation etc.
neighbourhood watch for unusual occurrence of fever and
its reporting for quick containment action
efforts for continuing medical education on malaria for
private practitioners
involvement of educational institutions in effecting
dissemination of information and other promotive
activities. For the purpose various schools may adopt
neighborhood area for at least one week for door to
door intensive education campaign
2.
Containment actions
identification of areas for introduction of alternative
methods of vector control like larvivorous fish on
sustainable basis
actual introduction of the fish in identified areas by
co-ordinated activities of malaria and fisheries
departments
community education on ways for sustaining and
16
proliferating such introduction
organisation of diagnosis and treatment camps
implementation of control activities as per regular action
plans of NMEP like surveillance and spray operations as
per schedule in rural areas and anti-vector drive for source
reduction in urban areas
Low Risk Areas
The strategy for antimalaria month in these areas will largely
focus on promotive activities with thrust on dissemination of
information on malaria, malariogenic potential, transmission and
prevention. This inter alia means that messages should be developed
to promote a healthy environment with particular emphasis on malaria.
iv) Broad areas for inter-sectoral co-ordination
role of different sectors other than health
1.
and
Education
The Education department can be involved by :
(a)
One day orientation for Principal/Vice Principals and
Science teachers may be called zone-wise/area-wise/
block-wise to be organized by education department with
faculty from Malaria/Health. This may be completed
during March-April, 1997.
(b)
Symposium/Moming assembly sessions on malaria with
demonstrations by Science teachers. Technical assistance,
if required, can be provided by local malaria/health
officials
(c)
Class room session on how to spread messages on
malaria prevention emphasis :
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4
Source reduction
Personal protection
Early reporting of fever
2.
(d)
Competitions - Posters/Painting/Projects/Essay/Slogans
on malaria.
(e)
Processions during Anti Malaria Month.
(f)
Neighbourhood adopted by schools for a week long IEC
drive by students & teachers.
(g)
Organization of NSS camps/NCC camps for 1EC
activities to spread the message of malaria control at
school as well as college level.
Agriculture
The agriculture department can be involved for
Dissemination of IEC activities to the farmers
Source reduction of mosquitogenic conditions
Propagation of larvivorous fish hatcheries and
introduction of larvivorous fishes in the selective
and feasible water bodies in the high risk areas.
3.
Urban Development
The Urban Development Department can help in
Enactment of legislation on the pattern of Goa and
Mumbai bye-laws
Source reduction drive
IEC activities particularly in the slum-dwellers and
migratory population relating with malaria control.
Preparing guidelines pertaining to the construction
and maintenance of roads, safe drinking water
supply and sewerage system
11
Orientations of engineers from different sectors for
their involvement for the malaria control activities.
4.
Environment & Forest
The Department of Environment & Forest can play a vital
role in activities like :
IEC activities with main emphasis on source
reduction, plantation, aforestation, etc
In the screening of population for malaria diagnosis
and treatment inhabiting the forests for their
livelihood with the help of Forest Officers and
Forest Guards etc.
IEC related with the use of personal prophylactic
measures by using mosquito nets etc.
Functioning as DDCs and FTDs bases in the hard
core and difficult terrain areas
5.
Rural Development
The Rural Development Department can motivate and
mobilize the youths, retired personnel and Panchayat
members etc. in :
Source reduction drive/campaign for malaria
control
IEC activities for awareness and community
involvement
In practicing preventive measures of malaria control
with special emphasis on personal protection
measures i .e. use of mosquito nets etc.
Early reporting of fever for diagnosis and treatment
As DDCs and FTDs
/3
6.
Water Resources
The sector can involve in following co-ordinated
activities:
IEC activities pertaining to malaria control
Orientation training for engineers on
operations and maintenance for dams/canals
to eliminate / prevent creation of
mosquitogenic potential
7.
Tribal Welfare
The department can help by way of organizing :
Orientation camps for IEC activities pertaining to
prevention and control of malaria to disseminate
target oriented message to enlist community
participation
In practicing preventive measures of malaria control
with special emphasis on personal prophylactic
measures i .e. use of medicated mosquito nets.
In early reporting for diagnosis and treatment.
DDCs and FTDs.
8.
Central Health Education Bureaue
Central Health Education Bureau (CHEB) can play a
major role by :
Organising IEC campaign through State Health
Education Bureaue
Preparation of IEC material pertaining to malaria
control activities.
Organising meeting/talks at village levels on
malaria.
9.
Voluntary Health Association of India
Voluntary Health Association of India (VHAI) can
effectively collabaorate in
Dissemination of messages pertaining to malaria.
IEC activities through regular articles etc. in media.
In practicing preventive measures of malaria control
with special emphasis of personal prophylactic
measures i.e. use of medicated mosquito nets.
In early reporting for diagnosis and treatment.
As DDCs and FTDs.
10. Indian Medical Association
Indian Medical association can participate in prevention and
control of malaria by way of:
IEC activities through private practitioners by way
of counseling .
Orientation training of private practitioners through
branches with main emphasis on the management of
complicated malaria cases.
In practicing preventive measures of malaria control
with special emphasis of personal prophylactic
measures i.e. use of medicated nets.
In early reporting for diagnosis and treatment.
(S'
Resource mobilization
To carry out these activities, all resources may have to be pooled
up at the district level and below from all coordinating sectors.
However, a sum of Rs. 15,000 may be made available to the District
Collector of high risk districts to meet the contingent expenses in
connection with this activity. The States should make appropriate
budgetary provision for development and replication of IEC material,
actual campaign and other contingent expenses etc.
Schedule of activities
Though the action plans are required to indicate specific time
frame for each activity component, a time schedule for monitoring the
progress of this activity is indicated below:
Activity Component
Date of completion
1.
Constitution of task force
by 20th January, 1997.
2.
Finalisation of broad guidelines
and dissemination to States for
further action by National Task
Force
by 31st January, 1997.
3.
Orientation of state level officers -
by 1 Oth February, 1997.
4.
Development of macro plans
by the State Level Task Force
by 20th February, 1997.
Development of target oriented
messages
by 20th February, 1997.
Constitution of District and Block
Co-ordination Committees
by 20th February. 1997
5.
6.
7.
Development of district and
block level micro plans
by 27th February. 1997
First Review of progress at
State level
1st March, 1997 .
First Review at the National
level
7th March, 1997.
Orientation of district/ block level
functionaries
by 15th March, 1997
11.
Replication of prototypes
by 31st March, 1997.
12.
IEC activities for school
education
April - May, 1997
13.
Second Review at State level
1st May, 1997
14.
Second Review at National
level
7th May, 1997
Print and electronic media
informative publicity
May 1997
8.
9.
10.
15.
16.
Final Review of preparations
at State level
17.
Final Review of preparations
at National level
26th May 1997
Post Activity Review at State
level
21st July 1997
Post Activity Review at
National level
7th August 1997
18.
19.
17
19th May, 1997
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