MALARIA CONTROL PROGRAMME.pptx

This ppt will supply the information about malaria control program in Nepal

1. MALARIA CONTROL PROGRAMME Prepared by: Sanskriti Ojha BSC Nursing

2. INTRODUCTION Malaria control program was first started in Nepal in 1950 from Hetauda with the purpose to prove the malaria survival. with the help of USOM(United States Operations Mission) and WHO, on 1958 dec 4, the malaria eradication programme was initiate to eradicate malaria. This was free organization under the chairmanship of health minister. As per the recommendations of USAID(The United States Agency for International Development) and WHO, the programme was changed to malaria eradication to malaria control.

3. National malaria strategic plan 2014-2025 Vision Malaria –free Nepal in 2025 Mission To empower the health staff and the communities at risk of malaria to contribute towards the vision of malaria –free Nepal in 2025.

4. Goals To sustain zero death due to malaria from 2012 onwards. To reduce the incidence of indigenous malaria cases by 90% by 2018(relative to 2012); To reduce number of VDCs having indigenous malaria cases by 70% by 2018( relative to 2012); To receive WHO certification of malaria free status by 2025.

5. Major activities in 2073/74 413403 LLIN(Long-lasting insecticides nets)was distributed mass distribution and 55919 LLIN was distributed to pregnant women at their first ANC visits. Conducted the ward –level micro-satisfaction of malaria cases in 44 districts. Introduced case-based surveillance system, including web-based recording and reporting system for districts. Conducted a national malaria vector survey.

6. Orientated district and peripheral level health workers on case based surveillance and response. Carried out detailed foci investigation at more than four sites. Conducted G6PD deficiency prevalence study across 30 wards in 54 high risk VDCs. Orientated district health workers and FCHVs on the government`s malaria elimination initiative and their role in detecting cases and facilitating early treatment. Orientated mother groups and school children on malaria prevention and the need for early diagnosis and prompt treatment.

7. Conducted regular vector control(indoor residual spraying) bianually across high and moderate risk districts. Conducted detailed case based investigation and fever surveys around positive index cases. Conducted integrated entomological surveillance around twelve different site of thought-out the country. Celebrated world malaria day on 25April.

8. MANAGEMENT OF MALARIA CONTROL PROGRAM Basically four strategic implementations have been put forwarded for malaria control namely ; vector control and personal protection, early diagnosis and appropriate treatment, epidemic preparedness, behavioral change communication and improving programme management. Vector control and personal protection: It includes indoor residual spraying and distribution of free LLINs particularly to pregnant women. At present only alphacypermethrin and pyrethoid group of insecticides are used for IRS in nepal . Alphacypermethrin protects vector for three months and two rounds(may/ june-aug /sept) are conducted.

9. Early diagnosis and appropriate treatment: RDT(Rapid Diagnostic Test) and microscopy are used as a major way for the diagnosis of malaria. All malaria medicines are provided at free of cost through FCHVs. ACT( Artemisinin -based combination therapy) is provided as a laboratory confirmed falciparum cases throughout the country. Malaria surveillance and epidemic preparedness: For this stock of RDT, drugs and insecticides are made to be available at regional levels and its resistance is conducted regularly at the BCC. The communication strategy includes five methodologies; interpersonal communications, primary and secondary education, mass media, campaigns and high level advocacy.

10. Improving programme management: This includes training of personnel, staffs, advisory groups, meeting with neighbouring countries, and developing the research center in Hetauda for vector borne disease including malaria.

11. Thank you