NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAM (1).pptx

National Vector Borne Disease Control Programme ( NVBDCP )

1. NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAM

2. NVBDCP Launched in 2003 6 vector borne diseases Malaria Filariasis Kala azar Japanese encephalitis Dengue Chikungunya

3. Organization of the program National level Technical Nodal office .- The Directorate of National Vector Borne Diseases Control Programme State level - State vector borne diseases control component under the Directorate of Health Services . — District level - District Malaria Offices have been established under District Chief Medical and Health Offices by the states. Supervision and monitoring by DVBDC consultants at district level and malaria technical supervisors(MTSs) at sub district level. Delivery of malaria control services by ASHAs and other volunteers at the Community and household level

4. Main activities of Directorate of NVBDCP —Formulating policies & guidelines — Providing technical guidance to the states — Planning — Logistics — Monitoring & evaluation — Coordination of activities through states/UTs — Collaboration with international organisations — Training — Facilitating research through NCDC, NIMR, RMRC etc — Coordinating control activities in inter state & inter country border areas

5. Strategies Disease Management Early case d etection and complete treatment Strengthening of referral services Epidemic preparedness and rapid response Integrated Vector Management Entomological surveillance Anti-larval measures Anti-adult measures Supportive interventions BCC PPP Intersectoral coverage HRD through capacity building, operational research Monitoring and evaluation

6. MALARIA

7. Miles stones in the field of Malaria Control  National malaria control Programme- 1953 National malaria eradication programme-1958 Urban malaria scheme -1971 National Anti malaria Programme -1999 NVBDCP - 2003 National framework for malaria elimination in India - 2016

8. NATIONAL FRAMEWORK FOR MALARIA ELIMINATION IN INDIA (2016-2030) Launched in February 2016 VISION - Eliminate malaria nationally & contribute to improved health, quality of life & alleviation of poverty — GOALS – Eliminate malaria (zero indigenous cases) throughout the entire country by 2030 Maintain malaria free status in areas where malaria transmission has been interrupted and prevent re- introduction of malaria

9. Objectives: By 2022 transmission of malaria interrupted and zero indigenous cases to be attained in all states that were under category 1 & 2 in 2014 By 2024 incidence of malaria to be reduced to less than 1 case per 1000 population By 2027 indigenous transmission of malaria to be interrupted in all states and UTs By 2030 malaria to be eliminated through out the entire country and reestablishment of transmission prevented.

10. Classification of states /UTs for malaria elimination in India — Category 3 (Intensified control phase) Category 2 (Pre- elimination phase) — Category 1 (Elimination phase) — Category 0 (Prevention of re- establishment phase) —

11. Strategies: Early diagnosis and radical treatment Case based surveillance and rapid response Integrated vector management Epidemic Preparedness and early response Monitoring and evaluation Advocacy , co-ordination and partnership Behaviour change communication and community mobilization Program planning and management

12. Urban Malaria Scheme Launched in 1971 to over come the increasing incidence of malaria in urban areas where the vector was found to be An. Stephansi. Intensive anti larval measures and drug treatment are the mainstay of UMS. Reorganization - Malaria Units under NMEP were reorganized to conform to the geographical boundaries of the district and the CDMO was made responsible for implementation of the programme Decentralization of Laboratory services - Laboratory Technician with the necessary facilities is now located at each PHC Establishment of Drug Distribution Centers (DDCs) and Fever Treatment Depots (FTDs)

13. Malaria Control Strategies 1. Epidemiological surveillance and case management Case detection active and passive. Early diagnosis and complete treatment Sentinel surveillance 2. Integrated Vector Management(IVM) — ANTILARVAL MEASURES : Environmental control ,Chemical control, Biological control — ANTIADULT MEASURES: Residual sprays, Space sprays, Genetic control — PERSONAL PROTECTION: Mosquito net, Screening, Repellants

14. 3. Epidemic preparedness and early response 4. Strengthening of referral services 5 . Supportive interventions Behavioral change communication(BCC) Public Private Partnership & intersectoral convergence Human resource development through Capacity building ,Operational research including studies on drug resistance & insecticide susceptibility Monitoring & evaluation through periodic reviews/ field visits

15. Filariasis

16. National Filariasis Control Program Launched in 1955, In 1978 merged with urban malaria scheme. Implemented through: Urban - Filaria control unit, filaria clinics, survey unit Rural- primary health care system Strategy include: Vector control through antilarval operations , source reductions Detection and treatment of microfilaria carriers and morbidity management. IEC

17. Elimination of lymphatic filariasis NHP (2002) envisaged ELF by 2015. Goal : Number of microfilaria carriers is less than 1% and Children born after ELF initiation are free from circulating antigenemia. Strategy : Annual mass drug administration of single dose of antifilarial drug to interrupt disease transmission. Home based management of lymphedema cases and upscaling of hydrocele operations in identified CHCs/ district hospitals and medical colleges.

18. KALA AZAR Endemic in Bihar, Jharkhand, West Bengal and Uttar Pradesh

19. Kala Azar Elimination Program Launched in 1990-91 . Revised as total eradication of kala- azar on 2 nd september 2014 . Strategy: Enhanced case detection and complete treatment : rk39 rapid diagnostic kit and oral miltefosine Transmission interruption by vector control (pyrethroid). BCC Capacity building Monitoring, supervision and evaluation Research

20. Incentive to ASHA: Rs 300- identifying each case Rs 100 – one round insecticide spraying Revised Strategy includes: Introduction of RDT kit by ICMR Single dose treatment with liposomal Amphoterecin B , IV 10mg/kgbw to reduce human reservoir

21. Japanese Encephalitis 2003, for elimination of JE

22. Strategies for prevention and control of JE Strengthening surveillance activities through sentinel sites in tertiary hospitals Early diagnosis & Case management Integrated vector control: Personal protection, Larvivorous fish Capacity building BCC/IEC: JE Vaccination Keeping pigs away Use of malathion as outdoor fogging

23. Dengue Fever & Chikungunya fever Merged with NVBDCP on 2006

24. Strategies for prevention & control of Dengue & Chikungunya Surveillance - Disease and Entomological Surveillance Case management - Laboratory diagnosis and Clinical management Vector management - Environmental management for Source Reduction, Chemical control, Personal protection and Legislation Outbreak response - Epidemic preparedness and Media management Capacity building - Training, strengthening human resource and Operational research Behaviour Change Communication - Social mobilization and Information Education and Communication (IEC) Inter-sectoral coordination - Health, Urban Development, Rural Development, Panchayati Raj, Surface Transport and Education sector Monitoring and Supervision - Analysis of reports, review, field visit and feedback