NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME DIRECTORATE GENERAL OF HEALTH SERVICES MINISTRY OF HEALTH & FAMILY WELFARE DR.MAHESWARI JAIKUMAR
NVBDCP
LESSON OBJECTIVE At the end of the class the learner should be able to: Explain in detail the National Vector Borne Disease Control Programme Explain It’s focus and implementation strategies
Directorate of National Vector Borne Disease Control Programme (NVBDCP) is the central nodal agency for the prevention and control of vector borne diseases i.e. Malaria, Dengue, Lymphatic Filariasis , Kala- azar , Japanese Encephalitis and Chikungunya in India. It is one of the Technical Departments of Directorate General of Health Services, Government of India.
The Directorate of National Vector Borne Diseases Control Programme is the national level Technical Nodal office equipped with Technical Experts in the field of Public Health, Entomology, Toxicology and parasitology aspects of malaria. The Directorate is responsible for framing technical guidelines & policies as to guide the states for implementation of Programme strategies.
It is also responsible for budgeting and planning the logistics pertaining to central sector. Monitoring of implementation through regular reports and returns of MIS is done. The Directorate carries out evaluation of Programme implementation from time to time. The resource gap is also assessed as to provide an equitable support based on the magnitude of the problem.
Under the Union Ministry of Health and Family Welfare, Government of India, 17 Regional Offices for Health and Family Welfare (ROH & FW) are functioning. These offices are located at different state headquarters. The offices are manned by technical people to coordinate and monitor all national health and family welfare Programmes in the concerned states through close liaison and field visits.
They are also capable for providing technical advice as well as assistance to the state. Under National Vector Borne Disease Control Programme these offices are entrusted with the responsibility of conducting the entomological studies in collaboration with zonal entomological setup of the state, drug resistance studies, cross checking of blood slides for quality control, capacity building of the states, etc.
At the district level, District Malaria Offices have been established under District Chief Medical and Health Offices by the states. This Unit is the key unit for planning and monitoring of Programme under a technical officer. At present 565 District Malaria Units are functioning.
In an effort to strengthen research on malaria and to meet the threat posed by resurgence of malaria, the Indian Council of Medical Research (ICMR) established Malaria Research Centre (MRC) in 1977. This institute works exclusively on malaria. MRC's mandate is to provide technical support to the National Programme in the control of malaria. The Centre focuses its research activities on vector biology and control; genetics, cellular and molecular biology; parasitology ; biochemistry; pharmacology and epidemiology.
Malaria Research Centre has 12 field stations in different parts of the country. MRC through its field stations evaluates new insecticides & diagnostic kits, conducts drug trials and monitors resistance to insecticides in vectors and to drugs in parasites.
In addition to Malaria Research Centre there are four other Institutes of ICMR, Vector Control Research Centre, Pondicherry; Regional Medical Research Centre in Jabalpur, Madya Pradesh; Dibrugarh , (Assam) and Bhubaneswar, Orissa; and Desert Medical Research Centre, Jodhpur, Rajasthan which carry out research on various aspects of malaria in addition to their other activities.
The Directorate of NVBDCP serves as the the nodal agency for planning, policy making and technical guidance, monitoring and evaluation of programme implementation in respect of prevention and control of vector borne disease under the overall umbrella of NHRM
The states are responsible for planning, implementation and supervision of the programme The vector borne diseases are major public health problems in India
Out of the six vector borne diseases, Malaria, F ilaria , J apanese B encephalitis, Dengue and Chickungunya are transmitted by different kind of vector mosquitoes, while Kala- azar is transmitted by sand flies
The transmission of vector borne diseses in any area is dependent on frequency of man-vector contact which is further influenced by various factors including vector density, biting time rtc
Mosquito density is directly related with water collection, clean or polluted in which the mosquitoes breed Under NVBDCP the three pronged strategy for prevention and control of VBD is as follows
1. Disease management including case detection and complete treatment, strengthening of referral services, epidemic preparedness and rapid response
2.Integrated vector management (for transmission risk reduction) including indoor residual spraying in selected high risk areas, use of insecticides treated bed nets, use of larvivorus fish, ant larval measures in urban areas, source reduction and minor environmental engineering
3.Supportive interventions including behaviour change communication (BCC), public private partnership and intersectoral convergence, human resource development through capacity building, operational research including studies on drug resistance and insecticidal susceptibility, monitoring and evaluation through periodic reviews/field visits and web based management information system
REFERENCES 1.Park’s Textbook of Preventive & Social Medicine, Banarsidas Bhanot publishers,22 Ed 2. Basawanthappa B.T, Community Health Nursing, Jayapee publications 3. Neelam Kumari , Text book of Community Health Nursing, S. Vikas Publisher, First Edn 4. Rao.B sridhar , Book of Community Health Nursing,AITBS publisher, New Delhi