PIP NVBDCP
2014-17
Dr. Gagandeep Singh GroverMD, MIAPSM, MIPHA, MTBETN, MBPNI, WHO Fellow (Dengue & DHF)
State Epidemiologist, NVBDCP
General Instructions
• The National Health Mission (NHM)
– NRHM
– NUHM
• NVBDCP
– “flexi pool for communicable diseases”
• Project Implementation Plan (PIP) for the year 2014-
15 to 2016-17
– Control of Malaria, Dengue, Chikungunya, Japanese
Encephalitis and Elimination of Lymphatic Filariasis and Kala-
azar.
Planning
• Rational use of relevant
epidemiological data to
– make the most effective
possible utilization of
program resources
– achievement of program
goals.
• Planning is a cyclical process
which is initiated with the
identification of
opportunities for change
and improvement.
PIP Draft
• Situation Analysis
– Current Status and projection for 3 years
– Key issues adversely affecting the performance
• Targets
– Setting targets for service delivery
• Prioritization of area including criteria of prioritization
• Strategy or innovation proposed
– Strategy to provide services and achieve targets
• Commodity Requirement
– (As per technical requirement & considering balance,
consumption capacity and justification)
NVBDCP Goals (12th Plan)
• Elimination of -Kala-azar and Lymphatic
Filariasis - 2015
• Control and contain Dengue, Chikungunya
and Japanese Encephalitis
• Paving the way for pre-elimination phase of
Malaria
– ABER > 10%,
– API<1 per thousand population
– Category 1: States with less than1 API including all the
districts in the state with less than 1 API
Surveillance in NVBDCP
Active Surveillance
• MPHWs
• ASHA
Passive Surveillan
ce
• DH, SDH
• CHC,PHC, SHC
Sentinel Surveillanc
e
• Malaria
• Dengue
Resource allocation
District wise resource allocation
NVBDCP under NHM State Resources
Demographic Profile
• Population of the District
• Urban Areas with Population and area
• District Hospital
• Sub-divisional Hospitals
• CHCs
• PHCs
• Subcentres
• Villages
• Malaria Clinics
• FTDs
Human Resource
Posts Required Sanctioned In Position Vacant
DMO/ DVBDO
Assistant Malaria officer
Medical Officers
MPHS (M)
MPHW(M)
MPHS(F)
MPHW(F)
Lab Technicians
ASHA
Swasthaya Sahayaks
HR (Urban areas)
Posts Required Sanctioned In Position Vacant
Entomologist/
Parasitologist
Insect Collector/s
SFW
Field Workers
Separate Data for separate urban areas and compiled for all
the urban areas as District compiled
Epidemiological Profile
Block Blood
Slides
Prepared &
Examined
Total
Positive
Cases
Pf Deaths ABER API Pf% SPR SFR
ABER/ MBER is an index of operational efficacy of the programme
Trends in SPR/SFR can be utilized for predicting epidemic
situations in the area.
API indicates burden of malaria in an area
Pf% >25% of all cases show high risk area for Malaria
Urban Malaria Scheme
• Vector Surveillance –detailed plan
• Any additional towns to be covered with
larvicides may also be reflected for
consideration.
Town Populatio
n
Area Staff Persons
examine
d
Total
Malar
ia
Cases
Death
s
Bio
log
ist
IC SFW FW
Entomological surveillance
• State & 3 Zonal Levels
– Prevalence of Vector
– Adult Density
– Outdoor collection of vectors
– Larval Density
– Susceptibility
– Man Biting rate
– Baits
– Human resource and funds
Prioritization of Area
• Rural
– Case Load: age wise/ sex wise incidence
– ABER: SC wise: Moga, Fzp, Ptl
– API: SC wise: Fdk, Mns
– IRS/ Focal: SCs/villages/population/houses/rooms
• Urban
– Towns/ Localities: areas
– Cases: age wise/ sex wise- incidence- Ldh, Ptl, FGS,
Gsp, Hsp
– Entomological Surveillance: SAS, Sang,Bnl
– Breeding areas
Innovations for Malaria
• If any for rural/ urban areas
• Every DH - designated as Sentinel Site for
Malaria for severe Malaria cases
– Oxygen
– I/V Fluids
– Diagnosis
– Management as per protocol of GOI
Requirement of Commodities
Commodity Annual Requirement
formula
Balance Consump
tion
Justified
Demand
Funds
Blood Slides • 10% Population
•25% Buffer
Appx 1.5/
Blood lancets �10% Population
�10% Buffer
Appx 1.5/
Tab CQ BSC/2 X 6 Appx 0.37/
Tab PQ 7.5 � Pv Cases X 60% X 2 X
14
� Pf Cases X 60% X 6
� Pf Cases X 40% X 4
Appx 0.14/
Tab PQ 2.5 � Pv Cases X 40% X 4 X
14
Appx 0.20/
ACT Adult � Pf X 80% Appx 180/
ACT
Paediatric
� Pf X 20% Appx 182/
Inj Quinine � Pf Cases X 40% X 10%
X10
Requirement of CommoditiesCommodity Annual Requirement
formula
Balance Consumption Justified
Demand
Funds
DDT �150 MT per million
population for 2 rounds
GOI
Malathion 25%
wdp
�900 MT per million
population for 2 rounds
75/ Kg
Temephos �0.5 KL per million Pop 788/ lt
Pyrethrum 2% �1 KL per million pop 1733/ lt
Bti WP �42 MT per million pop 1099/ Kg
Bti AS 1450/lt
Stirrup Pumps for
IRS & Focal Spray
No.
Knapsack Spray
Pumps
No.
Continuous Spray
Pumps
No.
Fogging Machines No.
Larvicides/ Insecticides
Required for towns
Name of
the Town
Total
Population
Larvicides Required Space Spray
(Pyrethrum)
Polluted
Water
Clean
Water
Total of the
District
Financial Malaria• F.1.1.a - Contractual Payments :
• F1.1.b: ASHA: Against vacant posts of MPHW(M): Rs 15/ for slide
collection & transport and Rs 75/ for radical treatment
• F.1.1.c.i & ii – Spray Wages and operational cost for IRS
• F1.1.c iii – Impregnation of Bed-nets: for areas API>5
• F.1.1.d : M & E:
– Hiring of vehicles
– Supervision – TA/DA
– Epidemic Preparedness – For capturing early warning signals,
Rapid Response Team etc.
– Printing of formats for reporting
– Monthly & Review Meetings
– Operational Costs
– Computer/ Printer etc
Financial Malaria
• F.1.1.e IEC / BCC
– Subcentre to Block wise action plan
– Activities
• F.1.1.f PPP / NGO
– involvement of Pvt Sector
• F.1.1.g Training/ Capacity Building
– Paramedical Staff after calculating training load
F.1.1.h Zonal Entomological Units
– Human Resource
• Consultant Entomologist
• Insect Collector
– Hiring of Vehicles
• for field visits
– Commodities
• entomological kits ,
• microscope,
• Computers etc
– Contingencies
Financial Malaria
• F.1.1.i Biological and Environmental
Management
– Taken up under Dengue Head
• F.1.1.j Larvivorous Fish support
– Except Faridkot, Fazilka, Ferozepur, Mansa, Mukatsar,
Bathinda & Tarn Taran
• F.1.1.l Any other activity (Pls specify)
Dengue and Chikungunya
• Disease Situation Dengue & Chikungunya
Urban
• Age wise/Sex wise/Area wise Rural
District Town Suspecte
d Cases
Samples
Collected
Positive
Cases
Deaths
Dengue and Chikungunya• Spot maps
– Identification of areas (high burden)
• Specific constraints,
– inter-sectoral coordination
• Emergency Hospitalization Plans
• RRTs
• Mobility of RRTs
• M & E
– Daily Reporting from towns and then to State
– SSHs reporting and recording
Dengue and Chikungunya
�Blood Banks
�Blood Component Separators
�Aphresis Machines
�Dengue Wards with mosquito proofing
�Newer strategy and innovations proposed for
implementation of the programme
�Intensification of the entomological
surveillance
– Area wise monitoring of HI, CI & BI to review your control
strategies and operational efficacy
Diagnostic Facilities (D & C)
Name of
the SSH
Functional
(Yes/ No)
Ig M Mac
ELISA Kits
(NIV Pune)
NS1 Ag Kits Samples
Tested
Samples
found
positive
Recei
ved
Utiliz
ed
Rece
ived
Utiliz
ed
Name of the SSH Functional
(Yes/ No)
Ig M Mac ELISA
Kits (NIV Pune)
Samples
Tested
Samples found
positive
Receiv
ed
Utilize
d
Diagnostic Facilities (D & C)
• Proposal of
– new SSHs in 2014-15 and
– replacement of existing if any with justifications.
• Details of kit requirement for 2014-15, 2015-
16 & 2016-17 separately for
– IgM Dengue,
– IgM Chikungunya and
– NS1 ELISA for Dengue.
Vector control teams
Town Population Dengue
Cases
2013
Dengue
Deaths
2013
CHk Cases
2013
Volunteers
required
for
breeding
checking
& source
reduction
Funds
required
Total
District
•The towns should be categorized:
•Population more than 40 lakhs, 10-40 lakhs and 1-10 lakhs.
•Honorarium: Daily wagers as per approved rate by labour
Department per day per volunteer X 20 days X 5 months or
transmission period whichever is less.
Commodity Requirement-Dengue
• Insecticides and larvicides
– decentralized items dealt under UMS
• Monthwise, institution wise requirement of
test kits
– Dengue and
– Chikungunya
D&C Financial
• F.1.2.a Strengthening surveillance
– F.1.2.a (i) Apex Referral Labs recurrent
– F.1.2.a(ii)Sentinel Surveillance Hospital recurrent @
Rs. 1.00 Lakhs per lab as operational cost
– F.1.2.a(iii)ELISA facility to Sentinel Surveillance
Labs: @ Rs. 3-5 lakhs per SSH.
• F.1.2.b Test kits to be supplied by GOI (kindly indicate
numbers of ELISA based NS1 kit and IgM ELISA Kits
required separately
D&C Financial
• F.1.2.c Monitoring/supervision and Rapid
response:
– Mobility Support
– Review meetings
– Sample Transportation to SSHs
– Strengthening of reporting
• F.1.2.d Epidemic preparedness- for epidemic
preparedness and containment of outbreak.
@ tentative Rs.2 lakhs for district
D&C Financial• F.1.2.e Case management:
– Strengthening District Hospitals for Dengue and
Chikungunya case management
– Should also include mosquito proofing of wards.
• F.1.2.f Vector Control & environmental
management:
– source reduction activities by hiring field workers at
towns /cities with population. The State NRHM norms/
approved rate by labour dept. may be followed for the
Field Workers.
D&C Financial– Fogging Machines – Hand operated fogging
machines needed for Indoor Space Spray
• F.1.2.g IEC/BCC for Social Mobilization:
• F.1.2.h Inter-sectoral convergence
– DLMCs
– IMA meetings
• F.1.2.i Training & printing of guidelines,
formats etc. including operational research
– Training Load of MOs for D&C
SummaryDisease/ Head
(Including
activities in
subheads)
Unspent
balance
Committed
Expenditure
2013-14
Cash
Assistance
Required
2014-15
Cash
Assistance
required
2014-17
• Malaria
• Dengue
• Decentralized
Procurement
THANKS