Briefing on

Intensified Malaria Control

Project-3 (IMCP-3)

India CCM Induction and Orientation Workshop

3rd-4th December 2015

Directorate of National Vector Borne Diseases Control Programme , Delhi

Plan of Presentation

• Introduction

• Programme goals and Objectives

• Funds received

• State/Districts covered

• Strategies

• Planned Activities

• Achievements

• Way Forward

Introduction• GF is supporting malaria control in 7 NE states.

• Intensified Malaria Control Project-II (IMCP-II) Round-9: allocation of US$ 88million in 2 Phases:

– Phase-I: 2 Years, Oct. 2010- Sep. 2012

– Phase-II: 3 Years, Oct. 2012- Sep.2015

• Central Govt. also provides assistance to the states on the basis of approvednorms and technical requirements; and

• States also spend substantial amount on infrastructure, staff and statecomponents of programme.

• The focus under the funding model period would continue in 7 NE States an anadditional state Odisha due to high disease burden

• Together, these states have a population of approx. 91 Million in 125 districts.

• The target group/beneficiaries include marginalized groups, tribal population, and women and children and other key population like Jhum cultivators, forest workers, migrants and mobile population (especially in border areas)

Programme Goal and Impact Indicators

• To reduce malaria related morbidity by at least 50% and mortality by at least 50% in project areas (08 states) by 2017 as compared to 2012.

Programme Objective and outcome indicators1. To achieve near universal coverage by 2017 by effective preventive

interventions (LLIN) for population living in high risk project areas(API >1)

2. To achieve near universal coverage of fever cases by correct,affordable and appropriate parasitological diagnosis; and prompt,effective treatment according to the national drug policy in projectareas by 2017

3. To achieve coverage in project areas by appropriate BCC activitiesto improve knowledge, awareness and responsive behaviorregarding effective preventive and curative malaria controlintervention by 2017.

4. To strengthen surveillance and M&E, program planning andmanagement and co-ordination and partnership development toimprove service delivery in project areas by 2017

5. To strengthen health systems, community systems throughcapacity building (training) to improve service delivery in projectareas by 2017

Project aids will be utilized for the following Modules & Cost Groups

S.No Modules Total Year 1 Total Year 2 Total Year 3 TOTAL %

1 Vector Control (LLIN) 67,065,835 848,647 0 67,914,482 63%

2Case Management

(Diagnostics & Drugs)2,515,512 12,221,134 1,286,634 16,023,280 15%

3HSS - Health Information

Systems and M&E3,005,282 3,055,468 1,799,800 7,860,550 7%

4HSS - Health and

Community Workforce2,474,452 3,597,064 1,759,016 7,830,532 7%

5 Program Management 3,673,865 2,401,974 1,747,684 7,823,523 7%

TOTAL 78,734,946 22,124,287 6,593,134 107,452,367 100%

Cost in USD

Proposed Geographical Coverage under

NFM

States: 8

Districts: 125

Pop’n: Approx. 91

Million

RAJASTHAN

ORISSA

GUJARAT

MAHARASHTRA

MADHYA PRADESH

BIHAR

KARNATAKA

UTTAR PRADESH

ANDHRA PRADESH

JAMMU & KASHMIR

ASSAM

TAMIL NADU

CHHATTISGARH

PUNJAB

JHARKHAND

WEST BENGAL

ARUNACHAL PR.

HARYANA

KERALA

UTTARAKHAND

HIMACHAL PRADESH

MANIPUR

MIZORAM

MEGHALAYANAGALAND

SIKKIM

GOA

A&N ISLANDS

D&N HAVELI

PONDICHERRY

LAKSHADWEEP N

EW

S

API - 20120-1>1-2>2-5>5-10>10 & Above

Strategies:

• Prevention• Early Diagnosis and Complete Treatment• Behavior Change Communication (BCC)• Monitoring & Evaluation• Co-ordination and partnership development.• Capacity Building

Planned Activities:

• Human Resource and Capacity Building• Case Management including IEC/BCC• Vector Control including long lasting insecticidal nets (LLINs)- Mass

Campaign• Health Information System and Monitoring & Evaluation• Programme Management including infrastructure and other

equipments

Impact indicator for 7 NE + Odisha for NFM

Indicators (Sex, Agedisaggregation required)

Source2012

(Baseline)

Timeline wise Target

2015 2016 2017

Confirmed malaria cases (microscopy or RDT) per 1000 persons per year

HMIS 3.89 3.77 2.46 1.82

Number of confirmed malaria deaths

HMIS 192 176 115 96

Total Positivity Rate (Microscopy + RDT)

HMIS 3.51 3.00 2.25 1.75

Coverage/ Output Indicators in the Performance Framework

Indicators SourceTimeline-wise Target

2015 2016 2017

Number of Long Lasting Insecticidal Nets distributed to at-risk populations through mass campaign

HMIS6,517,277(Oct. 15 –Mar. 16)

16,726,505(Apr. 16 –Sep. 16)

Proportion of reported fever cases suspected of malaria that received a parasitological test at public sector health facilities

HMIS 100 100 100

Proportion of confirmed malaria (Pf) cases that received ACT as per National Policy at public sector health facilities

HMIS 100 100 100

Proportion of ASHAs trained/re-trained in malaria diagnosis and treatment

HMIS62.6(Oct. 15 –Mar. 16)

100(Apr. 16 –Sep. 16)

Outcome Indicators in the Performance Framework

Indicators SourceTimeline wise Target

2016 2017

Proportion of population that slept under an insecticide-treated net the previous night

HHS 60 80

Proportion of children under five years who slept under an insecticide-treated net the previous night

HHS 70 90

Proportion of pregnant women who slept under aninsecticide-treated net the previous night

HHS 70 90

Proportion of persons reporting fever within last two years, who have obtained a test result (RDT/Microscopy) within 24 Hrs. of reporting to health care system/provider

HHS 60 80

Proportion of people who know about the cause of symptoms of, treatment for and preventive measures Malaria

HHS 60 80

Drugs and Diagnostics proposed under NFM

LLINS: 7.24 million LLINs for 7 NE States: already

procured, being delivered to states, expected to complete by Dec. 2015.

11.34 million LLINs for Odisha are also proposed under NFM

RDKs, Inj, Artesunate & ACT-AL

Commodity/ State 7 NE States Odisha

RDKs 10,185,540 6,251,956

Inj. Artesunate 83,654 83,940

ACT-AL 357,176 569,484

Trainings proposed under NFMTraining of ASHAs: 1 Day The targets refer to: i) 07 NE states and Odisha under 'Allocation'. Total ASHA:

52,175 in NE states & 41773 in Odisha = 93948 Targets are set for 79850 ASHAs (85% by PR1 and 15% by PR2). 1000 batches in Year 1 and 597 batches in Year 2 with 50 trainees in a batch

Training of non- formal Private health providers: ½ Day 20 in each block (to be completed in Year 1)

Training of formal health providers: ½ Day 50 in each district (IMA/IAP)

100 at State HQ. (IMA/IAP) - 1 Day Training of MTSs Induction (10 Days) in Year 1 & Refresher (3 Days) in Year 2. Training of DVBD Consultant (Refresher in Year 2) and left out DVBDCs (no. to be

decided in RRM) – NIMR, Delhi; 40 Days Training of MOs (Refresher): 3 Days Induction & Refresher training of LTs (1 per district): 7 Days Miscellaneous meetings (High endemic, Low endemic, Medical Colleges etc.) Tea Estates/ Rubber plantation meeting – 1 Day SPO/DMO Training – 12 Days

Trend of Malaria in NE States (2001 to 2014)

0

100

200

300

400

500

600

700

800

900

1000

0.00

0.05

0.10

0.15

0.20

0.25

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Total Malaria Cases (in Millions)

Pf Cases (in Millions)

Deaths

•ACT& RDT in 2005 : 8.99% reduction in Malaria Cases11.55 % reduction in deaths 2014 against 2005

•LLIN in 2009 : 41.68% reduction in Malaria Cases54.41% reduction in deaths in 2014 against 2009

ACT & RDT

LLIN

Trend of Malaria Parameter in NE States (2001 to 2014)

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

AB

ER

AP

I, S

PR

& S

FR

API SPR SFR ABER

Way Forward….

• Effective implementation of the project and programme activities with complete utilization of available funds

• Early detection and timely public health interventions

• Increasing community awareness and involvement in VBD control activities

• Making available the drugs, diagnostics and preventive interventions at all levels with priority to high risk areas

• Innovative approaches

THANK YOU

Intensifying the

Fight Against Malaria