NVBDCP - Final Presentation v2-NRHM

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BhopalBhopal- 2nd July, 2010 Vector Borne Disease Control Programme

IssuesVector Borne Disease Control Programme 1. Surveillance o ABER o Pf% 2. Indoor Residual Spray (IRS) 3. LLINs 4. Human Resources 5. ASHAs 6. Financial issues

SURVEILLANCE

ABERState wise Status of ABER-2009Performance States

ABER >10

Andhra Pradesh, Arunachal Pradesh, Chhattisgarh, Goa, Gujarat, Jharkhand, Karnataka, Madhya Pradesh, Meghalaya, Mizoram, Maharashtra, Orissa, Punjab, Rajasthan, Tamil Nadu, A&N Island, D&N Haveli, Daman & Diu Assam, Haryana, Himachal Pradesh, Jammu & Kashmir, Kerala, Nagaland, Tripura, West Bengal, Chandigarh, Pondicherry Bihar, Manipur, Sikkim, Uttarakhand , Uttar Pradesh, Delhi, Lakshadweep

ABER 5-10

ABER 10% of pop. annual

ABER ( 2001- 2009)Sl No

State

2001 2002 2003 2004 2005 2006 2007 2008 200912.17 31.53 8.90 0.44 17.79 21.01 13.89 10.80 12.00 8.00 3.40 18.09 5.42 12.42 14.41 29.43 26.03 8.38 0.49 7.66 0.43 13.82 20.20 6.45 0.33 15.33 18.11 18.02 9.86 10.26 7.30 4.78 17.65 5.39 14.04 24.50 7.07 0.26 16.51 18.40 19.93 11.27 9.65 7.38 10.08 19.36 6.40 13.15 26.14 9.35 0.27 15.63 19.36 19.69 11.71 9.29 8.30 7.12 18.91 6.04 12.31 23.25 8.16 0.16 14.27 24.76 16.46 10.80 9.10 7.68 6.66 16.79 5.79 12.35 20.68 8.79 0.16 12.33 27.67 15.35 11.17 7.59 7.90 8.30 17.00 5.36 12.18 17.50 9.89 0.15 11.93 29.04 17.19 8.53 7.83 9.22 10.88 17.75 6.23

1 Andhra Pradesh 2 Arunachal Pradesh 3 Assam 4 Bihar 5 Chhattisgarh 6 Goa 7 Gujarat 8 Haryana 9 Himachal Pradesh 10 J & K (Jammu) 11 Jharkhand 12 Karnataka 13 Kerala

15.27 15.74 20.71 21.11 13.99 15.84 9.66 10.67 10.99 10.32 7.72 3.15 7.26 2.64

18.46 18.90 4.65 5.79

Contd..

ABER ( 2001- 2009)Sl No

State

2001 2002 2003 2004 2005 2006 2007 2008 200913.96 14.77 4.37 10.94 25.37 2.78 10.66 11.24 15.33 7.96 11.33 9.14 1.52 2.02 13.59 13.78 14.29 14.26 4.14 11.52 5.85 8.63 13.59 14.14 5.84 9.41 23.99 3.74 11.32 9.58 12.80 6.45 11.52 7.72 3.77 2.73 13.13 13.28 5.55 9.48 24.17 4.79 12.36 10.58 12.42 5.62 11.85 8.55 3.50 2.35 14.39 16.23 3.56 12.58 24.07 5.09 12.44 9.79 15.32 5.23 9.67 9.32 3.12 2.36 13.22 12.60 4.36 14.32 15.72 5.58 12.24 10.22 12.52 3.84 8.70 8.07 2.51 2.00 13.11 12.08 4.80 15.23 16.88 6.86 12.23 11.05 14.19 3.50 9.37 9.03 2.46 2.18 13.42 13.33 4.09 21.62 17.53 7.99 12.10 11.12 13.85 3.80 11.43 9.40 2.24 2.19

14 Madhya Pradesh 15 Maharashtra 16 Manipur 17 Meghalaya 18 Mizoram 19 Nagaland 20 Orissa 21 Punjab 22 Rajasthan 23 Sikkim 24 Tamil Nandu 25 Tripura 26 Uttarakhand 27 Uttar Pradesh

26.97 22.33 3.01 3.33

12.19 11.73 10.80 10.53 10.08 13.87 9.80 6.94

11.40 12.14 7.69 3.43 2.92 7.91 4.02 3.24

Contd..

ABER ( 2001- 2009)Sl No

State

2001 2002 2003 2004 2005 2006 2007 2008 20094.09 53.99 9.80 16.01 14.37 8.30 3.12 31.72 4.70 5.04 4.50 38.86 7.70 12.04 12.38 7.34 2.42 25.09 5.51 31.83 9.46 16.61 10.89 7.36 1.33 21.22 6.16 29.86 7.75 40.57 16.80 6.23 2.31 18.70 5.63 32.97 8.76 20.50 15.38 4.43 0.70 11.73 5.39 35.70 7.62 18.24 15.79 3.94 0.38 11.91 7.61 26.65 9.25 21.93 14.03 3.38 0.68 8.43

28 West Bengal 29 A & N Islands 30 Chandigarh 31 D& N Haveli 32 Daman& Diu 33 Delhi 34 Lakshadweep 35 Puducherry

44.42 43.04 8.01 9.11

13.72 13.29 14.30 13.36 8.30 3.10 8.71 3.11

29.80 30.13

Total

9.18 9.04 9.65 9.33 9.62 9.95 8.73 8.69 9.29

Plasmodium falcipuram (pf) MalariaCurrently about 54% of total malaria cases Increasing over the years - particularly after 2001 Particularly high in o NE States o Andhra Pradesh, Chhattisgarh, Orissa, Jharkhand, A&N Islands Pf can create Complications Raise the mortality Pf cases and deaths can be controlled by Early diagnosis using RDKs Complete treatment with ACTs

Pf % ( 2001- 2009)Sl No

State

2001 2002 2003 2004 2005 2006 2007 2008 200959.56 56.28 57.96 54.79 57.67 59.61 61.13 19.68 15.25 16.86 14.73 23.86 32.81 26.61 61.97 62.30 63.56 71.23 66.96 65.48 69.07 25.00 46.29 40.72 17.79 15.62 15.60 46.33 69.35 72.41 74.08 76.59 74.58 77.53 69.77 28.94 21.73 14.41 18.77 12.49 23.87 31.24 23.31 19.58 24.24 29.83 18.09 19.96 25.88 11.90 0.00 2.63 4.38 11.43 0.00 2.20 5.26 3.44 1.68 5.56 3.20 0.72 0.00 2.61 1.07 7.02 4.88 1.07 2.88 7.08 60.35 59.24 28.20 30.19 69.25 72.81 67.38 80.90 76.77 79.39 27.76 20.89 22.89 18.50 3.92 1.37 7.83 1.86 0.00 6.31

1 Andhra Pradesh 2 Arunachal Pradesh 3 Assam 4 Bihar 5 Chhattisgarh 6 Goa 7 Gujarat 8 Haryana 9 Himachal Pradesh 10 J & K (Jammu) 11 Jharkhand 12 Karnataka 13 Kerala

48.53 41.78 31.52 30.78 26.76 24.96 24.84 24.29 22.40 23.51 25.29 26.43 26.19 22.89 14.20 11.16 17.09 18.28 13.19 14.73 15.20

34.31 40.11 20.83 15.44 12.31 12.17

Pf % ( 2001- 2009)Sl State No14 Madhya Pradesh 15 Maharashtra 16 Manipur 17 Meghalaya 18 Mizoram 19 Nagaland 20 Orissa 21 Punjab 22 Rajasthan 23 Sikkim 24 Tamil Nandu 25 Tripura 26 Uttarakhand 27 Uttar Pradesh 33.39 28.99 31.48 39.59 30.92 30.21 40.40 34.51 32.11 48.20 42.47 35.12 32.17 33.44 39.34 47.40 45.11 28.18 37.18 48.03 33.50 77.02 61.92 67.18 85.81 87.76 86.58 84.57 54.49 50.03 57.14 53.26 58.60 66.80 68.89 11.53 5.93 8.22 5.15 3.05 15.06 16.48

Contd.40.22 27.36 33.06 26.60 50.28 58.00 91.63 96.73 83.85 78.59 16.44 31.79 87.80 88.16 1.52 6.88 1.18 5.40

2001 2002 2003 2004 2005 2006 2007 2008 2009

83.48 83.16 83.22 84.40 86.41 87.26 86.90 6.79 13.47 7.20 9.23 1.28 7.22 1.49 7.77 1.96 9.53 2.03 6.26

7.80 11.55

41.94 13.21 14.75 20.63 44.93 33.33 14.58 4.29 7.30 8.62 6.89 7.81 4.52 6.09

26.32 38.10 3.51 2.82

79.07 81.56 78.22 86.99 79.19 81.53 86.22 23.41 4.81 7.23 11.28 2.78 2.37 3.11 2.57 1.37 2.99 0.54 2.05 0.21 2.55

91.09 94.08 4.44 2.47 3.40 1.21

Contd..

Pf % ( 2001- 2009)Sl No

State

2001 2002 2003 2004 2005 2006 2007 200829.37 19.46 1.01 6.96 25.29 0.94 0.00 0.94 31.23 18.27 3.82 20.28 18.50 0.86 0.00 1.94 32.88 19.65 5.95 22.65 14.89 3.22 0.00 3.17 27.28 15.97 3.02 25.67 15.25 2.13 0.00 2.33 22.24 52.43 2.08 15.69 16.35 5.38 0.00 4.55 27.22 25.04 43.40 55.63 1.56 0.88 27.34 67.68 1.73 33.16 16.52 0.00 0.00 6.94

200927.23 55.64 0.93 38.52 19.59 0.00 0.00 1.54

28 West Bengal 29 A & N Islands 30 Chandigarh 31 D& N Haveli 32 Daman& Diu 33 Delhi 34 Lakshadweep 35 Puducherry

47.89 33.57 13.57 15.15 3.88 0.00 4.00 1.10 0.00 7.35

Total

48.20 48.74 45.85 46.47 44.32 47.08 49.11 50.81 53.60

Indoor Residual Spray

IRSRound I of DDT spray:- Completed in Arunachal, Manipur, Meghalaya, Mizoram, Nagaland, Tripura, Jharkhand, Karnataka, A&N, Daman & Diu, Puducherry as per schedule - In progress in rest of the States

Round II DDT spray- Scheduled to begin in Ist week of July in most States - Preparations expected

Requires supervision at all levels including field visits Necessary to have micro action plan including advance information to villagers and PRIs Timely release of wages to spray workers

Some Field Observations on IRS During 2010 Quality of Spray very poor Coverage of IRS coverage of >80% around 30% against desirable

NE Sates- 1st round completed, schedule adhered. Bihar (Kala-azar) 1st round completed, schedule adhered General supervision of IRS from State/ District level PHC level - Poor - Should be integral part of IRS Planning Involvement perceptible of villagers and local bodies not

Spray wages not being released in time in some districts in Bihar (Saharsa, Sitamarhi)

SCHEDULE OF IRS DDT SPRAY(as on 26th June 2010)S.No. Name of the State/U.T.s Round Prescribed spray scheduleCommencement Completion

StatusCompleted In progress Completed Completed Completed Completed In progress Completed

1 2 3 4 5 6 7 8

Arunachal Pradesh Assam Manipur Meghalaya Mizoram Nagaland Sikkim Tripura

I II I II I II I II I II I II I II I II

1/3 16/5 15/2 1/7 15/3 14/6 1/3 1/7 15/3 2/6 1/4 16/7 16/4 1/8 15/4 5/7

15/5 30/7 30/6 15/9 14/5 11/9 15/5 15/9 30/5 2/7 15/6 30/9 30/6 15/10 31/5 15/9

Contd..

SCHEDULE OF IRS DDT SPRAY(as on 26th June 2010)S.No. Name of the State/U.T.s Round Prescribed spray scheduleCommencement Completion

StatusIn progress

9

Andhra Pradesh

10 11

Bihar Chattishgarh

12 13

Goa Gujarat

14

Haryana

I II III I II I II III I II I II III I II III

1/5 16/7 16/8 1/5 16/7 1/5 16/7 1/8 1/5 16/7 1/5 16/7 16/8 16/5 1/7 16/8

15/7 30/9 30/9 15/7 30/9 15/7 30/9 15/9 15/7 30/9 15/7 30/9 30/9 30/6 15/8 30/9

In progress In progress

In progress In progress

In progress

Contd..

SCHEDULE OF IRS DDT SPRAY(as on 26th June 2010)S.No. Name of the State/U.T.s Round Prescribed spray scheduleCommencement Completion

StatusIn progress In progress

15 16

Himachal Pradesh Jammu & Kashmir

17 18

Jharkhand Karnatka

I II I II III I II I II III I II III I II III

19 20

Kerala Madhya Pradesh

21

Maharashtra

1/4 30/6 1/7 30/9 1/5 15/7 16/7 30/9 1/8 15/9 1/4 15/5 15/5 30/9 1/3 15/5 1/8 15/9 16/9 31/10 Focal Spray 1/5 15/7 16/7 30/9 1/8 15/9 1/6 15/8 16/7 30/10 1/9 15/10

Completed Completed

In progress

In progress

Contd..

SCHEDULE OF IRS DDT SPRAY(as on 26th June 2010)S.No. Name of the State/U.T.s Round Prescribed spray scheduleCommencement Completion

StatusIn progress

22

Orrisa

23

Punjab

24 25

Rajasthan Tamil Nadu

26

Uttarakhand

27

Uttar Pradesh

I II III I II III I II I II III I II III I II III

1/5 16/7 1/8 1/6 1/8 16/8 15/5 1/8 16/4 1/7 16/8 1/5 16/7 1/8 1/5 16/7 1/8

15/7 30/9 15/9 31/7 30/9 30/9 31/7 15/10 30/6 15/8 30/9 15/7 30/9 15/9 15/7 30/9 15/9

In progress

In progress In progress

In progress

In progress

Contd..

SCHEDULE OF IRS DDT SPRAY(as on 26th June 2010)S.No. Name of the State/U.T.s Round Prescribed spray scheduleCommencement Completion

StatusIn progress

28

West Bengal

29 30 31

A & N Islands Chandigarh D & N Haveli

32

Daman & Diu

I II III I II I II I II III I II III

33 34 35

Delhi Lakshadweep Pondicheery

I II

15/5 31/7 1/8 15/10 1/8 15/9 1/3 16/5 18/5 31/7 1/5 15/9 16/7 30/9 16/5 30/6 1/7 15/8 16/8 30/9 1/5 15/6 16/6 31/7 1/8 15/9 Focal Spray Focal Spray 1/4 15/6 1/7 15/9

Completed In progress In progress

Completed

Completed

MANPOWER

Manpower additional support

State and District Level Consultants o Initially centrally recommended Apptt thru SHS o Now Recruitment Decentralized Types of additional contractual Manpower provisionedState level ConsultantsM&E, PPP, Supply & Logistic, IEC, Training and Entomology

District level Vector Borne Disease Consultants

Sub-district levelMTS/ KTS, Lab. Technicians and MPWs

State Level Consultants for Malaria

(World Bank Project)

Sl. No.

Name of the State

Sanctioned

As on 10.01.10

As on 18.06.10

Remark

1

Andhra Pradesh

6 6 6 6 6 30

1 4 3 2 3 13

3 2 3 3 4 15

2 more filled up, 3 vacant 2 left, 4 vacant No change, 3 vacant 1 more filled up, 3 vacant 1 more filled up, 2 vacant

2

Chhattisgarh

3

Jharkhand

4

Madhya Pradesh

5

Orissa

TOTAL

15

State level Consultants for Kala-azar (World Bank project)

Sl. No.

Name of the State

Sanctioned

Recruited up to 10.01.10

Recruited up to 18.06.10

Remarks

1

Bihar

6 4 4 14

0 0 0 0

3 0 2 5

3 vacant

2

Jharkhand

4 vacant

3

West Bengal

2 vacant

TOTAL

9 vacant

Status of DMOsSl. No. Name of StatesDistrict

Sanctioned

In Position up to 10.02.10

In Position up to 18.06.10

Remarks

1 2 3 4 5 6 7 8 9 10

Orissa Jharkhand Goa Chattisgarh Haryana Madhya Pradesh West Bengal Rajasthan Kerala Gujarat

30 24 2 16 21 50 18 33 14 26

30 11 0 7 21 45 18 33 14 26

3 7 1 2 21 15 18 33 11 24

15 7 0 2 21 12 18 33 12 23

12 posts filled up;15 more to be filled up. No change. 13 posts to be sanctioned . 4 post are to be filled up

No change. 9 posts to be sanctioned.5 are to be filled up Post filled up 3 retired, 5 posts to be created. 33 posts filled up since 10.2.10 Progress satisfactory. All posts filled up All posts filled up 1 post filled up since 10.2.10 3 posts need to be filled

Status of DMOsSl. No. Name of StatesDistrict Sanctioned

In Position up to 10.02.10

In Position up to 18.06.10

Remarks

11 12 13 14 15 16 17 18 19 20

Maharashtra Uttar Pradesh Tamil Nadu Andhra Pradesh Uttrakhand Punjab Karnataka J&K Himachal Pradesh Bihar

37 71 42 23 13 20 29 22 10 38

36 70 42 22 9 20 29 6 10 24

25 56 42 13 5 11 25 6 0 16

23 56 42 17 5 11 27 6 10 17

1 post to be sanctioned. 2 have retired, 13 posts need to be filled 1 post to be sanctioned. 14 need to be filled. All posts filled up 1 post to be sanctioned. 4 posts filled up since 10.2.10. 5 need to be filled up . No change. 4 posts to be sanctioned. 4 posts need to be filed. No change. 9 posts need to be filled. 2 posts filled up since 10.2.10 No change, 16 posts to be sanctioned. Progress satisfactory. 10 posts filled up since 10.2.10 14 posts to be sanctioned. 1 post filled up since 10.2.10. 7 posts need to be filled.

Status of DMOsSl. No. Name of StatesDistrict Sanctioned

In Position up to 10.02.10

In Position up to 18.06.10

Remarks

21 22 23 24 25 26 27

Arunachal Pradesh Assam Manipur Meghalaya Mizoram Nagaland Tripura Total

15 27 10 7 8 11 4621

15 17 10 7 8 11 4545

3 13 10 7 8 11 4390

15 13 10 7 8 10 4424

Progress satisfactory. All posts filled up No change. 10 posts to be sanctioned. All posts filled up All posts filled up All posts filled up 1 person retired since 10.2.10 post filled up

Consultants at District level (World Bank project)

Malaria VBD ConsultantsSl. No. 1 2 3 4 5 Name of the State Andhra Pradesh Chhattisgarh Jharkhand Madhya Pradesh Orissa Sanctioned Recruited up to 10.02.10 Recruited up to 18.06.10 Remark No change, 3 vacant All filled up No change, 2 vacant 1 more filed up, 1 vacant 1 more filed up, 1 vacant

5 11 12 9 13

2 9 10 7 11

2 11 10 8 12

TOTAL

50

39

43

7

Consultants at District level (World Bank project)

Kala-azar VBD ConsultantsSl. No. Name of the State Sanctioned Recruited up to 10.02.10 Recruited Remarks up to 18.06.10

1

Bihar

31 4 11

0 3 7

7 3 7

7 more filled, 24 to be filled No change, 1 to be filled No change, 4 to be filled

2

Jharkhand West Bengal TOTAL

3

46

10

17

Consultants at Block level (World Bank project)

Malaria Technical Supervisor (MTS)Sl. No. Name of the State Sanctioned Status of Recruitment as on 10.01.10 Status of Recruitment as on 18.06.10 Remark

1

Andhra Pradesh

30 66 72 54 78

0 48 30 45 77

30All filled up

2

Chattisgarh

48 46 46 73

No change, 18 vacant 16 more filled up, 26 vacant 1 more filled up, 8 vacant 4 left, 5 vacant

3

Jharkhand

4

Madhya Pradesh Orissa TOTAL

5

300

200

243

Consultants at Block level

(World Bank project)

Kala-azar Technical Supervisor (KTS)Sl. No. Name of the State Sanctioned Recruited up to 10.02.10 Recruited up to 18.06.10 Remarks

1

Bihar

186...