SFT

Orientation
8th Feb 2008
NVBDCP
 Overview of NVBDCP

Vector borne diseases includes:

(i) Malaria,

(ii) Filariasis,

(iii) Kala-azar,

(iv) Dengue,

(v) Chikungunya and

(vi) Japanese Encephalitis (JE)

 PROGRAMME
IMPLEMENTATION
For 2008-09, the States/UTs are requested to include the full
action plan of NVBDCP along with the justified proposal on the
basis of technical assessment.

The financial proposal should include the balance available out

of the funds released under the programme.

The requirement for additional items (not approved under the

programme) need to be projected under NRHM additionality.
 Malaria Programme Objective

Prevention of deaths due to

malaria

Reduction in malaria morbidity

MALARIA CONTROL IN INDIA SIGNIFICANT DEVELOPMENTS

1953 - Estimated Malaria Cases in India 75 Million

Estimated Deaths Due to Malaria 0.8 Million
Launching of NMCP
1958 - Launching of NMEP
1966 - Cases Reduced to 0.1 Million
Early 70s - Resurgence of Malaria
1976 -Malaria Cases 6.46 Million and 59 Deaths
1977 - Modified Plan of Operations Introduced
1977 - Pf Monitoring Team - Parasite Sensitivity of anti-malarials
1981- National Drug policy for Treatment of Malaria - Introduced
1984 - Annual Malaria Incidence Reduced to 2.2 Million Cases
1984 -1998 - Annual Reported Incidence Within 2-3 Million Cases
1994 - Resurgence of Malaria outbreaks in Some States
1995 - Expert Committee on Malaria
1997 - World Bank Assisted Enhanced Malaria Control Project
2006- onwards WB agreed for Retroactive financing
2004 -Introduction of ACT for Pf cases in drug resistance areas
2005 ( July) GFATM- IMCP- (106 districts of 10 states )
2007- National Drug policy revised
2008- New project on Malaria Control & Kala Azar Elimination with World Bank
Assistance is likely to start
 STRATEGIES FOR MALARIA
CONTROL
Surveillance - Early Diagnosis and Prompt Treatment-
Alternative drugs for drug resistant cases.
Selective Vector Control (Integrated Vector Control
Measure)
Promotion of Personal Protection Methods - Bed Nets
Management Information System (MIS)
Early Detection & Containment of Epidemics
IEC/BCC - Community Involvement
Capacity Building
Monitoring and Evaluation - CMIS
Contd.

STRENGTHENING OF EDPT
To trained laboratory technicians by induction level
and reorientation courses.
Private sector involvement for laboratory services
Involvement of private medical practitioners from all
disciplines
MOs and LTs of Military & Para-military training
Rapid diagnostic kits for remote and inaccessible high
risk pockets
 SELECTIVE AND INTEGRATED
VECTOR CONTROL

Indoor Residual Spray (IRS) by prioritizing the area

Insecticide treated bed nets/Long lasting Insecticide
Nets
Source reduction methods - Anti-larval Measure
Environmental methods through minors modifications
in irrigation channels, proper drainage and source by
filing/elimination of ditches.
Larvivorous fish
In urban areas, implementation of bye laws
 INTEGRATED VECTOR
CONTROL ( Larvivorous)
Use of larvivorous fish being promoted
Suitable for use in urban areas and selected
rural areas
 IVM
(INSECTICIDE TREATED BED
NETS)
Bed nets for high risk rural tribal areas.

Priority beneficiaries - Below Poverty Line population

especially pregnant women and children.

Involvement of civil society organizations in

distribution/insecticide treatment of bed nets.
 IEC/BCC ACTIVITIES &
INTERSECTORAL COLLABORATION
Development of States specific communication strategies and media plan,
especially focusing on specific strategies
Participation by elected representatives and faith based
organization/community based organization for community involvement
Involvement of NGOs, CBOs, FBOs, Panchayat
Involvement of private sector
Involvement of professional bodies
Involvement of tribal schools, public health engineering Deptts., railways,
information & broadcasting, military, para-military, fisheries depatt. water
resource management, rural development, etc.
Year Cases (in million) Deaths

2005 1.82 963

2006 1.76 1703

2006 (up to November) 1.48 1095

2007 (up to November) 1.29 996

Malaria Contribution in Prioritized Areas (2006)

States/Uts Population Malaria (%) Pf Death

(%) (%) (%)
NE states 3.79 12.55 18.31 55.08
Jharkhand 2.60 11.36 6.23 0.27
Chhattisgarh 2.16 6.59 10.79 0.13
Orissa 3.61 22.52 43.34 17.01
Total 12.16 53.02 78.67 72.49
61 districts 6.57 45.06 78.60 45.86
 CHLOROQUINE RESISTANCE AREAS

20 states/285 PHCs declared CQ resistant

SP-Artesunate Combination Therapy (ACT)

introduced as first line treatment in the
Chloroquine resistance foci and surrounding
cluster PHCs

Piloting of ACT treatment to all Pf cases in the

entire districts
 ISSUES
Multiple paradigms (Rural malaria; Urban malaria; Forest malaria; Industrial
malaria; Border malaria; Migration malaria)
Remote, inaccessible, tribal areas
Rapid urbanization with large scale & unplanned developmental projects
(dams, roads, buildings, etc.), migration of labour, deficient water and solid
waste management systems
Emerging drug resistance, insecticide resistance
Vacant posts of key workers : MPW (Male), Health Asstt. (Male), Lab.
Technician.
Disease burden estimation, Micro stratification
Health Impact Assessments
Procurement & supply management
Timely release and optimal utilization of funds
Strengthening M&E - Dedicated Programme Managers, Staff
 GFATM
Title of the Project: Intensified Malaria Control Project (IMCP)

Project Period : 5 Years starting from July 2005 to June 2010 in

Financial Outlay: US $ 63 million

Implementation Plan : In two Phases

Phase I July 2005 to June 2007 with a budget outlay of US $ 30.16 million
(13 Million US $ Released).

Phase II July 2007 to June 2010 with a budget outlay of US $ 50 million.

Goal:

To reduce malaria morbidity and mortality in 100 million population in 10 states

by 30% in 5 years.
 INDIA 106 Districts Proposed for GFATM Round IV
(2005-2010) (100 million population)
10 States
106 Districts
100 million Population

SELECTION CRITERIA OF IMCP AREAS

(FOR GFATM FUNDS)

Poor and vulnerable groups settled in the poorest parts of the country in 10
states (106 districts).

High disease burden : 9.76% of population contribute to 25% morbidity and

47% mortality due to malaria in the country.

About 24 million population under the project are living along the
international borders with Bhutan, Bangladesh Myanmar and Nepal .
SELECTION CRITERIA OF IMCP
AREAS
(FOR GFATM FUNDS)
Poor and vulnerable groups settled in the poorest parts of the
country in 10 states (106 districts).

High disease burden : 9.76% of population contribute to 25%

morbidity and 47% mortality due to malaria in the country.

About 24 million population under the project are living along

the international borders with Bhutan, Bangladesh Myanmar
and Nepal .
 Programme Components
Human Resource: Hiring of Consultants & support staff for Project
Monitoring units
Capacity building of MO/ LTs/ FTDs/ DDCs/ Volunteers etc
Commodity & Products: Procurement of ITNs, synthetic flow for treatment of
bednets for interruption malaria transmission and RD Kits for strengthening
diagnosis at peripheral areas
Drugs: Injection Arteether for treatment of severe & complicated malaria,
Artesunate SP(ACT) for treating P. falciparum cases in chloroquine resistant
areas
Planning & Administration including M&E:
Supervision- Mobility support
Monitoring- Reviews at NVBDCP, State & District level
Evaluation- Internal through field visits & Independent through hiring
agencies
Operational Research- Drug Resistance studies & Entomological Studies
Additional inputs during Phase-II
Additional Lab Technician
Additional Malaria Supervisor and Field Supervision
Malaria Technical Supervisors (MTS)

Sl. No. States No. Of Posts allotted to states

MTS LT
1 Assam 32 0
2 Arunachal Pd. 15 11
3 Meghalaya 12 10
4 Manipur 14 12
5 Mizoram 6 8
6 Nagaland 8 11
7 Tripura 10 10
8 Jharkhand 17 16
9 Orissa 26 15
10 West Bengal 10 7
Total 150 100
 Additional Human Resources
inputs under the phase-II of
the project
State level consultant through NHRSC

District level VBD consultants

Logistic consultant at State & District level

NGO consultant at HQ & State

Status of engagement of these to be monitored.

 Monitoring utilization of funds
under GFATM
Needs to be monitored

Operational cost for treatment of bednets

Review meeting of the District by the states
(twice a year)
Field review details
Timely submission of SOEs UCs & Audit
Reports.
 Monitoring by the state
coordinator
Utilization of RDKs mainly for improving the diagnostic
facilities is remote, in accessibility areas by volunteers
Skills of ASHA in conducting RDKs kits & use of
Antimalarials
Physical verification of distributed bednets in high
disease burden areas
Transportation plan for transportation of slides from
village to nearest PHC with the Public/Private
transport system
Availability of Antimalarials at all levels
Supply chain of Antimalarials.
 PROPOSED VBD PROJECT UNDER WORLD BANK
World Bank support to NVBDCP for two diseases:
Malaria control & Kala-azar elimination
Duration of project Five years
Expected date of starting April 2008
Expected fund flow from Bank US$ 200 million for 5 years
GoI contribution US 20 million
Malaria US 130 million
Kala-azar US 40 million
Project management US 50 million
Under malaria, 100 districts selected in 13 states covering a population of 185
million
Initial two years 50 districts in 5 states
In third year onwards 50 more districts in 8 states
Under kala-azar all 52 districts
1st year 15 distt, 2nd year 18 distt, 3rd year 19 distt
 LIST OF 100 DISTRICTS UNDER WORLD BANK NEW
PROJECT
Sl. No State 1st Year 2nd Year 3rd Year 4th Year 5th Year

1 Orissa 13 13 14 14 14
2 Jharkhand 12 12 15 15 15
3 Chhattisgarh 11 11 16 16 16
4 Madhya Pradesh 9 9 19 19 19
5 Andhra Pradesh 5 5 5 5 5
6 Karnataka 7 7 7
7 Rajasthan 2 2 2
8 Tamil Nadu 1 1 1
9 Goa 1 1 1
10 Maharashtra 4 4 4
11 West Bengal 3 3 3
12 Andaman & Nicobar 1 1 1
13 Gujarat 12 12 12
TOTAL 50 50 100 100 100

Selection criteria : Pf cases >1000 Pf > 25% SFR >0.2%

 STRATEGIES FOR NEW PROJECT UNDER
MALARIA
1 Diagnosis of Stock of RD Kits to ASHA/AWW/MPWs in high
cases endemic areas and with block PHC where the post of
Lab Technician vacant.
Filling of contractual lab technician in hard core areas

2 Improved case Introduction of Artesunate Combination Therapy

management (ACT) to all P.falciparum cases diagnosed by rapid
diagnostic kit (RDK) or through malaria microscopy
within 24 48 hours

3 Vector control Contractual positioning of entomologist in zones

Supply of SP insecticide
Vector mapping

4 Long lasting LLINs in inaccessible area. Distribution through

insecticide nets social marketing, NGOs, vouchers system
(LLIN)
Contd.

STRATEGIES FOR NEW

PROJECT UNDER MALARIA
5 Training & BCC Country wide support

6 MIS Establishment of sentinel sites for reporting trends

in malaria and malaria mortality

7 Supervision & Engagement of contractual VBD officers in endemic

monitoring districts
Creation of malaria technical supervisor (MTS) per
2.5 lakhs population and technical supervisor for 6
months during spray season
Provision of two wheeler to MTS for monitoring
 W.B. SUPPORT UNDER KALA-
AZAR
All 52 kala-azar endemic districts in four states (Bihar, Jharkhand,
Uttar Pradesh & West Bengal) shall be included under World
Bank project

Strategies shall be focused on:

Strengthening of human resource components at blocks &

district level
- Positioning of Kala azar Activist at endemic areas
- District Coordinator
Introduction of treatment card
Diagnosis of cases through rapid diagnostic test
Treatment of KA cases with newer drug miltefosin on pilot basis
in 10 endemic districts
Enhanced BCC/IEC and capacity building through training
 Elimination of
Lymphatic Filariasis
 Genesis of ELF Programme
Govt. of India is signatory to the WHA Resolution 1997.

The WHA 1997 vide No. 50.29 resolved to globally eliminate

lymphatic filariasis as a public health problem.

WHO aims to Eliminate Lymphatic Filariasis by 2020.

National Health Policy (2002) envisages the goal of Elimination

of Lymphatic Filariasis by 2015.

MDA was initiated as pilot in 13 districts of 7 states in 1997 &

extended to 30 districts by 2003.

MDA was expanded in 2004 in 202 filaria endemic districts in

20 states/UTs
 FILARIA ENDEMICITY MAP
Endemic districts: 250 (in 20 States/UTs), Population: 583 million

STRATEGIES FOR ELF

Interruption of transmission of filariasis by Annual
MDA for 5 years or more to the population except:
children below 2 years
pregnant women
seriously ill persons
(DEC + Albendazole in selected distt & DEC in other
distt)

Morbidity Management
Home based management of lymphoedema cases
and
up-scaling of hydrocele operations in the identified
CHCs / District hospitals/ medical colleges.
UPSCALING OF MDA IN INDIA SINCE 1997
*Orissa (4), UP (1), Bihar (2) did not observe MDA

Line listing of LF Cases MDA Coverage

Year Lymphoe Hydro Year Targeted Covera

dema cele Population ge %
Cases Cases
2004 359037 226567 2004 380220675 72.6

2005 497784 308458 2005 434486313 79.8

2006 559324 332690 2006 342156550 83.67

2007 517379 308609 2007 350979729 87.28

Line listing of LF Cases MDA Coverage

Year Lymphoe Hydro Year Targeted Covera

dema cele Population ge %
Cases Cases
2004 359037 226567 2004 380220675 72.6

2005 497784 308458 2005 434486313 79.8

2006 559324 332690 2006 342156550 83.67

2007 517379 308609 2007 350979729 87.28

 Our Role for Improvement
Make ourselves well versed with the
Implementation strategy
Guidelines
FAQs and Answers
Assessment methodology
Selection of sentinel sites
Updating lymphoedema and hydrocele cases
 ELF Activities
Pre MDA Activities
State Task Force Meeting to pursue with state officials to ensure that
the meeting is convened in time
State Technical Advisory to pursue with DHS of state to ensure that
Committee meeting the meeting is convened in time.
Instructions to districts Meeting with SPOs/NRHM for ensuring
issuance of proper instructions repeatedly
Training at state HQ for District RD &NRHM official must attend these
level officers/nodal officers/ training courses as part of faculty/observer
medical colleges/ Research as well as to monitor the quality of the
institutions training.
Capacity building of NRHM Must ensure that NRHM officials are invited
officials and participate in such training.

Funds release from NRHM To ensure that the funds are released for all
State Health Society to district activities of ELF ( not only for MDA ) well in
society time

District Coordination Emphasize on involvement of urban areas/

Committee meetings municipalities/ corporation
 ELF Activities
District, PHC and Village wise plan for Monitor & guide at various
ELF activities and levels to facilitate its preparation
& implementation.

Intensification of Lymphoedema
management & Hydrocele operations
Issuance of instructions from district to
PHCs and District Collector to
CMO/DMO, NRHM, Local Bodys
officials to release funds
Emphasizing and monitoring
Block level officers and Village Health &
Sanitation Committee (VHSC to address
ELF issues and motivate community for
MDA and morbidity management on
every monthly meeting of health day.
 ELF Activities
DEC receipt, distribution and proper storage Guidance & Monitoring
of DEC tablets with record.

Identification of Rapid Response Teams (RRT)

and drug distributors including ASHA,
Aganwadi and voluntary organization.

Guidance, Monitoring and

Training and orientation of medical and feedback to DC & SPOs/Mission
paramedical staff Director
Orientation of drug distributors and RRT for
improving compliance
Managing serious adverse experiences and
linkages between drug distribution team and
RRT.

Sensitization of media & advocacy Emphasize on timely &

repeated actions
 ELF Activities
During MDA Activities

Monitoring the visits of officers and Obtaining information and instant feed
their feedback from the field on back to DC,SPO & Delhi
preparatory activities

availability of funds Caution the district & PHC officials

Use of updated village register for Sample checks randomly
MDA, compilation of MDA coverage & Feed back to DC, SPO, Delhi
compliance,
and side reactions if any

Mop up round to cover the absentees Emphasize and Convince during visits
or left over population to improve compliance
Post MDA Activities
ELF Activities
Compilation of data and its transmission
to PHC/District/state
Assessment of compliance by involving
medical colleges/research institutions
Coverage & compliance
Most effective IEC tool
Reason for non compliance
No. of side reactions
Monitoring & providing
Percentage of side reactions
reported (persisting more than 2 technical assistance to states
days or needs hospitalization)
Percentage of lymphoedema cases
practicing home based management.

Submission of Data in time

Submission of SOE/UCs
 IMPORTANT POINTS

States to initiate preparatory activities for MDA to be

observed on 11 November
Timely completion of activities, adequate social
mobilization & IEC activities for better drug
compliance.
Drug distributors at sub centre and village level
including MPWs, ANM, Aganwadis, ASHA & volunteers
need to be identified & trained.
States to intensify the hydrocele operations and home
based management for lymphoedema patients.
 KALA-AZAR - Milestones
1953, 1958

Insecticide Residual spraying with DDT under National Malaria

Eradication Programme resulting in marked decline in disease incidence

1970s

Resurgence of Kala-azar subsequent to withdrawal of IRS

Initially reported in four districts of Bihar and then from other parts

1992

High incidence at 77102 cases and 1049 deaths

Launched centrally sponsored Kala-azar Control Programme
 MILESTONES
2000

Recommendation for elimination of Kala-azar by Expert Committee

2002

National Health Policy set the goal for Elimination of KA by 2010

2005

Tripartite Memorandum of Understanding signed between India,

Bangladesh and Nepal for elimination of Kala-azar by 2015
Kala-azar in India

42
STRATEGY: THREE-PRONGED
VECTOR CONTROL

Indoor Residual Spraying with DDT up to 6 feet height

from the ground twice annually.

Hygiene and environmental sanitation

Advocacy for use of Insecticide treated bed nets.

Contd/-
STRATEGY: THREE-PRONGED
PARASITE ELIMINATION

Early case detection and complete treatment

Introduction of Kala-azar rapid test - rk39 for use at

peripheral level

Introduction of oral drug Miltefosine on pilot

basis as first line treatment

Strengthening of referral services

Contd/-
 Contd/-

SUPPORTIVE INTERVENTIONS:

Communication for Behaviour Impact

Inter-sectoral collaboration
Capacity Building
Operational research
Close monitoring and supervision
with periodic reviews/evaluations

Expert Committee on Kala-azar under the Chairpersonship of the DGHS, Govt.

of India, reviews Programme policy and strategies
 KALA-AZAR ELIMINATION PROGRAMME:
GOAL and TARGET
Goal:

Improving the health status of vulnerable groups and at risk population living
in Kala-azar endemic areas of India by elimination of Kala-azar by 2010.

Target:

To reduce the annual incidence of Kala-azar to less than one per 10,000
population at the sub-district level preferably by 2010, towards elimination of
Kala-azar in South East Asia region by 2015.
 INITIATIVES
Introduction of new diagnostic tool rK39 and oral
drug miltefosine on pilot basis in 10 districts in three
states.

Free diet to kala-azar patient and one attendant.

Incentive to kala-azar patient @ Rs. 50/- per day

towards loss of wages
 INITIATIVES
Incentive to kala-azar activist / ASHA for Rs. 100/- per case to
refer and ensure complete treatment.

Construction of Pucca houses for mushar community in

collaboration with Ministry of Rural Development.

First installment of 12.03 crores released to the state of Bihar

under Indira Vikas Yojna

Village wise GIS mapping in Bihar

Focused intervention strategy

 INITIATIVES
Active case search twice in a year.
Adequate supply of anti kala-azar drugs.
Vector Control, diagnosis & treatment, kala-azar fortnight, use
of Miltefosine & rK39, Roadmap, patient coding scheme
Circulated.
Tool kit with flip charts, posters made available to state.
Prototypes on kala-azar for spots in T.V. / radio sent to states
for translating into local language for target groups
Central teams supervised & monitored IRS activities in 9 highly
endemic districts in Bihar state during Feb.- March 2007.
Third Party supervision & monitoring of IRS by RMRI Patna.

Contd.
 Initiatives Taken
Implementation of strategic Action Plan for prevention & control of Chikungunya by
the State Govt.
Identified 13 Apex Referral Laboratories for advanced diagnosis and regular
surveillance of Dengue, Chikungunya and JE fever cases.
NIV Pune has been entrusted to supply ELISA test kits to these institutes.
Contingency grant made available to meet the operational cost of the Sentinel
Surveillance hospitals and Apex Referral Laboratories.
Guidelines on clinical management of Dengue/DHF cases sent to the states for wider
circulation.
Continuous monitoring of the situation.
Dissemination of detailed guidelines and advisories.
Identified 110 sentinel surveillance hospitals for proactive surveillance for Dengue,
Chikungunya and JE.
Emphasized on intensive IEC/Behaviour Change Communication activities through
print, electronic media, Inter-personal communication, outdoor publicity as well as
Inter-sectoral collaboration with civil society organizations (NGOs/CBOs/Self-Help
Groups), Panchayati Raj Institutions (PRIs), for taking community based measures.
Supply of logistics like larvicides and adulticides in affected states.
EPIDEMIOLOGICAL PROFILE
Dengue

Year Cases Death

2005 11985 157
2006 12317 184
2007 5093 65

Chikungunya

Year Suspected
cases
2006 1390322
2007 56140
 FUNDS RELEASED FOR PREVENTION
AND CONTROL OF CHIKUNGUNYA
Year Amount allotted / Name of the states Activities to be
(No. of released undertaken
states) (in Rs lakhs)

2006-07 2160.46/ entire Andhra Pradesh , Gujarat, For purchase of

(11) Karnataka, Kerala, Madhya Fogging Machines,
Pradesh, aharashtra, Pyrethrum Ext. (2%),
Rajasthan, Delhi, Tamil Temephos, Insecticide
Nadu, Pondichery and A & treated bed nets and
N Islands for conducting IEC
activities

2007-08 875.31 Andhra Pradesh, Kerala, For purchase of

(5) Maharashtra, Tamil Nadu, Temephos, Pyrethrum
and Goa and for conducting IEC
activities
 Preparedness Measures
for Prevention and Control of JE
Strengthening of AES/JE surveillance through:

50 sentinel sites
12 Apex Referral Laboratories for advanced diagnosis
Standard Guidelines for AES/JE surveillance
Vector Borne Diseases Control Surveillance Unit set up at BRD Medical
College, Gorakhpur, UP
Sub office, ROH &FW, Lucknow functioning in Gorakhpur

JE vaccination in age group 1-15 years:

During 2006- 11 districts in 4 states (Assam, Karnataka, Uttar Pradesh,

West Bengal) covered.
Left out & new cohorts are being covered under routine immunization.
In 2007- Expanded to 28 districts in 10 states (Assam, Karnataka, Uttar
Pradesh, West Bengal and Haryana, Bihar, Andhra Pradesh, Tamil Nadu,
Maharashtra, Kerala)

Completed in Assam (89%), Haryana (86%), West Bengal (61%) & in

UP (96%)
 FINANCIAL INTEGRATION
Funds flow to the States/UTs was through respective Governments under
centrally sponsored scheme.
Since 1997-98, for cash assistance to 8 states under World Bank assisted
EMCP, the fund flow was through District Malaria Control Society (DMCS).
Since 2001-02, State Malaria Control Society (SMCS) in these states were
operationalised and fund flow was through SMCS.
Since 2004-05, the fund flow was through State Malaria Society/ State
Vector Borne Disease Control Society excluding North-Eastern states.
States/UTs were requested to constitute the state society for smooth flow of
funds.
Since 2006-07, the cash assistance under NVBDCP was through the State
Malaria/ State Vector Borne Disease Control Society.

Contd.
 FINANCIAL INTEGRATION
States/UTs were requested to integrate with State Health Society under
NRHM since 2007-08.
NRHM Guidelines on Financial Accounting, Editing, Fund Flow and Banking
Arrangement as approved by EPC of NRHM dated 26.12.2006 was received
in this Dte. & circulated to all the states/UTs on 10.1.2007 & 1.2.2007.
The break up of state-wise allocation for cash & commodity assistance in
approved B.E. under NVBDCP was communicated to NRHM.
The copy of the releases made to the states has been marked to State
Mission Directors & State Programme Officers.
The commodity assistance are provided to the states at state designated
consignees (SPOs/DMOs) Copy of the allotment will be shared with State
Mission Director.
 PROGRAMME
IMPLEMENTATION
States/UTs submit their action plan for implementation of prevention and
control activities against VBDs.
AAP-2008 meeting is scheduledon 18,19 &23 Feb. at NVBDCP, Delhi.
The allocation of funds for cash and commodity assistance are made
according to the technically assessed requirement.
The NVBDCP part of PIP under NRHM will be finalized after AAP meeting

Contd.
YEAR-WISE NVBDCP BUDGET OUTLAY
Rs. in crores
Year Approved Approved Actual % against
Budget (B.E.) R.E. Expenditure RE

2002-03 235.00 214.00 206.81 96.64

2003-04 245.00 240.11 201.01 83.72

2004-05 269.00 246.00 216.66 88.07

2005-06 348.45 264.22 260.43 98.57

2006-07 371.58 381.16 318.17 83.39

Total X Plan 1469.03 1345.89 1203.08 89.39

 Total NVBDCP Budget during XI Plan (Rs. in crores)
Activities 2007-08 2008-09 2009-10 2010-11 2011-12 Total As %
of
total
Malaria 293.23 274.96 339.70 419.41 426.37 1753.67 54.97

Urban Malaria Scheme 10.70 20.09 20.50 20.91 21.33 93.53 2.93
Filaria 45.00 127.48 146.48 146.48 146.48 611.92 19.18
Kala-azar 20.86 65.26 59.58 57.82 57.82 261.34 8.19
Dengue/ Chikungunya 11.30 27.00 26.00 23.00 17.44 104.74 3.28
Japanese Encephalitis 1.00 11.83 4.56 4.61 4.66 26.66 0.84
Human Resource 0.00 35.00 70.00 70.00 70.00 245.00 7.68
(Remuneration of MPWs)
R&D to NIMR 1.50 3.00 3.00 3.00 3.00 13.50 0.42
Establishment 15.91 15.00 15.00 15.00 15.00 75.91 2.38
Monitoring & Evaluation 0.00 1.00 1.00 1.00 1.00 4.00 0.13
Total NVBDCP 399.50 580.62 685.82 761.23 763.10 3190.27 100

In 10th plan funds for malaria and other VBDs was Rs.1153 cr & Rs.217 cr for KA
Allocated funds for malaria and other VBDs was Rs.1160 cr & Rs.189 cr for KA
INTEGRATION FOR PROGRAMME
IMPLEMENTATION
Convergence of delivery of prevention & control services in respect of
VBDs under NRHM at various levels

At village/Sub-centre level

AHSA as DDC/FTD for early detection of suspected malaria cases and delivery
of treatment to fever cases.
ASHA as a surveillance worker to inform any increase in fever cases.
ASHA as a linkage between ANC services and NVBDCP for prevention &
treatment of malaria in pregnant women.

Contd. 59
 INTEGRATION FOR PROGRAMME
IMPLEMENTATION
ASHA as drug distributor on National Filaria Day every year.
ASHA as a counselor for Filaria cases to practice home based
management.
ASHA as community volunteer for identification of kala-azar
cases and facilitating complete treatment.
AHSA as organiser, motivator and trainer in village level
meetings/training workshops.
ASHA to implement Village Health Plan for prevention & control
of VBDs along with MPW (Male), ANM & Aganwadis.

Contd.
INTEGRATION FOR PROGRAMME
IMPLEMENTATION
Primary Health Centre level

Augmenting treatment of severe Pf cases, JE &

other VBDs to ensure timely treatment before
case is referred to CHCs/District Hospital .
Training of health workers/volunteers on VBDs
along with other health programmes besides
specialized training.

Contd.
INTEGRATION FOR PROGRAMME
IMPLEMENTATION
Community Health Centre level

Augmenting treatment of severe Pf cases, JE & other

VBDs.
Training of health workers/volunteers.