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National Orientation Meeting 13 th Common Review Mission 16 th October, 2019 NVBDCP

National Orientation Meeting 13 th Common Review Mission 16 th October, 2019 NVBDCP. Rekha Shukla Joint Secretary (VBD & LEP). National Vector Borne Disease Control Programnme.

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National Orientation Meeting 13 th Common Review Mission 16 th October, 2019 NVBDCP

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  1. National Orientation Meeting13th Common Review Mission16th October, 2019NVBDCP Rekha Shukla Joint Secretary (VBD & LEP)

  2. National Vector Borne Disease Control Programnme Technical and Financial Support is provided by NVBDCP/NHM to States/UTs for prevention & control of 6 Vector Borne Diseases (VBDs):

  3. General Strategy for Prevention & Control • Early diagnosis and complete treatment (No specific drugs against Dengue, Chikungunya and J.E.) • Integrated vector Management (IRS, LLIN, larvivorous fish, chemical and bio-larvicide, source reduction) • Supportive intervention – (Vaccination only against J.E.) • Annual MDA using DEC and Albendazole for elimination of Lymphatic Filariasis • Behaviour Change Communication

  4. Key Observations by CRM Team • a) Action Plans (State / District/Blocks) • Malaria, Kala Azar, LF, JE, b) Dengue, Chikungunya • Calendar of activities as per National Guidelines • Contingency Plan for epidemic preparedness. • Disease Situation – Whether endemic, Whether notifiable • Diagnosis – Protocols; kits availability • Treatment – Prompt; drugs & supplies; PlCU functionality • Vector Control – Integrated strategy (IRS, LLIN, larvivorous fish, chemical and bio-larvicide, source reduction) • IEC / BCC – Adequate or not, Visibility in the field and health facilities. • Human Resource – Whether adequate, Whether rationally deployed

  5. Key Observations by CRM Team Cont….. • Trainings – for all levels of health workers 9. Logistics – Material and supplies - rational distribution • Funds Flow and Utilization • Active Surveillance – By MPHW, ASHAs • Activities for inter sectoral convergence for involvement of community, Schools, NGOs, etc. 13 Monitoring & Supervision – At all levels of health hierarchy 14 Reporting and Feedback – Flow and timeline of information submissions

  6. CHECKLIST-1 FOR COMMUNITY MALARIA • Community awareness about malaria and protection methods( e.g. IRS, use of LLINs, screening of windows and doors , maintaining mosquito free conditions in and around the village ) • Awareness about the availability of diagnostics and drugs with ASHA? If yes, utilization of services • Whether provided with LLINs? If yes, are the same adequate for the family (To be physically verified)? Ask all members in the family whether they slept under the LLIN last night. If not, reasons thereof.

  7. CHECKLIST-1 FOR COMMUNITY Contd… • General condition of the village – health and hygiene, involvement of Gram panchayat in developmental activities to maintain mosquito free conditions? • Functionality of VHSNC- Is malaria / vector breeding one of the agendas discussed. • Availability of M-1 form , RDTs and anti-malarial drugs with ASHA ( No of tests , doses and treatment chart) • No of RDTs performed by ASHA in the current year-month-wise, results and treatment status. • What are the measures (IRS, IEC activities) taken for prevention of mosquito breeding points in the area?

  8. CHECKLIST-1 FOR COMMUNITY KALA AZAR • From where you receive drugs for Kala Azar • Any expenditure incurred for receiving treatment for Kala-Azar

  9. CHECKLIST-1 FOR COMMUNITY JAPANESE ENCEPHALITIS • Whether JE Vaccination administered to your child/children

  10. CHECKLIST-1 FOR COMMUNITY LYMPHATIC FILARIASIS • Are community members aware about Lymphatic Filariasis? • Are there any cases of Lymphoedema in the community? • Are there any cases of Hydrocele in the community? • Is Frontline Drug Administrator visiting the community for Mass Drug Administration (MDA) on annual basis? • Have community consumed the drugs during last MDA. If yes, then what is the coverage and compliance? If no, what are the reasons? • What is the community perception and interpretation of LF and MDA?

  11. CHECKLIST-1 FOR COMMUNITY DENGUE & CHIKUNGUNYA • Has any ASHA/Health Worker demonstrated any action relating to source reduction. e.g. draining water of cooler etc. • Have you heard of any advertisement in any media relating to dengue / chikungunya

  12. CHECKLIST-2 FOR SUB-CENTRE/HEALTH & WELLNESS CENTRES MALARIA • Availability of MPW (M) and Action plan for active case search • No. of RDTs performed/ BS collected during last 3 years including current year. • Maintenance of records (M1, M4). • Availability of anti-malaria drugs & RDTs –consumption of RDTs & anti- malarial drugs from January till date (month wise). • Availability of Treatment Charts. • IEC/BCC material for malaria. • No. of M. falciparum cases out of total cases/ Mapping of areas for endemic cases of falciparum • Number of deaths due to Malaria • Is Micro plan for Vector Control available with you?

  13. CHECKLIST-2 FOR SUB-CENTRE/HEALTH & WELLNESS CENTRES KALA AZAR • If any plan for media sensitization and advocacy, sensitization of inter-sectoral partners, community, schools etc in place

  14. CHECKLIST-2 FOR SUB-CENTRE/HEALTH & WELLNESS CENTRES JAPANESE ENCEPHALITIS • Constitution of Rapid Response Team in all JE endemic districts • Is the team at sub-centre and HWC aware of the RRT • Availability of JE test kits

  15. CHECKLIST-2 FOR SUB-CENTRE/HEALTH & WELLNESS CENTRES LYMPHATIC FILARIASIS • Is there any line list of Lymphoedema cases available at the HWC? How many managed till date? • Is there any line list of Hydrocele cases available? How many managed (Hydrocelectomy) till date? • How many Mass Drug Administration (MDA) rounds observed till date? • When was the last MDA observed? What is the coverage and compliance reported? • What is the community perception and interpretation about Lymphatic Filariasis

  16. CHECKLIST-2 FOR SUB-CENTRE/HEALTH & WELLNESS CENTRES DENGUE & CHIKUNGUNYA • How many Dengue and Chikungunya case reported • Involvement of ASHA for source reduction

  17. CHECKLIST 3 FOR PHC/UPHC MALARIA • Number of malaria cases reported • Severe malaria cases admitted (IPD) • No. of Deaths in last 3 years • Availability of drugs, diagnostics and other logistics for treatment of uncomplicated and complicated malaria cases. • Maintenance of records (M3, M4). • Functionality of Laboratory for malaria slide examination. Availability of LT (Training status on Malaria), Functional microscope, other logistics • No. of Blood samples examined by RDT or Blood slides • Availability of Treatment Chart • Line listing of Positive cases

  18. CHECKLIST 3 FOR PHC/UPHC KALA AZAR • Medical officer and Lab Technician trained for Kala-azar? • Is diagnostic facility (RDT) available for KA • Is Kala-azar Technical supervisor posted at PHC (6 KTS per district) • Proportion of KA & PKDL cases receiving incentives (For PKDL- Rs 4000/- post treatment , for KA Rs500/- post treatment. In Jharkhand & Bihar Rs 6600/- per KA case from state fund)

  19. CHECKLIST 3 FOR PHC/UPHC

  20. CHECKLIST 3 FOR PHC/UPHC JAPANESE ENCEPHALITIS • How many cases of JE were identified at the PHC and were put on treatment in last 1 year • Availability of JE test kits at PHC

  21. CHECKLIST 3 FOR PHC/UPHC LYMPHATIC FILARIASIS • Is there any line list of Lymphoedema cases available at the PHC? How many managed till date? • Is there any line list of Hydrocele cases available? How many managed (Hydrocelectomy) till date? • How many Mass Drug Administration (MDA) rounds observed till date? • When was the last MDA observed and what is the coverage and compliance reported? • What is the community perception and interpretation of LF

  22. CHECKLIST 3 FOR PHC/UPHC DENGUE & CHIKUNGUNYA • How many Dengue and Chikungunya cases reported at the health facility • If any plan for media sensitization and advocacy, sensitization of inter-sectoral partners, community, schools etc in place

  23. CHECKLIST 3 FOR CHC/UCHC MALARIA • Number of malaria cases reporting to OPD. Severe malaria cases admitted (IPD). No. of Deaths in last 3 years • Availability of drugs, diagnostics, injectables and other logistics for treatment of uncomplicated and complicated malaria cases. • Maintenance of records (M3, M4). • Functionality of Laboratory for malaria slide examination. Availability of LT (Training status on Malaria), Functional microscope, other logistics • No. of Blood samples examined by RDT or Blood slides • Availability of Treatment Chart • Line listing of Positive cases • Availability of Micro and macro action plans for vector control prepared at CHC level

  24. CHECKLIST 3 FOR CHC/UCHC KALA AZAR • Medical officer and Lab Technician trained for Kala-azar • Is diagnostic facility (RDT) available for KA • KA Technical supervisor posted at PHC (6 KTS per district) • Proportion of KA & PKDL cases receiving incentives • Treatment facility available for KA & PKDL • Is Cap Miltefosine available for treatment of PKDL cases? • Proportion of KA cases received complete treatment • Proportion of PKDL cases received complete treatment • Proportion of KA cases followed up till 6 months post treatment (Follow up at 1 month & 6 months)

  25. CHECKLIST 3 FOR CHC/UCHC JAPANESE ENCEPHALITIS • How many cases of JE identified at the CHC and put on treatment in last 1 year • Does the facility have availability of JE test kits?

  26. CHECKLIST 3 FOR CHC/UCHC LYMPHATIC FILARIASIS • Isthere any line list of Lymphoedema cases available at the CHC? How many managed till date? • Isthere any line list of Hydrocele cases available? How many managed (Hydrocelectomy) till date? • How many Mass Drug Administration (MDA) rounds observed till date? • When was the last MDA observed and what is the coverage and compliance reported? • What is the community perception and interpretation of LF

  27. CHECKLIST 3 FOR CHC/UCHC DENGUE & CHIKUNGUNYA • How many Dengue & Chikungunya cases reported at the health facility • If any plan for media sensitization and advocacy, sensitization of inter-sectoral partners, community, schools etc. in place

  28. CHECKLIST-5 -SDH/DISTRICT HOSPITALS LYMPHATIC FILARIASIS • Is there any line list of Lymphoedema cases available at the hospital? How many managed till date? • Is there any line list of Hydrocele cases available?How many managed (Hydrocelectomy) till date? • How many Mass Drug Administration (MDA) rounds observed till date? • When was the last MDA observed and what is the coverage and compliance reported? • What is the community perception and interpretation of LF

  29. CHECKLIST-5 -SDH/DISTRICT HOSPITALS DENGUE & CHIKUNGUNYA • Is Action plan with calendar of activities as per GoI guidelines at district level in place • Functioning of the identified Sentinel Surveillance Hospital (SSH), availability of ELISA based test kits for Dengue & Chikungunya and timely submission of utilization report • Availability of National guidelines for Clinical Management for Dengue fever, 2014 • Availability of logistics (insecticide) for programme implementation • Monitoring of epidemiological and entomological situation

  30. CHECKLIST-6 CHECKLIST FOR STATE/DISTRICT MALARIA • Malaria Elimination Committee and Malaria Elimination Taskforce constituted? If yes, minutes to be shared • Annual Blood examination Rate (ABER) Annual Parasite Incidence (API) of the state and districts. Trends for last 5 years (increase/decrease), reasons thereof • Number of deaths due to malaria in last 3 years (year wise), reasons thereof • Availability of micro plan for vector control activities based on API (IRS, LLINs, Anti larval methods)

  31. MALARIA CONT. • Monitoring visits by SPO, State consultants and other NVBDCP officials, as verified from reports and from the feedback to the visiting districts. • Fund utilization in last 3 years. Adequacy of fund for effective implementation of program. • Availability of training plans of health personnel across different cadres • Availability of state level testing lab for malaria microscopy

  32. CHECKLIST-6 CHECKLIST FOR STATE/DISTRICT DENGUE & CHIKUNGUNYA • Is Action plan with calendar of activities as per GoI guidelines at state level in place • Functioning of the identified Sentinel Surveillance Hospital (SSH), availability of ELISA based test kits of Dengue & Chikungunya • Training of doctors on case management involving the master trainers (trained by NVBDCP) on national Guidelines for Clinical management of Dengue fever • Contingency plan for epidemic preparedness • Monitoring of weekly epidemiological and entomological situation

  33. CHECKLIST-6 CHECKLIST FOR STATE/DISTRICT KALA AZAR • Availability of KA drugs and diagnostics in all districts • Mapping of areas with cluster of Kala-Azar cases • Mapping of Block Level endemicity for KA • Quarterly State level review of KA • Availability of district IRS plan and coverage report • Status of payment of incentives

  34. CHECKLIST-6 CHECKLIST FOR STATE/DISTRICT JAPANESE ENCEPHALITIS • Constitution of Rapid Response Team in all JE endemic districts • JE Vaccination status • Availability of JE test kits • Functional status of paediatric ICUs (PICUs) • Mapping of endemic areas • No. of JE cases in last year & this year • No. of hospitalization and deaths due to JE cases • Availability and distribution of drugs

  35. CHECKLIST-6 CHECKLIST FOR STATE/DISTRICT LYMPHATIC FILARIASIS • Is there any line list of Lymphoedema cases available at the State level? How many managed till date? • Is there any line list of Hydrocele cases available? How many managed (Hydrocelectomy) till date? • How many Mass Drug Administration (MDA) rounds observed till date? What is the coverage and compliance reported? • What is the community perception and interpretation of LF?

  36. Thank You

  37. CHECKLIST-6 CHECKLIST FOR STATE/DISTRICT

  38. Thanks

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