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Situational analysis on status of Malaria (North Bastar Kanker )

Situational analysis on status of Malaria (North Bastar Kanker ). Situation Analysis- Malaria. Status of API (District in the state). CHHATTISGARH. Basic Profile. Key indicators. Species responsible for malaria (in Kanker region) P. Phalsiparum (> 90% cases) P. Vivex.

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Situational analysis on status of Malaria (North Bastar Kanker )

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  1. Situational analysis onstatus of Malaria (North BastarKanker)

  2. Situation Analysis- Malaria

  3. Status of API (District in the state) CHHATTISGARH

  4. Basic Profile

  5. Key indicators • Species responsible for malaria (in Kanker region) • P. Phalsiparum (> 90% cases) • P. Vivex

  6. Present study Covers • Findings based on the discussions and secondary data received from the District Malaria Office • Study includes: • Present status of API and trend • Regional variation API in district • Process of diagnosis and treatment • Human resource availability • Challenges/ issues

  7. Malaria • Total Malaria cases reported in district (2008) = 12707 • In the high epidemic area the Monthly blood examination rate (MBER) should be equal to fever rate in a chosen month for a population under surveillance. (provide operational efficacy of the program)

  8. Epidemiological Information • Kanker has made a good progress (trend in API), still API is too high (16.26) • ABER is also decreasing - sufficient number of blood slides should be systematically obtained & examined for malaria parasite (for accurate API) • Target by 2015 : To halt and reverse the incidences of malaria

  9. Distribution of cases in different month, 2004-08 • Highest cases are is between June to December Month • Opportunity of integration with the other development programme • (during this period)

  10. Treatment of bed nets 2008

  11. API in different blocks • Antagarh, Bhanupratappur , Koilibeda experienced higher API in year 2008 Source : Malaria Office, Kanker

  12. Process of diagnosis/ treatment Level Facility Test by Treatment Community Health Centre Blood Test facility Lab Technician / Institution staff If positive Treatment starts Primary Health Centre Sub Health Centre ANM/ MPW/ Mitanin If RDT positive - ante mal. drug provided RDT + Blood slides Household

  13. Human Resources • Besides dedicated staff, all health department institutions (DH, CHC, PHC, SHC Mitanin) are there to execute the activities in the field.

  14. Effective measures • Preventive: • Minimize breeding of Mosquito: • Disinfection of the polluted / stagnant water sources • Improved water use and sanitation practices • IRS (Indoor Residual Spray) • larvivorous Fish (Gambujiya) in ponds & water logged area • Protection measures : • Mosquito Net – Plane and treated • Use of neem oil • Environmental management measures • Treatment: • Drugs - Chloroquine , Primaquine (at village level after RDT - by Mitanin / ANM) • Timely diagnosis • Use of ante- malaria medicines

  15. Issues of concern • Developing/ promotion of community level action (through PRI/ CBOs) • Availability/ sanction of lab technicians at some(5) PHC • Use & treatment of the mosquito net (study and use of lessons) • Availability of insecticide • Reach of staff in naxal affected region • Coordination for water and sanitation measures

  16. Alternate strategy

  17. Plan for the 2009 • 34 microscopic center in district – training by June, 2009 • Training and Involvement of the Mitanins • Focus for 3 nursing homes of urban area • Distribution of Mosquito nets = 52000 • Plan to cover a total of 623018 population under 149 SHC and in 22 Ward– by use of IRS (Alphe cyper metharin 5%)

  18. Summary of findings • Remarkable progress in past, need to make a road for next 5 years (good practice to be documented) • Special focus in high prevalence regions (Koilibeda, Antagarh, Bhanupratappur block) • Need of coordination with the water and sanitation activity (in long term) and education system • Strong IEC and community level action (with standing committee of Panchayat/CBOs)- information about contact person • Need to improve mechanism for timely reporting, diagnosis and treatment

  19. THANK YOU

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