Situational analysis onstatus of Malaria

(North Bastar Kanker)

Situation Analysis- Malaria

Status of API (District in the state) CHHATTISGARH

Basic Profile

As per census 2001

Number of Households 127294

Population-Total 6,50,934Average Household Size(per Household)

5

Rural Population 95.18%Proportion of ST (%) 56Literacy Rate (%) 73

Key indicators

Parameter Description Status 2008Annual Blood Examination Rate=

(Blood Slide Examined )*100 . Population covered under surveillance 28.40

API = (+ve Cases) *1000 . Population covered under

surveillance 16.26

Slide Positive Rate =

(+ve Cases )*100 . Blood Sample Examined 5.72

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

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

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)

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

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)

Treatment of bed nets 2008

API in different blocks

Source : Malaria Office, Kanker

Antagarh, Bhanupratappur , Koilibeda experienced higher API in year 2008

Process of diagnosis/ treatment

Household

Sub Health Centre

Primary Health Centre

Community Health Centre

RDT +Blood slides

Blood Test

facility

If RDT positive - ante mal.

drug provided

If positiveTreatment

starts

Lab Technicia

n / Institutio

n staff

ANM/ MPW/

Mitanin

Level Facility Test by Treatment

Human Resources

Staff Position 2008

S.Name of Categary

Sanctioned

No. in Position

No. of Post Vacant

1 District Malaria Officer 1 1 -2 Asstt. Malaria Officer 1  1 -3 Lab. Technition 1 1 -4 Malaria Inspector 6 0 65 Surveillance Inspector - - -6 Pump Mechenice 1 1 -7 Superior Field Worker 2 2 -8 Driver 4 4 -8 Field Worker 5 3 29 Cleaner 2 1 1

10 Accountant 1 0 111 U.D.C. 1 1 -12 L.D.C. 1 1 -13 Peon 2 2 -

14 P.T.S. 1 1 -

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

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

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

Alternate strategy

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%)

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

THANK YOU