INDIA - MALARIA CONTROL

THE NATIONAL MALARIA ERADICATION PROGRAM (NMEP), A DEPT WITHIN THE MINISTRYOF HEALTH & FAMILY WELFARE,WILL IMPLEMENT THIS PROGRAM. A DECENTRALIZED ORGANIZATIONAL STRUCTURE WILL BE EMPLOYED. NMEPPWILL PROVIDE TECH ASSISTANCE, FUNDING, COMMODITIES & EQPMNT TO DISTRICT & URBAN-LVL INSTITUTIONS & AGENCIES AND VOLUNTARY GROUPS FOR SPRAYING, MALARIA SURVEILLANCE, CASE DETECTION & TREATMENT, AND RESRCH. IN AREAS WITH A MALARIA INCIDENCE RATE OF 2 CASES/1000 POPULATION PER YR, INTENSIVE HOUSE-TO-HOUSE SPRAYING WILL BE CONDUCTED. SURVEILLANCE, CASE DETCTN AND TREATMENT WILL BE UNDERTAKEN UTILIZING REGULAR PUBLIC HLTH & MED SRVCS AND ROUTINE HLTH CARE OPERATION-IE, PASSIVE CASE DETCTN. SPECIAL PRIORITY WILL BE GIVEN, HOWEVER TO DIAG & TREATMENT OF SUSPECTED MALARIA VICTIMS. IN AREAS WITH AN INCIDENCE OF LESS THAN 2/1000, ONLY FOCAL SPRAYING WILL BE CONDUCTED. SUCH AREAS WILL BE UNDER FULL-SCALE SURVEILLANCE. TEAM OF 25-32 SURV INSPECTORS & 100-125 SURV WORKERS WILL BE ASSIGNED TO POP GROUPS OF 1 MILLION;THEY WILL MAKE FORTNIGHTLY VISITS TO ALL HOUSEHOLD AND TAKE MASS BLOOD SURVEYS WHEREVER MALARIA CASES ARE DISCOVERED. NURSE-MDWVS AT SUB-CNTRS OF DISTRICT-LVL PRIMARY HLTH CNTRS WILL DISTRIBUTE ANTI-MALARIAL DRUGS DURING FIELD VISITS TO VILLAGES AND PROVIDE RADICAL TREATMENT TO MALARIA VICTIMS. TRAINING IN ADMIN,MGMT & MALARIOLOGY FOR TOP NMEP PERSONNEL AND SPECIALIZED FIELD & LAB TECHNICAL & OPERATIONS TRNG FOR DISTRCT & SUB-DISTRCT MED OFFICERS AND SR MALARIA STAFF IS ALSO PLANNED UNDER PROGRAM.ACCORDINGLY,A SMALL PORTION OF THE AID LOAN MAY BE USED FOR SHRT-TRM PARTIC TRNG. SUPPORT OF MALARIAL DRUG & VECTOR RESRCH INSTS SUCH AS THE INDIAN COUNCIL OF MED RESRCH & THE NATL INST OF COMMUNI CABLE DISEASES IS FINAL COMPONENT OF PROGRAM. OTHER DONORS: WHO-TRNG FELLWSHPS, SEMINARS, CONSULTANTS, VECTOR SUSCEPTIBILITY TEST KITS; SWEDIDH INTRNATL DEVEL AGENCY-MALARIA CONTAINMENT PROG IN 55 DSTRCTS & FIELD RESRCH; UNICEF-EQPMNT & DRUGS; BRITISH OVERSEAS DEVEL AGENCY-MALARIA CONTROL TRAINING.