Making Health and Development a Reality for the people of India
Vector Borne Disease Control Program
Background

Malaria is still a key concern in the public health sector of India. India accounts for approximately two thirds of the confirmed cases reported in the South-East Asia region. Northeast India contributes around 10% to 12 % of the Malaria cases. This region shares 90% of its border with foreign countries. However considerable areas of this region are hilly, difficult and inaccessible. The region is a melting of different communities mostly belonging to tribal communities. And with this setting North East India has become a malaria endemic region. GFATM Round 9 Intensified Malaria Control Project (IMCP-II October’12 to September’15) is a powerful intervention to reduce the malaria cases and deaths in the Northeast region of India. The well crafted public-private partnership (PPP) model has involved the NGOs of national repute having local presence as well in achieving the targets set under Millennium Development Goals or at least reduction in malaria related morbidity and mortality to 30 per cent by 2015. The IMCP-II leverages the Government of India’s efforts to improve malaria prevention and treatment for about 42.5 million people in 86 high endemic districts in the North-East states of the country.
Process of Implementation
Voluntary Health Association of India (VHAI) with its headquarters in New Delhi is implementing Project IMCP-II in 1074 villages of 13 districts across 4 states in the North East of India. The states are Assam, Arunachal Pradesh, Tripura and Manipur and out of which, the Project activities in Assam and Tripura and its district level is carried out with the support of our SSRs (Sub-Sub Recipient) VHA Assam and VHA Tripura respectively. The project’s well crafted design and strategies ensure one Community Health Volunteer (CHV) in each of the 1074 villages to implement the project activities in these areas.

The project undertakes various advocacy, communication and social mobilization interventions in order to involve community members and village opinion leaders to:

  1. Strive towards a better health- seeking behavior in the remote communities that are vulnerable to malaria through Behavior Change Communication (BCC) activities
  2. Distribution and use of effective preventive measures (LLIN) in high risk project areas,
  3. early parasitological diagnosis (using RDT),
  4. prompt and effective treatment (using ACT),
  5. Application of locale and context specific behavior change communication (BCC) activities (using community outreach and inter personal communication).
  6. Strengthening of program planning and management,
  7. Monitoring and evaluation,
  8. Coordination and partnership development and
  9. Training/ capacity building to improve service delivery in project areas.

IMCP-II Objectives have been targeted to be achieved through some Indicator Reporting. Indicator Reporting is the set of targeted activities for the phase II of IMCP which have been designed with a well researched and scientific study so that it reflects the achievements and efforts poured into the program by the team to eradicate Malaria from the Zone. The Activities, mainly the BCC and the Diagnosis and Treatment are carried out by the designated CHVs (Community Health Volunteers) at the village level with a constant monitoring of their activities by their respective Field Supervisors and the DPOs.

The Indicator Reporting Activities for the Phase II are as follows:
Geographical Coverage
VHAI Project Field Area



Annual Review and Planning Meet 2016
The Annual Review and planning meet was held for one and half day wherein all the DPO’s, RPMU Staffs and Two DEO’s were present. From the Head office the Executive Director, Head of finance and also finance and admin officer were present. The PR-Caritas India Director Dr. Shampa Nag had also graced the meeting by her presence along with some of the staffs from Caritas Head Office.
The meeting comprised of the yearlong activities conducted, progress and status of the activities achieved as well as the way forward plan for the upcoming year were thoroughly discussed. The meeting started with Mr. Amitabh Das RPM of North East Office had addressed the welcome note followed by a speech by Dr. Bhatnagar, Strategic Advisor and Executive Director VHAI.
Current Update (August 2016)

August turned out to be a very busy month with each and every staff from RPMU moving to the field area for OSDV as well as regular monitoring visits. The Bi-Annual meeting too was conducted in this month. With the approaching Annual year closure all the activities were targeted close to achieving the targets. During this month the Executive Director of VHAI too came down to attend the Bi-Annual Meeting and the ED had also interacted with the staffs from RPMU and DPMU’s

Wall Painting Activity:

The Wall paintings had been initiated in this month. The key points w.r.t. initiating the Wall paintings were:
1. The Prototypes and guidelines were given to the DPO’s
2. The Translation was done and shared across
3. The DPO’s had to collect the vendors for the different districts.
4. Finalization of the vendors.
5. Checking the availability of proper documents like bills, vouchers etc
6. Sharing of PAN, TIN and Account numbers
7. Selection of the centre and place of Wall Paintings
8. Sharing of the content to be drawn and the guidelines too to be instructed.
9. Sharing of the Plan with the RPMU team.
10. DPO and FS to be present while the paintings are conducted.
11. Clicking the pictures of Wall paintings.
12. Sharing the pictures of Wall paintings.

The various DPMU’s that have initiated the Wall Painting have been able to complete the following number of Wall paintings.

SLNO

DISTRICT

TARGET

COMPLETED

REMAINING

Remarks

1

Kokrajhar

27

6

21

The bills against the same along with the pictures have been shared with RPM for further clearance.

2

Chirang

14

0

14

The bills against the same along with the pictures have been shared with RPM for further clearance.

3

Udalguri

51

12

39

The bills against the same along with the pictures have been shared with RPM for further clearance.

4

Baksa

41

17

24

The bills against the same along with the pictures have been shared with RPM for further clearance.

5

Tripura

Not Initiated

 

 

The vendors have been finalized. The permission have been received from SPO. The centers have been identified.

6

West Siang

Not Initiated

 

 

 

June - July 2016

June the Malaria Awareness month had a lot of activities and plans being shared across the units from CPMU to RPMU to DPMU. As June is observed as the Anti Malaria Month the various DPMU’s of VHAI had observed the month by spreading more information about Malaria prevention and medication. The various DPMU’s during the MIKING activity had not only spoken about Malaria but they had also spoken about the Malaria prevention as well as how they can treat one that has been recognised as being affected by Malaria. In some of the areas they had also introduced the CHV as the SPOC whom they can readily approach in case if anyone is suspected with fever and Malaria. The monthly activity updates are as follows:

Community Health Volunteer Training (CHV):
The CHV trainings have been planned in all the operational areas of VHAI. These trainings have been done in consultation with the District Vector Borne Disease Control Program. A formal letter has been issued to the Joint Director Health Services and through the letter the request for availability of resource person and schedule is also made. There are few areas where the last minute changes have been made on the rescheduling of venue and training dates and the outgoing and incoming letters have been maintained in the DPMU’s. The respective Joint Directors of Health Services further issued letters to the Block PHCs informing about the training to be scheduled. The venues for the CV trainings have been finalized in the respective PHCs.

The Community Health Volunteer Training was conducted in all the operational Districts of VHAI. The table below shows the updated status of the CHV Trainings conducted in June.

Slno

Name of The District

Targeted CHV Trainings

Number of Participants attended

Number Of participants remained absent

Percentage

1

Kokrajhar

200

180

20

90%

2

Chirang

100

98

2

98%

3

Udalguri

250

238

12

95%

4

Baksa

197

190

7

96%

5

West Siang

200

194

6

97%

6

Agartala

352

352

0

100%



ED VHAI Orienting about LLIN at Kokrajhar, Assam Illustrations From Leaflets During LLIN Distribution
Beneficiaries Document Verification Observation of WMD AT Arunachal Pradesh
Infotainment activity at Udalguri Miking Conducted At Udalguri
DPO Baksa interacting with Student on WMD 2016
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