Health & Family Welfare - NVBDCP (National Vector Borne Disease Control Programme)

The Awareness Programme is launched to make the people aware of the disease with its signs and symptoms and its care and curability with MDT (Multi Drugs Therapy) which is available in all Health centres free of cost.

The achievements (Physical) i.e. no. of cases detected, and put on MDT, number of cases RFT, no. of cases undergoing treatment with MDT, number of relapse cases and number of cases with Grade-II disability are attached herewith.

General Background Information

  1. West Garo Hills is highly endemic for malaria
  2. Annually about 15 to 20 thousand cases of malaria have been reported in the past 4 (four) years.
  3. Every year there were confirmed malaria and fever related deaths.
  4. Altogether there were 98, 31 and 58 confirmed malarial death cases during 2007, 2008 and 2009 (upto October) respectively in about 6 lakh population.
  5. However there was no reported outbreak of malaria for the last many years in the district.
  6. A dangerous type of malaria species known as Plasmodium falciparum is pre-dominant with 99.0 % of its contribution to the total positive cases.
  7. Other type of malaria – P.Vivax occupies only 1.0 % or less than that.
  8. Transmission season here is perennial with peak season from May to September.
  9. The District is declared as Chloroquine resistant area of Pf.
  10. All PHCs/CHCs of the District fall under the criteria of High Risk Area.
  11. SP-Ast (ACT) is in use as first line of treatment for all Pf cases.
  12. Chloroquine in combination with Primaquine is still used for treatment of Pv cases.
  13. Injectable anti- malarial drugs like Quinine dihydrochloride Injection,Artheether Injection are used for serious and complicated cases of malaria.
  14. Normally Quinine Sulphate tabs are used for suspected resistant cases.
  15. Rapid Diagnostic Kits (RDKs) are in use since 2007 for immediate testing and result of blood smears in the field especially in remote areas by the MPWs, ASHAs, etc.
  16. All 1629 ASHAs of the district were trained on use of RDKits and treatment with SP-Ast in 2007 and 2008 and Kits were supplied to them.
  17. Training on use of RDKits and SP-Ast was also given to 916 Anganwadi Workers in 2008 and 2009.
  18. Regular Surveillance Operation through different agencies like Active case detection,Passive case detection and Mass and Contact survey is carried out by MPWs,PHCs CHCs,Hospitals,Sub-Centres,Private Clinics/Hospitals ASHAs, AWWs,FTDs,DDCs, NGOs detect and treat malaria cases.
  19. Distribution of Government free supplied single polyester bednets to the targetted groups like BPL population, inaccessible and IRS problematic areas,villages with very high incidence of malaria,areas with reported deaths was done in 2008
  20. Insecticide treatment of Community owned bednets with SP-Flow was done on large scale basis covering many parts of the district every year since 2007 and continuing till date.
  21. To interrupt transmission of malaria two rounds of regular Indoor Residual Spray (IRS) operation is carried out every year with 1st round from March to May and 2nd round from July to September.
  22. Supply and distribution of Long lasting Insecticide Treated Nets (LLINs) from the Government of India under Project –NVBDCP to the targeted population is in the process and likely to complete by the 2nd Week of December/2009.
  23. A prominent local NGO- BAKDIL was involved in the Anti-Malaria Programme under Public Private Partnership Agreement in the activities like Village Level Awarnesss Camps/Meeting,training of Community Volunteers on malaria,distribution of Government free supplied bednets,impregnation of Community owned bednets,etc.
  24. In order to educate people and to bring awareness to them a number of Intersectoral Meetings and Awareness camps were held at District ,Block,Urban PHC/CHC,Sub-Centre and Village Levels.
  25. As a part of the capacity building and man-power development a number of Training Programmes have been organized for the following categories in the past few years.
  • For doctors and Medical officers of Government and Private Hospitals,BSF, PHCs/CHCs on malaria.
  • Doctors of Government Hospitals/PHCs/CHCs on Monitoring and Evaluation
  • Lab.Technicians/Microscopists of Government and Private Hospitals,BSF,PHCs/CHCs and Private Clinics in Malaria Microscopy
  • Health Assistants/Supervisors on Malaria /Spray Technique
  • Multipurpose Health Workers (MPWs – Male & Female) on Malaria /Spray Technique.
  • Spray supervisors/Spray Workers on spray operation
  • ASHA on use of RDKits
  • AWWs on usse of RDKits
  • Community Volunteers on bednet impregnation
  • School Teachers (Lower Primary to High School) on Malaria and its preventive aspects.
  • FTDs/DDCs- On simple diagnosis, treatment and prevention
  1. Participation in Health Melas, Health Camps, IEC activities
  2. Geographically most parts of the district are hilly with difficult terrain areas which are problematic in regular surveillance and DDT spray operation.
  3. The widespread practice of jhum cultivation in hilly areas creates difficulties in proper implementation of Anti-malarial activities as people were not available during day time.
  4. The western plain belt of the district bordering Assam is often affected by flash-floods during June to August creating temporary setback for IRS operation in those areas.