nvbdcp - final presentation v2-nrhm

Bhopal- 2nd July, 2010 Vector Borne Disease Control

Programme

Issues Vector Borne Disease Control Programme

1. Surveillanceo ABERo Pf%

2. Indoor Residual Spray (IRS)

3. LLINs

4. Human Resources

5. ASHAs

6. Financial issues

SURVEILLANCE

State wise Status of ABER-2009

Performance States

ABER >10

Andhra Pradesh, Arunachal Pradesh, Chhattisgarh, Goa, Gujarat, Jharkhand, Karnataka, Madhya Pradesh, Meghalaya, Mizoram, Maharashtra, Orissa, Punjab, Rajasthan, Tamil Nadu, A&N Island, D&N Haveli, Daman & Diu

ABER 5-10Assam, Haryana, Himachal Pradesh, Jammu & Kashmir, Kerala, Nagaland, Tripura, West Bengal, Chandigarh, Pondicherry

ABER <5Bihar, Manipur, Sikkim, Uttarakhand , Uttar Pradesh, Delhi, Lakshadweep

Annual Blood Examination Rate (ABER) should be > 10% of pop. annual

ABER

ABER ( 2001- 2009)Sl No State 2001 2002 2003 2004 2005 2006 2007 2008 2009

1 Andhra Pradesh 12.17 12.42 14.41 13.82 14.04 13.15 12.31 12.35 12.18

2 Arunachal Pradesh 31.53 29.43 26.03 20.20 24.50 26.14 23.25 20.68 17.50

3 Assam 8.90 8.38 7.66 6.45 7.07 9.35 8.16 8.79 9.89

4 Bihar 0.44 0.49 0.43 0.33 0.26 0.27 0.16 0.16 0.15

5 Chhattisgarh 17.79 15.27 15.74 15.33 16.51 15.63 14.27 12.33 11.93

6 Goa 21.01 20.71 21.11 18.11 18.40 19.36 24.76 27.67 29.04

7 Gujarat 13.89 13.99 15.84 18.02 19.93 19.69 16.46 15.35 17.19

8 Haryana 10.80 9.66 10.67 9.86 11.27 11.71 10.80 11.17 8.53

9 Himachal Pradesh 12.00 10.99 10.32 10.26 9.65 9.29 9.10 7.59 7.83

10 J & K (Jammu) 8.00 7.72 7.26 7.30 7.38 8.30 7.68 7.90 9.22

11 Jharkhand 3.40 3.15 2.64 4.78 10.08 7.12 6.66 8.30 10.88

12 Karnataka 18.09 18.46 18.90 17.65 19.36 18.91 16.79 17.00 17.75

13 Kerala 5.42 4.65 5.79 5.39 6.40 6.04 5.79 5.36 6.23

Contd..

ABER ( 2001- 2009)Sl No State 2001 2002 2003 2004 2005 2006 2007 2008 2009

14 Madhya Pradesh 13.96 13.59 13.78 13.59 13.13 14.39 13.22 13.11 13.42

15 Maharashtra 14.77 14.29 14.26 14.14 13.28 16.23 12.60 12.08 13.33

16 Manipur 4.37 4.14 5.85 5.84 5.55 3.56 4.36 4.80 4.09

17 Meghalaya 10.94 11.52 8.63 9.41 9.48 12.58 14.32 15.23 21.62

18 Mizoram 25.37 26.97 22.33 23.99 24.17 24.07 15.72 16.88 17.53

19 Nagaland 2.78 3.01 3.33 3.74 4.79 5.09 5.58 6.86 7.99

20 Orissa 10.66 12.19 11.73 11.32 12.36 12.44 12.24 12.23 12.10

21 Punjab 11.24 10.80 10.53 9.58 10.58 9.79 10.22 11.05 11.12

22 Rajasthan 15.33 10.08 13.87 12.80 12.42 15.32 12.52 14.19 13.85

23 Sikkim 7.96 9.80 6.94 6.45 5.62 5.23 3.84 3.50 3.80

24 Tamil Nandu 11.33 11.40 12.14 11.52 11.85 9.67 8.70 9.37 11.43

25 Tripura 9.14 7.69 7.91 7.72 8.55 9.32 8.07 9.03 9.40

26 Uttarakhand 1.52 3.43 4.02 3.77 3.50 3.12 2.51 2.46 2.24

27 Uttar Pradesh 2.02 2.92 3.24 2.73 2.35 2.36 2.00 2.18 2.19

Contd..

ABER ( 2001- 2009)Sl No State 2001 2002 2003 2004 2005 2006 2007 2008 2009

28 West Bengal 4.09 4.70 5.04 4.50 5.51 6.16 5.63 5.39 7.61

29 A & N Islands 53.99 44.42 43.04 38.86 31.83 29.86 32.97 35.70 26.65

30 Chandigarh 9.80 8.01 9.11 7.70 9.46 7.75 8.76 7.62 9.25

31 D& N Haveli 16.01 13.72 13.29 12.04 16.61 40.57 20.50 18.24 21.93

32 Daman& Diu 14.37 14.30 13.36 12.38 10.89 16.80 15.38 15.79 14.03

33 Delhi 8.30 8.30 8.71 7.34 7.36 6.23 4.43 3.94 3.38

34 Lakshadweep 3.12 3.10 3.11 2.42 1.33 2.31 0.70 0.38 0.68

35 Puducherry 31.72 29.80 30.13 25.09 21.22 18.70 11.73 11.91 8.43

Total 9.18 9.04 9.65 9.33 9.629.95 8.73 8.69 9.29

Plasmodium falcipuram (pf) Malaria

Currently about 54% of total malaria cases

Increasing over the years - particularly after 2001

Particularly high in o NE Stateso Andhra Pradesh, Chhattisgarh, Orissa, Jharkhand, A&N Islands

Pf can create Complications Raise the mortality

Pf cases and deaths can be controlled by Early diagnosis using RDKs Complete treatment with ACTs

Pf % ( 2001- 2009)Sl

No State 2001 2002 2003 2004 2005 2006 2007 2008 2009

1 Andhra Pradesh 59.56 56.28 57.96 54.79 57.67 59.61 61.13 60.35 59.24

2 Arunachal Pradesh 19.68 15.25 16.86 14.73 23.86 32.81 26.61 28.20 30.19

3 Assam 61.97 62.30 63.56 71.23 66.96 65.48 69.07 69.25 72.81

4 Bihar 25.00 46.29 40.72 17.79 15.62 15.60 46.33 67.38 80.90

5 Chhattisgarh 69.35 72.41 74.08 76.59 74.58 77.53 69.77 76.77 79.39

6 Goa 28.94 21.73 14.41 18.77 12.49 23.87 31.24 27.76 20.89

7 Gujarat 23.31 19.58 24.24 29.83 18.09 19.96 25.88 22.89 18.50

8 Haryana 11.90 4.38 11.43 1.68 0.72 1.07 1.07 3.92 1.86

9 Himachal Pradesh 0.00 0.00 5.26 5.56 0.00 7.02 2.88 1.37 0.00

10 J & K (Jammu) 2.63 2.20 3.44 3.20 2.61 4.88 7.08 7.83 6.31

11 Jharkhand 48.53 41.78 31.52 30.78 26.76 24.96 24.84 34.31 40.11

12 Karnataka 24.29 22.40 23.51 25.29 26.43 26.19 22.89 20.83 15.44

13 Kerala 14.20 11.16 17.09 18.28 13.19 14.73 15.20 12.31 12.17

Pf % ( 2001- 2009) Contd.Sl

No State 2001 2002 2003 2004 2005 2006 2007 2008 2009

14 Madhya Pradesh 33.39 28.99 31.48 39.59 30.92 30.21 40.40 40.22 27.36

15 Maharashtra 34.51 32.11 48.20 42.47 35.12 32.17 33.44 33.06 26.60

16 Manipur 39.34 47.40 45.11 28.18 37.18 48.03 33.50 50.28 58.00

17 Meghalaya 77.02 61.92 67.18 85.81 87.76 86.58 84.57 91.63 96.73

18 Mizoram 54.49 50.03 57.14 53.26 58.60 66.80 68.89 83.85 78.59

19 Nagaland 11.53 5.93 8.22 5.15 3.05 15.06 16.48 16.44 31.79

20 Orissa 83.48 83.16 83.22 84.40 86.41 87.26 86.90 87.80 88.16

21 Punjab 6.79 7.20 9.23 1.28 1.49 1.96 2.03 1.52 1.18

22 Rajasthan 13.47 7.80 11.55 7.22 7.77 9.53 6.26 6.88 5.40

23 Sikkim 41.94 13.21 14.75 20.63 44.93 33.33 14.58 26.32 38.10

24 Tamil Nandu 4.29 7.30 8.62 6.89 7.81 4.52 6.09 3.51 2.82

25 Tripura 79.07 81.56 78.22 86.99 79.19 81.53 86.22 91.09 94.08

26 Uttarakhand 23.41 7.23 11.28 3.11 1.37 0.54 0.21 4.44 3.40

27 Uttar Pradesh 4.81 2.78 2.37 2.57 2.99 2.05 2.55 2.47 1.21

Contd..Pf % ( 2001- 2009)

SlNo State 2001 2002 2003 2004 2005 2006 2007 2008 2009

28 West Bengal 29.37 31.23 32.88 27.28 22.24 27.22 25.04 27.34 27.23

29 A & N Islands 19.46 18.27 19.65 15.97 52.43 43.40 55.63 67.68 55.64

30 Chandigarh 1.01 3.82 5.95 3.02 2.08 1.56 0.88 1.73 0.93

31 D& N Haveli 6.96 20.28 22.65 25.67 15.69 47.89 33.57 33.16 38.52

32 Daman& Diu 25.29 18.50 14.89 15.25 16.35 13.57 15.15 16.52 19.59

33 Delhi 0.94 0.86 3.22 2.13 5.38 3.88 1.10 0.00 0.00

34 Lakshadweep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

35 Puducherry 0.94 1.94 3.17 2.33 4.55 4.00 7.35 6.94 1.54

Total 48.20 48.74 45.85 46.47 44.32 47.08 49.11 50.81 53.60

Indoor Residual Spray

IRS

Round I of DDT spray: - Completed in Arunachal, Manipur, Meghalaya, Mizoram,

Nagaland, Tripura, Jharkhand, Karnataka, A&N, Daman & Diu, Puducherry as per schedule

- In progress in rest of the States

Round II DDT spray - Scheduled to begin in Ist week of July in most States- Preparations expected

Requires supervision at all levels – including field visits

Necessary to have micro action plan – including advance information to villagers and PRIs

Timely release of wages to spray workers

• Quality of Spray – very poor

• Coverage of IRS around 30% against desirable coverage of >80%

• NE Sates- 1st round completed, schedule adhered.• Bihar (Kala-azar) – 1st round completed, schedule

adhered

• General supervision of IRS from State/ District level PHC level - Poor - Should be integral part of IRS Planning

• Involvement of villagers and local bodies not perceptible

• Spray wages not being released in time in some districts in Bihar (Saharsa, Sitamarhi)

Some Field Observations on IRS –During 2010

SCHEDULE OF IRS – DDT SPRAY(as on 26th June 2010)

S.No. Name of the State/U.T.s RoundPrescribed spray schedule

StatusCommencement Completion

1 Arunachal Pradesh I 1/3 15/5 Completed II 16/5 30/7 2 Assam I 15/2 30/6 In progress II 1/7 15/9 3 Manipur I 15/3 14/5 Completed II 14/6 11/9 4 Meghalaya I 1/3 15/5 Completed II 1/7 15/9 5 Mizoram I 15/3 30/5 Completed II 2/6 2/7 6 Nagaland I 1/4 15/6 Completed II 16/7 30/9 7 Sikkim I 16/4 30/6 In progress II 1/8 15/10 8 Tripura I 15/4 31/5 Completed II 5/7 15/9

Contd..

SCHEDULE OF IRS – DDT SPRAY (as on 26th June 2010)



9 Andhra Pradesh I 1/5 15/7 In progress II 16/7 30/9 III 16/8 30/9

10 Bihar I 1/5 15/7 In progress II 16/7 30/9

11 Chattishgarh I 1/5 15/7 In progress II 16/7 30/9 III 1/8 15/9

12 Goa I 1/5 15/7 In progress II 16/7 30/9

13 Gujarat I 1/5 15/7 In progress II 16/7 30/9 III 16/8 30/9

14 Haryana I 16/5 30/6 In progress II 1/7 15/8 III 16/8 30/9

Contd..




15 Himachal Pradesh I 1/4 30/6 In progress II 1/7 30/9

16 Jammu & Kashmir I 1/5 15/7 In progress II 16/7 30/9 III 1/8 15/9

17 Jharkhand I 1/4 15/5 Completed II 15/5 30/9

18 Karnatka I 1/3 15/5 Completed II 1/8 15/9 III 16/9 31/10

19 Kerala Focal Spray 20 Madhya Pradesh I 1/5 15/7 In progress II 16/7 30/9 III 1/8 15/9

21 Maharashtra I 1/6 15/8 In progress II 16/7 30/10 III 1/9 15/10

Contd..




22 Orrisa I 1/5 15/7 In progress II 16/7 30/9 III 1/8 15/9

23 Punjab I 1/6 31/7 In progress II 1/8 30/9 III 16/8 30/9

24 Rajasthan I 15/5 31/7 In progress II 1/8 15/10

25 Tamil Nadu I 16/4 30/6 In progress II 1/7 15/8 III 16/8 30/9

26 Uttarakhand I 1/5 15/7 In progress II 16/7 30/9 III 1/8 15/9

27 Uttar Pradesh I 1/5 15/7 In progress II 16/7 30/9 III 1/8 15/9

Contd..




28 West Bengal I 15/5 31/7 In progress II 1/8 15/10 III 1/8 15/9

29 A & N Islands I 1/3 16/5 Completed II 18/5 31/7

30 Chandigarh I 1/5 15/9 In progress II 16/7 30/9

31 D & N Haveli I 16/5 30/6 In progress II 1/7 15/8 III 16/8 30/9

32 Daman & Diu I 1/5 15/6 Completed II 16/6 31/7 III 1/8 15/9

33 Delhi Focal Spray 34 Lakshadweep Focal Spray 35 Pondicheery I 1/4 15/6 Completed II 1/7 15/9

MANPOWER

Manpower additional support State and District Level Consultants

o Initially centrally recommended –Apptt thru SHSo Now Recruitment Decentralized

Types of additional contractual Manpower provisioned

State level Consultants

M&E, PPP, Supply & Logistic, IEC, Training and Entomology

District levelVector Borne

Disease Consultants

Sub-district level MTS/ KTS, Lab.

Technicians and MPWs

State Level Consultants for Malaria (World Bank Project)

Sl. No. Name of the State Sanctioned As on

10.01.10As on

18.06.10 Remark

1 Andhra Pradesh 6 1 32 more filled up, 3 vacant

2 Chhattisgarh 6 4 2 2 left, 4 vacant

3 Jharkhand 6 3 3No change, 3 vacant

4 Madhya Pradesh 6 2 31 more filled up, 3 vacant

5 Orissa 6 3 41 more filled up, 2 vacant

TOTAL 30 13 15 15

State level Consultants for Kala-azar (World Bank project)

Sl. No.

Name of the State Sanctioned Recruited up

to 10.01.10Recruited up to 18.06.10 Remarks

1 Bihar 6 0 3 3 vacant

2 Jharkhand 4 0 0 4 vacant

3 West Bengal 4 0 2 2 vacant

TOTAL 14 0 5 9 vacant

Status of DMOs

Sl.No.

Name of States

District SanctionedIn Position

up to 10.02.10

In Position up to

18.06.10Remarks

1 Orissa 30 30 3 15 12 posts filled up;15 more to be filled up.

2 Jharkhand 24 11 7 7 No change. 13 posts to be sanctioned . 4 post are to be filled up

3 Goa 2 0 1 0

4 Chattisgarh 16 7 2 2 No change. 9 posts to be sanctioned.5 are to be filled up

5 Haryana 21 21 21 21 Post filled up

6 Madhya Pradesh 50 45 15 12 3 retired, 5 posts to be created. 33 posts filled

up since 10.2.10

7 West Bengal 18 18 18 18 Progress satisfactory. All posts filled up

8 Rajasthan 33 33 33 33 All posts filled up

9 Kerala 14 14 11 12 1 post filled up since 10.2.10

10 Gujarat 26 26 24 23 3 posts need to be filled

Status of DMOs

Sl.No.

Name of States


up to 10.02.10

In Position up to

18.06.10Remarks

11 Maharashtra 37 36 25 23 1 post to be sanctioned. 2 have retired, 13 posts need to be filled

12 Uttar Pradesh 71 70 56 56 1 post to be sanctioned. 14 need to be filled.

13 Tamil Nadu 42 42 42 42 All posts filled up

14 Andhra Pradesh 23 22 13 17 1 post to be sanctioned. 4 posts filled up since

10.2.10. 5 need to be filled up .

15 Uttrakhand 13 9 5 5 No change. 4 posts to be sanctioned. 4 posts need to be filed.

16 Punjab 20 20 11 11 No change. 9 posts need to be filled.

17 Karnataka 29 29 25 27 2 posts filled up since 10.2.10

18 J & K 22 6 6 6 No change, 16 posts to be sanctioned.

19 Himachal Pradesh 10 10 0 10 Progress satisfactory. 10 posts filled up since

10.2.10

20 Bihar 38 24 16 17 14 posts to be sanctioned. 1 post filled up

since 10.2.10. 7 posts need to be filled.

Status of DMOs

Sl.No.

Name of States


up to 10.02.10

In Position up to

18.06.10Remarks

21 Arunachal Pradesh 15 15 3 15 Progress satisfactory. All posts filled up

22 Assam 27 17 13 13 No change. 10 posts to be sanctioned.

23 Manipur 10 10 10 10 All posts filled up

24 Meghalaya 7 7 7 7 All posts filled up

25 Mizoram 8 8 8 8 All posts filled up

26 Nagaland 11 11 11 10 1 person retired since 10.2.10

27 Tripura 4 4 4 4 post filled up

Total 621 545 390 424

Consultants at District level (World Bank project)

Malaria VBD ConsultantsSl. No.

Name of the State Sanctioned

Recruited up to

10.02.10

Recruited up to

18.06.10Remark

1 Andhra Pradesh 5 2 2 No change, 3 vacant

2 Chhattisgarh 11 9 11 All filled up

3 Jharkhand 12 10 10 No change, 2 vacant

4 Madhya Pradesh 9 7 8 1 more filed up, 1 vacant

5 Orissa 13 11 12 1 more filed up, 1 vacant

TOTAL 50 39 43 7

Consultants at District level (World Bank project)

Kala-azar VBD Consultants

Sl. No.


Recruited up to

10.02.10

Recruited up to

18.06.10Remarks

1 Bihar 31 0 77 more filled, 24 to be filled

2 Jharkhand 4 3 3 No change, 1 to be filled

3 West Bengal 11 7 7 No change,

4 to be filled

TOTAL 46 10 17

Consultants at Block level (World Bank project)

Malaria Technical Supervisor (MTS)

Sl. No.


Status of Recruitment

as on 10.01.10


as on 18.06.10

Remark

1 Andhra Pradesh 30 0 30

All filled up

2 Chattisgarh 66 48 48 No change, 18 vacant

3 Jharkhand 72 30 4616 more filled

up, 26 vacant

4 Madhya Pradesh 54 45 46 1 more filled up,

8 vacant

5 Orissa 78 77 73 4 left, 5 vacant

TOTAL 300 200 243


Kala-azar Technical Supervisor (KTS)

Sl. No.


Recruited up to

10.02.10

Recruited up to

18.06.10Remarks

1 Bihar 186 0 78 78 filled up, 108 vacant

2 Jharkhand 24 0 11 11 filled up, 13 vacant

3 West Bengal 66 0 6 6 filled up, 60 vacant

TOTAL 276 0 95 181 vacant


Laboratory Technicians (LTs)

Sl. No



as on 10.01.10


as on 18.06.10

Remarks

1 Andhra Pradesh 15 0 15 All filled up

2 Chattisgarh 33 21 221 more filled

up, 11 vacant

3 Jharkhand 36 32 33 1 more filled up, 3 vacant

4 Madhya Pradesh 27 20 20 No change,

7 vacant

5 Orissa 39 36 37 1 more filled up, 2 vacant

Contractual Multipurpose Workers (M) (under DBS)

Recruitment to be completed by 30th Sept’10

Sl. No.



as on 10.01.10


as on 18.06.10

Posts yet to be filled up

1 Jharkhand2304

(1116+1188) 1080 1086 1218

2 Orissa 1000 (816+184) 561 650 350

3 West Bengal 1000 (500+500) 0 405 595

4 Andhra pradesh 85 (55+30) 40 44 41

5 Chhattisgarh 1144 (830+314) 830 770 374

6 Madhya pradesh 1000 (516+484) 28 360 640

7 Maharashtra 216 (116+100) 95 95 121

8 Rajasthan 100 (66+34) 66 100 0

Contractual Multipurpose Workers Male (under DBS)

Sl. No.



as on 10.01.10


as on 18.06.10

Posts yet to be filled up

9 Karnataka 100 (0+100) 0 0 100

10 Arunachal Pradesh 356 (200+156) 200 356 0

11 Assam 391 (220+171) 220 391 012 Manipur 165 (100+65) 100 100 6513 Nagaland 200 (116+84) 116 200 014 Tripura 500 (250+250) 70 70 43015 Meghalaya 100 (0+100) 0 10016 Mizoram 75 (0+75) 75 017 Bihar 919 (0+919) 0 919

TOTAL 9655 3406 4702 4953

Training

Training of ASHA 1-2 Days Special training on Malaria in

addition to training on module for of NRHMRDTACT/ Antimalarial dosage administration

State wise break up of ASHA Training (as on 18.06.2010)

S.No Name of the State Sanctioned In-position Trained In Malaria

1 Assam 28798 28798 28798

2 Arunachal Pradesh 3862 3862 2592

3 Meghalaya 6255 6255 5307

4 Manipur 3878 3878 3558

5 Mizoram 1750 1750 1750

6 Nagaland 1700 1700 1541

7 Tripura 7367 7344 7344

8 Jharkhand 40741 39125 36659

9 Orissa 41102 40291 21737

10 West Bengal 58182 30114 No progress made

State wise break up of ASHA Training (as on 18.06.2010)

S.No

Name of the State Sanctioned In-position Trained In Malaria

11 Andhra Pradesh 70700 70700 12725

12 Chattisgarh 59489 59489 27006

13 Madhya Pradesh 52321 49370 8394

14 Maharashtra 60391 58054 7411

16 Gujarat 28355 27033 24248

17 Bihar 72000 71395 71395

18 Karnataka 39215 39215 29688

19 Kerala 32854 31868 22493

20 Rajasthan 46000 43288 0

Total 608960 570241 312646

Long Lasting Insecticidal Nets

(LLINs)

Long Lasting Insecticidal Nets (LLINs)

Already distributed in 2009-10 (States : Assam, Chatt, Megh, Miz, Tripura, Orissa, WB)

22.35 lakhs

In pipeline for 2009-10(States: Assam, Arunachal, Manipur, Megha, Miz, Naga, Tr, Orissa, WB)

25.70 lakhs

To be supplied in 2010-11(States: Assam, AP, Ar. Pr, Chatt, MP, Manipur, Megh, Miz, Nagaland,Tripura, Jh, Orissa)

65.81 lakhs

States – are expected to be prepared with distribution plan

Sl.No.

State

LLINs already Supplied

LLINs in

pipeline (2009-10)

LLINs under procurement

(2010-11)

Total LLINs by end of 2011

GF WB Total GF only GF WB Total

1 Assam 4.00 0.004.00

10.10 10.10 0.00 10.10 24.20

2 Andhra Pradesh

0.00 0.000.00

0.00 0.00 10.06 10.06 10.06

3 Arunachal Prad,

0.00 0.000.00

0.20 0.51 0.00 0.51 0.71

4 Chattisgarh 0.00 1.001.00

0.00 0.00 9.03 9.03 10.03

5 Madhya Pradesh

0.00 0.000.00

0.00 0.00 7.08 7.08 7.08

6 Manipur 0.00 0.000.00

0.55 0.57 0.00 0.57 1.12

7 Meghalaya 1.50 0.00 1.50 1.55 0.68 0.00 0.68 3.73

Status of LLINsunder World Bank(WB) & Global Fund(GF) Project

In Lakhs

Sl.No.

State LLINs Supplied LLINs in

pipeline (2009-10)

LLINs under procurement

(2010-11)

Total LLINs by end of 2011GF WB Total GF only GF WB Total

8 Mizoram 0.70 0.00 0.70 0.80 0.11 0.00 0.11 1.619 Nagaland 0.00 0.00 0.00 0.50 0.76 0.00 0.76 1.26

10 Tripura 1.66 0.00 1.66 3.00 1.28 0.00 1.28 5.9411 Jharkhand 0.00 0.00 0.00 0.00 0.00 6.60 6.60 6.6012 Orissa 2.99 9.00 11.99 7.00 0.00 19.03 19.03 38.02

13 West Bengal

1.50 0.00 1.50 2.00 0.00 0.00 0.00 3.50

Total 12.35 10.00 22.35 25.70 14.01 15.80 65.81 113.86

Status of LLINs Contd.

under World Bank(WB) & Global Fund(GF) Project

In Lakhs

Financicial issues

Audit Reports (2008-09) not yet received

(as on 26th June 2010)

1. Haryana

2. Himachal Pradesh

3. Delhi

S.No States/UtsOpening

Balance as on 01.04.2009

Total Release during 2009-

10

Total available fund with the State

Expenditure reported by

state (31.03.2010)

% Utilization of available fund

1 Andhra Pradesh 517.36 470.30 987.66 955.75 96.77

2 Arunachal Pradesh 3.66 742.05 745.71 716.43 96.07

3 Assam 762.43 700.16 1462.59 1350.39 92.33

4 Bihar 1205.95 193.02 1398.97 160.40 11.47

5 Chattisgarh 305.87 442.21 748.08 404.80 54.11

6 Goa 52.70 23.91 76.61 52.64 68.71

7 Gujarat 62.85 965.06 1027.91 156.01 15.18

8 Haryana 0.44 252.47 252.91 136.56 54.00

9 Himachal Pradesh

0.00 5.12 5.12 0 0.00

Financial Performance of States for the year 2009-10 (Cash Grant)-1

(Rs. In lakh)

Cont..

S.No States/UtsOpening Balance as on 01.04.2009

Total Release during 2009-10


Expenditure reported by state (31.03.2010)


10 Jammu & Kashmir 8.03 23.40 31.43 28.63 91.09

11 Jharkhand 1003.13 502.99 1506.12 10`10.94 67.12

12 Karnataka 375.03 200.47 575.50 177.92 30.92

13 Kerala 226.26 279.98 506.24 271.20 53.57

14 Madhya Pradesh 367.18 831.04 1198.22 313.45 26.16

15 Maharashtra 159.98 442.50 602.48 74.12 12.30

16 Manipur 96.92 195.31 292.23 283.56 97.03

17 Meghalaya 181.10 96.36 277.46 164.19 59.18

18 Mizoram 4.11 316.52 320.63 275.60 85.96


(Rs. In lakh)

Cont..






19 Nagaland 64.46 437.45 501.91 487.32 97.09

20 Orissa 1080.49 929.37 2009.86 1351.85 67.26

21 Punjab 21.44 238.81 260.25 28.97 11.13

22 Rajasthan 208.01 377.59 585.60 162.75 27.79

23 Sikkim 0.08 7.97 8.05 6.79 84.35

24 Tamil Nadu 270.09 453.71 723.80 461.9 63.82

25 Tripura 293.11 238.23 531.34 424.71 79.93

26 Uttar Pradesh 719.46 645.54 1365.00 733.88 53.76

27 Uttarakhand 23.25 5.55 28.80 20.96 72.78


(Rs. In lakh)

Cont..






28 West Bengal 425.68 427.74 853.42 323.02 37.85

29 Delhi 139.06 45.70 184.76 2.98 1.61

30 Pondicherry 82.81 20.12 102.93 66.76 64.86

31 A & N Island 46.65 445.51 492.16 243.71 49.52

32 Chandigarh 4.71 49.36 54.07 33.99 62.86

33 D & N Haveli 2.50 42.01 44.51 7.96 17.88

34 Daman & Diu 2.48 25.61 28.09 27.72 98.68

35 Lakshadweep 16.75 1.79 18.54 8.30 44.77

Total 8734.03 11074.93 19808.96 10926.16 55.16


(Rs. In lakh)

Cont..

Budget Allocation to the States/UTs (2010-11) (1)

(Rs. In Lakhs)

SL. No.

Name of the StateApproved

B.E. 2010-11

Unspent balance

as on 01/04/2010

Amount released

as 1st Installment

TOTAL(Col.4+5)

Remarks

1 Andhra Pradesh 613.29 31.91 428.07 459.98

2 Arunachal Pradesh 502.17 29.28 347.35 376.63

3 Assam 1238.92 112.20 817.00 929.20

4 Bihar 1165.15 1238.57 234.61 1473.18

5 Chhattisgarh 1086.63 343.28 513.15 856.43

6 Goa 57.06 23.97 31.29 55.26

7 Gujarat 286.48 871.90 0.00 871.90Sufficient balance available with the State.

8 Haryana 140.07 116.35 0.00 116.35Sufficient balance available with the State.

9 Himachal Pradesh 15.30 0.00 0.00 0.00SOE received late, release under pipeline

10 Jammu & Kashmir 24.32 2.80 15.54 18.34

(Rs. In Lakhs)

SL. No.


B.E. 2010-11

Unspent balance

as on 01/04/2010

Amount released

as 1st Installment

TOTAL(Col.4+5)

Remarks

11 Jharkhand 1699.85 495.18 874.07 1369.25

12 Karnataka 306.46 0.00 0.00 0.00SOE received late, release under pipeline

13 Kerala 270.54 235.04 121.94 356.98

14 Madhya Pradesh 1014.57 884.77 132.65 1017.42

15 Maharashtra 591.63 528.36 180.14 708.50

16 Manipur 353.63 8.67 256.55 265.22

17 Meghalaya 352.20 113.27 150.88 264.15

18 Mizoram 396.35 45.03 252.23 297.26

19 Nagaland 479.97 14.59 345.39 359.98

20 Orissa 1438.14 658.01 487.47 1145.48


Budget Allocation to the States/UTs (2010-11) (3)(Rs. In Lakhs)

SL. No.


B.E. 2010-11

Unspent balance

as on 01/04/2010

Amount released

as 1st Installment

TOTAL(Col.4+5)

Remarks

21 Punjab 96.33 231.28 32.49 263.77

22 Rajasthan 312.38 422.85 92.98 515.83

23 Sikkim 16.23 1.26 10.91 12.17

24 Tamil Nadu 344.68 0.00 0.00 0.00Correct SOE received late, release under process,

25 Tripura 370.68 106.63 173.85 280.48

26 Uttar Pradesh 887.38 631.12 665.54 1296.66

27 Uttrakhand 31.28 7.84 15.63 23.47

28 West Bengal 988.51 530.40 255.34 785.74


(Rs. In Lakhs)

SL. No.


B.E. 2010-11

Unspent balance

as on 01/04/2010

Amount released

as 1st Installment

TOTAL(Col.4+5)

Remarks

29 Delhi 28.29 0 0 0 SOE awaited

30 Pudducherry 31.13 36.17 0.62 36.79

31 A & N Islands 324.42 248.45 42.83 291.28

32 Chandigarh 21.95 20.08 13.06 33.14

33 Dadra & Nagar Haveli 34.78 36.55 7.17 43.72

34 Daman & Diu 21.83 0.37 16 16.37

35 Lakshadweep 20.90 10.24 5.44 15.68

TOTAL 15563.50 8036.42 6520.19 14556.61

New Initiatives since

January 2010

Drug Policy Expansion of use of ACT in all Pf Malaria cases

Expansion of use of Miltefosine for Kala-azar as a first line drug

Human Resources Decentralisation of recruitment of State and District

level consultants under WB project

Provision of funds for all 9655 contractual MPWs

Incentives For ASHAs for Malaria diagnosis & treatment in 257

most endemic districts

For ASHAs/volunteers for their involvement in diagnosis & treatment of Kala-Azar patients

Compensation of loss of wages to kala-azar patients for the duration of the treatment

Thank You

Status of ACTs (No. of Packs)

Sl. Name of State Supplied - 2009-10 Allocation - 2010-11

1 Assam 45,000 366,7902 Arunachal Pradesh 25,000 61,2853 Manipur 25,000 44,5804 Meghalaya 25,000 99,1605 Mizoram 25,000 21,2946 Nagaland 25,000 23,8067 Tripura 25,000 88,9358 Jharkhand 95,000 269,4509 Orissa 140,569 728,520

10 West Bengal 40,000 156,58611 Andhra Pradesh 30,000 144,16412 Chattisgarh 80,000 253,61713 Madhya Pradesh 70,317 167,09514 Goa 0 6,71515 Gujarat 0 78,47716 Karnataka 0 102,86117 Maharashtra 0 97,41818 Rajasthan 0 41,71719 Uttar Pradesh 0 22,01920 A & N Islands 0 4,54721 GMSDs 173,114 0

Grand Total 825,000 2,779,036

Status of RDT ( Mal) (No. of Tests)Sl. No

States Supplied - 2009-10 Allocation - 2010-11

1 Assam 934,000 1,675,0002 Arunachal Pradesh 175,000 180,0003 Manipur 178,000 75,0004 Meghalaya 231,000 195,0005 Mizoram 233,000 140,0006 Nagaland 185,000 78,0007 Tripura 200,000 200,0008 Jharkhand 1,855,000 1,071,4459 Orissa 2,918,000 2,305,000

10 West Bengal 750,000 1,660,00011 Andhra Pradesh 600,000 500,00012 Chattisgarh 1,320,000 865,00013 Madhya Pradesh 1,080,000 655,55514 GMSDs 638,400 0 Grand Total 11,297,400 9,600,000

Suggestions for Improvement – (1)

• Advance microplan preparation• By December-January of every year.• At state HQ in consultation with RD/DMOs/VBD

Consultants/Entomologists• Dissemination to Districts/PHCs/VHSCs

• Training of spray squads• One day training prior to spray at PHC by MI/SI

• Advance information to VHSC/ PRI/ASHAs.• Involvement of ASHA• Use VHND/ASHA Diwas for dissemination• Information twice-15 days before and 1 day before.

• Total requirement for Saturation distribution- 28 million

• Need to replace after 3-4 years

• Resistance to insecticide being used for impregnation of nets is reported to be emerging

• Supplier in the country – limited and LLINs are not freely available in the market

• Scale up need acceleration

• In view of limited availability of LLIN states may alternatively procure Plain bed nets and get treated them with insecticide

Long Lasting Insecticide Nets (LLINs)

Status of Plain Nets -decentralized for procurement through NRHM

S.No. State Name Numbers

SanctionedNumbers

PurchasedRemarks

1Arunachal Pradesh

175000

Procurement should be initiated / completed

2 Assam 600000 395000

3 Manipur 165000 79934

4 Mizoram 140000 70117

5 Meghalaya 225000 85700

6 Nagaland 140000 67000

7 Tripura 140000 51780

8 Orissa 225000

9 Jharkhand 225000

10 West Bengal 550000

TOTAL 2,585,000 749,531

Training Plan for MPWs

Three Months training curriculum being developed at NIHFW

TOT – will be conducted at NIHFW

State should plan further training at State training centres

STATUS OF SUPPLY OF

DDT

Status of DDT Supply (2004-05 to 2009-10)

(MTs)

Year 2005-06 2006-07 2007-08 2008-09 2009-10

Malaria 6000 6450 4800 5991 5694

Kala-azar 2481 375 1200 830 1000

Total 8481 6825 6000 6821 6694

State-wise supply of DDTSl.No.

States/U.T.s 2005-06 2006-07 2007-08 2008-09 2009-10

1 Arunachal Pr. 160 150 150 150 145

2 Assam 600 1394 860 1185 1000

3 Manipur 45 35 60 30 5

4 Meghalaya 150 130 140 140 80

5 Mizoram 100 85 80 60 60

6 Nagaland 150 150 150 140 140

7 Tripura 276 230 200 200 180

8 Sikkim 3 3 3 3 0

9 Andhra Pr. 150 0 150 135 100

10 Bihar 2063 0 900 650 800

11 Chattisgarh 794 1150 700 890 800

12 Jharkhand 800 1200 480 935 540

State-wise supply of DDTSl.No.

States/U.T.s 2005-06 2006-07 2007-08 2008-09 2009-10

13 Karnataka 100 100 75 75 75

14 Madhya Pr. 140 140 150 70 400

15 Orissa 1050 924 700 700 700

16 Punjab 9 0 9 7 7

17 Rajasthan 400 250 623 500 595

18 Uttar Pr. 1008 425 180 495 725

19 Uttaranchal 24 18 27 34 30

20 West Bengal 441 411 357 411 291

21 Punducherry 1 1 1 1 1

22 A&N Islands 15 27 3 9 19

23 Chandigarh 1 2 2 1 1

TOTAL 8480 6825 6000 6821 6694

Field Visits by GOI Officials

Field Visits by GOI Officials for IRS Supervision- Malaria (2010)

State No of visits Name of the Districts

Arunachal Pradesh 8 Lower Dibang, Lohit (2), East Siang, Papum Pare, Changlang, Upper Subansiri, Upper Siang

Assam 4 Karbi Anglong, Udaigiri, Dhubri, Goalpara

Meghalaya 5 Re- Bhoi, West Garo Hills, West Khasi Hills, Jaintia Hills, Shillong

Mizoram 2 Lunglei, Kolasib,

Nagaland 2 Mokokchung, Phek,

Tripura 3 North Tripura (2), South Tripura

Chattishgarh 3 Bastar, Dantewada, Surguja,

Gujarat 3 Surat (Rural) (2), Dahod,

Haryana 1 Karnal,

Jharkhand 1 Bokaro

Karnataka 2 Almatti, Chikballpur,

Madhya Pradesh 1 Bhuranpur,

Maharastra 3 Gadchiroli, Mumbai (2),

Orissa 2 Kandhamal, Sundergarh,

West Bengal 2 Jalpaiguri (2),

Goa 1 North Goa

Total 43

Field Visits by GOI Officials for IRS Supervision- Kala-azar (2010)

State No of visits

Name of the Districts

Bihar 18 Saran, Patna, Muzaffarpur (2), Madhepura, Khagaria, Saharsa, Madhubani, Nalanda, Jehanabad, Samastipur (2), Siwan, Bhagalpur, Gopalganj, Munger (2), Kishanganj

Jharkhand 3 Godda, Pakur, Sahibganj,

Total 21

Some Issues on Epidemiological Surveillance

Delay in Monthly Epidemiological data transmission

• 1 month to state • 2 months to centre

Non submission of regular reports in reporting format

• Training (TOT) on M&E & Formats handed in Dec 2008

• Letters for implementation sent on 8th September, 7th October & 26th November 2009 and 8th June 2010

• Discussed in review meetings for implementations

nvbdcp - final presentation v2-nrhm

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