NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME
Introduction:
The National Vector Borne Disease Control Programme (NVBDCP) is an Umbrella Programme for prevention and control of Malaria and other Vector Borne Diseases like Dengue, Filaria, Kala-Azar, Japanese Encephalitis and Chickengunia with special focus on the vulnerable groups of the society. Under the programme, it ensures that the disadvantages and marginalized section benefit from the delivery of service so that the desired National Health Policy and Rural Health Mission Goals are achieved.
OBJECTIVE OF THE PROGRAMME
To prevent morbidity due to Malaria and other Vector Borne Diseases.
THE MAIN ACTIVITIES UNDER THE PROGRAMME
Early Diagnosis and complete treatment.
Integrated vector control.
Community based health education.
Training and capacity building of various cadres of medical and paramedical staff for prevention, management and control of Vector Borne Diseases.
Effective Monitoring, supervision and surveillance.
ORGANISATIONAL SETUP
The NVBDCP wing of the Health Department is situated at Head Quarter, Gangtok, having overall responsibilities of implementation of programme.In the East District – District NVBDCP Office and store is situated at Singtam Old Hospital Complex, where insecticides and anti – malarial drugs are stored and supplied to all four (04) districts.
There is no NVBDCP Office at North, South and West District; the Programme is implemented under the supervision of District malaria Officer / Chief Medical Officers.
Malaria Problem in Sikkim
Malaria is prevalent:
Among migrant population in project areas and construction sites.
Army personnel transferred from malaria endemic areas.
Local population in lower belt of the state.
As problem of malaria in Sikkim is due to the labour population migrated from malaria endemic areas to work in project areas and construction sites.
ENTOMOLOGICAL COMPONENT
The Entomological component under NVBDCP is a vital one. In view of the presence of vector species of Malaria, Kala – Azar, J.E, Filaria and Dengue in the low lying areas bordering West Bengal. Strengthening of Entomological staff with logistic is must.
IEC
This is one of the most important components of the programme. All the media of the state are being used to spread the message of prevention and control of malaria and other vector borne diseases in collaboration with IEC Bureau.
Anti – malaria month is observed during the month of June every year.
Anti – Dengue month is observed during the month of July.
This year more emphasis will be given to project areas.
IRS (Indoor Residual Spray)
The routine Indoor Residual Spray (DDT) has been discontinued since 2015-16 as the State of Sikkim has been declared as Organic State.
Activities for malarial areas of the state
Identification of the high risk areas.
Increase in ABER by training of MPHWs.
Monthly meeting with the MO, I / C PHC & CMOs.
Involvement of Private Practitioners in monthly reporting of malaria cases and death.
Monitoring and evaluation.
Inspite of getting majority of imported cases from neighboring States and Countries and resurgence of malaria in recent years, the malaria situation in Sikkim is not very bad.
Current Status- Physical
Statements showing Malaria Situation from 2011- 2015
State- Sikkim
| YEAR | Population | BS Collection | Total Positive Cases | No.of Pf Cases | No. of Death | ABER (%) | SPR (%) | Pf (%) | API | SFR (%) |
|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 188588 | 6969 | 51 | 14 | Nil | 3.7 | 0.73 | 27.45 | 0.03 | 0.2 |
| 2012 | 193302 | 6574 | 77 | 14 | Nil | 3.4 | 1.17 | 18.1 | 0.03 | 0.21 |
| 2013 | 198136 | 11136 | 39 | 13 | Nil | 5.6 | 0.35 | 33.3 | 0.01 | 0.11 |
| 2014 | 203089 | 7970 | 35 | 18 | Nil | 3.9 | 0.4 | 51.4 | 0.01 | 0.2 |
| 2015 | 208166 | 8826 | 27 | 13 | NIL | 4.23 | 0.3 | 48.1 | 0.01 | 0.14 |
STATEMENT SHOWING DISTRICT WISE DISTRIBUTION OF
CASES OF KALA-AZAR FROM 2011 – 2015
| Sl. No | Year | East | West | North | South | Total |
|---|---|---|---|---|---|---|
| 1 | 2011 | 3 | Nil | Nil | 4 | 7 |
| 2 | 2012 | Nil | 2 | Nil | 3 | 5 |
| 3 | 2013 | 3 | 2 | Nil | 2 | 7 |
| 4 | 2014 | 4 | Nil | Nil | 2 | 6 |
| 5 | 2015 | 2 | Nil | Nil | 3 | 5 |
STATEMENT SHOWING VECTOR BORNE DISEASE
SITUATION FROM – 2011 TO 2015
| YEAR | MALARIA | FILARIASIS | KALA - AZAR | DENGUE |
|---|---|---|---|---|
| 2011 | 51 | Nil | 7 | 2 |
| 2012 | 77 | Nil | 5 | 7 |
| 2013 | 38 | Nil | 7 | 679 |
| 2014 | 35 | Nil | 6 | 3 |
| 2015 | 27 | 1 | 5 | 35 |
N.B:- There is no reported case of JE & Chickengunia.
Project Plan for the year 2015-16.
Screening of labour population.
Sensitization of the MPHW catering project areas / construction sites.
Intensive IEC activities.
Sensitization of the Private Practitioners and Panchayats of the area.
Mass survey of the labour population.
Buffer stock of the anti malarial drugs in the PHC catering the project areas.
Sensitization of the Medical Officer for early prediction of the epidemics.
Training of the Medical Officers & Paramedical staff including Lab. technician of the project areas.
Constant supervision and monitoring.
Financial Statement of receipt & expenditure for the year 2015-16
| Opening Bal. | Fund Received (GOI) | State Share | Fund received from other agencies | Interest | Total Fund | Expenditure | Balance |
|---|---|---|---|---|---|---|---|
| 34,41,252 | 24,00,000 | 0.0 | 88500.00 | 59,29,752 | 23,95,485 | 35,34,267 |