training module for medical officers primary health centre - NVBDCP

Main strategies of Malaria control programmeSESSION – 4: PROGRAM STRATEGYUniversal access to care in each village of the high burden areas with ASHA or other communityvolunteer trained in the use of RDT and ACTUniversal protection of high risk populations with IRS of insecticide treated bednets (ITN/LLIN) withscaling up of LLIN use which will become the main tool in future.Case management strategyPrompt diagnosis of all P. falciparum cases with monovalent RDTs at present (Bivalent kits for bothP. falciparum and P. vivax are likely to be introduced in future)All cases of P. falciparum in high burden areas treated with ACT (3 days) and single dose ofPrimaquineAll villages will be identified as “Slide villages” or “RDT villages” as determined by expected timetaken for microscopy results to be available.In RDT villages, slide will be sent to the laboratory only if RDT result is negativeAll slides will be sent as soon as possible after they are collected, even if a single slide has to besent at a timeThe practice of presumptive treatment of malaria has been stopped. If a patient is a case ofsuspected malaria and RDT is not available and microscopy results will take more than 24 hours, afull 3 day course of chloroquine will be given, pending microscopy results.Trained ASHAs and other community volunteers will be the backbone of malaria case detection,treatment and referral in the peripheral areas.Emphasis will be given to passive case detection in fever cases reporting to health workers orvolunteers; active case detection will continue to be done particularly in areas where there are novolunteers and also when outbreaks occur.Sentinel surveillance sites will be established in each district to monitor cases of severe malariaand their outcomes.Vector control strategyPrinciples of Integrated Vector Management will be applied in all high burden areas, with saturationby IRS or ITNs/LLINs.39