training module for medical officers primary health centre - NVBDCP

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Program Scope for community supportComponentReferral care Ensuring early transport of patientsof severe malaria to the correctreferral institution Helping the family avail ofgovernment schemes supportingcosts of transportation andtreatment*Scope for community monitoringDemanding and ensuring immediatecare for cases of severe malaria atinstitutionsEnsuring that untied funds at villageand subcenter levels under NRHM aremade available in a timely manner forpoor families needing referral.Behaviour Change Communication (BCC)BCC has been defined as a process of learning that empowers people to take rational and informeddecisions through appropriate knowledge; inculcates necessary skills and optimism; facilitates,stimulates pertinent action through changed mindsets, modified behavior and reinforces the same.Simplicity, brevity, do-ability and relevance are the cornerstones of effective communication for behaviorchange. Clear messages, communicated through different, credible channels are most likely to bringabout change.Simple mass communication before IRS and bed net distribution rounds may consist of recruitment oflocal folk media, NGOs and CBOs to explain the benefits and use of IRS and bed nets to communities.About 3-6 months after the roll-out, even as early as during the first transmission season, a quick butformal, independent assessment of the program interventions can be carried out in multiple locations, toidentify gaps in service availability, utilization and quality. Within a year of the roll-out of interventions,and before the second transmission season, a comprehensive BCC and Community Participation plancan be put in place, and assessed again during the transmission season to iron out the remainingwrinkles. During the first year, much of the monitoring of this activity will come from supervisory visits byPHC/MO, MPHW and MTS. Some of the assessments mentioned above can be conducted by the MTS.Receivers of BCC Villagers Housewives Mahila Mandals School children Small factory workers Opinion leaders and non-formal leaders (Paramount importance)Media mixPosters, folders, hand bills, charts, flip charts, flip booklets, stickers, book markers for schoolchildren, postal prints, etc.Exhibition, folk dance, puppet show, drama, bhajan, kirtan, etc.Video quickies, video on wheels, cable TV, etc.Salient points to be covered in BCC79
Benefit of indoor insecticidal spray and precautions.Prevention of man made breeding places.Prevention of water storage for 7 days or more curtails mosquito breeding and malaria.Malaria vectors breed in clean water.Fever cases to contact FTD / DDC / Voluntary Link Worker for proper treatment.Malaria is confirmed by blood test only.Confirmation of malaria by tests is necessary for effective treatmentMalaria is more harmful to children and pregnant women-the fever cases should be tested soon.Advance notice on spray programme – 15 days before spray.Advance notice on spray - again 3 days before spray.Involve FTD / DDC / VLW / MPW to motivate community to accept spray.Peripheral workers to move with spray squads to achieve ≥ 80% coverage of rooms.Supervisory staff to motivate community to accept spray among refusals.Do not plaster sprayed walls within 12 weeks.80
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TRAINING MODULEFORMEDICAL OFFICERSP
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Distribution of malariaSESSION - 1:
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National Malaria Eradication Progra
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1.2 : JOB RESPONSIBILITIES OF MO- P
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SESSION - 2: MALARIOLOGY2.1: EPIDEM
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2.2: MORPHOLOGY, LIFE CYCLE AND TRA
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Table 2.1: Differentiation of chara
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2.3: VECTOR MOSQUITOES AND THEIR BI
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Bionomics of vector species in Indi
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2.4: EPIDEMIOLOGICAL AND ENTOMOLOGI
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Entomological parameters should be
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Cerebrospinal fluid (CSF) is clear
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3.2: LABORATORY DIAGNOSIS OF MALARI
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Examination of blood films for mala
Page 29 and 30: Plate 1: Plasmodium falciparum thin
Page 31 and 32: 3.3: MALARIA CASE MANAGEMENTAntimal
Page 33 and 34: This ACT is highly effective agains
Page 35 and 36: within 72 hours of treatment. Such
Page 37 and 38: In pregnancy, malaria, especially P
Page 39 and 40: Advice to the patients / caretakers
Page 41 and 42: The choice between IRS and ITN/LLIN
Page 43 and 44: Deploy staff for active case detect
Page 45 and 46: Visit the PHCs, subcenters and vill
Page 47 and 48: The Rapid Diagnosis Test (RDT) is d
Page 49 and 50: It should also be ensured that the
Page 51 and 52: Common problems for reluctance to g
Page 53 and 54: 3. Programme management Monitoring
Page 55 and 56: Worker (SFW) to the PHC-MO where a
Page 57 and 58: The data collected through the syst
Page 59 and 60: Outcome - IRS Coverage - Population
Page 61 and 62: Level Staff FrequencySupervisor (wh
Page 63 and 64: With improved access to quality cas
Page 65 and 66: If an epidemic is predominantly due
Page 67 and 68: 500@ 20-25 houses per pump per day
Page 69 and 70: 3.1.6 Name of Laboratory Technician
Page 71 and 72: 3. Therefore, unless the deceased h
Page 73 and 74: To accord priority for IRS in areas
Page 75 and 76: Consumption of insecticide as deter
Page 77 and 78: Step 9: Wash equipments (basin, mea
Page 79: ProgramComponentBed netimpregnation
Page 83 and 84: The MO-PHC is expected to provide a
Page 85 and 86: Ensure that they have adequate supp
Page 87 and 88: 4.8: LOGISTICS MANAGEMENTPlanningPl
Page 89 and 90: Planning of LLIN coverage is compli
Page 91 and 92: communication among the community f
Page 93 and 94: Examine level of stocksLook for unr
Page 95 and 96: During planned bednet distribution
Page 97: How many of the individuals actuall
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