training module for medical officers primary health centre - NVBDCP

4.6: PLANNINGThe two main planning responsibilities of MO-PHC are1. Planning the roll-out of all activities according to the new strategies2. Contributing to the annual district level plan for malaria controlPlanning the roll-out of activitiesThe PHC staff will list out all villages and hamlets identify the community level providers, viz. ASHA,AWW or any other volunteer in each village/hamlet, keeping in mind that every person living in the PHCarea should have a local health care provider within walking distance of his/her residence. Thisdistance is generally taken as approximately 3 km, but may vary depending upon the terrain, availabilityof means of transportation etc. Special attention should be paid to people residing in small hamlets inremote and inaccessible areas.Assigning the responsibility to the concerned MPHW/ANM/MPHS to consult the community members toselect the suitable community level provider is a good option. The staff should make clear to thecommunity level provider the training needs, volunteer nature of the work and the incentive structure.ASHA, if willing, is the preferred candidate for malaria control efforts. If options are available, selectionshould be based on past experience, access to vulnerable sections of the community and likelyavailability at all times; more than one local health provider can also be selected and trained pervillage/hamlet.It will be ensured that all selected volunteers complete their training with RDTs, slide making andtreatment. The list of candidates along with the corresponding MPHWs who will attend the training willbe sent to the DMO who will arrange for their training. All candidates, including those with pastexperience with RDTs will be trained. At the completion of training, the MPHW will ensure that eachvolunteer receives two months’ supply of RDTs, drugs and other supplies.The trained volunteers will be taught that RDTs are not exposed to direct sunlight and hightemperatures of more than 40 O C and that they should not be kept directly under tin roofs in summer.The MPHWs will help them to identify the suitable cool, dry place to store RDTs in their respectivehouses. The drugs will also be stored under similar conditions.As LLINs occupy large space, their storage space and distribution should be planned well in advance sothat duration of storage is kept at the minimum. A team of logistic experts will guide the process atdifferent levels.Identification of “RDT villages” and “Slide villages” in the PHC area will be facilitated by the MO-PHC.The appropriate slide and report transportation mechanisms will also be identified for eachvillage/hamlet. All persons involved in the mechanism such as laboratory technicians, school teachers,postmen etc. will be trained appropriately to make the mechanism work efficiently as per the local plan.The designated referral centre for each village under the PHC should be made known to all healthworkers and volunteers.Contributing to district level planning81