training module for medical officers primary health centre - NVBDCP

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Bales are relatively easy to handle, being light enough to be moved manually. The principal concern intheir storage is thus one of volume rather than weight. The very large volumes involved make it criticalthat there is adequate storage capacity at all levels.The tightly packed and tied bales can be stacked several layers high (up to a height of 5 m) without anydamage to the bottom layers. In theory, 5.8 bales of polyester LLINs occupy a volume of 1 m 3 ; inpractice, 4 bales/m 3 is a reasonable working figure. Thus, if a warehouse room space is 3 m x 3 m x 3m, available volume is 27 m 3 , which would accommodate 27 x 4 = 108 bales or a total of 10800polyester LLINs.Monofilament polyethylene LLINs can be stored at 6 bales/m 3 , so that the same warehouse volume of27 m 3 would accommodate 162 bales or 6480 LLINs of this type.Stock management is relatively simple because LLINs are well packed and do not deterioratephysically. Bales must be carefully counted by at least two individuals during off-loading of thecontainers; this provides a double-check of the quantities indicated on the bills of lading.TransportEven though LLINs are well wrapped and bales robustly packaged, every vehicle must be equippedwith a tarpaulin for protection.As for storage, the principal consideration in the transport of LLINs is one of volume rather than weight.Onward transport of LLINs from PHC to subcentres and villages could be done, if needed, by thevehicles normally used to carry medicines, vaccines and other supplies – most often bicycles andmotorcycles.Assumptions for carrying capacity One person with bicycle and vaccine carrier can carry 4 – 6 LLINs weighing 2.6 – 4.0 kg dependingon various factors. One person with motorcycle and vaccine carrier can carry 10 LLINs weighing 6.5 kg One 4 x 4 light vehicle with mobile team members and vaccines and equipment can carry 150LLINs weighing 97.5 kg.Distribution of BednetsPreparatory activitiesIt is important that preparatory work is done to ensure optimal use of mosquito nets. The followingactivities must be completed prior to the distribution or insecticide treatment of the mosquito nets: Survey of the area – number of households, number of persons in each household, number ofpregnant women and children under 5 years of age, number of mosquito nets in use, knowledge,attitude and practices Identification and involvement of community representatives, self help groups, women’sorganizations and NGOsPreparation of the list of beneficiaries89
communication among the community for the regular and proper use of mosquito nets, with morefocus on pregnant women and young children; insecticide treatment of the bed nets and proper careof the bed netsIn case of bednet treatment, selection of site(s) and persons, training and making arrangements fornecessary itemsDistribution Organize camps for distribution of insecticide treated mosquito netsKeep records of mosquito net distributionMake arrangements for distribution to those who were unable to attend the camp(s)Post Distribution ActivitiesPeriodic visits to be made by health workers / volunteers to check and encourage regular net use.90
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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
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Plate 1: Plasmodium falciparum thin
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3.3: MALARIA CASE MANAGEMENTAntimal
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This ACT is highly effective agains
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within 72 hours of treatment. Such
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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 and 80: ProgramComponentBed netimpregnation
Page 81 and 82: Benefit of indoor insecticidal spra
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: Planning of LLIN coverage is compli
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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training module for medical officers primary health centre - NVBDCP

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