training module for medical officers primary health centre - NVBDCP

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Evaluation designProgram evaluation is done through internal and external assessments. Internal assessments areconducted by central teams as well as by LQAS, periodically. Strictly speaking, LQAS is more amonitoring mechanism, rather than an evaluation tool. External assessments are done through largesample surveys every 2-3 years and are conducted by NVBDCP / NIMR.External assessmentsThe purpose of external assessments is to have an independent estimate of progress of the programmeover time through consecutive surveys, by collection of key process, output and outcome indicators.The study in 10 randomly sampled high burden blocks with API > 2 or 5 can be spread out over 80villages to include 1600 households / fever cases. Such samples are adequate to detect differences ofmore than 10% across two surveys. The survey data will be examined along with other sources ofinformation, including MIS and LQAS and planning data.Evaluation survey toolsThe survey will include the following schedules: House-listing schedule: Information about total population, current fever cases, fever cases in lasttwo weeks, possession of bednets, last time IRS of the house was done, deaths in last 12 months Deaths schedule: Details of deaths in last 12 months, including possible malaria deaths Current fever schedule: Details of fever cases on day of survey, including blood testing and results 2-week fever case schedule: Details of fever cases in last two weeks, their contact with careprovider, testing and treatment, and awareness of malaria Household schedule: Details of use of bednets and IRS, and awareness of malaria ASHA interview schedule: Awareness about malaria and about her roles in malaria control Village schedule: Details of the profile of the village, distance from facilities, forest, etcMain indicatorsDisease burden indicators Prevalence of fever on the day of the survey, and how many were Pf or Pv positive amongthem Prevalence of fever in the two weeks before the survey Deaths from suspected malaria over one yearCase management indicators How many of the villages in high burden areas have a local health worker who providesdiagnosis and treatment How many of the fever cases were seen by a health worker or ASHA within a day of start offever How many of the fever cases were tested and treated within one day of start of feverVector control indicators In high burden areas, how many of the households of individuals were protected by eitherIRS or ITN/LLIN95
How many of the individuals actually slept under an insecticide treated net the night beforethe surveyWhat proportion of houses and rooms were adequately sprayed in the last six monthsOther indicators Indicators related to awareness about malaria, Indicators related to knowledge and skills of ASHABaseline surveyBaseline surveys have been completed in 4 high burden districts in Orissa, Madhya Pradesh,Chhattisgarh and Jharkhand. Baseline surveys will be carried out in some more of the high burdenareas before the new malaria control interventions are launched in them.96
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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
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Advice to the patients / caretakers
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The choice between IRS and ITN/LLIN
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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 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: During planned bednet distribution
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