Success-Stories-on-Health-Sector

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west bengal a Multi-ProngeD action against Disease transMission anD a concerteD effort towarDs the kala-azar eliMination goal Total population of approx. 4.9 lakhs were taken up for the case search. The no. of blocks having annual incidence more than the cut-off level of elimination went up from 7 in 2013 to 11 in 2014 84 | MAkING A Difference : Good, Replicable and Innovative Practices
ProbleM stateMent It is a national goal to eliminate kala-azar by the year 2015. The State of West Bengal is endemic for kalaazar and is in 3rd position in terms of the number of kalaazar cases in the country, next to Bihar and Jharkhand. It was felt that in order to bring down the new incidence, the hidden cases be found out and treated, and measures be taken to control the environmental factors to cut off transmission chains. PrograMMe DescriPtion Objectives • To find out the undetected cases of VL and PKDL and put them on treatment. • To strengthen control of vectors and environmental factors to reduce disease incidence. Actions taken • Active case search and proper treatment: Microplans were prepared at block level for survey and diagnostics camps. A special drive of rapid intensive case search (House-to-house) and diagnostic camps (Crash Programme) were undertaken. Confirmed cases were referred to pre-scheduled diagnostic camps and put on treatment with an anti-kala-azar drug as per national protocol. The new anti-kala-azar drug i.e. inj. liposomal amphotericin-B was introduced and the use of liposomal amphotericin was decentralised up to the block PHC level, after necessary training of staff. intensive iec activities were done in the villages before the active case search. • All the search workers, supervisors and Medical Officers involved in the intervention were given orientation training. • Administrative actions: kala-azar has been declared as a notifiable disease in the State, a State level Task Force is constituted as per the national road map to elimination and guidelines have been issued to the District Programme Officers to strengthen routine surveillance. • Since poor housing condition is an important factor behind sustained kala-azar transmission, an endeavour has been taken up to improve housing in high case load villages. PrograMMe outcoMes A total population of approx. 4.9 lakhs were taken up for the case search. Out of 3324 suspected cases 259 cases (103 VL and 156 PKDL) were confirmed. The number of blocks having annual incidence more than the cut-off level of elimination went up from 7 in 2013 to 11 in 2014. evaluation In order to assess the impact of IRS, a vector survey was done at the same place(s) before and after IRS. The results showed a mixed picture of impact, probably due to inconsistent quality and coverage of IRS. conclusions/lessons learnt To sum up we State that we have taken to fight the disease problem at the levels of (i) the hosts, (ii) the disease agent, (iii) the environment including the vectors and (iv) programmatic aspects. Already we have made a significant advancement towards reaching our goal and are hopeful that a concerted effort will give us success in the end game too.
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© Ministry of Health and Family We
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InTrOdUCTIOn healTh SySTeMS STrenGT
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Introdu Ministry of Health and Fami
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Health Stren
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JharkhanD strengthening rMnch+a suP
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kerala coMPrehensive health Plan 10
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MaDhya PraDesh integrateD referral
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oDisha 360-Degree coMMunication aPP
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aJasthan MukhyaMantri nishulk Dava
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aJasthan MukhyaMantri nishulk Janch
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chhattisgarh role of Mitanin in coM
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JharkhanD sahiya helP Desk ProbleM
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oDisha streaMlining asha PayMents 2
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oDisha iMProveD financial ManageMen
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aJasthan asha soft- online PayMent
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sikkiM role of vhsnc MeMbers for iM
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EmErging initiativEs Human Resource
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NATIONAL HEALTH MISSION PunJab mala
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EmErging initiativEs QUALITY ASSURA
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HimaCHal PraDEsH augmEnting rEnal C
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wEst bEngal Fair PriCE raDiologY Di
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EmErging initiativEs Health Insuran
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