Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
IPH Technical Brief 1-2011 (1)

IPH Technical Brief 1-2011 (1)

Ratings: (0)|Views: 4|Likes:
Uploaded from Google Docs
Uploaded from Google Docs

More info:

Published by: Prabir Kumar Chatterjee on May 09, 2012
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

05/09/2012

pdf

text

original

 
IPHPolicyBrief1/2011–August12011
PrashanthNS,NandiniVelhoandUmeshSrinivasan
Forfurtherdetails,contactprashanthns@iphindia.orgInstituteofPublicHealth,#250,2CMain,2CCross,GirinagarIPhase,Bangalore560085
http://www.iphindia.org
+918026421929mail@iphindia.org
Addressinghealthsystemfailuretoimprovemalariacareinnorth-eastIndia
Whythisbrief?
Mostremoteandinaccessibleareas,especiallyinnorth-eastIndia,continuetoremainhighlyendemicformalaria.Manysuchareasareinandaroundthickforestsandtheuniquelocalconditionsnecessitatespecialmeasurestotacklemalaria.Theweakhealthsystemsintheseareasareunabletoimplementtheoperationalguidelinesframedatthenationallevel.Thefollowingbriefoutlinesnewandemergingevidence
2
thatwouldstrengthenmalariacontrolandpreventioneffortsinnorth-eastIndia.
Whatweknow:
Malariaisamongthetop10reportedcausesofdeathamongallagegroupsinIndia.Eightypercentofmalariapatientsarereportedin20%ofthepopulation
1
.Thebruntofthediseaseisbornebypeoplelivinginremoteandthicklyforestedareas.
Insuchareas,inadditiontotheburdenonthelocalcommunity,frontlinestaffworkingwithinpublicservicesareadverselyaffected 
,thusfurtherweakeningtheeffectivenessoftheseservices.Thisleadstoaself-reinforcingcycleofpoorpublicservicedeliveryandincreasingmalariadeathanddisability
(See figure).
Forexample,theavailabilityofteachersinprimaryschoolsinremotemalaria-proneareasaffectseducationservices.Similarly,anti-poachingeffortsareaffectedinandaroundforestareas,
2
thushamperingforestmanagementandwildlifeconservation.Evidence-basedandpracticalguidelines
5
havenottranslatedintotimelyandqualitycareformalariaatprimaryhealthcentres(PHC)insuchareas.Thisleadstoincreaseddependenceonexpensiveandirrationalcareatprivateclinicsorhospitals,increasingbothpersonalandinstitutionaleconomicburden.
Disproportionatelyaffectsthepoorandpeoplelivinginandaroundforestsandinaccessibleareas
 
Whoisthisaddressedto?
DirectorateoftheNationalVector-bornediseaseControlProgramme,HealthSecretariesandDirectorofhealthservicesanddistrictmalariaofficersofnorth-easternstatesandotherdecision-makersinallgovernmentdepartmentsinnorth-eastIndianstatesandofficeoftheNationalRuralHealthMissionofGovernmentofIndia.

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->