COURSE-B.

SC NURSING IV YEAR

SUBJECT:COMMUNITY HEALTH NSG II

UNIT :6

PART 1 :NATIONAL HEALTH AND FAMILY

WELFARE PROGRAMMES AND ROLE OF NURSE
PART I-
National Health & Family Welfare
Programmes and the Role of Nurse

NATIONAL ANTI-MALARIA PROGRAMME

NATIONAL FILARIA CONTROL PROGRAMME

NATIONAL GUINEA WORM ERADICATION

PROGRAMME
PREPARED BY
J.POORNIMA MARY RODRIGUEZ
ASSOCIATE PROFESSOR
 OBJECTIVES
The students will be able to:
✔ Discuss the origin of the programme

✔ Define the terminology

✔ Enlist the objective of the programme

✔ Identify the Malaria control activities

✔ Elaborate on Strategic action plan

✔ Appreciate the major activities based on API

CONT….

✔ Understand the Anti –malaria month campaign

✔ Narrate the Strategic action plan for malaria
elimination in India(2016-2030)
✔ Describe on Filaria control Strategy

✔ Recognize externally supported projects

 PROGRAM-OVERVIEW

• Introduction
• Origin of the programme

• Terminology

• Objectives

• Malaria control activities

• Malaria Strategy action plan(2012-2017)

• API Based activities
• Anti malaria month campaign

• Malaria Strategy action plan(2016-2030)

• Filaria control strategy

• Externally supported projects

 INTRODUCTION
The National Vector Borne Disease Control
Programme was launched in 2003-2004 by
merging:
✔ National Anti Malaria control programme
✔ National Filaria control Programme
✔ Kala-Azar control Programme
✔ Japanese Encephalitis control Porgramme
✔ Dengue Fever/Dengue Haemorrhagic Fever
✔ Chikungunya Fever.
 STARTEGY OF NVBDCP

Integrated
Disease Supportive
Vector
Management interventions
Management
 ORIGIN OF THE PROGRAMME

S.NO NATIONAL NATIONAL MALARIA NATIONAL FILARIA

MALARIA CONTROL ERADICATION CONTROL
PROGRAMME PROGRAMME PROGRAMME

1. 1953 1958 1955

 TERMINOLGY

• Active case detection or search means that

health staff reach out to the community and
systematically screen the population
• Passive case detection means cases are
diagnosed only by village health workers or at
the clinic when the patient is brought in for
treatment
Cont….

• Annual Parasitic Incidence (A.P.I.)

= Total no. of positive slides for parasite in a year
x 1000 / Total population.

• MNREGA
Mahatma Gandhi National Rural Employment
Guarantee Act.
 OBJECTIVES
NATIONAL MALARIA NATIONAL FILARIA
CONTROL PROGRAMME CONTROL PROGRAMME

1. To bring down malaria 1. Reduction of the problem in

transmission to a level at which un-surveyed areas.
it would cease to be a major
public health problem.
2. Thereafter an achievement was 2. Control in urban areas through
to be maintained by each state recurrent anti-larval and
to hold down the malaria anti-parasitic measures.
transmission at low level
indefinitely.
 MALARIA CONTROL ACTIVITIES

• Drug Distribution Centres and Fever

Treatment Depots
• Urban Malaria Scheme
The Urban Malaria Scheme was launched in
1971 to reduce or interrupt malaria
transmission in towns and cities.
 STRATEGIC ACTION PLAN(2012-2017)
OBJECTIVES:
• Screening all fever cases

• Effective treatment(P.falciparum-ACT(Artemisinin
Based Combination Treatment) and Primaquine
P.vivax-Chloroquine and Primaquine)
• Equipping all Health Institutions

• Strengthening all district and sub –district

hospitals.
 MALARIA CONTROL STRATEGIES

1.Surveillance and case management

• Case detection(passive and active)

• Early diagnosis and complete treatment

• Sentinel surveillance
Cont…..

2.INTEGRATED VECTOR MANAGEMENT(IVM)

• Indoor residual spray(IRS)

• Insecticide treated bed nets(ITNs)/Long Lasting

Insecticidal Nets(LLINs)
• Ant larval measures including source reduction
Cont…

3.Epidemic preparedness and early response

Cont….

4.Supportiive Interventions
• Capacity Building

• Behaviour change communication(BCC)

• Intersectoral collaboration

• Monitoring and Evaluation

• Operational research and applied field research

 CATEGORIZED STRATEGIC INTERVENTIONS
Category Definition Strategies
I States and Districts •Active, Passive and Sentinel Surveillance
with API less than one •Screening of migrants
•Integrated vector Management
•Behaviour Change Communication activities
II States having API less •Epidemiological Surveillance and disease
than one and one or management (Test , Treat, Track)
more districts reporting •Screening of migrants
API more than one •Integrated vector Management
•Behaviour Change Communication activities

III States with API more •Epidemiological Surveillance and disease

than one management
•Strengthening all district , sub –district hospitals
and referral services
•Integrated vector Management &LLIN
Distribution
•Behaviour Change Communication activities
MAJOR ACTIVITIES API LESS THAN 1

•Minor engineering measures

•Desilting
•Deweeding and cleaning of canals
•Irrigation channels
•Biological control by larvicides and environmental management
•Cooperation from Village Health Sanitation Committees and MNREGA
 API BETWEEN 1-2
Vector
control
by
source
reducti
on and
biologi
cal
control
Active
Surveil
lance
 API BETWEEN 2-5

Distribution of LLIN(Long Lasting Insecticidal Net)

 API above 5
a. Areas having Perennial transmission
• 2 rounds of IRS with DDT and 3 rounds with
malathion
• LLIN Distribution
b. Areas having Perennial transmission
• 1 round of IRS with DDT
• Focal spray
• LLIN Distribution
 Anti –malaria month campaign

• It is observed every year in the month of June

throughout the country prior to onset of monsoon
and transmission season to enhance the level of
awareness through massmedia, inter-personal
communication and inter- sectoral collaborative
efforts other government departments,
corporate and voluntary agencies.
Strategic action plan for malaria elimination in
India(2016-2030)
• Early diagnosis and radical treatment.
• Case-based surveillance and rapid response.

• Integrated vector management.

• Indoor residual spray

• Long lasting insecticidal nets

• Larval source management

• Epidemic preparedness and early response

 FILARIA CONTROL STRATEGY

• Anti larval operations

• Source reduction

• Detection and treatment of microfilaria carriers

• Morbidity Management

• IEC
STRATEGY OF LYMPHATIC FILARIASIS
ELIMINATION
• Annual Mass drug administration of single dose
of antifilaria drug for 5 years to interrupt
transmission of disease( DEC and/or co
administration of DEC+Albendazole).
• Home based management of lymphoedema
cases and up-scaling of hydrocele operations in
CHCs ,district hospitals and medical colleges.
 Externally supported projects

• Global Fund supported Intensified Malaria

Control Project
• World Bank supported project on Malaria control
and Kala-azar Elimination.
 SUMMARY

• As Health personnel let us join hands in

eradicating the diseases.
NATIONAL GUINEA WORM ERADICATION
PROGRAMME
 OBJECTIVES
The students will be able to:
✔ Understand the overview of the programme

✔ Enlist the objective of the programme

✔ Identify the Life cycle of Guinea worm

✔ Appreciate the strategies of the programme

✔ Narrate the achievements of the programme

 OVERVIEW

• Introduction
• Objective
• Life cycle of guinea worm
• Programme strategy
• Achievements
• Collaboration
• Summary
• References
 INTRODUCTION

Government of India launched the National

Guinea Worm Eradication Programme (GWEP)
in 1983-84 as a centrally sponsored scheme on
a 50:50 sharing basis between Centre and
States
 OBJECTIVE

Eradicate guinea worm disease from the

country.
LIFE CYCLE OF GUINEA WORM
 PROGRAMME STRATEGY
• Guinea worm case detection and continuous
surveillance through three active case search
operations and regular monthly reporting
• Guinea Worm case management
Cont……

Vector control by the application of Temephos

(50% EC) in unsafe water sources eight times a
year and use of fine nylon mesh/double layered
cloth strainers by the community to filter Cyclops
in all the affected villages
Cont…..

• Provision and maintenance of safe drinking

water supply on priority in GW endemic villages
• Trained manpower development

• Intensive health education

• Concurrent evaluation and operational research.

 ACHIEVEMENTS

❖ Certification of India as a Guinea Worm disease

free country by the World Health Organisation in
February 2000 is a major milestone in the history
of disease eradication in India.
The following activities are continuing as per
recommendation of International
Commissiom for Certification of
Dracumculiasis Eradication,Geneva:
• Health education-School children and women
in rural areas
• Rumour registration and rumour Investigation
• Maintenance of guinea worm disease on list of
notifiable disease
• Continuation of surveillance in previously
infected areas
• Careful supervision of functioning of hand
pumps and other sources of safe drinking
water
 Collaboration

• WHO,UNICEF
 SUMMARY

Guinea worm disease has been eradicated in the

year 2000.Let us follow the precautions to
prevent the re emerge of this disease.
 REFERENCES

National Centre for Disease Control" Ministry of

Health & Family Welfare, Government of India
Park.k, “Text Book of Preventive and Social
Medicine” ,24th edition, Banarsidas Bhanot
publishers.
 FREQUENTLY ASKED QUESTIONS

5 MARKS
• National Anti Malarial Programme.

2 MARKS
• Define Active case detection
• Mass Drug Administration in Filaria