Malaria Programme

National Vector Borne Disease Control Programme [NVBDCP]

Last update : 31/08/2009

  Introduction

National Malaria Control Programme was launched during the year 1953, in entire country, which was followed by National Malaria Eradication Programme since 1958. In the year 1977 Modified Plan of Operation was launched in which laboratory facilities were decentralized from district to block level. Malaria Action Plan was executed in the year 1995, where emphasis was given on revised drug schedule in high risk areas. With the change in policy the programme was renamed as National Anti Malaria Programme during the year 1999. Year 2003 was another milestone where vector borne diseases like Malaria, Filaria, Dengue, Chikungunya, Kala Azar & Japanese Encephalitis were kept in one umbrella and programme is named as National Vector Borne Disease Control Programme. The programme is under execution in 50 districts through 40 District Malaria Units. Enhanced Malaria Control Project had commenced since 1997 in 90 blocks with the support of World Bank. 5 more blocks were added in the project during the year 2004. The project has closed in December, 2005 & now activities of the project are under sustenance.

   Now New Project with world Bank support will commence w.e.f. 1^st April 2009 and will continue upto August 2013 in 9 districts i.e. Jhabua, Betul, Guna, Sidhi, Shahdol, Mandla, Dindori, Balaghat & Chhindwara of M.P. Here emphasis is given for use of ACT in confirmed Falciparum malaria cases.

    Basic Information of State and enhanced Malaria Control Project

No.

Particulars

Madhya Pradesh

1.

Area in Kilometer

3,08647

2.

Population 2001 Census (in million)

60.385

3.

Projected population 2009 (in million)

71.892

4.

No. of Divisions

7

5.

No. of Districts

50

6.

No. of NVBDCP Units

40

7.

No. of Malaria Zones

4

8.

No. of Entomological zones

4

9.

No. of Medical colleges

5

10.

No. of Blocks

313

11.

No. of Tribal Blocks

89

12.

No. of CHCs

336

13.

No. of Sector PHCs

1134

14.

No. of Sub-Centers

8800

15.

No. of Villages

52143

16.

No. of Malaria Clinics

614

17.

No. of DDCs

31716

18.

No. of FTDs

16169

19.

No. of MLVs

4043

20.

No. of Gram Panchayats

21,999

Information on Stratification

Year

API 2 and above but not in high risk

High Risk Area

No. of District/ Units

No. of PHCs

No. of Sub-Centres

Population

No. of District/ Units

No. of PHCs

No. of Sub-Centres

Population

1997

34

75

1376

82,57,648

-

-

-

-

1998

34

151

1483

1,00,16,108

34

132

1610

87,64,296

1999

34

144

1360

93,86,147

34

141

1544

82,37,974

2000

34

62

943

80,01,559

34

210

2004

1,16,06,641

2001

20

118

897

57,33,645

29

155

1497

84,36,768

2002

80

105

541

34,59,681

25

110

950

65,90,746

2003

19

101

508

38,76,540

20

28

910

60,50,541

2004

29

160

813

54,44,293

29

240

1361

71,81,261

2005

34

156

981

69,34,502

44

216

1044

73,99,600

2006

34

142

962

68,83,996

44

199

1037

73,69,755

2007

37

70

686

47,61,023

38

70

948

53,29,366

2008
47 123 743
61,23,970

45

127

746

60,08,860

Epidemiological Situation

Madhya Pradesh

The epidemiological situation of malaria in the state for the year 1996 to Feb' 2009 is as follows:-

Year

Population in Million

Blood Slide Examination

Total Positive

Total PF

RT%

ABER

API

SPR

SFR

PF%

1996

53.77

6845316

238222

61105

95.96

12.73

4.43

3.48

0.89

25.65

1997

56.20

7121964

228256

65106

95.61

12.67

4.06

3.20

0.91

28.52

1998

57.70

7552434

216127

61699

95.95

13.09

3.75

2.86

0.82

28.55

1999

59.13

7865243

203249

56432

97.73

13.30

3.44

2.58

0.72

27.76

2000

60.68

8310985

194689

62228

97.87

13.70

3.21

2.34

0.74

31.96

2001

62.21

8599687

180341

59045

92.65

13.82

2.90

2.10

0.69

32.75

2002

63.66

8652510

108818

31354

97.22

13.59

1.71

1.26

0.36

28.81

2003

65.30

9003681

99708

31303

97.80

13.79

1.53

1.11

0.35

31.39

2004

66.93

9066487

132094

52767

98.00

13.55

1.97

1.16

0.58

39.95

2005

68.60

9018326

104317

32223

99.00

13.15

1.52

1.16

0.36

30.89

2006

68.76

9735898

96130

29053

99.00

14.16

1.40

0.99

0.30

30.22

2007

69.47

9169387

90829

36622

99.60

13.22

1.31

0.99

0.40

40.32

2008

70.81

9279983

105382

42369

99.70

13.11

1.49

1.14

0.46

40.21

2009

upto July'09

71.89
4219735 24368 4253 98.24

5.87 0.04 0.58 0.10 17.45

·         When we review the epidemiological picture it is observed that during 1996 to 2008.

(i)

The ABER ranges from 12.73 to 14.16 (Year 2006) indicates better surveillance.

(ii)

The API have shown declining trend from 4.43 (year 1996) to 1.49 (Year 2008)

(iii)

The SPR have shown declining trend from 3.48 (year 1996) to 1.14 (Year 2008)

(iv)

The SFR have shown declining trend from 0.91 (Year 1996) to 0.46 (Year 2008)

(v)

The Pf % has shown the increasing trend from 25.65% (Year 1996) to 40.21% in the Year 2008

VECTOR CONTROL MEASURES

                        SPRAY COVERAGE

Type of Insecticide

Year

Round

Population

Room

Targeted

Coverage

%

Targeted

Coverage

%

DDT

1997

I

5172973

4408002

85.21

5020489

4139479

82.45

1997

II

4839766

3931518

81.23

4536664

3250319

71.65

1997

FOCAL

42037

39661

94.35

34252

25344

73.99

1998

I

7698783

6839312

88.84

6746213

5989284

88.78

1998

II

6979784

6104002

87.45

6339918

5020645

79.19

1999

I

1746635

1597778

91.48

1617086

1342088

82.99

2000

I

3217955

3063529

95.20

2786283

2353457

84.46

Projtd.

2001

I & II

3650773

3470726

95.06

2649844

2240953

84.57

2002

I & II

4494007

4115419

91.58

3701330

3297160

89.08

2003

I & II

2541709

2373625

93.38

2215720

1866950

84.25

2004

I & II

3249521

3047922

93.79

2958576

2425022

81.97

2005

I & II

2739598

2636773

96.24

2413524

2031530

84.17

2006

I & II

1632190

1541981

94.50

1414603

121083

85.60

2007

I & II

1041072

992145

95.30

874048

734120

84.00

2008

I & II
1114141 1072188 96.23 1003403 851304 84.80

Malathion

2003

I, II & III

122994

118907

96.67

88195

79447

90.08

2004

Focal

2214

2178

98.37

1547

1535

99.22

Syn. Pyreth-roids

1999

I

1564321

1510051

96.53

1250761

1021618

81.68

2000

I

1994086

1775911

89.05

1038963

859073

82.68

2000

II

1874999

1696329

90.47

959210

764532

79.70

Projtd.

2001

I & II

4284583

4010679

93.60

2870438

2528705

880.9

2002

I & II

2004458

1951997

97.38

1431722

1275077

89.05

2003

I & II

1951817

1862545

95.42

1323124

1158256

87.53

2004

I & II

517318

500164

96.68

505508

449713

88.96

2005

I & II

3391455

3236229

95.42

2247234

1932567

86.00

2006

I & II

4514366

4201041

93.06

3549473

3123494

88.00

2007

I & II

4687368

4445415

94.83

978649

909530

89.70

2008
I & II
1596536 1523908 95.45 1284283 1137707 88.60

VECTOR RESISTANCE STUDY

    Studies conducted in 9 EMCP districts (28 PHCs) revealed that the vector has shown resistance to DDT 50% and Malathion in variable percentage; hence appropriate alternative insecticide Synthetic Pyrethroid is under use where ever it is required for vector control.

BIOLOGICAL CONTROL MEASURES

Introduction of Larvivorous Fishes

Fish introduction is a bio friendly method to control larvae of mosquitoes and helps to reduce chemical pollution. The larvivorous fishes like Gambusia have been successfully introduced in districts Dhar, Jhabua, Seoni, Mandla, Hoshangabad, Bhopal and Betul. A programme has been under taken in conjunction with the Fishery department for fish seed production. Gambusia and Guppi mainly larvivorous fishes can reduce mosquito's density by eating mosquito larvae.

Larvivorous fish are available in abundant in hatcheries in distt. Bhopal, Mandla, Hoshangabad, Betul, Seoni and Dhar districts.

The survey of temporary and permanent breeding sources has been carried out. 118.48 lac fish, 64.81 lacs, 75.54 lacs and 64.28 lac fish are inducted respectively during year 2005, 2006, 2007 and 2008.

Bacticide W.P

A BIOLOGICAL INSECTICIDE (Environment Friendly Bio Insecticide for Control of Mosquitoes)

BACTICIDE is a biological larvicide based on sporogenic strain of Bacillus thuringiensis var. israelensis H-14 highly effective on mosquito larvae belonging to Diptera : Culicidae and larvae of blackflies belonging to Diptera : Simulidae. These mosquitoes are vectors of Malaria, Filaria, Japanese Encephalitis and Dengue, etc. or are nuisance mosquitoes. Blackflies are vectors of Onchocerciasis. BACTICIDE provides total kill of the larvae of these vectors within 6-24 Hrs. of application.

        Action Mechanism

Mosquito larvae feed on the product and the ingestion of toxin leads to paralysis of mouth parts and stoppage of feeding activity within few hours.

The cessation of feeding, is accompanied by mid gut perforations, body paralysis and septicemia, ultimately causing the death of the larvae within 6-24 hrs.

DEATHS DUE TO MALARIA

S.No

Name of Unit

96

97

98

99

2000

2001

2002

2003

2004

2005

2006

2007

2008

1.

Sagar

2

3

1

2

6 susp.

3

2

3

2

7

-

-

2

2.

Hoshangabad

3

-

-

-

2

-

-

-

-

-

1

4

1

3.

Bhopal

5

-

-

-

1

-

-

-

-

1

1

-

2

4.

Bhind

1

-

-

-

-

1

1

2

-

-

-

1

-

5.

Raisen

1

-

-

-

-

-

1

-

-

-

4

1

0

6.

Rajgarh

1

-

-

-

-

-

-

-

-

1

-

-

-

7.

Mandla

-

5

-

2

10+39 susp

11

4

-

4

-

2

-

-

8.

Gwalior

-

-

1

-

-

3

-

-

-

-

-

-

-

9.

Jhabua

-

-

1

-

-

-

-

-

-

-

1

-

-

10.

Betul

-

-

-

-

27

11

2

-

2

-

9

14

-

11.

Chhindwara

-

-

-

-

8

-

1

-

-

-

-

-

-

12.

Vidisha

-

-

-

-

1

-

-

-

-

1

4

5

6

13.

Sidhi

-

-

-

-

33+14 susp.

9

3

1

8

25

26

1

2

14.

Rewa

-

-

-

5

3+1 susp.

6

2

6

6

2

-

1

-

15.

Seoni

-

-

-

-

4

7

-

-

-

-

4

3

3

16.

Shahdol

-

-

-

-

1+5 susp.

-

-

-

-

-

-

-

-

17.

Balaghat

-

-

-

-

-

1

4

1

-

-

-

-

-

18.

Dindori

-

-

-

-

3+2 susp.

6

2

-

3

-

-

-

-

19.

Sheopur

-

-

-

-

-

2

-

7

-

-

-

6

8

20.

Shivpuri

-

-

-

-

-

1

3

-

-

2

-

-

10

21

Dhar

-

-

-

-

-

-

1

-

9

1

-

2

2

22

Jabalpur

-

-

-

-

-

-

3

2

1

1

-

1

23

Khargone

-

-

-

-

-

-

1

-

-

-

-

-

-

24

Narsinghpur

-

-

-

-

-

-

-

-

1

1

-

-

-

25

Sehore

-

-

-

-

-

-

-

-

-

1

-

1

1

26

Shajapur

-

-

-

-

-

-

-

-

-

1

1

-

-

27

Harda

-

-

-

-

-

-

-

-

-

-

1

1

1

28

Damoh

-

-

-

-

-

-

-

-

-

-

2

-

-

29

Khandwa

-

-

-

-

-

-

-

-

-

-

-

1

1

30 Chhatarpur - - - - - - - - - - - - 1

31 Umaria - - - - - - - - - - - - 1

32 Tikamgarh - - - - - - - -

No.	Particulars	Madhya Pradesh
1.	Area in Kilometer	3,08647
2.	Population 2001 Census (in million)	60.385
3.	Projected population 2009 (in million)	71.892
4.	No. of Divisions	7
5.	No. of Districts	50
6.	No. of NVBDCP Units	40
7.	No. of Malaria Zones	4
8.	No. of Entomological zones	4
9.	No. of Medical colleges	5
10.	No. of Blocks	313
11.	No. of Tribal Blocks	89
12.	No. of CHCs	336
13.	No. of Sector PHCs	1134
14.	No. of Sub-Centers	8800
15.	No. of Villages	52143
16.	No. of Malaria Clinics	614
17.	No. of DDCs	31716
18.	No. of FTDs	16169
19.	No. of MLVs	4043
20.	No. of Gram Panchayats	21,999

Year	API 2 and above but not in high risk				High Risk Area
Year	No. of District/ Units	No. of PHCs	No. of Sub-Centres	Population	No. of District/ Units	No. of PHCs	No. of Sub-Centres	Population
1997	34	75	1376	82,57,648	-	-	-	-
1998	34	151	1483	1,00,16,108	34	132	1610	87,64,296
1999	34	144	1360	93,86,147	34	141	1544	82,37,974
2000	34	62	943	80,01,559	34	210	2004	1,16,06,641
2001	20	118	897	57,33,645	29	155	1497	84,36,768
2002	80	105	541	34,59,681	25	110	950	65,90,746
2003	19	101	508	38,76,540	20	28	910	60,50,541
2004	29	160	813	54,44,293	29	240	1361	71,81,261
2005	34	156	981	69,34,502	44	216	1044	73,99,600
2006	34	142	962	68,83,996	44	199	1037	73,69,755
2007	37	70	686	47,61,023	38	70	948	53,29,366
2008	47	123	743	61,23,970	45	127	746	60,08,860

Year	Population in Million	Blood Slide Examination					Total Positive			Total PF	RT%
		ABER				API	SPR	SFR		PF%
1996	53.77	6845316					238222			61105	95.96
		12.73	4.43				3.48	0.89		25.65
1997	56.20	7121964					228256			65106	95.61
		12.67	4.06				3.20	0.91		28.52
1998	57.70	7552434					216127			61699	95.95
		13.09	3.75				2.86	0.82		28.55
1999	59.13	7865243					203249			56432	97.73
		13.30	3.44				2.58	0.72		27.76
2000	60.68	8310985					194689			62228	97.87
		13.70	3.21				2.34	0.74		31.96
2001	62.21	8599687					180341			59045	92.65
		13.82		2.90			2.10	0.69		32.75
2002	63.66	8652510					108818			31354	97.22
		13.59		1.71			1.26	0.36		28.81
2003	65.30	9003681					99708			31303	97.80
		13.79		1.53			1.11	0.35		31.39
2004	66.93	9066487					132094			52767	98.00
		13.55		1.97			1.16	0.58		39.95
2005	68.60	9018326					104317			32223	99.00
		13.15		1.52			1.16	0.36		30.89
2006	68.76	9735898					96130			29053	99.00
		14.16		1.40			0.99	0.30		30.22
2007	69.47	9169387					90829			36622	99.60
		13.22			1.31		0.99		0.40	40.32
2008	70.81	9279983					105382			42369	99.70
		13.11		1.49			1.14	0.46		40.21
2009 upto July'09	71.89	4219735					24368			4253	98.24
		5.87		0.04			0.58	0.10		17.45

(i)	The ABER ranges from 12.73 to 14.16 (Year 2006) indicates better surveillance.
(ii)	The API have shown declining trend from 4.43 (year 1996) to 1.49 (Year 2008)
(iii)	The SPR have shown declining trend from 3.48 (year 1996) to 1.14 (Year 2008)
(iv)	The SFR have shown declining trend from 0.91 (Year 1996) to 0.46 (Year 2008)
(v)	The Pf % has shown the increasing trend from 25.65% (Year 1996) to 40.21% in the Year 2008

Type of Insecticide	Year	Round	Population			Room
Type of Insecticide	Year	Round	Targeted	Coverage	%	Targeted	Coverage	%
DDT	1997	I	5172973	4408002	85.21	5020489	4139479	82.45
	1997	II	4839766	3931518	81.23	4536664	3250319	71.65
	1997	FOCAL	42037	39661	94.35	34252	25344	73.99
	1998	I	7698783	6839312	88.84	6746213	5989284	88.78
	1998	II	6979784	6104002	87.45	6339918	5020645	79.19
	1999	I	1746635	1597778	91.48	1617086	1342088	82.99
	2000	I	3217955	3063529	95.20	2786283	2353457	84.46
Projtd.	2001	I & II	3650773	3470726	95.06	2649844	2240953	84.57
	2002	I & II	4494007	4115419	91.58	3701330	3297160	89.08
	2003	I & II	2541709	2373625	93.38	2215720	1866950	84.25
	2004	I & II	3249521	3047922	93.79	2958576	2425022	81.97
	2005	I & II	2739598	2636773	96.24	2413524	2031530	84.17
	2006	I & II	1632190	1541981	94.50	1414603	121083	85.60
	2007	I & II	1041072	992145	95.30	874048	734120	84.00
	2008	I & II	1114141	1072188	96.23	1003403	851304	84.80
Malathion	2003	I, II & III	122994	118907	96.67	88195	79447	90.08
	2004	Focal	2214	2178	98.37	1547	1535	99.22
Syn. Pyreth-roids	1999	I	1564321	1510051	96.53	1250761	1021618	81.68
	2000	I	1994086	1775911	89.05	1038963	859073	82.68
	2000	II	1874999	1696329	90.47	959210	764532	79.70
Projtd.	2001	I & II	4284583	4010679	93.60	2870438	2528705	880.9
	2002	I & II	2004458	1951997	97.38	1431722	1275077	89.05
	2003	I & II	1951817	1862545	95.42	1323124	1158256	87.53
	2004	I & II	517318	500164	96.68	505508	449713	88.96
	2005	I & II	3391455	3236229	95.42	2247234	1932567	86.00
	2006	I & II	4514366	4201041	93.06	3549473	3123494	88.00
	2007	I & II	4687368	4445415	94.83	978649	909530	89.70
	2008	I & II	1596536	1523908	95.45	1284283	1137707	88.60

S.No	Name of Unit	96	97	98	99	2000	2001	2002	2003	2004	2005	2006	2007	2008
1.	Sagar	2	3	1	2	6 susp.	3	2	3	2	7	-	-	2
2.	Hoshangabad	3	-	-	-	2	-	-	-	-	-	1	4	1
3.	Bhopal	5	-	-	-	1	-	-	-	-	1	1	-	2
4.	Bhind	1	-	-	-	-	1	1	2	-	-	-	1	-
5.	Raisen	1	-	-	-	-	-	1	-	-	-	4	1	0
6.	Rajgarh	1	-	-	-	-	-	-	-	-	1	-	-	-
7.	Mandla	-	5	-	2	10+39 susp	11	4	-	4	-	2	-	-
8.	Gwalior	-	-	1	-	-	3	-	-	-	-	-	-	-
9.	Jhabua	-	-	1	-	-	-	-	-	-	-	1	-	-
10.	Betul	-	-	-	-	27	11	2	-	2	-	9	14	-
11.	Chhindwara	-	-	-	-	8	-	1	-	-	-	-	-	-
12.	Vidisha	-	-	-	-	1	-	-	-	-	1	4	5	6
13.	Sidhi	-	-	-	-	33+14 susp.	9	3	1	8	25	26	1	2
14.	Rewa	-	-	-	5	3+1 susp.	6	2	6	6	2	-	1	-
15.	Seoni	-	-	-	-	4	7	-	-	-	-	4	3	3
16.	Shahdol	-	-	-	-	1+5 susp.	-	-	-	-	-	-	-	-
17.	Balaghat	-	-	-	-	-	1	4	1	-	-	-	-	-
18.	Dindori	-	-	-	-	3+2 susp.	6	2	-	3	-	-	-	-
19.	Sheopur	-	-	-	-	-	2	-	7	-	-	-	6	8
20.	Shivpuri	-	-	-	-	-	1	3	-	-	2	-	-	10
21	Dhar	-	-	-	-	-	-	1	-	9	1	-	2	2
22	Jabalpur	-	-	-	-	-	-	3	2	1	1		-	1
23	Khargone	-	-	-	-	-	-	1	-	-	-	-	-	-
24	Narsinghpur	-	-	-	-	-	-	-	-	1	1	-	-	-
25	Sehore	-	-	-	-	-	-	-	-	-	1	-	1	1
26	Shajapur	-	-	-	-	-	-	-	-	-	1	1	-	-
27	Harda	-	-	-	-	-	-	-	-	-	-	1	1	1
28	Damoh	-	-	-	-	-	-	-	-	-	-	2	-	-
29	Khandwa	-	-	-	-	-	-	-	-	-	-	-	1	1
30	Chhatarpur	-	-	-	-	-	-	-	-	-	-	-	-	1
31	Umaria	-	-	-	-	-	-	-	-	-	-	-	-	1
32	Tikamgarh	-	-	-	-	-	-	-	-