Bhopal- 2 July, 2010

nd
Vector Borne Disease Control
Programme
 Issues
Vector Borne Disease Control Programme
1. Surveillance
o ABER
o Pf%
2. Indoor Residual Spray (IRS)
3. LLINs
4. Human Resources
5. ASHAs
6. Financial issues
SURVEILLANCE
 ABER
State wise Status of ABER-2009
Performance States

Andhra Pradesh, Arunachal Pradesh, Chhattisgarh,

Goa, Gujarat, Jharkhand, Karnataka, Madhya
ABER >10 Pradesh, Meghalaya, Mizoram, Maharashtra, Orissa,
Punjab, Rajasthan, Tamil Nadu, A&N Island, D&N
Haveli, Daman & Diu
Assam, Haryana, Himachal Pradesh, Jammu &
ABER 5-10 Kashmir, Kerala, Nagaland, Tripura, West Bengal,
Chandigarh, Pondicherry

Bihar, Manipur, Sikkim, Uttarakhand , Uttar Pradesh,

ABER <5
Delhi, Lakshadweep

Annual Blood Examination Rate (ABER) should be > 10% of pop. annual
 ABER ( 2001- 2009)
Sl
No State 2001 2002 2003 2004 2005 2006 2007 2008 2009
1 Andhra Pradesh 12.17 12.42 14.41 13.82 14.04 13.15 12.31 12.35 12.18
2 Arunachal Pradesh 31.53 29.43 26.03 20.20 24.50 26.14 23.25 20.68 17.50
3 Assam 8.90 8.38 7.66 6.45 7.07 9.35 8.16 8.79 9.89
4 Bihar 0.44 0.49 0.43 0.33 0.26 0.27 0.16 0.16 0.15
5 Chhattisgarh 17.79 15.27 15.74 15.33 16.51 15.63 14.27 12.33 11.93
6 Goa 21.01 20.71 21.11 18.11 18.40 19.36 24.76 27.67 29.04
7 Gujarat 13.89 13.99 15.84 18.02 19.93 19.69 16.46 15.35 17.19
8 Haryana 10.80 9.66 10.67 9.86 11.27 11.71 10.80 11.17 8.53
9 Himachal Pradesh 12.00 10.99 10.32 10.26 9.65 9.29 9.10 7.59 7.83
10 J & K (Jammu) 8.00 7.72 7.26 7.30 7.38 8.30 7.68 7.90 9.22
11 Jharkhand 3.40 3.15 2.64 4.78 10.08 7.12 6.66 8.30 10.88
12 Karnataka 18.09 18.46 18.90 17.65 19.36 18.91 16.79 17.00 17.75
13 Kerala 5.42 4.65 5.79 5.39 6.40 6.04 5.79 5.36 6.23
 Contd..
ABER ( 2001- 2009)
Sl
No State 2001 2002 2003 2004 2005 2006 2007 2008 2009
14 Madhya Pradesh 13.96 13.59 13.78 13.59 13.13 14.39 13.22 13.11 13.42
15 Maharashtra 14.77 14.29 14.26 14.14 13.28 16.23 12.60 12.08 13.33
16 Manipur 4.37 4.14 5.85 5.84 5.55 3.56 4.36 4.80 4.09
17 Meghalaya 10.94 11.52 8.63 9.41 9.48 12.58 14.32 15.23 21.62
18 Mizoram 25.37 26.97 22.33 23.99 24.17 24.07 15.72 16.88 17.53
19 Nagaland 2.78 3.01 3.33 3.74 4.79 5.09 5.58 6.86 7.99
20 Orissa 10.66 12.19 11.73 11.32 12.36 12.44 12.24 12.23 12.10
21 Punjab 11.24 10.80 10.53 9.58 10.58 9.79 10.22 11.05 11.12
22 Rajasthan 15.33 10.08 13.87 12.80 12.42 15.32 12.52 14.19 13.85
23 Sikkim 7.96 9.80 6.94 6.45 5.62 5.23 3.84 3.50 3.80
24 Tamil Nandu 11.33 11.40 12.14 11.52 11.85 9.67 8.70 9.37 11.43
25 Tripura 9.14 7.69 7.91 7.72 8.55 9.32 8.07 9.03 9.40
26 Uttarakhand 1.52 3.43 4.02 3.77 3.50 3.12 2.51 2.46 2.24
27 Uttar Pradesh 2.02 2.92 3.24 2.73 2.35 2.36 2.00 2.18 2.19
 Contd..
ABER ( 2001- 2009)
Sl
No State 2001 2002 2003 2004 2005 2006 2007 2008 2009
28 West Bengal 4.09 4.70 5.04 4.50 5.51 6.16 5.63 5.39 7.61
29 A & N Islands 53.99 44.42 43.04 38.86 31.83 29.86 32.97 35.70 26.65
30 Chandigarh 9.80 8.01 9.11 7.70 9.46 7.75 8.76 7.62 9.25
31 D& N Haveli 16.01 13.72 13.29 12.04 16.61 40.57 20.50 18.24 21.93
32 Daman& Diu 14.37 14.30 13.36 12.38 10.89 16.80 15.38 15.79 14.03
33 Delhi 8.30 8.30 8.71 7.34 7.36 6.23 4.43 3.94 3.38
34 Lakshadweep 3.12 3.10 3.11 2.42 1.33 2.31 0.70 0.38 0.68
35 Puducherry 31.72 29.80 30.13 25.09 21.22 18.70 11.73 11.91 8.43

  Total 9.18 9.04 9.65 9.33 9.62 9.95 8.73 8.69 9.29
 Plasmodium falcipuram (pf)
Malaria
Currently about 54% of total malaria cases
Increasing over the years - particularly after
2001
Particularly high in
o NE States
o Andhra Pradesh, Chhattisgarh, Orissa,
Jharkhand, A&N Islands
Pf can create
 Complications
 Raise the mortality
Pf cases and deaths can be controlled by
 Early diagnosis using RDKs
 Complete treatment with ACTs
 Pf % ( 2001- 2009)
Sl
No  State 2001 2002 2003 2004 2005 2006 2007 2008 2009
1 Andhra Pradesh 59.56 56.28 57.96 54.79 57.67 59.61 61.13 60.35 59.24
2 Arunachal Pradesh 19.68 15.25 16.86 14.73 23.86 32.81 26.61 28.20 30.19
3 Assam 61.97 62.30 63.56 71.23 66.96 65.48 69.07 69.25 72.81
4 Bihar 25.00 46.29 40.72 17.79 15.62 15.60 46.33 67.38 80.90
5 Chhattisgarh 69.35 72.41 74.08 76.59 74.58 77.53 69.77 76.77 79.39
6 Goa 28.94 21.73 14.41 18.77 12.49 23.87 31.24 27.76 20.89
7 Gujarat 23.31 19.58 24.24 29.83 18.09 19.96 25.88 22.89 18.50
8 Haryana 11.90 4.38 11.43 1.68 0.72 1.07 1.07 3.92 1.86
9 Himachal Pradesh 0.00 0.00 5.26 5.56 0.00 7.02 2.88 1.37 0.00
10 J & K (Jammu) 2.63 2.20 3.44 3.20 2.61 4.88 7.08 7.83 6.31
11 Jharkhand 48.53 41.78 31.52 30.78 26.76 24.96 24.84 34.31 40.11
12 Karnataka 24.29 22.40 23.51 25.29 26.43 26.19 22.89 20.83 15.44
13 Kerala 14.20 11.16 17.09 18.28 13.19 14.73 15.20 12.31 12.17
 Pf % ( 2001- 2009) Contd.
Sl
No 
State 2001 2002 2003 2004 2005 2006 2007 2008 2009
14 Madhya Pradesh 33.39 28.99 31.48 39.59 30.92 30.21 40.40 40.22 27.36
15 Maharashtra 34.51 32.11 48.20 42.47 35.12 32.17 33.44 33.06 26.60
16 Manipur 39.34 47.40 45.11 28.18 37.18 48.03 33.50 50.28 58.00
17 Meghalaya 77.02 61.92 67.18 85.81 87.76 86.58 84.57 91.63 96.73
18 Mizoram 54.49 50.03 57.14 53.26 58.60 66.80 68.89 83.85 78.59
19 Nagaland 11.53 5.93 8.22 5.15 3.05 15.06 16.48 16.44 31.79
20 Orissa 83.48 83.16 83.22 84.40 86.41 87.26 86.90 87.80 88.16
21 Punjab 6.79 7.20 9.23 1.28 1.49 1.96 2.03 1.52 1.18
22 Rajasthan 13.47 7.80 11.55 7.22 7.77 9.53 6.26 6.88 5.40
23 Sikkim 41.94 13.21 14.75 20.63 44.93 33.33 14.58 26.32 38.10
24 Tamil Nandu 4.29 7.30 8.62 6.89 7.81 4.52 6.09 3.51 2.82
25 Tripura 79.07 81.56 78.22 86.99 79.19 81.53 86.22 91.09 94.08
26 Uttarakhand 23.41 7.23 11.28 3.11 1.37 0.54 0.21 4.44 3.40
27 Uttar Pradesh 4.81 2.78 2.37 2.57 2.99 2.05 2.55 2.47 1.21
 Contd..
Pf % ( 2001- 2009)
Sl
No  State 2001 2002 2003 2004 2005 2006 2007 2008 2009
28 West Bengal 29.37 31.23 32.88 27.28 22.24 27.22 25.04 27.34 27.23
29 A & N Islands 19.46 18.27 19.65 15.97 52.43 43.40 55.63 67.68 55.64
30 Chandigarh 1.01 3.82 5.95 3.02 2.08 1.56 0.88 1.73 0.93
31 D& N Haveli 6.96 20.28 22.65 25.67 15.69 47.89 33.57 33.16 38.52
32 Daman& Diu 25.29 18.50 14.89 15.25 16.35 13.57 15.15 16.52 19.59
33 Delhi 0.94 0.86 3.22 2.13 5.38 3.88 1.10 0.00 0.00
34 Lakshadweep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
35 Puducherry 0.94 1.94 3.17 2.33 4.55 4.00 7.35 6.94 1.54
  Total 48.20 48.74 45.85 46.47 44.32 47.08 49.11 50.81 53.60
Indoor Residual Spray
 IRS
Round I of DDT spray:
- Completed in Arunachal, Manipur, Meghalaya, Mizoram,
Nagaland, Tripura, Jharkhand, Karnataka, A&N, Daman &
Diu, Puducherry as per schedule
- In progress in rest of the States
Round II DDT spray
- Scheduled to begin in Ist week of July in most States
- Preparations expected

Requires supervision at all levels – including

field visits
Necessary to have micro action plan –
including advance information to villagers and
PRIs
Timely release of wages to spray workers
 Some Field Observations on
IRS –During 2010
• Quality of Spray – very poor
• Coverage of IRS around 30% against desirable
coverage of >80%
• NE Sates- 1st round completed, schedule adhered.
• Bihar (Kala-azar) – 1st round completed, schedule
adhered
• General supervision of IRS from State/ District level
PHC level - Poor - Should be integral part of IRS
Planning
• Involvement of villagers and local bodies not
perceptible
• Spray wages not being released in time in some
districts in Bihar (Saharsa, Sitamarhi)
 SCHEDULE OF IRS – DDT SPRAY
(as on 26th June 2010)
Prescribed spray schedule
S.No. Name of the State/U.T.s Round
Commencement Completion
Status
1 Arunachal Pradesh I 1/3 15/5 Completed
    II 16/5 30/7  
2 Assam I 15/2 30/6 In progress
    II 1/7 15/9  
3 Manipur I 15/3 14/5 Completed
    II 14/6 11/9  
4 Meghalaya I 1/3 15/5 Completed
    II 1/7 15/9  
5 Mizoram I 15/3 30/5 Completed
    II 2/6 2/7  
6 Nagaland I 1/4 15/6 Completed
    II 16/7 30/9  
7 Sikkim I 16/4 30/6 In progress
    II 1/8 15/10  
8 Tripura I 15/4 31/5 Completed
    II 5/7 15/9  
 Contd..
SCHEDULE OF IRS – DDT SPRAY
(as on 26th June 2010)
Prescribed spray schedule
S.No. Name of the State/U.T.s Round
Commencement Completion
Status
9 Andhra Pradesh I 1/5 15/7 In progress
    II 16/7 30/9  
    III 16/8 30/9  
10 Bihar I 1/5 15/7 In progress
    II 16/7 30/9  
11 Chattishgarh I 1/5 15/7 In progress
    II 16/7 30/9  
    III 1/8 15/9  
12 Goa I 1/5 15/7 In progress
    II 16/7 30/9  
13 Gujarat I 1/5 15/7 In progress
    II 16/7 30/9  
    III 16/8 30/9  
14 Haryana I 16/5 30/6 In progress
    II 1/7 15/8  
    III 16/8 30/9  
 Contd..
SCHEDULE OF IRS – DDT SPRAY
(as on 26th June 2010)
Prescribed spray schedule
S.No. Name of the State/U.T.s Round
Commencement Completion
Status
15 Himachal Pradesh I 1/4 30/6 In progress
    II 1/7 30/9  
16 Jammu & Kashmir I 1/5 15/7 In progress
    II 16/7 30/9  
    III 1/8 15/9  
17 Jharkhand I 1/4 15/5 Completed
    II 15/5 30/9  
18 Karnatka I 1/3 15/5 Completed
    II 1/8 15/9  
    III 16/9 31/10  
19 Kerala Focal Spray  
20 Madhya Pradesh I 1/5 15/7 In progress
    II 16/7 30/9  
    III 1/8 15/9  
21 Maharashtra I 1/6 15/8 In progress
    II 16/7 30/10  
    III 1/9 15/10  
 Contd..
SCHEDULE OF IRS – DDT SPRAY
(as on 26th June 2010)
Prescribed spray schedule
S.No. Name of the State/U.T.s Round
Commencement Completion
Status
22 Orrisa I 1/5 15/7 In progress
    II 16/7 30/9  
    III 1/8 15/9  
23 Punjab I 1/6 31/7 In progress
    II 1/8 30/9  
    III 16/8 30/9  
24 Rajasthan I 15/5 31/7 In progress
    II 1/8 15/10  
25 Tamil Nadu I 16/4 30/6 In progress
    II 1/7 15/8  
    III 16/8 30/9  
26 Uttarakhand I 1/5 15/7 In progress
    II 16/7 30/9  
    III 1/8 15/9  
27 Uttar Pradesh I 1/5 15/7 In progress
    II 16/7 30/9  
    III 1/8 15/9  
 Contd..
SCHEDULE OF IRS – DDT SPRAY
(as on 26th June 2010)
Prescribed spray schedule
S.No. Name of the State/U.T.s Round
Commencement Completion
Status
28 West Bengal I 15/5 31/7 In progress
    II 1/8 15/10  
    III 1/8 15/9  
29 A & N Islands I 1/3 16/5 Completed
    II 18/5 31/7  
30 Chandigarh I 1/5 15/9 In progress
    II 16/7 30/9  
31 D & N Haveli I 16/5 30/6 In progress
    II 1/7 15/8  
    III 16/8 30/9  
32 Daman & Diu I 1/5 15/6 Completed
    II 16/6 31/7  
    III 1/8 15/9  
33 Delhi Focal Spray  
34 Lakshadweep Focal Spray  
35 Pondicheery I 1/4 15/6 Completed
    II 1/7 15/9  
MANPOWER
 Manpower additional support
 State and District Level Consultants
o Initially centrally recommended –Apptt thru SHS
o Now Recruitment Decentralized
 Types of additional contractual Manpower
provisioned
State level
Consultants
M&E, PPP, Supply & Logistic,
IEC, Training and Entomology

District level
Vector Borne
Disease
Consultants

Sub-district
level
MTS/ KTS, Lab.
Technicians and
MPWs
 State Level Consultants for Malaria (World Bank Project)

Sl. As on As on
Name of the State Sanctioned Remark
No. 10.01.10 18.06.10
2 more
1 Andhra Pradesh 6 1 3 filled up,
3 vacant

6 4 2
2 left,
2 Chhattisgarh
4 vacant
No
3 Jharkhand 6 3 3 change,
3 vacant
1 more
4 Madhya Pradesh 6 2 3 filled up,
3 vacant
1 more
5 Orissa 6 3 4 filled up,
2 vacant

TOTAL 30 13 15 15
 State level Consultants for Kala-azar (World Bank project)

Sl. Name of the Recruited up Recruited up

Sanctioned Remarks
No. State to 10.01.10 to 18.06.10

1 Bihar 6 0 3 3 vacant

2 Jharkhand 4 0 0 4 vacant

3 West Bengal 4 0 2 2 vacant

TOTAL 14 0 5 9 vacant
 Status of DMOs
In Position In Position
Sl. Name of
District Sanctioned up to up to Remarks
No. States 10.02.10 18.06.10

1 Orissa
30 30 3 15 12 posts filled up;15 more to be filled up.

2 Jharkhand
24 11 7 7 No change. 13 posts to be sanctioned . 4 post
are to be filled up
3 Goa
2 0 1 0  

4 Chattisgarh
16 7 2 2 No change. 9 posts to be sanctioned.5 are to be
filled up
5 Haryana
21 21 21 21 Post filled up

6 Madhya
Pradesh 50 45 15 12 3 retired, 5 posts to be created. 33 posts filled
up since 10.2.10
7 West Bengal
18 18 18 18 Progress satisfactory. All posts filled up

8 Rajasthan
33 33 33 33 All posts filled up

9 Kerala
14 14 11 12 1 post filled up since 10.2.10

10 Gujarat
26 26 24 23 3 posts need to be filled
 Status of DMOs
In Position In Position
Sl. Name of
District Sanctioned up to up to Remarks
No. States 10.02.10 18.06.10

11 Maharashtra
37 36 25 23 1 post to be sanctioned. 2 have retired, 13
posts need to be filled
12 Uttar
Pradesh 71 70 56 56 1 post to be sanctioned. 14 need to be filled.

13 Tamil Nadu
42 42 42 42 All posts filled up

14 Andhra
Pradesh 23 22 13 17 1 post to be sanctioned. 4 posts filled up since
10.2.10. 5 need to be filled up .
15 Uttrakhand
13 9 5 5 No change. 4 posts to be sanctioned. 4 posts
need to be filed.
16 Punjab
20 20 11 11 No change. 9 posts need to be filled.

17 Karnataka
29 29 25 27 2 posts filled up since 10.2.10

18 J&K
22 6 6 6 No change, 16 posts to be sanctioned.

19 Himachal
Pradesh 10 10 0 10 Progress satisfactory. 10 posts filled up since
10.2.10
20 Bihar
38 24 16 17 14 posts to be sanctioned. 1 post filled up
since 10.2.10. 7 posts need to be filled.
 Status of DMOs
In Position In Position
Sl. Name of
District Sanctioned up to up to Remarks
No. States 10.02.10 18.06.10

21 Arunachal
Pradesh 15 15 3 15 Progress satisfactory. All posts filled up

22 Assam
27 17 13 13 No change. 10 posts to be sanctioned.

23 Manipur
10 10 10 10 All posts filled up

24 Meghalaya
7 7 7 7 All posts filled up

25 Mizoram
8 8 8 8 All posts filled up

26 Nagaland
11 11 11 10 1 person retired since 10.2.10

27 Tripura
4 4 4 4 post filled up

Total 621 545 390 424  

 Consultants at District level (World Bank project)
Malaria VBD Consultants
Recruited Recruited
Sl. Name of the
Sanctioned up to up to Remark
No. State
10.02.10 18.06.10
No change,
1 Andhra Pradesh 5 2 2 3 vacant

2 Chhattisgarh 11 9 11 All filled up

No change,
3 Jharkhand 12 10 10 2 vacant
1 more filed up,
4 Madhya Pradesh 9 7 8 1 vacant
1 more filed up,
5 Orissa 13 11 12 1 vacant

TOTAL 50 39 43 7
 Consultants at District level (World Bank project)
Kala-azar VBD Consultants
Recruited Recruited
Sl. Name of
Sanctioned up to up to Remarks
No. the State
10.02.10 18.06.10
7 more
filled,
1 Bihar 31 0 7 24 to be
filled

No change,
2 Jharkhand 4 3 3 1 to be filled

West No change,
3
Bengal 11 7 7 4 to be filled

TOTAL 46 10 17
 Consultants at Block level (World Bank project)
Malaria Technical Supervisor (MTS)
Status of Status of
Sl. Name of the Recruitment Recruitment
Sanctioned Remark
No. State as on as on
10.01.10 18.06.10

Andhra
1
Pradesh 30 0 30
All filled up

2 Chattisgarh 66 48 48 No change, 18
vacant
16 more filled
3 Jharkhand 72 30 46 up,
26 vacant

Madhya 1 more filled up,

4
Pradesh 54 45 46 8 vacant

4 left,
5 Orissa 78 77 73 5 vacant

TOTAL 300 200 243

 Consultants at Block level (World Bank project)

Kala-azar Technical Supervisor (KTS)

Recruited
Sl. Name of the Recruited up
Sanctioned up to Remarks
No. State to 18.06.10
10.02.10

1 Bihar 186 0 78 78 filled up,

108 vacant

2 Jharkhand 24 0 11 11 filled up,

13 vacant

3 West Bengal 66 0 6 6 filled up,

60 vacant

TOTAL 276 0 95 181 vacant

 Consultants at Block level (World Bank project)
Laboratory Technicians (LTs)
Status of Status of
Sl. Name of the Recruitment Recruitment
Sanctioned Remarks
No State as on as on
10.01.10 18.06.10

Andhra
1
Pradesh 15 0 15 All filled up
1 more filled
2 Chattisgarh up,
33 21 22 11 vacant
1 more filled
3 Jharkhand 36 32 33 up, 3 vacant

Madhya No change,
4
Pradesh 27 20 20 7 vacant

39 36 37
1 more filled
5 Orissa
up, 2 vacant
Contractual Multipurpose Workers (M)
(under DBS)

Recruitment to be completed by 30th Sept’10

Status of Status of
Sl. Name of the Recruitment Recruitment Posts yet to
Sanctioned
No. State as on as on be filled up
10.01.10 18.06.10

2304
1 Jharkhand
(1116+1188) 1080 1086 1218
2 Orissa 1000 (816+184) 561 650 350
3 West Bengal 1000 (500+500) 0 405 595
4 Andhra pradesh 85 (55+30) 40 44 41
5 Chhattisgarh 1144 (830+314) 830 770 374
6 Madhya pradesh 1000 (516+484) 28 360 640
7 Maharashtra 216 (116+100) 95 95 121
8 Rajasthan 100 (66+34) 66 100 0
 Contractual Multipurpose Workers Male (under DBS)

Status of Status of
Sl. Name of the Recruitment Recruitment Posts yet to
Sanctioned
No. State as on as on be filled up
10.01.10 18.06.10

9 Karnataka 100 (0+100) 0 0 100

Arunachal
10
Pradesh
356 (200+156) 200 356 0
11 Assam 391 (220+171) 220 391 0
12 Manipur 165 (100+65) 100 100 65
13 Nagaland 200 (116+84) 116 200 0
14 Tripura 500 (250+250) 70 70 430
15 Meghalaya 100 (0+100)   0 100
16 Mizoram 75 (0+75)   75 0
17 Bihar 919 (0+919)   0 919
TOTAL 9655 3406 4702 4953
ASHAs
 Training
 Training of ASHA
 1-2 Days Special training on Malaria in
addition to training on module for of NRHM
RDT
ACT/ Antimalarial dosage administration
 State wise break up of ASHA Training
(as on 18.06.2010)
S.No Name of the State Sanctioned In-position Trained In
Malaria

1 Assam 28798 28798 28798

2 Arunachal Pradesh 3862 3862 2592
3 Meghalaya 6255 6255 5307
4 Manipur 3878 3878 3558
5 Mizoram 1750 1750 1750
6 Nagaland 1700 1700 1541
7 Tripura 7367 7344 7344
8 Jharkhand 40741 39125 36659
9 Orissa 41102 40291 21737
No progress
10 West Bengal 58182 30114
made
 State wise break up of ASHA Training
(as on 18.06.2010)
S.N Name of the State Sanctioned In-position Trained In
o Malaria
11 Andhra Pradesh 70700 70700 12725
12 Chattisgarh 59489 59489 27006
13 Madhya Pradesh 52321 49370 8394
14 Maharashtra 60391 58054 7411
16 Gujarat 28355 27033 24248
17 Bihar 72000 71395 71395
18 Karnataka 39215 39215 29688
19 Kerala 32854 31868 22493
20 Rajasthan 46000 43288 0
Total 608960 570241 312646
 Long Lasting
Insecticidal Nets
(LLINs)
 Long Lasting Insecticidal Nets
(LLINs)
Already distributed in 2009-10 22.35 lakhs
(States : Assam, Chatt, Megh, Miz,
Tripura, Orissa, WB)
In pipeline for 2009-10 25.70 lakhs
(States: Assam, Arunachal, Manipur,
Megha, Miz, Naga, Tr, Orissa, WB)
To be supplied in 2010-11 65.81 lakhs
(States: Assam, AP, Ar. Pr, Chatt, MP,
Manipur, Megh, Miz, Nagaland,Tripura, Jh,
Orissa)

States – are expected to be prepared with

distribution plan
 Status of LLINs
under World Bank(WB) & Global Fund(GF) Project

In Lakhs

Sl. State LLINs LLINs under Total

No. LLINs already in procurement LLINs
Supplied pipeline
(2009-10)
(2010-11) by end
GF WB Total GF only GF WB Total of 2011

1 Assam 4.00 0.00 4.00 10.10 10.10 0.00 10.10 24.20

2 Andhra
Pradesh
0.00 0.00
0.00
0.00 0.00 10.06 10.06 10.06
3 Arunachal
Prad,
0.00 0.00
0.00
0.20 0.51 0.00 0.51 0.71
4 Chattisgarh 0.00 1.00 1.00 0.00 0.00 9.03 9.03 10.03
5 Madhya
Pradesh
0.00 0.00
0.00
0.00 0.00 7.08 7.08 7.08
6 Manipur 0.00 0.00 0.00 0.55 0.57 0.00 0.57 1.12
7 Meghalaya 1.50 0.00 1.50 1.55 0.68 0.00 0.68 3.73
 Status of LLINs Contd.
under World Bank(WB) & Global Fund(GF) Project

In Lakhs
Sl. State LLINs Supplied LLINs LLINs under Total
No.
in procurement LLINs
pipeline (2010-11)
(2009-10) by end
GF WB Total GF only GF WB Total of 2011

8 Mizoram 0.70 0.00 0.70 0.80 0.11 0.00 0.11 1.61

9 Nagaland 0.00 0.00 0.00 0.50 0.76 0.00 0.76 1.26
10 Tripura 1.66 0.00 1.66 3.00 1.28 0.00 1.28 5.94
11 Jharkhand 0.00 0.00 0.00 0.00 0.00 6.60 6.60 6.60
12 Orissa 2.99 9.00 11.99 7.00 0.00 19.03 19.03 38.02
13 West
Bengal
1.50 0.00 1.50 2.00 0.00 0.00 0.00 3.50
Total 12.35 10.00 22.35 25.70 14.01 15.80 65.81 113.86
Financicial issues
 Audit Reports (2008-09)
not yet received
(as on 26th June 2010)

1. Haryana

2. Himachal Pradesh

3. Delhi
 Financial Performance of States for the year 2009-10 (Cash Grant)-1

(Rs. In lakh)

Total Expenditure
Opening Total Release available reported by % Utilization of
S.No States/Uts Balance as on during 2009-
01.04.2009 10 fund with state available fund
the State (31.03.2010)

1 Andhra Pradesh 517.36 470.30 987.66 955.75 96.77

2 Arunachal Pradesh 3.66 742.05 745.71 716.43 96.07

3 Assam 762.43 700.16 1462.59 1350.39 92.33

4 Bihar 1205.95 193.02 1398.97 160.40 11.47

5 Chattisgarh 305.87 442.21 748.08 404.80 54.11

6 Goa 52.70 23.91 76.61 52.64 68.71

7 Gujarat 62.85 965.06 1027.91 156.01 15.18

8 Haryana 0.44 252.47 252.91 136.56 54.00

Himachal
9 0.00 5.12 5.12 0 0.00
Pradesh

Cont..
 Financial Performance of States for the year 2009-10 (Cash Grant)-2

(Rs. In lakh)

Total Total Expenditure

Opening
Release available reported by % Utilization of
S.No States/Uts Balance as on
during fund with state available fund
01.04.2009
2009-10 the State (31.03.2010)

10 Jammu & Kashmir 8.03 23.40 31.43 28.63 91.09

11 Jharkhand 1003.13 502.99 1506.12 10`10.94 67.12

12 Karnataka 375.03 200.47 575.50 177.92 30.92

13 Kerala 226.26 279.98 506.24 271.20 53.57

14 Madhya Pradesh 367.18 831.04 1198.22 313.45 26.16

15 Maharashtra 159.98 442.50 602.48 74.12 12.30

16 Manipur 96.92 195.31 292.23 283.56 97.03

17 Meghalaya 181.10 96.36 277.46 164.19 59.18

18 Mizoram 4.11 316.52 320.63 275.60 85.96

Cont..
 Financial Performance of States for the year 2009-10 (Cash Grant)-3

(Rs. In lakh)

Total Total Expenditure

Opening
Release available reported by % Utilization of
S.No States/Uts Balance as on
during fund with state available fund
01.04.2009
2009-10 the State (31.03.2010)

19 Nagaland 64.46 437.45 501.91 487.32 97.09

20 Orissa 1080.49 929.37 2009.86 1351.85 67.26

21 Punjab 21.44 238.81 260.25 28.97 11.13

22 Rajasthan 208.01 377.59 585.60 162.75 27.79

23 Sikkim 0.08 7.97 8.05 6.79 84.35

24 Tamil Nadu 270.09 453.71 723.80 461.9 63.82

25 Tripura 293.11 238.23 531.34 424.71 79.93

26 Uttar Pradesh 719.46 645.54 1365.00 733.88 53.76

27 Uttarakhand 23.25 5.55 28.80 20.96 72.78

Cont..
 Financial Performance of States for the year 2009-10 (Cash Grant)-4

(Rs. In lakh)

Total Total Expenditure

Opening
Release available reported by % Utilization of
S.No States/Uts Balance as on
during fund with state available fund
01.04.2009
2009-10 the State (31.03.2010)

28 West Bengal 425.68 427.74 853.42 323.02 37.85

29 Delhi 139.06 45.70 184.76 2.98 1.61

30 Pondicherry 82.81 20.12 102.93 66.76 64.86

31 A & N Island 46.65 445.51 492.16 243.71 49.52

32 Chandigarh 4.71 49.36 54.07 33.99 62.86

33 D & N Haveli 2.50 42.01 44.51 7.96 17.88

34 Daman & Diu 2.48 25.61 28.09 27.72 98.68

35 Lakshadweep 16.75 1.79 18.54 8.30 44.77

  Total 8734.03 11074.93 19808.96 10926.16 55.16

Cont..
 Budget Allocation to the States/UTs (2010-11) (1)
(Rs. In Lakhs)

Unspent Amount
SL. Approved balance released TOTAL
Name of the State Remarks
No. B.E. 2010-11 as on as 1st (Col.4+5)
01/04/2010 Installment

1 Andhra Pradesh 613.29 31.91 428.07 459.98  

2 Arunachal Pradesh 502.17 29.28 347.35 376.63  

3 Assam 1238.92 112.20 817.00 929.20  

4 Bihar 1165.15 1238.57 234.61 1473.18  

5 Chhattisgarh 1086.63 343.28 513.15 856.43  

6 Goa 57.06 23.97 31.29 55.26  

Sufficient balance
7 Gujarat 286.48 871.90 0.00 871.90 available with the
State.
Sufficient balance
8 Haryana 140.07 116.35 0.00 116.35 available with the
State.
SOE received late,
9 Himachal Pradesh 15.30 0.00 0.00 0.00 release
under pipeline
10 Jammu & Kashmir 24.32 2.80 15.54 18.34  
 Budget Allocation to the States/UTs (2010-11) (2)
(Rs. In Lakhs)

Unspent Amount
SL. Approved balance released TOTAL
Name of the State Remarks
No. B.E. 2010-11 as on as 1st (Col.4+5)
01/04/2010 Installment

11 Jharkhand 1699.85 495.18 874.07 1369.25  

SOE received
12 Karnataka 306.46 0.00 0.00 0.00 late, release
under pipeline
13 Kerala 270.54 235.04 121.94 356.98  
14 Madhya Pradesh 1014.57 884.77 132.65 1017.42  
15 Maharashtra 591.63 528.36 180.14 708.50  
16 Manipur 353.63 8.67 256.55 265.22  
17 Meghalaya 352.20 113.27 150.88 264.15  
18 Mizoram 396.35 45.03 252.23 297.26  
19 Nagaland 479.97 14.59 345.39 359.98  
20 Orissa 1438.14 658.01 487.47 1145.48  
 Budget Allocation to the States/UTs (2010-11) (3)
(Rs. In Lakhs)

Unspent Amount
SL. Approved balance released TOTAL
Name of the State Remarks
No. B.E. 2010-11 as on as 1st (Col.4+5)
01/04/2010 Installment

21 Punjab 96.33 231.28 32.49 263.77  

22 Rajasthan 312.38 422.85 92.98 515.83  

23 Sikkim 16.23 1.26 10.91 12.17  

Correct SOE received
24 Tamil Nadu 344.68 0.00 0.00 0.00 late, release under
process,
25 Tripura 370.68 106.63 173.85 280.48  

26 Uttar Pradesh 887.38 631.12 665.54 1296.66  

27 Uttrakhand 31.28 7.84 15.63 23.47  

28 West Bengal 988.51 530.40 255.34 785.74  

Budget Allocation to the States/UTs (2010-11) (4)
(Rs. In Lakhs)

Unspent Amount
SL. Approved balance released TOTAL
Name of the State Remarks
No. B.E. 2010-11 as on as 1st (Col.4+5)
01/04/2010 Installment

29 Delhi 28.29 0 0 0 SOE awaited

30 Pudducherry 31.13 36.17 0.62 36.79 

31 A & N Islands 324.42 248.45 42.83 291.28 

32 Chandigarh 21.95 20.08 13.06 33.14 

33 Dadra & Nagar Haveli 34.78 36.55 7.17 43.72 

34 Daman & Diu 21.83 0.37 16 16.37 

35 Lakshadweep 20.90 10.24 5.44 15.68 

  TOTAL 15563.50 8036.42 6520.19 14556.61  

 New
Initiatives
since January 2010
 Drug Policy
 Expansion of use of ACT in all Pf Malaria cases

 Expansion of use of Miltefosine for Kala-azar as a first

line drug

 Human Resources
 Decentralisation of recruitment of State and District
level consultants under WB project

 Provision of funds for all 9655 contractual MPWs

 Incentives
 For ASHAs for Malaria diagnosis & treatment in 257
most endemic districts

 For ASHAs/volunteers for their involvement in

diagnosis & treatment of Kala-Azar patients

 Compensation of loss of wages to kala-azar

patients for the duration of the treatment
Thank You
 Status of ACTs
(No. of Packs)

Sl. Name of State Supplied - 2009-10 Allocation - 2010-11

1 Assam 45,000 366,790

2 Arunachal Pradesh 25,000 61,285
3 Manipur 25,000 44,580
4 Meghalaya 25,000 99,160
5 Mizoram 25,000 21,294
6 Nagaland 25,000 23,806
7 Tripura 25,000 88,935
8 Jharkhand 95,000 269,450
9 Orissa 140,569 728,520
10 West Bengal 40,000 156,586
11 Andhra Pradesh 30,000 144,164
12 Chattisgarh 80,000 253,617
13 Madhya Pradesh 70,317 167,095
14 Goa 0 6,715
15 Gujarat 0 78,477
16 Karnataka 0 102,861
17 Maharashtra 0 97,418
18 Rajasthan 0 41,717
19 Uttar Pradesh 0 22,019
20 A & N Islands 0 4,547
21 GMSDs 173,114 0
  Grand Total 825,000 2,779,036
 Status of RDT ( Mal)
(No. of Tests)
Sl. States Supplied - 2009-10 Allocation - 2010-11
No
1 Assam 934,000 1,675,000
2 Arunachal Pradesh 175,000 180,000
3 Manipur 178,000 75,000
4 Meghalaya 231,000 195,000
5 Mizoram 233,000 140,000
6 Nagaland 185,000 78,000
7 Tripura 200,000 200,000
8 Jharkhand 1,855,000 1,071,445
9 Orissa 2,918,000 2,305,000
10 West Bengal 750,000 1,660,000
11 Andhra Pradesh 600,000 500,000
12 Chattisgarh 1,320,000 865,000
13 Madhya Pradesh 1,080,000 655,555
14 GMSDs 638,400 0
  Grand Total 11,297,400 9,600,000
 Suggestions for Improvement – (1)

• Advance microplan preparation

• By December-January of every year.
• At state HQ in consultation with RD/DMOs/VBD
Consultants/Entomologists
• Dissemination to Districts/PHCs/VHSCs

• Training of spray squads

• One day training prior to spray at PHC by MI/SI

• Advance information to VHSC/ PRI/ASHAs.

• Involvement of ASHA
• Use VHND/ASHA Diwas for dissemination
• Information twice-15 days before and 1 day before.
 Long Lasting Insecticide Nets (LLINs)
• Total requirement for Saturation distribution-
28 million
• Need to replace after 3-4 years
• Resistance to insecticide being used for
impregnation of nets is reported to be
emerging
• Supplier in the country – limited and LLINs are not
freely available in the market
• Scale up need acceleration
• In view of limited availability of LLIN states may
alternatively procure Plain bed nets and get treated
them with insecticide
Status of Plain Nets -decentralized for procurement
through NRHM
Numbers Numbers
S.No. State Name Remarks
Sanctioned Purchased

Arunachal
1 175000  
Pradesh
2 Assam 600000 395000
3 Manipur 165000 79934
4 Mizoram 140000 70117
Procurement should be
5 Meghalaya 225000 85700 initiated / completed
6 Nagaland 140000 67000  
7 Tripura 140000 51780  
 
8 Orissa 225000  
9 Jharkhand 225000  
10 West Bengal 550000  

TOTAL 2,585,000 749,531

 Training Plan for MPWs

 Three Months training curriculum being

developed at NIHFW

 TOT – will be conducted at NIHFW

 State should plan further training at

State training centres

STATUS OF
SUPPLY OF
DDT
 Status of DDT Supply
(2004-05 to 2009-10)

(MTs)

Year 2005-06 2006-07 2007-08 2008-09 2009-10

Malaria 6000 6450 4800 5991 5694

Kala-azar 2481 375 1200 830 1000

Total 8481 6825 6000 6821 6694

 State-wise supply of DDT
Sl.
States/U.T.s 2005-06 2006-07 2007-08 2008-09 2009-10
No.

1 Arunachal Pr. 160 150 150 150 145

2 Assam 600 1394 860 1185 1000
3 Manipur 45 35 60 30 5
4 Meghalaya 150 130 140 140 80
5 Mizoram 100 85 80 60 60
6 Nagaland 150 150 150 140 140
7 Tripura 276 230 200 200 180
8 Sikkim 3 3 3 3 0
9 Andhra Pr. 150 0 150 135 100
10 Bihar 2063 0 900 650 800
11 Chattisgarh 794 1150 700 890 800
12 Jharkhand 800 1200 480 935 540
 State-wise supply of DDT
Sl.
States/U.T.s 2005-06 2006-07 2007-08 2008-09 2009-10
No.

13 Karnataka 100 100 75 75 75

14 Madhya Pr. 140 140 150 70 400
15 Orissa 1050 924 700 700 700
16 Punjab 9 0 9 7 7
17 Rajasthan 400 250 623 500 595
18 Uttar Pr. 1008 425 180 495 725
19 Uttaranchal 24 18 27 34 30
20 West Bengal 441 411 357 411 291
21 Punducherry 1 1 1 1 1
22 A&N Islands 15 27 3 9 19
23 Chandigarh 1 2 2 1 1
TOTAL 8480 6825 6000 6821 6694
Field Visits by GOI Officials
 Field Visits by GOI Officials
for IRS Supervision- Malaria (2010)
State No of visits Name of the Districts
Arunachal Pradesh 8 Lower Dibang, Lohit (2), East Siang, Papum Pare, Changlang,
Upper Subansiri, Upper Siang
Assam 4 Karbi Anglong, Udaigiri, Dhubri, Goalpara
Meghalaya 5 Re- Bhoi, West Garo Hills, West Khasi Hills, Jaintia Hills, Shillong
Mizoram 2  Lunglei,  Kolasib,
Nagaland 2 Mokokchung, Phek,
Tripura 3  North Tripura (2), South Tripura
Chattishgarh 3  Bastar, Dantewada, Surguja,
Gujarat 3  Surat (Rural) (2), Dahod,
Haryana  1  Karnal,
Jharkhand 1 Bokaro
Karnataka  2  Almatti, Chikballpur,
Madhya Pradesh  1 Bhuranpur,
Maharastra  3 Gadchiroli, Mumbai (2),
Orissa  2 Kandhamal, Sundergarh,
West Bengal  2  Jalpaiguri (2),
 Goa 1  North Goa
Total 43
 Field Visits by GOI Officials
for IRS Supervision- Kala-azar (2010)
State No of Name of the Districts
visits

Bihar 18  Saran, Patna, Muzaffarpur (2), Madhepura,

Khagaria, Saharsa, Madhubani, Nalanda,
Jehanabad, Samastipur (2), Siwan, Bhagalpur,
Gopalganj, Munger (2), Kishanganj

Jharkhand 3  Godda, Pakur, Sahibganj,

Total 21  
Some Issues on Epidemiological Surveillance
 Delay in Monthly Epidemiological data transmission
• 1 month to state
• 2 months to centre
 Non submission of regular reports in reporting
format
• Training (TOT) on M&E & Formats handed in Dec
2008
• Letters for implementation sent on 8th
September, 7th October & 26th November 2009
and 8th June 2010
• Discussed in review meetings for
implementations