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DISEASE CONTROL PROGRAMME – HEALTH ASSISTANT | LOK SEWA AAYOG

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DISEASE CONTROL PROGRAMME

Malaria Control Programme

Malaria control project was first initiated in Nepal in 1954 with the support form USAID (then USOM). The objective of the project was to control malaria mainly in southern Terai belt of central Nepal. In 1958, national malaria eradication program, the first national public health program in the country was launched with the objective of eradicating malaria form the country within a limited time period. Due to various reasons the eradication concept was reverted to control program in 1978, Roll Back Malaria (RBM) initiative was launched to address the perennial problem of malaria in hard-core forested, foot hills, inner Terai and valley areas of the hills, where more than 70 percent of the total malaria cases of the country prevail. The high risk of getting the disease is attributed to the abundance of vector mosquitoes, mobile and vulnerable population, relative inaccessibility of the area, suitable temperature, environmental and socio-economic factors. Currently malaria control activities are carried out in 65 district are divided into four different categories as follows:

  • High risk districts (13): Ilam, Jhapa, Morang, Sindhuli, Dhanusa, Mahottari, Kavre, Nawalparasi, Banke Bardiya, Kailali, Kanchanpur, Dadeldhura
  • Moderate risk districts (18): Panchthar, Dhankuta, Sunsari, Saptari, Siraha, Udayapur, Sarlahi, Rautahat, Bara, Parsa, Makawanpur, Chitwan, Sindhupalchowk, Rupandehi, Kapilvastu, Dang, Surkhet, Doti
  • Low risk 34 Districts (Minimal transmission) (34)
  • No risk Districts (10)

The Global Fund is supporting malaria control program in the high risk 13 endemic districts and moderate risk 18 endemic districts.

Objective

  • Overall incidence of (probable of confirmed) malaria in population at risk’ brought below 2 cases per 1,000 by 2011 (2055 baseline: 4.1 cases per 1,000)
  • Hospital-based severe malarial case fatality rate reduced to below 15% by 2010.
  • By 2010, weekly incidence of malaria (probable and confirmed) in all outbreak wards brought below outbreak threshold level within 6 weeks of detection.
  • Community mobilization and community partnership in malaria control.

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