State Programme Implementation Plan 2011-12 CHAPTER 4.4 NATIONAL DISEASE CONTROL PROGRAMME National Rural Health Mission, Assam Page 354 State Programme Implementation Plan 2011-12 NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) National Rural Health Mission, Assam Page 355 State Programme Implementation Plan 2011-12 CHAPTER- NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) MALARIA Malaria is one of the major Public Health problem of Assam. Out of total 31.53 million populations in the state, 9.71 million populations (31%) are leaving in malaria high risk areas. All the districts are reporting malaria incidence with variable intensity. During 2009 total positive cases detected were 91413 against 83939 in 2008.Blood screening for malaria during 2009 were 3.02 million against 2.68 million in 2008. The increase of malaria cases during 2009(8.9%) is attributed to increase screening of fever cases. (12.4 %). Due to increase surveillance and treatment of malaria cases in 2009, the incidence has come down during 2010.The epidemiological data on malaria during 2010 compiled up to October 2010 recorded 62146 no cases against 84719 nos. for the same period of 2009, The decline is 26.6%. Analysis of last three years epidemiological data on malaria the following eight districts are identified as highly endemic. These districts contribute 75% of total malaria cases of the state. These are – a) b) c) d) K-Anglong N.C.Hills (Dima Hasao) Goalpara Hailakandi e) Kokrajhar f) Chirang g) Baksa h) Udalguri 566 Sub-centers of the above eight districts with approx 2.87 million population are brought under special action plan to contain the disease during 2010. During 2011 the target area is increased to 582 sub-centres with approx 3.02 million population. Physical Performance: Surveillance & case management Malaria detection depends on active and passive surveillance. The target is 10 % screening of fever cases annually in a defined populations. It is envisage that, minimum 10 % of population should be screened in a sub centre area by SW/MPW from all sources. The second parameter is API, which indicates disease load in a defined area. The target is to bring down malaria cases < 1.3 API by the end of 2012. Target achieved by the state for last three years are as follows. Indicator ABER MBER Year 2007 2008 2009 2010 2010 up to Oct National Rural Health Mission, Assam Target 10 10 10 12.78 11.31 Achievement 8.09 8.62 9.66 --12.44 Page 356 State Programme Implementation Plan 2011-12 Indicator API MPI Year 2007 2008 2009 2010 2010 up to Oct Target <2 <2 <2 <1.3 <1.06 Achievement 3.19 2.74 2.92 --1.97 The above table is indicative of gradual progression in achieving containing of malaria in the state. Analyses of other parameters as mentioned below are also showing improvement of malaria situation in the state. During 2010 up to October, the decline of PF cases is 28.7 % in comparison to 2009 for the same period. Year Total Blood Screening Total Positive Pf SPR 2007 2008 2009 2010 up to Oct. 2009 up to Oct. 2399836 2687755 3021915 3797871 2587298 94853 83939 91413 62146 84719 65542 76350 66557 43684 61280 3.95 3.18 3.02 1.64 3.27 Physical target for the year 2011. ABER API : : 15 % of population will be under surveillance. To achieve < 1.3 per 1000 populations. Special action plan proposed during 2011. During 2011 Intensive fever screening drive through mobile team to detect and treat malaria cases in indentified 582sub centers of eight endemic districts covering approx 30.23 lakh population, as has been done during 2010 will continue. The screening period will be from March to October 2011. Total blood screening expected during the period will be 1.94 lakh (MBER 0.8). During 2010 the constituted special mobile team for malaria case detection & treatment for the period from May to September could screen 2.42 lakhs fever cases and detect & treat 8106 nos malaria cases. It constitutes 32 % of total screening of fever cases and 21 % of total detection & treatment of cases of the districts for the same period. Due to remoteness and location in difficult terrain of villages the members of the team are provided with POL money for quick mobility by motor cycle during the survey period. Detection of malaria cases in char villages of Dhubri, Goalpara, Kamrup, Nalbari, Barpeta & Darrang districts, by mobile malaria team with Medical officer as team leader for the period from April to September will be organised during 2011. A total of 518 char villages of above six districts with population of 13.42 lakhs will be covered. It is expected that, approximately 70000 blood screening can be done during the period (MBER 5.2 for the period). For mobility in the char villages by motor cycles and for crossing the river by mechanised boat, hiring charges will be provided during the survey period. National Rural Health Mission, Assam Page 357 State Programme Implementation Plan 2011-12 Inter state border PHC, are contributing more than 60-70 % of malaria cases in the districts. Many of the villages in these areas are located in deep forest, which are inaccessible and lack of health infrastructures, on either side of the border. A joint micro action plan for covering of these populations is required to develop by the bordering districts of both the state for synchronization and co-ordination of activities. To work out the modalities, interstate border meeting of endemic districts are proposed in the action plan. 43 sentinel hospitals are identified in the state, where severe malaria patients are referred for treatment. Since there is no proper statistics about actual number of severe malaria cases treated in a district, a nodal Medical Officer and a Lab technician are identified in each hospital for proper recording. A token honorarium as approved during 2010-11 is proposed to continue during 2011-12. The data collected through sentinel surveillance hospital will provide the trend of malaria in the state after introduction of ACT & RDT for treatment of Pf malaria cases. Physical Performance: Integrated Vector Control. (1) Indoor residual spray during 2010. Round 1st Round 2nd Round Population targeted in lakh 81.59 77.96 Population Covered in lakh 60.78 54.77 % of Coverage 79 70 Room targeted in lakh 49.53 52.36 Room Covered in lakh 34.53 37.84 % of room Coverage 69 71 Target for IRS during 2011. India is committed for gradual phasing out of DDT due to its persistent organic pollutant (POP) properties. In view of this the state is considering for more reliance on use of LLIN. During 2011 the population under IRS has been reduced. Total no. of villages selected for IRS Total population to be covered Priority 1 population (API>5) Priority 2 population (API 2-5) (2) Promotion of personal protection method. Target for impregnation of community bed net during 2010: 27.13 lakh Impregnation performed (up to August 2010) : 25.16 lakh Target for impregnation & re-impregnation of community Bed net during 2011. : 55.87 lakh : : : : 10,057 50.60 lakh 32.62 lakh 17.97 lakh (3) Promotion of Larvivorous fish as biological control of mosquito Vector at selected PHC of Goalpara, Kokrajhar & Chirang districts are proposed. The activity will be taken on project mood by NIMR (ICMR) Guwahati involving NGO already operating in these districts. National Rural Health Mission, Assam Page 358 State Programme Implementation Plan 2011-12 Public Private Partnership. Under IX round of GFATM, it is proposed that, Caritus consortium(a group of NGO, VHAI, CMAI, Futures Gp. International India) will be undertaking activities like EDPT, LLIN distribution, training etc in selected PHC areas of Karbi-anglong, Kokrajhar & Chirang. It is proposed that 445 highly endemic villages will be covered by the NGO. The NGO will be one of the PR (Principal recipient) of Global Fund for these activities. IEC/BCC for community involvement: An integrated IEC/BCC activities were carried out during 2010 for community mobilization in reducing Vector Borne Diseases. Use of insecticide bednets, early diagnosis and prompt treatment through the facilities provided with ASHA, acceptance of IRS, source reduction of vector mosquitoes etc are the issues taken up with the community for sensitization. Message are conveyed through inter personnel communication on village Health & sanitation day, on every Wednesday. Printing of posters, leaflets, information booklets etc. are made through NRHM and distributed among the community, school children etc. Leaflets on : Malaria JE Dengue Filaria - 4,50,000 Nos. 3,00000 Nos. 10,000 Nos. 50,000 Nos. Posters on : Malaria JE Filaria - 54,000 Nos. 20,000 Nos. 30,000 Nos. Information Booklets on NVBDCP for distribution in Health Mela/Awareness camp Malaria Booklets for ASHA NVBDCP Module for Para Medical Staff Drug schedule for Medical Practitioners Drug schedule for ASHA & Para Medical Staff - 5,94,000 Nos. 30,000 Nos. 10,000 Nos. 5,000 Nos. 51,000 Nos. Apart from above TV spots on JE, Dengue, Malaria are telecasted through DDK and local channels. Radio jingles through AIR & FM channels, display of advertisement in local dailies on Malaria, JE, Dengue and Filaria are done regularly. During 2011-12 similar activities are proposed which will be executed through NRHM. An amount of Rs.150 lakh is worked out for the purpose. Capacity Building : During 2010-11 following training programmes are completed and/ or on pipe line • • Medical officers on sentinel surveillance hospitals Clinical management of severe Malaria ,JE ,Dengue for medical officers of PHC/private hospitals. National Rural Health Mission, Assam : 40 : 76 Page 359 State Programme Implementation Plan 2011-12 • • • District Malaria Officers/CM&HO(CD) on LQAS MTS on LQAS Lab. Technician (re-orientation training) Re-orientation of ASHA : : : : 31 31 54 During 2011-12 all the above categories of staff will be taken up for re-orientation training. An amount of Rs.61 lakh is projected for the purpose. Monitoring & evaluation support for containment of Epidemics. The impending out breaks/epidemics of malaria and other Vector Borne disease can be detected early by timely analyzing various epidemiological & entomological data collected from the field. Transmission of these datas from Sub- centres to PHC and to District/State Hq is very important. Under IX round of GFATM project, it is proposed that malaria information system in the districts will be strengthen for electronic transferring of data for immediate situation analysis by providing computers, connectivity and data entry operators. An amount of Rs.46.32 lakh is proposed in the Annual Plan. JAPANESE ENCEPHALITIS. Japanese Encephalitis is emerging as second major public Health problem in Assam. The below mentioned table is showing the gravity of the situation. YEAR 2008 2009 2010 up to Oct DISEASE AES JE AES JE AES JE CASE 319 157 643 218 469 142 DEATH 100 33 109 46 117 40 CFR 31 21 17 21 25 28 The disease was restricted in Upper Assam districts during this decade. However from 2009 onwards AES cases are reported from central and lower Assam districts also, such as Barpeta, Bongaigaon, Baska, Darrang, Goalpara, Kamrup, Karbi-Anglong, Nagaon, Nalbari and Morigaon. For assessing prevalence of the disease in the state, new sentinel surveillance sites with laboratory (SSSL) are established and made functional. At present five SSSL vize AMCH Dibrugarh, GMCH Guwahati, JMCH Jorhat, Sivsagar Civil Hospital, Lakhimpur Civil Hospital & one APEX laboratory at RMRC (ICMR) Dibrugarh are functioning. During 2011-12, SMCH Silchar, & Christian Mission Hospital Tezpur are proposed for establishing as SSSL. It is observed that adult AES (JE) cases are more in the state after instituting children vaccination. Repeated exposure to JE virus, adult population should have developed immunity. It is therefore proposed that, scientific research to evaluate the cause & remedy of Viral Encephalitis in adult age group can be carried out by scientific research institute like RMRC Dibrugarh. National Rural Health Mission, Assam Page 360 State Programme Implementation Plan 2011-12 AMCH Dibrugarh is one of the sentinel surveillance centre for AES/JE management. The existing JE ward/ unit is required to be upgraded by providing life supporting equipments and infrastructure development. An amount of Rs.10.48 crore is projected in Annual Action plan for the purpose. DENGUE & CHIKUNGUNYA: Dengue & Chikungunya cases are not reported in the State till 2009. However the disease is prevalent in the neighboring states threatening its entry to Assam. During 2010 Dengue emerge as epidemic form in Assam and till October 2010, 139 cases reported with one death. Majority of cases are reported from Kamrup district (113) followed by Golaghat (8), Dibrugarh (4), Sonitpur (3), Jorhat (3), Barpeta (2), Darrang (2) and one each from Nalbari, Nagaon, Dhemaji and Lakhimpur. Three SSS Laboratories are identified for diagnosis of Dengue cases. These are GMCH Guwahati, AMCH Dibrugarh, and JMCH Jorhat. RMRC Dibrugarh is declared as apex referral laboratory for Dengue diagnosis. The Microbiologist and Lab. Technicians of these hospitals will be trained during the year at RMRC Dibrugarh. Extensive IEC for source reduction is planned during the year for which necessary budget is projected. ELIMANATION OF LYMPHATIC FILARIASIS: The national health Policy (2002) of india targeted elimination of Lymphatic Filariasis in the country by 2015. The strategy of ELF is to implement annual single dose mass drug administration (MDA) with anti-filarial drugs (DEC + Albendazol). In Assam seven districts viz Dhubri, Kamrup, Nalbari, Darrang, Sivsagar, Dibrugarh & Dhemaji are identified for MDA. All these districts have completed 4-5 years MDA. The night microfilaria survey conducted during 2008-09 shows less then 1% Mf rate in Dhubri, Kamrup, Nalbari, Darrang & Dhemaji districts. Decision for discontinuance of MDA in these districts will be taken after ascertaining circulating antigenemia through ICT filarial Card. During 2009 MDA could not be conducted due to non availability of Logistic support . Line Listing of lymphatic Filariasis and Hydrocele Cases is the pre-requisite to identify prevalence of Filariasis in a district. The existing reporting system does not give the real picture of the situation. It is therefore proposed that Line Listing will be done through ASHA and /or Volunteers for which a token incentives will be paid. An amount of Rs. 300.00 per sub centre area is kept for all the 4575 sub centres of the State in the Annual Plan. KALA AZAR : After a gap of three decades kala azar cases are re emerged in one of the PHC area of Kamrup district during 2008.98 cases during 2008, followed by 25 cases in 2009 and 12 cases in 2010( up to October) recorded. Vector Control by DDT and sensitizing the population for taking preventive measures are undertaken. Central assistance for Drugs and Diagnostic Kit are requested. An amount of Rs.4 lakhs is proposed in the budget for monitoring, training, IEC etc. National Rural Health Mission, Assam Page 361 State Programme Implementation Plan 2011-12 ENTOMOLOGICAL SURVEILLANCE: Entomological Surveillance to predict occurrence of Vector Borne diseases has paramount importance. Apart from Malaria and JE in the State the new emergent diseases are Dengue and Kala Azar. The Entomological wing of the programme was not functional for many years due to non availability of man power, which is how ever revived and entomological Surveillance work is started since 2010. During 2010 Entomological surveys are conducted at Kamrup, Golaghat, Sonitpur and Kamrup (metro) districts for Malaria and Dengue vectors. Three Entomological teams will be constituted during 2011, and will conduct the survey from February to September 2011. An amount of Rs.12.88 lakh is proposed in Annual Plan. Proposed Budget Summary 2011-12 (Rs. In lakh) Sl No. A. Head DBS Component Malaria Activities Amount (Rs.in Lakh) a) Remuneration of MPW(M) b) Incentive of ASHA c) Spray Wages, DDT dumping, rent, Maintenance of equipment, fogging d) Entomology, Larvivorous fish e) Monitoring & Evaluation support f) Outstanding House rent g) IEC/BCC Procurement of Decentralized Commodities h) Antimalarial Drugs, spray equipment etc JE Operational cost, drug equipment etc. and infrastructure development of JE ward at AMCH, Dibrugarh Dengue/ Chikungunya Kalaazar Filaria/ELF 2 GFATM 3 NRHM Grand Total 281.52 480 226.68 22.88 46.32 100 47.21 344.69 1179.25 44.5 Human resource Training Planning and Administration Monitoring and Evaluation IEC Additionalities 4 240.82 287.04 61 178.80 130.6 66.97 101.45 3819.73 (Rupees Thirty eight crore nineteen lakh & seventy three thousand) only National Rural Health Mission, Assam Page 362 State Programme Implementation Plan 2011-12 National Vector Borne Disease Control Programme (NVBDCP), Assam State Programme Implementation Plan 2011-12 1. Demographic Profile of the State of Assam Population : 31530334 (2010) Status of Health Facilities Sl No. Health Facility No. 1 Medical Collage Hospital 4 2 District Hospital 3 CHC 4 Block PHC 149 5 Other Health Facility (Mini PHC/ SD/SHC) 695 6 Sub centre 4575 7 Villages 29007 8 ASHA 28387 21+3 100 (FRU 38) 1.1 District wise health infrastructure:-. Sl.No. Name of District District Block CHC Hospital PHC Other Health Facility (Mini PHC/SD/SHC) SubCentre Villages. 1 Barpeta 1 6 7 29 264 914 2 Bogaigaon 0 3 4 23 58 597 3 Baksa 0 5 6 34 159 812 4 Cachar 1 1 8 19 269 1297 5 Chirang 0 2 2 19 76 706 6 Darrang 1 3 4 21 163 514 7 Dhemaji 1 3 5 14 98 1365 8 Dhubri 1 5 7 27 246 1458 9 Dibrugarh 0 5 6 20 240 1094 10 Goalpara 1 1 5 28 151 1478 11 Golaghat 1 5 5 33 144 1191 12 Hailakandi 1 1 4 8 105 488 13 Jorhat 0 5 7 32 142 948 National Rural Health Mission, Assam Page 363 State Programme Implementation Plan 2011-12 15 Kamrup (Rural) Kamrup (Metro) 16 K.Anglong 1 5 8 38 103 2124 17 Karimganj 1 1 5 17 217 1263 18 Kokrajhar 1 2 4 38 163 1213 19 Lakhimpur 1 5 6 20 156 1675 20 Morigaon 1 2 3 23 125 704 21 Nagaon 1 9 11 47 368 1628 22 Nalbari 1 6 4 36 121 473 23 N.C.Hills 1 2 3 7 65 792 24 Sibsagar 1 2 8 25 222 1063 25 Sonitpur 1 4 7 40 281 1691 26 Tinsukia 1 4 4 15 164 982 27 Udalguri Total Numbers 0 3 3 20 142 817 21 100 149 695 4575 29007 14 1 9 12 42 281 1 1 1 20 52 1720 2. HUMAN RESOURCE Sl.No. Health Man Power Sanctioned In Place Trained Remarks. Rest under process of recruitment under process of filling 1 DMO 27 13 13 2 AMO 27 17 17 3 Medical Officer (Allo. /AY/ Homeo) excluding specialist under NRHM 2203 2203 2203 Includes both regular & NRHM 5 Rural Health Practitioner 92 + 72 92 + 72 92 will be trained during 2010-11 6 L.Technician (regular) 704 678 511 7 L.Technician (Contractual) 470 470 426 National Rural Health Mission, Assam Page 364 State Programme Implementation Plan 2011-12 Sl.No. Health Man Power Sanctioned In Place Trained 8 Health Supervisor (M) 1052 950 408 9 Health Supervisor (F) 367 322 38 10 MPW(M) 2000 1000 500 11 MPW(Contractual) 391 391 284 12 SURVEILLANCE WORKER/ BHW 2095 1798 1035 13 MPW(F) 5130 5130 1609 4040 4040 32 32 32 28765 28765 22150 14 15 16 MPW(F) CONTRACTUAL Malaria Technical Supervisior (Contractual) ASHA Remarks. In the process of filling under process of filling Under NRHM 2.1 Human Resource (District wise break up) Sl No. District DMO In Sanctioned Place AMO Trained Sanctioned In Place Trained 1 Barpeta 1 1 1 1 1 1 2 Bogaigaon 1 0 0 1 0 0 3 Baksa 1 0 0 1 0 0 4 Cachar 1 0 0 1 1 1 5 Chirang 1 0 0 1 0 0 6 Darrang 1 1 1 1 1 1 7 Dhemaji 1 0 0 1 0 0 8 Dhubri 1 1 1 1 1 1 9 Dibrugarh 1 1 1 1 1 1 10 Goalpara 1 1 1 1 1 1 11 Golaghat 1 0 0 1 0 0 National Rural Health Mission, Assam Page 365 State Programme Implementation Plan 2011-12 Sl No. District DMO In Sanctioned Place AMO Trained Sanctioned In Place Trained 12 Hailakandi 1 0 0 1 0 0 13 Jorhat 1 1 1 1 1 1 1 0 0 1 0 0 1 1 1 1 1 1 16 K.Anglong 1 1 1 1 1 1 17 Karimganj 1 1 1 1 1 1 18 Kokrajhar 1 1 1 1 1 1 19 Lakhimpur 1 1 1 1 1 1 20 Morigaon 1 0 0 1 0 0 21 Nagaon 1 0 0 1 1 1 22 Nalbari 1 1 1 1 1 1 23 N.C.Hills 1 1 1 1 1 1 24 Sibsagar 1 0 0 1 1 1 25 Sonitpur 1 0 0 1 1 1 26 Tinsukia 1 0 0 1 0 0 27 Udalguri 1 0 0 1 0 0 27 13 13 27 17 17 Kamrup (Metro) Kamrup 15 (Rural) 14 Total 2.1 Human Resource (District wise break up) Sl No. District 1 2 3 4 5 6 7 8 9 10 11 12 Barpeta Bogaigaon Baksa Cachar Chirang Darrang Dhemaji Dhubri Dibrugarh Goalpara Golaghat Hailakandi Lab. Tech (Contractual) Health Supervisor (M) In Sanctioned Trained Sanctioned In Place Trained Place 18 18 18 48 48 20 20 20 20 32 32 7 22 22 22 19 19 20 19 19 19 36 36 5 19 19 19 10 10 10 5 5 5 25 22 11 13 13 13 35 30 4 16 16 16 78 70 18 16 16 16 44 44 5 17 17 17 20 19 19 18 18 18 31 31 31 6 6 6 23 18 18 National Rural Health Mission, Assam Page 366 State Programme Implementation Plan 2011-12 Sl No. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 District Jorhat Kamrup (Metro) Kamrup (Rural) K.Anglong Karimganj Kokrajhar Lakhimpur Morigaon Nagaon Nalbari N.C.Hills Sibsagar Sonitpur Tinsukia Udalguri Total Lab. Tech (Contractual) Health Supervisor (M) In Sanctioned Trained Sanctioned In Place Trained Place 21 21 21 54 51 0 8 8 8 8 8 0 38 23 10 19 12 21 28 17 1 20 38 14 11 470 38 23 10 19 12 21 28 17 1 20 38 14 11 470 30 23 10 19 12 21 0 17 1 20 30 14 11 426 49 57 54 42 142 6 49 15 11 50 66 25 23 1052 49 57 40 34 97 6 47 15 11 50 63 20 23 950 7 57 3 34 47 7 47 4 3 3 3 2 23 408 2.1 Human Resource (District wise break up) Sl No. Health Supervisor (F) District Sanctioned In Place 1 Barpeta 7 2 Bogaigaon MPW (M) Sanctioned In Place 7 58 58 11 11 16 16 3 Baksa 11 11 0 0 4 Cachar 57 57 60 60 5 Chirang 4 4 0 0 6 Darrang 12 12 40 40 7 Dhemaji 14 14 27 27 8 Dhubri 21 8 58 58 National Rural Health Mission, Assam Trained 4 1 Trained Page 367 State Programme Implementation Plan 2011-12 Sl No. Health Supervisor (F) District Sanctioned In Place 25 10 Goalpara MPW (M) Sanctioned In Place 25 55 55 18 16 40 40 11 Golaghat 11 11 38 38 12 Hailakandi 7 4 26 26 13 Jorhat 2 2 40 40 9 Dibrugarh Trained 11 2 14 Kamrup (Metro) 4 4 10 10 15 Kamrup (Rural) 20 20 115 115 16 K.Anglong 23 12 0 0 17 Karimganj 20 16 54 54 18 Kokrajhar 12 8 0 0 19 Lakhimpur 29 29 40 40 20 Morigaon 5 5 31 31 21 Nagaon 11 11 96 96 22 Nalbari 7 7 34 34 23 N.C.Hills 5 5 0 0 24 Sibsagar 7 7 55 55 25 Sonitpur 20 12 65 65 26 Tinsukia 4 4 42 42 0 0 1000 1000 12 8 27 Udalguri Total 367 National Rural Health Mission, Assam 322 38 Trained 0 Page 368 State Programme Implementation Plan 2011-12 2.1 Human Resource (District wise break up) Sl No. District MPW (Contractual) In Sanctioned Trained Place SW/BHW In Sanctioned Place 1 Barpeta 3 3 3 87 87 2 Bogaigaon 18 18 4 46 46 3 Baksa 11 11 10 70 70 4 Cachar 6 6 0 107 75 5 Chirang 12 12 2 42 42 6 Darrang 2 2 2 49 49 7 Dhemaji 8 8 10 48 48 8 Dhubri 10 10 10 103 90 9 Dibrugarh 3 3 0 109 86 10 Goalpara 24 24 9 70 58 11 Golaghat 10 10 10 82 72 12 Hailakandi 20 20 10 50 38 13 Jorhat 9 9 0 101 88 37 37 0 181 126 13 13 12 16 K.Anglong 35 35 20 84 84 17 Karimganj 4 4 0 70 70 18 Kokrajhar 19 19 10 66 66 19 Lakhimpur 14 14 14 70 56 20 Morigaon 4 4 4 55 29 21 Nagaon 31 31 15 161 102 22 Nalbari 4 4 4 49 49 23 N.C.Hills 19 19 9 29 29 24 Sibsagar 9 9 0 92 83 25 Sonitpur 27 27 12 126 115 26 Tinsukia 16 16 8 89 68 27 Udalguri 23 23 8 59 59 Total 391 391 186 2095 1798 Kamrup (Metro) Kamrup 15 (Rural) 14 National Rural Health Mission, Assam Trained 0 Page 369 State Programme Implementation Plan 2011-12 2.1 Human Resource (District wise break up) Sl No. District Malaria Technical Supervisor In Sanctioned Trained Place ASHA In Place Trained 1 Barpeta 1 1 1 1523 989 2 Bogaigaon 1 1 1 621 621 3 Baksa 1 1 1 960 421 4 Cachar 1 1 1 1579 673 5 Chirang 1 1 1 517 435 6 Darrang 1 1 1 864 582 7 Dhemaji 1 1 1 720 315 8 Dhubri 1 1 1 1777 907 9 Dibrugarh 1 1 1 1104 1104 10 Goalpara 2 2 2 975 800 11 Golaghat 2 2 2 910 910 12 Hailakandi 1 1 1 673 605 13 Jorhat 1 1 1 1035 170 209 209 Kamrup (Metro) Kamrup 15 (Rural) 14 1 1 1 1611 1611 16 K.Anglong 2 2 2 936 936 17 Karimganj 1 1 1 1027 706 18 Kokrajhar 1 1 1 1307 1238 19 Lakhimpur 2 2 2 1040 1036 20 Morigaon 1 1 1 844 844 21 Nagaon 2 2 2 1956 1956 22 Nalbari 1 1 1 751 280 23 N.C.Hills 1 1 1 187 165 24 Sibsagar 1 1 1 1226 935 25 Sonitpur 2 2 2 1767 1767 26 Tinsukia 1 1 1 1294 1130 27 Udalguri 1 1 1 961 805 32 32 32 28387 22150 Total National Rural Health Mission, Assam Page 370 State Programme Implementation Plan 2011-12 2.1 Human Resource (District wise break up) Sl No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Rural Health Practitioner District Sanctioned Barpeta Bongaigaon Baksa Cachar Chirang Darrang Dhemaji Dhubri Dibrugarh Goalpara Golaghat Hailakandi Jorhat Kamrup (Metro) Kamrup (Rural) K.Anglong Karimganj Kokrajhar Lakhimpur Morigaon Nagaon Nalbari N.C.Hills Sibsagar Sonitpur Tinsukia Udalguri Total In Place Trained Sanctioned 16 2 20 16 2 20 16 2 20 2 10 2 10 2 10 6 1 6 1 6 1 11 6 6 11 6 6 11 6 6 6 6 6 2 4 92 2 4 92 2 4 92 National Rural Health Mission, Assam Lab. Technician (R) In Place Trained 37 17 38 22 12 24 14 33 25 27 37 5 25 37 17 38 22 12 24 11 33 25 27 37 5 23 34 17 5 2 2 8 0 33 0 21 37 5 23 15 15 0 30 67 25 27 31 7 11 38 26 33 40 20 18 704 30 67 25 27 21 7 10 32 26 33 36 20 18 678 4 67 0 24 21 3 10 12 20 0 5 6 10 369 Page 371 State Programme Implementation Plan 2011-12 2.2: Human Resource (Under GFATM): State PMU Sl No. In Place 1 Consultant (M&E) 1 2 Project Co-ordinator 1 3 Finance Consultant 1 4 IEC Consultant. 1 5 Data Entry Operator 1 6 Secretarial Assistant. 1 2.3: Availability of Multipurpose Worker (Male) at Sub-Centre. Total Number of Sub-Centre in 27 districts. 4575 Number of SW/BHW 1798 Nos. Number of MPW (Regular) 2000 Nos. Number of MPW (Contractual) 391 Nos. Number of Sub-Centre without MPW (M) National Rural Health Mission, Assam 386 Page 372 State Programme Implementation Plan 2011-12 3. District wise Epidemiological Data for last five years in the State. Sl. No. District 1 Barpeta 2 Bogaigaon 3 Baksa 4 Cachar 5 Chirang 6 Darrang 7 Dhemaji 8 Dhubri Year 2006 2007 2008 2009 2006 2007 2008 2009 2008 2009 2006 2007 2008 2009 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 National Rural Health Mission, Assam Population 1689315 1697917 1486661 1581357 968774 986031 591861 652667 869871 981956 1685674 1746192 1843093 1905321 404723 441280 1690832 1698650 885099 921725 631709 640977 652110 661638 1692358 BSC/ BSE 129128 97958 102935 118191 102594 94999 69717 93820 104906 83762 113196 108978 108482 131132 80735 76903 142058 110952 49281 46027 53128 43890 47762 45128 130833 No of +ve 4316 2598 490 456 5766 3579 696 793 3324 3412 4451 3657 2169 2707 3350 5222 18171 12557 350 233 2353 595 468 402 2432 Pf Pf% 2061 1119 311 281 5106 3220 632 723 1723 1532 4425 3560 2040 2543 2433 3196 4621 3063 126 85 1294 347 267 273 2131 47.75 43.07 63.46 61.62 88.55 89.96 90.8 91.17 51.83 44.90 99.41 97.34 97.18 93.94 72.62 61.20 25.43 24.39 36 36.48 54.99 58.31 57.05 67.91 87.62 ABER 7.64 5.76 6.92 7.47 10.59 9.63 11.77 14.37 12.05 8.55 6.71 6.24 5.88 6.88 19.94 17.42 8.4 6.53 5.56 4.99 8.41 6.84 7.32 6.82 7.73 SPR 3.34 2.65 0.74 0.38 5.62 3.76 0.99 0.84 3.16 4.07 3.93 3.35 1.93 2.06 4.14 6.79 12.79 11.31 0.71 0.50 4.42 1.35 0.98 0.89 1.85 SFR 1.59 1.12 0.3 0.23 4.97 3.38 0.9 0.77 1.64 1.82 3.9 3.26 1.88 1.93 3.01 4.15 3.25 2.76 0.25 0.18 2.43 0.79 0.55 0.60 1.62 API 1.22 1.53 0.33 0.28 5.27 3.62 1.17 1.21 1.8 3.47 2.64 2.09 1.13 1.42 8.97 11.83 10.74 7.39 0.39 0.25 3.72 0.92 0.71 0.60 1.43 Death 9 2 3 5 2 12 2 3 2 1 1 0 2 5 5 4 0 13 3 1 8 Page 373 State Programme Implementation Plan 2011-12 Sl. No. District 9 Dibrugarh 10 Goalpara 11 Golaghat 12 Hailakandi 13 Jorhat 14 Kamrup Year 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 National Rural Health Mission, Assam Population 1725283 1687248 1728860 1585580 1586305 1587401 1587707 937703 956880 964458 984626 1065223 1066373 1068267 1069615 709724 721137 728586 733503 1182539 1187278 1187278 1206430 2666696 2685287 1457170 1406450 BSC/ BSE 123560 124334 146690 103566 105987 96852 99271 106371 96902 104227 128337 113991 98856 104720 118042 79058 59869 65818 70833 101509 71642 92021 114208 238183 243021 202055 215389 No of +ve 1976 1411 1669 111 89 65 91 5792 6940 5878 5957 2113 715 631 710 5447 3162 4264 3346 320 189 169 353 7215 10249 1814 2487 Pf Pf% 1793 1304 1650 91 79 56 82 5086 6314 5421 5616 1977 574 502 666 5338 3107 4147 3169 247 180 129 289 5505 7853 1526 2023 90.73 92.41 98.86 81.98 88.76 86.15 90.10 87.81 90.97 92.22 94.24 93.56 80.27 73.71 93.80 97.99 98.26 97.25 94.71 77.18 95.2 76.33 81.86 76.29 76.62 84.12 81.34 ABER 7.16 7.36 8.48 6.46 6.68 6.1 6.25 11.34 1.12 1080 13.03 10.7 9.27 9.8 11.03 11.13 8.3 9.03 9.65 8.58 6 7.75 9.46 8.93 9.05 13.86 15.31 SPR 1.59 1.13 1.13 0.1 0.08 0.06 0.09 5.44 7.16 5.64 4.64 1.85 0.72 0.6 0.60 6.88 5.28 6.47 4.72 0.31 0.26 0.18 0.30 3.02 4.21 0.89 1.15 SFR 1.45 1.04 1.12 0.08 0.07 0.05 0.08 4.78 6.51 5.28 4.37 1.73 0.58 0.6 0.56 6.75 5.18 6.3 4.47 0.24 0.25 0.14 0.25 2.31 3.23 0.75 0.93 API 1.14 8.83 0.96 0.07 0.05 0.84 0.91 5.42 7.25 6.09 6.05 1.98 0.67 0.59 0.62 7.52 4.38 5.85 4.56 0.27 0,15 0.14 0.29 2.7 3.81 1.24 1.76 Death 18 4 3 2 1 4 5 0 44 12 5 7 2 6 2 8 3 5 5 26 18 1 1 Page 374 State Programme Implementation Plan 2011-12 Sl. No. District 15 Kamrup (M) 16 K- Anglong 17 Karimganj 18 Kokrajhar 19 Lakhimpur 20 Morigaon 21 Nagaon 22 Nalbari Year 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 National Rural Health Mission, Assam Population 1321071 1384822 851528 871423 886626 922437 1251113 1259368 1266338 1322265 856175 874063 885416 952409 1004734 1008578 1139869 2195235 792335 998370 998370 999122 2149111 2170778 2199652 2241095 1293714 BSC/ BSE 64329 63695 198355 176364 199135 220255 54358 48917 52462 68598 111720 87687 89656 114481 139978 112195 105979 107909 53653 47464 43684 81463 289099 260379 246117 291127 107729 No of +ve 868 973 17738 16618 23718 26639 1068 461 706 710 8709 5317 4588 5903 11015 3235 811 509 2548 1449 864 969 7043 6888 2815 2725 5009 Pf Pf% 544 701 14881 14069 20250 24636 1016 419 668 670 6559 3688 3386 4441 3467 1363 395 181 1714 930 758 847 4541 5401 1810 1880 3937 62.67 72.04 83.89 84.66 85.18 92.48 95.13 90.88 94.61 94.36 75.22 69.36 73.8 75.23 31.47 42.13 48.7 35.55 67.26 64.19 87.73 87.48 64.47 78.41 64.29 68.99 78.99 ABER 4.86 4.59 23.29 20.23 22.45 23.87 4.34 3.88 4.14 5.18 13.04 10.03 10.12 12.02 13.93 11.12 9.29 9.02 6.77 4.75 4.37 8.15 13.45 11.99 11.18 12.99 8.32 SPR SFR API 1.34 1.52 8.94 7.94 11.91 12.09 1.96 0.94 1.34 1.03 7.8 6.06 5.11 5.15 7.86 2.88 0.76 0.47 4.74 3.05 1.97 1.18 2.43 2.64 1.41 0.93 4.64 0.84 1.10 7.5 7.97 10.14 11.18 1.86 0.85 1.27 0.97 5.87 4.2 3.77 3.87 2.47 1.21 0.37 0.16 3.19 1.95 1.73 1.03 1.57 2.07 0.41 0.64 3.65 0.65 0.7 20.83 19.07 26.75 28.87 0.85 0.3 0.55 0.53 10.18 6.08 5.18 6.19 10.96 3.3 0.71 0.42 3.21 1.45 0.86 0.96 3.27 3.17 1.27 1.21 3.87 Death 1 48 39 38 12 2 2 1 7 1 2 0 82 8 0 6 3 1 1 6 7 5 1 7 Page 375 State Programme Implementation Plan 2011-12 Sl. No. District 23 N.C. Hills (Dima hasao) 24 Sivsagar 25 Sonitpur 26 Tinsukia 27 Udalguri Total Year Population BSC/ BSE No of +ve Pf Pf% ABER SPR SFR API Death 2007 2008 1299862 797030 92706 91030 2427 259 1658 195 68.31 75.29 7.11 11.42 2.61 0.28 1.78 0.21 1.86 0.32 7 2 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2006 2007 2008 2009 2008 2009 2006 2007 2008 2009 835158 208944 214504 219361 223554 1109315 1110385 1112385 1144818 2026883 2044519 2048816 2051293 1277125 1309839 1306658 1188772 973612 950099 29327104 29654047 30569060 31274214 86034 27350 25051 28085 38488 71763 70820 73870 88659 203136 154282 160428 152254 72336 67359 65479 94001 113656 127218 2743092 2399836 2687755 3021915 224 3116 2738 2842 3524 47 88 72 125 9604 7863 6003 4123 1784 1463 1825 2230 13489 14921 126178 94853 83939 91413 132 2499 2000 1669 3199 37 80 63 109 5688 4373 3902 2780 325 352 692 650 3221 4203 82546 65542 76350 66557 58.92 80.19 73.04 58.72 90.77 78.72 90.9 87.5 87.2 59.22 55.61 65 67.42 18.21 24.06 37.91 29.14 23.87 28.16 65.42 69.09 69.3 72.80 10.30 13.08 11.67 12.8 17.21 6.46 6.37 6.64 7.74 10.02 7.54 7.03 7.42 5.66 5.14 5.01 7.90 11.67 13.38 9.35 8.09 8.62 9.66 0.26 11.39 10.92 10.11 9.15 0.06 0.12 0.09 0.14 4.72 5.09 3.74 2.70 2.46 2.17 2.78 2.37 11.86 11.72 4.59 3.95 3.18 3.02 0.15 9.13 7.98 5.94 8.31 0.05 0.11 0.08 0.12 2.8 2.83 2.43 1.82 0.44 0.52 1.05 0.69 2.83 3.30 3 2.73 2.28 2.20 0.26 14.91 12.76 12.95 15.76 0.04 0.07 0.64 0.10 4.73 3.84 2.92 2.09 1.39 1.11 1.39 1.87 13.85 15.70 4.3 3.19 2.74 2.92 3 1 National Rural Health Mission, Assam 2 1 1 3 2 0 9 3 4 6 10 2 5 5 0 304 152 86 63 Page 376 State Programme Implementation Plan 2011-12 3.1 PHC wise comparative epidemiological data for the year 2008 & 2009 BARPETA DISTRICT PHC Name Nagaon CHENGA MANDIA KALGACHIA BARPETA ROAD BHAWNIPUR NITYNANDA Year Population BSC /BSE ABER Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 2008 191282 14726 7.69 16 15 0.08 0.1 0.1 - 2009 195500 19078 9.7 24 19 0.1 0.1 0.09 1 2008 208584 16057 7.69 37 30 0.01 0.23 0.18 2 2009 226083 22670 10 64 52 0.2 0.2 0.2 1 2008 319382 15447 4.84 37 28 0.18 0.3 0.23 1 2009 354450 16807 4.7 136 97 0.3 0.8 0.5 3 2008 200328 13759 6.87 49 39 0.24 0.35 0.28 - 2009 220359 18487 8.3 75 47 0.3 0.4 0.2 - 2008 188362 10790 5.73 66 16 0.35 0.61 0.14 - 2009 121874 9724 7.9 56 7 0.4 0.5 0.07 - 2008 200974 16168 8.04 37 12 0.18 0.22 0.07 - 2009 210998 18264 8.6 26 18 0.1 0.1 0.09 - 2008 177749 14203 7.99 114 66 0.64 0.8 0.46 2009 189337 11552 6.1 51 35 0.2 0.4 0.3 - 1 Barpeta Civil Hospital 2008 1781 65 48 3.6 2.6 - 2009 1896 27 19 1.4 1 - Total 2008 1486661 102931 6.92 490 316 0.3 0.47 0.3 4 2009 1518601 118478 7.8 459 294 0.3 0.38 0.24 5 National Rural Health Mission, Assam Page 377 State Programme Implementation Plan 2011-12 BASKA DISTRICT PHC Name Year TAMULPUR Population BSC /BSE 2008 225110 9874 2009 2008 228259 171990 21857 23058 BARAMA 2009 2008 173063 73659 24570 7175 MASHALPUR 2009 2008 74622 225055 4583 27446 JALLH NIMUA 2009 2008 226659 111482 24340 9344 GOLAGAON 2009 2008 83401 69585 6509 6841 DISTRICT TOTAL 2009 2008 69635 876881 4740 83738 2009 855639 86599 NIZKURABAHA ABER Total Malaria Cases 4.4 9.57 13.4 14.19 9.7 6.14 12.2 10.73 8.4 7.8 9.8 6.8 9.5 10.12 Pf. Cases API SPR SFR Deaths due to malaria 758 585 3.4 8.0 5.9 4 4 1602 657 560 559 7.01 3.8 7.32 2.8 2.56 2.4 563 286 458 74 3.25 3.8 2.29 3.9 1.86 1.0 0 191 804 46 403 2.55 3.6 4.16 2.9 1 1.5 1 542 357 316 551 2.39 3.2 2.22 3.8 1.29 0.5 192 345 48 98 2.3 5.0 2.94 5.1 0.73 1.4 226 3207 62 1770 3.25 3.7 4.76 3.8 1.3 2.1 5 3316 1490 3.87 3.82 1.72 5 1 BONGAIGAON DISTRICT PHC Name Bongaigaon Year Population 2008 2009 National Rural Health Mission, Assam 118643 159032 BSC/BSE 12078 20085 ABER 10.18 12.62 Total Malaria Cases Pf. Cases 139 190 139 190 API SPR 1.17 1.19 1.15 0.94 SFR 1.15 0.94 Deaths due to malaria 0 0 Page 378 State Programme Implementation Plan 2011-12 Boitamari Srijangram Manikpur District Total 2008 2009 2008 2009 2008 2009 2008 2009 108446 117911 249378 256340 115394 115384 591861 648667 19764 20427 21155 32083 14684 21182 67681 93777 18.22 17.32 8.48 12.51 12.72 18.35 11.43 14.45 125 207 187 260 174 110 625 767 99 174 157 232 168 102 563 698 1.15 1.75 0.74 1.01 1.5 0.95 1.05 1.18 0.63 1.01 0.88 0.81 1.18 0.51 0.92 0.81 0.5 0.85 0.74 0.72 1.14 0.48 0.83 0.74 0 0 0 2 0 0 0 2 CACHAR DISTRICT PHC Name Year Population BSC /BSE LAKHIPUR 2008 231346 18982 HARINAGAR 2009 2008 244211 133728 21556 5877 UDHARBOND 2009 2008 134899 199116 11019 12935 SILCHAR (urban) 2009 2008 201911 152868 14069 1592 SONAI 2009 2008 156519 369371 3532 20265 DHOLAI 2009 2008 388526 230566 18268 13503 2009 230916 20520 National Rural Health Mission, Assam ABER 8.2 8.82 4.4 8.16 6.5 6.96 1.0 7.31 5.5 4.7 5.9 8.88 Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 180 178 0.8 9.4 0.9 333 123 330 123 1.36 0.9 1.54 20.9 1.53 2.1 187 462 187 462 1.38 2.3 1.69 35.7 1.69 3.6 377 31 376 29 1.86 0.2 2.67 18.2 2.67 1.8 51 351 50 350 0.32 1.0 1.44 17.3 1.41 1.7 0 0 0 0 0 0 0 0 0 261 325 260 316 0.67 1.4 1.42 23.4 1.41 2.3 0 0 438 327 1.89 2.13 1.59 0 Page 379 State Programme Implementation Plan 2011-12 BIKRAMPUR 2008 89804 6966 BORKAHOLA 2009 2008 99037 243071 6974 16042 JALAPUR 2009 2008 242358 200928 21449 9620 2009 2008 200260 13786 District Total 1848093 2009 1898637 108482 7.8 7.04 6.6 8.84 4.8 6.88 5.9 131153 6.9 106 106 1.2 15.2 1.5 0 193 427 193 427 1.94 1.8 2.76 26.6 2.76 2.7 0 0 548 164 548 155 2.26 0.8 2.55 16.1 2.55 1.6 0 0 320 2169 266 2140 1.59 1.2 2.32 19.7 1.92 2.0 0 0 2708 2537 1.43 2.06 1.93 0 CHIRANG DISTRICT PHC Name Year Population BSC/ BSE Sidli 2008 15011 25495 Ballamguri 2009 2008 230391 25604 36276 37485 Total 2009 2008 210889 404723 40667 62980 2009 441280 76943 National Rural Health Mission, Assam ABER 16.4 15.74 14.7 19.28 15.6 17.43 Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 965 817 6.1 3.7 3.1 0 3354 1268 1963 923 14.55 5.0 9.24 3.4 5.41 2.5 2 0 1776 2233 1140 1740 8.42 5.5 4.36 3.5 2.8 2.8 0 0 5130 3103 11.62 6.66 4.03 2 Page 380 State Programme Implementation Plan 2011-12 DHUBRI DISTRICT PHC Name DHARMASALA HALAKURA GOLAKGANJ RANIGANJ CHAPOR S.SALMARA GAJARIKANDI District Total Year Population 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 339070 342613 147552 152107 261312 242910 318221 298443 130560 132595 247233 283399 285746 276763 2008 1729694 2009 1728830 National Rural Health Mission, Assam BSC/BSE 18181 24133 13203 14545 16468 17895 17590 18611 14436 12872 13133 16982 31323 41715 124334 146753 ABER Total Malaria Cases 5.36 7.05 8.94 9.56 6.3 7.36 5.52 6.25 11.05 9.75 5.31 6.04 10.96 15.17 7.18 8.48 Pf. Cases 76 78 13 20 34 22 113 71 65 139 127 147 983 1192 1411 1669 65 70 12 19 20 18 92 63 35 113 124 140 965 1176 1313 1599 API SPR 0.22 0.22 0.08 0.13 0.13 0.09 0.35 0.23 0.49 1.04 0.51 0.51 3.44 4.3 0.81 0.96 SFR 0.41 0.32 0.09 0.13 0.2 0.12 0.64 0.38 0.45 1.07 0.96 0.85 3.14 2.83 1.13 1.13 Deaths due to malaria 0.35 0.28 0.9 0.13 0.12 0.1 0.52 0.33 0.24 0.87 0.94 0.81 3.08 2.8 1.05 1.08 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 4 Page 381 State Programme Implementation Plan 2011-12 DHEMAJI DISTRICT PHC Name Year JONAI SISSIBORGAON DHEMAJI BENGENAGRAH GOGAMUKH DISTRICT TOTAL Population BSC/ BSE ABER Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 169827 171727 166701 168747 150803 154083 36392 37024 120247 128987 640977 12981 13641 14626 13158 6318 6361 2805 2328 12597 11032 43890 7.6 7.94 8.8 7.79 4.2 4.12 7.7 6.28 10.5 8.55 6.84 296 250 64 34 25 20 7 8 138 80 595 218 167 29 30 8 17 2 6 119 53 347 1.7 1.45 0.4 0.2 0.2 0.12 0.2 0.21 1.1 0.62 0.9 2.3 1.83 0.4 0.25 0.4 0.31 0.2 0.34 1.1 0.72 1.4 1.7 1.22 0.2 0.22 0.1 0.26 0.1 0.25 0.9 0.48 0.8 0 0 0 0 0 0 0 1 1 0 1 2009 652110 47762 7.32 472 310 0.72 0.98 0.64 1 DARRANG DISTRICT PHC Name Year Population 2008 Jlajali Patharighat 2009 2008 2009 National Rural Health Mission, Assam 210580 233695 136782 134002 BSC/ BSE 18644 17606 9703 11860 ABER 8.9 7.53 6.4 8.85 Total Malaria Cases Pf. Cases 156 84 77 32 99 56 6 10 API SPR SFR Deaths due to malaria 0.7 0.8 0.5 0.36 0.5 0.48 1.0 0.318 0.2388 0.27 0.084 7.8 0 0 0 0 Page 382 State Programme Implementation Plan 2011-12 2008 Sipajhar 2009 2008 Kharupetia 2009 2008 2009 District Total 123515 124285 418521 429743 889398 921725 6628 6605 14318 9187 49293 45258 5.4 5.31 0.3 2.13 5.54 4.91 19 18 102 100 354 234 10 8 19 12 134 86 0.2 0.3 0.2 0.14 0.0 0.27 0.7 0.121 0.23 0.398 0.2539 1.08 0.13 0.718 0.272 0.517 0.19 0.1 0 0 0 0 0 0 DIBRUGARH DISTRICT PHC Name Khowang Borboruah Lahowal Panitola Tengakhat Year Population 2008 2009 2008 2009 2008 2009 2008 2009 2008 Naharani 2009 2008 District Total 2009 2008 2009 National Rural Health Mission, Assam 165380 165660 304289 305171 156063 166873 127596 129127 215035 220430 354223 356230 1322586 1343491 BSC/BSE 18007 18531 20653 16448 9499 11140 8539 923 21464 23779 20076 22132 98238 92953 ABER 10.89 11.19 6.79 5.39 6.09 6.68 6.69 0.71 9.98 10.79 5.67 6.21 7.42 6.91 Total Malaria Cases Pf. Cases 8 5 5 5 3 12 5 8 27 45 18 18 66 93 6 3 3 5 3 12 4 7 24 40 16 16 55 83 API SPR SFR Deaths due to malaria 0.05 0.04 0.03 0.03 0.02 0.03 0.02 0.02 0.01 0.02 0.02 0.07 0.04 0.03 0.03 0.11 0.06 0.03 0.03 0.11 0.05 0.06 0.13 0.87 0.13 0.76 0.11 0.20 0.05 0.19 0.09 0.17 0.80 0.05 0.05 0.08 0.06 0.07 0.05 0.06 0.10 0.08 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Page 383 State Programme Implementation Plan 2011-12 GOALPARA DISTRICT PHC Name Agia Lakhipur Matia Mornai Ranguli Civil Hospital Total Year Population BSC/BSE ABER Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 2008 313966 18874 6.01 1410 1306 4.49 7.41 6.91 NIL 2009 324549 28231 8.69 1606 1532 4.94 5.68 5.42 NIL 2008 244271 35057 14.35 698 652 2.85 1.99 1.85 NIL 2009 250422 49981 19.95 734 694 2.93 1.46 1.38 NIL 2008 67115 7100 10.57 683 625 10.17 9.61 8.8 NIL 2009 68670 6730 9.8 675 631 9.82 10.02 9.37 NIL 2008 149422 14854 9.96 790 783 5.28 5.3 5.26 1 2009 154166 13235 8.58 914 899 5.92 6.9 6.79 NIL 2008 176282 16950 9.61 1168 1105 6.62 6.89 6.51 NIL 2009 178640 18233 10.2 731 697 4.09 4 3.82 NIL 2008 ---- 11561 ---- 1219 1040 ------ 10.54 8.99 NIL 2009 …. 11932 …. 1297 1164 …… 10.86 9.75 NIL 2008 951056 104426 10.98 5968 5511 6.27 5.71 5.27 1 2009 976447 128342 13.14 5957 5617 6.1 4.64 4.37 NIL Total Malaria Cases Pf. Cases GOLAGHAT DISTRICT PHC Name Bokakhat Year Population 2008 National Rural Health Mission, Assam 160244 BSC/BSE 18836 ABER 11.5 290 221 API SPR 1.8 SFR 1.5 Deaths due to malaria 1.5 0 Page 384 State Programme Implementation Plan 2011-12 Sarupathar KB Ali Charingia Missamora District Total 2009 2008 160744 332863 27870 42509 17.3 12.7 248 290 236 228 1.5 0.8 0.9 0.6 0.8 0.5 3 4 2009 2008 332992 295184 36371 24948 10.9 8.4 377 24 347 23 0.9 0.09 0.8 0.09 0.8 0.09 2 1 2009 2008 295585 163827 28379 11485 9.1 7.1 23 27 23 27 0.08 0.1 0.09 0.2 0.09 0.2 2 0 2009 2008 2009 2008 164043 116148 116251 1068266 14209 6943 7748 104721 8.1 5.7 6.6 9.8 53 5 9 613 51 5 9 499 0.3 0.04 0.07 0.5 0.3 0.04 0.07 0.6 0.3 0.04 0.07 0.4 0 0 0 5 2009 1069615 118044 11.03 710 666 0.6 0.5 0.5 7 HAILAKANDI DISTRICT PHC Name Year Population BSC/ BSE ABER KATLICHERRA 2008 178272 21556 2009 178353 2008 LALA ALGAPUR SOROJINI District total Pf. Cases API SPR SFR 12.09 Total Malaria Cases 2784 2711 15.6 12.57 12.9 Deaths due to malaria Nil 23397 13.11 1656 1540 9.28 7.07 6.58 2 196723 15347 7.81 786 754 3.99 4.9 5.11 Nil 2009 199637 17454 8.74 1252 1199 6.27 7.71 6.86 Nil 2008 304892 25232 8.27 617 609 2.02 2.44 2.41 Nil 2009 306188 25551 8.34 390 389 1.27 1.52 1.51 Nil 2008 48699 3952 8.11 109 107 2.23 2.7 2.75 Nil 2009 49323 4476 9.07 78 71 1.58 1.74 1.58 Nil 2008 728586 66087 9.07 4296 4181 5.89 6.5 6.32 Nil 2009 733501 70878 9.66 3376 3199 4.6 4.76 4.51 2 National Rural Health Mission, Assam Page 385 State Programme Implementation Plan 2011-12 JORHAT DISTRICT Name of PHC Year Population BSC / BSE ABER Total Malaria Cases Pf API SPR SFR Death Cases Due to Malaria Nakachari 2008 127936 11329 8.8 18 16 0.1 0.1 0.1 Bhogamukh 2009 2008 128270 48239 16899 2990 13.1 6.1 54 2 53 2 0.4 0 0.31 0 0.31 0 0 1 0 Kakojan 2009 2008 48549 138112 3833 7451 7.8 5.3 5 17 2 7 0.1 0.1 0.1 0.2 0 0 0 0 Kamalabari 2009 2008 138323 174182 9438 8967 6.8 5.1 1.3 0 6 0 0 0 0.1 0 0 0 2 0 Solmora 2009 2008 174575 165647 13204 12257 7.5 7.3 6 14 6 11 0 0 0 0.1 0 0 1 0 Baghchung 2009 2008 165753 343190 14093 26542 8.5 7.7 31 50 29 28 0.1 0.1 0.2 0.1 0.1 0.1 1 0 Titabor 2009 2008 345085 205452 29286 22435 8.4 10.5 127 68 80 62 0.3 0.3 0.4 0.3 0.2 0.2 0 5 Total 2009 2008 205875 1202758 27510 91981 13.3 7.6 117 169 113 126 0.5 0.1 0.4 0.1 0.4 0.1 2 5 2009 1206430 114263 9.4 353 289 0.2 0.1 0.1 7 National Rural Health Mission, Assam Page 386 State Programme Implementation Plan 2011-12 KAMRUP (RURAL) DISTRICT PHC Name BOKO Year 2008 Population BSC/ BSE 2009 2008 154299 154649 79900 20893 23661 16881 N GUWAHATI 2009 2008 82293 97960 16610 20302 HAJO 2009 2008 101918 162543 23438 20011 NAGARBERA 2009 2008 178079 159890 21776 26965 RAMPUR 2009 2008 193061 88264 26467 11121 BIHBIA 2009 2008 91109 87906 12778 10761 2009 2008 88453 82863 7653 15641 KAMALPUR 2009 2008 90945 92937 16331 11421 CHAYAGAON 2009 2008 85789 198331 12867 18193 UPRAHLI 2009 2008 195491 74210 22733 10756 2009 74457 14141 SUALKUCHI AZARA National Rural Health Mission, Assam ABER 13.54 15 21.1 20.18 20.7 23 12.3 12.23 16.9 13.71 12.6 14.02 12.2 8.65 18.9 17.96 12.3 15 9.2 11.63 14.5 18.99 Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 405 598 28 387 477 22 2.62 3.87 0.4 1.94 2.53 0.2 1.85 2.02 0.1 0.00 0.00 0 15 75 15 33 0.18 0.8 0.09 0.4 0.09 0.2 0 0 111 19 54 18 1.09 0.1 0.47 0.1 0.23 0.1 2 0 26 285 20 271 0.15 1.8 0.12 1.1 0.09 1.0 0 0 371 296 358 256 1.92 3.4 1.4 2.7 1.35 2.3 0 0 605 9 487 9 6.64 0.1 4.73 0.1 3.81 0.1 0 0 6 31 5 290 0.07 0.4 0.08 0.2 0.07 1.9 0 0 134 9 126 4 1.47 0.1 0.82 0.1 0.77 0.0 0 0 24 322 16 190 0.28 1.6 0.019 1.8 0.12 1.0 0 0 536 8 437 6 2.74 0.1 2.36 0.1 1.92 0.1 0 0 26 25 0.35 0.18 0.18 0 Page 387 State Programme Implementation Plan 2011-12 RANGIA 2008 178067 18383 182879 District total 2009 2008 1442920 16934 202932 2009 1519123 217039 10.3 9.26 14.1 14.29 27 24 0.2 0.1 0.1 0 35 2215 28 1889 0.19 1.5 0.21 1.1 0.17 0.9 0 1 2487 2028 1.64 1.15 0.93 2 KAMRUP (METRO) DISTRICT PHC Name SONAPUR GMC DISTRICT TOTAL Year Population BSC/BSE ABER 2008 165179 40050 2009 2008 194254 1155892 40701 22926 2009 2008 1190568 1321071 23871 62976 2009 1384822 55693 Total Malaria Cases 24.2 20.95 2.0 2.01 4.8 4.02 Pf. Cases API SPR SFR Deaths due to malaria 610 308 3.7 1.5 0.8 0 770 263 597 235 3.96 0.2 1.89 1.1 1.47 1.0 1 0 212 873 154 543 0.18 0.7 0.89 1.4 0.65 0.5 0 0 982 751 0.71 1.76 1.35 1 KARBIANGLONG DISTRICT PHC Name Chokihola Bokajan Year Population 2008 2009 2008 2009 National Rural Health Mission, Assam 73927 77693 159010 166690 BSC/ BSE 15509 20005 42623 44318 ABER 20.98 25.74 26.81 26.58 Total Malaria Cases Pf. Cases 2537 3810 5163 4056 2316 3508 5119 3952 API 34.31 49.03 32.46 24.33 SPR 16.35 19.04 12.11 9.15 SFR 14.93 17.53 12 8.91 Deaths due to malaria Nil 1 3 1 Page 388 State Programme Implementation Plan 2011-12 Manja Howraghat Donkamokam Zirikinding Baithalangso Umpanai District Total 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 140735 146158 239799 245349 138214 143308 20562 21415 48595 55586 48595 55586 886626 922437 38996 51410 53146 52579 19393 16378 2957 4733 13424 14788 13424 14788 199025 220255 27.7 35.17 22.16 21.43 14.03 11.42 14.38 22.1 27.62 3076 27.62 30.76 22.44 23.87 3834 45.82 3760 3867 1936 1781 438 440 2430 26.6 2430 2660 23191 26636 3169 3992 2745 3104 1798 1654 438 439 1710 2991 1710 2991 20250 24653 27.24 31.34 15.67 15.76 14 12.42 21.3 20.54 50 55.33 50 55.33 26.15 28.87 9.83 8.91 7.07 7.35 9.98 10.87 14.81 9.29 18.1 20.8 18.1 20.8 11.65 12.09 7.21 7.76 5.16 5.9 9.27 10.09 14.81 9.27 12.73 20.22 12.73 20.22 10.17 11.18 27 9 8 Nil Nil 1 Nil Nil Nil Nil Nil Nil 38 12 KARIMGANJ DISTRICT PHC Name Year Girishganj 2008 Nilambazar 2009 2008 patherkandi 2009 2008 2009 National Rural Health Mission, Assam Population 242844 244342 270361 271438 327865 328740 BSC /BSE 5882 8707 13229 14474 18375 20499 ABER 2.42 3.56 4.89 5.33 4.99 6.2 Total Malaria Cases Pf. Cases 56 85 87 101 243 184 56 85 82 97 215 155 API 0.23 0.34 0.32 0.37 0.74 0.55 SPR 0.95 0.97 0.66 0.7 1.48 0.89 SFR 0.95 0.97 0.61 0.67 1.31 0.75 Deaths due to malaria 0 0 0 1 0 0 Page 389 State Programme Implementation Plan 2011-12 kachuadam 2008 R.K Nagar 2009 2008 District Total 2009 2008 143069 145172 335239 336399 1266338 1322265 2009 5432 3758 10902 20406 53735 68187 3.79 BSC/BSE ABER 2.58 3.25 6.06 4.24 5.15 41 20 222 298 708 710 41 20 222 289 667 673 0.28 0.13 0.66 0.88 0.55 0.53 0.75 0.53 2.03 1.46 1.31 1.04 0.75 0.53 2.03 1.41 1.24 0.98 0 0 0 0 0 1 KOKRAJHAR DISTRICT PHC Name Year Population Gossaigaon 2008 189554 21528 Kachugaon 2009 2008 228674 193225 37960 25708 Dotoma 2009 2008 204840 153478 30750 16280 Baljan 2009 2008 157143 349159 22314 26140 District total 2009 2008 261752 885416 25315 89656 2009 852409 116339 National Rural Health Mission, Assam 11.4 16.6 13.3 15.01 10.6 14.19 7.5 9.67 10.1 13.64 Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 514 444 2.7 2.4 2.1 1 1163 2220 1013 1298 5.08 11.4 3.06 8.6 2.66 5.0 1 0 2987 474 1923 398 14.53 3.1 9.71 2.9 6.25 2.4 2 2 367 1380 301 1246 2.33 4.0 1.64 5.3 1.34 4.8 0 0 1464 4588 1345 2140 5.59 5.2 5.78 5.1 5.31 3.8 0 3 5981 4582 7.01 5.14 3.93 3 Page 390 State Programme Implementation Plan 2011-12 LAKHIMPUR DISTRICT PHC Name Dhakuahnana Ghilamora Boginadi Nowboicha Bihpuria Dhalpur District Total Year Population BSC/BSE ABER Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 2008 160985 6338 3.9 29 - 0.1 0.4 - 0 2009 161085 3875 2.4 16 - 0.09 0.4 - 0 2008 99363 5631 5.6 2 1 0.02 0.03 50 0 2009 100784 3914 3.8 5 - 0.04 0.1 - 0 2008 221580 24112 10.8 773 217 3.4 3.2 28.07 0 2009 228750 27867 12.1 392 80 1.07 1.4 20.4 0 2008 284445 23081 8.1 53 23 0.1 0.2 43.3 0 2009 290345 25273 8.7 38 19 0.1 0.1 50 0 2008 215928 28282 13.05 96 36 0.4 0.3 37.5 0 2009 220726 33235 15 84 50 0.3 0.2 59.5 0 2008 183455 17744 9.6 247 118 1.3 1.3 47.7 0 2009 193545 14164 7.3 137 33 0.7 0.9 24 0 2008 1165761 105088 9.01 1198 395 1.02 1.1 32.9 0 2009 1195235 108328 9.06 672 182 0.5 0.6 27 0 National Rural Health Mission, Assam Page 391 State Programme Implementation Plan 2011-12 MORIGAON DISTRICT PHC Name Jhargaon Laharighat Bhurbandha District Total Year 2008 2009 2008 2009 2008 2009 2008 2009 Population 326356 326883 427360 428341 245100 245436 998816 1000660 BSC/BSE 23323 36746 10478 22724 10886 22030 44687 815100 ABER Total Malaria Cases 7.1 11.3 2.5 5.3 4.4 9.0 4.5 8.1 363 711 121 199 46 59 864 969 Pf. Cases 337 628 98 161 33 50 758 839 API 1.1 2.2 0.3 0.5 0.2 0.2 0.9 1.0 SPR 1.7 1.9 0.0 0.9 0.4 0.3 1.9 1.2 SFR Deaths due to malaria 1.4 1.7 0.9 0.7 0.4 0.2 1.7 1.0 1 2 0 0 0 0 1 2 NAGAON DISTRICT PHC Name Barapujia Buragohaithan Samaguri Singimari Year 2008 2009 2008 2009 2008 2009 2008 National Rural Health Mission, Assam Population BSC/BSE ABER Total Malaria Cases Pf. Cases API 161001 162871 268690 277284 193663 197855 142242 22455 30547 17202 19567 21798 25636 10181 13.94 18.75 6.4 7.05 11.25 12.95 7.15 335 451 76 134 149 257 9 193 319 33 111 35 140 3 2 1.7 0.2 0.4 0.7 1.2 0 SPR 1.49 1.47 0.44 0.68 0.68 0.99 0.08 SFR Deaths due to malaria 0.85 1.04 0.19 0.56 0.16 0.54 0.02 - Page 392 State Programme Implementation Plan 2011-12 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 Dagaon Dhing Simonaboati Jakhalabandha Kathiatoli Jugijan Lanka District Total 145295 183123 184323 158905 160501 75759 82214 108937 112014 300332 304539 249812 255112 352310 359087 2194774 2241095 12823 14944 26977 12707 12560 38959 32790 23185 23077 50764 56092 9129 21879 24591 30687 245915 292637 8.82 8.16 14.63 7.99 7.82 51.42 39.88 21.28 20.6 16.9 18.41 3.65 8.57 6.97 8.54 11.2 13.05 3 56 46 98 129 820 332 133 187 539 642 70 187 525 357 2810 2725 3 21 16 43 67 717 313 116 167 268 361 27 100 354 285 1810 1882 0 0.3 0.2 0.6 0.8 10.8 4 1.2 1.6 1.7 2.1 0.2 0.7 1.4 0.9 1.2 1.2 0.02 0.37 0.17 0.77 1.02 2.1 10.1 0.57 0.78 1.06 1.14 0.76 0.85 2.1 1.16 1.14 0.93 0.02 0.14 0.05 0.33 0.53 0.1 0.95 0.5 0.72 0.52 0.64 0.29 0.45 1.4 0.92 0.73 0.64 3 1 1 1 1 5 2 Deaths due to malaria NALBARI DISTRICT PHC Name Year Population BSC/BSE ABER Total Malaria Cases Pf. Cases API SPR SFR Ghagrapara Chamata 2008 2009 2008 113468 113711 200709 20064 16579 13824 17.68 14.58 6.89 62 18 27 58 16 16 0.55 0.16 0.13 0.31 0.11 0.2 0.29 0.1 0.12 National Rural Health Mission, Assam 1 Page 393 State Programme Implementation Plan 2011-12 Mukalmua Kamarkuchi Tihu FRU District Total 2009 2008 2009 2008 2009 2008 2009 2008 2009 200826 189296 219407 212712 212885 80845 88329 797030 835158 12985 34402 33565 12129 13879 10611 9035 91030 86043 6.47 18.17 15.3 5.7 6.52 13.13 10.23 11.42 10.3 28 115 127 38 38 27 29 269 240 23 72 50 26 31 23 22 195 142 0.14 0.61 0.58 0.18 0.18 0.33 0.33 0.34 0.29 0.22 0.33 0.38 0.31 0.27 0.25 0.32 1.41 1.3 0.18 0.21 0.15 0.21 0.22 0.22 0.24 0.21 0.17 BSC/BSE ABER Total Malaria Cases Pf. Cases API SPR SFR 2 1 1 2 NC HILLS (DIMA HASAO) PHC Name Year Mahur 2008 Langting 2009 2008 Gunjung 2009 2008 Harangajao 2009 2008 Diyungmukh 2009 2008 District Total 2009 2008 2009 National Rural Health Mission, Assam Population 33544 33729 54721 55121 15083 11803 67628 68951 4964 5744 7090 9047 766 825 5090 9017 48385 53950 219361 223554 10175 13855 28085 38488 14.8 17.02 13.0 40.17 5.1 6.98 7.5 13.07 21.0 12.2 12.8 17.2 338 540 339 672 56 46 511 706 291 491 334 665 55 46 358 591 1598 1689 2842 3653 1331 1406 2805 5839 10.1 6.8 5.9 16 6.2 9.4 4.8 8.5 4.7 12.51 3.7 7.58 7.3 7.35 7.2 3.89 7.6 5.57 10.0 5.5 7.0 10.23 33.0 7.82 15.7 6.5 13.1 31.2 13.0 12.4 10.1 10.1 10.0 16.3 9.49 15.1 Deaths due to malaria 0 0 0 0 0 0 0 0 0 0 0 0 Page 394 State Programme Implementation Plan 2011-12 SIVASAGAR DISTRICT PHC Name SAPEKHATI PHC PATSAKU PHC GELEKEY PHC KHELUA PHC DEMOW PHC GAURISAGAR PHC KALUGAON PHC MOURABAZAR PHC TOTAL Year Population BSC/BSE ABER Total Malaria Cases Pf. Cases API SPR SFR 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 156710 157961 237428 238708 237526 238806 155884 180905 156752 157761 52113 52958 52826 53641 63126 64078 1112385 1144818 9234 12957 8780 12334 15434 17261 10210 11402 13435 12980 4021 4582 6587 10580 6157 6580 73858 88676 5.89 8.2 3.70 5.17 6.5 7.23 6.55 6.3 8.57 6.23 7.72 8.65 12.47 19.72 9.75 12.16 6.64 0.08 5 18 8 16 28 45 7 8 7 14 3 3 6 7 8 14 72 125 4 18 7 15 26 42 4 5 6 13 3 3 3 3 8 14 61 113 0.03 0.11 0.03 0.07 0.12 0.19 0.04 0.04 0.04 0.09 0.06 0.06 0.11 0.13 0.13 0.26 0.06 0.11 0.05 0.14 0.08 0.13 0.18 0.26 0.07 0.07 0.05 0.31 0.09 0.07 0.09 0.07 0.13 0.21 0.10 0.14 0.04 0.14 0.08 0.12 0.17 0.24 0.04 0.04 0.04 0.66 0.07 0.07 0.05 0.03 0.13 0.21 0.08 0.13 SONITPUR DISTRICT PHC Year Gohpur Population 2008 2009 National Rural Health Mission, Assam 317299 317625 BSC/BSE 25431 26777 ABER 8.01 8.43 Total Malaria cases 447 229 Pf cases 176 132 API 1.41 0.72 SPR 1.76 0.86 SFR Deaths due to malaria 1 1 2 0 Death due to malaria 0.69 0.49 - Page 395 State Programme Implementation Plan 2011-12 Behali B. Chariali N. Jamuguri Balipara Rangapara Bihaguri Dhekiajuli District total 2008 2009 2008 2009 2008 2009 157972 158264 236472 236815 221540 221751 7675 9411 18162 17095 27667 32433 4.85 5.94 7.68 7.2 12.49 14.63 95 111 1311 734 1082 694 84 82 995 487 503 422 0.6 0.7 5.54 3.1 4.88 3.13 1.24 1.18 7.22 4.29 3.91 2.14 1.09 0.87 5.48 2.85 1.82 1.3 - 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 292622 292948 130952 131123 340167 340644 351792 352123 2048816 2051293 16392 19137 14637 8152 16530 31098 14929 20988 148955 165091 5.6 6.53 11.18 6.21 8.58 9.12 4.24 5.96 7.27 8.04 742 608 938 411 66 26 1535 1404 6216 4217 266 185 722 332 9 7 1066 1216 3821 2863 2.54 2.08 7.16 3.13 0.34 0.08 4.36 3.99 3.03 2.06 4.53 3.18 6.41 5.04 0.4 0.08 10.3 6.69 4.17 2.55 1.63 0.97 4.93 4.07 0.05 0.02 7.14 5.79 2.57 1.73 - Year Population 2 1 3 6 TINSUKIA DISTRICT Name of PHC Hapjan 2008 598829 BSC/ BSE 15515 Kakopather 2009 2008 460459 300797 Ketetong 2009 2008 301890 283996 National Rural Health Mission, Assam ABER Total (M) cases PF cases API SPR SFR Death due to Malaria 2.59 243 224 0.4 1.56 1.44 19132 18309 4015 6.08 41 316 41 282 0.08 1.05 0.21 1.72 0.21 1.54 2 2 29190 24861 9.66 8.75 271 1177 265 154 0.89 4.14 0.92 4.73 0.9 0.61 6 0 Page 396 State Programme Implementation Plan 2011-12 Na-Sadiya 2009 2008 292956 123436 34688 6753 11.84 5.47 1772 89 270 33 6.04 0.72 5.1 1.31 0.77 0.48 1 0 District total 2009 2008 125554 1306658 1979 65438 9054 5 149 1825 79 692 1018 1.39 1.24 2.78 0.65 1.05 0 2 2009 1180859 94989 8.04 2233 654 1.89 2.35 0.68 9 UDALGURI DISTRICT PHC Name Year Population BSC/ BSE ORANG 2008 234074 32857 UDALGURI 2009 2008 206836 427495 34703 59264 KHAIRABARI 2009 2008 436250 267644 60485 20918 District Total 2009 2008 229802 929213 113039 2009 872888 127218 National Rural Health Mission, Assam 31472 ABER 14.0 17.67 13.9 13.84 7.8 13.69 12.1 13.39 Total Malaria Cases Pf. Cases API SPR SFR Deaths due to malaria 1851 1602 7.9 5.6 4.9 3 2201 10770 1708 1348 11.2 25.2 0.06 18.2 4.92 2.3 0 2 11126 889 1761 269 25.19 3.3 18.17 4.2 2.27 1.1 2 0 1049 13510 671 3219 4056 14.5 3.33 12.0 2.13 2.8 0 5 14921 4203 15.7 11.72 3.3 0 Page 397 State Programme Implementation Plan 2011-12 3.2 Monthly Malaria Epidemiological Situation, Comparative report for the year 2009 and 2010 (upto October) Total Population: 31274214 (2009), 31530334 (2010) Sl No 1 2 3 4 5 6 7 8 9 10 11 12 Month Year BSC/ BSE Total Positive 2009 113812 1717 1161 2010 121295 1981 2009 127619 2010 Pf Death SPR SFR MBER 0 1.51 1.02 0.36 1386 0 1.63 1.14 0.38 2569 1779 0 2.01 1.39 0.41 128757 2498 1639 0 1.94 1.27 0.41 2009 172511 4046 2917 1 2.35 1.69 0.55 2010 169727 3506 2367 2 2.07 1.39 0.54 2009 185753 6651 5263 3 3.58 2.83 0.59 2010 197422 5028 3447 10 2.55 1.75 0.63 2009 301066 13049 10576 18 4.33 3.51 0.96 2010 375718 9067 6540 9 2.41 1.74 1.19 2009 435490 17941 13082 25 4.12 3.00 1.39 2010 695911 13389 9219 5 1.92 1.32 2.21 2009 480194 17040 11716 3 3.55 2.44 1.54 2010 769855 10827 7834 3 1.41 1.02 2.44 2009 301048 8665 6287 5 2.88 2.09 0.96 2010 622151 7181 5037 2 1.15 0.81 1.97 2009 222372 5882 3704 2 2.65 1.67 0.71 2010 401589 4865 3551 1 1.21 0.88 1.27 2009 247433 7159 4795 3 2.89 1.94 0.79 2010 315446 3804 2664 0 1.21 0.84 1.00 January February March April May June July August September October 2009 0.00 2010 0.00 2009 0.00 2010 0.00 November December 2009 2587298 84719 61280 60 3.27 2.37 8.27 2010 3797871 62146 43684 32 1.64 1.15 12.05 Total National Rural Health Mission, Assam Page 398 State Programme Implementation Plan 2011-12 3.3 District Wise Epidemiological Situation for the year 2009 & 2010 (Comparative Upto October) SL NO: Name of the District 1 Barpeta 2 Bongaigaon 3 Baksa 4 Cachar 5 Chirang 6 Darrang 7 Dhemaji 8 Dhubri 9 Dibrugarh 10 Goalpara 11 Golaghat 12 Hailakandi 13 Jorhat 14 Kamrup 15 Kamrup (M) 16 K/Anglong 17 Karimganj Year Blood screening Total +ve P.f. SPR Death 2010 108290 320 171 0.30 1 2009 101622 390 246 0.38 5 2010 93795 400 291 0.43 0 2009 78017 725 604 0.93 2 2010 114019 2466 997 2.16 0 2009 84847 3205 1355 3.78 2 2010 136519 1410 1034 1.03 0 2009 108482 2502 2074 2.31 0 2010 94258 6820 5781 7.24 2 2009 64127 4812 2799 7.50 2 2010 87740 150 61 0.17 0 2009 40713 220 79 0.54 0 2010 100947 265 166 0.26 1 2009 38978 331 220 0.85 1 2010 189219 675 563 0.36 0 2009 118879 1488 1327 1.25 3 2010 86550 34 23 0.04 0 2009 87427 79 58 0.09 1 2010 128543 2757 2381 2.14 0 2009 106524 5234 4473 4.91 0 2010 209896 260 185 0.12 2 2009 106446 713 615 0.67 7 2010 86263 1664 1425 1.93 0 2009 16858 3677 3325 21.81 2 2010 114287 112 76 0.10 0 2009 99484 332 259 0.33 5 2010 235055 978 689 0.42 0 2009 185546 2238 1678 1.21 2 2010 69685 472 289 0.68 0 2009 55680 884 615 1.59 1 2010 189984 16946 15208 8.92 7 2009 181470 24864 21149 13.70 9 2010 83655 389 304 0.47 2 National Rural Health Mission, Assam Remarks Page 399 State Programme Implementation Plan 2011-12 SL NO: Name of the District 18 Kokrajhar 19 Lakhimpur 20 Morigaon 21 Nagaon 22 Nalbari 23 N.C. Hills 24 Sibsagar 25 Sonitpur 26 Tinsukia 27 Udalguri TOTAL Year Blood screening Total +ve P.f. SPR Death 2009 59385 676 595 1.14 1 2010 172690 5468 3897 3.17 0 2009 94068 4626 3030 4.92 0 2010 147949 249 103 0.17 0 2009 96386 602 143 0.62 0 2010 90369 485 262 0.54 3 2009 66411 861 722 1.30 1 2010 394785 1254 810 0.32 1 2009 255893 1286 1664 0.50 1 2010 80187 98 51 0.12 0 2009 73623 217 93 0.29 3 2010 34352 2347 1731 6.83 1 2009 32846 3239 2421 9.86 1 2010 123824 100 68 0.08 1 2009 275738 211 110 0.08 0 2010 228674 2546 1726 1.11 8 2009 137169 3960 2687 2.89 6 2010 203027 1466 133 0.72 1 2009 171609 1946 456 1.13 5 2010 144950 12242 2578 8.45 2 2009 111840 14277 3914 12.77 0 2010 3749512 62373 41003 1.66 32 2009 2850068 83595 56711 2.93 60 Remarks 4. District wise identified High Risk Area (As per definition of MAP) - 2010 Sl No. District Number of High Risk PHC Number of High Risk SubCentre Number of High Risk Villages High risk Population Tribal Population 1 Barpeta 7 23 78 108127 7537 2 Bogaigaon 4 25 136 157282 6948 3 Baksa 6 139 762 447570 179943 4 Cachar 8 118 555 1592908 81450 5 Chirang 2 30 414 284409 174732 6 Darrang 4 32 40 97081 7730 National Rural Health Mission, Assam Page 400 State Programme Implementation Plan 2011-12 Sl No. District Number of High Risk PHC Number of High Risk SubCentre Number of High Risk Villages High risk Population Tribal Population 7 Dhemaji 5 60 820 436884 364501 8 Dhubri 4 43 259 251031 0 9 Dibrugarh 6 21 116 125453 21249 10 Goalpara 5 141 1103 732565 251051 11 Golaghat 5 84 263 577100 167630 12 Hailakandi 4 36 202 162683 22470 13 Jorhat 7 22 199 231236 11260 14 Kamrup (Metro) 2 17 130 129775 37599 15 Kamrup (Rural) 12 76 299 380947 123074 16 K.Anglong 8 138 1705 717394 45826 17 Karimganj 5 60 292 286960 26720 18 Kokrajhar 4 61 311 263250 158555 19 Lakhimpur 6 91 733 470108 211794 20 Morigaon 3 8 92 130381 38803 21 Nagaon 7 145 371 433981 133001 22 Nalbari 5 11 12 42090 4944 23 N.C.Hills 5 73 778 211708 164096 24 Sibsagar 8 12 58 67141 20440 25 Sonitpur 7 83 364 420521 180275 26 Tinsukia 4 91 252 261720 92359 27 Udalguri 3 111 662 694096 347382 146 1751 11006 9714401 2881369 Number of Villages Population of Villages Total 4.1: District wise classification of area as per API Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 5 - 10> > 10 Total Name of District (Population in Lakh) Barpeta 15.18 Number of PHC 7 5 3 15 National Rural Health Mission, Assam Number of S.C. 255 20 4 0 0 279 760 85 18 0 0 863 1449617 85521 15224 0 0 1550362 % of Population of District 93 5.5 0.98 0 99.48 Page 401 State Programme Implementation Plan 2011-12 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total Name of District (Population in Lakh) Number of PHC 4 Bongaigaon 6.48 4 Name of District (Population in Lakh) Baksa 8.55 Name of District (Population in Lakh) Cachar 18.98 Name of District (Population in Lakh) Number of PHC 2 4 5 5 3 19 Number of PHC 8 7 8 7 5 35 Number of PHC 2 Chirrang 4.05 2 National Rural Health Mission, Assam Number of S.C. 38 17 12 2 2 71 Number of S.C. 17 17 43 40 11 128 Number of S.C. 112 53 83 40 12 300 Number of S.C. 17 30 23 12 8 90 Number of Villages 238 129 85 26 24 502 Number of Villages 60 75 193 181 77 586 Number of Villages 475 267 372 178 82 1374 Number of Villages 364 115 275 164 154 1072 Population of Villages 292941 159978 79336 8946 69500 610701 Population of Villages 321279 94151 183926 181958 73686 855000 Population of Villages 880887 308600 440553 213035 54925 1898000 Population of Villages 297331 26120 29317 27269 24963 405000 % of Population of District 48 26 13 1.4 11.3 99.7 % of Population of District 37.6 11 21.5 21.26 8.61 99.97 % of Population of District 46.5 15.9 22.7 10.9 2.83 98.83 % of Population of District 73.5 6.42 7.23 6.72 6.15 100 Page 402 State Programme Implementation Plan 2011-12 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total Name of District (Population in Lakh) Darrang 9.21 Name of District (Population in Lakh) Dhemaji 6.52 Name of District (Population in Lakh) Dhubri 17.28 Name of District (Population in Lakh) Dibrugarh 13.43 Number of PHC 4 4 4 3 1 16 Number of PHC 5 4 1 1 0 11 Number of PHC 7 5 4 2 1 19 Number of PHC 2 2 2 0 0 6 National Rural Health Mission, Assam Number of S.C. 20 18 32 4 2 76 Number of S.C. 45 11 3 3 0 62 Number of S.C. 188 16 27 13 2 246 Number of S.C. 5 6 10 0 0 21 Number of Villages 38 32 36 8 2 116 Number of Villages 450 96 51 45 0 642 Number of Villages 963 83 177 69 10 1302 Number of Villages 36 25 55 0 116 Population of Villages 690550 102952 97081 28373 2044 921000 Population of Villages 524442 79475 22740 25453 0 652110 Population of Villages 1350043 116453 172118 77230 12986 1728830 Population of Villages 1244711 23318 74971 0 0 1343000 % of Population of District 75 11.16 10.53 3.07 0.22 99.98 % of Population of District 80.42 12.18 3.48 3.9 99.98 % of Population of District 76.89 6.63 9.8 4.39 0.73 98.44 % of Population of District 92.7 1.73 5.6 100 Page 403 State Programme Implementation Plan 2011-12 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total Name of District (Population in Lakh) Goalpara 9.93 Name of District (Population in Lakh) Golaghat 10.69 Number of PHC 2 2 2 2 1 9 Number of PHC 3 2 5 Name of District (Population in Lakh) Hailakandi 7.33 Name of District (Population in Lakh) Jorhat 12.06 Number of PHC 3 4 4 3 2 16 Number of PHC 7 2 3 12 National Rural Health Mission, Assam Number of S.C. 18 25 48 48 46 185 Number of S.C. 128 16 0 0 0 144 Number of S.C. 16 30 29 15 21 111 Number of S.C. 142 2 3 0 0 146 Number of Villages 161 229 402 367 332 1491 Number of Villages 848 253 0 0 0 1101 Number of Villages 54 120 117 67 135 493 Number of Villages 948 11 26 0 0 985 Population of Villages 113538 218581 285480 213300 162658 993557 Population of Villages 790421 280679 0 0 0 1071100 Population of Villages 168717 202301 199800 54648 108035 733501 Population of Villages 1172953 8621 24856 0 0 1206430 % of Population of District 11.62 21.95 28.67 21.42 16.34 100 % of Population of District 73.70 26.20 0.00 0.00 0.00 99.90 % of Population of District 23 27.5 27.23 7.45 14.72 99.9 % of Population of District 97.22 0.7 2.06 99.98 Page 404 State Programme Implementation Plan 2011-12 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 510> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total Name of District (Population in Lakh) Kamrup (Metro) 13.84 Number of PHC/ward 2 2 2 1 0 7 Name of District (Population in Lakh) Kamrup (Rural) 15.19 Name of District (Population in Lakh) K-Anglong 9.22 Number of PHC 11 9 5 4 4 33 Number of PHC 8 8 Name of District (Population in Lakh) Karimganj 13.22 Number of PHC Number of S.C. Number of Villages Population of Villages % of Population of District 245 3 6 377 19 37 1106191 84856 67647 83.73 6.42 5.12 6 5 265 41 32 506 19355 42773 1320822 1.47 3.24 99.98 Number of S.C. 197 21 30 14 16 278 Number of S.C. 2 3 11 16 133 165 Number of S.C. Number of Villages 866 129 187 76 95 1353 Number of Villages 207 34 171 243 1420 2075 Number of Villages Population of Villages 1055370 136203 208876 67569 50705 1518723 Population of Villages 91908 15096 75924 107892 631617 922437 Population of Villages % of Population of District 69.47 8.97 13.75 4.45 3.34 99.98 % of Population of District 9.96 1.63 8.23 11.7 68.47 99.99 % of Population of District 5 5 5 3 160 25 25 7 999 99 124 35 1160645 13850 123210 34900 87 1 9.2 3 18 217 1257 1322605 100 National Rural Health Mission, Assam Page 405 State Programme Implementation Plan 2011-12 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API Name of District (Population in Lakh) Kokrajhar 8.68 Name of District (Population in Lakh) Lakhimpur 11.95 API Name of District (Population in Lakh) API <1 1 - 2.> 2-5> 5 - 10> > 10 Total 4 4 <1 1 - 2.> 2-5> 5 - 10> > 10 Total <1 1 - 2.> 2-5> 5 - 10> > 10 Total Number of PHC Number of PHC 6 6 Morigaon 10.00 Name of District (Population in Lakh) Nagaon Number of PHC 3 3 2 1 1 10 Number of PHC 19 12 9 7 1 48 National Rural Health Mission, Assam Number of S.C. 48 40 27 18 14 147 Number of S.C. 25 37 47 30 17 156 Number of S.C. 137 8 7 2 2 156 Number of S.C. 196 54 49 33 35 367 Number of Villages 534 240 230 108 98 1210 Number of Villages 354 405 373 273 270 1675 Number of Villages 689 16 53 19 13 790 Number of Villages 940 215 179 63 138 1535 Population of Villages 389197 185540 148550 82086 63600 868973 Population of Villages 120785 396886 314049 205610 157905 1195235 Population of Villages 826302 98863 43975 24731 11086 178655 Population of Villages 1325237 496453 246237 75814 97354 2241095 % of Population of District 43.78 21.76 17.42 9.62 7.46 100 % of Population of District 10 33 26 17 13 99 % of Population of District 82.22 9.83 4.37 2.46 1.1 99.98 % of Population of District 59 22 11 3 4 99 Page 406 State Programme Implementation Plan 2011-12 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total Name of District (Population in Lakh) Nalbari 8.35 Name of District (Population in Lakh) N.C. Hills 2.19 Name of District (Population in Lakh) Sivsagar 11.44 Number of PHC Sonitpur 20.51 Number of Villages Population of Villages % of Population of District 1 1 1 112 7 2 439 11 2 800568 30207 4383 95.86 3.61 0.52 3 121 452 835158 99.99 Number of PHC Number of S.C. 3 22 6 34 54 38 154 Number of PHC Number of S.C. 3 6 2 8 Name of District (Population in Lakh) Number of S.C. Number of PHC 8 8 National Rural Health Mission, Assam 226 2 0 0 0 228 Number of S.C. 158 44 57 17 16 292 Number of Villages 77 8 139 215 353 792 Number of Villages 1055 10 0 0 0 1065 Number of Villages 1086 225 228 87 65 1691 Population of Villages 15289 6998 53953 58729 82392 217361 Population of Villages 1132447 12371 0 0 0 1144818 Population of Villages 1435970 194802 295637 61533 63351 2051293 % of Population of District 7 3.2 24.6 26.8 37.6 99.2 % of Population of District 99 1 0 0 0 100 % of Population of District 70 9.5 14.4 2.9 3 99.8 Page 407 State Programme Implementation Plan 2011-12 Sl No. 1 2 3 4 5 Sl No. 1 2 3 4 5 API <1 1 - 2.> 2-5> 5 - 10> > 10 Total API <1 1 - 2.> 2-5> 5 - 10> > 10 Total Name of District (Population in Lakh) Tinsukia 11.08 Name of District (Population in Lakh) Udalguri 9.29 Number of PHC 3 4 Number of S.C. 5 18 22 24 14 83 4 3 14 Number of PHC 3 3 3 3 3 15 Number of S.C. 23 13 31 27 53 147 Number of Villages 16 30 44 75 90 255 Number of Villages 92 58 152 133 263 698 Population of Villages 890757 34809 41961 67060 73413 1108000 Population of Villages 136344 77060 183760 160059 314184 871407 % of Population of District 80.4 2.92 3.53 5.64 6.17 98.66 % of Population of District 15.64 8.84 21.08 18.36 36.05 99.97 4.2: Classification of area as per API in the state Population of the state 315.30 lakh Sl No . 1 2 3 4 5 Numbe r of S.C. Numbe r of Villages Populatio n of Villages % of Populatio n of State (during 2010) % of Populatio n of State (during 2009) 2302 13126 16427051 52.09 40.4 542 3249 3490744 11.07 12.1 665 3726 3433564 10.9 15.7 425 2473 1795550 5.69 6 > 10 447 3653 2097177 6.65 7.2 Tota l 4381 26227 27244086 86.4 81.4 API Numbe r of District Numbe r of PHC <1 12.> 2-5 > 510> 27 districts 149 National Rural Health Mission, Assam Page 408 State Programme Implementation Plan 2011-12 5. District wise achievements of Malaria control (as per API). Target & Achievement for the year 2009 & 2010 API Sl No. District Base year 2008 MPI 2009 2009 2010 Achievement 0.3 Target <1.3 2010 (up to October) Target 1.24 2010 (up to October) 1 Barpeta 0.32 Target <1.3 2 Bogaigaon 1.05 <1.3 1.18 <1.3 1.24 0.58 3 Baksa 3.7 3 3.87 2 1.9 2.47 4 Cachar 1.2 <1.3 1.43 <1.3 1.24 0.72 5 Chirang 5.5 5 11.62 2 1.9 14.2 6 Darrang 0.39 <1.3 0.25 <1.3 1.24 0.15 7 Dhemaji 0.9 <1.3 0.72 <1.3 1.24 0.39 8 Dhubri 0.81 <1.3 0.96 <1.3 1.24 0.38 9 Dibrugarh 0.05 <1.3 0.06 <1.3 1.24 0.02 10 Goalpara 6.27 5 6.1 2 1.9 2.7 11 Golaghat 0.59 <1.3 0.62 <1.3 1.24 0.24 12 Hailakandi 5.89 5 4.6 2 1.9 2.25 13 0.14 <1.3 0.29 <1.3 1.24 0.09 1.5 <1.3 1.6 <1.3 1.24 0.61 0.7 <1.3 0.7 <1.3 1.24 0.33 16 Jorhat Kamrup (R) Kamrup (M) K.Anglong 26.15 10 28.8 5 4.7 17.46 17 Karimganj 0.55 <1.3 0.53 <1.3 1.24 0.29 18 Kokrajhar 5.2 2 7 <1.3 1.24 6.2 19 Lakhimpur 1.02 <1.3 0.5 <1.3 1.24 0.2 20 Morigaon 0.9 <1.3 1 <1.3 1.24 0.48 21 Nagaon 1.27 <1.3 1.21 <1.3 1.24 0.51 22 Nalbari 0.3 <1.3 0.29 <1.3 1.24 0.11 23 N.C.Hills 13 10 16.3 5 4.7 10.3 24 Sibsagar 0.06 <1.3 0.1 <1.3 1.24 0.08 25 Sonitpur 3.03 <1.3 2.06 <1.3 1.24 1.24 26 Tinsukia 1.3 <1.3 1.89 <1.3 1.24 1.23 27 Udalguri 14.5 10 15.7 5 4.7 14.1 Total of the State 2.74 1.72 1.97 14 15 National Rural Health Mission, Assam 2.92 Achievement 0.2 Page 409 State Programme Implementation Plan 2011-12 6. District wise performance of Malaria surveillance (target & Achievement as per ABER/MBER) ABER Sl No. District MBER 2010 (Up to October) @ 0.8/1.0 PM against 10 ABER 2009 2009 2010 Target Achievement Target Target Achievement 1 Barpeta 10 7.47 10 8.4 6.9 2 Bogaigaon 10 14.37 15 12.6 13.7 3 Baksa 10 8.47 15 12.6 11.4 4 Cachar 10 6.88 10 8.4 7 5 Chirang 10 17.42 20 16.8 19.6 6 Darrang 10 4.99 10 8.4 9.2 7 Dhemaji 10 6.82 10 8.4 14.9 8 Dhubri 10 4.48 12 10 10.7 9 Dibrugarh 10 6.25 10 8.4 6.4 10 Goalpara 10 13.03 18 15.1 12.7 11 Golaghat 10 11.03 18 15.1 19.6 12 Hailakandi 10 9.65 15 12.6 11.7 13 Jorhat 10 9.45 10 8.4 9.4 14 Kamrup (R) 10 15.3 16 13.4 14.9 15 Kamrup (M) 10 4.59 8 6.7 4.9 16 K.Anglong 10 23.87 25 21 19.5 17 Karimganj 10 5.18 8 6.7 6.3 18 Kokrajhar 10 12.02 20 60.8 19.8 19 Lakhimpur 10 9.02 10 8.4 12.2 20 Morigaon 10 8.15 10 8.4 9 21 Nagaon 10 12.99 18 15.1 16.2 22 Nalbari 10 10.3 11 9.2 9.5 23 N.C.Hills 10 17.21 20 16.8 15 24 Sibsagar 10 7.74 8 6.7 10.7 25 Sonitpur 10 7.42 12 10 11.1 26 Tinsukia 10 7.9 10 8.4 17 27 Udalguri 10 13.38 15 12.6 16.7 Total for the State 10 9.66 12.78 11.31 12.44 National Rural Health Mission, Assam Page 410 State Programme Implementation Plan 2011-12 7. Malaria Diagnostic facility in PHC/ Malaria Clinics etc. Sl No. Health Institution 1 PHC Total Number Number of Health Institute with Lab.Tech/ Microscopist. 149 149 2 Mini PHC 695 670 4 C.H.C. 100 100 5 District Hospital 21 21 Total 965 940 Number of Health Institute without Lab./Tech/ Microscopist. 25 State Dispensaries are not declared as microscopy centre. 3 State Dispensary Specific Activities 8: Planning for distribution of RDK during 2011-12 Sl No District Name No of PHC identified with high risk & inaccessible areas High risk Sub Centres in inaccessible area (No.) High risk Population Villages in in inaccessible inaccessible area (No.) area (No.) Expected No of Fever cases (ABER 13) & RDK distribution 1 Barpeta 7 23 78 108127 14057 2 Bogaigaon 4 25 136 157282 20447 3 Baksa 6 139 762 447570 58184 4 Cachar 8 118 555 1592908 207078 5 Chirang 2 30 414 284409 36973 6 Darrang 4 32 40 97081 12620 7 Dhemaji 5 60 820 436884 56795 8 Dhubri 4 43 259 251031 32634 9 Dibrugarh 6 21 116 125453 16309 10 Goalpara 5 141 1103 732565 95233 11 Golaghat 5 84 263 577100 75023 12 Hailakandi 4 36 202 162683 21149 13 Jorhat Kamrup (M) 7 22 199 231236 30061 2 17 130 129775 14 National Rural Health Mission, Assam 16871 Page 411 State Programme Implementation Plan 2011-12 No of PHC identified with high risk & inaccessible areas High risk Sub Centres in inaccessible area (No.) High risk Population Villages in in inaccessible inaccessible area (No.) area (No.) Expected No of Fever cases (ABER 13) & RDK distribution Sl No District Name 15 Kamrup (R) 12 76 299 380947 49523 16 K.Anglong 8 138 1705 717394 93261 17 Karimganj 5 Kokrajhar 4 292 311 286960 263250 37305 18 60 61 19 Lakhimpur 6 91 733 470108 61114 20 Morigaon 3 8 92 130381 16950 21 Nagaon 7 145 371 433981 56418 22 Nalbari 5 11 12 42090 5472 23 N.C.Hills Sibsagar 73 12 778 58 211708 67141 27522 24 5 8 25 Sonitpur 7 83 364 420521 54668 26 Tinsukia 4 91 252 261720 34024 27 Udalguri 3 111 662 694096 90232 146 1751 11006 9714401 1262873 Total 34222 8728 * 10% extra will be added for emergency use in the institution. *25 % extra will be added for buffer stock with peripheral worker. 9. Requirement of RD Kits for 2012-13 * Total Fever cases in the state (2009) 3021915 * High risk population in accessible area 9714401 * Expected Fever cases (13 % of High risk population) 1262870 * Total fever cases in the Health Institution 3021915 - 1262870 1759045 Requirement Calculation: * Screening of fever cases in accessible are 1262870 * 10 % requirement for emergency use in institution 175900 * 25 % extra stock with peripheral workes (3 month Req.) 315720 (25% of 1262870) Total 1754490 Say – 1755000 nos. National Rural Health Mission, Assam Page 412 State Programme Implementation Plan 2011-12 10. District wise, age wise distribution of PF cases for calculation of requirement of ACT for the year 2012-13. Sl No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Name of District Average Pf cases (2007-09) Barpeta Bogaigaon Baksa Cachar Chirang Darrang Dhemaji Dhubri Dibrugarh Goalpara Golaghat Hailakandi Jorhat Kamrup (Rural) Kamrup (Metro) K.Anglong Karimganj Kokrajhar Lakhimpur Morigaon Nagaon Nalbari N.C.Hills Sibsagar Sonitpur Tinsukia Udalguri Total 570 1525 1628 2715 2815 1092 296 1582 73 5785 581 3475 200 3800 523 19652 586 3838 646 845 3030 662 2290 95 3685 565 3712 66266 Distribution of PF cases Adult (60%) 342 915 977 1629 1689 655 178 949 44 3471 349 2085 120 2280 314 11792 352 2303 388 507 1818 397 1374 57 2211 339 2227 39760 9 - 14 (15%) 86 229 244 407 422 164 45 237 11 868 87 521 90 570 78 2948 88 576 97 127 455 99 34 14 553 85 557 9940 5-8 (12%) 68 183 195 326 338 131 36 190 9 694 70 417 24 456 63 2358 70 461 78 101 364 79 275 11 442 68 445 7952 1-4 (9%) 51 137 147 244 253 98 27 143 7 521 52 313 18 342 47 1769 53 345 58 76 273 60 206 9 332 51 334 5964 0-1 (4%) 23 61 65 109 113 44 12 63 3 231 23 139 8 152 21 786 23 154 26 34 121 26 92 4 147 23 149 2650 Distribution of Pf cases (rounded off) * Adult * 9 -14 yrs * 5-8 yrs * 1-4 yrs * <1 yrs Total 40,000 10,000 8,000 6,000 2,700 66,700 National Rural Health Mission, Assam Page 413 State Programme Implementation Plan 2011-12 11. State requirement of ACT for 2012-13 (1) Adult : Pf cases 40,000 ACT : 40,000 25% buffer 10,000 Total 50,000 Deployment reserve 20,000 X 2 = 40,000 ASHA : 4575 X 6 = 27450 SC : 149 X 25 = 3725 PHC : 100 X 50 = 5000 CHC : 21 X 50 =1050 Dist Hospital Total 127225 pkt. (2) Children 9-14 yrs ACT : 10,000 25% buffer 2,500 Total 12,500 Deployment reserve 20,000 X 2 = 40,000 ASHA : 4575 X 3 = 13725 SC : 149 X 10 = 1490 PHC : 100 X 15 = 1500 CHC : 21 X 15 = 315 Dist Hospital Total National Rural Health Mission, Assam 69530 pkt. Page 414 State Programme Implementation Plan 2011-12 (3) Children 5-8 yrs ACT : 8,000 25% buffer 2,000 Total 10,000 Deployment reserve 20,000 X 2 = 40,000 ASHA : 4575 X 3 = 13725 SC : 149 X 10 = 1490 PHC : 100 X 15 = 1500 CHC : 21 X 15 = 315 Dist Hospital Total 67030 pkt. (4) Children 1-4 yrs ACT : 6,000 25% buffer 1,500 Total 7,500 Deployment reserve 20,000 X 2 = 40,000 ASHA : SC 4575 X 3 = 13725 : 149 X 10 = 1490 PHC : 100 X 15 = 1500 CHC : Dist Hospital Total 21 X 15 = 315 64530 pkt. (5) Children <1 yrs ACT : 25% buffer Total National Rural Health Mission, Assam 2,700 675 3,375 Page 415 State Programme Implementation Plan 2011-12 Deployment reserve 20,000 X 2 = 40,000 ASHA : 4575 X 3 = 13725 SC : 149 X 10 = 1490 PHC : 100 X 15 = 1500 CHC : 21 X 15 = 315 Dist Hospital Total 60405 pkt. Total Age wise Requirement ACT: Adult ACT : 9-14 yrs ACT : 5-8 yrs ACT : 1-4 yrs. ACT: <1 yr. Total National Rural Health Mission, Assam 127225 pkt 69530 pkt 67030 pkt 64530 pkt 60405 pkt 388720 pkt Page 416 State Programme Implementation Plan 2011-12 12 : Selection of areas for IRS during 2011 Criteria for selection of areas for IRS. Priority – 1 * Sub centre is taken as unit with more than 5 API where ABER is 10% or more * SPR more than 5% if ABER is below 10% Priority – 2 * API 2-5 Population selected Sl No. District/PHC selected for IRS 1 2 3 4 5 6 7 8 9 10 11 Barpeta Bogaigaon Baksa Cachar Chirang Darrang Dhemaji Dhubri Dibrugarh Goalpara Golaghat PHCs SubVillages selected Centre selected for IRS selected (No.) (No.) (No.) 5 4 5 8 2 3 2 4 2 3 2 National Rural Health Mission, Assam 4 16 94 135 43 38 6 42 10 142 12 18 135 451 632 593 46 96 256 55 1101 572 Priority -1 Priority - 2 0 20000 255644 267960 52232 30417 25453 150216 0 226083 0 133000 76155 32821 20510 63154 49770 70827 44310 98351 49237 154560 Total Population Spray squad requirement (No.) 133000 96155 288465 288470 115386 80187 96280 194526 98351 275320 154560 7 5 15 15 6 4 5 10 5 15 8 No. of Tech. batches requirement for of DDT training (Two of Round) (MT) squad 1 1 3 3 1 1 1 1 4 1 3 20 14 43 43 17 12 14 28 14 43 23 DDT Net available requirement (MT) (MT) 6.6 13 12.6 19 7 16 28 2 4 41 1 14 0 31 24 10 0 0 26 10 0 22 Page 417 State Programme Implementation Plan 2011-12 Sl District/PHC No. selected for IRS 12 Hailakandi 13 Jorhat 14 Kamrup (M) 15 Kamrup (R) 16 K.Anglong 17 Karimganj 18 Kokrajhar 19 Lakhimpur 20 Morigaon 21 Nagaon 22 Nalbari 23 N.C.Hills 24 Sibsagar 25 Sonitpur 26 Tinsukia 27 Udalguri Total PHCs SubVillages Spray squad No. of Tech. DDT Net Population Total selected Centre selected selected Population requirement batches requirement available requirement for IRS selected (No.) (No.) for of DDT (MT) (MT) 2 9 65 162683 11196 173879 9 1 26 48.6 0 2 3 26 0 97329 97329 5 1 14 2 10 1 17 110 76923 0 76923 4 1 12 1.4 10 4 13 60 194274 94187 288461 15 1 43 18 25 8 160 1834 739509 5192 744701 38 8 110 98 12 3 32 159 34900 60458 95358 5 1 14 0 15 4 59 436 161686 126808 288494 15 2 43 11 32 6 94 916 22976 170416 193392 10 1 29 32 0 2 11 85 35817 61470 97287 5 1 14 7 7 6 117 380 225917 62563 288480 20 3 56 28 28 1 2 2 0 57693 57693 3 1 9 19.3 0 2 126 707 141121 0 141121 7 2 20 34 0 8 37 185 0 97328 97328 5 1 14 0 15 6 90 380 124884 0 124884 10 2 28 0 28 4 60 209 53005 131555 184560 8 2 23 5 20 3 111 548 261260 28592 289852 15 3 43.5 7.6 36 102 1483 10057 3262960 1797482 5060442 269 51 769.5 462.1 375 National Rural Health Mission, Assam Page 418 State Programme Implementation Plan 2011-12 12.1 ASSOCIATED ACTIVITIES FOR I.R.S. Sl. No. Name of the Activities Time Frame 1 Awareness / Sensitization about IRS Every Friday of the Week 2 Miking for I.R.S. One Week prior to spray ANM/ASHA of S.C. at village Health & Sanitation day meeting SDM & HO i/c of PHC 3 Door to Door Campaign for I.R.S. February 1 to 28 February, 2011 ANM/MPW/ASHA during routine visit in the village Village level 4 Poster regarding I.R.S. Mid Jan to Feb last week CM & HO (CD) /DMO Bus stand/weekly Hat & Bazaar, by MPW/ANM/ASHA 5 6 7 8 January 7th to 30th January Road map of DDT February First Spray Week Last week of Selection of Worker January/2011 Training of Spray February 1st Worker/Supervisors onwards DDT dumping 1 Village level 2 PHC level 3 District level 4 State level Implementing Agency Implementing Level Village level In weekly Hat &Bazar area CM & HO (CD) /DMO DMO/SDM &HO i/c PHC CM & HO (CD) /Jt. DHS Village/SC wise SMI/MI PHC PHC/SC PHC SUPERVISION PLAN OF I.R.S. MPW/SMI/SI/MI/ 1st March to SDM&HO Aug/2011 i/c/MPHC MPW/SMI/SI/MI/ 1st March to SDM&HO Aug/2011 i/c/MPHC 1st March to Jt. Aug/2011 DHS/CM&HO/DMO 1st March to Aug/2011 National Rural Health Mission, Assam State Programme Officer, and Other Officer of NVBDCP working in State level Page 419 State Programme Implementation Plan 2011-12 13. Planning for impregnation of Bed nets Total house hold in the state * LLIN supplied (upto 2009-10) * No of house hold covered with 2 effective bed net No of house hold having plain bed net Tentative plain bed nets available for impregnation 3033800 614000 307000 2726800 5453600 Bed net treated during 2010 (up to August 2010) Bed net proposed for impregnation during 2011 Requirement of Sy. Pyrethroid flow (Lt) Bed net impregnation. * details in chapter 14. Name of district BARPETA BONGAIGAON BASKA CACHAR CHIRANG DARRANG DHEMAJI DHUBRI DIUBRUGARH GOALPARA GOLAGHAT HAILAKANDI JORHAT KAMRUP(R ) KAMRUP (M) K-ANGLONG KARIMGANJ KOKRAJHAR LAKHIMPUR MORIGAON NAGAON NALBARI N.C.HILLS SIBSAGAR SONITPUR TINSUKIA UDALGURI TOTAL Bed Net Treated during 2009 54450 104152 205856 44680 2912 180955 190700 285095 156275 126797 267816 103279 40733 369704 8465 202075 162525 112647 77882 16695 492786 20940 8342 84093 11194 166521 374141 75109 54594 124426 30385 20313 60835 161667 63981 46242 98162 138242 88145 110159 153204 18577 164304 110174 81663 97729 70770 266752 56719 34950 171404 45726 66584 105409 184774 97196 283290 480650 5000 129750 136438 250000 94633 430022 173721 78356 532119 294138 55000 490300 158844 233032 184871 182082 202476 85092 35000 297833 245613 107120 140640 2078 2076 2968 5500 600 1623 3908 2800 1555 7248 1930 885 5324 3676 700 6131 2028 2590 2400 1971 2859 980 390 4151 2730 1059 3125 3871710 2516225 5587990 73285 National Rural Health Mission, Assam Page 420 State Programme Implementation Plan 2011-12 14. Statement showing Eligible Population/ Households with API > 2 , LLIN distributed , proposed distribution & balance Sl. no. Districts Name Total house hold Total LLIN Required (based on API>2) Total LLIN already supplied to districts LLIN proposed to be distributed GOI Supply) LLIN Proposed to be distributed (GOA Supply) Total allocation at the end of 2010 Balance Requirement during 2011-12 1 BARPETA 51000 102000 23800 15000 30000 68800 33200 2 BONGAIGAON 173000 346000 5300 56300 112600 174200 171800 3 BASKA 125000 250000 50900 50000 100000 200900 49100 4 CACHAR 156000 312000 4700 30000 60000 94700 217300 5 CHIRANG 135000 270000 23000 40000 80000 143000 127000 6 DARRANG 92000 184000 3800 40000 80000 123800 60200 7 DHEMAJI 68000 136000 18100 40000 80000 138100 -2100 8 DHUBRI 44200 88400 27900 40000 80000 147900 -59500 9 DIUBRUGARH 64000 128000 18600 30000 60000 108600 19400 10 GOALPARA 190000 380000 26000 70000 140000 236000 144000 11 GOLAGHAT 79000 158000 29500 40000 80000 149500 8500 12 HAILAKANDI 54000 108000 15200 50000 100000 165200 -57200 13 JORHAT 32000 64000 7900 30000 60000 97900 -33900 14 KAMRUP(R ) 22700 45400 100600 196900 KAMRUP (M) 344000 32500 15 172000 1500 15000 30000 46500 16 K-ANGLONG 41600 30000 60000 131600 265000 National Rural Health Mission, Assam 530000 398400 Page 421 State Programme Implementation Plan 2011-12 Sl. no. Districts Name Total house hold Total LLIN Required (based on API>2) Total LLIN already supplied to districts LLIN proposed to be distributed GOI Supply) LLIN Proposed to be distributed (GOA Supply) Total allocation at the end of 2010 Balance Requirement during 2011-12 17 KARIMGANJ 38000 76000 15500 20000 40000 75500 500 18 KOKRAJHAR 188000 376000 16600 50000 100000 166600 209400 19 LAKHIMPUR 136000 272000 25400 40000 80000 145400 126600 20 MORIGAON 80200 160400 10200 25000 50000 85200 75200 21 NAGAON 376000 752000 62800 50000 100000 212800 539200 22 NALBARI 49000 98000 24800 16000 32000 72800 25200 23 Dima Hasau 44000 88000 22100 25000 50000 97100 -9100 24 SIBSAGAR 74000 148000 43300 25000 50000 118300 29700 25 SONITPUR 141000 282000 13700 50000 100000 163700 118300 26 TINSUKIA 41400 82800 11600 30000 60000 101600 -18800 27 UDALGURI 166000 332000 35700 80000 160000 275700 56300 3033800 6067600 612000 1010000 2020000 3642000 2425600 Total National Rural Health Mission, Assam Page 422 State Programme Implementation Plan 2011-12 15. District wise performance of ASHA for use of RDK during 2009 Distrct BARPETA Total BSC BSC by ASHA % screening by ASHA Total screening by RDK RDK used by ASHA % screening by ASHA Total RDK positive Positive found by ASHA % of positive by ASHA 118191 2368 2 16514 6003 36.3 377 139 36.8 BONGAIGAON 93820 6090 6.49 14489 3505 24.19 202 29 14.35 BASKA 83762 4219 5.03 8778 3476 39.59 413 117 28.32 CACHAR 131132 7953 6.06 6039 1557 25.78 450 66 14.66 CHIRANG 76903 472 0.61 5832 730 12.51 351 34 9.68 DARRANG 46027 946 2.05 12886 3364 26.1 80 6 7.5 DHEMAJI 45128 539 1.19 18550 6439 34.71 55 13 23.63 DHUBRI 146690 914 0.62 33518 1413 4.21 556 12 2.15 99271 3783 3.81 10082 3324 32.96 19 8 42.1 GOALPARA 128337 6940 5.4 2051 325 15.85 242 50 20.66 GOLAGHAT 118042 4555 3.85 7933 1835 23.13 121 35 28.92 HAILAKANDI 70833 7540 10.6 25517 7593 29.75 1710 326 19.06 JORHAT 114208 12667 11.09 17489 3857 22.05 156 9 5.76 KAMRUP(R ) 215389 5546 2.57 33693 5255 15.59 691 58 8.39 KAMRUP (M) 63695 1046 1.64 14034 861 6.13 247 26 10.52 K-ANGLONG 220255 21602 9.8 40832 19557 47.89 5711 2471 43.26 KARIMGANJ 68598 5020 7.31 22157 5143 23.21 202 29 14.35 DIUBRUGARH National Rural Health Mission, Assam Page 423 State Programme Implementation Plan 2011-12 Distrct BSC by ASHA Total BSC Total screening by RDK % screening by ASHA RDK used by ASHA % screening by ASHA Total RDK positive Positive found by ASHA % of positive by ASHA KOKRAJHAR 114481 8771 7.66 7317 885 12.09 581 30 5.16 LAKHIMPUR 107909 8736 8.09 36550 5140 14.06 112 7 6.25 MORIGAON 81463 2940 3.6 29475 1256 4.26 294 40 13.6 NAGAON 291127 36041 12.37 36411 10825 29.73 757 381 50.33 NALBARI 86034 3099 3.6 8575 1948 22.71 16 5 31.25 Dima Hasau 38488 1386 3.6 13743 5501 40.02 925 213 23.02 SIBSAGAR 88659 974 1.09 9825 1205 12.26 21 7 33.3 SONITPUR 152254 9258 6.08 27969 12682 45.34 2140 1034 48.31 TINSUKIA 94001 4511 4.79 22764 5088 22.35 431 15 3.48 UDALGURI 127218 6245 4.9 20825 6787 32.59 1760 355 20.17 3021915 174161 5.76 503848 125554 24.9 18620 5515 29.6 Total 15.1 Month wise performance of ASHA for use of RDK during 2010 (upto October) Month Total BSC BSC by ASHA % screening by ASHA Total screening by RDK RDK used by ASHA % screening by ASHA Total RDK positive Positive found by ASHA % of positive by ASHA January 121152 5244 4.32 5566 544 9.77 151 24 15.89 National Rural Health Mission, Assam Page 424 State Programme Implementation Plan 2011-12 % screening by ASHA Total screening by RDK RDK used by ASHA % screening by ASHA Total RDK positive Positive found by ASHA % of positive by ASHA Month Total BSC BSC by ASHA February 127442 3363 2.63 6767 580 8.57 235 21 8.95 March 174451 5201 2.98 12032 830 6.89 241 99 41.07 April 197866 8952 4.52 22623 4929 21.78 767 144 18.77 May 375718 21176 5.63 57106 4702 8.23 2183 147 6.73 June 695911 56156 8.06 70516 16494 23.39 2617 524 20.02 July 769855 50968 6.62 59920 13917 23.22 2052 456 22.2 August 622151 28756 4.62 57596 9435 16.38 1564 314 20.07 Sept 401589 17472 4.35 56324 4611 8.18 1111 223 20.07 Oct 315446 23998 7.6 46588 4782 10.26 775 44 5.67 Total 3801581 221286 5.82 395038 60824 15.39 11696 1996 17.06 National Rural Health Mission, Assam Page 425 State Programme Implementation Plan 2011-12 16. Larvivorous Fish as Vector Control Measures. Biological control of vector mosquito is an effective tool to control vector borne disease like malaria & Japanese Encephalitis. The breeding places of malaria & JE vectors during rainy season are extensive and need large reservoir of fishes. The distribution of the fishes at the grass root level needs experienced field worker on fish cultivation. During 2008 & 2009 four mother hatcheries are identified & fishes are released in co-ordination with the NIMR, Guwahati. But the productions of the fishes are limited due to lack of constant supervision by experts on fish cultures. The National Institute of Malaria Research (ICMR) Guwahati submitted a project proposal to take-up biological control of mosquito breeding through Larvivorous fish in endemic districts. Considering the abundance of JE vector mosquito and malaria vector mosquito in few foot hills districts, it is considered to recommend the proposal to take-up the activities at Goalpara, Kokrajhar & Chirang districts where perineal water bodies with abundance ponds, pools etc. are available, involving SHG/NGO at the peripheral level for sustaining the activities. An amount of Rs. 10.00 lakh (Rupees ten lakh) is projected in the financial year 2011-12 for the above purpose. 17. Proposal for performance based ASHA incentives District wise placement of ASHAs ASHA Sl No. District In Place Trained 1 2 Barpeta Bogaigaon 1523 989 621 621 3 Baksa 960 421 4 Cachar 1579 673 5 Chirang 517 435 6 Darrang 864 582 7 Dhemaji 720 315 8 Dhubri 1777 907 9 Dibrugarh 1104 1104 10 Goalpara 975 800 11 Golaghat 910 910 12 Hailakandi 673 605 13 Jorhat 1035 170 14 Kamrup (Metro) 209 209 15 Kamrup (Rural) 1611 1611 16 K.Anglong 936 936 17 Karimganj 1027 706 18 Kokrajhar 1307 1238 National Rural Health Mission, Assam Page 426 State Programme Implementation Plan 2011-12 ASHA Sl No. District In Place Trained 19 Lakhimpur 1040 1036 20 Morigaon 844 844 21 Nagaon 1956 1956 22 Nalbari 751 280 23 N.C.Hills 187 165 24 Sibsagar 1226 935 25 Sonitpur 1767 1767 26 Tinsukia 1294 1130 27 Udalguri 961 805 28387 22150 Total Requirement of fund * Amount required @ 200/- per ASHA/per Annum = Rs. 2400 * Total ASHA deployed for malaria surveillance= 20000 nos. * Fund required for 2011-12 : 20000 X 2400/- = Rs. 480 lakhs ( Rupees Four hundred eighty Lakh only) 18. ACTION PLAN FOR DETECTION OF MALARIA CASES IN CHAR AREAS INTRODUCTION:There are 2251 char villages in 14 districts of Assam as per 2003 census report. Approximately 25 lakh populations are inhabitant of these areas. The literacy rate is below 20%. As per the report 52 PHC and 132 sub –centres are providing health care services in char areas. Due to difficult terrain and lack of basic essential amenities, the required manpower is not available to carry out health activities in many of these areas. Non availability of accommodation and communication bottle neck, staff posted in these sub-centres are mostly not staying in the island. Daily ferrying from the mainland for doing active surveillance is also not feasible in these areas. During last 2-3 yrs there are sporadic incidence of malaria and reported death from char areas of Dhubri, Goalpara, Kamrup, Nalbari, Barpeta & Darrang districts. • Population proposed to be covered under Special Survey. Name of district Barpeta Name of PHC 1. Mandia 2. Barpeta Road 3. Chenga National Rural Health Mission, Assam No. of S.C. 41 No. of Char village 167 Population 244565 Page 427 State Programme Implementation Plan 2011-12 Name of district Nalbari Kamrup (R) Dhubri Goalpara Darrang Total-6 Name of PHC 1. Mukalmua 1. Chhaygaon 2. Nagarbera 3. Sualkuchi 1.Dharamsala 2. Gulakgani 3. Chapar 4. Raniganj 5. South salmara 6. Gajarkandi 1. Agia 2. Lakhipur 3. Malia 4. Mornoi 1.Kharupetia 2. Jaljali 3. Sipajhar 20 No. of S.C. No. of Char village Population 3 6 3 18 58294 35041 120 239 757093 9 26 64310 65 182940 518 1342243 35 214 PROPOSED ACTION PLAN OBJECTIVE: • Fever survey to detect malaria cases through RDT and immediate treatment through mobile malaria detection team in char areas. PERIOD OF SURVEY: • April to September during transmission period. CONSTITUTION OF TEAM: • Six Member team 1. M.O 2. SMI/MI/SI 3. SW • : : : 1 1 4 PHC MO I/C will constitute the team and prepare calendar of visits. MODE OF OPERATION: • Team will visit 4 days in a week, in the char area. • Each day two sub-centre area will be covered. • Prior information to the villagers and pre-fixed venue will be communicated for assembly. National Rural Health Mission, Assam Page 428 State Programme Implementation Plan 2011-12 • • • • • All RDT positive patient will be treated with ACT+ Primaquin tablet. All negative RDT but suspected malaria cases will be treated with full dose of Chloroquin tablet after collecting blood slide. ASHA and ANM will be involved in the camp. First Aid medicine may be provided by M.O. The team will visit once in every fortnight covering both the sub-centre area. MODE OF CONVEYANCE: • • Mechanized boat will be hired on daily basis, 4 days in a week. Three/ Four motor cycles will be hired for movement within the char area. BUDGET: • • • • Hiring charge of mechanized boat Hiring charge of motor cycle including POL @ Rs. 200 Honorarium for 1 MO @ Rs.200/- per day 4 SW/SI @ Rs. 100/day Honorarium for 2 ANM and 2 ASHA for two sub-centre @ Rs. 100/ day Total • Total expenditure per team, per visit : Rs. 2800/- Rs. 1000.00 Rs. 800.00 Rs. 600.00 Rs. 400.00 Rs. 2800.00 District wise allocation of team, number of visit & requirement of fund. Name of districts Barpeta Total number of S/C 41 Total team required No. of visits Monthly requirement of fund 4 40 per 1,12,000/- (2800x40) month Nalbari 3 1 4 per month 1,12,000/- (2800x4) Kamrup 6 1 6 per month 1,68,000/(2800x6) Dhubri 120 10 120 per 3,36,000/- (2800x120) month Goalpara 9 1 10 per 28,000/- (2800x10) month Darrang 15 2 14 per 39,200/- (2800x14) month Total- Rs. 5,43,200/- ( Rupees Five lakh forty three thousand & two hundred ) only Total expenditure anticipated for survey from April/10 to September 2010 Rs. 5,43,200x6= Rs. 32,59,200/(Rupees Thirty two lakh Fifty nine thousand Two hundred) only. National Rural Health Mission, Assam Page 429 State Programme Implementation Plan 2011-12 REQUIREMENT OF LOGISTICS: • Approximately 13.42 lakh population will be under Surveillance for suspected malaria, out of which approximately 70,000 blood screening is expected to be done through RDT during the 6 months period from April to September 2011. 1. The requirement of RDT 2. Anti-Malarial drugs for : : 70,000 2800 positive cases. 19. Special Action Plan in 547 Malaria Endemic Sub-centres of 8 Districts of Assam during 2011 Background Information: Malaria is one of the major public health problems of Assam. It contributes more than 5% of malaria cases in the country and 70% cases of NE state. There are 27 districts with 31.53 million populations in the state. All the districts are reporting malaria incidence with variable intensity. However based on epidemiological situation of last 3 years, eight districts identified as mentioned below are highly endemic, which contributes 75% malaria cases of the state. Sl No 1. Name of District No. of PHC No. of SC Population Karbi-Anglong 8 138 690573 2. N.C. Hills 5 54 147025 3. Kokrajhar 4 54 258621 4. Hailakandi 3 45 197839 5. Udalguri 3 97 596970 6. Goalpara 5 85 382172 7. Chirang 2 43 284409 8. Baksa 6 66 466000 Total 36 582 3023639 All these areas are Pf pre-dominant and contribute 80-90% Pf cases, except Udalguri PHC which is Pv prevalent area. National Rural Health Mission, Assam Page 430 State Programme Implementation Plan 2011-12 State Epidemiological situation for last 3 years Year BSC/BSE Pf Positive SPR Death 2399836 2687755 3021915 3434066 Total Positive 94853 83939 91413 58469 2007 2008 2009 2010 (September) 2009 (September) 65542 76350 66557 41003 3.95 3.12 3.02 1.7 152 86 63 32 2530250 77338 55523 3.0 56 Epidemiological situation of malaria in eight endemic districts for last 3 years Sl No. 1. 2. 3. 4. 5. Name of District K-Anglong N.C. Hills Kokrajhar Hailakandi Udalguri Year BSC/BSE 2007 2008 2009 2010 (September) 2009 (September) 2007 2008 2009 2010 (September) 2009 (September) 2007 2008 2009 2010 (September) 2009 (September) 2007 2008 2009 2010 (September) 2009 (September) 2007 2008 2009 2010 (September) National Rural Health Mission, Assam Pf Positive 14069 20250 24636 15208 SFR Death 176364 199135 220255 175809 Total Positive 16618 23718 26639 16111 19.07 26.75 28.03 9.16 39 38 12 7 162322 22857 21149 14.08 8 25051 28085 38488 31158 2738 2842 3524 2091 2000 1669 3199 1731 12.76 12.95 15.76 6.71 0 2 1 1 27665 2800 2421 10.17 1 87687 89656 114481 158206 5317 4588 5903 4983 3688 3386 4441 3897 6.08 5.18 0.96 3.14 1 2 0 0 83278 4021 3030 4.82 0 59869 65818 70833 76365 3162 4264 3346 1555 3107 4147 3169 1425 4.38 5.85 4.56 2.03 6 0 2 0 56353 3488 3325 6.18 2 113656 127218 135285 13489 14921 11535 3221 4203 2578 13.85 15.7 8.52 5 0 2 Page 431 State Programme Implementation Plan 2011-12 Sl No. 6. 7. 8. Name of District Goalpara Chirang Baksa Total of 8 districts Year BSC/BSE 2009 (September) 2007 2008 2009 2010 (September) 2009 (September) 2007 2008 2009 2010 (September) 2009 (September) 2007 2008 2009 2010 (September) 2009 (September) 2007 2008 2009 2010 (September) 2009 (September) Pf Positive 3914 SFR Death 81352 Total Positive 13156 16.17 0 96902 104227 128337 116883 6940 5878 5957 2525 6314 5421 5616 2381 7.25 6.09 6.05 2.16 5 0 0 0 95156 4759 4473 5.00 0 80735 76903 86139 3350 5222 6519 2433 3196 5781 8.97 11.83 7.56 0 2 2 55648 4260 2799 7.65 1 104906 83762 79144 3324 3412 2333 1723 1532 997 1.8 3.47 2.35 3 2 0 98961 2966 355 3.74 3 786218 860277 858989 61453 68924 47652 42250 49992 33998 10.35 11.13 3.9 50 19 12 660735 58307 41466 6.2 15 Malaria load in eight endemic districts Year 2008 Total malaria cases State total : 83939 Percentage 73 Eight endemic districts : 61453 2009 State total : 91413 Eight endemic districts : 68924 75.4 2010 (up to September) State total : 58469 Eight endemic districts : 47652 81 2009 (up to September) State total 75 : 77338 Eight endemic districts : 58307 National Rural Health Mission, Assam Page 432 State Programme Implementation Plan 2011-12 Constraints in malaria control of Eight endemic districts • • • • Scattered villages with thinly populated, inhabited in remote areas with difficult terrain and communication particularly in two hill districts, resulting in-adequate vector control measures and early diagnosis prompt treatment. Poor health infrastructure in bordering areas of these districts. In-adequate/irregular surveillance of the affected area by field level workers due to remoteness and difficult terrain. Insensitivity of the community to utilize available health facilities due to lack of IEC/BCC. Proposed action 1. Simultaneous screening of fever cases in a group of villages by fever screening team for immediate detection & treatment of malaria cases. The screening team will be provided with facility for adequate mobility. 2. Screening will be followed by mass impregnation of community owned bed nets. 3. Distribution of LLIN in remote villages with difficult terrain and plain bed net in villages where easy communication facility is available for re-impregnation in subsequent period. 4. Extensive IEC before and during impregnation and fever screening period. 5. For sustaining fever surveillance and treatment FTD (fever treatment depot) will be identified among village level NGO/FBO, School teacher, Indigenous heeler and ASHA. 6. The surveillance workers/ MPW of the sub-centre will be made responsible for equipping these workers with diagnostic & treatment materials and proper feedback. 7. The screening period will be from March to October. Based on above modalities micro action plan will be finalized at district and PHC level by District Malaria Officer/ CM&HO (CD) and PHC, MO I/C. Summary Expected outcome: Sl No. 1. 2. 3. 4. 5. 6. 7. 8. Name of District Karbi— Anglong N.C. Hills Kokrajhar Hailakandi Udalguri Goalpara Chirang Baksa Total Population coverage (in Lakh) No. of Village 6.90 1770 88 No. of Blood Testing (in lakh) (from March to October) 0.45 1.47 2.58 1.97 5.96 3.82 2.84 4.66 30.23 340 496 175 384 300 449 812 4726 16 25 9 20 15 23 41 237 0.08 0.22 0.11 0.27 0.18 0.09 0.54 1.94 National Rural Health Mission, Assam No. of Survey Teams PF case detection & treatment expected 2400 312 490 245 500 360 355 475 5137 Page 433 State Programme Implementation Plan 2011-12 Logistic & Fund Support: Sl No. Name of District Req. of RDT (No.) Req. of ACT (Adult) Proposed Impreg. of bed net in the District (No.) K-Anglong N.C. Hills Kokrajhar Hailakandi Udalguri Goalpara Chirang Baksa Total Say Rs. 47.00 lakh 20000 3500 9800 5000 12350 8200 7100 23700 89650 1440 190 300 245 300 216 213 285 3189 490300 35000 233000 78356 140640 430022 5000 283290 1695608 1. 2. 3. 4. 5. 6. 7. 8. Req. of Sy. Py Liquid (Litres) 6131 390 2590 885 3125 7248 600 2968 23937 Proposal for allotment of LLIN in the dist.(No.) 82000 39000 102000 106000 122000 119000 39000 92000 701000 Req. of Fund for mobility of team (Rs. in Lakh) 10.86 3.73 5.13 3.29 6.7 9.28 3.92 4.04 46.95 (Rupees Forty seven lakh) only National Rural Health Mission, Assam Page 434 State Programme Implementation Plan 2011-12 Malaria Epidemiological findings of 566 Sub-Centres of 8 endemic districts for the period from May to September, 2010 Sl. No. Name of the Districts Total No. of SubCentre No. of S/C targeted for Spl fever survey Total No. of Fever Cases in the Districts Fever cases detected by Special Fever Survey team Total Positive cases in the district Positive cases detected by Special Fever Survey team Total P.f of the districts. Pf cases detected by Special Fever Screening % of Fever Cases screen in comparison to dist total % of Positive cases screened in comparison to dist total 1 Baksa 167 136 121428 50921 1931 301 774 192 41.94 15.59 2 Chirang 76 30 76227 35630 5292 2581 4048 2379 46.74 48.77 3 Goalpara 144 71 89388 18047 1757 239 1680 237 20.19 13.60 4 Hailakandi 105 31 61197 20201 1146 516 1046 454 33.01 45.03 5 KarbiAnglong 103 123 132859 19585 12709 1430 12037 1378 14.74 11.25 6 Kokrajhar 160 74 138777 47101 5237 473 2854 445 33.94 9.03 7 N.C. Hills 65 37 25942 6909 1800 328 1538 311 26.63 18.22 8 Udalguri 142 64 110062 44579 8825 2238 1970 720 40.50 25.36 Total 962 566 755880 242973 38697 8106 25947 6116 32.14 20.95 National Rural Health Mission, Assam Page 435 State Programme Implementation Plan 2011-12 19.1 Malaria Action Plan for Inter State Border areas of Assam North Eastern States are malaria endemic and contribute 10-12% of cases and >20% of deaths in the country. Assam is the major state accounting for >70% of malaria cases in North East. Poor health infrastructures & inaccessibility due to difficult terrain inter state border areas are reporting more malaria cases in comparison to other areas of the state. The states which shares borders with Assam are • • • • • • • Coch Beehar district of West Bengal with Kokrajhar district of Assam Arunachal Pradesh with Darrang, Sonitpur, Lakhimpur, Dhemaji & Tinsukia districts of Assam. Nagaland with Tinsukia, Sivsagar, Golaghat & Karbi-Anglong districts of Assam Meghalaya with Goalpara, Dhubri, Karbi-Anglong & Kamrup districts of Assam Tripura with Karimganj district of Assam Mizoram with Hailakandi, Cachar & Karimganj districts of Assam Manipur with N.C. Hills & Cachar districts of Assam. Epidemiological Situation of Border PHC Arunachal Pradesh Bordering with Sonitpur District: Year Population BSC/E +VE PF Death ABER SPR Pf% 2007 350915 20211 830 736 0 5.7 4.1 89 % of +ve in API border PHC 2.3 Dhekiajuli 2008 351792 16996 1565 1269 1 4.8 9.2 81 4.4 2009 352123 20988 1404 1216 3 5.96 6.69 86.60 3.99 2007 392378 20724 1480 822 0 7.0 7.1 55 5.0 2008 292622 18968 780 271 0 6.4 4.1 35 2.6 2009 292948 19137 608 185 0 6.53 3.18 30.40 2.08 2007 North Jamuguri 2008 2009 2007 221153 28431 1411 726 3 12.8 4.9 221540 221751 157606 27653 32433 10389 1026 649 310 439 422 163 0 2 0 12.4 3.7 43 4.6 14.63 2.14 60.80 3.13 6.5 2.9 52 1.9 2008 192485 18805 68 09 1 9.8 2009 158264 9411 111 82 0 5.94 1.18 73.87 0.7 2007 216873 26092 1331 599 8.2 5.1 45 4.2 2008 317299 29453 438 175 9.2 1.4 40 1.3 2009 317625 26777 229 132 0 8.43 0.86 57.64 0.72 2007 1339485 105847 5362 3046 3 7.90 5.06 4.0 68% 2008 1475738 111875 3877 2163 2 7.58 3.46 55.7 2.62 64% 2009 1342711 108746 3046 2037 5 8.09 2.80 66.87 2.26 72.23% PHC Balipara Bihali Gohpur Total National Rural Health Mission, Assam 51 6.3 0.3 13.2 0.3 56 Page 436 State Programme Implementation Plan 2011-12 Arunachal Pradesh Bordering with Tinsukia District: PHC % of +ve in Death ABER SPR Pf% API border PHC Year Population BSC/E +VE PF 2007 123314 5591 131 0 Na-Sadia 2008 123436 6753 89 33 2009 125554 13803 146 63 2007 304194 11071 106 1 0 3.63 0.95 0.94 0.34 Kakopathar 2008 300797 18309 316 282 2 6.08 1.72 89.24 1.05 2009 301890 34437 271 265 6 11.40 0.78 97.78 0.89 2007 291682 27024 1134 9 Ketetong 2008 283996 24861 1177 154 0 8.75 4.73 13.08 4.14 2009 292956 31734 1570 255 1 10.83 4.94 16.24 5.35 2007 719190 43686 1371 10 0 6.07 3.1 1.9 94% 2008 708229 49923 1582 469 2 7.04 3.1 29.6 2.2 87% 2009 720400 79974 1987 583 0 11.10 2.48 29.34 2.75 88.98% Total 4.53 2.34 0 0 1.06 5.47 1.31 37 0.72 10.99 1.05 43.15 1.16 9.26 4.19 0.79 3.88 0.7 Manipur & Nagaland Bordering with N.C. Hills District: Year Population BSC/E +VE % of +ve in PF Death ABER SPR Pf% API border PHC 2007 32855 4201 355 315 0 12.78 8.45 88.7 10.8 2008 33544 4964 338 291 2 14.79 6.80 86.09 10.0 2009 33729 5744 540 491 0 78.02 9.4 19.9 16.0 2007 53943 8386 307 304 0 15.54 3.66 99.00 5.69 Langting 2008 54721 7090 339 334 0 12.95 4.78 98.52 6.19 2009 55121 9047 672 665 0 16.41 7.42 98.9 12.2 2007 86798 12587 662 619 0 14.50 5.2 93.50 7.62 24% 2008 88265 12054 677 625 2 13.65 5.61 92.31 7.67 24% 2009 88850 14791 1212 1156 0 16.64 8.19 95.37 13.64 33.17% PHC Mahur Total National Rural Health Mission, Assam Page 437 State Programme Implementation Plan 2011-12 Mizoram Bordering with Cachar District: PHC Dholai 2007 227513 14224 426 % of +ve in PF Death ABER SPR Pf% API border PHC 413 0 6.25 2.99 96.9 1.87 12% 2008 230566 13503 325 316 0 5.85 2.40 97.2 1.40 15% 2009 230916 20520 438 327 0 8.88 2.13 74.65 1.89 16% Year Population BSC/E +VE Mizoram Bordering with Hailakandi District: PHC Year Population BSC/E +VE PF Death ABER SPR Pf% % of +ve in API border PHC 98 8.26 2007 176944 16839 1462 1433 0 9.51 8.68 Katlichera 2008 178272 21556 2784 2711 0 12.09 12.91 97.37 15.61 2009 178353 23396 1656 1540 2 13.11 7.07 92.99 9.28 2007 194116 14038 605 597 0 7.23 4.30 98.67 3.11 2008 196723 15370 786 754 0 7.81 5.11 95.92 3.99 2009 199637 17454 1228 1175 0 8.74 7.03 95.68 6.15 2007 371060 30877 2067 2030 0 8.32 6.6 98.2 5.5 71% 2008 374995 36926 3570 3465 0 9.84 9.6 97 9.5 84% 2009 377990 40850 2884 2715 0 10.80 7.05 94.14 7.62 85% Lala Total Meghalaya Bordering with Goalpara District: PHC Year Population BSC/E +VE PF Death ABER SPR Pf% % of +ve in API border PHC 2007 318686 20403 1776 1628 1 6.40 8.70 91.6 5.57 2008 320587 18874 1410 1307 0 5.88 7.47 92.6 4.39 2009 324549 28231 1606 1532 0 8.69 5.68 95.3 4.94 2007 157655 13034 252 236 1 8.26 1.93 93.65 1.59 Mornoi 2008 149422 14884 790 783 1 9.96 5.30 99.1 5.28 2009 154166 13235 914 899 0 8.58 6.90 98.35 5.92 Agia National Rural Health Mission, Assam Page 438 State Programme Implementation Plan 2011-12 PHC Year Population BSC/E +VE PF Death ABER SPR Pf% % of +ve in API border PHC 2007 172103 18658 2164 2065 2 10.84 11.59 95.42 12.57 Rongjuli 2008 183083 16950 1168 1105 0 9.25 6.89 94.60 6.37 2009 178640 18233 731 697 0 10.20 4.00 95.34 4.09 2007 241742 28188 925 868 1 11.66 3.28 93.83 3.82 Lakhipur 2008 244271 35057 698 651 0 14.35 1.99 93.26 2.85 2009 250422 49981 734 694 0 19.95 1.46 19.55 2.93 2007 890186 80283 5117 4797 5 9 6.37 93.7 5.7 87% 2008 897363 85765 4066 3846 1 9.5 4.74 94.5 4.5 69% 2009 907777 109680 3985 3822 0 Total 12.08 3.63 95.90 4.38 66.89% Nagaland/ Meghalaya Bordering with Karbi-Anglong District: PHC Year Population BSC/E +VE % of +ve in PF Death ABER SPR Pf% API border PHC 2007 51726 12025 1417 1054 13 23.24 11.78 74.38 27.39 2008 53176 15408 2039 1581 12 28.97 13.23 77.53 38.34 2009 146158 51410 4582 3992 9 35.17 8.91 2007 20188 3043 446 446 0 15.07 14.65 100.0 22.09 Zirikinding 2008 20562 2957 438 438 0 14.3 14.81 100.0 21.30 2009 21415 4733 440 439 0 22.10 9.29 99.7 20.54 2007 47405 9164 1723 1123 0 19.33 18.80 65.17 36.34 2008 48595 13424 2430 1710 0 27.62 18.10 70.37 50.00 2009 55586 14788 3076 2991 0 26.60 20.80 Manja Umpani National Rural Health Mission, Assam 87 31.34 2 55.33 Page 439 State Programme Implementation Plan 2011-12 2007 63128 12273 1936 1740 0 19.44 14.77 89.87 30.66 Baithalanshu 2008 65789 12977 3093 2955 0 1972 23.83 95.53 47.01 2009 66238 11220 3525 3502 0 16.93 31.41 99.34 52.86 2007 182447 36505 5522 4363 13 20.00 15.12 79.01 30.26 33% 2008 188122 44766 8000 6684 12 23.79 17.87 83.55 42.52 34% 2009 289397 82151 1162310924 9 32.16 14.14 93.98 40.16 43% Total From the above it is observed that border PHCs are contributing more than 60-70% of malaria cases in the districts. In view of above, it is decided in a workshop of “Development of joint Action Plan for malaria control in inter state border districts” held on 13th – 14th Nov/09 to develop co-ordinated & synchronization of micro action plan at PHC level. In order to develop micro action plan involving PHC MO I/C of bordering PHC of both the states just before and during transmission period, a joint meeting is proposed to organize during March & June of 2011 at district level in following places. In the meeting it will be decided the modalities for screening the population residing in deep forest non revenue villages on either side of the border where health infrastructures are totally lacking and difficult to approach. 1. 2. 3. 4. Sonitpur district for bordering PHC of Assam & Arunachal Pradesh. Shillong of Meghalaya for bordering PHC of Assam & Meghalaya. Cachar dist for border PHC of Mizoram & Assam Dimapur of Nagaland with bordering PHC of Nagaland & Assam Budget requirement: • • • Approximately 25-30 participants are expected in the meeting. TA & DA will be borne by respective state for their participants. Tentative requirement of fund to organize the meeting @Rs 50,000/- per meeting X 8 Nos.= Rs. 4.0 lakh. (Rupees four lakh) only. 20. Monitoring & Evaluation support for containment of epidemic. For containment of epidemics regular & timely analysis of data generated in the periphery is required. The datas are nedded to be transmitted from PHC to District and to State HQ for proper monitoring. Under IX round of GFATM project it is proposed that , malaria information system in the districts will be strengthen for electronic transferring of data for immediate situation analysis. For this purpose District Malaria Offices are required to be equipped with computer and posting of Data Entry Operator independently for continues uninterrupted flow of information to State and National HQ. National Rural Health Mission, Assam Page 440 State Programme Implementation Plan 2011-12 The following logistics and manpower support will required. Logistics: Sl No. 1 2 Items Replacement of NAMMIS computer, computer accessories with comprehensive annual maintenance Internet connection & billing for 12 months Contingency expenditures Quantity Approx. Rate For 30 Rs.60,000/per computers computer X 30 For 30 Rs.12,000/per computers connection X 30 30 nos. Rs.12000/per annum/ computer Provision of computer in 2 30 computer Rs. 60,000 X 30 selected PHC of 15 districts with internet connectivity Total 3 4 Total(Rs) 1800000.00 360000.00 360000.00 1800000.00 4320000.00 Training: Expected number of Participants No. of Batches 60 nos. from PHC 4 Amount required per Batch(Rs) X 5 Days 7500/ X 4 X 5 Total Amount(Rs) 150000.00 Each batch may consist of 15 participants. Manpower Data Entry Operator 27 Nos Rs. 6000/ per X 27 Rs. 162000.00 One on each district Budget: Sl No. 1 2 3. Activity Logistics: Training: Manpower TOTAL Rs. (Rupees Forty six lakh thirty two thousand only) National Rural Health Mission, Assam Total Amount(Rs) 4320000.00 150000.00 162000.00 4632000.00 Page 441 State Programme Implementation Plan 2011-12 21. Identification of Sentinel Surveillance Hospitals for monitoring of Severe Malaria Cases & other Vector Borne Disease Following introduction of RDT & ACT for treatment of PF malaria, it is expected that morbidity and mortality due to malaria will be reduced. To monitor the effectiveness of this strategy, district hospital and /or CHC of the districts are identified as Sentinel hospitals, where severe malaria cases are admitted. One Medical Officer and one Laboratory Technician of the hospital are identified for recording of such admitted patient regularly and reporting to district HQ. A token amount of Rs. 15,000 pm for MO & Rs. 500 pm for Lab. Technician is approved during FY 2010-11. The same hospitals & CHC of the districts as indicated below will act as Sentinel Surveillance Hospitals. Sl N o District 1 Barpeta 2 3 Bongaiga on Baksa Distric t Hospit al Civil Hospital CHC Remunerati on to Nodal Officer Sentinel site (In Rs.) Remunerati on to Lab. Tech (In Rs.). Contingen cy (In Rs.) Barpeta Road 3000.00 1000.00 1000.00 5000.00 1500.00 500.00 500.00 2500.00 1500.00 500.00 500.00 2500.00 1500.00 500.00 500.00 2500.00 0.00 0.00 0.00 0.00 1500.00 500.00 500.00 2500.00 Gogamukh, Jonai 4500.00 1500.00 1500.00 7500.00 Gazarikandi 3000.00 1000.00 1000.00 5000.00 1500.00 500.00 500.00 2500.00 Ronjuli 3000.00 1000.00 1000.00 5000.00 Bokakhat, Sarupathar 4500.00 1500.00 1500.00 7500.00 1500.00 500.00 500.00 2500.00 1500.00 500.00 500.00 2500.00 1500.00 500.00 500.00 2500.00 Boko 1500.00 500.00 500.00 2500.00 Bokajan 3000.00 1000.00 1000.00 5000.00 Civil Hospital Massalpur Silchar Medical College 4 Cachar 5 Chirang 6 Darrang Civil Hospital 7 Dhemaji Civil Hospital 8 Dhubri 9 Dibrugarh 10 Goalpara 11 Golaghat Civil Hospital 12 Hailakandi Civil Hospita l 13 Jorhat 14 Kamrup (Metro) 15 Kamrup (Rural) 16 K.- Civil Hospital Assam Medical College Civil Hospital Jorhat Medical College Gauhati Medical College Diphu Hospital National Rural Health Mission, Assam Total (In Rs.) Page 442 State Programme Implementation Plan 2011-12 Sl N o 17 District Anglong Karimgan j Remunerati on to Nodal Officer Sentinel site (In Rs.) Remunerati on to Lab. Tech (In Rs.). Contingen cy (In Rs.) 1500.00 500.00 500.00 2500.00 Gossaingaon 3000.00 1000.00 1000.00 5000.00 Boginadi 3000.00 1000.00 1000.00 5000.00 1500.00 500.00 500.00 2500.00 4500.00 1500.00 1500.00 7500.00 1500.00 500.00 500.00 2500.00 Maibong 3000.00 1000.00 1000.00 5000.00 Charaidew SubDivisional 3000.00 1000.00 1000.00 5000.00 B. Chariali 3000.00 1000.00 1000.00 5000.00 N. Sadia 3000.00 1000.00 1000.00 5000.00 Orang 3000.00 1000.00 1000.00 5000.00 64500.00 21500.00 21500.00 107500. 00 Distric t Hospit al CHC Civil Hospital Civil Hospital 18 Kokrajhar 19 Lakhimpu Civil Hospital r 20 Morigaon Hospital 21 Nagaon 22 Nalbari 23 N.C.Hills 24 Sibsagar 25 Sonitpur 26 Tinsukia 27 Udalguri Civil Civil Hospital Civil Hospital Civil Hospital Civil Hospital Civil Hospital Civil Hospital Civil Hospital Jakhalaband ha, Hojai Total Total (In Rs.) Budget Requirement of fund per month : Rs. 1,07,500.00 Total requirement for the year : Rs. 12,90,000.00 (Rupees twelve lakh ninety thousand) only 22. Action Plan on Kalazar: Kalazar is reported in the state during 2008 after a gap of three decades from some of the districts. During 2009 one PHC of Kamrup district is reporting Kalazar cases. Year No. of Kalazar cases No. of Death 2008 98 0 2009 25 0 2010 12 0 National Rural Health Mission, Assam Page 443 State Programme Implementation Plan 2011-12 Month wise Kalazar cases & Death (2009 & 2010) Month No. of cases Death No. of cases 2009 January February March April May June July August September October November December Total 2 3 8 1 1 0 0 3 2 2 3 0 25 Death 2010 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 1 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 All the cases are diagnosed by Rk39 and treated with SSG injection. Preventive measures EDPT, IEC & Vector control by DDT spray and ITBN are carried out. For training, IEC & monitoring following funds are proposed: SN 1 2 3 4 COMPONENT Training of para-medicals IEC Monitoring Drugs SSG injection/ Amphotericin inj NO. OF BATCH 5 batch (25 per batch) State / District / PHC Rs. IN LAKHS 0.50 2.50 0.50 0.50 4.00 lakhs (Total Rupees four Lakhs.) only. 23. Action Plan on Dengue: Dengue is new in Assam. During 2010 (up to 30th Oct) there are reports of 139 dengue cases with one death in the state. Majority of the patients have history of travelling to the Dengue affected areas of the country. 14 cases are found to be Elisa positive for IgM antibody. Month wise Dengue cases: MONTH July August NO. OF CASES 2 2 MONTH September October NO. OF CASES 26 100 District wise Dengue case/death National Rural Health Mission, Assam Page 444 State Programme Implementation Plan 2011-12 Sl No. 1. 2. 3. Name of District Case Death Kamrup (M) Kamrup Golaghat 109 4 8 0 0 1 4. 5. 6. 7. 8. 9. 10. 11 12. Dibrugarh Darrang Nalbari Nagaon Dhemaji Sonitpur Lakhimpur Jorhat Barpeta 4 2 1 1 1 3 1 3 2 0 0 0 0 0 0 0 0 0 A. I. 2. 3. 4. All the cases does not have history of travel All have travel history to dengue affected area of country Diagnosis Establishment of SSS Laboratory Sl No. 1. Remarks Name of SSSL identified GMCH, Microbiology Dept. AMCH, Microbiology Dept. JMCH, Microbiology Dept. RMRC, Apex Lab. Performance 2010 (up to Nov.) Tested +ve 263 146 106 Facility available Strengthening required Cost (Rs. In lakhs) Microbiologist & Elisa reader i) Computer ii) Internet iii) Contingency Supported through JE programe 0.50 i) ii) iii) 0.50 0.00 Computer Internet Contingency 73 Total II. 1.00 Apex Laboratory/Referral Lab (strengthening) Name of Referral Lab. RMRC, Dibrugarh Function Contingency expenditure National Rural Health Mission, Assam Fund requirement (Rs. In lacs) 1.00 Page 445 State Programme Implementation Plan 2011-12 Month wise requirement of Elisa Kits Name of SSSL April May June July Aug Sept. Oct Nov Total 1 1 1 1 1 1 1 0 7 Microbiology, AMCH 2 0 0 0 0 0 2 Microbiology, JMCH 1 0 0 0 0 0 1 4 1 1 1 1 0 10 Microbiology, GMCH Total N.B.: 1 1 1.Indigenous cases detected in the state and may appear earlier than other state. 2.GMCH will receive samples from private hospitals of the city & lower Assam. Vector Control I. Indoor Space Spray No. of district 27 II. No. of PHC 149 No. of micro discharge fogging Machine required i. 300 ii. Operation cost Total Outdoor Fogging - Operational cost - Rs. Cost (Rs. In lacs) 4.5 (approx) 1.5 6.0 4.00 lakhs Capacity Building: Sl No. Category of staff 1. Microbiologist & Lab. Tech of 1 SSSL MO Integrated with other vector borne disease Para-medical ASHA Total 0.50 2. 3. 4. National Rural Health Mission, Assam No. to be trained 6 Batches Cost (Rs. In lacs) 0.50 Person responsible RMRC SPO DMO I/C PHC Page 446 State Programme Implementation Plan 2011-12 IEC/BCC: Sl No. Item 1. 2. 3. 4. Cost (Rs. In lacs) 1.37 6.63 Through NRHM Interpersonal communicative & group discussion Production folder poster and distribution Newspaper advertisement Telecasting TV spot in local language Total 8.00 Budget: Sl No. Component Cost (Rs. In lacs) 2.00 10.00 0.50 8.00 20.50 1. 2. 3. 4. Contingency expenditure for apex Laboratory Vector control Capacity Building IEC/BCC Total (Rupees Twenty lakh fifty thousand) only 24. Action Plan for Japanese Encephalitis 1. Epidemiological data of AES/JE cases and death: 2008,2009 & 2010 (up to Oct) Year 2008 2009 2010 (up to Oct) Diseases AES JE AES JE AES JE Case 319 157 643 218 469 142 Death 100 33 109 46 117 40 CFR 31 21 17 21 25 28 1.1.District wise AES/JE Cases & death Sl no. 1 2 3 District Barpeta Disease AES JE Bongaigaon AES JE Baksa AES JE 2008 Cases 0 0 0 0 0 0 National Rural Health Mission, Assam Death 0 0 0 0 0 0 2009 Cases 1 1 0 0 0 0 Death 0 0 0 0 0 0 2010 (up to Oct) Cases Death 14 3 9 0 1 1 1 1 1 1 1 1 Page 447 State Programme Implementation Plan 2011-12 Sl no. District 4 Darrang 5 Dhemaji 6 Dibrugarh 7 Dhubri 8 Goalpara 9 Golaghat 10 Jorhat 11 Kamrup (R) 12 13 Kamrup (M) K-Anglong 14 Lakhimpur 15 Sivsagar 16. Sonitpur 17. Tinsukia 18. Nagaon 19. Udalguri 20 Morigaon 21. Nalbari Disease 2008 Cases 0 0 20 1 119 60 0 0 0 0 32 14 27 12 2 0 0 0 0 0 49 23 35 21 17 17 18 9 0 0 0 0 0 0 0 0 AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE AES JE 2009 Death 0 0 7 0 31 16 0 0 0 0 9 2 15 8 2 0 0 0 0 0 9 2 18 0 4 4 5 1 0 0 0 0 0 0 0 0 Cases 0 0 14 8 105 64 0 0 0 0 71 22 30 18 2 0 2 0 0 0 32 7 130 40 181 32 55 17 11 3 9 6 0 0 0 0 2010 (up to Oct) Cases Death 13 2 7 1 12 4 4 2 98 34 29 12 2 2 2 2 3 0 1 0 61 2 9 1 25 12 9 2 9 7 5 4 4 1 1 0 8 0 3 0 13 3 3 0 87 24 23 8 59 7 11 2 32 4 6 0 18 9 9 4 3 1 3 1 5 0 5 0 1 1 0 0 Death 0 0 4 1 22 14 0 0 0 0 0 0 12 9 0 0 0 0 0 0 6 2 50 18 4 2 1 0 1 0 0 0 0 0 0 0 1.2. Age/Sex wise AES/JE cases 2008, 2009 & 2010 (up to Oct.) Year Disease 0-1 1-5 F 6-15 15 above 2008 AES M 3 2009 JE AES 0 7 0 2 8 39 15 43 32 74 22 66 JE 0 0 13 11 24 17 Total 0 M 18 F 21 M 58 F 45 M 103 F 71 M 182 F 137 52 28 241 171 92 361 65 282 133 85 National Rural Health Mission, Assam 96 57 Page 448 State Programme Implementation Plan 2011-12 Year 2010 (up to Oct) Disease AES JE 0-1 M 3 0 1-5 F 3 0 M 33 10 6-15 F 31 9 M 57 21 15 above F 49 12 M 200 58 F 93 32 Total M 293 89 F 176 53 1.3. Sentinel Surveillance site with Laboratory (SSSL) Performance of SSSL during 2010(P) Sl no. 1 2 3 4 5 6 1.4. Sl no. 1 2 3 4 5 6 Name of SSSL Assam Medical College Hospital, Dibrugarh Gauhati Medical College Hospital, Guwahati Jorhat Medical College Hospital, Jorhat Sivsagar Civil Hospital, Sivsagar Lakhimpur Civil Hospital , Lakhimpur Regional Medical Research Laboratory (ICMR-NE ) , Dibrugarh TOTAL No. of AES Cases tested 218 Mac- Elisa positive 87 359 115 53 26 12 33 6 7 466 118 1141 359 Districts proposed to be allotted to SSSL for sample testing during 2011-12 Name SSSL Assam Medical College Hospital, Dibrugarh Gauhati Medical College Hospital, Guwahati Jorhat Medical College Hospital, Jorhat Sivsagar Civil Hospital, Sivsagar Lakhimpur Civil Hospital , Lakhimpur RMRC, Dibrugarh National Rural Health Mission, Assam District allotted Remarks Dibrugarh , Tinsukia Kamrup, Kamrup(M), Nagaon, Morigaon, Darrang, Baksa, Nalbari, Barpeta, Chirang, Kokrajhar, Bongaigaon, Dhubri, Goalpara, K-Anglong Jorhat, Golaghat Sivsagar Dhemaji , Lakhimpur Apex Laboratory Page 449 State Programme Implementation Plan 2011-12 1.5. Plan for Establishing New Sentinel Surveillance Sites : Sl No. Name of SSSL proposed Justification 1 Silchar Medical College Hospital 1. Barak Valley comprising Cachar, Hailakandi & Karimganj are blank in JE diagnosis 2. Microbiologist & Elisa reader available( or will be provided from NVBDCP) Christian Mission Hospital, Tezpur. 2 1. The Mission Hospital & a Catholic Hospital at Borgang sent maximum samples to RMRC ,Dibrugarh 223 & 263 no.s of AES cases samples are analyzed at RMRC during 2009 & 2010 respectively from Sonitpur district alone District : Sonitpur 2. Microbiologist & Elisa Reader are available and willing to do Elisa Test 1.6. Name of SSSL Month wise requirement of JE Mac Elisa Kits 2011-12 Jan Feb Mar April May June July Aug Sept Oct Nov Dec Total AMCH 0 0 1 1 2 2 2 0 0 0 0 0 8 GMCH 0 0 1 1 2 3 3 0 0 0 0 0 10 JMCH 0 0 1 0 1 1 0 0 0 0 0 0 3 SMCH 0 0 0 0 1 0 0 0 0 0 0 0 1 SCH 0 0 0 1 0 0 0 0 0 0 0 0 1 NCH 0 0 0 1 0 0 0 0 0 0 0 0 1 CMH 0 0 0 1 1 1 0 0 0 0 0 0 3 RMRC 0 0 1 1 1 1 1 1 0 0 0 0 6 TOTAL 0 0 4 6 8 8 6 1 0 0 0 0 33 AMCH : GMCH: JMCH : Assam Medical College Hospital Gauhati Medical College Hospital Jorhat Medical College Hospital National Rural Health Mission, Assam Page 450 State Programme Implementation Plan 2011-12 SMCH SCH LCH CMH RMRC 1.7. : : : : : Silchar Medical College Hospital Sivsagar Civil Hospital Lakhimpur Civil Hospital Christian Mission Hospital Regional Medical Research Center Fund requirement for Lab infrastructure development 2011-12 Name of SSSL AMCH Component 1. BSL2 2. A/C 3. Data –entry operator ( Cocoordinator) 4. Laptop & internet 5. Contingency 6. Lab cleaner GMCH,JMCH,SCH&LCH 1. BSL2 2. A/C 3. Data –entry operator ( Cocoordinator) 4. Computer & internet, Fax , printer 5. AMC 5. Contingency 6. Lab cleaner Transportation of samples Qty 1 2 ( split A/C) 1 1 12 months 12 months 1X4 2 ( split A/C)X4 1X4 1X4 12 monthsX4 12 monthsX4 12 monthsX4 Rs in Lakh Remark/ Justification 6.00 0.65 From January 1.08 2010 the laboratory is supported by 0.65 NVBDCP fund in the form of salary 0.60 of data entry 0.60 operator, internet & contingency 24.00 The GMCH is 2.60 handling a huge number of cases 4.32 and data entry operator , computer ,internet 4.00 connectivity and deep freezer to 2.00 store samples are 2.40 urgently required 2.40 1.00 Total National Rural Health Mission, Assam 52.30 Page 451 State Programme Implementation Plan 2011-12 2. Vector Control 2.1. Out door space spray (with Malathion Technique) FOGGING will be carried out during outbreak situation Sl. No. District Predicted areas Month & periodicity 1 Dibrugarh Dib town, 5 PHC areas June, July, Aug 7 days interval 2 Sivsagar Sivsagar town, Sonari town, June, July, Aug Moran town & 7 PHC areas 7 days interval 3 Tinsukia Tinsukia town, Magherita June, July, Aug town , 4 PHC areas 7 days interval 4 Jorhat Jorhat town, Titabar town, June, July, Aug Kamalabari & 5PHC 7 days interval 5 Golaghat Golaghat town, Saupather June, July, Aug town, Bokakhat town & % 7 days interval PHC areas 6 Dhemaji Dhemaji town, Jonai town & June, July, Aug 4 PHC areas 7 days interval 7 Lakhimpur Lakhimpur town, 5 PHC June, July, Aug areas 7 days interval 8 Kamrup Guwahati city, Rongia town 9 Other districts As per situation demand June, July, Aug 7 days interval 2.2. Promotion of ITBN Most of the families of the JE endemic districts are using bed nets. Community owned and supplied bed nets of the JE endemic districts will be impregnated as per malaria activities and will organize ITBN awareness cum impregnation camps in villages during Village Health & Nutrition Day (VHND) in the month of Jan & June/2011 National Rural Health Mission, Assam Page 452 State Programme Implementation Plan 2011-12 2.3. Introduction of Larvivorous fish The breeding places of JE vector during rainy season are extensive and initially water bodies in the towns are identified for introduction of Larvivorous fish and two natural ponds are identified as mother Hatchery in district head quarters of Lakhimpur. Identified water bodies of the district will be seeded with Larvivorous fish from mother hatchery. In Sivsagar & Jorhat Guppy and Gumbusia fishes are released to ponds and drains. Dibrugarh district is identified for culture of Larvivorous fish and district has identified some perineal water bodies. 2.4. Entomological Surveillance: The state entomological unit is revamped and will be engaged along with Zonal malaria office in entomological study in the JE endemic district. The staff of the unit as well as the DMO of the endemic district will be trained at RMRC / IMR. 3. JE Vaccination Sl no. Year Districts undertaken vaccination Campaign 1 2006 Dibrugarh , Sivsagar 2 2007 Jorhat, Golaghat 3 2008 Tinsukia, Dhemaji 4 2009 Lakhimpur, Sonitpur, Kamrup 5 2010( Nov) Udalguri, Nagaon 6 2011 (proposed) Barpeta, Marigaon , Darrang , Nalbari, Goalpara 3.1. Operational Research Japanese Encephalitis is endemic in 8 Upper Assam Districts. Cases are also reported from other districts sporadically. The suspected JE data of last one decade shows that the incidence of the disease is almost equal in children below 15 yrs and above. After vaccination (1-15yrs age group) the incidence in adult age group is more in comparison to children. By this time of repeated exposure to JE virus the adult should have immunity against JE and therefore there is scope for scientific research to evaluate the cause and remedy of viral encephalitis in adult age group. The research is to be carried out by a scientific research body like RMRC, Dibrugarh. Budget for research : Rs. 10, 000, 00.00 (Rupees ten lakh) only National Rural Health Mission, Assam Page 453 State Programme Implementation Plan 2011-12 3.2. Up gradation of AES Treatment facility at Assam Medical College Hospital, Dibrugarh: The Assam Medical College Hospital is managing large number of ASE/JE cases annually. The cases are not only from the Upper Assam District but also from neighboring Arunachal Pradesh, Nagaland, Manipur also. The Microbiology Laboratory of AMCH was initially supported by WHO for JE diagnosis. However from January/2010 the support was withdrawn and NVBDCP took the responsibility in running the JE diagnostic laboratory. 60 bedded AES treatment facility (including 20 bedded ICU and 40 bedded steps down ICU) is proposed in the existing new building. The following budget is required for the AES treatment facility centre. Sl No. 1. 2. Component Recurring expenditure Non recurring expenditure a. Equipments b. Civil works Total Amount (Rs. In Lakh) 142.00 695.00 211.00 1048.00 4. Capacity Building Sl. Purpose of No training 1 2 3 Category of trainee Venue/ Trainer Implementation of AES Surveillance system Joint directors , CM&HO (D), DMO of districts Completed MO. PHC, CHC FRU CH, Private practitioner. District/ District trainer Clinical- JE case management Clinician, pediatricians , medical officers ( govt./ private/ PSU ) Dibrugarh(completed at RMRC) No. of person to be trained 250 25 GMC, Gauhati SMC, Silchar 4 Laboratory diagnosis Microbiologist, Pathologist, Lab Tech RMRC, Dibrugarh 10 (induction completed, needs another hands on training) National Rural Health Mission, Assam Page 454 State Programme Implementation Plan 2011-12 Sl. Purpose of No training Category of trainee Venue/ Trainer 5 Entomology State entomologist, Asst. entomologist, DMO of endemic districts RMRC Dibrugarh / IMR Sonapur 6 Early reporting of AES SMI,MI, SI, LHV, SW, ANM, AWW, ASHA FTD PHC/ MO PHC 7. Outdoor space spray (Fogging) Mechanic/ Field Worker of PHC District 5. Activities 1. a. Print Media Poster- multi colour poster on JE in Assamese, Bodo, Bengali language @ 10000/- dist. Pamphlet – Bicolor Pamphlet on JE in Assamese, Bodo, Bengali language @ 10000/- dist. Folder- Multi colour folder on JE @5000/dist Newspaper Advertisement- Daily Advertisement through local newspaper from Guwahati Community Level Advocacy workshop at Dist. Level Officer @ 1/dist. Advocacy workshop at PHC level @ 1/- PHC c. d. 2. a. b. 6 1000 50 BCC Sl No. b. No. of person to be trained Unit Cost (in Rs.) IEC during 2009-10 (No.) Proposed during 2010-11 3.50 Nil 9000 31500.00 0.30 Through NRHM 90000 27000.00 2.00 Through NRHM 45000 90000.00 Through NRHM 6 (Through NRHM) 20 Nos. (NRHM) Through NRHM Through NRHM 10 Nos (NRHM) Through NRHM Through NRHM 50 (NRHM) National Rural Health Mission, Assam Estimate cost (in Rs.) Page 455 State Programme Implementation Plan 2011-12 Sl No. Activities c. Awareness generation meeting at village level @1/ village (Through VHSC/VHND) Miking 1 day prior to fogging operation Street play at the endemic PHC level @ 2 Nos. Awareness generation programme among the school children FGD on JE at the endemic village level Cleanness drive in the endemic village by involving SHG/Local NGOs/ CBOs Total d. e. f. g. h. Unit Cost (in Rs.) IEC during 2009-10 (No.) Through VHSC Proposed during 2010-11 10000 (NRHM) Through NRHM 2500.00 Through NRHM Through NRHM 10000 (NRHM) 100 250000.00 1500.00 Through NRHM 750 1125000.00 Through VHSC Through NRHM Through NGO Through NRHM Through NRHM Estimate cost (in Rs.) 1297 (NRHM) 1200 (NRHM) 1523500.00 6. Logistic Requirement: Sl Particulars No. Laboratory 1. Elisa Reader with washer 2. Mac-Elisa Kit (JE) (including RMRC) Opening Balance Technical Requirement Net requirement 6 0 1 33 1 33 24 0 2000 kg 100 300 2000 kg 76 300 Vector Control 1. Malathion Technical 2. Fogging Machine 3. Micro discharge Fogging Machine 7. Budget Sl No. 1. 2. 3. Item Elisa Reader & Washer Unit cost (Rs. in lakh) 4.5 Fogging Machine 0.23 National Rural Health Mission, Assam Total (Rs. in lakh) 04.50 17.48 Page 456 State Programme Implementation Plan 2011-12 Sl No. 5. 6. 7. 8. 9 10 11. 12. Item Unit cost (Rs. in lakh) Drug & hospital logistics Training BCC Monitoring Fogging operation Strengthening of SSSL Scientific Research Up gradation of AES treatment facility at AMCH (NRHM Flexi pool) Total Total (Rs. in lakh) 05.00 04.85 19.97 05.00 12.15 52.30 10.00 1048.00 0.45 1179.25 (Rupees Eleven crore seventy nine lakh & twenty five thousand) only 25. Action Plan for Elimination of Lymphatic Filariasis 1. Situation Analysis of Lymphatic Filariasis in the State. Micro Filaria Night Survey Reports (up to December, 2009) Sl No. Name of District 1 Dhubri 2 Kamrup 3 Nalbari 4 Darrang 5 Sibsagar 6 Dibrugarh 7 Dhemaji Survey Site Sentinel Random Total Sentinel Random Total Sentinel Random Total Sentinel Random Total Sentinel Random Total Sentinel Random Total Sentinel Random Total National Rural Health Mission, Assam BSC/BSE 1472 1543 3015 1862 1903 3765 1983 1692 3675 1879 1681 3560 1814 1890 3704 1948 1936 3884 1442 1931 3373 No. of Mf +ve 0 0 0 2 0 2 0 0 0 2 0 2 58 50 108 53 36 89 0 0 0 Mf % 0 0 0 0.10 0 0.05 0 0 0 0.05 0 0.05 3.19 2.64 2.91 2.72 1.85 2.29 0 0 0 Page 457 State Programme Implementation Plan 2011-12 2. Up dated linelisting of Lymphoedema and Hydrocele Cases up to December, 2009 Sl No. District No.of Lymphoedema Cases No. of Hydrocele Cases 1 Dhubri 141 242 2 Kamrup 54 21 3 Nalbari 27 134 4 Darrang 142 391 5 Sibsagar 51 170 6 Dibrugarh 343 189 7 8 9 10 11 Dhemaji Nagaon Sonitpur Tinsukia Karbi-anglong 18 6 16 89 19 0 18 31 3 45 906 1244 Total Proposed MDA District: The districts Nagaon, Sonitpur, Tinsukia and Karbi-anglong are proposed to be carried out village wise linelisting of Filaria and Hydrocele cases because there are reports of Filaria cases. After linelisting of cases, Mf night survey will be carried out by the survey team of NFCP Unit, Guwahati. If the Mf rate of the said districts are 1% or more than 1%, then these districts may be considered for MDA programme in the year 2011 after obtaining necessary approval from the Govt. of India. Line listing of Lymphatic Filariasis and Hydrocele Cases: The state of Assam has 27 districts with 4575 Sub centre and 29007 villages. All the villages are to be line listed and a minimum amount of Rs.300/ per sub centre is to be provided those will involve for line listing. ASHAs and some NGOs may be involved for linelisting. Monitoring and supervision will be done by the MO PHCs and the officers from state HQ. Study of circulating antigenemia through ICT 458ilarial card in the specific age groups for taking a decision for stopping furthers round of MDA in the state. Sl No. Proposed district for stopping MDA 1 2 3 4 Kamrup Nalbari Dhubri Dhemaji National Rural Health Mission, Assam Number of MDA rounds will complete up to December, 2010. 6 6 5 5 Page 458 State Programme Implementation Plan 2011-12 3. Action Plan on Mass Drug Administration (MDA) for E L Filariasis, 2011-2012 Requirement of Drugs and Man Power for MDA. Sl N o. District 1 Dibrug No. of BP HC No . of SC No. of Villag es Populat ion as per 2010 Requirem ent Of DEC (100mg) tablets 6 24 1094 134575 arh 2 0 Dhema No. of Supervis ors required No .of Drug Distribut ors required 3364378 Requirem ent of Albendaz ole (400mg) tab 1345751 457 4575 1 5 98 1365 677875 1694688 677875 230 2304 8 22 1063 114857 2871445 1148578 390 3905 ji 3 Sibsaga r 4 2 Darran 4 16 g 5 8 514 947606 2369015 947606 322 3221 473 838806 2097015 838806 285 2851 1720 157751 3943785 1577514 536 5363 3506438 1402575 476 4768 4389400 1755760 596 5969 3 Nalbari 4 12 1 6 Kamru 12 28 p 7 1 Kamru 1 4 52 0 140257 p (M) 8 5 Dhubri 7 24 1458 175576 6 9 Udalgu 3 14 ri 10 0 817 867842 2169605 867842 295 2950 812 994932 2487330 994932 338 3382 1,15,57, 2,88,93,09 1,15,57,239 239 9 2 Baksa 4 15 9 Total 54 172 9316 4 3925 39,288 NB: Golagaon and Jalah Block PHC under Baksa District are excluded from MDA because these BPHCs were merged from Barpeta district National Rural Health Mission, Assam Page 459 State Programme Implementation Plan 2011-12 4. Activity Plan on Mass Drug Administration(MDA) for the year 2011-12 Action to be taken Month January Activity February, March, April & May From 3rd Week June July 1st Week From onwards 1/8/11 August From 20/8/11 to 20/9/11 From 29/8/11 to 10/9/11 From 3/9/11 to 30/10/11 From 6/9/11 onwards September On 7/9/11 From 5/9/11 to 9/9/11 On 20/9/11 From 4/10/2010 onwards October Activity Break up Dates From 25/10/11 onwards From 14/10/11 to 20/10 11 Submission of annual action plan Line listing of LF and Hydrocele Cases Preparation of district micro action plan for MDA Hydrocelectomy, line listing of cases continue Village wise preparation and submission of micro action plan to the state HQ by last week of June. Review of Action Plan at State HQ IEC/BCC State level, district level, PHC level, SC level and Village level also. Mapping Mapping of LF and Hydrocele cases up to village level Baseline data Mf night survey, morbidity collection survey Training On 3/9/11 at Guwahati. District level Officers only. From 6/9/11 onwards district level MO/health Officials at district HQ. Meeting On 7/9/11 State Task Force meeting at Guwahati. On17/9/11 State Technical Advisory Committee meeting at State HQ. From 5/9/11 to 9/9/11 1st DCC meeting at district HQ. On 20/9/11 1st Press meet at State HQ. Training From 4/10/2010 onwards Paramedical /Lab tech at PHC level From 25/10/11 onwards Drug distributors at PHC level Advocacy From 14/10/11 to 20/10 11 workshop with at State HQ and dist HQ. NGOs/others Govt /non Govt deptt/Education Drug distribution State HQ to district HQ From 15/10/11 to 29/10/11 From 20/10/11 to Do National Rural Health Mission, Assam Send indent to the GOI District HQ to the BPHC Page 460 State Programme Implementation Plan 2011-12 Action to be taken Month October Activity Dates 30/10/11 From 13/10/11 to Do 2/11/11 From 27/10/11 to Meeting 30/10/11 On 11/11/11 MDA Observation November From 20/11/11 to Sample Survey 30/11/11 5/12/11 PHCs Review December 10/12/11 20/12/11 5. Level From BPHC to the SC and to village level 2nd DCC meeting at Dist HQ. Mop up days on 12 & 13th November For actual drug compliance Post MDA activities. Submission of MDA Performance reports by the BPHCs to the district HQ. Districts Review Post MDA activities. Submission of MDA Performance reports by the districts to the state HQ. Submission of Submission of State State Reports to Reports to the Govt. of the Govt. of India India Budget Estimation for MDA 2011-12 Activity Training Advocacy Workshop State HQ Activity Break up Activity Break up District level Officers With district officials/NGOs/FBOs/CBOs/ etc Training of MO Govt Rs.50,000/per batch X 2 &Private doctors batches per district X 10 districts IEC/BCC Development of training modules, printing of reporting formats, etc State Task Force meet & Rs.10000/per meet X 3 State Technical Advisory meetings Committee meet. MDA assessment Rs.9000/per district X 7 through medical districts colleges, ICMR etc POL/Mobility & 300000.00 National Rural Health Mission, Assam Total (Rs) Gross Amount (Rs) 100000.00 300000.00 1000000.00 1000000.00 700000.00 42,93,000.0 0 30000.00 63,000.00 300000.00 Page 461 State Programme Implementation Plan 2011-12 Level Activity Activity Break up Total (Rs) Rs.100000/per district X 7 districts 100000.00 700000.00 Rs.300/per Sub Centre X 4565 Sub Centre Rs.50000/per district X 10 MDA districts 5000/per meet X 3 meet per district X 10 districts IEC/BCC 2,25,000/per district X 10 districts Training of paramedical 50000/per district X 10 at dist HQ. districts TA/hiring of vehicle Rs.18,000 , POL Rs.9,000, Night Blood Survey DA Rs.13,000, Lab items (slides, needle, swab, stains, etc.)Rs.7,000 1369500.00 Monitoring ICT card study Office contingency/establishm ent Line listing of LF & Hydrocele cases Hydrocelectomy & morbidity management DCC meet Distric t level 47000/per district X 7 MDA districts and X 3 Non MDA districts. POL/mobility & 80000/per district X 10 monitoring districts Training & Honorarium 300/per distributor X 40000 for Drug distributors and social mobilization Honorarium for 300/per supervisor X 4000 Supervisors and social mobilization Rapid Response Team 10000/per BPHC X 55 no. BPHC Gross Amount (Rs) 100000.00 500000.00 150000.00 2250000.00 500000.00 470000.00 1,97,89,500 800000.00 12000000.0 0 1200000.00 550000.00 2,40,82,500 (Rupees Two crore forty lakh eighty two thousand & five hundred) only National Rural Health Mission, Assam Page 462 State Programme Implementation Plan 2011-12 26. Action Plan on Entomological Surveillance of Vector Borne Diseases Entomological Surveillance: Objectives : 1. The study of Vector bionomics by using standard Entomological technique, the dynamics of Vector Borne Diseases Transmission may be predicted. 2. Suitable Vector control measures selection. 3. To know the Vector species, species diversity in the local area. 4. Insecticide resistance to Vectors can be detected. 5. To know the susceptibility status of Vector mosquito. Methodology : 1. Time period of study: - Form January 2011 to December 2011 entomological surveillance on Malaria, Filaria, Dengue, Kala-azar & J.E. would be carried out in the districts. 2. Time of study: collection. Morning 6A.M. to 9 A.M. and evening 6 to 9 pm, whole night mosquito 3. Season: - Seasonal Vector bionomics will be carried out. The meteorological data like temperature, rainfall, and relative humidly will be recorded during the study period. The four season of the State are Pre monsoon (March/April/May) Monsoon (January/August/September) Retreating monsoon (October and November). Winter (December, January, February) Sampling Collection: The adult mosquito & Larva will be collected during morning and evening hours both indoor and outdoor collection. After collection all mosquitoes/ mosquito Larva will be identified and only female mosquito will be dissected. 1. Susceptibility Test & Bio-assay test: - Insecticide and Larvicide’s susceptibility test will be carried out. 2. Identification of Blood meal: - To identity the blood meal of mosquito. The collected sample will send to the NVBDCP Delhi for necessary Test. 3. Entomological Parameter: Adult man density. Man mosquito contact. Sporozoite rate. Larval density. National Rural Health Mission, Assam Page 463 State Programme Implementation Plan 2011-12 Man power involvement: The Entomological unite of State head quarter NVBDCP, Assam. N.F.C.P unit of State head quarter. Zonal Entomological unit NVBDCP Guwahati. Zonal Entomological unit NVBDCP Jorhat. Zonal Entomological unit NVBDCP Silchar. Summary of Entomological survey conducted during the year 2010 up to October by State Entomological unit Assam Name of district covered by Entomological survey 1. Kamrup - R 2. Golaghat 3. Sonitpur 4. Kamrup (M) (for Dengue) Species prevalence: 1. 2. 3. 4. 5. 6. 7. 8. 9. An hyrcanus An phillipinensis An Vagus Aedes Albopitus Aedes Aegypti Aedes vitatus Monsonia Annulifera Culex quinquifacitus Culex vishnui Finding & salient observation: 1. Out of nine Anopheles Vector so for recorded in the different part of the India only one Vector sp. An Philippines’s is found in the survey. 2. Mosquito density was observed low during survey period. 3. Among dissected mosquito no malaria parasite is found. 4. Higher proportions of mosquito were captured from the animal bait collection. 5. Among others Vector species Aedes Albopictus and Aedes Aegypti were collected both Larva & Adult stage during the survey. Establishment of Mobile Entomological field Laboratory: During the year 2010 a fund amounting Rs. 10 Lakh was allotted for Entomological survey. By utilizing above mentioned fund. Most of the important equipment of Mobile Entomological field Laboratory were purchased. National Rural Health Mission, Assam Page 464 State Programme Implementation Plan 2011-12 Materials/ equipments required for Entomological Surveillance: Sl. No Quantity required Items DHC. Approved Rate/market rate Total Amount (in Rs) 1 Torch light (3 cell capacity) 15 Rs. 200/each 2,500 2 Dry battery cells 250 Rs.8/each 2,500 3 Larval ladle 20no Rs. 50/each 1,000 4 Pipettes 50no Rs.10/each 500 5 Test tube (L-15cm, D- 1.5CM 2000 no Rs.2.50/each 5,000 6 Mosquito suction tube 25no Rs. 278/each 6,950 7 Photo enamel tray (20cmx15cm) white 25no Rs. 105/each 2,650 8 Polythene bags 1000no Rs. 1/each 1,000 9 Carry bag for Insect collectors. 10no Rs. 105/each 1,500 10 Rubber bands 11 Cotton wool 10kg Rs. 145/kg 1,450 12 Entomological pin 25pacakets Rs.20/each 500 13 Petri dish 50 no Rs. 5.85/each 293 14 Mosquito dissecting needle 100no Rs. 1.75/each 175 15 Mosquito forceps (4"x6") 20no Rs. 72/each 1,440 16 Entomological box (18"x12"x3" 5no Rs. 550/each 2,750 17 Larvae collecting tube with stand 20no Rs.225/each 4,500 18 Filter Paper(Whatman) 25pacakets Rs. 400/pkt x 25 10,000 19 Dissecting Microscope 2no Approx.Rs.30,000 60,000 20 Specimen Tube 80 no Rs. 50/each 20 Laboratory Table 10no Rs.1600/- 16,000 21 Lab/Tools repair 10 no Rs. 400/- 4,000 National Rural Health Mission, Assam 100 4,000 Page 465 State Programme Implementation Plan 2011-12 Sl. No Quantity required Items DHC. Approved Rate/market rate Total Amount (in Rs) 22 Hand Lance 20 no Rs. 60/- 1,200 23 Cage(Mosquito) with farm 15 no Rs.200/- 3,000 24 Light Trap 5 no Rs. 20,000/- 25 Lab/Reagent stain etc. X X 1000,00 20,000 Total Rs. 2,53,683 Say Rs. 255000 Materials/equipments required for Entomological surveillance: Following materials are required for entomological surveillance: Sl no. Items Quantity required 1 Torch light(3 cell capacity) 30 nos 2 Dry battery cells 100 nos. 3 Larval ladle 50 no 4 Pipettes 50 no. 5 Test tube(L-15cm,D-1.5CM 2000 no. 6 Mosquito suction tube 100 no. 7 Photo enamel tray (20cmx15cm) white 50 no. 8 Polythene bags 1000no. 9 Carry bag for Insect collectors. 50 no. 10 Cotton wool 50 Kg 11 Entomological pin 100 packets 12 Petri dish 50no. 13 Bound Register book(300 pages) 50 no 14 Mosquito dissecting needle 1000 no. 15 Mosquito dissecting forceps(4”x6”) 50 no. 16 Entomological box(18’’x12’’x3”) 50 no. National Rural Health Mission, Assam Page 466 State Programme Implementation Plan 2011-12 17 Larvae collecting tube with stand 100 no. 18 Filter Paper(Whatman) 100 packets 19 Dissecting Microscope 5 no. 20 Chloroform 5 litres 21 Methyl Alcohol 100% 5 litres 22 Conc. Hydrochloric Acid( HCl ) 1 litre Name of Entomological Survey Districts (Disease Wise) for the Year, 2011 Name of Malaria Endemic Districts Name of Filaria Endemic Districts Name of JE Endemic Districts Name of Dengue Endemic Districts Name of KalaAzar District Kamrup ( M ) Kamrup ( M ) KarbiAnglong Dibrugarh Sibsagar Sonitpur Darrang Dibrugarh Golaghat N.C. Hills Udalguri Sonitpur Dibrugarh Goalpara Tinsukia Barpeta Darrang Nagaon Sibsagar Darrang Nagaon Morigaon Kamrup ( R ) Dhemaji Jorhat Kokrajhar Golaghat Nalbari Golaghat Kamrup Kamrup ( R ) Chirang Lakhimpur Udalguri Tinsukia Baksa Nagaon Dhemaji North Lakhimpur Tinsukia Hailakandi National Rural Health Mission, Assam Page 467 State Programme Implementation Plan 2011-12 Name of Malaria Endemic Districts Name of Filaria Endemic Districts Name of JE Endemic Districts Name of Dengue Endemic Districts Name of KalaAzar District Karimganj Kamrup ( R ) Dhubri Bongaigaon Entomological Surveillance on Malaria for the Year 2011 Month Feb March April May Cost of POL Cost of hire vehicl e DA of Surve y Team Total ( R ) 120 4800 8400 6000 19200.00 5 160 6400 8400 6000 20800.00 6 5 180 7200 8400 6000 21600.00 Kokrajhar 6 5 120 4800 8400 6000 19200.00 Sonitpur 6 5 140 5600 8400 6000 20000.00 Baska 6 5 90 3600 8400 6000 18000.00 K-Anglong 6 5 180 7200 8400 6000 21600.00 Goalpara 6 5 160 6400 8400 6000 20800.00 Nagaon 6 5 140 5600 8400 6000 20000.00 Tinsukia 6 5 180 7200 8400 6000 21600.00 Chirang 6 5 120 4800 8400 6000 19200.00 Karimganj 6 5 280 1120 0 8400 6000 25600.00 Udalguri 6 5 130 5200 8400 6000 19600.00 Hailakandi 6 5 310 1240 8400 6000 26800.00 No. of workin g day No. of person engage d POL require d Dhubri 6 5 Golaghat 6 Lakhimpur Name of the district June National Rural Health Mission, Assam Page 468 State Programme Implementation Plan 2011-12 Month Name of the district No. of person engage d No. of workin g day POL require d Cost of POL Cost of hire vehicl e DA of Surve y Team Total ( R ) 0 July August Morigaon 6 5 120 4800 8400 6000 19200.00 Kamrup (R ) 6 5 120 4800 8400 6000 19200.00 Dhubri 6 5 120 4800 8400 6000 19200.00 Baska 6 5 90 3600 8400 6000 18000.00 N.C. Hills 6 5 220 8800 8400 6000 23200.00 Bongaigao n 6 5 120 4800 8400 6000 19200.00 Sonitpur 6 5 140 5600 8400 6000 20000.00 Nagaon 6 5 140 5600 8400 6000 20000.00 6 5 180 7200 8400 6000 21600.00 6 5 160 6400 8400 6000 20800.00 Total Rs. 494400.0 0 Septembe K-Anglong r Goalpara Requirement of Fund for Entomological Survey (Dengue) for the Year, 2011 Sl. No. Month Name of the Survey district No. of POL working required day (Ltrs) Cost of POL (Rs) Cost of hire vehicle DA of Survey Team Total Amount (Rs) 1 February Kamrup (Metro) 7 90 3600 9800 8400 21800.00 2 March Golaghat 7 179 6802 9800 8400 25002.00 3 April Kamrup (Rural) 7 98 3920 9800 8400 22120.00 National Rural Health Mission, Assam Page 469 State Programme Implementation Plan 2011-12 Sl. No. Month Name of the Survey district No. of POL working required day (Ltrs) Cost of POL (Rs) Cost of hire vehicle DA of Survey Team Total Amount (Rs) 4 May Dibrugarh 7 360 13680 9800 8400 31880.00 5 June Darrang 7 120 4560 9800 8400 22760.00 6 July Jorhat 7 210 7980 9800 8400 26180.00 7 August Nagaon 7 160 6080 9800 8400 24280.00 8 September Nalbari 7 95 3610 9800 8400 21810.00 9 October 7 279 11160 9800 8400 29360.00 Dhemaji Total Rs. 225192.00 Requirement of Fund for Entomological Survey (Dengue) for the Year, 2011 No. of workin g day Requireme nt of DA for Six Person (Rs) POL require d (Ltrs) Cost of POL (Rs) Cost of hire vehicl e Total Amount (Rs) Dhemaji 7 8400 160 640 0 9800 24600.00 Dibrugar h 7 8400 180 720 0 9800 25400.00 3 Lakhimpu r 7 8400 170 680 0 9800 25000.00 4 Sonitpur 7 8400 150 600 0 9800 24200.00 Barpeta 7 8400 150 600 0 9800 24200.00 6 Darrang 7 8400 120 480 0 9800 23000.00 7 Kamrup ( M) 7 8400 70 280 0 9800 21000.00 Dibrugar h 7 8400 180 720 0 9800 25400.00 Golaghat 7 8400 150 600 0 9800 24200.00 Nagaon 7 8400 150 600 9800 24200.00 Sl. No . Season Month 1 2 5 8 Pre Monsoon Monsoon Petrecrtin g Monsoon 9 10 Winter Name of the districts National Rural Health Mission, Assam Page 470 State Programme Implementation Plan 2011-12 Sl. No . Name of the districts Season Month No. of workin g day Requireme nt of DA for Six Person (Rs) POL require d (Ltrs) Cost of POL (Rs) Cost of hire vehicl e Total Amount (Rs) 9800 25600.00 0 11 Tinsukia 7 8400 185 740 0 266800.0 0 Total Rs. Summary of the Proposed Budget 2011-12 Sl. No Component Table No Amount (in Rs) 1 Entomological Surveillance on Malaria 2 4,92,400.00 2 Entomological Surveillance on JE 3 2,66,800.00 3 Entomological Surveillance on Dengue 4 2,25,192.00 4 Entomological equipments 5 2,53,683.00 5 Office expenses like papers, computer ink, postage stamps, Xeroxing, etc. Nil 50,000.00 Total 12,88,075.00 (Rupees Twelve Lakh eighty eight thousand and seventy five) only 27. Training of Man Power Sl. No . Category of Man Power Sanctione d Post In Place Traine d Planne d for Trainin g No. of Batc h Responsibilit y Fund Requiremen t (In Rs.) 1 M.O. 2203 2203 1295 500 nos 16 SPO 1600000.0 0 2 Lab Technician 704 678 552 60 Nos 6 SPO 450000.00 3 Lab Tech (Contractua l) 470 470 449 60 nos 6 SPO 450000.00 National Rural Health Mission, Assam Page 471 State Programme Implementation Plan 2011-12 Sl. No . 4 Category of Man Power Health Supervisor (M) Sanctione d Post In Place Traine d 1052 950 362 5 Health Supervisor (F) 367 322 26 6 MPW (M) Reor. Training 2705 2383 1035 7 MPW (Contractua l) 391 391 264 8 ASHA 28765 2876 5 22150 Planne d for Trainin g No. of Batc h Responsibilit y Fund Requiremen t (In Rs.) 500 Nos 10 DMO 600000.00 20 DMO 1000000.0 0 100 DMO 2000000.0 0 1000 Nos Total 10000 6100000.00 (Rupees Sixty one lakh) only National Rural Health Mission, Assam Page 472 State Programme Implementation Plan 2011-12 28. ACTION PLAN FOR IEC / BCC ACTIVITIES OF NVBDCP, ASSAM (2011 - 12) Estimate Cost Sl. No. Activities & related details No. proposed Period of Activity Unit Cost (Rs) Total Amount (Rs) A DBS 1 BCC workshop on Malaria at the endemic areas of the PHC level organised by BEE, HE, LHV participants will be village headman, PRI member, Local leader, representative from youth organization, Teacher, NGOs, CBOs, SHG, Students etc. 1 per PHC = 156 April - July, 2011 2000.00 312000.00 2 Street Play on Malaria in the high risk SC of the State 1 per high risk SC = 1662 April - July, 2011 2000.00 3324000.00 3 Street Banner in all health Institutions major places of the State 10000 Nos April - May, 2011 70.00 700000.00 4 Folder on Malaria Sizr = 1/2 Dimai, Paper = 80 GSM, Printing = Multicolor folding = 3 fold 236000 (8000x27 dist) = 216000+20000 (State H.Q.) April - May, 2011 1.63 384680.00 5 Distribution of IEC material amongst the high school children through school Health programme of NRHM Through NRHM, Assam April - October, 2011, February - March, 2011 Through NRHM, Assam Through NRHM, Assam 6 Newspaper Advertisement on Malaria Through NRHM, Assam April - July, 2011, February - March, 2012 Through NRHM, Assam Through NRHM, Assam National Rural Health Mission, Assam Page 473 State Programme Implementation Plan 2011-12 Estimate Cost Sl. No. Activities & related details No. proposed Period of Activity Unit Cost (Rs) Sub Total Activities & related details No. proposed Period of Activity B GFATM 7 Village level sensitization meeting on Malaria in the high risk SC. Particiapants are ASHA, ANM, Teacher, Village headman, VHSC member, local SHGs, CBOs, youth organization, Students, MSS etc. 2 per high risk SC = 2x1662 = 3324 8 Rallies by the school children in the high risk SC of the State 1 per high risk SC = 1662 10 11 4720680.00 Estimate Cost Sl. No. 9 Total Amount (Rs) Special Social mobilization camp in the tribal, hilly and endemic district of the State Poster on Malaria Production of Audio Cassettes on Malaria in four languages National Rural Health Mission, Assam Unit Cost (Rs) Total Amount (Rs) April - July, 2011, February - March, 2012 500.00 1662000.00 April - June, 2011 1500.00 2493000.00 30000 Nos April - August, 2011, February - March, 2012 April - May, 2011 500 Nos Feburary - March, 2012 2000000.00 5.80 per script = Rs 3000/-x4 = Rs 12000/- per cassettes = Rs 35/-x500 = Rs 17500/- 174000.00 29500.00 Page 474 State Programme Implementation Plan 2011-12 Estimate Cost Sl. No. Activities & related details No. proposed Period of Activity Unit Cost (Rs) Total Amount (Rs) 5000 / dist 135000.00 16000.00 51714.00 Through NRHM, Assam 48000.00 155142.00 Through NRHM, Assam 12 Miking at the SC level for IRS & ITBN schedule As per schedule 13 14 Production of Radio Jingle on Malaria Production of TV spot on Malaria 15 Broadcasting of AIR Spot 3 Nos 3 Nos Through NRHM, Assam April - July, 2011, February - March, 2012 April - May, 2011 April - May, 2011 April - August, 2011, February - March, 2012 16 Telecasting of TV Spot Do Do Through NRHM, Assam Through NRHM, Assam 17 Strengthening of VHSC on Malaria Do Do Through NRHM, Assam Through NRHM, Assam Sub Total C JE 18 19 20 21 Village level awareness meeting Group Discussion session @ 2 / PHC Production of TV spot Production of AIR Spot 22 Broadcasting of AIR Spot 23 Newspaper Advertisement Through NRHM, Assam 24 Telecasting of TV Spot Through NRHM, Assam National Rural Health Mission, Assam 1662 2x156 = 312 2 Nos 2 Nos Through NRHM, Assam May - Sept, 2011 May - Sept, 2011 May - June, 2011 May - June, 2011 6696642.00 500.00 2000.00 51714.00 16000.00 Through NRHM, Assam 831000.00 624000.00 103428.00 32000.00 Through NRHM, Assam May - Sept, 2011 Through NRHM, Assam Through NRHM, Assam May - Sept, 2011 Through NRHM, Assam Through NRHM, Assam May - Sept, 2011 Page 475 State Programme Implementation Plan 2011-12 Estimate Cost Sl. No. 25 26 27 Activities & related details Poster on JE Folder on JE Dist level Intersectoral meeting No. proposed 30000 60000 27 Period of Activity May - June, 2011 May - June, 2011 May - June, 2011 Unit Cost (Rs) Total Amount (Rs) 5.8 1.63 5000.00 174000.00 97800.00 135000.00 Sub Total D Dengue 28 29 30 Group Discussion / BCC Session on Dengue Folder on Dengue Poster on Dengue 31 Newspaper Advertisement 32 Telecasting of TV Spot Through NRHM, Assam 33 Broadcasting of AIR Spot Through NRHM, Assam 137 300000 30000 Through NRHM, Assam Sept - August, 2011 Sept - August, 2011 Sept - August, 2011 1000.00 1.63 5.80 Through NRHM, Assam 137000.00 489000.00 174000.00 Through NRHM, Assam Sept - August, 2011 Through NRHM, Assam Through NRHM, Assam Sept - August, 2011 Through NRHM, Assam Through NRHM, Assam Sept - August, 2011 Sub Total E Kala-Azar 34 35 36 37 Group Discussion / BCC Session Folder TV Spot Street Play National Rural Health Mission, Assam 100 15000 1 Nos 24 Nos 1997228.00 May - August, 2011 May - August, 2011 May - August, 2011 May - August, 2011 1000.00 1.63 51714.00 2000.00 800000.00 100000.00 24450.00 51714.00 48000.00 Page 476 State Programme Implementation Plan 2011-12 Estimate Cost Sl. No. Activities & related details No. proposed Period of Activity Unit Cost (Rs) Total Amount (Rs) 38 Newspaper Advertisement Through NRHM, Assam May - August, 2011 Through NRHM, Assam Through NRHM, Assam 39 Telecasting TV Spot Through NRHM, Assam May - August, 2011 Through NRHM, Assam Through NRHM, Assam Sub Total F Emergency Management Through the Year 500000.00 GRAND TOTAL National Rural Health Mission, Assam 224164.00 14938714.00 Page 477 State Programme Implementation Plan 2011-12 29. Public Private Partnership (PPP) In IX round of GFATM Project, Caritus India Consortium a conglomeration of NGO namely Caritus India along with their sub-recipients Christian Medical Association of India, Voluntary Health Association of India and Futures Group International India Pvt. Limited will be the private partners for scaling up of effective preventive & curative malaria intervention in the state, where the intensity of malaria transmission is the highest & health care delivery system constraints are the most severe. The districts in which the PPP project intended to implement are Karbi-anglong (201 villages) and Goalpara, Kokrajhar (244 villages). The service delivery areas and activities are 1. 2. 3. 4. 5. To achieve near Universal coverage by 2015 by effective preventive intervention through ITN/LLIN. To achieve at least 80% coverage by parasitological diagnosis and prompt, effective treatment of malaria through public & private health Care delivery system in project areas by 2015. To achieve at least 80% coverage of villages in project areas by appropriate BCC activities by 2015 to improve knowledge, awareness and responsive behavior with regard to effective preventive & curative malaria control interventions. To strengthen programme planning & management, monitoring & evaluation, Coordination and Partnership development to improve service delivery in project areas. To strengthen health system through training, capacity building to improve service delivery in project areas. Caritus India is the Principal Recipient (PR) of GFATM during round IX grant who will be providing the services in above mentioned 445 nos. villages. However commodity requirement in project areas will be provided through District VBDCP. The activities will be carried out according to the programme guidelines & norms. 30. Expenditure (Financial Performance) 2010-11 Malaria Carry forward amount 2010-11 (1st installment) Total fund Expenditure upto September /2010 (A) DBS Fogging machine Operational expenses (pls Specify) fogging 0.00 0.00 0.00 0.00 Wages for DDT spray Dumping for DDT Spray Surveillance in Char Area Establishment of Sentinel Site 0.00 0.00 0 13471000.00 300000.00 3660000 13471000.00 300000.00 3660000.00 13470784.00 295000.00 358400.00 0 1290000 1290000.00 0.00 National Rural Health Mission, Assam 0.00 Page 478 State Programme Implementation Plan 2011-12 Malaria Larvivorus fish culture distribution and monitoring BCC/PPP of larvivorus fish Anti malarial drug Spray equipment for DDT spray Rent of Store House Outstanding rent of sealed warehouse Godown for storing bednets since 2001 Outstanding amount against emergency procurement of antimalarials drugs during 2005-06, 2006-07 IEC Carry forward amount 2010-11 (1st installment) Total fund 0.00 0.00 0.00 1628883.00 5809000.00 7437883.00 3968806.00 153003.00 1000000.00 1153003.00 362253.00 0.00 Expenditure upto September /2010 0.00 0.00 0.00 0.00 0.00 0.00 2275000.00 2275000.00 1304200.00 0.00 1900000.00 1900000.00 0.00 Training National Anti Malaria Management Information System (NAMMIS) Entomology MPW Salary ASHA incentives 0.00 737000.00 737000.00 0.00 0.00 794516.00 0.00 650000.00 18036000.00 3600000.00 650000.00 18830516.00 3600000.00 22047.00 14500788.00 2796000.00 Sub Total of DBS 2576402.00 52728000.00 55304402.00 37078278.00 (B) GFATM 805363.00 9340000.00 10145363.00 1968371.00 Human Resource Human resource (state level) . Project coordinator . M&E consultant .Finance consultant 0.00 0.00 0.00 0.00 .IEC consultant 0.00 .Secretariat assistance 0.00 . Computer operator Human resource (district level) . MTS 0.00 . Accountants 0.00 National Rural Health Mission, Assam 0.00 0.00 Page 479 State Programme Implementation Plan 2011-12 Malaria Training Carry forward amount 2010-11 (1st installment) Total fund Expenditure upto September /2010 177694.00 0.00 177694.00 177694.00 .Medical officer .ASHA/ community volunteer . MTS 0.00 .LT 0.00 .Health worker 0.00 Planning and administration(state, district, audit) Monitoring and evaluation (hiring of vehicle POL for the state level and district level review meeting IEC Operational expenses for treatment of Bed nets BCC/PPP of larvivorus fish Sub Total of GFATM 0.00 0.00 1403855.00 7902000.00 9305855.00 3339092.00 1370001.00 4602000.00 5972001.00 4533253.00 10000.00 3120000.00 3130000.00 3048120.00 0.00 7395000.00 7395000.00 614000.00 622306.00 0.00 622306.00 10000.00 4389219.00 32359000.00 36748219.00 13690530.00 ( C) World Bank Training (specify) MO/ lab tech/ health worker IEC 0.00 Sub Total of World Bank 0.00 0.00 0.00 0.00 (D) Dengue/ Chikungunya Apex Ref. Laboratory 0.00 50000.00 50000.00 0.00 Sub Total Dengue 0.00 50000.00 50000.00 0.00 (E) Filaria Drugs 5296690.00 Training 0.00 BCC 0.00 Preparatory activity Drug Distributor's Honorarium 0.00 3583690.00 1713000.00 0.00 M&E 0.00 NFCP, Guwahati Unit 0.00 National Rural Health Mission, Assam Page 480 State Programme Implementation Plan 2011-12 Malaria Sub Total Filaria Carry forward amount 2010-11 (1st installment) Total fund 3583690.00 1713000.00 5296690.00 Expenditure upto September /2010 (F) Japanese Encephalitis Diagnostics/ management of vector control-Fogging operation Drug, Transportation of Serum/CSF Elisa Kit IEC Material 755086.00 1820000.00 2575086.00 1255350.00 2575086.00 1255350.00 Training Technical Malathion M&E Sub Total JE 755086.00 Total fund available Expenditure upto September/2010 1781886.00 755086.00 3583690.00 1820000.00 Summary Fund received as 1st installment 10-11 34742000.00 1820000.00 1713000.00 Components Opening balance as on 1.4.10 DBS JE ELF 36523886.00 2575086.00 5296690.00 22577490.00 1255350.00 0.00 MPW(M) 794516.00 18036000.00 18830516.00 14500788.00 0.00 0.00 0.00 GFATM 4389219.00 32359000.00 36748219.00 13690530.00 Total 11304397.00 88670000.00 99974397.00 52024158.00 World Bank 31. Commodity Requirement (to be supplied by G.O.I.) 2011-12 Item Previous year's utilization (no.) Insecticide For IRS (MT) DDT 50 % ** 2012-13 RK 39 Kit (No.) Inj.Stibogluconate Vials Amphortecin National Rural Health Mission, Assam Requirement for current year (no) Balance Available (no.) (Nov/10) Net requirement (2-3) 769 MT 293 MT 500 MT 5000 100 50 nil nil 5000 100 50 Page 481 State Programme Implementation Plan 2011-12 Item Mc-Elisa Kit (JE)including apax lab of RMRC Chikungunnya Kit (Elisa) Dengue Kit (Elisa) DEC Tab (100 mg) Albendazole (400 mg) LLIN RD Kit (PF) Previous year's utilization (no.) Requirement for current year (no) Balance Available (no.) (Nov/10) 33 0 8 28893099 11557239 2425600 1755000 0 5914250 4 24668000 400000 676750 Net requirement (2-3) 32 2 8 28893099 11557239 2425600 1755000 nil 242000 ** requirement of DDT 50% for 2012-13 31. 1. Proposed Allotment from GOI for 2011-12 Name of Item No ACT (Artesunate + SP) Adult 0-1 yr. 1-4 yrs 5-8 yrs 9-14 yrs Blister (No) 127225 60405 64530 67030 69530 13000 Arteether Inj.(amples) 32. STATE PROCUREMENT OF ANTIMALARIAL & EQUIPEMENT FOR 2011-12 Sl No. Item 1 Quinine Sulphate Tab. 2 Quinine Sulphate Syrup (bottle) 5 Primaquine 7.5 m.g. Tab. Primaquine 2.5 m.g. Tab. Chloroquine tab. 6 3 Technical requirement Quantity in hand as on 30/10/2010 200000 5000 10000 0 200000 10000 1000000 575000 700000 885000 12000000 Paracetamol Tab 7 Microslide 8 JSB -I 4 Net requirement Cost (in Rs.) 625800.00 340000.00 700000 208950.00 250000 46420.00 3589000 10000000 5313000.00 2500000 0 2500000 3800000.00 4000000 534000 3466000 222500.00 10000 988 9012 488811.00 National Rural Health Mission, Assam Page 482 State Programme Implementation Plan 2011-12 Sl No. Item Technical requirement Quantity in hand as on 30/10/2010 10000 1050 9000 457650.00 Net requirement Cost (in Rs.) 9 JSB-II 10 Pricking Needle 4000000 326000 3674000 2756250.00 11 Sprit swab Liquid Paraffin (bottle) Microscope Micro discharge fogging machine (indoor space spray) Artesunate Inj. (amples) Quinine DiHydrochloride Inj. Synthetic Py.Flow (Lts) Temephos (Lts) Malathion Tech.for JE (Kg) Total 4000000 497000 3503000 4002000.00 1000 0 1000 100000.00 50 1 50 978412.00 300 0 300 450000.00 50000 1200000.00 12 13 14 15 16 17 18 19 700 50000 78000 4500 1000 60 2000 60 73500 1000 2000 260000.00 11025000.00 522000.00 360240.00 33157033.00 (Rupees three crore thirty one lakh fifty seven thousand & thirty three) only 32.1 Spray Equipment for DDT Spray Sl No. 1 2 3 4 5 6 Items Technical requirement Quantity in hand as on 30/10/2010 Stirrup Pump 214 Hand Compression 52 Pump Personal protection equipment (spectacle, 1250 unit nil mask, gloves, apron, plastic sheet) Bucket (15 ltrs, 10 500 ltrs) Mug 400 Measuring Cane 500 Total Net requirement Cost (in Rs.) 64 150 281250.00 2 50 222500.00 2000 600000.00 0 500 100000.00 0 0 400 500 8000.00 100000.00 1311750.00 (Rupees thirteen lakh eleven thousand seven hundred & fifty) only. National Rural Health Mission, Assam Page 483 State Programme Implementation Plan 2011-12 32.2. Equipment Maintenance (Sprayer & Microscope) 1 27 Districts (Total PHC 149) Rs 4000/ Annum / PHC 596000 Say Rs 600000.00 (Rupees six lakh) only 33. Proposed budget of NVBDCP, Assam for FY 2011-12 Sl No. A.1 a. b c d e f g h i j k l m n Component DBS Salary for contractual MPW (unit cost per/year per MPW) ASHA incentive Rs.200 per month per ASHA Spray Wages @ 14762.50/squad/month x 5 month DDT Dumping per MT Rent for DDT godown Operational Exp for Fogging Anti Malaria Drug (PQ, Paracetamol, Quinine Tablet, S.P. Flow, Malathion Tech., Lab. Re-agent, Microscope, etc) Monitoring & Evaluation support Entomological study Spray Equipment Procurement Maintenance of equipments in 27 districts for each PHC Larvivorous fish culture IEC/BCC Outstanding rent of sealed ware house for storing bednet Sub Total 2 Training a. Training of ASHA / Community Volunteers in use of RDT, drug distribution and Bednet treatment (100 person per course) (unit cost per training ) National Rural Health Mission, Assam Unit Cost in lacs of Rs. No. of Units Requirement Proposed of fund as allocation reflected in by PIP NVBDCP 0.72 391 281.52 0.024 20000 480.00 0.738 269 198.53 0.005 1000 5.00 5.00 0.45 27 12.15 331.57 46.32 12.88 13.12 0.04 149 6.00 10 47.21 100 1549.30 0.2 100 20.00 Page 484 State Programme Implementation Plan 2011-12 Sl No. b. Component Training for Medical Officers/Medical specialist(unit cost per training) d. Training for Lab Technicians (unit cost per training) MPW training (67 no per batch) e. Health supervisor/ Health worker c. B. 1 1.1 a. b. c. d. e. f. g. h. 1.2 a. b. c. d. Unit Cost in lacs of Rs. No. of Units 1 10 16 0.75 12 9 0.5 20 10 0.6 10 6 Sub Total 61.00 Total DBS 1610.30 GFATM Human resource State Financial Consultant/Finance Officer @Rs. 35,000/month Project Co-ordinataorVBD Project Manager Rs.50,000/month BCC/PPP Manager @ Rs.35,000/month PSCM Manager @ Rs.35,000/month M&E/MIS Project Manager @ Rs.50,000/month Asstt. Computer operatorRs.10000/month Secretarial Asstt.Rs.10000/month Statistical Asstt.Rs.15000/month Sub Total District Honorarium to Accountant @Rs. 1000/pm X 3 months District VBD (M) Project officer @Rs. 30,000/month Block level MTS @ Rs. 15000/month Secretarial Asstt. Cum DEO@Rs. 10000/month. Sub Total 4.2 1 4.20 6 1 6.00 4.2 4.2 1 1 4.20 4.20 6 1 6.00 1.2 1 1.20 1.2 1.8 1 1 1.20 1.80 28.80 0.12 27 3.24 3.6 25 90.00 1.8 75 135.00 1.2 25 30.00 258.24 Total HR 2 Requirement Proposed of fund as allocation reflected in by PIP NVBDCP 287.04 Planning and Administration 2.1 State level a. Office expenses for documentation/Printing @Rs.10,000 pm National Rural Health Mission, Assam 1.2 1 1.20 Page 485 State Programme Implementation Plan 2011-12 Sl No. Component Unit Cost in lacs of Rs. No. of Units Requirement Proposed of fund as allocation reflected in by PIP NVBDCP b. Office expenses for consumable, water, electricity etc @Rs. 40,000 pm 4.8 1 4.80 c. Office infrastructure & equipments 3 Laptop/ 3 Desktop/ 3 office automation 3.9 1 3.90 d. Office furniture one time Rs. 4 lakh 4 1 4.00 e. Rent of storage @Rs.12000/- pm Logistic arrangements from state to district @Rs. 15000/- per quarter/ Rs. 60000/- per annum Accounting and auditing cost in the state 1.44 1 1.44 0.6 27 16.20 2 1 2 f. g. Sub Total 2.2 a. b. c. d. e. District level Office infrastructure Laptop/ Desktop/ Office automation Office expenses documentation/ Printing @ Rs. 5000/- pm Office expenses furniture @Rs. 1.20/lakh one time Office expenses for space, water, electricity, consumables @ Rs. 15000/pm Rent for storage, transportation etc. @ Rs. 4,000/- pm Sub Total 33.54 1.3 27 35.10 0.6 27 16.20 1.2 27 32.40 1.8 27 48.60 0.48 27 12.96 145.26 Total P&A 3 a. b. c. d. 178.80 Monitoring and Evaluation Travel related expenditure in the state@ Rs.65,000/month Travel related expenditure in the district for DMO/CM&HO (CD) @ Rs. 20,000/pm. Review meeting (State with District) Quarterly meeting at district level @ Rs. 50,000/ District/ Group Total M&E 4 IEC/BCC a. IEC Awareness campaigns through District Health Society NGOs/ CBOs/ Panchayat (unit cost per anum per distrct) National Rural Health Mission, Assam 7.8 1 7.80 2.4 27 64.80 4.00 1 4.00 2.00 27 54.00 130.60 43.29 Page 486 State Programme Implementation Plan 2011-12 Unit Cost in lacs of Rs. No. of Units Requirement Proposed of fund as allocation reflected in by PIP NVBDCP Sl No. Component b. State level IEC through electronic media 3.68 c. Special Social mobilizations activities in Hilly and Tribal area 20.00 Sub Total 66.97 5 PPP (through CARITUS consortium) PPP for anti-malarial activities (EDPT, Microscopy, Treatment centre, BCC and Bed Net impregnation). Total IEC including PPP 0 66.97 C. Grand Total GFATM Dengue/ Chickungunya 663.41 a. IEC/BCC at state /District level b. Training 0.5 c Vector control, lab upgradation 12 8 Total 20.50 D. Filaria Elimination a. 23.00 c. Training BCC/IEC(Advocacy Workshop, Printing etc., STF,DCC meet MDA assessment d. Line listing of LF 13.70 e. ICT card study through RMRC, Dibrugarh f. Hydrocelectomy& morbidity mgt g. Preparatory activity for MF night survey & OE h. Honorarium for drug distribution & social mobilization 0.003 40000 i Honorarium to supervisors for supervision & social mobilization 0.003 j Monitoring and Evaluation, Rapid response team b. Total 37.30 0.63 7.00 5 5.69 4000 120.00 12.00 16.5 240.82 E. Japanese and Encephalitis a. Fogging machine/ Elisa reader 21.98 b. c. BCC/IEC Capacity building Drug, Equipment, Transportation of serum/ CSF/ operational cost of Fogging 19.97 4.85 d. National Rural Health Mission, Assam 5 Page 487 State Programme Implementation Plan 2011-12 Unit Cost in lacs of Rs. No. of Units Requirement Proposed of fund as allocation reflected in by PIP NVBDCP Sl No. Component e. Monitoring, operational expenditure of fogging, Esstt.of SSL, Scientific Research, Entomological Surveillance 79.45 f. Infrastructure development of JE ward of AMCH Dibrugarh 1048 1179.25 F. Total Kalaazar a. Training 0.5 b. BCC/IEC 2.5 c. Monitoring and evaluation 0.5 d. Anti Kalazar Drugs 0.5 Total Total NVBDCP (A+B+C+D+E+F) 4.00 3718.28 G. a. NRHM Additionalities from NRHM i. Strengthening of surveillance in char areas and in inter state border areas 32.6 ii. Special fever survey in 8 endemic district 47.0 iii. inter state border meeting iv Establishment of sentinel sites v Emergency management for IEC Sub total Grand Total NVBDCP & NRHM Flexi Pool National Rural Health Mission, Assam 4 12.9 5 101.45 3819.73 Page 488