Malaria remains a major public health problem in India. The National Antimalaria Programme aims to eliminate malaria from the country by 2030 through universal coverage of diagnosis and treatment. It began as the National Malaria Control Programme in 1953 and focused on eradication until 1977 when it shifted to elimination. The program classifies areas based on annual parasite incidence and conducts regular indoor residual spraying and larviciding. It also establishes drug distribution centers and fever treatment depots to provide prompt diagnosis and treatment. Nurses play an important role in supporting early case detection, vector control activities, and ensuring complete treatment to prevent further transmission of malaria.
2. MALARIA
An infectious disease caused by
protozoan parasites from the
Plasmodium family that can be
transmitted by the bite of the
Anopheles mosquito or by a
contaminated needle or transfusion.
Falciparum malaria is the most
deadly type.
5. TREATMENT
Malaria is treated with prescription drugs to kill the parasite. The types of drugs and
the length of treatment will vary, depending on:
1. Which type of malaria parasite you have
2. The severity of your symptoms
3. Your age
4. Whether you're pregnant
• Medications
The most common antimalarial drugs include:
• Chloroquine phosphate.
• Artemisinin-based combination therapies (ACTs).
1. Other common antimalarial drugs include:
2. Atovaquone-proguanil (Malarone)
3. Quinine sulfate (Qualaquin) with doxycycline (Oracea, Vibramycin,
others)
4. Primaquine phosphate
6. HISTORY PERSPECTIVE
• It was first recognized by Romans and
Greek who associated it with wet area.
• They assumed that intermittent fever were due
to the ‘bad odur’ coming from the wet areas
and thus gave the name malaria ( Mal=
bad+air )
8. INTRODUCTION
Malaria has been a major public health
problem in India fwrom ancient time. It
was estimated that about 75 million
people suffered from the disease in a
normal year and twice the number during
epidemic with an annual mortality rate
estimate to be about 0.8 million as a
direct result of malaria
9. MAGNITUDE OF THE PROBLEM
1. About 95% population in the
country lives in malaria endemic
area.
2. 80% of malaria reported in the
country is confined to area
consisting 20% of population living
in tribal ,hilly difficult and
inaccessible area.
3. National Vector-Borne Disease
10. CONT…
4. Private health center, community health center ,
malaria clinics and ASHA –a village volunteer is
involved in the program
12. NATIONAL MALARIA CONTROL
PROGRAMME
• It is began in1953.
• Due to the specular
Sucesss achieved in the
control of malaria, the
control programme ,was
converted in 1958 into an
eradication program.
14. HISTORY OF MALARIA CONTROL
PROGRAMME (INDIA)
Before 1953 estimation cases in India -75 million
,deaths 0.8 million .
1.1953- NMCP National Malaria Control
Programme was stared.
2.1958- NMCP renamed National Malaria
Eradication Programme.
3.1965- Cases reduced to 0.1 million .
4.1971 – Urban Malaria Scheme (at present it
protecting 130 million population in 131 towns
in 19 states and U.T.)
15. Cont…
..
5. 1977- India start MPO (Modified Plan Of
Operation)
AIM: To elimination the death from malaria.
6.1977- Implementation of Malaria Control
Project .
7. 2000 – NMEP is converted into (National
Antimalaria Programme)
8.2017-2022- National Strategic Programme
16.
17. NATIONAL STRATEGIC PLAN ( 2017-
2022)
NVBDCP Ministry of health and family welfare.
Government of India has launched the National
Frame work for Malaria Elimination (NFME) on
11th February 2016 towards elimination by 2030.
• Vision
Focus on strategic policies to proved universal
intervention package paving the way for malaria
elimination by 2030.
18. Goals
• Elimitaion malariar from all low moderate
and moderate by 2030 .
• Reduce incidence of malaria less than 1
case per 1000 population .
• Prevent resetablishment of malaria
2030.
Objective
• Achieve universal coverage of case detection and
treatment service in an endemic district to ensure
100% parasitological diagnosis of all suspected
malaria cases and complete treatment of all
confirmed cases.
19. ORGANIZATION OF NAMP
• 19 regional office for
healthand family welfare
located in 19 states.
• Play major role under the
control of NVBDCP .
• Each states established a
state Vector Borne Diseases
Control Society.
20. TREATMENT
• Drug distribution center and fever treatment
Depot .
1.Drug distribution center are only provide
Antimalarial tablets as per NEMP schedule.
2.Fever treatment Depots collect the blood
slides in addition to the distribution of
Antimalarial Tablet.
3.About 4.49 lakh such centers are functioning
all over the country known as voluntary.
22. AREAS WITH API LESS THAN 2
Spraying Dose Amount
DDT Regular 2round 0.1g/sq
Malathion Regular 3 round 2.0g /sq
Synthetic pyrethroid 3 round at interval
of 6 week
0.25g/ sq
23. SPRAYING
• These areas will not be under
regular insecticidal spraying
• Spraying is to be undertaken
only P.Falciparum .
25. EARLY CASE
DETECTION AND
PROMPT
TREATMENT
(EDPT)
VECTOR CONTOL
• TO PREVENT
TRANSMISSION OF
MALARIA .
• CHLOROQUINE
ADMISITRATION.
• DDCS AND FTDS IS TO
ESTABLISH IN RURAL
• CHEMICAL CONTROL.
• PERSONAL MEASURES.
• COMMUNITY
PARTICIPATION.
• MONITORING AND
EVALUATION OF THE
PROGRAM.
26.
27. Bibliography
• Gulani K.K. Community Health Nursing
Edition 3rd , Kumar publisher Page
no.603,604
• Khan Aisf Mastering Community Medicine
edition 1 jaypee brother publishers page no
203,214
• Saxena R.P. textbook of community health
nursing 3rd edition lotus publishers page no
505,506.