Preventive aspect

1. Malaria Control Program-Control and Transmission
DR.ASHOK LADDHA—OCCUPATIONAL HEALTH
PHYSICIAN

2. Introduction
Malaria has been problem in India for centuries. Malaria is parasite caused disease that is usually acquired
through bite of female anopheles mosquito. It can also be transmitted through
1. Blood Transfusion
2. Sharing of Needles
The Biggest burden of malaria in India is due to following factors
A. Low economic status
B. Poverty/Poor Hygiene/Poor personal hygiene/low education standard
C. Urbanization/Migration of workers
D. Inadequate environmental control/Improper drainage
E. Lax Control Effect
F. All these factors are contributing to the resurgence of malaria in India and problem may increase in the years
to come.

3. Purpose:
The primary purpose of this program to prevent occurrence of diseases in employees/contract
workers. Migrant workers and near by community, Interrupt the transmission of disease and
further prevent development of severe disease and death/shorten the duration of disease
through prompt case detection/early diagnosis, prompt reference of suspected cases to well
equipped center and help NVBDCP as a good corporate citizen.

4. Objectives
The objectives under MCP/NVBDCP
1. Zero Incidence
2. Ensure provision of quality services for screening/treatment/Lab facility/Screening at
designated places by developing GPP/PPP
3. Reduce out of pocket expenses
4. Case detection through ACD/PCD
5. To prevent relapses of Vivex malaria
6. Effective and efficient vector management by IVM

5. Scope
This SOP is applicable to all those employee /Contract workers/Migrant workers and near by
community

6. Components of Program
A. Administrative Control
B. Personal Control
C. Environmental Control

7. Administrative Control
1. Giving priority to patient having fever
2. Prompt reference at higher center/PHC/Civil hospital where screening, investigation and
quality of anti malarial treatment facility available
3. Once diagnosed---Follow up—Re follow up---Review treatment card---Random interaction
4. Health education
5. Risk assessment
6. Screening migrants
7. Installation of mosquito repellent plants
8. Case reporting to Public health department

8. Personal Protection/Control
1. PPE—ITNs and LLTNs
2. Maintenance of high standard of personal hygiene
3. Nutrition work out
4. IRS
5. Anti larval Measures—Reduction at source

9. Physical Control
1. Source reduction
2. Removal of mosquito breeding sites
3. Filling or clearing of clogged gutters
4. Removal of stagnant water
5. Fogging/Spray/Focal spray
6. Installation of mosquito repellent plants

10. Environmental/Engineering Control
1. Management of vector population-IVM
2. Bio-Medical waste management
3. Density reduction by proper water drainage
4. Biological control
5. Larval control—Physical/Chemical/Biological
6. Improvement of Drainage and sewerage system/safe disposal of waste/Safe water storage
and disposal
7. IRS-As advised by the competent person

11. Record Keeping
S.NO Date Name of
Patient
Date of
Screening
Date of
treatment
commence
ment
Name of
designated
center
Name of
HOSPITAL
Type of
Regime
Final
Status and
Remark

12. Role and Responsibility
Particulars responsibility
To develop PPP/GPP HR
Community awareness CSR
Employee/Contract worker awareness OHC
Organize health education program OHC
Refer suspected patient to higher center OHC
Follow up /Re follow up OHC
ACD/PCD COMPETENT PERSON
Case reporting public health officer OHC through Admin
Surveillance level 1/2 PPP/GPP/Competent person
Environmental control Admin/Civil/Safety Department
Chemical /Physical/Biological control Admin/Civil

13. References
1. WHO –Malaria Control and prevention In India
2. NVBDCP-Prevention and control strategies