Mass drugs administration IDA DCC meeting .pptx

1. 2nd District Coordination Meeting
on Mass Drug Administration-2024
Date-05.02.2024 Venue-Sadbhavana Sabhagruha

2. Introduction
• A painful and profoundly disfiguring disease
• Mosquito-borne infection, by Wuchereria
bancrofti parasite
• Infection in childhood, manifestations later
leading to disability
• Clinical manifestations include
• pruritus, allergic cough (eosinophilia)
• lymphedema (tissue swelling)
• elephantiasis (skin/tissue thickening),
• genital disease (hydrocele etc.)

3. Twin pillar strategy:
• Preventive chemotherapy
• by annual mass drug administration (MDA)
• to interrupt transmission of the disease
• Morbidity Management and Disability
Prevention (MMDP)
• by home and hospital-based management
• to alleviate suffering among people affected
Integrated vector management activities of also
plays an important role
Strategies to eliminate

4. Current scenario - Odisha

5. Current scenario – Kalahandi
Night Blood Survey – 2023-24
• Narla – 9 Positives (Mf rate >=1)
• Junagarh – 11 positives (Mf rate >=1)
• All rest implementation units cleared Pre TAS

6. Comparison of Drug Compliance MDA Feb. 2024
Kalahandi – Narla IU
 Reported Compliance - 92%
 WHO evaluated Compliance – 84%
 Medical College Coverage Evaluation Survey Compliance – 88%

7. Evaluated coverage – By WHO
Indicators 2022-23
Total village area monitored 40
Total Houses monitored 400
Total family member (FM) interviewed 1905
% monitored village / urban sites with missed area 0
% overall consumption 84
% consumption infront of DA 57
% FMs found with medicine after round 2

8. Implementation of MDA
Pre MDA
• Coordination
meetings
• Micro
planning
• Cascade
training
• Social
mobilization
MDA
• Drug
administration
• Management
of side effects
by control
rooms and
RRT
• Monitoring &
supervision
Post MDA
• Submission
of reports
• Updation of
line list
• MMDP
activities

9. Drug Dosage
Ivermectin dose for height age calculated based on ‘Guideline: Alternative mass drug administration regimens to eliminate lymphatic filariasis’.
World Health Organization; 2017, Geneva
Drug dosage for IDA
Height (in cm's) Ivermectin (3 mg Tablet)
Dose in mg Number of Tablets (3mg)
90-119 (Yellow) 3 1
120-140 (Blue) 6 2
141-158 (Green) 9 3
>159 (Pink) 12 4
Age (in Years) DEC (100mg Tablet) Albendazole (400 mg Tablet)
Dose in mg # Tablets Dose in mg # Tablets
2-5 Years 100 1 400 1
6-14 Years 200 2 400 1
≥ 15 Years 300 3 400 1

10.  Booth approach: Blocks can plan for 1st day booth
approach. ASHA/AWW house can act as a booth
 House to house approach: every individual at his/ her
doorstep
 Group approach: Places like schools, offices, industries,
prisons, etc.
 MDA corner: At all health facilities for patient and
attendants
Approaches for drug administration

11. Supportive supervision
• Formation of district and block monitoring teams
• Real time update of coverage data during MDA
• Evening meeting at blocks during MDA
• Post MDA review meetings prior to mop up activities

12. Key Points for MDA Feb 2023
• NDD + MDA – Separate coverage report for age group 1 to 19 years
• MDA activity – 10th to 19th Feb 2024
• One Drug administrator per 250 population
• One supervisor per 10 DAs
• No to drug distribution
• Added Activities*
• House Marking –
• Finger marking –
• With indelible polio marker pen on left index finger
T-01 M- 05
10-02-2024
2/5

13. District MDA scenario
Sl. No. Categories Quantity
1 Total implementation units to roll out MDA 2 ( Junagarh NAC and Narla)
2 Total target population for MDA 154352
3 Total DEC tablets received 385880
4 Total Albendazole tablets received 154352
5
Total ivermetin tablets received
385880
6
Total drug administrators allotted
(1 DA per 250 population)
554nos
7
Total 1st level supervisors allotted
(1 supervisor per 10 DA)
61nos
8 Total rapid response teams to be engaged 6
9 Total control rooms to be made operational
3 ( 1 at district and 2 at Block
level)

14. Pre MDA activities – District level
Sl.No Actions points Timeline
1 1st District Coordination meeting 4.1.24
2 Night blood survey completed in all sites
10,245(9 positive in
Narla and 11 Positive in
Junagarh NAC)
3 District level training of trainer’s completed 1st week of January
4 Block micro-action plan received and reviewed Yes
5 Funds distributed to blocks yes
6 Family register distributed to DAs
Yes and completed
survey
7 IEC material printed and disseminated yes
8 Drugs distributed to block yes
9 IEC activities initiated Yes continuing
10 District monitoring teams formed and communicated Yes communicated
11 2nd District Coordination meeting 5.2.2024

15. Activities Completed in PRE MDA-Phase
• Two times DA Training Completed IN 2 IUs.
• BCC and Urban coordination meeting completed.
• IU Level, Sub center level and DA level micro plan are completed.
• All logistics like Banner, Poster, Leaflet, FAQ, Polio Inedible marker Pen,
Chalk etc.are reached to DA for smoothly conduct planned activities/
• 4 nos. of RRT team formed for address the Adverse effect in community.
• District level Monitoring Team formed for smooth implementation of
Programme.

16. Special activity plan
•Majority Educational Institution to be covered on First 2
days Day.
•Launching ceremony.
•Video message by Collector and DM, kalahandi
•Miking in implementation units
•Banner and poster IN ALL VILLAGE LEVEL
•Display of IEC in prominent areas like bus stops, weekly
market.
•5T school will be covered by VC Mode.

17. Pre MDA activities – Block level
Sl.No Action points Timeline
1 Block level coordination meetings conducted Yes, completed
2 Drugs supplied from state Received
3 Block level micro plan (teams, area allocation, route
map, drugs etc) prepared and discussed in meeting
yes
4 IEC activities initiated Yes
5 Completion of training of DAs, Supervisor and RRT Yes
6 Meeting of village health & sanitation committee Is continuing
7 Drugs distributed to DAs yes
8 Reporting formats obtained/printed and distributed yes
9 Conduct sub center level meeting of stakeholders completed

18. MDA activities
Sl.No District level actions Timeline
1 Supervision for better population coverage During MDA
2 Monitoring and management of side reaction if any During MDA
Sl.No Block level actions Timeline
1 Daily reporting to district During MDA
2 Supervision to improve drug compliance During MDA
3 Monitoring and management of Side reaction if any During MDA
Sl.No Village level actions Timeline
1 First visit to family by DA 15 days prior,
Second visit 2 days prior (Awareness / BCC / mobilization)
During MDA
2 Visit by ANM/other health staff to PRI and local practitioners for
BCC
During MDA

19. Post MDA activities
Sl.No Actions Timeline
1 Final Reports received from all the blocks at district 7 days post MDA
2 District level report prepared and sent to state 15 days post MDA
3 Completed 13 Table format submitted to state 15 days post MDA
4 Village wise morbidity line list compiled and prepared at
block/district
15 days post MDA
5 3rd DCC meeting by Collector 15 days post MDA
6 Plan of action for morbidity management prepared and
submitted to district (along with hydrocelectomy plan)
15 days post MDA

20. Thank you
Department Role in MDA
P.R Department
• To improve drug compliance by social mobilization
• To ensure support for drug administrators (DA) in community
Education
Department
• To create community awareness by involvement of students
• To ensure supervised consumption of drugs after mid-day meal
WCD
Department
• To create community awareness in GKS meeting prior to MDA
• To provide accountable manpower to be engaged as DAs and supervisors
SC/ST
Department
• To ensure drug consumption by all boarders of residential school
• To improve drug compliance by social mobilization
Municipality/
NAC
• To involve association of local vendor and shopkeepers in social
mobilization
• To provide miking support for ensuring social mobilization
• To provide accountable manpower in the form of DAs
Role of line department

21. Department Role in MDA
Media
• To create awareness in the general public
• To address the issue of mis communication and false information
NGOs
• To improve compliance by supporting DAs
• To provide accountable manpower
Home
Department
• To ensure consumption by prisoners in the Jail and sub jail
• To provide support to RRT and DAs if needed
Agriculture • To improve compliance by support of farmers associations
Mission Shakti
• To create community awareness prior to MDA
• To provide accountable manpower to be engaged as DAs
Forest • To create awareness in forested / forest fringed areas for MDA
OLM
• To create awareness by field functionaries
• To support DAs for improving coverage
Role of line department

23. Thank you
“Together we can
achieve……MDA FREE KALAHANDI”