This document summarizes India's National Vector Borne Disease Control Programme (NVBDCP). The key points are: 1) NVBDCP is responsible for preventing and controlling vector-borne diseases like malaria, dengue, Japanese encephalitis, etc. across India. 2) The major strategies for malaria control include early detection and treatment of cases, vector control methods like indoor spraying and larvicide use, and community participation initiatives. 3) Over time NVBDCP has expanded its scope and introduced new technologies and drugs. Major milestones include the National Strategic Plan for Malaria Elimination in India 2017-2022, which aims to eliminate malaria from India by 2030.

1. NATIONALVECTOR BORNE
DISEASE CONTROL
PROGRAMME
AYUSHGARG

2. Vector-borne diseases facts
Vector-borne diseases account for more than 17% of allinfectious diseases, causing more than 1
million deaths annually.
 More than 2.5 billion people in over 100 countries are atrisk of contractingdengue alone.
 Malaria causes more than 400 000 deaths every year globally,most of them children.
Other diseases such as Chagas disease and leishmaniasis affecthundreds of millions of people
worldwide.
 Many of these diseases are preventable through informed protective measures.

3. The NationalVector Borne Disease Control
Programme
◦ The National Vector Borne Disease Control Programme (NVBDCP) is an umbrella programme for
prevention and control of malaria and other vector borne diseases.
◦ Under the programme, it is ensured that the disadvantages and marginalized sections benefit from the
delivery of services so that the desired National Health Policy and Rural Health Mission goals are
achieved.
◦ The Directorate of NVBDCP under the Directorate General of Health Services, Ministry of Health and
Family Welfare, Government of India, is the nodal agency responsible for planning, coordination,
implementation, monitoring and evaluation of NVBDCP programme at alllevels.

4. INTRODUCTION
• Launched in year2003‐04
• Major vector bornediseases‐ Malaria, Filaria, Kala-azar, Japanese
encephalitis, Dengue, Chikungunya

5. MALARIA
INTRODUCTION
Malaria is a potentially life threatening parasitic disease caused by parasites
known as Plasmodium vivax, P.falcipuram, P.ovale, P.malariae, P.knowlesi.
It is transmitted by the infective bite of Anopheles mosquito.
Man develops disease after 10 to 14 days of being bitten by an infective
mosquito.
There are two types of parasites of human malaria, Plasmodium vivax, P.
falciparum, which are commonly reported from India.
Inside the human host, the parasite undergoes a series of changes as part of
its complex life cycle.

6. MALARIA CONTROL
STRATEGIES

7. Early case Detection and Prompt Treatment
(EDPT)
•EDPT is the main strategy of malaria control - radical treatment is
necessary for all the cases of malaria to prevent transmission of malaria.
•Chloroquine is the main anti-malaria drug for uncomplicated malaria.
•Drug Distribution Centres (DDCs) and Fever Treatment Depots (FTDs) have
been established in the rural areas for providing easy access to anti-
malarial drugs to the community.
•Alternative drugs for chloroquine resistant malaria are recommended as per
the drug policy of malaria.

8. Vector Control
ChemicalControl
• Use of Indoor Residual Spray (IRS) with insecticides recommended under the
programme, Use of chemical larvicides like Abatein potablewater.Aerosolspace
spray during day time. Malathion fogging during outbreaks
BiologicalControl
• Use of larvivores fishin ornamentaltanks, fountains etc.
Personal Prophylactic Measuresthat individuals/communities can takeup
• Use of mosquitorepellent creams, liquids, coils,matsetc.
• Screeningof the houses withwire mesh
• Use of bed nets treated withinsecticide
• Wearing clothes that covermaximum surface area of thebody

9. Community Participation
Sensitizing and involving the community for detection ofAnopheles breeding
places and theirelimination
NGO schemes involving them in programme strategies

10. Environmental Management & Source
Reduction Methods
Source reduction i.e.filling of the breeding places
Proper covering of storedwater
Channelization of breedingsource

11. Monitoring and Evaluation of the
Programme
Monthly Computerized ManagementInformation System(CMIS)
Field visits by stateby StateNational ProgrammeOfficers
Field visits by Malaria ResearchCentresand other ICMR Institutes
Feedbackto stateson field observations for correctionactions.

12. Milestones of Malaria control activities in
INDIA
• Prior to 1953- Estimated malaria
cases in India-75million: death due
to malaria-0.8million
• 1953- Launching of National Malaria
Control Programme(NMCP)
• 1958– NMCP was changedinto National
MalariaEradication program
• 1965- Cases reduction to 0.1million
• Early 1970s resurgence of malariaby
6.46 millioncases
• 1977– Modifiedplanof operations
implemented
• 1997– WorldBank assisted Enhanced
malariacontrol project(EMCP)
• 1999– Renaming ofprojectto National
Anti-malarialprogram(NAMP)
• 2002 -Renaming NAMP to NVBDCP
• 2005– Globalfund assisted Intensified
Malaria control project(IMCP),RDT
included
• 2006 – ACTintroduced
• 2008 – ACTextendedand World Bank
supportedNational Malaria Control
project launched
• 2009– Introduction of Long Lasting
Insecticidal Nets(LLINs)
• 2010 -New drug policy
• 2012– Introduction ofbivalent RDT
• 2013– Newdrugpolicy2013
• 2016- National Framework for
Malaria Elimination in India
launched
• 2017- National Strategic Plan for
Malaria Elimination in India 2017-
2022 launched

13. FeverTreatment Depots (FTDs)
To avoid delay in detection of cases which occur in between visits of MPW, it can be
supplemented with establishment of Fever Treatment Depots in villages especially in
areas which are remote/ inaccessible and have low population density, for example in
hilly terrain of Jharkhand, Chhattisgarh and MP and arid areas ofRajasthan.
The FTD holder should be given training for one or two days at the PHC
Headquarters in the collection of blood smears, administration of presumptive
treatment, impregnation of bed nets, promotion of larvivores fish etc.
He should be paid TA/DA/honorarium as per guidelines of NVBDCP for attending
training.

14. Drug Distribution Centre (DDC)
If it is not possible to have FTD,the medicalofficer should establish DDC.
The function of DDCs are the same as those of FTDs, except that the DDCs do
not takeblood slides but administer drugs to fever cases.
Volunteers identified for running DDCs should be imported one-two day induction/
orientation training in identification of fever cases, administration of presumptive
treatment, promotion of preventive measures like distribution & impregnation of bed
nets, larvivores fish, source reduction etc.for vector control.

15. Urban Malaria Scheme (UMS)
Theproposalofurbanmalariascheme(UMS) wassanctionedin1971whenit was
realizedthaturbanmalariawasasignificantproblemandifeffectiveanti- larval
measureswerenotundertakeninurbanareas,theproliferationofmalaria casesfrom
urbantoruralmightoccurinabiggerway.
Inthisschemeallthetownshavingmorethan50,000populationandshowing
morethan2APIinlast3 yearsaretobecovered.Atpresent131 townsand citiesin
19statesandunionterritoriesareundertheUMS.

16. OBJECTIVES of Urban Malaria Scheme
• The main aim is the reduction of the disease to a tolerable level in which the
human population can be protected from malaria transmission with the
available means.
• The Urban Malaria Scheme aims at :
1)Toprevent deaths due tomalaria.
2)Reduction in transmission andmorbidity.

17. Control Strategies under Urban Malaria
Scheme
1. Parasitecontrol
2. Vector control comprisesthe followingcomponents
• Source reduction
• Use oflarvicides
• Use of larvivoresfish
• Space spray
• Minor engineering
• Legislative measure

18. National Framework for Malaria Elimination
in India(2016-2030)
• The vision of India malaria control programme has been shifted to sustained
malaria elimination to contribute more effectively to improve health and
quality of life of the people.
• The national framework for malaria elimination in India 2016-2030 was
launched in February 2016.

19. Goals
• In line with the WHO global technical strategy for malaria 2016-2030 and the
Asia Pacific leaders malaria alliance malaria elimination road map, the goals
of the national framework for Malaria elimination in India 2016-2030 are:
Eliminate malaria throughout the entire country by 2030
Maintain malaria free status in areas where malaria transmission has been
interrupted and prevent reintroduction of malaria.

20. Objectives
• The National framework for malaria elimination in India has formulated the
following objectives:
By 2022, transmission of malaria interrupted and zero indigenous cases to be
attained in all 26 states.
By 2024, indigenous transmission of malaria to be reduced to less than one case
per 1000 population in all states and union territories and their district.
By 2030, malaria to be eliminated throughout the entire country and
establishment of transmission prevented.

21. THANKYOU