Nullify

2. Dengue
Goal:
To reduce the morbidity and mortality due to dengue fever, Dengue
Haemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS).
Objectives:
• To develop an integrated vector management (IVM) approach for
prevention and control.
• To develop capacity on diagnosis and case management of dengue
fever, DHF and DSS.
• To intensify health education and IEC activities.
• To strengthen the surveillance system for prediction, early detection,
preparedness and early response to dengue outbreaks.

3. Strategies:
• Early case detection, diagnosis, management and reporting of
dengue fever
• Regular monitoring of dengue fever surveillance through the
EWARS
• Mosquito vector surveillance in municipalities
• The integrated vector control approach where a combination of
several approaches are
directed towards containment and source reduction

4. Major activities in 2078-79
• Trained physicians, nurses, paramedics and laboratory technicians on
dengue case
detection, diagnosis, management and reporting
• Orientated municipality stakeholders on dengue prevention and
management
• Supplied rapid diagnostic test kits (IgM)
• Dengue case monitoring and vector surveillance
• Search and destruction of dengue vector larvae in different local
levels
• Developed IEC materials and disseminated health education
messages engaging various
stakeholders including the media and youth
• Distribution of nets

5. Leprosy

6. Scrub typhus
Introduction:
Scrub Typhus is an acute, febrile, infectious disease that is caused by
Orientia (formerly Rickettsia) tsutsugamushi. It is also known as
tsutsugamushi disease. It is an obligate intracellular gramnegative
bacterium from the Rickettsiaceae family.

7. Control Measures
1. Bate regularly & charge into clean clothes at least once • week
2.wash louse infested clothing at least once a week.
3.Don't share clothing,beds, bedding or towels with a person who has
Body lice or infected with it.
4.Treat bedding, uniforms of other clothing with 0.5% Chlorine.

8. Lymphatic filariasis
• Goal:
• The people of Nepal no longer suffer from Lymphatic
Filariasis.
• Objective
• •To eliminate Lymphatic Filariasis as a public
• health problem by 2020
• • To interrupt the transmission of Lymphatic
• Filariasis
• • To reduce and prevent morbidity
• • To provide deworming through Albendazole
• to endemic communities especially to children
• • To reduce mosquito vectors by the application
• of suitable available vector control measures .

9. Strategies:
•Interrupt transmission by yearly
mass drugadministration using
two drug regimens
(diethylcarbamazine citrate and
albendazole) for six years
• Morbidity management by selfcare and support using intensive
simple, effective and local
hygienic techniques.

10. • MDA related major activities
• • Implementation unit and local level activities: Planning meetings,
training of health
• workers, advocacy, social mobilization, IEC/BCC, monitoring and
supervision,
• interactions with the media, interactions with multi-sector stakeholders
including newly
• elected local body and logistics supply.
• • Community level activities: Volunteer’s orientations, advocacy, social
mobilization,
• IEC/BCC, implementation of MDA activities and monitoring and
supervision.
• •Social mobilization activities: The production of revised IEC materials,
checklists,
• reporting

11. Malaria
• Vision: Malaria Elimination in Nepal by 2025.
• Mission:
• Ensure universal access to quality assured malaria
services for prevention, diagnosis,
• treatment and prompt response in outbreak.
• Goal: Reduce the indigenous malaria cases to zero
by 2022 and sustain thereafter. sustain zero malaria
mortality

12. Objetives
• To ensure proportional and equitable access to
quality assured diagnosis and treatment in health
facilities as per federal structure and implement
effective preventive measures to achieve malaria
elimination.

13. • • The updated NMSP (2014-2025) will attain the elimination goals
through the implementation of following five strategies:
• • Strengthen surveillance and information system on malaria for
effective decision making.
• • Ensure effective coverage of vector control interventions in
malaria risk areas to reduce
• transmission.
• • Ensure universal access to quality assured diagnosis and
effective treatment for malaria.
• • Ensure government committed leadership and engage
community for malaria elimination.
• • Strengthen technical and managerial capacities towards malaria
elimination.

14. Kala-azar
Goal :Contribute to the mitigation of poverty in kala-azar
endemic districts of Nepal by reducing the morbidity and
mortality of the disease and assisting in the development of
equitable health systems.
Objective:
• Reduce the incidence of kalaazar in endemic communities
with special emphasis on poor, vulnerable and unreached
populations.
• Reduce case fatality rates from primary Kala-azar to ZERO
• Detect and treat PKDL to reduce the parasite reservoir.
• Prevent and manage Kala-azar HIV-TB co-infections.

15. Strategies
• Early diagnosis and complete
treatment
• Integrated Vector Management
• Effective disease and vector
surveillance
• Social mobilization and
partnership
• Improve program management.
• Clinical, implementation and
operational research

16. Current interventions of Kala-azar:
1. Early Diagnosis and Treatment
• Free diagnosis of Kala-azar cases using RDT (rK39) and provision of free
treatment
with Liposomal Amphotericin B (LAmB).
• Diagnosis services are provided from the PHC level of government health
facilities.
• Treatment services are provided from selected three hospitals (1 Bheri
Hospital
Nepalgunj 2. Lumbini provincial Hospital Butwal 3. United mission hospital
Palpa) of
Lumbini province.
• Provision of NPR 2000 per patient for travel during the discharge time of
treatment.
• Provision of NPR 5000 per patient to the hospital for treatment.

17. 2. Surveillance System Strengthening
• Kala-azar surveillance system strengthening along with
the introduction of online
DHIS2/EWARS based reporting.
3. Indoor residual spraying
• IRS activities ongoing in selected districts as per the
need.
4. Active case detection
• Social mobilization and partnership
• Develop and distribute IEC/BCC
• Training /orientation /symposium

18. Outbreak=CHOLERA

19. Early interventions:
• Managed additional 15 beds in the hospital for the
treatment of Cholera patients
• Managed additional human resource from outside the
outbreak area (paramedics and
nursing from health post, 3 Doctor from Kapilvastu hospital
and 2 Doctor from Lumbini
Provincial hospital)
• Conducted awareness rising program at outbreak and prone
areas, also mobilized Nepal
police for miking to disseminate useful messages for disease
prevention and control

20. • Conducted focus group discussion in different
places and distributed ORS in community
by health workers
• Conducted discussion meeting with political
leaders of Sukrampur for community
awareness and sensitization
• Conducted water testing Program in different
places of the affected municipalities

21. Further Intervention:
• Expanded 40 beds in Ram Gorkha High school, nearby hospital
• Conducted home visit program by health worker and distributed
Piyush and chlorine tab for water purification and filled Outbreak
investigation form
• Requested private sector for the proper record of Diarrhoea cases
and hotels for the sanitation
• Continued awareness raising interventions, including miking and
community sensitization activities
• Conducted water investigation and purification program in
affected communities
• Conducted discussion meetings at different levels for resource
generation and overall outbreak management

22. ANY QUARIES ?

23. THANK YOU