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SAMAGRA 2012

COMMUNICABLE DISEASE AND NON COMMMUNICABLE DISEASE CONTROL ACTION PLAN 2012

KADVALLOOR GRAMA PANCHAYATH

PERUMPILAVU PRIMARY HEALTH CENTRE

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‘SAMAGRA’ ACTION PLAN – KADVALLOOR GRAMA PANCHAYATH

PERUMPILAVU PRIMARY HEALTH CENTRE

                In view of communicable disease control, especially Chickun gunea fever, Dengue fever, Leptospirosis and Malaria, an action plan for the year 2012-13 has been evolved after the situation in the pachayath has analysed. With an aim to detect early and to treat non communicable diseases like Diabetes mellitus, Hypertension, Dyslipidimia, Coronary and Artery Diseases and Cancer this action plan also meant for Non communicable disease control.

                The panchayath action plan is prepared in tune with the SAMAGRA action plan evolved in state level. The following are the activities to be under taken at ward level and panchayath level.

Ward level activities:

                In the 20 wards the Ward Health and Sanitation Committee convened a meeting to discuss the Samagra action plan and the following are the important activities to be undertaken by the committee.

COMMUNICABLE DISEASE CONTROL

1.       Early Case Reporting:

A volunteer for 50 houses make disease surveillance in the area and report it to the health authority. ASHA, Kudumbasree volunteers, AWWs were also make surveillance activities. JHI and JPHN in that area coordinate the follow up activities with the help of WH&SC.

       2.            Integrated Vector Management.

a)      Larval surveys: With help of health volunteers, College students and other NGOs larval survey regularly conduct at ward level and find out the sources and type of mosquitoes breeding in that place. Indexes such as House Index, Container Index, Pupal Index and Breteau index to be used for such larval studies. In addition to this health workers will conduct vector study on all Mondays.

b)      Anti Larval Measures:

i.                     Source Reduction:  A health volunteer regularly visits 50 houses once in a week and help the family to identify the breeding places and to remove such places.  IEC&BCC activities were also done in the visits.

The following strategies are using for source reduction

a)      Elimination of all potential vector breeding places near the domestic or peridomestic areas.

b)      Not allowing the storage of water for more than a week. This could be achieved by emptying and drying the water containers once in a week.

c)       Straining of the stored water by using a clean cloth once in a week to remove the mosquito larvae from the water and water can be reused. The sieved cloth should be dried in the sun to kill immature stages of mosquitoes.

d)      Targeted source reduction to be undertaken to removing larval habitats that are most productive (tyres, plastic bottles and cups, cocunut shells etc.)

ii             Chemical larvicide/biocide:  Chemical larvicide can be used 

a)      Where water cannot be removed but not used for human consumption,  Temphos can be used once in a week at a dose 1 ppm (parts per million)

b)      Pyrethrum extract (0.1% ready to use emulsion) can be sprayed in rooms (not outside) to kill the adult mosquitoes hiding inside the house.

iii            Larvivorous fish: The vector could be controlled by introduction of larvivorous fish, namely Guppy and Grampuses in water tanks and other water sources.

iv            Anti adult measures.

1.       Indoor spraying with pyrethrum extracts (2%).

2.       Fogging during outbreaks.

3.       Personal protection measures: Chemical repellents on exposed skin may be used for personal protection.

4.       Protective clothing.

5.       Insecticides treated bed nets and repellents: Use of insecticide treated curtains and bed nets are to be encouraged in homes and hospitals.

V             Rat control measures:

With the help of agriculture department control the population of rats and other vectors which may cause leptospirosis.

3.       Prophylaxis:

All employees coming under NREGs and those who are employed in the highrisk jobs should have to undergo doxycycline prophylaxis. NREG Co-ordinator and Assisant Engineer should have to undertake the responsibilities with the support of health department.

4.        Emigrant & Immigrant Screening:  Regular surveillance and screening of immigrant people including fever survey, blood smear collection has to be done at regular interval. Notification and registration of immigrants arrived in this area to be ensured.

5.       Well Chlorination:

Identify all the drinking water sources by a comprehensive survey and chlorinate them using bleaching powder.

6.       IEC / BCC program: With the help of WHS&NC a comprehensive plan for awareness of this program is to be planned and implimented. Necessay IEC materials can be prepared and distribute at Ward level using Ward Health Sanitation Fund.

NON COMMUNICABLE DISEASE CONTROL: ASHA workers and other volunteers selected for the program undergo training, to give awareness to public about the non communicable disease control activities. As per the guidelines of Non Communicable Disease Control Program volunteers get training to detect Dibetes mellitus and Hypertension at field level. Screening camps will be conducted at ward level and the patients detected during the screening camps were referred to proposed three NCD camps arranged at each sub centre. Above these Nursing students posted in this institution also engage in screening camps and IEC activities.

Panchayath level activities

                All the activities related to control and prevent communicable and non communicable diseases is the primary responsibility of the panchayath level committee. The chairperson of the committee is Grama Panchayath President and the convener is Medical officer of PHC. Vice president, Health Standing Committee chairman, Welfare standing committee chairman, all ward members, Political pary leaders, Conveners of WH&SC, Ayurveda Medical Officer, Agriculture Officer, CDS president, Village officer, Vetenary surgeon, Principal and Headmasters of Educational Institutions, Ngo representatives, Health Staff are the members of the committee.

                The committee will convene a panchayath level intersectoral meeting and discuss the action plan prepared to meet the challenge. The committee will regularly meet to monitor and evaluate the activities.

The following are the activities to be undertaken by the Panchayath level committee.

1.       Preparation and implementation of action plan.

2.       Training of volunteers.

3.       Preparation of IEC materials.

4.       Supporting activities for WHS&NC.

5.       Convene meeting regularly to evaluate and monitor the activities.

Monitoring and evaluation

                WH&SC and Panchayath level committees will regularly meet to monitor and evaluate the activties under taken.

CALENDER OF ACTIVITIES

STRATEGIC PLAN

No.	Activity	Time Line	Responsibility	Monitoring Indicators
1	WH&SC action plan preparation	Feb 15	WHS&NC	No. of meeting held, Selection & Training of volunteers. No. of action plan prepared and actions initiated
2	Panchayath level inter sectoral committee formation and meeting	Feb 30	Panchayath level committee
3	Training for volunteers	Mar 1st week	Panchayath level committee
4	Health club formation in schools and an award for  best health club to be instituted	Mar 1st	Panchayath level committee	No. of health clubs formed and initiated the works.
5	Meeting of NGOs& Clubs and an award for best NGO /Club to be instituted.	Mar 1st	Panchayath level	No. of NGOs initiated the works
6	Implementing BCC strategy	March	Panchayath level and WHS&NC
7	Source Reduction Campaigns	Mar  to Apr (Once in a week)	WHS&NC	House Index, Container Index, Pupal Index and Breteau Index.
8	Anti Larval Measures	Mar  to Apr (once in a week)	WHS&NC	No. spraying conducted, No. guppy fishes distributed.
9	Indoor spraying with pyrethrum	Mar  to Apr (once in a week)	WHS&NC	No. of spraying conducted
10	IEC materials preparation	Mar	Panchayath level	Quality of the materials
11	Ensuring involvement of NSS and Scout & Guides.	Mar	Panchayath level
12	Distribution of Rat poisons	April	WHS&NC	No. of Houses covered
13	Purchase of Beaching powder and Mosquito nets.	Mar	Panchayath level	Quality of the materials.
14	Well chlorination	March, June, September, December.	WHS&NC	No. of well chlorinated, quality of bleaching powder
15	Doxy cycline Prophylaxis	Mar to April	WHS&NC	No. Employees administered.
16	Emmigrant and Immigrant Screening	Mar to April	WHS&NC	No. Immigrants arrived, No. Patients with symptoms of CD.
NON COMMUN ICABLE DISEASE
17	Ward level awareness	Jan to Dec	WHS&NC	No. of IEC/BCC class conducted by ASHA,Volunteers and health staff.
18	Ward level screening camps	March 2nd, 3rd and 4th week	WHS&NC	No. of screening camps conducted and participation. Availability of materials and equipments
19	Sub centre level NCD camps	April (3no. per subcentre)	Panchayath Committee	No. of camps conducted and participation. Availability of medicine and equipments.
20	PHC level weekly clinics	Jan to Dec	Panchayath Committee	No. clinics conducted per month, attendance, availability of medicine and equipments