•Prevention of deaths due to malaria
•Prevention of morbidity due to malaria
• Maintenance of ongoing socioeconomic development
•Malaria control and prevention in pregnancy
•Behavior and social change communication in support of all interventions •Management of malaria at home
•API 1.3 or less in the 11th Five Year Plan
• At least 50% reduction in mortality due to malaria by the year 2010, as per National Health Policy (2002) •To halt and reverse the incidence of malaria by 2015 (as per Millenium Development Goals) Malaria control strategies
Surveillance and case management-
Malaria surveillance connotes the maintenance of an on-going watch/ vigil over the status of malaria in a group or community. Its main objective is to detect patterns and changes in trends or distributions in malaria in order to start investigative measures and control activities. Surveillance is directly linked to the intensity of the malarial transmission, in leu of limited recourses prevention and control is essentially related to the magnitude of the transmission Due to the failure of the previous strategy to combat malaria a new and improved strategy called “Modified Plan of Operation” (MPO) w.e.f. 1.4.1977.
Strategies under MPO
i) Fortnightly blood smear collection by domiciliary visits, from fever cases, their examination and treatment with antimalarial drugs. ii) Decentralisation of laboratory services to the PHC level. iii) Establishment of Drug Distribution Centres (DDCs)/ Fever Treatment Depots (FTDs). iv) Insecticidal spray with appropriate insecticide during the transmission period in rural areas recording Annual Parasite Incidence (API) 2 or above. In urban areas, through recurrent antilarval operations. v) Health Education and Community Participation.
Table 1: Countrywide Epidemiological Situation (1995 – 2010)
YearPopulation (in ‘000)Total Malaria Cases (million)P.falciparum cases (million)Pf %APIDeaths due to malaria 19958881432.931.1438.843.291151