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What is the primary goal of the interventions in malaria pre-elimination phase?

  • To eliminate all cases of malaria
  • To increase the number of malaria cases
  • To interrupt transmission of malaria (correct)
  • To monitor malaria cases without intervention
  • What is required for health institutions in high-risk malaria areas?

  • Extended hours of operation
  • No need for additional facilities
  • Only diagnostics measures
  • Microscopy facilities and RDTs for emergency use (correct)
  • In areas where malaria transmission is focal, what is the primary objective?

  • To immediately notify each detected case (correct)
  • To encourage more travel to endemic areas
  • To disregard malaria cases from private sectors
  • To provide medication to all residents
  • What does the term 'API' refer to in the context of malaria management?

    <p>Annual Parasite Incidence</p> Signup and view all the answers

    How should elimination measures be planned?

    <p>Through an epidemiological investigation and case classification</p> Signup and view all the answers

    Which areas are emphasized for strengthening hospitals in malaria transmission pockets?

    <p>Tribal, hilly, and conflict-affected areas</p> Signup and view all the answers

    What is a key intervention for managing severe malaria cases in endemic areas?

    <p>Injectable artemisinin derivatives</p> Signup and view all the answers

    What is a significant component of the surveillance system during malaria elimination phases?

    <p>Mandatory notification from all health facilities</p> Signup and view all the answers

    What is the primary focus during the investigation of malaria foci?

    <p>Screening all suspected cases of malaria</p> Signup and view all the answers

    Which groups are specifically mentioned for surveillance operations?

    <p>Migrant populations and those near industrial areas</p> Signup and view all the answers

    What determines the probability of malaria being re-established in a malaria-free area?

    <p>Both receptivity and vulnerability levels</p> Signup and view all the answers

    In which phase does the National Framework for Malaria Elimination classify the specific objectives and key interventions?

    <p>Category 1 (Elimination Phase)</p> Signup and view all the answers

    What outcome is likely in areas with high receptivity and vulnerability without appropriate action?

    <p>The area is likely to become malarious again</p> Signup and view all the answers

    What role do master trainers play according to the framework?

    <p>Training and certification of microscopists</p> Signup and view all the answers

    Which factor must be high to prevent malaria re-establishment in a previously malaria-free area?

    <p>Vector control measures</p> Signup and view all the answers

    What happens when migration from a malaria area occurs in a receptive environment?

    <p>High risk of malaria transmission re-establishment</p> Signup and view all the answers

    What is a primary objective of the intensified control phase of malaria elimination in India?

    <p>Achieve universal coverage with malaria preventive and curative services</p> Signup and view all the answers

    Which key intervention is used to gauge the local malaria situation?

    <p>Classification of areas as per local malaria epidemiology</p> Signup and view all the answers

    What is emphasized to reduce malaria morbidity?

    <p>Timely referral and treatment of severe malaria cases</p> Signup and view all the answers

    How does the framework propose to support populations in hard-to-reach areas?

    <p>Creating one-stop centers or mobile clinics</p> Signup and view all the answers

    Which group is specifically mentioned as requiring special interventions?

    <p>Tribal populations and those in conflict-affected areas</p> Signup and view all the answers

    What is required to prevent possible outbreaks of malaria?

    <p>Strengthening intersectoral collaboration</p> Signup and view all the answers

    Which approach is aimed at achieving a significant reduction in malaria prevalence?

    <p>Massive scaling up of existing disease management approaches</p> Signup and view all the answers

    What is an effective strategy for reducing ongoing transmission of malaria?

    <p>Implementing tailored interventions based on area risk</p> Signup and view all the answers

    What is required for all malaria microscopy services in the country?

    <p>To follow internationally accepted standards for quality assurance</p> Signup and view all the answers

    Which of the following is a focus for intersectoral collaboration?

    <p>Formulation of defined roles for various organizations</p> Signup and view all the answers

    What aspect of data collection is crucial for the management of malaria?

    <p>Monthly data collection from international border areas</p> Signup and view all the answers

    How should private sector organizations contribute under the CSR Act?

    <p>By participating in malaria prevention initiatives in states/UTs</p> Signup and view all the answers

    What training is necessary for private practitioners regarding malaria?

    <p>Refresher courses following national guidelines</p> Signup and view all the answers

    What role does environmental management play in malaria control?

    <p>Collaboration with the public works department for environmental initiatives</p> Signup and view all the answers

    Which of the following is NOT a goal of the collaboration with NGOs?

    <p>Reducing healthcare access for marginalized populations</p> Signup and view all the answers

    What is a primary focus for ensuring the quality of malaria diagnosis?

    <p>Implementing a national quality management network for testing facilities</p> Signup and view all the answers

    What is the primary objective after a state or district achieves malaria elimination?

    <p>To determine the underlying causes of resumed local transmission</p> Signup and view all the answers

    Which committee is responsible for overseeing all malaria elimination activities in the country?

    <p>National Malaria Elimination Committee</p> Signup and view all the answers

    Under what strategy should the case notification, diagnosis, treatment, and follow-up be organized?

    <p>1-3-7 strategy</p> Signup and view all the answers

    What action should be taken regarding malaria in areas that have achieved elimination?

    <p>Malaria should be classified as a notifiable disease</p> Signup and view all the answers

    Which of the following is NOT a specific objective after achieving malaria elimination?

    <p>Increase local mosquito populations</p> Signup and view all the answers

    What is one of the roles of the technical working group within the National Malaria Elimination Committee?

    <p>To formulate relevant policies and guidelines</p> Signup and view all the answers

    Which intervention focuses on information, education, and behavior change communication for malaria control?

    <p>Behaviour change communication (BCC)</p> Signup and view all the answers

    What is a critical aspect of maintaining malaria-free status in eliminated areas?

    <p>Applying rapid curative and preventive measures</p> Signup and view all the answers

    What is one of the innovative ways for service delivery mentioned for reaching hard-to-reach populations in malaria elimination efforts?

    <p>Collaborating with NGOs and community-based organizations</p> Signup and view all the answers

    Which strategy is proposed for capacity building within health officials as per the National Framework for Malaria Elimination?

    <p>Preparation of annual training curricula and schedules</p> Signup and view all the answers

    How often should cost-benefit analysis of interventions for malaria elimination be conducted according to the framework?

    <p>Once every five years</p> Signup and view all the answers

    What type of research is suggested to improve insecticide-treated nets (LLIN) efficacy?

    <p>Facilitating research on enhanced ingredients and new formulations</p> Signup and view all the answers

    What type of surveys should states/UTs conduct to inform vector control method choices?

    <p>Behavior studies of mosquito vectors</p> Signup and view all the answers

    What is the primary focus of longitudinal surveys included in the National Framework for Malaria Elimination?

    <p>Malaria vector population dynamics</p> Signup and view all the answers

    How often is the implementation of the National Framework for Malaria Elimination evaluated?

    <p>At regular intervals</p> Signup and view all the answers

    Which of the following is NOT a component of capacity building as listed in the framework?

    <p>Increasing the workforce size annually</p> Signup and view all the answers

    Study Notes

    National Framework for Malaria Elimination in India (2016-2030)

    • Introduced in 2016, aiming for malaria elimination in India by 2030
    • Developed by the Directorate of National Vector Borne Disease Control Programme (NVBDCP) under the Ministry of Health & Family Welfare, Government of India
    • Framework outlines strategies, targets, and timelines to eliminate malaria, maintain malaria-free status in affected areas, and prevent re-introduction.
    • Comprehensive document covering introduction, need for elimination, measuring progress, cost, and next steps.
    • Includes detailed annexes on India country profile, history of malaria control, current trends in malaria, Challenges in malaria control, epidemiological situations by state/UT (2000, 2013, 2014), and epidemiological situation for elimination planning by category.

    Acronyms

    • ABER: annual blood examination rate
    • ACT: artemisinin-based combination therapy
    • ACT-AL: artemisinin-based combination therapy – artemether-lumefantrine
    • ACT-SP: artemisinin-based combination therapy – sulfadoxine-pyrimethamine
    • AIM: Action and Investment to defeat Malaria 2016-2030
    • and many more

    Vision and Goals

    • Vision: Eliminate malaria nationally and contribute to improved health, quality of life, and poverty alleviation
    • Goals: Eliminate malaria (zero indigenous cases) throughout the country by 2030 and maintain a malaria-free status in areas where malaria transmission has been interrupted and prevent re-introduction.

    Objectives

    • Eliminate malaria from low and moderate transmission states/UTs by 2022
    • Reduce malaria incidence to less than one case per 1000 population per year in all states and UTs and their districts by 2024
    • Interrupt indigenous transmission throughout the entire country by 2027
    • Prevent re-establishment of local malaria transmission and maintain national malaria-free status by 2030 and beyond

    Strategic Approaches

    • Phased implementation based on annual parasite incidence (API), considering different levels of malaria endemicity
    • Classification of states/UTs into four categories based on API to guide interventions and resources
    • Focus on high-transmission areas with specific strategies
    • Special strategy for eliminating Plasmodium vivax

    Milestones and Targets

    • Specific milestones and targets set for 2016, 2020, 2022, 2024, 2027, and 2030
    • Includes estimated reduction in malaria cases (in percentages) across different years
    • Includes specifics on states and UTs in each phase.

    Key Interventions

    • Detailed strategies and interventions for each category of states/UTs for malaria elimination
    • Includes cross-cutting interventions common across all categories

    Capacity Building

    • Developing training curricula and schedules for health officials
    • Identifying and training national-level trainers
    • Facilitating research and use of advanced methods

    Measuring Progress and Impact

    • Implementation monitoring through various indicators, with specific focus on measuring coverage and quality of interventions, epidemiological indicators ensuring desired outcomes
    • National/state-level independent committees for supervising progress towards malaria elimination
    • Creation of databases for collecting and analyzing information about malaria elimination

    Cost of Implementing the Framework

    • Highlights that malaria elimination is a cost-effective public health investment
    • Estimates associated costs, potential benefits, and rationale for investment

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