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Questions and Answers
What is the primary goal of the interventions in malaria pre-elimination phase?
What is the primary goal of the interventions in malaria pre-elimination phase?
What is required for health institutions in high-risk malaria areas?
What is required for health institutions in high-risk malaria areas?
In areas where malaria transmission is focal, what is the primary objective?
In areas where malaria transmission is focal, what is the primary objective?
What does the term 'API' refer to in the context of malaria management?
What does the term 'API' refer to in the context of malaria management?
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How should elimination measures be planned?
How should elimination measures be planned?
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Which areas are emphasized for strengthening hospitals in malaria transmission pockets?
Which areas are emphasized for strengthening hospitals in malaria transmission pockets?
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What is a key intervention for managing severe malaria cases in endemic areas?
What is a key intervention for managing severe malaria cases in endemic areas?
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What is a significant component of the surveillance system during malaria elimination phases?
What is a significant component of the surveillance system during malaria elimination phases?
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What is the primary focus during the investigation of malaria foci?
What is the primary focus during the investigation of malaria foci?
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Which groups are specifically mentioned for surveillance operations?
Which groups are specifically mentioned for surveillance operations?
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What determines the probability of malaria being re-established in a malaria-free area?
What determines the probability of malaria being re-established in a malaria-free area?
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In which phase does the National Framework for Malaria Elimination classify the specific objectives and key interventions?
In which phase does the National Framework for Malaria Elimination classify the specific objectives and key interventions?
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What outcome is likely in areas with high receptivity and vulnerability without appropriate action?
What outcome is likely in areas with high receptivity and vulnerability without appropriate action?
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What role do master trainers play according to the framework?
What role do master trainers play according to the framework?
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Which factor must be high to prevent malaria re-establishment in a previously malaria-free area?
Which factor must be high to prevent malaria re-establishment in a previously malaria-free area?
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What happens when migration from a malaria area occurs in a receptive environment?
What happens when migration from a malaria area occurs in a receptive environment?
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What is a primary objective of the intensified control phase of malaria elimination in India?
What is a primary objective of the intensified control phase of malaria elimination in India?
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Which key intervention is used to gauge the local malaria situation?
Which key intervention is used to gauge the local malaria situation?
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What is emphasized to reduce malaria morbidity?
What is emphasized to reduce malaria morbidity?
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How does the framework propose to support populations in hard-to-reach areas?
How does the framework propose to support populations in hard-to-reach areas?
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Which group is specifically mentioned as requiring special interventions?
Which group is specifically mentioned as requiring special interventions?
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What is required to prevent possible outbreaks of malaria?
What is required to prevent possible outbreaks of malaria?
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Which approach is aimed at achieving a significant reduction in malaria prevalence?
Which approach is aimed at achieving a significant reduction in malaria prevalence?
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What is an effective strategy for reducing ongoing transmission of malaria?
What is an effective strategy for reducing ongoing transmission of malaria?
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What is required for all malaria microscopy services in the country?
What is required for all malaria microscopy services in the country?
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Which of the following is a focus for intersectoral collaboration?
Which of the following is a focus for intersectoral collaboration?
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What aspect of data collection is crucial for the management of malaria?
What aspect of data collection is crucial for the management of malaria?
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How should private sector organizations contribute under the CSR Act?
How should private sector organizations contribute under the CSR Act?
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What training is necessary for private practitioners regarding malaria?
What training is necessary for private practitioners regarding malaria?
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What role does environmental management play in malaria control?
What role does environmental management play in malaria control?
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Which of the following is NOT a goal of the collaboration with NGOs?
Which of the following is NOT a goal of the collaboration with NGOs?
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What is a primary focus for ensuring the quality of malaria diagnosis?
What is a primary focus for ensuring the quality of malaria diagnosis?
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What is the primary objective after a state or district achieves malaria elimination?
What is the primary objective after a state or district achieves malaria elimination?
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Which committee is responsible for overseeing all malaria elimination activities in the country?
Which committee is responsible for overseeing all malaria elimination activities in the country?
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Under what strategy should the case notification, diagnosis, treatment, and follow-up be organized?
Under what strategy should the case notification, diagnosis, treatment, and follow-up be organized?
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What action should be taken regarding malaria in areas that have achieved elimination?
What action should be taken regarding malaria in areas that have achieved elimination?
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Which of the following is NOT a specific objective after achieving malaria elimination?
Which of the following is NOT a specific objective after achieving malaria elimination?
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What is one of the roles of the technical working group within the National Malaria Elimination Committee?
What is one of the roles of the technical working group within the National Malaria Elimination Committee?
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Which intervention focuses on information, education, and behavior change communication for malaria control?
Which intervention focuses on information, education, and behavior change communication for malaria control?
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What is a critical aspect of maintaining malaria-free status in eliminated areas?
What is a critical aspect of maintaining malaria-free status in eliminated areas?
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What is one of the innovative ways for service delivery mentioned for reaching hard-to-reach populations in malaria elimination efforts?
What is one of the innovative ways for service delivery mentioned for reaching hard-to-reach populations in malaria elimination efforts?
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Which strategy is proposed for capacity building within health officials as per the National Framework for Malaria Elimination?
Which strategy is proposed for capacity building within health officials as per the National Framework for Malaria Elimination?
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How often should cost-benefit analysis of interventions for malaria elimination be conducted according to the framework?
How often should cost-benefit analysis of interventions for malaria elimination be conducted according to the framework?
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What type of research is suggested to improve insecticide-treated nets (LLIN) efficacy?
What type of research is suggested to improve insecticide-treated nets (LLIN) efficacy?
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What type of surveys should states/UTs conduct to inform vector control method choices?
What type of surveys should states/UTs conduct to inform vector control method choices?
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What is the primary focus of longitudinal surveys included in the National Framework for Malaria Elimination?
What is the primary focus of longitudinal surveys included in the National Framework for Malaria Elimination?
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How often is the implementation of the National Framework for Malaria Elimination evaluated?
How often is the implementation of the National Framework for Malaria Elimination evaluated?
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Which of the following is NOT a component of capacity building as listed in the framework?
Which of the following is NOT a component of capacity building as listed in the framework?
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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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