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Objectives Activity Activity Aids
1. describe How will you
National anti NATIONAL ANTI-MALARIA PROGRAMME describing lisenting ppt describe the
malaria National Anti
programme malaria
NATIONAL ANTI-MALARIA PROGRAMME programme?
(NMCP) was launched in india in April 1953. It was
based on indoor residual spraying with DDT ( 1 g per
sq. metre of surface area ) twice a year in endemic
areas where spleen rates were over 10 percent. The
NMCP was in operation for 5 years (1953-58).The
results of the programme were highly successful in that
of the incidence of malaria is has declined sharply
from 75 million cases in 1953 to 2 million cases in
1958, an estimated 80 per cent reduction of malaria
problem .

According to the international standards, the

programme was divided into

a. preparatory phase
b. consolidation phase
c. maintenance phase

the annual incidence of malaria case in India escalated

from 50,000 in 1961 to a peak of 6.4 million cases in
1976.
S.No Time Specific Content Teacher’s Learner’s A.V. Evaluation
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list out explaining listening PPT What are the
2. milestones of MILESTONES OF MALARIA CONTROL milestones of
national PROGRAMME national
malaria malaria
control 1953- National Malaria Control Programme(NMCP) control
programme programme?
1958- National Malaria Eradication Programme
(NMEP)

1977- Modified Plan of Operation (MPO)

1979- Multipurpose Worker Scheme (MPW Scheme)

1995- Implementation of Malaria Action Plan-1995

(MAP-95).

1997- Launching of World Bank Assisted Enhanced

Malaria Control Project in tribal districts of the State
(EMCP)

2000- National Anti Malaria programme (NAMP)

2004- National Vector Borne Disease control

programme (NVBDCP

S
S.No Time Specific Content Teacher’ Learner’s A.V. Evaluation
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explain the Listening PPT What are the
3. modified plan MODIFIDED PLAN FOR OPERATION explaining modified plan
for operation for operation?
1. OBJECTIVES

The modified plan of operation under the

NMEP in to force from 1st April 1977 with the
following objectives.

 To prevent death due to malaria

 To reduce malaria morbidity
 To maintain agricultural and industrial
production by undertaking intensive
antimalarial measures.
 To consolidate the gains so far
achieved.

2. RECLASSIFICATION OF ENDEMIC AREAS

 The report of consultative committee

indicated in order to stabilize the
malaria situation in the country ,areas
with annual parasite incidence 2 and
above should taken up for spray
operation .
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 This led to the abolition Of the earlier

phasing of antimalaria unit as attack,
consolidation and maintenance areas
and reclassification of area according to
annual parasite incidence.

3. AREAS WITH API MORE THAN 2

a. spraying – All areas with API and above are

brought under regular insecticidal sprays with rounds
of DDT unless vector is refractory .when vector is
refractory to DDT,3 rounds of malathion are
recommended. Areas refractory both to DDT and
Malathion are to be treated with 2 rounds of synthetic
pyrethroids sprays at regular intervals of 6 weeks .
DDT,malathion and pyrethroids applied are 1.0,2.0,
and o.25 g per square meter surface respectively.

b. Entomological assessment- This is done by

entomological teams.they carry out susceptibility tests
and suggest appropriate insecticide to be used in
particular areas.
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c. surveillance – The collection and examination

of blood smears is a key element of the modified plan
of operation.

d. Treatment of cases- Great emphasis on radical

treatment.

4. AREAS WITH API LESS THAN 2

a. spraying- These area will not be under regular

insecticidal spraying. however ,focal spraying is to be
undertaken only around p.falciparum cases detected
during surveillance .

b. surveillance – Active and passive surveillance

operations will have to be carried out vigorously every
fortnight.

c. Treatment – All detected cases should receive

radical treatment as prescribed.

d. Follow up.- blood smear should collected from

all positive cases on completion of the radical
treatment and monthly interval for three months.
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e. Epidemiological investigation - All malariaey

positive cases are to be investigated. This may include
mass survey.

5. DRUG DISTRIBUTION CENTRES AND FEVER

TREATMENT DEPOTS

 With the increasing number of malaria

cases ,the demand for antimalarial drugs has
increased.Drug supply through the surveillance
workers and medical institution was not enough
.
 This led to the establishment of wide network
of drug distribution centers and fever treatment
depots .drug distribution centers is to dispense
the antimalarial drugs as per NMEP schedules.
 Fever treatment depots collect the blood slides
in addition to distribution of antimalarial drugs.
 About 3.57 lakhs of such centers are
functioning all over the country in rural areas.
These centers are manned by voluntary workers
from the community.
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6. URBAN MALARIA SCHEME

 This scheme was launched in 1971 to reduce

or interrupt the malaria transmission in town
and cities .
 The methodology comprises vector control by
intensive antilarval measures and drug
treatment. The urban component of
NMEP,covers 181 cities and towns, including
New Delhi ,Mumbai, Kolkata, and Chennai.
 It is implemented in 131 countries.

7. P.FALCIPARUM CONTAINMENT

 With the modified plan of operation ,an

additional component known As p.falciparum
containment programme was introduced from
October 1977 through assistance of Swedish
international development agency (SIDA).
 The specific purpose of this component to
prevent or contain pr control the spread of p.
falciparum malaria.
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8. RESEARCH

 Six monitoring teams are now working in

different parts of country to identify the
p.falciparum sensitivity to cholroquine. one
team is working on testing alternative.
 Studies by the Indian council of medical
research have revealed.chloroquine resistance
foci in several states.

9. HEALTH EDUCATION

 Health education of the public to enlist their

cooperation in malaria control activities.

10. REORGANIZATION

 Laboratory services are decentralized to

minimize the time lag between collection of
blood smears and their examination.
 Laboratory technicians have been posted at
each primary health centre. Epidemiological
teams have been attached to all the 72 zones in
the country.
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SURVEILLANCE

Surveillance in malaria aimed at case detection

through laboratory services and providing facilities
for proper treatment .The timely collection and
examination of blood smear is the key element for
modified plan for operation. It is of two types

A) Active surveillance

1. This is carried out by the workers known as

“Surviellance workers “ who are n now
replaced by the multipurpose workers .Each
surveillance workers is allotted a population of
10,000 house for every surveillance workers .
2. There is a surveillance inspector ,for difficult
terrain areas one surveillance workers for 8000
population and one surveillance inspectors for
32,0000 population.
3. The surveillance workers will visit each house
once a fortnight and enquire
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a. Whether fever cases in the houses including

guest or visitors in the house
b. fever cases in between the previous visit
and present visits.

4. The surveillance workers collects a blood film

and administer a single dose 600 mg of chloroquine
drug according to NMEP schedule .This is known as
presumptive treatment.

B. Passive surveillance

1. The search for the malaria cases by the health

agencies such as sub centres , primary health
centres, Hospitals ,dispenseries and local
medical practitioners is known as passive
surveillance.
2. The passive agencies collect the blood smear
from all the fever casesand single dose of
treatment for malaria is administered.
3. The collected blood samples are sent to
microscopic examination and the results are
communicated to surveillance worker for
radical treatment.
S.No Time Specific Content Teacher’s Learner’s A.V. Evaluation
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enumerate the Parameters of malaria surveillance Listening PPT What are the
4 parameters of  Annual parasite incidence rate(API) explaining parameters of
malaria surveillance?
surveillance  Annual blood examination rate (ABER)
 Annual falciparum incidence(AFI)
 Slide positive rate (SPR)
 Slide falciparum rate (SFR)

MALARIA CONTROL THROUGH PRIMARY

HEALTH CENTRES
 A new approach to malaria control was
approved by WHO in 1978.implementation of
malaria context in primary health centers.
 This is because many of the malaria control
activities are carried it by peripheral centers
During 1955 malaria action plan was to
identify the high risks areas and to provide
with one fever treatment depots for per 1000
population .
 The voluntary health workers in the local
community was selected for supplies of drugs
explain malaria and to collect blood smear for fever cases. How will you
5. control project ENHANCED MALARIA CONTROL explaining Listening chart explain the
PROJECT. malaria
The anti- malaria activities have been control
intensified with input of 100 cities. The total project?
project cost is about Rs 891 crores for 5 years.
S.No Time Specific Content Teacher’s Learner’s A.V. Evaluation
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The selection of PHC was based on following
criteria
1. The annual parasite incidence is more than
2 years for past 3 years.
2. The p. falciparum cases being more than 30
percent of malaria cases.
3. 20 per cent of population PHC is tribal
people
Reported death due to malaria from the PHC
Components under the malaria project.
Early detection of cases and treatment
Selective vector control and personal protective
methods including insecticide and treated
mosquito nets.
Epidemic planning and rapid response.
Intersectoral coordination and strengthening
institution.
Use of lavivorous fish.

NATIONAL ANTI MALARIA PROGRAMME

In 1999 Government of India decided to drop
the national malaria eradication programme and
renamed as National malaria eradication
programme.
S.No Time Specific Content Teacher’s Learner’s A.V. Evaluation
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The present strategies for prevention and control of
malaria are .
a. Early case detection and prompt treatment.
b. Integrated vector management –residual
spraying in selected areas .the bed nets are
provided for free of costs . The priority
beneficiers are below poverty line people and
tribe area.
c. Use of lavivorous fish is being promoted in
local water bodies in selected urban and rural
areas.
d. Epidemic preparedness and epidemic control
measures.
e. ICE activities in creating awareness.
URBAN MALARIA SCHEME
Control of urban malaria primarily
implementation of civil by laws to prevent
mosquito breeding in the domestic and pre
domestic areas.. This scheme is presently
protecting the 96.7 million from malaria and other
mosquito borne disease .

ANTI MALARIA MONTH CAMPAIGN

 Anti malaria month is observed in every
year in the month if June in every country
prior to monsoon and transmission season .
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 Enhancing the level of awareness and
community participation through mass
media campaign interpersonal
communication with other department and
voluntary agencies.

Conclusion
The report of consultative committee indicated in
order to stabilize the malaria situation in the
country. The voluntary health workers in the local
community was selected for supplies of drugs and
to collect blood smear for fever cases. Filarial
control strategy include vector control through anti
larval operation source reduction, deduction and
treatment of micro filarial carriers, morbidity
management IEC
RECAPITALIZATION:

1) How will you describe the National Anti malaria programme?

2) What are the milestones of national malaria control programme?
3) What are the modified plan for operation?
4) What are the parameters of surveillance?
5) How will you explain the malaria control project?

ASSIGNMENT:

1. Write an assignment on malaria control project. Marks : 10

BIBLOGRAPHY

 Kamalam.S (2005) “Essentials of Community health nursing " 2nd edition. Jaypee publications NewDelhi. page no
 K.Park’s (2011) “Textbook of preventive and social medicine” 21 st edition,.BanarsidesBhanot Publishers Perm Nagar, Jabalpur,
India.
 Krishna kumara Gulani( 2012)“Community health nursing principles and practices“1st edition Kumar publications , Delhi
 Sunderlal (2010) "Text book of Community Medicine, preventive and social medicine"2nd edition, CBS publishers,
New Delhi.

s
NETREFRENCE:
 www.wikipedia.com
 http://www.google weblight.org
 LESSON PLAN ON

NATIONAL MALARIA CONTROL

PROGRAMME
Institution Name – College of Nursing, Madras Medical College

Subject - Community Health Nursing

Topic - NATIONAL MALARIA CONTROL PROGRAMME

Method of teaching - Lecture cum discussion

Teaching aids - Black board, flannel graph, roller board, chart and power point presentation.

Group of student - BSc nursing IV year

Duration - 35 min
INTRODUCTION

Malaria is san ancient disease as old as human civilization .man and malaria seemed to been have evolved together and it has been
known to mankind for millennia. It is always ups and downs for the nations. Malaria has always and remain as public health problem in the
development of state an account of heavy morbidity and mortality .At the time of independence estimated annual incidence of malaria in
India was 75 million cases with 0.8 million deaths. In 2014 world malaria project 0.88 million cases have been recorded, with 128 million
tests being conducted on the suspected cases with p.falciparum causing 53% and p. vivax causing 47% of the infections . The incidence of
malaria in India accounted for 58% of cases.
CENTRAL OBJECTIVES:

The student will be able to gain adequate knowledge about National malaria control programme and to develop the desirable
attitudes regarding malaria modified plan , malaria project , parameters and component of malaria control programme.

CONTRIBUTORY OBJECTIVES

 describe National anti malaria programme

 list out the milestones of malaria control programme
 explain the modified plan for operation
 enumerate the parameters of malaria surveillance
 explain malaria control project