1. Dte. National Vector Borne Diseases Control Programme (NVBDCP), MOHFW
Intensified Malaria Elimination Project (IMEP) Jan’18 - Mar’21 GFATM Supported
Dr Avdhesh Kumar
Additional Director
Dte. National Vector Borne Diseases Control Programme (NVBDCP), MOHFW

2. Introduction Global Fund is supporting the country Malaria programme.
IMCP-II, Round IX: covered 7NE states for 5 years (Oct – Sep. 2015).
IMCP-3, New Funding Model: 27 months (Oct – Dec. 2017).
IMEP: 39 months (Jan – Mar. 2021).
Together, 7 NE states comprise a population of approx. 45 Million in 91 districts.
Target group/beneficiaries include marginalized groups, tribal population, women and children & other key population like Jhum cultivators, forest workers, migrants & mobile population (esp. in border areas).

3. IMEP: Introduction
Signing of GF Grant: 27th April 2018
IMEP implemented in project states since Jan 2018
Coverage: 7 NE states & Madhya Pradesh
Principal Recipient: Dte. NVBDCP, MoHFW
Govt. Sub-Recipients: 8 State Govts. (Arunachal, Assam, Manipur, Meghalaya, Mizoram, Nagaland, Tripura, Madhya Pradesh)
NGO Sub-Recipients: Bakdil, Meghalaya & Centre for Peace & Development, Mizoram
Goal: To reduce malaria related morbidity and mortality by at least 70% in project areas by 2020.

4. Objectives
Achieve universal coverage of population at risk of malaria with an appropriate vector control intervention (LLIN).
Achieve universal coverage of case detection and treatment services at all levels in project areas to ensure 100% parasitological diagnosis of all suspected malaria cases and complete treatment of all confirmed cases.
Strengthen the surveillance to detect, notify, investigate, classify and respond to all cases and foci in all districts (in project areas) to move towards malaria elimination.
Achieve universal coverage in project areas by appropriate BCC activities to improve knowledge, awareness and responsive behaviour regarding effective preventive and curative interventions.
Ensure effective programme management and coordination to deliver a combination of interventions for malaria elimination.

5. IMEP: Geographical Coverage
States: 8 Districts: 147 Popn.: 127 million

6. NVBDCP Strategies for Malaria Elimination
Major Strategies
Ensuring daily usage of Long Lasting Insecticidal Nets
Early diagnosis with Microscopy /Rapid Diagnostic Tests
Complete Treatment as per National Malaria Treatment Policy
Community awareness & intersectoral collaboration on malaria
Better Monitoring & Supervision
Additional HR & Capacity Building
Trained ASHAs for Malaria diagnosis & treatment at Community level
Quality IRS in high risk areas & other vector control measures
Daily LLIN Usage
Malaria Microscopy
Capacity Building of ASHAs
Community Awareness

7. Performance Indicators: Target & Achievement
Impact Indicators
Baseline 2015
(7NE + MP)
Target
2018
(7 NE + MP)
Achievement
Confirmed Malaria Cases
2,32,706
94,515
42,179
Malaria I-2.1: Confirmed malaria cases (microscopy or RDT): rate per 1000 persons per year
1.83
0.72
0.325
Malaria I-3.1(M): Inpatient malaria deaths per year: rate per 100,000 persons per year
0.128
0.041
0.011
Malaria I-4: Malaria test positivity rate (%)
1.53
0.62
0.389

8. Amount in USD (million)
IMEP Budget (Jan Mar 2021)
Approved Funding
(PR incl. SRs)
Amount in USD (million)
Amount in INR (crore)
Dte. NVBDCP (PR incl Govt. SRs)
63.46
412.48
Local NGOs (NGO SRs) -Meghalaya & Mizoram
1.55
10.06
Total
65.01
(Y1- Rs 7.64; Y2- Rs ;
Y3- Rs &
Y4- Rs )
Prioritized Above Allocation Request
Amount USD (million)
Amount in INR (crore)
PAAR (LLINs for Odisha in 2020; and
Implementation of HMIS)
49.40
321.10

9. Financial Utilization as on Dec-18 (Rs in Cr)
Cost-Category
Total Budget (Jan 18 - Mar 21)
Budget (Jan-Dec 18)
Utilization (Jan-Dec 18) %
Human Resource-HR
51.59
18.62
11.51
61.8
Travel Related Cost-TRC
24.04
7.10
2.45
34.6
External Professional Services-EPS
0.43
0.28 -
Health Products Non Pharmaceuticals-HPNP
314.25
181.78
144.72
79.6
Procurement & Supply Chain Management Costs-PSCM
12.15
8.03
4.88
60.7
Non-Health Equipment-NHP
5.83
0.17
0.09
52.8
Communication Material & Publications-CMP* (under procurement)
13.38
12.36
0.08
0.6
Program Adm Costs-PA
0.87
0.23
0.01
6.01
Total
422.54
228.56
163.73
71.6

10. Achievements under IMCP-3
Significant decline in malaria cases & deaths in NE states & Odisha.
7.24 million LLINs distributed in 7 NE states through mass campaign in for universal coverage of all sub centers with API >1.
11.34 million LLINs distributed in Odisha.
11.27 million LLINs distributed in Jharkhand & Chhattisgarh.
9.65 million LLINs for Madhya Pradesh: under distribution.
95% of ASHAs trained in 7 NE states & Odisha on malaria prevention & control from October 2015-March 2017.
97.5% of total budget for PR1 utilized.

11. Epidemiological Situation of Malaria, 7 NE States, 2009-2018
2015 vs 2018: Total cases reduced by 79%; Pf cases reduced by 77%; deaths reduced by 84%

12. Epidemiological Situation of Malaria, Odisha, 2009 - 2018
2015 vs 2018: Total cases reduced by 85%; Pf cases by 85%; deaths by 95%

13. Malaria decline in GF supported states, 2009 – 2018: the Success Story …
Global Fund supporting Malaria programme since 2005.
Success story begins from 7 NE states ...
Other states following ...
INDIA MALARIA SUCCESS STORY MAP
2018 vs. 2016:
•48% decline in total malaria cases;
•57% decline in malaria deaths
2018 vs. 2015:
•79% decline in total malaria cases;
•84% decline in malaria deaths
7 NE States
Jharkhand
Odisha
Chhattisgarh
Success story moves to Odisha ...
Success story moves to Chhattisgarh ...
2018 vs. 2016:
•62% decline in total malaria cases;
•73% decline in malaria deaths
2018 vs. 2015:
•85% decline in total malaria cases;
•95% decline in malaria deaths
Success story moves to Jharkhand ...

14. World Malaria Report, 2018: Recognizes India Malaria Program’s Success
About 70% of world’s malaria cases in 2017 reported from 10 countries in Sub Saharan Africa and India (10+1).
Worldwide cases increased from 217 million (2016) to 219 million (2017).
3.5 million more malaria cases reported in the 10 African countries in 2017 compared to 2016.
Only India reported decline (24%) in malaria cases in 2017 compared to 2016.

15. Major Supplies/ Interventions
50 million LLINs distributed so far…
Major supplies/ interventions
7.24 million LLINs distributed in 7 NE states
11.34 million LLINs distributed in Odisha
4.93 million LLINs distributed in Chhattisgarh
10 million LLINs distributed to other states
104 Vehicles to Districts/ States for better programme implementation
351 Motorbikes to enhance monitoring & supervision
1515 Microscopes to improve diagnostic facilities
5 RoHFWs equipped with training microscopes to enhance quality trg
1186 Additional HR for effective programme implementation
9.65 million LLINs supplied to Madhya Pradesh
6.35 million LLINs distributed in Jharkhand
Transportation of LLINs to difficult areas
Acceptance of LLINs by community
Distribution of IEC material
Miking activity

16. LLINs Distribution and Usage16 16

17. Challenges & Way Forward...
To sustain the gains achieved so far .....
Making malaria a notifiable disease;
Enhanced surveillance, monitoring & supervision;
Better entomological support;
Involving other sectors esp. private sector;
Drug resistance & insecticide resistance;
Cross border collaboration;
GF is exiting from India by 2026
Malaria elimination target is 2030
HR under GFATM gradually shifting to DBS
Strong financial support is CRUCIAL

18. Thank you