scholarly journals High Burden to High Impact (HBHI) Approaches - Country Perspective for Adoption and Adaptation in India

2020 ◽  
Vol 52 (03) ◽  
pp. 5-16
Author(s):  
Roop Kumari ◽  

In India, a National Framework for Malaria Elimination (NFME) has been developed and launched on 11 February 2016 align with the Global Technical Strategy (GTS) for malaria elimination 2016-2030. Malaria elimination will be carried out in a phased manner. In accordance with the NFME, National Strategy Plan for malaria elimination 2017-2022 has been developed by National Vector Borne Disease (NVBDCP), MoH & FW, Govt. of India in collaboration with WHO Country Office India and launched in July 2017. The country has made significant improvement in the malaria situation in recent years. Reported malaria cases were reduced by 49 % and deaths by 50% in 2018 compared to 2017. However, India and ten countries in Africa contribute approximately 70% of the world’s malaria cases and deaths. These countries adopted the “High Burden to High Impact (HBHI) approach”. HBHI has four response elements: (i) Political will to reduce malaria deaths; (ii) Strategic information to drive impact, (iii) Better guidance, policies and strategies, and (iv) A coordinated national malaria response. India has adopted this approach in May 2019 to further accelerate and sustain the progress in the states with high malaria burden. Initially, HBHI approaches are being adopted by NVBDCP with the support of WHO in four high burden states namely Jharkhand, Chhattisgarh, West Bengal and Madhya Pradesh. During the first phase, an in-depth situation analysis on malaria in these states have been conducted using the tools provided by WHO. Key features of adaptation of HBHI approaches in India and detail analysis of one state Madhya Pradesh are presented in the article.

Zootaxa ◽  
2019 ◽  
Vol 4547 (1) ◽  
pp. 1
Author(s):  
C.A. VIRAKTAMATH ◽  
M.D. WEBB

Leafhopper genera and species of the tribe Mukariini from the Indian subcontinent are revised. Nine genera and 22 species including two new genera, one new subgenus and 12 new species are dealt with. The new taxa described are Aalinga gen. nov. with its type species Aalinga brunoflava sp. nov. (India: Andaman Islands), Buloria indica sp. nov. (India: Karnataka). Buloria zeylanica sp. nov. (Sri Lanka), Flatfronta bella sp. nov. (India: Karnataka; Bangladesh), Mohunia bifurcata sp. nov. (Myanmar), Mukaria omani sp. nov. (India: Gujarat, Karnataka, Madhya Pradesh), Mukaria vakra sp. nov. (India: Karnataka), Mukariella gen. nov. with its type species Mukariella daii sp. nov. (India: Manipur), Myittana (Benglebra) cornuta sp. nov. (India: Karnataka), Myittana (Myittana) distincta sp. nov. (India: Karnataka), Myittana (Savasa) subgen. nov. with its type species Myittana (Savasa) constricta sp. nov. (India: Andhra Pradesh, Gujarat, Haryana, Himachal Pradesh, Karnataka, Madhya Pradesh, Punjab, Tamil Nadu, Uttarakhand) and Scaphotettix arcuatus sp. nov. (India: West Bengal, Meghalaya, Mizoram). Genera Buloria Distant (new placement), Crispina Distant (new placement) and Myittana Distant (new placement) are placed in the tribe Mukariini. Genus Mohunia is redefined based on the study of its type species. Benglebra Mahmood & Ahmed 1969 is synonymised with Myittana Distant 1908 and considered as its subgenus. Myittana (Benglebra) alami (Mahmood & Ahmed) comb. nov., Myittana (Savasa) bipunctata (Mahmood & Ahmed) comb. nov.. Myittana (Benglebra) introspina (Chen & Yang 2007) comb. nov. and Mukariella bambusana (Li & Chen) comb. nov. are proposed; the first two species were earlier placed in the genus Benglebra, the third species in the genus Mohunia and the fourth in the genus Mukaria. Genera Flatfronta Chen & Li and Myittana are new records for India and Scaphotettix striata Dai & Zhang is a new record for the Indian subcontinent and Sri Lanka. All taxa dealt with are described and illustrated and keys for genera and their species are also given. 


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Harsh Rajvanshi ◽  
Praveen K. Bharti ◽  
Sekh Nisar ◽  
Himanshu Jayswar ◽  
Ashok K. Mishra ◽  
...  

Abstract Background Malaria Elimination Demonstration Project (MEDP) was started as a Public-Private-Partnership between the Indian Council of Medical Research through National Institute of Research in Tribal Health, Govt. of Madhya Pradesh and Foundation of Disease Elimination and Control of India, which is a Corporate Social Responsibility (CSR) initiative of the Sun Pharmaceutical Industries Limited. The project’s goal was to demonstrate that malaria can be eliminated from a high malaria endemic district along with prevention of re-establishment of malaria and to develop a model for malaria elimination using the lessons learned and knowledge acquired from the demonstration project. Methods The project employed tested protocols of robust surveillance, case management, vector control, and capacity building through continuous evaluation and training.  The model was developed using the learnings from the operational plan, surveillance and case management, monitoring and feedback, entomological investigations and vector control, IEC and capacity building, supply chain management, mobile application (SOCH), and independent reviews of MEDP. Results The MEDP has been operational since April 2017 with field operations from August 2017, and has observed: (1) reduction in indigenous cases of malaria by about 91 %; (2) need for training and capacity building of field staff for diagnosis and treatment of malaria; (3) need for improvement insecticide spraying and for distribution and usage of bed-nets; (4) need for robust surveillance system that captures and documents information on febrile cases, RDT positive individuals, and treatments provided; (5) need for effective supervision of field staff based on advance tour plan; (6) accountability and controls from the highest level to field workers; and (7) need for context-specific IEC. Conclusions Malaria elimination is a high-priority public health goal of the Indian Government with a committed deadline of 2030. In order to achieve this goal, built-in systems of accountability, ownership, effective management, operational, technical, and financial controls will be crucial components for malaria elimination in India. This manuscript presents a model for malaria elimination with district as an operational unit, which may be considered for malaria elimination in India and other countries with similar geography, topography, climate, endemicity, health infrastructure, and socio-economic characteristics.


Author(s):  
Manju Rahi ◽  
Payal Das ◽  
Amit Sharma

Abstract Malaria surveillance is weak in high malaria burden countries. Surveillance is considered as one of the core interventions for malaria elimination. Impressive reductions in malaria-associated morbidity and mortality have been achieved across the globe, but sustained efforts need to be bolstered up to achieve malaria elimination in endemic countries like India. Poor surveillance data become a hindrance in assessing the progress achieved towards malaria elimination and in channelizing focused interventions to the hotspots. A major obstacle in strengthening India’s reporting systems is that the surveillance data are captured in a fragmented manner by multiple players, in silos, and is distributed across geographic regions. In addition, the data are not reported in near real-time. Furthermore, multiplicity of malaria data resources limits interoperability between them. Here, we deliberate on the acute need of updating India’s surveillance systems from the use of aggregated data to near real-time case-based surveillance. This will help in identifying the drivers of malaria transmission in any locale and therefore will facilitate formulation of appropriate interventional responses rapidly.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Prayuth Sudathip ◽  
Suravadee Kitchakarn ◽  
Jui A. Shah ◽  
Donal Bisanzio ◽  
Felicity Young ◽  
...  

Abstract Background Thailand’s success in reducing malaria burden is built on the efficient “1-3-7” strategy applied to the surveillance system. The strategy is based on rapid case notification within 1 day, case investigation within 3 days, and targeted foci response to reduce the spread of Plasmodium spp. within 7 days. Autochthonous transmission is still occurring in the country, threatening the goal of reaching malaria-free status by 2024. This study aimed to assess the effectiveness of the 1-3-7 strategy and identify factors associated with presence of active foci. Methods Data from the national malaria information system were extracted from fiscal years 2013 to 2019; after data cleaning, the final dataset included 81,012 foci. A Cox’s proportional hazards model was built to investigate factors linked with the probability of becoming an active focus from 2015 to 2019 among foci that changed status from non-active to active focus during the study period. We performed a model selection technique based on the Akaike Information Criteria (AIC). Results The number of yearly active foci decreased from 2227 to 2013 to 700 in 2019 (68.5 %), and the number of autochthonous cases declined from 17,553 to 3,787 (78.4 %). The best Cox’s hazard model showed that foci in which vector control interventions were required were 18 % more likely to become an active focus. Increasing compliance with the 1-3-7 strategy had a protective effect, with a 22 % risk reduction among foci with over 80 % adherence to 1-3-7 timeliness protocols. Other factors associated with likelihood to become or remain an active focus include previous classification as an active focus, presence of Plasmodium falciparum infections, level of forest disturbance, and location in border provinces. Conclusions These results identified factors that favored regression of non-active foci to active foci during the study period. The model and relative risk map align with the national malaria program’s district stratification and shows strong spatial heterogeneity, with high probability to record active foci in border provinces. The results of the study may be useful for honing Thailand’s program to eliminate malaria and for other countries aiming to accelerate malaria elimination.


Author(s):  
Jaspreet Kaur ◽  
Taruna Kaura ◽  
Ayush Sharma ◽  
Ashish Kumar ◽  
M K Pangotra ◽  
...  

Abstract Background The state of Punjab in India qualifies for malaria elimination because the number of cases reported through routine surveillance is in decline. However, surveillance system prevalence mainly provides malaria trends. Therefore, a prospective epidemiological study was designed to estimate the malaria burden in the state. Methods District-wise annual parasite incidence (API) was used for identification of three strata, representing high, moderate and low API zones. A total of 0.9 million people from nine districts was under malaria surveillance for 1 y. The weighted estimates of API for the three regions was calculated and combined to give an estimate of API for the total population of the state. Results Based upon the primary data generated, malaria cases from high, moderate and low malaria-endemic areas were estimated to be 3727, 904 and 106, respectively. Further, the total number of malaria cases in the state was estimated to be 4737 (95% CI 4006 to 5469) cases per annum. Conclusion Actual burden of malaria in the state of Punjab, India, is about seven to eight times higher than that reported by routine surveillance activities. However, the state still qualifies for malaria elimination but needs vigorous efforts to strengthen the active surveillance and reporting system along with implementation of effective control strategies to achieve malaria elimination.


Author(s):  

Abstract A new distribution map is provided for Aceria cajani Channabasavanna. Acari: Eriophyidae. Host: pigeon peas (Cajanus cajan). Information is given on the geographical distribution in Asia (Bangladesh, China, Guangdong, Guangxi, Hainan, Yunnan, India, Andhra Pradesh, Bihar, Delhi, Gujarat, Haryana, Karnataka, Madhya Pradesh, Maharashtra, Orissa, Punjab, Rajasthan, Tamil Nadu, Uttar Pradesh, West Bengal, Myanmar, Nepal, Sri Lanka and Thailand).


Author(s):  

Abstract A new distribution map is provided for Heterodera oryzicola Rao & Jayaprakash Nematoda: Heteroderidae Hosts: Mainly rice (Oryza sativa), also banana and plantain (Musa spp.). Information is given on the geographical distribution in ASIA, India, Goa, Haryana, Kerala, Madhya Pradesh, Orissa, Tamil Nadu, West Bengal.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247811
Author(s):  
Julio Cesar Padilla-Rodríguez ◽  
Mario J. Olivera ◽  
Martha Liliana Ahumada-Franco ◽  
Andrea Elizabeth Paredes-Medina

Background Heterogeneity and focalization are the most common epidemiological characteristics of endemic countries in the Americas, where malaria transmission is moderate and low. During malaria elimination, the first step is to perform a risk stratification exercise to prioritize interventions. This study aimed to identify malaria risk strata in the ecoepidemiological regions of Colombia. Methods This was a descriptive and retrospective study using cumulative malaria cases in 1,122 municipalities of Colombia from 2010 to 2019. To identify the strata, the criteria proposed by PAHO were adapted. To classify the receptive areas (strata 2, 3, and 4) and nonreceptive areas (stratum 1), 1,600 m above sea level, ecotypes, main malaria vector presence, Plasmodium species prevalence and occurrence of malaria cases were used. The area occupied by the receptive municipalities, the cumulative burden, and the at-risk population in the regions were calculated. Results Ninety-one percent of the Colombian territory is receptive to the transmission of malaria and includes 749 municipalities with 9,734,271 (9,514,243–9,954,299) million at-risk inhabitants. Stratum 4 accounted for 96.7% of the malaria burden, and cases were concentrated primarily in the Pacific and Uraba-Bajo Cauca-Sinu-San Jorge regions. Plasmodium vivax predominates in most of the receptive municipalities, except in the municipalities of the Pacific region, where P. falciparum predominates. Anopheles albimanus, An. nuneztovari s.l., and An. darlingi were the main vectors in receptive areas. Conclusions In Colombia, 91.2% of the territory is receptive to the transmission of malaria and is characterized by being both heterogeneous and focused. Stratum 4 contains the greatest burden of disease, with a relatively greater proportion of municipalities with a predominance of P. vivax. However, there is a low proportion of municipalities with P. falciparum mainly in the Pacific region. These findings suggest that the latter be prioritized within the malaria elimination plan in Colombia.


2017 ◽  
Vol 9 (11) ◽  
pp. 10961 ◽  
Author(s):  
Subrat Debata ◽  
Tuhinansu Kar ◽  
Kedar Kumar Swain ◽  
Himanshu Shekhar Palei

The Indian Skimmer is a globally threatened bird native to Bangladesh, India, Myanmar, Nepal, Pakistan, and Vietnam.  In India, it is more confined to the north, from Punjab through Uttar Pradesh, Madhya Pradesh to West Bengal, extending up to Odisha.  Earlier, the bird was known to breed only in Uttar Pradesh and Madhya Pradesh, we confirm here the breeding of the Indian Skimmer along the river Mahanadi near Mundali, Odisha, eastern India.  So, further monitoring at the breeding site and survey along the entire Mahanadi River are essential to understand the status of the Indian skimmer in Odisha.  The information will also aid in reassessing its global status and formulating conservation plans.


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