National Vector Borne Disease Control Program

1. National Vector Borne Disease Control Program INDIA

2. Questions • Intervention: • A. Promotion of ITNs use • B. Early diagnosis & complete treatment of cases presenting to health facilities • A. Policy questions on ITNs: • Does the use of ‘interpersonal BCC’ over and above mass media campaigns increase ITN adoption and proper use? • Does delivery of ITN through NGOs increase adoption and proper use relative to delivery by local government? • What is the joint effect of combining interpersonal BCC and delivery through NGOs? • B. Policy questions on diagnosis & treatment: • Does delivery through both government and non-governmental providers yield earlier diagnosis and higher treatment compliance than only through government providers? • C. Policy question on overall program: • Does overall program result in reduced morbidity and mortality and improved socio-economic outcomes?

3. Primary Outcome Indicators • % of households that own at least one ITN • % of households with ITN properly installed • % of individuals sleeping under ITN the previous night • % of fever cases diagnosed within 24 hs of reporting to any health facility • % of fever cases receiving complete treatment within 48 hs of diagnosis • Incidence of PF cases x 1000 population • Admissions for severe Malaria • Number of malaria deaths x 100,000 population • Key household socio-economic measures

4. Evaluation design • A: Random assignment of interpersonal BCC, NGO delivery and their combination each to 50 villages in 3-4 districts. Control group is villages with only mass media campaign and government delivery (current S.O.P.) • B: Random assignment of support to non-governmental providers for diagnosis and treatment in xx villages in xx districts. Control groups is villages with only governmental providers • C: Possibly use matched set of ‘early’ and ‘late’ districts to determine effectiveness of the program (RDKs, ITNs etc) at district level health system

5. Sample and Data • For ITN: Household surveys (baseline and follow up) 200 villages (approximately 40 households per village) 50 control and 50 in each treatment category distributed among 3-4 districts. • For curative: Household surveys (baseline and follow up) of 200 villages (approximately 40 households per village), 100 control and 100 treatment in each category in 3-4 districts. Facility surveys for all govt and random sub-sample of non-govt. providers, including case-tracking of random selection of fever cases.

6. Staffing plan • GoI: B K Prasad, Joint Secretary, MH&FW • VBDCP Directorate: • P L Joshi, G S Sonal, R K Das Gupta, Shampa Nag (WHO Consultant at the Directorate) • Provincial Govt.: • O Kataria (Deptt. of Health, Chhattisgarh) • M K Pradhan (Deptt. of Health, Orissa) • WB: Jed Friedman, Rajeev Ahuja • Swiss Tropical Institute: Allan Shapira

7. Timeline • Mission last week of May 2007 to complete evaluation design and define evaluation plan (including full budget) • Workshop to present plan officially last week of June 2007 • Baseline surveys before November 2007

8. Budget • TBD