Kala-azar Control Efforts in India

• An organized centrally sponsored Control Programme launched in endemic areas in 1990-91.
• Government of India provided kala-azar medicines, insecticides and technical support and the State governments implemented the programme through primary health care system and district/zonal and State malaria control organizations and provided other costs involved in strategy implementation.
• Programme strategy included:

• Vector control through IRS with DDT up to 6 feet height from the ground twice annually
• Early Diagnosis and Complete treatment
• Information Education Communication
• Capacity Building

• Programme intensified in 1991-92 which led to improved case registration through primary health care system
• Programme Achievemnets

• Within 3 years of intensification (1995 as compared to 1992)

• 70.66% decline in annual incidence
• 80.48% decline in deaths

• By 2003 as compared to 1992

• 76.38% decline in incidence
• 85.20% decline in deaths.