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MAGNITUDE OF THE PROBLEM

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MAGNITUDE OF THE PROBLEM

Malaria is a public health problem in several parts of the country. About 95% population in the country resides in malaria endemic areas and 80% of malaria reported in the country is confined to areas consisting 20% of population residing in tribal, hilly, difficult and inaccessible areas. Directorate of National Vector Borne Disease Control Programme (NVBDCP) has framed technical guidelines/ policies and provides most of the resources for the programme. Indicators have been developed at national level for monitoring of the programme and there is uniformity in collection, compilation and onward submissions of data. Passive surveillance of malaria is carried out by PHCs, Malaria Clinics, CHCs and other secondary and tertiary level health institutions that patients visit for treatment. Apart from that, ASHA- a village volunteer is involved in the programme to provide diagnostic and treatment services at the village level as a part of introduction of intervention like Rapid Diagnostic Tests and use of Artemisinin Combination Therapy (ACT) for the treatment of Pf cases.

The countrywide malaria situation as reflected in surveillance data from 1995-2017 is given in the following Table: 1.

Table 1: Countrywide Epidemiological Situation (1995 – 2018 till Oct)

Year Population (in ‘000) Total Malaria Cases (million) P.falciparum cases (million) Pf % API Deaths due to malaria
1995 888143 2.93 1.14 38.84 3.29 1151
1996 872906 3.04 1.18 38.86 3.48 1010
1997 884719 2.66 1.01 37.87 3.01 879
1998 910884 2.22 1.03 46.35 2.44 664
1999 948656 2.28 1.14 49.96 2.41 1048
2000 970275 2.03 1.05 51.54 2.09 932
2001 984579 2.09 1.01 48.20 2.12 1005
2002 1013942 1.84 0.90 48.74 1.82 973
2003 1027157 1.87 0.86 45.85 1.82 1006
2004 1040939 1.92 0.89 46.47 1.84 949
2005 1082882 1.82 0.81 44.32 1.68 963
2006 1072713 1.79 0.84 47.08 1.66 1707
2007 1087582 1.51 0.74 49.11 1.39 1311
2008 1119624 1.53 0.77 50.81 1.36 1055
2009 1150113 1.56 0.84 53.72 1.36 1144
2010 1167360 1.60 0.83 52.12 1.37 1018
2011 1194901 1.31 0.67 50.74 1.10 754
2012 1211580 1.06 0.53 49.98 0.88 519
2013 1221640 0.88 0.46 52