M& e rmo review 2017 january
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Transcript of M& e rmo review 2017 january
Monthly Progress Review of Malaria Prevention of
Reintroduction Activities
District :BadullaRMO :Dr. I.S.P. AmarasingheMonth :2017 January
Map on Basic Information - Badulla District
Sentinel Site - Kandaketiya
RMO Office - Badulla
Sentinel Site - Ussella
Basic Information• District population as per census data :- 886,000 (2011)• Total No. of MOH Areas :- 16• List of Hospitals with the type :-
Hospital TypePGH - Badulla ProvincialBH Diyathalawa ABH Mahiyangana ABH Welimada BDivH Bandarawela ADivH Passara ADivH Girandurukotte BDivH Haputale BDivH Kandaketiya BDivH Koslanda BDivH Lunugala BDivH Metigahathenna BDivH Uva Paranagama B
PGH = Provincial General Hospital,
BH = Base Hospital,
DivH = Divisional Hospital
Hospital TypeDivH Haldummulla CDivH Meegahakiula CDivH Uraniya CDivH Galauda CDivH Bogahakumbura CDivH Ekiriyankumbura CDivH Kendagolla CDivH Kandegedara CDivH Kahataruppa CDivH Mirahawatta CDivH Ettampitiya CDivH Boralanda CDivH Nedumgamuwa CDivH Wewegama CDivH Springvelley CDivH Roberiya CDivH Hopton C
DivH = Divisional Hospital
Hospital TypeDivH Ury CDivH Glennore CDivH Demodara CDivH Unugalla CDivH Poonagala CDivH Haggala CDivH Kirckills CDivH Kanawerella CDivH Mahadowa CDivH Thelbedda CDivH Sarniya CDivH Uva Highland CDivH Downside CDivH Meedumpitiya CDivH Dambethenna CDivH Bibilegama CDivH Udaweiriya C
DivH = Divisional Hospital
Parameter P. v. P. f. Mix Others P. v. P. f. Mix. Others
No. of malaria cases 0 0 0 0 1 1 0 0
- Imported 0 0 0 0 1 1 0 0
- Introduced 0 0 0 0 0 0 0 0
- Indigenous 0 0 0 0 0 0 0 0
- Relapse 0 0 0 0 0 0 0 0
- Induced 0 0 0 0 0 0 0 0
Month under reviewMonth September
Cumulative TotalJan 2015- up to Sep 2016
Confirmed malaria cases
Parasitological Surveillance by Different Sources
Source Month under review
Cumulative Total– month under
review
Month under review
Cumulative Total– month under
review
APCD/ PCD 589 9836 5 139
ACD (MMC, MBS, FS ) 565 7863 0 0
Blood Bank 1575 19052 0 0
ANC 949 11551 0 0
Regional Lab.OPD 0 24 0 0
Total 3678 48326 5 139
No. of blood smears examined for malaria
parasitesNo. RDTs used to detect
parasites
Disease Surveillance - Timely reporting
Name & Id. of Microscopy Centre
Timely Receipt of PH/AMC/P 15 & 17 - Lab 2 by RMO
(before 5th of the following Month)
Returns PH/AMC/P 18 Summary Submitted To HQ on or Before the Review Meeting
(Y/N)Regional Lab – Badulla - BD/RO/05 TR
Yes
PGH Badulla – BD/PGH/09 TR
DH Bandarawela – BD/DH/BW/11 TR
DH Girandurukotte – BD/DH/GK/12 TR
DH Haldummulla – BD/DH/HM/13 TR
BH Diyathalawa – BD/BH/DT/14 TR
DH Kandaketiya – BD/DH/KK/17 TR
BH Mahiyanganaya – BD/BH/MY/18 TR
DivH Dambana– BD/DH/GK/12 NR
BH Welimada – BD/BH/WM/23 TR
TR= Timely Receipt ; DR= Delayed Receipt ; NR= Not Received
Name of the Institution
No of PHLT Days
Total OPD Outdoor Patients
Indoor Patients
ANC/ ACD
BB Total
RMO Office Badulla 28 0 0 0 862 0 862PGH Badulla 27 34675 160 11 0 1340 1511BH Diyathalawa 29 13758 01 01 67 103 172BH Mahiyanganaya 29 17976 119 0 84 132 335BH Welimada 30.5 17046 91 0 210 0 301DH Bandarawela 31 12807 35 08 114 0 157DH Girandurukotte 26 6707 70 06 142 0 218DH Haldummulla 21 4621 87 0 0 0 87DH Kandaketiya 30 7175 0 0 35 0 35
Parasitological Surveillance in APCD and PCD Institutions – January - 2017 Number of Blood Smears Examined for Malaria
Parasites
Malaria Mobile Clinics – January - 2017
Under GFATM - NFM Under other sources of funding
Number of clinics targeted for the month under review 10 Nil
Number clinics conducted 09 Nil
Number of blood smears taken 565 Nil
Number of Positives Species (P.v., P.f., others)
Nil Nil
Number of RDTs used 05 Nil
Number of positives for RDTs Species (P.v., P.f, others) Nil Nil
Details of Mobile Malaria Clinics -January - 2017
Date Village MOH Area GN Division
GPS Coordinates
No. of SmearsReason for
selection the locality
(describe)Funded by
X Y
2017.01.10 Kudalunuka Rideemaliyadda Kudalunuka 235165 242284 55 TM GFATM
2017.01.11 Kumarathenna Haldummulla Welanwita 221923 164410 60 TM GFATM
2017.01.13 Kuruvithenna Rideemaliyadda Kuruvithenna 228757 224726 58 TM GFATM
2017.01.15 Uvathissapura Rideemaliyadda Uvathissapura 235166 234014 58 TM GFATM
2017.01.20 Mahakale Kandaketiya Mahakale 224253 222583 61 TM GFATM
2017.01.27 Alakolagoba Lunugala Alakolagoba not recorded
not recorded 47 TM GFATM
2017.01.28 Badulla Badulla Badulla 231328 198629 121 TM GFATM
2017.01.29 Divulapelessa Giradurukotte Divulapelessa not recorded
not recorded 51 TM GFATM
2017.01.31 Pahala Rathkinda Giradurukotte Rathkinda 231398 253463 54 TM GFATM
Sex and Age distribution of blood smears examined in Malaria Mobile Clinics – Month : January - 2017
Date Locality B/FExd. M F <1 1-5 6-10 11-15 >15
2017.01.10 Rideemaliyadda – Kudalunuka 55 24 31 0 0 1 0 54
2017.01.11 Haldummulla – Kumarathenna 60 26 34 0 0 03 07 50
2017.01.13 Rideemaliyadda – Kuruvithenna 58 55 03 0 0 0 0 58
2017.01.15 Rideemaliyadda – Uva thissapura 58 24 34 0 0 02 03 53
2017.01.20 Kandaketiya – Mahakele 61 23 38 0 02 03 06 50
2017.01.27 Lunugala - Alakolagoba 47 22 25 0 01 02 03 41
2017.01.28 Badulla – Badulla 121 108 13 0 0 0 0 121
2017.01.29 Giradurukotte - Divulapelessa 51 21 30 0 0 02 04 45
2017.01.31 Giradurukotte - Rathkinda 54 18 36 0 02 03 04 45
PM: Previously Malarious FL: Foreign Labour FT: Foreign tourists Malaria Case: reactive screening BM: Businessmen Other:
Antenatal Clinics -Up to January 2017MOH Total No. of expected Pregnant
Mothers For the year
No. Screened for Malaria during the present month
Cumulative number & Percentage up to present month (%)
Badulla 1623 677 0.42 41.71Bandarawela 1281 783 0.61 61.12Ella 999 585 0.59 58.56Girandurukotte 989 756 0.76 76.44Haldummulla 857 233 0.27 27.19Hali-ela 1496 691 0.46 46.19Haputale 910 574 0.63 63.08Kandaketiya 560 240 0.43 42.86Lunugala 608 407 0.67 66.94Mahiyanganaya 949 829 0.87 87.36Meegahakiula 445 244 0.55 54.83Passara 855 616 0.72 72.05Rideemaliyadda 1121 957 0.85 85.37Soranatota 451 222 0.49 49.22Uva paranagama 1267 1179 0.93 93.05Welimada 1799 1533 0.85 85.21
Private sector linked inPrivate Sector -
TypeNumber
functioning Monthly Communication
Noted In a Register. (Yes/ No)
No. of blood smears examined for malaria
parasitesNo. of RDTs
done No. positive
Private Hospitals Nil
Private Labs Nil
GP Nil
RDT Distribution and Usage –January 2017Date Name of
Medical InstitutionStock at
beginning of month
No .given in the month under
review
No. used during month under review
Balance in hand at end of month under
review
PGH Badulla 34 0 3 31BH Mahiyanganaya 77 0 0 77BH Diyathalawa 24 0 2 22BH Welimada 14 0 0 14DH Bandarawela 33 0 0 33DH Uva Paranagama 10 0 0 10DH Meegahakiula 3 0 0 3DH Girandurukotte 34 0 0 34DH Kandaketiya 2 0 0 2DH Haldummulla 25 0 0 25Air Force Hospital Diyathalawa 25 0 0 25DH Passara 10 0 0 10DH Lunugala 10 0 0 10DH Uraniya 35 0 0 35Army Hospital Diyathalawa 18 0 0 18Central Hospital (pvt) - Badulla 11 0 0 11RMO Office Badulla 0 0 0 0
Vector Surveillance - Entomological investigationsNo. of Entomological teams in the Region 02
No. of investigations done under GFATM project
No. of days spent under GFATM project
03
15
No. of investigations done other funding
No. of days spent
Nil
Nil
No. of localities with high adult vector densities Name of locality/localities
No. of localities with high larval vector densities Name of locality/localities
Nil
Nil
Remedial measures taken Nil
Entomological surveillance - Timely reporting
Name & Id. of Team
Number planned No. of Investigations done
Timely Receipt of E1 – E 11 by RMO (with in 3 days of
completion of investigations)*
Returns E1 – E12 from RMO submitted To HQ on or before
the Review Meeting (Y/N)
Sentinel Spot checks Sentinel Spot checks Sentinel Spot checks
Yes
Team 03 1 0 15 0 TR 0
Team 01 1 1 18 18 TR TR
TR= timely receipt ; DR= Delayed Receipt
ENTOMOLOGICAL INVESTIGATIONS CONDUCTED IN THE MONTH UNDER REVIEW
MOH Area :Haldummulla. Locality: Ussella,Annasigala, Aluthwela . Period :from 2017.01.16 to 2017.01.21
ND= Not done
Techniques performed
Work output Anopheles species found GPS coordinates
An.culicifacies
An.subpictus
An.annularis
An. varuna
An. . ped
An. vagus
x y
In HLNC/ (Full) Out
36 man hours 10 0 0 01 0 02
36 man hours 13 0 01 0 0 02
In HLNC/ (Partial) Out
06 man hours 0 0 0 0 0 02
06 man hours 0 0 0 02 01 85
Spray SheetCollection Not Done Not Done Not Done Not Done Not Done Not Done Not Done
C.B.H.C Not Done (Hut Prepared)
Not Done Not Done Not Done Not Done Not Done Not Done
C.B.T.C 04 man hours 03 0 11 0 46 0
W.T.C 04 man hours 0 0 0 0 0 01
H/C Indoor 15 man hours 0 0 0 0 0 01
H/C Outdoor Not Done Not Done Not Done Not Done Not Done Not Done Not Done
Larval Survey 830 dips 22 0 0 50 19 25
Ussella - Trend Observations
January
February
March
AprilMay June
July
August
Septem
ber
October
November
December
00.10.20.30.40.50.60.70.80.9
1
Cattle baited hut collections
No
of A
n. C
ul. F
emal
es p
er h
ut
January
February
March AprilMay
JuneJuly
August
Septem
ber
October
November
December
0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
0%
1%
2%
3%
4%
5%
6%
7%Human Landing Catches
partial -Out Door MBR Partial -In door MBRfull -Out Door MBR Full -In door MBRparous Rate
Man
Biti
ng ra
te fo
r An.
Cul
.
• Include 3 graphs showing trend observations of An. culicifacies. If An cul is absent show An. subpictus, An. annularis or An. varuna in Larval survey, CBHC and Human Landing catches
1 2 3 4 5 6 7 8 9 10 11 120
0.5
1
1.5
2
2.5
3Larval surveys
Month
No
of A
n. C
ul La
rvae
per
100
dip
s
ENTOMOLOGICAL INVESTIGATIONS CONDUCTED IN THE MONTH UNDER REVIEW
MOH Area :Mahiyanganaya. Locality: Rohana. Period :from 2017.01.05 to 2017.01.09
ND= Not done
Techniques performed
Work output Anopheles species found GPS coordinates
An.culicifacies
An.subpictus
An.annularis
An. varuna
An. . ped
An. vagus
x y
In HLNC/ (Partial) Out
12 man hours 01 0 0 0 0 0
12 man hours 06 0 0 0 0 0
Spray SheetCollection Not Done Not Done Not Done Not Done Not Done Not Done Not Done
C.B.H.C Not Done Not Done Not Done Not Done Not Done Not Done Not Done
C.B.T.C 04 man hours 0 0 11 61 76 454
W.T.C 08 man hours 0 0 0 0 0 00
H/C Indoor 11 man hours 0 0 0 0 0 0
H/C Outdoor Not Done Not Done Not Done Not Done Not Done Not Done Not Done
Larval Survey 550 Dips 08 0 0 16 10 21
ENTOMOLOGICAL INVESTIGATIONS CONDUCTED IN THE MONTH UNDER REVIEW
MOH Area :Kandaketiya. Locality: Mahakele Period :from 2017.01.23 to 2017.01.27
ND= Not done
Techniques performed
Work output Anopheles species found GPS coordinates
An.culicifacies
An.subpictus
An.annularis
An. varuna
An. . ped
An. vagus
x y
In HLNC/ (Partial) Out
12 man hours 09 0 0 0 0 0
12 man hours 10 0 0 0 0 0
Spray SheetCollection Not Done Not Done Not Done Not Done Not Done Not Done Not Done
C.B.H.C Not Done Not Done Not Done Not Done Not Done Not Done Not Done
C.B.T.C 04 man hours 01 0 0 38 132 489
W.T.C 08 man hours 0 0 0 0 0 0
H/C Indoor 11 man hours 0 0 0 0 0 0
H/C Outdoor Not Done Not Done Not Done Not Done Not Done Not Done Not Done
Larval Survey 400 dips 0 0 0 03 0 08
Ekiriyankumbura - Trend Observations
January
February
March
AprilMay June
July
August
Septem
ber
October
November
December
00.10.20.30.40.50.60.70.80.9
1
Cattle baited hut collections
No
of A
n. C
ul. F
emal
es p
er h
ut
January
February
March AprilMay
JuneJuly
August
Septem
ber
October
November
December
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%Human Landing Catches
Out Door MBR In door MBR parous Rate
0 1 2 3 4 5 6 7 8 9 10 11 120
0.10.20.30.40.50.60.70.8
Larval surveys
Month
No
of A
n. C
ul La
rvae
per
100
dip
s
• Include 3 graphs showing trend observations of An. culicifacies. If An cul is absent show An. subpictus, An. annularis or An. varuna in Larval survey, CBHC and Human Landing catches
Susceptibility Tests conducted
Date MOH Area (Locality)
Method of collection
Insecticide & conc.
Anopheles species tested
No. of mosquitoes tested (No. replicates)
Corrected mortality
Not done
Date MOH Area (Locality)
Anopheles species
Method of collect.
Type of Insecticide & conc.
Type of Location on surface
Anopheles species (No. replicates)
Day After Spraying
Not done
Date MOH Area (Locality)
Method of collect.
Type of LLIN & Insecticide
Anopheles species (No. replicates)
No. washes(Days after last wash)
Position of the net
Correct.Mortality
Not done
Bio assay Tests conducted on LLIN
Bio assay Tests conducted on IRS
Indoor Residual Spraying- ………………..(Type)MOH area No. of houses
targeted for IRS
No. of houses fully sprayed
No. of people
protected
Name & Amount of insecticide used (pkts)
Remarks
Not Done
Vector Control
Chemical Larviciding …………………..(Type)Date MOH area Locality Type of Breeding
siteDistance
(km) or Area (m2)
Name/Amount of Insecticide
Used (ml, g)
Not Done
Space Spraying: ……………(type)
Date MOH area Locality Reason for fogging Area covered (sq.m)
Name & Amount of InsecticideUsed (ml)
Not Done
Use of Larvivorous FishNo. of fish tanks constructed in the Region –
No. of functional fish tanks – Monthly production
Date MOH area Village / locality
Name /Type of Breeding site
Fish species No. fish introduced
Remarks
Not Done
Risk Group Surveillance - january2017
Risk category
No. registered (Cumulative for the
year)
No. Followed up during the month
New registrations /month
Total screened /month
Other interventions- (Ento survey,
prophylaxis etc
Funding (GF/HSDP/PSDG
/None)New OldForeign workers/labour in Sri Lanka ( GF Not done Frequent travelers to malaria endemic countries (businessmen ect. )
Returnees (SL) from India
Returnees from malaria endemic countries
Pilgrims to malaria endemic countries
Sri Lanka armed forces
Asylum seekers
Other ( describe)
LogisticsItem Amount/Stock available Batch number Date of expiry Hospitals –Drugs
available
1. Insecticide Insecticide for IRS (Cyflamethrin)
300 packs SP00101631/1602 18. 02. 2018 Nil
Pestguard 01 ltr 6602E0 July 2017 NilTemephos EC (Abat. Lq) 04 ltr 6303/01 January 2019 Nil
Temephos granules Nil Nil Nil Nil
2. Drugs
1.CQ1000/tabs T-1202003 Sep 2019
Nil 120 tabs T-1202002 Nov 2018
2.PQ 1000 tabs 400515 April 2018 Nil
3.Coartem 07 Packets Yellow - K0932 Feb 2017 NilGreen - K0987
4.Quinen tab 30 tabsNo batch no
(tabs have received by envelop pack)
Oct 2017 Nil
5. IV Artusunate9 vials ZA5160204 T2160208
LN6160206 LA160302 12 Nov 2018Nil
9 vials ZA160115 T160106 LN160104 LA160156 08 Nov 2018
6. IV Quinine Nil Nil Nil
3. RDT 400 MR16B61 2018 July Nil
4. G6PD RDT 50 GP16E1 2017 April Nil
LLIN Distribution
Date MOH area GN area
Village
No. nets distributed
No. of Popula.
Protected
GPS coordinates
Justification for selection of
locality / cluster (from LLIN
guide- recipient groups)
(Locality) x y
Not Done
Total number received @ the beginning :1736
No distributed with in the month under review :0
Buffer stock : 500 low
Balance in Hand for distribution (excluding Buffer stock): 1736
Awareness – January-2017
Programs for Awareness-PoR
No. of prog. planned by GF /year
No done in the month
No. of participants
Date/s of program Venue
Funding sources (GF/ HSDP/PSDG/ none )
1 Awareness Prog. for nursing officers, pharmacists, dispensers etc.
1 Not done
2 Awareness Prog. for medical officers and consultants 1
3 Awareness Prog. for General Practioners 1 Not done
4 Increase awareness among public health staff 2 Not done
5 Increase awareness among high risk communities ( 10 per regions).
10 Not done
Awareness -contdPrograms for Awareness-PoR
No. of programs planned in region GF /yr
No done in the month
No. of participants
Date/s of program
Venue of program
Funding sources (GF/ HSDP/PSDG/ none )
6 Raise awareness among schoolchildren - 100 planned
3
7 Armed forces and other at regional level
2
8Establish intersectoral working groups at regional level - 28 programs
1 9 General public 10 Other
Training –January 2017
Training Programs for Awareness-PoR
No. of prog. planned by GF
No. done
No. of participants
Date of program
Venue of program
Funding sources (GF/ HSDP/PSDG/ none )
1 In service training for PHII on malaria
1 Not Done
2 In service training for PHFOO on malaria
1 Not Done
3 In service training for SMOO1
Not Done
4 Other
Cases followed up in the month under reviewCase no
Name
Species
Diagnosed on
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
Follow up date
Result
01/2016
DR. Ahmed Gulam Khan
Pv
09. 06. 2016
12 .06. 2016
- Ve
16 .06. 2016
- ve
23.06.2016
- ve
30 .06. 2016
- ve
07. 07. 2016
-ve
21 .07. 2016
-ve
02/2016
P. K. N. Hemantha Bandara
Pf
10.07.2016
03 .07. 2016
- ve
18. 07. 2016
- ve
24 .07. 2016
- ve
31 .07. 2016
- ve
07 .08. 2016
- ve
21.08. 2016
-ve08. 09. 2016
-ve
08 .10. 2016
-ve
08 .09. 2016
-ve
08. 12. 2016
-ve
08 .01. 2017
-ve
Pv Pf Pv+Pf Po Pm
Number of cases being followed up during the month under review
Not Done
Cases diagnosed in the region /MonthDate Name Place of diagnosis Place of treatment Species
Nil
Details of the cases followed up in the monthCase no Name Species Diagnosed
on Follow up date
Result Follow up date
Result Follow up date
Result
Nil
Supervision - January 2017Category No. of Supervisory visits done
during the monthRemarks
Parasitological Supervision (Labs /MMC/etc) (Minimum: 2 visits / month)Ento. Supervision (Surveillance Site visits-Minimum: 2 visits /month)
Health institutions (Public or PVT) (Min: 1visit /Health Institution)
Field Activity supervisions (ie: LLIN/ Health education/ risk group screening etc)
Other
Summary No any Malaria case has been reported during the month. Total
number of blood films taken were as follows; APCD :- 589 Blood Banks :- 1575 MMC :- 565 ANC :- 949 Risk Population (Dambadiva Vandana) :- 0 Regional Lab OPD :- 0 Total :- 05 RDT were used. 09 MMCs have been conducted. 03
entomological surveys conducted and 15 days were spend for that.