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Table 4 Based on the API data, there were eight hotspots in the year 2016

From: Demonstration of indigenous malaria elimination through Track-Test-Treat-Track (T4) strategy in a Malaria Elimination Demonstration Project in Mandla, Madhya Pradesh

Block SCs 2016 VCI AS/CM 2017a VCI AS/CM 2018a VCI AS/CM 2019a VCI AS/CM
Nainpur Bhadiya 0.00 None + 0.00 None + 11.39 LLIN + 1.34 IRS +
Mohgaon  Munu 9.46 IRS + 0.00 None + 0.00 None + 0.00 None +
Mungwani 8.45 IRS + 2.77 IRS + 0.46 None + 1.03 LLIN +
Silgiti 34.95 IRS + 2.05 IRS + 0.00 None + 0.00 None +
Umardeeh 5.57 IRS + 2.49 IRS + 0.82 None + 0.00 None +
Chubhawal 8.55 IRS + 2.04 IRS + 0.00 None + 0.00 None +
Bicchiya Khatola 16.65 IRS + 1.51 IRS + 2.68 LLIN + 0.00 None +
Mawai Amwar 7.83 IRS + 10.01 LLIN + 6.42 LLIN + 0.99 None +
Madfa 3.14 IRS + 7.15 LLIN + 0.37 None + 0.00 None +
Chandgaon 0.94 None + 9.52 LLIN + 3.63 LLIN + 1.37 LLIN +
Narayanganj Bhaanpur 12.11 IRS + 2.18 IRS + 0.00 None + 0.00 None +
Total scs   8    3    2    0   
  1. All these hotspots were covered under IRS scheme. In 2017, after operationalization of MEDP, these hotspots were reduced to 3 owing to robust surveillance and case management along with LLIN distribution. In the year 2018, from the same cohort, only one hotspot remained along with appearance of a new hotspot in Nainpur block due to mass influx of imported cases in the region. With successful implementation of T4, monitoring and tracking of migratory population, monitoring of LLIN usage, supervision of IRS, and capacity building; MEDP was able to resolve all the hotspots in the year 2019
  2. VCM Vector Control Interventions
  3. AS/CM Active Surveillance and Case management
  4. aIn 2017, LLINs distributed in SCs with API more than 5; In 2019, LLINs distributed in SCs with API more than 1.In 2017, IRS done in SCs between API 1 and 4.99; In 2018, IRS done in SCs between API 1 and 4.99; In 2019, IRS done in areas where LLIN was not distributed