Original Research Article
Year: 2017 | Month: Aug | Volume: 7 | Issue: 8 | Pages: 1-12
Health System Response in Dealing Malaria Epidemic in a Hilly State of India
V K Tiwari1, Sherin Raj2, R Gandotra2, P D Kulkarni3, L K Piang4, Elizabeth H5, K S Nair6
1Professor & Head, 2Asst. Research Officer,
Department of Planning and Evaluation, National Institute of Health and Family Welfare, New Delhi.
3 Programme(Ex), Computer Center, National Institute of Health and Family Welfare, New Delhi
4Assistant Professor, Jawaharlal Nehru University, New Delhi.
5Assistant Professor, Mizoram University, Aizawl.
6Assistant Professor College of Public Health and Health Informatics, Qassim University, Saudi Arabia
Corresponding Author: V K Tiwari
ABSTRACT
The state of Mizoram is co-endemic for Plasmodium falciparum and P. vivax malaria. A study comprising of 1760 HHs was conducted during July-August 2014 in high endemic blocks (API>2) across the state to assesses promptness in treatment in the state. It was found that prevalence of new fever cases and fever during last 14 days was 6.59 and 22.58 per thousand populations, respectively. Data reveals that 69.4% sought treatment and ASHAs (42%) and Health Worker (19%) were main sources of treatment. 93% of those who sought treatment got blood test done and got the treatment within 3 days. A total of 94 cases (79 Pf and 15 Pv) were found positive. 70% of Pf cases got ACT treatment within 1 day. However, follow-up of the cases by health worker was poor (aggregate 21%, among pregnant women-33%, children below 5 years-12%).
Key words: API, ACT, Health System, Plasmodium vivax, P. Falciparum