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


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


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


MOH Area :Mahiyanganaya. Locality: Rohana. Period :from 2017.01.05 to 2017.01.09

ND= Not done



An.culicifacies

An.subpictus

An.annularis

An. varuna

An. . ped

An. vagus

x y


12 man hours 01 0 0 0 0 0

12 man hours 06 0 0 0 0 0


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



Larval Survey 550 Dips 08 0 0 16 10 21


MOH Area :Kandaketiya. Locality: Mahakele Period :from 2017.01.23 to 2017.01.27

ND= Not done



An.culicifacies

An.subpictus

An.annularis

An. varuna

An. . ped

An. vagus

x y


12 man hours 09 0 0 0 0 0

12 man hours 10 0 0 0 0 0


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



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


Anopheles species

Method of collect.

Type of Insecticide & conc.

Type of Location on surface

Anopheles species (No. replicates)

Day After Spraying

Not done


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


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


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.

Healthcare

M& e rmo review 2017 january