Kala-azar Elimination Program
Kala-azar Elimination Program (According to Annual Report 2075/76, DoHS, Nepal)
Ø Kala-azar (visceral leismaniasis) is endemic in 12 Terai districts.
Ø Parsa district has no incidence of kala-azar
Ø More than 8.5 million people are risk to kala-azar
Ø 1960-1970 AD (2017-2027 BS): problem of kala-azar was seen as public health problem in Nepal.
Ø MoH has targeted to eliminate kala-azar from Nepal by 2015.
Ø Kala-azar elimination program is a regional collaborative partnership between Nepal, India and Bangladesh.
Ø In 2005, EDCD of DoHS formulated a National Plan for the elimination of kala-azar which is divided into 3 phases
1. Preparatory phase: 2005 - 2008
2. Attack phase: 2008 – 2015
3. Consolidation phase: 2015 onwards
Ø Goal: To improving the health status of vulnerable groups and at risk populations living in kala-azar endemic areas of Nepal by eliminating kala-azar so that it is no longer a public health problem.
Ø Objectives
• Reducing the incidence of kala-azar in endemic communities including the poor , vulnerable and unreached population
• Reducing case fatality rate from kala-azar
• Treatment of PKDL to reduce parasitic reservoir
• Prevention and treatment of kala-azar HIV-TB co-infections
Ø Target
Reduce the incidence of kala-azar to less than 1 case per 10,000 populations at district level.
Ø Kala-azar is the protozoal disease of reticulo-endothelial tissue caused by protozoal parasite Lieshmania donovani.
ØKala-azar is vector borne disease transmitted by sandfly (Phlebotomus argentipus) and controlled integrated vector management.
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