Durgama Anchalare Malaria Nirakarana (DAMaN) – National Vector Borne Disease Control Programme, Odisha

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Durgama Anchalare Malaria Nirakarana (DAMaN)

Problem

• Presence of hard-to-reach malaria-endemic regions (Malaria morbidity and mortality is high in hilly/forested areas).
• Heterogeneous malaria paradigm and complex vector bionomics.
• High burden of falciparum malaria (falciparum malaria is known to cause complications and death).
• The problem of asymptomatic malaria is very common in remote and inaccessible areas.
• Inadequate penetration of health services.

Solution

• DAMaN camps are planned to be conducted two times a year, i.e., April-May (prior to the endemic season) and Sept-Oct.
• Along with malaria diagnosis and treatment, measurement of growth parameters like weight, height, MUAC, and Haemoglobin test of children under five are being carried out.
• Blood pressure checkups and hemoglobin tests are being conducted for all pregnant women and lactating mothers.
• All identified anemic children, pregnant women, and lactating mothers are being given iron supplementation at the campsite.
• IRS and LLIN/ITN interventions are being done along with the health camps in inaccessible villages & hamlets.

Outcomes

• Improved access to the Malaria Control Programme along with screening of nutritional parameters.
• Identification of the population having asymptomatic (febrile) malaria in those pockets.
• Reduction of gametocyte load in the target population of both symptomatic and asymptomatic cases.
• It has been observed that DAMaN has brought a significant impact on the drastic reduction of malaria cases (72%).
• Addressed the issue of asymptomatic (afebrile) malaria.

Video

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For more information, please contact:
Dr Niranjan MIshra, Director of Public Health, Odisha at nvbdcporissa@gmail.com

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