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Kala Azar

Kala-azar (visceral leishmaniasis) is a neglected tropical disease that is almost always fatal if left untreated. It spreads through the bite of a sandfly and disproportionately affects the poorest and most vulnerable communities. People living with HIV are over 100 to 2,320 times more likely to develop kala-azar in areas of endemicity, and patients co-infected with HIV and kala-azar are at a greater risk of death.

Our Approach

Provide support to the national kala-azar elimination program to accelerate progress to elimination by 2020 and its validation by 2023, and to establish the program on a sound post-elimination trajectory. Establish mechanisms by which governmental institutions engage deeply in this effort, such that lasting systems capacity is built, and a post-elimination roadmap established. Generate more information on the disease through various operational research. We aim to come up with sustainable solutions to eliminate Kala-Azar by capacitating the Government counterpart to undertake key activities of the intervention.

Scale of Intervention on the groundKala-Azar Intervention on the ground

Kala-azar interventions are currently working in 33 districts of Bihar, where at least one case has been detected in 10000 population in the last year.

Innovations

1

Kala-azar interventions are currently working in 33 districts of Bihar, where at least one case has been detected in 10000 population in the last year.

2

Indoor Residual Spray-IRS is sprayed in houses to keep away sand flies and to protect the occupants fo the house from Kala Azar disease. We have deployed ~1925 spray squads of 6 members each in Kala Azar affected districts in Bihar. Microplanning was done to ensure that all villages affected in the past three years are included, with estimate of households, squads, equipment, supplies allocated accordingly.

3

KA-MIS-Line-list registers are maintained at all diagnostic facilities, usually by the lab technician to keep track of suspects and case detections. This is done in order to improve the follow-up and tracking mechanism of patients.

4

Entomological Surveillance- 6 districts have entomological surveillance sites. Each site has a lab along with one entomologist and six insect collectors employed by CARE

Achievements