T3-TR / CCMP: Reducing malaria transmission in Odisha, India

The T3-TR* / Comprehensive Case Management Programme (CCMP), inspired by the WHO’s “T3: Test.Treat.Track.” initiative, is an operational research platform that aims to assess the impact of universal access to diagnosis and treatment on malaria incidence in different transmission settings in Odisha, India. This multi-year collaborative initiative is being implemented by the NVBDCP Odisha in close collaboration with NIMR, with support from MMV and WHO.

The programme also aims to identify and address specific challenges in the radical cure of P. vivax malaria, strengthen the community level pharmacovigilance system, and assess the impact on operational indicators such as coverage, compliance, and access to care. Each project district comprises an intervention and a control “block” (an administrative subdivision of a district), without substantial contiguous areas, across four types of transmission settings and different ratios of P. falciparum/P. vivax malaria. Each block includes 100,000-150,000 people, and Accredited Social Health Activists (ASHAs) work at the community level to diagnose malaria, including P. vivax, with newly introduced bivalent RDTs, and treat patients in line with national treatment guidelines.

  • Access in Action

    The following key interventions have been deployed throughout the intervention blocks: 

    • Introduction of bivalent RDTs.
    • Uninterrupted supply of bivalent RDTs and antimalarials through service-provider based quantification system.
    • Training and supportive supervision of the ASHAs and other healthcare staff.
    • Introduction of DHIS2-based data capture and surveillance platform to proactively use epidemiological data for timely action.
    • Key interventions in 2016-2017 include intensified vector control in high transmission areas, scale-up of DHIS2 across all CCMP districts as a precursor to state-wide adoption, and completion of a primaquine radical cure safety study.

     


    Past and current partners:

    National Institute of Malaria Research (NIMR), National Vector Borne Disease Control Programme (NVBDCP) of the state of Odisha

     

    Updated January 2019