1. National Vector Borne Disease Control Program INDIA

2. Questions Intervention: –A. Promotion of ITNs use –B. Early diagnosis & complete treatment of cases presenting to health facilities A. Policy questions on ITNs: –Does the use of ‘interpersonal BCC’ over and above mass media campaigns increase ITN adoption and proper use? –Does delivery of ITN through NGOs increase adoption and proper use relative to delivery by local government? –What is the joint effect of combining interpersonal BCC and delivery through NGOs? B. Policy questions on diagnosis & treatment: –Does delivery through both government and non-governmental providers yield earlier diagnosis and higher treatment compliance than only through government providers? C. Policy question on overall program: –Does overall program result in reduced morbidity and mortality and improved socio-economic outcomes?

3. Primary Outcome Indicators % of households that own at least one ITN % of households with ITN properly installed % of individuals sleeping under ITN the previous night % of fever cases diagnosed within 24 hs of reporting to any health facility % of fever cases receiving complete treatment within 48 hs of diagnosis Incidence of PF cases x 1000 population Admissions for severe Malaria Number of malaria deaths x 100,000 population Key household socio-economic measures

4. Evaluation design A: Random assignment of interpersonal BCC, NGO delivery and their combination each to 50 villages in 3-4 districts. Control group is villages with only mass media campaign and government delivery (current S.O.P.) B: Random assignment of support to non- governmental providers for diagnosis and treatment in xx villages in xx districts. Control groups is villages with only governmental providers C: Possibly use matched set of ‘early’ and ‘late’ districts to determine effectiveness of the program (RDKs, ITNs etc) at district level health system

5. Sample and Data For ITN: Household surveys (baseline and follow up) 200 villages (approximately 40 households per village) 50 control and 50 in each treatment category distributed among 3-4 districts. For curative: Household surveys (baseline and follow up) of 200 villages (approximately 40 households per village), 100 control and 100 treatment in each category in 3-4 districts. Facility surveys for all govt and random sub- sample of non-govt. providers, including case- tracking of random selection of fever cases.

6. Staffing plan GoI: B K Prasad, Joint Secretary, MH&FW VBDCP Directorate: –P L Joshi, G S Sonal, R K Das Gupta, Shampa Nag (WHO Consultant at the Directorate) Provincial Govt.: –O Kataria (Deptt. of Health, Chhattisgarh) –M K Pradhan (Deptt. of Health, Orissa) WB: Jed Friedman, Rajeev Ahuja Swiss Tropical Institute: Allan Shapira

7. Timeline Mission last week of May 2007 to complete evaluation design and define evaluation plan (including full budget) Workshop to present plan officially last week of June 2007 Baseline surveys before November 2007

8. Budget TBD