In the NVBDCP context, a district is classified as 'API < 1' for malaria. This means the district is eligible for:

• A Universal drug distribution with Primaquine
• B Indoor Residual Spraying (IRS) with DDT in all households
• C Mass Drug Administration with DEC
• D Consolidation phase activities under malaria elimination strategy ✓

Explanation

Annual Parasite Incidence (API) is the number of confirmed malaria cases per 1000 population per year. Districts with API < 1 are classified in the consolidation phase of India's malaria elimination framework, having achieved low transmission. The National Framework for Malaria Elimination in India (2016-2030) categorizes districts into pre-elimination (API < 1), elimination (zero indigenous cases for 3 years), and prevention of reintroduction phases. Mass drug administration with DEC is for lymphatic filariasis; Primaquine mass distribution is not recommended based on API alone.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.