The NVBDCP has adopted High Burden to High Impact (HBHI) strategy for malaria. Which of the following is a key operational pillar SPECIFIC to HBHI that differentiates it from the older National Vector Borne Disease Control Programme approach?
- A Political will, strategic information for action, better guidance and policies, coordinated national response ✓
- B Indoor residual spraying in all districts irrespective of endemicity
- C Mass drug administration of chloroquine in high-burden states
- D Replacement of RDTs with microscopy as the sole diagnostic tool
Correct answer: A. Political will, strategic information for action, better guidance and policies, coordinated national response
Explanation
The WHO-led High Burden to High Impact (HBHI) approach adopted by India's NVBDCP rests on four pillars: (1) political will to reduce malaria deaths, (2) strategic information to drive impact, (3) better guidelines and policies to accelerate impact, and (4) a coordinated national malaria response. This is distinct from the older target-based approach; HBHI is data-driven and country-owned, tailoring interventions to sub-national epidemiology rather than uniform spraying or mass drug administration policies.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
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Written and medically reviewed by the StethoPrep medical team.