National Malaria Control & Elimination
Programme (India)
●Public Health Strategy &
Guidelines
●Doctor’s Conference
Seminar
●Date: October 2025
● By: Veeresh Ganachari
Background / Burden
●• India has reduced malaria
cases by >80% since 2015.
●• Major burden: tribal, forest,
and border areas.
●• Source: NVBDCP Annual
Report, WHO World Malaria
Report.
Evolution of Malaria Control in India
●• 1953: National Malaria Control
Programme (NMCP)
●• 1958: National Malaria Eradication
Programme (NMEP)
●• 1977: Modified Plan of Operation
(MPO)
●• 2003: NVBDCP integration with other
vector diseases.
Policy & Strategic Framework
●• National Strategic Plan (NSP) 2023–
2027
●• National Framework for Malaria
Elimination (NFME) 2030
●• Alignment with WHO Global Technical
Strategy 2023–2030.
Goals & Targets
●• Eliminate malaria nationally by 2030.
●• Achieve zero indigenous transmission
in all states.
●• Indicators: API <1, SPR <1%, Pf%
<10%.
Stratification & Risk Mapping
●• District-level API-based stratification:
Categories 0–3.
●• GIS-based mapping for hotspots.
●• Use of entomological and climatic
data.
Surveillance & Case Detection
●• Active and passive case detection.
●• Reactive case detection for index
cases.
●• Use of IHIP, IDSP, and digital
dashboards for real-time reporting.
Vector Control Strategy
●• Indoor Residual Spraying (IRS) with
newer insecticides.
●• Distribution of LLINs to high-risk
populations.
●• Larval source management and
community involvement.
Chemoprevention & Prophylaxis
●• Intermittent preventive therapy in
pregnancy (IPTp).
●• Radical cure with Primaquine (G6PD
screening mandatory).
●• Seasonal chemoprevention in high
endemic areas.
Case Management & Treatment Policy
●• Universal parasitological diagnosis
(RDT/microscopy).
●• Artemisinin-based combination
therapy (ACT) for P. falciparum.
●• Chloroquine for P. vivax, with
Primaquine for relapse prevention.
Behaviour Change & Community
Engagement
●• IEC/BCC campaigns for awareness.
●• ASHA and community participation.
●• Anti-Malaria Month, school programs,
local advocacy.
Capacity Building & Human Resources
● • Regular training for field and laboratory staff.
● • Strengthening supervision and quality assurance.
● • Collaboration with NGOs and research institutes.
Monitoring, Evaluation & Operational
Research
● • Key indicators: API, ABER, SPR.
● • Independent monitoring and data validation.
● • Research on resistance and new interventions.
Challenges & Gaps
● • Insecticide and drug resistance.
● • Hard-to-reach and mobile populations.
● • Data quality and reporting delays.
● • Funding sustainability.
Way Forward & Recommendations
● • Strengthen surveillance and data integration.
● • Innovate vector control and diagnostics.
● • Community ownership and intersectoral coordination.
● • Achieve 'Malaria-Free India by 2030'.
