| Village/tola/community level | Primary audience:Patients and families in the endemic areas Communities and clusters living in damp humid areas and near vegetation Workers in agricultural fields and in cowsheds Pregnant women and families with children residing in the endemic areas
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Increase awareness about VL and PKDL causes, symptoms, and mode of transmission Ensure timely identification and reporting of fever and PKDL cases to avoid delays in diagnosis and treatment (which increases chances of transmission and case load) Ensure IRS within complete household (including cowsheds, cracks, holes) Maintain cleanliness and hygiene within household and surroundings and keep them dry Increase in awareness regarding: Location and accessibility of the nearest PHC and Sadar district hospital Duration, costs, side effects regarding treatment Provision of incentives for treatment
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Group communication sessions using the VL film IPC using the flip-book IPC activities such as simple and participatory games, which can be carried out without any specific BCC tool Miking during IRS (only in Bihar) Munadi (drum beating) during IRS (only in Jharkhand)
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VL film Flip-book Posters and stickers displayed at the PHC and Sadar district hospital Display posters on rickshaws, tempo, and other vehicles plying in rural areas SMS alerts
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| Village/block level | Secondary audience:
Frontline health workers at village level; MoIC and KTS at the block level |
Ensure timely diagnosis and treatment of Kala-azar patients Ensure active case finding and identification during Kala-azar fortnights and passive case finding during home visits (both Kala-azar and PKDL) Increase community awareness on causes, symptoms, diagnosis, treatment and prevention of Kala-azar and PKDL Provide identification and motivation of patients and their families for seeking timely diagnosis and treatment for fever and PKDL (through IPC and counselling during home visits) Provide information about incentives/other entitlements for Kala-azar patients
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Ensuring active participation of FLWs in group communication sessions using the Kala-azar film (to ensure continuity and sustainability) IPC using the flip-book Interactions/meetings using FAQ booklet Capacity building on IPC and communication skills
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| Village/tola/community level | Secondary audience:
Opinion leaders, PRI/Gram Sabha members, religious leaders, SHGs/AGGs/youth groups, school teachers and headmasters |
Increase awareness about VL and PKDL causes, symptoms, and mode of transmission Timely reporting of fever and PKDL cases Ensuring IRS of complete village in each and every household (including cowsheds) Mobilize and motivate the community to timely report PKDL cases Mobilize and motivate the community to access and demand various services Provide information and assist patients in getting incentives after treatment Provide support during active case finding in Kala-azar fortnights
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Ensuring active participation in group communication sessions using the VL film IPC using the flip-book Interactions/meetings using FAQ booklet; Screenings of VL film at the school Miking during IRS (only in Bihar) Munadi (drum beating) during IRS (only in Jharkhand)
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VL film Flip-book FAQ booklet Posters and stickers distributed to the community, the PHC, and Sadar district hospital Display posters on rickshaws, tempo, and other vehicles plying in rural areas SMS alerts
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| Village/block level | Secondary audience:
Private practitioners/traditional healers |
Ensure timely diagnosis and treatment of VL patients Informing the patients about causes, symptoms, diagnosis, treatment, and prevention of VL and PKDL Provide information about diagnosis and treatment processes as well as procedures for referral to Sadar district hospital Ensure proper recording and reporting of cases Inform the patients about the nearest accessible and functional health facility
| Sensitization workshops |
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| District, state, and national level | Tertiary audience:
Policy makers and program managers |
Provision of quality and timely resources (human, equipment, and finances) Provision of timely and regular supply of diagnostic kits and medicines Ensure proper planning and implementation to ensure complete coverage through IRS Devise a plan for capacity building of health care service providers and spray staff on technical and soft skills to enhance their motivation and awareness levels Coordinate with other departments to ensure concerted efforts toward elimination Ensure periodic review of the VL elimination program by senior officials at state and district levels
| Advocacy by KalaCORE with support | Advocacy |