Expected Community Participation
No health programme succeeds without active community participation. In Maharashtra community participation is ensured in Panchyat Raj System since 1962. Till today this has become Hallmark and became way of life. In Maharashtra malaria control is responsibility of local self Govt. i.e. Zilla Parishad, Taluka Panchyat and Gram Punchyat, established under Punchayat Raj System. Various activities are carried out for malaria control, involving community leaders in planning process. Suggestions made by them are incorporated in Implementation Plan and before undertaking activities under malaria control such as Medicated Mosquito Net distribution, Synthetic Pyrethroid Indoor Residual spraying (IRS), Guppy fish introduction, etc. Gramsabha is organized one day prior to activity in respective village to motivate villagers.

For achieving better community participation state, from time to time, uses suitable communication media depending upon the local situation Mass media such as T.V./Radio is used during June i.e. Anti Malaria Month to promote villagers to reduce mosquito breeding places, use of Medicated Mosquito Nets, adopt Guppy fish. Suitable printed material such as Tin plates and P.V.C. charts are displayed at strategic locations. For inter–personnel communication state has developed I.E.C. material in local Tribal languages. Every year state spends 5 to 10 million rupees on development and distribution of various I.E.C. materials.

Inter sectoral Co–ordination
Malaria is the unwanted byproduct of various developmental activities such as Construction of projects, Roadways, Railways tracks, Industrialization, Construction of Buildings. Effective control of malaria needs co–ordinated efforts from all non health departments such as Building & Constructions, Irrigation, Railway, Urban development, Fisheries, Tribal, Forest etc.

For achieving better intersectoral co–ordination state has established “High Power Committee” under the chairmanship of Chief Secretary of the state.

At district level Chief Executive Officer of Zilla Parishad is made Chairman of District Malaria Control Society. HODs of related departments are members. This society reviews malaria situation of District every month and necessary suggestion are given to appropriate authority.

Role of other Sectors
Inter sectoral Co-ordination
Malaria is the unwanted byproduct of various developmental activities such as Construction of projects, Roadways, Railways tracks, Industrialization, Construction of Buildings. Effective control of malaria needs co-ordinated efforts from all non health departments such as Building & Constructions, Irrigation, Railway, Urban development, Fisheries, Tribal, Forest etc.

For achieving better intersectoral co-ordination state has established “High Power Committee” under the chairmanship of Chief Secretary of the state.

At district level Chief Executive Officer of Zilla Parishad is made Chairman of District Malaria Control Society. Heads of the department of related departments are members. This society reviews malaria situation of District every month and necessary suggestion are given to appropriate authority.

For achieving inter sectoral coordination various officers from other related departments such as Irrigation and Public Works Department (PWD) are taken as members in State Malaria Control Society (SMCS).

Impact

Year	Mal. Positives	Pf + mixed	Deaths
1999–2000	131517	32460	60
2000–2001	76169	24962	68
2001–2002	53113	17986	51
2002–2003	43241	13772	43
2003–2004	70574	36902	82
2004–2005	65322	25262	60
2005–2006	45614	15509	123

After effective implementation of Malaria Action Plan – 1995, of Malaria incidence shows sustained decline since 2000–01 up to 2003–04. But during 2003–04 trend shows rise in number of malaria cases and malaria deaths also. During 2004–05 though malaria deaths are less, it shows rise during 2005–06.

• Important Health Education Messages