National
Mass Deworming Programme In Delhi
(Deworming day
10th Feb 2017, August 2017 )
1. Background:
- Soil Transmitted Helminthes
(STH): affects 1/3rd of
the world’s population
- Untreated, the infection is
long-term and chronic
- STH Negatively affects:
health, nutrition, cognitive development, learning and school attendance.
- WHO estimates that India has the highest
burden of STH in the world with 600 Million children estimated to be at
risk of STH
- Almost 7 out of 10 children
b/w 6 months to 5 years are anemic
- Delhi has moderate STH
prevalence of 28%.
2. Govt.
of India Policy on the STH:
- GOI Launched National Mass
Deworming Programme under National Health Mission in Feb 2015 on a fixed
day approach across all States and Union Territories
·
Objectives:
Deworm all children (boys and girls) aged 1-19 years (enrolled and
non-enrolled) at schools and anganwadi centre’s for improved child
health, nutritional status, access to education, and quality of life.
·
As
a National Policy, all target population are administered a single dose of
Albendazole (400 mg) chewable tablet (supplied by WHO/GOI) simultaneously on
the same day i.e. 10.2.17 (National Deworming Day). Those left out on National
Deworming Day will be administered medicine on 15.02.17 (Mop Up Day). Dose is
half tablet for children < 2 years and full tablet for >= 2 years.
- In moderate - high STH
prevalence states like Delhi the Deworming is done biannually whereas in
moderate and low STH prevalence states it is done once annually.
3. Benefits
Of Annual Mass Deworming
·
School & Anganwadi based Annual Mass
De-worming is a simple, safe and cost-effective solution to improve the health
and education of millions of children.
·
Execution of the programme at mass scale is
possible by leveraging the existing educational infrastructure and training
teachers to deliver De- worming medication.
·
Deworming
targets one of the most common, long-term Soil Transmitted Helminthes (STH)
infections of children
·
Deworming
improves health outcomes- well being, reduces risk of stunting/ anemia, improves nutrition, height & weight
·
Deworming
contributes to Education for All-
Improves Learning ability, Cognitive functions, and school
attendance
·
Deworming
in schools reduces total burden of STH by 70% in the community - benefitting
the untreated.
4. Execution
of Programme in Delhi:
·
Delhi has been implementing the programme for school
going children through School Health Schemes of GNCTD, MCDs, NDMC and
Cantonment Board and for Preschool and out of school children through
Anganwadis.
·
The programme was executed in Delhi much before
National Programme in Feb 2012 (27.1 lakhs children reached), Oct 2013 (23.82
lakhs children reached), April 2015 (29 lakhs children reached out of target of
35.59 lakhs) and Feb 2016 (30.56 lakhs children reached out of 43 lakh)
5. National
Deworming Programmme in the current year (2017) in Delhi
·
Delhi shall be implementing 5th round
this year on 09.02.17 (10.2.17 being a RH) with Mop up day for left out
children on 15.2.17.
·
This
is collaborative programme of Delhi Government involving the School Health
Scheme (DGHS), Directorate of Family Welfare, Directorate of Education, Department
of Woman and Child Development, the 3 MCDs (Education & Health) North, East
& South, NDMC (Education & Health) and Cantonment Board schools.
·
Earlier the students of only Govt. & Govt. aided
schools were covered. This year on advice of Hon’ble Health Minister, Pvt.
Schools (on their consent) shall also be covered.
·
Target: It is
expected to cover 27.37 lakhs children of Delhi Govt / Govt Aided
schools of Directorate of Education, MCDs, NDMC, Cantonment Board Schools and
Anganwadis.
(i)
Through 10,900 Anganwadi
centers : 14 lakhs children
(ii)
Through 3150 Govt/aided schools- 29 lakhs children
(iii)
Through 800 Pvt Schools (willing)- 2 lakhs children
·
Trainings: A two tier training cascade designed and
implemented. School Health Scheme created 100 State level Master Trainers.
-
These Master Trainers were from all the stakeholders namely SHS &
CDMOs (DGHS), DFW, Government Hospitals, MCDs, NDMC, Cantonment Board and Dte.
of Education.
- These Master Trainers further
conducted the Lower cascade sensitization / trainings of 3950 School teachers
and 400 Auxiliary Nurse Midwives and 9000 Anganwadi workers.
·
Emergency Response System: Although the Mass Deworming Drug Albendazole has no
side-effects, still in order to manage any Adverse event, an elaborative three
tier Emergency Response System has been put in place and all the Officers /
Officials have been trained to manage any adverse event.
(1) Head Quarter SHS DGHS,
Karkardooma – Central Control Room
(2) Twelve Districts ERS Teams each
headed by District MO I/C supervising Zonal Level ERS teams
(3) Twenty Nine Zonal Level ERS Teams
each headed by Zonal MO supervising ANMs/ PHNs deployed over 4-5 schools
(4) ANMs/ PHNs deployed over 4-5 schools
NATIONAL DEWORMING DAY FEBRUARY 2017
State : Delhi
|
District:
|
Block :
|
No. of Govt/Govt. Aided
schools
|
3342
|
No. of Govt/Govt aided
schools reporting coverage
|
2910
|
No. of targeted private
schools
|
1074
|
No. of private Schools reporting coverage
|
605
|
No. of Govt/Govt aided schools who attended training
on NDD
|
3342
|
No. of private schools who attended training on NDD
|
605
|
Total number of children targeted
|
|
Girls
|
Boys
|
Total
|
Total children enrolled
in the schools
|
Govt. school
|
1262877
|
1134092
|
2396969
|
Pvt. school
|
124374
|
216094
|
340468
|
|
27,37,437
|
Coverage Details
|
|
No. of enrolled children
(class 1-5) who were administered Albendazole on NDD and MUD (Mop Up Day)
|
Govt. school
|
446653
|
383776
|
1(a) 830429
|
Pvt. school
|
545
|
836
|
1(b)1381
|
No. of enrolled children
(class 6-12) who were administered Albendazole on NDD and MUD
|
Govt. school
|
685250
|
626085
|
2(a)1311335
|
Pvt. school
|
53171
|
88695
|
2(b)141866
|
GRAND TOTAL
|
(T) 22,85,011
|
Percent coverage
|
(T) X 100 / (Z)= 83.47%
|
|
|
|
|
|
|
|