National De-Worming Day Dr. K. Sonvani D.D- NHM. CONTEXTUALIZING NATIONAL DE-WORMING DAY Only a few States currently run effective school and Anganwadi.

National De-Worming Day

Dr. K. SonvaniD.D- NHM

CONTEXTUALIZING NATIONAL DE-WORMING DAY

Only a few States currently run effective school and Anganwadi based

deworming programs

Some run relatively ineffective programs with sporadic deworming efforts

and low coverage

Others have no deworming programs at all

Considering the situation as well as the fact that as per WHO, India is

endemic for STH, Government of India is renewing its focus on all

components of deworming including mapping of State/UT wise STH

prevalence.

NEED FOR DE-WORMING IN INDIA

BUNDLING OF DE-WORMING WITH VIT-A FOR CHILDREN 1-5 YEARS Only 11 states are providing De-Worming, bundled with Vit-A

National Coverage- 68.6% (last round)

State Coverage- 65% ( SSM- last round)

DE-WORMING UNDER WIFS (2012) Bi-Annual De-Worming for adolescent boys and girls from 10-19

years of age

Supervised administration in school and AWC (for drop-out girls)

National Coverage: 9.2% (23 states and UTs, August 2014)

State Coverage: Convergence and reporting issue. Not able to

capture it correctly

DE-WORMING UNDER NIPI (2013)

NIPI just added two new groups to the existing under five and 10-19

years groups

That is; children from 5-10 years and Women in Reproductive Age group

(20-49 yrs age group who are not pregnant, nor lactating)

All these two new age groups have not yet implemented in the state of

Chhattisgarh. Although procurement of IFA and Albendazole are

approved in the ROP, but through a condition of submitting a clear

implementation plan

DE-WORMING UNDER LYMPHATIC FILARIASIS (NVBDCP) Annual MDA of single dose of Albendazole with DEC

Strategy: For 5 years or more to the eligible population (except

pregnant women, children below 2 years of age and seriously ill

persons) to interrupt transmission of the disease

16 endemic districts in Chhattisgarh where in MDA is being

provided

FINANCIAL GUIDELINE

FINANCIAL GUIDELINE

FINANCIAL GUIDELINE

FINANCIAL GUIDELINE

NEXT DE-WORMING DUE/PLANNED IN THE STATE

SSM (Children under 5) WIFS (10-19 years) Lymphatic Filariasis (in 16 endemic districts) for 2 years and above except Pregnant Mothers

March 2015 February 2015 February 2015

Procurement under process

Stocks available Drugs yet to come

Will be conducted in March and no interventions on NDD for them. GOI agreed

Can be merged with NDD on 10th Feb, all children can be administered. (Opportune timing)

In LF districts, de-worming should not be done if NVBDCP is ensuring to De-Worm in February (To be finalized)

Operational plan to be finalized

* GOI guideline on NDD: L.F endemic districts to be excluded for National De-Worming Day IF there had been MDA round in the past 5 months.

L.F ENDEMIC DISTRICTS IN THE STATE1. Ambikapur

2. Balrampur

3. Surajpur

4. Bilaspur

5. Mungeli

6. Dhamtari

7. Durg

8. Balod

9. Bemetara

10. Janjgir Champa

11. Jashpur

12. Mahasamund

13. Raigarh

14. Raipur

15. Balodabazar

16. Gariyaband

NATIONAL DE-WORMING DAY

MAJOR ACTIVITY ON NDD

MANAGING ADVERSE EVENTS

A coordinated approach should be established between the Health Department, the Education Department and WCD (ICDS) Department of the respective State/UT Government.

All functionaries to be geared up with clear understanding of their roles and responsibilities prior to deworming day to respond effectively and timely incase of adverse events on both the days i.e 10th Feb and 13th Feb, 2015.

The phases for managing adverse event are:

Preparatory phase

Managing adverse event on Deworming Day

Managing adverse event after Deworming Day

Detailed guideline/ SOP would be shared in the orientation training

THANK YOU