JBAR/RBSK/SHP State Project Deirector, RVM (SSA) Andhra Pradesh Commissioner of Health & Family Welfare, Andhra Pradesh.

2  Child health screening and early intervention for early detection and management of 4Ds in children  Defects at birth,  Diseases,  Deficiencies and  Developmental delays including disabilities  Healthy attitude and behavior Changes.  Healthy environment for children at school  Life Skill Development  Reduce Drop out rate Objectives

 0-6 weeks- HH level  6 weeks to 5yrs- AWCs  1-12 th classes-Govt and Aided schools  15-18yrs – Non school going children - AWCs Target & Service delivery place

 Screening,Treatment  Referral & Follow up  Swasthh on wheels/Aarogya Vidhya Mela  Aarogya clubs-Chinnari Doctors  Chinnari choopu - Spectacles  ARSH  Menstrual Hygine  MDM  Trainings – Nodal Tr, Paramidical, ICDS  Albendazole-De-worming  IFA – 1. School going 2. Non school going SHP/JBAR Interventions.

Screening Process:  PHC/UHC –is the unit.  Before intimation to parents and community.  Difects,Deficiency,Diseases & Disability.  Treatment  Referral Follow up  Online MRC/CHNC.  Treatment: 22 Lakhs. 6/10/2016

Mobile Health Teams:  CHNC (BPMU) old Blocks: 375.  2 Teams proposed.  Each team: 1.Medical Officers ANM/Staff Nurse Pharmacist Members per each team. 750 teams MOs;750 ANMs; 750 Pharmacists.

6/10/2016 District Early Intervention Centre.  2200 Sq.ft plinth Area  District Head Quarter Hospital/Teaching Hospital.  JBARC will act as DEIC Manager.  Under DMHO Administration.

 Pediatrician-1  Medical Officer -1  Dental Doctor -1  Physiotherapist -1  Staff nurses-2  Audiologist & speech therapist-1  Psychologist-1  Optometrist-1  Special educator-1  Social worker -1  Lab technician-1  Dental Technician -1  Data entry operator( existing JBAR)-1  Manager ( existing JBAR coordinator )-1 Composition of Team at DEIC Under RBSK

6/10/2016 Screening S.NoDistrictNo. of schools % of schools screened No.of children % of children screened 15Ranga Reddy Total AP

6/10/2016 Referrals / S.NoDistrictReferrals 15Ranga Reddy5903

Aarogya Clubs S.No.DistrictTargetFormed% 15Ranga Reddy Total AP

WIFS: Weekly Iron Folic Supplementation.  School and Anganwadi is a unit.  School for In - school children.  Anganwadi for 10 to 18 age (Non School Going )  Every Thursday (after lunch)  Student wise Teacher Responsibility(PTR)  School level Health Coordinators,overall observation.  CHINNARI DOCTOR : create awareness.  Intimation to SMC & Parents.  Medical officer and PHC team special monitoring 6/10/2016

SWASTHH on Wheels : School Water And Sanitation Towards Health & Hygiene (SWASHH) Aarogya Vidhya Mela.  To crate awareness  Children,  Parents,  Senior citizens  Communities Community Involvement. Convergnce with Health, Education & ICDS. 6/10/2016

FRESH: School Level:  HM & Staff,Health Provider, SMC, PTA, Chinnari Doctor  SHD/SHD-(Every Thursday,Tuesday)  THEN SHE  Aarogya Clubs/Chinnari Doctors  WIFS/De Worming  DW/Toilets with Running Water.  Disease Analysis.

6/10/2016 FRESH: Mandal Level:  Monthly Once/HMs Review Day  MPDO,MEO,MO,CDPO,CRPs,IERTs Etc  Intervention Wise Review:  Screening,Treatment, Referral Children  Reports  Health Education  Yuvachaitanyam  WIFS/De Worming.

6/10/2016 FRESH: CHNC Level:  Bi- Monthly Review Day  Spl.Officer, SPHO,DyEOMEO,MO,CDPO,Bbavita Staff,  Intervention Wise Review:  Screening,Treatment, Referral Children  Reports  Health Education  Yuvachaitanyam  WIFS/De Worming.

6/10/2016 FRESH: District Level:  Monthly Once-3rd Saturday  JBARC &PO RVM,DMHO,DEO,PD ICDS.  Intervention Wise Achievemtn&Budget Review:  SPHOs,MEOs,MOs,CHOs,CDPOs,CRPs,IERTs,  Screening,Treatment, Referral Children  Reports  Health Education  Yuvachaitanyam  WIFS/De Worming.

6/10/2016 Trainings S.NoDistrict Mandal PlannedNo. Trained PlannedNo. Trained 15Ranga Reddy

6/10/2016 Spectacles S.NoDistrictNo. of spectacles distributed 15Ranga Reddy 16

6/10/2016 RVM(SSA): Monitoring & Reporting 1. School Level  SHER, Register -2, IEC-7,  Weighing Mechine,Iodine Brochers.  ICC – Individual Compliance Card.  Screening Status F1- HM/CRP/MEO.  Referral Children particular F3- HM/RP/MEO. WIFS status & Side Effect. Online from Mandal to DPO.

6/10/2016 Monitoring & Reporting 2. Mandal Level School wise Screening – F1. Screening Status- F2. Consolidation. Referral Particular - F3. Child wise. WIFS Monitoring & Side Effect. Monthly/Mandal Monitoring Report. 3. District Level Referral Children Particulars F3. Child wise. Screening Status - F4. Consolidation. Disease analysis, F5. Consolidation(F2s). WIFS Monitoring & Side Effect.

Study Material:  1. GO MS No. 316,319 and relavent.  2. SHER Primary & Secondary.  3. Teachers & Paramedical Staff Module-2011  4. JBAR &WIFS Karadeepika Trg Module  5. RBSK Operational Guidelines /10/2016

Observation Report  SNo.ActivityStatus/Details.  1No. Of Schools./Screened.  2No. of children/Screened.  3Referral Identified  4No. of Surgeries/Treated  5Health Provider proceedings/Status of the visits of the month  6No.of Arogya clubs formed. Total:  7No.of Chinnari Doctors/B+G=T: Total  8Health Education: THENSHE  9HE: SHD  10HE: SRD  11HE: No.of SMCs conducted:  12FRESH: School level  13FRESH: Mandal level/HMs,Supervisors, IERTs,CRPs,MMS,RWS,  14No.of Spectacles/Utility  15SHER Updation  16Rigisters -2, IECs-7: Utility  17MDM Status:  18Wall painting of JBAR  19Wifs programme implementation:  20Involment of nodel Teachers:  21Availbility of the tablets:

Overall Ranks S.No.DistrictRank 1Srikakulam 2 2Vizianagaram 1 3Vizag 19 4E.G.Dt 7 5W.G.Dt 12 6Krishna 6 7Guntur 9 8Prakasam 10 9Nellore 13 10Chittore 4 11Kadapa 15 12Ananthapur 3

Overall Ranks S.NoDistrictRank 13Kurnool 20 14Mahaboobnagar 14 15Ranga Reddy 23 16Hyderabad 22 17Medak 16 18Nizamabad 5 19Adilabad 21 20Karimnagar 17 21Warangal 11 22Khammam 8 23Nalgonda 18 Total AP

“We are guilty of many errors and many faults, but our worst crime is abandoning the children, neglecting the fountain of Life. Many of the things we need can wait. The child cannot. Right now is the time his bones are being formed, his blood is being made and his senses are being developed. To him we cannot answer “Tomorrow”. His name is “Today” Gabriela Mistral Noble Prize-winner- poet from Chile. Our Commitment:

Thank u UNITE FOR CHILDREN HEALTH AND EDUCATION