Meeting with SAPA 23 February 2018 DEWORMING Meeting with SAPA 23 February 2018

PRESENTATION OUTLINE 2017 Background Reach WHO stakeholders meeting 10-14 July 2017 2018 Process Model of Implementation Way forward

2017: BACKGROUND 2017 Target: Grades R-7 learners in Q1-3 PS World Health Assembly resolutions WHA 54.19 (May 2001): Synchronised treatment of worms WHA 66.12 (May 2013): elimination of NTD by 2020 Mapping: determine prevalence deworm 2017 Target: Grades R-7 learners in Q1-3 PS Many challenges Tablets ready for implementation Apr 2017 Reach 2017: 4.5 million children

BACKGROUND WHY DEWORMING? Low cost intervention, learners to perform best of abilities Improved health status, increased productivity, educational performance, life expectancy, savings and investments decreased debts and expenditure on health care Studies in the US: worm infections lower’s literacy levels by 13% and lower’s earnings later in life by 43% Research in Western Kenya: school based mass deworming decrease absenteeism by 25% Stewart Kabaka, Christine Wanza Kisia. National Deworming Programme: Kenia’s Experience. 19-21 October 2011.

WHO STAKEHOLDERS MEETING Effective coordination and collaboration between DBE, DOH The target should not be learners in quintile 1 to 3 schools but ALL children of the age 5 to 14 years to eliminate helminth infections Improved reporting by DOH and DBE

2018: PROCESS Request for tablets for 2018 approved 10,597,597 tablets (70,678 bottles) Based on Stats SA Population for 5-14 year olds Consent forms distributed by SASAMS DBE provinces to follow up re: effectiveness Health services only to those with signed consent Orientation, those schools not previously dewormed (utilise technology) Monitoring Evaluation

2018 PROCESS Prov District Target 5 to 14 years Unused tablets 2018 Tablets to receive 2018 Boxes 2018 EC A Nzo 169,158  No report 171000 57 Amathole 181,212 183000 61 Buffalo City 154,102 156000 52 C Hani 163,185 165000 55 Joe Gqabi 72,208 75000 25 Nelson M Ba 241,950 243000 81 O Tambo 278,071 279000 93 Sarah Baart 94,514 96000 32 Total EC 1 354 400 - 1368000 456 FS Fezile Dabi 105,273 12900 93000 31 Lejweleputs 120,622 8850 114000 38 Mangaung 160,965 29400 132000 44 T Mofutsanya 144,502 26250 120000 40 Xhariep DM 27,779 9900 18000 6 TOTAL FS 559 141 87300 477000 159 GP Ekurhuleni 675,642  18848 657000 219 Johannesburg 988,419  0 990000 330 Sedibeng 187,970  46389 144000 48 Tshwane 656,397 West Rand 176,484  4350 174000 58 Total GP 2 684 912 69587 2622000 874 KZN Amajuba X2 211,528 15624 198000 66 eThekwini 712,445 33349 681000 227 Harry Gwal 98,210 11746 87000 29 iLembe X2 263,662 13145 252000 84 Ugu DM 151,818 21548 uMgungunX2 439,980 39735 402000 134 Umkhanyak 131,466 15912 117000 39 Umzinyathi 105,798 5135 102000 34 UthukelaX2 281,560 27533 255000 85 Uthungulu 193,921 11320 Zululand DM 170,905 9550 162000 54 Total KZN 2 761 293 204597 2571000 857

AIM OF CONCEPT Tablets for 2018 available for use: April 2018 Implementation before April: unused tablets Expansion of deworming target Not only NSNP schools Improved collaboration / ownership Amongst and within Departments SHARED responsibility Create a plan, for provinces to refine / adjust NOT to enforce

MODEL OF IMPLEMENTATION National Deworming Weeks: 7-18 May 2018 Responsible: DBE, DOH, DSD All surrounding schools (Q1-5, private schools) mapped to health clinic ISASA notified all independent schools of deworming on weekly bulletin, further information on ISASA website Provincial plans to be shared for participation A schedule of participation develop indicating times and dates Schools on spreadsheet that receive bottles / return bottles Non-participating schools easily spotted, followed up

WAY FORWARD Provinces develop own plans Submission date of reports: Reach and number of unused tablets: 15 July 2018 Timely submission- timely approval of 2019 tablets Improved communication and coordination Provinces: address Teacher Unions in affected areas Distribution of tablets by educators: process can be facilitated at provincial level through Provincial Pharmacists (as was done by NC)

WAY FORWARD Advocacy ongoing from January 2018 0.5% of the NSNP Conditional Grant earmarked for nutrition education and deworming Can be utilised for the distribution of tablets, advocacy etc. Google Link: mapping of schools to health clinics

RECOMMENDATIONS Principals to take note of the Importance of the Deworming Programme Extension of the target for the deworming programme The timeframe (2nd quarter) The timely submission of the report If possible the same day Motivate fellow principals to support the programme