School-based deworming Challenges Collaborations Commitment

School based deworming Age (years) Mean no of worms Age-infection profile for STH infections

Benefits of deworming Long term increases in productivity over a life time SchoolAdulthood Treat at least 75% of at risk children by 2010 By 2010, only 1/3 of children requiring treatment were receiving it. Improved attendance Improved performance

Challenges to deworming Commitment & ownership Coordination Resources –Human –Financial –Antihelminthics Accurate reporting Uptake Evidence

Sustain, expand and extend drug access programmes to ensure the necessary supply of drugs and other interventions to help control by 2020 schistosomiasis, STH, Chagas disease, VL, and onchocerciasis. Enhance collaboration and coordination on NTDs at national and international levels through public and private multilateral organisations to work more efficiently and effectively together Since 2012, we have seen in an increase in the level of commitment towards controlling STH infections

Sustain, expand and extend drug access programmes to ensure the necessary supply of drugs and other interventions to help control by 2020 schistosomiasis, STH, Chagas disease, VL, and onchocerciasis. Enhance collaboration and coordination on NTDs at national and international levels through public and private multilateral organisations to work more efficiently and effectively together Since 2012, we have seen in an increase in the level of commitment towards controlling STH infections This Commitment was reiterated and reinforced at the NTD meeting in Paris in April

Staying Vigilant -Change in procurement -Issues in reporting structure: drugs consumed or drugs delivered? -Lack of communication between stakeholders at all levels Numbers being reached through WFP dropped between 2008 and Breaks in the supply chain: Working together to identify the gaps, ensuring intervention sustainability

But… the Pieces are in Place Strong evidence base Global advocacy Donations: 1.12 billion treatments are being donated: –GSK – 400m tablets of albendazole a year –J&J – 200m tablets of mebendazole –Merck – 250m tablets of PZQ a year Commitments from organisations for delivery, research, integration strategies Commitments from governments Serves as the largest coordinated effort to date to combat NTDs

Linking research with the field Elimination of Ascaris – what is the breakpoint? Anderson R et al. Phil. Trans. R. Soc. B 2014 Developing risk maps from prevalence data to inform intervention and MDA programmes

Harnessing existing capacity Integrate with other activities: –Other NTD control programmes (eg oncho) –Other delivery mechanisms –Maximise resources

The reach of the WFP

Role of Partnerships Community, Schools & Teachers Government NGOs Donors International organizations

Challenges do Remain: Continued commitment Delivering drugs to those who need them Coordinating players Measuring Progress: is it pills consumed or pills delivered? Increasing coverage –Reaching SAC not enrolled and pre-SAC Sustainability

It is possible….

The case of Bihar state, India Included coordination between all partners, mapping, cascaded trainings, community sensitization, monitoring Programme implemented from Feb –April 2011 Treated >17 million school-age children for 30 cents/child

PCD Implementing evidence based research Collaborate with: –Governments –Other NGOs –Academia Supporters rather than implementers Working in Partnership

Find out For our latest Research Case studies Toolkitsand views schoolhealth Find out Follow For School Health & Nutrition (SHN): Documents & resources News & Events SHN topic information Country specific data

Infection in Children Infection Loss of nutrients and malabsorption of micronutrients Anaemia (hookworm), stunting and poor growth measures Poor school attendance Poor concentration while at school, and decrease in cognitive capacity Long term and irreversible measures of morbidity if infection continues untreated Affects community development Treatment Greater availability of consumed nutrients Decreased anaemia (in the case of hookworm) Increased cognitive development Decreased school absenteeism Better concentration in schools Better health through red. Morbidity May lead to improved development indicators for community