1. National De-Worming Day
Dr. K. Sonvani
D.D- NHM

2. 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.

3. Need for de-worming in India

4. 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)

5. De-worming under wifs (2012)
Bi-Annual De-Worming for adolescent boys and girls from 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

6. De-worming under nipi (2013)
NIPI just added two new groups to the existing under five and 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

7. 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

8. Financial guideline

9. Financial guideline

10. Financial guideline

11. Financial guideline

12. 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
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.

13. L.F endemic districts in the state
Ambikapur
Balrampur
Surajpur
Bilaspur
Mungeli
Dhamtari
Durg
Balod
Bemetara
Janjgir Champa
Jashpur
Mahasamund
Raigarh
Raipur
Balodabazar
Gariyaband

14. National de-worming day

15. Major activity on ndd

16. 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

17. Thank you