National Deworming day celebrations and importance

NDD day

1. National Deworming Day T raining of BIock Officials (Fealth, Education and IEDS] For use at District- LevelTrainings Ministry of Health and Family Welfare | National Deworming Day (August 2018)

2. Session Details National Deworming Day Overview Types of Worms and Symptoms 8 Impact of Worms on Health, Nutrition, Education Benefits of Deworming Benefits of School and «lzigenmodi- based Deworming Community Awareness and Mobilization National Deworming Day and Mop- up Day Adverse Events and Adverse Event Management (AEM) Steps to be Followed by the School & AWC on NDD and Mop- up Day Recording and Reporting Ministry of Health and Family Welfare | National Deworming Day (August 2018) 1

3. National Deworming Day Overview Fixed day approach for the deworming program Objective : De w orm all children (boys and girls) aged 1- 19 at schools and an anriuN.v for improved chlld health, nutritional status, access to eclucation, ancl quali/• of life. Stakeholders: Department of Health and Family Welfare, Department of Education, Department of Women and Child Development (ICDS); Department Development of Urban of Rural Department of Tribal Development, Development; Development; Department of Drinking Water and Sanitation; Department of Panchayati Raj; Department of Human Resource Development; Action- Deworm the World Evidence Initiative; Development partners N at io n al Deworming Day Ministry of Health and Family Welfare | National Deworming Day (August 2018)

4. Common Behaviours in the Community Playing barefoot outside Not washing hands before eating food Defecating in the open Not washing hands añer using the toilet Eating fruits and vegetables without washing Not keeping food covered, which may result in food contamlRation Ministry of Health and Family Welfare | National Deworming Day (August 2018) 3

5. Types of Worms Worms are parasites that thrive on nutrition from the human intestine How do worms spread? Worm infectlons result from poor sanitatlon and hygiene condltlons Worm transmit through contact wlth infected soll p Round worm Hook worm Whip worm Ministry of Health and Family Welfare | National Deworming Day (August 2018)

6. Symptoms of Worm Infections 5 Ministry of Health and Family Welfare | National Deworming Day (August 2018) The greater the amount of worms in a child (intensity), the more symptoms the infected indivldual will have Severe infections can cause a range of symptoms lncluding diarrhoea, abdominal pain, weakness, vomiting, and loss of appetlte Children with mild infections usually show no symptoms —

7. Transmission Cycle Ministry of Health and Family Welfare | National Deworming Day (August 2018) 6

8. Impact of Worms on Health and Nutrition Worm infections impair the nutritional stams of the people they infect in multiple ways: Worms feed on host tissues, including blood, which leads to anemia. The nutritional impairment has significant impact on growth and physical development. Worms consume nutrients meant for the human body and cause blood loss, poor nutrition and stunted growth. Roundworm may compete for vitamin A in the intestine. Ministry of Health and Family Welfare | National Deworming Day (August 2018) 7

9. Studies show that absenteeism in schools decreases by 2S Zowith regular deworming. Impact of Worms on Children's Education and Long Term Productivity Due to heavy infection, children are often too sick or tired to concentrate at school or attend school/ongonivodi. Worm infection negatively affect children's physical and cognitive development, which could have long term negative impact on their work potential and wages in adulthood. Ministry of Health and Family Welfare | National Deworming Day (August 2018) 8

10. Keep your nails 9 Ministry of H ea lth and Family Welfa r e | National Deworming Day (August 2018) Preventing infection soap, especially be f ore ea ting and afte r using th» toilet Keep your in thc open Always use

11. How to Treat Deworming Dmg- Albendazole 400 mg(available free- of- cost) Albendazole should be administered to all children aged 1to 19 in age- specific doses. 1-2 years 2-3 years 3- 19 years DOSAGE Albendazole is a safe drug for both children and adults and has been used to treat millions of people across the world for Soil Transmitted Helminths. Albendazole tablets %at are not chewed or crushed may have significanCy lower ePectiveness. Ministry of Health and Family Welfare | National Deworming Day (August 2018) 10

12. Direct Benefits: 11 Controls anemia Improves nutritional uptake Indirect BenefiŁ: Helps improve concentration, capacity to learn, and attendance at school and axigaxiw'adź. Helps improve work potential and llvellhood Opportunlty. Benefits the community by reducing worms in the environment . Ministry of Health and Family Welfare I National Deworming Day (August 2018)

13. Benefits of /cñoo/- based Deworming Ministry of Health and Family Welfare | National Deworming Day (August 2018) 12 Schools: , Offer a unique opportunity and " platform to deliver deworming drug to a large number of children ln a safe manner - Enable the program to reach high coverage in a single day as majority of targeted children are available at the schools Teachers: Are an lnvaluable resource administering deworming drug Can pass on knowledge for about preventlOn and treatment for worm infections as they are highly respected by the communlty, lncludlRg parents and children

14. Benefits of Anganwadñbased Deworming 12 Offer a unique opportunity and platform to deliver deworming drug to a large number of chlldren in a safe manner Enable the program to reach high coverage lR a single day as majority of targeted children are available at the anganwadis. Angan wadi Workers(AWWs ): Are an invaluable resource for administering deworming drug Can pass on knowledge about prevention and treatment for worm infections as they are highly respected by the community, including parents and children

15. National Deworming Day and Nop- up Day Ministry of Health and Family Welfare | National Deworming Day (August 2018) 13 Albendazole will be administered on National Deworming Day (NDD), 10 August 2018, across all schools and angan kadis for all children aged l to 19. Teachers will administer Albendazole to all school- enrolled children aged 6- 19 years at the school. AWWs will administer Albendazole to all children aged 1- S years and unregistered, out- of- school children aged 1- 19 years at the anganwadis. Unregistered and non- enrolled children will be mobilized to the nearest angan maHJ for deworming with support from the ASHA. Children who are sick or are on medication should not be administered the tablet. These children should be advised to have the Albendazole upon recovery. Children who could not be dewormed on NDD must be administered the drug on mop-up day (MUD) on 17 August 2018.

16. Wganwadâworkers shoJd - 16 Ministry of H ea lth and Family Welfare National Deworming Day (August 2018) I lnform community about the benefits of deworming and dates of dewormlng Motivate parents and relatives who come to the centre, to bring their children to the angaxiivsdion NDD ProVlde adequate lnformatlOn to the parents or children on how the tablet should be administered and consumed Inform children about deworming and NDD when they come to the centre Support/guide ASHAs to mobilize community members through L?rozri Panchayats and at VHSNC meeting lnform community members about deworming messages appearing in newspapers, radlo, and TV that they should watch/llsten to carefully

17. Wganwadâworkers shoJd - 16 Ministry of H ea lth and Family Welfare National Deworming Day (August 2018) I lnform community about the benefits of deworming and dates of dewormlng Motivate parents and relatives who come to the centre, to bring their children to the angaxiivsdion NDD ProVlde adequate lnformatlOn to the parents or children on how the tablet should be administered and consumed Inform children about deworming and NDD when they come to the centre Support/guide ASHAs to mobilize community members through L?rozri Panchayats and at VHSNC meeting lnform community members about deworming messages appearing in newspapers, radlo, and TV that they should watch/llsten to carefully

18. Wganwadâworkers shoJd - 16 Ministry of H ea lth and Family Welfare National Deworming Day (August 2018) I lnform community about the benefits of deworming and dates of dewormlng Motivate parents and relatives who come to the centre, to bring their children to the angaxiivsdion NDD ProVlde adequate lnformatlOn to the parents or children on how the tablet should be administered and consumed Inform children about deworming and NDD when they come to the centre Support/guide ASHAs to mobilize community members through L?rozri Panchayats and at VHSNC meeting lnform community members about deworming messages appearing in newspapers, radlo, and TV that they should watch/llsten to carefully

19. What are Adverse Events? Role of the TeacherJ AWW: Deworming has v ery few side Use a spoon to admlnister effects on children Albendazole to the child yourself and not give it to the parents to take home E v ents such as nausea, vomiting, dlarrhoea, and weakness may occur among few children especially Do not forcefully administer the tablet to any child those with high worm infections Inform parents about mild side effects and that it is expected only in children with high worm load Any adverse events are temporary and generally can be managed easily at the origo<w‹fi. Bulld confidence ln parents that the child Wlll be taken under observatlon and care if they show any serlous side effects Must be prepared to take care of the child durlng any adverse event Call for any medical assistance Ministry of H ea lth and Family Welfare I National Deworming Day (August 2018) 17

20. Adverse Event Ministry of Health and Family Welfare | National Deworming Day (August 2018) Additionally, physicians must fill PVPI suspected ADR reporting form for all the ADRs (for proper analysis of ADRs) p ”””" "‘“"‘ Anganmadiand ANM workers to fill the Consumer PVPI forms, provided in local languages also such as Hindi, Assamese, Oriya, Bengali, Kannada, Tamil, Telegu, Malayalam and Marathi for any kind of ADR List of adverse drug reaction Monitoring Centres (AMCs) for all the states is provided for support to fill in the above mentioned forms. Hyperlink PVPI Suspected Adverse drug reaction reporting form ” p Medicine side effect reporting form

21. Adverse Event Ministry of Health and Family Welfare | National Deworming Day (August 2018) Additionally, physicians must fill PVPI suspected ADR reporting form for all the ADRs (for proper analysis of ADRs) p ”””" "‘“"‘ Anganmadiand ANM workers to fill the Consumer PVPI forms, provided in local languages also such as Hindi, Assamese, Oriya, Bengali, Kannada, Tamil, Telegu, Malayalam and Marathi for any kind of ADR List of adverse drug reaction Monitoring Centres (AMCs) for all the states is provided for support to fill in the above mentioned forms. Hyperlink PVPI Suspected Adverse drug reaction reporting form ” p Medicine side effect reporting form

22. Steps to be Followed at the Schools/AWCs on NDD and MUD 1. Before NDD Checklist Ensure availability of sufficient drugs Keep the phone number of the nearest PHC, MO- Block PHC, ANM handy for Adverse Event Management support NDD reporting forms Inform children, parents, and community about NDD Properly display banner, posters, and other lEC NDD kit= Tablets+ Training hancloiit + IEC+ Reporting form Take the list of out- of- schoo1 children (ASHA Reporting Form) aged 1- 19 years from ASHA. Prior to NDD, ASHAs will prepare list of these children. Use the list prepared by ASHAs (ASHA Reporting Form) to update the list of adolescent girls Ministry of Health and Family Welfare | National Deworming Day (August 2018) 20

23. 1- 2 years 2- 3 yeac 3- 19 years 2. Albendazole Administration Crush th e half t ablet between two spoo n s, then add safe water to h e lp administer the tablet Crush one full tablet between two spoons, then add safe water to help administer the tablet Ask children aged 3- 19 to chew the tablet properly. Albendazole tablets that are not chewed may have significantly lower efiectiveness. Ensure drinking water is available. Use a spoon to administer one full tablet to the child yourself and do not give it to parents to be taken home. Teachers/2lzigo«ivadi workers must use a spoon to administer Albendazole to the child themselves and not give it to the parents to be given at home Teachers/Arigozirradiworkers must never administer Le tablet to chiloen who are sick or are on any other medication Call for any medlcal asslstance. Manage ie AE as per protocol and also use ofToP Free Number of Pharmacovigilance Programme of India l8O0 180 3024 for reporting the AE. You may also contact the nearby ADR Monitoring Centre Ministry of Health and Family Welfare I National Deworming Day (August 2018) 21

24. 3. Recording Teacher/Wganwcñworker: On National Deworming Day, along with administering the tablet, teacher/AWW must ensure that they mark a single tick (I ) next to each dewormed child's name in the register AWW also to record in the ASHA Reporting Form On mop- up day mark a double tick (9 I ) next to the child's name. NDD MUD Ministry of H ea lth and Family Welfare I National Deworming Day (August 2018) Z2

25. Every teacher will count the number of ticks on the form after National Deworming Day and mop- up day separately and report this number to the headmaster The headmaster must ensure the accuracy of the reported data before filling it into the form. Seek help from teacher from your school for cross checking the calculations before submitting the form After mop- up day, headmaster should report all data in the NDD School Reporting Form and submit to ANM by 22 August20l8 ' "" ^ "" Keep one copy of the form in your school for records and verification purposes ANM to only collect the reporting form and submit it to the MO- BPHC &Cb0i0’kS Ministry of Health and family Welfare | National Deworming Day (August 2018) x

26. AWW should count separately the details from National Deworming Day and mop- up day ReueŒ in älthedetdb ietowand do iaa hiæ æybœua1&A AWW should cross cheek the details carefully before entering details into the Anganwadi RepoGing Form. Enswe that the form is filled correcXy and completely. Ministry of Health and Family WePare | National Deworming Day (August 2018) 24 After mop- up day, xngmiivxd›’ worker should enter the details and submit the completed form to the ANM by 22 August 2018. Also submit the ASHA Reporting Form along with this. The anganwdiworker should keep a copy of the filled reporting form carefully at the angoriwacfi for records and verification pwposes ANM to only eollect the reporting form and submit it to the MO- BPHC 4•10

27. Revisit household with a list to follow up wlth children who could not be dewormed on National Deworming Day (due to sickness and absenteeism) and encourage them to have the deworming tablet on mop- up day Ministry of H ea lth and Family Welfare National Deworming Day (August 2018) I 25 Re«ording and Reporäng Before NDD, prepare a list of out-of- school, unregistered children aged 1- 19 years (ASHA Reporting Form) and share with the xnganivadi worker Record details of unregistered, out-of- school children who were dewormed by o«go«ivs#i worker in the ASHA Reporting Format AWW will compile all records of National Deworming Day and mop- up day with support from ASHA and submit it to the A5i1v1

28. Repoming- State Common Repo<ing Form Ministry of Health and Family Welfare | National Deworming Day (August 2018) 26 Aker receiving all school and angani»ixdi reporting forms from ANM, Block Medical Officer will compile all the school and anganwadi reporting forms in Block Common Reporting Format and submit to District M&E officer Disoict M&E officer will compile data of all BPHCs in Disoict- level Common Reporting format and submit to State Nodal Officer State Nodal Officer will compile the reports of all districts in State Common Reporting Foxmat and submit to MoHFW Two officials at Block/District/State- level should review the quality of coverage data provided in the Common Reporting Format before submission

29. Naã onal To be used at block- level for data entry To be used at district- level for data review and approval To be used at state-level for data viewing and analysis and submission of NDD August 2018 coverage report 2 versions: 1) mobile based (android app) 2) web version Paper based reporting will also continue along with the submission of data through NDD app Ministry of Health and Family Welfare | National Deworming Day (August 2018) 27 Data Compilation and antry Data Ccsmpllatlon and entry Paper based reporting Data Compilation and entry Data reviewed and approved NDD mobile/ web reporting “Refer to NDD manual for more information on NDD app Data Compilation and entry STATE Data available for viewing and

30. Reposing Cascade Ministry of Health and Family Welfare | National Deworming Day (August 2018)

31. NDD Monitoring Form (BIocV DistricVState) Ministry of Health and Family Welfare | National Deworming Day (August 2018) All monitoring teams from block, disoict, state levels including development partners will use the NDD monitoring form for field monitoring of NDD All monitoring forms used by of5"icials/ teams will be submitted to nodal officer at health department along with NDD coverage data

32. All teachers and ongsnwadiworkers should fulfil their role in this program with enthusiasm and play a paG in giving children a brighter fumre. Ministry of Health and Family Welfare | National Deworming Day (August 2018)

33. Thank You Ministry of Health and Family Welfare | National Deworming Day (August 2018)