National Deworming Day in Schools, Deworming tablets supplied to schools on Deworming Day

National Deworming Day in Schools

Government has planned to implement the 8th round of Mass school and Anganwadi based National Deworming Day(NDD) program on 10-02-2020

Soil Transmitted Helminthese (STH) also called prarasitic worms is a significant public health concern for India. Evidence shown detrimental impact of STH infestation on physical growth, anemia under nutrition and congnitive development as well as poor attendance at school. Considering the prevalence of STH infections in the state is high at 60%. It is crucial for the NDD program to reach all children aged 1-19 years consistently over each NDD round.

Parasitic intestinal worm infections are significant public health concern for India. According to WHO, around 220 million children aged 1-14  are estimated to be at risk of worm infections. Worms have a detrimental effect on children's physical growth, anemia, undernutrition, cognitive development and school attendance.

The department of Medical, Health  & Family Welfare, Education and Womet Development & Child welfare Government of Telangana state have been organizing the anganwadi and school based mass deworming program called the National Deworming Day (NDD) since 2016, under  National Deworming Day, all children aged 1-14 are administered the deworming tablet, Albendazole at schools, junior colleges, anganwadis and Educational Institutions on a fixed day across the country.

children will be administered Albendazole tablet for deworming, which is the safe and beneficial drug as per WHO and the Govt of India. Children who have high worm load may experience nausea, headache, diarrhea, or vomiting after consuming the tablet which will subside 2-3 hours post administration. all emergency medical facilities are in place, if they are needed. No child will be administered the tablet forcefully. children who are sick or under some medication will not be dewormed. this program will be held on 10-02-2020.

Instructions to the Medical & Health Department on National Deworming Day

1. Medical officers of the PHC/UPHC have to place indent to the RBSK Coordinators to draw the required quantity of tablets for further distribution to Anganwadi centers and schools in their jurisdiction
2. through ANMs and ASHAs. 
3. Medical officers have to supply sufficient number of CPM/ Cetrizine and Prednisolone tablets to all paramedical staff to treat any emergency cases along with De-worming drugs,
4. Budget will be provided to DM&HO for mobility of MO and his team to utilize on the national de worming day of drug administration and MO is instructed to keep emergency drugs and IV fluids with him/her.
5. MOs have to supervise the program and also to attend any emergency.
6. MOs are instructed to inform to Mobiie Medical units (MMUS) and 108 coordinators regarding this program and to take their support.
7. If any adverse reactions, need to have coordinated approach should be established between Health, Education & WCD (ICDS) Departments. The roles and responsibilities of these three primary departments in adverse events managements are detailed below.

Activities at Mandal to be taken up by PHC medical officers on National Deworming Day

To prepare Mandal level action plan for distribution of drugs and to conduct the Deworming Day. Instruct MPDOs to supervise the Deworming program in the Mandal. Instruct MPDOs to coordinate/converge with all line departments for effective implementation of the program in the Mandal.

Activities at Village / Habitation:
At Angawadi Centers: 
Administering the Albendazole tablet half tablet to the age group of I to 2 years and 400 mg Albendazole tablets (chewable) to 2 years 5 years children and out of school children.

At School/Junlor college: 
lst class to 12e standard. Government & Aided and Private Institutions only administering 400 mg Albendazole tablets (chewable) and to organize de-worming day in their school /college

Management of Severe Adverse Events after Deworming Day

Teachers, AWWs, Parents, health facilities and all health officials and providers, including ANMs must be vigilant for such incidents in the area and elevate immediately to the information cascade.
Responsibilities after De-Worming day.

Recording and reporting formats for National De-worming Day

1. On De-worming Day - National De-worming day (10-02-2020) and Mop Up day(17-02-2020)
2. Anganwadi Teachers will record number of enrolled children de-wormed in the school.
3. Anganwadi workers will record number of registered, unregistered & out of going school chiidren de-wormed in AWC's.
4. ASHA will record number of non-enrolled and out of school children de-wormed in AWC's in order to receive her incentives.
5. ANM will compile the reports received from all schools /AWC's'

schools level activities on National De-worming Day

1. Teachers will record number of enrolled children de-wormed in the class attendance register.
2. For every enrolled student de-wormed on 10-02-2020: a single tick mark next to the name of de-wormed student in the attendance register.
3. For every de-wormed student on 17-02-2020: a double tick mark next to the name of de-wormed student in the attendance register'
4. At the end teacher will count the single tick marks & double tick marks in the attendance register, separately for both DD & MUD and will report to the nodal teacher / principal at school.

NDD Proceeding Guidelines

Dwonload NDD PPT

NDD Note

FAQs on NDD

Hand Book on NDD

NDD in Private Schools

AP Old Guidelines