School based deworming
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School-based deworming. Challenges Collaborations Commitment. School based deworming. Age-infection profile for STH infections. Mean no of worms. Age (years). By 2010, only 1/3 of children requiring treatment were receiving it. Long term increases in productivity over a life time.

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School based deworming

School-based deworming

Challenges

Collaborations

Commitment


School based deworming1

School based deworming

Age-infection profile for STH infections

Mean no of worms

Age (years)


Benefits of deworming

  • By 2010, only 1/3 of children requiring treatment were receiving it.

  • Long term increases in productivity over a life time

  • Treat at least 75% of at risk children by 2010

  • Improved attendance

Benefits of deworming

  • Improved performance

School

Adulthood


Challenges to deworming

Challenges to deworming

  • Commitment & ownership

  • Coordination

  • Resources

    • Human

    • Financial

    • Antihelminthics

  • Accurate reporting

  • Uptake

  • Evidence


School based deworming

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


School based deworming

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.

This Commitment was reiterated and reinforced at the NTD meeting in Paris in April

Enhance collaboration and coordination on NTDs at national and international levels through public and private multilateral organisations to work more efficiently and effectively together


Staying vigilant

  • Working together to identify the gaps, ensuring intervention sustainability

Staying Vigilant

Numbers being reached through WFP dropped between 2008 and 2012.

Breaks in the supply chain:

  • Change in procurement

  • Issues in reporting structure: drugs consumed or drugs delivered?

  • Lack of communication between stakeholders at all levels


But the pieces are in place

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

Linking research with the field

Elimination of Ascaris– what is the breakpoint?

Developing risk maps from prevalence data to inform intervention and MDA programmes

Anderson R et al. Phil. Trans. R. Soc. B 2014


Harnessing existing capacity

Harnessing existing capacity

  • Integrate with other activities:

    • Other NTD control programmes (egoncho)

    • Other delivery mechanisms

    • Maximise resources


The reach of the wfp

The reach of the WFP


Role of partnerships

Role of Partnerships

International organizations

Donors

  • Community, Schools& Teachers

Government

NGOs


Challenges do remain

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

It is possible….


The case of bihar state india

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


School based deworming

PCD

  • Implementing evidence based research

  • Collaborate with:

    • Governments

    • Other NGOs

    • Academia

  • Supporters rather than implementers

  • Working in Partnership


School based deworming

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