School Health Programme

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1 Health & Family Welfare Department Government of Gujarat School Health Programme Presentation by Dr. Shaileshkumar Sutariya, M.D.(CM) State Nodal Officer (Adolescent Health) Health & Family Welfare Department, Govt of Gujarat 1

2 Beneficiaries Bouquet Newborn to 18 Years Covers more than 1.55 Crores Children, about 26 % of total Population (1,01,301) New born to 6 years Angan- Wadi Children 38,57,769 (50,382) Primary School Children 91,63,123 (41,411) Secondary and Higher Secondary School Children 24,75,515 (9,508) Non School going children 95,386 Madressa Children/ Juvenile Home etc 380 2

3 Health Screening and Medical check up based on 4D s: Defects at Birth, Diseases, Deficiencies and Disabilities Health & Referral Card Primary care on spot Free Spectacles Referral Services for Secondary and Tertiary care Super-Specialty treatment for Heart, Kidney and Cancer Disease including Renal Transplant Services Bouquet - Primary Healthcare to Super- Specialty Healthcare Health and Life-Skills education Micro Planning and Management 3

4 Systematic Methodology and Robust Documentation

5 Technology Driven Program E mail Video Conference Monitoring by PMCC SMS Phone Online module Web-based Application

6 SHP to School Health Week: A Flagship Programme Sanitation Day Jointly by Department of - Panchayat, Water Supply and Forest Health Screening Day Jointly by Health and Education Department 1 DAY 2 3 Nutrition Day Jointly by Department of Health & Women and Child Development

7 School Health Week 70 Days Long Programme in The State Medical Check -up Day Jointly by Department of Health & Education 4 DAY 5 Cultural & Celebration Day Jointly by Health Education Panchayat & Rural dev.

8 Outcomes- Primary Healthcare & Health service provider Year Children examined Children examined Health Worker 1,48,96, ,50,78, Medical Officer 18,14, , Medical Specialist 1,12, , Spectacles Distribution 93, ,15,

9 Outcomes: Referral Secondary Healthcare & Specialists Pediatric Ophthalmic Dental Skin E.N.T Others Total Year ,917 54,614 10,293 6,780 10,650 8,343 1,12, ,789 30,566 9,927 7,461 6,877 6,361 85,981 9

10 Outcomes: Referral Super-Specialty Healthcare Services Super specialty Heart Cancer Kidney + Kidney Transplant Total Year ,244 1,326 1, , ,640 1,624 1, ,562

11 Community Awareness And Participation Activities In & Activities Cleaning of water sources (wells & water works) 38, General cleaning in village and schools 56, Herbal Plantations 73, Healthy Baby Competitions 20, Healthy Ante Natal Competitions 18, Healthy Cooking Competitions 16, Exhibition on Nutritional food and nutritive items 15, Parents Meetings 15, Dada-Dadi Meeting 14, Gram Sanjivani Samiti Meetings 6,

12 Media Coverage Landscape

13 Commitment to Social and Economic Gains to Society Socio-Economic Impact: Inclusive child healthcare based on Social Equity. All SC and ST children get quality and expensive treatment of catastrophic diseases free of Cost. Substantial reduction of health burden leading to Healthy Society and Prosperous Nation. Sustainability: Demand generation from the community due to Awareness, Acceptance and Participation. Mass support and Community Ownership Political commitment. Continuous training, capacity building & improvisation based upon experience and feedback. 13

14 Unique Features- School Health Week (Festival) Weeklong Health Festival in each school and village Community Awareness, Participation and Ownership Full Coverage of all Children-Newborn to 18 years- Govt, Private, Madarssa, Children Homes etc. Complete Child Healthcare- Primary to Super- Specialty Participation of various Health Organizations/Associations like IMA, NMO, FOGSI, IAP, FPA etc. Inter- Sectoral Convergence amongst Govt. Departments (7) Technology Driven- SATCOM, Video Conferencing and SMSs for training, awareness, sensitization and wider participation. Web-based Application and Centralized Database - DSS for Planning, Implementation and Management. Strong Political Commitment -From PRI members to the Highest level including Cabinet Ministers and Chief Minister. 14

15 External Evaluation by Datamation Ltd. New Delhi Levels of awareness among the students in Schools %. Levels of awareness in Madrassa -100% Level of satisfaction of the treatment facility % Parents attended school health program activities % Schools provided Health educations- 98.4% PRI members suggesting continuation of the SHP- 96.8% Suggestions: Mechanism to follow-up of the referral children can be devised Other chronic diseases and Nutrition problems might be addressed Observations by NCPCR Team* Widely accessible communication network; Easily retrievable health data; Thorough micro-planning for the entire project; Designated referral centers for the screened out children Allocation of facilities under the scheme needs to be increased Frequency of school health week can be increased from once in a year to twice in year *Team led by Prof. Shantha Sinha, Chairperson of National Commission for Protection of Child Rights in Dec,

16 Way Forward Expansion of Super Specialty Services namely- Cochlear Implant, Liver Transplant including Tertiary Club Foot Treatment. Convergence and Integration with Sarva Shiksha Abhiyan (SSA) of Education Deptt for name based tracking and follow-up. Convergence and Integration with Gujarat State Nutrition Mission (GSNM) to track and combat Malnutrition Prevalence in a targeted manner. Convergence with Rashtriya Bal Swasthya Karyakram (RBSK) for Child Health Screening and Early Intervention Services through dedicated Mobile Health Teams. 16

17 Stories Defining Program Success Tribal & Orphaned Child Lalu Halpati became blind due to cataract. He got his vision back and ray of hope for bright future through SHP initiatives Before Operation After

18 18

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