school health programme - gujarat health programme. health & family welfare department. ... ....
TRANSCRIPT
Presentation by
Dr. Shaileshkumar Sutariya, M.D.(CM)State Nodal Officer (Adolescent Health)
Health & Family Welfare Department, Govt of Gujarat
School Health Programme
Health & Family Welfare Department
Government of Gujarat
1
Beneficiaries Bouquet“Newborn to 18 Years”
New born to6 years Angan-Wadi Children
38,57,769(50,382)
Non School going children
95,386Secondary and
Higher Secondary School Children
24,75,515(9,508)
Covers more than 1.55
Crores Children , about 26 % of
total Population (1,01,301)
Primary School Children
91,63,123(41,411)
Madressa12088
Children/Juvenile
Home etc
380
2
• 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
• Health and Life-Skills education
Services Bouquet -Primary Healthcare to Super-
Specialty Healthcare
Micro Planning and Management 3
Systematic Methodology and Robust Documentation
Technology Driven Program
Monitoring by PMCC
Online module
Video Conference
Phone
E mail
SMS
Web-based Application http://shp.guj.nic.in
SHP to School Health Week:A Flagship Programme
Sanitation DayJointly by
Department of -Panchayat, Water Supply and Forest
Health Screening Day
Jointly by Health and Education Department
Nutrition Day Jointly by
Department of Health & Women
and Child Development
321
DAY
School Health Week70 Days Long Programme in The State
Cultural & Celebration DayJointly by Health
Education Panchayat & Rural
dev.
Medical Check -up
Day Jointly by
Department of Health & Education
54 DAY
Outcomes- Primary Healthcare 2011-12 & 2012-13
8
YearHealth service provider
2011-12 2012-13Children
examined Children
examined
Health Worker 1,48,96,419 96 1,50,78,633 96.5
Medical Officer 18,14,312 98 17,14.596 99
Medical Specialist 1,12,597 99.9 85,755 95
Spectacles Distribution 93,213 93 1,15,734 96
Specia-lists
Year
Pediatric Ophthalmic Dental Skin E.N.T Others Total
2011-12 21,917 54,614 10,293 6,780 10,650 8,343 1,12,597
2012-13 24,789 30,566 9,927 7,461 6,877 6,361 85,981
Outcomes:Referral Secondary Healthcare
2011-12 & 2012-13
9
Super specialty
Year
Heart Cancer Kidney + Kidney
Transplant
Total
2011-12 4,244 1,326 1,356 + 11 6,937
2012-13 4,640 1,624 1,290+8 7,562
Outcomes:Referral Super-Specialty Healthcare
Services
Community Awareness And Participation Activities
In 2011-12 & 2012-13
Activities 2011-12 2012-13
Cleaning of water sources (wells & water works) 38,612 15410
General cleaning in village and schools 56,631 69388
Herbal Plantations 73,150 51579
Healthy Baby Competitions 20,713 14843
Healthy Ante Natal Competitions 18,466 15256
Healthy Cooking Competitions 16,786 13612
Exhibition on Nutritional food and nutritive items 15,479 11698
Parents Meetings 15,658 17751
Dada-Dadi Meeting 14,068 16270
Gram Sanjivani Samiti Meetings 6,659 755311
Media Coverage Landscape
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.
Commitment to Social and Economic Gains to Society
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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.
Unique Features-School Health Week (Festival)
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Levels of awareness among the students in Schools - 99.5%.
Levels of awareness in Madrassa -100%
Level of satisfaction of the treatment facility - 97.9%
Parents attended school health program activities - 66.2%
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
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
External Evaluation by Datamation Ltd. New Delhi
Observationsby 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
*Team led by Prof. Shantha Sinha, Chairperson of National Commission for Protection of Child Rights in Dec, 2010 15
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.
Way Forward
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Stories Defining Program Success
Before
After
Operation
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