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

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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

18schoolhealthgujarat@gmail.com