GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHIDIRECTORATE OF EDUCATION: SCHOOL BRANCH

OLD SECRETARIAT: DELHI-110054

No. F. DE.23 (386)!SchBr./2016! I'!{,

CIRCULAR

Dated 03)0?-) 11--

Sub: - National Mass Deworming Programme on National Deworming Day (NOD) i.e. onOgth February 2017 (Thursday) followed by Mop up Day (MUD) for left out children on15th February 2017 (Wednesday).

In continuation to this office circular No.F.DE.23(386)/Sch 8r./2016/134dated 01.02.2017 on the subject cited above, I am directed to forward some moreguidelines & formats received from the Directorate General of Health Services(School Health Scheme), Govt. of NeT of Delhi, for compliance and furthernecessary actionby all Heads of Govt. & Govt. Aided Schools, as below:-

1. Emergency Response/Monitoring.2. Serious Adverse Event.3. Common Reporting Format.4. Serious Adverse Event Reporting Form.5. Monitoring Format.6. list of Govt. Hospitals.

Encls: as above

\)~ODE (SCHOOL)

All Heads of Govt. & Govt. Aided Schools through DEl-E

No. F. DE.23 (386)!Sch BrJ2016! 14b Dated "''3)' 1--}!:t---Copy to:-1. PS to Secretary (Education), Govt. of NeT of Delhi2. PS to Director (Education), Govt. of NeT of Delhi.3. Addl. Director (SHS), Directorate General of Health Services (School Health Scheme),

Govt. of NCT of Delhi, DGO Building, Karkardooma, Delhi-11 00924. All RDEs/DDEs (DistrictiZone)/DEOs5. as (IT) to please paste it on the website.6. Guard file.

~'t"OSD (SCHOOL)

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Emergency Response!Monitoring -.,

I,,I

MAKETHE CHILD UE "N'" FLAT5URFACE"- •• <+- _ij'A 1GIVE THE CHILD GLASS Of WATER TO DRINK i

TAlK TO THE CHILD AND REMOVE AU.~EHEHSIONS _, ,._,

l2.)

In case of serious AE':-. -----.--

»seperate the affected child from other children andstop deworming activities in that school.

);> Stay calm and communicate that the SAE is likely notdue to the deworming drugs

>School Principals should immediately call the ERS noas per shared details

>CATS ambulance (102) should be called to transportchild to nearest hospital .

);> Parents should be informed immediately

•

COMMON REPORTING .FORMAT FOR DISTRICT INCHARGE SHS (DGH5) /MCD (Health)/ NDMC (Health)/

cantonment Board/DFW

* Please fill in all the details below and write 'N A' wherever it is not applicable.

State: District:Number of Schools in the •• '" Number of schools reported in

DOE District the DOE DistrictGNCTD/MCD/NDMC/Canto

- GNCTD/MCD/NDMC/

nment Board/private i ,. Cantonment Board/privateSchools SchoolsNumber of MO/PHN/ANM/ trained for Mass DewormingprogrammeNumber of Principals /Teacher trained for MassDeworming programmeAlbendazole Coverage

Girls Boys TotalTotal No. of children (Class Nursery - 12) enrolled in all schools of (A)

, . " )state/district I ,r,

No. of school children (class Nursery to 5 ) administered Tab (I)Albendazole on Mass Deworm'ing Day leQ.02.17)No. of school children (class Nursery to 5 ) administered Tab (2)Albendazole on the Mop Up DayNo. of school children (Class 6 - 12) administered Tab Albendazole on (3)Mass Deworming Day (~O2.17)No. of school children (Class 6 - 12) administered Tab Albendazole on (4)MUDG"RAND TOTAL of number of children who were administered Tab (B)Albendazole (B= 1+2+3+4)Percent coverage !6IX1QQ/(A)=Number of Mild adverse events reported from all schoolslogistic Details

Total No. of Tab Albendazole given to the state/district store

Total No. of Tab Albendazole administered to the children in the state/ district (Total ofboth Mass Deworming Day and Mop-Up day)Stock of Tab Albendazole left with the state/district'

Feedback from the District / State (if any)

Name of MO In-charge & Contact Number: ,,',

Signature of the Signatory:

You may call up the Monitoring In-charge (Name :Or. KUBER NATH/ Phone :8745011255/011-22379976)/Krishan Kant / Phone: 9953482003 for any assistance required

Note: - Submit to SHS (HO), Delhi Govt. Dlsp. Building Karkardooma Oelhi-92, Email;

schoolhealthscheme.dghs@gmail.com by 291" February 2017

·.l +)

SERIOUS ADVERSE EVENT REPORTING FORMFrom the Hospital! Health Centre

Date of Report:

Location District Block:

Patient Name: Age: Sex:

Patient Height and weight:

Health status of the child during De-worming: Good Poor Unknown

Pre-existing conditions :if any:

Other Medicine being taken (Concurrently or recently):

-Drug name (generic Branch Number: Date of treatment:name):

How many tablets did the Did the child chew the Was this the first time the childchild take: tablet took de-Worming drugs:

Clinical signs and symptoms:

Date of onset of symptoms How !ong after de-worming the symptomsshowed?

Was the patient hospitalized? : Y or N If Yes: Date of AdmissionReason for admission

Conclusion:

. "

(Sign and Seal of the Reporting Official)

MASS DEWQRMING DAY MONITORING FORM

GENERAlINFQRMAT10N

Name & Mobile No. of School! AWC Name Schooltu !AWC District Block Ward / Village

Monitoring Officer Code

MONITORING SECTION; circle the correct option based on your observation and interviews.

Deworming Observations

1 oes the school! AWe have deworming drugs? A YES B. NO

2. re the drugs available in sufficient quantity to Deworm the A. YES B. NO

nrollcd as well as non- enrolled childn~n)

3. WhJt is the expiry date of the drugs?

4. Do the school / Awe have the following provision for the deworming process? Circle all that apply.

. Safe Drinking Water B. Safe Storage of Medicines

5. re the deworming drugs being administered 10 children? I A. YES I B. NO

6 :Vho is administering the drugs to the children? Circle all that apply

A AWW 8. Teacher C. ASHA D. Other .. [ No Deworming Taking place

7. s the ASHA present in the AWC? A. YES B. NO

3. s the AsHA assisting the AWW in the Deworming process? A_ YE5 B. NO

9. s the teacber/ AWW separating sick children from beaubv A. YES B. NO

-hildrcn before deworrning

10. bid the teacher tick(v/'J\I\I leach child's name in the attendance A. YES B. NO

eg.srer alter giving them the drug

11. bid the ASHA !AWW! make J list of the non-enrolled! out of school children who got the drug'A. YES " NO C. Non- enrolled children did not receive drugs atthis AWe

12. iNhere did the te;Jcher/AW\~J receive training?

:"\ . At school U. At mock training C. AI Dtst. Training O. Teacher/ AWW did not receive

training.cverse Events

13. ~ccordjng to teacher/ AWW, can the deworming drugs be given to A. YES B. NOick cnudren?

14. s the teacher !AWW, aware of the possibility of adverse events frorn A. YES 8. NOewormillg?

15. I'\ccording to the teacher/ AWW what is the appropriate response in-case of adverse events? Circle all that applyA. Let the child rest in an open and shaded placeIl Provide clean water to drink.C. Contact the ANM! nearby Health FacilityO. No adverse events possible with Albendzolet.Otners.

1& nid you witness any serious cases of acverse-evems in the school! 1 A. I B.

DATE OF VISIT (Jlckithe box which applies): 0 Mass Dewormlng Day (09"'" February 2017)

o Mop up Day (lS'h February 2017)

I

/

- -," ,,~,'~tt":·l~~'."" ..;,;.,:'-""~~ -~~~~, '. ..

~

.Iwe YES NO

17 poe s the school/Awe have the phone No of the nearest ANM or A. B.

MOl Nodal Officer of GOV! HospitalsYES NO

nmmunitv Awareness & lEe materials.

18 ~hich of the following tf C materials are visible at the school/AWe? Circle all that apply.

A. .Poster B. Banner C Other lEe materials. D. No lEe materials .

19 ~hich of the following reference documents are available at the school/AWe? Circle <IIIthat apply.A. Principal! Teacher Handout. 8. AWW Handout C. Adverse Events Protocol. D. NoDocuments

0 twhich of the following rornmunitv mobilization steps have been undertaken by the ASHA before NationalbewormingJ Circle all that apply.

Conducted village meetings with parentsInformed parents about harmful effects of wormsInformed parents of benefits of DcwonnmgInformed parents about behavior change to 00 prevent reinjection.

ODITIONAl COMMENTS: Please write ("Inyobservations that have not been captured in the preceding sections

( 6)

GOVERNMENT OF NCT OF DELHISCHOOL HEALTH SCHEME

DIRECTORATE GENERAL OF HEALTH SERVICESDGD BUILDING KARKARDOOMA, DELHI-92

Ph: 22377419, Fax 22377478 schoolheafthscheme@gmail.com

LIST OF GOVT HOSPITALS. '1• -S.NO NAME OF HOSPITAL NAME & CONTACT NO OF NAME & CONTAqliio OF DISTRICT

MEDICAL SU~ERINTENDENT NODAL OFFICERSJI; 'c ~. "1. MAHARISHI VALMIKI HOSPITAL, Dr, Kirti Bljushan . Dr. Jitender Kur:nar NORTH WESTBPOOTH KHURD, NEW DELHI-39 98683948'11 9718502007 .,;;1 -.

2. BHAGWAN MAHAVEER HOSPITAL Dr. Alka Aggarwal Dr.Sonia MadaM NORTH WEST BPITAMPURA, NEW DELHI 34 8826998304 ,Paeds

9810639275 , .,3. SANJAY GANDHI MEMORIAL Dr. Pratibha Nanda MS Dr.Satish NORTH WEST B

HOSPITAL, S-BLOCK, (MCH) Kumar,(Dep.ofMANGOLPURI 8447734361 peadtrics)DELHI-83 84477344784g

4 DR.BABA SAHEB AMBEDKAR Dr. Popli CAMS) Dr.Sanjay chadhary North West BfHOSPITAL, ROHINI NEW DELHI- 9968679700 (Paeds) NORTH85 99686790702 " -

5 Dr. HEDGEWAR AROGYA Dr. Sushil Kumar Dr. Ashok Dua EASTSANSTHAN,EAST ARJUN NAGAR, 9582500312 9654958520 I'

DELHI-32 ~I~:~., ,~,

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9

10

LAL BAHADUR SHASTRI HOSPITALKHICHRIPUR, NEW DELHI 91

GURU TEG BAHADUR HOSPITALSHAHDARA, DELHI

CHACHA NEHRU BALCHIKTSALAYAGEETA COLONY, DELHI(. childrenu to 12 earsN.C.JOSHI MEMORIAL HOSPITAL,JOSHI ROAD, KAROL BAGH, NEWDELHI- 05KASTURBA HOSPITAL, N.EAR JAMAMASJID, DARYAGANJ, [JELHI-06

Dr. Amita Saxena95825003@4

Dr. Banarsi ,CMO9582500348

EAST

EAST/ NORTHEAST

EAST

Dr. Sunil Kumar,9868399799

Dr. P.RAM9868399519Dr.Dinga ",9810899806

CENTRAL

11

12

LOK NAYAK HOSPITAL, JAWAHARLAL NEHRU MARG, NEW DELHI-02

JAG PRAVESH CHANDERHOSPITALSHASTRI PARK DELHI

Dr. Anup Mohta9643308200

Dr. Dheeraj Kr. <!pta9643308239 .

Dr. Harmit singh9811590115

Dr.Ujjwal Kumar8130396026 ."

Dr. Leela Pant9818206856

Dr. Mukesh PrasadCMO9868007278 .Dr.Sanjay k.rnlnto

Dr. J.C. Passey9968604233

Dr. Ritu Saxena~,DMS CENTRAL! WEST,Causality , A9873617557

Dr. Adarsh Kumar9968606039

Dr.Anil Kumar NORTH E.AST9968606813

-

13 ARUNA ASAF ALI HOSPITAL, 5 Dr. G.P. Kaushal Dr. Ritu NORTHRAJPUR ROAD, DELHI-54 9810267837 Chopra,HOD,paeds .

9560593110Dr.Sangeeta,9971691133

14 HINDU RAO HOSPITAL, MALKA Dr. A.K. Goyal Dr.Raya Gupta NORTHGANJ , BARAF KHANA, DELHI 07 8826694252 9810190624 ,

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15 ATTAR SAIN JAIN HOSPITAL, Dr. Sunil Kumar Dr. Anurag

}~rTHBRITANNIA ROAD, DR. LOHIA 9711159521 Ahuja,CMOINDUSTRIAL AREA, NEW DELHI- 9711159525 "'II34

16 BABU JAGJIVAN RAM MEMORIAL Dr. Surinder Pal Dr. Shakuntakla !,!ORTH WEST AHOSPITAL, JAHANGIRPURI, DELHI 9599676363 Rani,CMO ?Y'

33 9968609814 ., ."17 SARDAR VALLABH BHAI PATEL Dr. Rajiv Kapoor Dr. Ruchie Gulati WEST A

HOSPITAL, EAST PATEL NAGAR, 9811384484 9811347788 .IDELHI-08

18 GURU GOBIND SINGH GOVT. Dr. S.c. Chetal Dr, Vandana Bagga, WEST AHOSPITAL, RAGHUBIR NAGAR, Office No,25984549, Officer, lnchargeDELHI-27 25988532 Casualty, ,

9718701002 971838394219 ACHARYASHRI BHIKSHU GOVT. Dr. Bhaskar Verma Dr.Jitender WEST A

HOSPITAL, PATEL ROAD, B- 9810060733 Bahal, Sr. Spl. (Prads)BLOCK, MOTI NAGAR, DELHI 15 9650296854

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,20 DDU HOSPITAL AND TRAUMA Dr. A.K. Mehta Dr. Rita Rasyi WEST B

• CENTRE, HARINAGAR,NEW 9718990182 9718990161DELHI-64 Dr.Abhay

. kumar 971899017921 Pt. MADAN MOHAN MALVIYA Dr. Ramesh Chug Dr. Vinita SOUTH WEST/

HOSPITAL, MALVIYA NAGAR, NEW 9810144882 Awasthi,Spl.(Peads) . SOUTHDELHI-17 9953420035 -

Dr.Rekha .~,965494137622 SWAMI DAYANAND HOSPITAL, Dr. M.L Jaipal Dr. Anand Agarwal '~THEAST'DILSHAD GARDEN, SHAHDARA, 01122582512 (Specialist) ,Peads

DELHI-95 . 9810902271

23 RAO TULARAM MEMORIAL Dr Sangeeta Basu Dr. 0.1. South West BHOSPITAL, JAFFARPUR, NEW Dutta,HOD,Peads I'.. -'DELHI-73 7835064112

24 SATYAWADI RAJA Dr. Sanjay Kumar Jain Dr. Nitin Kumar SOUTH WEST BHARISHCHANDER HOSPITAL, 9540055762 8745011282 -~-.PLOT NO .30,SECTOR -A - .

7 NARELA,DELHI -11004025 SARDAR VALLABH BHAI PATEL Dr. Rajeev Kapoor Dr.Rachie CENTRAL! NEW

HOSPITAL, PATEL NAGAR 9811384484 Gulate,SpJ.Peads DELHI. 9811347788

26 RAJIV GANDHI SUPER SPECIALITY Dr. Ravinder Jain EAST/NORTHHOSPITAL, TAHIRPUR 65252480

.~\'EAST

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27 JANAKPURI SUPER SPECIALITYHOSPITAL

Dr. Ashok Kumar (DMS)9643280900

Dr Brij Kishore Tyagi9643200916

WEST B

28 DEEP CHAND BANDHUHOSPITAL,ASHOK VIHAR PHASE.IV ,NEW DELHI -110052

Dr.Archana Singh9968608032

29 DADA DEV MATRI AVUM SHISHUCHIKITSALA YA

30 SAFDARJUNG HOSPITAL

. 'iI£Dr Sandip RaY'I.Medical Officer'_ "4-7838082758 'I'

31 LADY HARDINGE HOSPITAL Dr. Anju S'eth