1 / 16

PROGRESS REPORT: T he National STH Programme in BHUTAN

PROGRESS REPORT: T he National STH Programme in BHUTAN. Mr. Sangay Thinley 2014 RPRG Meeting Jakarta, Indonesia 23 – 24 Sept. 2014. Background Information. Geography and Population Total population : 7,33,003 (Bhutan at a Glance, NSB, 2013) 38, 394 Square kilometers 70% forested

ruth-riley
Download Presentation

PROGRESS REPORT: T he National STH Programme in BHUTAN

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PROGRESS REPORT:The National STH Programme in BHUTAN Mr. SangayThinley 2014 RPRG Meeting Jakarta, Indonesia 23 – 24 Sept. 2014

  2. Background Information Geography and Population • Total population: 7,33,003(Bhutan at a Glance, NSB, 2013) • 38, 394 Square kilometers • 70% forested • Elevations of 160m – 7000m above sea level • 31% of the population (0-14Years) • Ecological zones: Alpine; Temperate; and Subtropical Zone.

  3. Health Care Delivery System • 3-tier service delivery system supported by community engagement at basic levels and government sponsored referral abroad. Tertiary (1 National and 2 Regional Referral Hospitals) Secondary 32 Hospitals, 20 Basic Health Units-I Traditional Medicine “integrated part of the health care system. ” Primary 185 Basic Health Units- II Community 437 Outreach Clinics 1200 Village Health Workers

  4. Historical Perspective • Brief history of intervention: 1985, 1986 & 1989 Surveys • 25.7% ascariasis (Most common parasitic disorder) • 4.3% Hook worm infestation in school children • 20% to 70% STH prevalence. • National Anaemia Survey (2002) • 81% of child 6-36 months are anaemic • Anaemia Study among school children (2003) • 69% of children as anaemic • Survey of intestinal Worms in school children 2003 (Western region) • Prevalence of 16.5 % STH infection (226 children in 5 Schools) • 6.7 % tape worm infection.

  5. National programme overview

  6. Baseline Mapping STH Prevalence & Intensity • The intestinal worms incidences and total morbidity by gender is being reported monthly through activity report (BHIMS) • Incidence per 10,000 under 5 children: 186 in 2011; 133 in 2012; 125 in 2013(Annual Health Bulletin, MoH). • Total Morbidity: 6869 (U15 =1913)

  7. Morbidity trend for the last 5 years

  8. Programme Financing for STH • Contributors to the 2013 programme costs (and rough estimate of contributions by each if available):

  9. PC programme achievements 2013

  10. Progress Towards STH scale up *Coverage =

  11. PC coverage, 2013 *75% for STH **reported coverage was verified by coverage survey or similar independent activity ***

  12. PC Monitoring and Evaluation • Describe how coverage is monitored • Term reports • SAE protocol • Detection • Management • Reporting

  13. Best Practices • Describe interventions and/or M&E activities that worked well • Integrated activities: • Integrated services through PHC approach at all health service delivery centers • Safe drinking water supply scheme and sanitation promotion (WASH) • Bi-annual Health screening of school children • De-worming of children

  14. Challenges and “Issues” • No STH Programme • Inconsistent reporting from the schools • Lack of coordination between stakeholders • Frequent change in personnel at the Programme level

  15. Programme Plan

  16. PC medicine request for 2015

More Related