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School-based deworming. Challenges Collaborations Commitment. School based deworming. Age-infection profile for STH infections. Mean no of worms. Age (years). By 2010, only 1/3 of children requiring treatment were receiving it. Long term increases in productivity over a life time.
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School-based deworming Challenges Collaborations Commitment
School based deworming Age-infection profile for STH infections Mean no of worms Age (years)
By 2010, only 1/3 of children requiring treatment were receiving it. • Long term increases in productivity over a life time • Treat at least 75% of at risk children by 2010 • Improved attendance Benefits of deworming • Improved performance School Adulthood
Challenges to deworming • Commitment & ownership • Coordination • Resources • Human • Financial • Antihelminthics • Accurate reporting • Uptake • Evidence
Since 2012, we have seen in an increase in the level of commitment towards controlling STH infections Sustain, expand and extend drug access programmes to ensure the necessary supply of drugs and other interventions to help control by 2020 schistosomiasis, STH, Chagas disease, VL, and onchocerciasis. Enhance collaboration and coordination on NTDs at national and international levels through public and private multilateral organisations to work more efficiently and effectively together
Since 2012, we have seen in an increase in the level of commitment towards controlling STH infections Sustain, expand and extend drug access programmes to ensure the necessary supply of drugs and other interventions to help control by 2020 schistosomiasis, STH, Chagas disease, VL, and onchocerciasis. This Commitment was reiterated and reinforced at the NTD meeting in Paris in April Enhance collaboration and coordination on NTDs at national and international levels through public and private multilateral organisations to work more efficiently and effectively together
Working together to identify the gaps, ensuring intervention sustainability Staying Vigilant Numbers being reached through WFP dropped between 2008 and 2012. Breaks in the supply chain: • Change in procurement • Issues in reporting structure: drugs consumed or drugs delivered? • Lack of communication between stakeholders at all levels
But… the Pieces are in Place • Strong evidence base • Global advocacy • Donations: 1.12 billion treatments are being donated: • GSK – 400m tablets of albendazole a year • J&J – 200m tablets of mebendazole • Merck – 250m tablets of PZQ a year • Commitments from organisations for delivery, research, integration strategies • Commitments from governments • Serves as the largest coordinated effort to date to combat NTDs
Linking research with the field Elimination of Ascaris– what is the breakpoint? Developing risk maps from prevalence data to inform intervention and MDA programmes Anderson R et al. Phil. Trans. R. Soc. B 2014
Harnessing existing capacity • Integrate with other activities: • Other NTD control programmes (egoncho) • Other delivery mechanisms • Maximise resources
Role of Partnerships International organizations Donors • Community, Schools& Teachers Government NGOs
Challenges do Remain: • Continued commitment • Delivering drugs to those who need them • Coordinating players • Measuring Progress: is it pills consumed or pills delivered? • Increasing coverage • Reaching SAC not enrolled and pre-SAC • Sustainability
The case of Bihar state, India • Included coordination between all partners, mapping, cascaded trainings, community sensitization, monitoring • Programme implemented from Feb –April 2011 • Treated >17 million school-age children for 30 cents/child
PCD • Implementing evidence based research • Collaborate with: • Governments • Other NGOs • Academia • Supporters rather than implementers • Working in Partnership
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