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17 Nov 2013

GO316 Jawahar Bala Arogya Raksha – Revitalised School Health Programme

GOVERNMENT OF ANDHRA PRADESH
ABSTRACT
Jawahar Bala Arogya Raksha – Revitalised School HealthProgramme – Orders – Issued. HEALTH, MEDICAL AND FAMILY WELFARE (F1) DEPARTMENT G.O. Ms. No.316                                    Date: 10-11-2010 Read the following: 1.Minutes of Hon’ble Chief Minister’s Meeting on 13 May and 07 October 2010 2.Series of Workshops with officials of the Health and Family Welfare, Education andRajiv Vidya Mission (RVM) 3.National Rural Health Mission Programme Implementation Plan (PIP) 2010-11 4.Ministry of Health, Government of India, Approval of NRHM P IP 2010-11,No.10(3)/2010, NRHM-I dated 23.06.2010.  <<>>  
1.The Government has been implementing school health programme covering around 35.8 lakh children studying in about 46,823 schools withan annualexpenditure of Rs. 128.01lakhs. During 2009-10 fiscal year, the government implemented aprogramme for deworming of children in six districts, covering about 20.6 lakh children studying in 21,697 schools, which heralded a successful partnership between the health and education departments. Based on the success of these initiatives, the Government has undertaken extensive consultations with the education, women and child development, tribal, social, backward caste and minority welfare departments to expand and deepen the scope of health coverage for the school age children.


2.Considering that school age children form a high proportion ofs tate’s population,investment in their physical, mental and social wellbeing will not only enable them to realise their full potential but also facilitate their holistic contribution to the economic growth and thus enable the state to harness the demographic dividend. In this direction, the Government hereby orders for the launch of a major initiative to provide comprehensive package of promotive, preventive, curative and referral health services to children studying in all primary, upper primary and secondary schools. The programme will also provide a comprehensive package of life-skills to children; decrease the prevalence of anaemia and malnutrition, especially amongst adolescent girls; reduce drop-outs from the education stream due to acute and sub-acute illnesses; provide treatment for all chronic ailments to enable children to grow up as productive citizens.
3.In this background, the Government hereby orders the launch of School Health Programme across the state on 14 November 2010, under the name of Jawahar Bala Arogya Raksha. The operational name for Jawahar Bala Arogya Raksha(JBAR) will be the Child Health Improvement Programme (CHIP). The objectives of the programme are to: 
a)health screening of all children studying in schools, followed bythe issue of Student Health Record (SHR);
b)administration of DPT booster vaccination to all children in the age group of 5 to 7 years and TT booster to children in the age group of 10 to 15 years;
c)administration of deworming medicines and Vitamin-A and D to all children twice a year, and Iron and Folic Acid tables for those with anaemia;
d)treatment of all minor ailments, including malnutrition, scabies, lice festation, etc.;
e)referral of children requiring secondary and tertiary care tothe appropriate facility for specialist review, appropriate investigations, treatment of the disease and follow-up;
f)integration of health education, life-skills and practical lessons in prevention of diseases
and promotion of health; and
g)health check-up for teachers and other school functionaries and integration of nutrition education with health promotion. 
4.The Jawahar Bala Arogya Raksha will cover about 85,32,635 children studying in 46,823 government and government aided schools in the state. The screening of all students and referral of those with pre-existing diseases will be completedbefore the end of the current  academic year, duly following a detailed schedule to be finalised at the Mandal and the District levels.Each school will be visited by a school health teamlead by the PHC Medical Officer and ateam of para-medical staff, including an Ophthalmic Officer, to screen each and every child in the school between 1 December 2010 and 10 March 2011 duly following the pre-fixed schedule.
5.Every childwill be issued a Student Health Record (SHR) after detailed physical examination by the Doctor. The Student Health Record is a comprehensive document that will be valid for a five-year period and will incorporate details of all health events occurring in the life of the student.  The SHR, which will be retained in the school under the custody of the teacher, will be given to the student / parent of the student, whenever the child requires referral to a hospital for further investigation and treatment. The student carrying the SHR will be given due priority for investigation and treatment in all APVVP and teaching hospitals. A separate counter and register will be established in all government hospitals for the school children. Apart from administration of Vitamin-A and D and deworming of children, minor ailments, if any, will be treated by the screening doctor.
6. The Government declares every Thursday as the School Health Day. Every health functionary – MPHA (F) / MPHA (M) / MPHS / CHO/ MPHEO/ CHN etc. – will visit atleast one school every Thursday for monitoring the well being of students and to disseminate informationon any topic relating to health and hygiene. The children requiring referral and those on treatment for chronic diseases will be seen by the Medical Officer once every quarter or more frequently based on the need. Children studying in residential and ashram schools and hostels will be given priority attention.The Gram Panchayat, SHG groups, and parents will be involved in implementation of the programme. The education on health and hygiene and life-skills is integral to the pedagogical process.
7.The Programme will be a collective and collaborative effort of the Departments of Health and Family Welfare, School Education – Primary Education (RVM) and Secondary Education (RMSA), Women & Child Welfare, and of all Welfare Departments – Social, Tribal, BC and Minority Welfare. The Commissioner of Health and Family Welfare and theCommissioner and Director of School Education will be jointly responsible for the overall implementation, coordination, and monitoring of the Programme. The Director of Public Health and the State Project Director (SPD) of Rajiv Vidya Mission (RVM) are hereby designated as the Nodal Officers for Jawahar Bala Arogya Raksha for the state and they will be jointly responsible for the day-to-day implementation of the Programme.
8. The Government orders for the establishment of a District Steering Committee for Jawahar Bala Arogya Raksha under the chairmanship of the District Collector with the District Education Officer (DEO), District Medical and Health Officer (DMHO), the District Coordinator for Hospital Services (DCHS), Deputy Director of Social Welfare, District Tribal Welfare (DTWO), District BC Welfare and Minority Welfare Officers as members, with the Project Officer of RVM and the Jawahar Bala Arogya RakshaCoordinator as the Joint Member-Convenors. The District Collector may co-opt representatives of NGOs, teachers and doctors in the committee. A Mandal Steering Committee will be established for each Mandal with MDO as the Chairman and MEO and PHC Medical Officer asthe Joint Convenors.
9.The Government orders for the establishment of a post of Jawahar Bala Arogya Raksha Coordinator in the NRHM-District Programme Management Unit (DPMU) to assist the District School Health Steering Committee in effective implementation of the programme. A Deputy Civil Surgeon or a senior Civil Assistant Surgeon – with aptitude, experience and expertise in children’s health – will be deputed by the Director of Public Health on foreign service terms to DPMU to function as the JBAR Coordinator. The salary, emoluments and the transport will be finaced by the District Health Society from the NRHM funds.
10.The Government hereby accord administrative sanction for an amount of Rs 1083.85 lakhs for implementation of Jawahar Bala Arogya Raksha during 2010-11 fiscal year from the National Rural Health Mission Funds. The Government authorises the NRHM Mission Director to utilise this amount for printing of Student Health Records, Registers, Training Manuals, IEC-BCC materials, purchase of medicines, transport,travel, supervision and monitoring, project management support, etc. The cost of printing student health records will be shared equally between NRHM and Rajiv Vidya Mission duly following the established procurement procedures of the government. 
11.The Commissioner of Health and Family Welfare, the Director of Public Health, the Commissioner and Director of School Education and the State Project Director of Rajiv VidyaMission shall take necessary action in this regard.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA
PRADESH)
DR P.V. RAMESH
PRINCIPAL SECRETARY TO GOVERNMENT

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