GOVERNMENT OF ANDHRA PRADESH
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.
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.
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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