GUIDE FOR MASS DEWORMING 2010

							Draft 1: De-Worming Field Guide for The National Immunisation Campaign




    PREVENT WORM INFESTATION AT EARLY
       CHILDHOOD DEVELOPMENT AGE




                                                DRAFT 1




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Draft 1: De-Worming Field Guide for The National Immunisation Campaign

INTRODUCTION

Deworming medication is given to all children from 12 to 59 months old. These
children will receive a dose of deworming medication according to the national
guidelines (e.g. Essential Drug List, IMCI), during the National Immunisation (polio
and Measles) Mass Deworming and Vitamin A Campaign.

COVERAGE

All districts are expected to reach at least 90% (this is aligned to the Vitamin A
supplementation- targeted group).


AIM OF GUIDE

This guide seeks to assist health professionals, supervisors and other health
workers during the National Immunisation (polio and Measles) Mass Deworming
and Vitamin A Campaign to plan, implement and supervise the de-worming activity.
It primarily provides guidance on areas that facilitate effective implementation of the
National Immunisation (polio and Measles) Mass Deworming and Vitamin A
Campaign.


Strategies to be employed during the mass deworming days include:

    •    Deworming Stations
           o Fixed Post: The health facility where health providers are based e.g.
               CHC, Clinics
           o Deworming points. Church, Halls, ECD centers, shopping centers,
               street corners
           o Mobile: This is a team traveling in a vehicle/mobile clinic from one
               point to another, on a defined daily route to administer deworming
               medicine from the vehicle.
           o Permanent Health Points: health posts outside the facility
           o Teams: The team should remind the community on the importance
               routine deworming. Ideally each team should consist of:
           o De-wormers” – A professional nurse (PN) is responsible for
               administration and management of the de-worming post. The PN also
               supervises members of the team (may consist of enrolled nurses,
               student nurses or auxiliary nurses volunteers.
    •    Social Mobilisation
           o Social Mobilisers: These include community leaders, health workers
               responsible for the mobilization of the community to participate in the
               child health week activities.
           o Volunteers: to assist with accurate tallying of deworming doses
               administered and to ensure order at the Child health week points.
    •    Health Education
           o Caregivers are informed on the importance of routine deworming.


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Draft 1: De-Worming Field Guide for The National Immunisation Campaign

Equipment/medication required

Albendazole 400mg tablets (chewable) will be issued to all the facilities during this
National Immunisation (polio and Measles) Mass Deworming and Vitamin A
Campaign.

Drawing from experience during the National Child Health Week (September 2009),
some posts administered Albendazole syrup to children less than 23 months of age
Albendazole syrup is packaged in bottles of 20mls = 400mg,


MANAGEMENT OF DEWORMING MEDICINE

Before the National Immunisation (polio and Measles) Mass Deworming and
Vitamin A Campaign.

    •    Deworming medication will be supplied by NDOH. The stock will be marked
         as “National Mass Deworming/ immunisation/ Vitamin Campaign Stock”.
    •                                                                 C,
         All tablets must be stored in a room temperature less than 25° separate
         from the routine stock.

During the National Immunisation (polio and Measles) Mass Deworming and
Vitamin A Campaign.

All facilities must maintain accurate stock control.
    • Teams must carry adequate supplies of daily use: ensure that there are
        sufficient carriers.
    • Maintain a room temperature throughout and after the event.
             o Avoid exposure of deworming medication to heat.
             o Transport and store medication under cool & dry conditions
    • The post coordinator should use a check list daily to keep track of the daily
        needs of the post.
    • Read the information inserts/leaflet of the medication.
    • Check the expiry date of the medication
    • Ensure that the person administering the medication is allowed to do so
        (within scope of practice)


After the National Immunisation (polio and Measles) Mass Deworming and
Vitamin A Campaign.

    •    Each facility must conduct stock audit at the end of the National Immunisation
         (polio and Measles) Mass Deworming and Vitamin A Campaign.
    •    This should be calculated as follows: Stock issued for the child health week
         minus stock used during “the National Immunisation (polio and Measles)
         Mass Deworming and Vitamin A Campaign stock”.



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Draft 1: De-Worming Field Guide for The National Immunisation Campaign

    •    This must be included in the National Immunisation (polio and Measles) Mass
         Deworming and Vitamin A Campaign report.
    •    After the National Immunisation (polio and Measles) Mass Deworming and
         Vitamin A Campaign, all the remaining stock can be used as a routine stock.
    •    Drug usage must be calculated per province/district/sub-district at the end of
         the National Immunisation (polio and Measles) Mass Deworming and Vitamin
         A Campaign.

ORGANIZING POSTS

It is advisable to separate deworming stations according to the two age groups if
possible. Stations could be separated as follows:
     • One for 12-23 months
     • One for 24 – 59 months, the third queue/station - this will also include the non
        targeted group.

PROCEDURE

    1. Introduce yourself to the care- giver
    2. Check the Road to Health Chart to establish when last the child received
       deworming medication.
    3. Note: Do not give deworming medication if the child received it less
       than four weeks ago.
    4. Administer deworming medication.
           a. Children 12 - 23 months old = give half tablet (200mg) or 10mls,
              single /stat dose.
           b. Children 24 - 59 months old = give 400mg or 20mls single/stat dose.
    5. Let the child to chew and swallow the tablet.


RECORDING AND ADVICE
  • Record the date for giving deworming medication and the return date for
    routine deworming in the space provided on the Road to Health Chart.
  • Record each dose administered on the deworming Tally Sheet for
    Albendazole by crossing out the numeric square for each dose administered.
  • Advise the care giver to bring the child for routine deworming (nearest
    clinic or community health centre).


NON TARGET POPULATION (CHILDREN 60 MONTHS AND OLDER)

    Do not turn them back
    • Check the RTHC to determine the child’s age.
    • Ask for the child’s age from the care giver.
          o If older than targeted months, check when last the child received
             deworming, if it was given four weeks ago, administer albendazole
             400mg tablet


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