SCHOOL HEALTH PROGRAMME (SHP) IN MIZORAM
I. Background :
The National School Health Programme was launched in 1977 as a Centrally Sponsored Schemme. In Mizoram it was started in 1978 in Selected PHC till 1991. After the Centrally Sponsored Scheme was ended in 1991, from 1993 the programme was taken up by the State, and the programme was extended to all PHC, CHC where Medical Officer (MO) were posted and also in the Urban area in all the Capital of the Districts in the State. The programme thrust is based on general health of the school going children and to take remedial measures and follow up. The programme specifically covers the primary School Children run by the Government only and the beneficiaries are the students of Nursery to class IV. The funds are from the State Plan and Non-Plan funds, which are very minimal to cater to the proper functioning of the School Health Programme.
Presently, it is proposed that the beneficiaries would be school students of classes I to XII, to be funded under the NRHM for better achievement in the SHP as carried out in most of other states of the Country. Project has been submitted for approval in the NRHM PIP (Programme Implementation Plan) for 2011-2012.
II.Objective of the programme :
- Promotion of positive physical and mental Health of the school children
- Prevention of diseases
- Early diagnosis/treatment/follow up/referral
- Awakening of health consciousness
- Provision of healthful environment
Adolescent Friendly Health Clinic (AFHS)
AFHC is also known as Youth Clinic in Mizoram. The clinic serves mainly as counselling centre for the Youth regarding NUTRITION, PERSONAL HYGIENE, SEXUAL CONCERNS, MENTAL HEALTH CONCERNS, SEXUAL ABUSE, SUBSTANCE MISUSE etc.
- AFHS is implemented with the aim of improving the health and well-being of adolescents aged 10-19 years so that they are able to realize their full potential by making informed and responsible decisions related to their health and well-being.
- Presently, there are 6 dedicated Adolescent Health Counsellors and 5 RMNCH+A Counsellors providing counselling & clinical services in Adolescent Friendly Health Clinics (AFHCs). Rest of the AFHCs are manned by existing manpower of the DH/SDH/ CHC & PHC where clinics are located.
- These counsellors also conduct Out-reach services in churches (youth fellowship) & community based-platforms on a monthly basis(8times) by Counselors.
- No.of functional Adolescent Friendly Health Clinics(AFHCs) in FY 2022-23: 50
- 5 Medical Officers were completed five days residential ‘Training of State Master Trainers on Adolescent Friendly Health Services by Adolescent health Division, MOHFW with the support of UNFPA India- at New Delhi from 25th Sept-1st Oct 2022.
Achievement during 2023-2024
SCHOOL HEALTH & WELLNESS PROGRAM (SHWP-AB)
School Health Program (Ayushman Bharat) is a joint initiative of Ministry of Health & Family Welfare, Dept of School Education & Literacy and Ministry of Human Resource & Development.
Under this program, two teachers will be identified as Health & Wellness Ambassadors, who, with the help of Health & Wellness Messengers (students identified) will conduct weekly session on given SHP- Modules.
OBJECTIVES:
- Provide age appropriate information about health & nutrition in schools.
- Promote healthy behaviors.
- Detect and treat diseases early in children & adolescents.
- Promote use of safe drinking water.
- Promote safe menstrual hygiene practices by girls.
- Promote exercises & physical activities.
- Encourage research on health, wellness & nutrition for children.
Achievement under SHWP-AB till 4thQtrFY 2023-2024:
District | Total No. of School covered | Total No. of HWA Trained | Total No. of Principals oriented |
Champhai | 147 | 325 | 147 |
Mamit | 148 | 256 | 121 |
Siaha | 104 | 138 | 45 |
Lawngtlai | 133 | 204 | 123 |
Lunglei | 156 | 256 | 145 |
TOTAL | 688 | 1179 | 581 |
RASHTRIYA KISHOR SWASTHYA KARYAKRAM (RKSK):
Achievements under RKSK upto4thQtr FY 2023-2024:
The programme was implemented in Mizoram in April 2014, which presently covers 5 districts namely, Siaha, Lawngtlai, Lunglei, Mamit, and 1 normal district Champhai. These districts are referred to as RKSK Districts in Mizoram.
a)AdolescentFriendly Health Services (AFHS):
AFHC is also known as Youth Clinic in Mizoram. The clinic serves mainly as counseling centre for the Youth regarding NUTRITION, PERSONAL HYGIENE, SEXUAL CONCERNS, MENTAL HEALTH CONCERNS, SEXUAL ABUSE, SUBSTANCE MISUSE etc. AFHS is implemented with the aim of improving the health and well-being of adolescents aged 10-19 years so that they are able to realize their full potential by making informed and responsible decisions related to their health and well-being.
No. of Functional Youth Clinic till 4thQtr FY 23-24 | 52 Youth Clinic in Mizoram |
No. of client load registered in Youth clinic till 4thQtr FY 23-24 | 154622client |
Average no. of client load per clinic per month till 4thQtr FY 23-24 | 248 average/ per clinic/client |
b)Peer Education Programme (PE):
Peer Educator aims to ensure that adolescents or young people between the ages of 10-19 years benefit from regular and sustained peer education covering nutrition, sexual and well-being of adolescents from 5 selected districts v.i.z., Champhai, Lawngtlai, Lunglei, Mamit and Siaha.
Total no. Of District Covered for PE program | 5 |
No of Adolescent Health & Wellness Day observed
| 1474 @Quarterly in 638 villages (57.8%) |
No of Teen Club observed
| 1501 @monthly in 233 Sub Centre (56.1%) |
No of PE trained | 988 (100%) |
c)Weekly Iron & Folic Acid Supplementation (WIFS):
WIFS was launched in Mizoram to reduce the prevalence of Anemia among the age group of 10 – 19 years. Iron Folic Acid (WIFS) is administered to all Govt. and Govt. aided school children and out-of-school adolescent girls through Anganwadi Centers, on a weekly basis.
Total No. of schools covered | 1632 |
Total No. of Anganwadi covered | 2244 |
No. of school boys &girls(M/S- HSS) | 89402 |
Out of school girls | 5765 |
Total target beneficiaries | 95167 |
IFA coverage | 90.53% |
RashtriyaBalSwasthyaKaryakram (RBSK)
Achievement for the year 2023-24 under Key Indicators:
Sl. No. | Key Indicator
| Achievement |
1 | New Born Screening at Delivery Point
| 100% |
2 | Functional DEIC
| 100% |
3 | Institutions Visited | 85.64% (Out of 7321 institutions to be visited, 6270 institutions are visited by RBSK MHT) |
4 | Child Health Screening | 83.75% (Out of 422097 children to be screened, 353519 children are screened by RBSK MHT) |
5 | Secondary / Tertiary management of Conditions specified under RBSK | 27 cases (i.e., 25 Strabismus and 2 Congenital Cataract) cases are supported by RBSK) |
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Achievement during 2022-23
Physical Achievements under AFHS during 22-23:
No. of Functional Youth Clinic | 50 in 5 RKSK District |
No. of client load registered in Youth clinic | 92375 (1st- 4th Qtr) FY 22-23 |
No. Medical officers trained under AFHS | 14 |
No. of Counselors trained under AFHS | 11 |
Average no. of client load per clinic per month | 156 |
Peer Education Programme:
Peer Educator aims to ensure that adolescents or young people between the ages of 10-19 years benefit from regular and sustained peer education covering nutrition, sexual and well-being of adolescents from 5 selected districts v.i.z., Champhai, Lawngtlai, Lunglei, Mamit and Siaha under RKSK:
- Training of Peer Educator was completed in FY 2022-23 i.e 2604 in 5 RKSK district
- Printing of Peer Educator Activity Kit (PE Cap) completed
- Distribution and utilization of Non-monetary incentives in the form of sanitary pads, towel, bathing soap, shampoo and nail clipper for PE girls and shampoo/bathing soap, nail clipper for PE boys. Additionally, all PEs are given toothbrush and toothpaste
- Quarterly Adolescent Health & Wellness Day conducted 1919 in 638 villages (75.2%)
- Monthly Adolescent Friendly Club Meeting (Teen club) at Health Sub Centre Level by ANM – 1398 in 223 Health Sub Centre (52.2%)
Weekly Iron & Folic Acid Supplementation (WIFS)
WIFS was launched in Mizoram to reduce the prevalence of anaemia in the age group of 10 – 19 years. Iron Folic Acid(WIFS) is administered to all govt. and govt. aided school children on a weekly basis and to out of school adolescent girls through Anganwadi Centres.
WIFS Target Group
- 1)Adolescent boys and girls of government /government aided/municipal schools from 6th – 12th standard.
- 2)Adolescent girls who are not in school. WIFS programme also covers married adolescent girls.
Total No. of schools covered | 1622 |
Total No. of Anganwadi covered | 2244 |
No. of school boys & girls | 9518 |
Out of school girls(MS & HSS) | 4746 |
Target adolescent population | 106150 |
IFA coverage in FY 2022-23 | 90.53% |
School Health Program (Ayushman bharat) is a joint initiative of Ministry of Health & Family Welfare, Dept of School Education & Literacy and Ministry of Human Resource & Development.
Under this program, two teachers will be identified as Health & Wellness Ambassadors, who, with the help of Health & Wellness Messengers (students identified) will conduct weekly session on given SHP- Modules.
OBJECTIVES:
- Provide age appropriate information about health & nutrition in schools.
- Promote healthy behaviours
- Detect and treat diseases early in children & adolescents
- Promote use of safe drinking water
- Promote safe menstrual hygiene practices by girls
- Promote exercises & physical activities
- Encourage research on health, wellness & nutrition for children.
- Achievement under SHP_AB
District | Total No. of School covered | Total No. of HWA Trained | Total No. of Principals oriented |
Champhai | 147 | 325 | 147 |
Mamit | 148 | 256 | 121 |
Siaha | 104 | 138 | 45 |
Lawngtlai | 133 | 204 | 123 |
Lunglei | 156 | 256 | 145 |
TOTAL | 688 | 1179 | 581 |
