2..wifs dr b. b. goswami

7/30/2019 2..WIFS Dr B. B. Goswami

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2.Weekly Iron & Folic Acid

Supplement Program for

Adolescents


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Goal of the Program

Long term goal - Break the inter-generational

cycle of anemia

Short term goal - Nutritionally improved

human capital


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Objective

To reduce the prevalence and severity of

nutritional anemia in adolescent population

(10-19 years)


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Key Elements of WIFS:

1. Convergence

2. Procurement and distribution

3. Capacity building

4. Programme communication/ IEC

5. Monitoring, evaluation and knowledgemanagement


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Target Group

Implemented in both rural and urban areas &focus on-

School Based (Boys & Girls)

School going adolescent girls and boys ingovernment/ gov.aided /municipal schools from

6th to 12 th class (10-19Years)

Community based through Anganwadi Center (GirlsOnly)

Adolescent girls who out of school/Married

/pregnant and lactating adolescent girls


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WIFS Strategy

Administration of WIFS

Screening of target groups for

moderate/severe anemia & referring these

cases to health facility

Biannual Albendazole (400 mg) for de-

worming

Information & counseling


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Benefits - WIFS

WIFS may be a more efficient preventive approachbecause:-

Fewer side effects

Easier to manage at the community level

More sustainable

Daily dosing of iron & folic acid reduce the risk for

Neural tube defects (NTDs)

Neonatal mortality

Enhance maternal & infant health


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Benefits - WIFS

Weekly vs daily supplementation with 60 mgof iron had similar impact, except in severity

Source-Issue-WIFS in women of reproductive age: Its role in promoting optimal maternal &child health


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Conditions for Providing WIFS

Prevalence of anemia is >20% among women

of reproductive age

Anemia prevalence is >40% in pregnant

women or children under five years of age

In absence of any anemia prevalence data,

dietary patterns and socioeconomic status

Source-Issue-WIFS in women of reproductive age: Its role in promoting optimal maternal &

child health


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Guideline on Consumption of WIFS Tablets

Take WIFS with the main meal of the day

If complain of side effects take after dinner

Increase intake of food rich in vitamin C Drinking of tea & coffee within an hour of

consuming meal will be discouraged.

Motivated to correct hygiene practices


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Strategies for Prevention

Administration of free WIFS of 100mg

elemental iron and 500g Folic acid to target

population.

Screening of target groups for

moderate/severe anaemia and referring.


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Coverage and Approach

Rural & urban coverage of 13 - Schools, UHC &

AWC

Fixed day approach - Monday as National WIFS

Day

National de-worming month- February and August


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Strategies for Prevention

Biannual de-worming ( Albendazole 400mg), six

months apart, for control of Helminthes

infestation. Information & counselling

Improving dietary intake

Prevention of intestinal worm infestation.

Fixed day strategy under which preferably

Monday to be declared as Anaemia Control

day or WIFS day


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Iron - folic acid tablets ( IFA- Large ) are given to the adolescent

girls in schools , once a week ( On Monesday ).

Adolescent Girls Anemia Control Programme


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Vadodara Project


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Background for the Project

Baseline prevalence of anemia 75% in adolescent

school girls

Similar among rural, tribal and urban areas

Readiness to take IFA tablets to 98% level

Technical and Administrative Assistance available

All 426 schools covered under the program

13th May 2005 Kotecha 16


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Departmentof

Education

Department ofHealth &Family Welfare

UNICEF Gujarat(Technical & Financial Help)

Medical College VadodaraProject Support unit

(Technical Guidance andDocumentation)

Vadodara DistrictDistrict Education officer

Regional Deputy

Director Health &Chief DistrictHealth Officer

Medical Officer of

HealthV. M.Corporation

193Rural

Schools

177UrbanSchools

56TribalSchools

426Total

Schools

Education InspectorsMOsPHCs

MOsVMC

More than 4000Teachers

Beneficiaries in the schools

More than 65000 Adolescent Girls

Adolescent AnemiaControl Program

IndianMedical

Association

AssociationOf Teachersand Principal


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Project Inputs

Once a week supervised IFA tablet

IEC for girls, teachers and parents

Training & Logistics

Monitoring-

Individual,

Class (weekly),

School

SVS

District level


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Prevalence of Anemia at Different Hb. Cut offPoints Before and After Intervention

1.6

39.7

74.7

57.1

16.7

7.9

21.6

35.6

53.2

0.50

10

20

30

40

50

60

70

80

70 100 110 115 120

Hemoglobin gm/L

CumulativePercentage Before After


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Positive Lessons

Easy, doable and successful program.Replicable and effective to controlanemia

Effective in reducing anemia by 20% withimprovement in hemoglobin for 82% of girlsin 17 months of the intervention period

Compliance for the schoolgirls to went upto 90%.... In 2003 in Vadodara district.

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2..wifs dr b. b. goswami

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