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Weekly Iron & Folic Acid Supplement Program for Adolescents

Goal of the Program
• Long term goal - Break the inter-generational cycle of anemia • Short term goal - Nutritionally improved human capital

Objective • To reduce the prevalence and severity of nutritional anemia in adolescent population (10-19 years) .

Monitoring. Programme communication/ IEC 5. evaluation and knowledge management . Procurement and distribution 3. Capacity building 4. Convergence 2.Key Elements of WIFS: 1.

aided /municipal schools from 6th to 12 th class (10-19Years) Community based through Anganwadi Center (Girls Only) • Adolescent girls who out of school/Married /pregnant and lactating adolescent girls .Target Group • Implemented in both rural and urban areas & focus onSchool Based (Boys & Girls) • School going adolescent girls and boys in government/ gov.

WIFS Strategy • Administration of WIFS • Screening of target groups for moderate/severe anemia & referring these cases to health facility • Biannual Albendazole (400 mg) for deworming • Information & counseling .

Benefits .WIFS WIFS may be a more efficient preventive approach because:•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 .

except in severity • Source-Issue-WIFS in women of reproductive age: Its role in promoting optimal maternal & child health .WIFS • Weekly vs daily supplementation with 60 mg of iron had similar impact.Benefits .

dietary patterns and socioeconomic status • Source-Issue-WIFS in women of reproductive age: Its role in promoting optimal maternal & child health .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.

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 .

Strategies for Prevention • Administration of free WIFS of 100mg elemental iron and 500µg Folic acid to target population. • Screening of target groups for moderate/severe anaemia and referring. .

Schools.Coverage and Approach • Rural & urban coverage of 13 .Monday as National WIFS Day • National de-worming month.February and August . UHC & AWC • Fixed day approach .

Strategies for Prevention Biannual de-worming ( Albendazole 400mg). for control of Helminthes infestation. six months apart. Fixed day strategy under which preferably Monday to be declared as “ Anaemia Control day ” or “ WIFS day ” . Information & counselling • Improving dietary intake • Prevention of intestinal worm infestation.

once a week ( On Monesday ) .Large ) are given to the adolescent girls in schools .folic acid tablets ( IFA. .Adolescent Girl’s Anemia Control Programme Iron .

Vadodara Project .

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 .

Department of Education Association Of Teachers and Principal Adolescent Anemia Control Program UNICEF Gujarat (Technical & Financial Help) Medical College Vadodara Project Support unit (Technical Guidance and Documentation) Department of Health & Family Welfare Indian Medical Association Regional Deputy Director Health & Chief District Health Officer MOs PHCs Vadodara District District Education officer Medical Officer of Health V. M.Corporation Education Inspectors More than 4000 Teachers 193 Rural Schools 177 Urban Schools 56 Tribal Schools MOs VMC 426 Total Schools Beneficiaries in the schools More than 65000 Adolescent Girls .

– Class (weekly).Project Inputs • • • • Once a week supervised IFA tablet IEC for girls. – School – SVS – District level . teachers and parents Training & Logistics – Monitoring– Individual.

9 100 110 Hemoglobin gm/L 115 120 13th May 2005 Kotecha 19 .7 74.1 39.2 35.7 53.6 16.5 70 7.Prevalence of Anemia at Different Hb. Cut off Points Before and After Intervention 80 70 60 50 40 30 20 10 0 Cumulative Percentage Before After 57.7 21.6 1.6 0.

In 2003 in Vadodara district.Positive Lessons • Easy. Replicable and effective to control anemia • Effective in reducing anemia by 20% with improvement in hemoglobin for 82% of girls in 17 months of the intervention period • Compliance for the schoolgirls to went up to 90%.... doable and successful program. 20 .

Thank You. 13th May 2005 Kotecha 21 ..