[india-drug] Response to Essential Medicines materials for School Health

["Dr. D. Sathyanarayanan" <arsibama@md3.vsnl.net.in>]

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Response to Essential Medicines materials for School Health programs
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Dear Dr Laing,

I'm a member of INRUD-Tamilnadu, India and  have been  a primary health

Center (PHC) Medical officer before. The State of Tamilnadu in India
has one of the best school health services in the country. All the
schools(Government and private) in a particular area, in terms of
health care is under a PHC medical officer. Thursdays are exclusively
reserved for school health. This PHC medical officer forms two or three
teams using the paramedical force with him and develops an action plan
by which a team makes atleast three visits in a year to each of the
school in his area, on a rotation basis.He will make atleast one visit
in a year and screen all children. Each child is given a health card
and is maintained by the school Headmaster and updated by the
health team. The state through the state medical services corporation 
(TNMSC)supplies a fixed set of drugs exclusively to be used during the
school health programme to each PHC at the start of the year. An
uptodate morbidity pattern during each visit ia compiled at the end of
the month and sent to the district and then forwarded to the state
headquarters. As a part of the programme,atleast one teacher from each
school have been trained by the PHC  medical officer to detect minor
ailments and report immediately to the medical officer . Modules in the
regional language have been developed at the state level and
distributed to them.The modules also have techniques to teach 'health' 
to children.The drugs that are supplied as a part of the programe
include:

  1. T.Cotrimoxazole (P)&(A)
  2. T.Paracetamol 500mg
  3. Ointment silver sulpha diazine
  4. 1%Gamma benzene hexachloride
  5. Benzoic acid+Salicylic acid ointment
  6. Vit A solution
  7. Gentamycin eye/ear drops
  8. B Complex tablets
  9. Vitamin C tablets
  10. FST/FAT
  11. T.Albendazole
  12. T.Chlorpheniramine maleate
In additon to these drugs, we also carry anti-leprosy drugs to the 
school. The Concerned multipurpose worker is entrusted with the
responsibilty of taking the drugs to the school. 5 years and 10 years
TT is also given during the school health visit. Height and weight is
also recorded. The medical offficer takes this opportunity to give
health tips to the children.
This is a very successful program in the state of Tamilnadu and it has 
been privilage to be a part of it.
I hope this experience is of some value of to you.

Thanking you,

Yours sincerely,

Dr.D.Sathyanarayanan,
Institute of Community Medicine,
Madras Medical College,
Chennai
Tamilnadu,India
arsibama@md3.vsnl.net.in



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