JBAR Jawahar Bala Arogya Raksha Programme, Child Health Improvement Programme, School Health Programme, CHIP, Student Health Cum Education Record, SHER, Student Health Record, SHR, Revitalised School Health Program, Referral Guidelines, Chinnari Doctors-Arogya Clubs(School Health Clubs), Weekly Iron Folic Acid Tablets(WIFS) for Adolescents
As part of the scheme, Rajiv Vidya Mission (RVM) would train teachers to recognise students with health problems. The Women and Child department will provide nutritious food to students suffering from malnutrition, and the Medical department will provide treatment free of cost.
Jawahar Bala Arogya Raksha (JBAR), the Government hereby orders the launch of School Health Programme across the state on 14 November 2010, under the name of Jawahar Bala Arogya Raksha. The operational name for Jawahar Bala Arogya Raksha (JBAR) will be the Child Health Improvement Programme (CHIP).
A School Health Programme called “Jawahar Bala Arogya Raksha” (JABAR) is introduced in Andhra Pradesh to cover all children in Government, Local body and Govt. Aided Schools / Hostels from Classes I to X. The following are the components of Health services covered under the Programme.
Screening, Health care, and referral
Micronutrient (Vitamin A and Iron Folic Acid) management
Health promoting schools
Jawahar Balarogya Raksha (JBAR): We all know that “Health is Wealth”. We can build a healthy society only when children are healthy. The department of Education, coordinating with the other departments aiming for child health started a programme, “Jawahar Balarogya Raksha”, 2010. This was started on the children’s Day (Nov. 14th). It is observed in all Govt. Schools along with Sarva Siksha Abhiyan (RVM).
JBAR features are as follows:
♦ Conducting screening tests to all the children, in all the districts throughout the state with the help of teachers, para-medical staff and medical officers as per G.O. M.S. No. 316 of the Ministry of Health and Family Welfare.
♦ Feeding the data on the computer at the district level within 15 days after the screening test.
♦ Conducting health camps in schools as part of the annual forthright Educational Festivities. This should be computed in 15 days with the help of the terms at Mandal level.
♦ Formation of the observation teams and monitoring health check-ups.
♦ Bi-monthly review of the committees to enable the implementation of the programmes.
♦ Conducting reviews as per the guidelines of NRHM/ RVM (SSA).
♦ Implementing the programmes by monitoring the children and their referral hospitals.
♦ Getting help from NGO, Lion’s Club and the Corporates.
♦ Conducting and Publicising the activities like Dental Care, Eye Care (‘Chinnari Chupu’), Deworming, reducing anaemic conditions (WIFS), Handwashing etc.
♦ All the children of private and government schools being vaccinated as per the prescribed plan.
♦ Implementing this programme even in Madarsas, K.G.B.Vs and O.S.C.s
♦ Including MDM workers, Health workers, Primary Health care centre Assistants in this health programme, JABAR and training them.
♦ Conducting School “Health Day” on every Thursday in the Shool
The objectives of the JBAR programme are to:
a) Health screening of all children studying in schools, followed by the issue of Student Health Cum Education Record (SHER);
b) Administration of DPT booster vaccination to all children in the age group of 5 to 7 years and TT booster to children in the age group of 10 to 15 years;
c) Administration of Deworming medicines and Vitamin-A and D to all children twice a year, and Iron and Folic Acid tablets for those with anemia;
d) Treatment of all minor ailments, including malnutrition, scabies, lice infestation, etc.;
e) Referral of children requiring secondary and tertiary care to the appropriate facility for Specialist review, appropriate investigations, treatment of the disease and follow-up;
f) Integration of health education, life-skills and practical lessons in the prevention of diseases and promotion of health; and
g) Health check-up for teachers and other school functionaries and integration of nutrition education with health promotion.
The Jawahar Bala Arogya Raksha will cover about 85,32,635 children studying in 46,823 government and government-aided schools in the state. The screening of all students and the referral of those with pre-existing diseases will be completed before the end of the current academic year, duly following a detailed schedule to be finalized at the Mandal and the District levels.
Each school will be visited by a school health team lead by the PHC Medical Officer and a team of paramedical staff, including an Ophthalmic Officer, to screen each and every child in the school between 1 December 2010 and 10 March 2011 duly following the pre-fixed schedule.
Every child will be issued a Student Health Record (SHR) after a detailed physical examination by the Doctor. The Student Health Record is a comprehensive document that will be valid for a five-year period and will incorporate details of all health events occurring in the life of the student.
The SHR, which will be retained in the school under the custody of the teacher, will be given to the student/parent of the student, whenever the child requires referral to a hospital for further investigation and treatment. The student carrying the SHR will be given due priority for investigation and treatment in all APVVP and teaching hospitals.
A separate counter and register will be established in all government hospitals for the school children. Apart from the administration of Vitamin-A and D and deworming of children, minor ailments, if any, will be treated by the screening doctor.