NTD treatment in India is highly decentralized; therefore each state is responsible for its own NTD program. In 2011 the state of Bihar launched a school-based deworming initiative aimed at addressing the high prevalence of intestinal worms in conjunction with a pre-existing lymphatic filariasis (LF) treatment program. While the government funded the actual cost of treatment, they requested technical assistance from Deworm the World Initiative (DtWI) that required donor support.
END Fund Investment
In Bihar, the government provided treatment for both lymphatic filariasis (LF) and intestinal worms using an integrated model. One round of treatment was given for both LF and intestinal worms through a statewide community distribution model that aimed to reach 65% of the total population on an annual basis. A second round of treatment for intestinal worms was provided each year to school-age children through a school-based model which this program helped to implement.
Program to Date
The END Fund partnered with DtWI, to provide technical support to the Bihar deworming program, primarily in the form of coverage and impact monitoring. DtWI monitored community sensitization techniques, teacher training activities, and treatment through mass drug administration (MDA). This program trained over 65,000 teachers in school-based deworming methods and reached over 17 million individuals with treatment, making it one of the largest school-based deworming programs in the world.