Iloke Egbe
Stakeholders in the Health and Education sectors have intensified advocacy and media engagement ahead of the commencement of the 2026 School Based Deworming Programme in Cross River State, with experts stressing the urgent need to protect children from the harmful effects of intestinal worm infections.
The engagement took place during a one day stakeholders’ workshop organised by Evidence Action at the Nigeria Union of Journalists Press Centre in Calabar, bringing together journalists, health professionals and Development Partners to strengthen public awareness and improve Media coverage of Neglected Tropical Diseases.
Evidence Action, a Global non profit organisation that has been registered in Nigeria since 2016, provides Technical Support to Federal and State Governments to implement large scale deworming programmes aimed at reducing the burden of intestinal worm infections among school age children.
The organisation works in collaboration with the Federal Ministry of Health, the Federal Ministry of Education, the Primary Health Care Development Agency and the State Universal Basic Education Board to deliver treatment across thousands of schools and communities.
Globally, intestinal worm infections remain a significant public health concern. Health experts estimate that more than 1.5 billion people are infected with soil transmitted helminths, representing about 24 percent of the world’s population. Over one billion children require treatment for these infections while more than 128 million children are in need of treatment for schistosomiasis.
Speaking during the workshop, the Cross River State Programme Officer for Neglected Tropical Diseases, Veronica Mark, said the deworming campaign was designed to improve the health and academic performance of children by eliminating worm infections that often affect their growth and concentration in school.
According to her, the programme targets children between the ages of five and fourteen years and will be implemented in schools and communities where the diseases are endemic.
In her words, "this activity is mainly for children from the ages of five to fourteen years. We want them to take this medicine so they can be free from worm infections and be effective in their various schools and perform well in the future. A child that is heavily infested with worms will not do well in class and sometimes may even stay away from school,” she said.
She emphasised that the medicines to be administered during the exercise are safe and completely free, urging parents, school authorities and communities to cooperate with health workers and teachers who will be visiting schools to administer the treatment.
Again she said, “We want everybody to know that this medicine is not harmful and nobody is expected to pay for it. The medicines are free and will be administered by trained health workers and teachers. Our aim is to ensure that the information reaches every corner so that there will be no rejection or misinformation about the programme,” she added.
Veronica Mark disclosed that the intervention will cover several Local Government Areas in the State where the diseases are prevalent, noting that all eligible schools and communities in those areas will benefit from the exercise.
She also assured that the State Government is committed to reaching every eligible child, including those in remote communities.
According to her, "Cross River has many hard to reach areas but Government has made arrangements to ensure that every community that is supposed to receive treatment will be reached. Whether it is a hard to reach area or not, the teams will go there and administer the medicines to the children,” she said.
Also speaking, Senior Manager of Evidence Action Nigeria and South South Programme Lead, Ambassador Eustace Toochi Ohaji, said the deworming intervention forms part of a broader effort to eliminate Neglected Tropical Diseases by the year 2030 in line with Global Health targets adopted by the World Health Organisation and the Federal Ministry of Health.
He explained that the programme has already recorded significant impact in Cross River State since it began operations in 2016.
According to him, an impact assessment conducted in collaboration with the Federal Ministry of Health revealed that the prevalence of soil transmitted helminth infections in the State has reduced by 48.5 percent while cases of schistosomiasis have dropped by 76 percent.
“This is a very laudable achievement for Cross River State and it shows that the efforts of the Government and partners are producing results. We are committed to strengthening our partnership with the State so that the gains recorded so far will continue and we can move closer to the elimination of these diseases by 2030,” he said.
Ohaji noted that the upcoming deworming exercise will focus primarily on soil transmitted helminth infections, with treatment for schistosomiasis scheduled for a later phase.
He explained that the exercise will run for five days, during which trained health workers and teachers will administer the medication to eligible children in schools and communities.
He disclosed that the State has mapped schools to nearby health facilities to ensure that any child experiencing mild side effects can easily receive medical attention.
“There is a clear difference between adverse events and side effects. Adverse events are life threatening conditions while side effects are expected reactions that are usually mild. For the deworming medicines we administer, there are no known adverse events. The mild side effects that may occur are already anticipated and health workers are on standby to manage them,” he said.
According to him, each school has been linked to a health facility within its catchment area so that any unexpected reaction can be handled immediately.
Ohaji also praised the Cross River State Government for demonstrating strong commitment to the programme, noting that the administration recently approved funding support for the intervention.
“For the first time since we started working in Cross River State, the Governor personally invited Evidence Action to discuss issues relating to the elimination of Neglected Tropical Diseases. During that meeting we presented a budget of sixty four million naira and the Governor approved it immediately and directed that the funds should be released,” he said.
He described the development as a major step forward in strengthening the sustainability of the deworming initiative in the state.
According to him, the current phase of the exercise will target hundreds of thousands of children across several Local Government Areas, with the intervention being implemented in phases.
He appealed to parents, school authorities and community leaders to cooperate with programme implementers in order to ensure that every eligible child receives treatment.
Also speaking during the workshop, Chairman of the Nigeria Union of Journalists in Cross River State, Comrade Archibong Bassey, commended Evidence Action and its partners for their efforts in improving child health across the State.
She noted that many parents sometimes forget to deworm their children regularly, making the school based programme an important intervention.
In her words, “This programme is very commendable because sometimes parents forget to deworm their children and that can have serious effects on their health and education. The Media will continue to support this effort by ensuring that the information reaches the public,” he said.
Bassey urged schools and communities to welcome the health teams when they arrive for the exercise.
“They are starting the exercise tomorrow and we want the people to cooperate with them. Schools and parents should embrace them because they mean well for the children. In previous years there were some challenges but we believe that with proper awareness people will understand the importance of this intervention,” she said.
Evidence Action currently supports deworming programmes that target more than six million school age children annually across Nigeria. The organisation also collaborates with Government Agencies to train over twenty eight thousand teachers, community distributors and health workers each year to administer treatment in schools and communities.
Through its programmes, more than forty four million school age children have been treated since 2016 at a cost of less than fifty cents per child, making the intervention one of the most cost effective public health initiatives globally.
Stakeholders at the workshop emphasised that sustained collaboration between Government Agencies, Development Partners and the Media will be essential in ensuring that no child is left untreated as efforts continue to eliminate Neglected Tropical Diseases in Cross River State and across Nigeria.