National school-based deworming programs should be monitored and evaluated to ensure they are functioning properly and effectively. Good monitoring and evaluation ensures accurate assessment of program coverage and impact, allows for effective forecasting for future rounds of deworming, and identifies any areas that require adjustments or improvements. This data also informs treatment strategy over time and encourages compliance and continued buy-in from officials, teachers and communities.

Examples of monitoring forms can be provided upon request.

Process Monitoring

1. Process monitoring should occur at every round of deworming.

2. The key indicator to track will be drug coverage (the proportion of school-age children, enrolled and non-enrolled, that received deworming treatment).
3. Monitoring forms should be provided to officials and teachers at the training sessions, and training should explicitly detail how these should be completed and submitted. Forms should be completed as activities are occurring.
4. At minimum these forms should track:
1. Number of tablets received by each school;
2. Number of teachers trained in each school;
3. Date of school deworming;
4. Number of children dewormed (tracking by enrolled and non-enrolled children);
5. Number of tablets utilized;
6. Number of tablets damaged, destroyed or lost through accidental spillage; and
7. Number of tablets returned.
5. There should also be a system in place for collating and analyzing the data generated and captured on the forms, from the school to national level.
6. It is also important to monitor additional processes such as the quality of training programs and awareness campaigns.

Impact Monitoring

1. Impact monitoring includes measuring changes in worm prevalence and intensity, school participation, and anemia. Tools that measure the impact of school-based deworming on children’s cognitive function over time are also under development.

2. A baseline of impact indicators should be undertaken prior to initiating any deworming activity, and follow-up assessments should be conducted every 2 to 3 years.
3. Data from impact monitoring should be used to determine treatment strategy for future deworming rounds