Rashtriya Bal Swasthya Karyakram

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Rashtriya Bal Swasthya Karyakram

Rashtriya Bal Swasthya Karyakram (RBSK) is a new initiative aiming at early identification 
and  early  intervention  for  children  from  birth  to  18  years to cover 4 ‘D’s viz. Defects at 
birth,  Deficiencies,  Diseases,  Development  delays  including  disability.
It is important to note that the 0 - 6 years age group will be specifically managed at  District 
Early  Intervention  Centre  ( DEIC ) level  while  for  6 -18  years  age  group,  management 
of conditions  will  be  done  through  existing  public  health facilities.  DEIC will act as
referral linkages for both the age groups.
First level of screening is to be done at all delivery points through existing Medical Officers,
Staff Nurses and ANMs. After 48 hours till 6 weeks the screening of new-borns will be done
by ASHA at home as a part of HBNC package. Outreach  screening  will  be  done  by 
dedicated  mobile  block  level  teams  for  6  weeks  to  6 years at anganwadis centres and 6 -
18 years children at school.
Once the child is screened and referred from any of these points of identification, it would be
ensured that the necessary treatment/intervention is delivered at zero cost to the family.

TARGET AGE GROUP

The services aim to cover children of 0 -6  years of  age  in  rural  areas  and  urban  slums  in
addition  to  children  enrolled  in  classes  I toXII in  Government  and  Government  aided 
Schools. It is expected that these services will reach to about 27 crores children in a phased
manner. The broad category of age group and estimated beneficiary is as shown below in the
table. The children have been grouped in to three categories owing to the fact that different
sets of tools would be used and also different set of conditions could be prioritized.

HEALTH CONDITIONS TO BE SCREENED

Child Health Screening and Early Intervention Services under RBSK envisages to cover 30
selected health conditions for Screening, early detection and free management.  States and
UTs may also include  diseases  namely hypothyroidism,  Sickle  cell  anaemia  and  Beta
Thalassemia  based  on  epidemiological  situation  and availability  of  testing  and 
specialized support facilities within State and UTs.

Screening at Anganwadi Centre

All pre-school children below 6 years of age would be screened by Mobile Block Health
teams for deficiencies, diseases, developmental delays including disability at the Anganwadi
centre at least twice a year. Tool for screening for 0-6 years is supported by pictorial,   job  
aids   specifically   for   developmental   delays. For developmental delays children would be
screened using age specific tools specific and those suspected would be referred to DEIC for
further management.
Screening at Schools - Government and Government aided

School children age 6 to 18 years would be screened by Mobile Health teams for deficiencies,
diseases, developmental delays including disability, adolescent health at the local schools at
least once a year. The too used is questionnaire (preferably translated to local or regional
language) and clinical examination.
Composition of mobile health team

The mobile health team will consist of four members- two Doctors (AYUSH) one male and
one female, at least with a bachelor degree from an approved institution, one ANM/Staff
Nurse and one Pharmacist with proficiency in computer for data management

BY

YASHWANTH VB
LALDUHZUALI.K
Final Year MSW

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