Rashtriya Bal Swasthya Karyakram
Rashtriya Bal Swasthya Karyakram
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.
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.
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.
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