Rashtriya Bal Swasthya Karyakram (RBSK) aims at early identification and early intervention for children from birth to 18 years to cover 4 Ds viz. Defects at birth, Deficiencies, Diseases, Development delays including disability.

There is a provision in the programme that children of 0-6 years age group will be specifically managed at District EarlyInterventionCentre(DEIC) levelwhile 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. DEICs are being established in a phased manner in the State.

First level of screening is being done at all delivery points through existing Medical Officers, Staff Nurses and ANMs. After 48 hours till 6 weeks of age the screening of newborns is being done by ASHA at home as a part of HBNC package.

Outreach screening is being done by dedicated mobile health teams of children of 6 weeks to 6 years at Anganwadi Centres and 6-18 years children at School.

Once the child is screened and referred from any of these points of identification, it is ensured that the necessary treatment/intervention is delivered free of cost.

Target age group :

The services aim to cover children of 0-6 years of age in rural areas in addition to children enrolled in classes Ito XII in Government and Government aided Schools

Categories

Age Group

Screened By

Babies born at public health facilities

At Birth

Delivery Point Staff

Babies at home

Till 6 weeks

ASHA

Preschool children in rural areas at AWC

6 weeks to 6 years

Mobile Health Team

Children  enrolled  form class  1st to 12th in government and government aided schools

6 years to 19 years

Mobile Health Team

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 of diseases.

Selected Health Conditions for Child Health Screening & Early Intervention Services

Defects at Birth

Deficiencies

1. Neural tube defect
2. Down's Syndrome
3. Cleft Lip & Palate / Cleft palate alone
4. Talipes (club foot)
5. Developmental dysplasia of the hip
6. Congenital cataract
7. Congenital  deafness
8. Congenital heart diseases
9. Retinopathy of Prematurity

10. Anaemia especially Severe anaemia
11. Vitamin A deficiency (Bitot spot)
12. Vitamin D Deficiency, (Rickets)
13. Severe Acute Malnutrition
14. Goiter


Diseases of Childhood

Developmental delays and Disabilities

15.  Skin conditions (Scabies, fungal infection

and Eczema)
16. Otitis Media
17. Rheumatic heart disease
18. Reactive airway disease
19.Dental conditions
20. Convulsive disorders

21. Vision Impairment
22. Hearing Impairment
23. Neuro-motor Impairment
24. Motor delay
25. Cognitive delay
26. Language delay
27. Behavior disorder (Autism)
28. Learning disorder
29. Attention deficit hyperactivity disorder

30. Congenital Hypothyroidism, Sickle cell anemia, Beta thalassemia (Optional)

Adolescent Health

31. Growing up concerns

32. Substance abuse

33. Depression

34. Delay in menstruation cycles

35. Irregular menstrual

36. Pain or burning sensation while urinating

37. Discharge/ foul smelling discharge from the genitor-urinary area

38. Pain during menstruation

Composition of Mobile Health Team :

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

Suggested Composition of Mobile Health Team

S.No

Member

Number

1

Medical officers -1 male and 1 female with a bachelor degree

from an approved institution

2

2

ANM/Staff Nurse

1

3

Pharmacist/paramedical with proficiency in computer

for data management

1

Mobility support :

There is provision of one taxi permit vehicle for each team to visit the identified centre as per micro plan.

Resource Material :

IEC Material :

GOs :

Guidelines :

Vehicle status under RBSK