RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)
Rashtriya Bal Swasthya Karyakram (RBSK) is an important 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 Center (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 done at all delivery points through existing Medical Officers, Staff Nurses and ANMs. After 48 hours till 6 weeks the screening of newborns will be done by ASHA at home as a part of Home Based New-born Care (HBNC) package. Outreach screening will be done by dedicated Mobile Health 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.
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 tool used is questionnaire (preferably translated to local or regional language) and clinical examination.
District Early Intervention Centre (DEIC)
Following the initial step of screening of children from birth to 18 years of age group for selected health conditions including Defects at Birth, Deficiencies, Diseases & Developmental delays including disabilities under Rashtriya Bal Swasthya Karkyakram (RBSK) through trained and dedicated Mobile Health Teams, the next vital step is confirmation of preliminary findings, referral support, management and follow up. Under RBSK, these activities viz. confirmation, management, referral, tracking & follow-up, needs to be planned according to the age group of the child. The early intervention centers are to be established at the District Hospital level across the country as District Early Intervention Centers (DEIC). The purpose of DEIC is to provide referral support to children detected with health conditions during health screening, primarily for children up to 6 years of age group. A team consisting of Pediatrician, Medical officer, Staff Nurses, Paramedics will be engaged to provide services. There is also a provision for engaging a manager who would carry out mapping of tertiary care facilities in Government institutions for ensuring adequate referral support. The funds will be provided under NHM for management at the tertiary level at the rates ¬fixed by State Governments in consultation with Ministry of Health & Family Welfare. Thus, the DEIC will be the hub of all activities, will act as a clearing house and also provide referral linkages.
Rashtriya Bal Swasthya Karyakram (RBSK)