Richa Nyodu presented on the Rashtriya Bal Swasthya Karyakram (RBSK) program in India, which aims to screen children from birth to 18 years for developmental delays, diseases, deficiencies, and defects. The program was launched nationally in 2013 to improve early detection and management of health issues in children. Key aspects of RBSK include screening camps at Anganwadi centers by mobile health teams; identification of 30 common conditions; referral services for cases needing further care; and implementation through community health workers, block program managers, and state-level committees. The goals are to improve quality of life for children by halting conditions early and creating data to better plan health programs.

1. Presented by Richa Nyodu
Roll no. : MB140031
6th semester MBBS
NEIGRIHMS,Shillong

2. INTRODUCTION
 Under National rural health mission,
significant progress has been made in reducing
mortality in children over the last years(2005-12)
 Whereas there is an escalation of reducing
child mortality there is an dire need to improve
survival outcome
 RBSK was LAUNCHED in February 2013

3. AIM: To improve
the overall quality
of life of children
OBECTIVE: early
detection and
management of
the 4Ds prevalent
in children.
DEFECTS
DISEASES
DEFICIENCIES
DEVELOPMENTAL
DELAYS4Ds

4. RATIONALE
DEFECTS AT BIRTH
1.7 Million accounting for:
 10% of total new born deaths
 4% of under 5 mortality rate
DEFICIENCIES AND DISEASES
 Malnourished: 47%
 Underweight: 43%
 Wasted: 20%
 Severely acute malnourished: 8 million
 Anemia in under 5: 70%
 Dental caries: 50% to 60%
DEVELOPMENTAL DELAYS
 10% of child population

5. Target group under child health screening
Categories Age group Estimated coverage
Babies born at public
health facilities and
home
Birth to 6 weeks 2 crores
Preschool children in
rural areas and urban
slums
6 weeks to 6 years 8 crores
Children enrolled in
classes 1to 12th in
government
government aided
schools
6 to 18 years 17 crores
• Data Source: CCEA release 24th September 2012
• **Data Source Elementary Education in India, 2012 , DISE 2010-11Flash Statistics,
NUEPA & DSEL, MoHRD, GOI and State Report Cards :2010-11 Secondary
education in India, NUEPA

6. Benefits
 Halt the condition from further deterioration
 Reduce economic burden
 Country wide epidemiological data for planning
 Creating a developed society, agile and able
to compete with the rest of the world

7. Identified Health Conditions for Child Health Screening and Early Intervention
Services
Defects at Birth
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
Deficiencies
10. Anaemia especially Severe Anaemia
11. Vitamin A Deficiency (Bitot spot)
12. Vitamin D Deficiency (Rickets)
13. Severe Acute Malnutrition
14. Goiter
Childhood Diseases
15. Skin conditions (Scabies, Fungal
Infection and
Eczema)
16. Otitis Media
17. Rheumatic Heart Disease
18. Reactive Airway Disease
19. Dental Caries
20. Convulsive Disorders
Developmental Delays and Disabilities
21. Vision Impairment
22. Hearing Impairment
23. Neuro-Motor Impairment
24. Motor Delay
25. Cognitive Delay
26. Language Delay
27. Behaviour Disorder (Autism)
28. Learning Disorder
29. Attention Deficit Hyperactivity Disorder
30. Congenital Hypothyroidism, Sickle Cell Anaemia, Beta Thalassemia (Optional)

8. IMPLEMENTATION MECHANISM OF RBSK

9. Identify birth defects among
0-6 weeks old babies through
home visits
Provide help to mothers for
early stimulation of children
of 0-6 weeks
Explain the screening
programme to
parents/caregivers of
children upto 6 years and
mobilise them
to attend the screening
camps by the dedicated
mobile health team at local
Anganwadi Centers.
Help parents in referral
services, if required
ROLE OF ASHA

11. MOBILE HEALTH TEAM

13. SCREENING FREQENCY
AT LEAST
ANGANWADI
CENTRE

14. LOGISTIC SUPPORT,SCREENING
AND MONITORING
BLOCK PROGRAMME MANAGER
BLOCK TEAM
MEDICAL OFFICER,SCHOOL,ANGANWADI
CENTRE

15. DISTRICT EARLY
INTERVENTION CENTRE

17. ROLE OF STATE LEVEL
COMMITTEE
 The states/UTs would conduct mapping
for provision of specialized tests and
services.
 If public health institutions providing
tertiary care are not available private
sector partnership/NGOs can also be
explored
 Accredited health institutions
reimbursed as per the agreed cost of
tests or treatment packages.

18. REFERRAL SERVICES
 A three-part referral card is to be
provided to
parents/caregivers/students with clear
instructions and address of the
specified facility to be visited in the
district
 Budget for referral transport --- NRHM

22. SCREENING AND REFERRAL
CARD

23. MOBILE HEALTH TEAM REGISTER
(>6 Weeks to 18 years to be maintained by mobile
health team)

25. RBSK MONTHLY REPORTING
FORMAT

27. REPORTING AND MONITORING

28. RBSK IN MEGHALAYA
 initiated in the state on April 2014 under the
National Health Mission.
 Presently is it being implemented in 11 Districts and
39 Blocks. About 137Ayush Medical Officers, 78
ANM/SN and 78 Pharmacist are engaged in the
screening activities called as dedicated block health
teams.
 the state have set up three DEIC in the Districtof
West Garo Hills (Tura MCH), East Khasi Hills
(Ganesh Das Hospital) and WestJaintia Hills
(Jowai MCH)

29. Child health
screening
Early
intervention
services
Creating a
developed society
Early
detection &
management
of 4Ds

30. Thank you