RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)
Comprehensive child health care implies assurance of extensive health services for all children from birth to 18 years of age for a set of health conditions. These conditions are Diseases, Deficiencies, Disability and Developmental delays including disability – 4 Ds. Universal screening would lead to early detection of medical conditions, timely intervention, ultimately leading to a reduction in mortality, morbidity and lifelong 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 to be 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 ANM 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.
Composition of Team at District Early Intervention Center
Medical Professionals (Paediatrician -1, Medical O_ cer 1, Dental Doctor -1). 3
Audiologist and Speech Therapist 1
Early Interventionist cum Special Educator cum Social Worker 1
Lab Technician 2
Dental Technician 1
Data Entry Operator 1
Role of District Early Intervention Centre (DEIC)
- Providing referral services to referred children for confirmation of diagnosis and treatment.
- Screening children at the “District Early Intervention Center”.
- Visit all newborns delivered at the District Hospital, including those admitted in SNCU, postnatal and children wards for screening all newborns irrespective of their sickness for hearing, vision, congenital heart disease before discharge.
- Ensure that every child born sick or preterm or with low birth weight or any birth defect is followed up at the District Early Intervention Center.
- All the referrals for developmental delay are followed and records maintained.
- The Lab Technician of the DEIC would screen the children for inborn error of metabolism and other disorders, at the District level depending upon the logistics and local epidemiological situations.
- Ensure linkage with tertiary care facilities through agreed MOU.