RBSK
⚫ Launched by the ministry of health & family
welfare, government of India, under the
national health mission.
⚫ It envisages Child Health Screening
and Early Intervention Services
AIM: To OBECTIVE: early
improve the detection and
overall quality management
of life of of the 4Ds
children prevalent in
children.
DEFECTS
DEVELOPMENTAL
DISEASES
4D DELAYS
DEFICIENCIES
Child Health Screening and Early
InterventionServices
Basically refer to early detection and
management of a set of 30 health conditions
prevalent in children less than 18 years of age.
These conditions are broadly : 4Ds
⚫ Defects at birth,
⚫ Diseases in children,
⚫ Deficiency conditions
⚫ Developmental delays including Disabilities
It also aims at reducing the extent of
disability, at improving the quality of life and
enabling all persons to achieve their full
potential.
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
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
Implementation Mechanisms
For new born:
⚫ • Facility based newborn screening at
public health facilities, by existing health
manpower.
⚫ • Community based newborn screening at
home through ASHAs for newborn till 6
weeks of age during home visitation.
For children 6 weeks to 6
years:
⚫ • Anganwadi Center based screening by the
dedicated Mobile Health Teams
For children 6 years to
18 years:
⚫ • Government and Government aided
school based screening by dedicated
Mobile Health Teams
IMPLEMENTATION MECHANISM OF RBSK
Mechanisms for screening at
Community & Facility level
⚫ Child screening under RBSK is at two
levels community level and facility
level.
⚫ Facility based new born screening at public
health facilities like PHCs / CHCs/ DH, will be
by existing health manpower like Medical
Officers, Staff Nurses & ANMs
⚫ The community level screening will be
conducted by the Mobile health teams at
Anganwadi Centres and Government and
Government aided Schools.
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 Governmentaided
⚫ 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.
SCREENING FREQENCY AT LEAST
ANGANWAD
I CENTRE
Composition of mobile health team
LOGISTIC SUPPORT,SCREENING AND
MONITORING
BLOCK PROGRAMME MANAGER
BLOCK TEAM
MEDICAL
OFFICER,SCHOOL,ANGANWADI CENTRE
District Early Intervention
Centre (DEIC)
⚫ 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.
DISTRICT EARLY INTERVENTION
CENTRE
Identify birth defects Provide help to mothers
among 0-6 weeks old for early stimulation of
babies through home children of 0-6 weeks
visits
ROLE OF
ASHA
Explain the screening
programme to
parents/caregivers of
children upto 6 years
and mobilise them Help parents in
referral services,
to attend the screening if required
camps by the
dedicated mobile
health team at local
Anganwadi Centers.
Role of DEIC
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.
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
REFERAL CARD
RBSK MONTHLY REPORTING
FORMAT
THANK
YOU!!!
