Rbsk

50 %
50 %
Information about Rbsk

Published on June 15, 2016

Author: richa28_7

Source: slideshare.net

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

10. MOBILE HEALTH TEAM

11. SCREENING FREQENCY AT LEAST ANGANWADI CENTRE

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

13. DISTRICT EARLY INTERVENTION CENTRE

14. 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.

15. 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

16. SCREENING AND REFERRAL CARD

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

18. RBSK MONTHLY REPORTING FORMAT

19. REPORTING AND MONITORING

20. 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)

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

22. Thank you

Add a comment