Rashtriya Bal Swasthya Karyakram RBSK

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Rashtriya Bal Swasthya Karyakram RBSK Rashtriya Bal Swasthya Karyakram (RBSK) is a new initiative aimed at screening
over 27 crore Indian children from 0 to 18 years under aegis of NRHM

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 - 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. Under National Rural Health Mission, significant progress has been made in reducing mortality in children over the last seven years (2005-12). Whereas there is an escalation of reducing child mortality there is a dire need to improve survival outcome. This would be reached by early detection and management of conditions that were not addressed comprehensively in the past. According to March of Dimes (2006), out of every 100 babies born in this country annually, 6 to 7 have a birth defect. This would translate to around 17 lakhs birth defects annually in the country and accounts for 9.6% of all the newborn deaths. Various nutritional deficiencies affecting the preschool children range from 4 per cent to 70 per cent. Developmental delays are common in early childhood affecting at least 10 percent of the children. These delays if not intervened timely may lead to permanent disabilities including cognitive, hearing or vision impairment. Also, there are group of diseases common in children viz. dental caries, rheumatic heart disease, reactive airways diseases etc. Early detection and management diseases including deficiencies bring added value in preventing these conditions to progress to its more severe and debilitating form and thereby reducing hospitalization and improving implementation of Right to Education. Rashtriya Bal Swasthya Karyakram (RBSK) is a new 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. The launch of this programme assumes great significance as it corresponds to the release of Reproductive, Maternal, Newborn, Child Health and Adolescent Health strategy (RMNCH+A) and also with the Child Survival and Development – A Call to Action summit held from Feb 7 – 9, 2013 in Mahabalipuram, Tamil Nadu. 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 ASHA 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.

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बीकानेर जिले के गाॅव नाल में आगनबाड़ी केंद्र की प्रीति को जन्मजात हृदय विकृति थी। उसके माता-पिता ने उसे उपचार हेतु कई संस...
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राष्ट्रीय बाल स्वास्थ्य कार्यक्रम बीकानेर ब्लॉक की मोबाईल हैल्थ टीम के द्वारा नाल गाॅव के आगनबाड़ी केंद्र में बच्चों के स्वास्थ्य की जाॅच की गयी । आयुष डॉक्टर इरशाद रफीक टीम ने स्वास्थ्य परीक्षण के दौरान प्रीति की बीमारी सामने आई। प्रीति का रेफरल कार्ड बनाकर पी. बी.ऍम हॉस्पिटल के हल्दीराम कैडियोलॉजी सेंटर में रेफर किया गया। जहाॅ प्रीती की आवश्यक जाॅच के उपरान्त आॅपरेशन के लिए नारायणा हॉस्पिटल जयपुर के लिये रेफर किया गया। जहाँ प्रीती के हार्ट का आॅपरेशन 27अप्रैल, 2016 को निःशुल्क किया गया।

सरकार की राष्ट्रीय बाल स्वास्थ्य कार्यक्रम योजना के कारण आज 6 साल की प्रीती का निःशुल्क हार्ट का ऑपरेशन होना सम्भव हो सका।
धन्यवाद ।

डॉ इरशाद रफीक
टीम इंचार्ज
राष्ट्रीय बाल स्वास्थ्य कार्यक्रम बीकानेर ब्लॉक

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