RBSK is a program launched by the Indian government in 2013 to improve early identification and management of health conditions in children under 18. It aims to improve quality of life and survival for at-risk children through screening for 30 conditions in three categories: defects at birth, diseases, and developmental delays. Screening is conducted through Anganwadi centers for children 6 weeks to 6 years and in schools for children 6 to 18 years by mobile health teams equipped with tools to assess vision, blood pressure, growth, and development. District Early Intervention Centers are being established to provide referral services, follow-up of at-risk newborns and children with developmental delays, and screening for metabolic disorders.
2. RBSK
Concept of RBSK
• Ministry of Health and Family Welfare, Government of India
under NRHM launched RBSK in February 2013.
Under RBSK
• Health screening of children
• to cover all children from birth to 18 years of age
AIMS of RBSK :
• to improve the quality of life with special focus on improving
cognition and survival outcome for ‘at risk’ children.
• Systemic approach of prevention, early identification and
managcment of 30 health conditions from birth to 18 years.
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3. Child Health Screening and
Early Intervention
Services
Basically refer to early detection and management of aset
of 30health 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 personsto
achieve their full potential.
4.
5.
6. 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 ageduring
home visitation.
For children 6 weeks to 6 years:
•Anganwadi Center based screening by the dedicated
Mobile Health Teams
7. For children 6 years to 18years:
•Government and Government aided school based
screening by dedicated Mobile Health Teams
8.
9. Tool kit for mobile health team
6 wk to 6yr • Bell or rattle attention of infant
• Torch
• Small bottle with raisins
• Squeaky toys
• Coloured wool
6 to 18 yr • Vision Chart (For visual Acuity)
• BP apparatus (Pediatric cuff size (13-20 cm),
small adult size (25-35 cm)
• Manual and a card specific to each age
with developmental check list.
Anthropometry Weighing scale • Height measurement -Stadiometers /
Infantometers.
• Inch tape / bangle for mid arm
circumference
• Non stretchable measuring tape for head
circumference.
10. DistrictEarly Intervention
Centre (DEIC)
early intervention centers are to be established atthe District Hospital level
across the country as DEIC.
purpose
• Providing referral services to referred children
• Visiting all newborns delivered at he District Hospital for scroening.
• Ensuring that every child born sick or preterm or with low birth weight or
any birth defect is followed up at the DEIC.
• Follow up and record maintenance of all the referrals for developmental
delay.
• Screening the children for inborn errors of metabolism and other
disorders at the district level.