Rashtriya Bal Swasthya Karyakram (RBSK)

About the programme:

Rashtriya Bal Swasthya Karyakram (RBSK) is a health initiative aiming at early identification  and  early  intervention  for  children  from  birth  to  18  years to cover 30 plus health conditions termed as 4 ‘D’s viz. Defects at  birth,  Deficiencies,  Diseases,  Development  delays  including  disability. The programme was initiated in the state of Mizoram from July, 2013.

Aims & Objectives:

RBSK aims to manage the 0 - 6 years age group mostly at  District  Early  Intervention  Center ( DEIC ) level, the first referral centre established under the programme while  for  6 -18  years  age  group,  management  of conditions  is presently done  through  both the DEIC(s) as well as existing  public  health facilities such as Sub Centres, Primary Health Centres, Urban Primary Health Centres, Community Health Centres, Health & Wellness Centres, Sub District Hospitals, District Hospitals, Civil Hospital, Aizawl and several faith-based and privately-run hospitals within and outside the state of Mizoram. Since its establishment in 2015, the two DEICs have been serving as the main referral linkages for all clients under the programme.

Target Group:

Categories 

Age-group 

Babies born in public facilities and at home 

Birth to 6 weeks 

Pre-school Children enrolled in Anganwadi Centers 

6 weeks to 6 years 

Children enrolled in classes 1st to 12th Standard in Govt. and Govt.Aided Schools 

6 years to 18 years 

 

Implementation Mechanism:

The RBSK Operational Guidelines outline following mechanism to reach all the target groups of children for health screening-

  • 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 District RBSK Mobile Health Teams. 
  •  For children 6 years to 18 years:
  • Government and Government aided school based screening by dedicated District RBSK Mobile Health Teams.

 

HR under the Programme:

 

  • Recruitment & engagement of 2 support staff i.e, State Coordinator (RBSK) and Consultant (DEIC cum Service Access) at the state level to assist the State Nodal Officer (RBSK).
  • Recruitment & engagement of 9 DEICs managers. All are posted across all 9 Health districts.
  • Recruitment & engagement of DEICs staffs posted in the 2 DEICs established in Aizawl West & Lunglei districts. Aizawl West DEIC is short of Audiologist while Lunglei DEIC is short of visiting Pediatrician & Audiologist.
  • Recruitment of 58 Medical Officers (DENTAL/ AYUSH) - engaged as Team Leaders of dedicated RBSK Mobile Health Teams across all 9 Health districts.
  • Recruitment of 20 Pharmacists- engaged as part of dedicated RBSK Mobile Health Teams across all 9 Health districts.
  • Engagement of 11 ANM/Health Workers (regular & contractual)- engaged as part of dedicated RBSK Mobile Health Teams across all 9 Health districts.

 

Facilities under the Programme:

 

  1. Provision of RBSK Surgical Packages for 13 select conditions to help ease Out of Pocket Expenditure on the part of clients.
  2. Procurement of Essential Drugs/ Medical Supplies under RBSK Mobile Health Teams to needy clients during health screening to minimize Out of Pocket Expenditure on the part of clients.
  3. Establishment of 2 DEICs in Aizawl West & Lunglei districts respectively. Both centers act as hubs of all referrals under RBSK.
  4. Provision of Mobility Support for Hiring of Vehicle to existing 25 RBSK Mobile Health Teams.
  5. Provision of Daily Allowance for RBSK Mobile Health Teams for visits requiring Overnight Halt/ Overnight Stay.

 

List of affiliated Public & Private Health Institutions under RBSK (where Memoradum of Understanding (MoU) is signed):

Name of Health Institution

Institution Type

Conditions being treated

Manipal Hospitals, Bangalore

Private

Congenital Heart Disease/ Rheumatic Heart Disease

MiracleFeet India 

Non-governmental Organization

Clubfoot

Clubfoot Society of Mizoram

Society

Clubfoot

Synod Hospital, Durtlang

Faith-based 

Strabismus; Congenital Cataract; 

State Referral Hospital, Falkawn

Public 

Cleft Lip/ Cleft Palate

Civil Hospital, Aizawl, all District Hospitals and other public health facilities under H&FW Department

Public

Other conditions treatable by each facility. 

 

 

PHYSICAL ACHIEVEMENT OF RBSK-AIZAWL WEST DISTRICT DURING THE FINANCIAL YEAR 2021-2022 (April, 2021-March, 2022)

 

Sl. No

COMPONENT

TARGET IN Nos.

ACHIEVEMENT

% OF ACHIEVEMENT

1

Total No. of Schools visited 

241

79

33%

2

No.of School children screened

19488

4947

25%

3

Total No of Anganwadi Centers/ Children’s Home visited

210

30

14%

4

No.of children screened

14987

1875

13%

5

No. of children treated at DEIC

940 (Referred by Mobile Health Team)

547 (Treated at DEIC)

58%

 

*Note: Majority of Schools and Anganwadi Centres were closed during the period between April, 2021- March, 2022 due to the on-going pandemic. However, RBSK health screenings were able to be carried out during these months at few schools outside of AMC area, Orphanages/Children’s Homes and at the Covid-19 Vaccination sites (12-18 years) under Aizawl West District. Health Screenings at Schools and Anganwadi Centres were resumed normally from 5th April, 2022. 

 

RBSK IN PICTURES:  RBSK TEAM, MIZORAM

 RBSK, AIZAWL WEST DISTRICT-MOBILE HEALTH SCREENING IN AWCS & SCHOOLS

     

     

 

  

DISTRICT EARLY INTERVENTION CENTER (DEIC)-AIZAWL.