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What is RBSK?

The Rashtriya Bal Swasthya Karyakram or RBSK is an initiative by the Government of India under the National Health Mission for children between the ages from their birth to 18 years. It aims at early identification and intervention to prevent the 4 D's, namely, Defects at birth, Deficiencies, Diseases, and Developmental delays including disability. Children between 0-6 years of age are managed at the District Early Intervention Center (DEIC) level and children under the age group of 6-18 are managed in the already existing public healthcare facilities. The DEIC also functions as a referral linkage between the aforementioned age groups.

The early screening of a newborn starts at birth by the existing medical officers, nurses and ANMs (Auxiliary Nurse Midwives) followed by ASHAs (Accredited Social Health Activists) from 48 hours till the child is 6 weeks old. This is a part of the Home Based Newborn Care (HBNC) scheme (2011) that incentivizes ASHAs for making visits to the newborns and their mothers to reduce cases of neonatal mortality. After 6 weeks, the children are managed by dedicated mobile block level teams till 6 years and thereafter at schools.

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Overview on Rashtriya Bal Swasthya Karyakram (RBSK)

Children under 0-6 years of age along with those enrolled in classes I to XII in government and government-aided schools are covered under the RBSK scheme. The targeted groups are further subdivided into three categories owing to the fact that they necessitate the use of different sets of tools and might have different priorities. About 27 crore children are expected to be reached in a phased manner under the RBSK scheme. The subcategories are as follows:

Categories

Age Group

Estimated Coverage

School children enrolled in class 1st to 12th in government and schools aided by government

6 to 18 years

Rs. 17 Crore

Preschool children in rural areas and those in urban slums

6 weeks to 6 years

Rs. 8 Crore

Babies born at home and public health facilities

Birth to 6 weeks

Rs. 2 Crore

 

Health Conditions to be Screened

30 selected health conditions are covered under the Child Health Screening and Early Intervention Services of the RBSK. Additionally, diseases like hypothyroidism, Sickle cell anaemia and Beta Thalassemia can also be included by States and UTs based on the epidemiological situation and the availability of necessary facilities for testing and support. The following table enlists the selected health conditions as classified under the 4 D’s:

Selected Health Conditions for Screening of Child Health and Early Intervention Services

Birth Defects

Childhood Diseases

Developmental dysplasia of the hip

Congenital cataract

Congenital deafness

Congenital heart diseases

Neural tube defect

Down's Syndrome

Cleft Lip and Palate / Cleft palate alone

Talipes (club foot)

Retinopathy of Prematurity

Skin conditions (Scabies, fungal infection and Eczema)

Otitis Media

Rheumatic heart disease

Reactive airway disease

Dental conditions

Convulsive disorders

Deficiencies

Delays in Development and Disabilities

Anaemia

Deficiency of Vitamin A (Bitot spot)

Vitamin D Deficiency, (Rickets)

Severe Acute Malnutrition

Goitre

Cognitive delay

Language delay

Behaviour disorder (Autism)

Learning disorder

Attention deficit hyperactivity disorder

Vision Impairment

Hearing Impairment

Neuro-motor Impairment

Motor delay

Congenital Hypothyroidism, Sickle cell anaemia, Beta thalassemia (Optional)

 

Screening Places at Community & Facility level

The screening mechanism under the RBSK is divided into two types, one done at the facility level at Public Health Centres/ Community Health Centres/Digital Hospitals by medical practitioners, and the other done at the community level. Mobile health teams at Anganwadi centres and government and government-aided schools help in screening at the community level.

Screening at Anganwadi Centre

The teams that are responsible for screening children of age 6 years or below are mobile health teams for diseases, deficiencies, developmental delays and also disability at the Anganwadi centres. The children are screened at least two times a year. The teams use pictorials, reference charts, etc. as part of the tools for screening. Those who are suspected of such delay in their development are then referred to the DEIC for any further management.

Screening at Government and Government-Aided Schools

Children in the age group of 6-18 years are screened for any developmental delays that also include disability, deficiencies, diseases and adolescent health at the local schools at least one time a year. The tools used here are mostly questionnaires (preferably translated to a local language) and clinical examinations.

RBSK Mobile Health Team Composition

The mobile health team consists of four members as mentioned in the table below:

Suggested Composition of Mobile Health Team

No.

Member

Number of members

1

Medical officers (AYUSH) -1 male and 1 female. Both should have at least a bachelor’s degree from an approved institution

2

2

Staff Nurse/ANM

1

3

Pharmacist with proficiency in computer handling for data management

1

*In case of Pharmacist’s unavailability, other paramedics like lab technician or ophthalmic assistant can also work

 

Conclusion

As mentioned earlier, Rashtriya Bal Swasthya Karyakram or RBSK works towards making sure every child stays protected from 4 D's, namely, Defects at birth, Deficiencies, Diseases, and Developmental delays including disability. However, you can also take a step ahead and give your child an extra layer of safety with a good health insurance policy. Health insurance policies available on Bajaj MARKETS could be a good choice for you and your family. With a high claim settlement ratio and easy online application process, you can be assured of ample coverage for you and your family.

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FAQs on Rashtriya Bal Swasthya Karyakram

✔️What is RBSK full form?

RBSK full form is Rashtriya Bal Swasthya Karyakram.

How many members are there in the RBSK mobile health team?

There are four members in the RBSK mobile health team.

Who launched RBSK?

The Ministry of Health & Family Welfare, Government of India launched the Rashtriya Bal Swasthya Karyakram (RBSK) under the National Health Mission.

How many health conditions are covered under the RBSK scheme?

A total of 30 selected health conditions are covered under the Child Health Screening and Early Intervention Services of the RBSK.

What is the meaning of RBSK?

Rashtriya Bal Swasthya Karyakram, RBSK is an initiative under the Indian government’s National Health Mission that aims at early identification and intervention for children from birth to 18 years to cover 4 D's. These 4 D’s are Defects at birth, Deficiencies, Diseases, Development delays including disability.