Department of Public Health & Preventive Medicine: Menu

Rashtriya Bal Swasthya Karyakram (RBSK)

     In Tamilnadu, for the past 3 decades, i.e. since 1962, the school health programme was implemented by the Department of Public Health & Preventive Medicine for providing comprehensive health care services for the school children studying in 1st to 12th standard of Govt and Govt aided school. On Thursdays, health screening was done for all the school children to identify minor’s ailments, nutritional deficiencies, refractive errors and any other systemic illnesses. Minors ailments were treated on the spot by the PHC level health team and the Children with major illnesses were referred to higher medical Institutions for further Management. Under this Programme, two nodal teachers from each school were identified and they were trained in identifying common illness among children, providing assistance for the school health team and also to follow the referred children.

     During 2010-2012, the school health programme had been modified and renamed as “Modified School health Programme”. The new initiatives under modified school health programme had been included as

        – Co-ordination between health & Education Department

        – Comprehensive health education using a modified syllabus based on the School Total Health Programme.

        –` Primary screening by teachers.

        – Emergency care / first aid management at school

        – Counselling services for the teenage students.

        – Human resources management and capacity building.

During 2014, Government of India has initiated a new programme called Rashtriya Bal Swasthya Karyakram (RBSK) – “Child health screening and Early intervention services programme” under National Rural Health Mission and the programme aims at early detection and management of the 4D’s – Defects at birth, Deficiencies, Diseases and Developmental delays including disabilities along with Adolescent health concerns (38 health condition) among children.

     Many schemes and components carried out under School Health Programme (SHP) in Tamilnadu namely modified school Health programme Correction of Refractive Errors (Kannoli Kaapom Thittam), Comprehensive school children Dental programme, congenital Defects programme and various other NGO schemes had been merged under RBSK.

   To facilitate health screening, each community block is provided with 2 Mobile health teams. Each team consist of 1- Medical officers (One team with 1-Male Medical officer and another team with 1 – Female medical officer), 1- Staff nurse and 1- Pharmacist with computer skills. The children in the block will be screened for 4D’s+A (38 conditions). Minor ailments will be treated on the spot.

     The children with identified conditions will be referred to the District early intervention centres (DEIC) for confirmation and further management.

     The District Early Intervention Centres (DEIC) is placed at all District Head Quarters Hospital / Medical college Hospitals which are having varied medical & paramedical professionals to manage the referred children. The RBSK scheme is funded by National Health Mission.

SCHOOL HEALTH PROGRAMME PHYSICAL ACHIEVEMENTS (2010-2015)

Particulars Total Schools No. of Schools Covered % Total No. of students to be examined

Total No.of students

Examind

% No. of students treated for minor ailments No. of students referred to referral hospitals %
2010-11 42769 38568 89.0 9994358 7320324 73.2 3466014 28754 0.27
2011-12 42769 38567 90.2 9230098 7363190 79.8 3131904 42483 0.40
2012-13 43825 38567 87.9 9230098 6914895 74.9 3046232 42054 0.40
2013-14 43825 40694 92.9 9230098 6831225 74.0 2890255 33492 0.30
2014-15 43825 39931 91.1 9230098 6379138 69.1 2538739 32650 0.30

    RBSK Performance in Tamilnadu

No. OF AWCs & SCHOOLS VISITED
Year Total No. Of Anganwadi To Be Visited Visit 1 % Visit 2 % Total No .Of Schools To Be Visited Total No. Of Schools Visited %
2015-16 54439 38184 70 21742 40 43825 35950 82

 

No. OF AWC & SCHOOL CHILDREN EXAMINED
Year NO .OF ANGANWADI CHILDREN TO BE COVERED NO .OF ANGANWADI CILDREN EXAMINED(Two Times Examined) % NO OF SCHOOL CHILDREN TO BE COVERED NO .OF SCHOOL CHILDREN EXAMINED %
2015-16 4393475 2463873 28 9230098 6335766 69

 

No. OF CHILDREN IDENTIFIED , REFERRED & TREATED
Year No of Children Examined (0-18) yrs No of Children identified (0-18) yrs No of Children Referred (0-18) yrs % of referral to Identified No of Children Treated (0-18)yrs % of treatment to Referred
2015-16 10990886 1184387 605042 51 309751 51