Student Dissertation

Agency : KAP; Mobile Health; Health Systems Strengthening; RBSK Teams; Cleft Lip; Cleft Palate Patients

Objective : •To assess the knowledge, attitude and practice among the RBSK teams of Burhanpur district. •To mobilise the positive case between 1 year to 18 years of age of Cleft lip and cleft Palate for surgical intervention and to declare Burhanpur district free from Cleft lip/ Cleft Palate patients. Study Location: The study was carried out in Burhanpur and Khandwa district of Madhya Pradesh. Study Limitations: •As the study duration was less, a large sample size could not be attempted, and the patient part could also have been included in the study which would have given us more insight about the actual status and utilization of the services provided and accessed by the Rashtriya Bal Swasthya Karyakram. •Number of study district could have been increased in order to ensure more representation and generalization of the findings.

Background : Rashtriya Bal Swasthya Karyakram (RBSK) is an important initiative pointing at early identification and intervention for children from birth to 18 years to cover 4 ‘D’s viz. Deficiencies, Diseases, Defects at birth, Development delays including disability. “Child Health Screening and Early Intervention Services” under NHM visualize covering 30 Recognized health conditions for early detection and treatment &management. The ‘Child Health Screening and Early Intervention Services’ will also turn into monetary benefits in the long run. Appropriate intervention in correct time would not only halt the condition from deteriorating but would also reduce the out-of-pocket (OOP) expenditure of the poor and the marginalised populace in the country. Furthermore, the “Child Health Screening and Early Intervention Services” will also provide pan country epidemiological data on the 4 Ds (i.e., Defects at birth, Diseases, Deficiencies and Developmental Delays including Disabilities). Such a data is likely to hold importance for future planning of area definite services. “Child Health Screening and Early Intervention Services” under NHM visualize covering 30 Recognized health conditions for early detection and treatment &management. Based on the high prevalence of diseases like hypothyroidism, sickle cell anaemia and beta thalassemia in definite geographical pockets of States/UTs and convenience of testing and expert support facilities, these States and UTs may integrate them as part of this initiative.

Recommendations : •Monitoring of Mobile health team (MHT) •More and more on the Spot Treatments •Take Private Medical and Dental Colleges on Panel of RBSK change the objective diseases and format of reporting.


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