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Because every child is unique

Because every child is unique. RASHTRIYE BAL SWASTHYA KARYAKRAM Accredited Hospitals Meeting New treatment order on 26 AUGUST, 2016. National Health Mission, Madhya Pradesh. Meeting Agenda. 1. 0 bjectives of RBSK and its implementation in MP. 2. Role of Accredited Hospital under RBSK.

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Because every child is unique

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  1. Because every child is unique RASHTRIYE BAL SWASTHYAKARYAKRAM Accredited Hospitals Meeting New treatment order on 26 AUGUST, 2016 National Health Mission, Madhya Pradesh

  2. Meeting Agenda • 1. 0bjectives of RBSK and its implementation in MP. • 2. Role of Accredited Hospital under RBSK. • 3. Discussion on treatment order issued by Govt of MP. • 4 . Costing Packages. • 5 . Reporting Format.

  3. Agenda - 1 0bjectives of RBSK and its implementation in MP

  4. 1- “There is only one perfect child, and every mother has one!! ” ^^ nqfu;k esa ,d gh loZJs"B f’k’kq gS] vkSj og gj ekW ds ikl gS !! ” **vkSj gj ekW ds bl loZJs"B ,oa vf}rh; f’k’kq dks 'kkjhfjd ,oa ekufld :i ls LoLF; j[kus dh uSfrd ftEesnkjh LokLF; foHkkx dh gSA**

  5. Rashtriya Bal SwasthyaKaryakram (RBSK) is a new initiative aimed at screening of children from 0 to 18 years for 4 Ds - Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities. • Children diagnosed & treated with illnesses shall receive follow up including surgeries at tertiary level, free of cost under NHM. OBJECTIVE OF RBSK

  6. RBSK Concept of 4D Delays Defects Deficiency Diseases

  7. Defect at Birth • Out of every 100 babies born 6 to 7 have Defect at Birth. • In India estimate about 1.7 million babies born with Birth Defects annually. • Congenital Malformation were the 2nd most commonest cause 9.9% of Mortality among still birth.

  8. Deficiency • Various nutritional deficiencies affecting the preschool children range from 4 percent to 70 percent. • Disease • Prevalence of Dental carries (50%-60% ), Rh.H.D. is reported (1.5/1000 ) in age group of 5-9 years and reactive Airway Disease ( 4.75%) are very common diseases in children

  9. Developmental Delay and disabilities • Developmental delays are common in early childhood affecting 10% of the children. • SNCU REPORTS • Special New born care units Technical reports have reported that approximate 20% Babies discharge from health facilities are found to Suffer from developmental delay or disabilities at later age.

  10. 30 health conditions for child health screening and early intervention services

  11. District Early Intervention Clinic 'kh?kz&igpku]'kh?kzgLr{ksi Intervention Critical Period (0-8 Years approx.) Well being Identification Pediatrician Psychiatrist Psychologist Ophthalmologist Audiometric Physiotherapist Counselor

  12. “It’s not a drug, it’s not a vaccine, and it’s not a device. It is a group of therapists working together, solving problems and enhancing capabilities” District Early Intervention Center (DEIC)(A novel concept for Early Childhood Intervention)

  13. Role of Accredited Hospital under RBSK Agenda - 2

  14. Accredited Hospital should follow the treatment protocol for identified child. • Hospital should perform surgery under costing package. • To ensure proper follow up of treated child as per guideline. • Proper coordination between state /division and district level. • Hospital get permission from state for accreditation. • Hospital should be NABH entrance level certification.

  15. Agenda- 3 ORDERS RELEASED BY State Government under RBSK MP

  16. ;kstuk ds varxZr ik= fgrxzkgh %& • 5 o"kZ rd vk;q ds Jo.k ckf/kr fpgkafdr leLr cPps ;kstukarxZr ik= fgrxzkgh gksaxsA • fo'ks"k ifjfLFkfr;ksa esa fo'ks"kK fpfdRld }kjk fn, er mijkar 7 o"kZ rd ds Jo.k ckf/kr cPps ;kstukarxZr ik= fgrxzkgh gksaxsA • cPps ds vfHkHkkod dks izns'k dk ewy fuoklh gksuk vfuok;Z gSA • Jo.k cf/kr fpagkfdr cPpksa dks loZizFkeHearing Aid vko';d :i ls N% ekg rd iznku djsa rRi'pkr iqu% ijh{k.k djkosa dh Hearing Aid ls Jo.k esa lq/kkj gqvk gS vFkok ugha] lq/kkj u gksus ij gh dkWfDy;j bEIykUV djk;k tkosA

  17. eq[;ea=h cky Jo.k ;kstuk ds varxZr mipkj gsrq ik= fpfdRlk laLFkku dkWfDy;j bEIykUV ds fy, fuEuekU;rk izkIr fpfdRlky; esa ;kstukarxZr mipkj iznku fd;k tk ldrk gS %& • vjfcanks esfMdy dkWyst ,oa fpfdRlky;] bankSj • fpjk;q esfMdy dkWyst Hkksiky • ,y-,u-esfMdy dkWyst ,oa ts-ds-gkfLiVy Hkksiky • fnO; ,Mokla bZ-,u-Vh-Dyhfud] Hkksiky • ,El lkdsr uxj Hkksiky • ih-Mh-fgUnqtk us'kuy gkfLiVy] eqEcbZ • yhykorh gkWfLiVy] eqEcbZ • tkenkj gkWfLiVy izkbZosV fyfeVsM] tcyiqj

  18. jklsUnz eseksfj;y ukgj bZ-,u-Vh- gkWfLiVy lruk • fiiqYl gkWfLiVy Hkksiky • gtsyk fpfdRlky] dksVjk Hkksiky • dsfj;j baLVhV~;wV vkWQ esfMdy lkbalsl] Hkksiky • ch-vkbZ-,e-vkj- gkWfLiVy Xokfy;j jslhMsalh] Xokfy;j • vkdk’k gkWfLiVy ,oa MkbXuksfll gsYFk lsaVj bankSj • ’;ke ’kkg esfMdy dkWyst jhok • vf[ky Hkkjrh; vk;qfoZKku laLFkku ¼,El½] ubZ fnYyh • dkWfDy;j bEIykUV ds fy;s ADIPls ekU;rk izkIr gksuk vko’;d gSALohd`frjkT; ’kklu }kjk iznk; dh tkosxhA

  19. ’krsZa %& • ekU;rk izkIr fpfdRlky; dkWfDy;j bEIykaV ekWMy dkWfLVax iSdst vuqlkj jkf’k :- 5-20 yk[k :i;s esa laikfnr djsaxsA • bl jkf’k esa cPpksa ds fpgkadu dk O;; Hkh lfEEkfyr gSA • cPpksa ds ftyk Lrj ij fpgkadu ds fy;s ;fn dksbZ fpfdRlky; dSEi vk;ksftr djrk gS rks cPpksa dh leLr tkap fu%’kqYd djsxk] tkap gsrq i`Fkd ls dksbZ jkf’k ns; ugha gksxhA • lacaf/kr fpfdRlky; dks cPpsa ds mipkj ds le; ejht ds lkFk jgus okys ,d O;fDr dks fu%’kqYd vkokl ,oa Hkkstu dh O;oLFkk miyC/k djkuh gksxhA • ekU;rk izkIr fpfdRlky; ejht ds fMLpktZ mijkar ,d ekg rd leLr vkS"k/kh fu%’kqYd miyC/k djk;sxkA

  20. fpfdRlky; cPps ds HkrhZ gksus ij mipkj ds le; gksus okyh leLr tkaps fu%’kqYd miyC/k djk;sxkA • fpfdRlky; dkWfDy;j bEIykaV USFDAekU;rk izkIr fuekZrk dk Ø; dk yxk;sxsa rFkk bEIykaV dk uEcj fMLpktZ fVdV ,oa ns;dksa ij vfuok;Zr% vafdr djuk gksxkA • fpfdRlky; dks mi;ksfxrk izek.k&i= jkf’k miyC/k gksus ds ,d ekg ds vanj lacaf/kr eq[; fpfdRlk ,oa LokLF; vf/kdkjh dks vfuok;Zr% Hkstk tkuk gksxkA • mi;ksfxrk izek.k&i= esa ;g Hkh vafdr djuk gksxk fd fpfdRlky; }kjk ejht ls dksbZ Hkh vfrfjDr jkf’k tkap ;k vkS"k/kh gsrq ugha yh xbZA • ¼mi;ksfxrk izek.k i= layXu½

  21. fpgkafdr cPpksa dks dkWfDy;j bEIykaV dh Lohd`fr laHkkxh; la;qDr lapkyd }kjk tkjh dh tkosxhA • fpfdRlky; cPpksa dks fpgkafdr dj ftys ds eq[; fpfdRlk ,ao LokLF; vf/kdkjh ds ikl Hkstsxsa] eq[; fpfdRlk ,oa LokLF; vf/kdkjh izdj.k rS;kj dj laHkkxh; la;qDr lapkyd dks izsf"kr djsaxs] la;qDr lapkyd ekg esa nks ckj fefVax vk;ksftr dj dkWfDy;j bEiykaV dh Lohd`fr iznku djsaxsA • ftl fpfdRlky; }kjk izkDdyu fn;k x;k gS ;k cPps dks fpgkafdr fd;k x;k gS mlh fpfdRlky; dks bEIykaV gsrq Lohd`fr tkjh dh tkosxh] dsoy ifjtuksa ds euk djus ij blesa ifjorZu fd;k tk ldrk gSA • laHkkxh; la;qDr lapkyd ls Lohd`fr izkIr gksus ij eq[; fpfdRlk ,oa LokLF; vf/kdkjh ,d lIrkg esa cPps dks bEIykaV gsrq HkstsaxsA

  22. QkWyksvi %& • bEIykaV ds 3 ls 4 lIrkg esa cPps dk Qkyksvi fd;k tkosxk ;g Qkyksvi ,u-vkj-Vh-¼U;wjy fjLikal VsfyfeVªh½ gsrq gksxk blesa bEIykaV dks fØ;k’khy fd;k tkrk gSA • blds ckn cPpsa dk QkWyksvi%& • izFke ekg & izfr lIrkg • f}rh; ekg ls 6 ekg rd & ekg esa ,d ckj • 6 ekg ds ckn & 2 ekg esa ,d ckj U;wure 12 Qkyksvi • fpfdRlky; cPpksa ds vfHkHkkodksa dks ?kj ij Fksjsih gsrw xkbM+ykbu ¼ekxZnf’kZdk½ Hkh miyC/k djk;sxs rkfd cPpksa ds vfHkHkkod ?kj ij cPpksa dks fu;fer Fksjsih iznku dj ldsaA

  23. ;kstuk ds varxZr ik= fgrxzkgh %&0 ls 18 o"kZ ds fpgkafdr leLr cPps ;kstuk ds varxZr ik= fgrxzkgh gksaxsA cPps ds vfHkHkkod dks izns'k dk ewy fuoklh gksuk vfuok;Z gSA • ;kstuk ds varxZr mipkj gsrq ik= laLFkku %& • Izkns’k ,oa ns’k ds leLr ’kkldh; fpfdRlk egkfo?kky;A • jkT; Lrj ls ekU;rk izkIr fpfdRlky; • izns’k ds ckgj ds ,u-,-ch-,p- ekU;rk izkIr fpfdRlky; ftudh ekU;rk jk"Vªh; LokLF; fe’ku }kjk tkjh dh xbZ gSA • izns’k ds ckgj ds ,u-,-ch-,p- ekU;rk izkIr fpfdRlky; ftudh ekU;rk jkT; Lrj ls tkjh dh xbZ gSA

  24. 'krZ %& • ekU;rk izkIr fpfdRlky; vkj-ch-,l-ds- izksfltj dksM esa fu/kkZfjr ekWMy dkWfLVax iSdst vuqlkj ejhtksa dk mipkj djsaxsA • ekU;rk izkIr fpfdRlky; ftyk Lrj ij fu%’kqYd dSEi vk;ksftr dj cPpksa dh fu%’kqYd tkap djsxkA tkap gsrq i`Fkd ls fdlh Hkh fpfdRlky; dks dksbZ jkf'k ns; ugha gksxhA • ekU;rk izkIr fpfdRlky; ;fn ftyk Lrj ij dSEi vk;ksftr dj cPpksa dk fpgkadu djrk gS rks dSEi esa vkus okys cPpksa ,oa musd lkFk vkus okys ,d ifjtu dks fu%’kqYd Hkkstu O;oLFkk miyC/k djkosxkA • ;fn cPps dks ,d ls vf/kd ân; jksx gS rks ,sls cPpksa ds iw.kZ mipkj dk izkDdyu lacaf/kr fpfdRlky; dks nsuk gksxkA izkadyu esa ,d ls vf/kd lHkh ân; jksx dk mYys[k djrs gq;s izkdayu izLrqr djuk gksxk rFkk leLr ltZjh lacaf/kr fpfdRlky; dks djuh gksxhA

  25. 'krZ %& • fpgkafdr ejht ds HkrhZ gksus ij ejht ds lkFk jgus okys ,d ejht dks vkokl ,oa Hkkstu dh O;oLFkk lacaf/kr fpfdRlky; dks fu%’kqYd djuh gksxhA • lacaf/kr fpfdRlky; dks ejht ds LVs’ku ls fpfdRlky; ,oa fMLpktZ mijkar fpfdRlky; ls LVs’ku rd vkus&tkus dh O;oLFkk miyC/k djkuh gksxhA • HkrhZ ds le; leLr tkap fu%’kqYd gksxh lkFk gh ;fn ejht dks jDr dh vko’;drk gS rks og Hkh fu%’kqYd fpfdRlky; }kjk miyC/k djkuk gksxkA

  26. fMLpktZ mijkar 3 ekg rd vkS"k/kh lacaf/kr ejht dks fu%’kqYd miyC/k djkuh gksxh rFkk leLr Qkyksvi fu%’kqYd djkus gksaxsA • fpfdRlky; fu/kkZfjr dkWfLVax iSdst ds vfrfjDRk vU; dksbZ jkf’k lacaf/kr ejht ls ugha ysxkA • lacaf/kr fpfdRlky; dks mi;ksfxrk izek.k&i= jkf’k miyC/k gksus ds ,d ekg esa tek djuk vfuok;Z gksxkA mi;ksfxrk izek.k i= ds lkFk fpfdRlky; dks ;g Hkh vafdr djuk gksxk fd muds }kjk ejht ls dksbZ vfrfjDr jkf’k ugha yh xbZA • mi;ksfxrk izek.k&i= ds lkFk vko’;d nLrkost Hkh lacaf/kr fpfdRlky; dks izLrqr djus gksaxs tks dkWfLVax iSdst ds lkFk mYysf[kr gSA • ejht dh Lohd`fr ftyk Lrj ls tkjh dh tkosxhA blds fy;s eq[; fpfdRlk ,oa LokLF; vf/kdkjh dh v/;{krk esa ,d lfefr xfBr dh tk pqdh gSA tks ejht ds izdj.k Lohd`r dj lacaf/kr ekU;rk izkIr fpfdRlky; dks HkstsaxsA

  27. e/;izns'k 'kklu yksd LokLF; ,oa ifjokj dY;k.k foHkkx ea=ky; vkns'k Hkksiky] fnukad 27 ebZ] 2016 Øa- ,Q 9&02@2016@l=g@esfM&3 %% jk"Vªh; LokLF; fe'ku }kjk lapkfyr jk"Vªh; cky LokLF; dk;ZØe ds varxZr eksckbZy gsYFk Vhe }kjk 0 ls 18 o"kZ ds leLr cPpksa dks LØhfuax dj 4-D ds /kukRed ik, tkus ij mUgsa fu%'kqYd mipkj iznku fd;k tkuk gSA tUetkr fod`fr ,oa vU; fpgkafdr chekjh gsrq fpagkafdr ekU;rk izkIr fpfdRlky;ksa easa tgka budk mipkj laHko gSA Hkkjr 'kklu }kjk fpgkafdr chekjh gsrq izkslhtj dksM vuqlkj ekWMy dkWfLVax iSdst fu/kkZfjr fd;k x;k gSA ân; jksx ,oa Jo.k ckf/kr cPPkksa dk mipkj eq[;ea=h cky ân; ;kstuk ,oa eq[;ea=h cky Jo.k ;kstuk ds varxZr gh fn, x, funsZ'kkuqlkj djk;k tkuk gSA 'ks"k chekjh ds fpgkafdr cPPkksa ds mipkj gsrq fuEukuqlkj funsZ'k tkjh fd, tkrs gSa %&

  28. ik=rk %& • 0 ls 18 o"kZ ds fpgkafdr leLr cPps bl ;kstuk ds varxZr ik= fgrxzkgh gksaxsA ftudh chekjh gsrq izkslhtj dksM vuqlkj ekWMy dkWfLVax iSdst esa jkf'k Lohd`r gSA blds vfrfjDr dksbZ jkf'k ns; ugha gksxhA

  29. ;kstuk ds varxZr mipkj gsrq ik= laLFkku %& • izns'k ,oa ns'k ds leLr 'kkldh; fpfdRlk egkfo|ky;A • jkT; Lrj ls izns'k ds ekU;rk izkIr fpfdRlky;A • izns'k ds ckgj ds ,u-,-ch-,p- ekU;rk izkIr fpfdRlky; ftudh ekU;rk jk"Vªh; LokLF; fe'ku }kjk tkjh dh xbZ gSA • izns'k ds ckgj ,u-,-ch-,p- ekU;rk izkIr fpfdRlky; ftudh ekU;rk jkT; Lrj ls tkjh dh xbZ gSA • fodkl[k.M Lrj ij nar fpfdRlk mipkj gsrq eq[; fpfdRlk ,oa LokLF; vf/kdkjh }kjk izsf"kr vuq'kalk ij ,u-,p-,e- }kjk ftu fpfdRlky;ks dh Lohd`fr tkjh dh xbZ gksA • izns'k ds leLr ftyk fpfdRlky;A

  30. 'krZ %& • eq[;ea=h cky ân; mipkj ;kstuk dh leLr ’krZ ekU; gksxhA • dkWfLVax iSdst ds varxZr mipkj gsrw Lohd`fr dh ekU;rk ’kklu Lrj ls izkIr dh tkuk gksxhA • futh fpfdRlky; ekU;rk • jkT; ’kklu }kjk fpfdRlky; dks ftl mipkj gsrw ekU;rk iznku dh xbZ gSA og ml mipkj gsrw vf/kd`r gksxsA mlds vfrfjDr vU; dksbZ mipkj gsrw fpfdRlky; vf/kd`r ugh gksxsA

  31. Agenda - 4 Surgery costing package under RBSK

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