National Health Mission Tamil Nadu, Department of Health & Family Welfare Govt. of Tamil Nadu, India

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National Health Mission – Tamil Nadu

Department of Health & Family Welfare Govt. of Tamil Nadu, India

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Child Health Programme

Rashtriya Bal Swasthya Karyakram (RBSK)

Rashtriya Bal Swasthya Karyakram (RBSK) focuses on improving the quality of life and survival outcomes of children through early identification and management of health conditions. The programme addresses 30 health conditions grouped under the 4Ds – Defects at Birth, Diseases, Deficiencies and Developmental Delays including Disabilities for children from birth to 18 years of age.
30
Health Conditions Covered Under RBSK
RBSK Health Services
RBSK is one of India’s largest child health screening initiatives, ensuring early identification, referral and management of birth defects, developmental delays, deficiencies and diseases through a comprehensive screening network across Tamil Nadu.

Focus Areas – The 4Ds

Defects at Birth

Early detection of congenital anomalies and birth defects.

Diseases

Screening for childhood diseases requiring timely intervention.

Deficiencies

Identification and management of nutritional deficiencies.

Developmental Delays & Disabilities

Early detection and intervention for developmental challenges.

Programme Coverage

808 Total RBSK Teams
770 Rural Mobile Teams
16 Greater Chennai Corporation Teams
22 Other Urban Area Teams

Programme Components

Facility Based Newborn Screening (0–48 Hours)

Birth defect screening is conducted at all delivery points by Medical Officers before 48 hours after birth. Children identified with defects are referred for necessary treatment and intervention at zero cost to the family.

Community Based Newborn Screening (0–6 Weeks)

Village Health Nurses, Urban Health Nurses and ASHAs conduct screening visits at home under the HBNC package. Mothers and caregivers are mobilized to Anganwadi Centres for further screening by RBSK Mobile Health Teams. PICME data is integrated with ICDS applications to track SNCU discharged and low birth weight babies.

Screening of Children (6 Weeks – 6 Years)

Biannual screening is conducted at Anganwadi Centres. The ICDS database covering approximately 37 lakh children is linked with the NALAM App for tracking children under five years. Screening is conducted using 40 predefined questions and children identified with 4Ds are referred to DEICs.

School Health Screening (6 – 18 Years)

  • Annual screening in Government and Government-aided schools
  • The EMIS database covering approximately 67 lakh children is linked with the NALAM App
  • Screening by RBSK Mobile Teams using the NALAM App
  • Treatment at camp site
  • Referral of identified children to DEICs

Digital Innovations

PICME Integration

Tracking SNCU discharged and low birth weight babies.

NALAM App

Digital screening and follow-up for children under RBSK.

ICDS Linkage

Integration with Anganwadi child databases.

EMIS Portal

School student database covering approximately 67 lakh children.

District Early Intervention Centres (DEIC)

Children identified with health conditions under RBSK are referred to District Early Intervention Centres (DEICs) for diagnosis, therapy and comprehensive management through multidisciplinary teams.
39 Total DEIC Centres
32 Medical College Hospital Centres
7 District Headquarters Hospital Centres
DEIC services include:
  • Medical Therapy
  • Physiotherapy
  • Psychological Therapy
  • Vision Therapy
  • Hearing Therapy
  • Dental Care
  • Nutritional Therapy
  • Behavioural Therapy

Free Treatment Support

Children diagnosed with major conditions receive free surgical treatment under the Chief Minister Comprehensive Health Insurance Scheme (CMCHIS).
Congenital Heart Disease
Cleft Lip & Palate
Rheumatic Heart Disease
Congenital Deafness
Congenital Cataract
Clubfoot
Neural Tube Defects

Recognition & Awards

Tamil Nadu received the Best Convergent Mechanisms Award from the Ministry of Health & Family Welfare, Government of India for effective implementation of the RBSK Programme along with the School Health and Wellness Ambassador Programme during 2022–2023.

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