Child Health & Immunization Programme

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CHILD HEALTH & IMMUNIZATION PROGRAMME

The Comprehensive Screening and Early interventions for defects at birth , diseases and deficiencies among children and adolescents are covered under the various schemes and programmes for Child health Tracking/Interventions and Monitoring. In order to reduce the prevalence of anaemia among children, all children between the ages of months to 5 years must receive iron and folic acid tablets or syrup (IFA) (as appropriate) for 100 days in a year as a preventive measure.

Taking cognizance of ground realities, a policy decision has been to provide bi-weekly iron and folic acid supplementation for preschool children of 6 months to 5 years as part of the National Iron + initiative. ASHAs will be incentivised to make home visits and to provide at least one dose per week under direct observation and educate the mothers about benefits of iron supplements and also how to administer it. In addition, there is a provision for

(1) weekly supplementation of iron and folic acid for children from 1st to 5th grades in government and government-aided schools

(2) weekly supplementation for ‘out of school’ children (6–10 years) at Anganwadi Centres.

The Line listing of babies born with low birth weight must be maintained by the frontline workers (ANMs and ASHAs) and their follow up should be ensured so that mothers are supported for optimum feeding and child care practices, and growth faltering is detected early on before it progresses to a more serious condition of moderate or severe under-nutrition.

RASTRIYA BAL SWASTHYA KARYAKRAM(RBSK)

The ‘Child Health Screening and Early Intervention Services’ Programme under National Rural Health Mission initiated by the Ministry of Health and Family Welfare, therefore, aims at early detection and management of the 4Ds prevalent in children.

These are

Defects at birth
Diseases in children
Deficiencies
Developmental Delays including Disabilities.
Target Group

The services aim to cover all children of 0-6 years of age group in rural areas and urban slums, in addition to older children upto 18 years of age enrolled in classes 1st to 12th in Government and Government aided schools.

Target Group under Child Health Screening and Intervention Services

Categories	Age group
District Early Intervention Centre(Babies born at public health facilities and home)	Birth to 6 weeks
Anganwadi Health Programme(Preschool children in rural areas and urban slums)	6 weeks to 6 years
School Health Programme(Children enrolled in classes 1st to 12th in Government and Government aided schools)	6 to 18 years

1. School Health Programme

As per the Programme Schedule of School Health, the target number of students from 1st to 12th std is 79074 of all 345 schools in the year 2015-2016. Screening of general health, assessment and follow-up of anemia/nutritional status, visual acuity, hearing problems, dental checkup, common skin conditions, heart defects, physical disabilities, learning disorders, behavior problems etc. is done during the school visit.

Goal

Central resource to communities.
Increase access to healthcare for all Dadra & Nagar Haveli children.
Ensure infrastructure to support schools.
Increase collaboration and partnerships.
Expand reporting effectiveness.
Decrease the dropout rates

Objective

Promotion of positive health of School Children.
Prevention of diseases.
Early diagnosis/treatment/follow up/ referral.
Awakening of health consciousness.
To engage the children in physical exercise.
To enhance the communication skills of teachers on health.
To enlighten District level and Block level officials and School Heads on health issues.
To provide a platform for practicing healthy habits.
To help teachers integrate Health Education components in all the subjects.
First time detail checkup and second time follow up and examination of the absentees.
To monitor changes in disease level and patterns of diseases of oral mucosa, periodontal diseases and dental caries.
To provide comprehensive management of oral diseases both curative and preventive.

Diagnostic check up by the medical team at school level consisting of Pediatrician, Ophthalmologist, Dermatologist, ENT Surgeon, Dental Surgeons and Medical Officers with all the Paramedical Staff. The Development Centre would consist of Speech Therapy, Occupational therapy, special Education, Counseling, Early Intervention program and Home program for child development.

2. Anganwadi Health Programme

The target group under Anganwadi Health consist from 6 weeks to 6 months. All health screening is done by the Mobile Health Teams twice in a year. The teams consist of Medical Officers, Pharmacist & Staff Nurse.

3. District Early Intervention Centre

The DEIC is the hub of all RBSK activities will act as a clearing house and also provide referral linkages. It will be the referral point for further investigations, treatment and appropriate management and will also provide referral support to children detected with health conditions during screening, primarily for children up to 6 years of age. Tertiary care centres will also be involved in the management of complicated cases requiring high end medical care and treatment and for surgical interventions.