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triPura evaluation anD treatMent of birth Defects through caMP aPProach unDer rbsk 46 | MAkING A Difference : Good, Replicable and Innovative Practices
During April to November 2014 (09 month) total 92,482 children were screened from rural Tripura and out of that 23.14% were found with some minor or major health problem ProbleM stateMent Tripura is a small State of India located in North Eastern Zone; its 65% of total area is hilly terrain & 03 sides of the State is having international boundary with Bangladesh and remaining with Mizoram and Assam. The State is connected with the rest of India by only one National Highway. Health service of the State is totally depends on government sector. Tertiary care of Government setup is available in 02 Medical College and 01 State Hospital. Private health institutions are very negligible; only one hospital is functional. State has a better Primary health setup, where Institutional delivery is 86% (HMIS-2014) and Infant Mortality Rate (IMR) is 26. On an average 12,000 children are being screened every month throughout the State. Therefore, burden of curative services has increased day by day. In Tripura tertiary care facility is very limited either in government or private sector. In absence of adequate tertiary care services to identified cases, State National Health Mission (NHM) decided to opt for camp approach of service provision under RBSk in collaboration with Nationally recognised service providers for specialist treatment. PrograMMe DescriPtion Child health screening under Rashtriya Bal Swasthya Karyakram (RBSK) was started in Tripura from April 2014 through 12 Mobile Health teams covering all 08 districts. Camp approach under RBSk initially began in November’2014 with Cleft Lip and Palate Operation camp at Tripura Medical College & Hospital, Agartala. PrograMMe outcoMes To provide surgical intervention partnership was done with ‘Tripura Medical College’ for infrastructure and logistic and ‘Operation Smile’ for specialist service provider. Partner NGOs has support this camp voluntarily. 42 children were identified as cases of cleft lip& palate. During last ten month RBSK team identified 59 cases with CHD. A total 61 cases were evaluated free of cost, out of which 29 cases were suggested for surgical procedure. Nearly 50 clubfoot cases were identified in last ten months. A camp was organised at Agartala Government Medical College (AGMC) in partnership with Cure International. Similarly 61 children were identified as cases of congenital cataract & Retinopathy of Prematurity at a camp organized for the same. During April to November 2014 (09 month) total 92,482 children were screened from rural Tripura and out of that 23.14% were found with some minor or major health problem. iMPleMenting Partner Different local and National Level NGOs. scalability According to the prevalence rate there is large number of child with different birth defect is in the community, this is RBSK which make an opportunity to find out all these children for treatment. Camp based approach is a small initiative; which reduce at burden of large number of backlog, and so far has been a successful approach. conclusions/lessons learnt Camp based approach under RBSk has made a practical understanding of the expectation of the stake holders and community about RBSK programme. This approach of service provision has also helped in generating community awareness, capacity development of service providers and willingness on effective and efficient functioning of RBSk in the coming days and necessity of setting-up of DEIC in every district at the earliest. Contact Mission Director, NHM, Govt. of Tripura Email: shfws_tripura@yahoo.co.in State Facilitator, NHM Tripura 47
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