Success-Stories-on-Health-Sector

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
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