Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India
Introduction The Rashtriya Bal Swasthya Karyakram of the Government of India subsumes the existing school health program to provide care and treatment to children below 18 years through screening and early interventions. Benefitting an estimated 270 million children for 30 preidentified conditions i...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-10-01
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| Series: | Annals of the National Academy of Medical Sciences (India) |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739032 |
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| author | Niraj Kumar Nitin Kumar Joshi Yogesh Kumar Jain Kuldeep Singh Pankaj Bhardwaj Praveen Suthar Balwant Manda Ravi Kirti |
| author_facet | Niraj Kumar Nitin Kumar Joshi Yogesh Kumar Jain Kuldeep Singh Pankaj Bhardwaj Praveen Suthar Balwant Manda Ravi Kirti |
| author_sort | Niraj Kumar |
| collection | DOAJ |
| description | Introduction The Rashtriya Bal Swasthya Karyakram of the Government of India subsumes the existing school health program to provide care and treatment to children below 18 years through screening and early interventions. Benefitting an estimated 270 million children for 30 preidentified conditions is a step toward “health for all.” Although the program is running since 2013, due to paucity of studies particularly in Thar desert region and its associated challenges, this study was planned to assess challenges and good practices in the implementation of RBSK in Jodhpur.
Objectives To assess the challenges, barriers, and good practices in the implementation of RBSK among the mobile health team (MHT) in Jodhpur, Rajasthan.
Methods A community based descriptive cross-sectional study in all 11 medical blocks of Jodhpur district, with purposive sampling to invite all members of MHT to participate in the study as grassroot workers was planned. A pretested, semistructured questionnaire was processed using SPSS for quantitative component and in-depth interviews were reported using qualifiers for qualitative observations.
Results As much as 74.1% (n = 40) of the staff perceived the trainings to be sufficient for daily work needs but needed more sessions for birth defects (33.3%) and development delays (29.6%). As much as 96.3% (n = 52) of the staff considered salaries to be low and 55.5% were dissatisfied with the jobs. However, 70.4% found targets to be achievable and 76% found the work environment helpful. Taboos and superstitions in community, harsh climate, dual workload on pharmacists as data operators, and noninclusion of AYUSH medicines for AYUSH medical officers (MOs) were few of the challenges, while good practices such as fully equipped MHTs, readily available vehicles, information education communication (IEC) materials, and treatment coverage under Bhamashah Bima Yojana (BSBY) were also observed.
Conclusion Many good practices were observed during the study which can be adopted by other states for better implementations elsewhere. Certain challenges such as belief in quackery, superstitions and taboos could be minimized by conducting rapport-building meetings with community stakeholders. Feedback and regular trainings of MHT staff can further increase the success manifold. |
| first_indexed | 2024-12-22T21:09:03Z |
| format | Article |
| id | doaj.art-dd00607835b246b88d50da70b45ecc9d |
| institution | Directory Open Access Journal |
| issn | 0379-038X 2454-5635 |
| language | English |
| last_indexed | 2024-12-22T21:09:03Z |
| publishDate | 2021-10-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Annals of the National Academy of Medical Sciences (India) |
| spelling | doaj.art-dd00607835b246b88d50da70b45ecc9d2022-12-21T18:12:35ZengThieme Medical and Scientific Publishers Pvt. Ltd.Annals of the National Academy of Medical Sciences (India)0379-038X2454-56352021-10-01570423724310.1055/s-0041-1739032Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, IndiaNiraj Kumar0Nitin Kumar Joshi1Yogesh Kumar Jain2Kuldeep Singh3Pankaj Bhardwaj4Praveen Suthar5Balwant Manda6Ravi Kirti7School of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaSchool of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaSchool of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaSchool of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaDepartment of Community Medicine and Family Medicine, School of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaSchool of Public Health, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaChief Medical and Health Officer, Jodhpur, Rajasthan, IndiaDistrict Early Intervention Centers, Rashtriya Bal Swasthya Karyakram, Jodhpur, Rajasthan, IndiaIntroduction The Rashtriya Bal Swasthya Karyakram of the Government of India subsumes the existing school health program to provide care and treatment to children below 18 years through screening and early interventions. Benefitting an estimated 270 million children for 30 preidentified conditions is a step toward “health for all.” Although the program is running since 2013, due to paucity of studies particularly in Thar desert region and its associated challenges, this study was planned to assess challenges and good practices in the implementation of RBSK in Jodhpur. Objectives To assess the challenges, barriers, and good practices in the implementation of RBSK among the mobile health team (MHT) in Jodhpur, Rajasthan. Methods A community based descriptive cross-sectional study in all 11 medical blocks of Jodhpur district, with purposive sampling to invite all members of MHT to participate in the study as grassroot workers was planned. A pretested, semistructured questionnaire was processed using SPSS for quantitative component and in-depth interviews were reported using qualifiers for qualitative observations. Results As much as 74.1% (n = 40) of the staff perceived the trainings to be sufficient for daily work needs but needed more sessions for birth defects (33.3%) and development delays (29.6%). As much as 96.3% (n = 52) of the staff considered salaries to be low and 55.5% were dissatisfied with the jobs. However, 70.4% found targets to be achievable and 76% found the work environment helpful. Taboos and superstitions in community, harsh climate, dual workload on pharmacists as data operators, and noninclusion of AYUSH medicines for AYUSH medical officers (MOs) were few of the challenges, while good practices such as fully equipped MHTs, readily available vehicles, information education communication (IEC) materials, and treatment coverage under Bhamashah Bima Yojana (BSBY) were also observed. Conclusion Many good practices were observed during the study which can be adopted by other states for better implementations elsewhere. Certain challenges such as belief in quackery, superstitions and taboos could be minimized by conducting rapport-building meetings with community stakeholders. Feedback and regular trainings of MHT staff can further increase the success manifold.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739032rbskchallengesbarriersimplementationrajasthan |
| spellingShingle | Niraj Kumar Nitin Kumar Joshi Yogesh Kumar Jain Kuldeep Singh Pankaj Bhardwaj Praveen Suthar Balwant Manda Ravi Kirti Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India Annals of the National Academy of Medical Sciences (India) rbsk challenges barriers implementation rajasthan |
| title | Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India |
| title_full | Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India |
| title_fullStr | Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India |
| title_full_unstemmed | Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India |
| title_short | Challenges, Barriers, and Good Practices in the Implementation of Rashtriya Bal Swasthya Karyakram in Jodhpur, India |
| title_sort | challenges barriers and good practices in the implementation of rashtriya bal swasthya karyakram in jodhpur india |
| topic | rbsk challenges barriers implementation rajasthan |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739032 |
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