Dastak Abhiyan to identify kids’ diseases till July end

Bhopal. The Dastak Abhiyan has been launched for mass expansion of health and nutrition services in view of the major causes of child mortality rate in the state. This campaign is being implemented in the whole state with the support of Health and Women and Child Development Department. Under this campaign, a joint team of ASHA, NNM and anganwadi workers will visit families with children under 5 years on July 31.

The aim of the Dastak Abhiyan is quick management through active identification of major disorders in children below the age of five at the community level, thereby reducing the desired reduction in child mortality rate. Special emphasis has been given on evolution based strategy for the extension of health and nutrition services by the government. According to SRS-2016, the death rate among children below five years in the state is 55 per 1000 live births. The main reasons behind these are child diarrhea, pneumonia besides underlying causes like malnutrition and anaemia.

It is noteworthy that 68.9 percent of children in the state are anaemic and 9.2 percent of the children are severely malnourished. It is possible to reduce the child mortality rate by approximately 22 percent by adequate breastfeeding. Despite 81 percent of women taking advantage of institutional delivery in the state, only 35 percent newborn babies get the benefit of the mother’s first thick yellow milk.

Among the main activities of the campaign are management and referral after identiying sick newborns and children, management and referral after prompt identification of infant and child pneumonia, advise on ORS and zinc related information and providing ORS in every house to control child diarrhoea, referral and management after active identification of seriously malnourished children, active screening and management of severe anaemia in children up in the age group of 6 months to 5 years, identification of congenital malformation in children, vitamin-A supplements to all children between nine months to 5 years, taking information of immunisation status of children and part-immunisation during meeting at home, promotion of infant and child feeding behaviour, screening of sickness and follow-up of sick children discharged from SNCU and NRC and collecting information of child deaths in the last 6 months.

The Dastak team will identify children suffering from severe malnutrition, severe illness, severe anaemia, diarrhoea and pneumonia by making community access to all 5-year-old children of the state. In addition, they will also advise people on promoting infant and child feeding practices, hand washing, demonstration to teach method of making ORS and care of underweight children. During the campaign sick children will be treated besides management of severely malnourished children, blood transfusion in severely anaemic children and prevention of diarrhea and pneumonia will also be undertaken. For this, Dastak monitoring tool has been developed by the department.

So far 1 crore 2 lakh 55 thousand 435 children have undergone active screening in the first phase of Dastak Abhiyan 2018-19. During the last phase of the campaign, 63.40 lakh children were screened, out of which 8 thousand 883 severely malnourished children with medical complications were treated after being admitted in the Nutrition Rehabilitation Centre. As many as 1206 children with severe anaemia were given blood transfusion, 1213 children suffering from severe pneumonia and 1412 children suffering from diarrhea were treated. During the campaign, at least 53.66 lakh children in the age group of 9 months to 5 years were administered Vitamin-A dose. Families of 25.58 lakh children were advised on infant and child nutrition, hand washing, diarrhoea management etc.