Transcript nishant samarpan Eng - Department of Health & Family Welfare
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
A journey of a thousand miles must begin with a single step.
Lao-tzu (604-531 BC)
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Samarpan
Samarpan is a
suo motu
attempt of reaching out to community for early identification of developmental delay or symptom of disability in U5 children by their
en masse
screening and subsequent treatment & rehabilitation .
Samarpan-Genesis
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Critical Period of Development
Samarpan- Why?
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique There is only one perfect child, and every mother has one !
nqfu;k esa ,d gh loZJs"B f’k’kq gS] vkSj og gj ekW ds ikl gS
!
D;ksfda gj f’k’kq vf}rh; gaS
Samarpan Journey so far…
Because every child is unique
1.Conceptualization 2.Changing name of DDRC to Samarpan
Samarpan Journey so far…
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
3.National Level workshop in Hoshangabad for developing blue print for Samarpan Participants:
NIMH Secunderabad NIMHANS B’lore NIVH Dehradun NIOH Kolkata National Trust CRC Leading Experts.
D;ksfda gj f’k’kq vf}rh; gaS
Samarpan - Journey so far…
Because every child is unique
4.Inputs from Dr Arun Singh, formerly IPGMER,Kolkotta.
5.Evolving a Convergence model
Samarpan -
D;ksfda gj f’k’kq vf}rh; gaS
Journey so far…
Because every child is unique
6.Strengthening of Human resources,Infrastructure and Procurement of equipment .
7.Development of training literature and adaptation of Samarpan screening test (SST).
8.Capacity building of associated departments and AWWs/ASHAs & IEC
D;ksfda gj f’k’kq vf}rh; gaS
Samarpan - Journey so far… Because every child is unique
Samarpan Journey so far…
• Application of SST on all U5 children enrolled in AWCs
• Blue print of logistics man & machine
Samarpan Journey so far…
9
.
Comprehensive Interventions by adopting multi disciplinary approach
Samarpan-
Journey so far
…
10.Monitoring & follow up by using IT
Samarpan services
1.Medical services: common medical; preventive health and immunization.
2. General women & Child services: nutritional and related to feeding of babies.
Samarpan services
3. Neurological assessment 4.Physiotherapy
5.Occupational Therapy
Samarpan services
6.Psychological services: DSCII & DDST 7.Cognitive development ,including play and socialization .
Samarpan services
8.Speech & language 9.Vision
10.Hearing
Samarpan-Outcomes
1 .
Total Children screened by AWW using SST – 105550 2. Delay in developmental Milestones identified – 2311 3. Children examined in EIC – 928 4. Children identified of delay in dev. milestones / defects 794 5. Treatment and services provided to 794 identified children 6.Counselling and home based intervention 7.Trained cadre for early detection of disability available in each and every village; 8.Screening once in a quarter.
9 .Institutionalization.
10.Scaling up by the Govt.
Samarpan- The road ahead
• • • • • • Scaling up in process Involvement of Social Justice, Health & Family welfare and Women & Child Development & policy framework Regional center at Hoshangabad.
Tertiary Links development.
Strengthening of Home based intervention and community based intervention .
Skill Development & Vocational education.
Acknowledgements
Dr Amar Jyoti Paresha and her team of RAPID in NIMH, Securenderabad.
Dr Arun Singh , Formerly & Ex HoD, Department of Neo natalogy, IPGMR, Kolkotta Sinaueser Associates Inc
On children -Khalil Gibran
Your children are not your children.
They are the sons and daughters of life’s longing for itself.
They come through you but not from you, And although they are with you yet they belong not to you.
You may give them your love but not your thoughts, For they have their own thoughts.
You may house their bodies but not their souls, For their souls dwell in the house of tomorrow, Which you cannot visit, not even in your dreams.
You may strive to be like them, But seek not to make them like you.
For life goes not backward nor tarries with yesterday.
THANKS
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Neuroplasticity
Neuroplasticity ~ neural-
the nerves and/or brain pertaining to and plastic, moldable or changeable in structure, refers to changes in neural pathways and
synapses which are due to changes in
behavior, processes, environment and neural as well as changes resulting from bodily injury
synapse
• • • • The synapse is where the nerve impulse passes from one cell to the next The electrical signal (the action potential) stops and a chemical signal takes over to cross the gap between the cells The chemical messenger is called a
neurotransmitter(NT)
The neurotransmitter crosses the gap by diffusion.
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
critical period of development
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
1 a specific time during which the environment has its greatest impact on an individual's development.
2 the time during gestation when critical organ systems are formed.
(Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier) In general, a critical period is a limited time in which an event can occur, usually to result in some kind of transformation. In developmental psychology and developmental biology, a critical period is a phase in the life span during which an organism has heightened sensitivity to exogenous stimuli that are compulsory for the development of a particular skill . If the organism does not receive the appropriate stimulus during this "critical period", it may be difficult, ultimately less successful, or even impossible , to develop some functions later in life (Wikipedia online)
Critical period of development
Critical period of development
Critical period of development
How experience affects development
1. Neural activity regulates gene expression that directs synthesis of cell adhesion molecules 2. Neuronal activity regulates the release of neurotrophins (NGF) that are released from the dendrites; after synaptic connectivity 3. Stimulates foundation NT and this promotes subsequent development
Critical period of development
EQUIPMENT
1) 2) 3) 4) 5) 6) 7) 8) A) Furniture : Table for consultation and examination Chairs for seating Cupboards for storage Material for doll play Racks for material Display boards B. Medical equipment: Stethoscope Ophthalmoscope Digital weighing scale Measuring tape Torch Knee Hammer X-ray Viewer Height scale
EQUIPMENT
Therapy For gross motor assessment and intervention Sl. No.
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11 12 13 14 Items Bolster (radius-6.5 inch, length-24.5inch) rexine cover Small roll (radius-4.5 inch, length-14inch) rexine cover Therapy mat (hard rubberised foam) length-74 inch,breadth 37inch, girth-2 inch rexine cover Push –pull toys Therapy ball (45 cm) Prone Wedge: board ( Small, medium ) Small and large ball Modified chairs Small wooden bench Trampoline Balance board/ wobble board Strap weights, wobbling boards, sitting or corner chair for small children Toy like balls, rings, squeaky toys Ball bath 2 pieces 2 pieces 6 pieces 2 pieces 1 piece 2 pieces 2 pieces 1 piece 1 piece
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Activity table , slider , step stander, stacking rings Supporting pillows , Rope bridge , C- cushion Swing , Net hammock, Spin tub, Bolster swing and rope bridge For fine motor assessment and intervention Wooden blocks(1inch cube, 8 for each set) White paper or drawing book, pencil, crayons , coloured chalks, slate.
Peg board Food pellets(puffed rice) Small bottle with hole in lid or small mouth container Piggy bank with coins Lacing toys Laminated picture book Stacking rings and stacking blocks, connecting block set. Plastic cup with handle Noise makers (high frequency rattles, squeaky toys) Rattles, Puja bells, drums. Peg board Miniature sets (Kitchen, Doctor set etc.) Squeezy toys Mirror Musical toys/ cause and effect toys. Plastic cup with handle and spoon 2 set 2 piece 2 piece 2 piece 2 piece 2 piece 2 piece 3 piece 3 piece 3 piece 1piece 1piece 2pieces 2pieces 3 piece 3 piece
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Small chair and table Wooden form board ( with three shapes round, square, triangle) Wooden blocks(1inch cube, 8 for each set) Small car, doll. Food pellets Picture book Crayons, White paper or drawing book, pencil. Small and large balls Red pom pom ( made up of wool ) and red ball Objects for identification like comb, glasses, bangle, wrist watch etc. Stacking blocks, stacking rings of various sizes. Lacing toys Soap bubble making toys. Picture cards (fruit, animal, common household objects). White napkin Set of red balls ( two different sizes) Set of balls same size but three different colours ( red, yellow, blue). 3 sets 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece 3 piece
EQUIPMENT Cognitive assessment and intervention DDST : Denver development screening tool Rs 80,000 Denver Developmental Screening Test: The Denver Developmental Screening Test (DDST) is a widely used assessment for examining children 0-6 years of age as to their developmental progress. The name "Denver" reflects the fact that this screening test was created at the University of Colorado Medical Centre in Denver.
DASII : Development al assessment scale for Indian Infant x2 Rs 15,000 One One
Development of Literature
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Registration of New Child
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Registration of New Child form Vatsalya
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Data Entry for Staff Nurse
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Data Entry for Physical Development
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Data Entry for Audiology
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Data Entry for Vision
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Add Observatory Question
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
Add Sub Question Under main Question
D;ksfda gj f’k’kq vf}rh; gaS
Because every child is unique
D;ksfda gj f’k’kq vf}rh; gaS
Search Child for Answered Question With Number of Visit
go back
Because every child is unique
No. of visits Click on the link to view answered question(Next Screen)
S. No 1 Service
Physoitherapy
Target (till date) Service Provided (till date) Planned
353 145 208
Remark 2
Special Education 257 125 132
3
Speech Therapy 162
4
Hearing Aid 42 104 8 58 34 Distribution of 34 hearing aid planned in camp organized in 28th Aug.
5 6 9 10 11 12 13 Bera
Calipers Shoe Arch PPAFO Splint Modified Shoes Gaitors
50
5 78 47 11 22 21
12
1 52 3 0 2 2
38
4 26 44 11 20 19 Distribution planned in Jul - Aug
• •
Logistics: Man & Machine
Transportation: Route chart; AWW; Parents ;Child Food & Beverages: Red Cross & Rotary International
INTERDEPARTMENTAL AND INSTITUITIONAL CONVERGENCE
• • • •
DEPARTMENTS
REVENUE SOCIAL JUSTICE HEALTH & FAMILY WELFARE WOMEN & CHILD DEVELOPMENT • • • •
INSTITUTIONS
NIPI-UNOPS REDCROSS ROTARY INTERNATIONAL OTHERS