A cross-sectional study to evaluate the functioning and infrastructure of DEIC, and client satisfaction Ujjain and Indore districts established under RBSK.

Abstract

Background: Rashtriya Bal Swasthya Karyakram (RBSK) is newly launched programme under NRHM, under which screening of 0 to 18 yr children is done and The DEIC promptly responds and manages all issues related 4Ds. Objective: To evaluate the functioning and infrastructure of DEIC, and client satisfaction. Materials and Methods: Observational Check List according to norms used for assessment of facilities, staffing pattern, and Semi structured questionnaire used for client satisfaction.. Result: DEIC of Indore and Ujjain district were deficient in staff and infrastructure. Among all referred cases to various facility 10.24% were referred to DEIC Indore while in Ujjain 20.1% were referred to DEIC among all the referred cases only 5.2% and 6.01% reached the DEIC Indore and Ujjain respectively, among which birth defect were found 0.7% and 0.8% , deficiency disease cases were 0% and 0.2% respectively in Indore and Ujjain district, childhood disease were 1.49% and 3.48% respectively in Indore and Ujjain district and developmental delays and disease were 3.46% and 1.62% respectively in Indore and Ujjain district. 76.92% beneficiaries were dissatisfied with the referral service and DEIC Staff (Behavior and Availability) in Indore while in Ujjain 65.3% were dissatisfied. Beneficiaries remained dissatisfied with regard to expenses, 71.1% in Indore and 63.4% in Ujjain. Conclusion: There was a deficiency of staff and infrastructure in DEICs of both Indore and Ujjain, There was lack of proper referral system between MHTs and DEICs in both the districts thus affecting the rendition of services to beneficiaries under RBSK program. The beneficiaries were dissatisfied with the Referral services and Availability and Behavior of DEIC Staff.