Challenges faced by clients of RBSK: A mixed method study from Uttarakhand, India

Abstract

Background- Rashtriya Bal Swasthya Karyakram was launched in 2013, to reduce mortality and morbidity
in children due to prevalent birth defects, diseases, deficiencies, and developmental delays. The strategy
employed is early detection and management of health conditions. Mobile health teams (MHTs) and District
early intervention centers (DEIC) are set up for screening, management, and referral of beneficiaries.

Methodology – A concurrent mixed method study was conducted in Uttarakhand for exploring challenges
faced by clients and to assess client satisfaction regarding services provided under the program. Caregivers of
beneficiaries were interviewed telephonically about the challenges they faced while availing the facilities.
Result- It was found that out of 41 caregivers of beneficiaries, 13 (31.7%) faced challenges while availing
the services, and 2 (4.87%) were dissatisfied with the services. Challenges faced by caregivers were out-ofpocket

expenditure on transportation, food and stay, long time in referral and unavailability of beds,
unavailability of medicines, and failed treatment. Conclusion- The majority of the caregivers were satisfied
with the referral and treatment provided. RBSK provides free-of-cost treatment to children but the indirect
cost that the caregivers have to pay for travel, stay and multiple visits pose a challenge for utilization of the
services.