Analysis of Health Issues Detected and Managed Through Rashtriya Bal Swasthya Karyakram (RBSK) in Tumkur, Karnataka: A Qualitative Case Study

Abstract

This qualitative case study investigates the health issues detected and managed through the Rashtriya Bal Swasthya Karyakram (RBSK) in Tumkur, Karnataka, focusing on the experiences and perceptions of beneficiaries and healthcare providers. The study aims to provide an in-depth understanding of the program's real-world implementation, challenges, and successes within a specific district context. Utilizing a purposive sample of 30 participants, comprising children (where appropriate) and their primary caregivers, alongside key informant interviews with healthcare providers, the research employs thematic analysis to uncover nuanced patterns in health issue detection, referral pathways, treatment adherence, and the overall quality of care. Initial findings indicate a diverse range of detected conditions spanning birth defects, diseases, deficiencies, and developmental delays. The management process, while designed for free and comprehensive care, faces significant on-the-ground challenges, including parental non-cooperation for follow-up, logistical barriers, and potential training gaps among screening teams. The study highlights the critical importance of localized qualitative inquiry to identify specific bottlenecks and inform targeted policy adjustments, thereby enhancing the effectiveness and equitable delivery of child health services under RBSK in Tumkur and similar low-resource settings.