d;ksfda gj f’k’kq

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)

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 .


Because every child

is unique

Samarpan-Genesis Neuro Plasticity

Critical Period of Development


Because every child

is unique

Samarpan- Why?

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 !


Because every child

is unique

Samarpan-Journey so far…

1.Conceptualization

2.Changing name of DDRC to Samarpan


Because every child

is unique

Samarpan-Journey so far…

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.


Because every child

is unique

Samarpan - Journey so far…

4.Inputs from Dr Arun Singh, formerly IPGMER,Kolkotta.

5.Evolving a Convergence model


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).


Because every child

is unique

8.Capacity building of associated departments and AWWs/ASHAs & IEC

Samarpan - Journey so

far…


Because every child

is unique


• 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

10.Monitoring & follow up by using IT www.samarpanhoshangabad.org

Samarpan-

Journey so far…

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

Neuroplasticity ~ neural- pertaining to

the nerves and/or brain and plastic,

moldable or changeable in structure,

refers to changes in neural pathways and

synapses which are due to changes in

behavior, environment and neural

processes, as well as changes resulting from bodily injury


Because every child

is unique

Neuroplasticity

GO BACK


Because every child

is unique

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.


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

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 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: 1) Stethoscope 2) Ophthalmoscope 3) Digital weighing scale 4) Measuring tape 5) Torch 6) Knee Hammer 7) X-ray Viewer 8) Height scale

EQUIPMENT Therapy

For gross motor assessment and intervention

Sl. No. Items

1. Bolster (radius-6.5 inch, length-24.5inch) rexine cover 2 pieces

2. Small roll (radius-4.5 inch, length-14inch) rexine cover 2 pieces

3. Therapy mat (hard rubberised foam) length-74 inch,breadth-37inch, girth-2 inch rexine cover

6 pieces

4. Push –pull toys 2 pieces

5. Therapy ball (45 cm) 1 piece

6. Prone Wedge: board ( Small, medium ) 2 pieces

7. Small and large ball 2 pieces

8. Modified chairs 1 piece

9. Small wooden bench 1 piece

10. Trampoline 11 Balance board/ wobble board

12 Strap weights, wobbling boards, sitting or corner chair for small children

13 Toy like balls, rings, squeaky toys 14 Ball bath

15. Activity table , slider , step stander, stacking rings 16 Supporting pillows , Rope bridge , C- cushion 17 Swing , Net hammock, Spin tub, Bolster swing and rope bridge For fine motor assessment and intervention

1. Wooden blocks(1inch cube, 8 for each set) 2 set

2. White paper or drawing book, pencil, crayons , coloured chalks, slate.

3. Peg board 2 piece

4. Food pellets(puffed rice) 5. Small bottle with hole in lid or small mouth container 2 piece

6. Piggy bank with coins 2 piece

7. Lacing toys 2 piece

8. Laminated picture book 2 piece

9. Stacking rings and stacking blocks, connecting block set. 2 piece

10. Plastic cup with handle 3 piece

11. Noise makers (high frequency rattles, squeaky toys) 3 piece

12. Rattles, Puja bells, drums. 3 piece

13. Peg board 1piece 14. Miniature sets (Kitchen, Doctor set etc.) 1piece 15. Squeezy toys 2pieces 16. Mirror 2pieces

17. Musical toys/ cause and effect toys. 3 piece 18. Plastic cup with handle and spoon 3 piece

19. Small chair and table 3 sets 20. Wooden form board ( with three shapes round, square,

triangle) 3 piece

21. Wooden blocks(1inch cube, 8 for each set) 3 piece 22. Small car, doll. 3 piece 23. Food pellets 3 piece 24. Picture book 3 piece 25. Crayons, White paper or drawing book, pencil. 3 piece 26. Small and large balls 3 piece 27. Red pom pom ( made up of wool ) and red ball 3 piece 28. Objects for identification like comb, glasses, bangle, wrist watch

etc. 3 piece

29. Stacking blocks, stacking rings of various sizes. 3 piece 30. Lacing toys 3 piece 31. Soap bubble making toys. 3 piece 32. Picture cards (fruit, animal, common household objects). 3 piece 33. White napkin 3 piece 34. Set of red balls ( two different sizes) 3 piece 35. Set of balls same size but three different colours ( red, yellow,

blue). 3 piece

Go Back

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.

One

DASII : Developmental assessment scale for Indian Infant x2

Rs 15,000

One

EQUIPMENT Cognitive assessment and intervention

Development of Literature

Go Back


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


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


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


Because every child

is unique

Search Child for Answered Question With Number of Visit go back

No. of visits

Click on the link to view

answered question(Next Screen)


Because every child

is unique

S. No Service Target

(till date)

Service

Provided

(till date)

Planned Remark

1 Physoitherapy 353 145 208

2 Special Education 257 125 132

3 Speech Therapy 162 104 58

4 Hearing Aid 42 8 34

Distribution of 34 hearing

aid planned in camp

organized in 28th Aug.

5 Bera 50 12 38

6 Calipers 5 1 4

9 Shoe Arch 78 52 26

10 PPAFO 47 3 44

11 Splint 11 0 11 Distribution planned in

Jul - Aug

12 Modified Shoes 22 2 20

13 Gaitors 21 2 19

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Logistics: Man & Machine

• Transportation: Route chart; AWW; Parents ;Child

• Food & Beverages: Red Cross & Rotary International

Go Back

INTERDEPARTMENTAL AND INSTITUITIONAL CONVERGENCE

DEPARTMENTS

• REVENUE

• SOCIAL JUSTICE

• HEALTH & FAMILY WELFARE

• WOMEN & CHILD DEVELOPMENT

INSTITUTIONS

• NIPI-UNOPS

• REDCROSS

• ROTARY INTERNATIONAL

• OTHERS

• Go back

d;ksfda gj f’k’kq

Documents