# Child Health Programmes for NEET PG PSM: HBNC Visit Schedule and RBSK 2.0 (2026) — 4Ds, Mobile Health Teams, DEIC Source: https://tracknation.in/story/child-health-programmes-for-neet-pg-psm-hbnc-visit-schedule-and-rbsk-2-0-2026-4ds-mobile-health-teams-deic (TrackNation — free UPSC notes with PYQs) > NEET PG Community Medicine: Home Based Newborn Care (ASHA visits on days 3, 7, 14, 21, 28, 42 — plus day 1 for home births — and what each visit checks) and the 2026 RBSK 2.0 guidelines: the 4Ds and expanded condition list with NCDs, who is screened where and how often, the Mobile Health Team, the District Early Intervention Centre, the 4Ts diabetes screen and what changed from RBSK — from MoHFW guidelines, with a continuum diagram, hooks, MCQs and cards. ## Start Here 🎯 **Exam priority: Medium–high.** *Child-health questions ask the HBNC visit days, the RBSK 4Ds and its platforms, who sits on the Mobile Health Team and what a DEIC does. RBSK was revised as **RBSK 2.0 in 2026** — this article uses the new guidelines and flags what changed.* CBME mapping: **CM 10**. ## The Big Picture *From birth to 18 years: HBNC home visits in the first six weeks, then RBSK screening at the delivery point, the Anganwadi centre and school, with the DEIC as the referral hub.* Under-five mortality fell **41%** and neonatal mortality **37%** in India in 2014–2024 (global: 18% and 15%), as cited in the RBSK 2.0 guidelines. Nearly **40% of newborn deaths happen in the first 24 hours** — the reason home visits start so early. ## Home Based Newborn Care (HBNC) - **Institutional birth**: 6 ASHA visits on days **3, 7, 14, 21, 28 and 42**. **Home birth**: 7 visits — add **day 1**. After a caesarean (mother home on day 5–6), the five visits from day 7 to 42 earn the full incentive. - At each visit the ASHA promotes exclusive breastfeeding, cord care and warmth, weighs the baby, looks for pneumonia and sepsis, counsels the mother on post-partum care and complications, and refers when needed. - **Extra visits** for preterm and low-birth-weight babies; follow-up of sick newborns after discharge. - **Incentive**: ₹250 per newborn (₹500 for twins, ₹750 for triplets), paid after the visits — conditions include recording the newborn's weight in the MCP card, the birth vaccines and birth registration. ## RBSK 2.0: Who, Where, How Often - Covers children **0–18 years** for the **4Ds**: Defects at birth, Deficiencies, Diseases, Developmental delays. - **Delivery points** (birth–6 weeks): facility newborn screening by gynaecologists, MOs, staff nurses and ANMs; ASHAs screen babies during HBNC visits up to 6 weeks. - **Anganwadi centres** (6 weeks–6 years): Mobile Health Team, **twice a year**. - **Government and government-aided schools** (6–18 years, classes 1–12): Mobile Health Team, **once a year**. - **Mobile Health Team**: 2 medical officers (MBBS/BDS/AYUSH), 1 ANM/MPW/staff nurse, 1 pharmacist (data management). - **DEIC** (district): a multidisciplinary team — paediatrician, MO, psychologist, speech therapist, audiologist, optometrist, physiotherapist, occupational therapist, dentist, social worker — confirms, treats and follows up, **free of cost**. ## The Conditions List (RBSK 2.0) | **Group** | **Conditions** | | Defects at birth (1–10) | Neural tube defects, Down syndrome, cleft lip/palate, club foot, developmental dysplasia of the hip, congenital cataract, congenital deafness, congenital heart disease, retinopathy of prematurity, CAKUT (kidney and urinary tract anomalies) | | Deficiencies (11–15) | Vitamin A deficiency, vitamin D deficiency (rickets), severe acute malnutrition, goitre, anaemia | | Diseases incl. NCDs (16–26) | Skin conditions, rheumatic heart disease, reactive airway disease, dental caries, convulsive disorders, diabetes (type 1 and 2), hypertension, kidney disease, otitis media, tuberculosis, leprosy | | Developmental delays (27–35) | Vision and hearing impairment, neuro-motor, motor, cognitive and language delay, behavioural disorders (anxiety, ADHD, sleep), autism spectrum disorder, specific learning disorders, global developmental delay | | Also | Congenital hypothyroidism (optional), adolescent health concerns, red flags for referral | **Diabetes screen**: the Mobile Health Team asks about the **4Ts — Toilet, Thirsty, Tired, Thinner**, checks random blood sugar on a glucometer when suspicious, and refers to the district NCD clinic (NP-NCD) to classify type 1 or type 2. ## What Changed from RBSK to RBSK 2.0 | **** | **RBSK (2013)** | **RBSK 2.0 (2026)** | | Scope | 4Ds | Expanded 4Ds + NCDs, mental health, behaviour, lifestyle risks, kidney disorders, digital exposure | | Mobile Health Team | Fixed, mainly AYUSH, 4 persons | 2 MOs (MBBS/BDS/AYUSH) + 1 ANM/MPW/SN + 1 pharmacist, with flexible support staff | | Records | Basic RBSK portal reporting | Longitudinal Health Card; linked with JANANI (RCH 2.0), U-WIN and POSHAN | | Cochlear implant support | 0–2 years | Expanded to 0–6 years | | Convergence | ICDS and schools | Inter-ministerial: MoHFW, MoWCD, MoE, MoSJE | ## Traps the Examiner Sets - HBNC: 6 visits for institutional births, 7 for home births (day 1 added); the last visit is day **42**. - RBSK: Anganwadi **twice** a year, schools **once** a year. - The 4Ds are Defects, Deficiencies, Diseases, Developmental delays — "disabilities" is a common wrong option. - Club foot = talipes (a defect at birth); goitre and anaemia are deficiencies; RHD and dental caries are diseases. - RBSK 2.0 adds diabetes, hypertension and kidney disorders; congenital hypothyroidism is optional. ## Memory Hooks & Shortcuts *Shortcuts to lock in this article's numbers and lists. Each one only re-packages facts proven above.* - 🧠 **3-7-14-21-28-42** — HBNC days — roughly week by week to 6 weeks; home births add day 1 - 🧠 **Twice at the Anganwadi, once at school** — RBSK screening frequency - 🧠 **The 4Ds: Defect, Deficient, Diseased, Delayed** — the RBSK screening frame - 🧠 **2 + 1 + 1** — Mobile Health Team: 2 MOs, 1 nurse/ANM, 1 pharmacist - 🧠 **4Ts: Toilet, Thirsty, Tired, Thinner** — the RBSK 2.0 diabetes screen - 🧠 **Cochlear 2 → 6** — implant support widened from 0–2 to 0–6 years in RBSK 2.0 ## Rapid-Revision Cards - Days 3, 7, 14, 21, 28, 42 (six visits). - Seven: add day 1. - ₹250 per newborn (twins ₹500, triplets ₹750). - Preterm and low-birth-weight babies; sick newborns after discharge. - Nearly 40% of newborn deaths are in the first 24 hours. - Defects at birth, Deficiencies, Diseases, Developmental delays. - 0–18 years. - Delivery point (0–6 wk) · Anganwadi (6 wk–6 y, twice a year) · schools (6–18 y, once a year). - 2 MOs (MBBS/BDS/AYUSH) + 1 ANM/MPW/SN + 1 pharmacist. - District hub: confirm, treat, follow up — free; multidisciplinary team. - NTD, Down syndrome, cleft, club foot, DDH, congenital cataract/deafness, CHD, ROP, CAKUT. - Vitamin A, vitamin D (rickets), SAM, goitre, anaemia. - Diabetes (T1/T2), hypertension, kidney disorders. - Toilet, Thirsty, Tired, Thinner → RBS → NP-NCD clinic. - 0–2 years → 0–6 years under RBSK 2.0. - Health Card; linked to JANANI (RCH 2.0), U-WIN, POSHAN. ## Sources ## Sources *Facts in this article were checked against these documents.* - Home Based Newborn Care: Operational Guidelines (Revised 2014) — MoHFW, 2014 (link) - Rashtriya Bal Swasthya Karyakram (RBSK 2.0): Operational Guidelines 2026 — Child Health Division, MoHFW, 2026 (link) ## Test Yourself: Practice Questions Sixteen questions in NEET PG style. ## Practice Questions (NEET PG pattern) *Original questions written in the style of the exam: +4 for a correct answer, −1 for a wrong one. Every answer was checked against the sources listed above. NEET PG papers are not published by NBEMS, so these are not past-paper questions.* **Q1.** After an institutional delivery, HBNC home visits by the ASHA are made on days - (a) 3, 7, 14, 21, 28 and 42 - (b) 1, 3, 7, 14, 21, 28 and 42 - (c) 2, 7, 14 and 28 - (d) 1, 7, 28 and 42 **Answer: (a)** — Six visits for institutional births; home births add day 1 (seven visits). **Q2.** The extra HBNC visit for a home delivery is on - (a) day 10 - (b) day 2 - (c) day 1 - (d) day 5 **Answer: (c)** — Home delivery: day 1, 3, 7, 14, 21, 28 and 42. **Q3.** An ASHA completing HBNC visits for twins receives - (a) ₹750 - (b) ₹500 - (c) ₹250 - (d) ₹1000 **Answer: (b)** — ₹250 per newborn: twins ₹500, triplets ₹750. **Q4.** According to the HBNC guidelines, what share of newborn deaths occur within the first 24 hours of life? - (a) About 75% - (b) Nearly 40% - (c) About 10% - (d) About 25% **Answer: (b)** — Nearly 40% on the first day; about three-quarters in the first week. **Q5.** The 4Ds of RBSK are - (a) Defects at birth, Deficiencies, Diseases, Developmental delays - (b) Defects, Disabilities, Deficiencies, Deaths - (c) Diarrhoea, Dehydration, Deficiency, Disability - (d) Diagnosis, Drugs, Diet, Development **Answer: (a)** — Defects at birth, Deficiencies, Diseases and Developmental delays. **Q6.** Under RBSK 2.0, Mobile Health Teams screen children at Anganwadi centres - (a) once every 2 years - (b) twice a year - (c) every month - (d) once a year **Answer: (b)** — Biannually at each AWC; annually in government and government-aided schools. **Q7.** Children aged 6–18 years are screened under RBSK at - (a) Anganwadi centres, twice a year - (b) PHCs, every quarter - (c) government and government-aided schools, once a year - (d) private schools only **Answer: (c)** — Classes 1–12 in government and government-aided schools, annually. **Q8.** The core RBSK 2.0 Mobile Health Team consists of - (a) 1 MO, 1 ASHA and 1 Anganwadi worker - (b) 2 medical officers, 1 ANM/MPW/staff nurse and 1 pharmacist - (c) 4 AYUSH doctors - (d) 1 paediatrician and 2 nurses **Answer: (b)** — 2 MOs (MBBS/BDS/AYUSH) + 1 ANM/MPW/SN + 1 pharmacist with data skills. **Q9.** Under RBSK, club foot (talipes) is classified as a - (a) deficiency - (b) disease - (c) developmental delay - (d) defect at birth **Answer: (d)** — Talipes is item 4 under defects at birth. **Q10.** Which of the following is listed under 'Deficiencies' in RBSK 2.0? - (a) Down syndrome - (b) Goitre - (c) Autism spectrum disorder - (d) Rheumatic heart disease **Answer: (b)** — Deficiencies: vitamin A, vitamin D (rickets), SAM, goitre, anaemia. **Q11.** A new NCD added to the RBSK 2.0 screening list is - (a) hypertension - (b) dental caries - (c) tuberculosis - (d) rheumatic heart disease **Answer: (a)** — RBSK 2.0 adds NCDs such as diabetes (type 1 and 2), hypertension and kidney disorders. **Q12.** The '4Ts' used by RBSK Mobile Health Teams to screen for diabetes are - (a) Toilet, Thirsty, Tired, Thinner - (b) Tremor, Tachycardia, Tired, Thin - (c) Tall, Thin, Tired, Thirsty - (d) Temperature, Tone, Thirst, Toilet **Answer: (a)** — Symptom screen: Toilet, Thirsty, Tired, Thinner; then random blood sugar if suspected. **Q13.** The facility at district level that confirms and treats children referred by RBSK teams is the - (a) Adolescent Friendly Health Clinic - (b) District Early Intervention Centre - (c) Special Newborn Care Unit - (d) Nutrition Rehabilitation Centre **Answer: (b)** — DEIC — a multidisciplinary team providing free confirmation, treatment and follow-up. **Q14.** Under RBSK 2.0, state-supported cochlear implant coverage was expanded to children aged - (a) 0–6 years - (b) 0–2 years - (c) 6–12 years - (d) 0–18 years **Answer: (a)** — From 0–2 years under RBSK to 0–6 years under RBSK 2.0. **Q15.** Who screens newborns at delivery points under RBSK? - (a) The Mobile Health Team - (b) Anganwadi workers - (c) Gynaecologists, medical officers, staff nurses and ANMs - (d) DEIC therapists only **Answer: (c)** — Facility-based newborn screening is by the delivery-point staff; MHTs work at AWCs and schools. **Q16.** RBSK 2.0 links each child's longitudinal Health Card with - (a) the PM-JAY card - (b) JANANI (RCH 2.0), U-WIN and POSHAN - (c) the Ni-kshay portal - (d) the CoWIN portal only **Answer: (b)** — The RBSK 2.0 digital platform is integrated with JANANI (RCH 2.0), U-WIN and POSHAN. ### Active Recall From memory: give the HBNC visit days for institutional and home births, what each visit covers and the incentive; then explain RBSK 2.0 — the 4Ds with examples, who is screened where and how often, the Mobile Health Team, the DEIC, the 4Ts diabetes screen and what changed from the original RBSK.