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D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 2 A journey of a thousand miles must begin with a single step. Lao-tzu (604-531 BC) Slide 3 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. D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 4 Samarpan-Genesis Neuro PlasticityNeuro Plasticity Critical Period of Development Critical Period of Development D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 5 Samarpan- Why? There is only one perfect child, and every mother has one ! nqfu;k esa,d gh loZJs"B fkkq gS] vkSj og gj ekW ds ikl gS ! D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 6 Samarpan-Journey so far 1.Conceptualization 2.Changing name of DDRC to Samarpan D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 7 Samarpan-Journey so far 3.National Level workshop in Hoshangabad for developing blue print for Samarpan Participants: NIMH Secunderabad NIMHANS Blore NIVH Dehradun NIOH Kolkata National Trust CRC Leading Experts. D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 8 Samarpan - Journey so far 4.Inputs from Dr Arun Singh, formerly IPGMER,Kolkotta. 5.Evolving a Convergence model D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 9 Samarpan - Journey so far 6.Strengthening of Human resources,Infrastructure and Procurement of equipment6.Strengthening of Human resources,Infrastructure and Procurement of equipment. 7.Development of training literature and adaptation of Samarpan screening test (SST). D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 10 8.Capacity building of associated departments and AWWs/ASHAs & IEC Samarpan - Journey so far D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 11 Samarpan - Journey so far Application of SST on all U5 children enrolled in AWCs Blue print of logistics- man & machine Blue print of logistics- man & machine Slide 12 Samarpan- Journey so far 9. Comprehensive Interventions by adopting multi disciplinary approach Slide 13 10.Monitoring & follow up by using IT www.samarpanhosha ngabad.org Samarpan- Journey so far Slide 14 Samarpan - services 1.Medical services: common medical; preventive health and immunization. 2. General women & Child services: nutritional and related to feeding of babies. Slide 15 Samarpan - services 3. Neurological assessment 4.Physiotherapy 5.Occupational Therapy Slide 16 Samarpan - services 6.Psychological services: DSCII & DDST 7.Cognitive development,including play and socialization. Slide 17 Samarpan - services 8.Speech & language 9.Vision 10.Hearing Slide 18 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. Slide 19 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. Slide 20 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 Slide 21 On children -Khalil Gibran Your children are not your children. They are the sons and daughters of lifes 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. Slide 22 THANKS Slide 23 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 synapses D;ksfda gj fkkq vf}rh; gaS Because every child is unique Neuroplasticity Slide 24 GO BACK Slide 25 D;ksfda gj fkkq vf}rh; gaS 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. Slide 26 D;ksfda gj fkkq vf}rh; gaS 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 Slide 27 Critical period of development Slide 28 Slide 29 Slide 30 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 Slide 31 Critical period of development Slide 32 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 Slide 33 EQUIPMENT Therapy For gross motor assessment and intervention Sl. No. Items 1.Bolster (radius-6.5 inch, length-24.5inch) rexine cover2 pieces 2.Small roll (radius-4.5 inch, length-14inch) rexine cover2 pieces 3.Therapy mat (hard rubberised foam) length-74 inch,breadth- 37inch, girth-2 inch rexine cover 6 pieces 4.Push pull toys2 pieces 5.Therapy ball (45 cm)1 piece 6.Prone Wedge: board ( Small, medium )2 pieces 7.Small and large ball2 pieces 8.Modified chairs1 piece 9.Small wooden bench1 piece 10. Trampoline 11 Balance board/ wobble board 12Strap weights, wobbling boards, sitting or corner chair for small children 13 Toy like balls, rings, squeaky toys 14Ball bath Slide 34 15.Activity table, slider, step stander, stacking rings 16Supporting pillows, Rope bridge, C- cushion 17Swing, 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 board2 piece 4.Food pellets(puffed rice) 5.Small bottle with hole in lid or small mouth container2 piece 6.Piggy bank with coins2 piece 7.Lacing toys2 piece 8.Laminated picture book2 piece 9.Stacking rings and stacking blocks, connecting block set.2 piece 10.Plastic cup with handle3 piece 11.Noise makers (high frequency rattles, squeaky toys)3 piece 12.Rattles, Puja bells, drums.3 piece 13.Peg board1piece 14.Miniature sets (Kitchen, Doctor set etc.)1piece 15.Squeezy toys2pieces 16.Mirror2pieces 17.Musical toys/ cause and effect toys.3 piece 18.Plastic cup with handle and spoon3 piece Slide 35 19.Small chair and table3 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 pellets3 piece 24.Picture book3 piece 25.Crayons, White paper or drawing book, pencil.3 piece 26.Small and large balls3 piece 27.Red pom pom ( made up of wool ) and red ball3 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 toys3 piece 31.Soap bubble making toys.3 piece 32.Picture cards (fruit, animal, common household objects).3 piece 33.White napkin3 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 Slide 36 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 : Development al assessment scale for Indian Infant x2 Rs 15,000 One EQUIPMENT Cognitive assessment and intervention Slide 37 Development of Literature Slide 38 Slide 39 Go Back Slide 40 D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 41 Registration of New Child D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 42 Registration of New Child form Vatsalya D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 43 Data Entry for Staff Nurse D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 44 Data Entry for Physical Development D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 45 Data Entry for Audiology D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 46 Data Entry for Vision D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 47 Add Observatory Question D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 48 Add Sub Question Under main Question D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 49 Search Child for Answered Question With Number of Visit go backgo back No. of visits Click on the link to view answered question(Next Screen) D;ksfda gj fkkq vf}rh; gaS Because every child is unique Slide 50 S. NoService Target (till date) Service Provided (till date) PlannedRemark 1Physoitherapy353145208 2Special Education257125132 3Speech Therapy16210458 4Hearing Aid42834 Distribution of 34 hearing aid planned in camp organized in 28th Aug. Slide 51 5Bera501238 6Calipers514 9Shoe Arch785226 10PPAFO47344 11Splint110 Distribution planned in Jul - Aug 12Modified Shoes22220 13Gaitors21219 Go Back Slide 52 Logistics: Man & Machine Transportation: Route chart; AWW; Parents ;Child Food & Beverages: Red Cross & Rotary International Go Back Slide 53 INTERDEPARTMENTAL AND INSTITUITIONAL CONVERGENCE DEPARTMENTS REVENUE SOCIAL JUSTICE HEALTH & FAMILY WELFARE WOMEN & CHILD DEVELOPMENT INSTITUTIONS NIPI-UNOPS REDCROSS ROTARY INTERNATIONAL OTHERS Go back