Screen schoolchildren for the four Ds and chase the DEIC referral until it closes.
Offered in: India only.The child health screening programme’s register for a practice or team that screens at schools, Anganwadi centres and delivery points. Each child is recorded once with their name, sex, age, where they were seen and their class, and linked to the patient record when there is one; a child seen again is found by name or school. A screening records the day, the team and any findings, each in the team’s own words under one of the four Ds the programme names: a defect at birth, a deficiency, a disease, or a developmental delay. Nothing here diagnoses or grades a child. A finding that needs care is referred to the District Early Intervention Centre, the district hospital, a CHC or PHC, or elsewhere, and stays on the open list, oldest first and with its days open, until it closes with an outcome; every call or visit made to chase it is kept, attendance is marked when the child goes, and a referral that ended without care says what happened. The team sees the open list on the phone. Each month the return is counted: children screened at school and at the Anganwadi, findings in each of the four groups, referrals made, closed, and still open at month end. The return is filed by hand and its acknowledgement recorded.
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