community health worker support
Connecting families to RBSK and DEIC schemes
An anganwadi worker connects families to RBSK and DEIC by screening for the 4 Ds (defects, deficiencies, diseases, developmental delay), referring children to the visiting RBSK mobile health team or the district DEIC for free 0–6 year assessment, and following up so the family reaches the appointment and any therapy that follows.
An anganwadi worker is often the first person a worried family ever talks to — and the bridge that carries a child from a village home to the right specialist.
In short
You connect a family to RBSK (Rashtriya Bal Swasthya Karyakram) and DEIC (District Early Intervention Centre) in three steps: identify the concern early through routine screening, refer the child to the visiting RBSK mobile health team or the nearest DEIC, and follow up so the family actually reaches the appointment and any therapy that follows. Your role is screening and warm referral — not diagnosis — and that early link is one of the most powerful things in a child's whole journey.How the referral pathway works
1. Screen and notice. During growth monitoring, immunisation days and home visits, watch for the things parents quietly mention — a baby not making eye contact, a toddler not walking or speaking, a visible difference at birth. RBSK is built around the 4 Ds: Defects at birth, Deficiencies, Diseases, and Developmental delays including disability. Anything in those four areas is worth a referral.2. Refer to the RBSK team or DEIC. RBSK runs mobile health teams that visit anganwadi centres and schools on a fixed schedule — note their next visit date and have the family present. For children needing fuller evaluation, the team refers onward to the District Early Intervention Centre (DEIC) at the district hospital, where a multidisciplinary team (paediatrician, therapists, audiologist, psychologist) assesses children from 0–6 years free of cost. Keep the family's Mother and Child Protection Card and any Aadhaar/health records ready.
3. Follow up and accompany. Many referrals are lost simply because a family cannot travel or feels afraid. Help them with the visit date, transport, and what to expect. After assessment, support adherence to the early-intervention or therapy plan — your continued presence is what makes the referral stick.
The Pinnacle way
A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care — never from a screening checklist or an app. Government screening through RBSK and DEIC and specialist developmental therapy work best hand-in-hand. When a family near a Pinnacle centre needs structured developmental support, you can route them to [a developmental assessment](/) alongside their DEIC entitlement, learn how the AbilityScore® gives a clear starting point, and explore speech and developmental therapy for ongoing care.Trusted sources
Ministry of Health & Family Welfare — Rashtriya Bal Swasthya Karyakram (RBSK), covering the 4 Ds and the RBSK–DEIC referral pathway. WHO Nurturing Care Framework on early identification and community-based support. Rehabilitation Council of India on disability services and entitlements.Next step — Note the next RBSK mobile-team visit date for your anganwadi and prepare a simple list of children you'd like screened — then walk the most concerned families to that appointment.
This is general information, not a diagnosis — a clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care.
What to watch
Watch for the 4 Ds during routine visits — defects at birth, deficiencies, diseases, and developmental delays such as a child not making eye contact, not walking, or not speaking at expected ages — and refer early rather than waiting.
Try this at home
Keep a small register of the RBSK mobile team's next visit dates and the children you want screened. Families are far more likely to attend when you give them an exact date and offer to be there.
Trusted sources
Developed by SETU Consortium · Pinnacle Blooms Network · Last reviewed 2026-06-11 · reviewed every 365 days
This is general information, not a diagnosis. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care.
Frequently asked
What is the difference between RBSK and DEIC?
RBSK (Rashtriya Bal Swasthya Karyakram) is the national child-health screening programme, run partly through mobile health teams that visit anganwadi centres and schools. DEIC (District Early Intervention Centre) is the district-hospital facility where children flagged by RBSK get a fuller, free multidisciplinary assessment and early-intervention support, usually for ages 0–6 years.
What are the 4 Ds that RBSK screens for?
RBSK screens for four broad categories: Defects at birth, Deficiencies, Diseases, and Developmental delays including disabilities. Any concern falling under these is a valid reason to refer a child.
Do families have to pay for DEIC assessment or treatment?
RBSK screening and DEIC assessment, and many follow-up services, are provided free of cost under the government programme. Your role is to help families know this and reach the service.
Can I diagnose a child myself before referring?
No. Your role as an anganwadi worker is to screen, notice concerns and refer warmly. Diagnosis is made by qualified clinicians — at a DEIC, or at a specialist centre such as Pinnacle Blooms Network.