Key facts

  • 1978: India's Expanded Programme on Immunisation began public-sector vaccination against major childhood vaccine-preventable diseases and prepared the...
  • 1985: the Universal Immunisation Programme made free vaccination for children and pregnant women a national public-health responsibility under the Gov...
  • 1995: WHO and UNICEF introduced the IMCI strategy to manage major causes of under-five illness through integrated assessment, classification, treatmen...
  • 2003: India began implementing IMNCI, adding stronger newborn care to the global IMCI approach because many child deaths occur in the neonatal period.
  • 2013: Rashtriya Bal Swasthya Karyakram strengthened child screening for the 4 Ds

Key Points at a Glance

  1. 1

    1978: India's Expanded Programme on Immunisation began public-sector vaccination against major childhood vaccine-preventable diseases and prepared the ground for universal immunisation.

  2. 2

    1985: the Universal Immunisation Programme made free vaccination for children and pregnant women a national public-health responsibility under the Government of India.

  3. 3

    1995: WHO and UNICEF introduced the IMCI strategy to manage major causes of under-five illness through integrated assessment, classification, treatment and counselling.

  4. 4

    2003: India began implementing IMNCI, adding stronger newborn care to the global IMCI approach because many child deaths occur in the neonatal period.

  5. 5

    2013: Rashtriya Bal Swasthya Karyakram strengthened child screening for the 4 Ds - defects at birth, diseases, deficiencies and developmental delays from birth to 18 years.

  6. 6

    2014: Intensified Diarrhoea Control Fortnight promoted ORS and zinc as the standard low-cost response to childhood diarrhoea.

  7. 7

    2015: National Deworming Day started as an Anganwadi and school-based fixed-day programme for children and adolescents aged 1-19 years.

Public-health view of childhood diseases

Common childhood diseases are important in the Mahila Supervisor syllabus because ICDS and Women and Child Development staff work at the first contact point for families. The exam focus is not specialist diagnosis; it is recognition, prevention, counselling and timely referral. The most tested illnesses are diarrhoea, acute respiratory infection, measles, worm infestation and deficiency conditions such as anaemia, vitamin A deficiency, iodine deficiency and protein-energy undernutrition. These conditions are common, preventable and closely linked with feeding, hygiene, immunisation and early care-seeking.

The under-five child has limited reserves. A short episode of diarrhoea may quickly cause dehydration; cough with fast breathing may become pneumonia; measles may lead to pneumonia, diarrhoea or eye complications; hookworm and poor diet may worsen anaemia. For recruitment exams, remember the chain: exposure or deficiency leads to illness, illness reduces intake, reduced intake worsens nutrition, and poor nutrition increases severity of the next infection. Anganwadi Centres, ASHA workers, ANMs, Village Health Sanitation and Nutrition Days, Mother and Child Protection cards and referral facilities form the service network around the child.

Exam takeaway: childhood disease management begins with prevention, early recognition and referral, not with late hospital treatment alone.

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