Draft ANM Training Facilitaors Guide HINDI June 26

QsflyhVsVj xkbM
( Facilitators guide )
4 fnolh; ,-,u-,eizf'k{k.k ds fy,
4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM
lapkyuky; LokLF; lsok,a ,oa jk"Vh; xzkeh.k

LokLF; fe'ku
NRrhlx<+ 'kklu
(rduhdh lg;ksx
UNICEF)
2012
QsflyhVsVj ;k lgtdrkZ xkbM
Page 2
QslhyhVsVj xkbM dk ifjp;

bl izf'k{k.k dk;Ze dk mn~ns'; D;k gS \
;g izf'k{k.k dk;Ze jkT; esa mPp ekr` e`R;q nj vkSj uotkr e`R;q
dks de djus ds fy, xq.koRrk ls ifjiw.kZ xHkkZoLFkk nkSjku
ns[kHkky (Quality ANC)
vkSj vk/kkjHkwr uotkr ns[kHkky
fo"k;ksa ij fodflr fd;k x;k gS A izf'k{k.k dk;Ze dk mn~ns';

xq.kkRed xHkkZoLFkk ns[kHkky ds lkFk & lkFk uotkr f'k'kqvksa
dk gkbZiksFkfeZ;k ls cpko ,oa Lruiku fo"k;ksa ij vk/kkjHkwr
dkS'ky iznku djuk gS A
;g izf'k{k.k ikB~;e ,-,u-,e- ds fy, fodflr fd;k x;k gS] tks
%
mi LokLF; dsUnz ij inLFk gksrh gS A LokLF; dsUnzksa lk-LokdsUnz-@,Q-vkj-;w-@24
7 izk- Lok- dsUnz mi LokLF;
dsUnzks esa vkSj NksVs vLirkyksa esa jsQjy vLirky ugha

inLFk gksrh gSA vkSj izlo djkus ,oa uotkr f'k'kqvksa ds izca/ku
ds fy, ftEesnkj gksrh gS vkSj uotkr f'k'kq dk izca/ku djrh gS A
1- QslhyhVsVj ;k lgtdrkZ (Facilitator ) D;k gksrk

gS \
QslhyhVsVj og O;fDr gksrk gS tks izfrHkkfx;ksa dks ikB~;e ds
dkS'ky lh[kus esa enn djrk gS A QslhyhVsVj ;k rks O;fDrxr ;k
lewg esa viuk vf/kdka'k le; izfrHkkfx;ksa ds lkFk fcrkrk gS A bl
ikB~;e dks i<+kus dk dk;Z vkidks lkSaik x;k gS A vki ,d
QslhyhVsVj gSA QslhyhVsVj ds rkSj ij vkidks i<+k,a tkus okys
Page 3
ikB~;e ls ifjfpr gksuk t:jh gS A vkidk dke gS fd foLrkj ls

crk,a]
izn'kZu
djds
fn[kk,a]
iz'uksa
ds
mRrj
nsa]
vH;klksa ds mRrjksa ij izfrHkkfx;ksa ls ppkZ djsa] jksy

Iys djk,a] lewg ppkZ dk usr`Ro djsa] ckg~;jksxh fDyfud
vH;klksa dk vk;kstu ,oa i;Zos{k.k djsa vkSj lkekU;r%
izfrHkkfx;ksa dks lQyrkiwoZd ikB~;e iw.kZ djus esa
lgk;rk djsa A
2- ;g QslhyhVsVj xkbMcqd vkidh fdl izdkj

lgk;rk dj ldrh gS\
QslhyhVsVj xkbM dk;Ze ds v/;k;ksa dks i<+kus ds lkFk &
lkFk fofM;ksa dks le>kus esa vkidh enn djsxh A
izR;sd v/;k; ds fy,] bl QslhyhVsVj xkbM eas fuEu fcanq

lfEefyr gS esU;wvYl dks iw.kZ djus ds fy, izf;kvksa dh lwph] izR;sd
vH;kl ds ckn fn, tkus okys] QhMcSd ds izeq[k fcanqvkas
dks n'kkZ;k x;k gS A
izf;kvksa ds fy, fn'kk funsZ'k & bu fn'kkfunsZ'kksa esa
crk;k x;k gS fd &
fdl izdkj izn'kZu] jksy Iys vkSj lewg ppkZ, vk;ksftr dh tkuh
pkfg, A
bu xfrfof/k;ksa ds fy, vko';d phtksa dh t:jrks ds ckjs esa A
fofM;ksa vH;kl dk lapkyu fdl izdkj djuk pkfg, ?
Page 4
lewg ppkZ ;k O;fDrxr QhMcSd esa crk, tkus okys fcanq A

mRrj 'khV ;k laHkkfor mRrj vf/kdka'k vH;klksa ds fy,
Lo;a vkSj izfrHkkfx;kas dk ifjp;

QslhyhVsVj mBs vkSj lHkh izfrHkkfx;ksa dk Lokxr djsa A Lo;a
dks vkSj izfrHkkfx;ksa dks ,d nwljs ls ifjfpr djk,a A
tc izfrHkkxh dk;Z dj jgs gks rc
miyC/k jgs] lgk;rk djus ds fy, bPNqd ,ao rS;kj jgs A
izfrHkkxh tc dke djs mu ij utj j[ks vkSj mUgs O;fDrxr lgk;rk
ds fy, iwNs A
izfrHkkfx;kas dks iz'u iwNus ds fy, izksRlkfgr djsa] tc Hkh
os dqN lgk;rk pkgs A
izfrHkkfx;ksa ls O;fDrxr ppkZ esa mHkjs izeq[k eqn~ns ;k
iz'uksa dks uksV djsa] iwjs lewg ls ckn esa ppkZ djsa A
izf'k{k.k LFkku &

izkFkfedrk ls flfoy vLirky ;k vU; dksbZ LFkku tgka fnu vkSj jkr
esa izlo djk,a tkrs gksA
izf'k{k.k LFkku ds fy, vko';d fcanq
& izf'k{k.k LFkku esa i;kZIr v/kkslajpuk gks A
& dqflZ;ksa dh la[;k & 35A
& LCD Projector and Computer (Audio and video system). vfuok;Z :i ls
miyC/k
djk;ssa
& Vscyksa dh la[;k & 02 A
& Skill Stations yxkus gsrq ,d vfrfjDr d{k gksuk vfuok;Z gSaA
Page 5
3-
izR;sd lewg esa vko';d fn'kk funsZ'k lkezxh dh
tkap lwph &

lkekxzh dh t:jr
QslhyhVsVj xkbM
izfrHkkxh eSU;wvy
izLrqfrdj.k ds fy, ,ylhMh vkSj ysiVki
ch-ih- midj.k vkSj LVsFkksLdksi
ukius okyk Vsi xHkkZ'k; dh
mapkbZ ukius ds fy,
otu e'khu
izf'k{kd fjlslhVs'ku fdVResusitation
Kit vkSj uotkr esfuDohbu cSx
vkSj ekLd] E;wdl ,DlVsDVj] eqag ls
eqag ls lkal nsuk
fMyhojh fdV
vkikrdkyhu nok dh Vs vkSj mldh
lkefxz;ka
efgyk dh isfYol vkSj Meh
ekr`Ro cky LokLF; iath
,-,u-,e- izf'k{k.k fdV
vkWfM;ks & fofM;ks lkekxzh
gkFk /kksuk izn'kZu djus ds fy,
lkekxzh lkcqu vkSj ikuh
iwoZ & i'pkr~ ewY;kadu dk lsV
fyf[kr vkSj izn'kZu ds fy, tkap
lwph
izfrHkkfx;kas ds fy, mifLFkfr iath
OgkbV cksMZ ;k CySd cksMZ vkSj
pkWd
vko';d la[;k
izzR;sd QslhyhVsVj ds
fy, ,d
izzR;sd izfrHkkxh ds
fy, ,d
izfrfnu ds fy, ,d
30 izfrHkkfx;ksa ds fy,
3
30 izfrHkkfx;ksa ds fy,
3
1
izR;sd QsflyhVsVj ds
fy, ,d lsV
fy, ,d lsV
fy, ,d lsV
fy, ,d lsV
izR;sd cSp ds fy, ,d
izR;sd cSp ds fy, 30
lhMh pykus ds fy,
izR;sd cSp ds fy, ,d
izR;sd izfrHkkxh ds fy,
,d 30
1 iath
1
Page 6
izf'k{k.k dk lapkyu %
ftyk izf'k{k.k vf/kdkjh / ftyk RCH vf/kdkjh ftyk Lrj ij
izf'k{k.k lapkyu djus ds fy, uksMy O;fDr gksaxs rFkk izfk{k.k
dh xq.koRrk lqfufpr djus gsrq mRrjnkf; gksaxs A izfk{k.k dh
xq.koRrk esa fdlh Hkh izdkj dh deh ik;s tkus ij lacaf/kr ftyk
izfk{k.k vf/kdkjh iw.kZr% ftEesnkj jgsaxs A
;fn 1 ls vf/kd LFkku gks tgka izf'k{k.k fn;k tk lds rc izf'k{kdksa
dh la[;k nqxquh gksxh A
izf'k{kd
mijksDr izfk{k.k jkT; Lrj ls izf'kf{kr Master Trainers }kjk
gh ftyk Lrj ij izf'k{k.k vfuok;Z :i ls layXu le;&lkfj.kh vuqlkj fn;k
tk;sxkA izfk{k.k iwoZ izfk{kdksa dks muds }kjk fn;s tkus
okys l=ksa ds ckjs es vfuok;Z :i ls lwfpr fd;k tkuk lqfufpr djs A
1 izf'k{kdksa dks fDyfudy dkS'ky iznku djus esa /;ku nsuk gS]
vkSj djds lh[kus laca/kh izf'k{k.k ij fo'ks"k tksj nsuk gS A
2- vknku iznku djus okyh izf'k{k.k fof/k;ksa dk mi;ksx djuk gS
A
3- Ldhy LVsku ij izk;ksfxd l=ksa dks T;knk izkFkfedrk nsuk gS
A
4- izf'k{k.k ds ?kVdks dk ikyu djuk vkSj le; lhekvksa dk mi;qDr
<+ax ls izca/ku djuk A
5- izf'k{kq izf'k{k.k nkSjku vkSj izf'k{k.k ds e/; esa vko';d
dkS'kyks dk vH;kl djsa bldh ekWfuVfjax vkSj ewY;kadu djuk
Page 7
vkSj ;g lqfuf'pr djuk fd izf'k'kqvksa dk yxkrkj i;Zos{k.k fd;k

tk jgk gks A
6- izf'k{k.k vko';drk vkSj izkIr miyfC/k ds Lrj ds lkekU;
ewY;kadu ds fy, izf'k{k.k iwoZ vkSj izf'k{k.k i'pkr~
and Post Test as provided with training material
Test
Pre
djsaxs rFkk VsLV dk
vkadyu djds izfk{k.kkfFk;ksa dks fQMcWd nsuk lqfufpr

djsaA
izf'k{k.k dh le;lkj.kh %
4 fnolh; ,-,u-,e- vkoklh; izf'k{k.k dh le;lkj.kh layXu gS] rFkk
izfk{k.k dk lapkyu le; lkj.kh vuqlkj gh gksuk lqfuf'Pkr djsa A
cSp dk vkdkj %
izfr cSp 30 ,-,u-,e- gksuh pkfg, A
izf'k{k.k dh vof/k %
04 fnu dk vkoklh; izf'k{k.k Residential Training gS A ,-,u-,edks izf'k{k.k LFky ij ,d jkr iwoZ igqapuk pkfg, ;fn os cgqr nwj
ls ;k=k dj vk jgh gks izf'k{k.k izkr% 10 cts ls izkjaHk] 'kke
5%30 rd pk; o chp esa yap czsd ds lkFk pysxk A
izf'k{k.k dh rS;kjh %
dkS'ky vk/kkfjr izf'k{k.k nsus ds fy, Skill stations yxkus vko';d
gS A
Skill stations
yxkus ds fy, vko';d lkezxh dh lwph layXu gS A
lqyHk lanHkZu gsrq
Skill stations
ds
Photographs
layXu gS A
izf'k{k.k fof/k %
izf'k{k.k fof/k;ka & baVsjsfDVo l=] ppkZ,] dk;Z LFky ij
izf'k{k.k] dkSkyks ij izn'kZu] vkfn gksuh pkfg, A
izk;ksfxd l=ks dks T;knk izkFkfedrk A
Page 8
izfk{kd rFkk izf'k{kqvksa ds fy, mifLFkfr iath miyC/k

gksuh pkfg, A
izf'k{kq mudh lHkh xfrfof/k;ksa fnol okj & izi= dk
fjdkMZ j[ksaxs A
izf'k{kd lqfuf'pr djsaxs fd izf'k{k.k dh xq.koRrk cuh jgs
vkSj futrk] fo'okl] uSfrdrk] vf/kdkj tSls eqn~nks dks /;ku
j[kk x;k gS A
l= dh dk;Zokgh
mn~ns'; %
izR;sd l= dh lekfIr ij izf'k{kq D;k djus esa
l{ke gks ldsaxsA

xfrfof/k;ka
baVsjsfDVo
l=]
dsl
LVMh]
lhMh]
izn'kZu vkSj pkVZ A

DAY 1
Sessi
on
1
2
3
4
5
6
7a
Time
10:0010:15am
10.15
-10.30 am
10.3011.00am
11.0011.30am
11.3011.45am
11.45-12.15
noon
12.15
-12.45pm
12.45-
Topics
Components
Methodolog
y
Facilitator
DistrictTraini
ng
officer/RCH
O
Registration and Introduction

Tea Break
Expectations and norms for training
Group
activity
Sister tutor
Pre test
Sister tutor
Objective of the Quality ANC training

Video film on SBA ki Bhumika
Situational analysis Chhattisgarh
Components
1) Importance of
Powerpoint
presentation
RMA
Video Film
Sister tutor
Powerpoint
presentation
Powerpoint
Medical
officer
RMA
Page 9

early registration
2) Estimation of no.
of pregnancies
annually
3) No and timing of
antenatal visits
1.15pm
of ANC &
Examinations
to be done in
a pregnant
woman and
importance of
each
7b
1.152.00pm
presentation
4) Logistics
required for ANC
5) History taking
and calculation of
EDD
6)General
Examination
7) Abdominal
examination
Powerpoint
presentation
Medical
officer
Video Film,
Question
Answer and
discussion
RMA
8) Lab
investigations
7c
2.002.30pm
Lunch Break
2.303.15pm
Video film on Examination of

pregnant woman
Page 10

1) Exercises on
estimation of
pregnant women in
their areas
2) Exercises on
calculation of EDD
3) Demonstration
of how to conduct
a general, physical
and abdominal
examination on
mannequine
7d
3.155.30pm
Practical
session
4) Demonstration
of how to take BP &
ask them to take
BPs of each other
5) Hb estimation
kit and ask them to
do the test on each
other.
Skill stations
to be
established
for each first
demonstartio
n and then
practice by
individual
participant.
Each
participant
must do the
test.
MO/RMA/Sis
ter
turtor/LHV
(All must be
present)
6) Demonstrate
use of uristix & ask
them to do the test
on each other.
7) Demonstrate
whole blood finger
prick test for HIV
screening.
(whereever
applicable)
izeq[k lans'k %
izR;sd
fcanqvksa ij tksj nsuk ftl ij
lacaf/kr
l=ks
esa
egRoiw.kZ
izf'k{kqvksa ls ppkZ dh tkuh pkfg,
izFke fnol
xq.kkRed xHkkZoLFkk nkSjku ns[kHkky Quality
ANC
mn~ns';
Page 11
l= ds var esa izf'k{k.kkFkhZ ;k izfrHkkxh l{ke gks

ldsaxs fd &
efgyk@ekrk dks xq.kkRed xHkkZoLFkk nkSjku ns[kHkky
iznku djuk vkSj LoLF; f'k'kq dk izlo lqfuf'pr djuk A
tfVyrkvksa dh 'kh?kz igpku djus vkSj mi;qDr LokLF;
dsUnz esa jsQj djuk A
izlo ds LFkku dh igpku djuk vkSj ;g lqfuf'pr djuk fd izlo
esa dq'ky izlo ifjpkfjdk Hkkx ys A
muds {ks= esa xHkZorh efgykvksa dh la[;k dk vkadyu
djuk A
izlo dh laHkkfor frfFk EDD dk vkadyu djuk A
miLokLF; dsUnz esa xq.kkRed xHkkZoLFkk nkSjku
ns[kHkky ds fy, vko';d izca/ku djuk (Logistics) |
fgLVh ysuk vkSj tksf[ke okyh efgyk dh igpku djuk A
jDrpki ysuk vkSj mPp jDrpki dh igpku djuk A
is'kkc esa 'kdZjk vkSj ,YC;wfeu dh igpku djuk A
iznku fd, tkus okys gLr{ksi A
nh tkus okyh lsok;saA
vkgkj vkSj foJke ds fy, fn, tkus okyk ijke'kZ A
xfrfof/k;kW
dsl LVMh vkSj ppkZ A

muds {ks= esa xHkZorh efgykvksa ds vkadyu ij vH;kl A
izlo dh laHkkfor frfFk ij vH;kl A
fdl izdkj fgLVh (History) ysuk gS vkSj izR;sd xHkkZoLFkk
ds nkSjku tkap esa D;k tkap djuk gS ij vfHku; ukfVdk
jksy Iys
,d nwljs ds jDrpki dk ekiu djuk A
fdV ds mi;ksx ls ,d nwljs dk fgeksXyksfcu dk vkadyu A
;wjhLVhDl ds mi;ksx ls ,d nwljs dh 'kdZjk vkSj ,YC;wfeu
dk vkadyu djuk A
xHkkZoLFkk nkSjku ns[kHkky ij fQYe dk izn'kZu djuk A
Page 12
fuEu fcanqvksa ij tksj ns

fdlh Hkh xHkZorh efgyk dks tfVyrk,a@leL;k,a gks ldrh
gS ftlls ekr`Ro chekjh ;k e`R;q gks ldrh gS A
dkSu lh efgyk dks tfVyrk,a fodflr gks ldrh gS bl ckjs esa
vanktk yxk ikuk laHko ugha gS A
;g lqfuf'pr djuk fd vkikrdkyhu izlo dks izca/ku djus ds fy,
jsQjy lsok,a miyC/k gS A
psrkouh ds fpUgks ij tks ns % fuEu y{k.kks@fpUgks ij
vfoyac fpfdRld ls laidZ djus dh t:jr gksrh gS &
cq[kkj
fljnnZ] /kqa/kyk fn[kkbZ nsuk
'kjhj esa lkekU; lwtu vkSj psgjs dk Qwyuk A
g`n; dk tksj & tksj ls /kM+duk] vklkuh ls Fkduk
vkSj foJke ij lkal dk Qwyuk
isV esa yxkrkj xaHkhj nnZ A
;ksfu }kj ls jDrL=ko@ikuh tSlk L=ko A
is'kkc dh ek=k esa deh vkuk A
xHkZLFk f'k'kq dh gypy esa deh vkuk A
vPNh fjdkMZ fdfiax ls csgrj dsl izca/ku vkSj Qkyksvi esa
lgk;rk feyrh gSA
vk;ju & Qksfyd ,flM dh xksfy;ka vkSj VhVh ,atsD'ku
izR;sd xHkZorh efgyk ds fy, lqfuf'pr djuk A
tc rd MkWDVj }kjk fo'ks"k lykg uk nh tk, rc rd fdlh Hkh
xHkZorh efgyk dks fdlh Hkh izdkj dh nok ugha nh tkuh
pkfg, A
xHkZorh efgyk ds fy, i;kZIr vkgkj vkSj vkjke ls uotkr
f'k'kq dh lqjf{kr ekr`Ro ,oa LokLF; uotkr f'k'kq dh izkfIr
gksrh gS A
rS;kjh
l= izkjaHk djus ds igys lqfuf'pr djsa fd &
1 vki l= dk mn~ns'; le> x, gS A
Page 13
2 ekM~;wy ds lapkyu ds fy, lHkh vko';d lkekfxz;ka vkids ikl

gS %
muds {ks= esa xHkZorh efgykvksa dk vkadyu
djus ds vH;kl A
izlo dh laHkkfor frfFk ds vkadyu dk vH;kl A
LVsFkksLdksi ds lkFk ch-ih- midj.k A
fgeksXyksfcu vkadyu dk fdV
;wjhLVhDl
ekiu Vsi
otu Ldsy
xHkkZoLFkk nkSjku ns[kHkky ij fQYe A
l= dk ifjp; djuk
;g dgrs gq, ifjp; djkuk % bl l= esa] vki xq.kkRed xHkkZoLFkk
nkSjku ns[kHkky ds pj.kks ds ckjs esa lh[ksaxh A vki lHkh dks
xq.koRrkiw.kZ xHkkZoLFkk ns[kHkky ds dkS'kyksa esa ikjaxr
gksuk pkfg,A
izfrHkkfx;ksa dks i`"Bksa dks i<+uk izkjaHk djus dgs A tc os
i<+uk iw.kZ dj ys] rc ^^xq.koRrk xHkZoLFkk ns[kHkky** ij
lewg ppkZ dk lapkyu djsa A
izn'kZu Demonstration
n`'; & nks izf'k{kd@QsflyhVsVj % ,d eka dk o vU; LokLF;
dk;ZdrkZ dk vfHku; djsa A
1-
ekrk ls fgLVh History ysus ds izkjafHkd pj.kksa vkSj izlo

dh laHkkfor frfFk ds vkadyu djus dk izn'kZu djsa A
2-
lekU; ijh{k.k djsa] /kM+du] jDrpki] ihyk] lwtu] mapkbZ

vkSj otu ekisa@mUgs lh[kk,a fd CyMizs'kj fdlizdkj ekiuk
pkfg, A izfrHkkfx;ksa ds 3 lewg cuk,a izR;sd lewg esa 8
izfrHkkxh izR;sd lewg dks ,d ,d ch-ih- midj.k ns vkSj
Page 14
mUgs vH;kl djus ns A mUgs n'kkZ, fd mapkbZ vkSj otu

fdl izdkj ekiuk pkfg, vkSj mls ekr`Ro cky LokLF; iath esa
dgka fy[kuk gS] iznf'kZr djsaA
3-
;fn laHko gks rks ,d xHkZorh efgyk nwljh frekgh esa

dks yk,a tks ck/; jksxh foHkkx esa vkbZ gks vkSj isV dh
tkap fdl izdkj dh tkrh gS dk izn'kZu djsa vkSj fo'ks"kdj
QqaMy mapkbZ] xHkZLFk f'k'kq dh fLFkfr dks ns[kuk A
4-
fgeksXyksfcu vkadyu fdV dk mi;ksx fdl izdkj fd;k tkrk gS]

izn'kZu djsa vkSj mUgs ,d nwljs ds fgeksXyksfcu dk
vkadyu djus nsa A
5-
;wjhLVhd
(Uristix)
dk mi;ksx fdl izdkj djrs gS] izn'kZu djsa
vkSj mUgs Hkh vkadyu djus nsA

6-
nwljh frekgh esa vk;ju Qksfyd ,flM dh xksfy;ka vkSj

VhVusl VkWDlkbM dk batsD'ku fdlizdkj nsrs gS] iznf'kZr
djsa A
7-
vki xHkZorh efgyk dks vkgkj] vkjke vkSj ifjokj fu;kstu ds

ckjs esa fdl izdkj ijke'kZ nsaxs] iznf'kZr djas A
8-
;g Hkh iznf'kZr djsa fd vki D;k [krjs ds y{k.k mls crkus tk

jgs gS A izn'kZu i'pkr~] izfrHkkfx;ksa dks dkS'kyks dk
vH;kl djus dgs A
izn'kZu ds i'pkr~] izfrHkkfx;ksa dks vxys i`"B ij nh xbZ

dsl LVMh djus dgs A
dsl LVMh 1 % izfrHkkfx;ksa dks gS.Mcqd ds lacaf/kr l=ks

esa iz'uksa ds mRrj fy[kus ds fy, dgs A vkids lanHkZ ds fy, dqN
mRrjksa ds lq>ko ;gka fn, tk jgs gS
Page 15
1- Jherh vk'kk dh mez 26 o"kZ gS og igyh ckj xHkZorh

gqbZ gS og ck/; jksxh foHkkx esa 6 ekg ds ,euksfj;k
Ammenorrhea ds lkFk vkbZ gS A ;g mldh vkids ikl igyh
foftV gSA vki D;k bfrgkl History izkIr djsaxs \
mlds vafre ekfld p ds ckjs esa iwNs A

ekfld p dh fgLVjh & fu;fer@vfu;fer pA
xHkZLFk f'k'kq dh gypy & H/o fDodfuax
fiNyh xHkkZoLFkk nkSjku tkaps A
vU; dksbZ leL;k@chekjh A
ikaoks esa lwtu fljnnZ] is'kkc laca/kh dfBukbZ;ka A
iwoZ esa (H/o diabetes) e/kqesg] mDrjDrpki] vLFkek]vkj,pMh]
Vhch]Sickling Thalessari
ifjokj dk bfrgkl] (Family History)
fVVusl batsD'ku vkSj vk;ju Qksfyd ,flM dh xksfy;ka izkIr dh
rFkk dksbZ vU; nok
2- ;fn dksbZ xHkZorh efgyk dks mlds vafre ekfld p dh

frfFk
(LMP)
irk u gks rks & D;k vki isV dh tkap] ;k
fgLVh ysdj irk dj ldrs gS \

3- vki fu;fer vkSj vfu;fer p esa izlo dh laHkkfor frfFk
dh x.kuk fdl izdkj djsaxs \ vk'kk dgrh gS fd mlds vafre
ekfld p dh frfFk 3 ekpZ 2010 Fkh A mldh izlo dh laHkkfor
frfFk dh x.kuk djsa A
H/o
fu;fer p & vafre ekfld p dh frfFk esa 9 ekg vkSj
7 fnu tksM+s A
blfy, izlo dh laHkkfor frfFk & 3 ekpZ $ 9 ekg $ 7 fnu

& 10 fnlacj 2010 $ 7
days
Page 16
4- vki D;k lkekU; 'kkfjfjd vkSj flLVesfVd tkap dk laiknu

djsaxs \
lkekU; 'kkfjfjd tkap (GPE) &

mapkbZ vkSj otu
ukM+h] jDrpki] 'olu nj] rkieku
ihykiu] ikaoks esa lwtu ;k ihfy;k
Nkrh dh tkap /kals pwpd Retracted
esa iwNdj dh tkuh pkfg, A
'olu dh nj
isV dh tkap
QaMy dh mapkbZ (Fundal Height)
xHkZLFk f'k'kq dh fLFkfr
xHkZLFk f'k'kq dh g`n; nj
nipple
vafre frekgh
5- vki D;k ijh{k.k djsaxs \
fgeksXyksfcu] 'kdZjk vkSj ,CY;wfeu ds fy, is'kkc vkSj

jDr lewg o vkj-,p- izdkj ds fy, fodkl[k.M izkFkfed LokLF;
dsUnz@ egrkjh ybZdk Lok- fnol izk- Lok- dsUnz
esa esa mifLFkr gksuk A
6- vki mls dkSu lh nok nsaxs \
12 lIrkg ds ckn izfrfnu vk;ju vkSj Qksfyd ,flM 100

fexzk ,yhesaVy vk;ju $ 0-5 fe-xzk- Qksfyd ,flM
7- vki ls Vhdkdj.k ds ckjs esa D;k lq>ko nsaxs A
mls fVVusl VkWDlkbM dh 2 [kqjkd izkIr djuh pkfg,

igyh [kqjkd & tSls nks xHkZ dk irk pyrk gks vkSj
igyh [kqjkd ysus ds 4 lIrkg ckn nwljh [kqjkd ;Fkk
laHko izlo dh laHkkfor frfFk ls 4 lIrkg iwoZ
8- vki mls vU; D;k lq>ko nsaxs \

Page 17
fuEu ds ckjs esa lq>ko
i;kZIr vkgkj
vkjke jkr esa 8 ?k.Vs vkSj nksigj esa 2 ?k.Vs
Lruiku dk egRo
tUe@izlo dh rS;kjh
vkn'kZ foftV
[krjs ds y{k.k
laLFkkxr izlo ds fy, izksRlkgu
9- vki mls vxyh xHkkZoLFkk tkap ds fy, dc cqyk,axs \
vfuok;Z foftV gS % 12 lIrkg ds Hkhrj iath;u] 14 & 26

lIrkg] 28 & 34 lIrkg vkSj 36 lIrkg ls xHkkZoLFkk ds
iw.kZ gksus rdA
10- os dkSu ls [krjs ds fpUg gS ftlds fo:) vki mls

psrkouh nsaxs &
cq[kkj
fljnnZ
'kjhj dh lkekU; lwtu vkSj psgjs dk Qwykiu A
g`n; dk rst /kM+duk] vklkuh ls Fkduk vkSj foJke ij lkal
Qwyuk A
isV esa nnZ A
;ksfu ls jDrL=ko@ikuh tSlk L=ko A
xHkZLFk f'k'kq dh gypy esa deh gksuk A

DAY 2
Session
Time
Topics
10.0010.15am
Components
Recap of day 1
Methodol
ogy
Facilitat
or
Participa
nt
Page 18

1) Imporance of
anaemia & IFA
tablets(Prophylacti
c & Therapeutic
dose)
2) TT injections
7e
10.1511.15am
Interventio
ns to be
given in
ANC
3)Activities to be
done in 1st,2nd,3rd
and 4th ANC
Powerpoint
presentatio
n
Sister
tutor/LHV
Powerpoint
presentatio
n
MO
Video Film
Sister
tutor
Practical
MO and
RMA
Discussion
on
Questions
and
answers
LHV
Demonstra
tion
LHV
4) Counseling on
diet & rest
5) Danger Signs &
when to come for
next visit
6) Microbirth
planning
11.1511.30am
Tea break
1)Stages of labour
True labour pain Vs
False pain
11.3012.30pm
8a
12.30-1.00pm
8b
1.00pm2.00pm
2.00-2.30pm
Stages of
labour and
manageme
nt of 1st
and 2nd
stage of
labour
2) Supportive care
during labour
3) Deciding the
stage of labour
4) Management of
first & second
stage of labour
Video film on Partograph,
Normal delivery,breech
delivery
Filling up
Practice
Partograph and
session
discussion of case
studies
Lunch Break
8c
2.30-3.15pm
Video film on History taking

of patient in Labor and LR
setup
8d
3.15- 3.45pm
Demonstration of Hand washing

and Preparation of Chlorine
solution
Page 19

1) Use of oxytocin
3.45-4.45pm
9a
4.45-5.30pm
Active
Manageme
nt of Third
Stage of
Labour and
Fourth
Stage
2) Controlled cord
traction
3) Use of
Misoprostol
4) Uterine massage
Video film on active
management of third stage of
Labor
Powerpoint
presentatio
n
MO
Video Film
MO
nwljk fnu
izlo nkSjku ns[kHkky vkSj ikVksZxzkQ
(Intrapartum care and
partograph)
mn~ns'; %
l= ds var esa izfrHkkxh l{ke gks ldsaxs &
lgh izlo ihM+k vkSj mlds pj.kksa dh igpku djus esa A
mPp tksf[ke ds izdj.kks dh igpku djus vkSj izkjafHkd
izca/ku ds i'pkr~ jsQj djus esa
ikVksZxzkQ ds lkFk izlo ihM+k@izlwfr dk vuqJo.k djus esa
A
lkekU; ls fopyu dh igpku djus vkSj mlds izca/ku esa A
lkekU; izlo dk lapkyu djus A
izlwfr ds rhljs pj.k ds lf; izca/ku djus esa A
felksizksLVksy (Misoprostol) dk mi;ksx A
gkFk /kksuk A
izlo i'pkr~ jDrL=ko dh igpku djus vkSj >Vds dh rhozrk ds
Lrj dk ewY;kadu djus esa A
izlo i'pkr~ jDrL=ko PPH ds izdkjks dh igpku djus esa A
izlo i'pkr~ jDrL=ko PPH ds Rofjr izca/ku vkSj jsQjy dk
izca/ku djus esa
esfXuf'k;e lYQsV batsD'ku dk mi;ksx djus esa A
Page 20
xfrfof/k;ka &
izlwfr d{k dk Hkze.k 6 pm - 9 pm

ikVksZxzkQ dk vH;kl
ikVksZxzkQ ij fofM;ks
gkFk /kksus dh fof/k;ka
lkekU; izlo vkSj izlwfr ds rhljs pj.k ds lf; izca/ku ij fofM;ks
A
bu fcanqvksa ij tksj ns % jsQjy ds nkSjku ds pj.k vkSj dc

jsQj djsa %
jsQj dc djsa &
ukM+h nj 100 izfr fefuV ls T;knk gks A
jDrpkji 140@900 fe-eh- ls T;knk gks A
rkieku 100-4 ;k 38 ls T;knk gks A
xHkkZ'k; ladqpu izfr 10 fefuV ls 2 ls de gks A
xHkZLFk f'k'kq dh g`n; nj 160 izfr fefuV ls vf/kd ;k 120 izfr
fefuV ls de gks A
xzhok dk QSyko psrkouh js[kk dks ikj dj ns A
xHkZLFk f'k'kq ds flj dh ekmfYMax + +
nzo & /kCcs okyk esdksfu;e (meconium stained) A
jsQjy ds pj.k &
mPp LokLF; dsUnz dks lwfpr djuk

ifjogu dk izca/ku djuk A
vkbZ-Ogh- ykbZu izkjaHk djuk Preferred IV Fluid : RL
mYVs gkFk dh ik'oZ fLFkfr A
LokLF; dk;ZdrkZ vkSj fj'rsnkj }kjk lkFk nsuk A
jksxks ds lkFk cuk gqvk ikVksZxzkQ Hkstuk
izlo lsV vkSj vfuok;Z nokvksa dks jsQjy ds fy, rS;kj j[kuk A
izlwfr ds rhljs pj.k ds lf; izca/ku dh izeq[k ckrsa (AMTSL) A
Page 21
ekM~;wy esa vkxs xHkZorh efgykvksa dh nks dsl LVMh

nh xbZ gS A d`i;k mls jsQj ;k lanfHkZr djsa vkSj izfrHkkfx;kas
dks ikVksZxzkQ esa n'kkZu ds fy, dgs A
rS;kjh %
l= izkjaHk djus ds iwoZ lqfuf'pr djsa fd &
1- vki l= ds mn~ns';ksa dks le> pqds gS A
2- ekWM~;wy ds lapkyu ds fy, vkids ikl lHkh lkekfxz;ka gS &
lkcqu vkSj ikuh
efgyk isfYol vkSj Meh
ikVksZxzkQ dh izfr;ka
lkekU; izlwfr ds izaca/ku ij lh-Mh-
Page 22

DAY 3
Sessi
on
10
Time
Topics
10.0010.30am
Recap Day 2
10:30 - 11:15
am
Post Natal
Care
Components
Methodolo
gy
Facilitator
Participant
1) Importance of 48
hours stay in the
hospital
2) Immediate post
partum care to be
given
1) PPH and its types
Powerpoint
presentation
Sister
tutor/LHV
Powerpoint
presentation
MO
Discussion
on
Questions
and answers
MO
Powerpoint
presentation
MO
Discussion
on
Questions
and answers
MO
2) Immediate
management of PPH
3) Use of
Misoprostol
11
11:15 - 12:15
pm
PPH
4) When to refer a
woman
5) Interventions to
be given before
referring
6) Danger signs
11a
12:15 - 12:45
pm
Video film on PPH

1) How to identify
pre-eclampsia
12
12.451.30pm
Hypertension
in Pregnancy
( PIH, Preeclampsia
and
eclampsia)
2) What is
Eclampsia
3) Management of
pre-eclampsia
4) Management of
Eclampsia.
5) Role of Mag. Sulp
6) when to refer
12a
1.30-2.00 pm
Video film on Eclampsia
2.00-
Lunch Break
Page 23

2.30pm
13
2.30-3.00pm
Other Complications during

Pregnancy
1) Care of the baby
at the time of birth
3.00-4.00pm
Essential
newborn
care
14
4.00-4.30pm
14a
4.30-5.30pm
2) Neonatal
resuscitation
3) Prevention of
Hypothermia
4) Exclusive
breastfeeding
5) Kangaroo Mother
Care
6) ARI/Diarrhea and
Zinc
Practice
session
Neonatal
resucitation
Powerpoint
presentation
RMA
Powerpoint
presentation
MO
Powerpoint
presentation
MO
Demo and
Practice
MO/RMA/LH
V/Sister
tutor
rhljk fnu
mn~ns'; &
l= dh lekfIr ij izfrHkkxh l{ke gks ldsaxs &
xHkkZoLFkk dh tfVyrkvksa dh igpku djus esa A
vfuok;Z uotkr f'k'kq dh ns[kHkky iznku djus esa A
lae.k ls cpko vkSj lae.k fu;a=.k ds ewyHkwr fl)karks
dks tkuus esa A
xfrfof/k;ka &
izlwfr d{k vkSj dsUnzh; folae.k vkiwfrZ foHkkx CSSD
dk Hkze.k A
izlwfr ds rhljs pj.k ds izca/ku ij fofM;ks A
,uvkjih] fczLV ky vkSj daxk: enj ds;j KMC dk fofM;ks
A
fuEu fcanqvksa ij tksj ns &
izlo i'pkr~ jDrL=ko PPH ls cpko ds fy, izlwfr ds rhljs
pj.k dk lf; izca/ku
jsQjy ,sls vLirkyksa dks tgka [kwu p<+kus dh lqfo/kk
gks A
Page 24
izdj.kks dks mi;qDr LFkku vkSj le; ij jsQjy A

jsQjy dsUnz esa M~;wVh ij fpfdRlk vf/kdkjh dks
VsyhQksu ij jksxh dh fLFkfr ds ckjs esa vkSj ;fn jDr lewg
ekywe gks rks mlds ckjs esa crk,a A
vf/kdka'k dsUnzksa esa [kwu p<+kus] ifjokj dks jDrnku
ds fy, rS;kj djus vkSj ejht dks jDrnkrk ds lkFk ds fy,
rS;kjdjus dh vko';drk gksrh gS A
vfuok;Z uotkr ns[kHkky

mn~ns'; % l= dh lekfIr ij izfrHkkfx;ksa esa fuEu vfuok;Z
dkS'ky fodflr gks ldsaxs &
uotkr dks tUe ij lae.k ls cpkoA
f'k'kq dks lkal nsus] xeZ j[kus vkSj Lruiku djus ds
rjhds A
lHkh uotkr dks tUe ds le; iznku dh tkusokyh fu;fer
Routine lsok,a
,sls uotkrks dh igpku djus esa ftUgs fo'ks"k ns[kHkky
dh t:jr gksrh gS A
xfrfof/k;ka &
fofM;ks izn'kZu % ,u-vkj-ih- NRP] daxk: enj ds;j vkSj
czhLV ky Breast CrawlA
pkSFkk fnol
DAY 4
Session
14b
15
Time
Topics
10.0010.30am
Recap Day 3
11.3011.00am
Newborn care
video, Neonatal
resuscitation video
hindi
11.00-12.30
noon
Component
s
Video film.
Bio Medical Waste Management and

Universal precautions
Methodolog
y
Facilitato
r
Participa
nt
Video film
RMA
Powerpoint
Presentation
and
demonstratio
n
RMA
Page 25

1) How to maintain
record in a
subcentre
2) What registers to
maintain
12.15pm2.00pm
16
Record
Keeping and
Referral
Tracking of
pregnant
woman
(theory and
practical
together)
3) How to fill up the

new MCH register
and the MCP card
JSY form
Registers
discussion
LHV
Powerpoint
Presentation
Sister
tutor
Powerpoint
Presentation
Sister
tutor

MDR community
format , primary
informer and line
listing
6) How to write a
referral note
2.002.30pm
LUNCH Break
1) What is VHND
17
2.30-3.30pm
VHND
Work
schedule of
ANM
2) What services are

given in VHND
3) What is your role
in a VHND?
18
3.30-4.00pm
JSY ,JSSK
and
incentives
What is the scheme?

And benefits under
the scheme
19
4.00-4.30pm
Valedictory
Session
Address by CMHO
on way forward
All master
trainers
mn~ns'; %
l= dh lekfIr ij ,-,u-,e- tku ldsaxs fd &
mudh xzke LokLF; ,oa iks"k.k fnol VHND esa

Hkwfedk A
xzke LokLF; ,oa iks"k.k fnol VHNDdk egRo A
xzke LokLF; ,oa iks"k.k fnol ij iznku dh tkus okyh lsok,a

A
Page 26
fjdkWMZ la/kkj.k ekr` cky LokLF; iath] ekr` f'k'kq j{kk

dkMZ] tuuh lqj{kk ;kstuk izi=] ekr` e`R;q leh{kk izi=
vuqyXud 6 ds fy, ,Q-vkbZ-vkj- dSls Hkjs A
uohu ekr` cky j{kk dkMZ dSls Hkjs MCP CardA
izeq[k ekr` cky LokLF; iath dSls Hkjs A
vkidh dk;Z dh le; lkj.kh D;k gS \
ferkfuu vkSj dk;ZdrkZ ds lkFk leUo; ,oa dk;Z dSls djs A
xfrfof/k;ka &
mudks fdV esa iznku fd, x, fofHkUu izi=ks dks Hkjuk A
xzke LokLF; ,oa iks"k.k fnol ij jksy Iys A lsokvksa dk

vk;kstu dSls djs] lsok,a dSlsa iznku djsa \ lHkh
izfrHkkfx;ksa dks jksy Iys esa Hkkx ysuk pkfg, A
Page 27
Sr
.
Training Material Required for one batch
no
.
1 Training Module for Each participant
2 Training Time table and duty roaster
3
4
No
.
H
I
J
5
6
7
8
9
Partographs 4 per participant for Practice

Skill stations
Mannequine for measurement of fundal height, Female pelvis and dummy
baby
Measuring tape for fundal height
Drug tray containing Tab Misoprostol 200micrograms, Cap Ampicilline
500mg, Tab Metronidazole, 400mg, Tab Paracetamol ,Tab Ibuprofen, IV
fluids, Inj oxytocine in cold chain.
Emergency drug tray containing Inj Magsulf 50% ampoule, Inj Calcium
gluconate, Inj Diazepam, Inj Metronidazole, Inj Lignocaine 2%, Inj
Adrenaline, Inj Frusemide, Inj Phenargan, Ringer lactate, Normal Saline, Inj
Vitamin K, Inj. Avil, Inj. Efcorline
Neonatal resucitation kit
Digital BP apparatus
HB color scale, Lancet, Spirit swabs, Bleaching solution and container for
waste disposal
Whole blood finger prick test for HIV screening, Lancet, spirit swabs,
bleaching solution, container for waste disposal.
Uristix for glucose and albumin
Hand washing station soap and water
Pre and post test formats
LCD projector with computer
Chart paper and sketch pens
White board and white board marker
Attendance sheet for participants
10
11
12
Mahatari laika register

MCP card
Safe motherhood booklet
A
B
C
D
E
F
G
30
30
12
0
1
3
1
1
1
3
2
2
1
1
60
1
10
1
1
30
3
Page 28
PHOTOGRAPHS SKILL STATIONS

Skill Station No. 1: Measuring BP using digital BP apparatus
Skill Station No. 2: Hemoglobin estimation using HB color scales
Skill Station No. 3: Urine albumin and sugar estimation using

Uristix
Page 29
Skill station No. 4: Neonatal resuscitation kit
Skill station No. 5: Drug trays for labor room
Skill station No. 6: Whole blood finger prick test for HIV screening
Page 30
Skill Station No. 7: Dummy pelvis and baby
Skill Station No. 8: Hand wash and Bleaching solution preparation
Skill Station No. 9: Instruments for delivery
Page 31
Pre test/Post test Answer key

(Each Question Carries 1 mark)
1.
izlo iwoZ tkWp dc dc djkuh gS ?

igyh tkWp iath;u
&14-26wks
within 12 wks
nwljh tkWp
frljh tkWp
28-34wks
pkSFkh tkWp &36wks and term

Page 32
2. xHkkZoLFkk nkSjku xHkZorh efgyk dk otu fdruk

c<+uk pkfg, ?
a)
6 8 kg
b)
9 11 kg
c)
12 15 kg
3. xHkkZoLFkk ds nkSjku Hb gm/dl vuqlkj jDr vYirk

oxhZdj.k
jDrkYirk ughsa %
e/;e jDrkYirk %
HBgm/dl: >11
HBgm/dl 7-11
xaHkhj jDrkYirk %
HBgm/dl - <7
4. Iron Folic Acid fd ,d cM+h xksyh esa ykSg dh ek=k 100

(mg) ,oa Qksyhd ,lhM dh ek=k 0.5(mg)gksrh gSa
5. Laxmi dk HB 10 gm/dl gS] rks m;s IFA Large Tablet fdruh
nsuh pkfg, ?
200 Tablets, 1 BD for 100 days
6. lfjrk dks 6 efgus dh xHkkZoLFkk gS] vkSj mls cgqr flj

nnZ gS rks mldh dkSu lh tkWp djuk lokZ/khd vko;d
gS ? BP
7. xHkkZoLFkk esa Eclampsia ds D;k fpUg gksrs gSsa ?
1. BP > 140/90 mm of Hg 2. Proteinuria 3. Convulsions 4. Oedema or no oedema
8. ikVksZxzkQ dk mi;ksx dc fd;k tkrk gSsa ?

b) Active phase of labor
9. SHC Lrj ij Inj Oxytocine dc fn;k tkrk gS ?

b) cPps
ds tUe ds ckn rqjar
10. Injection Oxytocine fdrus Unit vkSj dSls fn;k tkuk gS ?

Inj Oxytocine 10 IU intramuscularly.
11. Tab Misoprostol dk Mkst D;k gS ? vkSj bls dc fn;k tkrk

gSa ?
Page 33

3 Tablets of 200 micrograms total dose 600 micrograms after the delivery of baby before
expulsion of placenta orally .
12. yyhrk dks Eclampsia gSa vkSj mls eSXklYQ nsus dh t:jr
gSa] rks SHC ij eSXklYQ dSls vkSj fdruk fn;k tkuk
pkfg, ?
10 ml in each buttock 50% Magnesium sulfate deep intramuscularly
13. PPH ds izdkj crk;sa ?

Immediate PPH and Delayed PPH
14. lkekU;r% lkekU; izlo esa fdruk Blood Loss gksrk gSa ?
Less than 500
15. PPH dk lcls igyk fpUg D;k gksrk gS ?

Mild increase in pulse rate
16.
Active Management of Third Stage of Labor
ds izeq[k ?kVd D;k gS ?
1. Uterotonic drugs 2. Controlled cord traction 3. Uterine Massage 4. If placenta not delivered in
30 min IV Inj oxytocine 20 IU in 500 ml RL/Normal saline 30 drops/min.
17. izlo ipkr~ tkWp ,-,u-,e- dks dc dc djuh pkfg,s ?

1st: within 24 hrs, 2nd: 3rd day, 3rd: 7th day, 4th : 42nd day
18. tUe ds ckn fkkq dks Lruiku fdrus le; esa kq:
djkuk pkfg,s ?
2) 1
?k.Vk]
19. fkkq dks

2) 06
20.
6 Cleans
Complementary Feeding
dc ls kq: djuh pkfg,s ?
ekg
D;k gS ?
1. Clean surface 2. Clean Hands 3. Clean cut 4. Clean thread 5. Clean tie 6. Clean Perineum
21.
Placenta
dks dkSu ls
Colour ds Bin esa Dispose
djuk gSa ? Yellow
Page 34
Women Death Information Report

Format for Primary Informer
efgyk e`R;q dh tkudkjh dk izfrosnu
izFke lwpuk nsus okys ds fy, izi=
(To be compiled for all deaths of women aged 15 49 years)
15 & 49 o"kZ dh lHkh efgyk e`R;q ds fy, la/kkfjr fd;k tk,

1
Name of State
jkT; dk uke
2
Name of District
Name of Block
ftys dk uke
fodkl[k.M dk uke
4.
Name of the deceased woman
5.
Name of husband
e`rd efgyk dk uke

ifr dk uke
6.
Address
7.
Date and time of death
irk
e`R;q dh frfFk vkSj le;

8.
Place of death
e`R;q dk LFkku
Home
?kj
Health Facility
LokLF; dsUnz
Others
vU;
9.
When did death occur
e`R;q dc gqbZ
During pregnancy
xHkkZoLFkk nkSjku
During delivery
izlo nkSjku
Within 42 days after delivery
izlo ds 42 fnu ds Hkhrj

Others
vU;
10
Name of reporting person
izfrosnu izLrqr djus okys O;fDr dk

uke
Page 35
Signature of reporting person:
izfrosnu izLrqr djus okys O;fDr dk gLrk{kj %

Designation:
in %
Date:
fnukad %
Page 36

Draft ANM Training Facilitaors Guide HINDI June 26

Caricato da

Informazioni sul documento

Copyright

Formati disponibili

Condividi questo documento

Condividi o incorpora il documento

Opzioni di condivisione

Hai trovato utile questo documento?

Questo contenuto è inappropriato?

Copyright:

Formati disponibili

Draft ANM Training Facilitaors Guide HINDI June 26

Caricato da

Copyright:

Formati disponibili

QsflyhVsVj xkbM

4 fnolh; ,-,u-,eizf'k{k.k ds fy,

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

lapkyuky; LokLF; lsok,a ,oa jk"Vh; xzkeh.k

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

QslhyhVsVj xkbM dk ifjp;

vkSj vk/kkjHkwr uotkr ns[kHkky

fo"k;ksa ij fodflr fd;k x;k gS A izf'k{k.k dk;Ze dk mn~ns';

7 izk- Lok- dsUnz mi LokLF;

dsUnzks esa vkSj NksVs vLirkyksa esa jsQjy vLirky ugha

1- QslhyhVsVj ;k lgtdrkZ (Facilitator ) D;k gksrk

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

ikB~;e ls ifjfpr gksuk t:jh gS A vkidk dke gS fd foLrkj ls

vH;klksa ds mRrjksa ij izfrHkkfx;ksa ls ppkZ djsa] jksy

2- ;g QslhyhVsVj xkbMcqd vkidh fdl izdkj

izR;sd v/;k; ds fy,] bl QslhyhVsVj xkbM eas fuEu fcanq

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

lewg ppkZ ;k O;fDrxr QhMcSd esa crk, tkus okys fcanq A

Lo;a vkSj izfrHkkfx;kas dk ifjp;

izf'k{k.k LFkku &

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

izR;sd lewg esa vko';d fn'kk funsZ'k lkezxh dh

tkap lwph &

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

vkSj ;g lqfuf'pr djuk fd izf'k'kqvksa dk yxkrkj i;Zos{k.k fd;k

djsaxs rFkk VsLV dk

vkadyu djds izfk{k.kkfFk;ksa dks fQMcWd nsuk lqfufpr

yxkus ds fy, vko';d lkezxh dh lwph layXu gS A

lqyHk lanHkZu gsrq

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

izfk{kd rFkk izf'k{kqvksa ds fy, mifLFkfr iath miyC/k

izR;sd l= dh lekfIr ij izf'k{kq D;k djus esa

l{ke gks ldsaxsA

izn'kZu vkSj pkVZ A

Registration and Introduction

Objective of the Quality ANC training

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

Video film on Examination of

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

fcanqvksa ij tksj nsuk ftl ij

izf'k{kqvksa ls ppkZ dh tkuh pkfg,

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

l= ds var esa izf'k{k.kkFkhZ ;k izfrHkkxh l{ke gks

dsl LVMh vkSj ppkZ A

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

fuEu fcanqvksa ij tksj ns

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

2 ekM~;wy ds lapkyu ds fy, lHkh vko';d lkekfxz;ka vkids ikl

ekrk ls fgLVh History ysus ds izkjafHkd pj.kksa vkSj izlo

lekU; ijh{k.k djsa] /kM+du] jDrpki] ihyk] lwtu] mapkbZ

QsflyhVsVj ;k lgtdrkZ xkbM

4 fnolh; ,-,u-,e- izf'k{k.k QsflyhVsVj xkbM

mUgs vH;kl djus ns A mUgs n'kkZ, fd mapkbZ vkSj otu

;fn laHko gks rks ,d xHkZorh efgyk nwljh frekgh esa

fgeksXyksfcu vkadyu fdV dk mi;ksx fdl izdkj fd;k tkrk gS]

dk mi;ksx fdl izdkj djrs gS] izn'kZu djsa