Training on Community Health

17 19 Nov 2011

Help a Child of India, CCDC Madhepura

Shastri Nagar, Ward No 19, Madhepura - 852113

Animators Manual
Compiled by:- Savita Dennyson

Name:
Address: ..

Traininig Facilitated by:-

COMMUNITY HEALTH AND DEVELOPMENT PROGRAMME

Madhipura Christian Hospital

Emmanuel Hospital Association

1

fok; lwph
Ikztuu LokLF; ---------------------------------------------------------------------------------3
,p- vkbZ- oh@ ,M~l -----------------------------------------------------------------------8
ifjokj fu;kstu ------------------------------------------------------------------------------10
Vhdkdj.k ----------------------------------------------------------------------------------------13
LokLFk iksfkr cPpksa dk fodkl -----------------------------------------------14
dqi"ku----------------------------------------------------------------------------------18
Ikzlo iqoZ ns[kHkky ----------------------------------------------------------------------18
Ekk vkSj fkkq dk iksk.k --------------------------------------------------------------22
Lkjdkjh ;kstuk,a --------------------------------------------------------------------------25
1- vkaxuokM+h -----------------------------------------------------------------------25
2- ts-,l-okbZ ------------------------------------------------------------------------27
3- jk"Vh; LokLF; chek ;kstuk --------------------------------------29
LokLF; dk vf/kdkj ------------------------------------------------------31
LokLF; fk{kk --------------------------------------------------------------------------------31
1- yksd fooklksa vkSj ?kjsyq mipkjksa ds ckjs esa dqN loky
tokc
----------------------------------------------------------------------------34
2- foVkfeu ^,^ ------------------------------------------------------------------35
3- Mk;fj;k nLr jksx ds [krjukd y{k.k -------------36
4- nLr ds le; cPpksa dh ns[kHkky -------------------------38
5- kkSpky; dk iz;ksx
-------------------------------------------39
6- Vh0ch0 ----------------------------------------------------------------------------41
7- Vh0ch0 ds y{k.k ,oa bZykt -------------------------------------42
izlo ;kstuk -----------------------------------------------------------------------------43
xHkZorh efgyk jftLVj ---------------------------------------------------------44
fkkqq jftLVj -----------------------------------------------------------------------------46
2

Ikztuu LokLF; Reproductive Health)

,p,p- vkbZ- oh@,M~l HIV/AIDS)

ms; %&
,p- vkbZ- oh rFkk ,M~l ds ewy lPPkkb;ksa fd tkudkjh gksuk A
,p- vkbZ- oh rFkk ,M~l D;k gS\
,p- vkbZ- oh ,d fokk.kq gS] tks ;fn ,d ckj kjhj esa izos k dj tk;s ] rks gekjs ^^cpko rU= ^^ dks
/khjs&/khjs ukk djrk gSA
,M~l kjhj dk og voLFkk gS] tc ^^cpko ra=^^ ,p-vkbZ-oh fokk.kq }kjk detksj cuk fn;k tkrk gSA
ftlls fofHkUu fcekfj;ka yx tkrh gSA tks gekjs kjhj dks ukk dj nsrh gSA
bl ckr dks vPNh rjg ls le>uk gS fd ,p- vkbZ- oh ls ,M~l vkus ds fy, vkB ls rsjg okZ dk
le; yxrk gSA
orZeku le; esa ,d ?kkr jksx gS] ftldk dksbZ iw.kZ bykt ugha gSA

,p- vkbZ- oh gekjs kjhj esa dSls izosk djrk gS\

vlqjf{kr ;kSu lac/a k ls
vlqjf{kr [kwu }kjk &[kwu LFkkukarj.k vkSj lqb;ka le>k;sa fd tkap fd;k gqvk [kwu D;ksa gksuk
gS vkSj lqbZ;k dk ,d ckj ls T;knk mi;ksx u gks rFkk ukhyh nokbZ;ksa dks lqb;ksa }kjk iz;ksx
djus ls D;k gkuh gksrh gS\
ladzfer eka }kjk cPps dks

,p-vkbZ-oh rFkk ,M~l ls dSls cp ldrs gS\

Lkqjf{kr ;kSu lEca/k ls
Tkhou Hkj ,d gh lkFkh A
Lkqjf{kr [kwu LFkkrkaj.k rFkk lwbZ;ksa ds vkil es iz;ksx djus ls cpkoA
Ekkrkvksa dh j{kk
fopkj & foekZ djsa dh dSls ,d vatku vkSjr Hkh vius lkFkh ds }kjk jksx & ladzfer gks ldrh gS]
;fn vko;d gks rks ifrozrk dh Hkkouk rFkk fujks/k ds egRro dks Hkh le>kukA ;g dSls gks ldrk gS]
bl ij fopkj djsAa eq[; fok; O;ogkj ifjoZru ij fopkj djsAa

lewg ls ;g izu iqNs %&

8

 ftls AIDS gS og O;fDr kkjhfjd rkSj ls dSlk vuqHko djsxk\

ftls AIDS gS og O;fDr HkkoukRed rkSj ls dSlk vuqHko djsxk\
vki ml O;fDRk dk enn dSls dj ldrss gS\

lkjkak
,lM~ chekjh dk dksbZ bZykt ugh gSA kknh ls igys vkSj kknh ds ckgj ;kSu lac/a k u cukus ls] ,d gh
lqbZ dk dbZ yksxksa }kjk mi;ksx u djus ls rFkk vius thou lkFkh ds lkFk fookl;ksX; cus jgus ls
vki lq[kh thou th ldrs gSAa
AIDS / HIV ls ihfM+r O;fDr ds izfr vkidh lsok] mldh bl chekjh dks nwj ugh dj ldrh gS]a
ijUrq ml O;fDRk ds thou esa cgqr vf/kd kkfUr vkSj mEEhn yk ldrh gS] rFkk tc os chekj gks] rc
mUgsa vf/kd le; rd LoLFk jgus esa rFkk chekfj;ksa ls la/kkZ djus esa lgk;rk iznku djrh gSA

ifjokj fu;kstu

(Family planning)

ifjokj fu;kstu D;k gS\a

Ikfjokj fu;kstu mrus gh cPps gksuk ftrus vki pkgsa vkSj og Hkh tc vki pkgsaA
Ikfjokj fu;kstu dk vFkZ D;k gS\a
D;k vkius dHkh bLrseky fd;k gS\
cM+k ifjokj gksus ls D;k gkuh gS\

xHkZ fujks/kd D;k gS\a

xHkZfujks/kd tc iq:k vkSj L=h ;g fup; dj ysrs gSa fd mUgsa rHkh cPpk pkfg, ]tc os pkgs rks os
tUe fu;=a.k ;k xHkZ vojks/kd ds cgqr ls ek/;eksa ls fdlh ,d ek/;e dk pquko djrs gSa vkSj tc rd
pkgsa L=h dh xHkZorh gksus ls jksd ldrk gSa ;s mik; fujks/kd ;k xHkZ fu;a=.k dgykrs gSAa
tUe fu;a=.k ds fdlh dh vke ek/;e ls mruk [krjk ugh gksrk] ftruk xHkZ /kkj.k esa xaHkhj chekjh vkSj
eqR;w dk [krjk gksrk gSAa
vki D;k lksprs gS tUe fu;a=.k djuk vPNk gS ;k ugh\

tUe fu;a=.k ds izdkj D;k& D;k gS\a

1. Permanent

1- ul canh
2- olSdVkseh

2. Temporary-

1. xHkZ vojks/kd dh xksfy;k

2. fujks/k
3. vkbZ-;w-Mh4. ck/; oh;Z ;k oh;Z ckgj fudkyuk
5. batd
s ku & Msiks izkus s k
6. lsQ fifj;M+
7. dkWij Vh

10

blls D;k gkuh ;k Qk;nk gS\

Qk;ns

gkuh

Uklcanh

L=h fQj dHkh xHkZorh ugh gks

ldrhA

dHkh dHkh ;g vkWijsku vlQy Hkh

gks ldrk gSA

fujks/kd

fujks/k vklkuh ls miyC/k gks

ldrk gS ,oa T;knk le; Hkh ugh
yxrk gS] bls ;kSu jksx ls Hkh cpk
tk ldrk gSA

QVus ls xHkZ Bgjus dh laHkouk gks

ldrh gSA

dkWij Vh

1- yxkus es Hkh vklku gS

2- nks ls rhu lky rd fufpr
jg ldrsa gSA

1- dej nnZ dh laHkkouk jgrh gS

2- dSlj dh Hkh Mj gSa
3- dHkh T;knk [kwu tk ldrk gSA

batDs ku

1- rhu ekg rd fufpr jg

ldrs gSa
2- jkst dh ijskkuh ugh gSa

1- vxj rhu ekg ij lqbZ ysuk Hkwy

x;as rks xHkZ :dus dh laHkkouk gSa

Ekkyk Mh&

1- xkfsy;ks ds lkFk fdlh foksk

vkgkj fd t:jr ugh gksrh A
2- vxj lnhZ tq[kke gS ;k fdlh
jksx ls xzLr gS rc Hkh ;g
xksfy;k [kk ldrh gSA

1- xksyh ysuk ,d fnu Hkh Hkwy

tk;s rks xHkZ Bgjus dh laHkouk
gS A
2- bu xksfy;ksa ls dHkh dHkh
QsQMk ;k efLrd esa [kwu te
ldrk gSA

lsQ fifj;M+

1- blesa iSlk ugh yxrsa

2- vklku rfjdk gS

1- egkokjh dh /;ku u nsus ls

xMcM+ gks ldrk gSA

ge nks ! gekjs nks !!

NksVk ifjokj ! lq[kh ifjokj !!

11

uoTkkr fkkq dh ns[kHkky

(New Born Child Care)

12

Vhdkdj.k

vk;q
tUe ds 48 ?kaVs ds chp
1-5 ekg
2-5 ekg
3-5 ekg
6&9 ekg
9&12 ekg
9 ekg
15&18 ekg

(Immunization)

Vhdkdj.k
Ckh-lh-th Vh-ch] vks-ih-oh iksfy;kss
Mh-ih-Vh- izFke] vk-s ih-oh iksfy;ks f}rh;
Mh-ih-Vh- f}rh;] vks-ih-oh iksfy;ks rhljk
Mh-ih-Vh- rhljk] vks-ih-oh iksfy;ks pkSFkk
vk-s ih-oh iksfy;ks ikapoka
pspd] foVkehu ,
pspd]
,e-,e-vkj-] Mh-ih-Vh- igyk cLwVj] iksfy;ks NVk

13

LokLFk iksfkr cPpksa dk fodkl

(Developmental

Milestones)
06 grk

lhj dks lEHkky ldrk gS

Lkgk;rk ls lhj mBk ysrk gS
eqLdqjkrk gS

03 efguk

lgk;rk ls mBk Tkkrk gS

?kqyVh djrk gS
eksVh phtsa idM+ ysrk ghSA

06 & 08 efguk

chuk lgk;rk ds cSBuk

lgk;rk ls [kM+k gks tkrk gS
[kqn ls fCkLdhV bR;kfn [kk
ysrk gS vLiV kCn

09 efguk

fcuk lgk;rk ds [kM+k

gksuk lkekU;@ phtsa idMuk
fdlh di cxSjg ls ihuk
,d nks kCn cksyuk A

,d lky

fcuk lgk;rk ds 10 dne pyuk

12 &16 fofHkUu kCn ckskyukA

14

15

fuefu
uefukk
fukk

(Pnemonia)

16

17

dqi"ku

(Malnutrition)

18

Ikzlo iqoZ ns[kHkky

(ANC & PNC)

izlo iwoZ dh ns[kHkky dk vFkZ D;k gS\

Ikzlo iqoZ ns[kHkky dk eryc gS tc L=h dk fukspu ls ysdj izlo ihM+k kq: gksus rd gSA

D;k vki tkurs gS xHkZoLFkk ds y{k.k \

L=h dk ekfld /keZ can gks tk;sxkA
Lkqcg ds le; mYVh yxuk
Lru Hkkjh gksuk
4-ckj&ckj iskkc gksuk
isV cM+k gks tkuk
xHkZko;k ds pdrsA
ikapos ekg ij cPps dk isV es ?kqeuk eglql gksukA

izlo iwoZ ns[kHkky ds fy, vki ejht dks D;k lykg nsxh\
ukS ekg gksus ij de ls de rhu ckj tkap djk;sAa
vk;ju dh xksfy;ka ukS ekg rd iwjh djuk gSA
VsVul ds nks Vhds t:jh gS

Pkedh dh chekjh %&

D;k vkils dHkh Pkedh dh chekjh okys vkSjr dks ns[kk gS\ vkSj mldk y{k.k D;k gS\
xHkZoLFkk ds vafre rhu ekg ij gks ldrk gS ftlesa ejht vkSj isV ds cPps ij cgqr [krjk gks tkrk gSA
;g voLFkk [kqu dh nkSojk c<+ tkus ls gks tkrh gSA

Pkedh dh chekjh dh y{k.k %&

xHkZoLFkk ds vafre rhu ekg esa
flj nnZ gksuk
/kq/a kyk fn[kkbZ nsukA
psgjs vkSj gkFk ikao ij lqtu gksuk
Nkrh esa nnZ gksuk
19

 Vxj L=h dk out ,d ne ls c<+ tk;s rks rqjar mls vLirky tkus dh lykg nsAa

D;k vki dks irk gS fd blls cpus dk mik; D;k gS\

gj rhu ekg ejht dk [kwu dk nkSjk tkap dkjk;sa vkSj otu tkap djsAa
vkkk vkSj

ANM

mUgs tkap djokus ds fy;sas izkRs lkfgr djsa A

vkSj ljdkj ds fu;e gS mleas mldh enn djsa A

vxj [kwu ds nkSjk T;knk gS rks mUgsa ued dk bLrseky djuk euk djsAa
mUgs vkjke djus nsAa

xHkZoLFkk esa LoLFk dSls jgsa %&

D;k vki dks irk gS fd xHkZOkLFkk es lQkbZ j[kuk t:jh gS\
Ik;kZIr vkgkj ysA ikSfVd Hkkstu] izkVs hu] foVkfeu ]vk;ju vkSj [kfut lafgr Hkkstu ysAsa
jkr esa de ls de vkB ?k.Vk lks;sa vkSj fnu esa Hkh nks ?k.Vk vkjke djsa A
vk;ksfMu ued dk lsou djsa LoLFk jgsa jkst ugk;s vkSj czl djsa A
/kzew iku ;k e/kqiku u djsAa

[krjukd fpUg %&

xHkZoLFkk ds [krjukd fpUg D;k gS\
jDr LJko
xaHkhj [kwu dh deh
gkFk ikao psgjs dh lwtu
pedh
ikuh fxjuk

NksVh &NksVh leL;k %&

xHkZoLFkk dk NksVh leL;k D;k gS\ mldk mik;s D;k gS\
pdj vkuk
Nkrh esa tyu ;k nnZ
Ikakoksa ij lwtu
dej ds fupys Hkkx esa nnZ
20

 dqiksk.k
lwth gqbZ ulsa
coklhj
dct
ikaoks dh vdMu

izlo ds ckn eka dh ns[k&js[k %&

Ikzlo ds ckn dh ns[k&js[k dk eryc vki D;k le>rs gS\
izlo ds ckn eka dks cq[kkj vk jgk gS ;k T;knk [kwu tk jgk rks geas /;ku nsuk gSA
izlo ds ckn eka dks gj izdkj dk ikSfVd Hkkstu ns ldrsa gSA
izlo ds ckn Luku djuk pkfg,
Lruks dh ns[k&Hkky djuk pkfg,

21

Ekk vkSj fkkq dk iksk.k

(Mother & Child Nutrition)

m}s;%

aLruiku dk egRo le>uk

fofuxa QwM+ ds fok; le>uk
Lkarqfyr vkgkj
dqiksfkr cPpksa dks D;k f[kyk, vkSj mldh tkudkjh nsuk

Lruiku
ek dk nw/k fkkq dks loksZke iksk.k o chekfj;ksa ls laj{k.k iznku djrk gSA vf/kdrj fkkqvksa ds fy,
igys 6 eghus rd ek dk nw/k gh dkQh gksrk gSAa cgqr &lh ekrk,a 6 eghus ds ckn Hkh Lruiku djkrh
jgrh gSa vkSj vU; vkgkj nsuk Hkh kq: dj nsrh gSAa fkkq dks ckj&ckj Lruiku djkus ls lgh ek=k es
nw/k mrjrk gSA xHkZkoLFkk ds nkSjku vkSj izlo ds ckn laarqfyr&ikSfVd [kqjkd Hkh nw/k dh ek=k iwjh
j[kus esa enn djrh gSAa
;kn j[ks%a ek dk nw/k vkids fkkq ds fy, lokske o lokZf/kd fdQk;rh vkgkj gSAa N% ekg ds ckn gh
mls fkkq vkgkj nsuk kq: djas A
Lkykg ysa
fkkq dks csotg vkafa kd :Ik ls cksry ls nw/k fiykus ;k vU; vkgkj o is; inkFkZ nsus ls Lruiku ij
izfrdwy vlj iM+rk gSAa

ek ds nw/k dh fokskrk,a
izlo ds rqjar ckn ek dk igyk nw/k ihyk vkSj xk<+k gksrk gS ftls dksykWLVe dgrs gSAa izlo ds
ckn igys grs esa fudyus okyk ;g nw/k ckn ds nw/k ls vf/kd ikSfVd gksrk gSA blesa izkVs hu
T;knk gksrk gS vkSj lae.k ls cpko ds xq.k Hkh vf/kd gksrs gS]a tks tUe ds rqjUr ckn dh
[krjukd chekfj;ksa ls fkkq dks cpkus ds fy, csgn egRoiw.kZ gSAa blesa foVkfeu ^,^ dk Lrj Hkh
pk gksrk gSA
vki vius fkkq dks ;g dksykWLVe vo; fiyk,a] D;ksfa d blesa cgqr ls ikskd rRo gksrs gSAa
blds ctk; phuh dk ikuh] kgn ] eD[ku ;k dksbZ vkSj feJ.k u nsAa
ek dk nw/k lEiw.kZ lUrqfyr vkgkj gS vkSj tUe ds igys dqN eghuksa esa fkkq ds fy, vko;d
lHkh ikskd rRo iznku djrk gSAa blds lae.k &jks/kd xq.k izkjfEHkd eghuksa esa fkkq dks
chekfj;kas ls cpkrs gSAa ;g geskk miyC/k gksrk gS vkSj bls rS;kj djus ds fy, u dksbZ bZ/ku
pkfg,] u crZu] u ikuh ftlesa dhVk.kq gks ldrk gSa A
22

Lruiku ds Qk;ns
fkkq dks ek dk nw/k fiykuk fkkq nqX/k fodYiksa ls dgha lLrk iM+rk gS D;kafs d fkkq nqX/k
fodYiksa dh ykxr dh rqyuk esa ek dks vfrfjDr vkgkj nsus dh ykxr u ds cjkcj gksrh gSA
os ekrk,a tks fkkq tUe Ikpkr fkkq dks lkekU; :Ik ls Lruiku djkrh jgrh gS]a muesa yacs
le; rd nksckjk xHkZ/kkj.k ls cps jgus dh laHkkouk] Lruiku u djkus okyh ekrkvksa dh rqyuk
esa vf/kd jgrh gSAa
izlo ds rqjUr ckn Lruiku djkus ls xHkZk; vius vki ladqfpr gksus yxrk gS vkSj ek ds
kjhj dk vkdkj tYnh lkekU; gksus esa enn feyrh gSAa

yksd fooklksa
D;k ;g lgh gS fd cq[kkj ;k utys tqdke esa larjk ve:n ugha [kkuk pkfg;s\
mkj %& ugha ;g xyr gSA gesa cq[kkj ;k utys&tqdke ds le; lkjs Qy ykHknk;d gksrs gSAa
;g lgh ugha gS fd ftl O;fDr dks lnhZ&tqdke] yw ;k [kkalh gS] mls larjk] ve:n] vkSj
nwljs Qy ugha [kkus pkfg;s] okLro esa larjs vkSj VekVj esa foVkfeu lh fd dkQh ek=k gksrh gS
tks lnhZ&tqdke vkSj vU; Nwr ds jksxksa ls yM+rk gSA
;g Hkh lR; ugha gS fd nok ysrs le; elkys vkSj ve:n tSls vkgkjksa dk lsou ugha djuk
pkfg;sA gk olk ;k elkyksa dk ml fLFkfr esa iz;ksx vPNk ugha gksrk tc O;fDr dk isV ;k
ikpu dh dksbZ leL;k gksA pkgs og dksbZ nok ys jgk gks ;k ugha] blls dksbZ QdZ ugha iM+rkA
;g Hkh lR; ugha gS fd ekal vkSj eNyh [kkus ds lkFk nw/k ;k ngh ugha [kk;k tk ldrk gSA

[kwu dh deh vuhfe;k

[kwu dh deh vuhfe;k okysa O;fDr dk [kwu iryk gksrk gSAa ;g rc gksrk gSa tc ;k rks dkQh [kwu
fudy x;k gks ;k [kwu ml rsth ls uk cu jgk gks ] ftl rsth ls og kjhj esa [kpZ gksrk gSA

[kwu dh deh ds dkj.k%

ykSgrRo okysa Hkkstu dks u iz;ksx djuk Hkkstu ftlesa ekal ;k xgjs ]gjs jax dh irsnkj lCth;k
uk gks vkSj nqljh phtsa ftuesa ykSgrRo cgqr gksrk gS og Hkh uk gks rks blds dkj.k [kwu dh deh
gks ldrh gSA
;fn ,d cPpsa fd N% efgus dh vk;q ds ckn nq/k ds lkFk nwljs vkgkj u fn;s tk;s arks cPPksa dks
[kwu dh deh gks ldrh gSA
23

[kwu dh deh nwljs dkj.k ;s gS%

vadqk&d`eh ladze.k
isfpk ;k yacsa nLr
xqnk ls coklhj eas
cMs+ ?kko
Ekysfj;k

efgykvksa dks fuEufyf[kr dkj.kksa ls [kwu dh deh gks ldrh gS%

ekfld /keZ es vf/kd [kwu vkuk
ckj&ckj xHkZikr
fcuk vf/kd varj ds dbZ cPpsa iSnk gksuk

y{k.k%
ihyh ;k ikjnkhZ peMh
vka[k dh iqrfy;ks ds vanj ds fgLLks dk ihyk jax
ihysa elwM+s
pednkj likV thHk
lQsn uk[kwu
detksjh vkSj FkdkuA [kwu dh deh okys cPpsa lekU; cPpksa ds vis{kk de lfdz; gkssrs gSA
;fn fLFkfr xEHkhj gks rks pasgjs vkSj ikaoks ij lwtu vk ldrh gS] g~n; dh rst gks ldrh gS
vkSj O;fDRk rst&rst lkal ysrk gSA
Tkks cPpas ,oa efgyk;sa vDlj feh [kkuk ilan djs os [kwu dh deh okysa gks ldrsa gSA

xEHkhj [kwu dh deh okys O;fDr dks rqjar gh vLirky eas Hkstk tkuk pkfg,aA

bykt o cpko %
ykSgrROk okys vkgkjksas dk lsou djsAa tSlsa cktkjk] eMqok jkxh] ikyd] cFkqvk] Qfy;ka] eVj]
xgjs gjs jax dh irsnkj lCth;ka] xqM]+ ekal] eNyh] ewxkZ] v.Ms+ es dkQh ek=k esa ykSgRkROk gksrk
gSA thxj ;k dysth esa foksk :Ik ls YkkSgrRo cgqr T;knk gksrk gSA
vadqk&d`eh ladze.k ls gksus okys [kwu dh deh dks ikaoks ds pIiy igu dj jksdk tk ldrk gSA
nLrksa dks jksdus ds fy, Hkkstu dks <ad dj j[ksa
;fn [kwu dh deh us xEHkhj :Ik /kkj.k dj fy;k gks rks ykSgrRo dh xksfy;ka ysaAbls lkekU;
fu;e le>s dh ykSgrRo dks eqg }kjk iz;ksx djsa
MkWDVjh lgk;rk ysa
Ckgqr lh L=h;kssa esa [kwu dh deh ik;h tkrh gSA bl otg ls L=h ds fy, xHkZoLFkk esa ftruk T;knk gks
ldsa Qfy;k ]xgjs jax dh irsnkj lCth;k ]ekal] eqxkZ] v.M+k vkfn dk lssou cgqr t:jh gSA

Ikkyd] cFkqvk vkSj eMqok [kkvks

[kkvksa & vuhfe;k dks nwj Hkxkvksa !
24

Lkjdkjh ;kstuk,a
vkaxuokM+
xuokM+h (ICDS)
xuokM

(Government Schemes)

Hkkjr eas dbZ cPpkas dks [kkus dks ugha feyrkA vkWxua okMh ifj;kstuk ds }kjk 3 & 6 lky ds cPpkas Ldyw
tkus ls igys dks ikSf"Vd [kkuk] Vhdkdj.k vkSj foVkfeu ekSfg;k djk;k tkrk gSa A dbZ jkT;kas eas ;g
;kstuk lQy :i ls dk;Z dj jgh gSa A

1- lEcfa/kr foHkkx
vkWx
a uokMh ifj;kstuk lek;ksftr cky fodkl ifj;kstuk (ICDS) dk Hkkx gSA lek;ksftr cky fodkl
;kstuk jkT; vkSj dsUnz ljdkjkas }kjk
l;aqDr :i ls lpakfyr fd;k tkrk gSA dsUnz ljdkj dk efgyk ,oa cky dY;k.k e=aky; ctV vkSj
fnkk&funZs k iznku djrk gS] tcfd
jkT; ljdkj bldk lapkyu djrk gSA
dUsnz ljdkj
& efgyk ,oa cky fodkl ea=ky;
& efgyk ,oa cky fodkl foHkkx A

2- vf/kdkj
vkaWxuokMh ifj;kstuk leLr 3&6 okZ ds cPpkas og ch-ih-,y gS ;k ugh ds Hksn&Hkko ds fcuk dks ykHk
igqpkus ds fy, cuk;k x;k gSA ,d ckj tc os Ldwy eas izos k dj tkrs gSa cPps e/; dky Hkkstu
ifj;kstuk ds
gdnkj cu tkrs gSA vWkxauokMh ifj;kstuk ds vUrxZr cPps dj ldrs gS%a
vkxuokMh dsUnz izR;ds fnu 10 cts ls 1 cts rd tk ldrs gSAa
fk{kk ls lEcfa/kr f[kykSukas ds lkFk fk{kk ls lEcfa/kr [ksy dk ykHk
izkIr dj ldrs gSAa
foVkehu tSls ykSgk izkIr dj ldrs gSAa
iwjd ikSfVdrk dk;Zdze dk ykHk izkIr dj ldrs gSa ikSfVd vkgkj tSls nfy;k] puk vkfn(
viksfkr cPpksa ds fy, ?kj ys tkus okyk ikSfVd vkgkj( vkSj

25

ot+u@yEckbZ ds fujUrj fy, tkus okys tkpa eas kfey gks ldrs gSa ftldk fjdkMZ ,d dkWMZ ij j[kk
tkrk gSA
gj ,d 800 fuokfl;kas ij ,d vkxuokMh dans z gksuk pkfg,A
tcfd dqN LFkkukas ij tSls rfeyukMw vkSj fgekpy izns k eas vkxauokMh dans z vPNh rjg lpakfyr gks jgk
gS

Vhdkdj.k
vkt Hkh Hkkjr esa f'k'kq e`R;qnj T;+knk ik;k tkrk gSA bldk lcls egRoi.wkZ dkj.k gS Vhdkdj.k A jkfk
dh deh gksukA ftldh otg ls gj lky yk[kksa cPps mu fcekfj;ksa ls ejrsa gSa ftudks vlkuh ls jksd
s k
tk ldrk gSA fuEuf[kr ;kstukvkas dk mn'sk; gS ftls Vhdkdj.k jkfk c< +ldsA

1- lEcfa/kr foHkkx
dsUna z ljdkj
LokLF; ,oa ifjokj dY;k.k e=aky;
jkVh; xzkeh.k LokLF; feku nLrkost
LokLF; ,oa ifjokj dY;k.k foHkkx

2- vf/kdkj
lkoZHkkSfed Vhdkdj.k nsus ds fy, ljdkj dk ms; gS (see immunization section
above for schedule)

Vhdkdj.k bu LFkkuksa ij fd;k tkrk gS%&

vk'kk vkSj ,-,u-,e xkoa ds LokLF; fnolkas ij( ;k

mi dsna z( ;k
izkFkfed LokLF; dsUnz
lkeqnkf;d LokLF; dsna z

26

ts-,l,l-okbZ

(JSY)

Hkkjr eas vkt Hkh ekr` e`R;qnj T;k+nk gSA fuEufyf[kr ljdkjh ;kstuk, vkSj vk'kk blfy, iznku dh xbZ
gSsa rkfd efgyk, viuh xHkkZoLFkk esa fu;fer :i ls tkp djk, vkSj izlo ds le; vLiRkky tkus ds
fy, mRlqd jgaAs

1- lEcfa/kr foHkkx
dsunzh; ljdkj

LokLF; ,oa ifjokj dY;k.k ea=ky; A

fpfdRlk] LokLF; ,oa ifjokj dY;k.k foHkkx A

2- vf/kdkj
1- izR;sd efgyk ds fy, fukqYd%&
Vhdkdj.k vkSj vkW;ju vkSj Qkfsyd ,flM dh xksyh dk forj.k
lqjf{kr izlo
izlo ds ckn tPpk&cPpk dh ns[k&j[sk

tukuh lqj{kk ;kstuk t-s ,l-okbZ ds vUrxrZ vLiky eas izlqfr

gkus ij Hkqxrku
xjhch js[kk ls uhps dh efgyk
19 okZ dh vk;q ls ij
nks thfor cPpksa rdA

t-s,l-okbZ vkSj vkkk jkVh; xzkeh.k LokLF; feku ds vUrxZr

vkrs gSaA
3- jkVh; ekr`Ro ykHk ;kstuk ds vUrxZr
xjhch js[kk ls uhps dh leLr xHkZorh efgyk dks :- 500@ dk Hkqxrku
izlqfr pkgs fdlh Hkh LFkku ij gqbZ gks
izlqfr ds 8 ls 12 lIrkg igys Hkqxrku
fodykax ykax
s aks dks vHkh Hkh gekjs nsk eas nqljh J.skh ds ukxfjd ekuk tkrk gSA
fuEufyf[kr ;kstuk, fodykaxrk ds cks> dks de djus ds fy, cukbZ x;h gSA

1- lEcfa/kr foHkkx
27

dsUnzh; ljdkj
xzkehu fodkl ea=ky; A
lkekftd U;k; ,oa lkfDrdj.k ea=ky; A
fpfdRlk] LokLF; ,oa ifjokj dY;k.k foHkkx A

2- vf/kdkj
d- fodykaxrk izek.k i=
40 izfrkr ls vf/kd vixark] ljdkjh MkDVj dss vkdau lsA
nlwjh lsok,a ikus ds fy, ;g izek.k&i= vko';d gSA

[k- fodykxark isaku bfanjk xk/akh jkVh; fodykxark isa ku

;kstuk
18&64 okZ vk;q
xjhch js[kk lss uhps
fodjky ;k cgqizdkjh; fodykaxrk ljdkjh vLirky ls izek.k i= njdkj gksrh
gS
:i, 200@izfr ekg dsUnz ljdkj ls tks jkT; ljdkj ls feyrh tqyrh gksuh
pkfg,A
Mkd ?kj ;k ifCyd lsUVj cSd
a eas [kkrs ds }kjk Hkqxrku fd;k tkrk gSA

x- clkas vkSj jsy xkfM;+kas eas NwV

ljdkjh clkas eas 80 izfrkr NwV vkSj jsy xkfM;k+sa eas 50&75 izfrkr NwV A

?k- lkekftd U;k; ,oa lkfDrdj.k ea=ky; dh vkSj cgqr lkjh

;kastuk,a

28

jk"Vh; LokLF; chek ;kstuk

(RSBY)

vkj-,l-ch-okbZ- ;kstuk ds vUrxZr vkidk LokLF; chek dkMZ cuk;k tkrk gSAa bldks LekVZ dkMZ Hkh
dgrs gSa A bl dkMZ ds bLrseky ls vki vius ifjokj ds ikp lnL;ksa dk eqr bykt djk ldrs gSAa
bl dkMZ ds lkFk vkidks vLirkyksa dh lwph nh tk;sxh tgk ij bl dkMZ dk bLrseky fcuk dksbZ kqYd
fn;s bykt djk ldrs gSAa
Je ,oa fu;kst
a u ea=ky; Hkkjr ljdkj us vkids {ks= esa chek {ks= dh lcls cMh fuft dEiuh vkbZ-lhlhvkbZ-lhlh-vkbZ yksEckMZ tujy ba;ksajsal dEiuh fyfeVsM ds lg;ksx ls iqjs nsk ds ch-ih-,y- ifjokjks ds
fyd, ,d O;kid LokLF; ;kstuk dks ykxw fd;k x;k gSAa bl dkMZ ds ek/;e ls uxn Hkwxrku fd;s
fcuk 30]000@&rhl gtkj :is;k ek=
;g bykt dh lqfo/kk vkidks HkrhZ gksus ij fu/kkZfjr chekfj;ksa esa feysxhA ;fn vki MkWDVj dks fn[kkrs gSa
vkSj HkrhZ dh T+k:jr ugha gS rks
&MkDVj dh Qhl ugha nsuh iM+x
s hA
&ijUrq nokvksa dk vkSj tkap dk iSlk yxsxkA

iUth;ak ds nkSjku vkids vf/kdkj

bl dsUnz ij vkids lfgr ifjokj ds dqy ikp lnL;ksa dh QksVks vkSj vaxBw s ds fukku t:j
fy;s tk;sA
blds ckn vki 15&20 feuV esa LekVZ dkMZ ysAa ;g dkMZ ;gka ls vo; ys tk,aA
;s dkMZ] ljdkj )kjk] vkidks dsoy 30 :i;s es miyC/k djk;k tk jgk gSA
LekVZ dkMZ dks IykfLVd dh FkSyh esa Mkydj fn;k tk;sxkA
LekVZ dkMZ ds lkFk vkidks mu vLirkyksa dh lwph nh tk;sxh tgk ls vki bykt izkIr dj
ldrs gS]a ;g lwph vo; ysAa
bl dkMZ esa okZ Hkj bykt ds fy;s 30000@& #i;s vkjf{kr gSAa
;fn vkids ifjokj dk dksbZ lnL; dqN le; ds fy, ckgj tk jgk gS] rks og dkMZ ds dqN
fgLls dh jkfk vius lkFk ys tk ldrk gSA vki ftyk dsU ls bl jkfk dks nks dkMksZa esa
foHkkftr djok ldrs gSAa ,d dkMZ ?kj ij NksM ds vkSj nqljk dkMZ ckgj tkus okyk O;fDRk
vius lkFk ys tk ldrs gSA bl dkMZ ls nsk Hkj es dgh Hkh fdlh Hkh lqph cUn vLirky es
bykt djok;k tk ldrk gSA
;fn ifjokj dk dksbZ lnL; dkMZ cukus ds le; mifLFkr ugha gS rks mldk uke ckn esa ftyk
29

dsU esa tkdj dkMZ esa ntZ djk;k tk ldrk gSA ;s dsU ftyk dysDVj vkWfQl ds utnhd
gksrk gSA

vLirky esa vkids vf/kdkj&

chekjh dh fLFkfr esa lwph esa fn;s x;s fdlh Hkh vLirky esa eqr ijkekZA
HkrhZ gksus dh fLFkfr esa dkMZ izLrqr djus ij lwphc) chekfj;ksa dk fcuk fdlh Hkh kqYd ds
byktA
dkMZ esa miyC/k iSlksa esa ls fdl bykt ds fy, fdruk iSlk dkVk x;k rFkk fdruk ksk gS bl
ckr dh tkudkjh vLirky ls vo; ysAa
;fn xHkZorh dk uke LekVZ dkMZ esa gS rks mlds uotkr fkkq dk Hkh eqr bykt gksxkA
vLirky ls NqVV~ h gksus ij 100 #i;s vkidks vkus&tkus ds [kpZ ds rkSj ij feysx
a As
LekVZ dkMZ dks vLirky esa uk NksMA+sa
Hkjrh ds nkSjku ejht dks nksuks le; dk Hkkstu feysxkA

vLirky ls NqVVh gksus ij ;fn t:jr gS rks 5 fnu rd dh nok ejht dks chuk iSls fy, nh
tk;sxhA

vLirky ls NqVVh gksus ij vLirky ls bl ckr dh tkudkjh fy, fd dkMZ vuCyksd fd;k
x;k dh ugh] ;fn dkMZ vuCyksd ugh fd;k x;k gS rks mls t:j djokys vU;Fkk dkMZ dk vkSj
dgh bLreky ugh gks ik;sxkA

30

LokLF; dk vf/kdkj

(Right to Health)

LokLF; vf/kdkj ds nks eq[; igyq %&

1- LokLF; lsok,a nok vkSj lqfo/kk,
gjsd ,d yksxks ds igqp esa gksukA
Xkzg.k;ksX; vkSj vPNh lqfo/kk,a
2- LokLF; ds eqyHkwr vk/kkjHkwr fu/kkZjd
lkQ is; ty RkFkk LoPNrk
LkkQ Hkkstu
Ikz;kIRk iksk.k rFkk ?kj
LokLF; dke djus dk okrkoj.k
LokLF; lac/a kh fk{kk vkSj tkudkjh
fyax lekurk

Lora=rk LokLF; vf/kdkj ds ,d vax gS] bl Lora=rk ds varZxr gS
 tcZjnLrh] uakkcnhu u djokuk
 foKku lac/a khr iz;ksx ejht ij u djuk
 vekuqfkd qj n.M+ u nsukA

mPp Lrjh; LokLF; izkIr djus ds fy, lc yksxks ds LokLF; lqj{kk iz.kkyh
dk vf/kdkjA

lqjf{kr bykt vkSj chekjh dh fu;a=.k dk vf/kdkj t:jrean nok dh
miyC/khA

mPp Lrjh;k LokLF; izkIRk djus ds fy, lkekurk dk vf/kdkj egRoiw.kZ gSA
fcuk fdlh HksnHkko ds lekurk ekuo vf/kdkj dk eq[; fcUnq gS A
,yek vVk (Alma Ata, 1978 )?kks
?kksk.kk iqfV djrh gS fd
izkFkfed LokLF; lsok tks leqnk; ds eq[; LokLF; leL;kvksas dks lacksf/kr djrk gS]
izkRs lkgd] fuokjd] cpko mipkjkRed] iqoZ nkk esas ykus fd lsok iznku djrh gSA /kkjk 7

;ag tksj egROk nsrh gS fd izkfFked LOkkLF; lsok fd lHkh O;fDRk;ksa dh lekftd vkSj
vkfFkZd mRiknd thou ds fy,] LokLF; dk Lrj izkIRk djus ds fy, ,d dqt
a h gS /kkjk 5
vkSj mPPkre LokLF; izzkIr djus dh lg;ksx djrh gSA

31

LokLF; fk{kk (Health Education)

LokaLF; fk{kk D;k gS\a

LokLF; fk{kk ,d izf;k gS] ftlds }kjk ge yksxksa dks tkudkjh nsrs gS] izkRs lkfgr djrs
gS] vkSj yksxksa dh enn djrs gS] fd os vius O;ogkj esa cnyko ds }kjk LokLF; thou kSyh
dks viuk ldsAa
LokLF; fk{kk dk m}s;%&

fdlh fok; ij Tkkudkjh nsuk

izkRs lkgu djuk
dk;Z dks ifj.kke nsus ds fy, yksxks dh enn djukA
fl}kURk %&
lcls igys fdlh fok; dk p;u djsa
izfrHkkxh gksus ds fy, izkRs lkfgr djsa
tks mUgsa igys ls tkudkjh gSa oks igys mUkls iqN]sa fQj mUgsa ubZ tkudkjh nsAa
vius J
+ ksrkvksa dk le>us dh {kerk dks igpkus A
vius lansk dks nksgjk;saA
fe+=rkiw.kZ O;ogkj j[ksa
yksxks dks izkRs lkfgr djs fd os djus ds }kjk fl[ksAa mnkgj.k& vks-vkj-,l- dk
?kksy fl[kkus ds fy,] igys mUgsa djds fn[kk;sa fQj mu ls cuok;sAa
viuh fk{kk dks foKku fd lPpkbZ;ksa ij vk/kkfjr djsAa
lewg dh tkudjh j[ksa vkSj mudas fl[kus dh {kerk dks txk;ssAa
xkao ds vkxqoks dk enn ysA
LokLF; fk{kk dk lapkj
LokLF; fk{kk dk lapkj ,d O;fDr ;k lewg }kjk djuk rkfd muds O;ogkj eas
cnyko vk;sAas

32

lapkj

dh izfdz;k
,d m}s; gksuk pkfg,
vius Jksrkvksa dks igpkuuk pkfg,
Jksrkvksa dk p;u djuk pkfg, fQyhi pkVZ] rLohj] ukVd] dViqryh] fofM+;ksa ds
iz;ksx }kjk A
fok; dh mi;ksxhrk dks LIVrk ls le>k,A

lapkj

izfdz;k esa ck/k, %&

kkjhfjd
Ekaufld
Ik;kZoj.k
lkaLfrdA

IEC (Information, Education and Communication)

Tkudkjh] fk{kk] vkSj lapkj
BCC (Behaviour Change Commnication
Lapkj O;ogkj esa cnyko ds fy, IEC, BCC, ,d vax gSA
LokLF; fk{kk }kjk ge tkudkjh nsrs gS] yksxks dks izkRs lkfgr leqnk; esa LokLF; lEcaf/kr
muds thou esa cnyko vk ldsAa

33

yksd fooklks
fooklksa vkSj ?kjsyq mipkjksa ds ckjs esa dqN
loky tokc
1- ;g lp ugha gS] ;fn xHkZ esa iy jgs cPps ds nkSjku ek ij panzxzg.k dh pkanuh iM+us ls
cPpk fodykax iSnk gksrk gS] ij lp ;g gS fd xHkZkoLFkk ds nkSjku ek vk;ksfMu ;qDr
ued ugha ysrh gS ;k xyr nokbZ [kkrh gS rks cPpk fodykax iSnk gksrk gSA
2- ;g Bhd ugha gS] fd chekj O;fDr dks ugha ugkuk pkfg;s] ij mls jkst xquxqus xeZ
ikuh ls ugykuk pkfg;s ;k xhyh rkSfy;k ls iksNAsa
3- D;k ;g lgh gS fd cq[kkj ;k utys tqdke esa larjk ve:n ugha [kkuk pkfg;s\
mkj %& ugha ;g xyr gSA gesa cq[kkj ;k utys&tqdke ds le; lkjs Qy ykHknk;d
gksrs gSAa
4- D;k cq[kkj ds le; ejht dks diM+s esa yisV dj j[kuk pkfg;s rkfd gok u yxs\
mkj %& ugha] cfYd rst cq[kkj ds le; ejht ds mij ls lkjh pknjs]a diM+s gVk nsuk
pkfg;sA gok yxus ls cq[kkj de gksxk] pkgs rks xhys diM+s ls iksNsAa
5- D;k ;g lp gS fd [kljk] NksVh ekrk] vkSj ekrk pspd nsoh ds xqLlk gksus ls gksrk
gSA
6- tys gq, txg ij xkscj u yxk;sa blls xaHkhj lae.k gks ldrk gSA
7- uotkr fkkq dh dVh ukfHk esa xkscj u yxkosa blls VsVusl gks ldrk gSA
8- ;g lgh ugha gS fd ftl O;fDr dks lnhZ&tqdke] yw ;k [kkalh gS] mls larjk] ve:n]
vkSj nwljs Qy ugha [kkus pkfg;s] okLro esa larjs vkSj VekVj esa foVkfeu lh fd dkQh
ek=k gksrh gS tks lnhZ&tqdke vkSj vU; Nwr ds jksxksa ls yM+rk gSA
9- ;g Hkh lR; ugha gS fd nok ysrs le; elkys vkSj ve:n tSls vkgkjksa dk lsou ugha
djuk pkfg;sA gk olk ;k elkyksa dk ml fLFkfr esa iz;ksx vPNk ugha gksrk tc O;fDr
dk isV ;k ikpu dh dksbZ leL;k gksA pkgs og dksbZ nok ys jgk gks ;k ugha] blls
dksbZ QdZ ugha iM+rkA
1010- ;g Hkh lR; ugha gS fd ekal vkSj eNyh [kkus ds lkFk nw/k ;k ngh ugha [kk;k tk
ldrk gSA
34

foVkfeu ^,^

cPpksa dh vk[kksa dh jkskuh rFkk kjhj dks chekfj;ksa ls yM+us dh kfDr iznku djus ds
fy, foVkfeu ^,^ vko;d gSA

tUe ds rqjUr ckn uotkr fkkq dks ek dk igyk xk<+k ihyk nw/k fiyk;sa ;g foVkfeu
^,^ ls Hkjiqj gksrk gSA

N% ekg rd cPps dks dsoy ek dk
nw/k fiyk;sa ;g foVkfeu ^,^ ls
Hkjiqj gksrk gSA

N% ekg dh mez ls cPps dks mijh
vkgkj esa foVkfeu ^,^ ;qDr Hkkstu
inkFkZ vo; kkfey djsAa

ihys o yky jax ds Qy o lfCt;k
foVkfeu ^,^ ds vPNs L=ksr gSAa

gjh iksnkj lfCt;ksa esa vf/kd
foVkfeu ^,^ gksrk gSA

bUgsa fu;fer :i ls Hkkstu esa
kkfey djsAa

izfrfnu

cPpksa

ds

Hkkstu

esa

vk/kk@,d pEep ?kh ;k rsy Hkh

feyk;sAa

lIrkg esa de ls de nks fnu ,d ls nks dVksjh mcyh gqbZ gjh iksnkj lfCt;k Hkh
kkfey djsAa

foVkfeu ^,^ dh deh ls jrkS/a kh ;k vk[kksa esa vU; gkfu;k gks tkrh gSA

;fn fdlh Hkh cPps esa foVkfeu ^,^ dh deh ls gksus okys jksxksa ds dksbZ Hkkh y{k.k fn[ks
rks mldk bykt rqjUr djokuk t:jh gSA
35

Mk;fj;k
Mk;fj;k nLr jksx ds [krjukd y{k.k
 tc cPpksa dks ikuhnkj iS[kkuk gks rks mls nLr ;k Mk;fj;k dgrs gSAa vxj cPps dh
ns[k&Hkky Bhd rjg ls ugha dh xbZ rks ;g [krjukd vkSj tkuysok gks ldrk gSA
 tUe ls ikp okZ rd ds cPpksa esa nLr jksx e`R;q dk ,d izeq[k dkj.k gSA T;knkrj e`R;q
dk ,d izeq[k dkj.k gSA T;knkrj e`R;q kjhj esa ikuh dh deh gksus ls gksrh gSA
nLr jksx ds [krjukd
y{k.k %&
cPpk

,dne

lqLr ;k csgksk
ih ugha ldrk
;k de ih jgk
gSA
iS[kkuk esa [kwu ;k
iksVk
/kalh gqbZ vk[ksa
thHk

,dne

lw[kh gks tkuk

fpdksVh
ij

Ropk

dkVus
dk

cgqr /khjs okil

tkuk
cPpksa esa nLr ds lkFk
buesa ls dksbZ Hkh y{k.k
fn[kus ij mUgsa rqjUr
vLirky ys tk;s]a ,oa jkLrs esa vks-vkj-,l- fiykrs jgsAa
36

Mk;fj;k dks cgqr gn rd jksdk tk ldrk gS vxj]

tUe ls N% ekg rd cPps dks flQZ ek dk nw/k fiyk;sAa

[kkuk cukus ds igys vkSj cPpksa dks f[kykus ls igys gkFk dks vPNh rjg lkcqu ls /kks;k
tk;A

lHkh [kkuk cukus vkSj f[kykus ds ckZu lkQ gksAa

[kkuk <+d dj j[kk gks] ml ij eD[kh u yxsA

ihus dk ikuh lkQ] lqjf{kr gks vkSj <+d dj j[kk gksA

geskk rktk [kkuk [kk;k tk;A

?kj vkSj vklikl dh cjkcj lQkbZ dh tk, vkSj dpjs dks Bhd ls dqM+snku esa Qsd
a k
tk, rkfd efD[k;k u iuisAa

kkSp ds fy, geskk kkSpky; dk iz;ksx fd;k tk, ,oa kkSp ds ckn lkcqu ls gkFk /kks;k
tk;A

37

nLr ds le; cPpksa dh ns[kHkky

vk-v
s kj-,l- cukus
cukus dk rjhdk %&

vius gkFk vPNh rjg lkcqu@ikuh ls /kks ysAa ?kj esa Hkh iqutZyu is; cuk ldrh gSAa

pkj maxfy;ksa dk ,d ilj dqyph Hkj phuh ;k xqM+

rhu maxfy;ksa dh ,d
pqVdh Hkj ued

vkSj bu nksuksa phtksa dks
,d yhVj mckydj BaMs
fd;s gq, ikuh esa feyk nsAa

vxj cPpk flQZ ek dk
nw/k ihrk gks] rks fiykuk
tkjh j[ks vkSj vf/kd ckj
fiyk,A

vxj cPpk mijh vkgkj ysrk gks rks FkksM+h&FkksM+h ek=k esa vkgkj nsrs jgsAa rjy inkFkZ
tSl&
s vks0vkj0,l0] ukfj;y dk ikuh] NkN] nw/k] uhacw dh fkdath] ekM+] nky dk ikuh]
lCth dk lwi vkSj lkQ mcyk BaMk fd;k ikuh ftruh ek=k esa cPpk ys lds nsrs jgsAa

38

kkSpky; dk iz;ksx

39

kkSpky; dk iz;ksx u djus ls D;k [krjk gS %&

[kqys eSnku esa iS[kkuk] iskkc djus ls fuEufyf[kr fcekjh QSy ldrh gS
tSl]s
1- iksfy;ks]
2- VkW;QkbM]
3- nLr]
4- gStk]
5- isV esa pkyh gksus dh laHkkouk
,sfufe;k kjhj esa [kwu dh
deh
o ey vkSj ew= ls tkuoj] eD[kh
,oa if{k ds }kjk fcekfj;k nwljs
euq; rd igqprh gSA
o kkSpky; u mi;ksx djus ls
is;ty pkikdy] dqvka nqfkr gks ldrk gSA vkSj xko esa egkekjh dh laHkkouk c<+
tkrh gSA
o iko ;k kjhj dk dksbZ Hkh vax ey ;k ew= ds laidZ esa vkus ls fdVk.kq Ropk }kjk kjhj
esa izos k djrs gSAa tSls & uaxs iko lM+d ;k [ksr esa ?kweukA

40

Vh0ch0
Vh0ch0 dSls Qsyrk gS %&
Vh0ch0 lae.k ls QSyus okyk jksx gSA ;g lcls T;knk QsQMksa esa gksrk gS ysfdu kjhj ds
vU; fgLlksa esa Hkh gks ldrk gSA
QsQM+s dk Vh0ch0 gok ls Qsyrk gSA tc dksbZ Vh0ch0 dk jksxh [kklrk ;k Nhadrk gS rks
jksx ds thok.kq gok esa pys tkrs gSa vkSj nwljs yksxksa ds kjhj esa lkl ds ek/;e l is gqp
tkrs gSAa ;g QsQM+s ds ckgj kjhj ds vU; fgLlksa esa Hkh QSy ldrk gSA
Vh0ch0 ,sls yksxksa dks vf/kd gksrk gS tks &
 dqiksfkr @ detksj gksa
 HkhM+&HkkM+

vkSj

ladjs

>ksiM+h esa jgus okyksa dks

 fcuk goknkj ?kjksa esa jgus
okyksa dks
 xanh cfLr;ksa esa jgus okyksa
dks
 ,p0vkbZ0oh0

lafer

yksxksa dks
 efgykvksa vkSj cPpksa dks

41

Vh0ch0 ds y{k.k ,oa bZykt

y{k.k %&
 rhu lIrkg ls T;knk le; ls yxkrkj [kklh] cyxe[k[kkj ds lkFk
 kke ds le; gYdk cq[kkj
 otu esa deh
 Hkw[k ugha yxuk
 dHkh&dHkh cyxe[k[kkj
esa [kwu
bZykt %&
fdlh dks Hkh ,sls y{k.k gks rks
cxSj utjvankt fd, utnhdh
vLirky esa MkWDVj }kjk tkp
djokuk pkfg, ,oa nok kq: dj
nsuh pkfg,A ljdkj }kjk Vh0ch0
dh tkp vkSj nok, lHkh ljdkjh
vLirky] izkFkfed LokLF; dsUnz]
jsQjy vLirky vkfn ij
miyC/k gSA MkV~l lsaVj dh Hkh
LFkkiuk dh xbZ gS tgk
,0,u0,e0 ;k vU; LokLF;dehZ
dh ns[k&js[k esa Vh0ch0 ds ejhtksa
dks nok nh tkrh gSA

42

fnukad ----------------------------

la-------------------

lkeqnkf;d
kf;d LokLF; ,oa fodkl dk;Ze
e/ksiwjk fp;u vLirky]
vLirky] e/ksiwjk 852113

izlo ;kstuk
1& xkao dk uke----------------------------------------------------- 2& xHkZoerh efgyk dk uke------------------------------------------------------------------3& mez-----------4& ifr dk uke--------------------------------------------------------5& tkfr-----------------------6& BPL / APL /----------------------- 7& xHkZoLFkk la[;k--------------8& vfUre egkokjh frfFk --------------------------------------9& izlo dh lEHkkfor frfFk-----------------------------------------10& T.T.1st Dose------------------------------------------------------11- T.T.2nd Dose----------------------- 12- vk;ju dh xksyh-------------------------------------------------1 & izlo dgk djkuk gS blds fy, ifjokj esa dkSu fu.kZ; ysxk \
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------2 & izlo djkus ds fy, dgk vkSj dc tk;sxas \
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------3 & izlo djkus ds fy, dSlas lk/ku tk;ax
s as \
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------4& D;k vkids ikl fiNys xHkZ ls lEcf/kr fyf[kr MkWDVj dh tkudkjh gS \ ;fn gk rks D;k bl tkudkjh dks MkWDVj ds ikl ys tk;sa \
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------5& izlo djkus ds fy, fdrus :Ik;s dh t:jr gksxh \ dSls cpr djsxsa \
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------6 & vki mu :dkoVksa dks dSls nwj djxsa tks izlo djkus ds le; esa vkrh gS\a
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------7& D;k vkidks vkxuokM+h dk;ZdrkZ ls fu;fefr :Ik ls iks"k.k vkgkj izkIr gksrk gS \

gk@ ugh

8& D;k vkidks ljdkjh jkku dh nqdku ls jkku izR;sd ekg feyrk gS\ gk@ ugh
9& izlo Ikpkr x`g Hkze.k Qksyksvi A
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------1- fVIi.kh vkfFkZd fLFkfr -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------2- vU; % -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

LosNkdehZ dk gLrk{kj

xHkZorh efgyk dk gLrk{k

Anexure 1

43

xHkZorh efgyk jftLVj

igyk Hkze.k 4&5 ekg ij
Ukke

Ikfr dk uke

mez

vafre
ekgokjh
frfFk

ijkeZk ;kstuk % 1

izfrfnu ,d vfrfjDr [kqjkd vkgkj ysAa

Hkkstu &gjh iksnkj lkx] lCth] vaMk] ekal] eNyh] nw/k]
dsyk] vukj] lks;kchu] nkys]a eM+ok jkxh iihrk] xktj]
bR;kfnA

jkr es vkB ?k.Vs rFkk fnu es nks ?k.Vsa vkjke djsAa

izfr fnu LUkku djsa ,oa O;fDrxr LoPNrk ij /;ku nsAa

Hkkjh otu u mBk;sAa

Ikzlo dh
lEHkkfor
frfFk







vkt ds
Hkze.k dh
rkjh[k

ijkeZk
;kstuk
1

O;ogkj
O;ogkj
ftudk
QkWyksvi
djuk gSAa

vxys Hkze.k dh
rkjh[k

LokLF; lsfodk ls fUkEu ckrsa lqfufpr djsAa tSl&

s ikoksa es
lqtu] flj nnZ] jDr LJko] isV esa cPpas dk de ?kqeuk] lkal
Qwyuk] /kw/kyk fn[kkbZ nsuk] ikuh fxjuk bR;kfnA
eycU/k@dCt ls cpus ds fy, gjh LkCth;k izfrfnu [kk;sAa
/kweiz ku ,oa vU; ukhyh inkFkZ u ysAa
vk;ju ds 100 xksfy;k t:j [kk;sAa
fVVul ds nks Vhds ysa rFkk Vhdkdj.k dkMZ dks laHkky ds
j[ksAa

Anexure 2

VhVh-VhVh-1@
vk;ju 50
xksyh
fu/kkfjr
@ns; frfFk

f}rh; Hkze.k 6&7 ekg ij

vkt ds
Hkze.k frfFk

ijkeZk
;kstuk&1 dh
leh{kk

ijkeZk
;kstuk
2

ijkeZk ;kstuk % 2

izlo dgk djkuk gSa blds ckjs esa lkspas vkSj fu.kZ; ysAa

;fn izlo ?kj es gksuk gS rks izfkf{kr nkbZ ls izlo djokk;aAs

;krk;kr ds lk/ku gj le; miyC/k gksAa

Lkcqu] lkQ diM+s] u;k CysM o /kkxsa dks rS;kj j[ksAa

ifjokj fu;kstu lEcU/kh ijkeZk nsa

44

xHkZorh efgyk jftLVj] tkjh

Vh-Vh-2 @
vk;ju
50 fu/kkZfjr@
ns; frfFk

vkt ds Hkze.k frfFk

Rkhljk Hkze.k 8&9 ekg ij

ijkeZk ;kstuk
ijkeZk ;kstuk&2
3
dh leh{kk

vkt ds Hkze.k frfFk

izlo ipkr Hkze.k izlo ds nks fnu ds Hkhrj

Ikzlo dh
Tkhfor tUe@tUe
rkjh[k
ds ckn e`R;q @ejk

gqvk cPpk iSnk

gksuk

Ikzlo dgk vkSj

fdlds }kjk
gqvk

fkkq ds uke dks

fkkq jftLVj ij
ys tk,a

ijkeZk ;kstuk% 3
izlo gksus ds vk/ks ?k.Vs ds Hkhrj fkkq dks vius Nkrh ls yxk;sAa
Nkrh ls yxkus ls igys ;k chp &chp es ikuh] ?kqVV~ h ;k kgn tSls rjy dqN u nsAa
Ikgyk [khl okyk ihyk okyk nw/k nw/k dks Qsds ugh] mls fkkq dks t:j fiyk;sAa
ifjokj fu;kstu lEcU/kh ijkeZk nsAa

Anexure 3

45

fkkq jftLVj
firk
dk uke

Ekkrk dk
uke

Ikzlo Ikpkr Hkze.k xHkZorh jftLVj ls tkjh

fyax tUe
bl Hkze.k
otu
ijkeZk
frfFk
dh rkjh[k
;kstuk
4

vxys Hkze.k
dh
rkjh[k

ijkeZk % 5
N% ekg ds mez rd fkkq dks dsoy viuk nw/k nsAa
Mh-ih-Vh- rFkk iksfy;ksa ds Vhdsa ds fy, Ms<+ ekg <+kbZ ekg vkSj
lk<s+ rhu ekg ij fkkq ds dsUnz ij ys tk;sAa

ijkeZk % 4
N% ekg ds mez rd fkkq dks dsoy viuk nw/k nsAa
------------------------- rkjh[k dks ch-lh-th- iksfy;ksa ds Vhds nsAa

Ckh-lh-th-fu/kkZfjr
frfFk@ns; frfFk

Ikgys lIrkg dk Hkze.k

bl Hkze.k dh
ijkeZk
vxys Hkze.k dh
rkjh[k
;kstuk&5
rkjh[k

ifjokj fu;kstu lEcU/kh ijkeZk nsAa

Anexure 3

ifjokj fu;kstu lEcU/kh ijkeZk nsAa

46

fkkq jftLVj] tkjh

Mh-ih-Vh-@
vks-ih-oh- izFke
fu/kkZfjr @
ns; frfFk

Mh-ih-Vh-@
vks-ih-oh- f}rh;
fu/kkZfjr @
ns; frfFk

Mh-ih-Vh-@
vks-ih-oh- r`rh;
fu/kkZfjr @
ns; frfFk

ikpos ekg dk Hkze.k

vkt ds
Hkze.k
dh rkjh[k

ijkeZk
;kstuk
6

Lkger
O;ogkj

vkBoas ekg dk Hkze.k

vxys
Hkze.k dh
rkjh[k

bl Hkze.k
dh rkjh[k

ijkeZk
;kstuk
7

Lkger
O;ogkj

[kljk@
foVkfeu ,
fu/kkZfjr @
ns; frfFk

ijkeZk % 7
ijkeZk % 6

fkkq ukS ekg dk gksus ij [kljk dk Vhdk vkSj foVkfeu , dh igyh
tc fkkq N% ekg dk gks tk;s] rc mls Lriku ds lkFk&lkFk ijh
[kqjkd ds fy, dsUnz ij ysa tk;sAa
elyk gqvk vkgkj nsuk kq: djs]a tSls nw/k@nky ds lkFk jksVh ;k
elyk gqvk vkywA

ijh vkgkj dh ek=k dks c<k+;as& ,d dVksjk vkgkj gj fnu 4 ckj
f[kyk,A
fkkq vkB ekg dk gksus rd vk/kk dVksjk vkgkj gj fnu rhu ckj

ifjokj fu;kstu lEcU/kh ijkeZk nsAa
f[kyk,A
ifjokj fu;kstu lEcU/kh ijkeZk nsAa
Anexure 3
47

Anexure 3

48