;'b"/
klZrdf~rn ljsf; If]qsf] t/fOe]udf cjl:yt of] s~rgk'/ lhNnf ;'ud /x]tf klg
:jf:Yo, ;/;kmfO tyf ;d'bfosf] :Jff:ys/ afgLJojxf/ eg] cg's"n b]lvGg .
/fhgLlts ?kdf !( ufpF ljsf; ;ldltx? tyf Pp6f gu/kflnsfdf ljeflht o; lhNnfdf ;b/d'sfdsf hgtfn] dfq
cfjZostf cg';f/sf] :jf:Yo;]jf cf+lzs ?kdf lng ;kmn ePsf 5g\ . ;b/d'sfddf /x]sf]
hDdf %) z}of Ifdtfsf] Psdfq c~rn c:ktfn /x]sf] 5 . cfjZos ef}lts k"jf{wf/
tyf b/aGbL cg';f/sf] :jf:YosdL{ /x]sf 5}gg\ . To;sf cltl/St o; lhNnfdf ! c~rn
cfo'j]{lbs c:ktfn, #÷# z}of Ifdtf ePsf] # k|fylds :jf:Yox? s]Gb| /x]sf 5g\ .
lhNnfsf] clwsf+z e"—efu u|fdL0f If]qn] cf]u6]sf] xF'bf u|fdL0f:t/df
pkrf/fTds :jf:Yosf] l:ylt sdhf]/ /x]sf] 5 . vf;u/L ;d'bfodf k|a4{gfTds tyf
k|lt/f]wfTds :jf:Yo ;]jfdf x/]s $)) hg;+Vofsf] cfwf/df ul7t ^^^ dlxnf :jf:Yo
:jo+;]ljsfx? sfo{/t /x]sf 5g\ . oL :jo+;]ljsfx?sf] ;]jf pbfx/0fLo ?kdf /x]sf] 5
.
lhNnf:t/Lo tYofÍ cBfjlws gePsf]n] ;g\ !((! sf] tYofÍ
cg';f/ s~rgk'/sf] IMR
k|lt !))) hLljt lzz' hGddf !!# sf] b/n] /x]sf] lyof] . gjf} of]hgfdf
pNn]v eP cg';f/ ;g\ !((^ df /fli6«o tYofÍ cg';f/ IMR k|ltxhf/df
!!* /x]sf] lyof] .
lhNnfdf afnaflnsfx?df b]lvg]
k|d'v /f]ux? M emf8fkvfnf, cf}nf]Hj/f] / Zjf;–k|Zjf; /x]sf 5g\
. lhNnf hg:jf:Yo sfof{naf6 k|fKt k|d'v /f]ux? tyf tL /f]ux?af6 k|efljt
la/fdLx?sf] ljj/0f b]xfo adf]hLd pNn]v ul/Psf] 5 .
tflnsf
lhNnfdf x'g] k|d'v /f]ux?
/ la/fdL ;+Vof
|
qm= ;= |
)%%÷%^ |
|
)%^÷%& |
|
)%&÷%* |
|
|
|
/f]ux?sf] gfd |
la/fdL ;+Vof |
/f]ux?sf] gfd |
la/fdL ;+Vof |
/f]ux?sf] gfd |
la/fdL ;+Vof |
|
1 |
Skin Diseases |
16330 |
Skin Diseases |
18870 |
Skin Diseases |
18590 |
|
2 |
Diarrhoea |
8630 |
Diarrhoea |
8333 |
Diarrhoea |
9097 |
|
3 |
Pyraxia U.O |
7587 |
ARI |
6881 |
Pyraxia U.O |
8073 |
|
4 |
ARI |
6870 |
Gastritis |
5400 |
ARI |
7913 |
|
5 |
Worm Infestation |
4727 |
Worm Infestation |
4810 |
Worm Infestation |
5725 |
|
6 |
Gastritis |
3611 |
Pyraxia U.O |
4554 |
Gastritis |
5146 |
|
7 |
Ear Infection |
3127 |
Ear Infection |
3613 |
Abdominal pain |
4039 |
|
8 |
Abdominal pain |
2255 |
Fall injury |
2670 |
Ear Infection |
3227 |
|
9 |
Sore eye/infection |
2170 |
Abdominal Pain |
2587 |
Sore eye |
2163 |
|
10 |
Fall injury |
2061 |
Sore eye/infection |
2490 |
Fall injury |
2070 |
;|f]t M lhNnf hg:jf:Yo sfof{no, s~rgk'/
;g\ !((( sf]
cGTodf lnOPsf] cfwf//]vf d"NofÍg cg';f/ sl/a cfwfhlt hg;+Vofn] u}/;/sf/L
tyf lghL If]qaf6 :jf:Yo;]jf lnPsf] b]lvG5 . cfly{s l:ylt dhj"t ePsf tyf
kx'Frjfnf JolStx? dfqn] o; lsl;dsf] ;]jf pkef]u ug{ ;kmn ePsf] kfOG5 . :yfgLo
;d'bfox?, :yfgLo u}/;/sf/L lgsfox?sf k|ltlglwx? tyf :yfgLo lgsfosf] egfO cg';f/
o; lhNnfdf dft[ tyf lzz' d[To'b/ uDeL/ ;d:ofsf] ?kdf /x]sf] 5 .
o; If]qdf
cfktsfnLg k|;'lt ;]jf -Emergency Obstetric Care) sf] sdLsf] sf/0fn] ubf{ pTkGg x'g]]
kl/l:ylt g} dft[d[To'b/ -Maternal Mortality_ sf] ;a}eGbf Jofks sf/0f ag]sf] 5 .
;d:ofsf] klxrfg ug]{ ;Gbe{df 1fgsf] sdL, nIf0fx?sf] -Symptoms_ uDeL/tf ;DaGwL a'emfOdf
sdL, cf}iflw pkrf/ k|0ffnL -Medical System_ dflysf] ljZjf;df sdL, ofqf ul/g'kg]{ b'/L
;DaGwL s'/fx?, ;]jfsf] nfut, k/Dk/fut ljZjf;x? / ul/jL÷Go"g ug]{ ;fdflhs,
cfly{s cj:yf h:tf ljljw k|sf/sf tTjx?sf] sf/0fn] ubf{ cfktsfnLg ;]jfdf sdL
cfpg] u/]sf] b]lvPsf] 5 .
s~rgk'/df /x]sf]
%) z}of ePsf] c~rn c:ktfndf ljz]if1 lrlsT;sx?sf] -Medical Officers_ ;+Vofdf sdL
/x]sf] 5 . !! 8fS6/x?sf] b/jGbL ePsf] o; c:ktfndf hDdf % 8fS6/sf] dfq kb
k"lt{ ePsf] 5 . o; c:ktfndf xfn;Dd cj:6«]l6l;log -Obstetrician_ jf cg]:y]l;cf]nf]lhi6 -Anesthesiologist_ 5}gg\ / kof{Kt
dfqfdf cf}iflwsf] cfk"lt{ x'Fb}g . lgjf{rg If]qsf] cfwf/df :yfkgf ePsf #÷#
z}ofsf Ifdtfsf k|fylds :jf:Yo s]Gb|df b/aGbL cg';f/sf] Medical 8fS6/sf] kbk"lt{
gePsf sf/0f la/fdLx?n] oyf]lrt ;'ljwf k|fKt ug{ ;s]sf 5}gg\ .
!^)))
b]lv @@))) ;Ddsf] hg;+VofnfO{ ;d]6\g]u/L x/]s ufpF ljsf; ;ldltdf Pp6f :jf:Yo
rf}sL -Health Post_ jf pk:jf:Yo rf}sL -Sub-Health Post_ /x]sf] 5 . lhNnfdf /x]sf] HP / SHP x? ;dfg txdf -uflj;_
/x]sf 5g\ / logLx?sf] If]qflwsf/leq leGgfleGg} hg;+Vof ePsf]n] ;Dk|]if0f ug]{
s'/f lgoddf dfq ;Lldt 5 . Ps :jf:Yo rf}sLdf Ps x]Ny cl;i;]06 -HA_, cfSh'n/L x]Ny js{/ -Community Medical Assistant -AHW jf CMA_, cfSh'n/L g;{ ld8jfOkm (ANM), u|fdL0f :jf:Yo sfo{stf{ (VHW_ / lkog u/L kfFr k|sf/sf
sd{rf/Lx? /x]sf 5g\ . To;}u/L pk–:jf:Yo rf}lsdf AHW, VHW,
MCHW / lkog u/L $ k|sf/sf sd{rf/L /xG5g\
. To;}u/L hg;+Vofsf] cfwf/df hDdf ^^^ :jo+;]ljsfx? sfo{/t 5g\ x/]s j8fdf
/xg]u/L hDdf !&$ hgf ;'F8]gL -TBA_ x? /x]sf 5g\ . :jf:Yo ;+:yfx?df cf}iflwsf]
sdL d'Vo ;d:ofsf] ?kdf /x]sf] b]lvG5 eg] xfn;fn} z'? ePsf] ;fd'bflos cf}iflw
sfo{qmdn] s]xL dfqfdf cf}iflwsf] lgoldt cfk"lt{ ug{;Sg] cfzf ul/Psf] 5 .
b'u{d ufpFx?df a:g] kl/jf/x?n] :jf:Yo ;]jfsf nflu k}bn lxF8\g'kg]{ jfWotf 5 eg]
aif{fbsf] ;dodf cem sl7gfO e]mNg'kg]{ cj:yf 5 .
dlxnf
:jf:Yo :jo+;]ljsfx? (Female Community Health Volunteers) :
;g\ !(() b]lv t/fOdf hDdf
$)) hgf hg;+Vofsf] cfwf/df dlxnf :jf:Yo :jo+;]ljsfx? 5gf}6 ug]{ k|fjwfg cg';f/
xfn o; lhNnfdf x/]s ufpF ljsf; ;ldltdf dfq ^^^ hgf sfo{/t /x]sf 5g\ . o;sf
cltl/St clw/fHosf %* gu/kflnsfx?dWo] klxnf]k6s ;lrj:t/df ePsf] lg0f{o cg';f/
s~rgk'/ lhNnfsf] dx]Gb|gu/ gu/kflnsfleq s/Lj !^) hgf dlxnf :jf:Yo :jo+;]ljsfx?
5gf}6 eO;s]sf 5g\ . >L % sf] ;/sf/sf] /fli6«o :jf:Yo gLlt cg';f/ ;g\ @)))
sf] k|f/Dedf g} 5gf}6 ePsf dlxnf :jf:Yo :jo+;]ljsfx?n] pkrf/fTds, k|a4{gfTds
tyf k|ltsf/fTds :jf:Yo ;]jfdf pNn]vgLo ;]jf ub}{cfPsf 5g\ . o; sfo{qmdnfO{
;+:yfut ?kdf cufl8 n}hfgsf] nflu ;g\ !((( sf] cGToaf6 o; lhNnfdf ;~rfng ePsf]
afn arfp cfof]hgf s]o/ g]kfnsf] ;xof]u ;/fxgLo /x]sf] 5 .
;'F8]gLx?
-TBA_ M
x/]s j8fx?df Pshgf ;'F8]gLx? /fVg] >L % sf]
;/sf/sf] gLlt cg';f/ o; lhNnfdf !&$ hgf ;F'F8]gLx? sfo{/t /x]sf 5g\ .
k/Dk/fut ?kdf ;]jf k|bfg ub}{ cfPsf ;'F8]gLx?n] !@ lbgsf] cfwf/e"t tflnd
k|fKt ul/;s]sf 5g\ . ltgLx?n] MCHW af6 ;'k/Lj]If0f ;d]t k|fKt u/L
x/]s ^ dlxgfdf :jf:Yo÷pk:jf:Yo rf}sLaf6 k'gtf{huL tflnd ;d]t k|fKt u/]sf 5g\\ .
ufpF3/
lSnlgs / lgoldt vf]k M
vf]k tyf dfl;s lSnlgsx? ;~rfng
ug{sf] nflu x/]s uflj;n] $÷% j6f :yfgx?sf] klxrfg ub{5 . t/ oL ufpF3/df
lSnlgsx?nfO{ lgoldt ?kdf ;~rfng ug{ ;lsPsf] 5}g ;fy} ltgLx?nfO{ v6fOPsf]
sd{rf/Lx?sf] lgoldt pkl:ylt klg sd kfOPsf] 5 eg] cf}iflwsf] cfk"lt{ klg
pknAw 5}g . zf/Ll/s j[l4sf] n]vfhf]vf h:tf cGo ;]jfx? HP / SHP sf] txdf dfq pknAw u/fOG5
. lhNnfdf vf]k sfo{qmd lgoldt ?kdf rfn" /x]tf klg o;n] 9fSg] nlIft ju{ eg]
36\bf] qmddf kfOPsf] 5 . ^ lsl;dsf ljleGg k|f0f3fts /f]ux?af6 arfpgsf nflu aRrf hGd]sf] ! aif{leq % j6f
vf]k k"/f ul/;Sg'kb{5 . lhNnf
hg:jf:Yo sfof{nosf] k|ltj]bg cg';f/ ljleGg cfly{s aif{sf] vf]k tflnsf b]xfo
adf]lhd /x]sf] 5 .
tflnsf
|
qm=;+= |
vf]ksf] gfd |
)%$÷%% |
)%%÷%^ |
)%^÷%& |
)%&÷%* |
|
!= |
6L=6L= |
%&=%% |
$&=$* |
%)=*$ |
^!=^% |
|
@= |
l8=lk=6L= |
&(=@# |
&(=@% |
&(=%! |
&&=*^ |
|
#= |
lj=;L=lh= |
(^=)% |
**=@# |
(@=&# |
(@=&( |
|
$= |
kf]lnof] |
&(=@# |
&(=@% |
&(=%! |
&&=*^ |
|
%= |
bfb'/f |
&&=@^ |
&(=) |
&*=@# |
&#=(^ |
;|f]t M lhNnf hg:jf:Yo sfof{no, s~rgk'/ @)%*
cf=j )%&÷%* sf] tYofÍ cg';f/ o; lhNnfdf ;a}]
vf]k k"/f ug]{ afnaflnsfsf] k|ltzt &#=(^ /x]sf] 5 eg] Zjf;–k|Zjf; /f]u
nfUg] afns / aflnsfsf] k|ltzt !^=^) k|ltzt /x]sf] 5 . To;}u/L emf8fkvfnf nfUg]
afnalnsfx?sf] k|ltzt !$=$! /x]sf] 5 . o:t} le6fldg P v'jfOPsf afns / aflnsfsf]
k|ltzt () /x]sf] 5 . dlxnf :jf:Yo :jo+;]ljsfx?åf/f lgdf]lgof /f]usf] pkrf/ z'?
ul/Pb]lv aRrfx?nfO{ pkrf/sf nflu :jf:Yo ;+:yfdf n}hfg] qmddf j"l4 ePsf] 5
eg] dlxnf :jf:Yo :jo+;]ljsfx?af6} pkrf/ x'g] afnaflnsfx?sf] ;+Vof klg clwstd
/x]sf] 5 . To;}u/L h'sfsf] cf}iflw v'jfOPsf afnaflnsfx?sf] k|ltzt eg] hDdf $=%^
dfq /x]sf] 5 .
zx/L If]qsf] kfgLsf]
l:yltM
s~rgk'/ lhNnfsf] Ps dfq gu/kflnsf d=g=g=kf= nfO{
k"0f{?kn] zx/L If]q dfGg ;ls+b}g . zx/L / u|fdL0f u/L b'O lsl;dn] auL{s/0f
ug]{ xf] eg] vfg]kfgLsf] l:ylt lgDgfg';f/ /x]sf] b]lvG5 M
-s_ u|fdL0f
If]qM
|
qm=;+ |
ljj/0f |
nfeflGjt hg;+Vof |
|
! |
jf/s'08f vf=kf=of]=d=g=g=kf= ! |
@#$* |
|
@ |
ltnsk'/ vf=kf=of] d=g=g=kf= # |
#!!^ |
|
# |
a'ªofFbjfn vf=kf=of]=d=g=g=kf=
(, !) |
(#$* |
-v_ zx/L
If]qM
zx/L If]qsf] xsdf d=g=g=kf=sf] jf8{ g+=$, #, @ / !*
df kfO{kaf6 kfgL ljt/0f ul/Psf] 5 . g]=vf=kf=;+:yfg pkzfvf d=g=g=kf=sf cg';f/
b}lgs @@ nfv ln6/ kfgL ljt/0f x'g] u/]sf] 5 . o; ljt/0faf6 JolQmut wf/faf6
!)!& 3/w'/Ln] / ;fj{hlgs wf/faf6 @!& 3/w'/Ln] vfg]kfgL ;'ljwf k|fKt
ul//x]sf 5g\ .
s~rgk'/ lhNnfsf] vfg]kfgLsf] k|d'v ;|f]t e"ldut
;|f]t g} xf] . kxf8L If]qaf6 xfn ;~rfng
ul/Psf s]xL vfg]kfgL cfof]hgfx? To; If]qdf kfOg] r"gsf] kl/df0fn] ubf{
ck]lIft nfe xfl;n ug{ ;lsPsf] 5}g . d=g=g=kf= ;d]t cGo u|fdL0f If]x?df :ofnf]
6\o"a]n, x}08kDk g} k|d'v vfg]kfgLsf] ;|f]t /x]sf] 5 . d=g=g=kfsf] u|fdL0f
If]qdf vf;u/L pQ/L e]usf dfly pNn]lvt tLgj6f vf=kf=cf=n] s]xL ;'ljwf /fxt pknAw
u/fPsf] 5 . e"ldut kfgLsf] ;tx w]/} tn /x]sf]n] x}08kDkaf6 ;lhn} kfgL
pknAw x'g g;Sg] ePsf]n] kfgLsf] 7"nf] ;d:of b]lvPsf] 5 . ;d:ofsf]
;dfwfglt/ ljrf/ ubf{ xfn k|:tfljt lgdf{0fflwg a|Dxb]j d08L vf=kf=cfof]hgf h:t}
ltns]gL, ltnfrf}/ cflb If]qdf e"ldut ;|f]taf6} cf]e/x]8 6+sL of]hgfx?
lgdf{0f x'g cfjZos 5 .
9n lgsf; / kmf]x/ d}nf
Joj:yfkgM
9n lgsf; / kmf]x/d}nf Joj:yfkgsf] ;'ljwfsf] xsdf
d=g=g=kf=sf] ahf/ If]qleq dfq} ;Lldt /x]sf] 5 . d=g=g=kf= ljsf; ;ldltaf6
lgdf{0f ul/Psf] 9n ;'ljwf / d=g=g=kf=af6 6\ofS6/ dfk{mt kmf]x/ d}nf ;+sng sfo{
u/L ;DalGwt 7fp+df kmfNg] sfo{ x'g] u/]sf] 5 .
lhNnf hg:jf:Yo sfof{noaf6 k|fKt k|ltj]bg cg';f/ o;
lhNnfdf kl/jf/ lgof]hgsf ;fwgx?sf] k|of]ustf{ b/ #* k|ltzt /x]sf] 5 . cf=a=
)%$÷%% b]lv xfn;Dd kl/jf/ lgof]hg k|of]u b/ -CPR_ dWo] :yfoL aGWofs/0f ug]{ dlxnf
k'?ifsf] ;+Vof, tflndk|fKt ;'F8]gLaf6 k|;'lt ;]jf k|fKt ug]{ cfdfx?sf] ;+Vof
tyf :jf:YosdL{af6 ;]jf k|fKt ug]{x?sf] ;+Vof b]xfo adf]lhd /x]sf] 5 M
tflnsf M kl/jf/lgof]hg tyf ;'Ts]/L;]jf ;DalGw ljj/0f
|
qm=;+= |
ljifo |
)%$÷%% |
)%%÷%^ |
)%^÷%& |
)%&÷%* |
|
!= |
kl/jf/ lgof]hg ;]jf
k|of]u b/ |
!@=) |
@*=) |
#*=) |
#*=) |
|
@= |
aGWofs/0f ug]{
dlxnf k'?ifsf] ;+Vof |
|
!!)( |
!!(@ |
!#@$ |
|
#= |
tflndk|fKt
;'F8]gLaf6 ;'Ts]/L u/fpg] cfdfsf] k|ltzt |
nfu" gePsf] |
nfu" gePsf] |
%=&* |
%=(* |
|
$= |
tflndk|fKt :jf:YosdL{af6
k|;'lt;]jf kfPsf] k|ltzt |
&=@* |
*=)& |
(=&# |
!!=$% |
;|f]t M kl/jf/ lgof]hg ;+3, lhNnf zfvf s~rgk'/
dflysf] tYofÍ cg';f/ tflndk|fKt
:jf:YosdL{af6 k|;'lt;]jf lng] dlxnf?sf] k|ltzt a9\b} uPsf] 5 . tyflk To;sf]
a[l4b/ eg] Go"g g} /x]sf] 5 . dlxnf :jf:Yo :jo+;]ljsf tyf ;'F8]gL sfo{qmd
;~rfngaf6 $ k6s;Dd ue{jtL dlxnf hfFr u/fpg]x?sf] ;+Vof k|fKt x'g g;s] tfklg
cf=a= )%&÷%* sf] tYofÍ cg';f/ &=$% k|ltzt /x]sf] 5 . To;}u/L ^!=^%
k|ltzt dlxnfx?n] ;'Ts]/L hfFr u/fPsf] tYofÍ k|fKt ePsf] 5 . tflndk|fKt :jf:YosdL{sf]
cefj tyf hg;+Vofsf] t'ngfdf :jf:Yo ;]jfsf] sdLsf] sf/0f ;d'bfo :jf:Yo ;]jfaf6
al~rt ePsf] 5 .
o;sf cltl/St ljleGg cfly{saif{df o; lhNnfdf
x]kf6fOl6;, Ifo, s'i7 / cf}nf] /f]uLx? / ;]jf lng]sf] ;+Vof b]xfo adf]lhd
/x]sf] 5 .
tflnsf M
lhNnfdf b]lvg] s]xL ljz]if
/f]ux?sf] ljj/0f
|
qm=;+= |
/f]usf] gfd |
cf=j= )%$÷%% |
cf=j= )%%÷%^ |
cf=j= )%^÷%& |
cf=j= )%&÷%* |
|
!= |
x]kf6fOl6; |
nfu"
eOg;s]sf] cfufdL cf=j= b]lv lgoldt vf]k sfo{qmddf ;dfj]z x'g] |
|||
|
@= |
s'i7/f]u |
!@$ |
@$) |
&$ |
*& |
|
#= |
cf}nf] |
%#^ |
#*% |
&)# |
%^! |
|
$= |
Ifo/f]u |
*#! |
*!^ |
&!^ |
&(% |
;|f]t M lhNnf hg:jf:Yo sfof{no, s~rgk'/ @)%(