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k|lta]bg
@)&#÷@)&$
नेपाल सरकार
वा य म ालय
वा य सेवा वभाग
म यमा चल े य वा य सेवा नदशनालय
िज ला जन वा य कायालय,पसा
I
Abbreviation
AEFI : Adverse Event Following Immunization
AES : Acute Encephalitis Syndrome
AFP : Acute Flaccid Paralysis
AI : Avian Influenza
AMR : Anti Microbial Resistant
ART : Anti Retroviral Therapy
BMI : Body Mass Index
CB-IMCI : Community Based – Integrated Management of Childhood
CB-NCP : Community Based – Neonatal Care Programme
CMAM : Community based Management of Acute Malnutrition
DOTS : Directly Observed Treatment Short Course
DSS : Dengue Shock Syndrome
HTC : HIV Testing & Counseling
IDA : Iron Deficiency Anaemia
IDD : Iodine Deficiency Disorder
IDU : Injecting Drug Users
IFA : Iron and Folic Acid
IMAM : Integrated Management of Acute Malnutrition
IYCF : Infant and Young Child Feeding
IPD : Immunization Preventable Diseases
JE : Japanese Encephalitis
LF : Lymphatic Filariasis
LLIN : Long Lasting Insecticide Treated bed Net
LPEP : Leprosy Post Exposure Prophylaxis
MAM : Moderate Acute Malnutrition
MDVP : Multi Dose Vial Policy
MIYCN : Maternal, Infant & Young Child Nutrition
MNP : Micro Nutrient Powder
MMNP : Multiple Micro Nutrient Powder
NHP : National Health Policy
NHSP : Nepal Health Sector Programme
NMR : Neonatal Mortality Rate
II
NNSC : National Nutrition Steering Committee
OPV : Oral Polio Vaccine
ORS : Oral Rehydration Solution
ORT : Oral Rehydration Therapy
OPT : Outpatient Therapeutic Programme
OTC : Outpatient Therapeutic Center
PAL : Practical Approach to Lung
PEM : Protein Energy Malnutrition
PHC/ORC : Primary Health Care/Out Reach Clinic
PHCRD : Primary Health Care Revitalization Division
PLHA : People Living with HIV& AIDS
PLHIV : People Living with HIV
PMTCT : Prevention of Mother to Child Transmission
PPH : Post Partum Hemorrhage
PR : Prevalence Rate
PSBI : Possible Severe Bacterial Infection
SAM : Severe Acute Malnutrition
STI : Sexually Transmitted Infection
SUN : Scaling Up Nutrition
TD : Tetanus Diptheria
VAD : Vitamin A Deficiency
VAS : Vitamin A Supplementation
VBD : Vector Borne Diseases
VCT : Voluntary Counseling and Testing
VSC : Voluntary Surgical Contraception
WASH : Water, Sanitation and Hygiene
III
s[t1tf
cf=j= )&#.)&$sf] lhNnf hg :jf:yo sfof{nosf] aflif{s k|lta]bg k|sfzg ug{
kfpFg' d]/f] nfuL Pp6f 7'nf] ;f}efUo 7fGb5' .
:jf:Yo ;]jf k|fKt ug{' hgtfsf] df}lns clwsf/ xf] eg] :jf:Yo ;]jf k|bfg ug]{ /fHosf] bfloTj klg xf] . of]
;+j}wflgs tyf df}lns clwsf/nfO{ cfd gful/sn] k|Tofe"tL u/f];\ eGg] clek|fon] ;/sf/n] hgtf nfO{
k|jw{gfTds, k|ltsf/fTds tyf pkrf/fTds ;]jfx¿ cfwf/e"t :jf:yo ;]jf dfkm{t pknAw u/fpb} cfPsf] 5,
eg] pkrf/fTds tyf ljlzi6s[t ;]jfx¿ bf];|f] tyf t]>f] :t/sf lgsfo dfkm{t pknaw u/fpFb} cfPsf 5g\ .
u|fdL0f÷lhNnf :t/Lo ;]jfx¿sf] sfof{Gjog tyf k|efjsf/Ltfsf] n]vfhf]vf jflif{s ?kdf ub}{ ltgsf ljleGg
;sf/fTds tyf gsf/fTds kIfx¿nfO{ s]nfpb} ltgsf cg'ejaf6 kf7 l;Sb} cfufdL lbgdf :jf:yo ;]jfnfO{ a9L
k|efjsf/L / hgpQ/bfoL agfpg ;j} :jf:YosdL{sf] ;femf bfloTjsf] ?kdf u|x0f ug{ ckl/xfo{ ePsf] 5 .
lhNnf leq ;+rflnt x]=kf]=, k|f=:jf=s]=, c:ktfn, gf/fo0fL pkIf]qLo c:ktfn, d]l8sn sn]h, gl;{Í xf]d,
lSnlgs, 8fOugf]i6Ls ;]G6/ b]lv dlxnf :jf:Yo :jo+ ;]ljsfaf6 k|fKt ljleGg ;]jfsf tYofËnfO{ o; aflif{s
k|ltj]bgdf ;d]6g] k|of; ul/Psf] 5 .
o; k|ltj]bgnfO{ a9L pkof]uL agfpg cGo cltl/Qm u}/ ;/sf/L lgsfoaf6 k|fKt ;"rgfnfO{ ;d]t ;dfof]hg
ug]{ k|of; ePsf] 5 . o;df lhNnf :t/Lo jflif{s ;dLIff uf]i7Laf6 cfPsf ljleGg tYod"ns hfgsf/L k:sb+}
o;nfO{ a9L ;f/ule{t agfpg tyf o; k|ltj]bgnfO{ d'ne"t ?kdf k|:t't ug{ cys k|of; ug]{ h=:jf=c= >L
cdn]Zj/ ld> ljz]if wGojfbsf] kfq x'g'x'G5 .
c:ktfn, k|f=:jf=s]=, x]=kf]=, ufp3/ lSnlgs, vf]k lSnlgs tyf dlxnf :jf:Yo :jo+ ;]ljsfaf6 ;dofg's'n
clwstd HMIS l/kf]6{ pknAwtfsf] nflu ;a} ;+:yf k|d'vsf] e'ldsf ;/fxgLo /x]sf] 5 . pknAw ;"rgfnfO{
;+sng, k|lji6Ls/0f, ljZn]if0f tyf JofVofsf] ;fy} k|ltj]bg n]vgdf cxf]/fq vl6O clGtd?k lbg nfuL kg'{
ePsf tYofË zfvfsf ;Dk'0f{ l6d tYofË clws[t gjn lszf]/ ;fx, l;=c=x]=j=c= ljb'/ k|;fb pk|]tL s=
c=pd]z ;fx uf]9sf] ;x|flgo of]ubfgsf] sb/ ub{5' .
;fy} ljleGg kIfdf ;xof]u k'¥ofpg] FCHV , x]=kf]= OGrfh{, lhNnfsf ;'k/efOh/ sfo{qmd kmf]sn k;{gx¿sf]
;+j]bg;Ln pQ/bfloTj jxgnfO{ ;Ddfg ub}{ wGojfb lbg rfxG5' . h=:jf=c=cdn]Zj/ ld> ,/fhlszf]/ k|;fb
, h=:jf=c /fdlanf; ofbj, vf]=;'=c=;lrbfGgb l;+x,vf]=;'=c=clgn s'df/ l;+x, vf]=;'=c=57' rf}w/L, vf]=;'=c,
df]xg ;fx, If=s'=c=zDe' ofba ,e]=s=lg=clZjgL l4j]bL, h=:jf=lg=afnlszf]/ k|;fb ofba, k=lg=;'=c=clgn
ld>, x]=c=k/dfgGb ofba, k=x]=g=dL/f ofbj, ,lh=kf]=;+ rGb| ;+h' uf}/f] cflbsf] ;+j]bgzLn pt/bfloTj jxg
nfO{ ;Ddfg ub}{ wGojfb lbg rfxG5' . o;df n]vf clws[t lw/]Gb| kf]v|]n,n]vfkfn ;'>L ;'lgtf l/dfn, zfvf
clws[t ;'ldqf nfdf,s=c= Zofdafa' ;fx sf] e'ldsf klg ;x|flgo 5 .
cfzf 5, o; k|ltj]bgdf ;d]l6Psf ljleGg tYok/s ;"rgfx¿ :jf:Yosf] If]qdf sfd ug]{ ljleGg ;/sf/L
tyf u}/ ;/sf/L lgsfo nfO{ gLlt lg{df0f b]lv lnP/ :jf:Yosf] cg'udg tyf d'NofÍgsf] If]qdf a9L pkof]uL
x'g] 5 . ;du|df of] k|ltj]bg lhNnfsf] :jf:Yo sdL{x¿ nfO{ cfkmgf] sfo{ ;Dkfbgdf lglb{i6 ug{ a9L k|]/0ffbfoL
x'g] ljZjf; ub}{ lhNnfsf] :jf:Yo cj:yfdf ;'wf/ / ;xhtf Nofpg ;xof]uL e'ldsf v]Ng] 5 . ;a} :jf:Yo
sdL{ tyf dlxnf :jf:yo :jo+ ;]ljsfx¿sf] ;kmntfsf] ;fy} pQ/f]Q/ k|ultsf] sfdgf ub{5' .
wGojfb .
/fhlszf]/ k+l8t
al/i7 hg:jf:Yo k|zf;s
lhNnf hg:jf:Yo sfof{no, k;f{
IV
tYo tflnsf (Fact Sheet)
PROGRAM INDICATORS 2071/72 2072/73 2073/74
V
PROGRAM INDICATORS 2071/72 2072/73 2073/74
Wastage rate of JE 45.96% 40.54% 43
Wastage rate of TD/TT 41.23% 36.06% 37
NUTRITION 2071/72 2072/73 2073/74
% of children under two years growth monitored 60.42% 60.50% 62%
% of malnourished children under two years
among new 4.03%MA 3.03%MA
growth monitored cases 2.10% M M
0.35% 0.57%
SAM SAM
% of expected pregnant mothers supplemented
56.01% 55.20% 57.41%
with Iron tablets
% of pregnant mothers who received 180 iron
34.10% 29.59% 29%
tablets
% of pregnant mothers who were supplemented
by 57.60% 61.92% 51%
Antihelmentic tablet
% of Postpartum mothers receiving Vitamin ‘A’ 107.69% 82.92% 31%
% of postpartum mother who received Iron
67.70% 82.92% 27.09%
tablets
Vitamin "A" Mass Distribution Coverage under
99.97% 103.03% 89%
5 (Kartik)
Vitamin "A" Mass Distribution Coverage under
98.40% 91.17% 87%
5 (Baishak)
Deworming mass distribution coverage U5
100.24% 103.87% 76%
(Kartik)
Deworming mass distribution coverage U5
96.06% 93.61% 77%
(Baishak)
% of Infants who has been initiated breast milk
within 1 hour after birth 81.56% 90.65% 36%
% of recovery rate of SAM cases NA 13.17% 35%
% of defaulter rate cases of SAM cases NA 5.91% 9%
% of death rate of SAM cases NA 0% 0%
% of children aged 6-23 months who received at
least one cycle (60 Sachets) Baal Vita (MNP) 9.16% 38.58% 56%
% of children aged 6-23 months who received at
least 3 cycle Baal Vita (MNP) 0 1.16% 3.28%
VI
PROGRAM INDICATORS 2071/72 2072/73 2073/74
VII
PROGRAM INDICATORS 2071/72 2072/73 2073/74
VIII
PROGRAM INDICATORS 2071/72 2072/73 2073/74
IX
!=@ sfo{ ;Dkflbt ;f/f+z (Excutive summary)
!=@=! kl/ro
lhNnf hg:jf:Yo sfof{no,k;f{4f/f cf=j=@)&#÷&$ sf nflu tof/ kfl/Psf] of] jflif{s k|ltj]bgdf
:jf:Yo sfo{qmdx¿sf] b[li6, Wo]o,kl/sNkgf, pB]Zo, nIo tyf /0fgLltnfO{ pNn]v ul/Psf] 5 . ;fy}
k|ltj]bgdf k|To]s sfo{qmdx¿sf] tLg jif{sf] k|ult k|ltzt, k|ult ljZn]if0f tyf ;DalGwt
;d:of÷q'l6x¿sf] klxrfg / ltgsf ;Defljt sf/0fsf] ljZn]if0f ;lxt cfjZos ;'wf/sf nflu
;dfwfgsf pkfo tyf ;'emfjx¿ ;d]6L k|:t't ul/Psf 5g\ .
g]kfn ;/sf/,:jf:Yo dGqfno,:jf:Yo ;]jf ljefu4f/f :yflkt :jf:Yo Joj:yfkg ;"rgf k|0ffnL
(HMIS ) adf]lhd o; k;f{ lhNnf leq :jf:Yo :jf:Yo ;]jf k|bfg ul/ /x]sf ;/sf/L :jf:yo rf}sL,
k|f=:jf=s]=c:ktfn,gf=p=If]=c:ktfn,u}/;/sf/L ;+:yf, k|fOe]6 c:ktfn, lglh lSnlgs tyf
k|of]uzfnfx¿af6 ;+slnt dfl;s k|ult k|ltj]bgdf pNn]lvt ;"rgf tyf tYofËx¿df cfwfl/t /x]sf
5g\ .
!=@=@ afn :jf:Yo sfo{qmd (Child Health Programe)
s=/fli6«o vf]k sfo{qmd M
• xfn /fli6«o vf]k sfo{s|d tflnsfdf !! k|sf/sf vf]kx¿ ;dflxt /x]sf] 5 . ;g\ @)!) b]lv
g]kfn kf]lnof] d'Qm ePsf] xf] / @& dfr{ @)!$ df kf]lnof] d'Qm b]zsf] ?kdf k'/:s[t ePsf] xf] .
;a} vf]kx¿sf] se/]h ;g\ @)!^ ;Dddf sDtLdf () k|ltzt xfl;n ug]{ tyf ;g\ @)!& ;Dddf
;Dk"0f{ uf=lj=;=÷g=kf=x¿nfO{ k"0f{vf]k uf=lj=;=÷g=kf= 3f]if0ff ug]{ nI0sf ;fy sfo{ cufl8
al9/x]sf] cj:yfdf cf=j=@)&#÷&$ df o; lhNnfdf @* j6f k"0f{vf]k uf=lj=;=3f]if0ff eO{
;s]sf] 5 / afFsL s]xL uf=lj=;=x¿ k|lqmofdf /x]sf 5g\ .
• cf=j=@)&#÷&$ df BCG !)*Ü , DPT-Hep B-Hib3 (&Ü / Measles /Rubella ($Ü n]
k|ult xfl;n ePsf] 5 .
• cf=j=@)&#÷&$ df DPT-Hepb-Hib -1 Vs.3 sf] Dropout rate *Ü / BCG Vs
Measles/Rubella sf] Dropout rate !@Ü /x]sf] 5 .
v=kf]if0f sfo{qmd M (Nutrirtion Programe)
• kf]if0fnfO{ afnaflnsf tyf dlxnfx¿sf] kf]if0f l:ytLsf] ;'wf/nfO{ ;fdflhs cfly{s ljsf;sf
nflu ;a}eGbf zlQmzfnL / sd nfutsf] ?kdf lnO{G5 . g]kfnsf] ;+ljwfgn] cfkm\gf
gful/sx¿sf] kof{Kt vfgf,:jf:Yo tyf kf]if0f nufotsf cTofjZos s'/fx¿df clwsf/
;'lglZrt u/]sf] 5 . kf]if0f l:ytLdf ;'wf/,afn tyf dft[ d[To' b/nfO{ 36fpg] / ;dtfd"ns dfgj
;+;fwgsf] ljsf; ug]{ egL p2]Zo k|flKtsf nflu ;g\ @)!@ b]lv ax'If]lqo kf]if0f of]hgf tyf
;'gf}nf] xhf/ lbg h:tf sfo{s|dx¿ ;+rflnt 5g\ .
• cf=j=@)&#÷&$ df @ jif{ d'lgsf afnaflnsfx¿df j[l4 cg'udg ^@Ü,dWod tyf s8f s'kf]if0f
qmdzM #=)#Ü-MAM_ / )=%&Ü-SAM_ /x]sf],ue{jtL dlxnfnfO{ cfO{/g rSsL ljt/0f
X
%&=$!Ü,ue{jtL dlxnfnfO{ h'sfsf] cf}iflw lat/0f %!Ü ;'Ts]l/ dlxnf nfO{ le6fldg P ljt/0f
#!Ü , h'sfsf] cf}iflwsf] cfd ljt/0f &&Ü / le6fldg P cfd ljt/0f *( Ü /x]sf] 5 . aRrf
hGd]sf] ! 306fleq cfdfsf] b"w v'jfpg] k|ltzt #^Ü tyf tLg k6s afn eL6f kfpg]
afnaflnsfx¿sf] k|ltzt #=@*Ü /x]sf] 5 .
u= ;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{qmd (CBIMNCI Programe)
• ;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{s|d PsLs[t Kofs]hsf] ?kdf afn arfp
sfo{s|d xf] / o; sfo{s|ddf ;du|df @ dlxgf b]lv % jif{sf afnaflnsfx¿df lgdf]lgof,
emf8fkvfnf, cf}nf], bfb'/f / s'kf]if0f h:tf afn/f]ux¿nfO{ PsLs[t ?kdf Joj:yfkg u/L
afnaflnsfx¿sf] Hofg hfg] vt/faf6 arfpg afn arfp If]qnfO{ ;Daf]wg ePsf]] 5 . ;d'bfodf
cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{s|dn] ;+s|d0f,sdnlkt,lr;f]kgsf] Joj:yfkg tyf
@ dlxgf d'lgsf aRRffx¿df :tgkfgaf/] k/fdz{ nfO{ klg ;d]6]sf] 5 . Kofs]hsf] ?kdf ;+rflnt
o; sfo{s|dn] afnaflnsfx¿df ePsf ;d:ofnfO{ :jf:Yo ;+:yf tyf ;d'bfodf ;dod} lgbfg
tyf pkrf/ ul/G5 .
• æ;d'bfodf cfwfl/t gjhft lzz' :ofxf/ sfo{s|dÆ cf=j= @)^%÷)^^ df sf]
Pilot Program
?kdf !) lhNnf tyf To; kZrft\ @)^&÷^* df !% lhNnf @)^*÷ ^( df ( lhNnf x'Fb} ;g\
@)!% ;Dddf g]kfnsf &% j6} lhNnfdf ;+rfngdf /x]sf]] 5 .
• ) b]lv @ dlxgf ;Ddsf lzz'x¿df b]lvPsf ;d:of dWo] ztk|ltzt aRrfx¿n]
PSBI
Gentamycin sf] k'0f{ dfqf lnPsf] tyf aRrf hGdgf;fy gfle dndsf] k|of]u ePsf] 5 eg]
Zjf:k|:jf;sf] gofF la/fdL b/ cf=a @)&# ÷&$ df !#%÷!))) /x]sf] 5 . emf8fkvfnfsf] gofF
lj/fdLb/ !)$÷!))), Zinc and ORS af6 emf8fkvfnfsf] pkrf/ !))% , Severe
dehydration )=^#% /x]sf] 5 .
XI
lg0f{o lngdf l9nfO{,af6f]sf] l9nfO{ tyf :jf:Yo ;+:yfaf6 kfpg] ;]jfsf] l9nfO{ h:tf k|d'v tLg
l9nfO{sf sf/0f dft[ tyf lzz' d[To' / ?U0ftf x'g] u/]sf] b]lvG5 . uef{j:yf / aRrf hlGdg]
cj:yfdf x'g] hl6ntfnfO{ sd ug{ tyf d[To' / ?U0ftfaf6 arfpg g]kfndf k|d'v tLg /0fgLltx¿
c+lusf/ ul/Psf] 5 M
s=hgr]tgf clej[l4 tyf sf]if clej[l4,oftfoft / /ut cfk"lt{sf nflu hGd tof/Lsf] k|aw{g
v=ue{ hfFr tyf ;+:yfut k|;"lt k|aw{gsf nflu cfdf ;'/Iff sfo{qmd
u=5gf}6 ul/Psf :jf:Yo ;+:yfx¿df @$ ;} 306f cfsl:ds k|;"lt ;]jf
• cf=j=@)&#÷&$ df k|yd k6s ue{jtL hfFr !)#=)!Ü tyf rf}yf] k6s ue{jtL hfFr @(Ü,bIf
k|;"ltsdL4f/f k|;"lt ((Ü n] tyf ;+:yfut k|;"lt !)!Ü, zNolqmof4f/f k|;"lt #)Ü,hl6n k|;"lt
)-z'Go_ k|ltzt / k|yd k6s ;'Ts]/L :ofxf/ !)*Ü n] k|ult xfl;n ePsf] 5 .
• k|;"lt x'g cfpg] dlxnfx¿nfO{ oftfoft vr{ zt k|ltzt k|bfg ePsf] 5 eg] rf}yf] k6s hfFr
ePsf Ps rf}yfO{nfO{ dfq pTk|]/0ff eQf ljt/0f ePsf] 5 .
u=dlxnf :jf:Yo :jo+ ;]ljsf sfo{qmd M (FCHV)
• cf=j=@)$%÷$^ df ;'? ul/Psf] d=:jf=:j+=;]=sfo{qmddf 5gf}6sf Psdfq cfwf/ jf8{nfO{
agfOPsf] lyof] . clxn] g]kfn clw/fHoe/Ldf %!,$&) -$&,#@* uf=lj=;=df tyf $,!$@
g=kf=df_ d=:jf=:j+=;]=;s[o eO{ sfd ul//x]sf 5g\ . d=:jf=:j+=;]=sf] d'Vo e'ldsf :jf:Yo
;+:yfsf :jf:YosdL{x¿sf] ;xof]uaf6 cfdf / ;d'bfosf hgtfsf] :jf:Yo / :jf:Yo cfgLjfgL
k|j4{g ug'{ xf] . :jf:Yo lzIff / pTk|]/0ff jfx]s klg d=:jf=:j+=;]=n] nuftf/ k|of]ustf{sf] nflu
lkN; cfk"lt{ ug]{, s08d ljt/0f ug]{, cf]=cf/=P;=ljt/0f ug]{, le6fldg P SofK;'n ljt/0f /
cfO{=Pd=l;=cfO{=sfo{qmddf sf]l6«daf6 pkrf/ / vt/fsf nIf0f lrGx ePsfnfO{ ;+:yfdf k|]if0f
;d]t ul//x]sf 5g\ .
• d=:jf=:j+=;]= sfo{s|d cGt{ut uf=la=;=df &#( / g=kf=df %* hgf d=:jf=:jo+=;]ljsfx¿
sfo{/t /x]sf 5g\ . hDdf lat/0f dWo] d=:jf=:j+=;]ljsfx¿n] cf=a @)&#.)&$ df lkN; ^&$#
;fO{sn, s08d @* k|ltzt, ORS / Zinc rSsL $@=@ k|ltzt / Zjf:fk|Zjf:f /f]usf]
Joj:yfkg #!=(* k|ltztn] u/]sf] b]lvG5 .
3= ufFp3/ lSnlgs sfo{qmd M -PHCORC)
• :jf:Yo ;+:yfn] k|bfg u/]sf ;]jfsf] pkef]udf d'VotM k|lts/fTds tyf k|jw{gfTds ;]jfsf]
kx'Frdf Go"g e]l6Psf] 5 . To;}n] cfkm\gf] ;d'bfo glhs 3/ cfFugdf ;]jfsf] cfjZostfsf]
dxz'z eO{ k|f=:jf=;]=ufpF3/ lSnlgssf] z'?jft eof] . b'u{d :yfg ,:jf:Yo ;+:yfb]lv 6f9fFsf
3/kl/jf/df cfwf/e't :jf:Yo ;]jf nufot k=lg=/ ;'/lIft dft[Tj ;]jf k|bfg ug]{ nIosf ;fy
ufpF3/ lSnlgssf] :yfkgf ePsf] xf] . c=x]=j=÷c=g=ld=x¿af6 cfwf/e"t k|f=:jf=;]= -
k=lg=÷;'/lIft dft[Tj÷:Jf:Yo lzIff÷;fwf/0f pkrf/_ tf]lsPsf] lbg :yfg / ;dodf dlxgfsf] Ps
k6s k|To]s uf=lj=;=df @ b]lv % j6f ;Dd ;+rfng eO{/x]sf 5g\ .
XII
!=@=$=/f]u lgoGq0f sfo{qmd (Disease Control Progeame)
s= cf}nf] lgoGq0f sfo{qmd M
xfn g]kfnsf %$ uf=lj=;=nfO{ cf}nf] pRr hf]lvd,@)! uf=lj=;=nfO{ cf}nf] dWod hf]lvd,(((
uf=lj=;=nfO{ cf}nf] Go"g hf]lvddf /fvL cf}nf] lgoGq0f sfo{qmd ;+rfng ePsf 5g\ . nueu $&=(Ü
hg;+Vof cf}nf] u|l;t If]qdf a;f]af; ub{5g\ . ;f]dWo] #=^@Ü pRr hf]lvd,(=*Ü dWod hf]lvd tyf
#$=%@ Ü Go"g hf]lvd uf=lj=;=x¿df a;f]af; ub{5g\ . s'n hg;+Vofsf] %@=!Ü hf]lvd gePsf]
uf=lj=;=x¿df a;f]af; ub{5g\ .
pRr Hf]lvd If]q cGt{ut km]bLdf, aGo If]qx¿, pkTosf, lelq dw]z kb{5g eg] Go"g hf]lvd If]q cGt{ut
;dy/ t/fO{ kxf8 / pkTosf kb{5g\ . To; lx;fan] k;f{ lhNnf klg Go"g hf]lvd lhNnf cGt{ut kb{5 .
• cf=j=@)&#÷&$ df /ut :nfO{8 ;+sng tyf hfFr )=$)%, jflif{s /ut hfFr b/ !))%
n] k|ult xfl;n ePsf] 5 . cf}nf]/f]uL klg # j6f PV dfq km]nf k/]sf 5g\ .
v= sfnfhf/ lgoGq0f sfo{qmd M
• sfnfhf/ e';'gfsf] 6f]sfO{af6 Leishmania donovani gfds k/hLjL åf/f ;g]{ ls6hGo
/f]u xf] . o;sf] d"n nI0f cGt{ut @ xKtf jf ;f] eGbf a9L ;do ;Dd Hj/f] cfpg], lkmof]
a9g], tf}n 36g], /Qm cNktf x'g] / 5fnf la:tf/} sfnf] x'b} hfg] cflb kb{5 .
• tLg jif{sf] cj:yf ljZn]if0f ubf{ k;f{ lhNnfdf sfnf hf/sf] la/fdL g/x]sf] b]lvG5 .
u= xftLkfO{n] /f]u lgoGq0f sfo{qmd M
• g]kfndf !#Ü hg;+Vofdf of] /f]u /x]sf] 5 . of] /f]u t/fO{df ;d'b|L ;tx eGbf #)) kmL6 /
kxf8sf] %*)) cUnf] prfFO{;Dddf kfO{Psf] 5 . t'ngfTds ?kdf kxf8sf] eGbf t/fO{df of]
/f]u al9 b]lvPsf] 5 . u|fdL0f tyf u/La ;d'bfodf of] /f]u al9 5 . Wuchereria
bancrofti eGg] k/hLjL / Culex quinquefasciatus hftsf] nfdv'§]sf] sf/0fn] x'g]
/f]u xf] .
• ljut tLg jif{sf] cjlwdf xftLkfO{n] /f]u ;DalGw MDA sfo{qmd ;+rfng ePsf] 5}g\ .
3= 8]+u' Hj/f] M
• 8]Í' Ps k|sf/sf] nfdv'§] hGo /f]u xf] h'g 8]Í' Hj/f]sf], Dengue Hemorrhagic Fever
(DHF) / Dengue Shock Syndrome (DSS) sf] ?kdf g]kfndf b]vfk/]sf] xf] . Aedes
aegipti hftsf] nfdv'§]n] zx/ tyf cf;kf;sf If]qx¿df of] /f]u ;f/]sf] tYo ;g\ @))^
/ @)!) sf] entomological surveillance af6 ktf nfu]sf] xf] .
• 8]Í' Hj/f] ;DalGw ljut # jif{sf] cj:yfn] cf=j=, @)&!÷&@ tyf @)&@÷&#
@)&#.)&$df qmdz !!, ! / !@ hgf 8]Í' Hj/f]sf] /f]uL /x]sf] b]lvG5 . 8]Í' Hj/f]sf]
sf/0fn] Ps hgfsf] klg d[To' ePsf] 5}g\ .
XIII
ª= hfkflgh O{G;]kmnfO{l6; M
• ljut # jif{sf] cj:yf x]bf{ Japanese Encephalitis sf] gofF la/fdL g/x]sf] b]lvG5 .
r= kz'hGo /f]u lgoGq0f sfo{qmd
• ;/sf/L , u}/;/sf/L tyf lghL ;+:yfx¿sf] ;dGjo / ;xsfo{df ljiffn' ;k{sf]
6f]sfO{af6 x'g] dfgj lk8f tyf d[To' nfO{ ;dod} 36fpg] ,/]lah / hgfj/sf] sf/0faf6 x'g]
cGo /f]usf] /f]syfd tyf lgoGq0f ug]{ lhDd]jf/L lnO{Psf] 5 .
• k;f{ lhNnfdf /]lahsf] cj:yf x]bf{ ljleGg hgfj/sf]] 6f]sfO{ /x]sf] b]lvG5 t/ ltgsf
;dod} Joj:yfkg eP/ ltgsf sf/0faf6 d[To' ePsf] x'g ;s]sf] 5}g\ .
• To;}u/L ;k{sf] 6f]sfO{ klg ePsf] b]lvG5 / pQm 6f]sfO{ dWo] ;a}h;f] 6f]sfO{ ljiffn' ;k{sf]
eg]sf] b]lvb}+g\ .
5= dxfdf/L tyf k|sf]k lgoGq0f Joj:yfkg=
• :jf:Yo :ofxf/ ;]jf k|jfx u/]/ /f]usf] k|sf]ksf] k|efjsf/L tof/L,of]hgf,/ lhDd]jf/L
jxgsf] dfWodaf6 ;?jf/f]u -?U0ftf tyf d[To'b/_ sf] ef/nfO{ sd ug]{ o; sfo{qmdsf]
nIo /x]sf] 5 .
• Dfxfdf/L tyf k|sf]k Joj:yfkg sfo{s|d cGt{ut Uft aif{ eGbf o; aif{ # j6f k|sf]kx¿
Report ePsf 5g\ h; dWo] RRT 4f/f # j6} Reported Outbreak nfO{
Investigation u/L Joj:yfkg u/LPsf] b]lvG5 / o; aif{ s'g} lsl;dsf] k|sf]k
gePsf] .
h= k|sf]k Joj:yfkg sfo{qmd M
• lgDg lqmofsnfk ;+rfng u/L k|sf]ksf] /f]syfd,zdg tyf lhDd]jf/L jxgdf s]lGb|t /x]/
cfsl:ds tof/L tyf lhDd]jf/L jxgdf :jf:Yo lgsfosf] Ifdtf clej[l4 ug'{ o;
sfo{qmdsf] p2]Zo xf] .
!=:jf:Yo lgsfosf] cfsl:ds of]hgf ( Contingency Planning ) sf] cleofg k|lqmof
@=:jf:YosdL{x¿nfO{ cfsl:ds tof/L tyf k|sf]k Joj:yfkg ;DalGw tflnd
#=:jf:Yo lgsfo k|sf]k Joj:yfkgdf ax'If]qLo ;dGjo / ;xof]u ;+oGqnfO{ ;'b[l9s/0f
em= Ifo/f]u lgoGq0f sfo{qmd M
• of] /f]u Micobactrium Tuberculosis cfFvfn] b]Vg g;lsg] ;'Id ls6f0f'af6 x'g]
ub{5 . Ifo/f]uLn] vf]Sbf, xflR5p ubf{ Ifo/f]usf ls6f0f' d'vaf6 aflx/ lg:sG5g\ .
:jf:Yo dflg;n] :Jff; lnbf kmf]S;f]df k'Ub5g\ . o;/L Ifo/f]u nfUg ;S5 . nueu $%
k|ltzt hg;+Vof Ifo/f]uaf6 ;qm+ldt 5g\ . g]kfndf *) xhf/ Ifo/f]uL 5g\ . k|To]s jif{ %
b]lv & xhf/ dflg;x¿ Ifo/f]uaf6 dg]{ u/]sf 5g\ .
XIV
• cf=j=@)&#÷&$ df Case notification rate 137 , TB case finding rate 78 ,
Sputum conversion rate 90 % Cure rate 95 % Treatment success
rate 78 % MDR Cases 8 n] k|ult ePsf] 5 .
`= s'i7/f]u lgoGq0f sfo{qmd M
• s'i7/f]u cToGt sd ;?jf /f]u xf], s'i7/f]u Micobactrium Leprae gfdsf] ;'Id
ls6f0f'n] x'G5 . of] /f]u ax' cf}iflw pkrf/af6 k"0f{?kn] lgsf] x'G5 . s'i7/f]usf] lgbfg,
pkrf/ / k/fdz{ ;j} ;/sf/L :jf:Yo ;+:yfdf lgMz'Ns kfO{G5 tfklg /f]uaf6 x'g] c+ue+u /
c;dy{tfsf] sf/0fn] s'i7/f]u ;fdflhs ;d:ofsf] ?kdf /x]sf] 5 .
• cf=j=@)&#÷&$ df New Case Detection Rate !^ k|lt nfv ,Prevalence Rate !$
k|lt bz xhf/ Grade 2 disability ) k|ltzt , child case (, Treatment completion
rate : MB (* Ü , Treatment completion rate : PB (^ Ü n] pknlAw xfl;n ePsf]
b]lvG5 .
6= Pr=cfO{=eL=P8\; sfo{qmd M
• ;g\ !(** df P8\;sf] klxnf] k6s kQf nfu] kZrft\ g]kfndf klg lj:tf/} lj/fdLsf]
;+Vof a9\b} uO/x]sf] 5 . g]kfndf IDUs MSM / FSW x¿ pRr hf]lvddf /x]sf 5g\ .
w]/} h;f] Pr=cfO{=eL=;+qmd0f j;fO{ ;/fO{sf] sf/0fn] klg a9L /x]sf 5g\ . d"VotM sfdsf]
nflu ef/t hfg] g} Pr=cfO{=eL=sf ;Djfxs ag]sf 5g\ . 90-90-90 By 2020 tyf
;g\ @)#) ;Dddf P8\;sf] dxfdf/L cGTo eGg] nIosf ;fy Pr=cfO{=eL=P8\;
sfo{qmd tLj|tfsf ;fy ;Daf]wg ul/g] k|of; eO{ /x]sf] 5 .
• cf=j=@)&#÷&$ df ue{jtL dlxnf dWo] klxnf] e]6df ^** hgfn] Pr=cfO{=eL hfFr
u/]sf 5g eg] k6s k6s u/L ue{ hfFr u/fpg cfpg] dlxnf x¿df &&^ hgfn]
Pr=cfO{=eL hfFr u/]sf 5g .
!=@=%= ;xof]uL sfo{qmd
s= :jf:Yo tflnd M
• tflnd k|0ffnLn] :jf:Yo ;]jf k|bfossf] Ifdtf clej[l4 ug{ tyf cfjZostf cg';f/sf]
bIf hgzlQm tof/ ug{ d2t u5{ . tflnd sfo{qmdsf] d'Vo nIo :jf:Yo ;]jfdf sfo{/t
;Dk"0f{ hgzlQmnfO{ u'0f:t/Lo :jf:Yo ;]jf k|bfg ug{ hg:jf:Yo;+u ;DalGwt,
lSnlgsn tyf Joj:yfksLo tflnd k|bfg ug'{ xf] .
v= :jf:Yo lzIff,;"rgf tyf ;+rf/ sfo{qmd M
• :jf:Yo lzIff tyf ;"rgf s]Gb| ;a} :jf:Yo ;]jf / sfo{qmdsf] :jf:Yo k|a4{g,lzIff tyf
;+rf/ sfo{qmdsf] of]hgf,;+rfng,cg'udg tyf d"NofÍgsf] nflu lhDd]jf/ lgsfo xf] . of]
:jf:Yo lzIff ;DalGw sfo{qmd ljsf;, pTkfbg / k|;f/0f ug{ lhDd]jf/ lgsfo klg xf] .
lj=;+=@)%!÷%@ b]lv x/]s lhNnfdf :jf:Yo lzIffsf PsfO{x¿ :yflkt ePsf 5g\ .
ltgLx¿n] g} lhNnfsf cfjZostf cg';f/sf :jf:Yo lzIff ;"rgf tyf ;+rf/ cGtu{tsf
XV
lqmofsnfkx¿ ÷sfo{qmdx¿ lhNnfdf ;+rfng u/]sf x'G5g\ . :yfgLo ;+rf/ / efiffsf]
k|of]u u/L lhNnfn] cf-cfkm\gf] cfjZostf cg';f/sf] sfo{qmd tof/ u/L ;+rfng ul/G5
u= cfk"lt{ Joj:yfkg M
• Gfful/sx¿sf] clwsf/ ;'lglZrttfsf] nflu Uf'0f:t/Lo :jf:Yo ;]jf k|bfg ug{ cfK"lt{
Joj:yfkgsf] s'zn Joj:yfkg Pp6f k|efjsf/L tyf dxTjk"0f{ sfo{ xf] . :jf:Yo ;]jf
k|0ffnL k|efjsf/L tj/n] ;+rfng ug{ cfk"lt{ Joj:yfkg k|0ffnLsf] dxTjk"0f{ e"ldsf
/x]sf] x'G5 . cfk"lt{ Joj:yfkgsf] sfo{ cf}iflw,cf}hf/ pks/0f,uf8L tyf clen]v
k|ltj]bg ;+u ;DalGwt kmf/d km/d]6x¿sf] of]hgf,v/Lb,5kfO{,e08f/0f tyf ljt/0f ug'{ xf]
. ;a} ;+:yfaf6 LMIS ;+sng / ljZn]if0f ug]{ sfo{ q}dfl;s ?kdf x'b} cfO{ /x]sf] 5 .
• cf=j=@)&#÷&$ df :jf:Yo ;+:yf;Dd LMIS Tool sf] cfk"lt{ lgoldt ug{ g;lsPsf]
tyf sfo{/t hgzlQmsf] bfloTjaf]wsf] sdLsf sf/0faf6 k|f=:jf=s]=sf] %*=##% tyf
:jf:Yo rf}sLx¿sf] %&=(!% pknlAw ePsf] 5 .
3= hg:jf:Yo k|of]uzfnf ;]jf M
pkrf/fTds ;]jf cGt/ut,:jf:Yo gLltn] k|f=:jf=s]=÷c:ktfnx¿df lgbfgfTds k|of]uzfnf
;]jfnfO{ nlIft u/]sf] 5 . lgbfg, pkrf/ vf]h k8tfn, /f]ux¿sf] /f]syfd tyf lgoGq0fsf nflu
k|of]uzfnf ;]jfnfO{ ;'b[9 ug]{ o; ;]jfsf] pB]Zo xf] .
• cf=j= @)&#÷&$ df qmdzM Paracitology/ Bacteriology 12446/4421 Virology
3645 Hematology 84920 Biochemistry 67648 Immunology/ Serology 6418
hgfn] k|of]uzfnf ;]jf k|fKt u/]sf] b]lvG5 .
ª= dfgj ;+zfwg Joj:yfkg M
• dfgj ;+;fwg Joj:yfkg klg :jf:Yo ;]jfsf] dxTjk"0f{ c+u xf] . :Jff:Yo If]qsf] ;Dk"0f{
dfgljo ;+;fwg ljsf; tyf Joj:yfkgsf] sfo{ k|zf;g Joj:yfkgn] u5{ . dfgljo
;+;fwg Joj:yfkgn] :jf:Yo k|0ffnL cGt/ut dfgj ;+;fwg of]hgf, pTk|]/0ff, pkef]u,
tflnd / sd{rf/Lx¿sf] j[lt ljsf;,;?jf tyf ljz]if tflndnfO{ ;d]6]sf] x'G5 .
sfo{qmdsf] k|efjsf/L ;+rfng tyf hgtfnfO{ u'0f:t/Lo :jf:Yo ;]jf k|jfxsf nflu
sd{rf/Lx¿sf] plrt kb:yfkgf tyf pkef]usf Joj:yfkg klg ul/G5 .
• xfn k;f{ lhNnfsf] dfgj ;+zfwgsf] cj:yf x]bf{ s'n b/aGbLsf] &*=#) Ü dfq} hgzlQm
sfo{/t /x]sf]n] sfo{ ;Dkfbgdf lgs} ;d:of ePsf] sf/0faf6 u'0f:tl/o :jf::Yo ;]jf
k|jfxdf k|efj kg{ uPsf] b]lvG5 .
r= cfly{s Joj:yfkg M
• :jf:Yo ;]jfdf cfly{s Joj:yfkg sfo{qmdsf] cxd e"ldsf /x]sf] x'G5 . dfgljo ;fwg
h:t} cfly{s ;fwg ljgf s'g}klg lqmofsnfksf] k|ult xfl;n ug{ ;lsb}g . jflif{s ah]6
tof/L,;dod} ah]6 ljt/0f, n]vf+sg,k|ltj]bg tyf n]vf k/LIf0f cflb cfly{s
Joj:yfkgsf] d'Vo sfo{ xf] h'gls :jf:Yo sfo{qmdx¿sf] ;+rfngsf nflu cfjZos
x'G5 .
XVI
5= :jf:Yo ;"rgf Joj:yfkg M
• :jf:Yo sfo{qmdx¿sf] ;"rgf Joj:yfkg,of]hgf,;dGjo ,;'kl/j]If0f cg'udg /
d"Nofª\sgsf] lhDd]jf/L :jf:Yo ;"rgf Joj:yfkgsf] xf] . gLlt tyf of]hgfx¿ h:t}
dfgl;s :jf:Yo,d'vsf] :jf:Yo,kmf]x/ d}nf Joj:yfkg tyf :jf:Yo ;+:yfx¿sf]
:Q/f]Gglt / gljs/0f, gl;{Í sfo{qmd,tyf ;'lrs[t /f]ux¿af6 g]kfnL hgtfsf] :jf:Yo
;'wf/ ug{ pkrf/ ;'lawf cflbsf] sfdsf] afF8kmfF8sf] lhDd]jf/L klg o;} :jf:Yo ;"gf
Joj:yfkg cGt/ut kb{5 .
• :jf:Yo ;+:yfsf] k|ltj]bg Trend ztk|ltzt /x]sf] 5 . ufFp 3/ lSngLs $&=^$%, vf]k
lSngLs **=&*% / d=:jf=:j+=;]jLsfx¿sf] *&=@(% k|ltj]bg k|fKt ePsf] 5 .
h= hg;+Vof Joj:yfkg sfo{qmd M
• hg;+Vof Joj:yfkg sfo{s|d cGt{ut ;fyL lzIfsx¿n] laBfnosf 5fq 5fqfx¿nfO{
k|bfg u/]sf] k/fdz{ ;]jf a9bf] s|ddf /x]sf] / laBfno l:yt :yflkt ;'rgf s]Gb|x¿ klg
;'rf? /x]sf 5g\ .
em= k|fylds :jf:Yo ;]jf k"ghf{u/0f sfo{qmd M
• /fli6«o :jf:Yo gLltsf] dxTjk"0f{ of]ubfg kZrft g]kfn clw/fHoe/ :jf:Yo ;]jfsf] kx'Fr
j[l4 ug{ k|To]s uf=lj=;=df slDtdf Pp6f :jf:Yo rf}sL , k|To]s lgjf{rg If]q cg';f/ tLg
z}ofsf] k|fylds :jf:Yo s]Gb| :yfkgf eP . lhNnfdf @% z}ofsf c:ktfnx¿ dfkm{t
jlx/ª\u, cGt/ª\u, lgbfg / cfsl:ds ;]jf ;+rfng ePsf x'g\ . ul/j / pk]lIft b'j} ;x/
cyjf ufFpdf j:g] ;/sf/sf] k|fyldstfdf k/]sf ju{ x'g . g]kfnsf] cGt/Ld ;+ljwfg
adf]lhd :jf:Yo ;]jf hgtfsf] clwsf/nfO{ :yflkt ug{ :jf:Yo d+qfnon] lgz'Ns
:jf:Yo ;'? ul/;s]sf] 5 . o;} cg'?k :jf:Yo d+qfnon] k|fylds :jf:Yo ;]jfnfO{
;Daf]wg ul/ k"gM hfu[t ug{ :jf:Yo ;]jf k"ghf{u/0f sfo{qmd ;+rfng ePsf] 5 .
!=@=^= pkrf/ ;]jf
• g]kfnsf] cGtl/d ;+ljwfg @)^# n] k|To]s gful/ssf] lgMz'Ns cTofjZos :jf:Yo ;]jf
kfpg] sfg"gL clwsf/ /x]sf] Jof]x/f pNn]v u/]sf] 5 . :jf:Yo dGqfnon] cf=j=@)^#÷^$
af6 ;Dk'0f{ k|fylds :jf:Yo s]Gb|x¿df ;a} nlIft ;d'xsf] nflu lgMz'Ns :jf:Yo ;]jf
/ ! d+l;/ @)^% af6 ;a} hgtfsf] nflu lgMz'Ns :jf:Yo ;]jf nfu' uof]{ . To;} u/L
@)^$ df3 ! ut]af6 ;a} :jf:Yo rf}sLx¿df klg lgMz'Ns :jf:Yo ;]jf nfu' eof] .
• OPD ;]jf cGt{ut ;]jfu|fxLx¿sf] #% k|ltzt / ;f]dWo] dlxnf ;]jf u|fxLx¿sf] %@=*&
k|ltzt pkl:ytL /x]sf] b]lvG5 .
• cf=a @)&#.)&$ df b]lvPsf] /f]usf] cj:yf laZn]i0f ubf{ k|d'v !) /f]u dWo] cFfvf
:fDalGw ;Df:of, rd{ /f]u, ;?jf /f]u, Hj/f], k/lhjL ;+s|d0f cflb /f]ux¿ a9L /x]sf 5g
eg] cGo /f]u tyf ;d:ofx¿ sd /x]sf 5g\ .
XVII
/fli6«o :jf:Yo gLlt, @)&!
!= k[i7e"ld
cfd gful/ssf] :jf:Yo / b]zsf] ;du| ljsf; aLr cGof]Gofl>t ;DaGw x'G5 . :jf:Yo If]qdf ePsf
k|ultx¿nfO{ ljsf;sf k|d'v ;"rsfÍx¿sf] ¿kdf lnOG5 . ljutsf bzsdf ul/aL / åGåsf afjh'b klg
g]kfnn] :jf:Yo If]qdf pNn]vgLo ;kmntf xfl;n u/]sf] 5 .
g]kfnsf] ;+ljwfgn] :jf:YonfO{ hgtfsf] df}lns xssf] ¿kdf :yflkt ul/;s]sf] ;Gbe{df ;ª\j|mfds /f]ux¿
lgoGq0fdf k|fKt pknlAwx¿nfO{ sfod /fVg',gjhft lzz' tyf dft[ d[To'b/nfO{ jfl~5t tx;Dd 36fpg',
a9\b} uPsf] g;g]{ /f]usf] k|sf]k lgoGq0f ug'{ / s'g} klg a]nf x'g;Sg] :jf:Yo ;DalGw ljkb\ Joj:yfkg tTsfn
ug{', h]i7 gful/s, zf/Ll/s / dfgl;s ckfÍtf ePsf, Psn dlxnf, vf; u/L ul/a, ;LdfGts[t / hf]lvddf
/x]sf ;d'bfonfO{ u'0f:t/Lo :jf:Yo ;]jf pknAw u/fpg' /fHosf] bfloTj xf] .
hgpQ/bfoL Pj+ s'zn Joj:yfkgsf] dfWodaf6 cfjZos ;a} ;|f]t / ;fwgsf] clwstd\ kl/rfng u/L k|fKt
ePsf pknlAwx¿sf] /Iff ub}{ :jf:Yo If]qdf ljBdfg tyf gofF r'gf}tLx¿nfO{ ;xL 9Ín] ;Daf]wg u/]/
gful/ssf] :jf:Yo k|j4{g, ;+/If0f, ;'wf/ / k'g:yf{kg ug{ /fli6«o :jf:Yo gLlt , @)$* nfO{ k"0f{ ?kn]
cBfjlws ub{} /fli6«o :jf:Yo gLlt, @)&! tof/ u/L nfu" ul/Psf] 5 .
@= ljutsf k||of;x¿
g]kfndf sl/j #)) jif{ k"j{ l;+xb/jf/ j}Bvfgf / ;g\ !($& df jL/ c:ktfnsf] :yfkgf eO{ cfo'j]{lbs tyf
cfw'lgs lrlsT;f k4lt dfkm{t ;Lldt JolQmsf] kx'+rdf :jf:Yo ;]jfx¿ pknAw eP tfklg cfd gful/sx¿
wfdL emfFj|mL, emf/km's], u'efh' cflbsf] ;xf/fdf aFfRg' kg]{ jfWotf lyof] .lj=;+= @)!# b]lv d'n'sdf ljsf;sf
cfjlws of]hgfx¿ th"{df u/L sfof{Gjog ug]{ k|lqmof z'? ePkl5 :jf:Yo If]qdf klg of]hgfa4 ¿kdf
ljsf;sf] j|md z'? eof] . o;}qmddf lj=;+= @)#@ ;fndf !% jif]{ klxnf] bL3{sfnLg :jf:Yo of]hgf / lj=;+=
@)%$ df @) jif]{ bf];|f] bL3{sfnLg :jf:Yo of]hgf nfu" ul/of] . ljkm/ pGd"ng, cf}nf] lgoGq0f, Ifo/f]u
lgoGq0f, kf]lnof] pGd"ng, xfQLkfOn] /f]u lgjf/0f, s'i7/f]u lgjf/0f, nufot afnaflnsfnfO{ lgoldt ¿kn]
le6fldg ‘P’ v'jfpg] h:tf dxTjk"0f{ sfo{j|mddf cfd gful/sx¿sf] ;lqmo tyf pNn]vgLo ;xeflutf /xFb}
cfPsf] 5 . lj=;+= @)$% b]lv g]kfndf ;~rflnt dlxnf :jf:Yo :jo+;]ljsf sfo{j|md ;+;f/df g} gd'gf
sfo{j|mdsf] ¿kdf lnOG5 . o;} aLrdf cf}nf], s'i7/f]u, Ifo/f]u, lakm/ / kl/jf/ lgof]hg tyf dft[ lzz'
sNof0f of]hgfx¿ nfut k|efjsfl/tf / sfof{Gjog ;xhtfsf b[li6sf]0fn] PsLs[t ub}{ nUg] gLlt ckgfO{
lj=;+= @)$& ;Dddf oL ;a} ;]jfx¿nfO{ PsLs/0f ul/of] .
/fli6«o :jf:Yo gLlt, @)$* n] :jf:Yo If]qdf lghL nufgLnfO{ klg k|j4{g u/]kl5 d'n'sdf lrlsT;f lj1fg
cWoog ;+:yfg nufot lghL :jf:Yo ;+:yfx¿ Jofks ¿kdf vf]lnP . :jf:Yo If]qdf lghL If]qsf] ;xeflutf
d'Vo ¿kn] pkrf/fTds ;]jf / cf}ifwL pks/0f pTkfbgsf] If]qdf eP tfklg zx/ s]lGb|t 5 .
o; aLrdf ;/sf/L, u}/;/sf/L / bft[ lgsfosf] nufgLnfO{ k|efjsf/L ?kdf sfof{Gjog u/fpg g]kfn :jf:Yo
If]q sfo{j|md–! -@)^)—@)^%_ / g]kfn :jf:Yo If]q sfo{j|md–@ -@)^^—@)&!_ th"{df u/L sfof{Gjogdf
NofOPsf] 5 .
#= ljBdfg l:ylt
ljut ;f7L jif{sf] ;Íl7t k|of;n] :jf:Yo If]qdf pNn]vgLo pknlAwx¿ xfFl;n ePsf 5g\ . k|fylds :jf:Yo
;]jf pknJw u/fpg] :jf:Yo ;+:yfx¿sf] ;~hfn ;Dk"0f{ gful/sx¿;Dd k'u]sf] 5 . zx/ s]lGb|t /
pkrf/fTds ;]jfdf dfq ;+nUg b]lvP klg :jf:Yodf lghL If]qsf] ;xeflutf a9]sf] 5 . k|foM ;a} :t/sf]
:jf:Yo ;]jfsf nflu cfjZos dfgj ;+;fwgsf] pTkfbg d'n's leq} x'g yfn]sf] 5 . pRr / dWod :t/sf]
XVIII
cfjZos hgzlQm pTkfbg ug{ /fi6« ;Ifd x'b} uPsf] cj:yf 5 . xfn sl/a rf/ bh{g cf}ifwL pTkfbg ug]{
sDkgLx¿n] d'n'snfO{ cfjZos kg]{ cf}ifwLsf] $) k|ltzt dfu cfk"lt{ ug{;Sg] ;Ifdtf ljsf; u/]sf 5g\ .
o;}u/L, ;j{;'ne ¿kdf ;]jfx¿ pknAw geP klg ;/sf/L / u}/ ;/sf/L If]qdf u/L cfFvf, SofG;/, d'6',
lduf}nf, :gfo', xf8hf]gL{ / Knfl:6s ;h{/L ;DaGwL ljlzi6 pkrf/ ug]{ s]xL ;+:yfx¿ :yflkt ePsf 5g\ .
/f]u lgbfg s]Gb| tyf k|of]uzfnf ;'b[9 tyf la:tf/ ePsf 5g\ .
ljut bzsx¿df d'n'ssf] d'Vo ;d:ofsf] ¿kdf /xL cfPsf cf}nf], Ifo/f]u, emf8fkvfnf, Zjf;k|Zjf;,
6fOkmfO8, bfb'/f, nx/] vf]sL, Eofu't], wg'if6Íf/, xfQLkfOn], sfnfhf/, 6«sf]df, PrcfOeL h:tf ;+j|mfds
/f]ux¿ lgoGq0fdf 5g\ / /f]u ef/ 36\bf] j|mddf 5 . g]kfnaf6 ljkm/ pGd"ng / kf]lnof] z"Go cj:yfdf
cfO;s]sf] 5 . s'i7/f]u lgjf/0fsf] cj:yfdf /x]sf] 5 . dft[ tyf lzz' wg'i6Íf/ lgjf/0f eO;s]sf] /
6«sf]df lgjf/0f x'g] cj:yfdf 5 . xfQLkfOn] /f]u lgjf/0fsf] cleofg ;~rfng eO/x]sf] 5 .
:jf:Yosf nflu dfgj ;+;fwg pTkfbg, :jf:Yo ;]jf, cfk"lt{ ul/g] cf}ifwL / ;Dkfbg ul/g] cg';Gwfgsf]
u'0f:t/Lotf ;'lglZrttfsf nflu lgodg ug]{ ljleGg lgsfox¿ -d]l8sn sfplG;n, gl;{ª sfplG;n, kmfd]{;L
sfplG;n, :jf:Yo Aoj;foL kl/ifb\, cfo'j]{b lrlsT;f kl/ifb\, /fli6«o :jf:Yo cg';Gwfg kl/ifb\ :yfkgf eO{
sfo{/t /x]sf] cj:yf 5 .
:jf:Yo ;DaGwL cGt/f{li6«o ;ª\3÷;+:yf / bft[ lgsfo Pj+ /fi6«x¿;Fusf] ;xsfo{ / ;fem]bf/L ljsf; ePsf] 5
. :jf:Yo ;DaGwL hgr]tgfdf clej[l4 ePsf] 5 . lzIff, ;~rf/, oftfoft, s[lif tyf vfBGg cfk"lt{df ePsf]
;fk]lIft ljsf;n] :jf:Yo ljsf;df ;3fp k'¥ofPsf] 5 .
oL ;a}sf] kl/0ffd:j¿k :jfYo If]qdf pNn]vgLo k|ult ePsf] tYo lgDg ;"rsfÍx¿n] k'li6 ub{5g\ M
lj=;+= @))& -;g\ lj=;+= @)$* lj=;+= @)^*
ljifo >f]t
!(%)_ sf] bzs -;g\ !((!_ -;g\ @)!!_
g]kfn :jf:Yo tyf
s_ lzz' d[To' b/ k|lt -Ps
@)) !)& $^ hg;fª\lVos ;j]{If0f,
xhf/ hLljt hGd_
@)!!
v_ dft[ d[To' b/ -k|lt Ps nfv ;x;|flAb ljsf; nIo
!*)) *%) !&)
hLljt hGd_ k|ult k|ltj]bg, @)!!
^*=* g]kfn dfgj ljsf;
u_ cf}zt cfo' -jif{ #@ %#
-;g\ @)!!_ ;"rsfÍ k|ltj]bg, @)!$,
g]kfn :jf:Yo tyf
3_ kfFr jif{d'lgsf aRrfx¿sf]
@*) !(& %$ hg;fª\lVos ;j]{If0f,
d[To' b/ -k|ltPs xhf/_
@)!!
g]kfn :jf:Yo tyf
r_ s'n k|hgg b/ & %=* @=^ hg;fª\lVos ;j]{If0f,
@)!!
g]kfn :jf:Yo tyf
ª_ k"0f{ vf]k kfpg] aRrfx¿sf]
– &) **÷*& hg;fª\lVos ;j]{If0f,
k|ltzt_
@)!!
XIX
$= ;d:ofx¿ tyf r''gf}t}tLx¿
:jf:Yo If]qn] sltko pNn]vgLo ;kmntf xfl;n ul/;s]sf] / d'n's ;sf/fTds af6f]df cu|;/ eO/x]sf] eP
tfklg ;Daf]wg ul/g' kg]{ ;d:ofx¿ / r'gf}tLx¿ cem} y'k|} 5g\ . s]xL k|d'v ;d:of / r'gf}tLx¿ lgDgfg';f/
5g\ M
k||d'v ;d:ofM
;+ljwfgsf] efjgf cg';f/ ;a} If]q, tx, tKsf, ju{ tyf ;d'bfosf gful/ssf nflu :jf:Yo
;]jfdf ;j{;'ne kx'Fr k'¥ofpg ;lsPsf] 5}g .
/fHosf] lg/Gt/ k|of; /xFbf/xFb} % aif{d'lgsf sl/j cfwf afnjflnsf / k|hgg pd]/sf
dlxnfx¿df Go"g kf]if0f JofKt 5 eg] zx/L If]qdf df]6f]kg a9\bf] cj:yfdf 5 .
hnjfo' kl/jt{g, a9\bf] vfB c;'/Iff tyf k|fs[lts ljkb\n] ;[hgf x'g] dfgjLo :jf:Yo
;d:ofa9\bf] 5 .
SofG;/, pRr/Qmrfk nufot d'6'sf /f]ux¿, dw'd]x, lduf}n{ f, sn]hf] / kmf]S;f]sf /f]ux¿sf
;fy} dfgl;s /f]u, bGt /f]u h:tf g;g]{ k|s[ltsf /f]ux¿sf] k|sf]k a9\bf] 5 . To;}u/L, ;8s
b'3{6gf / rf]6k6saf6 x'g] d[To'sf] ;+Vof lbg k|ltlbg a9\bf] 5 .
zx/L If]qdf k|fylds :jf:Yo ;]jf sfo{j|md, h]i7 gful/ssf] :jf:Yo, dfgl;s :jf:Yo,
j+zfg'ut tyf hGdhft /f]ux¿sf] ;Daf]wg, jftfj/0fLo :jf:Yo, Joj;fohGo :jf:Yo, o'jf,
lszf]/lszf/L]x¿sf] of}g tyf k|hgg\ :jf:Yo, ljBfno hfg] pd]/sf afnaflnsfx¿sf :jf:Yo
k|j4{g cflbdf /fHon] kof{Kt k|fyldstf lbg ;s]sf] 5}g .
u'0f:t/Lo cf}ifwLdf hgtfsf] kxF'r, cf}ifwLsf] ;d'lrt k|of]u, cTofjZos cf}ifwL / pks/0fsf]
/fli6«o pTkfbg / ljt/0f k|efjsf/L / hgd'vL agfpg ;lsPsf] 5}g .
ljBdfg k|of]uzfnf ;]jf / cf}ifwL pks/0f cflbsf] dfkb08 cg';f/sf] u'0f:t/o'Qm cfk"lt{ x'g
;s]sf] 5}g .
/fli6«o cfjZostf cg';f/ ;fdflhs pQ/bfloTj jxg ug]{, pko'Qm ;Lk / bIftf ePsf
ljleGg tx / k|sf/sf :jf:Yo hgzlQmsf] ;Gt'lnt pTkfbg, hgzlQmsf] ljb]z knfog,
:jf:YosdL{ / sd{rf/Lx¿sf] ;¿jf, :jf:Yo ;+:yfdf :jf:YosdL{x¿sf] lg/Gt/ pkl:ylt,
:jf:YosdL{x¿sf] ;'/Iff cflbdf b]lvPsf hl6ntfx¿nfO{ of]hgfa4 ?kdf ;Daf]wg ug{
;lsPsf] 5}g .
:jf:Yodf lghL If]qsf] nufgLnfO{ cfd gful/ssf] lxtdf k|efjsf/L agfpg / pko'Qm 7fpFdf
nufgL j[l4 ug{ ;lsPsf] 5}g .
:jf:Yo;Fu ;DjlGwt P]g lgod adf]lhd ul/g] lgodgnfO{ k|efjsf/L t'Nofpg ;lsPsf] 5}g .
:jf:Yo If]qsf hgzlQm pTkfbg ug]{ ;+:yf / pkof]u ug]{ ;+:yf aLr kof{Kt ;df~h:o x'g
;s]sf] 5}g .
XX
k|d'v r'gf}}tLx¿M
:jf:Yo ;]jfnfO{ Uf'0f:t/Lo / k|efjsf/L 9Ín] k|jfx ug{ cfjZos bf]xf]/f] k|]if0f k|0ffnLsf]
pko'Qm sfo{Gjog ug'{ kg]{ .
clt ;+j|mfds /f]u -h:t} a8{km\n' jf gofF b]vfkg{;Sg] /f]ux¿sf] tTsfn Joj:yfkg, ;do–
;dodf b]vf kg]{ dxfdf/Lsf] Joj:yfkg / e"'sDk nufot k|fs[lts k|sf]kaf6 x'g] ;+efljt
dfgjLo Iflt Go"gLs/0fsf nflu k"j{ tof/L tyf c:ktfn / :jf:Yo ;+:yfsf k|jnLs/0f –
Retrofitting) ug{' kg]{ .
gjhft lzz', afn tyf dft[ d[To'b/ 36fpg, emf8fkvfnf, Zjf;k|Zjf; ;DaGwL /f]u, cf}nf],
sfnfhf/, OG;]kmnfO{l6;, xfQLkfO{n] /f]u, 8]ÍL, Ifo/f]u, s'i7/f]u, PrcfOeL tyf vf]kåf/f
/f]syfd ug{ ;lsg] ;ª\j|mfds /f]ux¿sf] lgoGq0f ug]{ sfo{nfO{ yk k|efjsf/L agfpg' kg]{ .
l5d]sL /fi6«;u+sf] v'nf ;Ldfgfsf] sf/0f kz'hGo / dfgjhGo /f]usf] km}nfj6 lgoGq0f ug]{
sfo{ sl7g b]lvPsf] 5 .
:yfgLo :t/;Ddsf :jf:Yo ;+:yfx¿nfO{ ;Ifd agfpFb} pko'Qm ;fdflhs :jf:Yo aLdf k|0ffnL
:yfkgf u/L ;a} gful/snfO{ ;dfg ¿kdf :jf:Yo ;]jf, lzIff / ;"rgf pknAw x'g] cj;/
l;h{gf u/fpg' kg]{ .
hg;ª\Vofsf] j[l4sf] cg'kftdf :jf:Yo If]qdf /fHosf] nufgL a9fpg' kg]{ cfjZostf 5 .
:jf:Yo If]qsf ;"rsx¿df /x]sf] If]qut c;Gt'ngnfO{ tTsfn ;Djf]wg ug'{ kg]{ .
:jf:Yo ;DaGwL P]g, lgod, gLlt, /0fgLlt / sfo{of]hgfsf] ;d'lrt / PsLs[t ¿kdf ;'b[9
9ª\un] sfof{Gjog u/fpg' kg]{ cj:yf 5 . To;}u/L :jf:Yo ;DaGwL cGt/f{li6«o k|lta4tf,
;lGw, ;Demf}tfsf] kIf /fi6« ePsfn] g]kfnsf] ;xeflutfnfO{ lg/Gt/tf lbO{ ;kmn sfof{Gjog
ug'{ kg]{ .
ckfÍtf ;DaGwL cGt/f{li6«o dxf;lGwsf] kIf /fi6« ePsf]n] cfFvf gb]Vg], b[li6 sdhf]/, sfg
g;'Gg] nufot dfgl;s tyf zf/Ll/s ckfÍtf ePsf JolQmx¿nfO{ cfjZos ;Dk"0f{ :jf:Yo
;]jfdf /fHosf] nufgL j[l4 ug{'kg]{ cj:yf 5 .
:jf:Yo ;]jfsf nflu :yfgLo ;/sf/nfO{ clwsf/ ;DkGg / hgpQ/bfoL agfpg'sf ;fy}
:yfgLo / u|fdL0f txsf :jf:Yo sfo{j|mdx¿df yk hg;xeflutf h'6fpg' kg]{ .
%= gof+ gLltsf] cfjZostf, lgb]{]zs l;4fGt tyf efjL ;f]]r
dfly plNnlvt ;d:of tyf r'gf}tLsf] Joj:yfkg u/L u'0f:t/Lo :jf:Yo ;]jfdf gful/ssf] clwsf/
;'lglZrt ug{ ljBdfg :jf:Yo gLlt, @)$* ckof{Kt /x]sf]n] gof+ /fli6«o :jf:Yo gLlt hf/L ug{
cfjZos b]lvPsf] 5 . o; gLlt tof/ ubf{ o;sf s]xL df}lns lgb]{zs l;4fGt k|ltkfbg ul/ ;f]xL
cfwf/df gLlt tyf /0fgLlt k|:tfj ul/Psf 5g\ . k|:t't lgb]{zs l;4fGtsf cfwf/df /fli6«o :jf:Yo
gLlt, @)&! sf] sfof{Gjog ul/g]5 .
gful/sx¿n] df}lns clwsf/sf] ?kdf u'0f:t/Lo :jf:Yo ;]jf k|fKt ug] { Joj:yf ;'lglZrt
ul/g] 5 .
gful/sn] k|fKt ug]{ :jf:Yo ;]jf ;DaGwL ;"rgfsf] xssf] ;'lglZrttf ul/g]5 .
XXI
/fHoåf/f k|bfg ul/g] :jf:Yo ;]jfdf ul/a, ;LdfGts[t / hf]lvddf /x]sf ;d'bfosf] kxF'r
;'lglZrt ug{ ;dtfd"ns / ;fdflhs Gofosf] cfwf/df sfo{j|md th'{df u/L sfof{Gjog
ul/g]5 .
:jf:Yo ;]jfsf x/]s tx / k|sf/df gful/sx¿sf] ;xeflutf ul/g]5 .
gful/ssf] :jf:Yo k|j4{g, ;+/If0f, ;'wf/ / k'g:yf{kg ;DaGwL gLlt tyf sfo{j|mdx¿ /fHosf
cGo gLltx¿df klg ;dfj]z u/fpb} nlug]5 .
gful/sn] ;j{;'ne 9Ín] u'0f:t/Lo :jf:Yo ;]jf plrt d'Nodf k|fKt ug]{ u/L lghL If]qsf]
;xeflutf u/fOg]5 .
cfGtl/s tyf afx\o lgsfox¿af6 k|fKt ;fwg >f]tnfO{ of] gLlt / o; cGtu{t ag]sf
sfo{j|mdx¿nfO{ k|efjsf/L ¿kdf sfof{Gjog ug{] u/L kl/rfng ul/g]5 .
;/sf/L jf cnu ;+/rgfsf] dfWodaf6 ;/sf/L tyf u}/;/sf/L If]qaf6 pknAw u/fOg]
;Dk"0f{ :jf:Yo ;]jfx¿sf] lgodg ul/g]5 .
:jf:Yo ;]jf k|jfxnfO{ hjfkmb]xLk"0f{ agfOg]5 .
pk/f]Qm lgb]{zs l;4fGtnfO{ ;fy{s ?kdf sfo{Gjog ug{ o; gLltsf] cfaZostf ePsf] xf] .
%=! efjL ;f]]r (Vision)
;a} g]kfnL gful/sx¿ zf/Ll/s, dfgl;s, ;fdflhs / efjgfTds ¿kdf :j:y /xL pTkfbgZfLn
/ u'0f:t/Lo hLjg ofkg ug{ ;Ifd x'g] .
%=@ Wo]]o (Mission)
pknAw ;fwg;|f|f]t]tsf] clwstd k|o|of]u]u u/L :jf:Yo ;]j]jf k|b|bfos, ;]j]jfu|f|fxL /
;/f]s]sf/jfnfx¿ aLr /0fgLlts ;xsfo{ u/L gful/sx¿sf] :j:Yo /xg kfpg] df}lns clwsf/sf]
;'lglZrt ug]{ .
%=# nIo (Goal)
cfwf/e"t dfgj clwsf/sf] ¿kdf ;j} gful/sx¿nfO{ :jf:Yosf] clwsf/ ;'lglZrt ug{ u'0f:t/Lo
:jf:Yo ;]jfdf ;j}sf] kx'Fr a[l4 u/L Gofo;+ut Pj+ hjfkmb]xL :jf:Yo ;]jf k|0ffnLsf] dfWodaf6
:jf:Yo ;]jf pknJw u/fpg] .
%=$ p2]]Zox¿ (Objectives)
!= gful/ssf] df}lns clwsf/sf] ¿kdf /x]sf] cfwf/e"t :jf:Yo ;]jf lgMz'Ns pknAw u/fpg],
@= k|To]s gful/sn] ;xh ?kn] u'0f:t/Lo :jf:Yo ;]jf k|fKt ug{ ;Sg] u/L cfjZos cf}ifwL,
pks/0f, k|ljlw / bIf :jf:YosdL{x¿ ;lxtsf] k|efjsf/L Pj+ hjfkmb]xLk"0f{ :jf:Yo ;]jf
k|0ffnLsf] :yfkgf ug]{,
#= :jf:Yo ;]jf k|jfxdf hg;xeflutf k|j4{g ug]{ . o; If]qdf lghL tyf ;xsf/L If]qsf]
;+nUgtf j[l4 / Jojl:yt ub}{ ckgTj k|j4{g ug]{] .
XXII
^= gLltx¿
!= df}lns xssf ?kdf /x]sf] u'0f:t/Lo :jf:Yo ;]jf ;a} gful/sx¿sf] ;xh kx'Frdf k'Ug]
u/L (Universal Health Coverage) k|efjsf/L ?kdf pknJw u/fpg] Pj+ cfwf/e"t :jf:Yo
;]jf lgz'Ns ?kdf pknAw u/fpg] .
@= :jf:Yo ;]jfx¿ ;j{;'ne Pj+ k|efjsf/L ?kdf k|jfx ug{ cfjZos bIf hgzlQmsf] of]hgf
pTkfbg, k|flKt, ljsf; tyf pkof]u ug]{ .
#= b]zdf pknAw h8Lj'6Lsf] Joj:yfkg / pkof]u ub}{ cfo'j]{b lrlsT;f k|0ffnLsf] ljsf; tyf
k|rlnt cGo k"/s lrlsT;f k|0ffnLx¿sf] ;+/If0f Pj+ Jojl:yt ljsf; ug{] .
$= u'0f:t/Lo cf}ifwL / :jf:Yo ;fdu|Lsf] ;xh tyf k|efjsf/L cfk"lt{ Pj+ pkof]unfO{ ;'lglZrt
ub}{ cfGtl/s pTkfbgnfO{ a9fjf lbb} cfTdlge{/tf tkm{ pGd'v x'g] .
%= :jf:Yo cg';Gwfgsf] u'0f:t/nfO{ cGt/f{li6«o dfkb08 cg'?k agfpFb} cg';Gwfgaf6 k|fKt
k|df0fd"ns Jojxf/ jf cEof;nfO{ gLlt lgdf{0f, of]hgf th'{df, cf}iflw Pj+ pkrf/ k4ltdf
pkof]u ug{] .
^= :jf:Yo;DjGwL ;Gb]z Pj+ ;"rgf ;'ne ?kdf k|fKt ug]{ ;"rgfsf] xs ;DaGwL clwsf/nfO{
sfo{?kdf kl/0ft ug{ lzIff, ;'rgf / ;~rf/ sfo{j|mdnfO{ pRr k|fyldstf lbO{ hg:jf:Yo
k|j4{g ug]{ .
&= u'0f:t/Lo Pj+ :jf:Yoj4{s vfB kbfy{sf] k|j4{g, k|of]udfkm{t s'kf]if0fnfO{ Go"gLs/0f ug]{ .
*= ;Ifd Pj+ hjfkmb]xL ;dGjo, cg'udg tyf lgodg ;+oGq Pj+ k|lj|mofåf/f u'0f:t/Lo :jf:Yo
;]jf k|jfx ;'lglZrt ug]{ .
(= :jf:Yo ;]jf;Fu ;DalGwt Jofj;flos kl/ifb\x¿nfO{ ;Ifd, Jofj;flos Pj+ hjfkmb]xL agfO{
k];fut :t/Lotf Pj+ ;]jfsf] u'0f:t/ ;'lglZrt ug]{ .
!)= :jf:Yo;Fu ;DalGwt jx'kILfo ;/f]sf/jfnf lgsfox¿sf] ;xsfo{nfO{ yk ;'b[9 ub}{ /fHosf]
k|To]s gLltdf :jf:YonfO{ d'nk|jflxs/0f ub}{ hfg] .
!!= :jf:Yo ;+/If0f tyf k|j4{gsf nflu jftfj/0f k|b"if0fsf] k|efjsf/L lgoGq0f ub}{ :jR5
jftfj/0fdf afFRg kfpg] gful/s clwsf/nfO{ ;'lglZrt ug]{ .
!@= u'0f:t/Lo :jf:Yo ;]jf k|jfx ug{ cfjZos gLltut, ;+:yfut / Joj:yfksLo dfWodåf/f
:jf:Yo If]qdf ;'zf;g sfod ug]{ .
!#= :jf:Yo If]qsf] Jojl:yt tyf u'0f:t/Lo ljsf;sf nflu ;fj{hlgs tyf lghL If]qsf]
;xsfo{nfO{k|j4{g ug]{ .
!$= u'0f:t/Lo Pj+ ;j{;'ne :jf:Yo ;]jfsf] ;'lglZrttf ug{ / pkrf/ vr{df gful/snfO{ ljQLo
;'/Iff k|bfg ug{ /fHoaf6 :jf:Yo If]qdf nufgL a9fpFb} n}hfg] / lghL Pj+ u}/ ;/sf/L
If]qaf6 k|fKt ljQLo ;|f]tx¿sf] k|efjsf/L pkof]u Pj+ Joj:yfkg ug]{ .
&= /0fgLltx¿
!= df}}lns xssf ?kdf /x]s]sf] u'0f:t/Lo :jf:Yo ;]j]jf ;a} gful/sx¿sf] ;xh kx'F'rdf k''Ug]
u/L (Universal Health Coverage) k|e|fjsf/L ?kdf pknJw u/fpg] tyf cfwf/e"t :jf:Yo
XXIII
;]jf lgMz''Ns ?kdf pknAw u/fpg] ;DaGwdf lgDg /0fgLltx¿ -gLlt ! ;+u+u ;DalGwt_
lnOg]5]5 .
!=! cfwf/e"t :jf:Yo ;]jf ;DjGwL sfg"g agfO{ cfwf/e"t :jf:Yo ;]jf lgMz'Ns ?kdf pknAw
u/fOg]5 .
!=@ g]kfn ckfÍtf;DaGwL cGt/f{li6«o dxf;GwLsf] kIf /fi6« ePsfn] cfFvf gb]Vg], b[li6 sdhf]/,
sfg g;'Gg], nufot dfgl;s, af}l4s tyf zf/Ll/s ckfÍtf ePsf JolQmx¿nfO{ cfjZos
;Dk"0f{ :jf:Yo ;]jf cTofjZos :jf:Yo ;]jf cGtu{t ;dfj]z ul/g]5 .
!=# /fHon] k|bfg ub}{ cfPsf] cfwf/e"t :jf:Yo ;]jfsf sfo{j|mdnfO{ gful/sx¿sf] :jf:Yo
;DaGwL cfjZostfnfO{ kl/k"lt{ ug]{ u/L cBfjlws ub}{ ;a} gful/sn] u'0f:t/Lo :jf:Yo
;]jf k|fKt u/]sf] olsg x'g] u/L /fli6«o lgb]{lzsf / k|f]6f]snx¿ tof/ u/L nfu" ul/g]5 .
!=$ u|fdL0f txdf :jf:Yo ;]jf pknAw u/fpg] sfo{nfO{ yk ;zQm agfpb} zx/L If]qsf
l;dfGts[t ju{nfO{ ;d]t ;d]6L ;dtfsf] cfwf/df ;Gt'lnt ;]jf k|jfx ul/g]5 .
!=% k|ltsf/fTds / k|a4{gfTds ;]jfdf lbO cfPsf] k|fyldstfnfO{ sfod /fVb} cf}ifwL /
k|ljlwsf] ;d'lrt k|of]u x'g] u/L /fli6«o dfkb08 ;lxtsf] u'0f:t/o'Qm pkrf/fTds ;]jf
k|jfx ub}{ nlug]5 .
!=^ clt ljlzi6 / cGt/f{li6«o :t/sf] ;]jf lbg] If]qx¿sf] olsg u/L To:tf If]qsf] oyf]lrt
ljsf; u/L g]kfnnfO{ j|mdzM If]qut :jf:Yo ko{6g / :jf:Yo lj1fg cWoog s]Gb|sf ¿kdf
ljsl;t ub}{ nlug]5 .
!=& Ho]i7 gful/sx¿sf] cfjZostf jdf]lhdsf] pko'Qm :jf:Yo ;]jf, x]/rfx / ;xof]usf]
PsLs[t sfo{j|md th'{df u/L nfu" ul/g]5 .
!=* cfjZos yk vf]k ;]jf ;lxt ;ª\j|mfds /f]ux¿sf] Joj:yfkgsf] xfnsf] cj:yfnfO{
cfjlws sfo{of]hgf cGtu{t ;dofg's"n kl/dfh{g / sfo{fGjog ub}{ nlug]5 . g;g]{ /f]u
/f]syfd tyf lgoGq0f, b'3{6gf tyf rf]6k6s /f]syfd tyf pkrf/ / dfgl;s :jf:Yo
;DaGwL gLltsf cfwf/df To;;Fu ;DalGwt ;]jfx¿nfO{ k|efjsf/L 9Ín] nfu" ul/g]5 .
!=( 6]lnd]l8l;g -Ox]Ny_ sf] dfWodaf6 b]ze/ :jf:Yo ;]jf ;'ne ?kdf pknAw u/fpFb}
nlug]5 .
!=!) hg;ª\VofnfO{ dWogh/ u/L k|To]s uflj;df Ps lrlsT;s / g;{;lxt cGo :jf:Yo
k|fljlws / k|To]s jf8{df Ps g;{ ld8jfOkmsf] Joj:yf ul/g]5 . :jf:Yo ;]jfsf] u'0f:t/
cg'udg ug{ / k|jw{gfTds :jf:Yo ;]jf k|jfxnfO{ :yfgLo:t/df Jofks u/fpb}+ n}hfg
k|To]s lgjf{rg If]qdf cfjZos ;+Vofdf hg:jf:Yo k|j4{g Pj+ lg/LIf0f clws[t kl/rfng
ul/g]5 .
!=!! uflj;:t/sf] :jf:Yo ;+:yfdf k|of]uzfnf / PS;–/] ;]jf j|mdzM lj:tf/ ul/g]5 .
!=!@ /Qm;~rf/ ;]jfx¿nfO{ ;/sf/L If]qaf6 lgodg u/L u}/;/sf/L If]q;Fusf] ;dGjodf
Jojl:yt ul/g]5 .
!=!# d'n'ssf ;a} If]qsf afl;Gbfn] ;xhtfsf ;fy ;]jf kfpg ;Sg] u/L ljlzi6 ;]jf /
cltljlzi6 ;]jf k|bfos ;+:yfx¿sf] j|mdzM :yfkgf / lj:tf/ ul/g]5 . dfkb08sf]
cfwf/df ;3g pkrf/ ;lxtsf] ljz]if1 ;]jf lhNnf c:ktfn tx;Dd j|mdzM lj:tf/ ub}{
XXIV
nlug]5 . pkrf/ ;]jfnfO{ Jojl:yt agfpg ;d'bfosf :jf:Yo ;+:yfb]lv clt ljlzi6 ;]jf
k|bfos ;+:yfx¿;Dd k|efjsf/L bf]xf]/f] ;Dk|]if0f k|0ffnLsf] Joj:yf ul/g]5 .
!=!$ c:ktfnx¿n] cfkm\g} :jfldTjsf] kmfd]{;Ldfk{mt kmfd]{;L ;]jf lbg] / cf}ifwL ljt/0fdf of]Uotf
k|fKt kmfd]{;L hgzlQmdfkm{t lj/fdLx¿nfO{ cf}ifwL ljt/0f ug]{ Aoj:yf ldnfOg]5 .
!=!% dft[ d[To'b/, gjhft lzz' d[To'b/, kfFr jif{d'lgsf aRrfx¿sf] d[To' b/, cf};t cfo' h:tf
:jf:Yo / ljsf;sf dxTjk"0f{ ;"rsfÍx¿df cfwfl/t k|ultsf nIox¿ ls6fg u/L cfjlws
:jf:Yo If]qsf sfo{j|md sfo{of]hgfx¿ tof/ u/L nfu" ul/g]5 . :jf:Yo ;+:yfx¿af6 x'g]
k|ltj]bg Joj:yfnfO{ a9L j}1flgs, ;dofg'sn, lj:j;gLo / lgoldt agfOg]5 .
!=!^ :jf:Yo ;]jfsf nflu :yfgLo ;/sf/nfO{ clwsf/ ;DkGg / hgpQ/bfoL agfpFb} :yfgLo
lgsfox¿sf] k|fljlws Ifdtf clej[l4 u/]/ k|fylds :jf:Yo ;]jfnfO{ j|mdz ljs]Gb|Ls/0f ub}{
nlug]5 .
!=!& b]ze/ Pp6} ;+s]t gDj/df ;Dks{ /fvL PDj'n]G; ;]jf pknJw x'g] Joj:yf ul/g]5 .
PDj'n]G; ;]jfdf cTofjZos cf}ifwL, clS;hg / bIf :jf:YosdL{;lxtsf] ;]jf pknJw
u/fpg] Joj:yf ;'lglZrt ul/g]5 . ;ª\s6df k/]sfnfO{ tTsfn p4f/ u/L :jf:Yof]krf/
;]jf pknJw u/fpg lglZrt cfwf/ agfO{ xjfO{ PDj'n]G; ;]jf;d]t ;~rfngdf NofOg]5 .
!=!* k|d'v nf]sdfu{x¿df a9Ldf Ps 306fsf] b"/Ldf 3fOt]x¿sf] k|f/lDes pkrf/ ug]{ bIftf
xfl;n u/]sf :jf:YosdL{ / cfjZos cf}ifwL pks/0f;lxtsf] :jf:Yo ;+:yfx¿sf] ;~hfn
lgdf{0f u/L 3fOt]x¿sf] zL3| pkrf/sf] Aoj:yf ldnfOg]5 .
!=!( ef}uf]lns / hg;ª\Vofsf] cg'kftsf cfwf/df dfkb08 agfO{ a9Ldf #) ldg]6sf] b"/Ldf
sDtLdf Ps ufpF Ps :jf:Yo ;+:yf :yfkgf ul/g]5 . k|To]s @) xhf/ hg;ª\Vofdf Ps
k|fylds :jf:Yo s]Gb| / k|To]s Ps nfv hg;ª\Vofsf] nflu sDtLdf @% z}ofsf] Ps
c:ktfnsf] :yfkgf ug{ cfjlws of]hgfx¿df j|mfo{j|mdsf] ¿kdf ;dfj]z ub}{ nlug]5 .
To;}u/L k|To]s cf}Bf]lus If]qdf Ps k|fylds :jf:Yo s]Gb|sf] :yfkgf ul/g]5 .
!=@) dfgl;s :jf:Yo ;]jfnfO{ ;d'bfo :t/b]lv ljlzi6 :jf:Yo ;]jf lbg] c:ktfnx¿;Dd pknJw
u/fpg] u/L cfjlws of]hgfdf ;dfj]z u/L sfof{Gjog ub}{ nlug]5 .
!=@! kl/jf/ of]hgf nufot of}g tyf k|hgg\ :jf:YonfO{ PsLs[t ;]jfsf] ¿kdf sfof{Gjog
ul/g]5 . o'jf tyf lszf]/ lszf]/L d}qL :jf:Yo ;]jfsf] cjwf/0ffnfO{ ;Dk"0f{ :jf:Yo
;]jfk|bfos ;+:yfx¿df ;dfj]z u/fOg]5 . k|hgg\ :jf:Yo ;DaGwL sfg"g NofOg]5 .
!=@@ afn :jf:Yo k|a4{g ug]{ PsLs[t afn/f]u Joj:yfkg sfo{j|mdnfO{ ;dofg's"n ;'b[9 t'NofO{
lg/Gt/ sfof{Gjog ul/g]5 .
!=@# d'v :jf:Yo, cfFvf tyf sfgsf] :jf:Yo ;]jfnfO{ b]ze/ k|jflxt ug{] sfo{ tbf?stfsf ;fy
sfof{Gjog ul/g]5 .
!=@$ bGt tyf gfs, sfg, 3fF6L nufot lrlsT;fsf ljleGg ljifox¿df /fli6«o:t/sf] k|]if0f
c:ktfnx¿sf] :yfkgf ul/g]5 .
!=@% /fli6«o hg:jf:Yo k|of]uzfnf / /fli6«o cf}ifwL k|of]uzfnfsf] Ifdtf clej[l4 u/L
cGt/f{li6«o:t/sf] ;Gbe{ k|of]uzfnfsf] ¿kdf ljsf; ul/g]5 .
!=@^ ;"tL{ lgoGq0f ;DaGwL ;GwL nufotsf /fHo kIf eP/ u/]sf cGt/f{li6«o ;GwL, ;Demf}tf /
k|lta4tfnfO{ tbf?stfsf;fy kfngf ul/g]5 .
XXV
@= :jf:Yo ;]jfx¿ ;j{;'ne Pj+ k||efjsf/L ?kdf k|jfx ug{ cfjZos bIf hgzlQmsf] of]]hgf pTkfbg,
k|f|lKt, ljsf; tyf pkof]u ug]{ ;DaGwdf lgDg /0fgLltx¿ -gLlt @ ;++u ;DalGwt_ lnOg]]5
@=! b]zleq / aflx/ cfjZos hgzlQmsf] pTkfbg / cfk"lt{ ;DaGwL k|If]k0f ;lxtsf] :jf:Yo
If]qsf] dfgj ;+;fwg Joj:yfkg tyf ljsf; u'¿of]hgf th'{df u/L nfu" ul/g]5 . dfgj
;+;fwgdf x'g] vr{nfO{ nufgLsf ¿kdf lnOg]5 .
@=@ /fli6«o cfjZostf cg';f/ ;fdflhs pQ/bfloTj jxg ug]{ pko'Qm ;Lk / bIftf ePsf
ljleGg tx / k|sf/sf :jf:Yo hgzlQm pTkfbg ug{ Go"gtd PsLs[t /fli6«o kf7\oj|md
lgdf{0f u/L nfu" ul/g]5 . lzIf0f ;+:yf / pTkflbt hgzltmsf] u'0f:t/ cg'udg ug{
clwsf/ ;DkGg pRr:t/sf] ;+oGq agfO{ ;/sf/L tyf lghL nufgLdf ;~rflnt z}lIfs
;+:yfx¿nfO{ ;xof]u / lgodg ub}{ nlug]5 .
@=# :jf:Yo hgzlQmnfO{ v6fPsf] 7fpFdf clgjfo{ ¿kn] sfo{/t /xg] jftfj/0f lgdf{0f u/L
hgzlQmsf] ;lqmo / c6'6 pkl:ylt ;'lglZrt ul/g]5 . b'u{d If]qdf lg/Gt/ sfd ul//x]sf
:jf:YosdL{ / lghdf cfl>t kl/jf/x¿nfO{ ljz]if ;'ljwf / cj;/x¿sf] Joj:yf ul/g]5 .
@=$ hg;+Vofsf] cfwf/df ;Lk ld>0f x'g] u/L hgzlQmsf] yk b/jGbL l;h{gf u/L u'0f:t/Lo
;]jfsf] k|Tofe"lt ul/g]5 .
@=% k|lt !) xhf/ hg;+Vofsf nflu Pp6f lrlsT;s;lxt @# hgf :jf:YosdL{ pknJw x'g]
Joj:yf qmdzM;'lglZrt ul/g]5 . b"u{d / lxdfnL If]qsf] nflu ljz]if Joj:yf ul/g]5 .
@=^ lrlsT;s nufotsf :jf:YosdL{x¿sf] Ifdtf clej[l4sf nflu pRr lzIff cWoogsf]
cj;/, ;]jfsfnLg tflnd, k]zfut cWoog cg';Gwfgdf ;+nUg u/fpg] nufotsf
k|f]T;fxgsf] Joj:yf ul/g]5 .
@=& ;/sf/L cWoog k|lti7fgaf6 k|bfg u/fOg] laz]if1 sf]if{x¿df If]qLo tyf c~rn
c:ktfn;d]tsf] ;+nUgtf u/fOg]5 .
@=* :Jff:Yosf nflu dfgj ;+;fwgsf] ;Gbe{df xfn b]vf k/]sf] k|ltef knfog /f]Sg / sfd ug{
cfsif{s jftfj/0f l;h{gf ug{ j[lQ ljsf; Pj+ ljljw lsl;dsf ljQLo tyf u}/ ljQLo
k|f]T;fxg lbg] h:tf k|efjsf/L pkfox¿ ckgfO k|ltef knfognfO{ lg¿T;flxt ul/g]5 .
@=( ld8jfOkm/L lzIffsf] ;'?jft u/L dft[ ;'/Iffsf nflu bIf hgzlQm pTkfbg ub}{ nlug]5 .
xfn sfo{/t g;{x¿sf] Ifdtf clej[l4 ug]{ u/L pgLx¿nfO{ klg ld8jfOkm/Lsf] lzIffsf]
cj;/ lbOg]5 .
@=!) :jf:YosdL{ / sd{rf/Lx¿sf] ;¿jf Jojl:yt ug{ kf/bzL{ / j}1flgs rj|mLo ;¿jf k|0ffnL
ljsf; u/L nfu" ul/g]5 .
@=!! lghL If]qdf /x]sf bIf hgzlQmnfO{ ;/sf/L ;]jfdf cfjZostf cg';f/ pkof]u ug]{ gLlt
lnOg] 5 . ;fy} lghL If]qaf6 pTkflbt :jf:YosdL{nfO{ cfjZostf cg';f/ ;/sf/L lgsfodf
pkof]u ug]{ Joj:yf ldnfOg]5 .
@=!@ g]kfnsf] :jf:Yo If]qdf xfl;n ul/Psf ljlzi6 pknlAwx¿sf] pkof]u ub}{ cGt/f{li6«o:t/sf]
cWoog, cg';Gwfg tyf k|lzIf0f s]Gb| :yfkgf ul/g]5 .
@=!# dlxnf :jf:Yo :jo+;]ljsfx¿sf] Ifdtf clej[l4 u/L cfjZos k|f]T;fxg;lxt pgLx¿sf]
;]jfnfO{ yk u'0f:t/Lo agfOg]5 .
XXVI
#= b]z z]zdf pknAw h8Lj'6'6Lsf] Joj:yfkg / pkof]u]u ub{} {} cfo'j'j'j]{b]{b lrlsT;f k|0|0ffnLsf] ljsf;
tyf k|rlnt cGo k"/s lrlsT;f k|0ffnLx¿sf] ;+/+If0f Pj+ Jojl:yt ljsf; ug{ lgDg cg';f/sf
/0fgLltx¿-gLlt=# ;+u ;DalGwt_ lnOg]5 .
#=! cfo'j]{b k|0ffnLsf] qmda4?kdf ljsf; ul/g]5 . o; If]qdf cg';Gwfgåf/f ;]jfsf] u'0f:t/sf]
d"Nofs+g u/L ljsf; Pj+ kl/dfh{g ul/g]5 . xf]ldof]KofyL, o"gfgL tyf cGo k"/s lrlsT;f
k|0ffnLx¿sf] ;+/If0f, ljsf; Pj+ lj:tf/sf nflu bL3{sfnLg of]hgf lgdf{0f u/L nfu"
ul/g]5 .
#=@ cfo"j]{b k4ltsf] k|efjsf/L sfof{Gjogsf] nflu pko'Qm ;+/rgfsf] ljsf; / lj:tf/ ub}{
nlug]5 .
#=# :yfgLo ¿kdf pknAw h8La'6Lx¿sf] ;+/If0f / ;d'lrt k|of]usf nflu ljz]if of]hgf tyf
sfo{j|md;lxt lghL tyf ;/sf/L cfo'j]{lbs cf}ifwL pTkfbsx¿sf] pTkfbgsf] u'0f:t/Lotfsf]
;'lglZrt ub}{ pTkfbg j[l4 / Joj;foLs/0fdf hf]8 lbOg]5 .
#=$ /fli6«o cfo'j]{b cg';Gwfg tyf tfnLd s]Gb|sf nflu pko'Qm hgzlQmsf] ljsf; tyf
Joj:yfkg u/L cfo'j]{b If]qdf cWoog, cg';Gwfg / cg';Gwfg;Fu ;DalGwt bIf hgzlQmsf]
pTkfbgnfO{ k|fyldstf k|fKt sfo{j|mdsf] ¿kdf ;~rfng ul/g]5 .
#=% cfo'j]{b tyf h8La'6Lsf gfddf x'g] cg'lrt ultljlwx¿nfO{ lgodg u/L cfo'j]{b :jf:Yo
;]jfsf] u'0f:t/ j[l4df ljz]if Wofg lbOg] 5 .
$= u'0f:t/Lo cf}ifwL / :jf:Yo ;fdu|L|sf] ;xh tyf k|efjsf/L cfk"l"t{ Pj+ pkof]unfO{ ;'lglZrt ub{}
cfGtl/s pTkfbgnfO{ a9fjf lbb} cfTdlge{{/tftkm{ pGd'v
' x''g lgDg cg';f/sf /0fgLltx¿ -gLlt $
;+u ;DalGwt_ lnOg]5.
$=! cf}ifwLsf] pTkfbgdf b]znfO{ cfTdlge{/ agfOg]5 . cfjZos kg]{ cTofjZos cf}ifwLx¿
pTkfbg u/L cfk"lt{ ug]{ Aoj:yf ldnfOg]5 .
$=@ ;/sf/L / u}/;/sf/L If]qdf cfk"lt{ x'g] d'n'sleq} pTkfbg ul/Psf jf cfoft ul/Psf cf}ifwL
/ lrlsT;sLo cf}hf/, pks/0f tyf k|of]uzfnfdf k|of]u x'g] ;fdu|L dfkb08 cg';f/sf]
u'0f:t/Lotf ;'lglZrt ug]{ k|0ffnL ljsf; ul/g]5 .
$=# x/]s :jf:Yo ;+:yfx¿af6 lgMz'Ns ljt/0f x'g] cTofjZos cf}ifwLsf] k|sf/ tyf ;ª\Vofdf
j|mdzM j[l4 ub}{ hfg] / ljt/0f ug]{ cf}ifwLsf] b'?kof]u lgoGq0fsf] ljz]if Aoj:yf ul/g]5 .
$=$ cf}ifwLsf] cg'dfg, vl/b / ljt/0f Joj:yfnfO{ yk k|efjsf/L agfpg jt{dfg vl/b Pj+
cfk"l{t{ oj:yfnfO{ ;'b[9 t'Nofpg k|lj|mofut ;'wf/sf ;fy} o; k|lj|mofdf bIf kmdf{l;i6
hgzlQmsf] ;+nUgtf u/fOg]5 .
%= :jf:Yo cg';Gwfgsf] u'0f:t/nfO{ cGt/f{li6«o dfkb08 cg''?k agfpFb} cg'';Gwfgaf6 k|f|fKt k||df0fd"ns
Jojxf/ jf cEof;nfO{ gLlt lgdf{0f, of]hgf th'{df, cf}ifwL Pj+ pkrf/ k4ltdf pkof]u ug{
lgDgcg';f/sf /0fgLltx¿ -gLlt % ;+u ;DalGwt_ lnOg]5 .
%=! :jf:Yo cg';Gwfgsf] u'0f:t/df j[l4 u/L cGt/f{li6«o dfkb08 cg';f/ agfpg g]kfn :jf:Yo
cg';Gwfg kl/ifb\sf] jt{dfg ;f+u7lgs, ;+:yfut tyf ;+oGqut l:yltnfO{ ;dofg's"n ;'wf/
ul/g]5 . :jf:Yo cg';Gwfgsf] k|j4{g / ;xhLs/0fsf nflu kl/ifb\sf] Ifdtf clej[l4 ug{
ljz]if sfo{j|mdx¿ NofOg]5 .
XXVII
%=@ :jf:Yo cg';GwfgnfO{ gful/ssf] :jf:Yo k|j4{g, ;+/If0f, ;'wf/ / k'g:yf{kgdf gofF vf]h /
;'emfj lbg] u/L lgodg ug]{ / cg';Gwfgaf6 k|fKt ;'emfjx¿nfO{ gLlt lgdf{0f, of]hgf th{'df
/ sfof{Gjogdf yk k|efjsf/L 9Ín] k|of]u ug{] Joj:yf ul/g]5 .
%=# :jf:Yo cg';Gwfgaf6 k|fKt k|ltj]bg / lgisif{x¿df ;a}sf] ;xh kx'Frdf j[l4 ul/g]5 .
%=$ cGo If]qåf/f ul/g] cg';Gwfgdf klg :jf:YonfO{ ;dfj]z ug{ k|f]T;flxt ul/g]5 .
%=% :jf:Yo cg';Gwfgstf{ / j}1flgs tyf k|fljlws hgzlQmnfO{ :jf:Yo If]qsf ljleGg ljifox¿df
cg';Gwfg ug{ k|]l/t ug]{ / pgLx¿sf] lj1tfsf] pRr ;Ddfg x'g] cj:yf l;h{gf ul/g]5 .
%=^ cWoog tyf cg';Gwfg ;DaGwL /fli6«o tyf cGt/f{li6«o ;+:yfx¿;Fusf] ;~hfn :yfkgf
ul/g]5 .
%=& :jf:Yo;Fu ;DalGwt ljZjljBfno / ;/sf/L tyf u}/;/sf/L z}lIfs ;+:yfx¿nfO{
cg';Gwfgdf ;xefuL x'g k|f]T;fxg tyf ;xhLs/0f ul/g]5 .
%=* d'n'sdf pknAw h8La'6Lx¿sf] a}1flgs vf]h cg';GwfgnfO{ ljz]if k|fyldstf lbOg]5 .
^= :jf:Yo;DaGwL ;Gb]z]z Pj+ ;"r"rgf ;'n'ne ?kdf k|f|fKt ug]{ ]{ ;"r"rgfsf] xs ;DaGwL clwsf/nfO{
sfo{?{?kdf kl/0ft ug{ lzIff,;'r'r'rgf / ;~rf/ sfo{j{j|m|mdnfO{ pRr k|f|fyldstf lbO{ hg:jf:Yo
k|j4{g{g ug{ lgDg cg';f/sf /0fgLltx¿ -gLlt ^ ;+u+u ;DalGwt_ lnOg]5 .
^=! :jf:Yo If]qdf eP u/]sf ;Dk"0f{ sfo{x¿sf] ;"rgf ;xh / ;/n 9Ín] ;Dk"0f{ gful/sx¿sf]
kx'Frdf k'¥ofpg] /fli6«o :jf:Yo ;"rgf k|0ffnLsf] ljsf; ul/g]5 .
^=@ JolQm jf ;d'bfosf] r]tgf j[l4 u/L :jf:Yo k|a4{g ug{, /f]ux¿sf] /f]syfd ug{, ;dodf g}
:Jff:Yo nfe ug{ / Jojxf/ kl/jt{g ug{ :jf:Yo lzIff ;"rgf tyf ;~rf/sf] Jofks
k|of]unfO{ pRr k|fyldstfdf /flvg]5 .
^=# gful/ssf] :jf:Yodf k|lts"n c;/ kfg]{ ;'tL{, ;'tL{hGo kbfy{, dlb/f, dlb/fhGo Pj+ cGo
vfBkbfy{sf] lj1fkg / k|j4{gdf aGb]h nufOg]5 . To;}u/L gful/ssf] of}ghLjgnfO{ k|ToIf
k/f]If gsf/fTds c;/ kfg]{ s'g} klg k|sf/sf ;~rf/ ;fdu|Lx¿df aGb]h nufOg]5 .
^=$ hg;fwf/0fnfO{ k|of]ud}qL / dfGo x'g] u/L :yfgLo efiffdf ;d]t ;"rgfd"ns, k|j4{gfTds /
hgr]tgfd"ns :jf:Yo lzIff / ;"rgfsf] k|jfx ug{ ;/sf/L / u}/ ;/sf/L If]qx¿nfO{
kl/rflnt ul/g]5 .
^=% ljB'tLo nufotsf ;a} ;~rf/dfWodsf] pRRftd\ pkof]u u/L :jf:Yo ;DaGwL hfgsf/L lng
;a} gful/snfO{ k|f]T;flxt ul/g]5 .
^=^ cGt/f{li6«o txdf cToGt k|efjsf/L / pRr k|ltkmn lbg ;Ifd egL 7x/ ul/Psf] ljBfno
:jf:Yo sfo{j|mdnfO{ lzIff dGqfnosf] ;dGjodf b]zel/sf ljBfnox¿df nfu" ul/g]5 .
o;sf nflu xfn ;~rfngdf /x]sf ljBfnodf ul/g] :jf:Yo ;DaGwL sfo{j|mdx¿nfO{
PsLs[t u/L lj:t[t sfo{ljlw ;lxtsf] sfo{of]hgf tof/ ul/g]5 / sDtLdf dfWolds
ljBfno;Dd Ps :jf:YosdL{ Joj:yf u/L :jf:Yo sfo{j|md ;~rfng ul/g]5 .
^=& :jf:Yo ;]jf vf; u/L lj/fdLsf] pkrf/;Fu ;DalGwt ;Dk"0f{ k|sf/sf ;"rgfx¿ ;DjlGwt
;]jfu|fxLn] k|fKt ug]{ ;"rgfsf] xs :yflkt ug{ cfjZos Joj:yf ul/g]5 .
&= u''0f:t/Lo Pj+ :jf:Yoj4{s{s vfBkbfy{s{sf] k|j4{g, k|ofudfkm{t s'kfif0fnfO{ Go"gLs/0f ug{
lgDg cg';';f/sf /0fgLltx¿ lnOg] -gLlt & ;+uu+ ;DalGwt_ 5 .
XXVIII
&=! :yfgLo txdf pknAw x'g] tyf pTkfbg ug{ ;lsg] vfB kbfy{sf] pTkfbg, k|j4{g /
k|of]unfO{ ljz]if hf]8 lbg] u/L ;d'bfodf cfwfl/t kf]if0f ;DaGwL lzIff nufotsf
dfWofdaf6 bL3{sfnLg ¿kdf s'kf]if0fd'Qm u/fpg cfjZos Joj:yf ul/g]5 .
&=@ s'kf]if0fsf] cj:yfdf ;'wf/ Nofpg ljBdfg ax'If]qLo kf]if0f ;DaGwL gLlt tyf vfB ;'/Iff
nufot sfo{j|mdx¿ cWofjlws ub}{ pRr k|fyldstfsf ;fy nfu" ul/g]5 .
&=# vfB ;'/Iff / kf]if0fsf] cj:yf aLr k|ToIf ;DaGw /xg] ePsfn] vfB ;Dk|e'tf a9fpg s[lif
ljsf; tyf cGo dGqfnonfO{ lg/Gt/ k[i7kf]if0f lbOg], :yfgLo lgsfo ;d]tsf] ;+nUgtfdf
;fd'bflos :jf:Yo sfo{j|md cGtu{t s/];faf/Lsf] k|j4{g ug]{ / xl/of] ;fu;AhL / kmnkm"nsf]
b}lgs ;]jg sDtLdf $)) u|fd k'¥ofOg]5 .
&=$ z/L/nfO{ xfgL k'¥ofpg] k|zf]lwt tyf tof/L vfg]s'/fx¿ -Junk Foods_, dlb/f / k]o
kbfy{sf] k|of]unfO{ lg¿T;flxt ub}{ xf]6n / /]i6'/]G6af6 laj|mL ljt/0f ul/g] vfg]s'/fx¿sf]
u'0f:t/ cg'udg ug{ cfjZos sfg"g, sfo{ljlw / hgzlQmsf] Aoj:yf ul/g]5 .
&=% vfB tyf df;'hGo pTkfbgdf k|of]u x'g] dflg;sf] :jf:YonfO{ k|lts"n c;/ kfg]{ vfnsf
/f;folgs kbfy{x¿ / ljiffbLx¿ x6fpg ;DalGwt ;/f]sf/jfnfx¿;Fu ;xsfo{ ul/g]5 .
&=^ vfB kbfy{hGo /f]u tyf df]6f]kgfnfO{ lgoGq0f ug{ pko'Qm hLjgz}nLnfO{ k|f]T;flxt ub}{
nlug]5 .
&=& :jf:YonfO{ xfgL ug]{ u/L vfB kbfy{df x'g] ld>0f -Food Adulteration_ nfO{ sfg'gsf]
bfo/fdf NofO{ bl08t ug]{ Joj:yf ldnfOg]5 .
* ;Ifd Pj+ hjfkmb]x]xL ;dGjo, cg'u'u'udg tyf lgodg ;+o+oGq Pj+ k|lqmofåf/f u'0'0f:t/Lo :jf:Yo
;]jf k||jfx ;'l'glZrt ug{ lgDgcg'';f/sf /0fgLltx¿ -gLlt * ;u ;DalGwt_ lnOg]5]5 .
*=! ;/sf/L tyf u}/;/sf/L If]qaf6 pknAw u/fOg] ;Dk"0f{ :jf:Yo ;]jfx¿sf] lgodg ug{
sfg"gL ;+:yfut Joj:yf u/L u'0f:t/Lo :jf:Yo ;]jf k|flKtsf] ;'lglZrttf ul/g]5 .
*=@ dfgj tyf kz'kIfLdf k|of]u x'g] cfw'lgs, cfo'j]{b tyf j}slNks lrlsT;f k4ltcg';f/sf]
cf}ifwLsf] lgodg sfo{nfO{ yk k|efjsf/L agfpg ljBdfg sfg"gL Aoj:yfdf ;+zf]wg ul/g]5
. cf}ifwL Joj:yf ljefusf] k'g;{+/rgf u/L k|To]s lhNnfdf cfjZos ;+Vofdf cf}ifwL
lg/LIfs /xg] Aoj:yf ul/g]5 .
*=# u'0f:t/Lo :jf:Yo ;]jf k|fKt u/]sf] olsg x'g] u/L /fli6«o lgb]{lzsf / k|f]6f]snx¿ tof/
ul/g]5 ./f]ux¿sf] pkrf/sf nflu c:ktfnx¿n] :yfgLo cfjZostf cg';f/sf] k|f]6f]sn
tof/ kf/L nfu" ug{ ;Sg] Joj:yf ldnfOg]5 .
*=$ hgtfdf k|jfx ul/g] :jf:Yo ;]jfsf] pRrtd\ u'0f:t/sf] ;'lglZrtfsf nflu ;]jf k|bfos
hgzlQm, k|of]u ul/g] k|ljlw, k|of]udf NofOg] cf}ifwL, pks/0f cflb ;/;fdfgsf] dfkb08
;lxtsf] pRr u'0f:t/ sfod ug{ lg/Gt/ cg'udg / lgodg ul/g]5 .
*=% k|of]uzfnf÷/Qm ;~rf/ s]Gb|x¿nfO{ :t/Lo t'Nofpg'sf ;fy} ;f] k|of]uzfnf÷s]Gb|x¿sf] ;]jf
dfkb08 cg';f/ :t/Lo x'g'kg]{ u/L lgodg ul/g]5 . cfj:os sfg'gL Joj:yf u/L
k|of]uzfnfnfO{ k|dfl0fs/0f -Accreditation_ u/]/ dfq ;+rfngdf Nofpg] Joj:yf
ldnfOg]5 .
XXIX
*=^ ;/sf/L jf u}/ ;/sf/L If]qaf6 d'n'ssf] s'g} klg ef}uf]lns If]qdf lbOg] :jf:Yo ;]jfsf]
u'0f:t/sf] lg/Gt/ cg'udg Pj+ d"NofÍg u/L ;f] s]f cfwf/df k'/:sf/ tyf b08sf] Joj:yf
ul/g]5 .
*=& lj/fdL jf :jf:Yo ;]jf k|of]ustf{sf] ph'/L / u'gf;f] ;'Gg] tyf ;f] sf] sfg"gL pkrf/ k|bfg
ug{ cfjZos ;+:yfut ;+/rgf tof/ u/L nfu" ul/g]5 . pkrf/sf qmddf pknJw eP
;Ddsf k|ljlwsf] ;DaGwdf k/fdz{ ug'{ kg]{ Joj:yf ul/g]5 .
*=* :jf:Yodf lghL If]qsf] nufgLnfO{ cfd gful/ssf] lxtdf k|efjsf/L agfpg sfg"gL Aoj:yf
ug'{sf ;fy} pko'Qm 7fpFdf nufgL j[l4 ug{ cfjZos /0fgLlt lnOg]5 .
*=( dxfdf/Lsf] ¿kdf ljsl;t x'g ;Sg] /f]u b]vf kbf{ tf]lsPsf] lgsfonfO{ tf]lsPsf] ;dodf
clgjfo{¿kn] ;"lrt ug'{ kg]{ u/L ;ª\j|mfds /f]u P]g, @)@) cGtu{t sfg"gL Joj:yf
ul/g]5 . ;ª\j|mfds /f]u P]g, @)@) nfO{ kl/dfh{g ul/g]5 .
*=!) lrlsT;sn] cf}ifwLsf] l;kmfl/z ubf{ h]g]l/s gfddf ;a}n] a'em\g] u/L :ki6 ?kdf pNn]v
ug'{kg]{ Joj:yf ul/g]5 .
( :jf:Yo ;]j]jf;FuFu ;DjlGwt Jofj;flos kl/ifb\x\ ¿nfO{ ;Ifd, Jofj;flos, Pj+ hjfkmb]x]xL
agfO{ k]]zfut :t/Lotf Pj+ ;]j]jfsf] u'0f:t/ ;'lglZrt ug{ lgDg cg';f/sf /0fgLltx¿-gLlt
( ;++u ;DalGwt_ lnOg]5 .
(=! d'n'ssf] :jf:Yo ;DaGwL ljleGg lzIffsf] :t/Lotf / pknAw u/fOg] :jf:Yo ;]jfsf] u'0f:t/
;'lglZrt ug{ :yflkt ljleGg kl/ifb\sf] sfo{ k|efjsf/L, kf/bzL{ / hjfkmb]xL t'NofOg]5 .
(=@ :jf:Yo ;+:yf Pj+ kl/ifb\x¿af6 k|bQ ;]jfdf Ps¿ktf Nofpg ljBdfg P]g lgoddf ;+zf]wg
u/L nfu" ul/g]5 .
(=# :jf:Yo ;+:yf Pj+ kl/ifb\x¿nfO{ sfg'gL / ef}lts ¿kn] yk ;'b[9 ub}{ nlug]5 .
(=$ lghL / u}/ ;/sf/L If]qdf :yflkt :jf:Yo ;DaGwL Jofj;flos ;ª\3÷;+:yfx¿;Fu :jf:Yo
;]jf k|jfx / cWoog cg';Gwfgdf ;xsfo{nfO{ a9fjf lbOg]5 .
!) :jf:Yo;FuFuFu ;DjlGwt jx'k'k'kIfLo ;/f]s]sf/jfnf lgsfox¿sf] ;xsfo{n{nfO{ yk ;'b'[9 ub{}
/fHosf] k|Tos gLltdf :jf:YonfO{ d"n" k|j|jfxLs/0f ug{ lgDg cg';';';f/sf /0fgLltx¿ -
gLlt !) ;+u+u ;DalGwt_ lnOg]5 .
!)=! :jf:YonfO{ ljsf;sf] d'Vo Ph]08fsf] ¿kdf :jLsf/ ub}{ ljBdfg ax'kIfLo ;xsf/LtfnfO{ yk
;'b[9 agfOg] 5 . ;Da4 ;a} gLltx¿df :jf:Yo;DaGwL d'4fx¿nfO{ ;dfj]z u/fOg]5 .
!)=@ :jf:Yo ;]jf k|flKtdf ;'/lIft vfg]kfgL, ;/;kmfO, pmhf{, vfB ;'/Iff, hnjfo', jftfj/0f,
lzIff, cfjf;, ;8s nufot ef}lts ljsf; h:tf cg]sf}+ kIfx¿sf] k|efj x'g] ePsfn]
ax'kIfLo ;dGjo x'g] u/L sfo{of]hgfx¿ tof/ u/L nfu" ul/g]5 .
!)=# g]kfnn] ;g\ @)!% ;Ddsf nflu lgwf{l/t :jf:Yo ;DaGwL ;x;|fAbL ljsf; nIodf k|fKt
u/]sf] k|ultnfO{ lbuf] agfpFb} To;kl5 lgwf{l/t x'g] nIonfO{ k|efjsf/L 9Ín] ;Daf]wg
ul/g]5 .
!)=$ hnjfo' kl/jt{gaf6 kg]{ :jf:Yo ;DjGwL gsf/fTds c;/sf] ;Daf]wgsf nflu ;dli6ut
Joj:yfkg ug{ /fli6«o ;+hfn tyf ;+oGq Pj+ cj;/sf] ;d'lrt k|of]u ub}{ ax'kILfo
sfo{of]hgf agfO{ ;/f]sf/jfnf ;Dk"0f{ lgsfo;Fu ;xsfo{ ul/g]5 .
XXX
!)=% kz'kIfL tyf sL6x¿af6 dflg;df ;g]{ /f]ux¿sf] Joj:yfkgsf nflu ;/f]sf/jfnf
lgsfox¿;Fu k|efjsf/L ;dGjo / ;xsfo{sf] ;d'lrt Joj:yf ul/g]5 .
!! :jf:Yo ;+/+/If0f tyf k|j|j4{g{gsf nflu jftfj/0f k|b|b"i"if0fsf] k|e|efjsf/L lgoGq0f ub{}{ :jR5
jftfj/0fdf aFfRg kfpg] gful/s clwsf/nfO{ ;'l'lglZrt ug{ lgDg cg';';';f/sf /0fgLltx¿
-gLlt !! ;+u ;DalGwt_ lnOg]5 .
!!=! :jf:Yo ;+/If0f / k|j4{gsf nflu kof{j/0fLo k|b"if0f / df};d kl/jt{gaf6 x'g] k|lts"n
c;/sf] k|efjsf/L lgoGq0f ug{] ;+oGq lgdf{0f u/L lgodg ul/g] sfo{df ;ls|o g]t[Tj lnO{
;xsfo{ ul/g]5 .
!!=@ b]ze/ g} :jf:Yo ;]jfhGo kmf]x/d}nfsf] j}1flgs 9Ín] Joj:yfkg ug{ k|efjsf/L Joj:yf
lnOg]5 . kmf]x/d}nf Joj:yfkgsf ;Gbe{df ljBdfg sfg"gL Joj:yfnfO{ s8fOsf ;fy nfu"
ul/g]5 .
!!=# :jf:Yo If]qdf k|of]u x'g] ljls/0fx¿sf] Joj:yfkg /fli6«o tyf cGt/{fli6«o dfkb08 cg'?k
ug{ sfg"g th"{df u/L sfof{Gjog ul/g]5 .
!@ u'0f:t/Lo :jf:Yo ;]j]jf k|j|jfx ug{ cfjZos gLltut, ;+:yfut / Joj:yfksLo dfWodåf/f
:jf:Yo If]q]qdf ;'z'zf;g sfod ug{ lgDg cg';';f/sf] /0fgLltx¿ -gLlt !@ ;+u+u
;DalGwt_ lnOg]5]5 .
!@=! :jf:Yo ;]jf ;~rfngnfO{ a9L k|efjsf/L ;fy} ljZj;gLo agfpg k|of]udf /x]sf lgod
sfg"gsf] k'g/fjnf]sg u/L cfjZostf cg';f/ kl/dfh{g ul/g]5 . :jf:Yo ;DaGwL ljBdfg
P]g lgodsf] ;dfog's"n ;+zf]wg / cfjZostf cg';f/ PsLs/0f u/L PsLs[t hg:jf:Yo
;]jf P]g agfO{ nfu" ul/g]5 .
!@=@ :jf:Yo If]qdf x'g] j}b]lzs ;xof]usf] k|efjsf/L kl/rfngsf nflu ;a} ;xof]uL
lgsfox¿nfO{ PsLs[t u/L kl/0ffdd'vL pkof]u / Joj:yfkg ug]{ k2tL cjnDjg ul/g]5 .
!@=# :jf:Yo If]qcGtu{t lgdf{0f ul/g] ;a} ef}lts ;+/rgfx¿ ckfÍd}qL, afnd}qL tyf e"sDk
k|lt/f]wL agfpb}+ nlug]5 . xfn k|of]udf /x]sf t/ hf]lvddf /x]sf ;+/rgfx¿nfO{ pknAw
k|ljlwåf/f ;jnLs/0f u/L e"sDk k|lt/f]wL agfOg]5 . ;Dk"0f{ ef}lts ;+/rgfx¿df ;]jf
k|bfg ug{ yk cfjZos ;+/rgf h:t} e08f/ cflb yk Pj+ Jojl:yt ub}{ nlug]5 .
!@=$ ef}uf]lns cjl:ylt / hg;+Vofsf] cfwf/df k|rlnt ejg ;+lxtf tyf dfkb08 (Building
Standard) cg';f/ :jf:Yo ;+:yfx¿ lgdf{0f ul/g]5 .
!@=% :jf:Yo Joj:yfkgsf nflu cfw'lgs ;"rgf k|ljlwsf] clwstd k|of]u ul/g]5 .
!@=^ k|fs[lts ljkb\ jf cGo sf/0faf6 cfOkg]{ cfsl:ds :jf:Yo ;d:ofx¿sf] tTsfn ;Daf]wg
ug]{ u/L ax'kIfLo sfo{of]hgf agfO{ sfof{Gjog ul/g]5 .
!@=& ljleGg c:ktfnx¿sf ljsf; ;ldlt / :jf:Yo ;+:yf ;~rfng tyf Joj:yfkg ;ldlt u7g
ubf{ ;fdflhs k|lti7f / ;Ddfg ePsf tyf :jf:Yo ;]jfnfO{ k/f]ksf/sf] ¿kdf lng]
JolQmTjx¿,k]zfljbx¿ / :yfgLo ;d'bfosf] ;xeflutf u/fOg]5 . :jf:Yo ;]jfsf] u'0f:t/,
;xh kx'Fr / lg/Gt/tfsf] nflu ;]jf Aoj:yfkgdf ;d'bfosf] ;xeflutfnfO{ k|f]T;fxg
ul/g]5 .
!@=* c:ktfn ljsf; ;ldlt nufotsf cGo ;ldltx¿sf] Joj:yfkg / lgodgsf] nflu sfg"g
lgdf{0f u/L nfu" ul/g]5 .
XXXI
!@=( :jf:Yo ;]jf k|jfxdf ;/sf/L, lghL If]q, ;fd'bflos Pj+ ;xsf/L If]qnfO{ ;d]6\b} u'0ffTds
;]jf ;'lglZrt u/fpg ;'zf;g sfo{of]hgf agfO sfof{Gjog ul/g]5 . k|fylds :jf:Yo ;]jf
k|jfxdf dfkb08 agfO{ jx';ª\Vos pkef]Qmfsf] ;xeflutf ePsf] :yfgLo ;xsf/LnfO{ :yfgLo
txsf :jf:Yo ;+:yfx¿sf] Joj:yfkgdf ;xefuL u/fpFb} nlug]5 .
!@=!) :jf:Yo ;]jf k|jfxnfO{ kf/bzL{, hjfkmb]xL Pj+ hgpQ/bfoL agfpg :jf:Yo ;'zf;g
sfo{of]hgf agfO{ nfu" ul/g]5 .
!@=!! dfgj z/L/af6 tGt' jf /Qm hGo kbfy{ lemSg] jf k|Tof/f]k0f ug]{ jf dfgj cÍ k|Tof/f]k0f
ug]{ sfo{nfO{ sfg"gåf/f Jojl:yt t'NofOg]5 .
!@=!@ cÍk|Tof/f]k0f ug{sf nflu cÍx¿ ;xhtfk"j{s pknJw u/fpg] p2]Zon] dl:tis d[To'nfO{
j}1flgs tyf Jofj;flos 9Ín] kl/eflift u/L cÍ bfgsf] sfo{ ;xh kfb}{ pko'Qm cÍ
k|fkssf] 5gf}6 ;DjGwdf sfg"gåf/f Jojl:yt ul/g]5 .
!@=!# Pp6f :jf:Yo ;+:yfdf w]/} 6«]8 o'lgog x'g] u/]sf] jt{dfg ;Gbe{df Pp6f dfq cflwsfl/s
k]Zffut ;ª\u7g -6«]8 o'lgog_ /xg] Joj:yf ul/g]5 .
!@=!$ afFemf]kgfnfO{ Surrogacy ;DjGwL sfg"gåf/f Jojl:yt ul/g]5 .
!# :jf:Yo If]qsf] Jojl:yt tyf u'0f:t/Lo ljsf;sf nflu ;fj{hlgs tyf lghL If]qsf]
;xsfo{nfO{ k|j4{{g ug{ lgDg cg';f/sf /0fgLltx¿ -gLlt !# ;++u ;DalGwt_ lnOg]5 .
!#=! ;fj{hlgs tyf lghL If]qsf] ;xeflutfsf] cjwf/0ffnfO{ yk k|f]T;flxt ug{ ;fj{hlgs tyf
lghL] ;xeflutfnfO{ Ps cfk;df kl/k"/s x'g] u/L ljsl;t ul/g]5 .
!#=@ :jf:Yo If]qdf ;xsf/L cjwf/0ffnfO{ cfjZos k|f]T;fxg tyf Jojl:yt ug{ sfg"gL Joj:yf
ul/g]5 .
!#=# u}/;/sf/L If]qsf :jf:Yo ;+:yfnfO{ :ki6 dfkb08 agfP/ cg'bfg lbOg]5 .
!$ u'0f:t/Lo Pj+ ;j{;'ne :jf:Yo ;]j]jfsf] ;''lglZrttf ug{ / pkrf/sf] vr{df gful/ssf]
ljQLo ;'/Iff ug{ :jf:Yo If]]qdf nufgL a9fpFFb} n}}hfg] / lghL Pj+ u}}/ ;/sf/L If]]qaf6 k|fKt
ljQLo ;||f]tx¿sf] k|efjsf/L pkof]u Pj+ Joj:yfkg ug{ lgDg cg';f/sf /0fgLltx¿ -gLlt
!$ ;+u ;DalGwt_ lnOg]5 .
!$=! :jf:Yo If]qdf vr{ ul/g] /sd, vr{ geO{ nufgL ePsf] tYonfO{ cfTd;ft\ ub}{ :jf:Yo If]qdf
k|ltJolQm nufgL lgwf{/0f u/L hg;+Vofsf] cfwf/df ah]6 5'6\ofpg] Joj:yf ul/g]5 . k|lt
JolQm nufgLnfO{ qmdzM a[l4 ub}{ nlug]5 .
!$=@ xfn :jf:Yosf nflu vr{ ul/g] s'n nfutsf] %% k|ltzt /sd JolQmx¿sf] lghL vr{ x'g]
u/]sf]df ;f] k|ltztnfO{ j|mdzM 36fOg]5 .
!$=# :jf:Yo If]qdf ljlgof]lht /sd ljt/0f ubf{ dfkb08 agfO{ Gofo ;ª\ut¿kdf ljt/0f
ul/g]5 .
!$=% ljQLo Joj:yfkgnfO{ lbuf] agfO{ ;j{;'ne :jf:Yo ;]jf k|jfxsf] ;'lglZrttfsf nflu sfg"g
tyf sfof{Gjog lgb]{lzsf agfO{ /fi6«JofkL ljdf of]hgf nfu" ul/g]5 . c;dy{ tyf cfly{s
¿kn] ljkGgnfO{ 5'6 lbg] Joj:yf ul/g]5 .
!$=^ vf]k sfo{j|md lgjf{w¿kn] ;~rfng ug{ ljQLo cefj x'g glbg] p2]Zon] :yflkt ‘vf]k sf]if’
nfO{ sfg"g4f/f Aojl:yt ul/g]5 .
XXXII
!$=& :jf:Yo If]qsf] ljQLo Joj:yfsf nflu gofF pkfox¿sf] vf]hL ug]{, u/fpg] sfo{nfO{ k|f]T;fxg
lbOg]5 . :jf:Yo If]qsf cGo sf]ifnfO{ Jojl:yt / k|efjsf/L agfOg]5 .
!$=* :yfgLo txsf sfo{j|md / /sd :jf:Yo ;]jf / ;+/rgfx¿sf nflu k|of]u x'g] Joj:yf
ldnfOg]5 .
!$=( ;"tL{hGo kbfy{ tyf :jf:YonfO{ xflg ug]{ cGo kbfy{x¿sf] pTkfbg tyf ljj|mL ljt/0fdf
pRr s/åf/f lg?T;flxt ul/g]5 . o;/L k|fKt ;|f]tnfO{ :jf:Yo ;]jfdf vr{ ul/g]5 .
!% ljljw
!%=! o; /fli6«o gLltdf /x]sf Aoj:yfx¿ sfo{fGjog ug{ laBdfg laifout gLltx¿ / gofF aGg]
To:tf gLltx¿ ;xof]uL / kl/k"/s x'g] 5g\ .
!%=@ ;]jfu|fxL hgtfnfO{ plrt u'0f:t/sf], oy]i6, pkoQm / oyf;do :jf:Yo ;]jf l56f] 5l/tf] pknAw
xf];\ eGg] Wo]on] lghL, Aofkfl/s ;d'bfo, ;xsf/L, ;fd'bflos tyf ljsf;sf ;fem]bf/ ;+:yfx¿ /
gfkmf gsdfpg] ;]jf k|bfosx¿;Fu ;fem]bf/L / ;xsfo{nfO{ k|f]T;fxg ul/g] 5 .
*= ;+:yfut Aoa:yf
o; gLltsf] k|efjsf/L sfof{Gjogsf nflu :jf:Yo tyf hg;ª\Vof dGqfno cGtu{t yk lgodg
lgsfosf] Aoj:yf ;lxt s]Gb|b]lv u|fdL0f tx;Ddsf] jt{dfg ;f+u7lgs ;+/rgfsf ljefu, dxfzfvf,
zfvf, pkzfvf cflb / ;f]xL cg';f/sf sd{rf/L b/aGbLx¿ /fHosf] k'g;+/{ rgf ;d]tnfO{ Wofgdf
/fvL cfjZostf cg';f/ yk36 ul/g]5 .
(= ljQLo >f]t
;/sf/L ;|f]t, j}b]lzs C0f tyf ;xof]u tyf lghL If]qsf] o; If]qdf x'g] nufgL ;du|df o; /fli6«o
:jf:Yo gLlt sfof{Gjogsf ;|f]t x'g] 5g\ .
!)= cg'udg tyf d"Nofª\sg
!= ;~rfng ul/g] :jf:Yo sfo{j|mdx¿sf] k|To]s txdf lgoldt¿kn] cg'udg / d"NofÍg ul/g]
Joj:yf ug{ r':t / k|efjsf/L ;+oGqsf] agfO{ sfo{fGjogdf NofO{g] 5 . o;sf nflu /fli6«o
of]hgf cfof]un] th'{df u/L Jojxf/df NofPsf] glthfdf cfwfl/t cg'udg tyf d"NofÍg 9fFrf
tyf :yfgLo ljsf; dGqfnon] sfo{Gjogdf NofPsf] cg'udg tyf d"NofÍg k|0ffnL ;d]tnfO{
dWogh/ ub}{ k|efjsf/L cg'udg tyf d"NofÍg k|0ffnLsf] ljsf; ul/g] 5 .
@= :jf:Yo Joj:yfkg ;"rgf k|0ffnLnfO{ ;dofg';f/ kl/dfh{g / k"0f{ sDKo'6/ k|0ffnLdf
:t/f]Gglt ul/g] 5
!!= hf]lvd
!= :jf:Yo If]qsf] ;dli6ut¿kdf ;|f]t kl/rfng /0fgLltsf] cefjdf ;|f]t kl/rfngdf sl7gfO{
x'g ;Sg] ;Defjgf /xG5 .
@= d'n's ;ª\3Lo ;+/rgfdf kl/0ft x'Fbf sfof{Gjog ul/g] :jf:Yo sfo{j|mdx¿ s]Gb| / ;ª\3sf]
bfloTjleq kg]{ u/L 5'§ofO{ :jf:Yo gLltsf] k'g;{dfof]hg ug{'kg]{ x'g ;Sb5 .
!@= vf/]hL
/fli6«o :jf:Yo gLlt, @)$* vf/]h ul/Psf] 5 .
XXXIII
ljifo ;"lr
qm=;+= k]h g+=
;+lIfKt zAb I-II
s[t1tf III
XXXIV
Pr=cfO{=eL=P8\; sfo{qmd &%—&^
v08 % M ;xof]uL sfo{qmd &&—(%
:jf:Yo tflnd &*—&(
cfk"lt{ Joj:yfkg &(—*!
hg:jf:Yo k|of]uzfnf ;]jf *#—*$
sd{rf/L k|zf;g Joj:yfkg *$—**
cfly{s Joj:yfkg **—()
:jf:Yo ;"rgf Joj:yfkg (!—(@
hg;+Vof Joj:yfkg (#—(#
k|fylds :jf:Yo ;]jf k"ghf{u/0f (#—(%
v08 ^ M pkrf/fTds ;]jf (^—
lgMz'Ns cTofjZos :jf:Yo ;]jf (&— ((
c:ktfn ;]jf !))—!))
Annex : !)!
1. Supporting Partners (I/NGOs)
2. Anusuchi 2
3. Work Plan
4. Estimated Target Population
XXXV
XXXVI
1
v08M !
k;f{ lhNnfsf] kl/ro
(Introduction of Parsa District)
2
!=! k[i7e"dL
k;f{ lhNnfsf] klZrd pQ/ u08s gx/sf] 5]p tyf dx'jg uf=la=;=df cjl:yt wfld{s, ;f+:s[lts, k'/ftflTjs
Pj+ P]ltxfl;s b[li6n] dxTjk'0f{ dx'jg d7 cGtu{t k|l;4 P]ltxfl;s kf/;gfy dxfb]jsf] dlGb/ /x]sf] 5 . ;of}+
jif{ klxn] eggfy afaf eGg] Pshgf ;Gtn] kf/;gfy dxfb]j lnÍsf] :yfkgf ug'{ ePsf] / ;g\ !&)& df
dsjfgk'/sf /fhf dfl0fSo ;]gn] kf/;gfy dlGb/sf] lgdf{0f u/fPsf] eGg] s'/f lj1x¿ atfp5g\ .oxL kf/;gfy
dlGb/sf] gfdaf6 g} k;f{ lhNnfsf] gfdfs/0f ePsf] xf] eGg] s]xL Oltxf;ljb\x¿sf] egfO{ 5 .
k;f{ lhNnf g]kfnsf] dWodf~rn ljsf; If]q cGtu{t gf/fo0fL c~rndf kg]{ k|d'v Jofkfl/s gfsf tyf cf}wf]lus
If]q ePsf] t/fO{ tyf dw]z If]qdf kg]{ Ps k|d'v lhNnf xf] . of] lhNNff ;d'bL ;txb]vL !@@ b]lv (@% ld6/
;Ddsf] prfOdf km}lnPsf] 5 . o; lhNnfsf] xfjfkfgL pi0f / ;dlztf]i0f k|sl[ tsf] 5 . lhNnfsf] s'n If]qkmn
!#%# ju{ ls=ld=5 . h;df s[lif of]Uo e"ld %$&#@ x]S6/, v]tL ul/Psf] e"ld %))$^ x]S6/, l;+lrt If]q
@^)^) x]S6/, jg h+unn] 9fs]sf] If]q (&)!! x]S6/, r/0f If]q @*%^ x]S6/, / cGo $@#! x]S6/ kb{5 .
o; lhNnfdf k;f{ aGo hGt' tyf cf/If If]q / lrtjg /fli6«o lgs'~h klg kb{5 .
k;f{ lhNnfsf] k|zf;lgs ljefhg
Ps dxfgu/kflnsf,ltg gu/kflnsf / bz ufFpkflnsf /x]sf] o; lhNnfnfO{ /fhg}lts lx;fjn] $ lgjf{rg If]qdf
ljefhg ul/Psf] 5 . o; lhNnfsf] ;b/d'sfd jL/u+hdf /x]sf] 5 . ef/tsf] /S;f}n jf ljxf/ /fHo;Fu l;dfgf
hf]l8Psf] o; lhNnfsf] ;b/d'sfd jL/u+h blIf0f e]sdf /x]sf] 5 . ;b/d'sfd ef/t;Fu hf]l8Psf] ePklg c? efu
eg] pQ/df kb{5 . ef/tsf] ljxf/af6 g]kfn k:g] k|j]z4f/sf] ?kdf /x]sf] o; lhNnfn] ;8ssf] ;~hfn cGtu{t
dx]Gb| /fhdfu{nfO{{ 5f]Psf] 5}g . >f]t ;fwgn] ;DkGg /x]sf] o; lhNnf pknAw >f]t ;fwgnfO{ k|efjsf/L ?kdf
lhNnfsf] ljsf;df kl/rfng ug{ ;lsPsf] 5}g .
!=@ ef}u]flns l:ylt
qm ;+ ljj/0f s}lkmot
! l;dfgf
k'j{ af/f lhNnf
klZrd lrtjg lhNnf / ef/tsf] ljxf/ /fHo
pQ/ dsjfgk'/ / lrtjg lhNnf
blIf0f ef/tsf] ljxf/ /fHo
@ cIffFz @&) b]lv @&)@^æ pQ/
# b]zfGt/ *$)*æ b]lv *$)@&æ k"j{
$ ;d'b|L ;tx !@@ b]lv (@% ld6/
% xfjfkfgL pi0f / ;dlztf]i0f
^ cf}ift tfks|d clwstd $)) ;]= / Go"gQd !*) ;]=
& aflif{s cf}ift jiff{ !&^)=^ ld=ln=
;|f]t M jflif{s lhNnf ljsf; of]hgf @)^(÷&)
sn]h @ % &
s'n hDdf $$% !$! %*&
db;f{ cGtu{tM db;f{ ± dVta – ^), v'Nnf ljBfno – @
j}slNks ljBfno -FSP_ – @), afn ljsf; s]Gb| -ECD_ – %)* j6f
;dflxt lzIff cGtu{t ;|f]q sIff – % -alx/f – @, ;':tdgl:ylt – @, cGwf – !_
;|f]t M lhlzsf, @)&)
!=@=^ wfld{s tyf P]ltxfl;s :ynx¿ (Historical & Religious Places)
lhNnfsf] k|d'v P]ltxfl;s lty{:yn / ko{6sLo :ynsf ?kdf cnf}, ljGWojfl;gL, jL/u+h, dx'jg, a}l/ofljtf{, ufbL,
;]9jf, 7f]/L, 3l8cfjf{ kf]v/L, kf/;gfy d+lb/, uxjf dfO{ dlGb/, latf{ dlGb/, af}4 le:jf r}To, /fdef}/L ef7f,
k;f{ jGohGt' cf/If, z+s/frfo{4f/, 306f3/ cflb kb{5g . o; lsl;dsf dxTjk"0f{ If]qnfO{ ;Daw{g u/L
ljsf;sf] ultnfO{ ltj|tf lbg ;lsg] alnof] ;Defagf o; lhNnfdf /x]sf] 5 . ;dtn t/fO{ d}bfgsf] kmfF6 / r'/]
kj{tLo 56fn] el/Psf] k;f{sf] kl/b[ZonfO{ ;d]6]/ :yfgLo :t/sf] ul/jL lgjf/0f ug{sf nflu ko{6lso gu/Lsf]
?kdf o; lhNnfnfO{ ljsf; ug'{ kg]{ cj:yf b]lvG5 .
s= dx'jg d7
k;f{ lhNnfsf] klZrd pQ/ u08s gx/sf] 5]pdf cjl:yt wfld{s, ;f+:s[lts, k'/ftflTjs Pj+ P]ltxfl;s b[li6n]
dxTjk'0f{ of] d7 cGtu{t k|l;4 P]ltxfl;s kf/;gfy dxfb]jsf] dlGb/ /x]sf] 5 . ;of}+ jif{ klxn] eggfy afaf
eGg] Pshgf ;Gtn] kf/;gfy dxfb]j lnÍsf] :yfkgf ug'{ ePsf] / ;g\ !&)& df dsjfgk'/sf /fhf dfl0fSo
;]gn] kf/;gfy dlGb/sf] lgdf{0f u/fPsf] eGg] egfO{ /x]sf] dx'jg d7sf] kl/;/df /f0ffsfndf %@ sf]7fsf]
gfr3/ klg agfOPsf] lyof], h'g !(() sf] e'sDkaf6 v08x/df kl/0ft eof] eGg] s'/f lj1x¿ atfp5g\ .
kf/;gfy dlGb/sf] gfdaf6 g} k;f{ lhNnfsf] gfdfs/0f ePsf] xf] eGg] s]xL Oltxf;ljb\x¿sf] egfO{ /x]sf] x'Fbf o;
d7sf] P]ltxfl;s kIf cWoogsf] ljifo ag]sf] 5 . z'4 dgn] lrtfPsf] s'/f kf/;gfy dxfb]jn] k'¥ofp5g eGg]
nf]sf]lQm /x]sf] o; dlGb/df a;Gt k~rdL / lzj/fqLdf 7'nf] d]nf nfUb5 .
v= >L uLtf dlGb/
jL/u~h gu/sf] s]Gb|df cjl:yt 3l8cjf{ kf]v/Lsf] k"j{k§L hf]l8P/ /x]]sf] uLtf dlGb/ wfld{s, ;f+:s[lts b[li6n]
lgs} dxTjk'0f{ /x]sf] 5 . o; dlGb/df >L s[i0f eujfgsf] hLjgdf 36]sf dxTjk'0f{ 36gfx¿nfO{ dlGb/leqsf
leQfx¿df ljleGg d"lt{x¿4f/f a8f] cfsif{s 9+un] k|blzt ul/g'sf ;fy} >Ldbeujt uLtfsf ;Dk"0f{ cWofox¿
;+ud/d/df n]vL leQfdf 6fFl;Psf] 5 . jL/u~hjf;Lx¿ tyf cGo ;xof]uL eQmhgx¿sf] ;xof]uaf6 lgdf{0f
ul/Psf] o; dlGb/df ljleGg ;dodf ljleGg wfld{s sfo{x¿ x'g] ub{5g .
u= >L z+s/frfo{4f/
jL/u~h – /S;f}n ;8ssf] g]kfn ef/t l;dfgf glhs Og/jf eGg] :yfgdf /x]sf] of] k|l;4 4f/ g]kfnsf]
P]ltxfl;s dlGb/x¿sf] jf:t'snf k|ltljlDat x'g] lsl;dn] lgSs} cfsif{s 9+udf lgdf{0f ul/Psf] x'gfn] ljZjsf]
Psdfq lxGb' clw/fHo g]kfn k|j]z ug]{ 4f/sf] ?kdf o;n] g]kfnL snfs[ltsf] a]hf]8 gd"gf k|:t't ug{ ;s]sf] 5 .
jL/u~h cfpg] ;a}nfO{ cjnf]sg ug{ nf]Eofpg] of] 4f/sf] lznfGof; @)#! ;fn h]i7 $ ut] hub\u'?
z+s/frfo{>L !))* ho]Gb| ;/:jtL :jfdL dxf/fhsf] s/sndaf6 ePsf]df pxfFaf6 g} @)$$ ;fn r}q & ut]
pb3f6g ;';DkGg ePsf] lyof] .
3= >L ljtf{ dfO{sf] dlGb/M
jL/u~h gu/sf] blIf0f efudf d"n ;8sdf /x]sf] of] dlGb/ To; e]usf] Oi6b]jLsf] ?kdf k"hf cr{gf ug]{ :ynsf]
?kdf k|l;4 5 . of] dlGb/ :yfkgfsf] ltly ldlt af/] 7f]; k|df0f gkfOPtf klg w]/} klxn]b]lv g} of] dlGb/ /xFb}
cfPsf] / a]nf avt hL0f]{4f/ x'Fb} cfPsf] s'/f lj1x¿ atfpF5g\ .o; dlGb/df >bfn' eQmhgx¿ lbgx'F hfg]
u/]tfklg a8f bz}+sf] ;dodf bz{gfyL{x¿sf] 7'nf] eL8 nfUg] ub{5 .
7
ª= >L cnlvof d7
jL/u~h gu/sf] s]Gb|df /x]sf] o; d7df lzj eujfgsf] k|frLg dlGb/ 5 .:jfdL cnlvof afafsf] ;lqmotfdf
lgdf{0f ePsf] x'gfn] o; d7nfO{ cnlvof d7 gfdfs/0f ul/Psf] xf] eGg] egfO{ /x]sf] 5 . >4fn' eQmhgx¿n]
b}lgs k"hf cr{gf ug]{ o; d7df ljz]if u/L lzj/fqL kj{ / tLhsf] cj;/df 7'nf] d]nf nfUg] ub{5 .
r= >L dxfjL/ :yfg
jL/u~h gu/sf] d'Vo ;8sdf /x]sf] dxfjL/ :yfgdf k"/} ;+ud/d/4f/f cfsif{s 9+udf lgld{t dlGb/ leq eujfg
xg'dfgsf] d'lt{ :yfkgf ul/Psf] 5 . k|To]s lbg ljxfg a]n'sf >4fn' eQmhgx¿ bz{gfy{ hfg] u/]sf] of] dlGb/n]
To; If]qsf] zf]ef a9fPsf] 5 .
5= af}4 r}To, le:jf
jL/u~h gofF a;kfs{eGbf k"j{—pQ/sf] s'gfdf /x]sf] o; P]ltxfl;s r}TonfO{ jfOkf; /f]8af6 hfg] hf] ;'s}n] klg
x]g{ ;S5g\ . eujfg a'4sf] ;dodf lgld{t of] r}To wfld{s, ;f+:s[lts Pj+ k'/ftflTjs b[li6n] klg lgSs} dxTjk'0f{
/x]sf] 5 . lj=;+= @)$$ ;fnb]lv af}4 r}Tosf] :yfkgf ePkZrft xfn;Dd % j6f af}4 k|:t/ d"lt{x¿ :yfkgf
eO;s]sf 5g\ . rf/}lt/ j[If/f]k0f u/L ;+/If0f ul/Psf] of] :yfg ko{6sLo b[li6n] klg dxTjk'0f{ /x]sf] 5 .
h= uxjfdfO{sf] dlGb/
jL/u~h gu/sf] s]Gb|df cjl:yt cf/fWob]jL>L uxjfdfO{sf] of] dlGb/ wfld{s b[li6n] lgs} k|l;4 dlGb/ xf] .
cfkm"n] efsn u/]sf s'/fx¿ b]jLn] k"/f ul5{g eGg] hgljZjf;sf sf/0f oxfF lbgx'F >4fn'x¿ bz{gfy{ cfpg]
u5{g . k|To]s jif{ dxfci6dLsf lbg 7'nf] d]nf nfUg] o; dlGb/df b]z ljb]zsf y'k|} >4fn'x¿ bz{g ug{ / anL
r9fpg cfpg] u5{g . s/La !%) jif{ klxn] lgdf{0f ul/Psf] eGGf] egfO{ /x]sf] of] dlGb/ ;do ;dodf hL0f]{4f/
eO/x]sf] b]lvG5 . xfn ToxfF cltyL ;bgsf] lgdf{0f{ ePsf] x'gfn] ljjfx, j|tjGw tyf cGo wfld{s sd{x¿sf] nflu
;d]t of] :yn lgs} pkof]uL aGg k'u]sf] 5 .
´= >L jL/]Gb| k|eft 38L
;fdfGo af]nrfndf 306f3/ egL ;Daf]wg ul/g] / o;} gfdaf6 k|l;l4 kfPsf] jL/]Gb| k|eft 38L jL/u~h gu/s}
;+s]t lrGx -nf]uf]_ sf] ?kdf :yflkt 5 . 38L /x]sf] 6fj/dflyaf6 jL/u~h gu/If]q / jl/kl/sf b[Zox¿
cjnf]sg ug]{ Joj:yf jL/u~h pk–dxfgu/kflnsfn] ldnfPsf] x'Fbf b[Zofjnf]sg ug]{x¿sf] lbgx'F 7'nf] eL8 nfUg]
ub{5 .
~f= 38Lcjf{ kf]v/L
>L 57LdfO{sf] c£f{ lbg] 7fFpsf] ?kdf k|l;4L kfPsf] 38Lcjf{ kf]v/Lsf] ;+/If0f u/L kvf{n nufPkl5 cr]n
jL/u~hjf;Lsf] nflu ljxfg a]n'sL 3'Dg] :ynsf] ?kdf nf]slk|otf kfPsf] 5 . ;+ejtM g]kfns} Psdfq cfˆgf]
lsl;dsf] ;"o{ dlGb/ o; kf]v/Lsf] aLrdf lgdf{0f ul/Psf] 5 . ;ft j6f 3f]8fx¿ /ydf a;]sf ;'o{ eujfgsf]
cfsif{s k|:t/ k|ltdfn] o; kf]v/Lsf] dfq} xf]Og jL/u~hs} zf]ef a9fPsf] 5 . o; kf]v/Lsf] ;+/If0f / ;+ef/df
jL/u~h pk–dxfgu/kflnsfn] ;xof]u k'¥ofpb} cfPsf] 5 .
6= >L ljGWojfl;gLsf] dlGb/M
jL/u~haf6 * ls=dL= klZrd l:yt P]ltxfl;s tyf wfld{s dlGb/ g]kfnL :yfkTo snfsf] k|of]u u/L k'gM lgdf{0f
ul/Psf] 5 . /f0ff k|wfgdGqL h+u axfb'/ /f0ffn] :yfkgf u/fPsf] of] dlGb/ lgSs} k|frLg xf] eGg] hg>[tL 5 .
oxfF k|To]s jif{ bz}df d]nf nfUg] ub{5 / b]z ljb]zsf xhf/f}+ >4fn'x¿ b]jLsf] bz{g ug{ cfFp5g . jL/u~haf6
kf]vl/of hfg] a;df of] wfld{s :yn;Dd ;lhn} k'Ug ;lsG5 .
7= >L k;f{ jGohGt' cf/IfM
lj=;+= @)$$ ;fndf :yfkgf ePsf] tyf !%) j=ls=ld= If]qkmn cf]u6]/ /x]sf] of] cf/If jL/u~haf6 @* ls=dL=
pQ/df rf/sf]z] emf8Lsf] If]qdf /x]sf] 5 . ljz]iftM h+unL xfQLx¿sf] k|hgg If]qsf] ?kdf k|l;4 /x]sf] o;
If]qdf jFb]n, jg s"s"/, gLnufO{, kf6]af3 cflb h:tf h+unL hgfj/x¿ klg kfOG5g . ;fy} nf]k x'g nfu]sf] wg]z
8
r/f klg o; If]qdf k|z:t kfOG5 . k;f{ jGo hGt' cf/If sfof{no cfwfaf/af6 :jLs[lt lnP/ dfq o; If]qdf
k|j]z ug{ kfOG5 . o; cGtu{t ef6f eGg] :yfgdf r'/] kxf8dfly k|l;4 b'w]Zj/ dxfb]jsf] dlGb/ 5, hxfF k|To]s
jif{ lzj/fqLdf 7'nf] d]nf nfUg] ub{5 . kyn}ofaf6 $ ls=dL pQ/ /fhdfu{s} 5]pdf cfwfaf/ eGg] :yfgdf o;
cf/If If]qsf] sfof{no /x]sf] 5 .
8= >L ljZj lxGb' kfs{, n5dgjf
lkk|f d7df ljZj lxGb' ;Dd]ng ePsf] ;Demgf :j?k jL/u~h gu/kflnsf4f/f lgdf{0f ul/Psf] kfs{ jL/u~haf6
sl/a # ls=dL= 6f9f sn}oftkm{ hfFbf n5dgjf eGg] :yfgdf cjl:yt 5 . rf/}lt/ kvf{nn] 3]l/Psf], zf}rfno /
a:g] :yfgsf] /fd|f] Joj:yf ul/Psf] 5 . ljsf;sf] kof{Kt ;+Defjgf /x]sf] of] 7fFpsf] plrt k|rf/ k|;f/ x'g
g;s]sf sf/0f pk]lIft cj:yfdf 5 .
k|l;4 dlGb/, d:hLb tyf u'?b|f/f
uxjfdfO dlGb/ ,uLtf dlGb/,dxfjL/ dlGb/,ljtf{dfO dlGb/,lzj dlGb/,e'6gb]jL dfOsf] dlGb/,jf}wLdfO
dlGb/,gujf dfOsf] dlGb/,le:jf :t'k,/f0fL;tL dlGb/,;Togf/fo0f dlGb/,u'?b|f/,dl:hb,nIdLgf/fo0f dlGb/,cf];f]
Wofg s]Gb|, kfgL6+sL,a|dfs'df/L /fhof]u ;]jf s]Gb|,dlbgf hfd] dl:hb,db;f{ as/t'n sf]n'd ds{h, 5ks}of,d"nL{
dl:hb, d"nL{, jL/u+,PlS6d vfg dl:hb, 5ks}of,3';'sk'/ dl:hb, 3';'sk'/
!=@=& ;8ssf] cj:yf (Road/Transportation Situation)
k;f{ lhNnfsf] ljleGg k|sf/sf] ;8s
qm ; k|sf/ If]qkmn-ls=ld=_ s}lkmot
;8s
! sRrL @$^
@ u|fe]n @@)
# sfnf]kq %&=*%
hDdf %@#=*%
;|f]tM jflif{s lhNnf ljsf; of]hgf, @)^(÷&)
lj/u+h dxfgu/kflnsfsf] ljleGg k|sf/sf] ;8s / 9n
qm ; k|sf/ If]qkmn-ls=ld=_ s}lkmot
;8s
! sRrL !!%=)%
@ u|fe]n *#=%^
# sfnf]kq *@=!*
hDdf @*)=&(
9n
$ d"n 9n $=&) ls=ld=
% zfvf÷k|zfvf 9nx¿ $)=%$ ls=ld=
;|f]tM ljpdgkf, @)&)
!=@=* k|fs[lts ;Dkbfx¿(Natural Resources)
e"— pkof]u
s'n If]qkmn !#%# ju{ ls= ld=
s[lif of]Uo e"ld %$&#@ x]S6/
9
B. Construction status
Construction Status (FY 2073/74)
Description
Complete Under Construction Under Process Remarks
Hospital 1 0 0
PHC 3 0 0
HP 18 13 3
Birthing Center 21 6 0
BEOC/CEOC Site 4 0 0
DHO/DPHO 1 0 0
Postmortem Room 1 0 0
Urban Clinic 0 0 0
Private/NGO Health Facility approved by district up to 2073/74
Hospital 21
Poly clinic 2
Nursing Home 1
Pathology Lab 30
X-Ray 9
Physiotherapy 1
NGOs (if any) 1
Ambulance Services
Private /
Public
No. of ambulance available in NGO/ Other Remarks
District Registered Functional Registered Functional
8 8 33 33
Heart 151
Kidney 102
Cancer 2
Alzheimer's Disease 0 0 0
Parkinson's Disease 0 0 0
Head Injury 0 0 0
Spinal Injury 2
Total 257
12
Ministry of
HealthHealth
Department of Health
Pokhariya
Technical
Administrative Section
Financial VB PHC
EPI SM Revitalizati
Disaster I/NGOs,
Managem Private
HFs
Primary Health Health Post - Urban Health Clinic
Care
Map Of Parsa
• Eff}uf]lns l:ylt
• cIff+z M @&+ b]lv @&=@^+ pQ/
• b]zfGt/ M *$+* b]lv *$=@&+ k"j{
• ;d'b|L ;tx M !@@ b]lv (@% dL6/
• xfjfkfgL M pi0f / ;dlztf]i0f
• cf};t tfks|d M
• clwstd $)+;]=
• Go"gQd !*+;]=
• jflif{s cf};t jiff{ M !&^)=^ ld=nL=
• e"– pkof]u
• s'n If]qkmn M !#%# ju{ ls=dL=
• s[lif of]Uo e"ld M %$&#@ x]S6/
• v]tL ul/Psf] e"ld M %))$^ x]S6/
• jg h+unn] 9fs]sf] M &&!@$ x]S6/
• r/0f If]q M @*%^
14
!=$=! sfo{If]q
15
Municipalty
74 Lahawarthakari HP Government Pakaha mainpur Rural
Municipalty
75 Sabithawa HP Government Pakaha mainpur Rural
Municipalty
76 Surjaha HP Government Pakaha mainpur Rural
Municipalty
Jirabhawani Rural Municipalty
77 Mahadewpatti HP Government Jirabhawani Rural Municipalty
78 Sedhwa HP Government Jirabhawani Rural Municipalty
79 Jeetpur HP Government Jirabhawani Rural Municipalty
80 Supauli HP Government Jirabhawani Rural Municipalty
81 Sankarsaraiya HP Government Jirabhawani Rural Municipalty
Thori Rural Municipalty
82 Suwarnpur HP Government Jirabhawani Rural Municipalty
83 Thori HP Government Jirabhawani Rural Municipalty
84 Nirmalbasti(CHU) HP Government Jirabhawani Rural Municipalty
19
v08M @
afn :jf:Yo
(CHILD HEALTH)
20
nIo M
vf]k;+u ;DalGwt /f]uaf6 afn ?U0ftf,afn d[To' / ckfÍtfnfO{ sd ug'{ /fli6«o vf]k sfo{s|dsf] nIo xf] .
p2]Zo M
CMYP: 2011/12‐2015/16cg';f//fli6«o vf]k sfo{s|dsf] p2]Zo lgDgfg';f/ 5g\ .
• ;a} vf]kx¿sf] se/]h ;g\ @)!^ ;Dddf sDtLdf () k|ltzt xfl;n ug]{ .
24
Dropout Rate
bfb'/f ?a]nf vf]ksf] k|ult cf=j=@)&!÷&@ df &!=%Ü /x]sf]df @)&@÷&# df a9]/ &%=!$Ü, / @)&#.)&$df
cem a9]/ ($ k|ltzt k'u]sf] 5 . To:t} JE sf] k|ult k|ltztcf=j @)&!÷&@ df %(=^@ k|ltzt lyof] eg]
@)&@÷&# df a9]/ &!=@@ k|ltzt/ )&#.)&$ df cfP/ ;f] k|ltzt 36]/ #$ df k'u]sf] 5 . TD/TT2 and 2
+ (Pregnant women) sf] coverage cf=j @)&!÷&@ df ^) k|ltztk|ult xfl;n ug{ ;s]sf]df @)&@÷&#
a9]/ ^!=$! k|ltzt k'Uof] eg] )&#.)&$ df cfP/ ;f] k|ult &( k|ltzt n] k|ult xfl;n ePsf] 5 . To;} u/L
DPT-Hep b-Hib -1 Vs. 3 sf] Dropout rate cf=j=@)&!÷&@ df @=%$ Ü df /x]sf]df @)&@÷&# df ^=^@ Ü
n] a9]sf] 5 eg] )&#.)&$ df cfP/ ;f] k|ltzt * k'u]sf] 5 . BCG Vs Measles/Rubella sf] Dropout rate
cf=j=@)&!÷&@ df @!=$$Ü tyf @)&@÷&# df 36]/ !%=#!Ü /x]sf]df )&#.&$df !@ df em/]sf] 5 .
;du|df pk/f]Qm tflnsfaf6 o; k;f{ lhNnfsf] vf]k sfo{qmdsf] cj:yf x]bf{ lautsf aif{sf] t'ngfdf pknlAwd'ns
b]lvPsf] 5 . o; lhNnfsf] vf]ksf] cj:yf ;fdfGo g} /x]sf] a'emg ;lsG5 .
Pidariguthi, Sugaulibirta
Parsurampur,
Ramnagari,
Shankarsaraiya,
Sedwa,
Sonbarsa,
Subarnpur,
Surjaha,
Tulsibarwa,
Udaypurghurmi,
Bhauratar
Total 38 27 12 6
Name of Full Immunized VDC/Municipalities: 28 ( Belwa prasauni, Bagwana, Madhuwan
Mathwal,Shakhuwa Prasauni,Mahuwan, Paterwa sugauli, Bagahi, Biruwaguthi, Harpur ,
Hariharpur,Mudli, Jankitola, Auraha, Sibrawa, Bhauratar, Bahuarwabhatha, Gadi, Pidariguthi,
Dhobini, Deurawana, Ramnagari,Srisiya Na.Ta.Ja., Pokhariya, Tulsibarwa
@=@=!= k[i7e'ldM
kf]if0fnfO{ afnaflnsf tyf dlxnfx¿sf] kf]if0f l:ytLdf ;'wf/nfO{ ;fdflhs cfly{s ljsf;sf nflu ;a}eGbf
zlQmzfnL / sd nfutsf] ?kdf lnO{G5 . kf]if0f lbuf] ljsf; nIonfO{ tLa|tfsf ;fy k|fKtLsf nflu dxTjk"0f{
5 . o;sf k|efjn] cfly{s k|utLsf ;fy{ dfgj k"FhLsf] ?kdf ljsf; ePsf] dxz'z x'G5 . afn clwsf/sf
dxf;GwLx¿df afnaflnsfx¿sf] afn clwsf/nfO{ vfgf / kf]if0f ;lxt j]jf:tf ,lx+;f,b'?kof]u / zf]if0f h:tf
clwsf/nfO{ ;'lglZrt u/]sf] 5 . w]/}h;f] dxf;GwL / 3f]if0fkqx¿df g]kfn ;/sf/n] x:tfIf/ u/L cfkmgf
gful/sx¿ k|lt kof{Kt vfgf,:jf:Yo tyf kf]if0f nufotsf cTofjZos s'/fx¿df k|ltj4tf hfx]/ u/]sf] 5 .
g]kfnsf] ;+ljwfgn] klg cfkmgf gful/sx¿sf] kof{Kt vfgf,:jf:Yo tyf kf]if0f nufotsf cTofjZos s'/fx¿df
clwsf/ ;'lglZrt u/]sf] 5 . afnaflnsfx¿sf] ;+/If0fdf c;kmntf x'g] ljlts} s'kf]if0f,v/fa :jf:Yo l:ytL /
af}l4s ljsf; tyf cg'Tkfbs Jo:s hgzlQmsf] j[l4 eO{ ;du| ljsf; k|lqmofdf cj/f]w pTkGg x'G5 . 3/fo;L
vfB c;'/Iff,af/Daf/sf] ladf/L / ;+s|d0f, ckof{Kt cfxf/sf] ;]jg,sdhf]/ JolQmut ;/;kmfO{,:ofxf/ tyf
cEof;sf] k|efjn] k':tf b/ k':tf k|efljt eO{ s'kf]if0fsf] rs| cl:tTjdf cfpF5 .
kf]if0f ljZj Joflk?kdf lasfzsf] Ph]G8fdf k/]sf] 5 / To:fsf nflu ax'If]lqo lgsfosf] k|of;sf] vfrf] 5 . ;g\
@))) df ljZj JofkL?kdf ePsf ljleGg kf]if0f ;DalGw ultlalwx¿n] ;|f]t / laleGg lgsfosf] ;fem]bf/L /
;xsfo{ clej[4L u/L kf]if0f lasf;sf nflu k|fyldlss/0f k}/jL u/]sf] 5 . h; cg';f/ ;g\ @)!@ df ax'If]lqo
kf]if0f of]hgf tyf ;'gf}nf] xhf/ lbg h:tf sfo{s|dx¿ ;+rfngdf cfPsf 5g\ .
nIo M
/fli6«o kf]if0f sfo{s|dsf] nIo ;d:t gful/sx¿sf] kf]if0f l:ytLdf ;'wf/ NofO{ :j:Yo hLjgofkg sfod ub}{
b]zsf] ;fdflhs cfly{s ljsf;df of]ubfg k'/ofpg' xf] .
;fwf/0f p2]Zo M
/fli6«o kf]if0f sfo{s|dsf] ;fwf/0f p2]Zo kf]if0f l:ytLdf ;'wf/,afn tyf dft[ d[To' b/nfO{ 36fpg] / ;dtfd"ns
dfgj ;+;fwgsf] ljsf; ug'{ xf] .
ljz]if p2]Zo M
• k|hgg pd]/sf dlxnf tyf % aif{ d'lgsf afnaflnsfx¿df s'kf]if0f 36fpg] .
• dft[ kf]if0fdf ;'wf/ Nofpg] .
• ue{jtL dlxnf,lszf/L tyf afnaflnsfx¿df /QmcNktf 36fpg] .
• cfof]l8g tyf le6fdLg P sf] sdLaf6 x'g] u8a8LnfO{ lgjf/0f ug]{ / ;f] nfO{ lbuf] kfg]{ .
• ue{jtL dlxnf tyf afnaflnsfx¿df h'sfsf] ;+qmd0f 36fpg] .
• sd tf}nsf hGdb/nfO{ 36fpg]
• x/]s 3/w'/L df vfB ;'/Iffsf] ;'lglZrTftf, vfgfsf] kof{Kt kx'r, pkNawtf / pkef]udf ;'wf/ Nofpg] .
• cfdfx¿sf] :jf:Yo l:ytLdf ;'wf/ Nofpg]
• ax'If]qLo kf]if0f cfof]hgfdf cfj4 u/fpg]
• kf]if0f l:ytL ;'wf/sf] nflu vfgkfg;+u ;DalGwt Jojxf/ kl/jt{g k|j{wg ug]{.
• afn d[t'b/ Go"lgs/0f / kf]if0f l:ytL ;'wf/sf] nflu ;?jf/f]usf] /f]syfd ug]{ .
• lhjgzf}nL ;+u ;DalGwt /f]ux¿sf] /f]syfd ug]{ .
32
;du|df k;f{ lhNnfsf] kf]if0f sfo{s|dsf] cj:yf x]bf{ le6fleg P tyf h'sfsf] cf}iflwsf] cfd ljt/0fsf] k|ult /fd|f]
b]lvG5 eg] cfO{/g, ;'Ts]/L cj:yfdf lbg] le6fldg P / @ aif{sf afnaflnsfx¿nfO{ lbOg] afn le6fsf] k"0f{
36
k|of]udf ;'wf/ ug'kg]{ b]lvG5 . s'kf]lift afnaflnsfx¿nfO{ ;Daf]wg ug{ cf=j=@)&@÷&# b]lv k;f{ lhNnfdf zL3|
s'kf]if0fsf] PsLs[t Joj:yfkg eGg] sfo{qmd ;+rfng ePsf] 5 .
s8f vfnsf] zL3| s'kf]lift afnaflnsfx¿sf] klxrfg,btf{,cg'udg tyf klxrfg kZrft\ s8f zL3| s'kf]if0fsf]
tof/ kfl/Psf pkrf/fTds vfgf4f/f pkrf/ / dWod vfnsf zL3| s'kf]lift afnaflnsfx¿nfO{ IYCF
Protocol adf]lhd k/fdz{ / ;'Id kf]ifs tTj afneL6fsf nflu lhNnfsf ljleGg !@ j6f :jf:Yo ;+:yfx¿df
alx/ª\u pkrf/ ;]jf s]Gb|x¿ :yfkgf ePsf 5g\ .
Proportion of Iron distribution to Pregnant women who received 180 Iron Tab
@ jif{ d'lgsf afnaflnsfx¿df j[l4 cg'udg cf=j=@)&!÷&@ df ^)=$@Ü tyf @)&@÷&# df ^)=%Ü n] l:y/
/x]sf]df @)&#.)&$ df a9]/ ^@ k|ltzt df k'Uof] .s'kf]if0fsf] cj:yf cf=j=@)&!÷&@ df @=!Ü tyf @)&@÷&#
/ )&#.)&$ df dWod tyf s8f s'kf]if0f qmdzM $=)# / )=#%Ü /x]sf], ue{jtL dlxnfnfO{ !*) cfO{/g rSsL
ljt/0fdf cf=j@)&!÷&@ df %^=)!Ü tyf @)&@÷&# df %%=@) Ü,/ )&#.)&$ df %& k|ltzt k|ult xfl;n
ug{ ;s]sf], le6fldg P sf] cfd ljt/0f cf=j=@)&!÷&@ df ((=(&Ü tyf cf=j= @)&@÷&# df !)#=)# Ü /
)&#.)&$ df 36]/ *( k|ltzt /x]sf] 5 . h'sfsf] cf}iflwsf] cfd ljt/0f cf=j=@)&!÷&@ df !))=@$Ü tyf
cf=j= @)&@÷&# df !)#=*& Ü / @)&#.)&$ df 36]/ &^ k|ltzt /x]sf] 5 . aRrf hGd]sf] ! 306fleq
cfdfsf] b"w v'jfpg] k|ltzt ljutsf] jif{sf] t'ngfdf36L ePsf] 5 . tLg k6s afn eL6f kfpg] afnaflnsfx¿sf]
k|ltzt lautsf] eGbf a9]/ #=@*Ü /x]sf] 5 .
;du|df k;f{ lhNnfsf] kf]if0f sfo{s|dsf] cj:yf x]bf{ le6fleg P tyf h'sfsf] cf}iflwsf] cfd ljt/0fsf] k|ult /fd|f]
b]lvG5 eg] cfO{/g, ;'Ts]/L cj:yfdf lbg] le6fldg P / @ aif{sf afnaflnsfx¿nfO{ lbOg] afn le6fsf] k"0f{
k|of]udf ;'wf/ ug'kg]{ b]lvG5 .
Severe /Moderate acute malnutritiion management and its status
s'kf]lift afnaflnsfx¿nfO{ ;Daf]wg ug{ cf=j=@)&@÷&# af6 k;f{ lhNnfdf zL3| s'kf]if0fsf] PsLs[t Joj:yfkg
eGg] sfo{qmd ;+rfng ePsf] 5 . s8f vfnsf] zL3| s'kf]lift afnaflnsfx¿sf] klxrfg,btf{,cg'udg tyf klxrfg
kZrft\ s8f zL3| s'kf]if0fsf] tof/ kfl/Psf pkrf/fTds vfgf4f/f pkrf/ / dWod vfnsf zL3| s'kf]lift
afnaflnsfx¿nfO{ IYCF Protocol adf]lhd k/fdz{ / ;'Id kf]ifs tTj afneL6fsf nflu lhNnfsf ljleGg !@
j6f :jf:Yo ;+:yfx¿df alx/ª\u pkrf/ ;]jf s]Gb|x¿ :yfkgf ePsf 5g\ .
38
zL3| s'kf]if0fsf] PsLs[t Joj:yfkg sfo{qmd cGt/ut cf=j=@)&@÷&# / )&#.)&$ df xfl;n ePsf
pknlAwx¿ lgDg adf]lhd j0f{g ul/Psf] 5 .
• s8f zL3| s'kf]if0fsf] lgsf] b/ !#=!& Ü , s8f zL3| s'kf]if0fsf] l8kmN6/ b/ %=(! Ü tyf s8f zL3|
s'kf]if0fsf] d[To'b/ ) cyf{t d[To' gePsf] tYofÍaf6 k|fKt x'g cfPsf] 5 .
• oBlk cf=j=@)&@÷&# af6 dfq} zL3| s'kf]if0fsf] PsLs[t Joj:yfkg eGg] sfo{qmd ;+rfng ePsf]n]
lhNnfsf ;Dk"0f{ :jf:YosdL{x¿n] tflnd k|fKt ul/ ;s]sf] cj:yf /x]sf]sf/0f tflnd k|fKt
:jf:YosdL{x¿af6 zL3| s'kf]if0fsf] klxrfg eO{/x]sf] 5 .
• tof/ kfl/Psf pkrf/fTds vfgfsf] cfk"lt{ lgoldt eO{/x]sf] cj:yf 5 .
• k|]if0f s]Gb|sf] ?kdf :yflkt gf/fo0fL pkIf]qLo c:ktfndf kf]if0f k"g{:yfkgf u[x k"0f{ ;+rfngdf 5 .
• sfo{qmdsf] lgoldt ;'k/j]If0f tyf cg'udg eO{/x]sf] cj:yf
%= lqmofsnfk M
• Jojxf/ kl/jt{g
• ;+:yfut k|;"lt ;]jfsf] ;Daw{g tyf cEof;
• ;'Ts]/L ;]jf
• w]/} s8f/f]u tyf lgdf]lgofsf] Joj:yfkg
• sd tf}nsf] gjhft lzz'sf] :ofxf/
• lr;f]kgfsf] /f]syfd tyf Joj:yfkg
• hlGdbfF lg;fl;Psf aRrfx¿sf] klxrfg tyf Joj:yfkg
v08 M #
kl/jf/ :jf:Yo
(Family Health)
46
$= bIftf clej[l4 M
kl/jf/ lgof]hg ;]jf lj:tf/sf nflu ;]jf k|bfosx¿sf] bIftf clej[l4 ug]{ .
%= cg';Gwfg tyf gofF vf]h M
k|df0fsf] cfwf/df k|efjsf/L sfo{qmd ;+rfng ug{cg';Gwfg tyf gofF vf]h ;'b[9 ug]{ .
Family Planning Programme Performance Status: FY 2070/71 – 2072/73
FAMILY PLANNING 2071/72 2072/73 2073/74
Method wise modern (contraceptives) new acceptors
1. Pills 1468 2233 6400
2. Depo 3226 3680 4708
3. IUCD 513 649 1834
4. Implant 573 719 2033
5. VSC 2114 2005 3178
% of new acceptors (All Methods) 4.80% 5.25% 13.55
Contraceptive Prevalence Rate (CPR) WRA=52.16%
56.43% 53.44%
MWRA=68.8%
Method wise CPR of Modern Contraceptives
6. Pills 0.86% 0.94%
7. Depo 2.92% 3.31%
8. IUCD 1.03% 0.83%
9. Implant 1.23% 1.64%
10. VSC 48.68% 45.30%
#=@ ;'/lIft dft[ tyf gjhft lzz' :jf:Yo sfo{qmd M (Safe Motherhood and
new born Health Programme)
k[i7e"ld M
;'/lIft dft[Tj sfo{qmdsf] nIo dft[ tyf gj lzz' d[To'nfO{ sd ug{ ;DalGwt uef{j:yf tyf k|Zaf:yfsf]
hl6ntfn] l;lh{t /f]u, d[To' / ckf+utfnfO{ ;Daf]wg ug'{/x]sf] 5 . cGt/fli6«o 36gfqmdn] klg x/]s uef{j:yf
vt/fsf] cj:yf ePsf]n], uef{j:yfdf x'g] hl6ntf, Joyf nfUg] / ;'Ts]/L x'g] eljiojf0fL ug{ sl7g 5 . g]kfnsf]
;Gbe{df lg0f{o lngdf l9nfO{,af6f]sf] l9nfO{ tyf :jf:Yo ;+:yfaf6 kfpg] ;]jfsf] l9nfO{ h:tf k|d'v tLg l9nfO{sf
sf/0f dft[ tyf lzz' d[To' / ?U0ftf x'g] u/]sf] b]lvG5 . uef{j:yf / aRrf hlGdg] cj:yfdf x'g] hl6ntfnfO{ sd
ug{ tyf d[To' / ?U0ftfaf6 arfpg g]kfndf k|d'v tLg /0fgLltx¿ c+lusf/ ul/Psf] 5 M
49
s= hgr]tgf clej[l4 tyf sf]if clej[l4,oftfoft / /ut cfk"lt{sf nflu hGd tof/Lsf] k|aw{g
v= ue{ hfFr tyf ;+:yfut k|;"lt k|aw{gsf nflu cfdf ;'/Iff sfo{qmd
u= 5gf}6ul/Psf :jf:Yo ;+:yfx¿df @$;} 306f cfsl:ds k|;"lt ;]jf
;'/lIft dft[Tj sfo{qmd !((& kl5sf] cj:yfdf gLlt tyf k|f]6f]sndf ljsf; / ;]jf k|bfos gl;+{u sd{rf/LnfO{
hLjg ;'/Iffsf] tflnddf lj:tf/ kl5 lgs} km8\sf] df/]sf] b]lvG5 . :jf:Yo d+qfnon] bIf k|;'tL sdL{sf] gLlt
@))& df nfu" u/] kZrft clw/fHo e/ g} 8fS6/ tyf g;{÷cgldx¿nfO{ cfjZos bIf k|;'tL sdL{sf] tflnd lbg
z'? ul/Psf] 5 . To;}ul/ /Qm ;+rf/ gLlt @))^ nfu" eP kZrft cfktsflng cj:yfdf ;'/lIft /ut cfk"lt{sf]
;'lglZrttf eO{ sfo{qmdn] csf]{ km8\sf] df/]sf] 5 .
;/sf/L u}/;/sf/L /fli6«o cGt/fli6«o / ;'/lIft dft[Tj ;/f]sf/jfnfx¿sf] k|of; tyf ;dGjoaf6 /fli6«o ;'/lIft
dft[Tj of]hgf @))@−@)!& kl/dfh{g ePsf] 5 . of] of]hgfdf gjlzz' :ofxf/nfO{ dxTj lbO{ ;'/lIft dft[Tj
sfo{qmdsf] cleGg c+usf] ?kdf n}hfg], :jf:Yo If]q ;'wf/ ug]{ ue{ktgnfO{ sfg'lg dfGotf / ;'/lIft ue{ktg /
;'/lIft dft[TjnfO{ Pp6} 5ftfd'lg /fVg], j[l4 eO/x]sf] cfdfaf6 jRrfdf ;g]{ HIV/AIDS sf] ;d:ofsf]
;Daf]wg ug]{, cfdfx¿sf] cfjZostf cg';f/sf] ;]jfsf] ;'lglZrttf ub}{ ;dtf tyf kxF'rnfO{ ;Daf]wg ug]{ .
#=@=!= ;'/lIft dft[Tj gjlzz' :jf:Yo lb3{sflng o]hgf -@))@-@)!&_ sf nIo, p2]Zo /
pknlAw .
nIo / p2]Zo M
nIo d"Vot\ ul/j / jl~rtLs/0fdf k/]sf dft[ tyf gjlzz'sf] :jf:Yo / hLjg ofkgdf ;'wf/ ug]{ .
nIosf d'Vo ;"rs
xfnsf] dft[ d[To' cg'kft !&) k|lt nfv hLljt hGdnfO{ 36fO{ @)!& ;Ddf !#$ df k'¥ofpg] xfn ljBdfg gj
lzz' d[To' cg'kft ## k|lt xhf/nfO{ 36fO{ !% k|lt xhf/df k'¥ofpg] .
p2]Zo M
d"VotM ul/j tyf jl~rlts/0fdf k/]sf ju{nfO{ dft[ tyf gj lzz' :jf:Yo ;]jfdf :jf:Yo cEof; / u'0f:t/Lo
pkef]unfO{ Joj:yLt ul/ j[l4 ug]{ .
o;sf nflu k|d"v ;"rsx¿ M
⇒ SBA sf] ;xof]udf x'g] ;'Ts]/L ;g\ @)!& ;Dddf ^) k|ltzt k'¥ofpg] .
⇒ :jf:Yo ;+:yfdf ;'Ts]/L x'gs] f] k|ltzt ;g\ @)!& ;Dddf $) k|ltzt k'¥ofpg] .
⇒ k|ltjif{ Obstetric met need nfO{ # k|ltzt j[l4 ug]{ .
⇒ k|ltjif{ C/S 4f/f ul/g] k|;'ltnfO{ $ k|ltztn] j[l4 ug]{ .
;]jf;+u ;DalGwt ;"rs
Δ :jf:Yo rf}sLsf] @$ ;} 306fsf] ;]jfnfO{ @))( ;Ddf !% k|ltztn], @)!@ ;Dddf #) k|ltztn] / @)!&
;Dddf &) k|ltzt k'¥ofpg] .
Δ k|=:Jff=s]=n] k|bfg ug]{ BEOC ;]jf ;+u} CAC ;]jfnfO{ @))( ;Dddf $) k|ltzt, @)!@ ;Dddf ^)
k|ltzt / @)!& ;Dddf *) k|ltzt k'¥ofpg] .
Δ CEOC ;]jf k|bfg ug]{ lhNnfsf] ;+Vof @))( ;Dddf #&, @)!@ df $& / @)!& ;Dddf ^) k|ltzt
k'¥ofpg] .
Δ @))( leq ;a} lhNnf c:ktfnx¿df CAC ;]jf k'¥ofpg] .
50
pknlAwx¿ M
of]hgfdf cf7j6f pknlAw tf]lsPsf / x/]ssf ;"rsx¿
!= ;dtf/ kx'Fr
@= ;]jfx¿
#= klAns k|fO{e]6 kf6{g/l;k
$= ljs]lGb|s/0f
%= dfgj ;+;fwg ljsf; bIf k|;'tL ;]jf /0flgtL
^= ;"rgf Joj:yfkg
&= ef}lts ;DklQ / vl/b
*= cfly{s
/0fgLltx¿ M
!= ul/a / jl~rtLs/0fdf k/]sf ju{nfO{ cGt/If]q ;xsfo{4f/f k|ltj4tfsf] jsfnt ub}{ k|hgg\ :jf:Yo
nufot ;'/lIft dft[Tj sfo{qmddf s]Gb|, If]q lhNnf / ;d'bfo :t/df k|j4{g ug]{ .
@= ;'/lIft dft[Tj tyf gj lzz' :jf:Yosf] nflu ;a} txdf :jf:Yo, lzIff, ;dfh sNof0f, sfg"g / :yflgo
ljsf;sf If]qdf ;xsfo{ k|j4{g ul/ ;'lglZrttfsf] k|ltj4tf ug]{ .
#= ;'/lIft dft[Tj sfo{qmdnfO{ ;'xfFpbf] jftfj/0f lgdf{0fsf] nflu lhNnf :jf:Yo ;dGjo ;ldlt, ;d'bfosf
cu'jf / ;d'bfosf ;b:ox¿nfO{ kl/rfng ug]{ .
$= bIf k|;'tL sdL{ ;]jf B/CEOC ;]jfnfO{ ;a] txdf lj:tf/ / ;'b[l9s/0f ug]{, h;sf nflu b]xfo adf]lhd
ug]{ .
%= k|;'tL tyf EOC sf nflu k"jf{wf/sf] ljsf; ug]{ .
^= :jf:Yo ;]jf k|0ffnLsf cfjZos txdf cfwf/e't dft[ ;]jf / EOC ;]jfsf] :t/Lotfdf j[l4 ug]{ .
&= dfgj ;+;fwg ljsf; ;b[l9s/0f ug]{ .
*= ;d'bfoaf6 lhNnf c:ktfndf cfktsflng / pRr hf]lvddf k/]sf ue{jtLsf nflu lqmoflzn k|]if0f k|0ffnL
/ sf]ifsf] :yfkgfsf] nflu jsfnt ug]{ .
(= dlxnf :jf:Yo :jo+ ;]js4f/f hGd tof/L / hf]lvd tof/Lsf nflu ;d'bfodf cfwf/Lt hgr]tgf ;'b[9
ug]{ .
!)= ;d'bfodf dlxnfsf] cj:yf a9fpg] ;xof]uL s[ofsnfkdf j[l4 ug]{ .
!!= ;'/lIft dft[Tj sfo{qmd of]hgfdf ;'wf/, u'0f:t/Lo ;]jf / nfut-k|efjsf/L nufgLdf of]ubfg ug]{
cg';Gwfg s[ofsnfknfO{ k|j4{g ug]{ .
xfn g]kfndf lbuf] ljsf; nIo cg'?k g]kfn ;/sf/n] dft[ tyf gjlzz' :jf:Yodf ;'wf/ Nofpgsf] nflu o;
;DalGw ljleGg gLlt / sfo{qmdx¿ ;+rfng ub}{ cfPsf] 5 . ;'/lIft dft[Tj g]kfn ;/sf/sf] sfo{qmddf ;'/lIft
dft[Tj klg Ps k|fyldstf k|fKt dWo]sf] Ps sfo{qmd dflgG5 . o;+;Fu ;DalGwt :jf:Yo ;+:yfdf ;'Ts]/L u/fpg]
ue{jtL dlxnfx¿sf] ;+Vof j[l4 u/fpg] nIo lnP/ &% j6} lhNnfdf ljleGg 7fFpx¿ :jf:Yo rf}sL ;Dd jly{ª\u
;]G6/x¿ :yfkgf ul/Psf] 5 . :6fkm g;{, c=g=dL=x¿nfO{ @ dlxg] P;=lj=P=tflnd lbg] tyf lhNnf lhNnfdf
Skill up date # lbgsf] tflnd klg /flvPsf] 5 . ljleGg k|sf/sf 1fgjb{s dft[ tyf gjlzz' :jf:Yo tyf dft[
;]jf lzz' :ofxf/ sfo{ ;xof]uL k':tLsf tof/ ul/Psf] 5 . o;df g]kfndf dft[ d[To'sf] jt{dfg l:ylt kf6f{]u|fkm,
k|;jsf] t];|f] r/0fsf] ;lqmo Joj:yfkg PPH sf] Joj:yfkg, DofUg]l;d ;Nkm]6sf] k|of]u4f/f uDeL/ pre
eclempsia/eclempsia sf] Joj:yfkg÷gjlzz'nfO{ hGdg] ljlQs} ul/g] cTofjZos :ofxf/x¿÷hGdbf
51
lg;fl;Ps]f gljlzz'sf] Joj:yfkg ;fy} d=:jf=:j+=;]=tyf ue{jtL / cfdf ;d"x ;Dd ue{jtL, k|;j, ;'Ts]/Lsf]
vt/fsf] af/]df cfdf;d"xsf] ldl6ª\u ;Dd /flvg] u/]sf] 5 .
xfn g]kfndf dft[ d[To'b/ !&) k|lt nfv lhljt hGddf / gjlzz' d[To'b/ ## k|lt xhf/ lhljt hGddf 5 .
h;sf] sf/0f ue{jtL :ofxf/ / ;'Ts]/L kl5sf] :ofxf/sf] plrt hfgsf/L geP/ of] ;d:of eO/x]sf] 5 . olx
;d:ofnfO{ Wofgdf /fv]/ xfn cfP/ g]kfn ;/sf/n] ;'/lIft k|;'lt k|f]T;fxg sfo{qmd ;fy} jly{ª\u ;]G6/df
lgMz'Ns k;"lt ;]jf lbb} cfPsf] 5 .
k|d'v lqmof snfkx¿
!= ;d'bfo :Q/df hGd tof/L tyf dft[ lzz' :jf:Yo lqmofsnfk
@= b'u{d If]qdf Ultra Sound sfo{qmd
#= k|hgg :jf:Yo ?U0ftf /f]syfd tyf Joj:yfkg sfo{qmd
s= cfÍ v:g] /f]usf] Joj:yfkg
v= kf7]3/sf] SofG;/ klxrfg tyf /f]syfd tflnd
u= Obstetric Fistula Joj:yfkg
$= hgzlQm Joj:yfkg
%= ;]jf s]Gb|x¿sf] lj:tf/ tyf u'0f:Q/ ;'wf/
^= cfsl:ds k|]if0f sf]if
&= ;'/lIft ue{ktg ;]jf
*= k|;"lt k|fylds pkrf/ cled'vLs/0f
(= Gofgf] emf]nf sfo{qmd
!)= cfdf ;'/Iff sfo{qmd
52
Recommended Actions
Performance Gaps Causes/Reasons
for improvements
Hfg;xeflutf / hgr]tgfsf]
cfdf ;'/Iff sfo{s|dsf] lbuf]kgf sfo{s|dsf] k|s[of hl6n ePsf]
clela[l4
k|;'lt s]Gb|x¿ ckfos x'g' Hfg ;xeflutfsf] sdL Hfg ;xeflutf af6 lg0f{o ug]{
s/f/ ;]jfsf] l;df k|s[ofut q'6L /
Afx'alif{o s/f/ ;]jf k|0fnLdf n}hfg]
l9nf] ah]6 tyf sfo{s|d
k|]if0f lgb]{lzsf sf] lasf; / k]|if0f
k|]if0f k|s[of b'?:t gx'g' ;DfGjosf] sdL
s]Gb| larsf] ;dGjo
cfk'lt{ ;d:of cfk'lt{ ;DalGw of]hgf tyf vl/b k|s[ofsf] ;xlhs/0f / cfk"lt{
lhDd]jf/L af]wsf] sdL of]hgf adf]lhd cfk"lt{ ug]{
rf}yf] k6ssf] ue{ hfFr / klxnf] k/fdz{sf] sdL
;]jf /lhi6/sf] k|of]u / k/fdz{df
k6ssf] ;'Ts]/L hfFr sd x'g' clen]v b'?:t gx'g'
hf]8 {
bfloTjaxgdf sdL
lglh ;+:yfaf6 x'g] k|;"lt k|ltj]bg cfdf ;'/Iff sfo{s|dsf] bfo/f leq HMIS / cfdf ;'/Iff sfo{s|dsf]
;dfj]z gx'g' Nofpg g;lsPsf] sf] bfo/f leq Nofpg]
ue{jlt ptk|]/0ff eQf lat/0f sd ue{jlt ptk|]/0ff eQf lat/0f af/]
k/fdz{sf] / hgr]tgfsf] sdL
x'g' hfgsf/L
• s/f/ ;]jf4f/f k|;"ltsdL{sf]
egf{
;]jf s]Gb|sf] sdL
sd ;+:yfut k|;"lt
hgr]tgfsf] cefj • ;]jf s]Gb|sf] lj:tf/
• ;]jf s]Gb|df k|;"lt x'g
pTk|]/0ff sfo{qmd
56
g]kfn ;/sf/n] hgtfsf] :jf:Yodf dlxnfsf] ;xeflutfnfO{ dWogh/ ub}{ cf=j=@)$%÷$^ df @& lhNnfaf6 ;'?
ul/Psf] d=:jf=:j+=;]=sfo{qmd r/0fa4 &% lhNnfdf nfu" u/]sf] xf] . z'?df d=:jf=:j=;]=5gf}6sf Psdfq cfwf/
jf8{nfO{ agfOPsf] lyof] . kl5 ;g\ !((# df @* lhNnfdf 5gf}6 cfwf/ hg;+VofnfO{ agfPsf] lyof] . clxn]
g]kfn clw/fHoe/L %!,$&)-$&,#@* uf=lj=;=df tyf $,!$@ g=kf=df_ d=:jf=:j+=;]=;s[o eO{ sfd ul//x]sf
5g\ .
:yfgLo JolQmx¿sf] ;xof]udf :jf:Yo cfdf ;d'xaf6 d=:jf=:j+=;]=x¿ 5gf}6 ul/G5 . ltlgx¿n] b'O{ r/0fdf (-(
lbgs]f ul/ !* lbgsf] k|fylds pkrf/sf af/]df cfwf/e't tflnd k|bfg ul/G5 . d=:jf=:j+=;]=sf] d'Vo e'ldsf
:jf:Yo ;+:yfsf :jf:YosdL{x¿sf] ;xof]uaf6 cfdf / ;d'bfosf hgtfsf] :jf:Yo / :jf:Yo cfgLjfgL k|j4{g ug'{
xf] . :jf:Yo lzIff / pTk|]/0ff jfx]s klg d=:jf=:j+=;]=n] nuftf/ k|of]ustf{sf] nflu lkN; cfk'lt{ ug]{, s08d
ljt/0f ug]{, cf]=cf/=P;=ljt/0f ug]{, le6fldg P SofK;'n ljt/0f / cfO{=Pd=l;=cfO{=sfo{qmddf sf]l6«daf6 pkrf/
/ vt/fsf nIf0f lrGx ePsfnfO{ ;+:yfdf k|]if0f ;d]t ul//x]sf 5g\ . To;}ul/ cfO/g OG6];Llkms};g kZrft
ue{jtL dlxnfx¿nfO{ cfO/g rSsL ljt/0f ul/ /x]sf 5g\ .
nIo M
hg :jf:Yo lqmofsnfkdf ;d'bfosf] ;xeflutfsf] dfWodaf6 /fli6«o nIo xfl;n ug{ ;xof]u k'/\ofpg d=:jf=:jo+
;]=sfo{qmdsf] nIo xf] .
p2]Zo M
d=:jf=:j+=;]=sfo{qmdsf] d"Vo p2]Zox¿ b]xfo adf]lhd 5g\ .
!= u|fld0f dlxnfx¿df cfwf/e't :jf:Yo ;]jfsf] d'Vo s]Gb| cfdf / jRrfsf] x]/rfx ;DalGw 1fg lbO{
:jfjnDag agfpg] .
@= :yfgLo dlxnf tyf ;fwgsf] pkof]u ul/ k|fylds :jf:Yo ;]jfdf ;d'bfosf] ;xeflutf clej[l4 ug]{ .
#= xfn pknAw dft[, ;]jf, jfn :jf:Yo / k=lg=;]jfsf] pRr pkef]usf nflu ;d'bfosf] ;xeflutf k|j4{g
ug]{ .
$= ;d'bfo;+u :jf:Yo sfo{qmdnfO{ hf]8g] Pp6f :jo+;]jL ;Dks{ JolQmsf] ?kdf tof/ ug]{ .
%= d=:jf=:jo+ ;]=x¿nfO{ :jf:Yosf] pTk|]/ssf] ?kdf ljsf; ug]{ .
k|d'v lqmofsnfk M
!= kf]zfs eQf
@= c4{jflif{s ;ldIff
#= d=:jf=:jo+ ;]=lbj;
$= d=:jf=:jo+ ;]=JolQmut ljj/0f cBfjlws
%= d=:jf=:jo+ ;]=;Ddfghgs labfO{
^= d=:jf=:jo+ ;]=sf]if
&= /fli6«o sfo{qmdx¿df d=:jf=:jo+ ;]=sf] cled'vLs/0f tyf kl/rfng
57
Total Number of FCHVs in Rural and Urban Area 739/58 739/58 759%
v08 M $
/f]u lgoGq0f
(Disease Control)
61
#= rf}dfl;s ;ldIff
$= vf]hk8tfn
%= cg';Gwfg
^= lgb]{lzsf lgdf{0f
&= LLIN em'n leq ;'tfpg] .
*= jflif{s IRS
(= Foci elimination
!)= cf}nf] lgbfg tyf pkrf/ lgb]{lzsf cBfjlws / k|of]u
!!= tflnd
!@= dfO{qmf]:sf]k jf cf/=l8=l6=af6 kl/If0f ug]{ .
!#= cf}iflw tyf lgbfg ;fdu|Lsf] cfk"lt{
!$= :jf:Yo lzIff,;"rgf ;fdfu|Lx¿sf] lasf; / lat/0f .
!%= ax'If]qLo jsfnt .
!^= ;'kl/j]If0f cg'udg .
!&= ls6hGo s]Gb|x¿sf] ;'b[9Ls/0f / Ifdtf lasf; .
/0fgLlt M
!= e]S6/ lgoGq0f tyf JolQm arfj6
@= ;dodf lgbfg / plrt pkrf/ .
#= cf}nf] ;le{n]G; tyf dxfdf/L tof/L .
$= cfgLjfgL kl/jt{g ;lxtsf] ;+rf/ .
%= sfo{qmd Joj:yfkg .
^= cg';GwgfTds cWoog .
Malaria Control Programme Performance Indicators:FY 2071/72– 2073/074
Indicators 2071/72 2072/73 2073/74
1. Target vs achievement of blood slide collection 0.40%
2. Annual Blood Examination Rate (ABER) 0.03% 0.53% 1%
3. No of confirmed malaria cases among total malaria 0 0 1
cases
4. Malaria annual parasite incidence /1,000 risk 0 0 0
5. % of PF among total positive cases 0 0 0
6. percentage of indigenous cases among total positive 0 0 0
cases
7. Reported death due to malaria 0 0 0
63
r/0f @))* blv @)!% ;Dddf Attack Phase / clGtd r/0fConsolidation Phase. Tof] of]hgfsf] nIo
sfnfhf/sf] k|sf]k x'g] If]qdf a;f]af; u/]sf hgtfx¿sf] :jf:Yo l:lytdf ;'wf/ Nofpg' / sfnfhf/sf] ;d:of
/xg glbg o;sf] nIo xf] . ;f]xL cg'?k @)!% ;Dddf k|lt !)))) hg;+Vofdf ! eGbf sd sfnfhf/sf] gofF
;+s|d0f b/ nfO{ 36fpg] nIo lnO{of] .
;g @)!) df /fli6«o of]hgfnfO{ kl/dfh{g u/L sfnfhf/ lgjf/0f /fli6«o /0fgLlts lgb]{lzsf lasf; ul/of] h;n]
RK39 nfO{ Rapid Diagnostic Test Kit / MiltefosinnfO{ s]xL cj:yf afx]s cGo cj:yfx¿df First
Linesf] pkrf/sf] ?kdf l;kmfl/z u/]sf] 5 .
@. nIo
;g @)!% ;Dddf k|lt !)))) hg;+Vofdf ! eGbf sd sfnfhf/sf] gofF ;+s|d0f b/ nfO{ 36fpg] .
#. p2]Zo
• sfnfhf/sf] gof ;+s|d0f b/ nfO{ 36fpg] .
• sfnfhf/af6 x'g] d[To'nfO{ 36fpg] .
• k/hLjLsf] e08f/sf] ?kdf /x]sf PKDLsf] pkrf/ ug]{ .
• sfnfhf/, HIV- TBsf] ;x;+s|d0fnfO{ /f]syfd tyf pkrf/ ug]{ .
$. /0fgLlt
• sfo{s|d Joj:yfkg ;'wf/ .
• rfF8f] lgbfg / k"0f{ okrf/ .
• PsLs[t ls6 Joj:yfkg .
• /f]u / ls6sf] k|efjsf/L vf]hk8tfn
• ;fdflhs kl/rfng tyf ;fem]bf/L
• lSnlgsn,;+rfng / cg';Gwfg kl/rfng
%. d'Vo lqmofsnfk M
• s]z ktf nufpg] / pkrf/ ug]{
• Miltefosine and Amphotericine B4f/f lg/Gt/ pkrf/
• Tfflnd
• ;ldIff a}7s
cf= j= @)&#.)&$ df k;f{ lhNnfsf s'g} klg :jf:Yo ;+:yfaf6 sfnfHj/ la/fdLsf] l/kf{]l6Í ePsf] 5}g .
Gap Analysis of Kala-azar Program
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
• :jf:YosdL{x¿df bIftfsf] • :jf:YosdL{x¿nfO{ tflnd
rfF8f] s]z ktf nufpg] tyf
sdL • sfnfhf/ sL6sf] cfk"lt{
pkrf/
• sfnfhf/ sL6sf] cefj • ;lqmo s]z ktf nufpg]
rfF8f] s]z ktf nufpg] tyf • :jf:YosdL{x¿df bIftfsf] • s]zsf] vf]hk8tfn
cg';Gwfg sdL • ;"lr ;lxt k|ltj]bg
65
%. nIo (Target)
• ;g @)!* ;Dddf /f]u k|efljt lhNnfx¿df cfd hgtfx¿nfO{ cf}iflw v'jfpg] .
• xfQLkfO{n] /f]u sf] gofF tyf k'/fgf /f]uLb/nfO{ ! k|ltzt eGbf sddf emfg]{ .
ah]6
Buffer Stock sf nflu ck|of{Kt
Go"g ah]6 ljlgof]hg Buffer Stocksf nflu k|of{Kt ah]6
ah]6
;/f]sf/jfnf ;+:yfx/sf] ;dGjo /
cg'ko'Qm k|sf]k cg';Gwfg cBfjlws gePsf]
;xsfo{df cg';Gwfg x'g' kg]{ .
;+rfng k0ffnL gePsf] Early warning and Reporting
cg'ko'Qm vf]h k|0ffnL se/]h
system (EWARS) sf] lj:tf/
:jR5 kfgL cfk"lt{ tyf JolQmut /
vfB tyf kfgL hGo /f]usf] k|sf]k c:j:Yo jftfj/0f tyf vfB j:t'
jftfj/0fLo ;/;kmfO{
$=* k|sf]k Joj:yfkg (Disaster Management )
k[i7e"ld M
k|sf]k Joj:yfkg klg dxfdf/L tyf ;?jf /f]u lgoGq0f dxfzfvfsf] csf]{ Pp6f dxTjk"0f{ sfo{qmd ;+rfngsf]
OsfO{ xf] . of] sfo{qmd dxfdf/L tyf ;?jf /f]u lgoGq0f dxfzfvf tyf ljZj :jf:Yo ;+u7gsf] ;+o'Qm ;xof]udf
;+rfng x'G5 . of] zfvfn] ;/f]sf/jfnfaLrsf] ;dGjo / ;xsfo{df k|sf]k ;DalGwt :jf:Yo lgsfo cfsl:ds
tof/L / k|sf]k Joj:yfkgnfO{ a9fpg] k|ltj4tf hfx]/ u/]sf] 5 .
p2]Zo M
lgDg lqmofsnfk ;+rfng u/L k|sf]ksf] /f]syfd,zdg tyf lhDd]jf/L jxgdf s]lGb|t /x]/ cfsl:ds tof/L tyf
lhDd]jf/L jxgdf :jf:Yo lgsfosf] Ifdtf clej[l4 ug'{ .
!= :jf:Yo lgsfosf] cfsl:ds of]hgf ( Contingency Planning ) sf] cleofg k|lqmof
@= :jf:YosdL{x¿nfO{ cfsl:ds tof/L tyf k|sf]k Joj:yfkg ;DalGw tflnd
#= :jf:Yo lgsfo k|sf]k Joj:yfkgdf ax'If]qLo ;dGjo / ;xof]u ;+oGqnfO{ ;'b[l9s/0f ug]{ .
d'Vo k|sf]kx¿ M
• e"sDk
• cfunfuL
• af9Lklx/f]
d'Vo lqmofsnfk M
¾ hgk|jfb ;Tofkg tyf l:yLlt cBfjlws .
¾ k|sf]k cg';Gwfg tyf lhDd]jf/L jxg .
• hgr]tgf sfo{qmd
• s]z Joj:yfkg
• ;d'bfo kl/rfng
¾ k|sf]ksf] nflu tof/L
• cfsl;ds :jf:Yo afs; tyf cf}iflwsf] k"j{ tof/L
• cf}iflwsf] akm/ :6ssf] k|fjwfg
• ;/f]sf/jfnf aLr ;dGjo a}7s
71
p2]Zox¿ M
/fli6«o Ifo/f]u lgoGq0f sfo{qmdsf] p2]Zox¿ ljZj :jf:Yo ;+u7gsf] kl/dflh{t Ifo/f]u lj?4sf] /0fgLlt @))^ sf]
p2]Zox¿ ;lxt ;x>fAbL ljsfz nIo @)!% ;+u ;DalGwt 5g\ .cg'dflgt ;a} gofF vsf/ kf]h]l6e Ifo/f]uL dWo] slDtdf
*@k|ltzt Ifo/f]uL kQf nufpg] . kQf nufOPsf gofF vsf/ kf]h]l6e Ifo/f]uL dWo] slDtdf (% k|ltztnfO{ lgsf]
kfg]{ . ;x>fAbL ljsf; nIo cg';f/ ;g\ @)!% ;Dddf Ifo/f]usf] k|sf]k b/ / d[To'b/nfO{ ;g\ !(() sf]
t'ngfdf cfwfdf emfg]{ .
pRr u'0f:t/Lo /f]u lgbfg / lj/fdL s]lGb|t pkrf/ ;]jf b]z JofkL?kdf ;Dk"0f{ Ifo/f]uLnfO{ k|bfg ug]{ .
Ifo/f]uaf6 >[lht ;fdflhs tyf cfly{s ef/ 36fpg] . l;dflGts[t ul/a tyf hf]lvddf /x]sf ;d'bfonfO{ TB,
TB/HIV / MDR TB af6 jrfpg] . gofF ;fwgsf -TOOLS_ sf] ljsf; / ;dodf g} To;sf] k|efjsf/L
k|of]u ug{ ;xof]u ug]{ .
/fli6«o Ifo/f]u lgoGq0f sfo{qmdsf] gLlt M
!= /fli6«o Ifo/f]u s]Gb| /fli6«o Ifo/f]u lgoGq0f sfo{qmdsf] s]Gb| laGb' /xg]5 .
@= Microscopic Network nfO{ ;jn / ;Ifd agfOg] 5 .
#= Passive case finding sf] dfWodaf6 /f]u lgbfg ug]{ .
$= bIf hgzlQm lgdf{0fsf] nflu Ifo/f]usf] cfwf/e't tyf k"g{tfhuL tflndsf] Joj:yf ug]{ .
%= Plss[t :jf:Yo ;]jfsf] dfWodaf6 /fli6«o Ifo/f]u lgoGq0f sfo{qmd ;+rfng ug]{ .
^= vsf/ hfFrdf ls6f0f' ePsf Ifo/f]usf lj/fdLx¿nfO{ klxnf] k|fyldstf lbg] .
&= pkrf/ calwe/ ;a} lj/fdLx¿nfO{ k|ToIf lgu/fgLdf cf}ifwL v'jfpg] .
*= vsf/ k/LIf0f4f/f pkrf/sf] cg'udg ug]{ .
(= vsf/ k/LIf0f4f/f Ifo/f]usf] lgbfg / pkrf/ lgMz'Ns pknAw u/fpg] .
!)= ;j} :Jf:Yo ;+:yfx¿df k|ToIf lgu/fgLdf ul/g] pkrf/ lj:tf/ ug]{ .
!!= Rifampicin vfg] la/fdLnfO{ pkrf/ cjlw e/ k|ToIf lgu/fgLdf cf}ifwL v'jfpg] .
!@= lgodLt?kdf cf}ifwL tyf cfjZos ;fdfu|Lx¿sf] cfk'lt{ ug]{ .
!#= lghL ;]jfaf6 ;+rflnt :jf:Yo ;+:yf, d]l8sn sn]h, gl;{ª\uxf]d tyf cGo ;+3 ;+:yf;+u ;dGjo u/L
86\;df xft]dfnf]sf] ?kdf ;xeflu u/fpg] .
!$= ljleGg /fli6«o tyf cGt{/fli6«o ;/sf/L tyf u}/;/sf/L ;+3 ;+:yf / lghL :jf:Yo ;+:yfx¿;+u cfk;L
;xof]u / ;dGjo u/L Ifo/f]u lgoGq0f sfo{qmdsf ljleGg s[ofsnfkx¿ ;'rf? ?kn] ;+rfng ug]{ .
!%= Pr=cfO=eL=÷P8\; sfo{qmd;+u ;DalGwt ;+3 ;+:yf;+u ;dGjo u/L Ifo/f]u / Pr=cfO=eL=÷P8\; ;DalGw
;xsfo{sf ljleGg s[ofsnfkx¿ ;'rf??kn] ;+rfng ug]{ .
!^= Ifo/f]u / Pr=cfO=eL=÷P8\; ;xsfo{df sfo{qmdx¿ ;+rfng ug]{ .
!&= ax'cf}ifwL k|lt/f]ws Ifo/f]u pkrf/ Joj:yfkg sfo{qmdnfO{ lj:tf/ ub}{ n}hfg] .
!*= ul/a, hghftL, blnt lk5l8Psf ju{x¿ tyf cGo ;]jfsf] kx'Fr gk'u]sf ;d"xx¿sf] nflu ljz]if jsfnt,
sfo{qmd ;+rfng ug]{ .
73
!(= jsfnt, ;+rf/, tyf ;fdflhs kl/rfng ;DalGw ljleGg s[ofsnfk ;+rfng ug]{ .
@)= Ifo/f]u sfo{qmdnfO{ ;kmn agfpg ljleGg lsl;dsf ;j]{If0f tyf cg';+wfgfTds s[ofsnfk ;+rfng
ug]{ .
Tuberculosis Control Program Performance Indicators:
FY 2071/072– 2073/074
Indicators 2071/72 2072/73 2073/74
Case notification rate (all forms of TB cases) 144 113.09 102.2
b[li6 M
g]kfn Pp6f o:tf] 7fpF /xg]5 hxfF Pr=cfO{=eL=sf] gofF ;+qmd0f Go"g x'g]5 / lagf e]befj ;a} JolQmsf] pRr u'0f
:Q/sf] hLjgofkg ug]{ kx'Fr x'g]5 .
nIo M
Pr=cfO{=eL=sf] /f]syfd,pkrf/,:ofxf/ / ;xof]usf nflu ;j{tf]d'vL kx'Fr x'g' .
p2]Zo M
!= ;g\ @)!) sf] t'ngfdf ;g\ @)!^ ;Dddf Pr=cfO{=eL=sf] gofF ;+qmd0f b/nfO{ %) k|ltztn] 36fpg] .
@= ;g\ @)!) sf] t'ngfdf ;g\ @)!^ ;Dddf P8\;;+u ;DalGwt d[To' nfO{ @% k|ltztn] 36fpg] .
#= afnaflnsfdf x'g] Pr=cfO{=eL=sf] gofF ;+qmd0f b/nfO{ () k|ltztn] 36fpg] .
90-90-90 By 2020
s= cg'dflgt Pr=cfO{=eL=;+qmldtx¿sf] () k|ltztsf] lgbfg
v= :ofxf/df /x]sf Pr=cfO{=eL=;+qmldtx¿nfO{ () k|ltztsf] cf}iflw pkrf/
u= afx|} dlxgf cf}iflw pkrf/df /x]sf Pr=cfO{=eL=;+qmldtx¿nfO{ () k|ltztsf] efO{/n nf]8 36]sf]
;g\ @)#) ;Dddf P8\;sf] dxfdf/L cGTo /fli6«o Pr=cfO{=eL= /0fgLlt -@)!!–@)!^_
!= Pr=cfO{=eL=;+qmd0f /f]syfd, pkrf/, :ofxf/ tyf ;xof]u sfoqmd, :j]lR5s hfFr tyf k/fdz{, of}g/f]u
Joj:yfkg, cfdfaf6 aRrfdf ;g]{ /f]syfd, cf}iflw pkrf/-ART_ / cj;/jfbL ;+qmd0fsf] Joj:yfkg
@= ;Ifd jftfj/0f tyf /0fg}lts of]hgf lgdf{0f
Situation of HIV Epidemic in Nepal 2015
v08 M %
;xof]uL sfo{qmd
(Supporting Programme)
78
#= ljlzi6 tflnd
$= kbf]Gglt tflnd
%= cled'lvs/0f sfo{qmd
^= cGt{/fli6«o tflnd
Gap Analysis of Health Training
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
Tfflndsf s]xL ljz]if Kofs]hx¿sf] Joj:yf ldnfO{g'
kof{Kt sfo{qmd gePsf] Kf|fyfldstfdf gk/]sf]
kg]{ .
;DalGwt zfvfdf
ljleGg zfvfx¿af6 tflnd
sfo{qmd ljlgof]lht Ps4f/ k|0ffnLsf] Joj:yf x'g' kg]{ .
;+rfng
/x]sf]
tflndnfO{ eQfsf] ?kdf tflndnfO{ eQfsf] ?kdf geO{ j[lt ljsf;sf]
g}ltstfsf] sdL
cEof; ePsf] cj;/sf]] ?kdf cEof; ePsf] x'g' kg]{ .
2071/
7413/2328 2942 38982 0 0 18154 2527/0 437
072
2072/ 18324
1521/11404 5018 NA 7 125902 14735 NA
073 5
2073/
074 12446/4421 3645 84920 NA 0 67648 6418 NA
p2]ZoM
k|zf;g Joj:yfkg sfo{qmdsf] d'Vo p2]Zo :jf:Yo ;]jf k|0ffnLdf plrt ;dodf plrt JolQmnfO{ plrt :yfgdf
k|efjsf/L 9Ín] Joj:yfkg ug'{ xf] .
ljz]if p2]Zo M
• ;/sf/sf] gLlt lgod adf]lhd sd{rf/Lx¿sf] ;?jf tyf kb:yfkgf
• ljleGg txdf sd{rf/L Joj:yfkg
• Joj;flos lgod adf]lhd cg'zf;gsf] kfngf u/fpg]
• ;a}tx / ;+:yfdf sfo{/t sd+{rf/Lx¿sf] Joj:yfkg tyf JolQmut ljj/0f cBfjlw
• sd{rf/Lx¿sf] sfo{ ljefhg
• dflyNnf] lgsfoaf6 k|fKt lgb]{zg adf]lhd sfo{ ;+rfng
• ljz]if tyf c;fwf/0f labfsf nflu l;kmfl/z
d'Vo lqmofsnfk M
• ;?jf tyf kb:yfkgf
• :Q/j[l4
• labf
• cg'zf;gsf] kfngf
• cjsfz tyf /flhgfdf
• cGo k|zf;lgs sfo{
Human Resources Situation: FY 2073/074
A. District Health Office/District Public Health Office
GOVERNMENT CURRENTLY AVAILABLE
Sanctioned Among Local and other
Fulfilled
SN POSTS post government resources
(in
(in sanction (in (contractee/volunteer/etc)
number)
number) number) (in number)
Technical Staffs
1 PHA 1 1 1
2 PHO 4
3 HA 2 2 2
4 EPIS 2 2 2
5 PHN 1 1 1
6 FPS 1 1 1
7 VCA 1 1 1
8 DTLA 1 1 1
9 Lab.Tech. 1 1 1
10 Lab.Assist. 6 6 6
86
11 CHA 2 2 2
Total 18 18 22
Administrative
(Non-Technical)
1 Account Officer 1 1 1
2 Section Officer 1 1 1
3 Statistic Officer 1 1 1
4 Accountant 1 1 1
5 Nayab Subba 1 1 1
Computer
6 1 1 1 2
Operator
7 Kharidar 1 1 1
8 Driver 1 1 1
9 Supporting Staff 4 2 2 3
Total 12 10 10 5
B. Pokhariya Hospital
GOVERNMENT CURRENTLY AVAILABLE
Local and other resources
Sanctioned Among
Fulfilled (Development
SN POSTS post government
(in committee/Helping committee/
(in sanction (in
number) contractee/volunteer/etc)
number) number)
(in number)
Technical Staffs
Medical
1 1 0 0
Superintendent
2 Medical Officer 2 0 0 5
3 Sister 1 0 0
4 HA 1 1 1
5 Staff Nurse 6 0 0
6 Lab.Tech. 1 1 1
7 Radiographer 1 1 1
8 AHWs 2 2 2 3
9 ANMs 3 3 3 2
10 Darkroom Assist. 1 0 0
Total 19 8 8 10
Administrative
(Non-Technical)
1 Kharidar 1 1 1
2 Driver 1 0 0
87
3 S.Staff 4 3 3 3
Total 6 4 4 3
C. PHC
GOVERNMENT CURRENTLY AVAILABLE
Sanctioned Fulfilled Among government Local and other resources
SN POSTS
post (in sanction (in (contractee/volunteer/etc)
(in number) number) number) (in number)
Technical Staffs
1 Medical 3 0 0 6
2 HA 3 3 3
3 Staff Nurse 3 1 1
4 AHWs 9 8 8
5 ANMs 9 7 7 2
6 Lab.Assist. 3 3 3
Total 30 22 22
Administrative
S.Staff 6 3 3
Total 6 3 3 8
D. HP
GOVERNMENT CURRENTLY AVAILABLE
Sanctioned Fulfilled Local and other
SN POSTS Among government
post (in resources
sanction (in number)
(in number) number) (in number)
Technical Staffs
1 HA 79 17 17
2 AHWs 237 172 172 4
3 ANMs 158 100 100 10
Total 474 289 289
Administrative (Non-
1 S.Staff 79 3 3 25
Total 79 3 3 76
% of Health Personnel currently working as of sanctioned post [ 56.30% ]
Number of health personnel deputed(Kaaj):
88
ljZn]if0f :
• xfn k;f{ lhNnfsf] dfgj ;+zfwgsf] cj:yf x]bf{ s'n b/aGbLsf] %^=#) Ü dfq} hgzlQm sfo{/t /x]sf]n]
sfo{ ;Dkfbgdf lgs} ;d:of ePsf] sf/0faf6 u'0f:tl/o :jf::Yo ;]jf k|jfxdf k|efj kg{ uPsf] b]lvG5 .
Gap Analysis of PAM
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
k|zf;lgs sd{rf/Lx¿nfO{
Tflnd Joj:yf gePsf] pko'Qm tflnd k|bfg ug]{ .
ckof{Kt tflnd
sfo{ ;Dkfbg d"NofÍg k|0ffnLnfO{ :t/j[l4 tyf
sfo{ ;Dkfbg d"NofÍg k|0ffnL sfof{Tds gePsf]
k|f]df]zg;+u hf]8g].
sfo{ ljefhg :ki6 gePsf] sfo{ ljefhg ljsf; tyf ;+rfng ug]{ .
JolQmut ljj/0f Data Base
sfof{Tds gePsf] JolQmut ljj/0f Data Base dfJojl:yt ug]{ .
gePsf]
hgzlQmsf] sdL l/Qm b/aGbL hgzlQm kbk"lt{ ug]{ .
k|fyflds
#&)!#^# :jf:Yo ##))))) 70935.5 #@@()^$.%)
k'g{hfu/0f
/fli6«o
##!)!## hg;+Vof %!&$%) 450 %!&)))
lzIff
k|fyflds
:jf:yo
!##(%$%&(.#
#&))!$# s]Gb| tyf !!)**)))) -23074579
&
:jf:yo
rf}sL
cy{ ah]6
%&**@&!(.^ %&**@&!(.^
^)!)!^# sd{rf/L %
0
%
;'ljwf
!$=(& -!%Ü_
&*(!()$$
!!*!(($^
cfwf/e't
:jf=tyf
#&)!#*# (%$))) 300000 ^%$)))
cfwf/e't
ufFp
:jf:Yos/
sf]ifaf6
#&)!@&# %))))) 500 $((%))
;+rflnt
sfo{qmd
cg'udg
d'Nofs+g
#&)!#$# #&!))) 371000 )
tyf of]hgf
;'lb[l9s/0f
:jf:yo
#&)!@^# k|of]uzfnf !@%))) 125000 )
;]jf
P8\; tyf
#&)!!$# @$)))) 99950 !$))%)
of}g /f]u
90
/fli6«o
#&)*)@# ;'rgf tyf &&)))) 31597 &#*$)#
;+rf/
Ifo/f]u
#&)*)^# lgoGq0f #*($))) 462752 #$#!@$*
lhNnf :t/
cy{ ah]6
##!)!$# #&^^@^! 0 #&^^@^!
;+lrt labf
rfn'
PsLs[t
#&)*)$# &@%(&))) 19880866.1 %@&!^!##.()
lhNnf
sfo{qmd
/fli6«o
#(!!)%# of]hgf !&^@^)) 225175 !%#&$@%
cfof]u
(Capital Budget)
Irregularities (BERUJU)
Budget
Budget Budget
ah]6 Programme Allocated
Released Expenditure %
Amount Clearances
lzif{s g+= Clearances
kl/b[Zo M
g]kfnL hgtf vf;ul/ ul/a / j+lrltdf k/]sfsf] :jf:Yo cj:yfdf ;'wf/ ug{ of]ubfg lbg] . o;n] :jf:Yo tyf
hg;+Vof d+qfnosf] ul/jL 36fpg pRr u'0f:t/sf] / u|x0f ug{ ;Sg] :jf:Yo ;]jfdf ;a}nfO{ ;dfg cj;/ k|bfg
ug]{ sfo{nfO{ ;xof]u ug]{5 .
nIo M
gful/ssf u'0f:t/Lo :jf:Yo ;]jf k|fKt ug]{ clwsf/nfO{ ;'lglZrt ub}{ vf;ul/ ul/a, pk]lIft tyf pTkLl8t
ju{df ?U0ftf / d[To'b/nfO{ sd ug'{ .
p2]Zo M
!= jif]{el/ u|fdL0f tyf zx/L :jf:Yo ;+:yfx¿df cTofjZos cf}iflwsf] pknAwtf ;'lglZrt u/]/ u'0f:t/Lo
cTofjZos :jf:Yo ;]jfdf kx'Fr / pkef]u clej[l4 ug]{ .
@= gu/ :jf:Yo s]Gb|x¿ dfkm{t zx/L hgtfnfO{ u'0f:t/Lo cTofjZos :jf:Yo ;]jf k|bfg ug]{ .
#= cfly{s,;f+:s[lts tyf ef}uf]lns cj/f]w sd ug]{ .
$= zx/L tyf jftfj/0fLo :jf:Yo sfo{qmdsf] cfof]hgf ug]{ .
%= cfwf/e"t :jf:Yo ;]jf Kofs]h kl/eflift ug]{ .
/0fgLlt M
• gu/ :jf:Yo s]Gb|x¿ :yfkgf ug{ ;xof]u .
• ;fd'bflos :jf:Yo aLdf sfo{qmdsf] lg/Gt/tf
• lgz'Ns :jf:Yo ;]jf k|bfg
• kx'Fr gePsf b'u{d :yfgx¿df :jf:Yo lzlj/sf] cfof]hgf
• ;dtf / kx'Fr
• ;fdflhs k/LIf0f sfo{qmd
• g;g]{ /f]usf] /f]syfd tyf lgoGq0f
• gd"gf :j:Yos/ ufpF tyf ;fd'bflos :jf:Yo OsfO{ :yfkgf
• dfkb08 pkrf/ tflnsfsf] k|of]u u/]/ tfls{s cf}iflwsf] k|of]u k|j4{g
;"rsx¿M
1. Fully immunized children in different caste/ethnic groups by sex.
2. Percentage of TT 2 or 2+ in different caste/ethnic groups.
3. New growth monitoring among under five years children in different caste/ethnic
groups by sex.
4. Underweight children in different caste/ethic groups by sex.
5. Incidence of Registered ARI in different caste/ethnic groups by sex.
6. Incidence of Registered CDD in different caste/ethnic groups by sex.
7. ANC 1st visit in different caste/ethnic groups.
95
v08 M ^
pkrf/fTds ;]jf
(Curative Services)
97
^=! lgMz'Ns cTofjZos :jf:Yo ;]jf (Free Essential Health Care services)
k[i7e'ld M
@)^@÷^# sf] hgcfGbf]ng kZrft\, g]kfnsf] cGtl/d ;+ljwfg @)^# n] k|To]s gful/ssf] lgMz'Ns cTofjZos
:jf:Yo ;]jf kfpg] sfg"gL clwsf/ /x]sf] Jof]x/f pNn]v u/]sf] 5 . :jf:Yo dGqfnon] cf=j=@)^#÷^$ af6
;Dk'0f{ k|fylds :jf:Yo s]Gb|x¿df ;a} nlIft ;d'xsf] nflu lgMz'Ns :jf:Yo ;]jf / ! d+l;/ @)^%af6 ;a}
hgtfsf] nflu lgMz'Ns :jf:Yo ;]jf nfu' uof]{ . To;} u/L @)^$ df3 ! ut]af6 ;a} :jf:Yo rf}sLx¿df klg
lgMz'Ns :jf:Yo ;]jf nfu' eof] .
p2]Zo:
!= ;a} gful/sx¿sf nflu cfwf/e"t :jf:Yosf] clwsf/sf] ;'lglZrttf ug]{ .
@= ljz]if u/]/ j+lrtLdf /x]sf ,u/La,dlxnf,ckfÍ tyf Ho]i7 gful/sx¿sf nflu :jf:Yo ;]jfsf] kx'Fr tyf
pkef]u clej[l4 ug]{ .
#= ;a} gful/sx¿nfO{ :jf:Yo ;]jf pknAw u/fP/ d[To' tyf ?U0ftf b/nfO{ 36fpg] .
$= hgtfsf] :j:Yos/ hLjgsf] bfloTj /fHon] lnPsf] ;'lglZrttf ug]{ .
%= hg:jf:Yo ;DaLGw ljleGg sfo{qmd tyf lqmofsnfk ;+rfng ug{ pko'Qm cj;/ k|bfg ug]{ .
^= k|efjsf/L 9+un] U'0f:t/Lo cTofjZos :jf:Yo ;]jf k|bfg ug]{ .
nlIft ;d"x :
In Health Post :
;a} la/fdL hgtfnfO{ cf]=kL=l8=;]jfdf #% k|sf/sf cTofjZos cf}iflwx¿ lgz'Ns tyf btf{ z'Ns klg lgMz'Ns
k|bfg eO{/x]sf] 5 .
In PHCC and Hospital –
:jf:Yo dGqfno,k"ghf{u/0f dxfzfvfn] hf/L u/]sf] cTofjZos lgz'Ns :jf:Yo ;]jf lgb]{lzsf adf]lhd lgDg
JolQmx¿ nlIft ;d"xleq kb{5g\ .
!= clt u/La
@= u/La
#= ckfÍ
$= Ho]i7 gful/s
%= dlxnf :jf:Yo :jo+ ;]ljsfO{d/h]G;L tyf cGt/+u :jf:Yo ;]jfdf pk/f]Qm nlIft ;d'x dfq} lgz'Ns ;]jf
kfpF5g\ .
lgDg ad]lhdsf ;]jf lgz'Ns x'g]5g\ .
!= btf{ z'Ns @= cf}iflw #= k|of]uzfnf k/LIf0f $= PS; /]
98
Disease % Disease %
1.Eye Problem 20.80% 6.Pyrexia for Unknown Origin 8.31%
2.Skin Disease 19.92% 7.Cataract 6.07%
3.Other disease & Injuries 19.25% 8.Intestinal Worms 5.88%
4.Water & Food borne disease 17.91% 9.Refractive Error 5.10%
5.Other infected disease 8.82% 10.Scabies 4.93%
Underweig
36
ht Children 107 1040 249 12 5 1779
6
(<2 Year)
Institutiona 38
324 541 217 96 26 1586
l Delivery 2
Abortion
96 96 495 210 28 8 933
Cases
Outpatient 35
20947 112605 39873 11900 5644 226052
Cases 083
Inpatient 44
470 2264 882 835 790 5541
Cases 8
New HIV+
0 0 0 0 0 0 00 0 0 0 0 0 0 0
Cases
New
Leprosy 20 6 42 5 1 2 76
Cases
New TB
91 58 168 38 6 1 362
Cases
Gender
Based 1 5 1 0 7
Violence
Annexes
Annex 1: Activities Carried Out
in Fiscal Year 2073/074 by Programmes
jh]6 pk lzif{s g+=#&)*)$ Plss[t afn :jf:Yo tyf kf]if0f sfo{s|d
cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
O kl ef}lt vr{
vr{ s}lkmo
s|=; lqmofsnfk sf n / s /sd
ef/ ah]6 ef/ k|ltz t
O{ Io df k|ult ?=
t
0f Ü xhf/df
1 2 3 4 5 6 7 8 9 10 11 12
afx\o vf]k s]Gb|sf] ejg ej
1 lgdf{0f :jf:Yo of]hgf g
10 7=79 21 10 7=79 0 0 0
@=@ jh]6 pk lzif{s g+= #&)*)$ Plss[t lhNnf :jf:Yo -k|hgg :jf:Yo tyf dlxnf :jf:Yo_
sfo{qmd
cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
ef}lt vr{
s|=; lqmofsnfk OsfO{ ef}lt s vr{ s}lkmot
n /sd
ef/ ah]6 s ef/ k|ult k|ltz
Io ?=xhf/
k|ult t
Ü df
1 2 3 4 5 6 7 8 9 10 11 12
kf7]3/sf] d'vsf]
29511
1 SofG;/sf] hfFrsf] uf]6f 5 0=15 50 5 0=15 100 50 100
GON
nflu VIA Set v/Lb
Silicon Ring 12 0=11 29511
2 Pessary v/Lb
uf]6f 36 100 0=11 100 36 100
GON
0 1
b'u{d tyf kxf8L
lhNnfx¿df jf8{ 0=4 29511
3 uf]6f 30 150 0 0=00 0 0 0
:t/sf] nflu :«6]r/ 5 Unicef
v/Lb
104
alyÍ ;]G6/x¿sf
nflu :jf:Yo pks/0f
v/Lb (IUCD 120 29511
4 uf]6f 8 3=64 0 0=00 0 0 0
SET;d]t) 0 Unicef
(Including KMC
Corner)
zx/L :jf:Yo ;+:yfdf
29511
5 kl/jf/ lgof]hg ;]jf uf]6f 1 0=3 100 1 0=00 100 100 100
DFID
lj:tf/
SBA x¿sf] ;Lk
22522
6 ;+/If0fsf] nflu c:yfoL k6s 5 0=38 125 0 0=00 0 0 0
unicef
:yfgfGt/0f
lhNnf :t/df CCE 22522
7 k6s 1 2=27 750 0 0=00 0 0 0
;fO{6 5gf}6 sfo{s|d unicef
CCE ;fO{6x¿sf] 22522
8 k6s 2 0=73 240 0 0=00 0 0 0
;]G6/x¿sf] dd{t÷ef8f unicef
/]km/ ug]{ tyf /]km/
22522
9 lng] :jf:Yo ;+:yf aLr k6s 1 0=91 300 0 0=00 0 0 0
unicef
;dGjofTds a}7s
lhNnf tyf jf8{x¿df
22522
10 cfsl:ds¿kdf /]km/n k6s 1 1=36 450 0 0=00 0 0 0
unicef
km08
:6fkmg;{ tyf
22522
11 cgdLx¿nfO{ Clinical k6s 1 1=06 350 0 0=00 0 0 0
unicef
Update
;d'bfodf Pregnant
Women Group,
Health Mothers 22522
12 Group etc to create
k6s 1 1=51 500 0 0=00 0 0 0
unicef
awareness ;DalGw
sfo{s|d
;'/lIft dft[Tj tyf
22522
13 gjhft lzz' ;Ktfx k6s 1 0=3 100 0 0=00 0 0 0
unicef
dgfpg]
14
:jf:YosdL{x¿nfO{ k6s 1 1=06 350 0 0=00 0 0 0
22522
cGt/ lhNnf e|d0f unicef
lhNnf :tl/o EOC k6s 22522
15 1 0=91 300 0 0=00 0 0 0
Monitoring Review unicef
16
sfo{s|dsf] cg'udg k6s 1 0=61 200 0 0=00 0 0 0
22522
unicef
Mobilization of
existing network eg.
Child Clubs,Citizen
forum members,
22522
17 FCHV for social k6s 1 0=61 200 0 0=00 0 0 0
unicef
mobilization and
maternal death
serveillance focus in
DAG VDCs
;+:yfut ;'Ts]/L sd
x'g] lhNnfx¿df PPH
100 22522
18 /f]syfdsf nflu dft[ k6s 1 3=03 0 0=00 0 0 0
unicef
0
;'/Iff rSsL sfo{s|dsf]
k|lzIfs k|lzIf0f
CCE ;fO{6x¿sf] IP
22522
19 sf ;'wf/sf nflu k6s 5 0=76 250 0 0=00 0 0 0
unicef
sf]lrÍ
105
d=:jf=;]=x¿nfO{
0=4 22522
38 bL3{sflng ;]jfsf] nflu k6s 15 150 15 0=45 100 150 100
GON
5
;Ddfghgs labfO{
lhNnfx¿df AFS
200 22522
39 ;]G6/x¿sf] ;]jf hgf 10 6=06 0 0=00 0 0 0
Unicef
0
;'b[l9s/0f
lhNnfx¿df AFS 0=4 22522
40 ;]G6/x¿sf] ;]jf hgf 5 150 0 0=00 0 0 0
Unicef
5
lg/Gt/tf
s'n hDdf 3303 65=0 49=9 21479= 65=0
100
5 2 5 5 2
lhNnfel/sf] la/fdLx¿sf]
JolQmut k6 115 22522
10 1=22 28 71 0 6=16 0 0
ljj/0fO{=l6=la=/lhi6/df s 1 GON
cBfjlws ug cfjZos vr{
pkrf/ cjlwsf] z'? / cGtdf
Sof6f]u/L 6' cGt/ut pkrf/
lnO{/x]sf,pkrf/sf] @–#
dlxgfdf vsf/ kf]h]l6e ePsf
;a} la/fdL Pj+ l8=cf/=la/fdLsf]
22522
3/kl/jf/sf ;b:ox¿sf] lhg–
11 hgf 90 13=3 306 90 13=3 100 306 100 GFMA
PS;k6{ dl;gdf vsf/ k/LIf0f T
ug{ dlxnf :jo+;]ljsf÷cfdf
;d"x÷lgsf] ePsf Ifo/f]u
la/fdLx¿sf] kl/rfng u/L
l8=cf/=la/fdL ktf nufO{
pkrf/df Nofpg]
dlxnf :jo+;]ljsf÷cfdf
;d"x÷lgsf] ePsf Ifo/f]u 22522
27=7
12 la/fdL÷sfof{no ;xfosx¿sf] hgf 18 0=78 18 5 0 0 0 GFMA
7 T
kl/rfng u/L k|fO{d/L l8kmN6/
la/fdLx¿nfO{ pkrf/df Nofpg]
t/fO{ lhNnfsf xf8{ 6' l/r -
22522
b'u{d_If]qdf dfO{qmf]:sf]kL SofDk 12=2
13 hgf 3 12=26 282 3 100 282 100 GFMA
u/L Ifo/f]usf la/fdL ktf 6 T
nufpg]
;a} kL=aL=;L=la/fdLsf
3/kl/jf/sf ;b:ox¿nfO{
dlxnf :jo+;]ljsf÷cfdf ;d"x
22522
kl/rfng u/L la/f{dLsf] pkrf/ 47
14 hgf 27 621 600 27 100 621 100 GFMA
cjlw tyf jif{sf] @ k6s 8 T
clgjfo{?kdf l:qmlgÍ u/L
Ifo/f]usf la/fdL ktf nufO{
pkrf/df Nofpg]
108
k|fO{d/L l8kmN6/
22522
l6=la=la/fdLnfO{ pkrf/df
15 hgf 5 0=87 20 2 0 40 0 0 GFMA
Nofpg 86\; ;]G6/ aLr /]km/n T
d]sflgHd ;'b9 ug]{
:jf:Yo ;+:yfdf /}lk8 6]i6
sL6af6 Pr=cfO{=eL=kf]h]l6e
ktf nfu]sf]
la/fdLsf]Pr=l6=l;=;]G6/df 22522
16 sGkm/d]6/L 6]i6sf nflu hgf 26 3=39 78 26 0 100 0 0 GFMA
Ifo/f]usf la/fdLx¿nfO{ T
oftfoft vr{ / :jf:Yo ;+:yfdf
/|oflk8 6]i6sf nflu k|f]T;fxg
vr{
lhNnfaf6 pkrf/ s]Gb|-
k6 22611
17 l8=cf/=;lxt_x¿sf] ;kf]{l6e 20 4=52 104 20 4=52 100 104 100
s GON
;'k/lehg
k'gMpkrf/ Sof6f]u/Ldf ePsf
;a} kL=la=;L= la/fdLx/nfO{ 14=7 13=9 26412
18 hgf 85 339 80 94 320 94
dfl;s ?=%)) sf b/n] pkrf/ 4 1 GON
cjlwe/ kf]if0f vr{
230 90=1 81=5 90=1
s'n hDdf 100 2074
0 7 5 7
109
88=3
s'n hDdf 100 1037 91=67 916=5 88=37
7
hDdf 98
jh]6 pk lzif{s g+= #&)!!$ -rfn' vr{ _ Pr=cfO{=le=P8\; tyf of}g/f]u lgoGq0f sfo{qmd
cf=j=)&# / )&$ sf] jflif{s k|ult -cg';"lr= @_
/sd ?= xhf/df
O jflif{s nIo jflif{s ef}lts k|ult o; cjlwsf] vr{
s|= sf kl/d ah] kl/df
; lqmofsnfk O{ f0f ef/ 6 0f ef/ k|ltzt vr{ k|ltzt s}lkmot
1 2 3 4 5 6 7 8 9 10 11 12
k
22522
d]l8of sDk]g jg :6Ludf ^
UNICEF
1 P08 l8:qmLldg]zg s 3 8=33 20 0 0 0 0 0 (12)
112
lhNnf :tl/o k
22522
Pr=cfO{=eL=sfo{s|dsf] ^ GFMAT
3 nflu ;+rf/ vr{ -@$^_ s 12 7=5 18 0 0 0 0 0 (11)
lhNnf :tl/o k
22522
Pr=cfO{=eL=sfo{s|dsf] ^ 66=6
GFMAT
4 nflu ;+rfng vr{ -@$&_ s 12 20 48 8 13=33 6 32 66=66 (11)
k
22522
lhNnf :t/Lo sfo{qmdsf] ^
GFMAT
5 ;ldIff vr{-@)$_ s 1 15=83 38 1 15=83 100 38 100 (11)
Pr=cfO{=eL=sfo{s|dsf] k
;'k/eLhg tyf cg'udg ^
22611
7 -lhNnf :t/_ s 0 20=83 50 0 9=8 100 23=5 47 GON(0)
k
22611
lhNnfdf ;kf]l6{Í ^
GFMAT
8 dlg6l/ª\u -@@)_ s 3 14=17 34 3 0 0 0 0 (11)
hDdf 100 240 51=76 58 124=225 51=76
lhNnf c:ktfn /
lhNnf hg:jf:Yo
dftxtsf ;+:yfx¿nfO{ 59=7 22531
1 k6s 2 49=16 4700 2 29=26 100 2810
tf]lsPsf] 9 GON
cTofjZosLo cf}iflw
v/Lb
lhNnf=c:ktfn,k|f=:jf=
sf=,:jf=
99= 26412
2 rf}}sL OPD Ticket k6s 2 24=06 2300 2 23=72 100 2278
04 GON
5kfO{ / btf{ z'Ns
jfkt cg'bfg
nlIft ;d'xsf nflu 27111
3 k6s 3 0=63 60 3 0=63 100 60 100
k|]if0f sfo{s|d GON
113
zx/L d=:jf=:jo+
21121
4 ;]ljsfsf] nflu kf]zfs hgf 58 3=64 348 58 3=64 100 348 100
GON
eQf
zx/L d]=:jf=:jo+ 22522
5 k6s 2 0=52 50 2 0=52 100 50 100
;]]ljsf lbjz dgfpg] GON
zx/L d]=:jf=:jo+
98= 22522
6 ;]]ljsf c4{ jflif{s k6s 58 0=92 89 58 0=91 100 88
87 GON
;dLIff ug]{
lgz'Ns :jf:Yo
;DaGwL lhNnf :t/Lo 22522
7 k6s 1 0=05 5 0 0=05 0 0 0
cg'udg ;ldltsf] GON
a}7s
zx/L :jf=cg'udg 22522
8 k6s 2 0=1 10 0 0=1 0 0 0
;ldltsf] a}7s GoN
:yfkgf ePsf !@( /
yk x'g] @)) j6f
zx/L :jf:Yo s]Gb|
cg'bfg -e"sDk
k|efljt If]qx¿,;f]af6
80=3 22522
9 k|efljt eO{ a;fO{ k6s 6 21=34 2040 6 17=07 100 1640
9 GoN
;/fO{ u/]sf]
:yfg,cfjZostf /
df+u cg';f/ cGo
:yfgdf u/L hDdf
#@( j6f_
s'n hDdf 99=99 9602 46=7 77=8 4464 46=7
jh]6 pk lzif{s g+=#&)!@& u|fdL0f ;fd'bflos hg:jf:Yo,cfwf/e"t :jf:Yo tyf gd"gf :jf:Yo ufp sfo{s|d
cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
ef}lt ef}lt vr{
s|= s}lkmo
lqmofsnfk OsfO{ n s s /sd
; ef/ ah]6 ef/ vr{ k|ltzt t
Io k|u k|ul ?=xhf
lt tÜ /df
1 2 3 4 5 6 7 8 9 10 11 12
@=& jh]6 pk lzif{s g+=#&)*)$ /fli6«o :jf:Yo tflnd s]Gb| - lhNnf :Tf/ _
cf=j=)&@÷)&# sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
s|= Osf vr{
lqmofsnfk ef}lts vr{ s}lkmot
; O{ nI ef}lts ef /sd
ef/ ah]6 k|u k|ltz
o k|ult / ?=xh
lt Ü t
f/df
1 2 3 4 5 6 7 8 9 10 11 12
80= 22512
2 d=:jf=;]=cfwf/e"t tflnd !* lbg hgf 7 98 0 0 0 0 0
GON
99
1 2 3 4 5 6 7 8 9 10 11 12
lhNnf hg;+Vof
;"rgf s]Gb| 22522
1 k6s 1 15=43 52 1 3=85 100 13 25
cBfjlws GoN
sfo{s|d
Ho]i7 gful/s
22522
2 ;r]tgf ty k6s 1 14=84 50 1 12=24 100 48 96
GoN
;Ddfg sfo{s|d
hg;+Vof tyf
h]];L 22522
3 k6s 2 13=06 44 2 13=06 100 44 100
sfo{s|dx¿sf] GoN
c4{ jflif{s ;ldIff
;]jf k|bfos
-:jf:Yo sdL_
x¿sf nflu 22522
4 k6s 1 13=35 45 1 13=35 100 45 100
n}+lus lx+;f GoN
;DalGw
cled'lvs/0f
cfTdxTof
Go"lgs/0fsf nflu 22522
5 k6s 1 3=86 13 1 3=86 100 13 100
r]tgfd"ns GoN
sfo{s|d
115
ljwfno :t/df
lszf]/lszf]/L 22522
6 k6s 1 39=47 133 1 36=49 100 123 92=48
nlIft ;fyL lzIff GoN
sfo{s|d
1 2 3 4 5 6 7 8 9 10 11 12
22512
2 d=:jf=;]=cfwf/e"t tflnd !* lbg hgf 7 80=99 98 0 0 0 0 0
GON
lhNnf c:ktfn /
k|f=:jf=s]=x¿df
22531
1 l/Ph]G6\; / ls6\; k6s 1 100 125 1 100 100 125 100
GON
vl/b u/L Nofa
;+rfng ug]{
s'n hDdf 100 125 100 100 125 100
116
cf}iflw cf}hf/
pks/0fx¿ tyf cGo k6 22522
1 3 62=5 450 3 62=5 100 450 100
;fdu|L l/KoflsÍ tyf s GoN
9'jfgL ug]{ sfo{
lhNnfdf gofF tyf
cfjZostf cg';f/
k'/fgf sd{rf/Lx¿sf]
nflu cfk"lt{ k6 22522
2 1 14=17 102 1 14=17 100 102 100
Joj:yfkg,k'n l;:6d s GoN
/ Pn=Pd=cfOO=P;=
;DaGwL cled'vLs/0f
ufi7L
afXo ;|f]t dfkm{t j]e
a]; k6 22522
3 1 23=33 168 1 13=61 100 98 58=3
Pn=Pd=cfO{=P;=k|fljlw s GoN
s k/fdz{ ;]jf
jh]6 pk lzif{s g+= #&)*)@ /fli6«o :jf:Yo lzIff , ;'rgf tyf ;+rf/ sfo{s|d
cf=j=)&# / )&$ sf] jflif{s k|ult -cg';"lr=@_
/sd ?= nfvdf
jflif{s nIo jflif{s ef}lts k|ult o; cjlwsf] vr{
s|=; lqmofsnfk OsfO{ kl/df0f ef/ ah]6 kl/df0f ef/ k|ltzt vr{ k|ltzt s}lkmot
1 2 3 4 5 6 7 8 9 10 11 12
;fd'bflos :jf:Yo k|jw{g cleofg
pBdlzntf,/f]huf/Ld"ns÷;zlQm g]kfn
s/0f÷ ;Lk ljsf; tyf Ifdtf
k6s 1 2=08 16 1 2=08 100 16 100
;/sf/
1 clej[l4 tflnd_
g;g]{ /f]u lgoGq0f ;DalGw :yfgLo
:t/df -kqsf/ ;d"x,gful/s
;dfh,ljBfno,Sna,wfld{s :yn
cflb :yfgx¿df_ ;r]tgf g]kfn
sfo{qmdx¿
k6s 6 9=35 72 6 9=35 100 72 100
;/sf/
pBdlzntf,/f]huf/Ld"ns÷;zlQm
s/0f÷ ;Lk ljsf; tyf Ifdtf
2 clej[l4 tflnd_
117