Urban Health Promotion Centre Guideline
Urban Health Promotion Centre Guideline
Urban Health Promotion Centre Guideline
:Jff:Yo dGqfno
:jf:Yo ;]jf ljefu
k|fylds :jf:Yo ;]jf k'g{hfu/0f dxfzfvf
sf7df8f}+, g]kfn
g]kfn ;/sf/
:jf:Yo dGqfno
:jf:Yo ;]jf ljefu
dGtJo
g]kfnsf] ;+lawfgn] cfwf/e"t :jf:Yo ;]jfnfO{ k|To]s gful/ssf] clwsf/sf] ?kdf :Yfflkt u/]sf] 5 . o;sf]
lgMz'Ns pkef]u ug{ kfpg' k|To]s gful/ssf] clwsf/ xf] / :jf:Yo clwsf/ ;xhtfsf ;fy pkef]u ug{ kfpg]
cj:yf l;h{gf ug]{ ;/sf/sf] bfloTj xf] . g]kfn ;/sf/ :jf:Yo dGqfno nufot :jf:Yo ;]jf ljefun] zx/L
;d'bfosf] hg:jf:Yo clea[l4sf nflu lg/Gt/ ?kdf ljleGg sfo{qmdx? ;+rfng ub}{ cfO/x]sf] 5| . lta|
zx/Ls/0fn] ubf{ zx/L If]qdf k[ys Pj+ ljlzi6 vfnsf :jf:Yo ;d:ofx?b]vf k/]sf 5g\ / oL ;d:ofx?sf]
oyf]lrt ;Daf]wg ug' jt{dfg cfjZostf / r'gf}tL b'j} xf] . zx/L If]qdf cfwf/e"t :jf:Yo ;]jfsf]
;'lglZrttfsf nflu :jf:Yo ;]jf ljefun] dxfgu/kflnsf, pk dxfgu/kflnsf / gu/kflnsf cfkm}n]
:yfkgf Pj+ ;+rfng ug]{ u/L zx/L :jf:Yo k|j4{g s]G›sf] cjwf/0ff ljsl;t u/]sf] xf] . ;d'bfosf] Jofks
;xeflutf tyf ;fem]bf/Ldf cfwf/e"t :jf:Yo ;]jf pknAw u/fP/ zx/L afl;Gbfsf] :jf:Yodf clea[l4 ug]{
zx/L :jf:Yo k|j4{g s]G›sf] d'Vo pb]Zo k'/f ug{ o; lgb{]l{zsfn] ;xof]u k'¥ofpg] ck]Iff u/]sf] 5'| .
cGTodf, of] lgb]{lzsf tof/ kfg{ dxTjk"0f{ of]ubfg lbg' x'g] k'g{hfu/0f dxfzfvfsf lgb]{zs >L ef]u]Gb| /fh
8f]6]n nufot ;Da4 sd{rf/L x? Pj+ cGo ;j}nfO{ wGojfb Pj+ cfef/ AoSt ug{ rfxG5' .
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8f= /fh]G› k|;fb kGt
dxflgb]{zs
g]kfn ;/sf/
:jf:Yo dGqfno
:jf:Yo ;]jf ljefu
k|fylds :jf:Yo ;]jf k'ghf{u/0f dxfzfvf
dGtAo
g]kfnsf] ;+lawfg k|bQ df}lns xsnfO{ zx/L If]qdf sfof{Gjog ug{sf] nflu ljut b]lv g} :yflgo gu/kflnsfx?;Fusf]
;fem]bf/Ldf ;a} lhNnfx?df zx/L :Jff:Yo s]Gb|x? :yfkgf Pj+ ;+rfng ul/b} cfPsf]df ;+3Lo ;+/rgfdf /fHo ?kfGt/0f
ePsf] ;Gbe{df oL zx/L s]Gb|x? ;DalGwt dfxf gu/kflnsf, pkdxfgu/kflnsf tyf gu/kflnsfx?df x:tfGt/0f
eO ;~rfng e} /x]sf 5g\ . /fHo k'g{;+/rgf kZrft ePsf] lta| zx/Ls/0fn] ubf{ zx/L If]qdf a;f]af; ug]{
dflg;sf] hLjgz}nLdf e}/x]sf] kl/jt{g, jftfj/0fdf e}/x]sf] c;/ , vfgkfgsf] u'0f:t/df cfPsf] sld, c:j:ys/
/xg;xg, g;g]{ /f]udf a[l4sf] ;fy} hf]lvdo'Qm Jojxf/sf] k|rng a9\b} uPsf] 5| . of] kl/jt{gn] ubf{ zx/L If]qsf
dflg;x?sf] :jf:Yo lgs} hf]lvddf k/]sf] 5 . g]kfn ;/sf/sf] :jf:Yo gLlt d'Vot ufpFdf s]lG›t ePsf] / xfn
;+rfngdf /x]sf zx/L :jf:Yo s]Gbx?af6 ;+:yfut ?kdf ;]jf k|jfxsf] Aoj:Yff ldnfOPtf klg zx/L If]qdf a;f]jf;
ug]{ cfd gfu/Lssf k[ys cfjZostfnfO ;Daf]wg ug{ oL s]Gbx? dfq oy]i6 xf]Ogg eGg] tYo ;d]t nfO cfTd;fy
ub{} k|fylds :jf:Yo ;]jf k'ghf{u/0f dxfzfvfn] dxf/pk gu/kflnsfx?n] cfkm}n] :yfkgf Pj+ ;+rfng ug]{ u/L zx/L
:jf:Yo k|a4{g s]G›sf] cjwf/0ff ljsl;t u/]sf] xf] .
“zx/L :jf:Yo k|a4{g s]G›” sfo{qmd cf=j= @)&#÷&$ af6 sf7df8f}+ dxfgu/kflnsf Pj+ a'9flgns07 gu/kflnsf
af6 z'?jft ePsf] xf] . olx cjwf/0ffnfO{ cem kl/is[t ub}{ zx/L :jf:Yo k|j{wg s]Gb| :yfkgf tyf ;+rfngu ug{
ljutsf cg'ejx?nfO ;d]t ;d]6\b} nflu sf7df8f}F, e/tk'/, nlntk'/ dxfgu/kflnsf, :jf:Yo dGqfno, tyf
:jf:Yo;]jf ljefu / cGo ;/f]sf/ jfnfx? ;Fusf] 5nkmn tyf cGt/ls|of / sfo{zfnf uf]i7L af6 of] lgb]{lzsf tof/
kfl/Psf] xf] . o; cf=j @)&$÷&% df sDtLdf x/]s dxfgu/ tyf pkdxfgu/x?sf] pko'St j8fdf sDtLdf Pp6f
“zx/L :jf:Yo k|a4{g s]G›” :yfkgf ug{] u/L @( j6f “zx/L :jf:Yo k|a4{g s]G›” :yfkgf tyf ;+rfngsf nflu of]
lgb{]lzsfn] dxfgu/kflnsf pk dxfgu/kflnsf Pj+ gu/kflnsfx? Pj+ hg:Jff:Yo sfof{nox?nfO{ ;xof]u k'¥ofpg]
ljZjf; lnPsf] 5' . of] lgb]{lzsf :yflgo ;/sf/sf]nflu Pp6f dfu{ lrq dfq xf], kl/j]z, cg'ej, cfjZostf cg'?k
o;sf] ;do ;fk]If kl/dfh{g ;d]t ul/ sfo{fGjo ug{ ;lsg] 5 .
cGTodf, o; lgb]{lzsfsf] ljsf; tyf kl/dfh{g ug{sf nflu of]ubfg lbg' xg] o; dxfzfvfsf al/i7 hg:jf:Yo
k|zf;s >L ;fu/ bfxfn Pj+ ;Dk"0f{ sd{rf/Lx?, dxfgu/kflnsf, pkdxgfu/klnsf / gu/kflnsfsf k|ltlgwx?,
k|d'v hg:jf:Yo k|zf;s >L dx]Gb| k|;fb >]i7, :jf:Yo dGqfno Pj+ :jf:Yo ;]jf ljefusf kbfwLsf/Lx? Pj+ lj1x?
k|lt xflb{s cfef/ AoSt ug{ rfxG5' . ;fy} o; sfo{df ;xof]u ug]{ ;xof]uL ;+:yfx? GIZ Pj+ HERD International
nfO{ ;d]t wGojfb lbg rfxG5' .
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ef]u]G› /fh 8f]6]n
lgb]{zs
विषयसच
ू ी
#=zx/L :jf:Yo k|j4{g s]Gb|| :yfkgf tyf ;~rfngsf lgb]{zs l;4fGtx? ........1
kl5Nnf bzsx?df ePsf] tLa| zx/Ls/0fn] zx/L If]qdf :jf:Yo ;]jf k'¥ofpg' ;/sf/sf ;fd' 7"nf]
r'gf}lt ePsf] 5 . ljut tLg bzsdf ;/sf/L :jf:Yo gLlt d'VotM ufpF s]lGb|t lyof] hxfF :jf:Yo
sfo{qmdx? / lqmofsnfk lhNnf :jf:Yo sfof{nodfk{mt ;~rflnt x'Gy] . cfwf/e"t :jf:Yo ;]jfdf
kx'Fr clea[l4 ug{ lhNnf :jf:Yo sfof{no tyf gu/kflnsfx?n] ;fem]bf/Ldf zx/L :jf:Yo lSnlgsx?
Vff]n] klg ltgsf] oyf]lrt pkof]u x'g ;s]g .
zx/L If]qsf hgtfsf klg km/s / ljlzi6 vfnsf cfk\mg} vfn] :jf:Yo ;d:of Pj+ cfjZostfx?
5g\ . tLa| zx/Ls/0fn] ;a}vfn] k|b'if0fsf] :t/df a[l4 ePsf] 5 / dflg;sf] hLjgz}nLdf kl/jt{g
cfPsf] 5 . kl/0ffd:j?k dflg;sf vfgkfgdf kf]if0f:t/ v:s]sf] 5, dBkfg / ;"lt{hGo kbfy{
;]jgdf a[l4 ePsf] 5 . c:j:ys/ of}g Jojxf/, a;Lvfg] aflg cflbn] g;g]{ /f]udf a[l4 x'gfsf ;fy}
hf]lvdo'Qm Jojxf/ / c:j:ys/ /xg;xgsf sf/0f x'g] Aoflwx? a9]sf 5g\ . log} s'/fnfO{ Wofgdf
/fv]/ :jf:Yo dGqfnon] dfxf÷pkdxf÷gu/kflnsf cfk}mn] :yfkgf Pj+ ;~rfng ug]{ u/L
zx/L:jf:Yok|j4{g s]Gb|sf] cjwf/0ff ljsl;t u/]sf] xf] .
;d'bfosf] Jofks ;xeflutf tyf ;fe]mbf/L df cfwf/e"t :jf:Yo ;]jf pknAw u/fP/ zx/L
afl;Gbfsf] :jf:Yodf clea[l4 ug'{ zx/L :jf:Yo k|j4{g s]Gb||sf] d'Vo p2]Zo xf] .
1
hg:jf:Yo ;DaGwL ;d:ofsf] klxrfg ug'{ cfjZos 5 . o;f] ubf{ ;DalGwt If]qsf
hgtfsf nflu :jf:Yo ;]jf ;'lglZrt ug{ ;xh x'g]5 .
$_zx/L :jf:Yo k|j4{g s]Gb|n] lgDgfg';f/sf bz k|sf/sf ;]jf pknAw u/fpg]5M
-s_ alx/Ë ;]jf
-v_ dft[ tyf lzz' :jf:Yo ;]jf
-u_ ;?jf /f]usf] /f]syfd tyf pkrf/
-3_ g;g]{ /f]u / :j:y lhjgz}nLut ;]jfx?
-ª_ cfo'j]{b / k/Dk/fut cf}ifwf]krf/
-r_ hg:jf:Yocg'udg tyf lgu/fgL
-5_ :j:y jftfj/0f k|j4{g
-h_ dxfdf/L tyf ljkb Joj:yfkg
-em_ Ho]i7 gful/s:jf:Yo;d:of -h]l/ofl6«s_ / pkrf/ ;]jf
-`_ k|]if0f -/]km/n_ ;]jf
%_zx/L :jf:Yo k|j4{g s]Gb||n] cfk\mgf ;]jfIf]qsf hgtfnfO{ clgjfo{?kdf lgMz'Ns cfwf/e"t
;]jf tyf cfjZoQmfg';f/ pRr:t/Lo ;]jf pknAw u/fpg]5 .zx/L :jf:Yo k|j4{g
s]Gb||n] :jf:Yo dGqfnon] lgwf{/0f u/]sf] cfwf/e"t :jf:Yo ;]jfnfO{ cg'z/0f ub}{ o;
lgb]{lzsfdf lglb{i6 ;]jf k|jfx Kofs]h ;dfj]z 5 h;nfO{ zx/L :jf:Yo k|j4{g s]Gb||n]
cfk\mgf ;]jfIf]qsf hgtfsf] :jf:Yo cfjZostf cg'?k ckgfpg ;Sg]5 .
^_ljBdfg :jf:Yo rf}sL, k|fylds :jf:Yo s]Gb|, zx/L :jf:Yo s]Gb|nfO{ :t/f]GgtL ul/ klg
zx/L :jf:Yo k|j4{g s]Gb| :yfkgf Pj+ ;+rfng ul/g]5 / gePsf] :yfgdf qmdz gFof
vf]Nb} nlug]5 . .
&_ zx/L :jf:Yo k|j4{g s]Gb|df ;]jfu|fxL d}qL cfr/0f tyf ;]jf ;do lgwf{/0f ug'{ kb{5
.cGo lghL tyf ;fj{hlgs ;]jf k|bfos;+usf] ;fem]bf/Ldf alx/+u ;]jf ;donfO{ a9fpg
;lsg]5 .
$= e"ldsf / lhDd]jf/L
2
:jf:Yo ;]jf k|bfg ug'{ tyf cfp6l/r -3/b}nf]_ ;]jfx? ;lxtsf b}lgs :jf:Yo
lqmofsnfksf] Joj:yfkg ug'{ . ;]jf If]qsf hgtfnfO{ cfwf/e"t :jf:Yo ;]jf lgMz'Ns
k|bfg ug'{ .
Aflif{s sfo{of]hgf agfO zx/L :jf:Yo k|j4{g s]Gb| Joj:yfkg ;ldlt tyf gu/kflnsf;+u
;dGjog u/L To;nfO{ sfof{Gjog ug'{ .
;]jf If]qsf] hg;f+lVos cj:yfsf] n]vfhf]vf /fVg' tyf ;f] If]qsf] hg:jf:Yosf] ;d:ofnfO{
gS;fÍg ug'{ . o;nfO aflif{s?kdf cBfjlws ug'{ .
3/w'/L :jf:Yo ljj/0fk':tLsf ] tof/ ug'{ tyf To;nfO{ aflif{s?kdf cBfjlws ug'{ .
hg:jf:Yo ;DaGwL tYofÍ clen]vLs/0f ug'{ tyf :jf:Yo ;"rgf k4lt cBfjlws /fVg' .
lgoldt ?kdf lglb{i6 9fFrfdf dflyNnf] lgsfodf k|ltj]bg k]z ug'{ .
:jf:Yo ;]jfdf ;dGjo / ;"rgf Joj:yfkg ug{sf nflu :jf:Yodf ;"rgf k|ljlw÷df]afOn
cflbsf] pkof]u ug'{ .
s]Gb|sf] ;du| ;/;kmfO{ ;'ljwf nufotdf ;]jfu|fxL d}qL jtfj/0f agfpg] tyf To;nfO{
lg/Gt/tf lbg' .
s]Gb|af6 k|bfg ul/g] ;]jfsf] ljj/0f k|sflzt tyf gfu/Ls j8fkq dfkm{t k|blz{t ug'{ .
3/b}nf] -cfp6l/r_ tyf k/fdz{ ;]jfsf nflu :jf:Yo sfo{stf{ / :jo+;]jsx?nfO{
tflnd÷cled'vs/0f lbg] Pj+ kl/rfng ug{' .
;fe]mbf/ tyf ;/f]sf/jfnf;+u ;dGjo tyf ;xsfo{ ug'{ .
;Dkflbt sfo{qmdsf] aflif{s ;dLIff ug'{ tyf efjL of]hgf tof/ kfg'{.
k|zf;sLo tyf laQLo Joj:yfkg ug'{ .
;d'bfo;Fu ldn]/ ljleGg vfnsf :jf:Yo ;DalGw lqmofsnfk ;+rfng ug]{ .
3
;fe]mbf/L ljsf; tyf clea[l4 ug]{ .
cf}iflw tyf ;/;fdfgsf] e08f/ -df}Hbft cflb_cg'udg ug]{ Pjd\ cfk"lt{sf nflu
gu/kflnsf ;+u ;dGjo ug]{ .
k|sf]k Joj:yfkg k"j{ tof/Lsf nflu cf}iflwsf] hu]8f e08f/ ;'lglZrt ug]{ .
cfjZos pks/0fsf] ;';~rfng tyf oyf;do dd{t ;Def/ ;'lglZrt ug]{ .
ef}lts ;'ljwfsf] pknAwtf ÷ko{fKttf Pj+ dd{t ;Def/ ;'lglZrt ug]{ .
zx/L :jf:Yo k|j4{g s]Gb|df;]jfu|fxL d}qL Jojxf/ ;'lglZrt ug]{ tyf s]Gb|sf] :jf:Yo
;/;kmfOdf Wofg lbg .
;d'bfonfO{ zx/L :jf:Yo k|j4{g s]Gb|| / s]Gb|af6 k|bfg ul/g] ;]jf af/] ;';'lrt ug]{ .
u'gf;f] ;'Gg] tyf To;sf] Joj:yfkg ;'lglZrt ug]{ .
zx/L :jf:Yo k|j4{g s]Gb|sf] k|j4{gsf nflu gu/kflnsf;+u ;dGjo tyf k}/jL ug]{ .
j8f:t/sf] ;fdflhs tyf k"jf{wf/ ljsf; kxndf ;lqmotfk"j{s ;xefuL x'g] tyf ljsf;
ultljlwaf6:jf:Yo If]qdf k/]sf k|efjnfO{ ;a}sf] hfgsf/Ldf Nofpg] .
k|fKt :jf:Yo ;"rgfdf cfwfl/t /x]/ aflif{s sfo{of]hgf th'{df sfo{nfO{ ;'lglZrt ug]{ .
l/km/ jf k]|if0f ul/Psf ;]jfu|fxLx?sf] ;xhtfsf nflu gu/kflnsf tyf cGo ;fj{hlgs
tyf lghL :jf:Yo ;+:yf;+u ;dGjo ug]{ .
gu/kflnsf;+usf] ;xsfo{df Ifdtf clea[l4 of]hgf th'{df tyf sfof{Gjog ug]{ .
zx/L :jf:Yo k|j4{g s]Gb|df sfo{/t :jf:YosdL{nfO{ k|f]T;flxt tyf k'/:s[t ug{
:yfgLo:t/df pk'Qm ;+oGq tof/ ug]{ .
zx/L :jf:Yo k|j4{g s]Gb|sf :jf:YosdL{sf rf;f] / d'2fdfly 5nkmn ug{ cfjlws?kdf
a}7s
/fVg] .
s'g} k|sf/sf ljjfb tyf åGå l;h{gf eP gu/kflnsf;+usf] ;dGjodf ;dfwfg vf]Hg] .
#=dxf÷pkdxf÷gu/kflnsf
zx/L :jf:Yo k|j4{g s]Gb|sf] :yfkgf / ;';~rfngdf ;du| cu'jfO ug]{ .
zx/L :jf:Yo k|j4{g s]Gb|| ;';~rfngsf nflu gLltut Aoj:yf tyf cfGtl/s ;+oGq agfpg]
.
zx/L :jf:Yo k|j4{g s]Gb|sf] ef}lts k"jf{wf/ ljsf; tyf s]Gb|nfO{ k|efjsf/L ;~rfngsf
nflu ;';lHht -:jf:YosdL{, pks/0f, cf}iflw tyf ;/;fdfg_ ug]{ sfo{df ;dGjo ug]{ .
4
zx/L :jf:Yo k|j4{g s]Gb| Joj:yfkg ;ldltsf] ;+u7g tyf dfGotf kl/eflift ug]{ tyf
k|To]s zx/L :jf:Yo k|j4{g s]Gb|df o:tf] ;ldlt agfpg] .
zx/L :jf:Yo k|j4{g s]Gb||sf] ;';~rfngsf nflu cfjZos ;|f]tsf] Joj:yf ldnfpg] .
zx/L :jf:Yo k|j4{g s]Gb|sf] Ifdtf clea[l4 ug{cfjZos ;|f]t pknAw u/fpg] .
zx/L :jf:Yo k|j4{g s]Gb|sf]] aflif{s sfo{of]hgfth'{df / sfof{Gjogdf ;xof]u ug]{ ]{ .
zx/L :jf:Yo k|j4{g s]Gb|sf] sfo{s'zntfsf] k'g/fjnf]sg ug'{ .
cf}iflw, ;/;fdfg / cTofjZos pks/0fsf]] pknAwtf ;'lglZrt ug{ sfo{d"ns cfk"lt{
;+oGq (Supply Chain) lgdf{0f tyf sfof{Gjog ug'{ .
k|]if0f k4lt k|j4{g ug{ tyf zx/L :jf:Yo k|j4{g s]Gb||sf] ;]jf k|jfx ultljlwnfO{ ;xof]u
ug{ ;fj{hlgs tyf lghL c:ktfn tyf:jf:Yo ;+:yf;+u ;Dks{÷;dGjo sfod /fVg' .
zx/L :jf:Yo k|j4{g s]Gb||sf] ;jnLs/0fsf nflu k|fb]lzs tyf ;+3Lo :jf:Yolgsfo;+u
;dGjo ug'{ .
zx/L :jf:Yo k|j4{g s]Gb||k|ltsf] hgtfsf] a'emfOnfO{ cfjlws k'g/fjnf]sg ug'{ tyf
;]jfIf]qsf hgtfk|lt s]Gb|sf] hjfkmb]lxtf ;'lglZrt ug'{ .
$=:jf:Yo dGqfno / dftxtsf lgsfox? k|fylds :jf:Yo ;]jf k'gh{fu/0f dxfzfvf tyf lhNnf
hg÷:jf:Yo sfof{nox?
zx/L :jf:Yo k|j4{g s]Gb|sf] :yfkgf, ;~rfng tyf ;]jf Kofs]h tof/ ug]{ nufotsf
;Da4{g / ;jnLs/0f sfo{sf nflu s]Gb| tyf gu/kflnsfnfO{ k|fljlws ;xof]u k'¥ofpg'.
zx/L :jf:Yo k|j4{g s]Gb| /fli6«o gLlt / /0fgLlt cg'?k ;~rflnt ePsf] ;'lglZrt ug'{
.
zx/L :jf:Yo k|j4{g s]Gb| / ltgsf sfdsf/jfxL tyf ;]jf k|jfx /fli6«o :jf:Yo k4ltcg'?k
/x]sf] ;'lglZrt ug'{ . o; cGt/ut /fli6«o k|f]6f]sn, lgb]{lzsf, u'0f:t/ k|Tofe"lt, lSnlgsn
k|f]6f]sn, :jf:Yo ;"rgf dfkb08, ljQLo k|ltj]bg dfGotf, k|]if0f lgb]{lzsf cflbsf] zx/L
:jf:Yo k|j4{g s]Gb||af6 cg'z/0f ;'lglZrt ug'{ ;d]t kb{5 .
cfwf/e"t :jf:Yo ;]jfsf] ljj/0f zx/L :jf:Yo k|j4{g s]Gb|nfO{ pknAw u/fO{ To;sf]
cg'z/0fsf] ;'lglZrttf ug'{ .
dxf÷pkdxf÷gu/kflnsf;+usf] ;dGjodf zx/L :jf:Yo k|j4{g s]Gb|sf] Ifdtf clea[l4df
;xof]u ug'{ .
5
zx/L :jf:Yo k|j4{g s]Gb|nfO{ ;xof]u / ;jnLs/0f ug{sf nflu /fli6«o tyf cGt/f{li6«o
;fe]mbf/;+u ;dGjo ug'{ .
zx/L :jf:Yo k|j4{g s]Gb|n] zx/L afl;Gbfsf] :jf:Yodf kf/]sf] k|efjsf] cfjlws d"NofÍg
-cg';Gwfg tyf cWoog_ ug'{ tyf To;sf] k|j4{g sf nflu ;'emfj lbg'.
6
%= zx/L :jf:Yo k|jw{g s]Gb|n] k|bfg ug{] ;]jf 36sx?
zx/L :jf:Yo k|j{wg s]Gb|n] d'VoM ?kdf b]xfo adf]lhd bz k|sf/sf ;]jf 36sx? cGt/ut ljleGg
:jf:Yo ;]jfx? k|bfg ug{]5 .
;?jf /f]ux?
dxfdf/L lgoGq0f
tyf ljkb
Joj:yfkg zx/L
:jf:Yo hg:jf:Yo lg/LIf0f
k|j4{g s]Gb| tyf ;'k/Lj]If0f
jlx/+u ;]jf
-cfwf/e"t tyf
pRr:t/_
k|]if0f ;]jf
Ho]i7 gful/s
:jf:Yo
;d:ofsf nflu
:jf:Yo ;]jf :j:y jftfj/0f
k|j4{g
7
^=zx/L :jf:Yo k|j4{g s]Gb|sf] ;]jf Kofs]h
:jf:Yo dGqfnon] tf]s] cg'?ksf cfwf/e"t :jf:Yo ;]jf ;a} gful/snfO lgMz'Ns k|bfg ug'{ zx/L :jf:Yo k|j4{g s]Gb|sf nflu clgjfo{ 5, cGo ;]jfsf ;DaGwdf of]
tflnsfn] k|To]s ls;Ldsf ;]jf 36sx? cGt/ut lbOg] ;]jf, cfk"lt{, ;+/rgf Pj+ k|s[ofsf] lj:t[tLs/0f u/]sf] 5 . ;]jf If]qsf hgtfsf] :jf:Yo cfjZoQmf cg'?k tL
;]jfnfO{ kl/dflh{t ug{ ;lsg] 5 .
9
%=8f6fa];–PrPdcfOP;
^= 8\of;af]8{sf] pkof]u
&= df]afOn PK;
#. dft[ tyf lzz' PsLs[t gjhft lzz' tyf k|f]6f]sn÷lgb]{lzsf !.lglb{i6 lhDd]jf/L ;+:yfut ?kdf lbOg] s]Gb|Lo txdf :jf:Yo
:jf:Yo ;]jf afNofj:yfsf] ;"rgf, /f]syfd, pkrf/ cg'?k gjhft lzz' ;lxtsf] ;]jf dGqfno, k|fylds
tyf Joj:yfkg . tyf afn /f]usf sfo{s'zn÷bIf6f]nLsf] cfp6l/r÷3'lDt :jf:Yo k'ghf{u/0f
IMNCI -;d'bfodf cfwfl/t nflu cfjZos Joj:yf lSnlgs dxfzfvf, k|fb]lzs
Plss[t jfn /f]u Aoj:yfkg_ cf}iflw @.b]lvg]u/L /flvPsf] ;]jf tyf SofDkx? :jf:Yo ;+:yf
hl6n:jf:k|Zjf; ;DaGwL ;+qmd0f EoflS;g, sf]N8 r]g k|bfossf] gfd c+lst :jf:Yo k|j{wg Pj+ kbflwsf/L,
lgdf]lgofF aS;÷lk|mh/sf] 8\o'6L {tflnsf ;lxtsf] /f]syfd cleofgx? gu/kflnsf txdf
emf8fkvfnf cfjZos cfk"lt{ , ljBfno tyf cGo – gu/kflnsf
cfjZos cfO/g, #= ;DalGwt k|f]6f]sn lgsfox?;+u ;dGjo k|ltlglw,
cfO/g, le6fldg P, cfof]g"g, SoflN;od, kmf]lns tyf – zx/L:jf:Yok|j4{g
SoflN;od / kmf]lns Pl;8sf] Pl;8, le6fldg P, lgb]{lzsfx?cg'?ksf] s]Gb| k|ltlglw
k|of]unfO{ k|j4{g ug]{ . cNa]08fhf]n tyf ;]jf k|jfx – lhNnf hg:jf:Yo
u|f]y dlg6l/ª, ;"rgf, lzIff tyf u|f]y dlg6l/ª rf6{ $= 8f6fa]; Pj+ :jf:Yo k|ltlglw
k'g:yfkgf ASRH tool kits Aoj:yfkgf ;'rgf – cGo ;/f]sf/jfnf
vf]k;DaGwL ;qx? lgoldt ;~rfng k|0ffnL cg'?ksf
ug]{ Aoj:yf
lszf]/lszf]/L tyf k|hgg :jf:Yo %= 8\of;af]8{ pkof]u
^= df]afOn PlKns]zg
10
:jf:Yo k|j4{g–;"rgf tyf &= lszf]/ lszf]/L d}qL
;r]tgf ;'/lIft dft[Tj– ue{hfFr, z}nL cjnDjg
k|;'tL tyf pQ/ k|;'tL ;]jf tyf
;'/IfLt u{ektg ;]jf
Kl/jf/ lgof]hg
%=alx/+u ;]jf ;fwf/0f :jf:Yo k/LIf0f tyf cfjZos cf}iflw tyf !. lglb{i6 lhDd]jf/L Ps} 7fpFaf6 lbOg] s]Gb|Lo txdf :jf:Yo
pkrf/ cf}hf/sf] cfk"lt{ ;lxtsf] sfo{s'zn ;]jf, dGqfno, k|fylds
k|fylds pkrf/ tyf ;fdfGo k|fylds pkrf/ ;d"xsf] Joj:yf cfp6l/r -3/b}nf_] :jf:Yo k'ghf{u/0f
rf]6k6s Joj:yfkg ls6sf] cfk"lt{ @.b]lvg]u/L /flvPsf] ;]jf lSnlgs dxfzfvf, k|fb]lzs
k/fdz{ cGo d]l8sn cfk"lt{ k|bfossf] gfd 3'lDt lSnlgs tyf :jf:Yo lgsfo
;lxtsf] 8\o'6L tflnsf kbflwsf/L,
kmnf]ck ;]jf -cg';"rL cg'?k_ SofDkx?
8f6fa]; PrPdcfOP; – gu/kflnsf txdf
k|]if0f ;]jf lk\mnkrf6{, k/fdz{
#. df]afOn PlKns]zg – gu/kflnsf
;fdu|L tyf cGo
;"rgf lzIff tyf k|ltlglw,zx/L
11
– lhNnf hg:jf:Yo
k|ltlglw
– cGo ;/f]sf/jfnf
^=a[4fj:yf lgoldt :jf:Yo k/LIf0f cfjZos cf}iflw tyf !. lglb{i6 lhDd]jf/L ;+:yfut?kdf ;]jf s]Gb|Lo txdf :jf:Yo
:jf:Yo ;]jf pkrf/ tyf kmnf]ck cf}hf/sf] cfk"lt{ ;lxtsf] sfo{s'zn k|jfx dGqfno, k|fylds
zf/Ll/s lqmofsnfk, of]u tyf Wofg a[4fj:yf :ofxf/ ;d"xsf] Joj:yf hfFr cleofg :jf:Yo k'ghf{u/0f
u[xsf nflu dgf]/~hg @. b]lvg]u/L /flvPsf] 3'lDt ;]jf dxfzfvf, k|fb]lzs
k/fdz{ -dgf];fdflhs_
tyf v]n ;fdu|Lsf] gfd c+lst b}lgs :jf:Yo ;+:yf
;fdflhs tyf cfWoflTds :jf:Yo ljdf
cfk"lt{ . sfo{tflnsf ;lxtsf] kbflwsf/L,
lqmofsnfk sfo{d"ns k|]if0f
8\o'6L /f]:6/ 8f6fa]; gu/kflnsf txdf
k|]if0f a[4f>d, wfld{s ;d"x,
PrPdcfOP;, – gu/kflnsf
:yfgLo Sna lkm6g];
OPdcf/_ k|ltlglw,
;]G6/ cflb;u+
#.8\of;af]8{ pkof]u – zx/L :jf:Yo
;fdflhs tyf
$. df]afOn PlKns]zg k|j4{g s]Gb|
cfWoflTds
;a} ;]jfu|fxLsf] k|ltlglw
lqmofsnfksf nflu
prfO{, tf}n, – lhNnf hg:jf:Yo
;dGjo
laPdcfO, d'6' hfFr– k|ltlglw
An8;'u/, sf]n]:6f]/f]n – cGo ;/f]sf/jfnf
hfFr ul/Psf]
12
&= :jf:Yo :yfgLo Sna, pkef]Qmf ;d"x, 6f]n IEC/BCC ;fdu|L !. lglb{i6 lhDd]jf/L Go'gtd dfkb08 s]Gb|Lo txdf :jf:Yo
jftfj/0f k|j4{g ;'wf/ ;ldlt cflb;+usf] ;dGjodf kfgLsf] u'0f:t/ hfFRg ;lxtsf] lqmofzLn lgw{f/0f ug]{ dGqfno, k|fylds
:jf:Yo tyf ;/;kmfO k|j4{g 6]:6 ls6 ;d"xsf] Joj:yfkg ljleGg lgsfox? :jf:Yo k'ghf{u/0f
lqmofsnfk :jf:YosdL{sf @. dfl;s lqmofsnfk kl/rfng dxfzfvf, k|fb]lzs
:jf:Yo k|j4{g– - IEC /BCC/SBCC nfluPersonal kfqf], ;fem]bf/L :jf:Yo ;+:yf
k]zfut :jf:Yo ;'/Iff Protective ;DalGwt dfkb08 / kbflwsf/L,
;'/Iffsf pkfo ;'glZrt ug]{ Equipments (PPE) lgb]{lzsf cg'?k gu/kflnsf txdf
;]jf k|j]zdf :jf:Yo k/LIf0f – gu/kflnsf
k|ltlglw,
lgoldt :jf:Yo k/LIf0f
– zx/L :jf:Yo
k|]if0f ;+oGq
k|j4{g s]Gb|
hf]lvd / ;'/Iff k|jGwsf af/]df
k|ltlglw
cled'vLs/0f
– lhNnf hg:jf:Yo
;?jf tyf bL3{ /f]u /f]syfdsf]
k|ltlglw
Joj:yf
cGo ;/f]sf/jfnf
kmf]x/ Joj:yfkg
14
dxfdf/L Joj:yfkg dxfdf/L lgoGq0f tyf ;DalGwt Ph]G;L;+u
lgb]{lzsf k|sf]k Joj:yfkg ;d"x ;dGjo
lgdf{0f
dxfdf/L cg';Gwfg Pj+
lgoGq0f
lgoldt clen]vLs/0f
tyf k|ltj]b
!)=k]|if0f ;]jf ;DalGwt :jf:Yo s]Gb|df k|]if0f ug]{ k|]if0f cf}hf/ ljz]if k|]if0f sf8{ PDa'n]G;sf nflu zx/L :jf:Yo k|j4{g
-kmf/fd, km/Dof6, ljz]if ;'ljwf Joj:yf lghL, SCR, PPP s]Gb| Joj:yfkg ;ldlt
/]sl8{ª÷l/kf]l6{ª lgoldt clen]vLs/0f ;+u ;]jf lng] tyf gu/kflnsf
cf}hf/ tyf tyf k|ltj]bg k|]if0f ;DaGw sfod
lgb]{zsf_
b'O[ tkmL{ k|]if0f ;DaGw ug]{
:yfkgf cfslZds ;+k|]if0f
sf]if agfpg]
15
&= hg:jf:Yo s]Gb|sf] ;+u7g tflnsf
d]l8sn clkm;/– !
hg:jf:Yo clws[t– !
वाtfj/0fLo :jf:Yo ahf/ k|zf;g÷;'r lgbfghGo Dfft[ tyf lSnlgs, of]u hLjgk4lt
:jf:Yo gf Joj:yfkg
cg'udg lzz'
Nofa
:6fkm g;{÷klAns x]Ny k|jw{s IT-1 :jf:Yo AA-1
x] c– ! cl;:6]06 !
g;{ g;{– !
LA-1 :6fkm
g;{– !
sfof{no
;xof]uL– !
16
*= lhDd]jf/L 9fFrf
17
cf}ifwL tyf ;/;fdfgsf]]
/fli6«o vl/b tyf cfk"lt{
:6s cg'udg ug'{ tyf :6ssf] cg'udg u/L cf}iflw cf}iflw / ;/;fdfgsf] Vl/b / cfk"lt{
Aoj:yfkg lgb]{lzsf cg';f/ vl/b tyf cfk"lt{
oyf ;do cfk"lt{sf nflu tyf ;fdu|Lsf] k|of]usf] ;"rL pknAw u/fpg' ;fª\nf]df k|fljlws
cf}iflw tyf ;/;fdfg vl/b lgb{]lzsf tof/ ug'{
dfu ug'{ . Dofb u'h|]sf] k|ltj]bg ug'{ ;xof]u pknAw
tyf cfk"lt{ ug'{
Joj:yfkg ug'{ . u/fpg'
u'0f:tl/otf ;'lglZrt ;]jf k|jfxdf u'0f:t/ :jf:Yo ;]jfsf]
u'0f:t/ ;'lglZrt ;+oGqnfO{ u'0f:t/ ;'lglZrttf
;+oGqnfO{ cg'z/0f ug]{ ;'lglzrttfsf] cg'z/0f ug]{ u'0f:t/ ;'lglzrttfdf u'0f:t/ clea[l4df
Jojl:ytu/L To;sf] cg'z/0f ;+oGq tyf lgb]{lzsf
tyf u'0f:t/a[l4sf sfo{ tyf u'0f:t/ clea[l4sf k|fljlws ;xof]u ug]{ k|fljlws ;xof]u
;'lglZrt ug]{ tof/ ug]{
ug]{ sfd ug]{ ug]{
Ifdtf clea[l4 of]hgf
Ifdtf n]vfhf]vf ug]{ tyf sfof{Gjog ug]{ /:t/Lo tflnd tyf
zx/L:jf:Yok|j4{g s]Gb||sf] Tflnd tyf tflnd tyf
Ifdtf clea[l4 of]hgf Joj:yfkgdf ;]jf k|jfx cled'vLs/0f Dofg'cn
Ifdtf clea[l4sf nflu cled'vLs/0f Kofs]h cled'vLs/0f
tof/ u/L To;sf] tyf sfo{qmd sfof{Gjogdf tof/ ug{ k|fljlws
cfjZos ;|f]t Joj:yf ug]{ tof/ kfg]{ sfo{df ;xof]u ug]{
sfof{Gjogdf ;3fpg] ;Ifdtfsf] pkof]u ;xof]u ug]{
;'lglZrt ug]{
hgzlQm Joj:yfkg
hgzlQmsf] Joj:yfkg ug]{ lhDd]jf/L ljj/0f, sfo{bIftfdf cfwfl/t
cfjZos hgzlQm lnO{ /fli6«o gLlt tyf
tyf k'/:sf/ k4lt ljsf; b}glGbg sd{rf/L k|zf;g k'/:sf/ Joj:yf Kofs]h agfpg] h:tf sfo{df
sfddf nufpg] /0fgLlt cg'?k
ug]{ k|fljlws ;xof]u ug]{
ePsf] ;'lglzrt ug]{
18
;fj{hlgs tyf lghL ;]jf
zx/L:jf:Yok|j4{g ljleGg
k|bfos tyf ljljw If]qsf kflnsf Pj+ lhNnfdf /x]sf zx/L:jf:Yok|j4{g
;fj{hlgs tyf lghL :jf:Yo s]Gb||sf nflu k|fljlws ;fe]mbf/af6 k|fKt
cGo ;fe]mbf/ If]q;+u cGo ;]jf k|bfos tyf s]Gb|sf] ;jnLs/0fsf
;]jf k|bfos Pjd\ ljljw ;xof]u sfo{qmd ljsf; k|fljlws ;xof]u
;fe]mbf/L ljsf; ug]{ . ;DefJo ;fe]mbf/sf] nflu cGt/f{li6«o
If]qsf cGo ;fe]mbf/ tyf ug{ /fli6«o tyf sfo{qmd
ljleGg ;fe]mbf/af6 k|fKt gS;fÍg u/L pgLx?;+u ;fe]mbf/;+u ;dGjo
;/f]sfnjfnf;+u ;dGjo ug]{ cGt/f{li6«o ;fe]mbf/ sfof{Gjodf
k|fljlws ;xof]usf] ;xsfo{ ug]{ ug]{
;+u7g;+u ;xsfo{ ug]{ ;xof]u ug]{
k|efjsf/L sfof{Gjog ug]{
cfjlws ?kdf sfo{bIftf Joj:yfkg tyf d"NofÍg
cg'udg tyf
Joj:yfkg tyf d"NofÍg cfjlws sfo{qmdut k'g/fjnf]sg cfof]hgf ug]{ sfo{9fFrf tyf
;'kl/j]If0f sfo{df
sfo{9fFrf cg'?k hg :jf:Yo k'g/fjnf]sg tyf lgoldt tyf :jf:Yo sdL{sf] sfo{s'zntf
k|fljlws ;xof]u
s]Gb|sf] ;du| ;dLIff ug]{ ;'kl/j]If0f ug]{ sfo{s'zntfsf] k'g/fjnf]sg k'g/fjnf]sg lgb]{lzsf
zx/L:jf:Yok|j4{g ug]{
ug]{ tof/ ug{ ;xof]u ug]{
s]Gb| tyf To;sf]
/fli6«o :jf:Yo Joj:yfkg :jf:Yo;+u
glthf /fli6«o k|ltj]bg tyf
;"rgf k4lt;+u hf]l8Psf] tYofÍ tyf ;"rgfsf] ;DalGwt tYofÍsf]
;doj4 clen]vLs/0f tyf :jf:Yo k4lt;+u clen]vLs/0f cf}hf/
:jf:Yo ;"rgf k|0ffnLnfO{ oyf;do k|ltj]bg tyf clen]vLs/0f tyf
k|ltj]bgsf nflu { hf]l8Psf] ;'lglzrt pknAw u/fP/ hg
Jojl:yt ug]{ tyf ;dodf clen]vLs/0f ;'lglZrt k|ltj]bg ug]{
clen]vLs/0f tyf k|ltj]bg ug]{ :jf:Yo s]Gb|sf :jf:Yo
k|ltj]bg k]z ePsf] ug]{ . k|fKt ;"rgfnfO{ sfo{df k|fljlws
cf}hf/nfO{ k|efjsf/L sdL{sf] laB'tLo k|ltj]bg
;'lglZrt ug]{ . of]hgf tyf k|fdfl0fs cfwf/ dfg]/ ;xof]u pknAw
pkof]u ug]{ tyf clen]vLs/0f
sfo{dnfO{ ;"rgfdf cfwfl/t aflif{s of]hgf agfpg] u/fpg] . tYofÍsf]
;lxtsf ;"rgf
agfpgk|>o lbg] u'0f:t/Lotf
19
Joj:yfkg Ifdtf ;'lglZrt ug{
clea[l4df ;xof]u ug]{ k|fljlws ;xof]u
ug]{
zx/L:jf:Yok|j4{g s]Gb||sf]
sfd tyf e"ldsfsf af/]df
hg;d'bfodf ;"rgf k|jfx
ug{ cu|;/tf b]vfpg] .
;d'bfodf ;+rf/ tyf ;"rgf k|jfx ug]{ sfo{df
sfo{s'zntf tyf laQLo :jf:Yo ;]jf k|bfg ubf{ ;'zf;gsf af/]df
k|fljlws ;xof] ug]{ . :sf]/ sf8{, ;fdflhs
zx/L:jf:Yok|j4{g s]Gb||df ;"rgf ;fj{hlgs ?kdf ;]jfu|fxL d}qL ] Jojxf/ /fli6«o sfg'g tyf
k/LIf0f, gful/s j8fkq h:tf :yfgLo txsf
;'zf;g ;'lglZrt ug]{ k|jfx ubf{ /fli6« sfg'g k|bz{g ug]{ tyf ;d'bfok|lt gLltsfaf/]df ;"rgf
nflu pko'Qm hjfkmb]xLtf ;DaGwL cf}hf/
cg'?k ePsf] ;'lglZrt hjfkmb]xL /xg] . k|jfx ug]{
agfpg ;xof]u ug]{
ug]{ . ;]jfu|fxL cg'?k
cfr/0f sfod /fVg] tyf
u'gf;f] Joj:yfkg
;'Jojl:ytug]{
20
(.cg'udg tyf d"NofÍg sfo{9fFrf
21
k|ltkmn @ ;]jf gS;fÍg j8fsf] k|d'v hg:jf:Yo j8f :jf:YokfZj{lrq dxf÷pkdxf÷gu/kflnsfzx/L:jf:Yok|j4{g
lglb{i6 Kofs]h cg';f/sf] ;d:ofsf] klxrfg s]Gb|
u'0f:t/Lo :jf:Yo ;]jfsf] kx'Fr gk'u]sf] If]q
;]jf klxrfg
sfo{If]qsf] hg;+Vof
;'lglZrttf
k|f]6f]sn tyf dfkb08 ;]jfut k|f]6f]sn, dfkb08 k|f]6f]sn, dfkb08 dxf÷pkdxf÷gu/kflnsf,
lgdf{0f tyf pkof]u tyf dfkb08o'Qm sfo{ljlw - tyf dfkb08o'Qm zx/L:jf:Yok|j4{g s]Gb||, lhNnf hg:jf:Yo
SoP_ sf] pknAwtf sfo{ljlw sf] sfof{no, :jf:Yo dGqfno, :jf:Yo ;]jf
pknAwtf ljefu
;]jf k|jfx– ;+:yfut ;]jf k|jfx Kofs]h cg'?k Alx/+u ljefu tyf dxf÷pkdxf÷gu/kflnsf
tyf cfp6l/r ;]jf lbOPsf] hg;+Vof ;]jf /lh:6/
;Gt'i6 ;]jfu|fxL ;+Vof zx/L:jf:Yok|j4{g
s]Gb||sf] ;Gt'i6
;]jfu|fxL k|ltj]bg
22
ef}lts k"jf{wf/ Go"gtd ef}lts dfkb08 k"/f k"jf{wf/ dfkb08 dxf÷pkdxf÷gu/kflnsf
ul/Psf] cg'udg k|ltj]bg
k|ltkmn #= :Jf:yk|b Aojxf/sf] !. ;fe]mbf/ gS;fÍg ;fe]mbf/ ;+Vof ;'lglZrt :jf:Yo kfZj{lrq zx/L :jf:Yo k|j4{g s]Gb|
cEof;sf] cj;/ k|fKt x'g]5 . k|ltj]bg
@. ;fe]mbf/L tyf ;d'bfo ;fe]mbf/L Joj:yf :yflkt ;fe]mbf/L sfo{9fFrf zx/L :jf:Yo k|j4{g s]Gb|
;+nUgtf ;d'bfosf] ;+nUgtfaf6 ;Demf}tfx?
ul/Psf sfdsf] ;+Vof ;dembf/L kq -
MoU_
k|ltj]bg
23
!). cg';"rLx?
24
;'kl/j]Ifsn] lbPsf cGo lhDd]jf/L jxg ug]{
of]UotfM slDtdf PdlalaP; u/L g]zgn d]l8sn sfplG;ndf btf{ ePsf] .
;LkM ;d"x;+u sfd pT;'s, bIf, ;dGjo tyf cGt/j}olQms ;+rf/ ;Lk ePsf], ;xhLs/0f tyf d]nldnfk
u/fpg] ;Lk ePsf], ljZn]if0ffTds Ifdtfjfg, :j:k"mt{, bjfjdf /x]/ klg sfd ug{ ;Sg] u'0f ePsf], glthfsf
nflu dl/d]6\g], dfOqmf];k\m6 clkm; -j8{, PS;n tyf kfj/kf]oG6_ df bIf .
25
zx/L :jf:Yo k|j4{g s]Gb|
gu/kflnsf cyjf pk–dxfgu/kflnsf cyjf dxfgu/kflnsf
kbLo sfo{ ljj/0f
kbM hg :jf:Yo clws[t
;Demf}tfsf] k|sf/M s/f/
;Demf}tf cjlwM
k|ltj]bg ul/g] lgsfoM d]l8sn clkm;/
sfo{:ynM zx/L :jf:Yo k|j4{g s]Gb|
sfd ug'{kg]{ ;doM $) 306f k|lt ;ftf
;Dkfbg ug'{ kg]{ sfdsf] ljj/0fM
zx/L :jf:Yo k|j4{g s]Gb|sf] :jf:Yo Kofs]h cg'?k of]hgf agfpg], ;]jf lbg] tyf gu/ :jf:Yo s]Gb|sf]
Joj:yfkg ug]{ vf;u/L dft[ tyf lzz' :jf:Yo, of}g tyf k|hgg\ :jf:Yo÷kl/jf/ lgof]hg, g;g]{ /f]u,
;?jf /f]u, jftfj/0fLo :jf:Yo, ahf/ cg'udg / :j:y hLjg z}nL lzIff cflb sfo{df ;3fpg] .
zx/L :jf:Yo k|j4{g s]Gb| tyf sfo{If]q cGt/utsf :yfgdf :jf:Yo k|j4{g, jftfj/0fLo :jf:Yo, ahf/
cg'udg tyf :j:y hLjg z}nL Jojxf/ k|j4{gdf lhDd]jf/L lng]
d]l8sn clkm;/;+usf] ;dGjo tyf k/fdz{df aflif{s sfo{of]hgf cg'?k zx/L :jf:Yo k|j4{g s]Gb|sf]
dfl;s sfo{ of]hgf tof/ ug]{
cfjZoQmf klxrfg u/L tbg'?k tflnd Kofs]h tyf ;"rgf lzIff ;+rf/ ;fdu|L tof/ ug]{, hg:jf:Yosf
rf;f]sf laifodf tflnd sfof{zfnf ;~rfng ug]{
sfo{d"ns cg';Gwfgsf] vfsf sf]g{, sfof{Gjog ug{ ;3fpg]
zx/L :jf:Yo k|j4{g s]Gb|sf] laQLo Joj:yfkg, k|zf;lgs tyf hgzlQm Joj:yfkgdf ;xof]u ug]{
:yfgLo dfu / cfk"lt{ cj:yfnfO{ ;Djf]wg ug{, :jf:Yosf nflu :yfgLo ;|f]t kl/rfng ug{, k|]if0f
;+oGq :yfkgf ug{ tyf dxfdf/L÷k|sf]k Joj:yfkg k"j{tof/Lsf nflu ;/sf/L lgsfo tyf ljsf;
;fe]mbf/;+u ;dGjo tyf ;~hfn tof/ ug]{
zx/L :jf:Yo k|j4{g s]Gb|| Joj:yfkg ;ldlt tyf ;fd'bflos :jo+;]jsnfO{ ;+nUg /fVg ;dGjo ug]{
hgzlQm, ;/;fdfg tyf cTofjZos pks/0fsf] lgoldt cfk"lt{ ;'lglZrt ug]{
;doj4 clen]vLs/0f, k|ltj]bg tyf cfjlws k|ult k'g/fjnf]sgsf] lhDd]jf/L lng]
d]l8sn clkm/;+usf] ;dGjodf zx/L :jf:Yo k|j4{g s]Gb||sf] lgoldt cg'udg tyf ;'kl/j]If0f ug],{
k[i7 kf]if0f lbg] tyf ;'wf/sf nflu sfo{ ug]{ tyf lgoldt ;fdflhs k/LIf0f ;'lglZrt ug]{
1fg ;Da4{gsf nflu ;kmntfsf syfx? tyf c;n cEof;x?sf] clen]vLs/0f ug]{
d]l8sn clkm;/;+usf] ;dGjodf sfo{;d"xsf] Ifdtf clea[l4sf nflu ;dGjo ug]{
26
;'k/Lj]Ifsn] lbPsf] cGo lhDd]jf/L jxg ug]{
27
zx/L :jf:Yo k|j4{g s]Gb|
gu/kflnsf cyjf pk–dxfgu/kflnsf cyjf dxfgu/kflnsf
kbLo sfo{ ljj/0f
kbM x]Ny cl;;6]G6
;Demf}tfsf] k|sf/M s/f/
;Demf}tf cjlwM
k|ltj]bg ul/g] lgsfoM hg :jf:Yo clws[t
sfo{:ynM zx/L :jf:Yo k|j4{g s]Gb|
sfd ug'{kg]{ ;doM $) 306f k|lt ;ftf
28
of]UotfM slDtdf h]g]/n d]l8l;gdf k|lj0ftf k|df0fkq pQL0f{ tyf ;DalGwt sfplG;n jf kf/f
d]l8sn sfplG;ndf btf{ ePsf] . lSnlgs Joj:yfkg, k/fdz{, :jf:Yo tyf pkrf/df /fli6«o:t/sf] tflnd
lng]nfO{ k|fyldstf ldNg]5 .
;LkM cGt/j}olQms ;~rf/;Lk ePsf], ;d"xdf sfd ug{ ?rL /fVg], :jt:k"mt{ cfk"mnfO{ cBfjlws /fVg]
k|j[lQ ePsf] tyf dfOqmf];k\m6 clkm; -j8{, PS;n, kfj/kf]oG6_ df bIf
29
zx/L :jf:Yo k|j4{g s]Gb|
gu/kflnsf cyjf pk–dxfgu/kflnsf cyjf dxfgu/kflnsf
kbLo sfo{ ljj/0f
kbM :6fkm g;{
;Demf}tfsf] k|sf/M s/f/
;Demf}tf cjlwM
k|ltj]bg ul/g] lgsfoM hg :jf:Yo clws[t
sfo{:ynM zx/L :jf:Yo k|j4{g s]Gb|
sfd ug'{kg]{ ;doM $) 306f k|lt ;ftf
30
;LkM cGt/j}olQms ;~rf/;Lk ePsf], ;d"xdf sfd ug{ ?rL /fVg], :jt:k"mt{ cfk"mnfO{ cBfjlws /fVg]
k|j[lQ ePsf] tyf dfOqmf];k\m6 clkm; -j8{, PS;n, kfj/kf]oG6_ df bIf .
31
zx/L :jf:Yo k|j4{g s]Gb|
gu/kflnsf cyjf pk–dxfgu/kflnsf cyjf dxfgu/kflnsf
kbLo sfo{ ljj/0f
kbM Nofa 6]lSgl;og÷cl;:6]G6
;Demf}tfsf] k|sf/M s/f/
;Demf}tf cjlwM
k|ltj]bg ul/g] lgsfoM hg :jf:Yo clws[t
sfo{:ynM zx/L :jf:Yo k|j4{g s]Gb|
sfd ug'{kg]{ ;doM $) 306f k|lt ;ftf
32
of]UotfM
Nofa 6]Sgl;og M slDtdf d]l8sn Nofaf]/]6f]/Llaifodf k|lj0ftf k|df0f kq tx pQL0f{ u/]sf] tyf ;DalGwt
sfplG;n÷g]kfn :jf:Yo kl/ifbdf btf{ ePsf]
Nofacl;:6]G6M d]l8sn Nofaf]/]6f]/L k|ljlwdf k|ljlws P; Pn ;L u/L ;DalGwt sfplG;n÷g]kfn :jf:Yo
kl/ifbdf btf{ ePsf] . Nofaf]/]6f]/L ;]jfdf /fli6«o:t/sf] tflnd lnPsfnfO{ k|fyldstf ldNg]5 .
;LkM k/fdz{ ;Lk, kl/0ffd / clen]v ;lxt n]af]/]6f]/L ;]jfsf] uf]Kotf sfod ug{ pT;'s tyf ;Ifd,
k|efjsf/L ;~rf/ ;Lk ePsf], ;doj4?kdf sfd ;DkGg ug{ cEo:t, l;Sg pT;'s tyf dfOqmf];k\m6 clkm;
-j8{, PS;n tyf kfj/ kf]oG6_ df bIf .
33
zx/L :jf:Yo k|j4{g s]Gb|
gu/kflnsf cyjf pk–dxfgu/kflnsf cyjf dxfgu/kflnsf
kbLo sfo{ ljj/0f
kbM cfo'j]{lbs cl;:6]G6
;Demf}tfsf] k|sf/M s/f/
;Demf}tf cjlwM
k|ltj]bg ul/g] lgsfoM hg :jf:Yo clws[t
sfo{:ynM zx/L :jf:Yo k|j4{g s]Gb|
sfd ug'{kg]{ ;doM $) 306f k|lt ;ftf
34
cg';"rL– @ cTofjZos cf}iflwsf] ;"rL
zx/L :jf:Yo k|j4{g s]Gb|df pknAw cTofjZos cf}ifwsf] ;"rL
35
S.N. Name of drugs Dosage Forms Strength Group
caps 500mg
14 Ceftrixone Injection 1g Antibiotic
15 Sulfamethoxazole + Tablet 480 mg Antibacterial
Trimethoprim Tablet 960 mg Antibacterial
16 Doxycycline Capsule 100 mg Antibiotic
17 Azithromycin Tabs 250 mg Antibiotic
500 mg Antibiotic
18 Cloxacillin Tabs/caps 250 mg Antibiotic
tabs/caps 500 mg
Syrup 125mg/5ml
19 Fluconazole Capsules 150mg Anti-fungal
20 Acyclovir Tabs 200 mg Anti-viral
Cream 5% W/W Antiviral
21 Ferrous salphate Tablet 60 mg elemental Iron Anaemia
22 Folic acid Tablet 5mg Anaemia
23 Compound solution of Infusion, Ringer’s Lactate Electrolyte
Sodium lactate 500ml imbalance
36
S.N. Name of drugs Dosage Forms Strength Group
37
S.N. Name of drugs Dosage Forms Strength Group
400mg
61 Acetazolamide Tabs 250mg For high altitude
sickness
62 Oxymetazoline nasal drop 0.05% ,5ml Nasal decongestant
38
S.N. Name of drugs Dosage Forms Strength Group
39
15 Chlorine powder Pkt 200 g
16 Swedan box pcs Different size
17 Shirodhara table pcs Different size
18 Yoga mat pcs Different size
40
cg';"rL– $: cTofjZos cf}hf/sf] ;"rL
1 Emergency Kit - set
2 OPD Kit - set
3 Inpatient Kit - set
4 First Aid Kits - set
5 Baby Kits -set
6 X-ray 100 MA - 1
7 USG Machine - 1
8 ECG Machine - 1
9 Analyzer - 1
10 Patient Monitor - 1
12 Incubetor/Photo therapy - 1
13 Suction Mation - 2
14 Pulse oxymeter -3
15 Dental Chair with x-ray machine - 1
16 Dental Set - 1
17 CAC/PAC Set - 1
19 ENT Set - 2
20 Peak Flow Meter
21 Autoclave - 1
22 Freeze - 1
23 Examination Bed - 2
24 Eye check view box (snellens) - 1 set
25 Opthmolo set - 1
26 Desktop Computer, printer Set -1
27 Projector - 1 set
28 Waste management Kit set - 1
29 Water quality test kit
30 Food Quality test Kit
31 Generator -1
32 Water Dispenser -1
33 Micro Oven set - 1
41
cg';"rL– %: zx/L :jf:Yo k|jw{g s]Gb| Aoj:yfkg ;ldltsf] jgfj6 -gu/kflnsf,
pkdxfgu/kflnsf jf dxfgu/kflnsf_
!. k|d'v ;+/Ifs
@. pkk|d'v ;+/Ifs
#= ;DalGwt j8fsf] j8f cWoIf cWoIf
$= dxf÷pk÷gu/kflnsf :jf:Yo ;+of]hs ;b:o
%. +cGo j8f ;b:oX? –@ ;b:o ;ldtLåf/f dgf]lgt
^. dlxnf k|ltlglw–@ ;b:o ;ldtLåf/f dgf]lgt
&. k|ltlgwL ;dfh;]jL ÷:yfgLo ;+3 ;b:o ;ldtLåf/f dgf]lgt
;+:yf÷ljBfno tyf lghL gl;{ªxf]d– $
*= zx/L :jf:Yo k|j4{g s]Gb| k|d'v ;b:o ;lrj
gf]6M of] ;ldltsf nflu dfly k|:tfljt ;b:ox?df :yflgo cfjZostf cg'?k yk36 u{g ;lsg] 5 .
42
cg';"rL–^: zx/L :jf:Yo k|j4{g s]Gb||sf] gfdkf6L -;fOgaf]8{_ sf] gd"gf
g]kfn ;/sf/
k|b]z ;+Vof===
dxfgu/ jf pkdxfgu/ jf gu/kflnsf
zx/L :jf:Yo k|j4{g s]Gb|
j8f g+=====
:yfkgfM =========
43