Urban Health Promotion Centre Guideline

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zx/L :jf:Yo k|j4{g s]Gb|

:yfkgf tyf ;+rfng lgb]{lzsf


@)&$

: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' .

===============================
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' .

===============================
ef]u]G› /fh 8f]6]n
lgb]{zs
विषयसच
ू ी

!=kl/ro tyf cf}lrTo ....................................................................1

@=zx/L :jf:Yo k|j4{g s]Gb|sf] p2]Zo ..................................................1

#=zx/L :jf:Yo k|j4{g s]Gb|| :yfkgf tyf ;~rfngsf lgb]{zs l;4fGtx? ........1

$= e"ldsf / lhDd]jf/L ...................................................................2

%= zx/L :jf:Yo k|jw{g s]Gb|n] k|bfg ug{] ;]jf 36sx? .............................7

^=zx/L :jf:Yo k|j4{g s]Gb|sf] ;]jf Kofs]h ...........................................8

&= hg:jf:Yo s]Gb|sf] ;+u7g tflnsf ............................................... 16

*= lhDd]jf/L 9fFrf ..................................................................... 17

(.cg'udg tyf d"NofÍg sfo{9fFrf .................................................. 21

!). cg';"rLx? ......................................................................... 24


!=kl/ro tyf cf}lrTo

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] .

@=zx/L :jf:Yo k|j4{g s]Gb|sf] p2]Zo

;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] .

#=zx/L :jf:Yo k|j4{g s]Gb|| :yfkgf tyf ;~rfngsf lgb]{zs l;4fGtx?

!_zx/L :jf:Yo k|j4{g s]Gb||sf] :yfkgf, Joj:yfkg tyf ;~rfng


dxf÷pkdxf÷gu/kflnsfaf6 x'g]5 . o;df ef}tLs k'j{fwf/, hgzlQmsf] Joj:yf, cf}iflw
vl/b tyf cfk"lt{ / lgoldt Joj:yfkg cflb kb{5 .
@) zx/L :jf:Yo k|j4{g s]Gb| :yfkgf tyf Joj:yfkgdf k|fljlws ;xof]u :jf:Yo dGqfno
/ dftxtsf lgsfoaf6 x'g]5 . ;]jfsf] u'0f:t/ ;'lglZrt ug{ gu/kflnsf;+usf]
;xsfo{df dGqfnon] dfkb08, lSnlgsn k|f]6f]sn, hgzlQm kl/rfng dfGotf
Pjd\k|]if0f
-/]km/n_ lgb]{lzsf cflb tof/ ug]{5 .
#_k|To]s zx/L :jf:Yo k|j4{g s]Gb|n] cfk\mgf] ;]jfIf]qsf nlIft ;d'bfodf ;]jf pknAw
u/fpg] 5 . k|foh;f] :yfgdf ljleGg :jf:Yo ;]jf k|bfosx? -;fj{hlgs Pj+ lghL_
pknAw 5g\ . t;y{ ltgsf] gS;fÍg tyf ;Defljt :jf:Yo hf]lvd / nlIft ;d'bfosf]

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

!=zx/L :jf:Yo k|j4{g s]Gb|


 ;]jf If]qsf hgtfsf] :jf:Yo cfjZostfnfO{ ;Daf]wg ug{ zx/L :jf:Yo k|j4{g s]Gb|
Joj:yfkg ;ldltsf] cu'jfOdf s]Gb|af6 k|bfgul/g] ;]jfsf bz k|sf/sf ;]jfx?sf k|To]ssf
nflu Kofs]h tof/ ug'{ .

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]{ .

@= zx/L :jf:Yo k|j4{g s]Gb| Joj:yfkg ;ldlt


 zx/L :jf:Yo k|j4{g s]Gb|sf] ;~rfng tyf ;fdfGo k|zf;gsf] ;du| cg'udg ug]{ .
 ;]jfIf]qsf hgtfsf] :jf:Yo cfjZoQmfnfO{ Wofgdf /fvL !) k|sf/sf ;]jf 36s ljz]if
Kofs]h agfpg cu'jfO ug]{ .
 aflif{s sfo{of]hgf th'{df tyf cfjlws ;ldIff k|lqmofdf cu'jfO ug]{ .
 :yfgLo:t/df pknAw ;|f]t kl/rfng ;lxt ljQLo, hgzlQm tyf cGo k"FhLut ;|f]t
Joj:yfkg tyf kl/rfng ug]{ .
 u'0f:t/ ;'wf/ tyf clea[l4df cu'jfO 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 .

g;g]]{ /f]u tyf


:j:y hLjg z}nL
dft[ lzz' tyf jfn
cfo'j]{b tyf ;DalGwt ;]jfx?
k/Dk/fut :jf:Yo ;]jfx?
cf}iff]krf/
;]jfx?

;?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

lrq–! = zx/L :jf:Yo k|j4{g s]Gb|sf d'Vo ;]jf 36sx?

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 .

;]jf 36s pknAw ;]jf cfk"lt{ ;/rgf÷k|lqmof /0fgLlt lgb]{zs ;+/rgf


!. g;g]{ /f]u tyf  d'6'/f]u, :jf;k|:jf; ;DaGwL /f]u,  g;g]{ /f]usf nflu !. lglb{i6 lhDd]jf/L  ;+:yfut?kdf ;]jf  s]Gb|Lo txdf :jf:Yo
:j:y hLjg dw'd]x tyf SofG;/sf] hfFr, cfjZos cf}iflw tyf ;lxtsf] k|jfx dGqfno, k|fylds
z}nL;+u ;DalGwt lgbfg, pkrf/ tyf k|]if0f lgbfg pks/0f sfo{s'zn÷bIf6f]nLsf]  hfFr cleofg :jf:Yo ;]jf
;]jfx?  dfgl;s :jf:Yo– k/fdz{ tyf -cg';"rL $ cg'?k_ Joj:yf  3'lDt ;]jf k'ghf{u/0f dxfzfvf,
pkrf/  k"jf{wf/– @. b]lvg]u/L /flvPsf]  :jf:Yo ladf
k|fb]lzs :jf:Yo ;+:yf
 :j:y hLjgz}nL ;DaGwL lzIff ;'ljwf;DkGg b'O{ sIf gfd c+lst b}lgs kbflwsf/L,
 k|efjsf/L k|]if0f
Pj+ k/fdz{ -Pp6f k/fdz{ / sfo{tflnsf ;lxtsf]  gu/kflnsf txdf
 tL; aif{ dflysfnfO{
 ;"tL{hGo kbfy{sf] ;]jg, dBkfg, csf]{ hfFrsf nflu_ 8\o'6L /f]:6/ – gu/kflnsf
nlIft ug]{
vfgkfg, sfdgu/L a:g] afgL #. ;a} ;]jfu|fxLsf] k|ltlglw,
 zf/Ll/s ;lqmotf
h:tf hf]lvdkIfdf k/fdz{ prfO, tf}n, laPdcfO, – zx/L :jf:Yo k|j4{g
clea[l4sf nflu
d'6' hfFr– An8;'u/, s]Gb| k|ltlglw
 Zf/Ll/s ;lqmotf k|j4{g ljBfno, :yfgLo
sf]n]:6f]/f]n hfFr – lhNnf hg:jf:Yo
k|ltlglw
8
 ;8s b'3{6gf/f]syfdsf nflu $.k]g k|f]6f]sn, l/:s Sna, lkm6g]; ;]G6/ – cGo ;/f]sf/jfnf
lqmofsnfk tyf 3fOt]sf] ;dfGo rf6{, k/fdz{, cflb;+u ;dGjo
rf]6k6s Ajoj:yfkg %. 8f6fa]:8 Pr Pd cfO
 d'v;+u ;DalGwt :jf:Yo P;
 k]zfut :jf:Yo tyf ;'/Iff ^. 8\of;af]8{sf] pkof]u
 tgfj Joj:yfkg &. df]afOn Pk
@= ;?jf /f]u  Ifo/f]u, s'i7/f]u, cf}nf], PrcfOeL  cfjZos cf}iflw tyf !. lglb{i6 lhDd]jf/L  ;+:yfut ?kdf lbOg]  s]Gb|Lo txdf :jf:Yo
tyf P8\;, of}g/f]u ;+qmd0f, 8]+u' cf}hf/ / pkrf/ ;lxtsf] ;]jf dGqfno, k|fylds
tyf :yfgLo :t/df x'g] cGo k':tLsf÷k|f]6f]sn sfo{s'zn÷bIf6f]nLsf]  cfp6l/r÷3'lDt :jf:Yo ;]jf
;?jf /f]ux?sf] /f]syfd, lgoGq0f  cfwf/e"t k/LIf0fsf Joj:yf lSnlgstyf SofDkx? k'ghf{u/0f dxfzfvf,
tyf pkrf/ nflu ;fwg;DkGg @.b]lvg]u/L /flvPsf]  /f]u lgoGq0f k|fb]lzs :jf:Yo ;+:yf
 hfFr tyf lgbfg k|of]uzfnf gfd c+lst b}lgs cleofgx? kbflwsf/L,
 pkrf/ tyf Joj:yfkg sfo{tflnsf ;lxtsf]  ljBfno;+u ;dGjo  gu/kflnsf txdf
 kmnf]ck 8\o'6L /f]:6/ tyf ;xsfo{ – gu/kflnsf
#=;a} ;]jfu|fxLsf] prfO, k|ltlglw,
 k/fdz{
tf}n, laPdcfO, d'6', – zx/L :jf:Yo k|j4{g
 :jf:Yo k|j4{gfTds ;"rgf tyf
An8;'u/, s]Gb|k|ltlglw
;r]tgf
sf]n]:6f]/nsf] hfFr – lhNnf hg:jf:Yo
 Dff;dL /f]u Joflw ] /f]syfd
$=k]g k|f]6f]snsf] k|of]u, k|ltlglw
 k|]if0f l/:s rf6{, k/fdz{ – cGo ;/f]sf/jfnf

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

$= cfo'j]{b tyf  cfo'j]{lbs ;fdfu|L  ;+:yfut?kdf ;]jf


 k~rsd{
k/Dk/fut Pj+ cf}ifwLsf] cfk"lt{ k|jfx
cf}ifwf]krf/  of]u

%=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

;+rf/ ;fdu|L :jf:Yo k|j4{g s]Gb|


k|ltlglw

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

u'0f:t/Lo cg'udg tyf lgu/fgL


 xfjf, WjgL, kfgL, e"ld k|b'if0f
 lghL tyf ;fj{hlgs kfgL
cfk"lt{stf{ tyf kfgLsf] d'xfg
13
*=hg:jf:Yo xf]6n, /]:6'/fF, SofG6Lg / ;8sdf  6]:6 ls6  vfg]s'/f, df;',  clwsf/ gu/kflnsf dftxt
lg/LIf0f tyf vfgf a]Rg]  Dfkb08 k/LIf0f ;"rL :jf:Yo ;/;kmfO k|Tofof]hg– ahf/ cg'udg tyf
lgu/fgL  vfg]s'/fsf] u'0ff:t/ tyf agfpg]  cAhe]{;g lgb]{lzsf ;DaGwL k|f]6f]sn tyf cflwsfl/s kq lgu/fgL ;d"x .
tl/sf lgb]{lzsf pkof]u .  pkef]Qmf ;d"x,
 ;fdfGo :jf:Yo / ;/;kmfO  ahf/ tyf ;d'bfo gu/kflnsf tyf
 w'dkfg lgu/fgL ;d"x agfpg] cGo ;Da4
lgsfo;+usf]
ahf/ ;dGjodf ahf/
 vfgfsf] u'0ff:t/, kmnk"mn tyf tyf ;d'bfo
t/sf/Lsf] u'0f:t/ lgu/fgL ;d"x
-laifflbcjz]if_ agfpg]
 jwzfnf, df;' tyf df5f k;n
 ;fj{hlgs:yndf w'dkfg

kmfd]{;L, kf]lnlSnlgs tyf k|fOe]6


lSnlgs
 btf{, ;]jf, cf}iflw tyf cf}hf/
(= dxfdf/L dxfdf/L Joj:yfkg /f]syfd pkfo  akm/:6s  ;+s6fkGgtf gS;fÍg gu/ :jf:Yo sfof{no,  dxfdf/L lgoGq0f tyf
lgoGq0f tyf  /f]syfd, lgoGq0f, pkrf/ tyf  ;/;fdfgsf kmf/fd tyf /f]syfd k4ltsf EDCDtyf cGo k|sf]k Joj:yfkg ;d"x
k|sf]k Joj:yfkg k|]if0f nflu k"j{tof/L
 IEC tyf BCC;fdu|L

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

zx/L :jf:Yok|j4{g s]Gb|

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

:jf:Yo dGqfno tyf dftxtsf lgsfo


zx/L:jf:Yok|j4{g s]Gb|
gu/kflnsf kbflwsf/L zx/L :jf:Yok|jw{g s]Gb| k|fylds :jf:Yo lhNnf hg:jf:Yo
Joj:yfkg ;ldlt :jf:Yo dGqfno
k'ghf{u/0f dxfzfvf sfof{no
;]jf Kofs]h tyf ;]jf k|jfx tyf
zx/L:jf:Yok|j4{g s]Gb| zx/L:jf:Yok|j4{g s]Gb||sf] cGo lgb]{lzsf tyf sfo{qmd
cfp6l/r ;lxt /fli6«o gLlt, /0fgLlt
:yfkgf tyf ;~rfng ;~rfng tyf] ;du| Dofg'cn agfpg Joj:yfkgdf
:jf:Yo ;]jf k|bfg ug'{ tyf dfkb08
;du|df cu'jfO Joj:yfkg k|fljlws ;xof]u k|fljlws ;xof]u
tof/u/L To;sf]
k|bfg ug'{ pknAw u/fpg'
cg'z/0f ;'lglZrt
Ef}lts k"jf{wf/ tof/ u/L hg k"jf{wf/ tyf cf}hf/sf] k"jf{wf/ tyf cf}hf/sf] :6\of088{ l8hfOg tyf :k]l;lkms]zg pknAw
ug'{
:jf:Yo s]Gb|nfO{ ;';lHht cfjlws tyf ;doj4 oyf]lrt pkof]u ;'lglZrt u/fO{ e"jf{wf/ tyf cf}hf/sf] ;xof]usf nflu
kfg'{ dd{t ;Def/ ;'lglZrt ug'{ ug'{ ;fe]mbf/;+u ;dGjo ug'
zx/L:jf:Yok|j4{g s]Gb||sf] ;|f]t Joj:yfkg k|efjsf/L
;';~rfngsf nflu cfjZos tyflgk"0f{?kdf ug'{ tyf laQLo tyf k|zf;lgs sfo{
;+3Lo tyf k|b]z:t/Lo cg'bfg tyf ;|f]tsf] oyf;do pknAwtf
;|f]tsf] Joj:yf ug'{ tyf laQLo hf]lvd Go"g ug{ ;Dkfbg ug'{ tyf laQLo
;'lglZrt ug'{
;fj{hlgs laQ Joj:yfkgdf pkfo ;'emfpg] . :yfgLo kf/blz{tf ;'lglZrt ug'{
lbzf lgb]{z ug'{ ;|f]t kl/rfng ug]{

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

k|ltkmn nufgL ;"rs k':6\ofOFsf cfwf/ lhDd]jf/L

k|ltkmn ! k"jf{wf/ Joj:yf :yflkt hg :jf:Yo s]Gb| Eff8f ;Demf}tf, dxf÷pkdxf÷gu/kflnsf


dxfgu/kflnsfsf] k|To]s j8f ;+Vof ejg x:tfGt/0f
cyjf zx/L gu/kflnsfsf] clen]v
cfjZoQmf cg'?k of]hgf tyf ah]6 Aflif{s sfo{tflnsf tyf ah]6 alif{ssfo{of]hgf tyf gu/kflnsf
:yflkt÷:t/f]Gtzx/L:jf:Yok|j4{g Joj:yf tof/L ah]6 zx/L:jf:Yok|j4{g s]Gb|
s]Gb|
zx/L:jf:Yo k|j4{g
s]Gb|sf nflu
ljlgof]lht s"n ah]6
:jf:Yo Joj:yfkg dfl;s clen]v tyf clen]v tyf zx/L:jf:Yok|j4{g s]Gb|
;"rgf k|ltj]bg k|ltj]bg
8\of;af]8{
dfgj ;+;fwg dfkb08 cg'?k pknAw k|zf;lgs tyf dfgj dxf÷pkdxf÷gu/kflnsfzx/L:jf:Yok|j4{g
dfgj ;+;fwg ;+;fwg clen]v s]Gb|
cf}iflw, cf}hf/, ;/;fdu|L dfkb08 cg'?k aif}{e/L ;/;fdu|L Joj:yfkg gu/kflnsf
cfk"lt{ cf}iflw tyf pks/0f / ;"rgf k|0ffnL (LMIS)
;/;fdu|Lsf] pknAwtf

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

Ifdtf clea[l4 Ifdtf clea[l4sf nflu Ifdtf clea[l4 dxf÷pkdxf÷gu/kflnsf


ul/Psf lqmofsnfk ;+Vof of]hgf
lqmofsnfk 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?

cg';"rL– ! sd{rf/Lsf] kbLo sfo{ljj/0f


zx/L :jf:Yo k|j4{g s]Gb|
gu/kflnsf cyjf pk–dxfgu/kflnsf cyjf dxfgu/kflnsf
kbLo sfo{ ljj/0f
kbM d]l8sn clkm;/
txM
;Demf}tfsf] k|sf/M s/f/
;Demf}tf cjlwM
k|ltj]bg ul/g] lgsfoM gu/kflnsf :jf:Yo kbflwsf/L
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 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 lzIffsf] of]hgf agfpg], ;]jf lbg] tyf gu/ :jf:Yo s]Gb|sf] Joj:yfkg ug]{ zx/L :jf:Yo k|j4{g
s]Gb|df cfwf/e"t cfsl:ds ;]jf, lSnlgsn tyf d]l8sn ;]jf ;'lglZrt ug]{
 u'0f:t/Lo ;]jfsf nflu sfo{d"ns cg';Gwfgsf] vfsf agfpg] tyf Jojxf/df Nofpg]
 zx/L :jf:Yo k|j4{g s]Gb|sf] cfly{s, k|zf;lgs tyf hgzlQm Joj:yfkgsf] lhDd]jf/L lng]
 :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 gu/kflnsf jf pkdxfgu/kflnsf
jf dxfgu/kflnsfdf /x]sf ;/ssf/L lgsfo tyf ljsf; ;fe]mbf/x?;+u ;dGjo ug]{
 lgoldt u'0f:t/Lo clen]vLs/0f tyf k|ltj]bg, u'0f:t/Lo ;]jf k|bfg ug{ tyf ;]jfla:tf/sf nflu
sfo{qmdsf] lgoldt k'g/fjnf]sg ug]{ bfloTj jxg ug]{
 hgzlQm, cfjZos ;/;fdfg, cf}iflw tyf cTofjZos cf}hf/sf] lgoldttf ;'lglZrt ug]{
 zx/L :jf:Yo k|j4{g s]Gb| Joj:yfkg ;ldlt tyf ;fd'bflos :jo+;]jsnfO{ ;+nUg /fVg ;dGjo ug]{
 zx/L :jf:Yo k|j4{g s]Gb||sf] lgoldt cg'udg tyf ;'kl/j]If0f of]hgf tof/ u/L sfof{Gjogdf Nofpg],
;'wf/ ub}{ hfg] tyf ;fdflhs k/LIf0f ;'lglZrt ug]{
 1fg ;Da4{gsf nflu ;kmntfsf syfx? tyf c;n cEof;x?sf] clen]vLs/0fdf ;xhLs/0f ug]{
 sfo{;d"xsf] Ifdtf clea[l4sf nflu ;dGjo ug]{

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 .

sd{rf/Lsf] b:tvtM ldltM

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]{

of]UotfM slDtdf hg:jf:Yodf :gfts tyf ;DalGwt sfplG;ndf btf{ ePsf]


;LkM ;fdfGo ;'kl/j]If0fdf :jtM ;lqmo x'g], hgzlQm Joj:yfkg ;Lk ePsf] tyf ;d"xdf sfd ug]{ Ifdtf
ePsf], sfo{qmd Joj:yfkgdf ljZn]iffTds b[li6sf]0f ePsf], sfo{qmd Joj:yfkg, ;'kl/j]If0f tyf tYofÍ
Joj:yfkg ;Lk ePsf], dfOqmf];k\m6 clkm; -j8{, PS;n tyf kfj/kf]oG6_ df bIf .

sd{rf/Lsf] b:tvtM ldltM

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

;Dkfbg ug'{ kg]{ sfdsf] ljj/0f


 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] .
 hg:jf:Yo clws[t;+usf] ;dGjodf :jf:Yo k|j4{g, jftfj/0fLo :jf:Yo, ahf/ cg'udg tyf :j:y
hLjg z}nL Jojxf/ k|j4{g ;DaGwL of]hgf agfpg] tyf sfof{Gjog ug]{
 zx/L :jf:Yo k|j4{g s]Gb||df cfwf/e"t cfsl:ds, g;g]{ /f]u, xf8hf]gL{, a[4a[4f pkrf/ ;]jf, dft[ lzz'
of}g tyf k|hgg\ :jf:Yo÷kl/jf/ lgof]hgh:tf lSnlgsn tyf d]l8sn ;]jf u'0f:t/Lo ePsf] ;'lglZrt
ug{ ;xof]uL aGg]
 ;]jf dfkb08 cg'?k zx/L :jf:Yo k|j4{g s]Gb|sf :jf:Yo ;]jf Kofs]h u'0f:t/L 9Fudf k|bfg ul/Psf]
;'lglZrt ug]{
 lSnlgsn ;]jf k|bfg ug]{ ;d"xnfO{ ltgsf] sfo{df ;xof]u ug]{, ;+qmd0f /f]Sg lSnlgsaf6 pT;lh{t
kmf]x/sf] dfkb08 cg'?k Joj:yfkg ul/Psf] ;'lglZrt ug]{
 cfjZoQmf s]nfpg], tflnd Kofs]h tyf ;"rgf lzIff ;+rf/ ;fdu|L agfpg] / tflnd÷sfo{zfnf tyf
:jf:Yo cleofg rnfpg]
 u'0f:t/Lo ;]jf k|jfxsf nflu sfo{d"ns cg';Gwfgsf] vfsf agfpg] tyf cg';Gwfg sfo{df ;3fpg] .
 :yfgLo dfu tyf cfk"lt{nfO{ ;Daf]wg ug{ tyf :yfgLo ;|f]t kl/rfng ug{ ;/sf/L lgsfo tyf ljsf;
;fe]mbf/x?;+u ;dGjo ug]{ tyf ;~hfn agfpg] sfddf ;xof]u ug]{
 u'0f:t/Lo :jf:Yo ;"rgf k4lt -;doj4 clen]vLs/0f tyf k|ltj]bg_ agfpg ;3fpg]
 ;'k/Lj]Ifsn] lbPsf] cGo lhDd]jf/L jxg ug]{

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

sd{rf/Lsf] b:tvtM ldltM

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

;Dkfbg ug'{ kg]{ sfdsf] ljj/0f


 zx/L :jf:Yo k|j4{g s]Gb|sf] :jf:Yo Kofs]h cg'?k of]hgf agfpg, ;]jf lbg tyf zx/L:jf:Yok|j4{g
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] .
 dft[ lzz' -vf]k, PPg;L, lkPg;L tyf P;cf/Pr÷kl/jf/ lgof]hg_ tyf :jf:Yo;Ddt hLjgz}nL
sfo{qmdk|lt lhDd]jf/ .
 ;d"xdf ldn]/ :jf:Yo ;fIf/tf sIffx?sf] of]hgf tyf sfof{Gjog ug]{
 Jftfj/0fLo :jf:Yo;+u ;DalGwt d'2fx?sf] klxrfg ug]{ tyf zx/L :jf:YohLjg k|j4{gsf nflu of]hgf
agfpg]
 ;fd'bflos :jf:Yo :jo+;]jsx?nfO{ kl/rfng ug]{ tyf ;~rflnt lqmofsnksf] k'g/fjnf]sg ug]{ tyf
gofF lqmofsnfk th'{df ug]{ .
 zx/L :jf:Yo k|j4{g s]Gb||df pknAw cfsl:ds ;]jf, lSnlgsn tyf d]l8sn ;]jf -g;g]{ /f]u, xf8hfgL{,
a[4a[4fsf ;d:of, dft[Tj ;]jf, P;cf/Pr÷kl/jf/ lgof]hg_ ;'lglZrt ug{ ;3fpg]
 cfjZoQmf s]nfpg], tflnd Kofs]h tyf ;"rgf lzIff ;+rf/ ;fdu|L agfpg] / tflnd÷sfo{zfnf rnfpg]
 u'0f:t/Lo ;]jf k|jfxsf nflu sfo{d"ns cg';Gwfgsf] vfsf agfpg] tyf cg';Gwfg sfo{df ;3fpg] .
 :yfgLo dfu tyf cfk"lt{nfO{ ;Daf]wg ug{ tyf :yfgLo ;|f]t kl/rfng ug{ ;/sf/L lgsfo tyf ljsf;
;fe]mbf/x?;+u ;dGjo ug]{ tyf ;~hfn agfpg] sfddf ;xof]u ug]{
 u'0f:t/Lo :jf:Yo ;"rgf k4lt -;doj4 clen]vLs/0f tyf k|ltj]bg_ agfpg ;3fpg]
 ;'k/Lj]Ifsn] lbPsf] cGo lhDd]jf/L jxg ug]{
of]UotfM slDtdf gl;{ª laifodf k|lj0ftf k|df0f kq u/L gl;{ª sfplG;ndf btf{ ePsf] . lSnlgs Joj:yfkg,
k/fdz{, :jf:Yo tyf pkrf/ ;DaGwdf /fli6«o:t/sf] tflnd lng]nfO{ k|fyldstf ldNg]5 .

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 .

sd{rf/Lsf] b:tvtM ldltM

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

;Dkfbg ug'{ kg]{ sfdsf] ljj/0f


zx/L :jf:Yo k|j4{g s]Gb|df k|of]uzfnf Joj:yfkg ;DaGwL ;Dk"0f{ lhDd]jf/L lng]
 ;+qmd0f /f]syfd ;+oGqnfO{ Wofgdf /fvL dfkb08o'Qm lgb]{lzsf cg'?k u'0f:t/Lo ;]jf k|jfx ;'lglZrt
ug]{
 Dffkb08 cg'?k u'0f:t/ sfod /fVg]
 cfwf/e"t cg';Gwfg -/ut, ;'u/, sf]n]:6f]/n, lb;f, lk;fa tyf of}ghGo ;+qmd0f_ tyf kfgL, vfg]s'/f,
xfjfsf] k|b'if0f / :jf:Yo k|j4{gfTds Pjd\ jftfj/0fLo :jf:Yo, ahf/ cg'udg / ;]jf If]qdf :j:y
hLjg z}nLhGo cflgafgLaf/] cg';Gwfg ;DaGwL lhDd]jf/L
 zx/L :jf:Yo k|j4{g s]Gb|sf] Joj:yfkg tyf lglb{i6 ;]jf Kofs]h cg';f/ ;]jf k|jfxsf nflu of]hgf
th'{df sfo{df ;3fpg]
 lSnlgsaf6 pT;h{g ePsf] kmf]x/sf] oyf]lrt Joj:yfkg tyf ;+qmd0f /f]Sgsf nflu cf}hf/ pks/0f
lgd{0fLs/0f ;'lglZrt ug]{
 sfo{d"ns cg';Gwfgsf nflu vfsf agfpg] tyf u'0f:t/Lo ;]jf k|jfxsf nflu cg';Gwfg sfo{df ;xof]u
ug]{
 :yfgLo dfu tyf cfk"lt{nfO{ ;Daf]wg ug{ tyf :jf:Yosf nflu :yfgLo ;|f]t kl/rfng ug{ ;/sf/L
lgsfo tyf ljsf; ;fe]mbf/x?;+u ;dGjo ug]{ tyf ;~hfn agfpg] sfddf ;xof]u ug]{
 clen]v / k|ltj]bgsf] sfo{nfO{ ;'Jojl:y tug]{
 ;'k/Lj]Ifsn] lbPsf] cGo lhDd]jf/L jxg ug]{

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 .

sd{rf/Lsf] b:tvtM ldltM

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

;Dkfbg ug'{ kg]{ sfdsf] ljj/0f


 zx/L :jf:Yo k|j4{g s]Gb|af6 lbOg] cfo'j]{lbs pkrf/ ;]jfsf nflu of]hgf th'{df ug]{, sfof{Gjog tyf
k'g/fjnf]sg ug]{
 cfjZoQmfg';f/zx/L :jf:Yo k|j4{g s]Gb|af6 cfo'j]{lbs ;]jfnfO{ k|j4{g ug]{ tyf ;|f]t ;'lglZrt ug{
ldNbfh'Nbf ;+:yf;+u ;dGjo ug]{
 ;]jf If]qdf :jfYo k|j4{g tyf :j:y hLjgz}nL cg'?k Jojxf/ k|j4{g ug'{
 lglb{i6 ;]jf Kofs]h cg'?k zx/L :jf:Yo k|j4{g s]Gb|af6 ;]jf ;'lglZrt ug{ ;3fpg'
 cfjZoQmf s]nfpg', tflnd Kofs]h tof/ ug'{÷:jf:Yo ;fIf/tf sIff rnfpg', :jf:Yo k|j4{g sIff
vf;u/L cfo'j]{b tyf :jf:Yo k|j4{g sIff rnfpg'
 sfo{d"ns cg';Gwfgsf nflu vfsf agfpg] tyf u'0f:t/Lo ;]jf k|jfxsf nflu cg';Gwfg sfo{df ;xof]u
ug]{
 :yfgLo dfu tyf cfk"lt{nfO{ ;Daf]wg ug{ tyf :jf:Yosf nflu :yfgLo ;|f]t kl/rfng ug{ ;/sf/L
lgsfo tyf ljsf; ;fe]mbf/x?;+u ;dGjo ug]{ tyf ;~hfn agfpg] sfddf ;xof]u ug]{
 clen]v / k|ltj]bgsf] sfo{nfO{ ;'Jojl:y tug]{
 ;'k/Lj]Ifsn] lbPsf] cGo lhDd]jf/L jxg ug]{
of]UotfM slDtdf cfo'j]{bdf k|lj0ftf k|df0fkq tx pQL0f{ u/L ;DalGwt sfplG;ndf cyjf Kof/f d]l8sn
sfplG;ndf btf{ ePsf]
;LkM ;~rf/ tyf xhLs/0f ;Lkdf bIf, k/fdz{ ;Lk ePsf], u'0f:t/Lo ;]jfsf nflulgoldt sfo{qmd tYofÍsf]
k|of]udf ljZn]if0fTds, ;d"xdf sfd ug{ ;Sg], kl/0ffd Nofpg ;lqmo, dfOqmf];k\m6 clkm; -j8{, PS;n tyf
kfj/ kf]oG6_ df bIf

sd{rf/Lsf] x:tfIf/M ldltM

34
cg';"rL– @ cTofjZos cf}iflwsf] ;"rL
zx/L :jf:Yo k|j4{g s]Gb|df pknAw cTofjZos cf}ifwsf] ;"rL

S.N. Name of drugs Dosage Forms Strength Group

Section 1 : Free Essential Drugs

1 Lignocaine Injection, 30 1% with adrenaline Local Anesthesia


ml 1% without adrenaline
2% without adrenaline
2 Paracetamol Injection 2ml 150 mg /ml NSAID
Tablet 500 mg
Suspension, 125 mg/5 ml
60 ml
3 Aspirin Tablet 75 mg Cardiac
150mg
300mg NSAID
4 Ibuprofen Tablet 400mg NSAID
5 Diclofenac Injection 25mg/ml,3ml NSAID
6 Pheniramine Injection 2ml 22.75 mg / ml Antihistamine
7 Cetirizine HCl tablet 10 mg Anti-histamine
8 Metronidazole Infusion 500mg /100 ml Antiprotozoal
Tablet 400 mg
Syrup 60 ml 200mg/5ml
9 Tinidazole Tablet 500mg Anti-protozoal
10 Amoxycilin Tablet 125DT, Antibiotic
250mg DT
Capsule 500mg
11 Gentamycin Injection 40mg/ml Antibiotic
12 Ciprofloxacin Eye/ear Drop, 0.3% w/v Antibiotic
5ml
Tablet 250 mg Antibiotic
Tablet 500 mg Antibiotic
13 applicap, 1%, Antibiotic
Chloramphenicol cap 250 mg

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

24 Sodium chloride Infusion, Normal Saline Ion substitution


500ml
25 Hydrochlorothiazide Tablet 25 mg Diuretic,
antihypertensive
26 Atenolol Tablet 50 mg Antihypertensive
27 Albendazole Tablet 400mg Anthelmintic
28 Calamine lotion Lotion, 30 ml 15 % w/v Allergy, sunburn,
30 Povidone lodine Liquid, 5oo ml 5% w/v Antiseptics
31 Aluminium hydroxide + Tablet 250mg + 250 mg Antacids
Mag. hydroxide

32 Ranitidine, Injection, 2ml 25 mg/ml Ulcer healing drug


Tablet 150 mg
33 Atropine Injection 0.6mg/ml Antispasmodic, anti
poisonous

36
S.N. Name of drugs Dosage Forms Strength Group

34 Hyoscine butylbromide Injection 20 mg/ml Antispasmodics


Tablet 10 mg
Tablet 20mg
35 Oral Rehydration Powder WHO formula- Rehydration
Solutions (ORS)/Ltr Sachet/Ltr.

36 Clove oil Liquid 5 ml Dental pain


37 Tablet 10 mg Anti emetic
Injection 2ml 5 mg/ml
Metoclorpropamide
38 Promethazine Tablet 25 mg Antiemetic
Hydrochloride
39 Charcol activated Powder 10 gm/sachet Anti poisoning
40 Benzoic acid + Ointment, 6 % + 3% w/w Eczema
Salicylic acid tube, 30 g
41 Frusemide Tablet 40 mg Diuretics
Injection 2ml 10 mg/ml
42 Amlodipine tablet 5 mg Antihypertensive
43 Dexamethasone Injection 2ml 4 mg /ml steroid
44 Salbutamol Tablet 4 mg Bronchodilator
45 Prednisolone tabs 10 mg Corticosteroid
46 Pralidoxim sodium Injection 500 mg Anti-toxic (antidote
for OP)
47 Phenobarbitone Tablet 30 mg Anti-epilepticus

48 Chlorpromazine Tablet 100 mg Mental Heatlth


49 Amitryptiline Tablet 10 mg Mental Health
25 mg
50 Hydrocortisone Powder for 100 mg / vial with WFI Corticosteroid(Bronc
Injection hodilator, allergy)

51 Metformin Tablet 500 mg Anti-diabetic


52 Adrenaline Injection 1:1000 Anaphylactic shock
53 Digoxin Tablet 0.25 mg Cardiac glycoside

37
S.N. Name of drugs Dosage Forms Strength Group

54 Silver Sulphadiazine Cream, 25 g 1 % w/w Antiseptic specially


for burn
55 Clotrimazole Skin Cream, 1 % w/w, Antifungal
25 g
Pessary tab 100 mg
56 Diazepam Inj 5mg per ml Tranquilizer
57 Gention violet 1% Aqueous 10 ml Antiseptic
Soln.
58 Allopurinol tablet 100mg Anti-gout
300mg
59 Tetracycline caps 250 mg Broad spectrum
500mg antibiotic
60 Carbamazepine Tabs 200mg Anti- epileptics

400mg
61 Acetazolamide Tabs 250mg For high altitude
sickness
62 Oxymetazoline nasal drop 0.05% ,5ml Nasal decongestant

63 Dextrose Infusion 5%W/V, 500ml


64 Levothyroxin tablet 25 mcg Anti thyroid
50 mcg
Section 2: Free Essential Drugs for NCD and Mental Health
Enalapril Tablet 5 mg NCD Drug
65 2.5mg NCD Drug
66 Atorvastatin Tablet 10 mg NCD Drug
67 Resperidone Tablet 1 mg Mental Health
2 mg Mental Health
Fluoxetine Capsule 10 mg Mental Health
68 20 mg Mental Health
Valporic Acid Tablet 200 mg Mental Heatl
69 Tablet 300 mg Mental Health

38
S.N. Name of drugs Dosage Forms Strength Group

70 Trihexiphenidyl Tablet 2 mg Mental Health


71 Thymine Tablet 100 mg Mental Health
Diazepam Tablet 2 mg Mental Health
72 Tablet 5 mg Mental Health
73 Metformin Tablet 850mg NCD Drug
74 Hydrochlorothiazide Tablet 6.25mg NCD Drug

Section 3: Free Essential Ayurved Drugs


75 Aswagandha Churna
76 Amalaki Churna
77 Shilajeet
78 Shatawari Churna
79 Massage Oil

cGo d]l8sn ;/;fdfg


S. N. Name of Product Unit Packing Remarks
1 Absorbant Cotton roll 400 g 400 g
2 Bandage Than 35 TPI 18mx90cm
3 Gauze Than 40 TPI 18mx90cm
4 Surgical Gloves Pair Different size
5 IV Set pcs Different size
6 IV Canula pcs Different size
7 Phenol pcs Different size
8 Disposable Syringe Pieces 2 ml, 5ml
9 Suture set pkt
10 Catgut pkt 1-0,2-0
11 Adheshive tape 4" rolls 4"
12 Surgical Blade pcs different size
13 Rubber Catheter pcs different size
14 Rectified Spirit Bottle 500 ml

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

cg';"rL– # k"jf{wf/ dfkb08

cfjZos sf]7f M ^–!)


1. Hall (Meeting /yoga)
2. OPD
3. Environmental health and Market Monitoring
4. Admin/Stat
5. Health Literacy
6. MO and PHO
7. Laboratory
8. MCH/FP
9. Dressing and service room
10. Toilet
11. Kitchen
12. Store/ Pharmacy
13. Waiting area/ including reception)
14. Health care waste management/ IP

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
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42
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43

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