fli6«o vf]k tflnsf pkm=cfo{=lk=el vf]k -cleefjsx¿sf]nflu hfgsf/l -2018-final.pdf ·...

2
Pkm=cfO{=lk=eL vf]k -cleefjsx¿sf] nflu hfgsf/L_ Pkm=cfO{=lk=eL vf]ksf] jf/]df d'Vo hfgsf/L Pkm=cfO{=lk=eL vf]k ;'O{sf] dfWodaf6 klxnf] dfqf ^ xKtf / bf];|f] dfqf !$ xKtfdf lbg'k5{ . of] vf]k ;'/lIft tyf e/kbf]{ 5 . kf]lnof] /f]u lj?4 yk k|lt/f]wfTds zlQm k|bfg ug{sf nflu Pkm=cfO{=lk=eL / d'vaf6 lbO{g] cf]=lk=eL b'j} vf]k lbg'kb5{ . g]kfn ;/sf/ :jf:Yo tyf hg;+Vof dGqfno vf]k sf8{÷afn :jf:Yo sf8{ ;'/lIft /fVg'kb{5 . afnaflnsfnfO{ /fli6«o vf]k tflnsf cg';f/sf] ;a} vf]kx¿ clgjfo{ nufpg' kb{5 . /fli6«o vf]k tflnsf vf]k lbg] pd]/ vf]ksf] gfd arfpg] /f]ux¿ hGdg] lalQs} la=l;=lh Ifo/f]u ^ xKtfdf l8=lk=6L–x]k aL–lxa -klxnf] dfqf_ kf]lnof] yf]kf -klxnf] dfqf_ lk=l;=eL -klxnf] dfqf_ Pkm=cfO{=lk=eL -klxnf] dfqf_ Eofu't] /f]u, nx/]vf]ls, wg'i6+sf/, x]kf6fOl6;–aL, x]df]lkmn; O{Gkm\n'OGhf–aL, kf]lnof] / lgdf]lgof -Go'df]sf]sn /f]ux¿_ !) xKtfdf l8=lk=6L–x]k aL–lxa -bf];|f] dfqf_ kf]lnof] yf]kf -bf];|f] dfqf_ lk=l;=eL -bf];|f] dfqf_ Eofu't] /f]u, nx/]vf]ls, wg'i6+sf/, x]kf6fOl6;–aL, x]df]lkmn; O{Gkm\n'OGhf–aL, kf]lnof] / lgdf]lgof -Go'df]sf]sn /f]ux¿_ !$ xKtfdf l8=lk=6L–x]k aL–lxa -t];|f] dfqf_ kf]lnof] yf]kf -t];|f] dfqf_ Pkm=cfO{=lk=eL -bf];|f] dfqf_ Eofu't] /f]u, nx/]vf]ls, wg'i6+sf/, x]kf6fOl6;–aL, x]df]lkmn; O{Gkm\n'OGhf–aL / kf]lnof] ( dlxgfdf lk=l;=le -t];|f] dfqf_ bfb'/f–?a]nf -klxnf] dfqf_ lgdf]lgof -Go'df]sf]sn /f]ux¿_, bfb'/f / ?a]nf !@ dlxgfdf hfkflgh OG;]kmnfOl6; hfkflgh OG;]kmnfOl6; !% dlxgfdf bfb'/f–?a]nf -bf];|f] dfqf_ bfb'/f / ?a]nf afnaflnsfnfO{ kf]lnof] /f]u nfUgaf6 arfpg s] ug'{k5{ < afnaflnsfnfO{ lgoldt vf]k dfkm{t # k6s kf]lnof] yf]kf v'jfpg'sf ;fy} @ k6s kf]lnof] /f]u lj?4 ;'O{ nufpg'k5{ . afnaflnsfn] hltk6s kf]lnof] yf]kf vfPsf] ePklg x/]s k6ssf] kf]lnof] yf]kf v'jfpg] cleofgdf % aif{ d'lgsf] aRRffnfO{ clgjfo{ kf]lnof] yf]kf v'jfpg'k5{ . vfgf vfg' cl3, lb;f u/]kl5 / afnaflnsfsf] lb;f wf]Pkl5 ;w} ;fa'g kfgLn] /fd|f];+u xft w'g'k5{ . v'Nnf 7fFpdf lb;f ug'{x'b}g . v'Nnf 7fFpdf u/]sf] lb;f / o;df x'g] /f]usf hLaf0f' s'g} g s'g} dfWodaf6 kfgL jf vfgfdf k'Ug ;S5 . vf]kn] hLjg /Iff ub{5 vf]k s]Gb« tyf ;/sf/L :jf:Yo ;+:yfdf vf]k lgz'Ns kfOG5 vf]k ;'/lIft x'G5

Upload: others

Post on 13-Mar-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: fli6«o vf]k tflnsf Pkm=cfO{=lk=eL vf]k -cleefjsx¿sf]nflu hfgsf/L -2018-Final.pdf · 2018-06-20 · Pkm=cfO{=lk=eL vf]k-cleefjsx¿sf]nflu hfgsf/L_ Pkm=cfO{=lk=eL vf]ksf]jf/]df d'Vo

Pkm=cfO{=lk=eL vf]k

-cleefjsx¿sf] nflu hfgsf/ L_

Pkm=cfO{=lk=eL vf] ksf] jf/ ] df d'Vo hfgsf/ L• Pkm=cfO{=lk=eL vf] k ;'O{sf] dfWodaf6 klxnf] dfqf ^ xKtf / bf] ;|f] dfqf !$ xKtfdf lbg'k5{ .

• of] vf] k ;'/ lIft tyf e/ kbf] { 5 .• kf] lnof] / f] u lj?4 yk k|lt/ f] wfTds zlQm k|bfg ug{sf nflu Pkm=cfO{=lk=eL / d'vaf6 lbO{g] cf] =lk=eL b'j} vf] k lbg'kb5{ .

g] kfn ;/ sf/ : jf: Yo tyf hg;+Vof dGqfno

vf] k sf8{÷afn : jf: Yo sf8{ ;'/ lIft / fVg'kb{5 . afnaflnsfnfO{ / fli6«o vf] k tflnsf cg';f/ sf] ;a} vf] kx¿ clgjfo{ nufpg' kb{5 .

/ fli6«o vf] k tflnsf

vf] k lbg] pd] / vf] ksf] gfd arfpg] / f] ux¿

hGdg] lalQs} la=l;=lh Ifo/ f] u

^ xKtfdf

l8=lk=6L–x] k aL–lxa -klxnf] dfqf_kf] lnof] yf] kf -klxnf] dfqf_lk=l;=eL -klxnf] dfqf_

Pkm=cfO{=lk=eL -klxnf] dfqf_

Eofu't] / f] u, nx/ ] vf] ls, wg'i6+sf/ , x] kf6fOl6;–aL, x] df] lkmn;

O{Gkm\n'OGhf–aL, kf] lnof] / lgdf] lgof -Go'df] sf] sn / f] ux¿_

!) xKtfdfl8=lk=6L–x] k aL–lxa -bf] ;|f] dfqf_

kf] lnof] yf] kf -bf] ;|f] dfqf_lk=l;=eL -bf] ;|f] dfqf_

Eofu't] / f] u, nx/ ] vf] ls, wg'i6+sf/ , x] kf6fOl6;–aL, x] df] lkmn;

O{Gkm\n'OGhf–aL, kf] lnof] / lgdf] lgof -Go'df] sf] sn / f] ux¿_

!$ xKtfdfl8=lk=6L–x] k aL–lxa -t] ;|f] dfqf_

kf] lnof] yf] kf -t] ] ;|f] dfqf_Pkm=cfO{=lk=eL -bf] ;|f] dfqf_

Eofu't] / f] u, nx/ ] vf] ls, wg'i6+sf/ , x] kf6fOl6;–aL, x] df] lkmn; O{Gkm\n'OGhf–aL / kf] lnof]

( dlxgfdflk=l;=le -t] ;|f] dfqf_

bfb'/ f–?a] nf -klxnf] dfqf_lgdf] lgof -Go'df] sf] sn / f] ux¿_,

bfb'/ f / ?a] nf

!@ dlxgfdf hfkflgh OG;] kmnfOl6; hfkflgh OG;] kmnfOl6;

!% dlxgfdf bfb'/ f–?a] nf -bf] ;|f] dfqf_ bfb'/ f / ?a] nf

afnaflnsfnfO{ kf] lnof] / f] u nfUgaf6 arfpg s] ug'{k5{ <• afnaflnsfnfO{ lgoldt vf] k dfkm{t # k6s kf] lnof] yf] kf v'jfpg'sf ;fy} @ k6s

kf] lnof] / f] u lj?4 ;'O{ nufpg'k5{ .

• afnaflnsfn] hltk6s kf] lnof] yf]kf vfPsf] ePklg x/ ] s k6ssf] kf] lnof] yf] kf v'jfpg] cleofgdf % aif{ d'lgsf] aRRffnfO{ clgjfo{ kf] lnof] yf] kf v'jfpg'k5{ .

• vfgf vfg' cl3, lb;f u/ ] kl5 / afnaflnsfsf] lb;f wf] Pkl5 ;w} ;fa'g kfgLn] / fd|f] ;+u xft w'g'k5{ .

• v'Nnf 7fFpdf lb;f ug'{x'b} g . v'Nnf 7fFpdf u/ ] sf] lb;f / o;df x'g] / f] usf hLaf0f' s'g} g s'g} dfWodaf6 kfgL jf vfgfdf k'Ug ;S5 .

vf] kn] hLjg / Iff ub{5vf] k s] Gb« tyf ;/ sf/ L : jf: Yo ;+: yfdf vf] k lgz'Ns kfOG5vf] k ;'/ lIft x'G5

Page 2: fli6«o vf]k tflnsf Pkm=cfO{=lk=eL vf]k -cleefjsx¿sf]nflu hfgsf/L -2018-Final.pdf · 2018-06-20 · Pkm=cfO{=lk=eL vf]k-cleefjsx¿sf]nflu hfgsf/L_ Pkm=cfO{=lk=eL vf]ksf]jf/]df d'Vo

kf] lnof] / f] u s] xf] <

kf] lnof] / f] u kf] lnof] efO/ ;af6 x'g] Ps ;?jf / f] u xf] . of] / f] u nfu] df cltlz3| n'nf] kIf3ft x'g'sf] ;fy} slxn] sflxF o;n] ubf{ d[To' ;d] t x'g ;S5 .

kf] lnof] / f] usf nIf0fx¿ s] s] x'g\ <

Hj/ f] cfpg] , ?3f–vf] sL nfUg] , 6fpsf] b'Vg] , k] 6 b'Vg] , afGtf x'g] / xft–v'§f b'Vg] h: Tff nIf0f tyf lrGxx¿ b] vf kb{5g\ . s] xL afnaflnsfdf o;n] cltlz3| n'nf] kIf3ft u/ fO{ ckfË klg u/ fpF5 eg] s;} sf] d[To' ;d] t x'g ;S5 .

kf] lnof] / f] u s;/ L ;b{5 <

kf] lnof] / f] usf efO/ ; lgs} ;+qmfds x'G5 . / f] uLsf] 3fF6L tyf cfGb«fdf of] efO/ ; / xG5 . kf] lnof] / f] uLsf] lb;faf6 oL efO/ ;x¿ aflx/ lg: sG5g\ / jftfj/ 0fdf km} lnG5g\ . kf] lnof] sf] efO/ ; b'lift vfgf, kfgL / kmf] x/ xftaf6 afnaflnsfsf] zl/ / df k|j] z u5{ / lb;faf6 aflx/ lg: s] / c?df ;5{ .

kf] lnof] / f] usf] pRr hf] lvddf sf] sf] kb{5g\ <

slxn] klg kf] lnof] vf] k glnPsf jf kf] lnof] vf] k k'/ fdfqf glnPsf afnaflnsf o; / f] usf] pRr hf] lvddf x'G5g\ . ;d'bfodf Pshgf aRrfnfO{ klg kf] lnof] /f]u ePdf c? afnaflnsfnfO{ ;g] { ;Defjgf x'G5 . vf] k sfo{qmd ;+rfng ePtfklg vf] k ;] jf / fd|/ L pkef] u gePsf 7fFpsf afnaflnsf klg o; / f] usf] hf] lvddf kg{ ;S5g\ .

s] kf] lnof] / f] usf] pkrf/ ;Dej 5 <

kf] lnof] / f] u nflu;s] kl5 o;sf] pkrf/ ;Dej 5} g . kf] lnof] / f] usf] ;+qmd0f / f] Sg] Psdfq k|efjsf/ L pkfo eg] sf] vf] k tflnsf cg';f/ kf] lnof] / f] u la?4 vf] k lbg' g} xf] .

kf] lnof] / f] usf] lj?4 s'g–s'g vf] kx¿ pknAw 5g\ <

kf] lnof] /f]u lj?4 b'O lsl;dsf vf] kx¿ pknAw 5g\ .

!= cf] =lk=le -OPV- Oral Polio vaccine_

of] d'vaf6 v'jfO{g] kf] lnof] /f]u lj?4sf] vf] k xf] . lgoldt vf] k sfo{qmd dfkm{t kf] lnof] yf] kf aRrf hGd] sf] ^, !) / !$ xKtfdf hDdf # k6s lbg'k5{ . o;sf] cltl/ Qm % aif{ d'lgsf] afnaflnsfnfO{ x/ ] s kf] lnof] vf] k cleofgdf klg kf] lnof] sf] b'O{ yf] kf v'jfpg'k5{ .

@= Pkm=cfO{=lk=eL -fIPV- fractional dose of Inactivated

Polio Vaccine_

Pkm=cfO{=lk=eL vf] k ^ / !$ xKtfsf] pd] / df ;'O{sf] dfWodaf6 lbOg] vf] k xf] . of] vf] k d'vaf6 v'jfpg] kf] lnof] vf] ksf] cltl/ Qm b'O{ k6s lbg'k5{ . Pkm=cfO{=lk=eLn] afnaflnsfdf kf] lnof] / f] u lj?4 n8\g yk k|lt/ f] wfTds zlQm k|bfg u5{ .

afnaflnsfnfO{ lsg Pkm=cfO{=lk=eL;+u} kf] lnof] yf] kf klg v'jfpg'k5{ <

afnaflnsfnfO{ kf]lnof] yf]kf ;Fu} Pkm=cfO{=lk=eL vf]k klg lbg'kb{5 . kf] lnof] yf] kf;Fu} lbO{g] Pkm=cfO{=lk=eL vf] kn] afnaflnsfdf kf] lnof] / f] u lj?4 n8\g] yk k|lt/ f] wfTds zlQm a[l4 eO{ of] / f] usf] efO/ ; lj?4 n8\g yk zlQm k|bfg ub{5 .

s] afnaflnsfnfO{ Ps} k6s w] / } vf] kx¿ nufpg' ;'/ lIft x'G5 <

afnaflnsfnfO{ Ps} k6s tLg jf ;f] eGbf w] / } vf] k nufpg' ;'/ lIft x'G5 . afnaflnsfnfO{ / f] ux¿ nfUgaf6 arfpg Ps} k6s w] / } k|sf/ sf vf] kx¿ lbg ;lsG5 . cGo b] zx¿df klg Ps} k6sdf w] / } k|sf/ sf vf] k nufpFbf afnaflnsfdf s'g} k|lts'n c;/ b] lvPsf] 5} g . jf: tjdf z'?sf dlxgfdf afnaflnsfnfO{ / f] ux¿ nfUg] ;+Defjgf w] / } ePsf] n] ^, !) / !$ xKtfdf / f] ux¿ lj?4 w] / } vf] kx¿ lbg] ul/ G5 .

kf] lnof] vf] k gnufPdf s] x'G5 <

kf] lnof] lj?4 vf] k glnPdf afnaflnsfnfO{ kf] lnof] / f] u nfUg] hf] lvd a9L x'G5 . kf] lnof] vf] k gx'Fbf x/ ] s aif{ g] kfnsf xhf/ f} afnaflnsfnfO{ kf] lnof] / f] usf sf/ 0f clt lz3| n'nf] kIf3ft x'g] ub{Yof] . kf] lnof] lj?4sf] vf] ksf sf/ 0fn] g} clxn] g] kfndf kf] lnof] / f] u z'Godf / x] sf] 5 . o; lj?4 vf] k glnPdf, km] / L of] / f] u b] lvg ;S5 .

kf] lnof] vf] ksf jf/ ] df yk hfgsf/ L sxf“ kfpg ;S5' <

kf] lnof] jf cGo vf] kx¿sf jf/ ] df yk hfgsf/ L glhs}sf] : jf: Yo ;+: yf jf vf] k s] Gb|df : jf: YosdL{;Fu k|fKt ug{ ;lsG5 .

lgoldt vf] k nufPdf, x/ ] s cleofgdf kf] lnof] yf] kf v'jfPdf / ;/ ;kmfO{df Wofg lbPdf kf] lnof] nfO{ k"0f{ ?kn] pGd'ng ug{ ;lsG5 .