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Semelhante a Training for basic nutrition (20)
Mais de Mohammad Noor (13)
Training for basic nutrition
- 1. Orientation for PD Hearth & GMP on Basic
Nutrition
Venue: Muktagacha ADP Hall Room
World Vision Bangladesh
Date: 24-25 January,2015
- 3. evsjv‡`‡ki mvwe©Kcywó cwiw¯’wZ:
cywó cwiw¯’wZ: evsjv‡`k wPÎ Z_¨m~Î
1eQ‡ii Kg eqmxwkï g„Zy¨nvi 43/1000RxweZ Rb¥ wewWGBPGm 2011
5eQ‡ii Kg eqmxwkï g„Zy¨nvi 53/1000RxweZ Rb¥ wewWGBPGm 2011
Rb¥KvjxbKg IR‡bi wkï 36% GbGjweGm, 2004
Le©Zv (÷vw›Us) gvivZ¥K -15% wewWGBPGm 2011
ga¨g †_‡K gvivZ¥K-41%
K…kKvq (IqvmwUs)
gvivZ¥K-4% wewWGBPGm 2011
ga¨g †_‡K gvivZ¥K-16%
¯^í IRb gvivZ¥K -10% wewWGBPGm 2011
ga¨g †_‡K gvivZ¥K-36%
ïaygvÎ gv‡qi `yaLvIqv‡bvi nvi 64% wewWGBPGm 2011
cwic~iK Lvevi MÖn‡Yi nvi 21% wewWGBPGm 2011
Lvevi ˆZix I LvIqv‡bvi Av‡M mvevb w`‡q
nvZ ‡avqvi nvi
<5% Shewa -B Health
Impact Study, Midline
Report November,
2009
- 5. mywbw`©ó D‡Ïk¨vejx:
• gv I wkï‡`i Acywó Kgv‡bvi j‡¶¨ GKwU mve©Rbxb g~javivi mgwš^Z
cywó †mev c¨v‡KR ev¯Íevqb Kiv
• Acywó wbimb Kivi j‡¶¨ wewfbœ mswkøó gš¿Yvjq mg~‡ni g‡a¨ mgš^q
mvab Kiv (gš¿Yvjq mg~n †hgb-
• Lv`¨ I `y‡h©vM e¨e¯’vcbv, K…wl, gwnjv I wkï welqK, Z_¨, wk¶v, grm¨ I
cÖvYxm¤ú`, ¯’vbxq miKvi,
• cjøx Dbœqb I mgevq)
• ¯^v¯’¨ I cwievi cwiKíbv †mev e¨e¯’vi wewfbœ ¯Í‡i gvbm¤§Z †mev cÖ`vb,
e¨e¯’vcbv I ZË¡veavb (mycviwfkb) wbwðZ Kivi Rb¨ `¶ gvbe m¤ú` ˆZixKiv
• ¯^v¯’¨Z_¨ e¨e¯’vcbvi mv‡_ †hvMm~Î ¯’vcb Kivi Rb¨ Z_¨ c×wZ Ges
M‡elYv†Rvi`vi Kiv
- 7. Lv`¨Icywó
Lv`¨:
• Lv`¨ n‡”Q Ggb KZ¸‡jvcÖ‡qvRbxq Dcv`v‡bi mgwó hv MÖn‡Yi gva¨‡g
kix‡ii¯^vfvweK e„w× I Kg©¶gZv eRvq _v‡K, ¶qc~iY I wewfbœ Kv‡Ri
Rb¨ cÖ‡qvRbxq kw³ †hvMvb †`q Ges m‡ev©cwi †ivM cÖwZ‡iva
¶gZv ˆZixK‡i|
cywó:
• cywó n‡”Q Ggb GKwU cÖwµqv hvi gva¨‡g MÖnY Kiv Lv`¨, †kvwlZ
n‡q kix‡iZvcI kw³ Drcbœ K‡i, kix‡iie„w× mvab K‡i,kix‡i†ivM
cÖwZ‡iva¶gZv m„wó K‡i|
- 8. cywóKi Lv`¨ Ges Giv wKfv‡em¤cwK©Z:
• †h me Lv`¨ †L‡j kix‡iZvcI kw³ Drcvw`Z nq, †`‡ni MVb e„w× nq, kixi
mej, Kg©¶g I wb‡ivM _v‡K Zv-BcywóKi Lv`¨|
• Lv`¨ I cywó G‡K Ac‡ii mv‡_ RwoZ| ‡h ‡Kv‡bv Lv`¨ MÖnY Ki‡jBn‡e
bv, ZvAek¨Bn‡Z n‡e cywó m¤§Z Ges wbivc`| cywó m¤§Z Lv`¨ MÖnb
bv Ki‡j†ivM cÖwZ‡iva ¶gZv K‡g hvq Ges kix‡iwewfbœ ai‡bi †ivM
msµgY nq| cywó m¤§Z Lvevi MÖnb Ki‡jkixiI gb DfqB fvj _v‡K|
- 9. Lv‡`¨i Dcv`vb I Drm:
• †k¦ZmvievkK©iv (Kv‡e©vnvB‡WªU)
• Drm: fvZ, iæwU,Avjy, gywo, wPov, ˆL,wPwb, gay BZ¨vw`
• †Zj I Pwe©
• Drm:†Zj, gvQ- gvs‡mi Pwe©, gvLb, wN BZ¨vw`
• Avwgl (‡cÖvwUb)
• Drm:gvQ,gvsm, wWg, `ya, Wvj, ev`vg,exwPBZ¨vw`
• wfUvwgb
• Drm:`ya, wWg, KwjRv, me ai‡bikvK-me&wR, dj BZ¨vw`
• LwbR Dcv`vb
• Drm:gvQ,gvsm, KwjRv, `ya, wWg, Mvp meyR kvK- me&wR, jeY BZ¨vw`
• Cvwb
- 10. KvR Abyhvqx Lv‡`¨i †kªYx wefvM:
• ZvcI kw³ Drcv`bKvix Lv`¨: (kK©ivI Pwe© RvZxq Lvevi †hgbt fvZ,
i“wU, Avjy, ¸o, wPwb, wgwóAvjy, cvDi i“wU, †Zj, gvLb, wN, Pwe©, gay,
¸o, we¯‹zU, ev`vg, bvi‡Kj BZ¨vw`)
• kix‡ii¶qc~iY I e„w×KviK Lv`¨: (Avwgl RvZxq Lvevi †hgbt gvQ, gvsm,
mqvweb I Ab¨vb¨ Wvj, `ya, wWg, wm‡gi exwP, †QvUgvQ, eogvQ,
KwjRv BZ¨vw`)
• †ivM cÖwZ‡ivaKvix Lv`¨: (wfUvwgb I LwbR m¤§„× Lvevi †hgbt
Mvp njy` I meyR i‡Oi me ai‡bi kvKI djg~j, cvKv Avg, cvKv Zvj,cvKv
†cu‡cu, cvKv KuvVvj, Avbvim, †cqviv, AvgjwK, Avgov, Kjv,†jey, MvRi,
wgwóKzgov, wkg, †QvUgvQ, `ya, wWg, KwjRv BZ¨vw`)
- 11. mylg Lv`¨ I Gi ˆZixi †KŠkj
mylg Lv`¨:
• myylg Lv`¨ n‡”Q †mB Lv`¨ hv‡Z Lv‡`¨i me cywó Dcv`vb †`‡ni
cÖ‡qvRbgZ, eqm I wj½ †f‡` mwVK gvÎvq _v‡K| A_v©r mylg Lv`¨ n‡jv
Ggb GKwU Lvevi hv kw³`vqK, kixie„w×KviK I †ivM cÖwZ‡ivaK|
cÖ‡Z¨‡Kimvg‡_©¨i Dci wbf©i K‡i†h †m wK ai‡bimylg Lvevi †L‡Z
cv‡i| †ewk LiP K‡i †hgb mylg Lvevi LvIqv hvq, †Zgwb AíLi‡PI mylg
Lvevi LvIqv hvq|
- 14. Lvev‡iiˆewPΨ
wKfv‡eLvev‡i ˆewPΨAvbvhvq?:
• Lvevi Ggb n‡Z n‡e †hb †mB Lvevi cwigv‡Y mwVK nq Ges me iKg
cywó _v‡K
• cwigvY gZ/Dchy³ A_©vr GB me Lvevi h‡_ó cwigvY kw³, Avwgl Ges
Abycywói (micro nutrient) Pvwn`v c~iY Ki‡e
• GKBLvevi †L‡Z fvj jvM‡e bv ZvB gv‡S gv‡S wfbœ wfbœ ai‡bi Lvevi
†`qv fvj, G†Z Lvev‡ii iæwP evo‡e
- 15. g‡bivL‡Z n‡e:
• gvQ, gvsm, wWg, KwjRv A_ev Wvj, ev`vg, exwP BZ¨vw` RvZxq Lvevi
cÖwZw`b †L‡Z n‡e hv ˆ`wnK e„w× I ¶q c~i‡b mnvqZv K‡i
• Mvp meyR kvK-me&wR, jvjI njy` i‡Oi dj Ges wewfbœ ai‡bi kvK-
me&wR I dj (†hgb- KPz kvK, cyuB kvK, jvj kvK, WvUv kvK, wgwó
Kzgov, MvRi Ges cvKv Avg, cvKv KvuVvj, cvKv †cu‡c, †jey, †cqviv,
AvgjwK, Avgov, Rv¤^yiv BZ¨vw`) G¸‡jvi †h †Kvb GK cÖKvi kvK-
me&wR I dj cÖwZw`b Aek¨B †L‡Z n‡e KviY GB me Lvevi †_‡K
wewfbœ ai‡bi wfUvwgb cvIqv hvq hv kixi‡K AmyL weïL Gi nvZ †_‡K
i¶v K‡i
• 1 Kvc `ya A_ev `y‡ai ˆZwiLvevi cÖwZw`b bv n‡jI mßv‡n 3-4 w`b †L‡Z
n‡e
• Aek¨B Av‡qvwWb hy³ jeb w`‡q me iKg ivbœv Ki‡Z n‡e
- 17. Abycywó GesAbycywói Dcv`vb
Abycywó:
• gyL¨ cywó Dcv`vbmg~n †hgb-kw³`vqK Lv`¨(kK©iv), e„w×KviK Lv`¨
(Avwgl) Ges Abycywó Dcv`vbmg~n †hgb- wfUvwgb Ges LwbR
Dcv`vbmg~n G me wb‡qB nq ¯^v¯’¨Ki Lvevi| GLv‡b g¨v‡µv(gyL¨) ej‡Z
ÒeoÓ Ges gvB‡µv ej‡ZÒ‡QvUÓ eySv‡bv nq| fvjfv‡e KvR KiviRb¨
Avgv‡`i kix‡i†h mKj Abycywó Dcv`vbmg~n cÖ‡qvRb, GB Awa‡ek‡b
†m¸‡jvi cÖwZ `„wócvZ Kiv n‡e| Abycywó Dcv`vbmg~n Avgv‡`i AwZ
mvgvb¨ cwigv‡b cÖ‡qvRb, wKš‘ G¸‡jv GZB ¸i“Z¡c~Y© †h wbw`©ó
cwigvY MÖnY Kiv bv n‡jGKRb gvbyl Amy¯’ A_ev kvixwiK ev gvbwmK
cÖwZeÜx n‡Z cv‡i| mvaviYZ cÖwZw`b 100wgwj Gi†ewk ev Kg n‡j
gyL¨ I Aby ejv nq|
- 20. Av‡qvwWb hy³ je‡Yi e¨envi I msi¶Y, je‡Y
Av‡qvwW‡bi gvb wbY©q
Av‡qvwWbhy³ je‡Yi e¨enviI msi¶Y:
• Av‡qvwWbhy³ jeY ivbœvq Ges Lvev‡i cÖwZw`bB e¨envi Ki‡Zn‡e
• jeY †Kbvi mgq Aek¨BAv‡qvwWbhy³ je‡Yi cÖZxKwPý †`‡L wb‡Z
n‡e
• ¯^vfvweK ivbœvq je‡Yi Av‡qvwWb n«v‡mi cwigvY LyeB Kg| Z‡e
ivbœvi †klgyû‡Z© jeY e¨envi Kiv DwPZ| Ab¨_vq AwaK Zv‡c
Av‡qvwW‡bi Kvh©KvwiZv bó n‡q †h‡Z cv‡i
• evRv‡ii †Lvjv jeY †Kbv DwPZ bv
- 21. Contd.
• jeY M‡j †M‡j Zv‡Z Av‡qvwWb _v‡K bv
• jeY †iv‡` wKsev mu¨vZmu¨v‡Z RvqMv‡Z ivL‡j Av‡qvwW‡bi cwigvb
K‡g †h‡Z _v‡K
• GRb¨ jeY mZK©Zvi mv‡_ msi¶Y I c¨v‡KU Ki‡Zn‡e Ges je‡Y
Av‡qvwW‡bi cwigvY cix¶vK‡i†`L‡Z n‡e
• Av‡qvwWbhy³ jeY m~h© iwk¥ †_‡K `~‡i XvKbvhy³ Kuv‡Pi ‡evZj ev
cv‡Î msi¶Y Ki‡Zn‡e
- 24. ˆK‡kviKvj I ˆK‡kviKv‡j cywói¸i“Z¡
‰K‡kviKvj:
• ‰kkeKvj†_‡K †hŠe‡b c`vc©‡bi ga¨eZ©xmgq (10-19 eQi)-‡K
ˆK‡kviKvjejv nq Ges GB eq‡mi †Q‡j-†g‡q‡`i‡K wK‡kvi-wK‡kvixejv
nq| ‰K‡kviKvjRxe‡bi AZ¨šÍ ¸iæZ¡c~Y© G mgq Zv‡`iwewfbœ ai‡Yi
kvixwiKI gvbwmK cwieZ©bN‡U, ZvB G mgq Zv‡`icywó Pvwn`vI
e„w× cvq| ‡`‡ni myôz I ¯^vfvweK e„w×i R‡b¨ Zv‡`i ¯^v‡¯’¨i we‡kl
cwiPh©v KivcÖ‡qvRb| GKB mv‡_ Zv‡`i‡K Lv`¨ I cywó m¤ú‡K©
m‡PZb K‡i M‡o †ZvjvI GKvšÍ Ri“ix|
- 25. ˆK‡kviKv‡j cywói¸i“Z¡¡:
• Ach©vß cywói Kvi‡Y ˆK‡kviKvjxb¯^v‡¯’¨i Dci †bwZevPK cÖfve c‡o
hv A‡bK †iv‡Mi Kvib n‡q Øvivq Ges `xN©¯’vqx †iv‡Mi SzuwK e„w×
K‡i| †hgb:
• Avqi‡Yi Afv‡e ˆK‡kviKvjxbkvixwiKe„w× wejw¤^Z n‡Z cv‡i| we‡kl
K‡iwK‡kvix‡`ikvixwiKe„w× I gvwm‡Ki Kvi‡Y kix‡iAvqi‡Yi Pvwn`v
†e‡o hvq
• AvqiY NvUwZi Kvi‡Y kvixwiKI gvbwmK e„w× e¨vnZ nq, ¯^vfvweK
Ávb e„w×i weKvk K‡g hvq Ges cov‡jLvi cÖwZ g‡bv‡hvM A‡bKvs‡k
K‡g hvq d‡j ¯‹z‡j hvevi AvMÖn nvwi‡q †d‡j
• wK‡kvixAe¯’vq Mf©aviY, (we‡kl K‡i gv hw` Acywó‡Z †fv‡Mb I
†eu‡U nb) gv I wkï Df‡qi ¯^v¯’¨ SzuwKi g‡a¨ c‡o hvq
- 26. ‰K‡kviKvj: D”PZv, IRbI ˆ`wnK MV‡bicwieZ©b:
• D”PZvi †¶‡Î cwieZ©b
• ‡gvU D”PZvi 15-20% GB mg‡q nq
• †g‡q‡`i PvB‡Z †Q‡j‡`i ˆ`wnKe„w× †`ix‡Zïiæ nq
• IR‡bi†¶‡Î cwieZ©b
• ‡gvU IR‡bi 25-50% GB mg‡q nq
• ˆ`wnKMVbI KvVv‡gvi †¶‡Î cwieZ©b
• cÖvq 45% kix‡iiKvVv‡gvi (gvsk‡ckx) Ask we‡klGB mg‡q †hvM nq
• Rb¥ †_‡K ˆK‡kviKv‡jig‡a¨, kix‡iinv‡oi MV‡bi 90 fvM m¤úbœ nq
• †g‡q‡`i Zzjbvq †Q‡jiv GB mgq Zzjbv g~jK fv‡e †ekx gvsk ‡ckx jvf K‡i
- 27. ‰K‡kviKvjxb ‰ewPΨgq Lvev‡ii ¸i“Z¡
• ‰K‡kviKvjxb Lv`¨ˆewPΨ:
• ˆK‡kviKv‡jLvevi Ggb n‡Z n‡e †hb †mB Lvevi cwigv‡Y mwVK nq Ges
G‡Z Lv‡`¨i 6 wU Dcv`vbB _v‡K
• GKB Lvevi †L‡Z fvj jvM‡e bv ZvB gv‡S gv‡S wfbœ wfbœ ai‡Yi Lvevi
†`qv fvj G†Z Lvev‡ii iæwP _vK‡e
• ˆK‡kv‡i†Q‡j-†g‡qiv †jLvcov I ‡Ljva~jv wb‡q e¨¯Í _v‡K ZvB Zv‡`iN‡i
ˆZixKiv cywóKi Lvevi ‡L‡Z w`‡Z n‡e
• D‡jL¨ †h, ˆK‡kv‡i†Q‡j-†g‡q‡`ig‡b n‡e †hiv¯Ívi †Lvjv Lvevi, PvbvPzi,
AvPvi, gyovjx, PUcwU, wPc&m, AvBmwKªg, ‡KK, †Kvgj cvbxq- Rym,
G¨vbvR©x wWªsK BZ¨vw` gyL‡ivPK Lvevi Lvq G¸‡jv‡Z Pwe© I kK©ivi
gvÎv †ekx _v‡K hv cieZ©xRxe‡b ¯’zjZv, ü`†ivM Ges Wvqv‡ewU‡mi
g‡Zv †iv‡Mi SuzwK evwo‡q †`q
- 28. ‰K‡kviKvjxb Acywó cÖwZ‡iv‡aKibxq:
• mylg Lvevi LvIqv (Ggb GKwU Lvevi hv kw³`vqK, kixie„w×KviK I †ivM
cÖwZ‡ivaK)
• Wv³vi ev ¯^v¯’¨Kgx©i civgk©Abyhvqx AvqiY dwjK GwmW (IFA)
U¨ve‡jU LvIqv
• cÖ‡Z¨K wK‡kvi-wK‡kvix‡KWv³v‡ii civgk©Abyhvqx Qq gvm AšÍi
AšÍi K…wgbvkK ewo MÖnY Kiv
• Lvevi LvIqvi Av‡M I c‡i mvevb I wbivc` cvwb w`‡q nvZ ‡avqv
- 29. ‰K‡kviKvjxb Acywó cÖwZ‡iv‡aKibxq:
• ¯^v¯’¨m¤§Z cvqLvbv e¨envi Kiv Ges RyZv ev m¨v‡Ûj c‡o cvqLvbvq
hvIqv
• gvwm†Ki mgq cwi®‹vi-cwi”Qbœ _vKv| Zv‡`i‡K g‡b ivL‡Z n‡e †h G
mgq me ai‡biLvevi LvIqv hvq Ges me ¯^vfvweK KvR Kg© Kiv hvq
• †`ix‡Z we‡q
• wK‡kvix‡KwU‡Ubvm wUKvi 5wU †WvR m¤ú~b© Kiv
- 30. wK‡kvi-wK‡kvixi ‰`wbKbg~bv Lv`¨ ZvwjKv
(250 wg:wj:evwUi wnmve)
mKv‡jiLvevi mKv‡ji bvmÍv
(mKvj11Uv)
`ycy‡iiLvevi weKv‡jibvmÍv iv‡ZiLvevi
-gvSvix mvB‡Ri
2wU iæwU A_ev 1
evwU fvZ
-1 evwU meRx
A_ev
-1wUwWg
-‡h †Kvb †`kx
†gxmygxdj
-evox‡Z ‰Zix
bv¯Ív RvZxq
Lvevi
-2/3evwU fvZ
-1evwU kvK&-mwâ
-1evwU Nb Wvj
-1 UzKiv gvQ/
gvsm/KwjRv
-`ya w`‡q ‰Zix Nb†h †Kvb
Lvevi (cv‡qk I `B BZ¨vw`)/
‡h †Kvb ‡`kx †gxmygx dj/
evox‡Z ‰Zix bv¯Ív RvZxq
†h†KvbLvevi|
-2/3evwU fvZ
-1 evwU kvK&-
mwâ
-1evwU NbWvj
- (hw` m¤¢e nq 1
UzKivgvQ/gvsm)
* GQvovI wK‡kvix‡`iˆ`bw›`b Lv`¨ZvwjKvq AvqiY mg„×Lvevi _vKvevÃbxq|wK‡kvixivWv³vi ev
¯^v¯’¨Kgx©icivgk© Abyhvqxmßv‡n 2wUK‡iAvqiY dwjKGwmW U¨ve‡jU Ges Qqgvm AšÍi AšÍi
K…wgbvkKewo Lv‡e|
- 32. cÖvßeq®‹ gwnjviAcywó‡Z †fvMvi cwiYwZ:
• ‡ivM cÖwZ‡iva ¶gZv K‡g hvq
• Kg©¶gZv K‡g hvq
• kvixwiKMVb†QvU nIqvq mšÍvb cÖm‡e RwUjZv I wec` †`Lv †`q
• cÖmeKvjxb I cÖme-cieZ©x RwUjZvGes i³¶i‡Yi d‡j gv‡qi g„Zy¨
SuywK †e‡o hvq
• Mf©eZxgwnjv Acywó‡Z fzM‡j Kg IRb wb‡q mšÍvb Rb¥v‡bvi Ges
beRvZ‡Ki g„Zz¨i SuywK †e‡o hvq
- 33. Kg Rb¥ IR‡bi wkïi fqvenZv:
• g„Zy¨ SuywK †e‡o hvq
• evievi †ivMvµvš— nq
• ˆ`wnKI gvbwmK e„w× e¨vnZ nq
• Kg©¶gZv K‡g hvq
- 34. Mf©Kvjxb hZœ I Mf©eZx gwnjv‡`icywó
GescÖm~ZxKvjxbcwiPh©vI cÖm~wZgv‡qi
cywó
- 35. Mf©eZxgwnjv‡`i IRbcwigv‡cicÖ‡qvRbxqZv
Ges KiYxq
Mf©Kvjxb mg‡qIRb †bqvi ¸i“Z¡:
• Mf©eZxgwnjvi cywói Ae¯’v wbb©q I G e¨vcv‡i mwVK w`K wb‡`©kbv
cÖ`v‡bi Rb¨
• Mf©eZxgwnjvi IRb e„w× wbwðZ Kivi Rb¨
• GKwU my¯’ I ¯^vfvweK IR‡bi wkïiRb¥ wbðZ Kivi Rb¨
• Mf©KvjxbI cÖmeKvjxb RwUjZv Kgv‡bvi Rb¨
• gvZ„ I wkï g„Zz¨i nvi Kgv‡bvi Rb¨
- 36. Mf©ve¯’vq IRb e„w×i ‡gwWwmb Bbw÷wUD‡Ui
mycvwikgvjvmg~n:
Mf©avi‡bic~e©eZ©xIRb
Ae¯’v
ewWgvm Bb‡W· mycvwikK…Z†gvU
IRbcvDÛ (†KwR)
2qI 3qUªvBg÷vi (wZbgvm) Gi mgq
IRbe„w×i mycvwikmg~n(cvDÛ)
{MoIRb(cvDÛ/‡KwR)}
Kg IRb 18.5Gi bx‡P 28-40(11-16) 1 (1-1.3)
¯^vfvweKIRb 18.5-24.9 25-35(10-14) 1 (0.8-1)
gvÎvwZwi³IRb 25-29.9 15-25(6-10) 0.6(0.5-0.7)
¯’zjKvq (mKj†kÖbx
AšÍfy©³)
30Ges Gi Dc‡i 11-20(5-8) 0.5(0.4-0.6)
Source: ‡gwWwmb Bbw÷wUDU
- 37. Mf©eZxgwnjvi ¯^vfvweK IRb e„w×i Rb¨ hv hv cÖ‡qvRb:
• 20 eQi eqm c~Y© nevi Av‡M Mf©aviY bv Kiv
• `yB mšÍv‡bi †ewk mšÍvb bv †bqv
• wkïieqm 2 eQi c~Y© bv nIqv ch©šÍ cybivq Mf©aviY bv Kiv
• wbqwgZ Mf©Kvjxb ¯^v¯’¨†mev (ANC) Ges ¯^v¯’¨Kg©x‡`i civgk©
MÖnY Kiv
• Mf©ve¯’vq ¯^vfvwe‡Ki †P‡q GKUz †ewk Lv`¨ Ges mylg Lv`¨ MÖnY
Kiv| we‡klZcÖvYxR Lvevi (`ya,wWg,KwjRv) Ges Mvp meyR kvK
mewR I †gŠmygx †`kx djg~j †ewk LvIqv
• Mf©Kvjxbmg‡q, h‡_ó wekªvg †bqv, KóKi cwikªgeR©b Kiv Ges fvix
†Kvb wRwbm bv †Zvjv
• Mfv©e¯’vq wbqwgZ AvqiY I dwjK GwmW wgwkªZewo I
Av‡qvwWbhy³ jeY LvIqv
- 38. Mf©ve¯’vq IRb e„w×bv nIqvi KviYmg~n:
• wkï I wK‡kvixeq‡m `xN©¯’vqx Acywó‡Z Ges i³¯^íZvq†fvMv
• wK‡kvixev Aí eq‡m Mf©aviY Kiv
• Nb Nb mšÍvb aviY Kiv
• Mf©ve¯’vq Kg Lv`¨ MÖnY I mylg Lv`¨ MÖnY bv Kiv
• Mf©Kvjxbmg‡q i³ ¯^íZvq†fvMv
• wewfbœ †iv‡Mi msµgY I K…wg‡Z AvµvšÍ nIqv
• kvixwiKcwikªg†ewk Kiv I gvbwmK D‡Ø‡M _vKv
• Lv`¨ msµvšÍ Kzms¯‹vi I cwiev‡i Amg Lv`¨ e›Ub
- 39. Mf©eZxI cÖm~wZgwnjv‡`i mnvqZvq cwiev‡ii
Ab¨vb¨ m`m¨‡`i(¯^vgx, kvïox,bb`) KiYxq:
• Mf©Kvjxb‡mev MÖn‡bi Rb¨ Mf©eZx gwnjvi mv‡_ †mev †K‡›`ª
hvIqv
• AvqiY dwjK GwmW LvIqvi Rb¨ Mf©eZx gwnjv‡K g‡b Kwi‡q †`qv
• Mf©eZxgwnjv / `y»`vbKvix gv‡K AwZwi³ Lvevi †L‡Z DrmvwnZ Kiv
• N‡iiˆ`bw›`b UzwKUvwK Kv‡RMf©eZx gwnjv‡K mvnvh¨ K‡i Zvi
Kv‡Ri †evSv Kgv‡bv
• nvmcvZv‡j cÖme Kiv‡bvi wel‡q Mf©eZx gwnjv‡KDrmvwnZ Kiv Ges
mn‡hvMxZvKiv
• nvmcvZv‡j cÖm‡ei Rb¨ hvZvqvZ e¨e¯’vi cÖ¯‘wZ †bqv
- 40. Mf©eZxI cÖm~wZgwnjv‡`i mnvqZvq cwiev‡ii
Ab¨vb¨ m`m¨‡`i(¯^vgx, kvïox,bb`) KiYxq:
• R‡b¥i GK N›Uvi g‡a¨ wkï‡Kgv‡qi `ya LvIqv‡bvi Rb¨ Mf©eZx
gwnjv‡KDrmvwnZ Kiv Ges mn‡hvMxZv Kiv
• R‡b¥i mv‡_ mv‡_ (GK NÈvig‡a¨)wkï‡K gv‡qi kvj`ya LvIqv‡bv
wbwðZ Kiv
• gv wkï‡K h‡_ó mgq wb‡q mwVK wbq‡g (position & attachment) `ya
LvIqv‡Z cv‡i Zvi Rb¨ `y»`vbKvix gv‡K my‡hvM K‡i †`qv
- 42. kvj `ya, gv‡qi `y‡ai DcKvwiZv,ïaygvÎ gv‡qi `ya
LvIqv‡bv
kvj `ya:
• wkï R‡b¥i cicÖ_g 3-5 w`‡bi g‡a¨ gv‡qi ¯Íb †_‡K njy` i‡Oi Nb AvVv‡jv
†h `ya †ei nq Zv‡K kvj`yae‡j| kvj`y‡a cÖPzi cwigv‡Y wfUvwgb-G Ges
Ab¨vb¨ wfUvwgb _v‡K hv wkïi †ivM cÖwZ‡iva ¶gZv e„w× K‡i| wkïi
R‡b¥i ciciB(1 N›Uvi g‡a¨) wkï‡Kkvj`ya LvIqv‡bv we‡klcÖ‡qvRb|
gv‡qi `y‡ai DcKvwiZv: `jxq KvR
- 43. ïaygvÎ gv‡qi `ya LvIqv‡bv:
• Rb¥ †_‡K c~Y© 6 gvm chšÍ© ‡Kvb wkï‡K ïaygvÎ gv‡qi `ya †`qv, evB‡ii
†Kvb Lvevi ev Ggb wK GK ‡dvuUv cvwbI bv †`qv, wkïicywó i¶viRb¨
Gmgq ïaygvÎ gv‡qi `yaB h‡_ó|
- 44. gv‡qi `ya †`qvi mgqmwVK cwRkbI G¨vUvP‡g›U:
mwVK cwRkb(Ae¯’vb)Gi 4 wU g~j evZv©:
• wkïigv_v I kixiGKB jvB‡b _vK‡e
• wkïikixigv‡qi mv‡_ wbweofv‡e jvMv‡bv _vK‡e
• gv wkïi mg¯Í kixifv‡jvfv‡e a‡i _vK‡e
• wkï hLb ¯Í‡bi w`‡K G‡Mv‡e ZLb Zvi bvK †evuUv eivei _vK‡e
- 45. Contd.
mwVK G¨vUvP‡g›U (ms‡hvM)Gi 4 wU g~jevZv©:
• wkïigyL eo K‡inv Kiv _vK‡e
• wb‡Pi †VvuU evB‡ii w`‡K Dëv‡bv _vK‡e
• wkïi_yZwb gv‡qi স্ত‡b †j‡M _vK‡e
• স্ত‡bi Kv‡jv Askwb‡Pi w`‡Ki†P‡q ‡Vuv‡Ui Dc‡ii w`‡K †ekx †`Lv hv‡e
- 48. gv‡qi ey‡Ki `ya†M‡j†ei Kiv:
wb¤œwjwLZ†¶‡Î gv‡qi `ya †M‡j †eiKivi cÖ‡qvRb:
• gv‡qiv hLb evB‡i KvR Ki‡Z hvb
• Kg IR‡bi Rb¥ †bqv wkïhviv gv‡qi `ya †U‡b †L‡Z cv‡i bv
• gvivZ¥KAmy¯’ wkï hvivgv‡qi `ya †U‡b †L‡Z cv‡i bv
• gv‡qi ey‡K `ya R‡g ¯—b dz‡j ‡M‡j
• gv‡qi ¯Í†bi †euvUv †d‡U †M‡j ev Nvu n‡j
- 49. gv‡qi `ya †M‡j†ei Kivi wbqgvejx:
• gv‡qi nvZ mvevb w`‡q fvjfv‡e ay‡Z n‡e
• `ya †M‡j ivLvi cvÎwU eo gyLIqvjv GKwU evwU ev Kvcn‡Z n‡e Ges Zv
fvjfv‡e cwi¯‹vi K‡i wb‡q gv‡K Avivg`vqK fv‡e em‡Z n‡e
• ey‡ov Av½yj ¯Í‡bi Dc‡ii Kv‡jvAs‡k I evKx 4wU Av½yj ¯Í‡bi bx‡P Kv‡jv
As‡kAv‡¯Í Av‡¯Í evi evi Pvc w`‡Z n‡e Ges Qvo‡Z n‡e, Gfv‡e evi evi Ki‡Z
n‡e
• cÖ_‡g `ya bv Avm‡jI c‡i †dvuUvq †dvuUvq `ya †ei n‡q Avm‡e| ¯Í‡bi
wewfbœ As‡kNywi‡q Nywi‡q Pvc w`‡q `ya †ei Ki‡Zn‡e| †evuUvq Pvc
†`qv DwPZ bq| †evuUvq Pvc w`‡q ev †evuUv †U‡b `ya †ei Kiv hvq bv
- 50. Contd.
• GK ¯Íb †_‡K Kgc‡¶ 3-5 wgwbU ch©šÍ `ya †ei Kiv †h‡Z cv‡i| †mB ¯Í‡bi
`ya hLb Avi †ekx K‡i†ei n‡e bv ZLb Av‡iK ¯Íb †_‡K `ya †ei Ki‡Zn‡e
• cÖ_g K‡qKw`b gv‡qi `ya †M‡j †ei Ki‡Z20-30 wgwbU mg‡qi
cÖ‡qvRb n‡Z cv‡i
- 53. ¯Íbdz‡j DVv (GbMR©‡g›U):
j¶Y cÖwZ‡iva mgvavb
¯Íbdz‡jD‡V,Dò I jvj‡Pnq,
gv ¯—‡b e¨_v I nvjKv R¡i
Abyfe K‡ib Ges ¯—‡bi
†evuUv ¯—‡bi Kv‡jv
As‡kwg‡khvq|
¯—b k³n‡qhvq
mwVK ms‡hvM Ges Ae¯’vb
†g‡b gv‡qi`yaLvIqv‡Zn‡e
wkï‡K R‡b¥i ci hZ ZvovZvwo
m¤¢egv‡qi`yaLvIqv‡Zn‡e
wkïi Pvwn`v Abyhvqx gv‡qi
`ya w`‡Z n‡e| w`‡b I iv‡Z 24
N›Uvq Kgc‡¶ 8-12 evi LvIqv‡Z
n‡e
wkï‡K GK ¯—‡bi `ya
LvIqv‡bv †kl n‡j Ab¨ ¯—‡b
`yaLvIqv‡Z n‡e
‡evZ‡j `ya LvIqv‡bv ‡_‡K
weiZ _vK‡Z n‡e GgbwK
PzlwbI e¨envi Kiv hv‡ebv
dzjv Kgv‡bvi Rb¨ ¯—‡b
ch©vqµ‡g VvÛv Ges Mig
cvwb‡Z †fRv Kvco w`‡q ‡muK
w`‡Zn‡e
¯—b ‡P‡c wKQy `ya ‡M‡j †ei
Ki‡Zn‡e
wkï‡K evievi Ges †ekx¶Y a‡i
gv‡qi`yaLvIqv‡Zn‡e
mwVK ms‡hvM Ges Ae¯’vb
†g‡bgv‡qi`yaLvIqv‡Zn‡e
- 54. ¯Í‡bi ‡euvUvq Nuv ev †d‡U hvIqv:
j¶Y cÖwZ‡iva mgvavb
‡evuUvqe¨_v nq
¯—‡bi †euvUvq dvUj (Crack)
‡`Lv hvq
KL‡bv KL‡bvi³¶iY n‡Zcv‡i
mwVK ms‡hvM Ges Ae¯’vb
Abyhvqxey‡Ki `yaLvIqv‡Zn‡e
‡Rvi c~e©K wkï‡K ¯—b †_‡K
Avjv`vKiv hv‡ebv
G mgq wX‡j-Xvjv †cvkvK
cwiavbKi‡Z n‡e
mwVK ms‡hvM I Ae¯’v‡bi
welqwU wbwðZKi‡Zn‡e
‡d‡U hvIqv †euvUvq gv‡qi
`ya jvwM‡q evZv‡m ïKv‡Z
n‡e
- 55. h‡_ócwigv‡Y`ya ‰Zwibv nIqv:
j¶Y cÖwZ‡iva mgvavb
wkï hw` KvbœvKvwU
K‡i, w`‡b-iv‡Z 6 ev‡ii
†ewk cÖ¯ªve bv K‡i, wVK
gZ bv Nygvq Ges IRb
wVKfv‡e bv ev†o Zvn‡j
eyS‡Z n‡e wkï wVK gZ
`yacv‡”Qbv
wkï‡KGK¯—‡bi `yaLvIqv‡bv
†klK‡ic‡ii ev‡i Ab¨¯—‡bi
`yaLvIqv‡Z n‡e
wkï hv‡Z fv‡jvfv‡e gv‡qi `ya
Pzl‡Z I Uvb‡Z cv‡i Zv †Lqvj
ivL‡Z n‡e
wkï hLbB PvB‡e ZLbB Zv‡K
`yaw`‡Zn‡e
wkï‡K †evZj (wdWvi) ev Pzlwb
†`qvhv‡ebv
Qq gv‡mi †fZi †Kvb iK‡gi
evB‡ii Lvevi Ggb wK
GK†duvUv cvwbI †`qv hv‡e
bv
`ya †`qvi mgq gv I wkïi Ae¯’vb I
ms‡hvM wVK Av‡Q wKbv Zv
c©h‡eÿb Ki‡Z n‡e| fzj _vK‡j wVK
K‡iw`‡qgv‡K wkwL‡qw`‡Z n‡e
hw` mwVK ms‡hvM I Ae¯’vb wVK
_v‡K A_P wkï `ya Kg cv‡”Q- Zvn‡j
Wv³v‡ii civg‡k©i Rb¨ †idvi Ki‡Z
n‡e
ev‡i ev‡i †ekx mgq wb‡q gv‡qi `ya
LvIqv‡Z n‡e G‡Z gv‡qi eyK Lvwj
n‡j Av‡iv †ewk cwigv‡Y `ya ˆZwi
n‡e
¯¬vBW6.4.4
¯—‡bi †euvUvmgZjev wfZ‡i†XvKv‡bv:
- 56. ¯Í‡bi †euvUv mgZj ev wfZ‡i†XvKv‡bv:
j¶Y cÖwZ‡iva mgvavb
¯—‡bi †euvUv
mgZj n‡e ev
wfZ‡i †XvKv‡bv
_vK‡e
Mf©Kvjxb 3q wZb gvm (3rd
trimester) Gi mgq †_‡K ¯—b
Massage K‡i ev wbcj †ei Kivi
(Nipple evert) c×wZ †bqv
†h‡Z cv‡i
gv‡K Avk¦¯Í Ki‡Z n‡e †h
wKQz wbqg †g‡b Pj‡j GUv
wVK n‡q hv‡e Ges wkï wVKgZ
`yacv‡e
gv‡K ej‡Z n‡e wkï ¯—‡bi
†euvUv †_‡K bq, †m ¯—‡bi
Kv‡jv Ask †_‡K `ya †U‡b †bq|
GRb¨ wkï‡K gv‡qi `ya †`qvi
mgq gv I wkïi mwVK ms‡hvM
Ges Ae¯’vb †g‡b gv‡qi `ya
LvIqv‡bv †`wL‡q w`‡Z n‡e
ev‡i ev‡i wkï‡K `ya Pzl‡Z w`‡j
†euvUv Av‡¯Í Av‡¯Í Dc‡i D‡V
Avvm‡e
- 57. wkï‡K gv‡qi `ya †`qvie¨vcv‡i wKQz Kzms¯‹vi/
fzj aviYv, weGgGm †KvW
wkï‡K gv‡qi `ya †`qvie¨vcv‡iwKQz Kzms¯‹vi/ fzj aviYv:
• gv‡qi cÖ_g `ya hv Nb I njy`vf i‡Oi, †`L‡Z Lvivc jv‡M wkï‡K GUv
LvIqv‡j Zvi †c‡Ui AmyL n‡e
• ‡Kvb gv Acywó‡Z f~M‡j Zvi wkï ch©vß cwigv‡Y `ya cv‡ebv
• ‡Kvb wkïi cvZjvcvqLvbv n‡j gvÕi kvK LvIqv hv‡e bv
• wPKb gv‡q‡`i †P‡q †gvUv ev ¯^v¯’¨evb gv‡q‡`i `ya †ewk cwigv‡Y
ˆZwinq
• MixeI MÖv‡gi gv‡q‡`i `ya Kg ˆZwinq
- 58. mgvavb:
• gv‡q‡`i ‡evSv‡Z n‡e G¸‡jv fzj aviYv, cÖwZwU gvÕi ey‡K Zvi wkïi Rb¨
ch©vß cwigv†Y `ya _v‡K| ïayGi Rb¨ cÖ‡qvRb wKQz wbqg-Kvbyb
†g‡b Pjv Ges gv‡qi Lvev‡ii cÖwZ †Lqvj ivLv|
- 59. gv‡qi`y‡ai weKí/‡eª÷wgé mvem&wUwUDU(we Gg Gm)
†KvW:
• weKíwkï Lv`¨ evRviRvZ Kivi RvZxq I AvšÍR©vwZK bxwZgvjv Abyhvqx
†h mKj Kg©KvÛ wbwl× †NvwlZ n‡q‡Q Zvwb¤œiƒc:
• gvZ„`y» weKí,wkïLv`¨, evwbwR¨Kfv‡e cª¯‘ZK…ZwkïievowZ Lv`¨ ev
e¨env‡ii miÄvgvw`i weÁvcb wjd‡jU, n¨vÛwej ev Abyiƒc †Kvb `wjj
weZiY KiviRb¨ ‡Kvb ¯^v¯’¨ †mev †K‡›`ª ev Jla weµq †K›`ª e¨envi Kiv
• Dcnvi mvgMÖx, wWmKvD›U Kzcb, g~j¨n«vm ev webvg~‡j¨ †Kvb
mvgMÖx cÖ`vb ev cª`v‡bi Rb¨ †Kvbiƒc cÖ¯Íve Kiv
• ‡Kvb †mwgbvi, Kbdv‡iÝ, wm‡¤úvwRqvg, Kg©kvjv, cÖwkÿY,
‰eÁvwbK mfv, wkÿv mdi ev AvšÍR©vwZK m‡¤§j‡b †hvM`vbmn D”P
wkÿvq ev †Kvb M‡elbvg~jK Kg©Kv‡Û AskMÖn‡Yi Rb¨ †Kvb e¨w³ ev
m¦v¯’¨ †mev‡K‡›`ªi †Kvb Kg©KZ©v-Kg©Pvixev ¯^v¯’Kg©x‡K †Kvbiƒc
Avw_©K ev Ab¨ †Kvb myweav cÖ`vb Kiv
- 60. Contd.
• ‡Kvb ¯^v¯’¨Kg©x ev Zvi cwiev‡ii †Kvb m`m¨‡K Avw_©K cÖ‡jvfb ev Ab¨
†Kvb Dcnvi cÖ`vb Kiv
• wkï‡`iRb¨ †Kvb ai‡bicÖwZ‡hvwMZv ev †Kvb Abyôv‡bi Av‡qvRb ev Ab¨
†Kvbiƒc mnvqZv cÖ`vb Kiv
• gvZ„`y» weKí,wkï Lv`¨ I evwbwR¨Kfv‡e cª¯‘ZK…Zwkïi evowZ
Lv`¨,gvZ„`y» A‡c¶v DËg ev gvZ„`y†»i mgK¶ Giƒc avibv †`qv ev wek¦vm
m„wói D‡Ïk¨ †Kvb Kg©m~Px cwiPvjbv Kiv
• ‡Kvb Mf©eZx gwnjv, gvZ„`y»`vbKvix ev wkïigv‡q‡`i mv‡_ mivmwi
†hvMv‡hvM Kiv ev †Kvb ai‡bicÖ‡jvfb g~jK cÖ¯Íve Kiv
• ‡h ‡Kvb c‡Y¨i we‡klZ:wkï c‡Y¨i (‡hgb, Wvqcvi, Kvco, ‡Ljbv, cyZzj,
cÖmvab mvgMÖx, Uq‡jwUªR BZ¨vw`)cÖPv‡ii mgq gvZ„`y» weKí,wkï
Lv`¨ ev Zve¨env‡ii miÄvgvw`i cÖPvi m¤úwK©Z †Kvb ai‡biwjd‡jU ev
Dcnvi mvgMÖx weZiY Kiv
• `y‡hv©‡Mi mgq †Kvb cÖwZôvb ev AvkÖq‡K‡›`ª weZiY Kiv
- 61. • Awa‡ekb 6 Gi 2q Ask
• wkïi evowZ Lvevi (6-23 gvm ) I wkïi
¯^vfvweK Lvevi (24-59 gvm)
- 62. evowZLvevi wK, mwVKmg‡qevowZLvevi ïiæ
Kivi ¸iæZ¡ Ges evowZLvev‡ii DcKvwiZv
evowZLvevi:
• wkïieqm 6 gvm c~Y© nevi ci gv‡qi `y‡ai cvkvcvwk Zv‡K ‡h Lvevi
LvIqv‡bv nq Zv‡K ÒevowZLveviÓ e‡j| wkïi6 gvm eq‡mi ci †_‡K Zvi
mwVKfv‡e †e‡o IVvi Rb¨ ïay gvÎ gv‡qi `ya h‡_ó bq Kv‡RB ZLb gv‡qi
`y†ai cvkvcvwk evowZ Lvevi †`qv cÖ‡qvRb| ZvB6 gvm c~Y© nIqvi ci
‡_‡K gv‡qi `y†ai cvkvcvwk cÖwZw`b wkïieqm Abyhvqx mwVK
cwigv‡b cywóKi evowZ Lvevi LvIqv‡bv ïiæ Ki‡Zn‡e|
- 63. mwVK mg‡q evowZLvevi ïiæ Kivi ¸iæZ¡:
• 6 gvm (c~Y©) nIqvi Av‡M wkï‡KevowZ Lvevi w`‡j wkï gv‡qi `ya LvIqv
Kwg‡q ‡`q d‡j †m mwVK cywó cvq bv, ‡mRb¨ 6 gv‡mi ci †_‡K evowZ
Lvevi ïiæ Ki‡Znq
• wkïikvixwiKe„w×i mv‡_ mv‡_ hZUzKz kw³/cywói cª‡qvRb nq Zv ïaygvÎ
gv‡qi `y‡a cvIqv hvq| Z‡e 6 gv‡mi ci †_‡K gv‡qi `ya wkïiRb¨ h‡_ó bq
†mRb¨ Zv‡K 6 gv‡mi ci †_‡K evowZ Lvevi ïiæ Ki‡Z nq
• 6 gvm (c~Y©) n‡j wkïevowZ Lvevi mn‡R †L‡Z, wPev‡Z I wMj‡Z wk‡L
Ges Lvevi nRg Ki‡Z cv‡i| †mRb¨ evowZ Lvevi ïiæKiviGUvB mwVK eqm
• 6 gvm (c~Y©) nIqvi mv‡_ mv‡_ evowZ Lvevi LvIqv‡bvi Af¨vm bv Ki‡jc‡i
wkï †L‡Z wkL‡e bv, Zvi mwVK Pvwn`v c~iY n‡e bv d‡j †m Acywó‡Z
fzM‡e
- 64. evowZLvev‡ii DcKvwiZv:
• gv‡qi `y‡ai cvkvcvwk evowZ Lvevi †`qv ïiæ Ki‡jwkïicÖ‡qvRbxq cywó
wbwðZ nq
• wkïikvixwiKI gvbwmK e„w× `ªæZnq Ges eyw× fvj nq
• mwVK evowZ Lvevi †L‡j wkïi AmyL Kg nq Ges mvavib AmyL †_‡K
ZvovZvwo †m‡i D‡V
- 65. evowZLvevi LvIqv‡bvi mycvwikgvjv
• wkï‡`i evowZLveviLvIqv‡bviwKQz mycvwikgvjv:
• wewfbœai‡bi Lvevi-wewfbœ ai‡bicvwievwiK Lvevi †_‡K wkïiRb¨
evowZ Lvevi ˆZwiKi‡Z n‡e| NvUwZ c~i‡bi Rb¨ wfUvwgb ÒGÓ Ges
ÒAvqibÓ mg„× Lvevi LvIqv‡Z n‡e
• Lvev‡iicwigvb- Qq gv‡mi ci†_‡K wkï Lye ZvovZvwo ev‡o| ZvBZvi
Lvev‡ii cwigvbI ‡mfv‡e evov‡Z n‡e
• Lvev‡iiNbZ¡- wkï eo n‡q DVvi mv‡_ mv‡_ Zvi Pvwn`v Abyhvqx
Lvev‡ii NbZ¡ evov‡Z n‡e
• Lvev‡iievi- wkïi‡e‡o DVvi mv‡_ mv‡_ ‡h‡nZz Zvi Lvev‡ii cwigvbI
evo‡e †mRb¨ †m LveviUzKz Zv‡K mwVK wbq‡g ev‡i ev‡i w`‡Z n‡e
- 66. Contd.
• wkïi Bkviv ey‡S (Responsive Feeding) LvIqv‡bv-wkï‡K †Rvi
bv K‡i †m hv‡Z Lvev‡i Drmvn I Avb›` cvq,‡mfv‡e LvIqv‡Z n‡e
• mwVK/¯^v¯’¨m¤§Zfv‡eevowZLveviˆZwi I msi¶Y- cwi¯‹vi
cwiQbœZvi mv‡_ evowZ Lvevi ˆZwiI Lvevi ‡X‡K msi¶Y Ki‡Zn‡e
• Amy¯’Zvi mg‡q I Amy¯’Zvi c‡i LvIqv‡bv-Amy¯’Zvi mg‡q gv‡qi `ya
LvIqv evwo‡q w`‡Z n‡e I Amy¯’Zvi c‡i AwZwi³ evowZ Lvevi w`‡Z n‡e
- 67. wewfbœai‡bi Lvevi
wewfbœ Lvev‡ii ZvwjKv†_‡K Kgc‡¶ 4wU wfbœ ai‡biLvevi wb‡q wkïi
Rb¨ cÖwZ w`‡bi Lvevi ˆZwiKi‡Zn‡e Ges GiwfZi w`‡b AšÍZc‡¶t 1wU
cÖvYxR Lvevi _vK‡Z n‡e-
• km¨RvZxq Lv`¨-‡hgb fvZ,iæwU, wPov, Avjy, mywR
• wewfbœ ai‡biWvjRvZxq Lvevi I ev`vg
• `ya Ges `ya w`‡q ˆZwi Lvevi
• cªvYxR Lvevi- gvQ, gvsm, gyiMxiKwjRv
• wWg
• Mvp meyR I jvjkvK;GQvovI njy` I Kgjv i‡Oi me&wR I dj, †hgb-
wgwó Kzgov, MvRi, cvKv Avg, cvKv †cu‡c
• Ab¨vb¨ kvK me&wR I dj †hgb: jvD, wSsMv, dzjKwc, Kjv,‡cqviv
BZ¨vw`
- 68. Lvev‡ii cwigvY-
eqm cwigvb KZevi w`‡bi †gvU Lvevi
6-8 gvm eqm
(c~Y©)
250 wg: wj: (1 †cvqv)
evwUi Avav (1/
2)
evwU
2-3evi gv‡qi ey‡Ki `ya (wkï hZevi PvB‡e) + cvwievwiK Lvevi (cÖvbxR
Lvevi †hgb: wWg, gyiwM, gvsm, KwjRv, gvQ
+ kK©iv RvZxqLv`¨ †hgb: Pvj, Mg, AvjyBZ¨vw`
+ wewfbœ ai‡bi WvjRvZxq Lvevi I ev`vg
†hgb: gmy‡ii Wvj, gy‡Mi Wvj, wm‡gi wewP, ev`vg BZ¨vw`
+ iwOb kvK-mewR I dj+Ab¨vb¨kvK-me&wRI dj)
9-11 gvm
eqm (c~Y©)
250 wg: wj: (1 †cvqv)
evwUi Avav (1/
2)
evwU
3 evi + 1-2
evi N‡i ‰Zix
cywóKi bv¯Ív
cvwievwiK Lvevi (cÖvbxR Lvevi †hgb: wWg, gyiwM, gvsm, KwjRv,
gvQ + kK©iv RvZxq Lv`¨ †hgb: Pvj, Mg, Avjy BZ¨vw` + wewfbœ
ai‡bi WvjRvZxqLvevi I ev`vg
†hgb: gmy‡ii Wvj, gy‡Mi Wvj, wm‡gi wewP, ev`vg BZ¨vw`
+ iwOb kvK-mewR I dj+Ab¨vb¨ kvK-me&wR I dj) Ges 1-2 evi
cywóKi bv¯Ív
12-23 gvm
eqm (c~Y©)
250 wg: wj: (1
†cvqv) evwUi GK
(1)evwU
3 evi + 1-2
evi N‡i
‰Zix
cywóKi
bv¯Ív
cvwievwiK Lvevi (cÖvbxR Lvevi †hgb: wWg, gyiwM, gvsm, KwjRv,
gvQ + kK©iv RvZxq Lv`¨ †hgb: Pvj, Mg, Avjy BZ¨vw` + wewfbœ
ai‡bi WvjRvZxq Lvevi I ev`vg
†hgb: gmy‡ii Wvj, gy‡Mi Wvj, wm‡gi wewP, ev`vg BZ¨vw`
+ iwOb kvK-me&wR I dj + Ab¨vb¨ kvK-me&wR I dj) Ges 1-2 evi
cywóKi bv¯Ív
- 69. • Lvev‡iiNbZ¡- wkïeo n‡q DVvi mv‡_ mv‡_ Zvi Pvwn`v Abyhvqx Lvev‡ii
NbZ¡ evov‡Z n‡e|
• evowZ Lvev‡i NbZ¡ hZ†ewk mwVK nq Zvi cywógvbI ZZ†ewk nq| gvLv‡bv
LveviwU Ggb n‡e †hb ZvPvgP/nvZ w`‡q Zzj‡j mn‡R c‡o bv hvq (Qwe )
• wkïieqm evovi mv‡_ mv‡_ Lvev‡ii NbZ¡I evov‡j Zvi h_vh_ cywó wbwðZ
nq
• ZijLvev‡ii †P‡q Nb Lvev‡i †ewk cwigv‡b kw³, Avwgl I Ab¨vb¨ cywó _v‡K,
hv wkï‡K†e‡o DV‡Z mvnvh¨ K‡i
- 70. Contd.
• wkïi†cU †QvU nIqvi Kvi‡Y Zviv†ewk cwigv‡b Lvevi †L‡Z cv‡i bv,(†m
Rb¨ Lvevi †ewk cvZjv †hgb:cvZjv Wvj, Rym, mywR ev Ab¨ †Kvb Zijn‡j
wkïi†cU f‡i , †m Avi †L‡Z Pvq bv) ZvB Lvevi Nb n‡jAí cwigvY Lvev‡iB
wkï h‡_ó cywó cvq
• Lvev‡ii NbZ¡ mwVK bv n‡j Lvev‡ii cywógvb Kg nq hv wkïi†e‡o
DVv‡K evavMÖ¯’ K‡i
• wkïicywó mwVKfv‡e wbwðZ bv n‡jZvi AmyL-wemyL Gi SuywK †e‡o
hvq| G‡Z Zvi cwiev‡ii wPwKrmv I Ily‡ai LiP †e‡o hvq
- 71. Lvev‡ii evi:
• wkïi‡e‡o DVvi mv‡_ mv‡_ Zvi Lvev‡ii cwigvbI evo‡e Ges LveviUzKz
Zv‡K mwVK wbq‡g ev‡i ev‡i w`‡Z n‡e|
• wkïieqm Abyhvqx mwVK wbq‡g ev‡i ev‡i Lvevi w`‡j wkïi mwVK
cywó wbwðZ nq, wkïmwVKfv‡e †e‡o I‡V Ges wkï Lvevi †L‡Z
AvMÖnx nq
• wkïicvK¯’jx/‡cU †h‡nZy †QvU †m Rb¨ Zv‡K AíAí K‡i Lvevi I bv¯Ív
ev‡i ev‡i w`‡Z n‡e
- 72. • wkïi Bkviv ey‡S (Responsive Feeding) LvIqv‡bv:wkï‡K †Rvi bv
K‡i †m hv‡Z Lvev‡i Drmvn I Avb›` cvq,‡mfv‡e LvIqv‡Z n‡e|
• Aíeqmx wkï‡Kgy‡L Zz‡j LvIqv‡Z n‡e hviv GKUz eo Zv‡`i wb‡R wb‡R
†L‡Z mvnvh¨ Ki‡Zn‡e
• Zv‡`iB”Qv I cQ›` Abyhvqx cywóKi Lvevi w`‡Z n‡e| wkï‡K bvbv ai‡bi
Lvevi mgq wb‡q ax‡i ax‡i Drmvn w`‡q wkï‡K LvIqv‡Z n‡e, †Rvi K‡i
LvIqv‡bv DwPZ bq
• wkï‡K K¬všÍev NygšÍ Ae¯’vq LvIqv‡bv DwPZ bq
- 73. Contd.
• LvIqvi mgq wkï‡Kwewfbœ ai‡bi †Ljbv w`‡q e¨¯Í ivLv hv‡e bv, G‡Z †m
LvIqvq Drmvn nvwi‡q †dj‡e
• LvIqvi mgq gv wkïi mvgbv mvgwb em‡e Ges Zv‡K †L‡Z †kLv‡e I
Drmvn †`‡e, G‡Z wkï wb‡R †L‡Z AvMÖnx n‡e, Lvevi wPb‡Z wkL‡e,
wewfbœ ai‡biLvevi ‡m mwVK cwigv‡b ‡L‡Z cvi‡e
• Zviwb‡R wb‡R LvIqvi Af¨m M‡o DV‡e, G‡Z gv‡qi Kv‡Ri Pvc K‡g
hv‡e
- 74. • mwVK/¯^v¯’¨m¤§Zfv‡e evowZLveviˆZwi I msi¶Y: ¯^v¯’¨m¤§Z
Ges h_vh_fv‡e evowZ Lvevi ˆZwiI msi¶Y Ki‡Zn‡e|
• ¯^v¯’¨m¤§Zfv‡e evowZ Lvevi ˆZwiI msi¶Y Ki‡j,†c‡Ui AmyL,
RwÛm, wbD‡gvwbqv, R¡i I Ab¨vb¨ AmyL †_‡K i¶vcvIqv hvq
• ¯^v¯’¨m¤§Zfv‡e evowZ Lvevi ˆZwiI msi¶Y bv Kivid‡j wkïAmy¯’ nq
Ges Zvi ¶zav K‡g hvq d‡j Acywó‡Z ‡fv‡M Ges GK mgq gvivI †h‡Z
cv‡i
• Lvevi ˆZwi I wkï‡K Lvevi LvIqv‡bvi Av‡M mvevb w`‡q nvZ ay‡q
wb‡Z n‡e
• Lvevi ˆZwiiciciBwkï‡K Lvevi LvIqv‡Z n‡e| Lvevi ˆZwiI LvIqv‡bvi
mgq cwi®‹vi evmb-cÎ e¨envi Ki‡Z n‡e
- 75. • Amy¯’Zvi mg‡q I Amy¯’Zvi c‡i LvIqv‡bv:wkïi Amy¯’Zvi mgq I
Amy¯’Zvi ci mwVKfv‡e LvIqv‡j wkï ZvovZvwo AmyL †_‡K †m‡i D‡V,
Acywó †_‡K i¶vcvq, cieZ©x‡Z AmyL-wemyL Kg nq|
• wkïiAmy¯’Zvi mgq k³ Lvevi Kwg‡q †`qv DwPZ bq, Zv‡K Nb Nb gv‡qi `ya
w`‡Z n‡e hv‡Z †m †ewk cwigv‡b `ya cvq Ges Zvi cQ‡›`i wewfbœ ai‡bi
evowZ Lvevi AíAí K‡i ev‡i ev‡i w`‡Z n‡e
• wkïiAmy¯’Zvi cicy‡e©i IRb wd‡i bv cvIqv ch©šÍ Zv‡K Kgc‡ÿ 2 mßvn
(14w`b) AwZwi³ cwigv‡b evowZ Lvevi w`‡Z n‡e
• wkï †m‡i DV‡j Zvi IRb e„w× †c‡q‡Q wKbv ZvwbwðZ Ki‡Zn‡e
• Amy¯’Zvi mg‡q mwVK wbq‡g gv‡qi `ya I evowZ Lvevi bv LvIqv‡j †ivM
cÖwZ‡iva ¶gZv K‡g wM‡q †ivM Av‡iv †e‡o hvq Ges ev‡i ev‡i AmyL
nIqvi m¤¢vebv _v‡K
• kvixwiK I gvbwmK e„w× evuavMÖ¯’ nq
- 76. 24-59 gvm eqmxwkï‡`i Lvev‡ii ZvwjKv
24-59 gvm (c~Y©) eqmx wkï‡`i cÖwZw`bLvev‡ii aib I cwigvb-
(250 wg: wj: (1 †cvqv) evwU wnmv‡e)
mKv‡jiLvevi mKv‡ji
bv¯Zv
`ycy‡ii Lvevi weKv‡jibv¯Zv iv†ZiLvevi
gvSvixmvB‡Ri
1wUiæwU+
1wUwWg
A_evme&wR
‡h†Kvb
†gŠmygx
‡`kxdjA_ev
evwo‡Z
‰Zix
bv¯Zv
fvZ(1evwU)
+
kvK/me&wR(
1evwU)+2
†UwejPvgP
NbWvj+1
UzKiv
gvQ/gvsm
`yaw`‡qNbKiv‡h
†KvbLvevi(cv‡qk,
`BBZ¨vw`) A_ev‡h
†Kvb†gŠmygx
‡`kxdjA_ev
evwo‡Z‰Zix
bv¯Zv
fvZ(1evwU)+
kvK/meRx (1
evwU)+2†Uwej
PvgPNbWvj+
hw`m¤¢enq
1UzKivgvQ
/gvsm
- 77. wkï‡K LvIqv‡bvi e¨vcv‡i wKQz Kzms¯‹vi/avibv:
• wkïiAmyL n‡j Zvi LvIqv eÜ K‡i†`qv
• wkïiWvqwiqv n‡j gv‡qi `ya Lv‡”Q Ggb wkïigv kvK-me&wR LvIqv eÜ
K‡i †`qv
• Wvqwiqv n‡j¯^vfvweK Lvevi ‡L‡Z bv †`qv
• `vgx Lvev‡i cywó †ekx
• 6 gv‡mi Av‡M wkï‡K evowZ Lvevi LvIqv‡bv fvj
• evowZ Lvev‡i wkïi Wvqwiqv/ cvZjvcvqLvbv nq
- 78. wkïi †L‡Z bv PvIqvi KviY I Zvi mgvavb
KviY mgvavb
gv wkï‡K †Rvi K‡i ZvZovZvwo LvIqv‡Z
Pvb
ZvovZvwo Kivi Rb¨ wkï‡K †Rvi Kiv hv‡e bv, Zvi gy‡L hZUzKz Lvevi
Av‡Q †mUv †Mjv ch©šÍ ˆah©¨a‡i A‡c¶v Ki‡Z n‡e| cwiev‡ii Ab¨vb¨
m`m¨‡`i‡K gvÕi Kv‡Rmvnvh¨ Ki‡Zej‡Z n‡e
LvIqv‡bvimgqgvwkï‡KDrmvn†`bbv LvIqvi mgq wkï‡K Drmvn w`‡Z n‡e, cÖksmv Ki‡Z n‡e †h Zv‡K
†hUv †L‡Z †`qv n‡q‡Q †mUv †L‡Z Lye fv‡jv-gRv| GQvovI Zv‡K
bvbvbfv‡e Drmvn w`‡Z n‡e †hgb, GB †Zv fv‡jv †Q‡‡j wK my›`i
Lv‡”Q,†`LGBmwâUvwKmy›`i, GBdjUv KZiwObBZ¨vw`
c~Y© Qq gv‡mi ci †_‡K cÖ_g cÖ_g
wkky‡K Lvevi w`‡j gyL †_‡K †m Lvevi †ei
K‡i †`q, gv ev cwiev‡ii Ab¨ m`m¨ g‡b
K‡ibwkï†L‡ZPv‡”Qbv
ïiæ‡ZB LvIqv ‡kLvi mgq wkï Ggb Ki‡Z cv‡i, GUv ¯^vfvweK| ‡mRb¨
cÖ_g Kqgvm ˆah©¨a‡i†ek mgqwb‡qwkky‡KLvIqv‡Z n‡e
wkïi Lvevi k³ n‡j †m Zv wPev‡Z ev
wMj‡Zcv‡ibv|
‡mRb¨ïiæ‡Z wkï‡KPUKv‡bvbig Lveviw`‡Z n‡e
- 79. KviY mgvavb
wkïi KLbIKLbILvev†ii ¯^v` cQ›`nqbv Lvev‡i gkjv †gkv‡bvi Av‡M wkïi Rb¨ 1 UzKiv gvQ/gvsm Zz‡j ivL‡Z
n‡e| Svj A_ev jeb †ewk n‡j Wvj ev cvwb‡Z ay‡q wb‡Z n‡e| †Lqvj
Ki‡Z n‡e †Kvb LveviwU wkï †ekx gRv K‡i Lvq, †mB Abyhvqx
LveviwU ˆZix Ki‡Zn‡e
wkïAmy¯’_vK‡j †L‡ZPvqbv wkï †hUv †L‡Z cQ›` Ki‡e Zvi Rb¨ †mUv ivbœv Ki‡Z n‡e, †mUv †hb
big nq Ges ev‡i ev‡i Aí Aí K‡i Zv‡K †L‡Z w`‡Z n‡e| hLb †m †m‡i
DV‡e ZLb Zv‡K wewfbœ ai‡bi Lvevi, GKUz †ewk K‡i ev‡i ev‡i w`‡Z
n‡e
wkï hLb K¬všÍ _v‡K ev hLb wkïi Nyg Nyg
fve_v‡K ZLb†m†L‡ZPvqbv
Gmg‡qwkï‡KLvIqv‡bvhv‡e bv,Zvi †R‡MDVviRb¨A‡c¶vKi‡Zn‡e
wkïi Lvevi †ek cvZjv K‡i ˆZwi Kiv n‡j Zv‡Z
wkïi †cUf‡ihvq
‡m Rb¨ wkïi Lvevi cvZjv K‡i ˆZwi Kiv DwPZ bq| Zv‡K PUKv‡bv Lvevi
ev Zvi eqmAbyhvqxNb‡Z¡iLvevi w`‡Z n‡e
- 80. KviY mgvavb
wkïi †cU †ek †QvU, wkï hw` Lvevi Av‡M wPcm&, Rym,
cvwb ev Ab¨ †Kvb Zij Lvevi w`‡q †cU fwi‡q †d‡j Zvn‡j
Zvi Rb¨ ˆZixKiv N‡ii Lvevi†L‡Z Pvq bv
‡m Rb¨ Lvevi Av‡M Gme wRwbl w`‡q wkïi †cU fwZ© Kiv
DwPZ bq| Lvevi Ges bv¯Ívi gvSLv‡b 2 N›Uv weiwZ _vKv
fv‡jv, †mRb¨ cieZ©x Lvevi †`qvi g‡a¨ AšÍZ:2-3 N›Uv †`ix Kiv
DwPZ
A‡bK¸‡jv Lvevi hw` GKmv‡_ †gkv‡bv nq Zvn‡j A‡bK mgq
wkï †L‡Z Pvqbv
A‡bK¸‡jv Lvevi GK mv‡_ †gkv‡bv hv‡e bv| wewfbœ ai‡bi
Lvevi Avjv`vfv‡e PUKv‡Z n‡e †hgb, wgwwó RvZxq Lvevi
jebv³ Lvev‡ii mv‡_ †gkv‡bv hv‡e bv| Avevi meyR kvK-mwâ
gvQevwW‡gimv‡_ bv †gkv‡bvfv‡jv
wkï hLb wb‡R †L‡Z Pvq ZLb hw` Zv‡K wb‡R †L‡Z †`qv bv
nq
wkï hLb wb‡R †L‡Z Pvq ZLb Zv‡K wb‡R †L‡Z w`‡Z n‡e|
‡m‡¶‡Î wkï Zvi nvZ w`‡q ai‡Z cv‡i Ggb Lvevi w`‡Z n‡e, Z‡e
Lvev‡iiAv‡M mvevbw`‡q wkïinvZ ay‡q w`‡Zn‡e
wkï hLb †Ljbv ev eÜz‡`i wb‡q e¨¯Í _v‡K ZLb †m †L‡Z Pvq
bv
Lvevi mgq wkï‡K †Ljbv w`‡q e¨¯Í ivLv hv‡ebv ev eÜz‡`i
mv‡_ †Ljvi mgq Zv‡K LvIqv‡bv DwPZ bq| wkï LvIqv †_‡K
Ag‡bvh‡vMx nq Ggb mewKQzmwi‡q†dj‡Z n‡e
wkïiLvevigRvbv n‡j †m†L‡Z Pvq bv LvIqv‡bvi Av‡M gv‡K Zvi Lvevi †P‡L †`L‡Z n‡e †h LveviwU
gRv wKbv
GKB Lvevi cÖwZ w`b cÖwZevi Lvevi mgq w`‡j (†hgb-
mywRI wLPyox)wkï†L‡Z Pvqbv
eo‡`i gZ wkï‡`iI wewfbœ ai‡bi, wewfbœ ¯^v‡`i, wewfbœ
i‡OiI wewfbœNb‡Z¡i Lveviw`‡Zn‡e|
- 82. AcywóGes AcywóicÖKvi†f`
Acywó:
• cª‡qvR‡bi Zzjbvq AwZwi³ wKsev Achv©ß Lv`¨ MÖn‡Yi d‡j †`‡n †h
Ae¯’vi m„wó nq Zv‡K Acywó e‡j|
• Avgv‡`i †`‡k mvavibZ: Lv`¨ MÖn‡bi Achv©ßZviKvi‡Y Acywó †`Lv
†`q|Acywó GKwU eo ai‡Yi¯^v¯’¨ I mvgvwRK mgm¨v| wek¦ Ry‡o
cÖwZeQi cÖvq wÎk j¶wkïcuvP eQi eqm nIqvi Av‡MB gviv hvq Ges Gi
cÖvq 45 kZvskBAcywói Kvi‡Y N‡U|
- 83. • AcywóicÖKvi†f`:Acywó‡KcÖavbZ`yBfv‡M fvMKivnq|h_v:
• AwZcywó/¯’zjZv(Over-nutrition):cÖ‡qvR‡biZzjbvq†ewkLvevi
MÖnYA_ev/ GesKg kvixwiKcwikÖ‡giKvi‡YAwZcywóimgm¨v †`Lv†`q|
AwZcywófwel¨‡Zwkï‡`iü`‡ivM,D”Pi³Pvc,Wvqv‡ewUmGes Ab¨vb¨
†ivMmn g„Zz¨iSuywKevovq|
• Kgcywó(Under-nutrition): Acvh©ßLv`¨MÖnbA_ev/Ges NbNb
msµg‡bi(‡ivM)Kvi‡YKg cywóimgm¨v †`Lv†`q| GAe¯’vqmeiK‡gicywó
Dcv`v‡biNvUwZ †`Lv†`q|cÖ‡qvRbxqLv`¨Dcv`vb†hgb;&Avwgl,kK©iv,
†Zj,wfUvwgbevLv`¨cÖvYILwbRjeYBZ¨vw` Dcv`v‡biNvUwZiKvi‡Y
cywónxbZvij¶Y†`Lv†`q|
– I‡qmwUs/K©„kKvq:D”PZvAbycv‡ZIRbKg
– ÷vw›Us/Le©vK…wZ:eqmAbycv‡ZD”PZvKg
– AvÛviI‡qU/KgIRb:eqmAbycv‡ZIRbKg
• gvB‡µvwbDwUª‡q›UevAbycywóiAfve
- 84. Acywói cÖavb KviYmg~n:
• `vwi`ªZv
• Lv‡`¨i Ach©vßZv
• Kg Rb¥ IRb
• Nb Nb Amy¯’Zv we‡kl K‡i msµvgK †iv‡M †fvMv
• gv‡qi cywó Áv‡bi I wkïi h_v_© cwiPh©vi Afve
- 85. gvivZ¥K ZxeªAcywó‡Z AvµvšÍ wkïi DcmM
mgyn©:
• ‡ivMv, cvZjv kixi,†`‡L g‡b n‡e ey‡ov n‡q †M‡Q
• ey‡Ki cvuR‡ii nvo I kix‡iiAb¨vb¨ nvo mn‡RB †Pv‡L ‡`Lv hvq
• nv‡Zi Pvgov¸‡jv Sz‡j c‡o
• †cQb †_‡K Nvo I cvR‡ii nvo ¯úó †Pv‡L c‡o Ges kix‡iibx‡Pi As‡ki
Pvgov fvR fvR n‡q Sz‡j c‡o
• wLUwL‡U †gRvR nq
• wkïwU G‡Kev‡i PzcPvc, `ye©j GgbwK Kvbœv KiviI kw³ †bB
• Kv‡iv Kv‡iv `yB cvA_ev kixi dz‡j hvq| `yB cv‡qi cvZvq Pvc w`‡j Av½yj
‡W‡e hvq ( evBj¨vUvivj wcwUs BwWgv)
- 86. evBj¨vUvivj wcwUsBwWgv †ivMx‡`iwb‡Pi
j¶Y¸‡jv _vK‡Z cv‡i:
• gyb ‡dm ev Puv‡`i g‡Zv †MvjgyL
• Wvg©v‡Uvwmm: Pvgovq mv`v-Kv‡jv †Qvc‡Qvc `vM (gvivZ¥K †¶‡Î)
• `ye©j
• LvIqvi iæwP bó nIqv
• Pz‡ji is cwieZ©b
• Lye mn‡R wei³ nq Ges Kv‡Q †M‡j †Ku‡` †d‡j
- 87. Acywói djvdj:
• wkïikvixwiKe„w× I gvbwmK weKvk e¨vnZ nq
• †ivM cÖwZ‡iva ¶gZv K‡g hvq, d‡j †`n `ªæZ†ivMvµvšÍ nq
• Acywó‡Z AvµvšÍ wkï‡`ifwel¨‡Z Kg©ÿgZv K‡g hvq
• Acywó `xN©‡gqv`x n‡j gvivZœK Amy¯’Zv ev g„Zz¨ n‡Z cv‡I
Acywó‡ZAvµvšÍwkï‡`i cªwZ¸iæZ¡ cÖ`v‡bi cÖ‡qvRbxqZv:
• gvivZ¥K ZxeªAcywó ev m¨vg -Gi Kvi‡Y g„Zz¨ nvi A‡bK †ewk (cÖvq
9 MzY), G Kvi‡Y G welqwUi w`‡K mK‡jiB evowZ bRi w`‡Z n‡e hv‡Z
gvivZ¥K ZxeªAcyó wkïi g„Zz¨SyuwK Kwg‡q Avbv m¤¢e nq
• gvSvix I gvivZ¥K Acywó‡Z AvµvšÍ wkï‡KwPwýZ K‡i cÖvYNvZx
Ae¯’vq †cŠQv‡bi Av‡MB wPwKrmvi e¨ve¯’v Kiv
- 89. Acywói cÖwZ‡iva/cÖwZKv‡ii Dcvqmg~n
wK‡kvixi cywó:
• 18 eQ†ii Av†M we†q bv †`qv
• †`wi†Z ev”Pv †bqv
• cywóKi Lvevi LvIqv
• 'AvqiY dwjK GwmW' U¨ve‡jU LvIqv
Mf©eZx I `y»`vbKvix gv‡qi cywó:
• Mf©eZximwVK ‡mev
• cywóKi Lvevi LvIqv
• wekªvg †bqv
• 'AvqiY dwjK GwmW' U¨ve‡jU LvIqv
- 90. Acywói cÖwZ‡iva/cÖwZKv‡ii Dcvqmg~n
wkïi cywó:
• R‡b¥i mv‡_ mv‡_ (1 N›Uvi g‡a¨) wkky‡K ïaygvÎ gv‡qi `ya ‡`qv
• R‡b¥i ci †_‡K c~Y© 6 gvm ch©bÍ wkky‡K kyaygvÎ gv‡qi `ya ‡`qv
• wkïieqm 6 gvm c~Y© n‡j 181Zg w`b †_‡K cvwievwiKevowZ Lvevi
LvIqv‡bv ïiæ Kiv
• wkï‡K 6 gvm †_‡K 2 eQi ch©šÍ cvwievwiK evowZ Lvev‡ii cvkvcvwk
gv‡qi `ya LvIqv‡bv Aek¨BPvwj‡q hvIqv
- 91. Acywói cÖwZ‡iva/cÖwZKv‡ii Dcvqmg~n
Amy¯’ wkï‡K LvIqv‡bv:
• Gmgq Nb Nb gv‡qi `ya w`‡Z n‡e hv‡Z †m†ewk cwigv‡Y `ya cvq
• wkïiAmy¯’Zvi mgq Aí AíLvevi ev‡i ev‡i w`‡Z n‡e
• Zv‡K cvwievwiK Lvevi I Zvi cQ‡›`i Lvevi w`‡Z n‡e
• wkïiAmy¯’Zvi cihLb Zvi ¶yav †e‡o hv‡e ZLb 14 w`b ch©šÍ Zvi evowZ
Lvev‡ii cwigvY evov‡Z n‡e| Zv‡K wewfbœ ai‡Yi AwZwi³ Lvevi w`‡Z
n‡e
gvSvix I gvivZ¥K Acywó‡Z AvµvšÍwkïi Rb¨Kibxq:
• gvSvix I gvivZ¥K Acywó‡Z AvµvšÍ wkï‡KwbKUeZx© ¯^v¯’¨ †K‡›`ª
†cÖiY Ki‡Zn‡e
- 93. wkïi cywóAe¯’v wba©viY:
• wkïiicywó Ae¯’v wba©viY Kivig~j welq njmwVK kvixwiK
cwigvcmg~n (Anthropometry)| cÖv_wgK ch©v‡q A‡bK wkïiv
Acywó‡Z f~M‡jI Zv‡`i †Kvb jÿb( wK¬wbK¨vjwPý) †`L‡Z cvIqv hvq
bv, †h Kvi‡Y gvivZ¥K ch©v‡q ‡cuŠQv‡bvi c~‡©eB Avgv‡`i mgq gZ
Acywó mbv³ K‡i Zv‡`iwPwKrmvi Rb¨ †idvi Kiv c&ª‡qvRb|
- 94. mvwe©Kcywói Ae¯’v wbY©‡qi cš’v: :
• cywóRwic(Nutrition Survey): †hgb-RvZxqchv©‡qcywó Rwic
• cywó Ae¯’vi chv©qµwgK bxwi¶Y( Nutrition
Surveillance):wbw`ó© Rb‡Mvwôi cywóMZ Ae¯’vi myPK mgy‡ni
cwieZ©b Ges †h welq¸‡jv Øviv cÖfvweZ nh Zv avivevwnKfv‡e
cÖKvk Kiv ev Zz‡j aiv
• wkïi e„w×cwiex¶Y (Growth Monitoring): †hgb- wkïi e„w×
cwiex¶Y (GMP)
• wkïi cywóiAe¯’vhvPvBKiY (Nutrition Screening):
m¦v¯’¨Kgx©MY evox evox wM‡qev wewfbœ ¯^v¯’¨‡K‡›`ª gyqvK
cwigvc I BwWgv hvPvB Ki‡Yigva¨‡g wkï‡`icywói Ae¯’v wbY©q K‡ib
- 95. cywó Ae¯’vwba©vi‡Yic×wZ¸‡jv nj:
• kvixwiK(Anthropometry) cwigv‡ci gva¨‡g
• Wv³vix jÿY mg~n (Clinical) ch©‡e¶‡Yi gva¨‡g
• Lv`¨ MÖnY (Dietery Diversity ) g~j¨vq‡bi gva¨‡g
• ˆRe-ivmvqwbK (Bio-Chemical) cix¶vigva¨‡g
cyywó Ae¯’vwba©vi‡Y mev©waKe¨eüZc×wZnj kvixwiK cwigvc|
†Kbbv,
• G c×wZwU AZ¨šÍmnR, †Kvb cÖKvi KvUv-‡Qovi cÖ‡qvRb nq bv
• G c×wZ‡Z A‡c¶vK…Z ¯^í`¶‡jvK Ges mnRjf¨ hš¿vw` w`‡q cywó
Ae¯’v wbiƒcY Kiv hvq
• G c×wZ‡Z mwVK I mywbw©`ó cywó Ae¯’v wbiƒcb Kiv hvq
• G c×wZ‡Z mKj gvÎvi Acywói Ae¯’v mwVKfv‡e wbiƒcb Kiv hvq
- 96. kvixwiK (Anthropometry) cwigvcmg~n:
• ga¨evûi cwiwai (gyqvK) cwigvc
• IRb cwigvc
• D”PZv cwigvc
kvixwiK (Anthropometry) cwigv‡c e¨eüZmiÄvgvw`:
• gyqvK †Uc
• IRb gvcvi hš¿
• mëvi †¯‹j
• BDwb‡¯‹j
• ev_iæg †¯‹j
• j¤^v/D”PZv cwigvcK †evW©
• ¯^v¯’¨ I cywó KvW©
- 97. wkïi cywóAe¯’v wba©vi‡Yi cwigvcK:
5 eQ‡ii Kg eqmx wkï‡`icywó Ae¯’v wba©vi‡Yi cwigvcK¸†jv n‡jv -
• eq‡mi Zzjbvq IRb (Weight for Age):hw` wkïiIRb eq‡mi Zzjbvq
Kg nq Zv‡K Kg IRb (Underweight) ejvnq
• eq‡mi Zzjbvq D”PZv (Height for Age):hw` wkïiD”PZv eq‡mi
Zzjbvq Kg nq Zv‡K Le©Kvq /‡e‡U' (Stunted) ejv nq
• D”PZvi Zzjbvq IRb (Weight for Height): hw` wkïiIRb D”PZvi
Zzjbvq Kg nq Zv‡K ¶xYKvq (Wasted) ejv nq| mvaviYZ nvmcvZv‡j
Kiv nq
• hw` 6-59 gvm eqmx wkïiga¨evûi cwiwa(Mid Upper Arm
Circumference)<12.5 ‡mwg nq
- 98. wkïi kvixwiK e„w×ej‡Z wKeySvq:
• wkkyieqm evovi mv‡_ mv‡_ Zvi IRb I D”PZv e„w× cvIqv‡K wkïi
e„w× ejv nq| wkï hw` ch©vß Lv`¨ cvq, †ivM bv _v‡K, cÖ‡qvRbxq
¯^v¯’¨‡mev I wUKv cvq Ges hZœgq cwi‡ek cvq, Zvn‡j wkï
¯^vfvweK fv‡e †e‡o D‡V|
‡hfv‡e wkïi e„w×nq:
eqm cÖwZ gv‡m Mo IRb
e„w×
Rb¥ n‡Z 6 gvm 600 -800 Mªvg
7 - 12 gvm 300 -400 MÖvg
13 - 24 gvm 150 -200 MÖvg
- 99. ‡MÖv_ gwbUwis I cÖ‡gvkb
• ‡MÖv_ gwbUwis I cÖ‡gvkb: wkïiIRb wbqwgZ cwigvc Kiv, wkïi
¯^v¯’¨ I cywó Kv‡W©i Q‡K †iLv AvuKv, IR‡bi cwieZ©bj¶¨Kiv Ges †m
Abyhvqx gv‡K civgk© ‡`qv I e¨e¯’v †bqv‡K †MÖv_ gwbUwis I
cÖ‡gvkb e‡j| wkïi Achv©ß e„w×, e„w× bv nIqv ev IRb K‡g hvIqvi cÖ_g
j¶Y ‡`Lv hvIqv gvÎ mwVK c`‡¶‡ci gva¨‡g h_vh_ e„w× wdwi‡q Avbv
†MÖv_ gwbUwis I cÖ‡gvkb Gi j¶¨|
• ‡MÖv_gwbUwis I cÖ‡gvkb KLb ïi“ Kiv DwPZ:
• wkïi R‡b¥i cici Rb¥Kvjxb IRb wb‡q IRb cwiex¶Y ïiæ Kiv DwPZ| wkïi
`yB ermi eqm ch©šÍ gv‡m 1 evi GB IRb cwiex¶Y Kiv nq|
- 100. wkï e„w×i gvBj djK :
wkïi e„w× wVKgZ n‡”Q wKbv Zv †`Lvi Rb¨ Avgiv wbqwgZ wkïi e„w× cwigvc
Kwi| GB e„w× cwigv‡c wewfbœ c×wZ e¨envi Kiv n‡q _v‡K| †hgb-
1.Lvwj ‡Pv‡L ch©‡e¶‡Yi gva¨‡g
• mvnvh¨ Qvovem‡Z cv‡i 3.8-9.2 (M‡o 6) gvm
• nvZ I nvuUy w`‡q nvgv¸wo w`‡Z cv‡i 5.2-13.5 (M‡o 8.5) gvm
• mvnvh¨ wb‡qnvuU‡Z cv‡i5.9-13.7 (M‡o 9.2) gvm
• GKv GKv nvuU‡Z cv‡i 8.2-17.6 (M‡o 12.1) gvm
2.kvixwiK cwigv‡ci gva¨‡g
• wkïi e„w× cwiex¶‡Yi me‡P‡q mnR kvixwiKcwigvcmg~n nj wkïi IRb I
D”PZv cwigvc
• wkï e„w×i me‡P‡q mnR cwigvcK n‡jv eqm Abycv‡Z wkïi IRb e„w× cwigvc
- 101. IRb ‡bqvi avcmg~n:
• wkïieqm wba©viY
• mwVKfv‡e wkïi IRb †bqv Gbs¯^v¯’¨ I cywó Kv‡W©mwVKfv‡e IRb
emv‡bv
• wkïiIRb ‡iLvi MwZ e¨vL¨v KivGes wkïwVKgZ evo‡Q wKbv Zv eyS‡Z
cviv
• gv‡qi mv‡_ wkïi e„w×, weKvk I cieZx©c`‡¶c wb‡q Av‡jvPbv Kiv
- 102. • wkïieqm wba©viY:
• wkïigv evevi KvQ †_‡KmwVK R‡b¥iZvwiL ‡R‡b ‡bIqv|
B wc AvB KvW© †`‡LmwVK Rb¥ZvwiL msMÖn Kiv|gv
evev mwVKfv‡e ej‡Zbv cvi‡j B‡f›U K¨v‡jÛv‡ii mvnv‡h¨
mwVK eqm wbb©q Kiv|
• mwVKfv‡ewkïiIRb †bqv:
• IRb †bqvi Rb¨ wewfbœai‡bi IRb hš¿ e¨enviKiv nq|
mwVKfv‡ewkïiIRb wb‡Z n‡j ‡¯‹jwU mwVK ¯’v‡b ivL‡Z
n‡e Ges †¯‹jwU‡Z wiwWs ‡bqvi cÖwZwU avc AbymiY K‡i
IRb gvc‡Zn‡e|
- 103. • ¯^v¯’¨I cywóKv‡W© IRbemv‡bv -
• Rvbyqvix 2012- iæwebvi IRb wQj 4.5 †KwR| GB IRb emv‡bvi Rb¨
Rvbyqvix 2012- Gi Kjvg †ei K‡i Ges Kjvg a‡i Av½yj 4.5 †KwRi Ni ch©šÍ
wb‡q †h‡Z n‡e Ges H ey`ey‡` †cw݇ji `vM w`‡q f‡i †dj‡Z n‡e| GLb
Av‡Mi gv‡m Kv‡W© ‡h ey`ey` f‡i †djv n‡qwQj Zvi mv‡_ ‡iLv Gu‡K
GB ey`ey` †hvM Ki‡Z n‡e| GB †iLv‡K wkïi IRb-‡iLv e‡j|
• 2012 mv‡ji †deªyqvix gv‡m iæwebvi IRb wQj 5.1 †KwR| GLb Zvi IRb 5
†KwR Ges Gi Dc‡i 500 MÖvg `v‡Mi gv‡S| GB Ask 4wU †QvU ey`ey`
w`‡q fvM Kiv Av‡Q| GB cÖwZwU ey`ey` 100 MÖvg aiv nq| G †¶‡Î 5
wK‡jvMÖv‡gi ci cÖ_g mgZj †iLvi Dci ‡h ey`ey` cvIqv hv‡e †mLv‡b 5.1
wK‡jvMÖvg ai‡Z n‡e| †deªæqvix 2012- Gi Kjvg AbymiY K‡i Avcbvi
Av½yj GB we›`y‡Z wb‡q †cwÝj w`‡q ey`ey`wU c~iY Ki‡Zn‡e| GLb
Av‡Mi gv‡mi c~iY Kiv ey`ey‡`i mv‡_ GB ey`ey` †iLv w`‡q †hvM Ki‡Z
n‡e|
- 104. Contd.
• 2012 mv‡ji gvP© gv‡m iæwebvi IRb wQj 5.8 †KwR| GLb wkïi IRb 5.5
†KwR Ges 6 †KwRi g‡a¨co‡e| Avcbvi Av½yj gvP© 2012- Gi Kjvg eivei
Dc‡i wb‡q Ges 5.8 †KwRi N‡i ey`ey‡` `vM emv‡Z n‡e| GB N‡ii ey`ey`
c~iY Ki‡Zn‡e| Av‡Mi gv‡mi ey`ey‡`i mv‡_ †iLv w`‡q GB ey`ey` †hvM
Ki‡Zn‡e|
- 105. • wkïi IRb †iLv MwZ e¨vL¨vKiv:
• gv‡m gv‡m ¯^v¯’¨ I cywóKv‡W© emv‡bv IR‡bi †dvuUv †hvM
K‡i ‡h ‡iLv cvIqv hvq, †mUvB wkïi IRb †iLv| GB †iLvwU
DaŸ©gywL, mgZj ev wb¤œgywL n‡Z cv‡i| cÖwZ gv‡m wkïiIRb
e„w×i ai‡bi Dci wbf©i K‡i Zvi IRb †iLvi MwZ DaŸ©gywL, mgZj
A_ev wb¤œgywL n‡e| IRb-†iLv e‡j ‡`‡e wkïwUi kvixwiKe„w×
¯^vfvweK wK bv|
• gv‡qi mv‡_ wkïi e„w×,weKvk IcieZx© c`‡¶cwb‡qAv‡jvPbv
Kiv:
• IRb‡iLv we‡kølY K‡i ¯^v¯’¨Kg©x wkïi¯^v¯’¨ i¶v ev DbœwZ Kivi
Rb¨ wK Kiv DwPr †m wel‡q gv‡K aviYv w`‡Z cvi‡e| Acywói
mgm¨v _vK‡jm¤ú~iK Lvevi LvIqv‡bv I evowZ h‡Zœi Rb¨
¯^v¯’¨Kg©x gv‡K civgk© †`q| wkïi †Kvb Amy¯’Zv _vK‡jZv‡K
Wv³v‡ii wbKU cvVv‡Z n‡e|
- 106. gv‡qi mv‡_wkïi e„w×,weKvk I cieZx© c`‡¶c
wb‡qAv‡jvPbv Kiv:
• IRb‡iLv we‡kølY K‡i ¯^v¯’¨Kg©x wkïi¯^v¯’¨ i¶v ev DbœwZ Kivi Rb¨
wK Kiv DwPr †m wel‡q gv‡K aviYv w`‡Z cvi‡e| Acywói mgm¨v _vK‡j
m¤ú~iK Lvevi LvIqv‡bv I evowZ h‡Zœi Rb¨ ¯^v¯’¨Kg©x gv‡K civgk©
†`q| wkïi†Kvb Amy¯’Zv _vK‡j Zv‡K Wv³v‡ii wbKU cvVv‡Z n‡e|
- 107. kvixwiK (gyqvK, IRb, BwWgv I D”PZv ) cwigv‡ci
avcmg~n
wkïi gyqvK (MUAC) cwigv‡ci avcmg~n wbgœiƒc:
- 108. BDwb‡¯‹†jIRb†bqvi wbqgvejx:
– IRb cwigv‡ci †¯‹jwU Qvqvhy³ ¯’v‡b (N‡ii wfZ‡i, Rvbvjvi cv‡k ev
cwi¯‹vi Av‡jv Av‡Q Ggb ¯’v‡b), mgZj Ges k³ gvwU‡Z emvb| hw`
cwigvcK‡¯‹‡ji cv bv _v‡K, Z‡eIRb cwigv‡ci mgq †¯‹jwUi bx‡P
Kv‡ViˆZix ó¨vÛ e¨envi Kiæb
– ‡¯‹jwU ÒAbÓ KiæbGes Ò0.0 kg” Display ‡Z bv Avmv ch©šÍ A‡c¶v
Kiæb
– IRb †bqvi Av‡M wkï/ gv‡qi RyZv, m¨v‡Ûj, Uzwc, fvix Rvgv-Kvco,
Mnbv-MvwU BZ¨vw` Mv‡q _vK‡j Lyj‡Z Aby‡iva Kiæb
– †¯‹‡j 0.0 wiwWs _vKv Ae¯’vq mvnvh¨Kvix‡K/gv‡K †¯‹‡ji Dci
†mvRv n‡q `uvov‡Z ejyb
• †¯‹jwUi wVK gvSLv‡b (cv‡qi Qvc wPwýZ ¯’v‡b) wkï/gv‡K †mvRv n‡q
`vuov‡Z Ges kvšÍ _vK‡Z Aby‡iva Kiæb
- 109. Contd.
– gv‡K †¯‹‡ji Dci `vuov‡bv Ae¯’vq †mvjvi †¯‹jwU GK †m‡K‡Ûi Kg mgq
a‡i
†X‡K ivLyb| Gi ciciBwWm‡cø‡Z gv‡qi †Kv‡j ev”Pvi Qwe mn 0.0
†`Lv hv‡e (gv‡qi
†Kv‡j ev”Pvi Qwe mn 0.0 †`Lv †M‡j eyS‡Z n‡e †h †¯‹jwU e¨env‡ii
Rb¨ Dc‡hvMx n‡q‡Q)
– GBevi gv †¯‹j †_‡K †b‡g `vuov‡eb Ges `yB †m‡K‡Ûi Kg mg‡qi g‡a¨
wWm‡cø‡Z
ev”Pvmn gv‡qi Qwei cvkvcvwk wZbwU WU (---)Avm‡e
– ZLb gv wkï‡K†Kv‡jwb‡q †¯‹‡ji Dci `uvov‡eb Ges Aímg‡qi ga¨B
wWm‡cø‡Z
wkïiIRb cvIqv hv‡e Ges wkïiGB IRb LvZvq wjL‡Z n‡e
- 110. Contd.
– mvnvh¨Kvixi wbKU nB‡Zev”Pv‡K gv‡qi †Kv‡j wdwi‡q †`qvi ci
Avevi wWm‡cø‡Z wkïmn
gv‡qi Qwei cvkvcvwk (0.0) Avm‡e
• GB fv‡e mvnvh¨Kvix (wK‡kvix ev gv) †¯‹‡ji Dci `uvov‡bv Ae¯’vq
ch©vqµ‡g GKwU K‡i ev”Pv mvg‡bi w`‡K †Kv‡j wb‡eb Ges wWm‡cø
†`‡L IRb Rvb‡eb| (g‡b ivL‡Z n‡e †h mvnvh¨Kvix hw` Ab¨ ev”Pv †bIqvi
Rb¨ †¯‹j †_‡K †b‡g Av‡mb Zvn‡j wWm‡cø‡Z Avevi gv‡qi †Kv‡j
ev”Pvmn wZb WU (---)†`Lv hv‡e)
- 112. ˆ`N¨© I D”PZv cwigvc:
• ‰`N©¨ I D”PZv cwigvc Kiv nq wkï‡`ieqm Abyhvqx| †¯‹jwU‡K
gvwU‡Z Avbyf~wgK Ae¯’vq †i‡L wkï‡K †ev‡W©i Dci wPr K‡i ïB‡q
ˆ`N©¨Ges †¯‹‡j `vuov‡bv Ae¯’vq wkï‡`iD”PZv cwigvc Kiv nq|
– `yÕeQ‡ii Kgeqmx wkï‡`i ‰`N©¨ cwigvcKivnq|
- 114. BwWgvi Dcw¯’wZ cwigv‡cic`‡¶c¸‡jv wbgœiƒc:
• BwWgviDcw¯’wZwbY©qKiviRb¨Dfqcv‡qicvZvqwZb†m‡K‡Ûi(¸b‡Z
n‡e1001,1002,1003)Rb¨e„×v½ywji¯^vfvweKPvccÖ‡qvMKi‡Znq,hw`
Dfqcv‡qicvZvqAMfxiM‡Z©im„wónq,Zvn‡jeyS‡Zn‡ewkïwUiBwWgv
i‡q‡Q|
• ‡bvU:
• BwWgvAek¨B e„×v½ywjiPvcw`‡qcix¶vKi‡Zn‡e,ïay†Pv‡L†`‡LBwWgv
ejvhv‡ebv
• GK cv ‡dvjv_vK‡jZvwe‡ePbvq†bqvhv‡ebv|
- 120. Lv`¨wbivcËv wK,Lv`¨wbivcËvi ¯Í¤
• Lv`¨wbivcËv:
• cÖwZwUgvby‡li my¯’ I ¯^vfvweK Rxeb hvÎvi Rb¨ chv©ß, wbivc` I
cywóKi Lv‡`¨i mve©¶wbK cÖvc¨Zv‡K Lv`¨ wbivcËve‡j| mnR fvlvq ejv
hvq, Lv`¨ RbM‡bi Rb¨ mnRjf¨ I mnRcÖvc¨ n‡e Ges Zv‡`i µq ¶gZvi g‡a¨
_vK‡e|
• Lv`¨wbivcËvi g~j wZbwU¯Í¤¢:
• Lv‡`¨imnRjf¨Zv: cÖwZwbqZ ch©vßLvev‡ii mnRjf¨Zv
• Lv‡`¨icÖvc¨Zv: cywó m¤§Z Avnv‡ii Rb¨ mwVK Lv`¨ µ‡qi ch©vß
mvg_©¨/m¤ú` _vKv
• Lv‡`¨ie¨envi: cywó Ges h‡Zœi †gŠwjK Ávb Kv‡R jvwM‡q Lv‡`¨i
h_v_© e¨envi Ges cvkvcvwk ch©vßcvwb I cq:wb¯‹vk‡bi e¨e¯’v _vKv
- 121. wbivc` Lvevi I wbivc`cvwb Ges Gi cÖ‡qvRbxqZv
• wbivc` Lvevi:
• wbivc` Lvevi n‡jv †mB Lvevi hv mwVK wbq‡g, cwi¯‹vi I wbivc`fv‡e
msMªn, weÁvbm¤§Z Dcv‡q cÖwµqvRvZ, msi¶b Kiv nq Ges Lv‡`¨
†ivMRxevbyi Dcw¯’wZi SzuwK Kg _v‡K| Drcv`b †_‡K ïiæ K‡i Avnvi Kiv
ch©šÍ cÖ‡Z¨K av‡c Lv`¨ wbivc` I cwi¯‹vi ivLv DwPZ |
• wbivc` cvwb:
• wbivc` cvwb n‡jv eY©nxb, MÜnxb, ¯^v`nxb †mB cvwb hvi ms¯ú‡k©
Avgv‡`i ¶wZ nq bv A_©vr †h cvwb‡Z ¶wZKviK`ªe¨,wewfbœ
ivmvqwbK c`v_©,kw³kvjx GwmW I ¶vi BZ¨vw` †ivM m„wóKvix (‡hgb -
K¨vÝvi) Ges wewfbœ ai‡bi RxevYyi (†hgb:e¨vK‡Uwiqv, fvBivm) cwigvb
¯^xK„Z¶wZKviKgvÎv †_‡K Kg _v‡K|
- 122. wbivc` Lvevi I wbivc`cvwbi cÖ‡qvRbxqZv:
• evwm-cuPv, dv½vm cov ev`yM©Ühy³ Lvevi LvIqv hv‡e bv|Zv†L‡j †c‡Ui I
Hepatitis A & EAmyL †`Lv w`‡Zcv‡i
• gvwQcovLvevi †L‡j Wvqwiqv, Avgvkq,K‡jiv, UvBd‡qW BZ¨vw` †ivM n‡Zcv‡i
• wewfbœ Lvevi evwgwó RvZxq Lvevi G is ‡gkv‡bvhv‡ebv| wewfbœ Lvev‡i †h me is
e¨enviKivnq ‡m¸‡jv hw` ivmvqwbK evKvc‡oiis nqZvn‡j K¨vÝviI wKWbx †ivM
†`Lv w`‡Zcv‡i
• U‡g‡Uv,gUiïuwU, cvKvKjv,gvQI wewfbœ Lv`¨‡Km‡ZRevcvKvKivi Rb¨ †hme
ivmvqwbKc`v_© e¨envi Kivnq (‡hgbdigvwjb, Kve©vBW) Zv†_‡K K¨vÝvimneûiKg
†ivM n‡Zcv‡i
• wbivc` cvwbe¨env‡i‡c‡Ui cxovevWvqwiqv, RwÛm, Avgvkq, UvBd‡qW, Pg©‡ivM
BZ¨vw` cvwbevwnZ †ivM msµgY n‡ebv
• †hmg¯Í Lv`¨ ivbœvK‡i LvIqv nqbv (†hgbt mvjv`, mewR) †m¸‡jv wbivc` cvwb‡Z
wVKgZ†avqvbvn‡j Zvi gva¨‡gGes `~wlZ cvwb, gvwUA_ev Av½y‡ji gva¨‡g K…wgi
wWg gyLc‡_ A‡š¿ cÖ‡ekK‡i
- 123. wbivc` Lvevi I cvwbwbwðZKivi Rb¨ KiYxq
welqmg~n:
• cwi”QbœZv eRvq ivLyb:
• nvZ cwi®‹vi K‡i cÖwZevi Lvevi ‰Zix Icwi‡ekb Kiæb
• wkï‡`i gjg~Î cwi®‹vi Kivi ci nvZ cwi¯‹vi Kiæb
• cï cvwL cwiPhv©i ci nvZ cwi¯‹vi Kiæb
• LvIqvi Av‡M Ges wkï‡KLvIqv‡bvi Av‡M fvjfv‡e nvZ ay‡q wbb
• LvIqv‡bvi Rb¨ e¨eüZ evwU I PvgP/e¨env‡ii Av‡M mvevb I cvwb w`‡q
cwi¯‹vi K‡i ay‡q wbb
• Lvevi Rb¨ e¨eüZ evmbÑcÎ ay‡q wbb
• ivbœNi I Lv`¨ †cvKvgvKo gy³ Kiæb
• memgq UvUKv Lvevi wbev©Pb Kiæb
• nuvwP ev Kvwk†`qvi mgq bvK I gyL †X‡K ivLyb
- 124. Contd.
• KuvPv Ges ivbœv Kiv Lv`¨Avjv`v ivLyb:
• ivbœv Kiv Lvevi †_‡K KvuPv gvQ, gvsm, mewR Avjv`v ivLyb Lvevi
KvUvi Rb¨ cwi¯‹vi Qywi/ewU e¨envi Kiæb
• XvKbv hy³ cv‡Î ivbœv KivLveviivLyb
• wbivc` LveviIcvwb wbwðZKivi Rb¨KiYxq welqmg~n:
• fvjfv‡e wm×K‡i ivbœv Ki“b:
• gvsm, wWg fvj K‡i wm× K‡i ivbœv Kiæb
• cybivq Mig Kivi mgq fv‡jvfv‡e Mig Kiæb| m¤¢e n‡j fvj K‡i dzwU‡q
wbb
• `ya fv‡jvfv‡e dzwU‡q cvb Kiæb
- 125. Contd.
• wbivc` ZvcgvÎvq msi¶Y Ki“b:
• ivbœvKiv Lvevi N‡ii ZvcgvÎvq 2 N›Uvi †ekx bv ivLv
• wiwd«Rv‡iUi _vK‡jI j¤^v mgq Lv`¨ msi¶Y bv Kiv
• wkï‡`i Lvevi UvUKv nIqv evÂbxq Ges ivbœvi ci msi¶b Kiv DwPZ bq
- 126. Contd.
• wbivc` cvwb e¨envi Ki“b:
• ivbœv I Lvevi †ejvq memgq wbivc` cvwb e¨envi Kiæb
• cvwb cvb Kivi c~‡e© dzwU‡q †bqv DwPZ| hw` m¤¢e bv nq Zvn‡j
weøwPs cvDWvi, wdUwKwi, cvwb weï×Kib ewo e¨envi K‡i Rxevbygy³
Kiæb Ges cwi®‹vi cv‡Î ivL‡Z ejyb
• cyKzi wKsev b`xi cvwb cvb bv Kiv
• hw` KvuPv †L‡Z Pvb Zvn‡j dj I kvK wbivc` cvwb‡Z fv‡jvfv‡e ay‡q
wbb
• wbivc` cvwb w`‡q me&wR I dj g~j KvUvi c~‡e© Kgc‡¶ 30 wgwbU 1 Pv
PvgP Lvevi jeY w`‡q wfwR‡q ivL‡j, kvK-mewR I dj g~‡j Aew¯’Z
ivmvqwbK c`v‡_©i ¶wZKicÖfve eûjvs‡k K‡g hvq
• cÖwµqvRvZ Lvevi/ c¨v‡KURvZ †gqv` (Expiry date) cvin‡j Lv‡eb bv
- 127. Lv`¨ I cvwbevwnZ †ivMGes Lv`¨ I cvwbevwnZ
†iv‡Mi msµgY†_‡K euvPvi Dcvq
• Lv`¨I cvwbevwnZ†ivM:
• cvZjvcvqLvbv
• K‡jiv
• Avgvkq
• UvBd‡qW
• Lv‡`¨ welwµqv
• RwÛm/†ncvUvBwUm
• ‡cvwjI gvBjvBwUm
- 128. Lv`¨ I cvwbevwnZ †iv‡Mi msµgY†_‡K euvPvi Dcvq:
• evwm-cuPvI †LvjvLvevi LvIqvhv‡ebv| ivbœv Kiv LveviMig
Ae¯’v‡ZB‡L‡Z n‡e|VvÛv n‡jLveviAvevi MigK‡i‡L‡Z n‡e
• cvwb cÖ‡qvR‡b dzwU‡qwbivc`Ki‡Z n‡e|cvwb Kgc‡¶ 10wg:
dzwU‡qcvb Ki‡Z n‡e
• KuvPv dj,me&wRwbivc`cvwb w`‡qfvjfv‡eay‡q†L‡Z n‡e
• Lvevi cwi¯‹vi ¯’v‡bI †X‡K ivL‡Z n‡e
• LvIqvmn M„n¯’vwjimKjcwi¯‹viI cwi”QbœZvi Kv‡R wbivc` cvwb
e¨enviKi‡Z n‡e
- 129. Lv`¨ I cvwbevwnZ †iv‡Mi msµgY†_‡KeuvPvi Dcvq:
• ‡hLv‡b †mLv‡b gj Z¨vMKiv hv‡e bv Ges ev”Pv‡`i wbw`©ó RvqMvq
cvqLvbv Kivi Af¨vm Ki‡Zn‡e
• cvqLvbvi ci I Lvevi Av‡M mvevb w`‡q mwVK wbq‡g `yB nvZ cwi¯‹vi
K‡i ay‡Z n‡e
• ¯^v¯’¨m¤§Z cvqLvbv e¨envi Ki‡Zn‡e
• m¨v‡Ûj c‡i cvqLvbvq †h‡Z n‡e
• evwoi AveR©bv wbw`©ó RvqMvq cuy‡Z †dj‡Z n‡e A_ev cywo‡q
†dj‡Z n‡e
• M„ncvwjZ cï cvwLi gj g~Î wbw`©ó ¯’v‡b †dj‡Z n‡e
- 131. nvZ †avqvi ¸i“Z¡ Ges KLb KLb Aek¨B nvZ ay‡Z n‡e
• nvZ†avqvi ¸i“Z¡:
• Lv`¨mvgMÖx Icvwb msµwgZ nIqv Gov‡Z
• gy‡L Rxevby cÖ‡ekKiv‡bv Gov‡Z
• Wvqwiqv msµgb Gov‡Z
• K…wgi msµgb Gov‡Z
• Pg©‡ivM msµgbGov‡Z
• KLb KLb Aek¨BnvZay‡Z n‡e:
• Lvevi ˆZix/ ivbœv KiviAv‡M
• †KvbLvevi aivi evwkï‡K LvIqv‡bvi Av‡M gv/hZœKvix I wkïi nvZay‡q wb‡Z n‡e
• cvqLvbv/Uq‡jU e¨envi Kivi c‡i
• wkïi cvqLvbvcwi¯‹vi Kivi c‡i (evAb¨ †KvbcvqLvbv)
• Mevw` cï-cvLx aivi c‡i Ges Zv‡`i cvqLvbvcwi¯‹vi Kivic‡i
- 132. • GQvovIwbgœwjwLZmg‡q nvZ †avqv Avek¨K:
• wkïimw`© cwi¯‹vi Kivi c‡i
• nvuwP†`qvi c‡i
• KvuPvgvQ- gvsm aivic‡i
• ‡ivMx‡K †`Lvi Av‡M I c‡i
• gqjv wb‡q KvRev †Ljv Kivic‡i
• UvKv-cqmv aivi c‡i
- 136. cÖZ¨¶ cywóKvh©µg (Direct or Nutrition
Specific Intervention)
• cÖZ¨¶cywó Kvh©µg, cywó welqK ms‡e`bkxj Kvh©µg (Nutrition Sensitive
Intervention)¸‡jv n‡ZwfbœZi| cywó welqK ms‡e`bkxj Kvh©µg¸‡jvi j¶¨ n‡jv
cywónxbZvi wKQzKvib‡K cÖfvweZKiv,hv Kv‡ivcywó Ae¯’vi Dci mivmwi cÖfve
†dj‡ZI cv‡i A_ev bvI ‡dj‡Z cv‡i|D`vniY ¯^iæc hw` †KvbMixe cwievi‡KRxweKvqb
Kvh©µ‡gi AvIZvq Zv‡`i Lv`¨ Drcv`bIAvqe„w× Kivhvq, Zvn‡j Zv‡`i cywó Ae¯’vi
DbœwZ n‡e| Z‡eLv`¨ Drcv`bevovm‡Ë¡Ihw` ZvivZvbv‡L‡q wewµ K‡i†`q,
Zvn‡j Zv‡`i cywó Ae¯’vi DbœwZ bvINU‡Z cv‡i
• cÖZ¨¶cywó Kvh©µgGKRb e¨w³i cywó Ae¯’vi Dcimivmwi cÖfve†d‡j|D`vnib
¯^iæc hw` GKRb gvAvqib dwjK G¨vwmWU¨ve‡jULvq, Zvn‡j Zvikix‡ii Avqib
Ae¯’vi Dcimivmwi cÖfveco‡e|hw` GKRbwkï‡K eqmAbycv‡Z mylg cwic~iK
LveviLvIqv‡bv nqZvn‡j wkïwUi kvixwiK I gvbwmKe„wׇZ mivmwi BwZevPK
cÖfveco‡e
- 137. cÖZ¨¶ cywóKvh©µg mg~‡ni ZvwjKv:
‡¶Î cÖgvwYZcÖZ¨¶cywó Kvh©µg
beRvZK I wkïiLv`¨ (IYCF) 1| R‡b¥i GK N›Uvig‡a¨ wkï‡K ey‡Ki `ya LvIqv‡bv
2| 0-c~Y©6 gvmeqm ch©šÍ ïaygvÎ gv‡qi `ya LvIqv‡bv
3| 6-23 gvmeqmxwkï‡`i eqm‡f‡` mylg cwic~iK Lvevi
cÖ`vb(mgqgZ,cwigvbgZGes wewfbœ cÖKv‡ii)
e¨w³MZ cwi”QbœZv
(Hygiene)
4| Riæix mgq¸‡jv‡Z mvevbw`‡q nvZ‡avqv
wµwgbvkK (Deworming) 5| eQ‡i`yBevi wkï‡K (24-59 gvm) K…wgbvkK Jla
LvIqv‡bv
- 138. ‡¶Î cÖgvwYZcÖZ¨¶cywóKvh©µg
Abycywóm¤úyiY (MicronutrientSupplementation) 6|6-59gvmeqmxwkï‡`i eQ‡i `yBeviwfUvwgb G
LvIqv‡bv
7|Mf©eZx I `y»`vbKvixgvI wK‡kvix‡`iAvqib dwjK
G¨vwmW U¨ve‡jU LvIqv‡bv
8|6-23 gv‡mi wkï‡KAbycywócvDWvi LvIqv‡bv
9|Wvqwiqve¨e¯’vcbvq IAviGm I wRsKLvIqv‡bv
cywómg„×K…ZLvevi MÖnb (Consumptionof
Nutrient-rich,Fortifiedfoods)
10|wkï(6-23gvm), wK‡kvixGesMf©eZx I
`y»`vbKvixgv‡Kcywómg„×LveviLvIqv‡bv
11|cÖ‡Z¨KLvbvqAv‡qvwWbhy³jebI wfUvwgbG
mg„׆Zj †L‡ZDrmvwnZ Kiv
ZxeªAcywóe¨e¯’vcbv (Management of Acute
Manlnutrition)
12|6-59gvm eqmx wkï‡`igvivZ¥K ZxeªAcywó
wPwýZKivI Dchy³¯’v‡b†idviKiv
13|6-59gvm eqmx wkï‡KRvZxqch©v‡qi
bxwZgvjvAbyhvqxgvSvwiZxeªe¨e¯’vcbv Kiv
gvZ… cywó(Maternal Nutrition-PLWs) 14|Mf©eZxI cÖm~wZgv‡qi ch©vßLv`¨ MÖnYI
wekÖvg
- 139. `~‡h©vMKvjxbev RiæixAe¯’vq cywóMZcÖ¯‘wZGes mvov
cÖ`vb
¯¬vBW10.5.1
mgwš^Z wbqwgZ Kvh©µ g:
†mev†K›` ª, KwgDwbwUGesevwo‡Z
cÖZ¨ÿ cywó Kvh©µ ‡gi gvbDbœqb
GeswbwðZKi b
cÖvmw½K ` ߇i ( grm¨ Awa` ßi ,
cÖvYxm¤ú` Awa` ßi , WASH
BZ¨vw` ) cywó wel qK ms‡e` bkxj
Kvh©µ g wbqwgZ Pvwj ‡q hvI qv
AZ¨vek¨Kxq Kvh©µ g:
mgš^q Ki v (RvZxq, Dc‡Rj v
ch©v‡q)
cywó Z_¨ Kvh©µ g (cÖavb ` ߇i g~j
myPK¸ ‡j vi wbqwgZ ch©‡eÿ b)
cywó wel ‡q (` ~‡h©vM Kj xb mg‡q
cywó Kvh©µ gI AšÍf ©y³ ) ` ÿ Zv
Dbœqb
Kvh©µ g
evov‡bv/
Dbœqb
wd«‡Kv‡qwÝ
evov‡bv
+
cÖ‡qvR‡b Ri æi x wf wˇZ wbw` ©ó wKQzcywó
Kvh©µ g ev¯Íevqb Ki ‡Z n‡e| †hgb: ey‡Ki
` ya LvI qv‡bvi Rb¨ A¯’vqxZvey, ey‡Ki ` y‡ai
cwi cyi K †Kvb Lvevi †mBmgq weZi Yn‡”Q
wKbvZvch©‡eÿ b Ki vBZ¨vw`
Ab¨vb¨ cÖvmw½K ` ߇i cywó wel qK
ms‡e` bkxj Kvh©µ g wbwðZ Ki v ( †hgb-
ch©vß cwi gv‡Y me ai ‡bi Lv` ¨ weZi Y,
msi ÿ Y/cvwb BZ¨vw` )
Ae¯’vcwi eZ©‡bi wbqwgZ ch©‡eÿ Y
mvovcÖ` v‡bi cÖf ve g~j ¨vqb Ges cÖ‡qvR‡b
Lvc LvI qv‡bv
` ~‡h©vM
c~e©eZ©x
Ae¯’vq
wd‡i
†M‡j
mvov
cÖ` vb
Kgv‡bv
+
‡dBR 0: cÖ¯‘ZKvj xb mgq,
` ~‡h©vMc~e©eZ©xAe¯’v
‡dBR 1: ` ~‡h©v‡Mi ci
cÖ_g 3 w` b
‡dBR 2:
` ~‡h©v‡Mi ci
cÖ_g 2 mßvn
‡dBR 3: ` ~‡h©v‡Mi ci
1-6 gvm
` ~‡h©vMc~e©Ae¯’vq
wd‡i Avmv
` ~‡h©vM
mvovcÖ` vb
- 140. • Awa‡ekb 11
• `~‡h©vMKvjxb Acywói KviY, Lv`¨
mnvqZvGesIYCF Gi bxwZmg~n
- 141. `y‡h©vM ev Riæix Ae¯’vq Acywói KviY I KiYxq:
• Acywói KviY‡K wZbwU eo fv‡M fvM Kiv hvqÑ
• Lv‡`¨i Ach©vß mieivn
• AcÖZzj ‡mev
• ¯^v¯’¨ e¨e¯’vi Kvh©KvixZviAfve
- 142. ` y‡h©v‡Mi c~e©vf vm
` y‡h©vMKvj xb cÖ¯‘wZ
` y‡h©vM
cÖvK…wZK ` y‡h©vM gvbe m„ó ` y‡h©vM
e¨e¯’vcbv/Ki Yxq
Lv` ¨ wbi vcËv ¯^v¯’¨ †mev hZœ
¯^í †gqv` xLv` ¨
wbi vcËv
` xN©†gqv` xLv` ¨
wbi vcËv
cywó wbi vcËv(¯^í I ` xN©‡gqv` x)
gvB‡µ vwb‡qvwUª‡q›U
wbi vcËv
g¨v‡µ vwb‡qvwUª‡q›Uwbi vcËv
1. †Rbv‡i j dzWwWw÷ ªweDkb
2. ‰` wbK RxebhvÎ vq mnvqZv
3. wm‡j KwUf wdwWs†cÖvMÖvg
K) mvwcø‡g›Uvi x
L) †_i vwcDwUK
4. gvB‡µ vI g¨v‡µ vwbDwUª‡q›Umi ei vn
wbi vc` I cywóKi Lv‡` ¨i
wbi wew”Qbœmi ei vn/mnRj f ¨Zv
gvby‡l i µ q ÿ gZv
e„w× Ki v
Lv‡` ¨i m‡e©v”Pe¨envi
wbwðZ Ki v
` y‡h©vMKvj xb cywó e¨e¯’vcbvi avi v
- 143. `y‡h©v‡M gvB‡µvwbDwUª‡q›U(Micronutrient)-Gi Afve I
cÖwZ‡iv‡a KiYxq
`y‡h©v‡M mPivPi †hme gvB‡µvwbDwU‡q›U-Gi Afve nq Zv n‡jvÑ
• K) Av‡qvwW‡bi Afve /Iodine deficiency disorder
• L) Avqi‡Yi Afve /Iron deficiency Anemia
• M) wfUvwgb ÔGÕ Gi Afve /Vitamin A deficiency
• N) wRsK Gi Afve/Zinc deficiency
- 144. dzW dwU©wd‡Kkb (Food Fortification):
• wZbwUc×wZ‡ZLv`¨‡KcywóDcv`vbmg„×Kivm¤¢eÑ
• evRviRvZKivic~‡e©,cÖwµqvRvZKv‡jwewfbœLv‡`¨iwKQz wKQy
¸iZ¡c~Y©gvB‡µvwbDwUª‡q›Ubónq|†hgb-KviLvbv/wgj¸‡jv‡Zavb†_‡K
Pvjevbv‡bvimgqPv‡jiDc‡ijvj‡P-ev`vgxAveiYhvwfUvwgbwe mg„×Zv bó
n‡qhvq|Kv‡RB evRviRvZKivic~‡e©,cÖwµqvRvZKv‡jLv`¨k‡m¨i ¸Yv¸Y
hv‡Zbóbvnq†mw`‡K Avgv‡`iwe‡kl†LqvjivL‡Zn‡e|
• ‡hLv‡`¨hZUzKzcwigvYcywóDcv`vbwe`¨gvbZvi†_‡K cwigvYevov‡bvi
gva¨‡gI dzW dwU©wd‡KkbKivhvq|†hgb-`y‡aimv‡_ AwZwi³K¨vjwmqvg
†hvMK‡i,AvUvimv‡_ AvqiY†hvMK‡i|
• dzWdwU©wd‡Kkb-GiAv‡iKwUDcvqn‡jv,wKQzwKQz Lvev‡ii mv‡_H
Lv‡`¨we`¨gvb†bBGgb†KvbbZzbcywóDcv`vb†hvMKiv|†hgb-mqvweb
†Z‡jimv‡_ wfUvwgbG †hvMKiv,je‡Yimv‡_ Av‡qvwWb†hvMKiv|
- 145. ¯¬vBW11.3.3
wf UvwgbGmvwc- ‡g‡›Ukb(Supplementation):
Rb‡Mvwô †h A‡j ¯’vqxf v‡e emevmK‡i †mLv‡b wf Uvwgb GGi Af ve Av‡Q
emevmi Z Gj vKvi gvby‡l i g‡a¨ wf Uvwgb-G Gi Af veRwbZ DcmM©¸ ‡j v (i vZKvbv
†i vM/weUUm¯úU) we`¨gvb Av‡Q
H Gj vKvq Acywó/Wvqwi qvi cÖ‡Kvc †ekxAvKv‡i we`¨gvb _vK‡j
e¨vcK AvKv‡i nvg Qwo‡q _vK‡j
Eqm wf UvwgbGK¨vcm~j -Gi
gvÎ v
LvI qv‡bvi mgqm~wP
wkï 6-11 gvm
wkï 12-59 gvm
cÖm~wZ gv cÖm‡ei
ci ci B (2 mßv‡ni
g‡a¨)
100,000 AvBBD
2,00,000 AvBBD
2,00,000 AvBBD
1wUbxj i ‡Oi wf Uvwgb GK¨vcmyj LvI qv‡Z n‡e
4-6 gvmci ci eQ‡i 2 evi 1wUK‡i j vj i ‡Oi
wf Uvwgb GK¨vcmyj LvI qv‡Z n‡e
cÖm‡ei 2 mßv‡ni g‡a¨ gv‡K 1wU j vj i ‡Oi
wf Uvwgb GK¨vcmyj LvI qv‡Z n‡e
ORS GeswRsK mvwcø‡g›Ukb Gi e¨e¯’vKi ‡Z n‡e
cÖvK…wZK `~‡hv©‡Mi ci eZ©x‡Z nvg Gi cÖKUZvI RwUj ZvKgv‡bvi Rb¨ 1 eQ‡i i bx‡Pwkï ‡`i
Rb¨ we‡kl nvg K¨v‡¤úB‡bi e¨e¯’vKi ‡Z n‡e
- 147. `y‡h©vMKvjxb Lv`¨ I cywómnvqZv cÖ`vb
• †Rbv‡ij dzW wWmwUªweDkb
• wm‡jw±f wdwWs †cÖvMÖvg
¯¬vBW11.4.1
1) †Rbv‡ij dzWwWmwUªweDkb:
`y‡h©v‡MAvµvšÍgvby‡l i Lv`¨ msKU-Gi mgqLv`¨ weZi YKi v|
mvavi YZ Lyeeo AvKv‡i i †Kvb`y‡hv©M†hgb- f ~wgK¤úev¶i vqgvbyl ZxeªLv`¨ msK‡U†f v‡M
GmgqGBcÖwµqvqgvby‡l i N‡i N‡i Lvevi †cuŠ‡Q†`qvi †PóvKi vnq
2) wm‡j w±f wdwWs†cÖvMÖvg:
GB†cÖvMÖvg `yBai ‡Yi n‡Z cv‡i Ñ
mvwc-‡g‡›UkbwdwWs†cÖvMÖvg (Supplementary Feeding Programme) Ges
‡_i vwcDwUK wdwWs†cÖvMÖvg (Therapeutic Feeding Programme)
- 148. mvwc-‡g‡›UkbwdwWs†cÖvMÖvg:
GB‡cÖvMÖvg2ai‡Yi n‡Zcv‡iÑ
K) e-vs‡KUwWmwUªweDkb- GKUvwbw`©óGj vKvi Acywói SzuwK‡Z _vKvmevB‡K(wkï 6gvm†_‡K5
ermi eqmxwkï,meMf ©eZxI cÖm~wZgvmn) cywóKi Lv`¨weZiYKiv
L) Uv‡M©‡UWwWmwUªweDkb-hvivgvSvwi gvÎvi Acywó((Moderate Malnutrition) ‡Z f zM‡QZv‡`i‡K
cywóKi Lvevi weZi‡Yi gva¨‡g,AwZwi³ gvÎvi Acywó(Severe Malnutrition) †_‡Ki¶vKiv
‡_ivwcDwUKwdwWs†cÖvMÖvg:
GB†cÖvMÖvgwUhvivAwZwi³ gvÎvi Acywó‡Zf yM‡QZv‡`i Rb¨cÖ‡hvR¨|
- 149. • eZ©gv‡b wkï‡`i (0-5 eQi eqm ch©šÍ) eq‡mi Zzjbvq IRb wb‡q cywó
Ae¯’v wbY©‡qi †ÿ‡Î wek¦ ¯^v¯’¨ ms¯’v 2006 †idv‡iÝ (WHO-
2006 Reference)Abyhvqx Z score c×wZAbymiY Kiv n‡q
_v‡K| Z score c×wZ‡Z Acywó †MÖW wb¤œiƒc :
cywóAe¯’v Z score c×wZ
¯^vf vweK +2 z ‡_‡K- 1 z
Aí cywó -1 z ‡_‡K- 2 z
gvSvwi Acywó -2 z ‡_‡K– 3 z
gvivZ¥KAcywó - 3 z Gi Kg
- 150. `y‡hv©‡M Riæix Ae¯’vq IYCFGibxwZmg~n
• g~jbxwZ 1: `y‡hv©‡Mi Ae¯’v‡ZI R‡b¥i cin‡Z Qq gvm eqm ch©šÍ
wkï‡K ïaygvÎ gv‡qi `ya-BLvIqv‡Z n‡e
• g~jbxwZ 2: Aek¨B wkïi`yB ermi eqm ch©šÍ gv‡qi `ya LvIqv‡Z n‡e
• g~jbxwZ 3: `y‡hv©‡Mi †Kvb ai‡bi †eª÷ wgé mvew÷wUDU (BMS) ev
`y‡aiK…wÎg weKí Lv`¨ LvIqv‡Z DrmvwnZ Kiv hv‡ebv
• g~jbxwZ 4: wkï‡`i ˆ`wbK e„w× ¯^vfvweK ivLvi Rb¨ 6gvm eq‡mi ci
(180w`b) †_‡KBgv‡qi `y‡ai cvkvcvwk N‡ii ˆZixmnRcvP¨ cywóKi
evowZ Lvevi LvIqv‡Z n‡e
• g~jbxwZ 5: wkï‡`iAwffveK‡`i/ †mev cÖ`vbKvix‡`i Kv‡Q cywóKi,
mnRcvP¨ Lvevi ˆZixime Dcv`vb mnRjf¨ n‡Z n‡e
- 151. • g~jbxwZ 6:`y‡h©v‡M wkï‡`i †mevAch©vß nqZv‡`i AwffveK‡`i gvbwmK
`ywðšÍvi Kvi‡b| GgZve¯’vqZv‡`i g‡bvej evwo‡q †ZvjvLyeB ¸iæZ¡c~Y©
• g~jbxwZ 7:wkï‡`i †ivMgy³ I Drdzjø ivL‡Z n‡e, hv‡ZZvivgv‡qi ey‡Ki `ya cvb
Ki‡Zcv‡iGes cvkvcvwkAb¨ LveviI mwVKfv‡e MÖnYKi‡Zcv‡i
• g~jbxwZ 8:mwVKch©‡e¶‡Yi gva¨‡g,Acywói wkKvi wkï‡`i Lyu‡R †ei Ki‡Z
n‡eGes wPwKrmv w`‡Z n‡e,hv‡ZZv‡`i Ae¯’v µgvbœ‡qAviI Lviv‡ci w`‡K bv
hvq| Acywói KviY mwVKfv‡e Luy‡R †ei Ki‡Zn‡eGes ZvicÖwZKviKi‡Z n‡e
• gyjbxwZ 9:`y‡h©v‡Mi Pig Ae¯’vq (acutephase), Lye `ªæZ`y‡hv©M
†gvKv‡ejvic`‡¶cwb‡Z n‡ehv‡Zwkï‡`i cywó‡Z †Kvbai‡Yi e¨vNvZbv Av‡m|
wkï‡`i Awffve‡Ki Dc‡iI j¶¨ ivL‡Z n‡e
• g~jbxwZ 10: `y‡h©v‡M wkï‡`i Ges wK‡kvi‡`i mwVKgvÎvi cywó wbwðZ Ki‡Z
n‡j Pjgvb cwiex¶Y evContinuous monitoring cÖ‡qvRb
- 152. `~‡h©vMKvjxbmg‡q¯^v¯’¨Kg©x‡`i
f~wgKv/KiYxq:
• `y‡h©v‡M AvµvšÍ cwievi IAcywó wkKvi wkï‡`i wPwýZ Kiv, ZvwjKvf~³ Kiv,
mswkøó nvmcvZvjKZ©„cÿ‡K AeMZKiv, wPwKrmv †`qvGes cÖ‡qvR‡b
nvmcvZv‡j†cÖiY
• Gmg‡qcywóKi I mnRcvP¨ Lvevi m¤ú‡K© AvµvšÍ cwievi‡K Rvbv‡bv, ˆZwii e¨vcv‡i
cÖwkÿY cÖ`vbI Lvevi MÖn‡YDrmvnx Kiv
• `y‡h©v‡Mi Kvi‡Y m„ó AcywóRwbZ msµvgK †ivM¸‡jv cÖwZKv‡iicÖ‡qvRbxq
e¨e¯’vMÖnY, AvµvšÍ †ivMx wPwýZ KivI cÖv_wgKwPwKrmv cÖ`vb
• `y‡h©v‡Mi Kvi‡Y m„ó AcywóRwbZ msµvgK †ivM¸‡jv cÖwZKv‡iicÖ‡qvRbxq
e¨e¯’vMÖnY, AvµvšÍ †ivMx wPwýZ KivI cÖv_wgKwPwKrmv cÖ`vb
• `y‡h©vM AvµvšÍ GjvKvqwe`¨gvb¯^v¯’¨ AeKvVv‡gv¸‡jv‡K(‡hgb-KwgDwbwU
wK¬wbK, BDwbqb Dc-¯^v¯’¨ †K›`ª, cwieviKj¨vY †K›`ª)Riæix ¯^v¯’¨ †mev,Lv`¨ I
cywó mieiv‡ni Dc‡hvMx K‡i †Zvjv
- 153. • Awa‡ekb 12
• †hvMv‡hv‡Mi gva¨‡g AvPiY cwieZ©b
(wewmwm) GesKvD‡Ýwjs
- 154. • †hvMv‡hv‡Migva¨‡g AvPiYcwieZ©bev wewmwm:
• AvPiY cwieZ©b †hvMv‡hvM n‡”Q Ggb GKwU cÖwµqv hv
¯^xK…Z †hvMv‡hvM gva¨‡giIci wfwË K‡i wk¶vg~jKZ_¨vw`i
mvnv‡h¨e¨w³iAvPiY cwieZ©bAvbq‡b mvnvh¨K‡i|
- 156. • KvD‡Ýwjs:
• KvD‡Ýwjs n‡”Q GKwU cÖwµqv hvi gva¨‡g cwiPh©vMÖnYKvixi
( Mf©eZx gwnjv,`y»`vbKvix gv)/ ‡mevMÖnxZvi mgm¨v¸‡jv wK
†m¸‡jv g‡bv‡hv‡Mi mv‡_ †kvbv, Zv‡K mnvbyf~wZ †`Lv‡bv Ges
Zvicihyw³, Z_¨I civg‡k©i Øviv mgm¨vmg~n wbim‡bi Dcvq
Lyu‡R †eiK‡i ‡mevMÖnxZv‡K welqwU we‡ePbv Ki‡Z
DrmvwnZ K†iwbw`©ó wm×všÍ wb‡Z mnvqZv Kiv|
• KvD‡Ýwjs Gi ¸iæZ¡:
• ‡mevMÖnxZvi AvZ¥wek¦vm AR©b Ki‡Z mvnvh¨ K‡i
• mgm¨vi mgvavb K‡i
• fyj aviYv `~i Ki‡Zmvnvh¨ K‡i
• Af¨vm/ AvPiY cwieZ©‡bev bZyb †Kvb Af¨vm/ AvPiY MÖn‡Y
mnvqZv K‡i
- 157. KvD‡Ýwjs Kivi c×wZ/KvD‡Ýwjs Kivi `¶Zvmg~n
• mdjfv‡eKvD‡Ýwjs Kivi avc:
• Av‡jvPbvi cwi‡ek ˆZixKiv
• ‡mevMÖnxZvi K_v †kvbv
• Av‡jvPbvi ga¨†_‡K mgm¨v¸†jv wPwýZ Kiv
• mwVK wm×všÍ wb‡Z mnvqZv Kiv
• ‡mevMÖnxZv wK ey‡S‡Qb ZvhvPvB K‡i †`Lv
• AvZ¥wek¦vm/Av¯’v ˆZixKiv
• KvDwÝwjs mdj n‡Z cÖ‡qvRb Z_¨/cÖgvb wfwËK DcKvwiZv ev
myweav e¨vLv Kiv|
- 158. KvD‡Ýwjs Kivi `¶Zvmg~n:
• (KvDwÝwjs)Kivi Rb¨Avš—te¨vw³ †hvMv‡hvM cÖ‡qvRb,
Avš—te¨vw³†hvMv‡hvM 2cÖKvit
• K_vbv e‡j†hvMv‡hvM Kiv (Non-verbal communication)
• K_ve‡j †hvMv‡hvM Kiv (Verbal communication)
• K_vbv e‡j †hvMv‡hvMKiv(Non-verbal communication):
• AskMÖnYKvix‡`i‡KwRÁvmvKiæb,K_v bv e‡j†hvMv‡hv‡Mi
†KŠkjej‡ZwKeySvq? Zv‡`i DËi†kvbvi c‡ieY©bvKiæb,K_vbv
e‡j†hvMv‡hvM Kivi †KŠkjej‡Z†evSvq A½ fw½igva¨‡gAvPiY,
Awfe¨w³Ges K_vbv e‡jwKQycÖ`k©bKiv|
- 159. K_v bv e‡j†hvMv‡hv‡Mi mgqAvgv‡`i‡K
wbgœwjwLZ welq¸‡jv j¶¨ivL‡Z n‡e|
• Awfb‡qigva¨‡g `¶Zv cÖ`k©bKiv:
• AskMÖnYKvix‡K K_v bv e‡j †hvMv‡hv‡Mi 5wU †KŠkj †`Lvb
• ‡h †Kvb GKRb AskMÖnYKvix‡K mvnv‡h¨i Rb¨ ejyb| Zv‡K GKwU cyZzj
w`‡q ewm‡q gv wkï‡K `ya LvIqv‡”Q Ggb Awfbq Ki‡Z ejyb
• cÖ`k©‡Y GKevi †hvMv‡hvM‡K mvnvh¨ Ki‡e Ges Ab¨evi †hvMv‡hv‡Mi
cÖwµqv‡K evav w`‡e c×wZwU 2 eviB Ggb fv‡e Ki‡Z n‡e †hb
AskMÖnYKvixiv†Kvb wKQy aviYvKi‡Z bv cv‡i †h GB cÖwµqvwU
wK‡mi Rb¨ n‡”Q
• K_v bv e‡j †hvMv‡hv‡Mi c×wZwU AskMÖnYKvix‡`i mbv³ Ki‡Z ej‡Z
n‡e Ges ej‡Z ejv n‡e †h †KvbwU †hvMv‡hv‡M mvnvh¨ Ki‡Q Ges
†KvbwU Ki‡Q bv
- 160. K_vbve‡j †hvMv‡hvMKiv(Non- verbal communication):
gvI KvD‡Ýj i `yR‡bi gv_vGKBAe¯’v‡bivLv/ GKBAe¯’v‡bem‡Zn‡e(Keep yourhead
level)
†Pv‡Li w`‡KZvwK‡qK_vej v(PayAttention)
‡Kvbevav_vKvhv‡ebv(RemoveBarriers)
mgqwb‡qK_vej v(TakeTime)
mwVKf v‡egv‡K¯úk©K‡i K_vej v(Appropriate Touch)
- 162. • †LvjvcÖkœKiv(Ask open ouestions):
• ‡Lvjv cÖkœ mvaviYZ LyeB DcKvix|cÖ‡kœi Dˇi gv Aek¨B
Avcbv‡K wKQy Z_¨ w`‡e| †Lvjv cÖkœ mvavibZ ïiæ nq ÔwKfv‡e,
wK, KLb, †Kv_vq, †KbÓ GB me kã w`‡q| †hgb ÓwKfv‡e Avcwb
wkï‡K LvIqv‡”Qb?Ó
• cÖkœ †evaK wRÁvmv bv Kiv fvj| gv‡qi KvQ †_‡K hv Avkv Kiv nq
gv ZvB DËi ‡`q Ges DËiwUn¨vu ev bv nq| e× cÖkœ mvaviYZ ïiæ
nq: ÒAvcwb wK †L‡q‡Qb? Avcbvi wkï‡K ey‡Ki `ya LvIqvb?
• mnvbyf~wZ†`Lv‡bv (Using responses and gestures which show
interest):
• GKRb gv‡qi mv‡_ K‡_vcK_b Pvwj‡q hvIqvi Rb¨ Avcbv‡K †evSv‡Z
n‡e †h Avcwb Zvi K_v g‡bv‡hvM mnKv‡i ïb‡Qb Ges K_v †kvbvi
AvMÖnI Avcbvi Av‡Q|Avcwb †h Zvi K_v AvMÖn wb‡q ïb‡Qb
GUv †evSv‡bvi Rb¨ gv‡S gv‡S Zvi w`‡K ZvKvb, gv_v bvovb Ges
nvwm w`b|
- 163. • wePvig~jKkãe¨envi†_‡K weiZ_vKv (Avoid usingjudging
words ):
• KvD‡Ýwjs-Gi mgq wePvig~jKkã cwinviKi‡jAvmj Z_¨ cvIqv
hvq bv| G Rb¨wePvig~jKkã cwinvi Kiv DwPZ|evsjv fvlvq
wKQy wKQykã ejv †h‡Zcv‡i †hgb - fvj, g›`, wVK, fyj, Lvivc,
h‡_ó, h_vh_ fv‡e BZ¨vw` G¸‡jv wePvig~jKkã|
- 164. gv‡qi AvZ¥wek¦vmAR©‡bi avcmg~n
• AvZ¥wek¦vmevov‡bvi avcmg~n:
• MvwjWªv(GALIDRAA):
• G-Greet(MÖxU)
• A-Ask and Assess(Avm&K GÛA¨v‡mm)
• L-Listen(wj‡mb)
• I-Identify(AvB‡WbwUdvB)
• D-Discuss (wWmKvm)
• RA-Recommend and Negotiate Actions(wiK‡gÛ
GÛ †bMvwk‡qU GKkbm)
• A-Appoinment(G¨vcq›U‡g›U)
- 166. • †idv‡ijwK:
• ¯^v¯’¨ Icywó †mevcÖ`v‡b wb‡qvwRZ KwgDwbwU I †mev
‡K›`ªmg~n†_‡KwPwKrmviRb¨ D”PZiwPwKrmv †K‡›`ª
†ivMx cvVv‡bv†K, †idv‡ijejv nq|†idv‡ij GKwU wbqwgZ I
AZ¨šÍ cÖ‡qvRbxq KvR| cÖv_wgK ¯Í‡ii†hme†mev ‡K›`ª cywó
†mev cÖ`vb Ki‡Q †mme†mev ‡K›`ª †_‡K D”PZi†mev ‡K‡›`ª
†ivMx †idvi Kiv GKwUwbqwgZ Kvh©µgn‡q c‡o| myôy
†mev cÖ`v‡bi Rb¨GB †idvi KiviKvRwUI myPviæiƒ‡cm¤úbœ
nIqvi cÖ‡qvRb Av‡Q|
- 167. • Acywó‡ZAvµvšZ wkï‡`i mbv³KiY:
• KwgDwbwU wK¬wb‡KwbqwgZ wb‡P ewY©Z ‡mev cÖ`v‡bi mg‡q:
• K.wkï‡`ikvixwiKe„w× gwbUwis I cÖ‡gvk‡bi (wRGgwc) †mk‡b
• L.cuvP eQ‡ii Kg eqmx wkï‡`iwbqwgZ ¯^v¯’¨ cwi`k©‡bi mg‡q
• 2.m¨v‡UjvBU wK¬wb‡K ev BwcAvB mvB‡U wbqwgZ wUKv`vb I
K¨v‡¤úBb Pvjv‡bvi mgq wkïi Acywó g‡b nIqvq
• 3.Dc‡Rjv m¦v¯’¨‡K‡›`ª I Ab¨vb¨ m¦v¯’¨‡K‡›`ªi gva¨‡g
• 4. evwo cwi`k©‡bi gva¨‡g
- 168. • †idv‡ij- Gi avcmg~n:
• ‡idv‡ij cÖwµqv wb‡gœv³ 4wU av‡cm¤úbœ nq| avcmg~n n‡jv:
avc 1 Acywói gvÎ v / RwUj ZvI cÖ‡qvRYxq ‡mev
wPwýZKi Y
avc 2 ‡mevm¤ú‡K©wm×všÍMÖnY
avc 3 mwVK †mev‡K›`ªwPwýZKi YI †i dvi Ki v
avc 4 †i dvi wbwðZ Ki v
cÖ‡qvRb Abymv‡i †i dvi
- 169. miKvix†mev†K‡›`ª†i dvi Kivi ‡d¬v-PvU©:
KwgDwbwUwK¬wbK
Dc‡Rj v¯^v¯’¨ Kg‡c ·
†Rj vm`i nvmcvZvj I
gvI wkï Kj ¨vb †K›`ª(Gg wmWwe- Dwm)
BDwbqb ¯^v¯’¨†K›`ª
†K›`ª†K›`ª†K›`ª
†K›`ª†K›`ª
m›Uvi ‡m›Uvi
GBPGd Wwe- D
wm
KwgDwbwU/ MÖvg
‡Rj vch©vq
Dc‡Rj vch©vq
BDwbqb ch©vq
KwgDwbwUch©vq
- 170. • †hmeAe¯’vq†ivMx †idvi Kiv cÖ‡qvRb:
• mvaviYZ `yB Kvi‡b †ivMx†idvi Kiv cÖ‡qvRb| †m¸‡jv n‡jv:
• †mev‡K‡›`ªi †mev`v‡bimxgve×Zv †mev`vbKvixi Afve GesIlyacÎ I
Ab¨vb¨miÄvgvw`i Ach©vßZv
- 171. KwgDwbwUch©v‡qZxeªAcywóAvµvšÍwkï GesMf ©eZxI Abyש6 gvmeqmxwkï †`i `y»`vbKvi x(PLW)
gwnj v‡`i mbv³ Ki YI wPwKrmvi Rb¨ †i dvi Ki v:
Uv‡M©UMÖæc cÖvß Z_¨ Ki bxq
6-59 gvm
ga¨ evûi cwi wa (gyqvK)<
11.5 †mwg
(j vj )
wPwKrmvcÖ`vbKvi xKwgDwbwUm¦v¯’¨Kgx©:
RwUj ZvAv‡QwKbv, Zvwba©vi YKi ‡eb
RwUj Zv mn Zxeª Acywó n‡j m¦v¯’¨‡K‡›`ª
cvVv‡eb
RwUj Zv bv_vK‡j , Lvevi I Jl ‡ai gva¨‡g
wPwKrmvcÖ`vbKi ‡eb
6-59 gvm `yBcv‡qi cvZvq cvwb
_vK‡j (BwWgv)
m¦v¯’¨‡K‡›`ª†i dvi Ki ‡eb
6-59 gvm ga¨ evûi cwi wa (gyqvK)
11. †mwg - < 12.5 †mwg
(nj y`)
wPwKrmvcÖ`vbKvi xKwgDwbwUm¦v¯’¨Kgx©:
gvSvwi gvÎ vi Acywói wkï ‡K cywó-mg„×
Lvevi I Jl ‡ai gva¨‡g wPwKrmv/ evN‡i
ˆZwi Lvevi wel ‡q e¨envwi K wb‡`©kbvcÖ`vb
Ki ‡eb
Mf ©eZxI
`y»`vbKvi xgwnj v
ga¨ evûi cwi wa(gyqvK) <
21.0 †mwg
wPwKrmvcÖ`vbKvi xKwgDwbwUm¦v¯’¨Kgx©:
Mf ©eZxi †Kvb RwZj Zv_vK‡j ¯’vbxq †mev
†K‡›`ª†i dvi cywó- mg„× Lvevi N‡i ˆZwi
Lvevi wel ‡q e¨envwi K wb‡`©kbv cÖ`vb
Ki ‡eb
- 172. †idvivj w¯¬c:
KwgDwbwU m¦v¯’¨Kgx©i KvQ†_‡KAvDUwiP†m›Uv‡i cvVv‡bvi †idvivj w¯¬c:
wkï ‡`i Rb¨ †idvivj w¯¬c: ¯^v¯’¨ †K‡›`ª†i dvi Ki v
wkï i bvg ............................................................ eqm(gvm) ................
wj ½(wUK wPý w`b) ‡g‡q /cyi yl Mªv‡gi bvg ........................................
BDwbqb .............................................
wkï i gv/cwi Ph©vKvi xi bvg .................................................................................
Zvwi L .......................
ga¨ evûi cwi wa (gyqvK) <11.5 †m.wg (j vj ) ga¨ evûi cwi wa (gyqvK) 11.5 †m.wg<12.5 †m.wg (nj y`)
wkï < 6 gvm
cv‡q cvwb (BwWgv) (wUK wPý w`b) nu¨v bv
whwb †i dvi K‡i ‡Qb (bvg) ...................................................................................
- 173. KwgDwbwUm¦v¯’¨Kgx©i KvQ†_‡K¯^v¯’¨ †K‡›`ªcvVv‡bvi †idvivj w¯¬c:
Mf©eZxI `y×`vbKvixgwnjv‡`i †idvi Kivi w¯¬c : ¯^v¯’¨ †K‡›` †idvi
Kiv
gwnjvi bvg................................................................. eqm(eQi)..........
Mªv‡gi bvg..............................................BDwbqb............................................
m¦vgxi bvg.............................................................................
ZvwiL.........................
ga¨evûi cwiwa(gyqvK)<21.0†m.wg Mf ©Kvj (gvm) ------------------ wkïi eqm(gvm) ----------------------
whwb†idvi K‡i‡Qb (bvg).....................................................................
- 174. • d‡jv-Avc:
• A‡bK mgqB ZxeªAcywó AvµvšÍ wkï Ges Mf©eZx I Abyש 6 gvm eqmx
wkï†`i `y»`vbKvix gwnjv‡`i (PLW) Ges Ab¨vb¨ †ivMx‡K wPwKrmv
ev †mev cÖ`vb K‡i GKwU wbw`©ó mg‡qi c‡i cyYivq cix¶v-wbix¶vi
Rb¨ Avm‡Z ejv nq| †ivMxi Ae¯’v Abymi‡Yi Rb¨ Ges †m Abyhvqx
cÖ‡qvRbxq e¨e¯’v cÖ`v‡bi GB cÖwµqv‡K Òd‡jv-AvcÓ ejv n‡q _v‡K|
• KLb KLb d‡jvAvcKi‡eb:
• Acyó wkïI gwnjv mbv³KiY I †idv‡ii ci
• cywó e¨e¯’vcbvq Aš—f©z³ wkï I gwnjv‡`i ¯^v¯’¨‡K›`ª †_‡K evwo wd‡i
†M‡j
- 175. • †idv‡ij I d‡jv-Avc†mevim¤úK©:
• ¸YMZgvb m¤úbœ †mev wbwðZKi‡Yi `yÕ‡Uv Ab¨Zg Dcv`vb n‡”Q
†idv‡ij I d‡jv-Avc| GKwU Kvh©Ki †idv‡ij e¨e¯’vi gva¨‡gB GKwU †mev
‡K›`ª †_‡K Acywó AvµvšÍ wkï Ges Mf©eZx I Abyש 6 gvm eqmx
wkï†`i `y»`vbKvix gwnjv‡`i (PLW) Ges Ab¨vb¨ †ivMxi Pvwn`v c~i‡Yi
m‡e©vËg e¨e¯’v Kiv †h‡Z cv‡i| Gfv‡e cÖv_wgK ¯Í‡ii †mev ‡K›`ª¸‡jv
D”PZi ¯Í‡ii †mev ‡K›`ª mg~‡ni Rb¨ m¤ú~iK f~wgKv cvjb Ki‡Zcv‡i|
Avevi GKB mv‡_ GKwU h_vh_ d‡jv-Avc e¨e¯’v GKwU †idv‡ij c×wZi
cwic~iKwnmv‡e KvR Ki‡Z cv‡i| h_vh_ d‡jv-Av‡ci gva¨‡g †ivMxi
cÖK…ZPvwn`v Abyhvqx †mev cÖ`vb wbwðZ Kiv m¤¢e| Gfv‡e †mevi
¸YMZgvb e„w× Kiv Ges Acywó `~i Kiv m¤¢e|
- 177. • Awa‡ekb 15
• GgGmG‡·j (2007) Acv‡ikb GesB-‡gBj
Gi gva¨‡g †hvMv‡hvM
- 179. • Awa‡ekb17
• mKj chv©‡qi †mev`vbKvixGes
mycvifvBRviMYGi ˆ`bw›`bKvh©µ‡g
cywó‡mev‡Km¤ú„³Kib
- 180. AZ¨vek¨Kxq cywó ‡mevmg~n
• wK‡kvi-wK‡kvix‡`i Rb¨AZ¨vek¨Kxqcywó ‡mevmg~n:
• †mev MÖn‡bi Rb¨ ‡mev ‡K‡›`ª AvMZwK‡kvi wK‡kvix‡`i‡K
‰K‡kviKvjxbmwVK cywói ¸iæZ¡m¤ú‡K© Av‡jvPbv Kiv
• e¨w³MZ cwi¯‹vi cwi”QbœZv I cÖRbb ¯^v¯’¨ msµvšÍ wel‡q wK‡kvix†`i
Z_¨†`qv Ges ¯^v¯’¨Ki Af¨vm MV‡b DØy× Kiv
• wK‡kvix‡`igv‡S Avqib ewo I K…wgbvkK ewo weZiY Kiv
• mKj wK‡kvi-wK‡kvix‡K‡`wi‡Z we‡q I 19 eQi eq‡mi Av‡M Mf©aviY
bv Kivm¤ú‡K© KvD‡Ýwjs Kiv
• wK‡kvix‡`icwigvYMZ I cywómg„× 3-5 evi Lvevi MÖnb m¤ú‡K©
civgk© †`qv
- 181. • Mf©eZx I `y»`vbKvix gv‡q‡`i Rb¨ AZ¨vek¨Kxq cywó ‡mevmg~n:
• Mf©eZxgwnjv‡`i Mf©Kvjxb mg‡q IRb MÖnY I IRb e„w× ch©‡eÿb Kiv
• Mf©Kvjxbmg‡q gv‡q‡`i e¨w³MZ cwiPh©v (Self Care) I DbœZ wkï
cwiPh©v wel‡q civgk© ‡`qv
• Mf©eZxgv‡q‡`i‡K cwigvYgZ cÖ‡qvRbxq Lvevi MÖnY I wekÖv‡gi
wel‡q civgk© ‡`qv
• Mf©eZxgv‡q‡`i‡K Avqib I dwjK GwmW (AvBGdG) I K¨vjwmqvg
U¨ve‡jU cÖ`vb Ges cÖm~wZ gv‡K cÖm‡ei ci †_‡K wZb gvm ch©šÍ
Avqib I dwjK GwmW U¨ve‡jU (AvBGdG) cÖ`vb Kiv I LvIqv m¤ú‡K©
civgk‡`qv
• Abycywó m¤ú~iY (Micro-nutrient supplementation)
m¤ú‡K© Z_¨cÖ`vb Ges Kibxqm¤ú‡K© civgk© †`qv
- 182. • Mf©eZxI `y»`vbKvixgv‡q‡`iRb¨ AZ¨vek¨Kxq cywó‡mevmg~n:
• Mf©eZxgv‡q‡`i‡KcÖm‡eiciKLbwfUvwgbG K¨vcmyjLv‡eb†m e¨vcv‡i
civgk©†`qv
• wkï‡KmwVK wbq‡ggv‡qi`yaLvIqv‡bvm¤ú‡K©Mf©eZxgv‡q‡`i‡Kcivgk©
†`qv
• wkïR‡b¥i1NÈvig‡a¨wkï‡Kkvj`yaLvIqv‡bvïiæKivie¨vcv‡icÖm~wZgv‡K
civgk©†`qv|¯^vfvweKev wmRvwiqvbcÖm‡eiciwkï‡Kgv‡qi`yaQvovAb¨
wKQybv†`qvi(gay,wgwkÖev wPwbicvwb,GgbwKcvwbIbv)e¨vcv‡igv I
cwiev‡iiAb¨vb¨m`m¨‡`icivgk©†`qv
• Mf©eZxgv‡q‡`i‡KwkïR‡b¥iciQqgvm(180w`b)ch©šÍïaygvÎgv‡qi`ya
LvIqv‡bvi(Exclusive Breast feeding)Rb¨gv‡K DØy×Kiv
• Mf©eZxgv‡q‡`i‡K wkïieqmQqgvmc~Y©n‡jwkï‡KDchy³cvwievwiK
evowZLveviPvieviev Z‡ZvwaK LveviwgkÖ‡bLvIqv‡bviRb¨civgk©†`qv|G
mg‡qgv‡K Dchy³cywó,Lv`¨ I ˆah©¨mnKv‡iwkï‡Kmgqw`‡qLvIqv‡bviRb¨
civgk©†`qv
- 183. wkïi Rb¨ AZ¨vek¨Kxqcywó‡mevmg~n:
• `yB eQ‡ii Kgeqmx wkï‡`i mbv³ I †iwR÷v‡i ZvwjKvfz³ K‡iZv‡`i IRb MÖnY KivGes
†iwR÷v‡i wjwce× Kivwkï‡`i kvixwiK e„w× msµvšÍ Growth Chart h_vh_fv‡e c~iY
KivI wkï‡`i ˆ`wnK e„w× cÖvwßiwelqwU Growth Chart Gi gva¨‡ge¨vL¨vKiv
• wkï‡`i kvixwiK e„w× msµvšÍ Growth Chart h_vh_fv‡e c~iY Kiv I wkï‡`i ˆ`wnK e„w×
cÖvwßiwelqwU Growth Chart Gi gva¨‡ge¨vL¨vKiv
• wkï‡`i gv‡qi `ya GesevowZ Lvevi LvIqv‡bvi e¨vcv‡iIYCF bxwZgvjvAbyhvqx
gv‡q‡`i I cwiev‡ii Ab¨vb¨ m`m¨‡`iKvD‡Ýwjs Ges civgk© †`qv
• ga¨evûi cwiwa (gyqvK) cwigvcKivi gva¨‡gAcyó wkï‡`i (SAM, MAM) mbv³ KivGes
CMAM MvBWjvBb Abyhvqx civgk©cÖ`vbA_ev cÖ‡qvR‡b wbKUeZ©x
SAMKb©v‡i †cÖib(†idvi) Kiv
- 184. • wkïi Rb¨ AZ¨vek¨Kxq cywó ‡mevmg~n:
• fwZ©†hvM¨ 5 eQ‡ii Kg eqmx Acyó wkï‡`i cywó Kvh©µ‡g fwZ© Kiv I myweav‡fvMxi
ch©vß Z_¨ msi¶Y wbwðZ K‡i myweav‡fvMx‡`i‡K ch©vß †ikb weZiY Kiv
• †mev †K›`ª (IwUwc ev GmGdwc) †_‡K †hme myweav‡fvMx Ab¨ †K‡›`ª ev Kvh©µ‡g P‡j
†M‡Q, †K‡›`ªAbycw¯’Z, Kvh©µg †_‡K S‡i c‡o‡Q, wPwKrmvq mvov †`qwb Ges
wPwKrmvi ci †Q‡o ‡`qv n‡q‡Q Zv‡`i evwo cwi`k©Y wbwðZ Kiv
• wkï‡`i wfUvwgb ÕGÕ K¨vcmyj LvIqv‡bvi Rb¨ wbqwgZ UvKv †`qv I civgk© †`qv
• wkï‡`i LvIqv‡bvi cy‡e© nvZ †avqvi civgk© †`qv| ‡hme cwiev‡i wkï‡`i A¯^v¯’¨Ki cwi‡e‡k
Lvevi †`qv nq Zv‡`i m¤ú‡K© cwiev‡ii m`m¨‡`i m‡½ Av‡jvPbv Kiv
• wkïi hZœ, ¯^v¯’¨ I ¯^v¯’¨Ki e¨e¯’vi DbœwZ mva‡bi cÖ‡qvRbxqZv e¨e¯’v MÖnY Kiv
- 185. • Kg Rb¥ IRb m¤úbœ wkï‡`i Rb¨ AZ¨vek¨Kxq cywó ‡mevmg~n:
• beRvZ wkï‡`i IRb gvcv, Kg Rb¥- IRb m¤úbœ wkï‡`i‡K mbv³ Kiv| G msµvšÍ
Z_¨ ‡iwR÷v‡i wjwce× Kiv
• wkï‡K ch©vß cwigv‡b Nb Nb gv‡qi `ya LvIqv‡bvi wel‡q gv‡K mKj cÖKvi
civgk© †`qv (Ae¯’vb I wVKgZ ey‡K jvMv‡bv)
• Kg Rb¥- IRb m¤úbœ wkï‡`i LvIqv‡bvi e¨vcv‡i gv‡K civgk© †`qv
• Kvh©µ‡gi AMÖMwZ ch©‡eÿb Kiv, †m¸‡jv †iwR÷v‡i †iKW©KiY I
cÖwZgv‡m wbqwgZ Kvh© m¤úv`b cÖwZ‡e`b (GgwcAvi)-G Z_¨vw`
mwbœ‡ekb Kiv
• gvivZ¥K Acywó‡Z AvµvšÍ wkï‡`i‡K ¯’vbxq nvmcvZvj ev SAM KY©v‡i
†idvi Kiv
- 186. • mycvifvBRvi/Z`viKKvix‡`i `vwqZ¡ I KZ©e¨:
• gvV ch©v‡q cywó †mev Kvh©µg wbqwgZcwi`k©bGes wbweofv‡ech©‡eÿb
Kiv
• gvV Kg©x (HA,CHCPand FWA) †`i cywó†mev msµvšÍ mKj KvRmivmwi
ZË¡veavb Kiv, cÖ‡qvR‡b Zv‡`i‡K mnvqZv Kiv|Zv‡`i cywó‡mev `v‡bi `¶Zv
Dbœqb Ges welqwfwËKÁvbe„w×i Rb¨ wewfbœKvh©Ki†KŠkj Aej¤^b Kiv
• wbw`©ó ch©‡eÿb †PKwj‡ói gva¨‡g gvV Kg©x‡`i Kv‡Rich©‡eÿb, g~j¨vqbGes
cÖ‡qvRbn‡jZv‡`i‡K mwVK civgk© †`qv
• KwgDwbwUwK¬wbKI BDwbqb ¯^v¯’¨/ cwievi cwiKíbv‡K‡›`ª †mev
MÖnxZv‡`i mv‡_ cywómsµvšÍ wel‡qAv‡jvPbvKiv
• cÖwZwUKwgDwbwUwK¬wbKG IRbgvcK hš¿, nvBU †¯‹j,gyqvK †Uc BZ¨vw`
Av‡Q wKbvGes ZvmwVK wbq‡ge¨envi n‡”Q wKbvZvch©‡e¶Y Kiv
• †iwR÷vimg~nwbqwgZfv‡ecix¶v K‡i nvjbvMv` ivLvie¨e¯’v Kiv
- 187. • mycvifvBRvi/Z`viKKvix‡`i`vwqZ¡ I KZ©e¨:
• wbqwgZfv‡e wkï I Mf©eZx gwnjv‡`i IRb e„w× m‡iRwg‡b hvPvB Kiv
• wfUvwgbÔGÕ K¨vcmyj, Avqib U¨ve‡jU I K…wgbvkK ewo mswkøó DcKvi‡fvMx‡`i gv‡S
wbqwgZfv‡e weZiY Kiv n‡”Q wKbv Ges Zv Zviv Lv‡”Q wKbv Zv hvPvB Kiv
• wkïi eqm 6 gvm c~Y© nIqvi ci †_‡K evowZ Lvevi wb‡`©kbv Abyhvqx LvIqv‡bv n‡”Q
wKbv Zv hvPvB Kiv
• gvwmK Kvh©µ‡gi AMÖMwZi Dci wi‡cvU© wbf©yjfv‡e cÖ¯‘Z Kivi Rb¨ gvVKg©x‡`i
mnvqZv Kiv| wi‡cvU©¸‡jv GKxf~Z Kiv (Compile)Ges Dc‡Rjvq †cÖib Kiv
• gvV ch©v‡q Kvh©µ‡gi Pjgvb Ae¯’v Ges mgm¨v m¤^‡Ü ‡gwW‡Kj Awdmvi (cvewjK †nj_
wbDwUªkb), Ges Dc‡Rjv ¯^v¯’¨ I cwievi cwiKíbv Kg©KZ©v/ Dc‡Rjv cwievi cwiKíbv
Kg©KZ©v †K wbqwgZfv‡e AeMZ Kiv Ges mgvav‡bi cÖ‡qvRbxq e¨e¯’v MÖnb Kiv
- 188. †gwW‡KjAwdmvi (cvewjK†nj_wbDwUªkb)Gi Kvh©cwiwa
• cwiKíbv cÖYqb I Kg©m~wP msMVb welqK Kvh©µgmg~n:
• gvV ch©v‡qi cywó †mev Kvh©µg Z`viwKi Rb¨ gvwmK Kg©cwiKíbv cÖYqb
• cywó m¤ú‡K© Ávb e„w× Kivi Rb¨ gvV ch©v‡q cywó †mev cÖ`v‡b Kg©iZ gvVKg©x‡`i
(CHCP, HA,FWA) Ges cÖ_g ch©v‡qi Z`viKKvix (HI, FPI, AHI, FWV ) †`i Rb¨ evrmwiK Kg©
cwiKíbv cÖbqb Ges †mm¤ú‡K© Zv‡`i‡K AewnZ Kiv
• Dc‡Rjv ¯^v¯’¨ I cwievi cwiKíbv Kg©KZv© Ges RvZxq cywó †mev Kvh©µg (GbGbGm)-Gi
cÖwZwbwai m‡½ Av‡jvPbv K‡i gvV Kg©x (CHCP, HA , FWA) I Z`viKKvix (HI, FPI, AHI,
FWV)‡`i Ávb I `ÿZv e„w×i Rb¨ cÖ‡qvRbxq cÖwkÿY cwiKíbv cÖYqb Kiv
• Dc‡Rjv ch©v‡q IMCI & Nutrition Kb©vi Gi Kvh©µg‡K wbwðZ Kiv
• RvZxq cywó †mev (GbGbGm) cÖ`Ë jwRw÷K mgq gZ wbw`©÷ ¯’v‡b mieivn wbwðZ Kiv
• wbqwgZfv‡e cywó m¤úwK©Z wewfbœ KwgwUi (Dc‡Rjv ch©v‡q) mfv Abyôvb wbwðZ
Kiv
- 189. • ev¯Íevqb I Z`viwK welqK Kvh©µgmg~n:
• gvV ch©v‡qi cywó †mevKvh©µg cwi`k©b Ges ch©‡eÿb/ gwbUwis Kiv
• cwi`k©b, ch©‡eÿb Ges Kvh©µ‡gi cÖwZ‡e`b mg~nch©v‡jvPbv K‡i Kv‡Ri
AMÖMwZwbiæcb KivGes †m Abyhvqx cÖ‡qvRbxq e¨e¯’v MÖnbKiv
• Dc‡Rjv ch©v‡q cywó †mev Kvh©µ‡gi mv‡_ mswkøó miKvwi-‡emiKvwi
Kg©KZ©vmnmK‡jimv‡_ †hvMv‡hvM¯’vcbK‡i Kvh©µ‡gi myôev¯ÍevqbKiv
Ges Kvh©µ‡gi mv‡_ mswkøóAb¨vb¨ wefv‡Mimv‡_cywóKvh©µ‡gi mgš^q
Kiv
• mKj Kvh©µ‡gi gwbUwis-Gi †PKwj÷mieivn KivI c~iYK…Z †PKwj÷msiÿY KivI
cÖ‡qvRbxq ¯’v‡bKwc cÖ`vb Kiv|c~ibK…Z †PKwj÷mg~n †_‡K cÖ‡qvRbxq
Z_¨ AvnibGes cÖ‡qvRbxq e¨e¯’v MÖnbKiv
- 190. • cwiex¶Y I g~j¨vqYwelqK Kvh©µgmg~n:
• Kvh©µ‡gi gvwmK AMÖMwZ cÖwZ‡e`b ˆZixnIqvi ci RvZxq cywó †mev
Kvh©µg (GbGbGm) G †cÖiY wbwðZ Kiv
• Kv‡Ri AMÖMwZ m‡šÍvlRbK bq Ggb Kg© GjvKv wPwýZ Kiv Ges
cÖ‡qvRbxq e¨e¯’v †bqv
• gvV ch©v‡qi Z_¨/ DcvË hvPvB Kiv Ges Rvbvb
• gvV ch©v‡qi †iwRóvimg~n mwVKfv‡e Ges mgqg‡Zv c~iYKiv n‡”Q
wKbv Zv hvPvB Kiv
• Kvh©µ‡gi AMÖMwZ ch©v‡jvPbv I g~j¨vqb Kiv
• ¸`v‡gi cÖ‡qvRbxq JlaI Avbylvw½K `ªe¨vw`i w¯’wZ ch©v‡jvPbv c~e©K
Pvwn`vˆZix K‡i †cÖiY Kiv
- 191. • DØy×Kib Ges Z_¨ e¨e¯’vcbv welqK Kvh©µgmg~n:
• gvV ch©v‡q e¨envi cwieZ©‡bi Rb¨ †hvMv‡hvM (wewmwm)Kvh©µ‡gi cwiKíbv,
msMVb I gwbUwis Kiv
• GjvKvq gv I wkï ¯^v¯’¨ Dbœqb I cywówelqK cÖPvivwfhvb, DØy×KiY mfvi Av‡qvRb I
AskMÖnY Kiv
• Dc‡Rjv/ BDwbqb cwil`, †bZ…¯’vbxq ew³eM© I ag©xq †bZv‡`i AskMÖn‡Yi gva¨‡g
mvgvwRK DØy×KiY Kg©m~wP cÖYqb Kiv
• Z_¨, wk¶v I DØy×Ki‡Yi Rb¨ Avek¨K DcKiY msMÖn I mieivn wbwðZ Kiv
• RvZxq cywó †mev (GbGbGm) ‡_‡K cÖvß wb‡`©kbv, Re GBW, MvBWjvBb, welq cyw¯—
Kv I Ab¨vb¨ cywó‡mev Z_¨vw` mswk¬ó mK‡ji wbKU weZiY Kiv
• gvV ch©v‡q Z_¨ msi¶Y, mieivn I e¨envi wbwðZ Kiv
• gvwmK AMÖMwZ cÖwZ‡e`b, Kg© cwiKíbv I Acyó wkï‡`i wPwKrmvq e¨eüZ
†iwR÷vimg~n mwVKfv‡e msi¶Y I e¨envi wbwðZ Kiv
• cÖ‡qvRb Abyqvqx EaŸ©Zb KZ…©c¶‡K Kvh©µg msµvšÍ mKj Z_¨ mieivn Kiv
- 192. (RwUjZvmn ZxeªAcywó‡Z Avµvš— wkïi
e¨e¯’vcbv) welqK Kvh©µgmg~n:
• SAM I MAM wkï ev †ivMxi wPwKrmv I e¨e¯’vcbv wbwðZ Kiv
• cÖ‡qvRbxq †ÿ‡Î SAM I MAM wkï ev †ivMx‡K‡Rjv ev †gwW‡Kj
K‡jR nvmcvZvj †hLv‡b SAM BDwbU cÖwZwôZ n‡q‡Q †mLv‡b ‡idvi
Kiv
• RvZxqcywó †mev Kvh©µ‡gi Dc‡Rjv †dvKvj c‡q›U wn‡m‡e
wbDwUªkb Kvh©µ‡gi mvwe©K †`Lv†kvbv Kiv
- 193. cÖwk¶b welqK Kvh©µgmg~n:
• cywó welqK mKj cÖKvi cÖwkÿ‡Y AskMÖnY Kiv
• cÖwkÿKcÖwkÿY(TOT) MÖnb K‡i cywó †mev Kvh©µ‡g Kg©iZ mKj
Kg©x‡`i (CHCP, HAFWA, FWV, AHI, FPI, HI) cÖwkÿY cwiPvjbv Kiv
- 194. Dc‡Rjv cwievi cwiKíbvKg©KZ©v (UFPO)†`i
Kvh©cwiwa:
• KiYxq:
• gvVch©v‡q cywó †mevKvh©µ‡gi cwiKíbv cÖYqbGesKg©m~Px msMVb Kiv
• gvVKg©x‡`i Kv‡Ri cwi`k©b, ch©‡eÿb Ges g~j¨vqb Kiv
• gvI wkï ¯^v¯’¨ Dbœqb I cywó welqK cÖPvivwfhvb, DØy×KiY mfvi Av‡qvRbKiv
• GbGbGmn‡Z cÖvßwb‡`©kbv, job GBW, MvBWjvBb, †eªvwkIi IAb¨vb¨ cywó
†mevZ_¨vw` mswkøó mKj‡KAewnZ Kiv
• Kvh©µ‡gi gvwmK AMÖMwZ cÖwZ‡e`bch©v‡jvPbv Kiv
• EaŸ©Zb KZ…©cÿ‡KKvh©µg msµvšÍ mKjZ_¨ mieivn Kiv
• Kvh©µg myôfv‡e ev¯Íevq‡bi j‡ÿ¨ Dc‡Rjv ch©v‡qAb¨vb¨ miKvix wefv‡Mi mv‡_
Kvh©Kix †hvMv‡hvM ivLv
- 195. Dc‡Rjv ¯^v¯’¨ I cwievicwiKíbvKg©KZ©v‡`i (UHFPO)
Kvh©cwiwa:
• KiYxq:
• mgMÖDc‡Rjv‡Zcywó †mev Kvh©µ‡gi gvV ch©v‡qi Kg©m~Px Ges
wK¬wbK¨vj e¨e¯’vcbv wel‡qwel`Kg© cwiKíbvcÖYqb Ges mswkøó mKj‡K
AewnZKiv
• RvZxq cywó†mev Kvh©µg (GbGbGm)-Gi m‡½ Av‡jvPbvK‡i gvV Kg©x
(CHCP, HA,FWA) IZ`viKKvix (HI,FPI, AHI,FWV) ‡`i ÁvbI `ÿZv e„w×i Rb¨
cÖ‡qvRbxq cÖwkÿYcwiKíbvcÖbqb KivGesZ`vbyhvqx cªwkÿb Kg©m~Px
cwiPvjbvKiv
• gvV ch©v‡q Kvh©µ‡gi KvwiMwimnvqZv I w`K wb‡`©kbv cÖ`vb| Kvh©µg
cwi`k©b, ch©‡eÿb Ges g~j¨vqbmwVK fv‡en‡”Q wK bvZv Z`viK Kiv
• Kvh©µ‡gi gvwmKAMÖMwZcÖwZ‡e`b ˆZix nIqvi ci RvZxq cywó †mev
Kvh©µg (GbGbGm) G †cÖiY wbwðZ Kiv
• cywó †mevKvh©µg ch©v‡jvPbv IKvh©µ‡gi AMÖMwZe„wׇZ Kvh©Ki
f~wgKvcvjb Kiv
- 196. • KiYxq:
• gvV ch©v‡q ¯^v¯’¨ Kg©x, cwievi cwiKíbv Kgx©mn Ab¨vb¨ gvVKg©x‡`i
(K…wl, cïm¤ú`, grm¨ cvjb) g‡a¨ mgš^q ¯’vcb Kiv
• gvV ch©v‡q wewmwm Kvh©µ‡gi cwiKíbv, msMVb I gwbUwis Kiv|
cywówelqK cÖPvivwfhvb, DØy×KiY mfvi Av‡qvRb I AskMÖnY Kiv
• Dc‡Rjv/ BDwbqb cwil`, †bZ…¯’vbxq e¨w³eM© Iag©xq †bZv‡`i
AskMÖn‡Yi gva¨‡gmvgvwRK DØy×KiY Kg©m~wP cÖYqb Kiv
• Z_¨, wk¶v I DØy×Ki‡Yi Rb¨ Avek¨K DcKiYmsMÖn I mieivn wbwðZ Kiv
• Dc‡RjvcÖavb wn‡m‡e Kvh©µg cwiPvjbvKiv
