aflif{s k|ult

k|lta]bg
@)&#÷@)&$

नेपाल सरकार
वा य म ालय
वा य सेवा वभाग
म यमा चल े य वा य सेवा नदशनालय

िज ला जन वा य कायालय,पसा

I
 Abbreviation
AEFI : Adverse Event Following Immunization
AES : Acute Encephalitis Syndrome
AFP : Acute Flaccid Paralysis
AI : Avian Influenza
AMR : Anti Microbial Resistant
ART : Anti Retroviral Therapy
BMI : Body Mass Index
CB-IMCI : Community Based – Integrated Management of Childhood
CB-NCP : Community Based – Neonatal Care Programme
CMAM : Community based Management of Acute Malnutrition
DOTS : Directly Observed Treatment Short Course
DSS : Dengue Shock Syndrome
HTC : HIV Testing & Counseling
IDA : Iron Deficiency Anaemia
IDD : Iodine Deficiency Disorder
IDU : Injecting Drug Users
IFA : Iron and Folic Acid
IMAM : Integrated Management of Acute Malnutrition
IYCF : Infant and Young Child Feeding
IPD : Immunization Preventable Diseases
JE : Japanese Encephalitis
LF : Lymphatic Filariasis
LLIN : Long Lasting Insecticide Treated bed Net
LPEP : Leprosy Post Exposure Prophylaxis
MAM : Moderate Acute Malnutrition
MDVP : Multi Dose Vial Policy
MIYCN : Maternal, Infant & Young Child Nutrition
MNP : Micro Nutrient Powder
MMNP : Multiple Micro Nutrient Powder
NHP : National Health Policy
NHSP : Nepal Health Sector Programme
NMR : Neonatal Mortality Rate

II
NNSC : National Nutrition Steering Committee
OPV : Oral Polio Vaccine
ORS : Oral Rehydration Solution
ORT : Oral Rehydration Therapy
OPT : Outpatient Therapeutic Programme
OTC : Outpatient Therapeutic Center
PAL : Practical Approach to Lung
PEM : Protein Energy Malnutrition
PHC/ORC : Primary Health Care/Out Reach Clinic
PHCRD : Primary Health Care Revitalization Division
PLHA : People Living with HIV& AIDS
PLHIV : People Living with HIV
PMTCT : Prevention of Mother to Child Transmission
PPH : Post Partum Hemorrhage
PR : Prevalence Rate
PSBI : Possible Severe Bacterial Infection
SAM : Severe Acute Malnutrition
STI : Sexually Transmitted Infection
SUN : Scaling Up Nutrition
TD : Tetanus Diptheria
VAD : Vitamin A Deficiency
VAS : Vitamin A Supplementation
VBD : Vector Borne Diseases
VCT : Voluntary Counseling and Testing
VSC : Voluntary Surgical Contraception
WASH : Water, Sanitation and Hygiene

III
 s[t1tf
cf=j= )&#.)&$sf] lhNnf hg :jf:yo sfof{nosf] aflif{s k|lta]bg k|sfzg ug{
kfpFg' d]/f] nfuL Pp6f 7'nf] ;f}efUo 7fGb5' .
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;+j}wflgs tyf df}lns clwsf/nfO{ cfd gful/sn] k|Tofe"tL u/f];\ eGg] clek|fon] ;/sf/n] hgtf nfO{
k|jw{gfTds, k|ltsf/fTds tyf pkrf/fTds ;]jfx¿ cfwf/e"t :jf:yo ;]jf dfkm{t pknAw u/fpb} cfPsf] 5,
eg] pkrf/fTds tyf ljlzi6s[t ;]jfx¿ bf];|f] tyf t]>f] :t/sf lgsfo dfkm{t pknaw u/fpFb} cfPsf 5g\ .
u|fdL0f÷lhNnf :t/Lo ;]jfx¿sf] sfof{Gjog tyf k|efjsf/Ltfsf] n]vfhf]vf jflif{s ?kdf ub}{ ltgsf ljleGg
;sf/fTds tyf gsf/fTds kIfx¿nfO{ s]nfpb} ltgsf cg'ejaf6 kf7 l;Sb} cfufdL lbgdf :jf:yo ;]jfnfO{ a9L
k|efjsf/L / hgpQ/bfoL agfpg ;j} :jf:YosdL{sf] ;femf bfloTjsf] ?kdf u|x0f ug{ ckl/xfo{ ePsf] 5 .
lhNnf leq ;+rflnt x]=kf]=, k|f=:jf=s]=, c:ktfn, gf/fo0fL pkIf]qLo c:ktfn, d]l8sn sn]h, gl;{Í xf]d,
lSnlgs, 8fOugf]i6Ls ;]G6/ b]lv dlxnf :jf:Yo :jo+ ;]ljsfaf6 k|fKt ljleGg ;]jfsf tYofËnfO{ o; aflif{s
k|ltj]bgdf ;d]6g] k|of; ul/Psf] 5 .
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ug]{ k|of; ePsf] 5 . o;df lhNnf :t/Lo jflif{s ;dLIff uf]i7Laf6 cfPsf ljleGg tYod"ns hfgsf/L k:sb+}
o;nfO{ a9L ;f/ule{t agfpg tyf o; k|ltj]bgnfO{ d'ne"t ?kdf k|:t't ug{ cys k|of; ug]{ h=:jf=c= >L
cdn]Zj/ ld> ljz]if wGojfbsf] kfq x'g'x'G5 .
c:ktfn, k|f=:jf=s]=, x]=kf]=, ufp3/ lSnlgs, vf]k lSnlgs tyf dlxnf :jf:Yo :jo+ ;]ljsfaf6 ;dofg's'n
clwstd HMIS l/kf]6{ pknAwtfsf] nflu ;a} ;+:yf k|d'vsf] e'ldsf ;/fxgLo /x]sf] 5 . pknAw ;"rgfnfO{
;+sng, k|lji6Ls/0f, ljZn]if0f tyf JofVofsf] ;fy} k|ltj]bg n]vgdf cxf]/fq vl6O clGtd?k lbg nfuL kg'{
ePsf tYofË zfvfsf ;Dk'0f{ l6d tYofË clws[t gjn lszf]/ ;fx, l;=c=x]=j=c= ljb'/ k|;fb pk|]tL s=
c=pd]z ;fx uf]9sf] ;x|flgo of]ubfgsf] sb/ ub{5' .
;fy} ljleGg kIfdf ;xof]u k'¥ofpg] FCHV , x]=kf]= OGrfh{, lhNnfsf ;'k/efOh/ sfo{qmd kmf]sn k;{gx¿sf]
;+j]bg;Ln pQ/bfloTj jxgnfO{ ;Ddfg ub}{ wGojfb lbg rfxG5' . h=:jf=c=cdn]Zj/ ld> ,/fhlszf]/ k|;fb
, h=:jf=c /fdlanf; ofbj, vf]=;'=c=;lrbfGgb l;+x,vf]=;'=c=clgn s'df/ l;+x, vf]=;'=c=57' rf}w/L, vf]=;'=c,
df]xg ;fx, If=s'=c=zDe' ofba ,e]=s=lg=clZjgL l4j]bL, h=:jf=lg=afnlszf]/ k|;fb ofba, k=lg=;'=c=clgn
ld>, x]=c=k/dfgGb ofba, k=x]=g=dL/f ofbj, ,lh=kf]=;+ rGb| ;+h' uf}/f] cflbsf] ;+j]bgzLn pt/bfloTj jxg
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clws[t ;'ldqf nfdf,s=c= Zofdafa' ;fx sf] e'ldsf klg ;x|flgo 5 .
cfzf 5, o; k|ltj]bgdf ;d]l6Psf ljleGg tYok/s ;"rgfx¿ :jf:Yosf] If]qdf sfd ug]{ ljleGg ;/sf/L
tyf u}/ ;/sf/L lgsfo nfO{ gLlt lg{df0f b]lv lnP/ :jf:Yosf] cg'udg tyf d'NofÍgsf] If]qdf a9L pkof]uL
x'g] 5 . ;du|df of] k|ltj]bg lhNnfsf] :jf:Yo sdL{x¿ nfO{ cfkmgf] sfo{ ;Dkfbgdf lglb{i6 ug{ a9L k|]/0ffbfoL
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sdL{ tyf dlxnf :jf:yo :jo+ ;]ljsfx¿sf] ;kmntfsf] ;fy} pQ/f]Q/ k|ultsf] sfdgf ub{5' .
wGojfb .
/fhlszf]/ k+l8t
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lhNnf hg:jf:Yo sfof{no, k;f{
IV
 tYo tflnsf (Fact Sheet)
PROGRAM INDICATORS 2071/72 2072/73 2073/74

REPORTING STATUS 2071/72 2072/73 2073/74

% of Public Hospital (GoN ) reporting to HMIS 100% 100% 100
% of PHCC reporting to HMIS 100% 100% 100
% of Health Post reporting to HMIS 100% 100% 100
% of PHC/ORC Clinic reporting to HMIS 47.02% 47.64% 80
% of Immunization Clinic reporting to HMIS 80.99% 88.78% 97.8
% of FCHVs reporting to HMIS 81.47% 87.29% 93.24
% of NGOs reporting to HMIS 90.27% 77.70% -
% of Private HFs reporting to HMIS 26.66% 88.8
IMMUNIZATION 2071/72 2072/73 2073/74
% of children under one year immunized with
83.78% 95.16% 108
BCG
% of children under one year immunized with
88.71% 82.85% 97
DPT-Hep B-Hib 3
% of children under one year immunized with Not
37.40% 85
PCV 3 Implemented
% of children under one year immunized
71.50% 75.14% 94
agaiinst Measles /Rubella 1st
Immunization Campaign Carried Out During
1 (NID) 1 (MR) -
this Fiscal Year
Categorization and Decleration of Fully Cat1-36 Cat1-18 Cat1-38
Immunized Municipalities / VDCs Cat2-14 Cat2-8 Cat2-27
Cat3-25 Cat3-32 Cat3-12
Cat4-8 Cat4-25 Cat4-6
Fully Fully
Fully
Immunize Immunize
Immunized
d VDCs - d VDCs -
VDCs -0
4 28
JE coverage 59.62% 71.22% 34
TD/TT2 and 2+ (Pregnant women) coverage 60% 61.41% 79
Dropout rate DPT-Hep b-Hib -1 Vs. 3 2.54% 6.62% 8
Dropout rate BCG Vs Measles/Rubella 21.44% 15.31% 12
Wastage rate of BCG 68.91% 71.43% 73
Wastage rate of DPT-Hep B-Hib 22.50% 19.56% 19
Wastage rate of OPV 21.38% 22.03% 26
Wastage rate of PCV Not Implemented 10.39% 12
Wastage rate of IPV 33.65% 40.63% 48
Wastage rate of MR 70.10% 54.08% 47

V
 PROGRAM INDICATORS 2071/72 2072/73 2073/74
Wastage rate of JE 45.96% 40.54% 43
Wastage rate of TD/TT 41.23% 36.06% 37
NUTRITION 2071/72 2072/73 2073/74
% of children under two years growth monitored 60.42% 60.50% 62%
% of malnourished children under two years
among new 4.03%MA 3.03%MA
growth monitored cases 2.10% M M
0.35% 0.57%
SAM SAM
% of expected pregnant mothers supplemented
56.01% 55.20% 57.41%
with Iron tablets
% of pregnant mothers who received 180 iron
34.10% 29.59% 29%
tablets
% of pregnant mothers who were supplemented
by 57.60% 61.92% 51%
Antihelmentic tablet
% of Postpartum mothers receiving Vitamin ‘A’ 107.69% 82.92% 31%
% of postpartum mother who received Iron
67.70% 82.92% 27.09%
tablets
Vitamin "A" Mass Distribution Coverage under
99.97% 103.03% 89%
5 (Kartik)
Vitamin "A" Mass Distribution Coverage under
98.40% 91.17% 87%
5 (Baishak)
Deworming mass distribution coverage U5
100.24% 103.87% 76%
(Kartik)
Deworming mass distribution coverage U5
96.06% 93.61% 77%
(Baishak)
% of Infants who has been initiated breast milk
within 1 hour after birth 81.56% 90.65% 36%
% of recovery rate of SAM cases NA 13.17% 35%
% of defaulter rate cases of SAM cases NA 5.91% 9%
% of death rate of SAM cases NA 0% 0%
% of children aged 6-23 months who received at
least one cycle (60 Sachets) Baal Vita (MNP) 9.16% 38.58% 56%
% of children aged 6-23 months who received at
least 3 cycle Baal Vita (MNP) 0 1.16% 3.28%

CB-IMCI 2071/72 2072/73 2073/74

% of Infants aged 0-2 months with Possible 0.77% 6.27% 11%
Severe Bacterial Infection (PSBI)
% of infants aged 0-2 months with PSBI 62% 100% 35%
receiving a complete dose of Gentamycin
% of newborns who had chlorhexidine ointment
94.26% 86.57% 85.52%
applied immediately after birth

VI
 PROGRAM INDICATORS 2071/72 2072/73 2073/74

Incidence of ARI/1000 566.58 400.69 135

Incidence of pneumonia/1000 253.04 106.04 52
Proportion of severe pneumonia or very severe
disease among New cases 0.54% 0.38% 0.21%
Proportion of each classification of cases
enrolled 56%
in IMNCI Program
Incidence of Diarrhoea/1000 367.88 291.91 104
% of Severe dehydration among total cases 0.41% 1.04% 0.63%
% of <5 yrs diarrhoeal case who treated with
77.72% 87.18% 100%
zinc and ORS
FAMILY PLANNING 2071/72 2072/73 2073/74
Method wise modern (contraceptives) new
acceptors
1. Pills 1468 2233 6400
2. Depo 3226 3680 4708
3. IUCD 513 649 1834
4. Implant 573 719 2033
5. VSC 2114 2005 3178
% of new acceptors (All Methods) 4.80% 5.25% 13.55
Contraceptive Prevalence Rate (CPR)
56.43% 53.44% 68.8%

Method wise CPR of Modern Contraceptives

6. Pills 0.86% 0.94% 0.95%
7. Depo 2.92% 3.31% 3.35%
8. IUCD 1.03% 0.83% 0.97%
9. Implant 1.23% 1.64% 2.04%
10. VSC 48.68% 45.30% 59.29%
SAFEMOTHERHOOD 2071/72 2072/73 2073/74
No of functional BEOC sites 4 4 3
No of functional CEOC sites 2 2 2
No of Birthing Centers 21 21 21
No of Safe abortion sites 9 11 14
Number of rural/municipality/sub/metropolitan without 62 62 62
Birthing Centre
% of Pregnant women who received TD 2 27.49% 24.27%
60%
% of Pregnant women who received TD 2+ 33.92% 40.49%
ANC 1st visit (any time) as % of expected live birth 87.69% 83.76% 103.01%

VII
 PROGRAM INDICATORS 2071/72 2072/73 2073/74

ANC 4 time visits (as protocol) as % of expected live

21.25% 24.09% 29%
birth
% of women reciving IFA tsblets during pregnancy 56.01% 29.59% 38%
% of women reciving Vitamin A Supplementation 79.83% 82.92% 80%
Delivery conducted by SBA as % of expected live
76.63% 80.03% 99%
births
Delivery conducted by health worker as % of Exp. live
8.93% 7.70% 7%
birth
% of institutional delivery among expected live births 79.83% 82.92% 101%
Caesarian Section (CS) rate ( 5% of total expected birth
9.97% 12.68% 30%
is the usual CS rate)
PNC first time visits (as protocol) as % of expected live
79.83% 82.92% 108%
birth
Met need of emergency obstetric care (need of EOC is
10.50% 4.11% 0
15% of expected live birth)
% of women receiving maternity incentives among
100% 100% 100%
total institutional deliveries
% of women receiving 4 ANC incentives among total
21.84% 25.56% 12%
institutional deliveries
Number of Maternal Death at health facility 1 9 1
Number of Maternal Death in community 1 7 -
Number of Neonatal Death at health facility 7 2 1
Number of Neonatal Death in community 80 8 0
Number of still birth 111 213 280
FEMALE COMMUNITY HEALTH
2071/72 2072/73 2073/74
VOLUNTEERS (FCHV)
Total Number of FCHVs in Rural and Urban Area 739/58 739/58 797
Proportion of Pills cycles distributed by FCHVs among
29.56% 28.45% 51%
total distribution
Proportion of Condoms distributed by FCHVs among
26.19% 29.52% 28%
total distribution
Proportion of ORS and Zinc distributed by FCHVs
53% 55.43% 42.28
among total distribution
% of ARI Cases managed by FCHVs among ARI
Cases in Childrens 59.58% 67.78% 31.98
Under Five Years
% of FCHV fund utilized (invested) NA -
MALARIYA/KALA-AZAR 2071/72 2072/73 2073/74
Blood slide collection and examined (RDT and
114.72% 114.14% 100%
Microscopic)
Total Blood Slide Collection 2425 2352 2684
Annual Blood Examination Rate (ABER) 0.03% 0.53% 0.40%

VIII
 PROGRAM INDICATORS 2071/72 2072/73 2073/74

Clinical Malaria Cases 5 0 -

Positive Cases 8 PV 13 PV 3PV
Incidence of kala-azar/1,00,00 0 0 0
Reported number Kala-azar cases 0 0 0
Reported number of death due to Kala-azar 0 0 0
TUBERCULOSIS 2071/72 2072/73 2073/74
Case notification rate (all forms of TB cases) 144 113.09 137
TB case finding rate 94% 73% 78
Sputum conversion rate (New PBC) 92% 90% 90
Cure rate (New PBC) 87% 87% 95
Treatment success rate (New PBC) 92% 78.70% 78
No of MDR Cases 39 21 8
LEPROSY 2071/72 2072/73 2073/74
New Case Detection Rate/100000 population 17.76 16.56 16
Registered Prevalence Rate/10000 population 1.7 1.71 14
Number of grade 2 disability among new cases 0.87% 0% -
Number of child case 5 4 9
Treatment completion rate : MB 98% 98% 98%
PB 98% 98% 96%
HIV/AIDS AND STI 2071/72 2072/73 2073/74
Number of ANC Attendees– 1st visit 2917 1998 688
Number of pregnant women counseled for HIV
2104 1805 776
screening
OPD SERVICE 2071/72 2072/73 2073/74
Total new OPD visits as % of total Population 50.35% 43.86% 35%
PUBLIC HEALTH LABORATORY SERVICES 2071/72 2072/73 2073/74
7413/232 1521/1140 12446/442
Paracitology/ Bacteriology 8 4 1
Virology 2942 5018 3645
Hematology 38982 183245 84920
Microbiology 0 NA NA
Histopathology 0 7 0
Biochemistry 18154 125902 67648
Immunology/ Serology 2527/0 14735 6418
Other Tests 437 NA NA

IX
!=@ sfo{ ;Dkflbt ;f/f+z (Excutive summary)

!=@=! kl/ro
lhNnf hg:jf:Yo sfof{no,k;f{4f/f cf=j=@)&#÷&$ sf nflu tof/ kfl/Psf] of] jflif{s k|ltj]bgdf
:jf:Yo sfo{qmdx¿sf] b[li6, Wo]o,kl/sNkgf, pB]Zo, nIo tyf /0fgLltnfO{ pNn]v ul/Psf] 5 . ;fy}
k|ltj]bgdf k|To]s sfo{qmdx¿sf] tLg jif{sf] k|ult k|ltzt, k|ult ljZn]if0f tyf ;DalGwt
;d:of÷q'l6x¿sf] klxrfg / ltgsf ;Defljt sf/0fsf] ljZn]if0f ;lxt cfjZos ;'wf/sf nflu
;dfwfgsf pkfo tyf ;'emfjx¿ ;d]6L k|:t't ul/Psf 5g\ .
g]kfn ;/sf/,:jf:Yo dGqfno,:jf:Yo ;]jf ljefu4f/f :yflkt :jf:Yo Joj:yfkg ;"rgf k|0ffnL
(HMIS ) adf]lhd o; k;f{ lhNnf leq :jf:Yo :jf:Yo ;]jf k|bfg ul/ /x]sf ;/sf/L :jf:yo rf}sL,
k|f=:jf=s]=c:ktfn,gf=p=If]=c:ktfn,u}/;/sf/L ;+:yf, k|fOe]6 c:ktfn, lglh lSnlgs tyf
k|of]uzfnfx¿af6 ;+slnt dfl;s k|ult k|ltj]bgdf pNn]lvt ;"rgf tyf tYofËx¿df cfwfl/t /x]sf
5g\ .
!=@=@ afn :jf:Yo sfo{qmd (Child Health Programe)
s=/fli6«o vf]k sfo{qmd M
• xfn /fli6«o vf]k sfo{s|d tflnsfdf !! k|sf/sf vf]kx¿ ;dflxt /x]sf] 5 . ;g\ @)!) b]lv
g]kfn kf]lnof] d'Qm ePsf] xf] / @& dfr{ @)!$ df kf]lnof] d'Qm b]zsf] ?kdf k'/:s[t ePsf] xf] .
;a} vf]kx¿sf] se/]h ;g\ @)!^ ;Dddf sDtLdf () k|ltzt xfl;n ug]{ tyf ;g\ @)!& ;Dddf
;Dk"0f{ uf=lj=;=÷g=kf=x¿nfO{ k"0f{vf]k uf=lj=;=÷g=kf= 3f]if0ff ug]{ nI0sf ;fy sfo{ cufl8
al9/x]sf] cj:yfdf cf=j=@)&#÷&$ df o; lhNnfdf @* j6f k"0f{vf]k uf=lj=;=3f]if0ff eO{
;s]sf] 5 / afFsL s]xL uf=lj=;=x¿ k|lqmofdf /x]sf 5g\ .
• cf=j=@)&#÷&$ df BCG !)*Ü , DPT-Hep B-Hib3 (&Ü / Measles /Rubella ($Ü n]
k|ult xfl;n ePsf] 5 .
• cf=j=@)&#÷&$ df DPT-Hepb-Hib -1 Vs.3 sf] Dropout rate *Ü / BCG Vs
Measles/Rubella sf] Dropout rate !@Ü /x]sf] 5 .
v=kf]if0f sfo{qmd M (Nutrirtion Programe)
• kf]if0fnfO{ afnaflnsf tyf dlxnfx¿sf] kf]if0f l:ytLsf] ;'wf/nfO{ ;fdflhs cfly{s ljsf;sf
nflu ;a}eGbf zlQmzfnL / sd nfutsf] ?kdf lnO{G5 . g]kfnsf] ;+ljwfgn] cfkm\gf
gful/sx¿sf] kof{Kt vfgf,:jf:Yo tyf kf]if0f nufotsf cTofjZos s'/fx¿df clwsf/
;'lglZrt u/]sf] 5 . kf]if0f l:ytLdf ;'wf/,afn tyf dft[ d[To' b/nfO{ 36fpg] / ;dtfd"ns dfgj
;+;fwgsf] ljsf; ug]{ egL p2]Zo k|flKtsf nflu ;g\ @)!@ b]lv ax'If]lqo kf]if0f of]hgf tyf
;'gf}nf] xhf/ lbg h:tf sfo{s|dx¿ ;+rflnt 5g\ .
• cf=j=@)&#÷&$ df @ jif{ d'lgsf afnaflnsfx¿df j[l4 cg'udg ^@Ü,dWod tyf s8f s'kf]if0f
qmdzM #=)#Ü-MAM_ / )=%&Ü-SAM_ /x]sf],ue{jtL dlxnfnfO{ cfO{/g rSsL ljt/0f

X
 %&=$!Ü,ue{jtL dlxnfnfO{ h'sfsf] cf}iflw lat/0f %!Ü ;'Ts]l/ dlxnf nfO{ le6fldg P ljt/0f
#!Ü , h'sfsf] cf}iflwsf] cfd ljt/0f &&Ü / le6fldg P cfd ljt/0f *( Ü /x]sf] 5 . aRrf
hGd]sf] ! 306fleq cfdfsf] b"w v'jfpg] k|ltzt #^Ü tyf tLg k6s afn eL6f kfpg]
afnaflnsfx¿sf] k|ltzt #=@*Ü /x]sf] 5 .
u= ;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{qmd (CBIMNCI Programe)
• ;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{s|d PsLs[t Kofs]hsf] ?kdf afn arfp
sfo{s|d xf] / o; sfo{s|ddf ;du|df @ dlxgf b]lv % jif{sf afnaflnsfx¿df lgdf]lgof,
emf8fkvfnf, cf}nf], bfb'/f / s'kf]if0f h:tf afn/f]ux¿nfO{ PsLs[t ?kdf Joj:yfkg u/L
afnaflnsfx¿sf] Hofg hfg] vt/faf6 arfpg afn arfp If]qnfO{ ;Daf]wg ePsf]] 5 . ;d'bfodf
cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{s|dn] ;+s|d0f,sdnlkt,lr;f]kgsf] Joj:yfkg tyf
@ dlxgf d'lgsf aRRffx¿df :tgkfgaf/] k/fdz{ nfO{ klg ;d]6]sf] 5 . Kofs]hsf] ?kdf ;+rflnt
o; sfo{s|dn] afnaflnsfx¿df ePsf ;d:ofnfO{ :jf:Yo ;+:yf tyf ;d'bfodf ;dod} lgbfg
tyf pkrf/ ul/G5 .
• æ;d'bfodf cfwfl/t gjhft lzz' :ofxf/ sfo{s|dÆ cf=j= @)^%÷)^^ df sf]
Pilot Program
?kdf !) lhNnf tyf To; kZrft\ @)^&÷^* df !% lhNnf @)^*÷ ^( df ( lhNnf x'Fb} ;g\
@)!% ;Dddf g]kfnsf &% j6} lhNnfdf ;+rfngdf /x]sf]] 5 .
• ) b]lv @ dlxgf ;Ddsf lzz'x¿df b]lvPsf ;d:of dWo] ztk|ltzt aRrfx¿n]
PSBI
Gentamycin sf] k'0f{ dfqf lnPsf] tyf aRrf hGdgf;fy gfle dndsf] k|of]u ePsf] 5 eg]
Zjf:k|:jf;sf] gofF la/fdL b/ cf=a @)&# ÷&$ df !#%÷!))) /x]sf] 5 . emf8fkvfnfsf] gofF
lj/fdLb/ !)$÷!))), Zinc and ORS af6 emf8fkvfnfsf] pkrf/ !))% , Severe
dehydration )=^#% /x]sf] 5 .

!=@=#=kl/jf/ :jf:Yo sfo{qmd -Family Health Programe)

s=kl/jf/ lgof]hg M
• k=lg=sfo{qmdsf] d"Vo cfwf/ k=lg=;]jf ;j} :jf:Yo ;]jf ;+hfn c:ktfn, k|f=:jf=s]=,
:jf=rf}=,zx/L :jf:Yo lSnlgs,, ufpF3/ lSnlgs tyf 3'lDt :j]lR5s zNolqmof SofDk dfkm{t
lj:tf/ ug'{ / kof{Kt u'0f:t/ sfod /fVg' xf] . klAns k|fOe]6 kf6{g/l;knfO{ klg of] gLltn]
c+ufn]sf] 5 . dlxnf :jf:Yo :jo+ ;]ljsfx¿nfO{ s08d ljt/0fdf k|j4{g / vfg] rSsL lkN;
ljt/0f ug{ kl/rfng ul/Psf] 5 .
• kl/jf/ lgof]hgsf] cfw'lgs ;fwgsf] gofF k|of]ustf{sf] k|ltzt o; cf= a df !#=%%% /x]sf] 5
eg] Method Modern Contraceptives dWo] :yfoL ;fwgsf] dfq} k|of]ustf{ b/ %(=@(% /x]sf]]
5 . kl/jf/ lgof]hgsf ;a} cfw'lgs ;fwgsf] k|of]ustf{ b/ ^*=*% /x]sf] 5 .
v=;'/lIft dft[Tj sfo{qmd M -Safemotherhood Programe)
• ;'/lIft dft[Tj sfo{qmdsf] nIo dft[ tyf gj lzz' d[To'nfO{ sd ug{ / ;DalGwt uef{j:yf tyf
k|Zaf:yfsf] hl6ntfn] l;lh{t /f]u, d[To' / ckf+utfnfO{ ;Daf]wg ug'{ /x]sf] 5 . g]kfnsf] ;Gbe{df

XI
 lg0f{o lngdf l9nfO{,af6f]sf] l9nfO{ tyf :jf:Yo ;+:yfaf6 kfpg] ;]jfsf] l9nfO{ h:tf k|d'v tLg
l9nfO{sf sf/0f dft[ tyf lzz' d[To' / ?U0ftf x'g] u/]sf] b]lvG5 . uef{j:yf / aRrf hlGdg]
cj:yfdf x'g] hl6ntfnfO{ sd ug{ tyf d[To' / ?U0ftfaf6 arfpg g]kfndf k|d'v tLg /0fgLltx¿
c+lusf/ ul/Psf] 5 M
s=hgr]tgf clej[l4 tyf sf]if clej[l4,oftfoft / /ut cfk"lt{sf nflu hGd tof/Lsf] k|aw{g
v=ue{ hfFr tyf ;+:yfut k|;"lt k|aw{gsf nflu cfdf ;'/Iff sfo{qmd
u=5gf}6 ul/Psf :jf:Yo ;+:yfx¿df @$ ;} 306f cfsl:ds k|;"lt ;]jf
• cf=j=@)&#÷&$ df k|yd k6s ue{jtL hfFr !)#=)!Ü tyf rf}yf] k6s ue{jtL hfFr @(Ü,bIf
k|;"ltsdL4f/f k|;"lt ((Ü n] tyf ;+:yfut k|;"lt !)!Ü, zNolqmof4f/f k|;"lt #)Ü,hl6n k|;"lt
)-z'Go_ k|ltzt / k|yd k6s ;'Ts]/L :ofxf/ !)*Ü n] k|ult xfl;n ePsf] 5 .
• k|;"lt x'g cfpg] dlxnfx¿nfO{ oftfoft vr{ zt k|ltzt k|bfg ePsf] 5 eg] rf}yf] k6s hfFr
ePsf Ps rf}yfO{nfO{ dfq pTk|]/0ff eQf ljt/0f ePsf] 5 .
u=dlxnf :jf:Yo :jo+ ;]ljsf sfo{qmd M (FCHV)
• cf=j=@)$%÷$^ df ;'? ul/Psf] d=:jf=:j+=;]=sfo{qmddf 5gf}6sf Psdfq cfwf/ jf8{nfO{
agfOPsf] lyof] . clxn] g]kfn clw/fHoe/Ldf %!,$&) -$&,#@* uf=lj=;=df tyf $,!$@
g=kf=df_ d=:jf=:j+=;]=;s[o eO{ sfd ul//x]sf 5g\ . d=:jf=:j+=;]=sf] d'Vo e'ldsf :jf:Yo
;+:yfsf :jf:YosdL{x¿sf] ;xof]uaf6 cfdf / ;d'bfosf hgtfsf] :jf:Yo / :jf:Yo cfgLjfgL
k|j4{g ug'{ xf] . :jf:Yo lzIff / pTk|]/0ff jfx]s klg d=:jf=:j+=;]=n] nuftf/ k|of]ustf{sf] nflu
lkN; cfk"lt{ ug]{, s08d ljt/0f ug]{, cf]=cf/=P;=ljt/0f ug]{, le6fldg P SofK;'n ljt/0f /
cfO{=Pd=l;=cfO{=sfo{qmddf sf]l6«daf6 pkrf/ / vt/fsf nIf0f lrGx ePsfnfO{ ;+:yfdf k|]if0f
;d]t ul//x]sf 5g\ .
• d=:jf=:j+=;]= sfo{s|d cGt{ut uf=la=;=df &#( / g=kf=df %* hgf d=:jf=:jo+=;]ljsfx¿
sfo{/t /x]sf 5g\ . hDdf lat/0f dWo] d=:jf=:j+=;]ljsfx¿n] cf=a @)&#.)&$ df lkN; ^&$#
;fO{sn, s08d @* k|ltzt, ORS / Zinc rSsL $@=@ k|ltzt / Zjf:fk|Zjf:f /f]usf]
Joj:yfkg #!=(* k|ltztn] u/]sf] b]lvG5 .
3= ufFp3/ lSnlgs sfo{qmd M -PHCORC)
• :jf:Yo ;+:yfn] k|bfg u/]sf ;]jfsf] pkef]udf d'VotM k|lts/fTds tyf k|jw{gfTds ;]jfsf]
kx'Frdf Go"g e]l6Psf] 5 . To;}n] cfkm\gf] ;d'bfo glhs 3/ cfFugdf ;]jfsf] cfjZostfsf]
dxz'z eO{ k|f=:jf=;]=ufpF3/ lSnlgssf] z'?jft eof] . b'u{d :yfg ,:jf:Yo ;+:yfb]lv 6f9fFsf
3/kl/jf/df cfwf/e't :jf:Yo ;]jf nufot k=lg=/ ;'/lIft dft[Tj ;]jf k|bfg ug]{ nIosf ;fy
ufpF3/ lSnlgssf] :yfkgf ePsf] xf] . c=x]=j=÷c=g=ld=x¿af6 cfwf/e"t k|f=:jf=;]= -
k=lg=÷;'/lIft dft[Tj÷:Jf:Yo lzIff÷;fwf/0f pkrf/_ tf]lsPsf] lbg :yfg / ;dodf dlxgfsf] Ps
k6s k|To]s uf=lj=;=df @ b]lv % j6f ;Dd ;+rfng eO{/x]sf 5g\ .

XII
!=@=$=/f]u lgoGq0f sfo{qmd (Disease Control Progeame)
s= cf}nf] lgoGq0f sfo{qmd M
xfn g]kfnsf %$ uf=lj=;=nfO{ cf}nf] pRr hf]lvd,@)! uf=lj=;=nfO{ cf}nf] dWod hf]lvd,(((
uf=lj=;=nfO{ cf}nf] Go"g hf]lvddf /fvL cf}nf] lgoGq0f sfo{qmd ;+rfng ePsf 5g\ . nueu $&=(Ü
hg;+Vof cf}nf] u|l;t If]qdf a;f]af; ub{5g\ . ;f]dWo] #=^@Ü pRr hf]lvd,(=*Ü dWod hf]lvd tyf
#$=%@ Ü Go"g hf]lvd uf=lj=;=x¿df a;f]af; ub{5g\ . s'n hg;+Vofsf] %@=!Ü hf]lvd gePsf]
uf=lj=;=x¿df a;f]af; ub{5g\ .
pRr Hf]lvd If]q cGt{ut km]bLdf, aGo If]qx¿, pkTosf, lelq dw]z kb{5g eg] Go"g hf]lvd If]q cGt{ut
;dy/ t/fO{ kxf8 / pkTosf kb{5g\ . To; lx;fan] k;f{ lhNnf klg Go"g hf]lvd lhNnf cGt{ut kb{5 .
• cf=j=@)&#÷&$ df /ut :nfO{8 ;+sng tyf hfFr )=$)%, jflif{s /ut hfFr b/ !))%
n] k|ult xfl;n ePsf] 5 . cf}nf]/f]uL klg # j6f PV dfq km]nf k/]sf 5g\ .
v= sfnfhf/ lgoGq0f sfo{qmd M
• sfnfhf/ e';'gfsf] 6f]sfO{af6 Leishmania donovani gfds k/hLjL åf/f ;g]{ ls6hGo
/f]u xf] . o;sf] d"n nI0f cGt{ut @ xKtf jf ;f] eGbf a9L ;do ;Dd Hj/f] cfpg], lkmof]
a9g], tf}n 36g], /Qm cNktf x'g] / 5fnf la:tf/} sfnf] x'b} hfg] cflb kb{5 .
• tLg jif{sf] cj:yf ljZn]if0f ubf{ k;f{ lhNnfdf sfnf hf/sf] la/fdL g/x]sf] b]lvG5 .
u= xftLkfO{n] /f]u lgoGq0f sfo{qmd M
• g]kfndf !#Ü hg;+Vofdf of] /f]u /x]sf] 5 . of] /f]u t/fO{df ;d'b|L ;tx eGbf #)) kmL6 /
kxf8sf] %*)) cUnf] prfFO{;Dddf kfO{Psf] 5 . t'ngfTds ?kdf kxf8sf] eGbf t/fO{df of]
/f]u al9 b]lvPsf] 5 . u|fdL0f tyf u/La ;d'bfodf of] /f]u al9 5 . Wuchereria
bancrofti eGg] k/hLjL / Culex quinquefasciatus hftsf] nfdv'§]sf] sf/0fn] x'g]
/f]u xf] .
• ljut tLg jif{sf] cjlwdf xftLkfO{n] /f]u ;DalGw MDA sfo{qmd ;+rfng ePsf] 5}g\ .
3= 8]+u' Hj/f] M
• 8]Í' Ps k|sf/sf] nfdv'§] hGo /f]u xf] h'g 8]Í' Hj/f]sf], Dengue Hemorrhagic Fever
(DHF) / Dengue Shock Syndrome (DSS) sf] ?kdf g]kfndf b]vfk/]sf] xf] . Aedes
aegipti hftsf] nfdv'§]n] zx/ tyf cf;kf;sf If]qx¿df of] /f]u ;f/]sf] tYo ;g\ @))^
/ @)!) sf] entomological surveillance af6 ktf nfu]sf] xf] .
• 8]Í' Hj/f] ;DalGw ljut # jif{sf] cj:yfn] cf=j=, @)&!÷&@ tyf @)&@÷&#
@)&#.)&$df qmdz !!, ! / !@ hgf 8]Í' Hj/f]sf] /f]uL /x]sf] b]lvG5 . 8]Í' Hj/f]sf]
sf/0fn] Ps hgfsf] klg d[To' ePsf] 5}g\ .

XIII
ª= hfkflgh O{G;]kmnfO{l6; M
• ljut # jif{sf] cj:yf x]bf{ Japanese Encephalitis sf] gofF la/fdL g/x]sf] b]lvG5 .
r= kz'hGo /f]u lgoGq0f sfo{qmd
• ;/sf/L , u}/;/sf/L tyf lghL ;+:yfx¿sf] ;dGjo / ;xsfo{df ljiffn' ;k{sf]
6f]sfO{af6 x'g] dfgj lk8f tyf d[To' nfO{ ;dod} 36fpg] ,/]lah / hgfj/sf] sf/0faf6 x'g]
cGo /f]usf] /f]syfd tyf lgoGq0f ug]{ lhDd]jf/L lnO{Psf] 5 .
• k;f{ lhNnfdf /]lahsf] cj:yf x]bf{ ljleGg hgfj/sf]] 6f]sfO{ /x]sf] b]lvG5 t/ ltgsf
;dod} Joj:yfkg eP/ ltgsf sf/0faf6 d[To' ePsf] x'g ;s]sf] 5}g\ .
• To;}u/L ;k{sf] 6f]sfO{ klg ePsf] b]lvG5 / pQm 6f]sfO{ dWo] ;a}h;f] 6f]sfO{ ljiffn' ;k{sf]
eg]sf] b]lvb}+g\ .
5= dxfdf/L tyf k|sf]k lgoGq0f Joj:yfkg=
• :jf:Yo :ofxf/ ;]jf k|jfx u/]/ /f]usf] k|sf]ksf] k|efjsf/L tof/L,of]hgf,/ lhDd]jf/L
jxgsf] dfWodaf6 ;?jf/f]u -?U0ftf tyf d[To'b/_ sf] ef/nfO{ sd ug]{ o; sfo{qmdsf]
nIo /x]sf] 5 .
• Dfxfdf/L tyf k|sf]k Joj:yfkg sfo{s|d cGt{ut Uft aif{ eGbf o; aif{ # j6f k|sf]kx¿
Report ePsf 5g\ h; dWo] RRT 4f/f # j6} Reported Outbreak nfO{
Investigation u/L Joj:yfkg u/LPsf] b]lvG5 / o; aif{ s'g} lsl;dsf] k|sf]k
gePsf] .
h= k|sf]k Joj:yfkg sfo{qmd M
• lgDg lqmofsnfk ;+rfng u/L k|sf]ksf] /f]syfd,zdg tyf lhDd]jf/L jxgdf s]lGb|t /x]/
cfsl:ds tof/L tyf lhDd]jf/L jxgdf :jf:Yo lgsfosf] Ifdtf clej[l4 ug'{ o;
sfo{qmdsf] p2]Zo xf] .
!=:jf:Yo lgsfosf] cfsl:ds of]hgf ( Contingency Planning ) sf] cleofg k|lqmof
@=:jf:YosdL{x¿nfO{ cfsl:ds tof/L tyf k|sf]k Joj:yfkg ;DalGw tflnd
#=:jf:Yo lgsfo k|sf]k Joj:yfkgdf ax'If]qLo ;dGjo / ;xof]u ;+oGqnfO{ ;'b[l9s/0f
em= Ifo/f]u lgoGq0f sfo{qmd M
• of] /f]u Micobactrium Tuberculosis cfFvfn] b]Vg g;lsg] ;'Id ls6f0f'af6 x'g]
ub{5 . Ifo/f]uLn] vf]Sbf, xflR5p ubf{ Ifo/f]usf ls6f0f' d'vaf6 aflx/ lg:sG5g\ .
:jf:Yo dflg;n] :Jff; lnbf kmf]S;f]df k'Ub5g\ . o;/L Ifo/f]u nfUg ;S5 . nueu $%
k|ltzt hg;+Vof Ifo/f]uaf6 ;qm+ldt 5g\ . g]kfndf *) xhf/ Ifo/f]uL 5g\ . k|To]s jif{ %
b]lv & xhf/ dflg;x¿ Ifo/f]uaf6 dg]{ u/]sf 5g\ .

XIV
 • cf=j=@)&#÷&$ df Case notification rate 137 , TB case finding rate 78 ,
Sputum conversion rate 90 % Cure rate 95 % Treatment success
rate 78 % MDR Cases 8 n] k|ult ePsf] 5 .
`= s'i7/f]u lgoGq0f sfo{qmd M
• s'i7/f]u cToGt sd ;?jf /f]u xf], s'i7/f]u Micobactrium Leprae gfdsf] ;'Id
ls6f0f'n] x'G5 . of] /f]u ax' cf}iflw pkrf/af6 k"0f{?kn] lgsf] x'G5 . s'i7/f]usf] lgbfg,
pkrf/ / k/fdz{ ;j} ;/sf/L :jf:Yo ;+:yfdf lgMz'Ns kfO{G5 tfklg /f]uaf6 x'g] c+ue+u /
c;dy{tfsf] sf/0fn] s'i7/f]u ;fdflhs ;d:ofsf] ?kdf /x]sf] 5 .
• cf=j=@)&#÷&$ df New Case Detection Rate !^ k|lt nfv ,Prevalence Rate !$
k|lt bz xhf/ Grade 2 disability ) k|ltzt , child case (, Treatment completion
rate : MB (* Ü , Treatment completion rate : PB (^ Ü n] pknlAw xfl;n ePsf]
b]lvG5 .
6= Pr=cfO{=eL=P8\; sfo{qmd M
• ;g\ !(** df P8\;sf] klxnf] k6s kQf nfu] kZrft\ g]kfndf klg lj:tf/} lj/fdLsf]
;+Vof a9\b} uO/x]sf] 5 . g]kfndf IDUs MSM / FSW x¿ pRr hf]lvddf /x]sf 5g\ .
w]/} h;f] Pr=cfO{=eL=;+qmd0f j;fO{ ;/fO{sf] sf/0fn] klg a9L /x]sf 5g\ . d"VotM sfdsf]
nflu ef/t hfg] g} Pr=cfO{=eL=sf ;Djfxs ag]sf 5g\ . 90-90-90 By 2020 tyf
;g\ @)#) ;Dddf P8\;sf] dxfdf/L cGTo eGg] nIosf ;fy Pr=cfO{=eL=P8\;
sfo{qmd tLj|tfsf ;fy ;Daf]wg ul/g] k|of; eO{ /x]sf] 5 .
• cf=j=@)&#÷&$ df ue{jtL dlxnf dWo] klxnf] e]6df ^** hgfn] Pr=cfO{=eL hfFr
u/]sf 5g eg] k6s k6s u/L ue{ hfFr u/fpg cfpg] dlxnf x¿df &&^ hgfn]
Pr=cfO{=eL hfFr u/]sf 5g .
!=@=%= ;xof]uL sfo{qmd
s= :jf:Yo tflnd M
• tflnd k|0ffnLn] :jf:Yo ;]jf k|bfossf] Ifdtf clej[l4 ug{ tyf cfjZostf cg';f/sf]
bIf hgzlQm tof/ ug{ d2t u5{ . tflnd sfo{qmdsf] d'Vo nIo :jf:Yo ;]jfdf sfo{/t
;Dk"0f{ hgzlQmnfO{ u'0f:t/Lo :jf:Yo ;]jf k|bfg ug{ hg:jf:Yo;+u ;DalGwt,
lSnlgsn tyf Joj:yfksLo tflnd k|bfg ug'{ xf] .
v= :jf:Yo lzIff,;"rgf tyf ;+rf/ sfo{qmd M
• :jf:Yo lzIff tyf ;"rgf s]Gb| ;a} :jf:Yo ;]jf / sfo{qmdsf] :jf:Yo k|a4{g,lzIff tyf
;+rf/ sfo{qmdsf] of]hgf,;+rfng,cg'udg tyf d"NofÍgsf] nflu lhDd]jf/ lgsfo xf] . of]
:jf:Yo lzIff ;DalGw sfo{qmd ljsf;, pTkfbg / k|;f/0f ug{ lhDd]jf/ lgsfo klg xf] .
lj=;+=@)%!÷%@ b]lv x/]s lhNnfdf :jf:Yo lzIffsf PsfO{x¿ :yflkt ePsf 5g\ .
ltgLx¿n] g} lhNnfsf cfjZostf cg';f/sf :jf:Yo lzIff ;"rgf tyf ;+rf/ cGtu{tsf

XV
 lqmofsnfkx¿ ÷sfo{qmdx¿ lhNnfdf ;+rfng u/]sf x'G5g\ . :yfgLo ;+rf/ / efiffsf]
k|of]u u/L lhNnfn] cf-cfkm\gf] cfjZostf cg';f/sf] sfo{qmd tof/ u/L ;+rfng ul/G5
u= cfk"lt{ Joj:yfkg M
• Gfful/sx¿sf] clwsf/ ;'lglZrttfsf] nflu Uf'0f:t/Lo :jf:Yo ;]jf k|bfg ug{ cfK"lt{
Joj:yfkgsf] s'zn Joj:yfkg Pp6f k|efjsf/L tyf dxTjk"0f{ sfo{ xf] . :jf:Yo ;]jf
k|0ffnL k|efjsf/L tj/n] ;+rfng ug{ cfk"lt{ Joj:yfkg k|0ffnLsf] dxTjk"0f{ e"ldsf
/x]sf] x'G5 . cfk"lt{ Joj:yfkgsf] sfo{ cf}iflw,cf}hf/ pks/0f,uf8L tyf clen]v
k|ltj]bg ;+u ;DalGwt kmf/d km/d]6x¿sf] of]hgf,v/Lb,5kfO{,e08f/0f tyf ljt/0f ug'{ xf]
. ;a} ;+:yfaf6 LMIS ;+sng / ljZn]if0f ug]{ sfo{ q}dfl;s ?kdf x'b} cfO{ /x]sf] 5 .
• cf=j=@)&#÷&$ df :jf:Yo ;+:yf;Dd LMIS Tool sf] cfk"lt{ lgoldt ug{ g;lsPsf]
tyf sfo{/t hgzlQmsf] bfloTjaf]wsf] sdLsf sf/0faf6 k|f=:jf=s]=sf] %*=##% tyf
:jf:Yo rf}sLx¿sf] %&=(!% pknlAw ePsf] 5 .
3= hg:jf:Yo k|of]uzfnf ;]jf M
pkrf/fTds ;]jf cGt/ut,:jf:Yo gLltn] k|f=:jf=s]=÷c:ktfnx¿df lgbfgfTds k|of]uzfnf
;]jfnfO{ nlIft u/]sf] 5 . lgbfg, pkrf/ vf]h k8tfn, /f]ux¿sf] /f]syfd tyf lgoGq0fsf nflu
k|of]uzfnf ;]jfnfO{ ;'b[9 ug]{ o; ;]jfsf] pB]Zo xf] .
• cf=j= @)&#÷&$ df qmdzM Paracitology/ Bacteriology 12446/4421 Virology
3645 Hematology 84920 Biochemistry 67648 Immunology/ Serology 6418
hgfn] k|of]uzfnf ;]jf k|fKt u/]sf] b]lvG5 .
ª= dfgj ;+zfwg Joj:yfkg M
• dfgj ;+;fwg Joj:yfkg klg :jf:Yo ;]jfsf] dxTjk"0f{ c+u xf] . :Jff:Yo If]qsf] ;Dk"0f{
dfgljo ;+;fwg ljsf; tyf Joj:yfkgsf] sfo{ k|zf;g Joj:yfkgn] u5{ . dfgljo
;+;fwg Joj:yfkgn] :jf:Yo k|0ffnL cGt/ut dfgj ;+;fwg of]hgf, pTk|]/0ff, pkef]u,
tflnd / sd{rf/Lx¿sf] j[lt ljsf;,;?jf tyf ljz]if tflndnfO{ ;d]6]sf] x'G5 .
sfo{qmdsf] k|efjsf/L ;+rfng tyf hgtfnfO{ u'0f:t/Lo :jf:Yo ;]jf k|jfxsf nflu
sd{rf/Lx¿sf] plrt kb:yfkgf tyf pkef]usf Joj:yfkg klg ul/G5 .
• xfn k;f{ lhNnfsf] dfgj ;+zfwgsf] cj:yf x]bf{ s'n b/aGbLsf] &*=#) Ü dfq} hgzlQm
sfo{/t /x]sf]n] sfo{ ;Dkfbgdf lgs} ;d:of ePsf] sf/0faf6 u'0f:tl/o :jf::Yo ;]jf
k|jfxdf k|efj kg{ uPsf] b]lvG5 .
r= cfly{s Joj:yfkg M
• :jf:Yo ;]jfdf cfly{s Joj:yfkg sfo{qmdsf] cxd e"ldsf /x]sf] x'G5 . dfgljo ;fwg
h:t} cfly{s ;fwg ljgf s'g}klg lqmofsnfksf] k|ult xfl;n ug{ ;lsb}g . jflif{s ah]6
tof/L,;dod} ah]6 ljt/0f, n]vf+sg,k|ltj]bg tyf n]vf k/LIf0f cflb cfly{s
Joj:yfkgsf] d'Vo sfo{ xf] h'gls :jf:Yo sfo{qmdx¿sf] ;+rfngsf nflu cfjZos
x'G5 .
XVI
5= :jf:Yo ;"rgf Joj:yfkg M
• :jf:Yo sfo{qmdx¿sf] ;"rgf Joj:yfkg,of]hgf,;dGjo ,;'kl/j]If0f cg'udg /
d"Nofª\sgsf] lhDd]jf/L :jf:Yo ;"rgf Joj:yfkgsf] xf] . gLlt tyf of]hgfx¿ h:t}
dfgl;s :jf:Yo,d'vsf] :jf:Yo,kmf]x/ d}nf Joj:yfkg tyf :jf:Yo ;+:yfx¿sf]
:Q/f]Gglt / gljs/0f, gl;{Í sfo{qmd,tyf ;'lrs[t /f]ux¿af6 g]kfnL hgtfsf] :jf:Yo
;'wf/ ug{ pkrf/ ;'lawf cflbsf] sfdsf] afF8kmfF8sf] lhDd]jf/L klg o;} :jf:Yo ;"gf
Joj:yfkg cGt/ut kb{5 .
• :jf:Yo ;+:yfsf] k|ltj]bg Trend ztk|ltzt /x]sf] 5 . ufFp 3/ lSngLs $&=^$%, vf]k
lSngLs **=&*% / d=:jf=:j+=;]jLsfx¿sf] *&=@(% k|ltj]bg k|fKt ePsf] 5 .
h= hg;+Vof Joj:yfkg sfo{qmd M
• hg;+Vof Joj:yfkg sfo{s|d cGt{ut ;fyL lzIfsx¿n] laBfnosf 5fq 5fqfx¿nfO{
k|bfg u/]sf] k/fdz{ ;]jf a9bf] s|ddf /x]sf] / laBfno l:yt :yflkt ;'rgf s]Gb|x¿ klg
;'rf? /x]sf 5g\ .
em= k|fylds :jf:Yo ;]jf k"ghf{u/0f sfo{qmd M
• /fli6«o :jf:Yo gLltsf] dxTjk"0f{ of]ubfg kZrft g]kfn clw/fHoe/ :jf:Yo ;]jfsf] kx'Fr
j[l4 ug{ k|To]s uf=lj=;=df slDtdf Pp6f :jf:Yo rf}sL , k|To]s lgjf{rg If]q cg';f/ tLg
z}ofsf] k|fylds :jf:Yo s]Gb| :yfkgf eP . lhNnfdf @% z}ofsf c:ktfnx¿ dfkm{t
jlx/ª\u, cGt/ª\u, lgbfg / cfsl:ds ;]jf ;+rfng ePsf x'g\ . ul/j / pk]lIft b'j} ;x/
cyjf ufFpdf j:g] ;/sf/sf] k|fyldstfdf k/]sf ju{ x'g . g]kfnsf] cGt/Ld ;+ljwfg
adf]lhd :jf:Yo ;]jf hgtfsf] clwsf/nfO{ :yflkt ug{ :jf:Yo d+qfnon] lgz'Ns
:jf:Yo ;'? ul/;s]sf] 5 . o;} cg'?k :jf:Yo d+qfnon] k|fylds :jf:Yo ;]jfnfO{
;Daf]wg ul/ k"gM hfu[t ug{ :jf:Yo ;]jf k"ghf{u/0f sfo{qmd ;+rfng ePsf] 5 .
!=@=^= pkrf/ ;]jf
• g]kfnsf] cGtl/d ;+ljwfg @)^# n] k|To]s gful/ssf] lgMz'Ns cTofjZos :jf:Yo ;]jf
kfpg] sfg"gL clwsf/ /x]sf] Jof]x/f pNn]v u/]sf] 5 . :jf:Yo dGqfnon] cf=j=@)^#÷^$
af6 ;Dk'0f{ k|fylds :jf:Yo s]Gb|x¿df ;a} nlIft ;d'xsf] nflu lgMz'Ns :jf:Yo ;]jf
/ ! d+l;/ @)^% af6 ;a} hgtfsf] nflu lgMz'Ns :jf:Yo ;]jf nfu' uof]{ . To;} u/L
@)^$ df3 ! ut]af6 ;a} :jf:Yo rf}sLx¿df klg lgMz'Ns :jf:Yo ;]jf nfu' eof] .
• OPD ;]jf cGt{ut ;]jfu|fxLx¿sf] #% k|ltzt / ;f]dWo] dlxnf ;]jf u|fxLx¿sf] %@=*&
k|ltzt pkl:ytL /x]sf] b]lvG5 .
• cf=a @)&#.)&$ df b]lvPsf] /f]usf] cj:yf laZn]i0f ubf{ k|d'v !) /f]u dWo] cFfvf
:fDalGw ;Df:of, rd{ /f]u, ;?jf /f]u, Hj/f], k/lhjL ;+s|d0f cflb /f]ux¿ a9L /x]sf 5g
eg] cGo /f]u tyf ;d:ofx¿ sd /x]sf 5g\ .

XVII
 /fli6«o :jf:Yo gLlt, @)&!
!= k[i7e"ld
cfd gful/ssf] :jf:Yo / b]zsf] ;du| ljsf; aLr cGof]Gofl>t ;DaGw x'G5 . :jf:Yo If]qdf ePsf
k|ultx¿nfO{ ljsf;sf k|d'v ;"rsfÍx¿sf] ¿kdf lnOG5 . ljutsf bzsdf ul/aL / åGåsf afjh'b klg
g]kfnn] :jf:Yo If]qdf pNn]vgLo ;kmntf xfl;n u/]sf] 5 .
g]kfnsf] ;+ljwfgn] :jf:YonfO{ hgtfsf] df}lns xssf] ¿kdf :yflkt ul/;s]sf] ;Gbe{df ;ª\j|mfds /f]ux¿
lgoGq0fdf k|fKt pknlAwx¿nfO{ sfod /fVg',gjhft lzz' tyf dft[ d[To'b/nfO{ jfl~5t tx;Dd 36fpg',
a9\b} uPsf] g;g]{ /f]usf] k|sf]k lgoGq0f ug'{ / s'g} klg a]nf x'g;Sg] :jf:Yo ;DalGw ljkb\ Joj:yfkg tTsfn
ug{', h]i7 gful/s, zf/Ll/s / dfgl;s ckfÍtf ePsf, Psn dlxnf, vf; u/L ul/a, ;LdfGts[t / hf]lvddf
/x]sf ;d'bfonfO{ u'0f:t/Lo :jf:Yo ;]jf pknAw u/fpg' /fHosf] bfloTj xf] .
hgpQ/bfoL Pj+ s'zn Joj:yfkgsf] dfWodaf6 cfjZos ;a} ;|f]t / ;fwgsf] clwstd\ kl/rfng u/L k|fKt
ePsf pknlAwx¿sf] /Iff ub}{ :jf:Yo If]qdf ljBdfg tyf gofF r'gf}tLx¿nfO{ ;xL 9Ín] ;Daf]wg u/]/
gful/ssf] :jf:Yo k|j4{g, ;+/If0f, ;'wf/ / k'g:yf{kg ug{ /fli6«o :jf:Yo gLlt , @)$* nfO{ k"0f{ ?kn]
cBfjlws ub{} /fli6«o :jf:Yo gLlt, @)&! tof/ u/L nfu" ul/Psf] 5 .
@= ljutsf k||of;x¿
g]kfndf sl/j #)) jif{ k"j{ l;+xb/jf/ j}Bvfgf / ;g\ !($& df jL/ c:ktfnsf] :yfkgf eO{ cfo'j]{lbs tyf
cfw'lgs lrlsT;f k4lt dfkm{t ;Lldt JolQmsf] kx'+rdf :jf:Yo ;]jfx¿ pknAw eP tfklg cfd gful/sx¿
wfdL emfFj|mL, emf/km's], u'efh' cflbsf] ;xf/fdf aFfRg' kg]{ jfWotf lyof] .lj=;+= @)!# b]lv d'n'sdf ljsf;sf
cfjlws of]hgfx¿ th"{df u/L sfof{Gjog ug]{ k|lqmof z'? ePkl5 :jf:Yo If]qdf klg of]hgfa4 ¿kdf
ljsf;sf] j|md z'? eof] . o;}qmddf lj=;+= @)#@ ;fndf !% jif]{ klxnf] bL3{sfnLg :jf:Yo of]hgf / lj=;+=
@)%$ df @) jif]{ bf];|f] bL3{sfnLg :jf:Yo of]hgf nfu" ul/of] . ljkm/ pGd"ng, cf}nf] lgoGq0f, Ifo/f]u
lgoGq0f, kf]lnof] pGd"ng, xfQLkfOn] /f]u lgjf/0f, s'i7/f]u lgjf/0f, nufot afnaflnsfnfO{ lgoldt ¿kn]
le6fldg ‘P’ v'jfpg] h:tf dxTjk"0f{ sfo{j|mddf cfd gful/sx¿sf] ;lqmo tyf pNn]vgLo ;xeflutf /xFb}
cfPsf] 5 . lj=;+= @)$% b]lv g]kfndf ;~rflnt dlxnf :jf:Yo :jo+;]ljsf sfo{j|md ;+;f/df g} gd'gf
sfo{j|mdsf] ¿kdf lnOG5 . o;} aLrdf cf}nf], s'i7/f]u, Ifo/f]u, lakm/ / kl/jf/ lgof]hg tyf dft[ lzz'
sNof0f of]hgfx¿ nfut k|efjsfl/tf / sfof{Gjog ;xhtfsf b[li6sf]0fn] PsLs[t ub}{ nUg] gLlt ckgfO{
lj=;+= @)$& ;Dddf oL ;a} ;]jfx¿nfO{ PsLs/0f ul/of] .
/fli6«o :jf:Yo gLlt, @)$* n] :jf:Yo If]qdf lghL nufgLnfO{ klg k|j4{g u/]kl5 d'n'sdf lrlsT;f lj1fg
cWoog ;+:yfg nufot lghL :jf:Yo ;+:yfx¿ Jofks ¿kdf vf]lnP . :jf:Yo If]qdf lghL If]qsf] ;xeflutf
d'Vo ¿kn] pkrf/fTds ;]jf / cf}ifwL pks/0f pTkfbgsf] If]qdf eP tfklg zx/ s]lGb|t 5 .
o; aLrdf ;/sf/L, u}/;/sf/L / bft[ lgsfosf] nufgLnfO{ k|efjsf/L ?kdf sfof{Gjog u/fpg g]kfn :jf:Yo
If]q sfo{j|md–! -@)^)—@)^%_ / g]kfn :jf:Yo If]q sfo{j|md–@ -@)^^—@)&!_ th"{df u/L sfof{Gjogdf
NofOPsf] 5 .
#= ljBdfg l:ylt
ljut ;f7L jif{sf] ;Íl7t k|of;n] :jf:Yo If]qdf pNn]vgLo pknlAwx¿ xfFl;n ePsf 5g\ . k|fylds :jf:Yo
;]jf pknJw u/fpg] :jf:Yo ;+:yfx¿sf] ;~hfn ;Dk"0f{ gful/sx¿;Dd k'u]sf] 5 . zx/ s]lGb|t /
pkrf/fTds ;]jfdf dfq ;+nUg b]lvP klg :jf:Yodf lghL If]qsf] ;xeflutf a9]sf] 5 . k|foM ;a} :t/sf]
:jf:Yo ;]jfsf nflu cfjZos dfgj ;+;fwgsf] pTkfbg d'n's leq} x'g yfn]sf] 5 . pRr / dWod :t/sf]
XVIII
cfjZos hgzlQm pTkfbg ug{ /fi6« ;Ifd x'b} uPsf] cj:yf 5 . xfn sl/a rf/ bh{g cf}ifwL pTkfbg ug]{
sDkgLx¿n] d'n'snfO{ cfjZos kg]{ cf}ifwLsf] $) k|ltzt dfu cfk"lt{ ug{;Sg] ;Ifdtf ljsf; u/]sf 5g\ .
o;}u/L, ;j{;'ne ¿kdf ;]jfx¿ pknAw geP klg ;/sf/L / u}/ ;/sf/L If]qdf u/L cfFvf, SofG;/, d'6',
lduf}nf, :gfo', xf8hf]gL{ / Knfl:6s ;h{/L ;DaGwL ljlzi6 pkrf/ ug]{ s]xL ;+:yfx¿ :yflkt ePsf 5g\ .
/f]u lgbfg s]Gb| tyf k|of]uzfnf ;'b[9 tyf la:tf/ ePsf 5g\ .
ljut bzsx¿df d'n'ssf] d'Vo ;d:ofsf] ¿kdf /xL cfPsf cf}nf], Ifo/f]u, emf8fkvfnf, Zjf;k|Zjf;,
6fOkmfO8, bfb'/f, nx/] vf]sL, Eofu't], wg'if6Íf/, xfQLkfOn], sfnfhf/, 6«sf]df, PrcfOeL h:tf ;+j|mfds
/f]ux¿ lgoGq0fdf 5g\ / /f]u ef/ 36\bf] j|mddf 5 . g]kfnaf6 ljkm/ pGd"ng / kf]lnof] z"Go cj:yfdf
cfO;s]sf] 5 . s'i7/f]u lgjf/0fsf] cj:yfdf /x]sf] 5 . dft[ tyf lzz' wg'i6Íf/ lgjf/0f eO;s]sf] /
6«sf]df lgjf/0f x'g] cj:yfdf 5 . xfQLkfOn] /f]u lgjf/0fsf] cleofg ;~rfng eO/x]sf] 5 .
:jf:Yosf nflu dfgj ;+;fwg pTkfbg, :jf:Yo ;]jf, cfk"lt{ ul/g] cf}ifwL / ;Dkfbg ul/g] cg';Gwfgsf]
u'0f:t/Lotf ;'lglZrttfsf nflu lgodg ug]{ ljleGg lgsfox¿ -d]l8sn sfplG;n, gl;{ª sfplG;n, kmfd]{;L
sfplG;n, :jf:Yo Aoj;foL kl/ifb\, cfo'j]{b lrlsT;f kl/ifb\, /fli6«o :jf:Yo cg';Gwfg kl/ifb\ :yfkgf eO{
sfo{/t /x]sf] cj:yf 5 .
:jf:Yo ;DaGwL cGt/f{li6«o ;ª\3÷;+:yf / bft[ lgsfo Pj+ /fi6«x¿;Fusf] ;xsfo{ / ;fem]bf/L ljsf; ePsf] 5
. :jf:Yo ;DaGwL hgr]tgfdf clej[l4 ePsf] 5 . lzIff, ;~rf/, oftfoft, s[lif tyf vfBGg cfk"lt{df ePsf]
;fk]lIft ljsf;n] :jf:Yo ljsf;df ;3fp k'¥ofPsf] 5 .
oL ;a}sf] kl/0ffd:j¿k :jfYo If]qdf pNn]vgLo k|ult ePsf] tYo lgDg ;"rsfÍx¿n] k'li6 ub{5g\ M
lj=;+= @))& -;g\ lj=;+= @)$* lj=;+= @)^*
ljifo >f]t
!(%)_ sf] bzs -;g\ !((!_ -;g\ @)!!_
g]kfn :jf:Yo tyf
s_ lzz' d[To' b/ k|lt -Ps
@)) !)& $^ hg;fª\lVos ;j]{If0f,
xhf/ hLljt hGd_
@)!!
v_ dft[ d[To' b/ -k|lt Ps nfv ;x;|flAb ljsf; nIo
!*)) *%) !&)
hLljt hGd_ k|ult k|ltj]bg, @)!!
^*=* g]kfn dfgj ljsf;
u_ cf}zt cfo' -jif{ #@ %#
-;g\ @)!!_ ;"rsfÍ k|ltj]bg, @)!$,
g]kfn :jf:Yo tyf
3_ kfFr jif{d'lgsf aRrfx¿sf]
@*) !(& %$ hg;fª\lVos ;j]{If0f,
d[To' b/ -k|ltPs xhf/_
@)!!
g]kfn :jf:Yo tyf
r_ s'n k|hgg b/ & %=* @=^ hg;fª\lVos ;j]{If0f,
@)!!
g]kfn :jf:Yo tyf
ª_ k"0f{ vf]k kfpg] aRrfx¿sf]
– &) **÷*& hg;fª\lVos ;j]{If0f,
k|ltzt_
@)!!

XIX
$= ;d:ofx¿ tyf r''gf}t}tLx¿
:jf:Yo If]qn] sltko pNn]vgLo ;kmntf xfl;n ul/;s]sf] / d'n's ;sf/fTds af6f]df cu|;/ eO/x]sf] eP
tfklg ;Daf]wg ul/g' kg]{ ;d:ofx¿ / r'gf}tLx¿ cem} y'k|} 5g\ . s]xL k|d'v ;d:of / r'gf}tLx¿ lgDgfg';f/
5g\ M
k||d'v ;d:ofM
;+ljwfgsf] efjgf cg';f/ ;a} If]q, tx, tKsf, ju{ tyf ;d'bfosf gful/ssf nflu :jf:Yo
;]jfdf ;j{;'ne kx'Fr k'¥ofpg ;lsPsf] 5}g .
/fHosf] lg/Gt/ k|of; /xFbf/xFb} % aif{d'lgsf sl/j cfwf afnjflnsf / k|hgg pd]/sf
dlxnfx¿df Go"g kf]if0f JofKt 5 eg] zx/L If]qdf df]6f]kg a9\bf] cj:yfdf 5 .
hnjfo' kl/jt{g, a9\bf] vfB c;'/Iff tyf k|fs[lts ljkb\n] ;[hgf x'g] dfgjLo :jf:Yo
;d:ofa9\bf] 5 .
SofG;/, pRr/Qmrfk nufot d'6'sf /f]ux¿, dw'd]x, lduf}n{ f, sn]hf] / kmf]S;f]sf /f]ux¿sf
;fy} dfgl;s /f]u, bGt /f]u h:tf g;g]{ k|s[ltsf /f]ux¿sf] k|sf]k a9\bf] 5 . To;}u/L, ;8s
b'3{6gf / rf]6k6saf6 x'g] d[To'sf] ;+Vof lbg k|ltlbg a9\bf] 5 .
zx/L If]qdf k|fylds :jf:Yo ;]jf sfo{j|md, h]i7 gful/ssf] :jf:Yo, dfgl;s :jf:Yo,
j+zfg'ut tyf hGdhft /f]ux¿sf] ;Daf]wg, jftfj/0fLo :jf:Yo, Joj;fohGo :jf:Yo, o'jf,
lszf]/lszf/L]x¿sf] of}g tyf k|hgg\ :jf:Yo, ljBfno hfg] pd]/sf afnaflnsfx¿sf :jf:Yo
k|j4{g cflbdf /fHon] kof{Kt k|fyldstf lbg ;s]sf] 5}g .
u'0f:t/Lo cf}ifwLdf hgtfsf] kxF'r, cf}ifwLsf] ;d'lrt k|of]u, cTofjZos cf}ifwL / pks/0fsf]
/fli6«o pTkfbg / ljt/0f k|efjsf/L / hgd'vL agfpg ;lsPsf] 5}g .
ljBdfg k|of]uzfnf ;]jf / cf}ifwL pks/0f cflbsf] dfkb08 cg';f/sf] u'0f:t/o'Qm cfk"lt{ x'g
;s]sf] 5}g .
/fli6«o cfjZostf cg';f/ ;fdflhs pQ/bfloTj jxg ug]{, pko'Qm ;Lk / bIftf ePsf
ljleGg tx / k|sf/sf :jf:Yo hgzlQmsf] ;Gt'lnt pTkfbg, hgzlQmsf] ljb]z knfog,
:jf:YosdL{ / sd{rf/Lx¿sf] ;¿jf, :jf:Yo ;+:yfdf :jf:YosdL{x¿sf] lg/Gt/ pkl:ylt,
:jf:YosdL{x¿sf] ;'/Iff cflbdf b]lvPsf hl6ntfx¿nfO{ of]hgfa4 ?kdf ;Daf]wg ug{
;lsPsf] 5}g .
:jf:Yodf lghL If]qsf] nufgLnfO{ cfd gful/ssf] lxtdf k|efjsf/L agfpg / pko'Qm 7fpFdf
nufgL j[l4 ug{ ;lsPsf] 5}g .
:jf:Yo;Fu ;DjlGwt P]g lgod adf]lhd ul/g] lgodgnfO{ k|efjsf/L t'Nofpg ;lsPsf] 5}g .
:jf:Yo If]qsf hgzlQm pTkfbg ug]{ ;+:yf / pkof]u ug]{ ;+:yf aLr kof{Kt ;df~h:o x'g
;s]sf] 5}g .

XX
k|d'v r'gf}}tLx¿M
:jf:Yo ;]jfnfO{ Uf'0f:t/Lo / k|efjsf/L 9Ín] k|jfx ug{ cfjZos bf]xf]/f] k|]if0f k|0ffnLsf]
pko'Qm sfo{Gjog ug'{ kg]{ .
clt ;+j|mfds /f]u -h:t} a8{km\n' jf gofF b]vfkg{;Sg] /f]ux¿sf] tTsfn Joj:yfkg, ;do–
;dodf b]vf kg]{ dxfdf/Lsf] Joj:yfkg / e"'sDk nufot k|fs[lts k|sf]kaf6 x'g] ;+efljt
dfgjLo Iflt Go"gLs/0fsf nflu k"j{ tof/L tyf c:ktfn / :jf:Yo ;+:yfsf k|jnLs/0f –
Retrofitting) ug{' kg]{ .

gjhft lzz', afn tyf dft[ d[To'b/ 36fpg, emf8fkvfnf, Zjf;k|Zjf; ;DaGwL /f]u, cf}nf],
sfnfhf/, OG;]kmnfO{l6;, xfQLkfO{n] /f]u, 8]ÍL, Ifo/f]u, s'i7/f]u, PrcfOeL tyf vf]kåf/f
/f]syfd ug{ ;lsg] ;ª\j|mfds /f]ux¿sf] lgoGq0f ug]{ sfo{nfO{ yk k|efjsf/L agfpg' kg]{ .
l5d]sL /fi6«;u+sf] v'nf ;Ldfgfsf] sf/0f kz'hGo / dfgjhGo /f]usf] km}nfj6 lgoGq0f ug]{
sfo{ sl7g b]lvPsf] 5 .
:yfgLo :t/;Ddsf :jf:Yo ;+:yfx¿nfO{ ;Ifd agfpFb} pko'Qm ;fdflhs :jf:Yo aLdf k|0ffnL
:yfkgf u/L ;a} gful/snfO{ ;dfg ¿kdf :jf:Yo ;]jf, lzIff / ;"rgf pknAw x'g] cj;/
l;h{gf u/fpg' kg]{ .
hg;ª\Vofsf] j[l4sf] cg'kftdf :jf:Yo If]qdf /fHosf] nufgL a9fpg' kg]{ cfjZostf 5 .
:jf:Yo If]qsf ;"rsx¿df /x]sf] If]qut c;Gt'ngnfO{ tTsfn ;Djf]wg ug'{ kg]{ .
:jf:Yo ;DaGwL P]g, lgod, gLlt, /0fgLlt / sfo{of]hgfsf] ;d'lrt / PsLs[t ¿kdf ;'b[9
9ª\un] sfof{Gjog u/fpg' kg]{ cj:yf 5 . To;}u/L :jf:Yo ;DaGwL cGt/f{li6«o k|lta4tf,
;lGw, ;Demf}tfsf] kIf /fi6« ePsfn] g]kfnsf] ;xeflutfnfO{ lg/Gt/tf lbO{ ;kmn sfof{Gjog
ug'{ kg]{ .
ckfÍtf ;DaGwL cGt/f{li6«o dxf;lGwsf] kIf /fi6« ePsf]n] cfFvf gb]Vg], b[li6 sdhf]/, sfg
g;'Gg] nufot dfgl;s tyf zf/Ll/s ckfÍtf ePsf JolQmx¿nfO{ cfjZos ;Dk"0f{ :jf:Yo
;]jfdf /fHosf] nufgL j[l4 ug{'kg]{ cj:yf 5 .
:jf:Yo ;]jfsf nflu :yfgLo ;/sf/nfO{ clwsf/ ;DkGg / hgpQ/bfoL agfpg'sf ;fy}
:yfgLo / u|fdL0f txsf :jf:Yo sfo{j|mdx¿df yk hg;xeflutf h'6fpg' kg]{ .
%= gof+ gLltsf] cfjZostf, lgb]{]zs l;4fGt tyf efjL ;f]]r
dfly plNnlvt ;d:of tyf r'gf}tLsf] Joj:yfkg u/L u'0f:t/Lo :jf:Yo ;]jfdf gful/ssf] clwsf/
;'lglZrt ug{ ljBdfg :jf:Yo gLlt, @)$* ckof{Kt /x]sf]n] gof+ /fli6«o :jf:Yo gLlt hf/L ug{
cfjZos b]lvPsf] 5 . o; gLlt tof/ ubf{ o;sf s]xL df}lns lgb]{zs l;4fGt k|ltkfbg ul/ ;f]xL
cfwf/df gLlt tyf /0fgLlt k|:tfj ul/Psf 5g\ . k|:t't lgb]{zs l;4fGtsf cfwf/df /fli6«o :jf:Yo
gLlt, @)&! sf] sfof{Gjog ul/g]5 .
gful/sx¿n] df}lns clwsf/sf] ?kdf u'0f:t/Lo :jf:Yo ;]jf k|fKt ug] { Joj:yf ;'lglZrt
ul/g] 5 .
gful/sn] k|fKt ug]{ :jf:Yo ;]jf ;DaGwL ;"rgfsf] xssf] ;'lglZrttf ul/g]5 .
XXI
 /fHoåf/f k|bfg ul/g] :jf:Yo ;]jfdf ul/a, ;LdfGts[t / hf]lvddf /x]sf ;d'bfosf] kxF'r
;'lglZrt ug{ ;dtfd"ns / ;fdflhs Gofosf] cfwf/df sfo{j|md th'{df u/L sfof{Gjog
ul/g]5 .
:jf:Yo ;]jfsf x/]s tx / k|sf/df gful/sx¿sf] ;xeflutf ul/g]5 .
gful/ssf] :jf:Yo k|j4{g, ;+/If0f, ;'wf/ / k'g:yf{kg ;DaGwL gLlt tyf sfo{j|mdx¿ /fHosf
cGo gLltx¿df klg ;dfj]z u/fpb} nlug]5 .
gful/sn] ;j{;'ne 9Ín] u'0f:t/Lo :jf:Yo ;]jf plrt d'Nodf k|fKt ug]{ u/L lghL If]qsf]
;xeflutf u/fOg]5 .
cfGtl/s tyf afx\o lgsfox¿af6 k|fKt ;fwg >f]tnfO{ of] gLlt / o; cGtu{t ag]sf
sfo{j|mdx¿nfO{ k|efjsf/L ¿kdf sfof{Gjog ug{] u/L kl/rfng ul/g]5 .
;/sf/L jf cnu ;+/rgfsf] dfWodaf6 ;/sf/L tyf u}/;/sf/L If]qaf6 pknAw u/fOg]
;Dk"0f{ :jf:Yo ;]jfx¿sf] lgodg ul/g]5 .
:jf:Yo ;]jf k|jfxnfO{ hjfkmb]xLk"0f{ agfOg]5 .
pk/f]Qm lgb]{zs l;4fGtnfO{ ;fy{s ?kdf sfo{Gjog ug{ o; gLltsf] cfaZostf ePsf] xf] .
%=! efjL ;f]]r (Vision)
;a} g]kfnL gful/sx¿ zf/Ll/s, dfgl;s, ;fdflhs / efjgfTds ¿kdf :j:y /xL pTkfbgZfLn
/ u'0f:t/Lo hLjg ofkg ug{ ;Ifd x'g] .
%=@ Wo]]o (Mission)
pknAw ;fwg;|f|f]t]tsf] clwstd k|o|of]u]u u/L :jf:Yo ;]j]jf k|b|bfos, ;]j]jfu|f|fxL /
;/f]s]sf/jfnfx¿ aLr /0fgLlts ;xsfo{ u/L gful/sx¿sf] :j:Yo /xg kfpg] df}lns clwsf/sf]
;'lglZrt ug]{ .
%=# nIo (Goal)
cfwf/e"t dfgj clwsf/sf] ¿kdf ;j} gful/sx¿nfO{ :jf:Yosf] clwsf/ ;'lglZrt ug{ u'0f:t/Lo
:jf:Yo ;]jfdf ;j}sf] kx'Fr a[l4 u/L Gofo;+ut Pj+ hjfkmb]xL :jf:Yo ;]jf k|0ffnLsf] dfWodaf6
:jf:Yo ;]jf pknJw u/fpg] .
%=$ p2]]Zox¿ (Objectives)
!= gful/ssf] df}lns clwsf/sf] ¿kdf /x]sf] cfwf/e"t :jf:Yo ;]jf lgMz'Ns pknAw u/fpg],
@= k|To]s gful/sn] ;xh ?kn] u'0f:t/Lo :jf:Yo ;]jf k|fKt ug{ ;Sg] u/L cfjZos cf}ifwL,
pks/0f, k|ljlw / bIf :jf:YosdL{x¿ ;lxtsf] k|efjsf/L Pj+ hjfkmb]xLk"0f{ :jf:Yo ;]jf
k|0ffnLsf] :yfkgf ug]{,
#= :jf:Yo ;]jf k|jfxdf hg;xeflutf k|j4{g ug]{ . o; If]qdf lghL tyf ;xsf/L If]qsf]
;+nUgtf j[l4 / Jojl:yt ub}{ ckgTj k|j4{g ug]{] .

XXII
^= gLltx¿
!= df}lns xssf ?kdf /x]sf] u'0f:t/Lo :jf:Yo ;]jf ;a} gful/sx¿sf] ;xh kx'Frdf k'Ug]
u/L (Universal Health Coverage) k|efjsf/L ?kdf pknJw u/fpg] Pj+ cfwf/e"t :jf:Yo
;]jf lgz'Ns ?kdf pknAw u/fpg] .
@= :jf:Yo ;]jfx¿ ;j{;'ne Pj+ k|efjsf/L ?kdf k|jfx ug{ cfjZos bIf hgzlQmsf] of]hgf
pTkfbg, k|flKt, ljsf; tyf pkof]u ug]{ .
#= b]zdf pknAw h8Lj'6Lsf] Joj:yfkg / pkof]u ub}{ cfo'j]{b lrlsT;f k|0ffnLsf] ljsf; tyf
k|rlnt cGo k"/s lrlsT;f k|0ffnLx¿sf] ;+/If0f Pj+ Jojl:yt ljsf; ug{] .
$= u'0f:t/Lo cf}ifwL / :jf:Yo ;fdu|Lsf] ;xh tyf k|efjsf/L cfk"lt{ Pj+ pkof]unfO{ ;'lglZrt
ub}{ cfGtl/s pTkfbgnfO{ a9fjf lbb} cfTdlge{/tf tkm{ pGd'v x'g] .
%= :jf:Yo cg';Gwfgsf] u'0f:t/nfO{ cGt/f{li6«o dfkb08 cg'?k agfpFb} cg';Gwfgaf6 k|fKt
k|df0fd"ns Jojxf/ jf cEof;nfO{ gLlt lgdf{0f, of]hgf th'{df, cf}iflw Pj+ pkrf/ k4ltdf
pkof]u ug{] .
^= :jf:Yo;DjGwL ;Gb]z Pj+ ;"rgf ;'ne ?kdf k|fKt ug]{ ;"rgfsf] xs ;DaGwL clwsf/nfO{
sfo{?kdf kl/0ft ug{ lzIff, ;'rgf / ;~rf/ sfo{j|mdnfO{ pRr k|fyldstf lbO{ hg:jf:Yo
k|j4{g ug]{ .
&= u'0f:t/Lo Pj+ :jf:Yoj4{s vfB kbfy{sf] k|j4{g, k|of]udfkm{t s'kf]if0fnfO{ Go"gLs/0f ug]{ .
*= ;Ifd Pj+ hjfkmb]xL ;dGjo, cg'udg tyf lgodg ;+oGq Pj+ k|lj|mofåf/f u'0f:t/Lo :jf:Yo
;]jf k|jfx ;'lglZrt ug]{ .
(= :jf:Yo ;]jf;Fu ;DalGwt Jofj;flos kl/ifb\x¿nfO{ ;Ifd, Jofj;flos Pj+ hjfkmb]xL agfO{
k];fut :t/Lotf Pj+ ;]jfsf] u'0f:t/ ;'lglZrt ug]{ .
!)= :jf:Yo;Fu ;DalGwt jx'kILfo ;/f]sf/jfnf lgsfox¿sf] ;xsfo{nfO{ yk ;'b[9 ub}{ /fHosf]
k|To]s gLltdf :jf:YonfO{ d'nk|jflxs/0f ub}{ hfg] .
!!= :jf:Yo ;+/If0f tyf k|j4{gsf nflu jftfj/0f k|b"if0fsf] k|efjsf/L lgoGq0f ub}{ :jR5
jftfj/0fdf afFRg kfpg] gful/s clwsf/nfO{ ;'lglZrt ug]{ .
!@= u'0f:t/Lo :jf:Yo ;]jf k|jfx ug{ cfjZos gLltut, ;+:yfut / Joj:yfksLo dfWodåf/f
:jf:Yo If]qdf ;'zf;g sfod ug]{ .
!#= :jf:Yo If]qsf] Jojl:yt tyf u'0f:t/Lo ljsf;sf nflu ;fj{hlgs tyf lghL If]qsf]
;xsfo{nfO{k|j4{g ug]{ .
!$= u'0f:t/Lo Pj+ ;j{;'ne :jf:Yo ;]jfsf] ;'lglZrttf ug{ / pkrf/ vr{df gful/snfO{ ljQLo
;'/Iff k|bfg ug{ /fHoaf6 :jf:Yo If]qdf nufgL a9fpFb} n}hfg] / lghL Pj+ u}/ ;/sf/L
If]qaf6 k|fKt ljQLo ;|f]tx¿sf] k|efjsf/L pkof]u Pj+ Joj:yfkg ug]{ .
&= /0fgLltx¿
!= df}}lns xssf ?kdf /x]s]sf] u'0f:t/Lo :jf:Yo ;]j]jf ;a} gful/sx¿sf] ;xh kx'F'rdf k''Ug]
u/L (Universal Health Coverage) k|e|fjsf/L ?kdf pknJw u/fpg] tyf cfwf/e"t :jf:Yo

XXIII
 ;]jf lgMz''Ns ?kdf pknAw u/fpg] ;DaGwdf lgDg /0fgLltx¿ -gLlt ! ;+u+u ;DalGwt_
lnOg]5]5 .
!=! cfwf/e"t :jf:Yo ;]jf ;DjGwL sfg"g agfO{ cfwf/e"t :jf:Yo ;]jf lgMz'Ns ?kdf pknAw
u/fOg]5 .
!=@ g]kfn ckfÍtf;DaGwL cGt/f{li6«o dxf;GwLsf] kIf /fi6« ePsfn] cfFvf gb]Vg], b[li6 sdhf]/,
sfg g;'Gg], nufot dfgl;s, af}l4s tyf zf/Ll/s ckfÍtf ePsf JolQmx¿nfO{ cfjZos
;Dk"0f{ :jf:Yo ;]jf cTofjZos :jf:Yo ;]jf cGtu{t ;dfj]z ul/g]5 .
!=# /fHon] k|bfg ub}{ cfPsf] cfwf/e"t :jf:Yo ;]jfsf sfo{j|mdnfO{ gful/sx¿sf] :jf:Yo
;DaGwL cfjZostfnfO{ kl/k"lt{ ug]{ u/L cBfjlws ub}{ ;a} gful/sn] u'0f:t/Lo :jf:Yo
;]jf k|fKt u/]sf] olsg x'g] u/L /fli6«o lgb]{lzsf / k|f]6f]snx¿ tof/ u/L nfu" ul/g]5 .
!=$ u|fdL0f txdf :jf:Yo ;]jf pknAw u/fpg] sfo{nfO{ yk ;zQm agfpb} zx/L If]qsf
l;dfGts[t ju{nfO{ ;d]t ;d]6L ;dtfsf] cfwf/df ;Gt'lnt ;]jf k|jfx ul/g]5 .
!=% k|ltsf/fTds / k|a4{gfTds ;]jfdf lbO cfPsf] k|fyldstfnfO{ sfod /fVb} cf}ifwL /
k|ljlwsf] ;d'lrt k|of]u x'g] u/L /fli6«o dfkb08 ;lxtsf] u'0f:t/o'Qm pkrf/fTds ;]jf
k|jfx ub}{ nlug]5 .
!=^ clt ljlzi6 / cGt/f{li6«o :t/sf] ;]jf lbg] If]qx¿sf] olsg u/L To:tf If]qsf] oyf]lrt
ljsf; u/L g]kfnnfO{ j|mdzM If]qut :jf:Yo ko{6g / :jf:Yo lj1fg cWoog s]Gb|sf ¿kdf
ljsl;t ub}{ nlug]5 .
!=& Ho]i7 gful/sx¿sf] cfjZostf jdf]lhdsf] pko'Qm :jf:Yo ;]jf, x]/rfx / ;xof]usf]
PsLs[t sfo{j|md th'{df u/L nfu" ul/g]5 .
!=* cfjZos yk vf]k ;]jf ;lxt ;ª\j|mfds /f]ux¿sf] Joj:yfkgsf] xfnsf] cj:yfnfO{
cfjlws sfo{of]hgf cGtu{t ;dofg's"n kl/dfh{g / sfo{fGjog ub}{ nlug]5 . g;g]{ /f]u
/f]syfd tyf lgoGq0f, b'3{6gf tyf rf]6k6s /f]syfd tyf pkrf/ / dfgl;s :jf:Yo
;DaGwL gLltsf cfwf/df To;;Fu ;DalGwt ;]jfx¿nfO{ k|efjsf/L 9Ín] nfu" ul/g]5 .
!=( 6]lnd]l8l;g -Ox]Ny_ sf] dfWodaf6 b]ze/ :jf:Yo ;]jf ;'ne ?kdf pknAw u/fpFb}
nlug]5 .
!=!) hg;ª\VofnfO{ dWogh/ u/L k|To]s uflj;df Ps lrlsT;s / g;{;lxt cGo :jf:Yo
k|fljlws / k|To]s jf8{df Ps g;{ ld8jfOkmsf] Joj:yf ul/g]5 . :jf:Yo ;]jfsf] u'0f:t/
cg'udg ug{ / k|jw{gfTds :jf:Yo ;]jf k|jfxnfO{ :yfgLo:t/df Jofks u/fpb}+ n}hfg
k|To]s lgjf{rg If]qdf cfjZos ;+Vofdf hg:jf:Yo k|j4{g Pj+ lg/LIf0f clws[t kl/rfng
ul/g]5 .
!=!! uflj;:t/sf] :jf:Yo ;+:yfdf k|of]uzfnf / PS;–/] ;]jf j|mdzM lj:tf/ ul/g]5 .
!=!@ /Qm;~rf/ ;]jfx¿nfO{ ;/sf/L If]qaf6 lgodg u/L u}/;/sf/L If]q;Fusf] ;dGjodf
Jojl:yt ul/g]5 .
!=!# d'n'ssf ;a} If]qsf afl;Gbfn] ;xhtfsf ;fy ;]jf kfpg ;Sg] u/L ljlzi6 ;]jf /
cltljlzi6 ;]jf k|bfos ;+:yfx¿sf] j|mdzM :yfkgf / lj:tf/ ul/g]5 . dfkb08sf]
cfwf/df ;3g pkrf/ ;lxtsf] ljz]if1 ;]jf lhNnf c:ktfn tx;Dd j|mdzM lj:tf/ ub}{

XXIV
 nlug]5 . pkrf/ ;]jfnfO{ Jojl:yt agfpg ;d'bfosf :jf:Yo ;+:yfb]lv clt ljlzi6 ;]jf
k|bfos ;+:yfx¿;Dd k|efjsf/L bf]xf]/f] ;Dk|]if0f k|0ffnLsf] Joj:yf ul/g]5 .
!=!$ c:ktfnx¿n] cfkm\g} :jfldTjsf] kmfd]{;Ldfk{mt kmfd]{;L ;]jf lbg] / cf}ifwL ljt/0fdf of]Uotf
k|fKt kmfd]{;L hgzlQmdfkm{t lj/fdLx¿nfO{ cf}ifwL ljt/0f ug]{ Aoj:yf ldnfOg]5 .
!=!% dft[ d[To'b/, gjhft lzz' d[To'b/, kfFr jif{d'lgsf aRrfx¿sf] d[To' b/, cf};t cfo' h:tf
:jf:Yo / ljsf;sf dxTjk"0f{ ;"rsfÍx¿df cfwfl/t k|ultsf nIox¿ ls6fg u/L cfjlws
:jf:Yo If]qsf sfo{j|md sfo{of]hgfx¿ tof/ u/L nfu" ul/g]5 . :jf:Yo ;+:yfx¿af6 x'g]
k|ltj]bg Joj:yfnfO{ a9L j}1flgs, ;dofg'sn, lj:j;gLo / lgoldt agfOg]5 .
!=!^ :jf:Yo ;]jfsf nflu :yfgLo ;/sf/nfO{ clwsf/ ;DkGg / hgpQ/bfoL agfpFb} :yfgLo
lgsfox¿sf] k|fljlws Ifdtf clej[l4 u/]/ k|fylds :jf:Yo ;]jfnfO{ j|mdz ljs]Gb|Ls/0f ub}{
nlug]5 .
!=!& b]ze/ Pp6} ;+s]t gDj/df ;Dks{ /fvL PDj'n]G; ;]jf pknJw x'g] Joj:yf ul/g]5 .
PDj'n]G; ;]jfdf cTofjZos cf}ifwL, clS;hg / bIf :jf:YosdL{;lxtsf] ;]jf pknJw
u/fpg] Joj:yf ;'lglZrt ul/g]5 . ;ª\s6df k/]sfnfO{ tTsfn p4f/ u/L :jf:Yof]krf/
;]jf pknJw u/fpg lglZrt cfwf/ agfO{ xjfO{ PDj'n]G; ;]jf;d]t ;~rfngdf NofOg]5 .
!=!* k|d'v nf]sdfu{x¿df a9Ldf Ps 306fsf] b"/Ldf 3fOt]x¿sf] k|f/lDes pkrf/ ug]{ bIftf
xfl;n u/]sf :jf:YosdL{ / cfjZos cf}ifwL pks/0f;lxtsf] :jf:Yo ;+:yfx¿sf] ;~hfn
lgdf{0f u/L 3fOt]x¿sf] zL3| pkrf/sf] Aoj:yf ldnfOg]5 .
!=!( ef}uf]lns / hg;ª\Vofsf] cg'kftsf cfwf/df dfkb08 agfO{ a9Ldf #) ldg]6sf] b"/Ldf
sDtLdf Ps ufpF Ps :jf:Yo ;+:yf :yfkgf ul/g]5 . k|To]s @) xhf/ hg;ª\Vofdf Ps
k|fylds :jf:Yo s]Gb| / k|To]s Ps nfv hg;ª\Vofsf] nflu sDtLdf @% z}ofsf] Ps
c:ktfnsf] :yfkgf ug{ cfjlws of]hgfx¿df j|mfo{j|mdsf] ¿kdf ;dfj]z ub}{ nlug]5 .
To;}u/L k|To]s cf}Bf]lus If]qdf Ps k|fylds :jf:Yo s]Gb|sf] :yfkgf ul/g]5 .
!=@) dfgl;s :jf:Yo ;]jfnfO{ ;d'bfo :t/b]lv ljlzi6 :jf:Yo ;]jf lbg] c:ktfnx¿;Dd pknJw
u/fpg] u/L cfjlws of]hgfdf ;dfj]z u/L sfof{Gjog ub}{ nlug]5 .
!=@! kl/jf/ of]hgf nufot of}g tyf k|hgg\ :jf:YonfO{ PsLs[t ;]jfsf] ¿kdf sfof{Gjog
ul/g]5 . o'jf tyf lszf]/ lszf]/L d}qL :jf:Yo ;]jfsf] cjwf/0ffnfO{ ;Dk"0f{ :jf:Yo
;]jfk|bfos ;+:yfx¿df ;dfj]z u/fOg]5 . k|hgg\ :jf:Yo ;DaGwL sfg"g NofOg]5 .
!=@@ afn :jf:Yo k|a4{g ug]{ PsLs[t afn/f]u Joj:yfkg sfo{j|mdnfO{ ;dofg's"n ;'b[9 t'NofO{
lg/Gt/ sfof{Gjog ul/g]5 .
!=@# d'v :jf:Yo, cfFvf tyf sfgsf] :jf:Yo ;]jfnfO{ b]ze/ k|jflxt ug{] sfo{ tbf?stfsf ;fy
sfof{Gjog ul/g]5 .
!=@$ bGt tyf gfs, sfg, 3fF6L nufot lrlsT;fsf ljleGg ljifox¿df /fli6«o:t/sf] k|]if0f
c:ktfnx¿sf] :yfkgf ul/g]5 .
!=@% /fli6«o hg:jf:Yo k|of]uzfnf / /fli6«o cf}ifwL k|of]uzfnfsf] Ifdtf clej[l4 u/L
cGt/f{li6«o:t/sf] ;Gbe{ k|of]uzfnfsf] ¿kdf ljsf; ul/g]5 .
!=@^ ;"tL{ lgoGq0f ;DaGwL ;GwL nufotsf /fHo kIf eP/ u/]sf cGt/f{li6«o ;GwL, ;Demf}tf /
k|lta4tfnfO{ tbf?stfsf;fy kfngf ul/g]5 .
XXV
@= :jf:Yo ;]jfx¿ ;j{;'ne Pj+ k||efjsf/L ?kdf k|jfx ug{ cfjZos bIf hgzlQmsf] of]]hgf pTkfbg,
k|f|lKt, ljsf; tyf pkof]u ug]{ ;DaGwdf lgDg /0fgLltx¿ -gLlt @ ;++u ;DalGwt_ lnOg]]5
@=! b]zleq / aflx/ cfjZos hgzlQmsf] pTkfbg / cfk"lt{ ;DaGwL k|If]k0f ;lxtsf] :jf:Yo
If]qsf] dfgj ;+;fwg Joj:yfkg tyf ljsf; u'¿of]hgf th'{df u/L nfu" ul/g]5 . dfgj
;+;fwgdf x'g] vr{nfO{ nufgLsf ¿kdf lnOg]5 .
@=@ /fli6«o cfjZostf cg';f/ ;fdflhs pQ/bfloTj jxg ug]{ pko'Qm ;Lk / bIftf ePsf
ljleGg tx / k|sf/sf :jf:Yo hgzlQm pTkfbg ug{ Go"gtd PsLs[t /fli6«o kf7\oj|md
lgdf{0f u/L nfu" ul/g]5 . lzIf0f ;+:yf / pTkflbt hgzltmsf] u'0f:t/ cg'udg ug{
clwsf/ ;DkGg pRr:t/sf] ;+oGq agfO{ ;/sf/L tyf lghL nufgLdf ;~rflnt z}lIfs
;+:yfx¿nfO{ ;xof]u / lgodg ub}{ nlug]5 .
@=# :jf:Yo hgzlQmnfO{ v6fPsf] 7fpFdf clgjfo{ ¿kn] sfo{/t /xg] jftfj/0f lgdf{0f u/L
hgzlQmsf] ;lqmo / c6'6 pkl:ylt ;'lglZrt ul/g]5 . b'u{d If]qdf lg/Gt/ sfd ul//x]sf
:jf:YosdL{ / lghdf cfl>t kl/jf/x¿nfO{ ljz]if ;'ljwf / cj;/x¿sf] Joj:yf ul/g]5 .
@=$ hg;+Vofsf] cfwf/df ;Lk ld>0f x'g] u/L hgzlQmsf] yk b/jGbL l;h{gf u/L u'0f:t/Lo
;]jfsf] k|Tofe"lt ul/g]5 .
@=% k|lt !) xhf/ hg;+Vofsf nflu Pp6f lrlsT;s;lxt @# hgf :jf:YosdL{ pknJw x'g]
Joj:yf qmdzM;'lglZrt ul/g]5 . b"u{d / lxdfnL If]qsf] nflu ljz]if Joj:yf ul/g]5 .
@=^ lrlsT;s nufotsf :jf:YosdL{x¿sf] Ifdtf clej[l4sf nflu pRr lzIff cWoogsf]
cj;/, ;]jfsfnLg tflnd, k]zfut cWoog cg';Gwfgdf ;+nUg u/fpg] nufotsf
k|f]T;fxgsf] Joj:yf ul/g]5 .
@=& ;/sf/L cWoog k|lti7fgaf6 k|bfg u/fOg] laz]if1 sf]if{x¿df If]qLo tyf c~rn
c:ktfn;d]tsf] ;+nUgtf u/fOg]5 .
@=* :Jff:Yosf nflu dfgj ;+;fwgsf] ;Gbe{df xfn b]vf k/]sf] k|ltef knfog /f]Sg / sfd ug{
cfsif{s jftfj/0f l;h{gf ug{ j[lQ ljsf; Pj+ ljljw lsl;dsf ljQLo tyf u}/ ljQLo
k|f]T;fxg lbg] h:tf k|efjsf/L pkfox¿ ckgfO k|ltef knfognfO{ lg¿T;flxt ul/g]5 .
@=( ld8jfOkm/L lzIffsf] ;'?jft u/L dft[ ;'/Iffsf nflu bIf hgzlQm pTkfbg ub}{ nlug]5 .
xfn sfo{/t g;{x¿sf] Ifdtf clej[l4 ug]{ u/L pgLx¿nfO{ klg ld8jfOkm/Lsf] lzIffsf]
cj;/ lbOg]5 .
@=!) :jf:YosdL{ / sd{rf/Lx¿sf] ;¿jf Jojl:yt ug{ kf/bzL{ / j}1flgs rj|mLo ;¿jf k|0ffnL
ljsf; u/L nfu" ul/g]5 .
@=!! lghL If]qdf /x]sf bIf hgzlQmnfO{ ;/sf/L ;]jfdf cfjZostf cg';f/ pkof]u ug]{ gLlt
lnOg] 5 . ;fy} lghL If]qaf6 pTkflbt :jf:YosdL{nfO{ cfjZostf cg';f/ ;/sf/L lgsfodf
pkof]u ug]{ Joj:yf ldnfOg]5 .
@=!@ g]kfnsf] :jf:Yo If]qdf xfl;n ul/Psf ljlzi6 pknlAwx¿sf] pkof]u ub}{ cGt/f{li6«o:t/sf]
cWoog, cg';Gwfg tyf k|lzIf0f s]Gb| :yfkgf ul/g]5 .
@=!# dlxnf :jf:Yo :jo+;]ljsfx¿sf] Ifdtf clej[l4 u/L cfjZos k|f]T;fxg;lxt pgLx¿sf]
;]jfnfO{ yk u'0f:t/Lo agfOg]5 .

XXVI
#= b]z z]zdf pknAw h8Lj'6'6Lsf] Joj:yfkg / pkof]u]u ub{} {} cfo'j'j'j]{b]{b lrlsT;f k|0|0ffnLsf] ljsf;
tyf k|rlnt cGo k"/s lrlsT;f k|0ffnLx¿sf] ;+/+If0f Pj+ Jojl:yt ljsf; ug{ lgDg cg';f/sf
/0fgLltx¿-gLlt=# ;+u ;DalGwt_ lnOg]5 .
#=! cfo'j]{b k|0ffnLsf] qmda4?kdf ljsf; ul/g]5 . o; If]qdf cg';Gwfgåf/f ;]jfsf] u'0f:t/sf]
d"Nofs+g u/L ljsf; Pj+ kl/dfh{g ul/g]5 . xf]ldof]KofyL, o"gfgL tyf cGo k"/s lrlsT;f
k|0ffnLx¿sf] ;+/If0f, ljsf; Pj+ lj:tf/sf nflu bL3{sfnLg of]hgf lgdf{0f u/L nfu"
ul/g]5 .
#=@ cfo"j]{b k4ltsf] k|efjsf/L sfof{Gjogsf] nflu pko'Qm ;+/rgfsf] ljsf; / lj:tf/ ub}{
nlug]5 .
#=# :yfgLo ¿kdf pknAw h8La'6Lx¿sf] ;+/If0f / ;d'lrt k|of]usf nflu ljz]if of]hgf tyf
sfo{j|md;lxt lghL tyf ;/sf/L cfo'j]{lbs cf}ifwL pTkfbsx¿sf] pTkfbgsf] u'0f:t/Lotfsf]
;'lglZrt ub}{ pTkfbg j[l4 / Joj;foLs/0fdf hf]8 lbOg]5 .
#=$ /fli6«o cfo'j]{b cg';Gwfg tyf tfnLd s]Gb|sf nflu pko'Qm hgzlQmsf] ljsf; tyf
Joj:yfkg u/L cfo'j]{b If]qdf cWoog, cg';Gwfg / cg';Gwfg;Fu ;DalGwt bIf hgzlQmsf]
pTkfbgnfO{ k|fyldstf k|fKt sfo{j|mdsf] ¿kdf ;~rfng ul/g]5 .
#=% cfo'j]{b tyf h8La'6Lsf gfddf x'g] cg'lrt ultljlwx¿nfO{ lgodg u/L cfo'j]{b :jf:Yo
;]jfsf] u'0f:t/ j[l4df ljz]if Wofg lbOg] 5 .
$= u'0f:t/Lo cf}ifwL / :jf:Yo ;fdu|L|sf] ;xh tyf k|efjsf/L cfk"l"t{ Pj+ pkof]unfO{ ;'lglZrt ub{}
cfGtl/s pTkfbgnfO{ a9fjf lbb} cfTdlge{{/tftkm{ pGd'v
' x''g lgDg cg';f/sf /0fgLltx¿ -gLlt $
;+u ;DalGwt_ lnOg]5.
$=! cf}ifwLsf] pTkfbgdf b]znfO{ cfTdlge{/ agfOg]5 . cfjZos kg]{ cTofjZos cf}ifwLx¿
pTkfbg u/L cfk"lt{ ug]{ Aoj:yf ldnfOg]5 .
$=@ ;/sf/L / u}/;/sf/L If]qdf cfk"lt{ x'g] d'n'sleq} pTkfbg ul/Psf jf cfoft ul/Psf cf}ifwL
/ lrlsT;sLo cf}hf/, pks/0f tyf k|of]uzfnfdf k|of]u x'g] ;fdu|L dfkb08 cg';f/sf]
u'0f:t/Lotf ;'lglZrt ug]{ k|0ffnL ljsf; ul/g]5 .
$=# x/]s :jf:Yo ;+:yfx¿af6 lgMz'Ns ljt/0f x'g] cTofjZos cf}ifwLsf] k|sf/ tyf ;ª\Vofdf
j|mdzM j[l4 ub}{ hfg] / ljt/0f ug]{ cf}ifwLsf] b'?kof]u lgoGq0fsf] ljz]if Aoj:yf ul/g]5 .
$=$ cf}ifwLsf] cg'dfg, vl/b / ljt/0f Joj:yfnfO{ yk k|efjsf/L agfpg jt{dfg vl/b Pj+
cfk"l{t{ oj:yfnfO{ ;'b[9 t'Nofpg k|lj|mofut ;'wf/sf ;fy} o; k|lj|mofdf bIf kmdf{l;i6
hgzlQmsf] ;+nUgtf u/fOg]5 .
%= :jf:Yo cg';Gwfgsf] u'0f:t/nfO{ cGt/f{li6«o dfkb08 cg''?k agfpFb} cg'';Gwfgaf6 k|f|fKt k||df0fd"ns
Jojxf/ jf cEof;nfO{ gLlt lgdf{0f, of]hgf th'{df, cf}ifwL Pj+ pkrf/ k4ltdf pkof]u ug{
lgDgcg';f/sf /0fgLltx¿ -gLlt % ;+u ;DalGwt_ lnOg]5 .
%=! :jf:Yo cg';Gwfgsf] u'0f:t/df j[l4 u/L cGt/f{li6«o dfkb08 cg';f/ agfpg g]kfn :jf:Yo
cg';Gwfg kl/ifb\sf] jt{dfg ;f+u7lgs, ;+:yfut tyf ;+oGqut l:yltnfO{ ;dofg's"n ;'wf/
ul/g]5 . :jf:Yo cg';Gwfgsf] k|j4{g / ;xhLs/0fsf nflu kl/ifb\sf] Ifdtf clej[l4 ug{
ljz]if sfo{j|mdx¿ NofOg]5 .

XXVII
 %=@ :jf:Yo cg';GwfgnfO{ gful/ssf] :jf:Yo k|j4{g, ;+/If0f, ;'wf/ / k'g:yf{kgdf gofF vf]h /
;'emfj lbg] u/L lgodg ug]{ / cg';Gwfgaf6 k|fKt ;'emfjx¿nfO{ gLlt lgdf{0f, of]hgf th{'df
/ sfof{Gjogdf yk k|efjsf/L 9Ín] k|of]u ug{] Joj:yf ul/g]5 .
%=# :jf:Yo cg';Gwfgaf6 k|fKt k|ltj]bg / lgisif{x¿df ;a}sf] ;xh kx'Frdf j[l4 ul/g]5 .
%=$ cGo If]qåf/f ul/g] cg';Gwfgdf klg :jf:YonfO{ ;dfj]z ug{ k|f]T;flxt ul/g]5 .
%=% :jf:Yo cg';Gwfgstf{ / j}1flgs tyf k|fljlws hgzlQmnfO{ :jf:Yo If]qsf ljleGg ljifox¿df
cg';Gwfg ug{ k|]l/t ug]{ / pgLx¿sf] lj1tfsf] pRr ;Ddfg x'g] cj:yf l;h{gf ul/g]5 .
%=^ cWoog tyf cg';Gwfg ;DaGwL /fli6«o tyf cGt/f{li6«o ;+:yfx¿;Fusf] ;~hfn :yfkgf
ul/g]5 .
%=& :jf:Yo;Fu ;DalGwt ljZjljBfno / ;/sf/L tyf u}/;/sf/L z}lIfs ;+:yfx¿nfO{
cg';Gwfgdf ;xefuL x'g k|f]T;fxg tyf ;xhLs/0f ul/g]5 .
%=* d'n'sdf pknAw h8La'6Lx¿sf] a}1flgs vf]h cg';GwfgnfO{ ljz]if k|fyldstf lbOg]5 .
^= :jf:Yo;DaGwL ;Gb]z]z Pj+ ;"r"rgf ;'n'ne ?kdf k|f|fKt ug]{ ]{ ;"r"rgfsf] xs ;DaGwL clwsf/nfO{
sfo{?{?kdf kl/0ft ug{ lzIff,;'r'r'rgf / ;~rf/ sfo{j{j|m|mdnfO{ pRr k|f|fyldstf lbO{ hg:jf:Yo
k|j4{g{g ug{ lgDg cg';f/sf /0fgLltx¿ -gLlt ^ ;+u+u ;DalGwt_ lnOg]5 .
^=! :jf:Yo If]qdf eP u/]sf ;Dk"0f{ sfo{x¿sf] ;"rgf ;xh / ;/n 9Ín] ;Dk"0f{ gful/sx¿sf]
kx'Frdf k'¥ofpg] /fli6«o :jf:Yo ;"rgf k|0ffnLsf] ljsf; ul/g]5 .
^=@ JolQm jf ;d'bfosf] r]tgf j[l4 u/L :jf:Yo k|a4{g ug{, /f]ux¿sf] /f]syfd ug{, ;dodf g}
:Jff:Yo nfe ug{ / Jojxf/ kl/jt{g ug{ :jf:Yo lzIff ;"rgf tyf ;~rf/sf] Jofks
k|of]unfO{ pRr k|fyldstfdf /flvg]5 .
^=# gful/ssf] :jf:Yodf k|lts"n c;/ kfg]{ ;'tL{, ;'tL{hGo kbfy{, dlb/f, dlb/fhGo Pj+ cGo
vfBkbfy{sf] lj1fkg / k|j4{gdf aGb]h nufOg]5 . To;}u/L gful/ssf] of}ghLjgnfO{ k|ToIf
k/f]If gsf/fTds c;/ kfg]{ s'g} klg k|sf/sf ;~rf/ ;fdu|Lx¿df aGb]h nufOg]5 .
^=$ hg;fwf/0fnfO{ k|of]ud}qL / dfGo x'g] u/L :yfgLo efiffdf ;d]t ;"rgfd"ns, k|j4{gfTds /
hgr]tgfd"ns :jf:Yo lzIff / ;"rgfsf] k|jfx ug{ ;/sf/L / u}/ ;/sf/L If]qx¿nfO{
kl/rflnt ul/g]5 .
^=% ljB'tLo nufotsf ;a} ;~rf/dfWodsf] pRRftd\ pkof]u u/L :jf:Yo ;DaGwL hfgsf/L lng
;a} gful/snfO{ k|f]T;flxt ul/g]5 .
^=^ cGt/f{li6«o txdf cToGt k|efjsf/L / pRr k|ltkmn lbg ;Ifd egL 7x/ ul/Psf] ljBfno
:jf:Yo sfo{j|mdnfO{ lzIff dGqfnosf] ;dGjodf b]zel/sf ljBfnox¿df nfu" ul/g]5 .
o;sf nflu xfn ;~rfngdf /x]sf ljBfnodf ul/g] :jf:Yo ;DaGwL sfo{j|mdx¿nfO{
PsLs[t u/L lj:t[t sfo{ljlw ;lxtsf] sfo{of]hgf tof/ ul/g]5 / sDtLdf dfWolds
ljBfno;Dd Ps :jf:YosdL{ Joj:yf u/L :jf:Yo sfo{j|md ;~rfng ul/g]5 .
^=& :jf:Yo ;]jf vf; u/L lj/fdLsf] pkrf/;Fu ;DalGwt ;Dk"0f{ k|sf/sf ;"rgfx¿ ;DjlGwt
;]jfu|fxLn] k|fKt ug]{ ;"rgfsf] xs :yflkt ug{ cfjZos Joj:yf ul/g]5 .
&= u''0f:t/Lo Pj+ :jf:Yoj4{s{s vfBkbfy{s{sf] k|j4{g, k|ofudfkm{t s'kfif0fnfO{ Go"gLs/0f ug{
lgDg cg';';f/sf /0fgLltx¿ lnOg] -gLlt & ;+uu+ ;DalGwt_ 5 .

XXVIII
 &=! :yfgLo txdf pknAw x'g] tyf pTkfbg ug{ ;lsg] vfB kbfy{sf] pTkfbg, k|j4{g /
k|of]unfO{ ljz]if hf]8 lbg] u/L ;d'bfodf cfwfl/t kf]if0f ;DaGwL lzIff nufotsf
dfWofdaf6 bL3{sfnLg ¿kdf s'kf]if0fd'Qm u/fpg cfjZos Joj:yf ul/g]5 .
&=@ s'kf]if0fsf] cj:yfdf ;'wf/ Nofpg ljBdfg ax'If]qLo kf]if0f ;DaGwL gLlt tyf vfB ;'/Iff
nufot sfo{j|mdx¿ cWofjlws ub}{ pRr k|fyldstfsf ;fy nfu" ul/g]5 .
&=# vfB ;'/Iff / kf]if0fsf] cj:yf aLr k|ToIf ;DaGw /xg] ePsfn] vfB ;Dk|e'tf a9fpg s[lif
ljsf; tyf cGo dGqfnonfO{ lg/Gt/ k[i7kf]if0f lbOg], :yfgLo lgsfo ;d]tsf] ;+nUgtfdf
;fd'bflos :jf:Yo sfo{j|md cGtu{t s/];faf/Lsf] k|j4{g ug]{ / xl/of] ;fu;AhL / kmnkm"nsf]
b}lgs ;]jg sDtLdf $)) u|fd k'¥ofOg]5 .
&=$ z/L/nfO{ xfgL k'¥ofpg] k|zf]lwt tyf tof/L vfg]s'/fx¿ -Junk Foods_, dlb/f / k]o
kbfy{sf] k|of]unfO{ lg¿T;flxt ub}{ xf]6n / /]i6'/]G6af6 laj|mL ljt/0f ul/g] vfg]s'/fx¿sf]
u'0f:t/ cg'udg ug{ cfjZos sfg"g, sfo{ljlw / hgzlQmsf] Aoj:yf ul/g]5 .
&=% vfB tyf df;'hGo pTkfbgdf k|of]u x'g] dflg;sf] :jf:YonfO{ k|lts"n c;/ kfg]{ vfnsf
/f;folgs kbfy{x¿ / ljiffbLx¿ x6fpg ;DalGwt ;/f]sf/jfnfx¿;Fu ;xsfo{ ul/g]5 .
&=^ vfB kbfy{hGo /f]u tyf df]6f]kgfnfO{ lgoGq0f ug{ pko'Qm hLjgz}nLnfO{ k|f]T;flxt ub}{
nlug]5 .
&=& :jf:YonfO{ xfgL ug]{ u/L vfB kbfy{df x'g] ld>0f -Food Adulteration_ nfO{ sfg'gsf]
bfo/fdf NofO{ bl08t ug]{ Joj:yf ldnfOg]5 .
* ;Ifd Pj+ hjfkmb]x]xL ;dGjo, cg'u'u'udg tyf lgodg ;+o+oGq Pj+ k|lqmofåf/f u'0'0f:t/Lo :jf:Yo
;]jf k||jfx ;'l'glZrt ug{ lgDgcg'';f/sf /0fgLltx¿ -gLlt * ;u ;DalGwt_ lnOg]5]5 .
*=! ;/sf/L tyf u}/;/sf/L If]qaf6 pknAw u/fOg] ;Dk"0f{ :jf:Yo ;]jfx¿sf] lgodg ug{
sfg"gL ;+:yfut Joj:yf u/L u'0f:t/Lo :jf:Yo ;]jf k|flKtsf] ;'lglZrttf ul/g]5 .
*=@ dfgj tyf kz'kIfLdf k|of]u x'g] cfw'lgs, cfo'j]{b tyf j}slNks lrlsT;f k4ltcg';f/sf]
cf}ifwLsf] lgodg sfo{nfO{ yk k|efjsf/L agfpg ljBdfg sfg"gL Aoj:yfdf ;+zf]wg ul/g]5
. cf}ifwL Joj:yf ljefusf] k'g;{+/rgf u/L k|To]s lhNnfdf cfjZos ;+Vofdf cf}ifwL
lg/LIfs /xg] Aoj:yf ul/g]5 .
*=# u'0f:t/Lo :jf:Yo ;]jf k|fKt u/]sf] olsg x'g] u/L /fli6«o lgb]{lzsf / k|f]6f]snx¿ tof/
ul/g]5 ./f]ux¿sf] pkrf/sf nflu c:ktfnx¿n] :yfgLo cfjZostf cg';f/sf] k|f]6f]sn
tof/ kf/L nfu" ug{ ;Sg] Joj:yf ldnfOg]5 .
*=$ hgtfdf k|jfx ul/g] :jf:Yo ;]jfsf] pRrtd\ u'0f:t/sf] ;'lglZrtfsf nflu ;]jf k|bfos
hgzlQm, k|of]u ul/g] k|ljlw, k|of]udf NofOg] cf}ifwL, pks/0f cflb ;/;fdfgsf] dfkb08
;lxtsf] pRr u'0f:t/ sfod ug{ lg/Gt/ cg'udg / lgodg ul/g]5 .
*=% k|of]uzfnf÷/Qm ;~rf/ s]Gb|x¿nfO{ :t/Lo t'Nofpg'sf ;fy} ;f] k|of]uzfnf÷s]Gb|x¿sf] ;]jf
dfkb08 cg';f/ :t/Lo x'g'kg]{ u/L lgodg ul/g]5 . cfj:os sfg'gL Joj:yf u/L
k|of]uzfnfnfO{ k|dfl0fs/0f -Accreditation_ u/]/ dfq ;+rfngdf Nofpg] Joj:yf
ldnfOg]5 .

XXIX
*=^ ;/sf/L jf u}/ ;/sf/L If]qaf6 d'n'ssf] s'g} klg ef}uf]lns If]qdf lbOg] :jf:Yo ;]jfsf]
u'0f:t/sf] lg/Gt/ cg'udg Pj+ d"NofÍg u/L ;f] s]f cfwf/df k'/:sf/ tyf b08sf] Joj:yf
ul/g]5 .
*=& lj/fdL jf :jf:Yo ;]jf k|of]ustf{sf] ph'/L / u'gf;f] ;'Gg] tyf ;f] sf] sfg"gL pkrf/ k|bfg
ug{ cfjZos ;+:yfut ;+/rgf tof/ u/L nfu" ul/g]5 . pkrf/sf qmddf pknJw eP
;Ddsf k|ljlwsf] ;DaGwdf k/fdz{ ug'{ kg]{ Joj:yf ul/g]5 .
*=* :jf:Yodf lghL If]qsf] nufgLnfO{ cfd gful/ssf] lxtdf k|efjsf/L agfpg sfg"gL Aoj:yf
ug'{sf ;fy} pko'Qm 7fpFdf nufgL j[l4 ug{ cfjZos /0fgLlt lnOg]5 .
*=( dxfdf/Lsf] ¿kdf ljsl;t x'g ;Sg] /f]u b]vf kbf{ tf]lsPsf] lgsfonfO{ tf]lsPsf] ;dodf
clgjfo{¿kn] ;"lrt ug'{ kg]{ u/L ;ª\j|mfds /f]u P]g, @)@) cGtu{t sfg"gL Joj:yf
ul/g]5 . ;ª\j|mfds /f]u P]g, @)@) nfO{ kl/dfh{g ul/g]5 .
*=!) lrlsT;sn] cf}ifwLsf] l;kmfl/z ubf{ h]g]l/s gfddf ;a}n] a'em\g] u/L :ki6 ?kdf pNn]v
ug'{kg]{ Joj:yf ul/g]5 .
( :jf:Yo ;]j]jf;FuFu ;DjlGwt Jofj;flos kl/ifb\x\ ¿nfO{ ;Ifd, Jofj;flos, Pj+ hjfkmb]x]xL
agfO{ k]]zfut :t/Lotf Pj+ ;]j]jfsf] u'0f:t/ ;'lglZrt ug{ lgDg cg';f/sf /0fgLltx¿-gLlt
( ;++u ;DalGwt_ lnOg]5 .
(=! d'n'ssf] :jf:Yo ;DaGwL ljleGg lzIffsf] :t/Lotf / pknAw u/fOg] :jf:Yo ;]jfsf] u'0f:t/
;'lglZrt ug{ :yflkt ljleGg kl/ifb\sf] sfo{ k|efjsf/L, kf/bzL{ / hjfkmb]xL t'NofOg]5 .
(=@ :jf:Yo ;+:yf Pj+ kl/ifb\x¿af6 k|bQ ;]jfdf Ps¿ktf Nofpg ljBdfg P]g lgoddf ;+zf]wg
u/L nfu" ul/g]5 .
(=# :jf:Yo ;+:yf Pj+ kl/ifb\x¿nfO{ sfg'gL / ef}lts ¿kn] yk ;'b[9 ub}{ nlug]5 .
(=$ lghL / u}/ ;/sf/L If]qdf :yflkt :jf:Yo ;DaGwL Jofj;flos ;ª\3÷;+:yfx¿;Fu :jf:Yo
;]jf k|jfx / cWoog cg';Gwfgdf ;xsfo{nfO{ a9fjf lbOg]5 .
!) :jf:Yo;FuFuFu ;DjlGwt jx'k'k'kIfLo ;/f]s]sf/jfnf lgsfox¿sf] ;xsfo{n{nfO{ yk ;'b'[9 ub{}
/fHosf] k|Tos gLltdf :jf:YonfO{ d"n" k|j|jfxLs/0f ug{ lgDg cg';';';f/sf /0fgLltx¿ -
gLlt !) ;+u+u ;DalGwt_ lnOg]5 .
!)=! :jf:YonfO{ ljsf;sf] d'Vo Ph]08fsf] ¿kdf :jLsf/ ub}{ ljBdfg ax'kIfLo ;xsf/LtfnfO{ yk
;'b[9 agfOg] 5 . ;Da4 ;a} gLltx¿df :jf:Yo;DaGwL d'4fx¿nfO{ ;dfj]z u/fOg]5 .
!)=@ :jf:Yo ;]jf k|flKtdf ;'/lIft vfg]kfgL, ;/;kmfO, pmhf{, vfB ;'/Iff, hnjfo', jftfj/0f,
lzIff, cfjf;, ;8s nufot ef}lts ljsf; h:tf cg]sf}+ kIfx¿sf] k|efj x'g] ePsfn]
ax'kIfLo ;dGjo x'g] u/L sfo{of]hgfx¿ tof/ u/L nfu" ul/g]5 .
!)=# g]kfnn] ;g\ @)!% ;Ddsf nflu lgwf{l/t :jf:Yo ;DaGwL ;x;|fAbL ljsf; nIodf k|fKt
u/]sf] k|ultnfO{ lbuf] agfpFb} To;kl5 lgwf{l/t x'g] nIonfO{ k|efjsf/L 9Ín] ;Daf]wg
ul/g]5 .
!)=$ hnjfo' kl/jt{gaf6 kg]{ :jf:Yo ;DjGwL gsf/fTds c;/sf] ;Daf]wgsf nflu ;dli6ut
Joj:yfkg ug{ /fli6«o ;+hfn tyf ;+oGq Pj+ cj;/sf] ;d'lrt k|of]u ub}{ ax'kILfo
sfo{of]hgf agfO{ ;/f]sf/jfnf ;Dk"0f{ lgsfo;Fu ;xsfo{ ul/g]5 .

XXX
!)=% kz'kIfL tyf sL6x¿af6 dflg;df ;g]{ /f]ux¿sf] Joj:yfkgsf nflu ;/f]sf/jfnf
lgsfox¿;Fu k|efjsf/L ;dGjo / ;xsfo{sf] ;d'lrt Joj:yf ul/g]5 .
!! :jf:Yo ;+/+/If0f tyf k|j|j4{g{gsf nflu jftfj/0f k|b|b"i"if0fsf] k|e|efjsf/L lgoGq0f ub{}{ :jR5
jftfj/0fdf aFfRg kfpg] gful/s clwsf/nfO{ ;'l'lglZrt ug{ lgDg cg';';';f/sf /0fgLltx¿
-gLlt !! ;+u ;DalGwt_ lnOg]5 .
!!=! :jf:Yo ;+/If0f / k|j4{gsf nflu kof{j/0fLo k|b"if0f / df};d kl/jt{gaf6 x'g] k|lts"n
c;/sf] k|efjsf/L lgoGq0f ug{] ;+oGq lgdf{0f u/L lgodg ul/g] sfo{df ;ls|o g]t[Tj lnO{
;xsfo{ ul/g]5 .
!!=@ b]ze/ g} :jf:Yo ;]jfhGo kmf]x/d}nfsf] j}1flgs 9Ín] Joj:yfkg ug{ k|efjsf/L Joj:yf
lnOg]5 . kmf]x/d}nf Joj:yfkgsf ;Gbe{df ljBdfg sfg"gL Joj:yfnfO{ s8fOsf ;fy nfu"
ul/g]5 .
!!=# :jf:Yo If]qdf k|of]u x'g] ljls/0fx¿sf] Joj:yfkg /fli6«o tyf cGt/{fli6«o dfkb08 cg'?k
ug{ sfg"g th"{df u/L sfof{Gjog ul/g]5 .
!@ u'0f:t/Lo :jf:Yo ;]j]jf k|j|jfx ug{ cfjZos gLltut, ;+:yfut / Joj:yfksLo dfWodåf/f
:jf:Yo If]q]qdf ;'z'zf;g sfod ug{ lgDg cg';';f/sf] /0fgLltx¿ -gLlt !@ ;+u+u
;DalGwt_ lnOg]5]5 .
!@=! :jf:Yo ;]jf ;~rfngnfO{ a9L k|efjsf/L ;fy} ljZj;gLo agfpg k|of]udf /x]sf lgod
sfg"gsf] k'g/fjnf]sg u/L cfjZostf cg';f/ kl/dfh{g ul/g]5 . :jf:Yo ;DaGwL ljBdfg
P]g lgodsf] ;dfog's"n ;+zf]wg / cfjZostf cg';f/ PsLs/0f u/L PsLs[t hg:jf:Yo
;]jf P]g agfO{ nfu" ul/g]5 .
!@=@ :jf:Yo If]qdf x'g] j}b]lzs ;xof]usf] k|efjsf/L kl/rfngsf nflu ;a} ;xof]uL
lgsfox¿nfO{ PsLs[t u/L kl/0ffdd'vL pkof]u / Joj:yfkg ug]{ k2tL cjnDjg ul/g]5 .
!@=# :jf:Yo If]qcGtu{t lgdf{0f ul/g] ;a} ef}lts ;+/rgfx¿ ckfÍd}qL, afnd}qL tyf e"sDk
k|lt/f]wL agfpb}+ nlug]5 . xfn k|of]udf /x]sf t/ hf]lvddf /x]sf ;+/rgfx¿nfO{ pknAw
k|ljlwåf/f ;jnLs/0f u/L e"sDk k|lt/f]wL agfOg]5 . ;Dk"0f{ ef}lts ;+/rgfx¿df ;]jf
k|bfg ug{ yk cfjZos ;+/rgf h:t} e08f/ cflb yk Pj+ Jojl:yt ub}{ nlug]5 .
!@=$ ef}uf]lns cjl:ylt / hg;+Vofsf] cfwf/df k|rlnt ejg ;+lxtf tyf dfkb08 (Building
Standard) cg';f/ :jf:Yo ;+:yfx¿ lgdf{0f ul/g]5 .
!@=% :jf:Yo Joj:yfkgsf nflu cfw'lgs ;"rgf k|ljlwsf] clwstd k|of]u ul/g]5 .
!@=^ k|fs[lts ljkb\ jf cGo sf/0faf6 cfOkg]{ cfsl:ds :jf:Yo ;d:ofx¿sf] tTsfn ;Daf]wg
ug]{ u/L ax'kIfLo sfo{of]hgf agfO{ sfof{Gjog ul/g]5 .
!@=& ljleGg c:ktfnx¿sf ljsf; ;ldlt / :jf:Yo ;+:yf ;~rfng tyf Joj:yfkg ;ldlt u7g
ubf{ ;fdflhs k|lti7f / ;Ddfg ePsf tyf :jf:Yo ;]jfnfO{ k/f]ksf/sf] ¿kdf lng]
JolQmTjx¿,k]zfljbx¿ / :yfgLo ;d'bfosf] ;xeflutf u/fOg]5 . :jf:Yo ;]jfsf] u'0f:t/,
;xh kx'Fr / lg/Gt/tfsf] nflu ;]jf Aoj:yfkgdf ;d'bfosf] ;xeflutfnfO{ k|f]T;fxg
ul/g]5 .
!@=* c:ktfn ljsf; ;ldlt nufotsf cGo ;ldltx¿sf] Joj:yfkg / lgodgsf] nflu sfg"g
lgdf{0f u/L nfu" ul/g]5 .
XXXI
!@=( :jf:Yo ;]jf k|jfxdf ;/sf/L, lghL If]q, ;fd'bflos Pj+ ;xsf/L If]qnfO{ ;d]6\b} u'0ffTds
;]jf ;'lglZrt u/fpg ;'zf;g sfo{of]hgf agfO sfof{Gjog ul/g]5 . k|fylds :jf:Yo ;]jf
k|jfxdf dfkb08 agfO{ jx';ª\Vos pkef]Qmfsf] ;xeflutf ePsf] :yfgLo ;xsf/LnfO{ :yfgLo
txsf :jf:Yo ;+:yfx¿sf] Joj:yfkgdf ;xefuL u/fpFb} nlug]5 .
!@=!) :jf:Yo ;]jf k|jfxnfO{ kf/bzL{, hjfkmb]xL Pj+ hgpQ/bfoL agfpg :jf:Yo ;'zf;g
sfo{of]hgf agfO{ nfu" ul/g]5 .
!@=!! dfgj z/L/af6 tGt' jf /Qm hGo kbfy{ lemSg] jf k|Tof/f]k0f ug]{ jf dfgj cÍ k|Tof/f]k0f
ug]{ sfo{nfO{ sfg"gåf/f Jojl:yt t'NofOg]5 .
!@=!@ cÍk|Tof/f]k0f ug{sf nflu cÍx¿ ;xhtfk"j{s pknJw u/fpg] p2]Zon] dl:tis d[To'nfO{
j}1flgs tyf Jofj;flos 9Ín] kl/eflift u/L cÍ bfgsf] sfo{ ;xh kfb}{ pko'Qm cÍ
k|fkssf] 5gf}6 ;DjGwdf sfg"gåf/f Jojl:yt ul/g]5 .
!@=!# Pp6f :jf:Yo ;+:yfdf w]/} 6«]8 o'lgog x'g] u/]sf] jt{dfg ;Gbe{df Pp6f dfq cflwsfl/s
k]Zffut ;ª\u7g -6«]8 o'lgog_ /xg] Joj:yf ul/g]5 .
!@=!$ afFemf]kgfnfO{ Surrogacy ;DjGwL sfg"gåf/f Jojl:yt ul/g]5 .
!# :jf:Yo If]qsf] Jojl:yt tyf u'0f:t/Lo ljsf;sf nflu ;fj{hlgs tyf lghL If]qsf]
;xsfo{nfO{ k|j4{{g ug{ lgDg cg';f/sf /0fgLltx¿ -gLlt !# ;++u ;DalGwt_ lnOg]5 .
!#=! ;fj{hlgs tyf lghL If]qsf] ;xeflutfsf] cjwf/0ffnfO{ yk k|f]T;flxt ug{ ;fj{hlgs tyf
lghL] ;xeflutfnfO{ Ps cfk;df kl/k"/s x'g] u/L ljsl;t ul/g]5 .
!#=@ :jf:Yo If]qdf ;xsf/L cjwf/0ffnfO{ cfjZos k|f]T;fxg tyf Jojl:yt ug{ sfg"gL Joj:yf
ul/g]5 .
!#=# u}/;/sf/L If]qsf :jf:Yo ;+:yfnfO{ :ki6 dfkb08 agfP/ cg'bfg lbOg]5 .
!$ u'0f:t/Lo Pj+ ;j{;'ne :jf:Yo ;]j]jfsf] ;''lglZrttf ug{ / pkrf/sf] vr{df gful/ssf]
ljQLo ;'/Iff ug{ :jf:Yo If]]qdf nufgL a9fpFFb} n}}hfg] / lghL Pj+ u}}/ ;/sf/L If]]qaf6 k|fKt
ljQLo ;||f]tx¿sf] k|efjsf/L pkof]u Pj+ Joj:yfkg ug{ lgDg cg';f/sf /0fgLltx¿ -gLlt
!$ ;+u ;DalGwt_ lnOg]5 .
!$=! :jf:Yo If]qdf vr{ ul/g] /sd, vr{ geO{ nufgL ePsf] tYonfO{ cfTd;ft\ ub}{ :jf:Yo If]qdf
k|ltJolQm nufgL lgwf{/0f u/L hg;+Vofsf] cfwf/df ah]6 5'6\ofpg] Joj:yf ul/g]5 . k|lt
JolQm nufgLnfO{ qmdzM a[l4 ub}{ nlug]5 .
!$=@ xfn :jf:Yosf nflu vr{ ul/g] s'n nfutsf] %% k|ltzt /sd JolQmx¿sf] lghL vr{ x'g]
u/]sf]df ;f] k|ltztnfO{ j|mdzM 36fOg]5 .
!$=# :jf:Yo If]qdf ljlgof]lht /sd ljt/0f ubf{ dfkb08 agfO{ Gofo ;ª\ut¿kdf ljt/0f
ul/g]5 .
!$=% ljQLo Joj:yfkgnfO{ lbuf] agfO{ ;j{;'ne :jf:Yo ;]jf k|jfxsf] ;'lglZrttfsf nflu sfg"g
tyf sfof{Gjog lgb]{lzsf agfO{ /fi6«JofkL ljdf of]hgf nfu" ul/g]5 . c;dy{ tyf cfly{s
¿kn] ljkGgnfO{ 5'6 lbg] Joj:yf ul/g]5 .
!$=^ vf]k sfo{j|md lgjf{w¿kn] ;~rfng ug{ ljQLo cefj x'g glbg] p2]Zon] :yflkt ‘vf]k sf]if’
nfO{ sfg"g4f/f Aojl:yt ul/g]5 .
XXXII
 !$=& :jf:Yo If]qsf] ljQLo Joj:yfsf nflu gofF pkfox¿sf] vf]hL ug]{, u/fpg] sfo{nfO{ k|f]T;fxg
lbOg]5 . :jf:Yo If]qsf cGo sf]ifnfO{ Jojl:yt / k|efjsf/L agfOg]5 .
!$=* :yfgLo txsf sfo{j|md / /sd :jf:Yo ;]jf / ;+/rgfx¿sf nflu k|of]u x'g] Joj:yf
ldnfOg]5 .
!$=( ;"tL{hGo kbfy{ tyf :jf:YonfO{ xflg ug]{ cGo kbfy{x¿sf] pTkfbg tyf ljj|mL ljt/0fdf
pRr s/åf/f lg?T;flxt ul/g]5 . o;/L k|fKt ;|f]tnfO{ :jf:Yo ;]jfdf vr{ ul/g]5 .
!% ljljw
!%=! o; /fli6«o gLltdf /x]sf Aoj:yfx¿ sfo{fGjog ug{ laBdfg laifout gLltx¿ / gofF aGg]
To:tf gLltx¿ ;xof]uL / kl/k"/s x'g] 5g\ .
!%=@ ;]jfu|fxL hgtfnfO{ plrt u'0f:t/sf], oy]i6, pkoQm / oyf;do :jf:Yo ;]jf l56f] 5l/tf] pknAw
xf];\ eGg] Wo]on] lghL, Aofkfl/s ;d'bfo, ;xsf/L, ;fd'bflos tyf ljsf;sf ;fem]bf/ ;+:yfx¿ /
gfkmf gsdfpg] ;]jf k|bfosx¿;Fu ;fem]bf/L / ;xsfo{nfO{ k|f]T;fxg ul/g] 5 .
*= ;+:yfut Aoa:yf
o; gLltsf] k|efjsf/L sfof{Gjogsf nflu :jf:Yo tyf hg;ª\Vof dGqfno cGtu{t yk lgodg
lgsfosf] Aoj:yf ;lxt s]Gb|b]lv u|fdL0f tx;Ddsf] jt{dfg ;f+u7lgs ;+/rgfsf ljefu, dxfzfvf,
zfvf, pkzfvf cflb / ;f]xL cg';f/sf sd{rf/L b/aGbLx¿ /fHosf] k'g;+/{ rgf ;d]tnfO{ Wofgdf
/fvL cfjZostf cg';f/ yk36 ul/g]5 .
(= ljQLo >f]t
;/sf/L ;|f]t, j}b]lzs C0f tyf ;xof]u tyf lghL If]qsf] o; If]qdf x'g] nufgL ;du|df o; /fli6«o
:jf:Yo gLlt sfof{Gjogsf ;|f]t x'g] 5g\ .
!)= cg'udg tyf d"Nofª\sg
!= ;~rfng ul/g] :jf:Yo sfo{j|mdx¿sf] k|To]s txdf lgoldt¿kn] cg'udg / d"NofÍg ul/g]
Joj:yf ug{ r':t / k|efjsf/L ;+oGqsf] agfO{ sfo{fGjogdf NofO{g] 5 . o;sf nflu /fli6«o
of]hgf cfof]un] th'{df u/L Jojxf/df NofPsf] glthfdf cfwfl/t cg'udg tyf d"NofÍg 9fFrf
tyf :yfgLo ljsf; dGqfnon] sfo{Gjogdf NofPsf] cg'udg tyf d"NofÍg k|0ffnL ;d]tnfO{
dWogh/ ub}{ k|efjsf/L cg'udg tyf d"NofÍg k|0ffnLsf] ljsf; ul/g] 5 .
@= :jf:Yo Joj:yfkg ;"rgf k|0ffnLnfO{ ;dofg';f/ kl/dfh{g / k"0f{ sDKo'6/ k|0ffnLdf
:t/f]Gglt ul/g] 5
!!= hf]lvd
!= :jf:Yo If]qsf] ;dli6ut¿kdf ;|f]t kl/rfng /0fgLltsf] cefjdf ;|f]t kl/rfngdf sl7gfO{
x'g ;Sg] ;Defjgf /xG5 .
@= d'n's ;ª\3Lo ;+/rgfdf kl/0ft x'Fbf sfof{Gjog ul/g] :jf:Yo sfo{j|mdx¿ s]Gb| / ;ª\3sf]
bfloTjleq kg]{ u/L 5'§ofO{ :jf:Yo gLltsf] k'g;{dfof]hg ug{'kg]{ x'g ;Sb5 .
!@= vf/]hL
/fli6«o :jf:Yo gLlt, @)$* vf/]h ul/Psf] 5 .

XXXIII
 ljifo ;"lr
qm=;+= k]h g+=
;+lIfKt zAb I-II

s[t1tf III

tYo tflnsf IV-XII

sfo{ ;Dkflbt ;f/f+z XII -XX

/fli6«o :jf:Yo gLlt XXI-XXXVII

v08 ! M k[i7e"ld !—!*

lhNnfsf] kl/ro !
v08 @ M afn :jf:Yo !(—$$
/fli6«o vf]k sfo{qmd @#—@*
kf]if0f sfo{qmd @(—#*
;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg tyf gjhft lzz' :ofxf/sfo{qmd #(—$$
v08 # M kl/jf/ :jf:Yo $%—%(
kl/jf/ lgof]hg sfo{qmd $^–$(
;'/lIft dft[ tyf gjhft lzz' :jf:Yo sfo{qmd $(—%%
dlxnf :jf:Yo :jo+ ;]ljsf sfo{qmd %^—%&
k|f=:jf=;]=ufpF3/ lSnlgs sfo{qmd %*—%(
v08 $ M /f]u lgoGq0f ^)—*#
cf}nf] lgoGq0f sfo{qmd ^)—^#
sfnfhf/ lgoGq0f sfo{qmd ^#—^$
xftLkfO{n] /f]u lgoGq0f sfo{qmd ^%—^%
8]+u' ^^—^&
hfkflgh O{G;]kmnfO{l6; ^&—^&
kz'hGo /f]u lgoGq0f sfo{qmd ^*—^*
dxfdf/L tyf k|sf]k Joj:yfkg ^(—&)
k|sf]k Joj:yfkg &)—&!
Ifo/f]u lgoGq0f sfo{qmd &!—&$
s'i7/f]u lgoGq0f sfo{qmd &$—&$

XXXIV
 Pr=cfO{=eL=P8\; sfo{qmd &%—&^
v08 % M ;xof]uL sfo{qmd &&—(%
:jf:Yo tflnd &*—&(
cfk"lt{ Joj:yfkg &(—*!
hg:jf:Yo k|of]uzfnf ;]jf *#—*$
sd{rf/L k|zf;g Joj:yfkg *$—**
cfly{s Joj:yfkg **—()
:jf:Yo ;"rgf Joj:yfkg (!—(@
hg;+Vof Joj:yfkg (#—(#
k|fylds :jf:Yo ;]jf k"ghf{u/0f (#—(%
v08 ^ M pkrf/fTds ;]jf (^—
lgMz'Ns cTofjZos :jf:Yo ;]jf (&— ((
c:ktfn ;]jf !))—!))
Annex : !)!
1. Supporting Partners (I/NGOs)
2. Anusuchi 2
3. Work Plan
4. Estimated Target Population

XXXV
XXXVI
 1

v08M !
k;f{ lhNnfsf] kl/ro
(Introduction of Parsa District)
2

!=! k[i7e"dL
k;f{ lhNnfsf] klZrd pQ/ u08s gx/sf] 5]p tyf dx'jg uf=la=;=df cjl:yt wfld{s, ;f+:s[lts, k'/ftflTjs
Pj+ P]ltxfl;s b[li6n] dxTjk'0f{ dx'jg d7 cGtu{t k|l;4 P]ltxfl;s kf/;gfy dxfb]jsf] dlGb/ /x]sf] 5 . ;of}+
jif{ klxn] eggfy afaf eGg] Pshgf ;Gtn] kf/;gfy dxfb]j lnÍsf] :yfkgf ug'{ ePsf] / ;g\ !&)& df
dsjfgk'/sf /fhf dfl0fSo ;]gn] kf/;gfy dlGb/sf] lgdf{0f u/fPsf] eGg] s'/f lj1x¿ atfp5g\ .oxL kf/;gfy
dlGb/sf] gfdaf6 g} k;f{ lhNnfsf] gfdfs/0f ePsf] xf] eGg] s]xL Oltxf;ljb\x¿sf] egfO{ 5 .
k;f{ lhNnf g]kfnsf] dWodf~rn ljsf; If]q cGtu{t gf/fo0fL c~rndf kg]{ k|d'v Jofkfl/s gfsf tyf cf}wf]lus
If]q ePsf] t/fO{ tyf dw]z If]qdf kg]{ Ps k|d'v lhNnf xf] . of] lhNNff ;d'bL ;txb]vL !@@ b]lv (@% ld6/
;Ddsf] prfOdf km}lnPsf] 5 . o; lhNnfsf] xfjfkfgL pi0f / ;dlztf]i0f k|sl[ tsf] 5 . lhNnfsf] s'n If]qkmn
!#%# ju{ ls=ld=5 . h;df s[lif of]Uo e"ld %$&#@ x]S6/, v]tL ul/Psf] e"ld %))$^ x]S6/, l;+lrt If]q
@^)^) x]S6/, jg h+unn] 9fs]sf] If]q (&)!! x]S6/, r/0f If]q @*%^ x]S6/, / cGo $@#! x]S6/ kb{5 .
o; lhNnfdf k;f{ aGo hGt' tyf cf/If If]q / lrtjg /fli6«o lgs'~h klg kb{5 .
k;f{ lhNnfsf] k|zf;lgs ljefhg
Ps dxfgu/kflnsf,ltg gu/kflnsf / bz ufFpkflnsf /x]sf] o; lhNnfnfO{ /fhg}lts lx;fjn] $ lgjf{rg If]qdf
ljefhg ul/Psf] 5 . o; lhNnfsf] ;b/d'sfd jL/u+hdf /x]sf] 5 . ef/tsf] /S;f}n jf ljxf/ /fHo;Fu l;dfgf
hf]l8Psf] o; lhNnfsf] ;b/d'sfd jL/u+h blIf0f e]sdf /x]sf] 5 . ;b/d'sfd ef/t;Fu hf]l8Psf] ePklg c? efu
eg] pQ/df kb{5 . ef/tsf] ljxf/af6 g]kfn k:g] k|j]z4f/sf] ?kdf /x]sf] o; lhNnfn] ;8ssf] ;~hfn cGtu{t
dx]Gb| /fhdfu{nfO{{ 5f]Psf] 5}g . >f]t ;fwgn] ;DkGg /x]sf] o; lhNnf pknAw >f]t ;fwgnfO{ k|efjsf/L ?kdf
lhNnfsf] ljsf;df kl/rfng ug{ ;lsPsf] 5}g .
!=@ ef}u]flns l:ylt
qm ;+ ljj/0f s}lkmot
! l;dfgf
k'j{ af/f lhNnf
klZrd lrtjg lhNnf / ef/tsf] ljxf/ /fHo
pQ/ dsjfgk'/ / lrtjg lhNnf
blIf0f ef/tsf] ljxf/ /fHo
@ cIffFz @&) b]lv @&)@^æ pQ/
# b]zfGt/ *$)*æ b]lv *$)@&æ k"j{
$ ;d'b|L ;tx !@@ b]lv (@% ld6/
% xfjfkfgL pi0f / ;dlztf]i0f
^ cf}ift tfks|d clwstd $)) ;]= / Go"gQd !*) ;]=
& aflif{s cf}ift jiff{ !&^)=^ ld=ln=
;|f]t M jflif{s lhNnf ljsf; of]hgf @)^(÷&)

!=@=! hfltsf] cfwf/df hg;+Vof laj/0f (Population Composition by Cast

Ethnicity)
Hfthflt Hfg;+Vof k|ltzt
d';' ndfg *&@!@ !$=%!
s''dL{ %)%%( *=$!
Yff? $%^@) &=%(
 3

ofbj #(**% ^=^$

sfg' #$%%@ %=&%
rdf/, xl/hg, /fd @*#*& $=&@
t]nL @$*%^ $=!#
sf]O{/L, s'zjfxf !*((* #=!^
If]qL !&@@% @=*&
b'zfw , kfzjfg, kfzL !^!!! @=^*
cGo @#&^!@ #(=%#
!=@=@ dft[efiffsf] cfwf/df hg;+Vof
qm ; dft[efiff hg;+Vof k|ltzt
! ef]hk'/L $^(,^!( &*=!$
@ g]kfnL #*,^)^ ^=$@
# d}lynL #),^%# %=!)
$ yf? @@,*() #=*!
% pmb' !#,!$( @=!(
^ tfdfª &,*@! !=#)
& /fh:yfgL $,^!& )=&&
* g]jf/ $,@#@ )=&)
( p/fp @,)#@ )=#$
!) lxGbL !,%#) )=@%
!! cGo %,*^* )=(*
hDdf ^)!,)!& !))
;|f]t M s]tlj @)&)
!=@=$ ckf+utfsf cfwf/df hg;+Vof
qm ljj/0f hDdf k'?if Dlxnf
! ckf+utf gePsf] %($,*)@ #)*,^*@ @*^,!@)
@ ef}lts ckf+utf @!^% !#&^ &*(
# cGwf]kgf !&@) (!( *)!
$ alx/f] ^)) #@) @*)
% af]nL ;DalGw ckf+utf ^%& $!@ @$%
^ alx/f] cGwf] !)$ ^$ $)
& dfgl;s ckf+utf $$@ @*^ !%^
* af}l4s ckf+utf !%) *& ^#
( Ps eGbf al9 ckf+utf #&& @!@ !^%
hDdf ^)!,)!& #!@,#%* @**,^%(
;|f]tM d]uf k|sfzg @)!
4

!=@=% ;fIf/tf ;DaGwL ljj/0f (Education Situation of District)

kfFr jif{eGbf dflysf] hDdf hg;+Vof %##!&$
k9\g / n]Vg ;Sg] @(*)^%
k9\g dfq ;Sg] !%#*%
k9\g / n]Vg g;Sg] @!()&@
s]xL klg geg]sf ^%@
;|f]t M d]uf k|sfzg @)!#
z}lIfs ljj/0f
qm ljj/0f @)%* @)^* s}lkmot
! s"n ;fIf/tf k|ltzt $@= $( %%=()
@ dlxnf ;fIf/tf @*= )* $#=*(
# k'?if ;fIf/tf %#= @( ^^=(#
;|f]t M lhlIfsf k;f{ @)&)
pRr ;fIf/tf b/ ePsf dxfgu/÷gu/ tyf ufpFkflnsfx¿
d=g=, g=kf=/ uf=kf= ;fIf/tf b/ -k|ltzt_
lj/u~h &&=#(
7f]/L &#=%$
/fdu9jf ^^=^(
;'j0f{k'/ ^%=%&
lgd{na:tL ^#=)@
k/z'/fdk'/ ^!=&@
;|f]t, M lhtsf ,k;f{ @)&)
Go"g ;fIf/tf b/ ePsf uf=kf=x¿
uf=kf= ;fIf/tf b/ -k|ltzt_
nvgk'/ @#=&@
;f]gjiff{ #%=&!
lk8f/Lu'7L #%=*#
kr?vL #^=&(
hodunfk'/ #*=$$
;|f]t, M lhtsf ,k;f{ @)&)
;fd'bflos ljBfnodf lzIfssf] ljj/0f
k|f=lj= -b/aGbL_ !!@@
k|f=lj= /fxt -;fwf/0f_ @&)
k|f=lj= /fxt -dlxnf_ !@)
lg=df=lj= -b/aGbL_ @)#
lg=df=lj= /fxt !!%
df=lj= -b/aGbL_ !%!
 5

df=lj= /fxt &(

p=df=lj= lz= cg'bfg @%
;|f]t M lhlzsf, @)&)
b/aGbLdf sfo{/t dlxnf lzIfs
k|f=lj= @%&
lg=df=lj= !(
df=lj= @!
;|f]t M lhlzsf, @)&)
;|f]t s]Gb| / ;f] cGtu{tsf dgkf ,g=kf=/ uf=kf=x¿
;|f]q s]Gb|sf] ljj/0f
qm ;|f]t s]Gbsf] gfd g=kf=÷uf=kf=
! >L lqh'4 d=k|=/=/f=df=lj= ljtf{ lj=p=d=g=kf=j8f g= !–!!,!#,!(, emf}jfu'7L, cnf}, l;l;{of vNjf6f]nf,
– %, lj/u+h cd/k§L
@ >L g]=/f=p=df=lj=, >Lk'/ – !$, lj=p=d=g=kf=j8f g= !@,!$–!*, lnkgLljtf{, /fdu9jf, ;'uf}nLljtf{,
lj/u+h ejfgLk'/, dlgof/L, nfnk;f{, k|;f}gL ljQf{, x/ktu~h, pbok'/3'dL{
# >L g]=/f=p=df=lj=, ajf{5f]6}nL – la?jfu'7L, x/k'/, a]Njf, auxL, dw'dg dyf}n, rf]gL{, auafgf,
#, la?jfu'7L a;l8Njf, kr?vL
$ >L lbk gf/fo0f cf=p=df=lj=, ;v'jf k|;f}gL, ax'c/L lk8/L, ufbL, k6]jf{ ;'uf}nL, b]p/afgf, ;f]gaiff{,
cf}/fxf, k+rufjf]{–%, ;v'jf sf}jfags6}of, afu]Zj/L ltqf}gf
k|;f}gL
% >L e+uL zfx p=df=lj=, la>fdk'/, ef}/f6f/, dx'jg, ax'cjf{ef7f, /fdgu/L, gu/bfxf,
lj>fdk'/ – &, lj>fdk'/
^ >L lhNnf prfÍn p=df=lj= kf]vl/of, ksfxfd}gk'/, dl;xfgL, k/z'/fdk'/, e]8Lxf/L, l;l;{of gf}th,
kf]v/Lof – $, kf]vl/of lgr'6f, a;Gtk'/, lzajf{, cf}/fxf, xl/x/k'/ ljtf{, la/~rLajf{, wf]/],
uf]ljGbk'/, ;'/hxfF
& >L d+un df=lj=, leijf – #, le:jf, ;Def}tf, n+u8L, d'8nL, hodunfk'/, ldhf{k'/, t'n;Lajf{,
leijf wf]ljgL, xl/x/k'/, ;a}7jf, nxfj/ys/L
* >L ljtf] dxtf] hgtf df=lj=, lhtk'/, 3f]8bf}8f lkk/f, ;]9jf, hu/gfyk'/, dxfb]jk§L, ;'kf}nL, zs/
lhtk'/ – *, lhtk'/ ;/}of, lahalgof, lk8f/Lu'7L, hfgsL6f]nf, levdk'/
( >L ;/:jtL df=lj=, uf}tdgu/ – 7f]/L, lgd{nj:tL, ;'j0f{k'/
*, 7f]/L
;|f]t M lhlzsf, @)&)
ljleGg txsf] ;fd'bflos tyf ;+:yfut ljBfno
tx ;fd'bflos ;+:yfut hDdf
k|f=lj= -! – %_ #)% ^* #&#
lg=df=lj= -! – *_ ^% !! &^
df=lj= -! – !)_ %% $( !)$
df=lj= -! – !@_ !* * @#
6

sn]h @ % &
s'n hDdf $$% !$! %*&
db;f{ cGtu{tM db;f{ ± dVta – ^), v'Nnf ljBfno – @
j}slNks ljBfno -FSP_ – @), afn ljsf; s]Gb| -ECD_ – %)* j6f
;dflxt lzIff cGtu{t ;|f]q sIff – % -alx/f – @, ;':tdgl:ylt – @, cGwf – !_
;|f]t M lhlzsf, @)&)
!=@=^ wfld{s tyf P]ltxfl;s :ynx¿ (Historical & Religious Places)
lhNnfsf] k|d'v P]ltxfl;s lty{:yn / ko{6sLo :ynsf ?kdf cnf}, ljGWojfl;gL, jL/u+h, dx'jg, a}l/ofljtf{, ufbL,
;]9jf, 7f]/L, 3l8cfjf{ kf]v/L, kf/;gfy d+lb/, uxjf dfO{ dlGb/, latf{ dlGb/, af}4 le:jf r}To, /fdef}/L ef7f,
k;f{ jGohGt' cf/If, z+s/frfo{4f/, 306f3/ cflb kb{5g . o; lsl;dsf dxTjk"0f{ If]qnfO{ ;Daw{g u/L
ljsf;sf] ultnfO{ ltj|tf lbg ;lsg] alnof] ;Defagf o; lhNnfdf /x]sf] 5 . ;dtn t/fO{ d}bfgsf] kmfF6 / r'/]
kj{tLo 56fn] el/Psf] k;f{sf] kl/b[ZonfO{ ;d]6]/ :yfgLo :t/sf] ul/jL lgjf/0f ug{sf nflu ko{6lso gu/Lsf]
?kdf o; lhNnfnfO{ ljsf; ug'{ kg]{ cj:yf b]lvG5 .
s= dx'jg d7
k;f{ lhNnfsf] klZrd pQ/ u08s gx/sf] 5]pdf cjl:yt wfld{s, ;f+:s[lts, k'/ftflTjs Pj+ P]ltxfl;s b[li6n]
dxTjk'0f{ of] d7 cGtu{t k|l;4 P]ltxfl;s kf/;gfy dxfb]jsf] dlGb/ /x]sf] 5 . ;of}+ jif{ klxn] eggfy afaf
eGg] Pshgf ;Gtn] kf/;gfy dxfb]j lnÍsf] :yfkgf ug'{ ePsf] / ;g\ !&)& df dsjfgk'/sf /fhf dfl0fSo
;]gn] kf/;gfy dlGb/sf] lgdf{0f u/fPsf] eGg] egfO{ /x]sf] dx'jg d7sf] kl/;/df /f0ffsfndf %@ sf]7fsf]
gfr3/ klg agfOPsf] lyof], h'g !(() sf] e'sDkaf6 v08x/df kl/0ft eof] eGg] s'/f lj1x¿ atfp5g\ .
kf/;gfy dlGb/sf] gfdaf6 g} k;f{ lhNnfsf] gfdfs/0f ePsf] xf] eGg] s]xL Oltxf;ljb\x¿sf] egfO{ /x]sf] x'Fbf o;
d7sf] P]ltxfl;s kIf cWoogsf] ljifo ag]sf] 5 . z'4 dgn] lrtfPsf] s'/f kf/;gfy dxfb]jn] k'¥ofp5g eGg]
nf]sf]lQm /x]sf] o; dlGb/df a;Gt k~rdL / lzj/fqLdf 7'nf] d]nf nfUb5 .
v= >L uLtf dlGb/
jL/u~h gu/sf] s]Gb|df cjl:yt 3l8cjf{ kf]v/Lsf] k"j{k§L hf]l8P/ /x]]sf] uLtf dlGb/ wfld{s, ;f+:s[lts b[li6n]
lgs} dxTjk'0f{ /x]sf] 5 . o; dlGb/df >L s[i0f eujfgsf] hLjgdf 36]sf dxTjk'0f{ 36gfx¿nfO{ dlGb/leqsf
leQfx¿df ljleGg d"lt{x¿4f/f a8f] cfsif{s 9+un] k|blzt ul/g'sf ;fy} >Ldbeujt uLtfsf ;Dk"0f{ cWofox¿
;+ud/d/df n]vL leQfdf 6fFl;Psf] 5 . jL/u~hjf;Lx¿ tyf cGo ;xof]uL eQmhgx¿sf] ;xof]uaf6 lgdf{0f
ul/Psf] o; dlGb/df ljleGg ;dodf ljleGg wfld{s sfo{x¿ x'g] ub{5g .
u= >L z+s/frfo{4f/
jL/u~h – /S;f}n ;8ssf] g]kfn ef/t l;dfgf glhs Og/jf eGg] :yfgdf /x]sf] of] k|l;4 4f/ g]kfnsf]
P]ltxfl;s dlGb/x¿sf] jf:t'snf k|ltljlDat x'g] lsl;dn] lgSs} cfsif{s 9+udf lgdf{0f ul/Psf] x'gfn] ljZjsf]
Psdfq lxGb' clw/fHo g]kfn k|j]z ug]{ 4f/sf] ?kdf o;n] g]kfnL snfs[ltsf] a]hf]8 gd"gf k|:t't ug{ ;s]sf] 5 .
jL/u~h cfpg] ;a}nfO{ cjnf]sg ug{ nf]Eofpg] of] 4f/sf] lznfGof; @)#! ;fn h]i7 $ ut] hub\u'?
z+s/frfo{>L !))* ho]Gb| ;/:jtL :jfdL dxf/fhsf] s/sndaf6 ePsf]df pxfFaf6 g} @)$$ ;fn r}q & ut]
pb3f6g ;';DkGg ePsf] lyof] .
3= >L ljtf{ dfO{sf] dlGb/M
jL/u~h gu/sf] blIf0f efudf d"n ;8sdf /x]sf] of] dlGb/ To; e]usf] Oi6b]jLsf] ?kdf k"hf cr{gf ug]{ :ynsf]
?kdf k|l;4 5 . of] dlGb/ :yfkgfsf] ltly ldlt af/] 7f]; k|df0f gkfOPtf klg w]/} klxn]b]lv g} of] dlGb/ /xFb}
cfPsf] / a]nf avt hL0f]{4f/ x'Fb} cfPsf] s'/f lj1x¿ atfpF5g\ .o; dlGb/df >bfn' eQmhgx¿ lbgx'F hfg]
u/]tfklg a8f bz}+sf] ;dodf bz{gfyL{x¿sf] 7'nf] eL8 nfUg] ub{5 .
 7

ª= >L cnlvof d7
jL/u~h gu/sf] s]Gb|df /x]sf] o; d7df lzj eujfgsf] k|frLg dlGb/ 5 .:jfdL cnlvof afafsf] ;lqmotfdf
lgdf{0f ePsf] x'gfn] o; d7nfO{ cnlvof d7 gfdfs/0f ul/Psf] xf] eGg] egfO{ /x]sf] 5 . >4fn' eQmhgx¿n]
b}lgs k"hf cr{gf ug]{ o; d7df ljz]if u/L lzj/fqL kj{ / tLhsf] cj;/df 7'nf] d]nf nfUg] ub{5 .
r= >L dxfjL/ :yfg
jL/u~h gu/sf] d'Vo ;8sdf /x]sf] dxfjL/ :yfgdf k"/} ;+ud/d/4f/f cfsif{s 9+udf lgld{t dlGb/ leq eujfg
xg'dfgsf] d'lt{ :yfkgf ul/Psf] 5 . k|To]s lbg ljxfg a]n'sf >4fn' eQmhgx¿ bz{gfy{ hfg] u/]sf] of] dlGb/n]
To; If]qsf] zf]ef a9fPsf] 5 .
5= af}4 r}To, le:jf
jL/u~h gofF a;kfs{eGbf k"j{—pQ/sf] s'gfdf /x]sf] o; P]ltxfl;s r}TonfO{ jfOkf; /f]8af6 hfg] hf] ;'s}n] klg
x]g{ ;S5g\ . eujfg a'4sf] ;dodf lgld{t of] r}To wfld{s, ;f+:s[lts Pj+ k'/ftflTjs b[li6n] klg lgSs} dxTjk'0f{
/x]sf] 5 . lj=;+= @)$$ ;fnb]lv af}4 r}Tosf] :yfkgf ePkZrft xfn;Dd % j6f af}4 k|:t/ d"lt{x¿ :yfkgf
eO;s]sf 5g\ . rf/}lt/ j[If/f]k0f u/L ;+/If0f ul/Psf] of] :yfg ko{6sLo b[li6n] klg dxTjk'0f{ /x]sf] 5 .
h= uxjfdfO{sf] dlGb/
jL/u~h gu/sf] s]Gb|df cjl:yt cf/fWob]jL>L uxjfdfO{sf] of] dlGb/ wfld{s b[li6n] lgs} k|l;4 dlGb/ xf] .
cfkm"n] efsn u/]sf s'/fx¿ b]jLn] k"/f ul5{g eGg] hgljZjf;sf sf/0f oxfF lbgx'F >4fn'x¿ bz{gfy{ cfpg]
u5{g . k|To]s jif{ dxfci6dLsf lbg 7'nf] d]nf nfUg] o; dlGb/df b]z ljb]zsf y'k|} >4fn'x¿ bz{g ug{ / anL
r9fpg cfpg] u5{g . s/La !%) jif{ klxn] lgdf{0f ul/Psf] eGGf] egfO{ /x]sf] of] dlGb/ ;do ;dodf hL0f]{4f/
eO/x]sf] b]lvG5 . xfn ToxfF cltyL ;bgsf] lgdf{0f{ ePsf] x'gfn] ljjfx, j|tjGw tyf cGo wfld{s sd{x¿sf] nflu
;d]t of] :yn lgs} pkof]uL aGg k'u]sf] 5 .
´= >L jL/]Gb| k|eft 38L
;fdfGo af]nrfndf 306f3/ egL ;Daf]wg ul/g] / o;} gfdaf6 k|l;l4 kfPsf] jL/]Gb| k|eft 38L jL/u~h gu/s}
;+s]t lrGx -nf]uf]_ sf] ?kdf :yflkt 5 . 38L /x]sf] 6fj/dflyaf6 jL/u~h gu/If]q / jl/kl/sf b[Zox¿
cjnf]sg ug]{ Joj:yf jL/u~h pk–dxfgu/kflnsfn] ldnfPsf] x'Fbf b[Zofjnf]sg ug]{x¿sf] lbgx'F 7'nf] eL8 nfUg]
ub{5 .
~f= 38Lcjf{ kf]v/L
>L 57LdfO{sf] c£f{ lbg] 7fFpsf] ?kdf k|l;4L kfPsf] 38Lcjf{ kf]v/Lsf] ;+/If0f u/L kvf{n nufPkl5 cr]n
jL/u~hjf;Lsf] nflu ljxfg a]n'sL 3'Dg] :ynsf] ?kdf nf]slk|otf kfPsf] 5 . ;+ejtM g]kfns} Psdfq cfˆgf]
lsl;dsf] ;"o{ dlGb/ o; kf]v/Lsf] aLrdf lgdf{0f ul/Psf] 5 . ;ft j6f 3f]8fx¿ /ydf a;]sf ;'o{ eujfgsf]
cfsif{s k|:t/ k|ltdfn] o; kf]v/Lsf] dfq} xf]Og jL/u~hs} zf]ef a9fPsf] 5 . o; kf]v/Lsf] ;+/If0f / ;+ef/df
jL/u~h pk–dxfgu/kflnsfn] ;xof]u k'¥ofpb} cfPsf] 5 .
6= >L ljGWojfl;gLsf] dlGb/M
jL/u~haf6 * ls=dL= klZrd l:yt P]ltxfl;s tyf wfld{s dlGb/ g]kfnL :yfkTo snfsf] k|of]u u/L k'gM lgdf{0f
ul/Psf] 5 . /f0ff k|wfgdGqL h+u axfb'/ /f0ffn] :yfkgf u/fPsf] of] dlGb/ lgSs} k|frLg xf] eGg] hg>[tL 5 .
oxfF k|To]s jif{ bz}df d]nf nfUg] ub{5 / b]z ljb]zsf xhf/f}+ >4fn'x¿ b]jLsf] bz{g ug{ cfFp5g . jL/u~haf6
kf]vl/of hfg] a;df of] wfld{s :yn;Dd ;lhn} k'Ug ;lsG5 .
7= >L k;f{ jGohGt' cf/IfM
lj=;+= @)$$ ;fndf :yfkgf ePsf] tyf !%) j=ls=ld= If]qkmn cf]u6]/ /x]sf] of] cf/If jL/u~haf6 @* ls=dL=
pQ/df rf/sf]z] emf8Lsf] If]qdf /x]sf] 5 . ljz]iftM h+unL xfQLx¿sf] k|hgg If]qsf] ?kdf k|l;4 /x]sf] o;
If]qdf jFb]n, jg s"s"/, gLnufO{, kf6]af3 cflb h:tf h+unL hgfj/x¿ klg kfOG5g . ;fy} nf]k x'g nfu]sf] wg]z
8

r/f klg o; If]qdf k|z:t kfOG5 . k;f{ jGo hGt' cf/If sfof{no cfwfaf/af6 :jLs[lt lnP/ dfq o; If]qdf
k|j]z ug{ kfOG5 . o; cGtu{t ef6f eGg] :yfgdf r'/] kxf8dfly k|l;4 b'w]Zj/ dxfb]jsf] dlGb/ 5, hxfF k|To]s
jif{ lzj/fqLdf 7'nf] d]nf nfUg] ub{5 . kyn}ofaf6 $ ls=dL pQ/ /fhdfu{s} 5]pdf cfwfaf/ eGg] :yfgdf o;
cf/If If]qsf] sfof{no /x]sf] 5 .
8= >L ljZj lxGb' kfs{, n5dgjf
lkk|f d7df ljZj lxGb' ;Dd]ng ePsf] ;Demgf :j?k jL/u~h gu/kflnsf4f/f lgdf{0f ul/Psf] kfs{ jL/u~haf6
sl/a # ls=dL= 6f9f sn}oftkm{ hfFbf n5dgjf eGg] :yfgdf cjl:yt 5 . rf/}lt/ kvf{nn] 3]l/Psf], zf}rfno /
a:g] :yfgsf] /fd|f] Joj:yf ul/Psf] 5 . ljsf;sf] kof{Kt ;+Defjgf /x]sf] of] 7fFpsf] plrt k|rf/ k|;f/ x'g
g;s]sf sf/0f pk]lIft cj:yfdf 5 .
k|l;4 dlGb/, d:hLb tyf u'?b|f/f
uxjfdfO dlGb/ ,uLtf dlGb/,dxfjL/ dlGb/,ljtf{dfO dlGb/,lzj dlGb/,e'6gb]jL dfOsf] dlGb/,jf}wLdfO
dlGb/,gujf dfOsf] dlGb/,le:jf :t'k,/f0fL;tL dlGb/,;Togf/fo0f dlGb/,u'?b|f/,dl:hb,nIdLgf/fo0f dlGb/,cf];f]
Wofg s]Gb|, kfgL6+sL,a|dfs'df/L /fhof]u ;]jf s]Gb|,dlbgf hfd] dl:hb,db;f{ as/t'n sf]n'd ds{h, 5ks}of,d"nL{
dl:hb, d"nL{, jL/u+,PlS6d vfg dl:hb, 5ks}of,3';'sk'/ dl:hb, 3';'sk'/
!=@=& ;8ssf] cj:yf (Road/Transportation Situation)
k;f{ lhNnfsf] ljleGg k|sf/sf] ;8s
qm ; k|sf/ If]qkmn-ls=ld=_ s}lkmot
;8s
! sRrL @$^
@ u|fe]n @@)
# sfnf]kq %&=*%
hDdf %@#=*%
;|f]tM jflif{s lhNnf ljsf; of]hgf, @)^(÷&)
lj/u+h dxfgu/kflnsfsf] ljleGg k|sf/sf] ;8s / 9n
qm ; k|sf/ If]qkmn-ls=ld=_ s}lkmot
;8s
! sRrL !!%=)%
@ u|fe]n *#=%^
# sfnf]kq *@=!*
hDdf @*)=&(
9n
$ d"n 9n $=&) ls=ld=
% zfvf÷k|zfvf 9nx¿ $)=%$ ls=ld=
;|f]tM ljpdgkf, @)&)
!=@=* k|fs[lts ;Dkbfx¿(Natural Resources)
e"— pkof]u
s'n If]qkmn !#%# ju{ ls= ld=
s[lif of]Uo e"ld %$&#@ x]S6/
 9

v]tL u/LPsf] e"dL %))$^ x]S6/

r/0f If]q @*%^ x]S6/
l;+lrt If]q @#%^^=% x]S6/
cGo $@#! x]S6/
;|f]t M lhasf,k;f{ @)&)
jg ;DalGw ljljw ljj/0f
qm=;= ljj/0f s}lkmot
! s"n If]qkmn (&)!! x]S6/
@ Kf;f{ jGohGt' cf/Ifn] cf]u6]sf] %&))) x]S6/
# lrtjg /f= lgs'~hn] cf]u6]sf] @)!@# x]S6/
$ dWojtL{ If]qn] cf]u6]sf] $(!$ x]S6/
% lhNnf jg sfof{nosf] lgoGq0fdf !$(&# x]S6/
^ pTkfbg jg If]q (*@*=*) X]S6/
& ;fd'bflos jg If]q &#=#^ x]S6/
* lglh jg If]q %!=(!$ x]S6/
( ;fd'bflos jg ;+Vof $ j6f
!) ;fd'bflos jgaf6 nfeflGjt 3/w'/L ;+Vof @$#
!! gLlh jg ;+Vof @$ j6f
k|d'v gbLgfnfx¿
pl/of -cf]l/of_ gbL, >Ll;of gbL, u+uf]n gbL, gf}/ª\uLof gbL, ltnfj] gbL, l;S6f gbL cflb .
Health Related General Information
Indicator District
Number of Metropolitaincity 1
Number of Rural Muncipality 10
Number of Municipalities 3
Rural population (%) 60.7
Number of Households 95536
Land Area sq.km. 1353
Overall Literacy 55.9
Toilet Users Households 60049 (61.42%)
36VDCs
Status of ODF
17 Municipality Wards
Improved Drinking Water user Households 92147 (94.27%)
Water facilitated School 315
Toilet facilitated School 309
10

Target Population for 2073/74

Total Population 67018568676665 15-44 years Female 161293

0-11 months 13432 15-49 years WRA 176661
12-23 months 15080 15-49 years MWRA 133910
6-59 months 62966 Expected Pregnancies 16301
12-59 months 56233 Expected Live birth 13818
Under 5 yrs 69661 Adolescent of 10-19 years 148112

Health Facilities, clinics and volunteers 2073/74

SN HF Type Number SN HF Type Number

RM Municipality RM Municipality

1 Hospital (Government) 0 2 7 Immunization 346 10

Clinic 357 32
Immunization
Session
2 PHC 2 1 8 Fully 28 0
Immunized
R/Municipality
3 HP 65 16 9 FCHV 739 58
4 Urban Health Centre 0 6 10 Hospital (non 2 20
govt)
5 Community Health Unit 2 1 11 I/NGOs 0 19
6 PHC/ORC 164 0 12 Others Private 3 62
Institutions

Physical Infrastructure Related Information (FY 2073/74)

A. Ownership of Building

Total Ownership of Building

Description
No.
Own Rental Others (Specify)
Hospital 11 11
PHC 3 3
HP 79
Urban Health Center 4 4
Community Health Unit 3 3
Birthing Center 21 21
BEOC/CEOC Site 3 3
DHO/DPHO 1 1
 11

B. Construction status
Construction Status (FY 2073/74)
Description
Complete Under Construction Under Process Remarks

Hospital 1 0 0
PHC 3 0 0
HP 18 13 3
Birthing Center 21 6 0
BEOC/CEOC Site 4 0 0
DHO/DPHO 1 0 0
Postmortem Room 1 0 0
Urban Clinic 0 0 0
Private/NGO Health Facility approved by district up to 2073/74

Type of HF Total no.

Hospital 21
Poly clinic 2
Nursing Home 1
Pathology Lab 30
X-Ray 9
Physiotherapy 1
NGOs (if any) 1
Ambulance Services
Private /
Public
No. of ambulance available in NGO/ Other Remarks
District Registered Functional Registered Functional
8 8 33 33

Impoverished Citizens Recommended for Treatment in FY 2073/74

Diseases Female Male Total

Heart 151

Kidney 102

Cancer 2

Alzheimer's Disease 0 0 0

Parkinson's Disease 0 0 0

Head Injury 0 0 0

Spinal Injury 2

Sickle cell anemia 0 0 0

Total 257
 12

1.3.1. Organogram of DPHO

Ministry of
HealthHealth

Department of Health

Regional Health Directorate

District Public Health Office

Pokhariya

Technical
Administrative Section

Personnel Child Health Family DiseaseContr Supportive

Administration Programm

Financial VB PHC
EPI SM Revitalizati

Health Information FP Trainin

Management Nutritio TB/
Leprosy
FCHV Laborat
Logistic
CB- HIV &
PHC- HEIC

Disaster I/NGOs,
Managem Private
HFs
Primary Health Health Post - Urban Health Clinic
Care

FCHVs- PHC-ORC - EPI-ORC - 356

 13

!=$ lhNnfsf] gSzf

Map Of Parsa
• Eff}uf]lns l:ylt
• cIff+z M @&+ b]lv @&=@^+ pQ/
• b]zfGt/ M *$+* b]lv *$=@&+ k"j{
• ;d'b|L ;tx M !@@ b]lv (@% dL6/
• xfjfkfgL M pi0f / ;dlztf]i0f
• cf};t tfks|d M
• clwstd $)+;]=
• Go"gQd !*+;]=
• jflif{s cf};t jiff{ M !&^)=^ ld=nL=
• e"– pkof]u
• s'n If]qkmn M !#%# ju{ ls=dL=
• s[lif of]Uo e"ld M %$&#@ x]S6/
• v]tL ul/Psf] e"ld M %))$^ x]S6/
• jg h+unn] 9fs]sf] M &&!@$ x]S6/
• r/0f If]q M @*%^
14

!=$=! sfo{If]q
 15

!=$=@ :jf:Yo ;+:yfx¿sf] gfdfjnLx¿ -kflnsf :tl/o_

Facilty Onership Address
SN Name of HF
type type Palika Ward
Metropolitiancity Birgunj
1 Narayani sub-regional Hospital Government Birgunj metropolitiancity 3
Hospital

2 Birgunj Health Post HP Government Birgunj metropolitiancity 14

3 Maniyari HP Government Birgunj metropolitiancity
4 Bhawanipur HP Government Birgunj metropolitiancity
5 Lipanibirta HP Government Birgunj metropolitiancity
6 Parsaunibirta HP Government Birgunj metropolitiancity
7 Sirsiya khawalatola HP Government Birgunj metropolitiancity
8 Aalau HP Government Birgunj metropolitiancity
9 Ramgadwa HP Government Birgunj metropolitiancity
10 Harpatgunj HP Government Birgunj metropolitiancity
11 Sugaulibirta HP Government Birgunj metropolitiancity
12 Jhauwaguthi HP Government Birgunj metropolitiancity
13 Bindabasini HP Government Birgunj metropolitiancity
14 Udayapurghurmi HP Government Birgunj metropolitiancity
15 Basdilwa HP Government Birgunj metropolitiancity
16 Belwa (CHU) HP Government Birgunj metropolitiancity
17 Chorni HP Government Birgunj metropolitiancity
18 Lalparsa HP Government Birgunj metropolitiancity
Parsagadi Municipality
19 Bageshowari PHCC PHC Government Parsagadi Municipality 6
20 Pachrukhi HP Government Parsagadi Municipality 5
21 Harpur HP Government Parsagadi Municipality 4
22 Bagwana HP Government Parsagadi Municipality 2
23 Biruwaguthi HP Government Parsagadi Municipality 3
Bahudarmai Municipality
24 Bishrampur HP Government Bahudarmai Municipality 1
25 Bairiyabirta Da.pu. HP Government Bahudarmai Municipality 2
16

26 Nagardaha HP Government Bahudarmai Municipality 3

27 Gamhariya HP Government Bahudarmai Municipality 4
28 Bhauratar HP Government Bahudarmai Municipality 5
29 Ramnagari HP Government Bahudarmai Municipality 6
30 Bahuwaipidari HP Government Bahudarmai Municipality 7
Pokhariya Municipality
31 Pokhariya Hospita Governmen Pokhariya Municipility
Muncipility l
32 Sibarwa HP Government Pokhariya Municipility
33 Sirsiya Na.Ta.Ja. HP Government Pokhariya Municipility
34 Basantpur HP Government Pokhariya Municipility
35 Bairiyabirta HP Government Pokhariya Municipility
Na.Ta.Ja.
36 Govindapur HP Government Pokhariya Municipility
Jagarnathpur Rural Municipality
37 Masihani HP Government Jagarnathpur Rural Municipality
38 Aaauraha HP Government Jagarnathpur Rural Municipality
39 Bijbaniya HP Government Jagarnathpur Rural Municipality
40 Pidariguthi HP Government Jagarnathpur Rural Municipality
41 Jankitola(CHU) HP Government Jagarnathpur Rural Municipality
42 Jagarnathpur HP Government Jagarnathpur Rural Municipality
Dhobini Rural Municipality
43 Langadi HP Government Dhobini Rural Municipality
44 Hariharpur HP Government Dhobini Rural Municipality
45 Dhobini HP Government Dhobini Rural Municipality
46 Bhikhampur HP Government Dhobini Rural Municipality
47 Ghoddaudapipra HP Government Dhobini Rural Municipality
Chhiparmai Rural Municipality
48 Jayamangalapur HP Government Chhiparmai Rural Municipality
49 Samvauta HP Government Chhiparmai Rural Municipality
50 Viswa HP Government Chhiparmai Rural Municipality
51 Mirjapur HP Government Chhiparmai Rural Municipality
 17

52 Tulsibarwa HP Government Chhiparmai Rural Municipality

Kalikamai Rural Municipality
53 Mudali HP Government Kalikamai Rural Municipality
54 Bhadihari HP Government Kalikamai Rural Municipality
55 Hariharpurbirta HP Government Kalikamai Rural Municipality
56 Prasurampur HP Government Kalikamai Rural Municipality
57 Biranchibarwa HP Government Kalikamai Rural Municipality
Sakhuwaparsauni Rural Municipality
58 Lakhanpur HP Government Sakhuwaparsauni Rural
Municipality
59 Mahuwan HP Government Sakhuwaparsauni Rural
Municipality
60 Dewarwana HP Government Sakhuwaparsauni Rural
Municipality
61 Madhuwanmathaul HP Government Sakhuwaparsauni Rural
Municipality
62 Sakhuwaparsauni HP Government Sakhuwaparsauni Rural
Municipality
63 Kauwabankataiya HP Government Sakhuwaparsauni Rural
Municipality
Paterwasugauli Rural Municipality
64 Nichuta HP Government Paterwasugauli Rural
Municipality
65 Sonbarsa HP Government Paterwasugauli Rural
Municipality
66 Paterwasugauli HP Government Paterwasugauli Rural
Municipality
67 Gadi HP Government Paterwasugauli Rural
Municipality
Bindabasini Rural Municipality
68 Aamaarpatti HP Government Bindabasini Rural Municipality
69 Jhauwaghuthi HP Government Bindabasini Rural Municipality
70 Prasaunubattha HP Government Bindabasini Rural Municipality
71 Bahuwarwabattha HP Government Bindabasini Rural Municipality
Pakaha mainpur Rural Municipalty
72 Pakaha HP Government Pakaha mainpur Rural
Municipalty
73 Dhore HP Government Pakaha mainpur Rural
18

Municipalty
74 Lahawarthakari HP Government Pakaha mainpur Rural
Municipalty
75 Sabithawa HP Government Pakaha mainpur Rural
Municipalty
76 Surjaha HP Government Pakaha mainpur Rural
Municipalty
Jirabhawani Rural Municipalty
77 Mahadewpatti HP Government Jirabhawani Rural Municipalty
78 Sedhwa HP Government Jirabhawani Rural Municipalty
79 Jeetpur HP Government Jirabhawani Rural Municipalty
80 Supauli HP Government Jirabhawani Rural Municipalty
81 Sankarsaraiya HP Government Jirabhawani Rural Municipalty
Thori Rural Municipalty
82 Suwarnpur HP Government Jirabhawani Rural Municipalty
83 Thori HP Government Jirabhawani Rural Municipalty
84 Nirmalbasti(CHU) HP Government Jirabhawani Rural Municipalty
 19

v08M @

afn :jf:Yo
(CHILD HEALTH)
20

BCG Vaccination & Coverage Fisical Year 2073/074(2016/2017)

(Source: HMIS monthly Reporting)

 21

DPT-HepB-Hib(3rd dose) Vaccination & Coverage

Fisical year 2073/074 (2016/2017)

(Source : HMIS monthly Reporting)

22

Measles/Rubella Vaccination & Coverage

Fisical Year 2073/2074

(Source : HMIS monthly Reporting)

 23

@=! /fli6«o vf]k sfo{qmd M (National Immunization Programme)

@=!=! k[i7e"ld M
/fli6«o vf]k sfo{s|d g]kfn ;/sf/sf] pRr k|fyldstf k|fKt sfo{s|d xf] . la=; @)#$ ;fndf la:tf/Lt vf]k
sfo{s|d ?kdf z'?jft ePsf] xf] . /fli6«o vf]k sfo{s|dn] ef}uf]lns, cfyL{s kx'r gePsf, l;dfGts[t ;d'bfonfO{
;dtfd'ns ;]jf k|bfg ub{5 . xfn /fli6«o vf]k sfo{s|d tflnsfdf !! k|sf/sf vf]kx¿ ;dflxt /x]sf] 5 . ;g
@)!) b]lv g]kfn kf]lnof] d'Qm ePsf] xf] / @& dfr{ @)!$ df kf]lnof] d'Qm b]zsf] ?kdf k'/:s[t ePsf] xf] . ;g
@))% b]lv dft tyf lzz' wg'i6ª\sf/ lgjf/0f lbuf]kgfsf nflu of]Uo ePsf] xf] . /fli6«o vf]k sfo{s|dn] h]=O{
tyf bfb'/f ?a]nf /f]usf] ef/nfO{ ;kmntfk'j{s 36fPsf] 5 . vf]knfO{ Hofb} sd vlr{nf] sfo{s|dsf] ?kdf
lnO{Psf] 5 . o; sfo{s|dn] vf]k4f/f /f]syfd ug{ ;lsg] /f]unfO{ 36fpg , afn d[To' b/sf sdL Nofpg /
;x;|fAbL ljsf; nIo xfl;n ug{df lgs} of]ubfg k'/ofPsf] 5 . k|To]s :jf:Yo ;+:yfx¿, lghL, u}/ ;/sf/L
;+:yfx¿,zx/L lSnlgs 4f/f Outreach / Mobile 6f]nL dfkm{t lgz'Ns ;]jf k|bfg ul/G5 .
/fli6«o vf]k tflnsf adf]lhd lgDg vf]kx¿ k|bfg u/LG5 .

nIo M
vf]k;+u ;DalGwt /f]uaf6 afn ?U0ftf,afn d[To' / ckfÍtfnfO{ sd ug'{ /fli6«o vf]k sfo{s|dsf] nIo xf] .
p2]Zo M
CMYP: 2011/12‐2015/16cg';f//fli6«o vf]k sfo{s|dsf] p2]Zo lgDgfg';f/ 5g\ .
• ;a} vf]kx¿sf] se/]h ;g\ @)!^ ;Dddf sDtLdf () k|ltzt xfl;n ug]{ .
24

• vf]ksf] u'0f:t/ tyf plrt kmf]xf]/ Joj:yfkg sfod ug]{ .

• kf]lnof] ljlxg cj:yf sfod ug]{ .
• dft[ tyf gjlzz' l66fg; lgjf/0f ug]{ ,
• ;g\ @)!^ ;Dddf bfb'/f vf]ksf] lgjf/0f ug]{
• vf]k4f/f /f]syfd ug{ ;lsg] gofF tyf k|of]udf g/x]sf vf]kx¿ ;+rfng ug]{ .
• vf]k4f/f /f]syfd ug{ ;lsg] vf]hk8tfnnfO{ ;'b[9 tyf lj:tf/ ug]{ .
• vf]k ;]jf nfO{ ! aif{ eGbf dflysf afnaflnsfx¿df la:tf/ ug]{ .
nlIft ;d"x M
• aL;LhL,k]G6f,kf]lnof], IPV, tyf PCV sf nflu ! jif{ d'lgsf ;Dk"0f{ afnaflnsfx¿ .
• h]=O{=vf]ksf nflu !@ b]lv @# dlxgfsf ;Dk"0f{ afnaflnsfx¿ .
• bfb'/f ?a]nfsf] klxnf] dfqfsf nflu ( dlxgf tyf bf]>f] dfqfsf nflu !% dlxgfsf afnaflnsfx¿ .
• l6=8L vf]ksf] nflu ue{jlt dlxnfx¿ .
/0fgLlt M
!= k|To]s nlIft ;d"x;Dd vf]ksf] kx'Fr tyf pkef]u clej[l4 ug]{ .
@= vf]k sfo{df ;+nUg hgzlQmx¿sf] bIftf clej[l4 ug]{ .
#= k|To]s tx;Dd cg'udg k|0ffnLnfO{ clej[l4 ug]{ .
$= vf]k ;DaGwL ;+rf/,;fdflhs kl/rfng tyf k}/jLnfO{ ;'b[9 ug]{ .
%= gu/kflnsfdf vf]k ;]jfnfO{ ;'b[9 ug]{ .
^= vf]k Joj:yfkg k|0ffnLnfO{ ;'b[9 ug]{ .
&= lgoldt vf]ksf] dfWod4f/f kf]lnof] lj?4sf] /f]u k|lt/f]wfTds Ifdtf sfod ug]{ tyf /fli6«o kf]lnof]
vf]ksf] cleofg ;+rfng ug]{ .
*= kf]lnof]sf] k|sf]knfO{ ;dod} pko'Qm t/Lsf tyf vf]k4f/f ;Daf]wg ug]{ .
(= AFP Suveillance k|dfl0fs/0fnfO{ sfod /fVg] .
!) l6=8L @ + se/]hnFfO{ *) k|ltzt eGbf dflYfdf kxF'r a9fpg] .
!!= hf]lvdk"0f{ :yfgx¿df TD Follow Up Compaign ;+rfng ug]{ .
!@= NT SurveillancenfO{ lg/Gt/tf lbg] .
!#= bfb'/fnfO{ lgjf/0f txdf sfod /fVg] .
!$= bfb'/f h:t} k|sf]knfO{ cg';Gwfg ug]{ .
!%= bfb'/f vf]hk8tfnnfO{ lg/Gt/tf lbg] .
!^= gofF tyf k|of]u x'g afFsL vf]knfO{ k|of]udf Nofpg] .
!&= vf]k4f/f /f]syfd ug{ ;lsg] /f]ux¿sf] vf]hk8tfnnfO{ lg/Gt/tf lbg] .
!*= vf]hk8tfnsf] nflu k|of]uzfnf ;'b[9 tyf lj:tf/ ug]{ .
!(= kl5 k|s6 x'g ;Sg] vf]k4f/f /f]syfd ug{ ;lsg] /f]ux¿af6 Jo:sx¿nfO{ arfpg xfn k|of]udf /x]sf
vf]kx¿sf] Booster dose k|of]udf Nofpg] .

National Immunization Programme (NIP) Performance Status:

FY 2071/72– 2073/74
IMMUNIZATION 2071/72 2072/73 2073/74
% of children under one year immunized with BCG 83.78% 95.16% 108
% of children under one year immunized with DPT-
88.71% 82.85% 97
Hep B-Hib 3
% of children under one year immunized with PCV 3 Not
37.40% 85
Implemented
% of children under one year immunized agaiinst 71.50% 75.14% 94
 25

Measles /Rubella 1st

Immunization Campaign Carried Out During this
1 (NID) 1 (MR) -
Fiscal Year
Categorization and Decleration of Fully Immunized Cat1-36 Cat1-18 Cat1-38
Municipalities / VDCs Cat2-14 Cat2-8 Cat2-27
Cat3-25 Cat3-32 Cat3-12
Cat4-8 Cat4-25 Cat4-6
Fully Fully Fully
Immunized Immunized Immunized
VDCs -0 VDCs -4 VDCs -28
JE coverage 59.62% 71.22% 34
TD/TT2 and 2+ (Pregnant women) coverage 60% 61.41% 79
Dropout rate DPT-Hep b-Hib -1 Vs. 3 2.54% 6.62% 8
Dropout rate BCG Vs Measles/Rubella 21.44% 15.31% 12
Wastage rate of BCG 68.91% 71.43% 73
Wastage rate of DPT-Hep B-Hib 22.50% 19.56% 19
Wastage rate of OPV 21.38% 22.03% 26
Wastage rate of PCV Not
10.39% 12
Implemented
Wastage rate of IPV 33.65% 40.63% 48
Wastage rate of MR 70.10% 54.08% 47
Wastage rate of JE 45.96% 40.54% 43
Wastage rate of TD/TT 41.23% 36.06% 37
Immunization Coverage
26

Dropout Rate

Vaccine Wastage Rate

 27

Trend Analyisis of National Immunization Programme (NIP)

BCG Coverage cf=j=@)&)÷&! Dff !)&=*%Ü sf] t'ngfdf @)&!÷&@ df 36]/ *#=&*Ü df tyf
@)&@÷&# df a9]/ (^=!^Ü, DPT-Hep B-Hib 3 Coverage cf=j=@)&)÷&! df !)#=#@Ü sf] t'ngfdf
@)&!÷&@ df 36]/ **=&!Ü tyf @)&@÷&# df k'gM 36]/ *@=*%Ü / Measles /Rubella Coverage

bfb'/f ?a]nf vf]ksf] k|ult cf=j=@)&!÷&@ df &!=%Ü /x]sf]df @)&@÷&# df a9]/ &%=!$Ü, / @)&#.)&$df
cem a9]/ ($ k|ltzt k'u]sf] 5 . To:t} JE sf] k|ult k|ltztcf=j @)&!÷&@ df %(=^@ k|ltzt lyof] eg]
@)&@÷&# df a9]/ &!=@@ k|ltzt/ )&#.)&$ df cfP/ ;f] k|ltzt 36]/ #$ df k'u]sf] 5 . TD/TT2 and 2
+ (Pregnant women) sf] coverage cf=j @)&!÷&@ df ^) k|ltztk|ult xfl;n ug{ ;s]sf]df @)&@÷&#
a9]/ ^!=$! k|ltzt k'Uof] eg] )&#.)&$ df cfP/ ;f] k|ult &( k|ltzt n] k|ult xfl;n ePsf] 5 . To;} u/L
DPT-Hep b-Hib -1 Vs. 3 sf] Dropout rate cf=j=@)&!÷&@ df @=%$ Ü df /x]sf]df @)&@÷&# df ^=^@ Ü
n] a9]sf] 5 eg] )&#.)&$ df cfP/ ;f] k|ltzt * k'u]sf] 5 . BCG Vs Measles/Rubella sf] Dropout rate
cf=j=@)&!÷&@ df @!=$$Ü tyf @)&@÷&# df 36]/ !%=#!Ü /x]sf]df )&#.&$df !@ df em/]sf] 5 .
;du|df pk/f]Qm tflnsfaf6 o; k;f{ lhNnfsf] vf]k sfo{qmdsf] cj:yf x]bf{ lautsf aif{sf] t'ngfdf pknlAwd'ns
b]lvPsf] 5 . o; lhNnfsf] vf]ksf] cj:yf ;fdfGo g} /x]sf] a'emg ;lsG5 .

VDC/Municipalities Categorized with Problems and Priority 073/074

Category 1 Category 2 Category 3 Category 4

(less Problem) (Problem) (Problem) (Problem)
High Coverage (≥80%) High Coverage (≥80%) Low Coverage (<80%) Low Coverage (<80%)
Low Drop-Out (<10%) High Drop-out (≥10%) Low Drop-out (<10%) High Drop-out (≥10%)

Alau , Bagahi Amarpatti Bindwasini

Auraha , Bagawana Bairiyabirta Birganj
Bahuaripiddari, Bageshwari Bhawanipur Jaymanglapur
Biruwaguthi, Bahuarawabhatha Bhikhampur Jeetpur
Bishrampur, Basdilwa Bijbaniya Ramgadhwa
chorni, Belwa Harpatgunj Srisiya khalwatola
Deurawana, Bairiyabirta Da.Pu. Jhauwaguthi
Dhore, Bhishwa Mirjapur
Gadi, Dhobini Panchrukhi
Ghoddauda pipra, Gamhariya Sabaithawa
Hariharpur Birta, Govindpur Supauli
Jankitola, Hariharpur Thori
KauwabanKataiya, Harpur Sugauli paterwa
Lakhanpur, Jagarnathpur
Langadi, Lahawarthakari
Mahadevpatti, Lalparsa
Mashihani, Lipnibirta
Nagardaha, Madhuwan Mathawal
Nichuta, Mahuwan
Nirmalbasti, Mashihani
Pakaha Mainpur, Shakhuwa Prasauni
Prasauni Bhatha, Sambhauta
Prasauni Birta Srisiya Na.Ta.Ja.
28

Pidariguthi, Sugaulibirta
Parsurampur,
Ramnagari,
Shankarsaraiya,
Sedwa,
Sonbarsa,
Subarnpur,
Surjaha,
Tulsibarwa,
Udaypurghurmi,
Bhauratar
Total 38 27 12 6
Name of Full Immunized VDC/Municipalities: 28 ( Belwa prasauni, Bagwana, Madhuwan
Mathwal,Shakhuwa Prasauni,Mahuwan, Paterwa sugauli, Bagahi, Biruwaguthi, Harpur ,
Hariharpur,Mudli, Jankitola, Auraha, Sibrawa, Bhauratar, Bahuarwabhatha, Gadi, Pidariguthi,
Dhobini, Deurawana, Ramnagari,Srisiya Na.Ta.Ja., Pokhariya, Tulsibarwa

Gap Analysis of Immunization Program

Performance Recommended Actions for
Causes/Reasons
Gaps improvements
l/Qm b/aGbL / cx]a, nf]s ;]jf af6 kbk'lt{ tyf nf]s ;]jfaf6 kbk"lt{ tyf
cgdL sf] sfo{ ljefhg sfo{ ljefhg :ki6 :jf:YosdL{x¿sf] :ki6 sfo{ ljefhg ePsf] kl/kq
:ki6 gx'g' gePsf] . x'g' kg]{ .
• nfdf] cjlw;Ddsf] s/f/ ;]jfsf] k|fjwfg x'g'
kg]{ .
cfly{s aif{sf] k|f/De ;+u}
• s/f/ ;]jfdf sfo{/t /x]sf sd{rf/Lx¿nfO{
s/f/ ;]jf lgoldt gePsf] sfo{s|d tyf ah]6
lgoldt ug{ Dofb yk ub]{ hfg] .
lalgof]hg gePsf]
• s/f/df lgo'Qm ePsfx¿nfO{ tflndsf] Joj:yf
x'g' kg]{ .
• gofF egf{ ePsf :jf:YosdLx¿nfO{ vf]k
vf]k ;DalGw tYofÍs bIftfdf sdL / sfo{ ;DalGw cfwf/e't tyf HMIS tflndsf]
u'0f:t/Lo gx'g' . lhDd]jf/Lsf] af]w gx'g' Joj:yfx'g' kg]{ .
• lhNnf :t/af6 Data Quality self
Assessment (DQSA)/Lot Quality
Eofsl;g]6/x¿nfO{ lkmN8 Assurance (LQA) ug]{
eQf lbg] k|fjwfg c:ki6 s]Gb|Lo txaf6 k|i6 lbzf • vf]k ;];g ;+rfng ug]{ sd{rf/Lx¿nfO{ lkmN8
/x]sf] lgb]{z gx'g' . eQf jf oftfoft vr{ e'Qmflgsf] k|i6 k|fjwfg
x'g'kg]{ .
lgoldt vf]k ;'kl/j]If0f
Afh]6 lalgof]hgdf sdL • s]Gb| af6 k'Ubf] ah]6sf] lalgof]hg ug'kg]{ .
tyf cg'udgsf] sdL
Tfflnd tyf EoflS;g
sf]N8 r]g tyf EoflS;g • ;a} txdf k|efjaf/L EVM tflnd
e08f/0fsf] lgoldt
sf] sdhf]/ Joj:yfkg • EoflS;g e08f/0fsf] hfFr
hfFrsf] sdL
ck|of{Kt sf]N8 r]g lgoldt b]vefnsf] sdL tyf • sf]N8 r]g pks/0fsf] Spair Partssf] cfk"lt{
pks/0fsf] dd{t ;Def/ dd{t ;Def/sf nflu • k'/fgf pks/0fsf] k|lt:yfkg
tyf k|lt:yfkg ;r]t gx'g' • lgoldt dd{t ;Def/
 29

@=@ kf]if0f sfo{qmd

(Nutrition Programme)
30

Source : HMIS Monthly Report

 31

@=@=!= k[i7e'ldM
kf]if0fnfO{ afnaflnsf tyf dlxnfx¿sf] kf]if0f l:ytLdf ;'wf/nfO{ ;fdflhs cfly{s ljsf;sf nflu ;a}eGbf
zlQmzfnL / sd nfutsf] ?kdf lnO{G5 . kf]if0f lbuf] ljsf; nIonfO{ tLa|tfsf ;fy k|fKtLsf nflu dxTjk"0f{
5 . o;sf k|efjn] cfly{s k|utLsf ;fy{ dfgj k"FhLsf] ?kdf ljsf; ePsf] dxz'z x'G5 . afn clwsf/sf
dxf;GwLx¿df afnaflnsfx¿sf] afn clwsf/nfO{ vfgf / kf]if0f ;lxt j]jf:tf ,lx+;f,b'?kof]u / zf]if0f h:tf
clwsf/nfO{ ;'lglZrt u/]sf] 5 . w]/}h;f] dxf;GwL / 3f]if0fkqx¿df g]kfn ;/sf/n] x:tfIf/ u/L cfkmgf
gful/sx¿ k|lt kof{Kt vfgf,:jf:Yo tyf kf]if0f nufotsf cTofjZos s'/fx¿df k|ltj4tf hfx]/ u/]sf] 5 .
g]kfnsf] ;+ljwfgn] klg cfkmgf gful/sx¿sf] kof{Kt vfgf,:jf:Yo tyf kf]if0f nufotsf cTofjZos s'/fx¿df
clwsf/ ;'lglZrt u/]sf] 5 . afnaflnsfx¿sf] ;+/If0fdf c;kmntf x'g] ljlts} s'kf]if0f,v/fa :jf:Yo l:ytL /
af}l4s ljsf; tyf cg'Tkfbs Jo:s hgzlQmsf] j[l4 eO{ ;du| ljsf; k|lqmofdf cj/f]w pTkGg x'G5 . 3/fo;L
vfB c;'/Iff,af/Daf/sf] ladf/L / ;+s|d0f, ckof{Kt cfxf/sf] ;]jg,sdhf]/ JolQmut ;/;kmfO{,:ofxf/ tyf
cEof;sf] k|efjn] k':tf b/ k':tf k|efljt eO{ s'kf]if0fsf] rs| cl:tTjdf cfpF5 .
kf]if0f ljZj Joflk?kdf lasfzsf] Ph]G8fdf k/]sf] 5 / To:fsf nflu ax'If]lqo lgsfosf] k|of;sf] vfrf] 5 . ;g\
@))) df ljZj JofkL?kdf ePsf ljleGg kf]if0f ;DalGw ultlalwx¿n] ;|f]t / laleGg lgsfosf] ;fem]bf/L /
;xsfo{ clej[4L u/L kf]if0f lasf;sf nflu k|fyldlss/0f k}/jL u/]sf] 5 . h; cg';f/ ;g\ @)!@ df ax'If]lqo
kf]if0f of]hgf tyf ;'gf}nf] xhf/ lbg h:tf sfo{s|dx¿ ;+rfngdf cfPsf 5g\ .
nIo M
/fli6«o kf]if0f sfo{s|dsf] nIo ;d:t gful/sx¿sf] kf]if0f l:ytLdf ;'wf/ NofO{ :j:Yo hLjgofkg sfod ub}{
b]zsf] ;fdflhs cfly{s ljsf;df of]ubfg k'/ofpg' xf] .
;fwf/0f p2]Zo M
/fli6«o kf]if0f sfo{s|dsf] ;fwf/0f p2]Zo kf]if0f l:ytLdf ;'wf/,afn tyf dft[ d[To' b/nfO{ 36fpg] / ;dtfd"ns
dfgj ;+;fwgsf] ljsf; ug'{ xf] .

ljz]if p2]Zo M
• k|hgg pd]/sf dlxnf tyf % aif{ d'lgsf afnaflnsfx¿df s'kf]if0f 36fpg] .
• dft[ kf]if0fdf ;'wf/ Nofpg] .
• ue{jtL dlxnf,lszf/L tyf afnaflnsfx¿df /QmcNktf 36fpg] .
• cfof]l8g tyf le6fdLg P sf] sdLaf6 x'g] u8a8LnfO{ lgjf/0f ug]{ / ;f] nfO{ lbuf] kfg]{ .
• ue{jtL dlxnf tyf afnaflnsfx¿df h'sfsf] ;+qmd0f 36fpg] .
• sd tf}nsf hGdb/nfO{ 36fpg]
• x/]s 3/w'/L df vfB ;'/Iffsf] ;'lglZrTftf, vfgfsf] kof{Kt kx'r, pkNawtf / pkef]udf ;'wf/ Nofpg] .
• cfdfx¿sf] :jf:Yo l:ytLdf ;'wf/ Nofpg]
• ax'If]qLo kf]if0f cfof]hgfdf cfj4 u/fpg]
• kf]if0f l:ytL ;'wf/sf] nflu vfgkfg;+u ;DalGwt Jojxf/ kl/jt{g k|j{wg ug]{.
• afn d[t'b/ Go"lgs/0f / kf]if0f l:ytL ;'wf/sf] nflu ;?jf/f]usf] /f]syfd ug]{ .
• lhjgzf}nL ;+u ;DalGwt /f]ux¿sf] /f]syfd ug]{ .
32

• laBfno hfg] afnaflnsfx¿sf] :jf:Yo tyf kf]if0fsf] cj:yfdf ;'wf/ Nofpg] .

• s'kf]if0f tyf hLjgsf ljz]if cj:yfdf k/]sf sl7gfO{x¿sf] hf]lvdtfnfO{ 36fpg] .
• kf]if0f cj:yfaf/] ljZn]if0f,cg'udg tyf d"NofÍg ;'b[9 ug]{ .
• ax'If]lqo kf]if0fsf] kxn ;+u} :jf:Yo If]qsf sfo{s|dx¿nfO{ kf]if0f sfo{s|d ;+u} ufEg] .
nIo M(Target)
s= lbuf] lasf; nIo
• ;g @)#) ;Dddf sf]lx klg ef]sf] g/xg] / aif}{ e/L kof{Kt vfgfdf ;a}sf] kx'Frsf] ;'lglZrttf
x'g] .
• ;g @)#) ;Dddf ;a} k|sf/sf] s'kf]if0fx¿sf] cGTo ug'{sf ;fy ;fy} ;a} nlIt ;d'xsf kf]if0f
;DalGw cfjZostfx¿sf] ;Daf]wg ug]{ .
v= ;g @)@% ;Dddf laZjAofkL kf]if0f nIo
• % aif{ d'lgsf afnaflnsfx¿df $) k|ltztn] k'8sf]kg 36fpg] .
• k|hgg pd]/sf dlxnfx¿df %) k|ltztn] /QmcNktf 36fpg] .
• hGd sd tf}n #) k|ltztn] 36fpg] .
• afNo cj:yfdf clws tf}n a9g glbg] .
• k'0f{ :tgkfgdf %) k|ltztn] clea[l4 ug]{ .
• afNosflng Vofp6]kgnfO{ % k|ltzt eGbf sddf /fVg] / ;f]nfO{ sfod ug]{ .
/0fgLlt M
sfo{s|d /0fgLlt
a[xt kf]ifs tTjsf] sdLaf6 x'g] s'kf]if0fsf] /f]syfd
• lzz' hGd]sf] t'?Gt ! 306f leq b'w r';fpg] Aojxf/sf] k|j{wg tyf :tgkfg u/fpg' cl3 gjhft
lzz'x¿nfO{ £o", dx, lrgL r6fpg] (Pre-Lacteal feed)]h:tf Jojxf/nfO{ lg?T;flxt ug]{ .
• klxnf] ^ dlxgf ;Dd k'0f{ :tgkfg / ^ dlxgf kl5 yk cfxf/ lbg] rngnfO{ k|j{wg ug]{ .
• b'O{ aif{ ;Dd cfdfsf] b'w ;+u ;+u} aRrfnfO{ rflxg] yk cfxf/sf] ;'lglZlrttf ug]{ .
• afnaflnsf, ue{jlt / b'w r';fpg] cfdfx¿nfO{ ;lx t/Lsf / ;lx dfqf tyf kf]if0fsf] dxTj af/]
hgr]tgf hufpg] .
• ue{jlt / b'w r';fpg] cfdfx¿df yk vfgfsf] dxTj af/] hgr]tgf hufpg] .
/QmcNktfsf] lgoGq0f
• ue{jtL / ;'Ts]/L dlxnfx¿nfO{ Iron Folic Acid lat/0f .
• ux'Fsf] lk7f]df nf}X tTjsf] ld>0f .
• ;do ;dodf lszf]/Lx¿nfO{ Iron Folic Acid lat/0f .
• ^ b]lv @# dlxgf ;Ddsf afnaflnsfx¿df ax';'Id kf]ifstTjsf] lat/0f .
• vfgfdf kmnfdsf] dxTj af/] hgr]tgfsf] nflu kf]if0f ;DalGw :jf:Yo lzIff .
• h'sfsf] cf}iflw ljt/0f 4f/f ue{jtL dlxnf tyf !@ b]lv @# dlxgf ;Ddsf afnaflnsfx¿df
k/hLjL lgoGq0f .
 33

cfof]l8gsf] sdLn] x'g] las[ltsf] lgoGq0f

• Iodized Salt P]g @)%% nfO{ sfof{Gjog ug]{ tyf alnof] agfpg] .
• ;a} vfB g"g Iodized x'G5 eGg] ;'lglZrt ug]{ .
• cfof]l8g o'Qm g"gsf] laZjAoflks/0f .
• ;/sf/ 4f/f k|dfl0ft b'O{ afnaflnsfsf] nf]uf] ePsf] cfof]l8g o'Qm g"gsf] ;fdflhs ahf/Ls/0f .
• b'O{ afnaflnsfsf] nf]uf] ePsf] cfof]l8g o'Qm g"gsf] kx'Frdf a[l4 .
• cfof]l8g o'Qm g"gsf] Aojl:yt cg'udg .
• ;fdflhs ahf/Ls/0f 4f/f cfof]l8g o'Qm g"gsf] dxTj / pkoflutf af/] hgr]tgf hufO{
cfof]l8gsf] sdLn] x'g] las[ltsf] lgoGq0f .

le6fldg P sf] sdLsf] lgoGq0f

• ^ b]lv %( dlxgf ;Ddsf afnaflnsfx¿nfO{ aif{sf] b'O{ rf]6L le6fldg P sf] SofK;'nsf] lat/0f
• $@ lbg leqdf ;'Ts]/L dlxnfx¿nfO{ le6fldg P sf] SofK;'nsf] lat/0f .
• le6fldg P 4f/f lzw| s'kf]if0f, bfb'/f, nuftf/ kvfnf /Xeropthalmia/f]usf] pkrf/ k4ltnfO{
;'b[8 kfg]{ .
• kf]if0f lzIff 4f/f le6fldg P o'Qm vfgfsf] pkef]u / vfB ljljlws/0fsf] dxTj af/] 1fgdf
clej[l4 ug]{ .
• :jf:Yo ;+:yfx¿df le6fldg P Sofk;'nsf] pknAwtf ;'lglZrt ug]{ .
• le6fldg P Sofk;'n lat/0fsf] dxTj af/] hgr]tgf clea[l4 ug]{ .
• ;'Ts]/L cfdfx¿nfO{ :jf:Yo ;+:yf / d=:jf=;+=;]ljsfx¿4f/f le6fldg P sf] SofK;'n -@)))))
cfO{ o"_ sf] lat/0f ;'lglZrt ug]{ .
• ;d'bfo :t/df le6fldg P o'Qm vfBfGgsf] pTkfbg / pkef]udf clej[l4 ug]{ .

hGd tf}n sd x'g'

• dft[ s'kf]if0fnfO{ sd ug]{ .
• ue{atL dlxnfsf] sfo{af]em sd ug]{ .
• hfF8 /S;L, r'/f]6 ;]jgsf] c;/n] aRrfsf] tf}ndf x'g] sdL af/] hgr]tgf clej[l4 ug]{ .
• sd pd]/df ue{jtL x'Fbf cfdf / aRrfsf] :jf:Yodf kg]{ gfsf/fTds c;/af/] hgr]tgf clej[l4
ug]{ .
• ue{jtL hfFr s]Gb|x¿df kf]if0f k/fdz{ tyf cg'udg ;DalGw s[ofsnfksf] clej[l4 ug]{ .
;'wfl/Psf] vfB Jojxf/x¿
• Jojxf/ kljt{g lqmofsnfk ;+rfng ug]{ .
• c;n vfgf tyf c;n vfg] Jojxf/sf nflu jsfnt ug]{ .
;?jf /f]usf] /f]syfd tyf lgoGq0f
• ;?jf /f]usf] /f]syfd tyf lgoGq0fsf] nflu 1fg, wf/0ff / ;'/lIft Jojxf/sf] cEof;df clej[l4
ug]{ .
34

• plrt :jf:Yo ;]jfdf kx'rsf] ;'lglZrtf ug]{ .

• ;?jf /f]u la?4 k|lt/f]wfTds Ifdtf clej[l4 ug{ kf]if0f l:yltdf ;'wf/ Nofpg]
• ;kmf lkpg] kfgL, jftfj/0fLo ;/;kmfO{ / ;'U3/ 3/sf nflu ;'wf/ Nofpg] .
• vfB Jojxf/df ;'wf/ Nofpg] .
laBfno :jf:Yo tyf iff]if0f sfo{s|d
• ;DalGwt ;/f]sf/jfnfx¿sf] sfo{Ifdtf clej[l4 ug]{ .
• sIff !b]lv !) ;Ddsf afnaflnsfx¿nfO{ cw{aflif{s ?kdf h'sfsf] cf}iflw lat/0f ug]{ .
• laBfno hfg] afnaflnsf / :jfYosdL{ 4f/f h'g dlxgfdf laBfno :jf:Yo tyf kf]if0f ;Ktfx dgfO{
;d'bfodf /x]sf] s'kf]if0faf/] hgr]tgf clej[l4 ug]{ .
• ;/sf/L laBfnodf k|fylds pkrf/ ls6 afs;sf] lat/0f ug]{ .
• 1fg, wf/0ff / l;Sg] Ifdtfsf] clej[l4 ug]{ .
• afnaflnsfaf6 afnaflnsf / afnaflnsf af6 cleefjs l;sfpg] b[li6sf]0fsf] lasf; ug]{ .
lzw| s'kf]if0fsf] Plss[t Joj:yfkg sfo{s|d
• ;Dk'0f{ txsf :jf:YosdL{x¿sf] Ifdtf clea[l4 u/L lzw| s'kf]if0fsf]Joj:yfkg ug]{ .
• lzw| s'kf]if0fsfJoj:yfkgsf] nflu $ j6f ;+/rgfx¿sf] k|efjsf/L :yfkgf ug]{ M
o ;fd'bfo kl/rfng,
o cGt{/ª\u pkrf/ ;]jf,
o alx/ª\u pkrf/ ;]jf /
o dWod lzw| s'kf]if0fsf] Joj:yfkg .
• rf/ l;4fGtdf cfwfl/t lzw| s'kf]if0fsf] Plss[t Joj:yfkg sfo{s|dsf] k|efjsf/L sfof{Gjog M
o clwstd se/]h / kxF'r,
o ;dodf ;]jf,
o pko'Qm pkrf/ /
o kf]if0f gk'u'Gh]n ;Dd ;]jf k|bfg ug]{ .
• :jf:Yo afx]s cGo If]qnfO{ Plss[t ul/ lzw| s'kf]if0fsf] Joj:yfkgdf ;dy{g /x]sf] ;'lglZrt
ug]{ .
 35

Nutrition Programme Performance Status:

FY 2071/072– 2073/074
NUTRITION 2071/72 2072/73 2073/74
% of children under two years growth
60.42% 60.50% 62%
monitored
% of malnourished children under two years 4.03%MAM 3.03%MAM
2.10%
among newgrowth monitored cases 0.35% SAM 0.57% SAM
% of expected pregnant mothers
56.01% 55.20% 57.41%
supplemented with Iron tablets
% of pregnant mothers who received 180
34.10% 29.59% 29%
iron tablets
% of pregnant mothers who were
57.60% 61.92% 51%
supplemented by Antihelmentic tablet
% of Postpartum mothers receiving
107.69% 82.92% 31%
Vitamin ‘A’
% of postpartum mother who received Iron
67.70% 82.92% 27.09%
tablets
Vitamin "A" Mass Distribution Coverage
99.97% 103.03% 89%
under 5 (Kartik)
Vitamin "A" Mass Distribution Coverage
98.40% 91.17% 87%
under 5 (Baishak)
Deworming mass distribution coverage U5
100.24% 103.87% 76%
(Kartik)
Deworming mass distribution coverage U5
96.06% 93.61% 77%
(Baishak)
% of Infants who has been initiated breast
81.56% 90.65% 36%
milk within 1 hour after birth
% of recovery rate of SAM cases NA 13.17% 35%
% of defaulter rate cases of SAM cases NA 5.91% 9%
% of death rate of SAM cases NA 0% 0%
% of children aged 6-23 months who
received at least one cycle (60 Sachets) Baal 9.16% 38.58% 56%
Vita (MNP)
% of children aged 6-23 months who
0 1.16% 3.28%
received at least 3 cycle Baal Vita (MNP)

;du|df k;f{ lhNnfsf] kf]if0f sfo{s|dsf] cj:yf x]bf{ le6fleg P tyf h'sfsf] cf}iflwsf] cfd ljt/0fsf] k|ult /fd|f]
b]lvG5 eg] cfO{/g, ;'Ts]/L cj:yfdf lbg] le6fldg P / @ aif{sf afnaflnsfx¿nfO{ lbOg] afn le6fsf] k"0f{
36

k|of]udf ;'wf/ ug'kg]{ b]lvG5 . s'kf]lift afnaflnsfx¿nfO{ ;Daf]wg ug{ cf=j=@)&@÷&# b]lv k;f{ lhNnfdf zL3|
s'kf]if0fsf] PsLs[t Joj:yfkg eGg] sfo{qmd ;+rfng ePsf] 5 .
s8f vfnsf] zL3| s'kf]lift afnaflnsfx¿sf] klxrfg,btf{,cg'udg tyf klxrfg kZrft\ s8f zL3| s'kf]if0fsf]
tof/ kfl/Psf pkrf/fTds vfgf4f/f pkrf/ / dWod vfnsf zL3| s'kf]lift afnaflnsfx¿nfO{ IYCF
Protocol adf]lhd k/fdz{ / ;'Id kf]ifs tTj afneL6fsf nflu lhNnfsf ljleGg !@ j6f :jf:Yo ;+:yfx¿df
alx/ª\u pkrf/ ;]jf s]Gb|x¿ :yfkgf ePsf 5g\ .

Growth monitoring coverage of U2 Yrs children

Proportion of malnourished children U2 Yrs children

 37

Proportion of Iron distribution to Pregnant women who received 180 Iron Tab

Trend Analysis of Nutrition Programme

@ jif{ d'lgsf afnaflnsfx¿df j[l4 cg'udg cf=j=@)&!÷&@ df ^)=$@Ü tyf @)&@÷&# df ^)=%Ü n] l:y/
/x]sf]df @)&#.)&$ df a9]/ ^@ k|ltzt df k'Uof] .s'kf]if0fsf] cj:yf cf=j=@)&!÷&@ df @=!Ü tyf @)&@÷&#
/ )&#.)&$ df dWod tyf s8f s'kf]if0f qmdzM $=)# / )=#%Ü /x]sf], ue{jtL dlxnfnfO{ !*) cfO{/g rSsL
ljt/0fdf cf=j@)&!÷&@ df %^=)!Ü tyf @)&@÷&# df %%=@) Ü,/ )&#.)&$ df %& k|ltzt k|ult xfl;n
ug{ ;s]sf], le6fldg P sf] cfd ljt/0f cf=j=@)&!÷&@ df ((=(&Ü tyf cf=j= @)&@÷&# df !)#=)# Ü /
)&#.)&$ df 36]/ *( k|ltzt /x]sf] 5 . h'sfsf] cf}iflwsf] cfd ljt/0f cf=j=@)&!÷&@ df !))=@$Ü tyf
cf=j= @)&@÷&# df !)#=*& Ü / @)&#.)&$ df 36]/ &^ k|ltzt /x]sf] 5 . aRrf hGd]sf] ! 306fleq
cfdfsf] b"w v'jfpg] k|ltzt ljutsf] jif{sf] t'ngfdf36L ePsf] 5 . tLg k6s afn eL6f kfpg] afnaflnsfx¿sf]
k|ltzt lautsf] eGbf a9]/ #=@*Ü /x]sf] 5 .
;du|df k;f{ lhNnfsf] kf]if0f sfo{s|dsf] cj:yf x]bf{ le6fleg P tyf h'sfsf] cf}iflwsf] cfd ljt/0fsf] k|ult /fd|f]
b]lvG5 eg] cfO{/g, ;'Ts]/L cj:yfdf lbg] le6fldg P / @ aif{sf afnaflnsfx¿nfO{ lbOg] afn le6fsf] k"0f{
k|of]udf ;'wf/ ug'kg]{ b]lvG5 .
™ Severe /Moderate acute malnutritiion management and its status

s'kf]lift afnaflnsfx¿nfO{ ;Daf]wg ug{ cf=j=@)&@÷&# af6 k;f{ lhNnfdf zL3| s'kf]if0fsf] PsLs[t Joj:yfkg
eGg] sfo{qmd ;+rfng ePsf] 5 . s8f vfnsf] zL3| s'kf]lift afnaflnsfx¿sf] klxrfg,btf{,cg'udg tyf klxrfg
kZrft\ s8f zL3| s'kf]if0fsf] tof/ kfl/Psf pkrf/fTds vfgf4f/f pkrf/ / dWod vfnsf zL3| s'kf]lift
afnaflnsfx¿nfO{ IYCF Protocol adf]lhd k/fdz{ / ;'Id kf]ifs tTj afneL6fsf nflu lhNnfsf ljleGg !@
j6f :jf:Yo ;+:yfx¿df alx/ª\u pkrf/ ;]jf s]Gb|x¿ :yfkgf ePsf 5g\ .
38

zL3| s'kf]if0fsf] PsLs[t Joj:yfkg sfo{qmd cGt/ut cf=j=@)&@÷&# / )&#.)&$ df xfl;n ePsf
pknlAwx¿ lgDg adf]lhd j0f{g ul/Psf] 5 .
• s8f zL3| s'kf]if0fsf] lgsf] b/ !#=!& Ü , s8f zL3| s'kf]if0fsf] l8kmN6/ b/ %=(! Ü tyf s8f zL3|
s'kf]if0fsf] d[To'b/ ) cyf{t d[To' gePsf] tYofÍaf6 k|fKt x'g cfPsf] 5 .
• oBlk cf=j=@)&@÷&# af6 dfq} zL3| s'kf]if0fsf] PsLs[t Joj:yfkg eGg] sfo{qmd ;+rfng ePsf]n]
lhNnfsf ;Dk"0f{ :jf:YosdL{x¿n] tflnd k|fKt ul/ ;s]sf] cj:yf /x]sf]sf/0f tflnd k|fKt
:jf:YosdL{x¿af6 zL3| s'kf]if0fsf] klxrfg eO{/x]sf] 5 .
• tof/ kfl/Psf pkrf/fTds vfgfsf] cfk"lt{ lgoldt eO{/x]sf] cj:yf 5 .
• k|]if0f s]Gb|sf] ?kdf :yflkt gf/fo0fL pkIf]qLo c:ktfndf kf]if0f k"g{:yfkgf u[x k"0f{ ;+rfngdf 5 .
• sfo{qmdsf] lgoldt ;'k/j]If0f tyf cg'udg eO{/x]sf] cj:yf

Gap Analysis of Nutrition Program

Recommended Actions
Performance Gaps Causes/Reasons
for improvements
ufFp 3/ lSnlgs lgoldt ?kdf
ufFp 3/ lSnlgs lgoldt ?kdf
;+rfng x'g'kg]{, ;|f]t / ;fwgsf]
;+rfng gx'g', ;|f]t / ;fwgsf]
j[l4 cg'udg sd x'g' plrt k|of]u / ue{ hfFrsf]
plrt k|of]udf sdL / k/fdz{sf]
;dodf cfdfx¿nfO{ plrt
sdL
k/fdz{
• ;fdflhs kl/rfng tyf
Aojxf/ kl/jt{g / :yfgLo vfB hgr]tgf cleofg
Hfgr]tgfsf] sdL
j:t'sf] pko'Qm pkef]u x'g g;Sg' • ljBfno :jf:Yo tyf kf]if0f
;Daw{g
vfB a:t'sf] plrt pkef]u
;DalGw 1fg / Jojxf/sf] sdL, ax'If]qLo kf]if0f of]hgfsf] ;kmn
s'kf]if0f
JolQmut tyf jftfj/0fLo sfof{Gjog
;/;kmfO{sf] sdL / ?U0ftf
x/]s :t/df :jf:YosdL{x¿nfO{
kf]if0fsf nflu ;+:yfut ;'b[l9s/0f Kff]if0f ;DalGw cfwf/e't / bIftf
Kff]if0f ;DalGw sfo{s|dx¿sf]
tyf :jf:YosdLx¿sf] bIftfdf a[lå ;DalGw tflnd k|bfg ug]{ .
la:tf/ gx'g' .
sdL lgoldt ?kdf sfo{s|dsf] k|ultaf/]
;ldIff ug]{ .
Kff]if0f ;DalGw cfjZos
;"rgf tyf ;dodf dfFusf] sdL
;fdfu|Lx¿sf] lgoldt cfk'lt{ ;dod} lgoldt cfk'lt{ ug]{ .
/ sfo{af]wsf] sdL
gx'g' .
Kf'/s vfgfsf] dxTj tyf 1fgsf] Kf'/s vfgfsf] dxTjaf/] hfgsf/L
Kf'/s vfgf lbg] rng gePsf]
sdL tyf k/fdz{ lbg] .
 39

@=# ;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg tyf

gjhft lzz' :ofxf/ sfo{qmd (CB-IMCI and New
Born Care Programme)
@=#=!= ;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg
!= k[i7e"ld M
;g\ !(*# df emf8fkvfnf /f]u lgoGq0f sfo{qmdsf] z'?jft;+u} g]kfndf afn arfpF sfo{s|d sf] ?kdf z'? ePsf]
xf] . To;}u/L !(*& df Acute Respiratory Infection (ARI)lgoGq0f sfo{qmd z'? ePsf] xf] . ;d'bfodf
cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{s|d PsLs[t Kofs]hsf] ?kdf afn arfpF sfo{s|d xf] / o; sfo{s|ddf
;du|df @ dlxgf b]lv % jif{sf afnaflnsfx¿df lgdf]lgof,emf8fkvfnf,cf}nf],bfb'/f / s'kf]if0f h:tf
afn/f]ux¿nfO{ PsLs[t ?kdf Joj:yfkg u/L afnaflnsfx¿sf] Hofg hfg] vt/faf6 arfpg afn arfpF If]qnfO{
;Daf]wg ePsf]] 5 . ;d'bfodf cfwfl/t afn/f]usf] PsLs[t Joj:yfkg sfo{s|dn] ;+s|d0f,sdnlkt,lr;f]kgsf]
Joj:yfkg tyf @ dlxgf d'lgsf aRRffx¿df :tgkfgaf/] k/fdz{ nfO{ klg ;d]6]sf] 5 . Kofs]hsf] ?kdf ;+rflnt
o; sfo{s|dn] afnaflnsfx¿df ePsf ;d:ofnfO{ :jf:Yo ;+:yf tyf ;d'bfodf ;dod} lgbfg tyf pkrf/ x'G5 .
;d'bfo :t/df dlxnf :jf:Yo :jo+ ;]ljsfx¿n] d'Vo e"ldsfdf ;d'bfosf] ;xeflutfdf ;]jf k|bfg ub{5g\ .
;g\ !((& df ;j{k|yd Pilot Programsf] ?kdf dxf]t/L lhNnfdf CBAC gfdn] nfu' eO{ !(((df IMCI df
;dflxt eof] / xfn CBIMCI sf] gfdn] @)^^÷ ^& ;Dddf g]kfnsf] &% j6} lhNnfdf lj:tf/ eP/ ;+rfngdf
5 . gjlzz' :ofxf/ ;g\ @))$ df CB IMCI ;+u hf]l8of] .
@= b[li6 M
• g]kfnsf % jif{ d'lgsf afnaflnsfx¿sf] hLjgofkg,:j:Yos/ j[l4 tyf ljsf;df of]ubfg k'/\ofpg' .
#= kl/sNkgf M
lgdf]lgof, emf8fkvfnf, s'kf]if0f, bfb'/f / cf}nf] /f]usf] ?u0ftf / d[To' b/ 36fpg' .
$= nIo M
• xfnsf] afn d[To'b/ %$÷!))) / lzz' d[To'b/ $^÷!))) nfO{ qmdzM #*÷!))) / #@÷!)))
df emfg'{ .
• xfnsf] gjhft lzz' d[To' b/ ##÷!))) lhljt hGdaf6 !&÷!))) lhljt hGddf emfg'{ .
• gjhft lzz' ?U0ftfnfO{ 36fpg' .
%= p2]Zo M
• lgdf]lgof,emf8fkvfnf,s'kf]if0f,bfb'/f / cf}nf] /f]usf] ?u0ftf / d[To' b/ 36fpg'.
• j[l4 tyf ljsf;df of]ubfg k'/\ofpg' .
^= /0fgLlt M
¾ :jf:Yo ;]jf k|bfosx¿sf] 1fg / ;Lk clej[l4 ug]{
CB-IMCIn] :jf:Yo ;]jf k|bfosx¿sf] ;Lk clej[l4 ug{ lgDg nIo /fv]sf] 5 M
• ;a} :jf:Yo ;]jf k|bfosx¿nfO{ emf8fkvfnfsf nflu lh+s nufot CB-IMCI ;DaGwL tflnd k|bfg ug]{ .
• ;a} :jf:Yo ;]jf k|bfosx¿nfO{ lgoldt ;ldIff tyf k'g{tfhuL tflnd k|bfg ug]{ .
• Pre/service medical and paramedical schools df CB/IMCI component nfO{ ;dfj]z ug]{ .
40

• Technical support visits ;dfj]z ug]{ .

• lhNnfsfCB/IMCI focal persons nfO{ Ifdtf clej[l4 tflnd k|bfg ug]{ .
¾ ;du| :jf:Yo k|0ffnLsf] ;'wf/ ug]{
• IMCI technical working group sf] l;kmfl/z / global context adf]lhdCB/IMCI Program
maintenance activities n}hfg] .
• cfk"lt{nfO{ ;'wf/ ug]{ .
• :jf:Yo cfdf ;d"xsf] a}7s lgoldt ug]{ .
• k|ltj]bg k|0ffnLnfO{ ;'b[9 ug]{ .
• ;'kl/j]If0f cg'udg ;'b[9 ug]{ .
¾ kfl/jfl/s tyf ;fd'bflos cEof; ;'wf/ ug]{
• :jf:Yo lzIff,;"rgf tyf ;+rf/ ;fdu|L k|of]u u/L dlxnf :jf:Yo :jo+ ;]ljsfx¿ dfkm{t kl/jf/ tyf
;d'bfosf] Jojxf/ kl/jt{g u/fpg] .
• :jf:Yo cfdf ;d"xsf] dfkm{t lk5l8Psf ;d'bfo;Dd kx'Fr a9fpg] .
• cGt/JolQm ;+rf/ dfkm{t d'Vo ;"rgfx¿ kfl/jfl/s cEof;df ptfg]{ .
@=#=@ gjhft lzz' :ofxf/ sfo{qmd M (New Born Care Programme)
!= k[i7e"ld M
g]kfn kl/jf/ :jf:Yo ;j]{If0f !((^ tyf g]kfn hg;f+lVos :jf:Yo ;j]{If0f / ljZj :jf:Yo ;+u7gsf] k|ltj]bg
cg';f/ g]kfndf gjhft lzz'x¿sf] d[To' b/ % jif{ d'lgsf afnaflnsfx¿sf] t'ngfdf dGb ultdf 36g] s|d 5 .
cem} g]kfn hg;f+lVos :jf:Yo ;j]{If0f !((^ / !(!! adf]lhd gjhft lzz'x¿sf] d[To' b/ ##÷!))) lhljt
hGddf ljBdfg 5 . gjhft lzz'x¿df hlGdg] a]nf lg;fl:g],lrl;g],;+s|d0f x'g] tyf sd tf}n jf ;do gk'Ub}
aRrf hlGdg] sf/0faf6 d'Vo ?kn] al9 d[To' x'g] u/]sf] tYofÍx¿af6 b]lvG5 . hxfF g]kfndf ^# k|ltzt k|;"lt
3/d} x'g] u/]sf] cfFs8f 5 , tL kl/l:ytLx¿df pQm ;d:ofnfO{ ;Daf]wg ug{ g]kfn ;/sf/ ,:jf:Yo dGqfnon]
gjhft lzz' d[To' b/ 36fpg tTsfn} /fli6«o gjhft lzz' /0fgLlt @))$ df cfwfl/t æ;d'bfodf cfwfl/t
gjhft lzz' :ofxf/ sfo{s|d Æ nfu' u/]sf] 5 . æ;d'bfodf cfwfl/t gjhft lzz' :ofxf/ sfo{s|d Æ cf=j=
@)^%÷)^^ df Pilot Programsf] ?kdf !) lhNnf tyf To; kZrft\ @)^&÷^* df !% lhNnf @)^*÷ ^( df
( lhNnf x'Fb} ;g\ @)!% ;Dddf g]kfnsf &% j6} lhNnfdf ;+rfng ul/g] of]hgf ul/Psf] 5 .
@= kl/sNkgf M
• ;d'bfodf cfwfl/t lqmofsnfk4f/f pRr lbuf] k|ult xfl;n u/L gjhft lzz' d[To' b/nfO{ 36fpg] .
#= p2]Zo M
• gjhft lzz' ;+s|d0fnfO{ Joj:yfkg tyf /f]syfd ug]{ .
• gjhft lzz' lr;f]kgfnfO{ Joj:yfkg tyf /f]syfd ug]{ .
• gjhft lzz' lg:;fl;PsfnfO{ Joj:yfkg tyf /f]syfd ug]{ .
• l;ls:t la/fdL ePsf aRrfx¿nflu k|]if0f k|0ffnLsf] ljsf; ug]{ .
$= nIo M
• ;g\ @)!% ;Dddf xfnsf] gjhft lzz' d[To' b/ ##÷!))) lhljt hGdaf6 !&÷!))) lhljt
hGddf emfg'{ .
• gjhft lzz' ?U0ftfnfO{ 36fpg' .
 41

%= lqmofsnfk M
• Jojxf/ kl/jt{g
• ;+:yfut k|;"lt ;]jfsf] ;Daw{g tyf cEof;
• ;'Ts]/L ;]jf
• w]/} s8f/f]u tyf lgdf]lgofsf] Joj:yfkg
• sd tf}nsf] gjhft lzz'sf] :ofxf/
• lr;f]kgfsf] /f]syfd tyf Joj:yfkg
• hlGdbfF lg;fl;Psf aRrfx¿sf] klxrfg tyf Joj:yfkg

CB-IMCI and New Born Care Programme Performance Status:

FY070/71– 2072/73
Indicators 2071/72 2072/73 2073/74
1. Incidence of ARI/1000 U5 Children 566.58 400.69 130.44
2. Incidence of pneumonia/1000 U5 Children 253.04 106.04 35
3. % of severe pneumonia & very severe disease 0.54% 0.38% 1.28
among total cases
4. Proportion of ARI cases treated by FCHV
5. Proportion of ARI cases treated at PHC/ORC
6. Proportion of ARI cases treated at HF
7. Case fatality rate (pneumonia)
8. Incidence of Diarrhoea/1000 U5 Children 367.88 291.91 301
9. % of severe dehydration among total cases 0.41% 1.04% 0
10. % of <5 yrs diarrhoeal case treated with zinc 77.72% 87.18% 94
and ORS
11. Proportion of diarrhoea cases treated by FCHV
12. Proportion of diarrhoea cases treated at
PHC/ORC
13. Proportion of diarrhoea cases treated at HF
14. Proportion of diarrhea cases treated with zinc
and ORS
15. Case fatality rate (diarrhea) 0
16. Number of Measles cases <5 yrs 0
17. Number of Malaria cases <5 yrs 0

New Born Care Programe:

Indicators 2071/72 2072/73 2073/74
% of newborns who had chlorhexidine ointment 77
applied immediately after birth
42

% of infants aged 0-2 months with Possible Severe 41

Bacterial Infection (PSBI)
% of infants aged 0-2 months with PSBI receiving 41
a complete dose of Gentamycin
Number of infants deaths aged 0-2 months 0
Number of newborn deaths (0-28 days) at 0
Community

Incidence of ARI /1000 under 5 yrs children

Incidence of pneumonia/1000 under 5 yrs children

 43

Incidence of Diarrhoea /1000 under 5 years children

Treatment by ORS and Zinc among Under 5 yrs Diarrhoeal cases

Trend Analysis of CB-IMCI and New Born Care Programme

) b]lv @ dlxgf ;Ddsf lzz'x¿df b]lvPsf PSBI;d:of dWo] ztk|ltzt aRrfx¿n] Gentamycin sf] k'0f{
dfqf lnPsf] tyf aRrf hGdgf;fy gfle dndsf] k|of]u ePsf] kfO{of] eg] Zjf:k|:jf;sf gofF /f]uL b/ ut cf=a
@)&@ ÷&# df $))=^(% /x]sf] lyof] eg]] cf=j=@)&#.)&$ df !#) k|ltztdf em/]sf] 5 .h'g ut cf=ax¿
eGbf sd /x]sf] 5 .
To;} u/L emf8fkvfnfsf] gofF lj/fdLb/ #)! /x]sf]] 5 / Zinc and ORS af6 % aif{ d'lgsf aRrfx¿df b]lvPsf]
emf8fkvfnfsf] pkrf/ ut cf=a eGbf ($% n] a9]sf] kfO{Psf] 5 .
44

Gap Analysis of CB-IMCI and New Born Care Programme

Recommended Actions for
Performance Gaps Causes/Reasons
improvements
O{nfsf ldl6ª\u tyf ;xof]uL ;'kl/j]If0f dfkm{t
cfO{Pdl;cfO{ /lhi6/sf] sd k|of]u
x'g' • sfo{ af]em :jf=s=x¿nfO{ k|f]T;flxt ug]{ / On site
coaching ug]{ .
cfO{Pdl;cfO{ k|f]6f]snsf] ;d'lrt • ;do a9L nfUg] ;3g / ;xof]uL cg'udg ;'k/lehg
k|of]u gx'g' eP/
gofF egf{ ePsf :jf:YosdL{x¿n] • Tflndsf] Joj:yf tflndsf] Joj:yf
tflnd gkfpg' gePsf]
:jf=;+=x¿df @ dlxgf d'lgsf • k/fdz{ / O{nfsf ldl6ª\u tyf ;xof]uL ;'kl/j]If0f dfkm{t
aRrfsf] eLhL6 sd x'g' laZj:flgotfsf] :jf=s=x¿nfO{ k|f]T;flxt ug]{ .
sdL
l;aLPgl;kL sf /]sl8{ª\u
l/kf]{l6ª\u b'?:t gx'g' • l;aLPgl;kL sf clen]v k|ltj]bgsf kmf/dx¿ kl/dfh{g
 45

v08 M #
kl/jf/ :jf:Yo
(Family Health)
46

#=! kl/jf/ lgof]hg sfo{qmd M (Family Planning Programme)

k[i7e"ldM
k=lg=sfo{qmdsf] d"Vo cfwf/ k=lg=;]jf ;j} :jf:Yo ;]jf ;+hfn c:ktfn, k|f=:jf=s]=, :jf=rf}=,zx/L :jf:Yo
lSnlgs, ufpF3/ lSnlgs tyf 3'lDt :j]lR5s zNolqmof SofDk dfkm{t lj:tf/ ug'{ / kof{Kt u'0f:t/ sfod /fVg'
xf] . klAns k|fOe]6 kf6{g/l;knfO{ klg of] gLltn] c+ufn]sf] 5 . dlxnf :jf:Yo :jo+ ;]ljsfx¿nfO{ s08d
ljt/0fdf k|j4{g / vfg] rSsL lkN; ljt/0f ug{ kl/rfng ul/Psf] 5 . ;a} JolQm tyf bDktLx¿sf] nflu
;';"lrt 5gf}6sf] cfwf/df kl/jf/ lgof]hgsf ;]jfsf] ;dtfd"ns kx'Fr k'/\ofpg g]kfn ;/sf/n] k|ltj4tf hfx]/
u/]sf] 5 .kl/jf/ lgof]hg ;]jfsf] d"n nIo JolQm tyf bDktLx¿n] cfkmgf k|hgg rfxgfnfO{ ;';"lrt 5gf}6sf]
cfwf/df pko'Qm ;fwgsf] k|of]u u/L cfjZostf kl/k"lt{ ug'{ xf] .kl/jf/ lgof]hg ;]jfn] ckl/k"t{ df+u tyf
clglR5t ue{wf/0fnfO{ 36fpg ;S5 h;sf] kmn:j?k dft[ lzz' :jf:Yo ;'wf/ x'g] tyf ltgsf afnaflnsfx¿sf]
:jf:Yo ,lzIff ,Pj+ ef}lts k"jf{wf/df cfjZos nufgL ug]{ / cfly{s ;d[l4 xfl;n ug{df dBt k'U5 .
;du|df,kl/jf/ lgof]hg ;]jfn] dflg;sf] hLjgz}nLsf] ;'wf/ tyf b]z ljsf;df dBt k'/\ofpF5 .
p2]Zo M
k|hgg\ :jf:Yosf] kl/k|]Iodf kl/jf/ lgof]hg sfo{qmdsf] d"Vo p2]Zo M
bDklQx¿nfO{ ;';"lrt 5gf}6sf] cfwf/df pko'Qm ;fwgsf] k|of]u4f/f M
!= hGdfGt/÷ltgLx¿sf] lglZrt afnjflnsf
@= clglR5t ue{wf/0faf6 arfj6
#= ltgLx¿sf] ;Dk"0f{ k|hgg\ :jf:Yodf ;'wf/ Nofpg' xf] .
nIo M
!= kl/jf/ lgof]hg sfo{qmdsf] cfjlws tyf lb3{sflng nIo tn pNn]lvt 5g\ .
@= ;g\ @))^ sf] hDdf hGdb/ #=! k|lt dlxnfaf6 cGt/Ld of]hgfsf] cGt ;Dd #=)^ ;g\ @)!% ;Ddf
To;nfO{ @=% df emfg]{ .
#= kl/jf/ lgof]hgsf ;fwgsf k|of]ustf{ b/ @))^ sf] $* k|ltztnfO{ cGt/Ld of]hgfsf] cGt;Dddf %!
k|ltzt / ;g\ @)!% ;Dddf ^& k|ltzt k'¥ofpg] .
gLlt tyf /0fgLltx¿ M
!= ;Ifd jftfj/0f
s= kl/jf/ lgof]hgsf nflu pko'Qm jftfj/0f ;'b[9 ug]{ .
v= dlxnf / k'?ifsf nflu kl/jf/ lgof]hgnfO{ clwsf/sf] ?kdf :yflkt ug]{ .
@= df+u clej[l4 M
kl/jf/ lgof]hgsf cfw'lgs ;fwg sf nflu ;]jfu|fxL4f/f df+u clej[l4 u/fpg] .
#= ;]jf k|bfg M
s= l;dfGts[t,b'u{d,ck|jf;L,lszf]/ lszf]/L tyf cGo nlIft ;d"x;Dd kl/jf/ lgof]hg ;]jfsf] kx'Fr a9fpg] .
v= kl/jf/ lgof]hgsf cfw'lgs ;fwgx¿sf] pknAwtf clej[l4 ug]{ .
u= k=lg=;]jfnfO{ cTofjZos :jf:Yo ;]jf;Fu} hf]8L n}hfg] .
3= kl/jf/ lgof]hgsf ;fwgx¿sf] lgoldt pknAwtfsf nflu v/Lb k|lqmof tyf cfk"lt{ Joj:yfkggnfO{
k|efjsf/L tyf ;'b[9 ug]{ .
ª= ;/sf/L,lghL,u}/;/sf/L tyf ;fdflhs afhf/Ls/0fsf] dfWodaf6 kl/jf/ lgof]hgsf ;]jf k|j4{g ug]{ .
 47

$= bIftf clej[l4 M
kl/jf/ lgof]hg ;]jf lj:tf/sf nflu ;]jf k|bfosx¿sf] bIftf clej[l4 ug]{ .
%= cg';Gwfg tyf gofF vf]h M
k|df0fsf] cfwf/df k|efjsf/L sfo{qmd ;+rfng ug{cg';Gwfg tyf gofF vf]h ;'b[9 ug]{ .
Family Planning Programme Performance Status: FY 2070/71 – 2072/73
FAMILY PLANNING 2071/72 2072/73 2073/74
Method wise modern (contraceptives) new acceptors
1. Pills 1468 2233 6400
2. Depo 3226 3680 4708
3. IUCD 513 649 1834
4. Implant 573 719 2033
5. VSC 2114 2005 3178
% of new acceptors (All Methods) 4.80% 5.25% 13.55
Contraceptive Prevalence Rate (CPR) WRA=52.16%
56.43% 53.44%
MWRA=68.8%
Method wise CPR of Modern Contraceptives
6. Pills 0.86% 0.94%
7. Depo 2.92% 3.31%
8. IUCD 1.03% 0.83%
9. Implant 1.23% 1.64%
10. VSC 48.68% 45.30%

Contraceptive Prevalence Rate

48

Trend Analysis of Family Planning Programme

kl/jf/ lgof]hgsf] cfw'lgs ;fwgsf] gofF k|of]ustf{sf] k|ltzt ut cf=a=df %=@% k|ltztlyof] eg] o; cf=j=df
!#=%n] a[l2 ePsf] 5 . Method Modern Contraceptives dWo] VSCsf] b/ 36bf] s|ddf /x]sf] kfO{Psf] 5 .
kl/jf/ lgof]hg ;fwg k|of]ustf{ b/ ^*=*%sf] cj:yfdf /x]sf]] 5 .
;du|df o; lhNnfdf kl/jf/ lgof]hg sfo{s|dsf] cj:yf ;Gtf]ifhgs /x]sf] b]lvG5 .
Gap Analysis of Family Planning Program
Recommended Actions
Performance Gaps Causes/Reasons
for improvements
Nffdf] cjlwsf ;fwg ljt/0fsf hgzlQm kbk'lt{ /
hgzlQm / k"jf{wf/sf] cefj
nflu Go"g ;]jf s]Gb| . ;]jf s]Gb| la:tf/
kl/jf/ lgof]hg sfo{s|ddf ;'Ts]/L
kl/jf/ lgof]hg sfo{s|ddf ;'Ts]/L
dlxnfx¿ nfO{ ;]jf kx'Frsf] bfo/f
dlxnfx¿ nfO{ ;]jf kx'Frsf] bfo/f ;+:yfut k|;"lt sd
leq NFofpg ;+:yfut k|;"ltdf hf]8
leq Nofpg g;lsPsf] .
lbg] .
ue{ktg kZrftsf ;]jfx¿nfO{
ue{ktg kZrft\ kl/jf/ lgof]hgsf cj}wflgs ue{ktg
;'b[l9s/0f ug]{ .
;]jf Go"g x'g' .
• ;]jf s]Gb|x¿sf] la:tf/ /
kl/jfl/s ;xof]usf nflu
nfdf] cjlwsf k=lg=;]jf s]Gb|sf] hgr]tgf clea[lå ug]{ .
;+u} a:g] bDktLx¿df k=lg=;fwg
sdL,
k|fKt ug{ rfxg]x¿sf] df+u k'/f • zx/L :jf:Yo s]Gb|,cf}Bf]lus If]q
kfl/jfl/s ;xof]usf] sdL
gx'g' . tyf lghL c:ktfnx¿df
k=lg=;]jf lj:tf/
• Satellite clinic ;+rfng

lglh ;+:yfx¿nfO{ HMIS sf]

lghL ;+:yfx¿sf] k|ltj]bg HMIS
df ;dfj]z gx'g' .
Stock Out Commodities
k=lg=;fwgsf] sd k|of]u
k|ltj]bg ;+sng x'g g;Sg'
lgoldt cfk"lt{ gx'g' .
hr]tgfsf] cefj
bfo/fleq Nofpg] .
lgoldt cfk"lt{
IEC/BCC Materials sf] ljt/0f
tyf k/fdz{ clej[l4 .

#=@ ;'/lIft dft[ tyf gjhft lzz' :jf:Yo sfo{qmd M (Safe Motherhood and
new born Health Programme)
k[i7e"ld M
;'/lIft dft[Tj sfo{qmdsf] nIo dft[ tyf gj lzz' d[To'nfO{ sd ug{ ;DalGwt uef{j:yf tyf k|Zaf:yfsf]
hl6ntfn] l;lh{t /f]u, d[To' / ckf+utfnfO{ ;Daf]wg ug'{/x]sf] 5 . cGt/fli6«o 36gfqmdn] klg x/]s uef{j:yf
vt/fsf] cj:yf ePsf]n], uef{j:yfdf x'g] hl6ntf, Joyf nfUg] / ;'Ts]/L x'g] eljiojf0fL ug{ sl7g 5 . g]kfnsf]
;Gbe{df lg0f{o lngdf l9nfO{,af6f]sf] l9nfO{ tyf :jf:Yo ;+:yfaf6 kfpg] ;]jfsf] l9nfO{ h:tf k|d'v tLg l9nfO{sf
sf/0f dft[ tyf lzz' d[To' / ?U0ftf x'g] u/]sf] b]lvG5 . uef{j:yf / aRrf hlGdg] cj:yfdf x'g] hl6ntfnfO{ sd
ug{ tyf d[To' / ?U0ftfaf6 arfpg g]kfndf k|d'v tLg /0fgLltx¿ c+lusf/ ul/Psf] 5 M
 49

s= hgr]tgf clej[l4 tyf sf]if clej[l4,oftfoft / /ut cfk"lt{sf nflu hGd tof/Lsf] k|aw{g
v= ue{ hfFr tyf ;+:yfut k|;"lt k|aw{gsf nflu cfdf ;'/Iff sfo{qmd
u= 5gf}6ul/Psf :jf:Yo ;+:yfx¿df @$;} 306f cfsl:ds k|;"lt ;]jf
;'/lIft dft[Tj sfo{qmd !((& kl5sf] cj:yfdf gLlt tyf k|f]6f]sndf ljsf; / ;]jf k|bfos gl;+{u sd{rf/LnfO{
hLjg ;'/Iffsf] tflnddf lj:tf/ kl5 lgs} km8\sf] df/]sf] b]lvG5 . :jf:Yo d+qfnon] bIf k|;'tL sdL{sf] gLlt
@))& df nfu" u/] kZrft clw/fHo e/ g} 8fS6/ tyf g;{÷cgldx¿nfO{ cfjZos bIf k|;'tL sdL{sf] tflnd lbg
z'? ul/Psf] 5 . To;}ul/ /Qm ;+rf/ gLlt @))^ nfu" eP kZrft cfktsflng cj:yfdf ;'/lIft /ut cfk"lt{sf]
;'lglZrttf eO{ sfo{qmdn] csf]{ km8\sf] df/]sf] 5 .
;/sf/L u}/;/sf/L /fli6«o cGt/fli6«o / ;'/lIft dft[Tj ;/f]sf/jfnfx¿sf] k|of; tyf ;dGjoaf6 /fli6«o ;'/lIft
dft[Tj of]hgf @))@−@)!& kl/dfh{g ePsf] 5 . of] of]hgfdf gjlzz' :ofxf/nfO{ dxTj lbO{ ;'/lIft dft[Tj
sfo{qmdsf] cleGg c+usf] ?kdf n}hfg], :jf:Yo If]q ;'wf/ ug]{ ue{ktgnfO{ sfg'lg dfGotf / ;'/lIft ue{ktg /
;'/lIft dft[TjnfO{ Pp6} 5ftfd'lg /fVg], j[l4 eO/x]sf] cfdfaf6 jRrfdf ;g]{ HIV/AIDS sf] ;d:ofsf]
;Daf]wg ug]{, cfdfx¿sf] cfjZostf cg';f/sf] ;]jfsf] ;'lglZrttf ub}{ ;dtf tyf kxF'rnfO{ ;Daf]wg ug]{ .
#=@=!= ;'/lIft dft[Tj gjlzz' :jf:Yo lb3{sflng o]hgf -@))@-@)!&_ sf nIo, p2]Zo /
pknlAw .
nIo / p2]Zo M
nIo d"Vot\ ul/j / jl~rtLs/0fdf k/]sf dft[ tyf gjlzz'sf] :jf:Yo / hLjg ofkgdf ;'wf/ ug]{ .
nIosf d'Vo ;"rs
xfnsf] dft[ d[To' cg'kft !&) k|lt nfv hLljt hGdnfO{ 36fO{ @)!& ;Ddf !#$ df k'¥ofpg] xfn ljBdfg gj
lzz' d[To' cg'kft ## k|lt xhf/nfO{ 36fO{ !% k|lt xhf/df k'¥ofpg] .
p2]Zo M
d"VotM ul/j tyf jl~rlts/0fdf k/]sf ju{nfO{ dft[ tyf gj lzz' :jf:Yo ;]jfdf :jf:Yo cEof; / u'0f:t/Lo
pkef]unfO{ Joj:yLt ul/ j[l4 ug]{ .
o;sf nflu k|d"v ;"rsx¿ M
⇒ SBA sf] ;xof]udf x'g] ;'Ts]/L ;g\ @)!& ;Dddf ^) k|ltzt k'¥ofpg] .
⇒ :jf:Yo ;+:yfdf ;'Ts]/L x'gs] f] k|ltzt ;g\ @)!& ;Dddf $) k|ltzt k'¥ofpg] .
⇒ k|ltjif{ Obstetric met need nfO{ # k|ltzt j[l4 ug]{ .
⇒ k|ltjif{ C/S 4f/f ul/g] k|;'ltnfO{ $ k|ltztn] j[l4 ug]{ .
;]jf;+u ;DalGwt ;"rs
Δ :jf:Yo rf}sLsf] @$ ;} 306fsf] ;]jfnfO{ @))( ;Ddf !% k|ltztn], @)!@ ;Dddf #) k|ltztn] / @)!&
;Dddf &) k|ltzt k'¥ofpg] .
Δ k|=:Jff=s]=n] k|bfg ug]{ BEOC ;]jf ;+u} CAC ;]jfnfO{ @))( ;Dddf $) k|ltzt, @)!@ ;Dddf ^)
k|ltzt / @)!& ;Dddf *) k|ltzt k'¥ofpg] .
Δ CEOC ;]jf k|bfg ug]{ lhNnfsf] ;+Vof @))( ;Dddf #&, @)!@ df $& / @)!& ;Dddf ^) k|ltzt
k'¥ofpg] .
Δ @))( leq ;a} lhNnf c:ktfnx¿df CAC ;]jf k'¥ofpg] .
50

pknlAwx¿ M
of]hgfdf cf7j6f pknlAw tf]lsPsf / x/]ssf ;"rsx¿
!= ;dtf/ kx'Fr
@= ;]jfx¿
#= klAns k|fO{e]6 kf6{g/l;k
$= ljs]lGb|s/0f
%= dfgj ;+;fwg ljsf; bIf k|;'tL ;]jf /0flgtL
^= ;"rgf Joj:yfkg
&= ef}lts ;DklQ / vl/b
*= cfly{s
/0fgLltx¿ M
!= ul/a / jl~rtLs/0fdf k/]sf ju{nfO{ cGt/If]q ;xsfo{4f/f k|ltj4tfsf] jsfnt ub}{ k|hgg\ :jf:Yo
nufot ;'/lIft dft[Tj sfo{qmddf s]Gb|, If]q lhNnf / ;d'bfo :t/df k|j4{g ug]{ .
@= ;'/lIft dft[Tj tyf gj lzz' :jf:Yosf] nflu ;a} txdf :jf:Yo, lzIff, ;dfh sNof0f, sfg"g / :yflgo
ljsf;sf If]qdf ;xsfo{ k|j4{g ul/ ;'lglZrttfsf] k|ltj4tf ug]{ .
#= ;'/lIft dft[Tj sfo{qmdnfO{ ;'xfFpbf] jftfj/0f lgdf{0fsf] nflu lhNnf :jf:Yo ;dGjo ;ldlt, ;d'bfosf
cu'jf / ;d'bfosf ;b:ox¿nfO{ kl/rfng ug]{ .
$= bIf k|;'tL sdL{ ;]jf B/CEOC ;]jfnfO{ ;a] txdf lj:tf/ / ;'b[l9s/0f ug]{, h;sf nflu b]xfo adf]lhd
ug]{ .
%= k|;'tL tyf EOC sf nflu k"jf{wf/sf] ljsf; ug]{ .
^= :jf:Yo ;]jf k|0ffnLsf cfjZos txdf cfwf/e't dft[ ;]jf / EOC ;]jfsf] :t/Lotfdf j[l4 ug]{ .
&= dfgj ;+;fwg ljsf; ;b[l9s/0f ug]{ .
*= ;d'bfoaf6 lhNnf c:ktfndf cfktsflng / pRr hf]lvddf k/]sf ue{jtLsf nflu lqmoflzn k|]if0f k|0ffnL
/ sf]ifsf] :yfkgfsf] nflu jsfnt ug]{ .
(= dlxnf :jf:Yo :jo+ ;]js4f/f hGd tof/L / hf]lvd tof/Lsf nflu ;d'bfodf cfwf/Lt hgr]tgf ;'b[9
ug]{ .
!)= ;d'bfodf dlxnfsf] cj:yf a9fpg] ;xof]uL s[ofsnfkdf j[l4 ug]{ .
!!= ;'/lIft dft[Tj sfo{qmd of]hgfdf ;'wf/, u'0f:t/Lo ;]jf / nfut-k|efjsf/L nufgLdf of]ubfg ug]{
cg';Gwfg s[ofsnfknfO{ k|j4{g ug]{ .
xfn g]kfndf lbuf] ljsf; nIo cg'?k g]kfn ;/sf/n] dft[ tyf gjlzz' :jf:Yodf ;'wf/ Nofpgsf] nflu o;
;DalGw ljleGg gLlt / sfo{qmdx¿ ;+rfng ub}{ cfPsf] 5 . ;'/lIft dft[Tj g]kfn ;/sf/sf] sfo{qmddf ;'/lIft
dft[Tj klg Ps k|fyldstf k|fKt dWo]sf] Ps sfo{qmd dflgG5 . o;+;Fu ;DalGwt :jf:Yo ;+:yfdf ;'Ts]/L u/fpg]
ue{jtL dlxnfx¿sf] ;+Vof j[l4 u/fpg] nIo lnP/ &% j6} lhNnfdf ljleGg 7fFpx¿ :jf:Yo rf}sL ;Dd jly{ª\u
;]G6/x¿ :yfkgf ul/Psf] 5 . :6fkm g;{, c=g=dL=x¿nfO{ @ dlxg] P;=lj=P=tflnd lbg] tyf lhNnf lhNnfdf
Skill up date # lbgsf] tflnd klg /flvPsf] 5 . ljleGg k|sf/sf 1fgjb{s dft[ tyf gjlzz' :jf:Yo tyf dft[
;]jf lzz' :ofxf/ sfo{ ;xof]uL k':tLsf tof/ ul/Psf] 5 . o;df g]kfndf dft[ d[To'sf] jt{dfg l:ylt kf6f{]u|fkm,
k|;jsf] t];|f] r/0fsf] ;lqmo Joj:yfkg PPH sf] Joj:yfkg, DofUg]l;d ;Nkm]6sf] k|of]u4f/f uDeL/ pre
eclempsia/eclempsia sf] Joj:yfkg÷gjlzz'nfO{ hGdg] ljlQs} ul/g] cTofjZos :ofxf/x¿÷hGdbf
 51

lg;fl;Ps]f gljlzz'sf] Joj:yfkg ;fy} d=:jf=:j+=;]=tyf ue{jtL / cfdf ;d"x ;Dd ue{jtL, k|;j, ;'Ts]/Lsf]
vt/fsf] af/]df cfdf;d"xsf] ldl6ª\u ;Dd /flvg] u/]sf] 5 .
xfn g]kfndf dft[ d[To'b/ !&) k|lt nfv lhljt hGddf / gjlzz' d[To'b/ ## k|lt xhf/ lhljt hGddf 5 .
h;sf] sf/0f ue{jtL :ofxf/ / ;'Ts]/L kl5sf] :ofxf/sf] plrt hfgsf/L geP/ of] ;d:of eO/x]sf] 5 . olx
;d:ofnfO{ Wofgdf /fv]/ xfn cfP/ g]kfn ;/sf/n] ;'/lIft k|;'lt k|f]T;fxg sfo{qmd ;fy} jly{ª\u ;]G6/df
lgMz'Ns k;"lt ;]jf lbb} cfPsf] 5 .
k|d'v lqmof snfkx¿
!= ;d'bfo :Q/df hGd tof/L tyf dft[ lzz' :jf:Yo lqmofsnfk
@= b'u{d If]qdf Ultra Sound sfo{qmd
#= k|hgg :jf:Yo ?U0ftf /f]syfd tyf Joj:yfkg sfo{qmd
s= cfÍ v:g] /f]usf] Joj:yfkg
v= kf7]3/sf] SofG;/ klxrfg tyf /f]syfd tflnd
u= Obstetric Fistula Joj:yfkg
$= hgzlQm Joj:yfkg
%= ;]jf s]Gb|x¿sf] lj:tf/ tyf u'0f:Q/ ;'wf/
^= cfsl:ds k|]if0f sf]if
&= ;'/lIft ue{ktg ;]jf
*= k|;"lt k|fylds pkrf/ cled'vLs/0f
(= Gofgf] emf]nf sfo{qmd
!)= cfdf ;'/Iff sfo{qmd
52

(Source : HMIS Monthly Reporting)

 53

Safe Motherhood and new born Health Programme Performance Status:

FY 2071/072 – 2073/074
SAFEMOTHERHOOD 2071/72 2072/73 2073/74
No of functional BEOC sites 4 4 3
No of functional CEOC sites 2 2 2
No of Birthing Centers 21 21 21
No of Safe abortion sites 9 11 14
Number of rural/municipality/sub/metropolitan without Birthing Centre 62 62 62
% of Pregnant women who received TD 2 27.49% 24.27%
60%
% of Pregnant women who received TD 2+ 33.92% 40.49%
ANC 1st visit (any time) as % of expected live birth 87.69% 83.76% 103.01%
ANC 4 time visits (as protocol) as % of expected live birth 21.25% 24.09% 29%
% of women reciving IFA tsblets during pregnancy 56.01% 29.59% 38%
% of women reciving Vitamin A Supplementation 79.83% 82.92% 80%
Delivery conducted by SBA as % of expected live births 76.63% 80.03% 99%
Delivery conducted by health worker as % of Exp. live birth 8.93% 7.70% 7%
% of institutional delivery among expected live births 79.83% 82.92% 101%
Caesarian Section (CS) rate ( 5% of total expected birth is the usual
9.97% 12.68% 30%
CS rate)
PNC first time visits (as protocol) as % of expected live birth 79.83% 82.92% 108%
Met need of emergency obstetric care (need of EOC is 15% of
10.50% 4.11% 0
expected live birth)
% of women receiving maternity incentives among total
100% 100% 100%
institutional deliveries
% of women receiving 4 ANC incentives among total institutional
21.84% 25.56% 12%
deliveries
Number of Maternal Death at health facility 1 9 1
Number of Maternal Death in community 1 7 -
Number of Neonatal Death at health facility 7 2 1
Number of Neonatal Death in community 80 8 0
Number of still birth 111 213 280

ANC First Visit as % of expected live birth

54

ANC 4 Visit (as protocal) as % of live birth

Delivery conducted by SBA as % of live birth

Trend Analysis of Safe Motherhood and new born Health Programme

ANC 1st visit (any time) as % of expected live birthsf] cj:yf qmdz M cf=j=@)&!÷&@ df *&=^(Ü
/x]sf]df cf=j=@)&@÷&# df 36]/ *#=&^Ü lyof] eg] )&#.)&$df a9]/ !)#=)! k|ltzt k|ult xfl;n ePsf]
5 . ANC 4 time visits (as protocol) as % of expected live birthcf=j=@)&!÷&@ df @!=@%Ü /x]sf]df
cf=j=@)&@÷&# df a9]/ @$=)(Ü / )&#.)&$ df @( k|ltzt n] k|ult xfl;n ePsf] 5 .
 55

Delivery conducted by SBA as % of expected live births cf=j@)&!÷&@ df &^=^#Ü /x]sf]df

cf=j=@)&@÷&# df a9]/ *)=)#Ü / )&#.)&$ df (( k|ltzt k|ult xfl;n ePsf] 5 .% of institutional
delivery among expected live births cf=j @)&!÷&@ df &(=(#Ü /x]sf]df cf=j=@)&@÷&# df a9]/
*@=(@Ü / )&#.)&$ df !)! k|ltzt n] k|ult xfl;n ePsf] 5 .
Caesarian Section (CS) rate qmdz M (=(&Ü af6 !@=^*Ü / #) k|ltzt n] j[l4 ePsf] 5 .
PNC first time visits (as protocol) as % of expected live birth cf=j@)&!÷&@ df &(=(#Ü /x]sf]df
cf=j=@)&@÷&# df a9]/ *@=(@Ü / )&#.)&$ df !)* k|ltztn] a9]sf] 5 .
% of women receiving maternity incentives among total institutional deliverieszt k|ltzt k|bfg
ePsf] 5 eg] % of women receiving 4 ANC incentives among total institutional deliveries Ps
rf}yfO{nfO{ dfq ljt/0f ePsf] 5 .
;du|df k;f{ lhNnfsf] ;'/lIft dft[Tjsf] cj:yf ljZn]if0f ubf{ ue{jtL hfFr,;+:yfut k|;"lt ,;'Ts]/L tyf gjlzz'
:ofxf/, oftfoft vr{ ljt/0f / k|;"ltsf] hl6ntf b/ /fd|f] 5 eg] rf}yf] k6ssf] ue{ hfFr tyf pTk|]/0ff eQf
ljt/0fdf cem ;'wf/ Nofpg' kg]{ b]lvG5 . t;y{,cfdf ;'/Iff sfo{qmd ;kmntf k"j{s ;+rfng ePsf] a'emg
;lsG5 .

Gap Analysis of Safemotherhood Program

Performance Gaps
cfdf ;'/Iff sfo{s|dsf] lbuf]kgf
k|;'lt s]Gb|x¿ ckfos x'g'
s/f/ ;]jfsf] l;df
k|]if0f k|s[of b'?:t gx'g'
cfk'lt{ ;d:of
rf}yf] k6ssf] ue{ hfFr / klxnf]
k6ssf] ;'Ts]/L hfFr sd x'g'
lglh ;+:yfaf6 x'g] k|;"lt k|ltj]bg
;dfj]z gx'g'
ue{jlt ptk|]/0ff eQf lat/0f sd
x'g'
sd ;+:yfut k|;"lt
Causes/Reasons
sfo{s|dsf] k|s[of hl6n ePsf]
Hfg ;xeflutfsf] sdL
k|s[ofut q'6L /
l9nf] ah]6 tyf sfo{s|d
;DfGjosf] sdL
cfk'lt{ ;DalGw of]hgf tyf
lhDd]jf/L af]wsf] sdL
k/fdz{sf] sdL
clen]v b'?:t gx'g'
bfloTjaxgdf sdL
cfdf ;'/Iff sfo{s|dsf] bfo/f leq
Nofpg g;lsPsf]
k/fdz{sf] / hgr]tgfsf] sdL
;]jf s]Gb|sf] sdL
hgr]tgfsf] cefj
Recommended Actions
for improvements
Hfg;xeflutf / hgr]tgfsf]
clela[l4
Hfg ;xeflutf af6 lg0f{o ug]{
Afx'alif{o s/f/ ;]jf k|0fnLdf n}hfg]
k|]if0f lgb]{lzsf sf] lasf; / k]|if0f
s]Gb| larsf] ;dGjo
vl/b k|s[ofsf] ;xlhs/0f / cfk"lt{
of]hgf adf]lhd cfk"lt{ ug]{
;]jf /lhi6/sf] k|of]u / k/fdz{df
hf]8 {
HMIS / cfdf ;'/Iff sfo{s|dsf]
sf] bfo/f leq Nofpg]
ue{jlt ptk|]/0ff eQf lat/0f af/]
hfgsf/L
• s/f/ ;]jf4f/f k|;"ltsdL{sf]
egf{
• ;]jf s]Gb|sf] lj:tf/
• ;]jf s]Gb|df k|;"lt x'g
pTk|]/0ff sfo{qmd
56

#=# dlxnf :jf:Yo :jo+ ;]ljsf sfo{qmd M ( FCHV Programme )

k[i7e"ld M

g]kfn ;/sf/n] hgtfsf] :jf:Yodf dlxnfsf] ;xeflutfnfO{ dWogh/ ub}{ cf=j=@)$%÷$^ df @& lhNnfaf6 ;'?
ul/Psf] d=:jf=:j+=;]=sfo{qmd r/0fa4 &% lhNnfdf nfu" u/]sf] xf] . z'?df d=:jf=:j=;]=5gf}6sf Psdfq cfwf/
jf8{nfO{ agfOPsf] lyof] . kl5 ;g\ !((# df @* lhNnfdf 5gf}6 cfwf/ hg;+VofnfO{ agfPsf] lyof] . clxn]
g]kfn clw/fHoe/L %!,$&)-$&,#@* uf=lj=;=df tyf $,!$@ g=kf=df_ d=:jf=:j+=;]=;s[o eO{ sfd ul//x]sf
5g\ .

:yfgLo JolQmx¿sf] ;xof]udf :jf:Yo cfdf ;d'xaf6 d=:jf=:j+=;]=x¿ 5gf}6 ul/G5 . ltlgx¿n] b'O{ r/0fdf (-(
lbgs]f ul/ !* lbgsf] k|fylds pkrf/sf af/]df cfwf/e't tflnd k|bfg ul/G5 . d=:jf=:j+=;]=sf] d'Vo e'ldsf
:jf:Yo ;+:yfsf :jf:YosdL{x¿sf] ;xof]uaf6 cfdf / ;d'bfosf hgtfsf] :jf:Yo / :jf:Yo cfgLjfgL k|j4{g ug'{
xf] . :jf:Yo lzIff / pTk|]/0ff jfx]s klg d=:jf=:j+=;]=n] nuftf/ k|of]ustf{sf] nflu lkN; cfk'lt{ ug]{, s08d
ljt/0f ug]{, cf]=cf/=P;=ljt/0f ug]{, le6fldg P SofK;'n ljt/0f / cfO{=Pd=l;=cfO{=sfo{qmddf sf]l6«daf6 pkrf/
/ vt/fsf nIf0f lrGx ePsfnfO{ ;+:yfdf k|]if0f ;d]t ul//x]sf 5g\ . To;}ul/ cfO/g OG6];Llkms};g kZrft
ue{jtL dlxnfx¿nfO{ cfO/g rSsL ljt/0f ul/ /x]sf 5g\ .
nIo M
hg :jf:Yo lqmofsnfkdf ;d'bfosf] ;xeflutfsf] dfWodaf6 /fli6«o nIo xfl;n ug{ ;xof]u k'/\ofpg d=:jf=:jo+
;]=sfo{qmdsf] nIo xf] .
p2]Zo M
d=:jf=:j+=;]=sfo{qmdsf] d"Vo p2]Zox¿ b]xfo adf]lhd 5g\ .
!= u|fld0f dlxnfx¿df cfwf/e't :jf:Yo ;]jfsf] d'Vo s]Gb| cfdf / jRrfsf] x]/rfx ;DalGw 1fg lbO{
:jfjnDag agfpg] .
@= :yfgLo dlxnf tyf ;fwgsf] pkof]u ul/ k|fylds :jf:Yo ;]jfdf ;d'bfosf] ;xeflutf clej[l4 ug]{ .
#= xfn pknAw dft[, ;]jf, jfn :jf:Yo / k=lg=;]jfsf] pRr pkef]usf nflu ;d'bfosf] ;xeflutf k|j4{g
ug]{ .
$= ;d'bfo;+u :jf:Yo sfo{qmdnfO{ hf]8g] Pp6f :jo+;]jL ;Dks{ JolQmsf] ?kdf tof/ ug]{ .
%= d=:jf=:jo+ ;]=x¿nfO{ :jf:Yosf] pTk|]/ssf] ?kdf ljsf; ug]{ .
k|d'v lqmofsnfk M
!= kf]zfs eQf
@= c4{jflif{s ;ldIff
#= d=:jf=:jo+ ;]=lbj;
$= d=:jf=:jo+ ;]=JolQmut ljj/0f cBfjlws
%= d=:jf=:jo+ ;]=;Ddfghgs labfO{
^= d=:jf=:jo+ ;]=sf]if
&= /fli6«o sfo{qmdx¿df d=:jf=:jo+ ;]=sf] cled'vLs/0f tyf kl/rfng
 57

cfdf ;d'x a}7s

k|To]s jf8{ txdf tf]lsPsf] lbg / ;dodf dlxgfsf] Psk6s jf8{ e/sf k|hgg\ pd]/sf dlxnfsf] ;xeflutfdf
cfdf ;d'xsf] j}7s ;+rfng ul/G5 . ;]jfsf] pkef]usf a9fpgsf nflu c=x]=j=÷c=g=ld=x¿n] klg pQm j}7sdf
;Defjgf eP;Dd efu lng'kg]{ 5 .
FCHV Programme Performance Status: FY 2071/72 – 2073/74

FEMALE COMMUNITY HEALTH VOLUNTEERS 2071/7 2072/7 2073/7

(FCHV) 2 3 4

Total Number of FCHVs in Rural and Urban Area 739/58 739/58 759%

Proportion of Pills cycles distributed by FCHVs among total

29.56% 28.45% -
distribution

Proportion of Condoms distributed by FCHVs among total

26.19% 29.52% 130%
distribution

Proportion of ORS and Zinc distributed by FCHVs among total

53% 55.43% -
distribution

% of ARI Cases managed by FCHVs among ARI Cases in Childrens

59.58% 67.78% -
Under Five Years

% of FCHV fund utilized (invested) NA -

Trend Analysis of FCHV Program

d=:jf=:j+=;]= sfo{s|d cGt{ut tTsflng uf=la=;= cGt{ut &#( / d=g=kf=df %* hgf d=:jf=:j+=;]jLsfx¿
sfo{/t /x]sf 5g\ . hDdf lat/0f dWo] d=:jf=:j+=;]ljsfx¿n] cf=a @)&@÷)&# df lkN; @*=$% k|ltzt,s08d
@(=%@ k|ltzt, ORS / Zinc rSsL lat/0f %%=$# k|ltzt / :jf:k|Zjf:f /f]usf] Joj:yfkg hDdf ^&=&*
k|ltztn] u/]sf] b]lvG5 . t;y{ d=:jf=:j+=;]= sfo{s|dsf] k|ult ;Gtf]ifhgs /x]sf] b]lvG5 .
Gap Analysis of FCHV Program
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
al9 sfo{ af]em sfo{qmd w]/} ePsf]n] al9 ;+ul7t tyf ;Dks{ lgsfo;+u ;dGjo
a'9L pd]/sf d=:jf=;]= al9 pd]/;Dddf klg sfo{ u/]sf] pko'Qm lgsf; gLlt
lg/If/ d=:jf=;]= 5gf}6 k|lqmof gldn]sf] bIftf clej[l4
a'9of}nL pd]/,
d=:jf=;]=x¿sf] lgliqmotf bIftf clej[l4,pTk|]/0ff
tna eQfsf] rfxgf
ckof{Kt sf]if Joj:yfkg bIftfdf sdL sf]if Joj:yfkg cled'vLs/0f
58

#=$ k|f=:jf=;]=ufp“3/ lSnlgs sfo{qmd M ( PHC Outreach-clinic Programme)

k[i7e"ld M
;g\ !((! sf] /fli6«o :jf:Yo lgtL kZrft clw/fHoe/ :jf:Yo ;+:yf lj:tf/ ePsf x'g\ . cem}klg :jf:Yo ;+:yfn]
k|bfg u/]sf ;]jfsf] pkef]udf d'VotM k|lts/fTds tyf k|jw{gfTds ;]jfsf] kx'Frdf Go'g e]l6Psf] 5 . To;}n]
cfkm\gf] ;d'bfo glhs 3/ cfFugdf ;]jfsf] cfjZostfsf] dxz'z eO{ k|f=:jf=;]=ufpF3/ lSnlgssf] z'?jft eof] .
ufFp3/ lSnlgs sfo{qmdsf] :yfkgf !(($ ;fndf b'u{d :yfg :jf:Yo ;+:yfb]lv 6f9fFsf 3/kl/jf/df cfwf/e't
:jf:Yo ;]jf nufot k=lg=/ ;'/lIft dft[Tj ;]jf k|bfg ug]{ nIosf ;fy :yfkgf ePsf] xf] .
c=x]=j=÷c=g=ld=x¿af6 cfwf/e't k|f=:jf=;]= -k=lg=÷;'/lIft dft[Tj÷:Jf:Yo lzIff÷;fwf/0f pkrf/_ tf]lsPsf] lbg
:yfg / ;dodf dlxgfsf] Ps k6s k|To]s uf=lj=;=df @ b]lv % j6f ;Dd ;+rfng ul//x]sf 5g\ . kl/dflh{t
ufFp3/ lSnlgs /0flgtL cg';f/ p2]Zo / /0fgLltx¿ tn pNn]v ul/Psf] 5 .
ufFp3/ lSnlgsaf6 k|bfg ul/g] ;]jfx¿ M
!= ;'/lIft dft[Tj tyf gj lzz' :ofxf/
☻ ue{jtL, ;'Ts]/L / gjlzz' hfFr
☻ cfO{/g rSsL ljt/0f
☻ hl6ntf ePsfnfO{ k|]if0f ;]jf
@= kl/jf/ lgof]hg
☻ l8kf], lkN; / s08d ljt/0f
☻ nuftf/ k|of]ustf{sf] cg'udg
☻ k=lg=;fwgx¿sf jf/]df k/fdz{ tyf :jf:Yo lzIff
☻ IUCD / Implant ;]jfsf] nflu k/fdz{
☻ l8kmN6/ sf] vf]hL
#= afn :jf:Yo
☻ j[l4 cg'udg
☻ lgdf]lgof / emf8fkvfnfsf] pkrf/
$= :jf:o lzIff / k/fdz{
☻ k=lg=;fwgsf af/]df
☻ ;'/lIft dft[Tj tyf gj lzz' :ofxf/
☻ jfn :jf:Yo
☻ HIV/AIDS tyf of}g hGo /f]u
☻ lszf]/ lszf]/L tyf k|hgg\ :jf:y
☻ cGo
• k|fylds ;]jf / pkrf/ tyf k|]if0f
ufFp3/ lSnlgssf ;]jf k|bfos / ;xof]uLx¿ M
ufFp3/ lSnlgs ;+rfngsf] klxnf] bfloTjc=g=ld=tyf c=x]=j=sf] lhDd]jf/L x'g]5 . k|f=:jf=s]=tyf
:jf=rf}=sf=sd{rf/L / k|d'vn] ;+rfngdf ;xof]u u/]sf x'G5g\ . To;}ul/ d=:jf=:j=;]=tyf :yfgLo u}/ ;/sf/L
;+:yfn] klg ufFp3/ lSnlgs ;+rfngdf ;xof]u u/]sf x'G5g\ .
 59

ufFp3/ lSnlgs ;+rfngsf] ldlt, :yfg / ;do M

k|To]s :jf:yo ;+:yfsf] sfo{ If]q leq @ b]lv % j6f ;Dd tf]lsPsf] ldlt :yfg / ;dodf x/]s dlxgf ;+rfng
eO/x]sf 5g\ . ufFp3/ lSnlgssf] cj:yLtL To; If]qdf s;}sf nflu klg cfwf306f eGbf 6f9f x'g]5}g .
Trend Analysis of PHC/ORC Program
pk/f]Qm tflnsfaf6 ufpF3/ lSnlgs ;+rfngsf] cj:yf cf=j)&#.)&$ df !^$ :yfgdf ;+rfngdf /x]sf]
b]lvG5 . ufpF3/ lSnlgsaf6 ;]jfu|fxLn] ck]Iffs[t sd ;]jf k|fKt u/]sf 5g\ eg] ;+rflnt lSnlgsaf6 k|lt lSnlgs
;]jfu|fxLsf] pkl:ytL ;+tf]ifhgs /x]sf] 5 .;du|df ufpF3/ lSnlgs ;+rfng lgoldt ePsf] x'g' kg]{ b]lvG5 .
Gap Analysis of PHC/ORC Program
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
hgzlQm Joj:yfkg
hgzlQmsf] sdL
k"0f{ ?kdf ufpF3/ lSnlgs pko'Qm of]hgf tyf gLlt
of]hgfsf] cefj
;+rfng gx'g' ufpF3/ lSnlgs ;+rfng sf]6 cfk"lt{
sL6sf] cefj
;+rfnsnfO{ pTk|]/0ff eQfsf] Joj:yf
ufpF3/ lSnlgs ;+rfngsf 7f]; Joj:yfkgsf] sdL ufpF3/ lSnlgs Joj:yfkg ;ldltsf] ;lqmotf
nflu ef}lts k"jf{wf/ gx'g' hg;xeflutfsf] sdL pko'Qm :yfgsf] 5gf}6
60

v08 M $
/f]u lgoGq0f
(Disease Control)
 61

$=! cf}nf] lgoGq0f sfo{qmd M (Malaria Control Programme )

k[i7e"ldM
;g !(%* df /fli6«o cf}nf] pGd'ng sfo{qmd g]kfnsf] klxnf] hg:jf:Yo sfo{qmdsf] ?kdf ;/sf/n] 5f]6f] ;dodf
cf}nf] pGd'ngsf nflu z'? u/]sf] sfo{qmd xf] . ljleGg sf/0fn] ubf{ ;g\ !(&* df pGd'ngsf] wf/0ffnfO{
kl/jt{g ul/Psf] lyof] . ;g\ !((* df ljZj :jf:Yo ;+u7gn] &) k|ltzt eGbf j9L cf}nf] x'g] If]q t/fO{, leqL
dw]z, kxf8sf pkTosf / cGo cf}nf] u|l;t If]qnfO{ nlIft ul/ cf}nf] l/EofDk tyf /f]n Jofs dn]l/of z'? u/]sf]
lyof] . xfn g]kfnsf %$ uf=lj=;=nfO{ cf}nf] pRr hf]lvd,@)!uf=lj=;=nfO{ cf}nf] dWod hf]lvd,(((
uf=lj=;=nfO{ cf}nf] Go"g hf]lvddf /fvL cf}nf] lgoGq0f sfo{qmd ;+rfng ePsf 5g\ .
Micro-Stratification Report 2013 cg';f/ nueu !#=)@ ldlnog cyf{t $&=(Ü hg;+Vof cf}nf] u|l;t If]qdf
a;f]af; ub{5g\ . ;f]dWo] !ldlnog cyf{t #=^@Ü pRr hf]lvd, @=^^ ldlnog cyf{t (=*Ü dWod hf]lvd tyf
(=#* ldlnog cyf{t #$=%@ Ü Go"g hf]lvd uf=lj=;=x¿df a;f]af; ub{5g\ . s'n hg;+Vofsf] !$=!# -%@=!Ü_
hf]lvd gePsf] uf=lj=;=x¿df a;f]af; ub{5g\ .
pRr Hf]lvd If]q cGt{ut km]bLdf, aGo If]qx¿, pkTosf, lelq dw]z kb{5g eg] Go"g hf]lvd If]q cGt{ut ;dy/
t/fO{ kxf8 / pkTosf kb{5g\ .To; lx;fan] k;f{ lhNnf klg Go"g hf]lvd lhNnf cGt{ut kb{5 .
b[li6 M
;g @)@% ;Dddf cf}nf] d'Qm g]kfn .
Wo]o M
cf}nf] u|l;t If]qsf ;d'bfo / :jf:YosdL{x¿nfO{ cf}nf] d'Qm g]kfn agfpgsf] nflu pgLx¿sf] Ifdtf clea[lå ug]{ .
nIo M (Goal)
!= ;g\ @)!@ sf] nIo adf]lhd cf}nf]/f]uaf6 z"Go d[To' nfO{ sfod /fVg] .
@= ;g\ @)!@ sf] t'ngfdf ;g\ @)!* ;Dddf cf}nf]sf] :yflgo gofF ;+qmd0f b/nfO{ () Ün] 36fpg] .
#= ;g\ @)!@ sf] t'ngfdf ;g\ @)!* ;Dddf cf}nf]sf] :yflgo ;+qmd0f ePsf] uf=lj=;=;+VofnfO{ &) Ün]
36fpg] .
$= ;g @)@% ;Dddf cf}nf] d'Qm g]kfnsf] k|df0fkq kfpg] .
p2]Zo M
!= cf}nf] lgjf/0f tkm{ lg0f{odf k'Ug /0fg}lts ;"rgfsf] ljsf; ug]{ .
@= cf}nf] ;+qmd0f tyf lgjf/0f ug{ cu|;/ /xg] .
#= cf]}nf] /f]usf] rfF8f] lgbfg tyf k|efjsf/L pkrf/sf] u'0f:t/ / kx'FrnfO{ ;'wf/ ug]{ .
$= cf}nf] pGd"ngsf nflu /fhg}lts tyf ;fd'bflos cu'jfx¿sf] ;xof]u k|fKt ug]{ .
%= cf}nf] pGd"ngsf nflu k|fljlws tyf Joj:yfksLo Ifdtf ;'b[9 ug]{ .
nIoM (Target)
!= ;g\ @)!% ;Dddf pko'Qm sfo{qmdx¿ Jff8{jfO{h ;+rfng ug]{ .
@= SMS ,Web based clen]v k|ltj]bg
62

#= rf}dfl;s ;ldIff
$= vf]hk8tfn
%= cg';Gwfg
^= lgb]{lzsf lgdf{0f
&= LLIN em'n leq ;'tfpg] .
*= jflif{s IRS
(= Foci elimination
!)= cf}nf] lgbfg tyf pkrf/ lgb]{lzsf cBfjlws / k|of]u
!!= tflnd
!@= dfO{qmf]:sf]k jf cf/=l8=l6=af6 kl/If0f ug]{ .
!#= cf}iflw tyf lgbfg ;fdu|Lsf] cfk"lt{
!$= :jf:Yo lzIff,;"rgf ;fdfu|Lx¿sf] lasf; / lat/0f .
!%= ax'If]qLo jsfnt .
!^= ;'kl/j]If0f cg'udg .
!&= ls6hGo s]Gb|x¿sf] ;'b[9Ls/0f / Ifdtf lasf; .
/0fgLlt M
!= e]S6/ lgoGq0f tyf JolQm arfj6
@= ;dodf lgbfg / plrt pkrf/ .
#= cf}nf] ;le{n]G; tyf dxfdf/L tof/L .
$= cfgLjfgL kl/jt{g ;lxtsf] ;+rf/ .
%= sfo{qmd Joj:yfkg .
^= cg';GwgfTds cWoog .
Malaria Control Programme Performance Indicators:FY 2071/72– 2073/074
Indicators 2071/72 2072/73 2073/74
1. Target vs achievement of blood slide collection 0.40%
2. Annual Blood Examination Rate (ABER) 0.03% 0.53% 1%
3. No of confirmed malaria cases among total malaria 0 0 1
cases
4. Malaria annual parasite incidence /1,000 risk 0 0 0
5. % of PF among total positive cases 0 0 0
6. percentage of indigenous cases among total positive 0 0 0
cases
7. Reported death due to malaria 0 0 0
 63

Malaria Blood Slide Examination Rate

Trend Analysis of Malaria Control Program

pk/f]Qm tflnsfaf6 cf=j= @)&!÷&@ df !!$=&@ % tyf @)&@÷&# df !!$=!$ % n] ePsf] 5 eg] jflif{s
/ut hfFr b/ qmdzM )=)#% )=%# % / )&#.)&$ df ! k|ltztn] k|ult xfl;n ePsf] 5 . cf}nf]/f]uL klg
qmdz M !@+=*,tyf !# j6f PVdfq km]nf k/]sf 5g\ .
;du|df cf}nf] sfo{qmd tkm{ ;a} :jf:Yo ;+:yfx¿af6 /ut ;+sng tyf hfFr lgoldt ?kdf ug'{ kg]{ pko'Qm x'g]
b]lvG5 .
Gap Analysis of Malaria Control Program
Recommended Actions
Performance Gaps Causes/Reasons
for improvements
sd k|fyldstf /ut :nfO{8 ;+sng lgoldt /
/ut :nfO{8 ;+sng
;fdfu|Lsf] cefj ;dtfd"ns x'g' kb{5 .
sd k|fyldstf ;a} k|f=:jf=s]=x¿af6 /ut k/LIf0f
/ut k/LIf0f
;fdfu|Lsf] cefj ul/g] Joj:yf ldnfO{g' kb{5 .
cf}nf] /f]usf] k|ltj]bg tyf :jf:Yo sdL{x¿df O{R5fzlQmsf] ;Dk"0f{ :jf:YosdL{x¿nfO{
cg';Gwfg sdL cled'vLs/0f
$=@ sfnfhf/ lgoGq0f sfo{qmd M( Kala-azar Control Programme )
!. k[i7e'ld
sfnfhf/ e';'gfsf] 6f]sfO{af6 Leishmania donovani gfds k/hLjL åf/f ;g]{ ls6hGo /f]u xf] . o;sf] d"n
nI0f cGt{ut @ xKtf jf ;f] eGbf a9L ;do ;Dd Hj/f] cfpg], lkmof] a9g], tf}n 36g], /Qm cNktf x'g] / 5fnf
la:tf/} sfnf] x'b} hfg] cflb kb{5 . ;g @))% df g]kfn ;/sfn] hfx]/ u/]sf] k|ltaåtf cg';f/ ;g @)!%
;Dddf sfnfhf/ lgjf/0f tkm{ pGd'v /x]sf] 5 . To;} cg'?k /f]u tyf dxfdf/L lgoGq0f dxfzfvfn] ;g @))%
d} /fli6«o of]hgf tof/ u/]sf] 5 h; cg';f/ klxnf] r/0f @))% b]lv @))* ;Ddf Preparatory Phase, bf];|f]
64

r/0f @))* blv @)!% ;Dddf Attack Phase / clGtd r/0fConsolidation Phase. Tof] of]hgfsf] nIo
sfnfhf/sf] k|sf]k x'g] If]qdf a;f]af; u/]sf hgtfx¿sf] :jf:Yo l:lytdf ;'wf/ Nofpg' / sfnfhf/sf] ;d:of
/xg glbg o;sf] nIo xf] . ;f]xL cg'?k @)!% ;Dddf k|lt !)))) hg;+Vofdf ! eGbf sd sfnfhf/sf] gofF
;+s|d0f b/ nfO{ 36fpg] nIo lnO{of] .
;g @)!) df /fli6«o of]hgfnfO{ kl/dfh{g u/L sfnfhf/ lgjf/0f /fli6«o /0fgLlts lgb]{lzsf lasf; ul/of] h;n]
RK39 nfO{ Rapid Diagnostic Test Kit / MiltefosinnfO{ s]xL cj:yf afx]s cGo cj:yfx¿df First
Linesf] pkrf/sf] ?kdf l;kmfl/z u/]sf] 5 .

@. nIo
;g @)!% ;Dddf k|lt !)))) hg;+Vofdf ! eGbf sd sfnfhf/sf] gofF ;+s|d0f b/ nfO{ 36fpg] .
#. p2]Zo
• sfnfhf/sf] gof ;+s|d0f b/ nfO{ 36fpg] .
• sfnfhf/af6 x'g] d[To'nfO{ 36fpg] .
• k/hLjLsf] e08f/sf] ?kdf /x]sf PKDLsf] pkrf/ ug]{ .
• sfnfhf/, HIV- TBsf] ;x;+s|d0fnfO{ /f]syfd tyf pkrf/ ug]{ .
$. /0fgLlt
• sfo{s|d Joj:yfkg ;'wf/ .
• rfF8f] lgbfg / k"0f{ okrf/ .
• PsLs[t ls6 Joj:yfkg .
• /f]u / ls6sf] k|efjsf/L vf]hk8tfn
• ;fdflhs kl/rfng tyf ;fem]bf/L
• lSnlgsn,;+rfng / cg';Gwfg kl/rfng
%. d'Vo lqmofsnfk M
• s]z ktf nufpg] / pkrf/ ug]{
• Miltefosine and Amphotericine B4f/f lg/Gt/ pkrf/
• Tfflnd
• ;ldIff a}7s
cf= j= @)&#.)&$ df k;f{ lhNnfsf s'g} klg :jf:Yo ;+:yfaf6 sfnfHj/ la/fdLsf] l/kf{]l6Í ePsf] 5}g .
Gap Analysis of Kala-azar Program
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
• :jf:YosdL{x¿df bIftfsf] • :jf:YosdL{x¿nfO{ tflnd
rfF8f] s]z ktf nufpg] tyf
sdL • sfnfhf/ sL6sf] cfk"lt{
pkrf/
• sfnfhf/ sL6sf] cefj • ;lqmo s]z ktf nufpg]
rfF8f] s]z ktf nufpg] tyf • :jf:YosdL{x¿df bIftfsf] • s]zsf] vf]hk8tfn
cg';Gwfg sdL • ;"lr ;lxt k|ltj]bg
 65

$=# xftLkfO{n] /f]u lgoGq0f sfo{qmd (Filariasis)

!. k[i7e'ld
xftLkfO{n] /f]u g]kfndf hg :jf:Yo ;d:ofsf] ?kdf /x]sf] 5 . g]kfnn] Immunochromatography Test Card
k|of]u u/]/ ;g\ @))! / @))% df gSzfÍg u/]sf] lyof] eg] @)!@ df k'gM gSzfÍg ul/of] . h;n] g]kfndf
!#Ü hg;+Vofdf of] /f]u /x]sf] 5 . of] /f]u t/fO{df ;d'b|L ;tx eGbf #)) kmL6 / kxf8sf] %*)) cUnf]
prfFO{;Dddf kfO{Psf] 5 . t'ngfTds ?kdf kxf8sf] eGbf t/fO{df of] /f]u al9 b]lvPsf] 5 . u|fdL0f tyf u/La
;d'bfodf of] /f]u al9 5 . Wuchereria bancroftieGg] k/hLjL / Culex quinquefasciatus hftsf]
nfdv'§]sf] sf/0fn] x'g] /f]u xf] .
@. nIoM
• g]kfnL hgtfx¿ ca pk|fGt xftLkfO{n] /f]uaf6 u|l;t x'g] 5}gg\ .
#= p2]ZoM
• ;g @)@) ;Dddf hg:jf:Yo ;d:ofsf] ?kdf /x]sf xftLkfO{n] /f]usf] lgjf/0f ug]{ .
• xftLkfO{n] /f]usf] k|;f/0fdf /f]s nufpg] .
• /U0ftf b/nfO{ /f]syfd / Go"lgs/0f ug]{ .
• ;+s|ldt If]qdf afnaflnsfx¿nfO{ h'sfsf] cf}iflw v'jfpg] .
• pknAw ;fwg / ;|f]tsf] k|of]u u/L nfdv'§]sf] lgoGq0f ug]{ .
$. /0fgLlt
• nuftf/ ^ aif{ ;Dd cfd hGtfnfO{ @ y/Lsf cf}iflw VjfO{ xfQLkfO{n] /f]usf] k|zf/0fnfO{ /f]sg] .
• cfkm} x]/rfx u/L xfQLkfO{n] /f]usf] ?U0ftf Joj:yfkg ug]{ .

%. nIo (Target)
• ;g @)!* ;Dddf /f]u k|efljt lhNnfx¿df cfd hgtfx¿nfO{ cf}iflw v'jfpg] .
• xfQLkfO{n] /f]u sf] gofF tyf k'/fgf /f]uLb/nfO{ ! k|ltzt eGbf sddf emfg]{ .

^. d'Vo s[ofsnfkx¿ (Activities)

• cfd hgtfdf cf}ilw lat/0f cleofg (MDA)
• :jf:Yo lzIff,;"rgf tyf ;+rf/sf] k|of]u
Trend Analysis of Filaria Program
ljut tLg jif{sf] cjlwdf xftLkfO{n] /f]u ;DalGwMDAsfo{qmd ;+rfng ePsf] 5}g\ .
Gap Analysis of Filaria Program
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
Phase Out eP tfklg Low /f]usf] vf]hk8tfn tyf pkrf/ Joj:yfkg
vf]hk8tfnsf] cefj
prevallance ug]{ .
lbuf]kgfsf] r'gf}tL /f]usf] k|fb"{efj ;fdflhs kl/rfng tyf ;dGjo
66

$=$ 8]+u' ( Dengue )

!= k[i7e"ld
8]+u' Ps k|sf/sf] nfdv'§] hGo /f]u xf] h'g 8]u' Hj/f]sf], Dengue Hemorrhagic Fever (DHF) / Dengue
Shock Syndrome (DSS)sf] ?kdf g]kfndf b]vfk/]sf] xf] . g]kfndf ;j{k|yd ;g @))% df of] /f]usf] la/fdL
klxnf] k6s b]vf k/]sf] xf] . ;g\ @))^ / @)!) df k|sf]ksf] ?kdf b]vf k/]sf] xf] eg] l56km'6 la/fdLx¿
lg/Gt/ b]lvPsf] 5 . z'?df w]/}h;f] s]zx¿ l5d]sL d'n'saf6 ;/]sf] kfO{Psf] xf] eg] kl5 :yflgo ;+qmd0faf6
klg e]l6Psf] lyof] .
8]+u' Hj/f]af6 k|efljt lhNnfx¿ dWo] k;f{ lhNnf klg kb{5 . vf; u/]/ of] /f]u ;dy/ t/fO{sf lhNnfx¿df
b]lvPsf] 5 . Aedes aegipti hftsf] nfdv'§]n] zx/ tyf cf;kf;sf If]qx¿df of] /f]u ;f/]sf] tYo ;g\
@))^ / @)!) sf] entomological surveillance af6 kQf nfu]sf] xf] .
@= nIo
Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS) af6
x'g] la/fdL b/nfO{ 36fpg' xf] .
#= p2]Zo
• /f]s yfd tyf lgoGq0fsf nflu PsLs[t ls6hGo Aoj:yfkg ;DalGw tl/sfsf] lasf; ug]{ .
• Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) and Dengue Shock
Syndrome (DSS) /f]usf] lgbfg tyf Aoj:yfkgsf nflu Ifdtf lasf; ug]{ .
• :jf:Yo lzIff ;"rgf ;fdfuL|x¿ nfO{ ;'b[9 ug]{ .
• vf]hk8tfn ;'b[9 ug]{ .
$= /0fgLlt
• Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) and Dengue Shock
Syndrome (DSS) sf] rf8} s]; kTtf nfufpg], lgbfg, Aoj:yfkg / k|ltj]bg .
• lgoldt cg'udg / vf]h k8tfn .
• gu/kflnsfdf nfdv'§]sf] vf]hk8tfn ug]{ .
• Plss[t tl/sf af6 ls6 lgoGq0f ug]{ .
%= lqmofsnfk
• Tfflnd cled'lvs/0f .
• Nffdv'§]sf] af; :yfgsf] vf]hL / gi6 .
• Rapid Diagnostic Test Kitsf] cfk"lt{ .
• cg'udg tyf vf]hk8tfn .
• IEC Materialslat/0f .
• ls6sf] gSzf+sg .
 67

Trend Analysis of Dengue Program

8]u' Hj/f] ;DalGw ljut # jif{sf] cj:yfn] cf=j=@)&!÷&@ tyf @)&@÷&# df qmdz M !!, / ! hgf 8]Í'
Hj/f]sf] /f]uL /x]sf] b]lvG5 . / )&#.)&$df eg] Ps hgf klg 8]Í' Hj/f]sf] la/fdL e]l6Psf] 5}g\ . t;y{,
cf=j=@)&!÷&@ tyf @)&@÷&# Dff 8]Í' Hj/f]sf] k|sf]k b]lvP klg tt\ kZrft\ lgoGq0fdf /x]sf] a'emg ;lsG5 .
Gap Analysis of Dengue Program
Recommended Actions
Performance Gaps Causes/Reasons
for improvements
ah]6 tyf sfo{qmdsf] ljlgof]hg sfo{qmd ;+rfngsf nflu k|of{Kt ah]6
ck|of{Kt sfo{qmd
sd ePsf] tyf sfo{qmdsf] ljlgof]hg x'g' kg]{ .
Vff]hk8tfn tyf PsLs[t sL6
sL6hGo lgoGq0f ah]6 tyf sfo{qmd gePsf]
Joj:yfkg
sL6 Vff]hL tyf gi6 ;xof]uL lgsfosf] sdL g=kf=;+u ;dGjo
$=% hfkflgh O{G;]kmnfO{l6; (Japanese Encephalitis Programme )
Japanese Encephalitis Programme Performance Indicators:
FY 2071/72 – 2073/74

Indicators 2071/72 2072/73 2073/74

1. Incidence of JE/100,000 0.12 0.14 0

2. Reported number of death due to JE 0 0 0

Trend Analysis of JE Program

ljut # jif{sf] cj:yf x]bf{ Japanese Encephalitissf] gofF la/fdL ;+Vof cf=j= @)&!.)&@ / @)&@.)&#
dfqmdzM )=!@ / )+=!$ePsf] sf] b]lvG5 .
Gap Analysis of JE Program
Recommended Actions
Performance Gaps Causes/Reasons
for improvements
:jf:YosdL{x¿nfO{ tflnd;lqmo
rfF8f] s]z ktf nufpg] tyf pkrf/ :jf:YosdL{x¿df bIftfsf] sdL
s]z ktf nufpg]
:jf:YosdL{x¿df bIftfsf] sdL
rfF8f] s]z ktf nufpg] tyf s]zsf] vf]hk8tfn
cg';Gwfg ;"lr ;lxt k|ltj]bg
68

$=^ kz'hGo /f]u lgoGq0f sfo{qmd ( Zoonoses Control Programme )

k[i7e"ld M
:jf:Yo ;]jf ljefu, dxfdf/L tyf /f]u lgogq0f dxfzfvfn] ;/sf/L , u}/;/sf/L tyf lghL ;+:yfx¿sf] ;dGjo
/ ;xsfo{df ljiffn' ;k{sf] 6f]sfO{af6 x'g] dfgj lk8f tyf d[To' nfO{ ;dod} 36fpg] ,/]lah / hgfj/sf]
sf/0faf6 x'g] cGo /f]usf] /f]syfd tyf lgoGq0f ug]{ lhDd]jf/L lnPsf] 5 .
nIo M
• sf]xL klg g]kfnL gful/sx¿ /]lah / ljiffn' ;k{sf] 6f]sfO{n] ASV/ARVs tyf ;dod} :jf:Yo :ofxf/
;]jfsf] cefjsf sf/0f gd?g\ .
• hgfj/sf] 6f]sfO{sf] k|sf]k tyf dxfdf/LnfO{ /f]syfd,lgoGq0f tyf Joj:yfkg ug'{ .
p2]Zo M
!= hgfj/sf] 6f]sfO{sf] k|sf]k tyf dxfdf/LnfO{ /f]syfd,lgoGq0f tyf Joj:yfkg ug{ :jf:Yo ;]jf k|bfossf]
Ifdtf clej[l4 tyf lhDd]jf/L ;'b[9 ug]{ .
@= hgfj/sf] 6f]sfO{sf] k|sf]k tyf dxfdf/LnfO{ /f]syfd,lgoGq0f tyf Joj:yfkg ug{ ;/f]sf/jfnfaLr
;dGjo ;'wf/ ug]{ .
#= hgr]tgf hufpg] .
$= ASV/ARVs k|bfg u/]/ d[To'b/nfO{ 36fpg] .
%= lrlsT;s tyf :jf:YosdL{x¿nfO{ ;k{sf] 6f]sfO{ Joj:yfkg tflnd k|bfg ug]{ .
^= hgfj/sf] 6f]sfO{sf] ;+Vof 36fpg] .
&= c:ktfn,k|f=:jf=s]= tyf :jf=rf}=x¿df Tissue Culturesf] ljj]szLn k|of]u a9fpg] .
Trend Analysis of Zoonoses Program
k;f{ lhNnfdf /]lahsf] cj:yf x]bf{ ljleGg hgfj/sf]] 6f]sfO{ /x]sf] b]lvG5 t/ ltgsf ;dod} Joj:yfkg eP/
ltgsf sf/0faf6 d[To' ePsf] x'g ;s]sf] 5}g\ .
To;}u/L ;k{sf] 6f]sfO{ klg ePsf] b]lvG5 / pQm 6f]sfO{ dWo] ;a}h;f] 6f]sfO{ ljiffn' ;k{sf] eg]sf] b]lvb}+g\ .
Gap Analysis of Zoonoses Program
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
;]jf s]Gb|sf] sdL gLltsf] cefj K|ff=:jf=s]=;Dd ;]jf lj:tf/
/]lah /f]u lj?4 ckof{Kt EoflS;g /]lah /f]u lj?4 kof{Kt EoflS;g
l;ldt cfk"lt{
cfk"lt{ cfk"lt{
bIf hgzlQmsf] sdL Tfflndsf] Joj:yf gePsf] ;+nUg hgzlQmnfO{ tflnd
 69

$=& dxfdf/L tyf k|sf]k Joj:yfkg (Epidemiology and Outbreak Managament)

p2]Zo M
:jf:Yo :ofxf/ ;]jf k|jfx u/]/ /f]usf] k|sf]ksf] k|efjsf/L tof/L,of]hgf,/ lhDd]jf/L jxgsf] dfWodaf6 ;?jf/f]u
-?U0ftf tyf d[To'b/_ sf] ef/nfO{ sd ug]{ .
/0fgLlt M
/f]usf] k|sf]ksf] k|efjsf/L vf]hk8tfn, tof/L tyf lhDd]jf/L jxg .
d'Vo lqmofsnfk M
¾ hgk|jfb ;Tofkg tyf l:yLlt cBfjlws .
¾ k|sf]k cg';Gwfg tyf lhDd]jf/L jxg .
• hgr]tgf sfo{qmd
• s]z Joj:yfkg
• ;d'bfo kl/rfng
¾ k|sf]ksf] nflu tof/L
• cfsl;ds :jf:Yo afs; tyf cf}iflwsf] k"j{ tof/L
• cf}iflwsf] akm/ :6ssf] k|fjwfg
• ;/f]sf/jfnf aLr ;dGjo a}7s
Indicators 2071/72 2072/73 2073/74
1. Number of outbreaks reported 1 3 0
2. Number of outbreaks investigated and managed 3
1 0
by RRT within two weeks of onset
3. Number of disasters reported 2 0 0
4. Proportions of disasters responded by
100% 0 0
5. RRT

Trend Analysis of Epidemiology and Outbreak Managament

Dfxfdf/L tyf k|sf]k Joj:yfkg sfo{s|d cGt{ut Uft aif{ eGbf o; aif{ # j6f k|sf]kx¿ Report ePsf 5g\ h;
dWo] RRT 4f/f # j6} Reported Outbreak nfO{Investigation u/L Joj:yfkg u/LPsf] b]lvG5 / o; aif{ s'g}
lsl;dsf] k|sf]k gePsf] .
;d|df o; lhNnfdf outbreaks/ disasters g}sd ePsf] / reported cases nfO{RRT n] ;dod} respond
u/]sf] b]lvG5 .
Gap Analysis of Epidemiology and Outbreak Managament
Recommended Actions
Performance Gaps Causes/Reasons
for improvements
RRT kl/rfngsf nflu Go"g Go"g ah]6 ljlgof]hg RRT kl/rfngsf nflu k|of{Kt ah]6
70

ah]6
Buffer Stock sf nflu ck|of{Kt
Go"g ah]6 ljlgof]hg Buffer Stocksf nflu k|of{Kt ah]6
ah]6
;/f]sf/jfnf ;+:yfx/sf] ;dGjo /
cg'ko'Qm k|sf]k cg';Gwfg cBfjlws gePsf]
;xsfo{df cg';Gwfg x'g' kg]{ .
;+rfng k0ffnL gePsf] Early warning and Reporting
cg'ko'Qm vf]h k|0ffnL se/]h
system (EWARS) sf] lj:tf/
:jR5 kfgL cfk"lt{ tyf JolQmut /
vfB tyf kfgL hGo /f]usf] k|sf]k c:j:Yo jftfj/0f tyf vfB j:t'
jftfj/0fLo ;/;kmfO{
$=* k|sf]k Joj:yfkg (Disaster Management )
k[i7e"ld M
k|sf]k Joj:yfkg klg dxfdf/L tyf ;?jf /f]u lgoGq0f dxfzfvfsf] csf]{ Pp6f dxTjk"0f{ sfo{qmd ;+rfngsf]
OsfO{ xf] . of] sfo{qmd dxfdf/L tyf ;?jf /f]u lgoGq0f dxfzfvf tyf ljZj :jf:Yo ;+u7gsf] ;+o'Qm ;xof]udf
;+rfng x'G5 . of] zfvfn] ;/f]sf/jfnfaLrsf] ;dGjo / ;xsfo{df k|sf]k ;DalGwt :jf:Yo lgsfo cfsl:ds
tof/L / k|sf]k Joj:yfkgnfO{ a9fpg] k|ltj4tf hfx]/ u/]sf] 5 .
p2]Zo M
lgDg lqmofsnfk ;+rfng u/L k|sf]ksf] /f]syfd,zdg tyf lhDd]jf/L jxgdf s]lGb|t /x]/ cfsl:ds tof/L tyf
lhDd]jf/L jxgdf :jf:Yo lgsfosf] Ifdtf clej[l4 ug'{ .
!= :jf:Yo lgsfosf] cfsl:ds of]hgf ( Contingency Planning ) sf] cleofg k|lqmof
@= :jf:YosdL{x¿nfO{ cfsl:ds tof/L tyf k|sf]k Joj:yfkg ;DalGw tflnd
#= :jf:Yo lgsfo k|sf]k Joj:yfkgdf ax'If]qLo ;dGjo / ;xof]u ;+oGqnfO{ ;'b[l9s/0f ug]{ .
d'Vo k|sf]kx¿ M
• e"sDk
• cfunfuL
• af9Lklx/f]
d'Vo lqmofsnfk M
¾ hgk|jfb ;Tofkg tyf l:yLlt cBfjlws .
¾ k|sf]k cg';Gwfg tyf lhDd]jf/L jxg .
• hgr]tgf sfo{qmd
• s]z Joj:yfkg
• ;d'bfo kl/rfng
¾ k|sf]ksf] nflu tof/L
• cfsl;ds :jf:Yo afs; tyf cf}iflwsf] k"j{ tof/L
• cf}iflwsf] akm/ :6ssf] k|fjwfg
• ;/f]sf/jfnf aLr ;dGjo a}7s
 71

Trend Analysis of Disaster management Program

k|sf]k Joj:yfkg sfo{s|d cGt{ut o; cf=a )&!.)&@ / )&@.)&# df ut cf=a eGbf sd k|sf]k pTkGg
ePsf],h;df ax'cjf{ef¶f uf=la=;=df 7]pnfsf] k|sf]k km}lnPsf], h:fdf $@ hgf k|efljt ePsf] / ;tj/Lof ufpFdf
d[To'sf] sf/0f gvf]lnPsf] t/ @* hgfsf] d[To' ePsf] / P;=Pn=l; kl/Iffsf] bf}/fg laho a:tL pRr df=la df
!# hgf 5fqfx¿ K|fefljt ePsf] b]lvPsf] 5 . / cf=j= @)&#.)&$ sf] cGt ;Dddf klg s'g} klg lsl;dsf]
k|sf]k ;DaGwL l/kf]{l6Í ePsf] 5}g, eg] h;nfO{ k|sf]k Joj:yfkg sfo{s|d cGt{ut ;dod} k|efjsf/L 9Í4f/f
Joj:yfkg ul/Psf] 5 .
Gap Analysis of Disaster management Program
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
RRT kl/rfngsf nflu Go"g
Go"g ah]6 ljlgof]hg RRT kl/rfngsf nflu k|of{Kt ah]6
ah]6
Buffer Stock sf nflu
Go"g ah]6 ljlgof]hg Buffer Stock sf nflu k|of{Kt ah]6
ck|of{Kt ah]6

cg'ko'Qm Contingency ;/f]sf/jfnf ;+:yfx/sf] ;dGjo / ;xsfo{df

cBfjlws gePsf]
Plan Contingency Plan Update x'g' kg]{ .

$=( Ifo/f]u lgoGq0f sfo{qmd (Tuberculosis Control Programme)

k[i7e"ld M
Ifo/f]u Pp6f ;+qmd0f ;?jf /f]u xf] . of] /f]u Micobactrium Tuberculosis cfFvfn] b]Vg g;lsg] z'Id
ls6f0f'af6 x'g] ub{5 . Ifo/f]un] vf]Sbf xflR5p ubf{ Ifo/f]usf ls6f0f' d'vaf6 aflx/ lg:sG5g\ . :jf:Yo
dflg;n] :Jff; lnbf kmf]S;f]df k'Ub5g\ . o;/L Ifo/f]u nfUg ;S5 .
g]kfndf Ifo/f]u hg:jf:Yo ;d:ofsf] ?kdf /x]sf] 5 . nueu $% k|ltzt hg;+Vof Ifo/f]uaf6 ;qm+ldt 5g\ .
g]kfndf *) xhf/ Ifo/f]uL 5g\ . k|To]s jif{ % b]lv & xhf/ dflg;x¿ Ifo/f]uaf6 dg]{ u/]sf 5g\ . g]kfn
;/sf/n] Ifo/f]u lgoGq0f sfo{qmdnfO{ k|fyldstf k|fKt sfo{qmddf /fv]/ ;+rfng ub}{ cfPsf] 5 . Plss[t :jf:Yo
;]jfsf] dfWodaf6 DOTS ljwLaf6 clw/fHo e/sf ;Dk"0f{ ;/sf/L ;+:yfx¿af6 Ifo/f]u pkrf/ ;]jf k|bfg ul//x]sf]
5 . las6 u|fld0f If]qsf hgtfnfO{ ;xh pkrf/ ;]jf k|bfg ug{ lghL tyf u}/ ;/sf/L :jf:Yo ;+:yfx¿sf] ;dGjo
/ ;xeflutfdf ;d'bfo ;Dd Jojl:yt ?kdf /f]u lgbfg / pkrf/ ;]jfdf ;xsfo{ ul//x]sf] 5 .
ljZj :jf:Yo ;+u7gn] ;g\ @))^ df kl/dflh{t /0fgLlt ;fj{hlgs u/]sf] 5 . Ifo/f]u lalxg\ ljZj agfpg]
kl/sNkgf cg'?ksf] /0fgLltnfO{ -The Stop TB Strategy_ elgG5 .
kl/sNkgf M
Ifo/f]u ljlxg g]kfnsf] lgdf{0f ug]{ .
nIo M
Ifo/f]uaf6 x'g] la/fdL b/ 36fpg], d[To'b/ 36fpg], Ps JolQmaf6 csf]{ JolQmdf Ifo/f]u ;g]{ k|s[of /f]ls
hg:jf:Yo ;d:ofsf] ?kdf /xg glbg] /fli6«o Ifo/f]u sfo{qmdsf] nIo xf]
72

p2]Zox¿ M
/fli6«o Ifo/f]u lgoGq0f sfo{qmdsf] p2]Zox¿ ljZj :jf:Yo ;+u7gsf] kl/dflh{t Ifo/f]u lj?4sf] /0fgLlt @))^ sf]
p2]Zox¿ ;lxt ;x>fAbL ljsfz nIo @)!% ;+u ;DalGwt 5g\ .cg'dflgt ;a} gofF vsf/ kf]h]l6e Ifo/f]uL dWo] slDtdf
*@k|ltzt Ifo/f]uL kQf nufpg] . kQf nufOPsf gofF vsf/ kf]h]l6e Ifo/f]uL dWo] slDtdf (% k|ltztnfO{ lgsf]
kfg]{ . ;x>fAbL ljsf; nIo cg';f/ ;g\ @)!% ;Dddf Ifo/f]usf] k|sf]k b/ / d[To'b/nfO{ ;g\ !(() sf]
t'ngfdf cfwfdf emfg]{ .
pRr u'0f:t/Lo /f]u lgbfg / lj/fdL s]lGb|t pkrf/ ;]jf b]z JofkL?kdf ;Dk"0f{ Ifo/f]uLnfO{ k|bfg ug]{ .
Ifo/f]uaf6 >[lht ;fdflhs tyf cfly{s ef/ 36fpg] . l;dflGts[t ul/a tyf hf]lvddf /x]sf ;d'bfonfO{ TB,
TB/HIV / MDR TB af6 jrfpg] . gofF ;fwgsf -TOOLS_ sf] ljsf; / ;dodf g} To;sf] k|efjsf/L
k|of]u ug{ ;xof]u ug]{ .
/fli6«o Ifo/f]u lgoGq0f sfo{qmdsf] gLlt M
!= /fli6«o Ifo/f]u s]Gb| /fli6«o Ifo/f]u lgoGq0f sfo{qmdsf] s]Gb| laGb' /xg]5 .
@= Microscopic Network nfO{ ;jn / ;Ifd agfOg] 5 .
#= Passive case finding sf] dfWodaf6 /f]u lgbfg ug]{ .
$= bIf hgzlQm lgdf{0fsf] nflu Ifo/f]usf] cfwf/e't tyf k"g{tfhuL tflndsf] Joj:yf ug]{ .
%= Plss[t :jf:Yo ;]jfsf] dfWodaf6 /fli6«o Ifo/f]u lgoGq0f sfo{qmd ;+rfng ug]{ .
^= vsf/ hfFrdf ls6f0f' ePsf Ifo/f]usf lj/fdLx¿nfO{ klxnf] k|fyldstf lbg] .
&= pkrf/ calwe/ ;a} lj/fdLx¿nfO{ k|ToIf lgu/fgLdf cf}ifwL v'jfpg] .
*= vsf/ k/LIf0f4f/f pkrf/sf] cg'udg ug]{ .
(= vsf/ k/LIf0f4f/f Ifo/f]usf] lgbfg / pkrf/ lgMz'Ns pknAw u/fpg] .
!)= ;j} :Jf:Yo ;+:yfx¿df k|ToIf lgu/fgLdf ul/g] pkrf/ lj:tf/ ug]{ .
!!= Rifampicin vfg] la/fdLnfO{ pkrf/ cjlw e/ k|ToIf lgu/fgLdf cf}ifwL v'jfpg] .
!@= lgodLt?kdf cf}ifwL tyf cfjZos ;fdfu|Lx¿sf] cfk'lt{ ug]{ .
!#= lghL ;]jfaf6 ;+rflnt :jf:Yo ;+:yf, d]l8sn sn]h, gl;{ª\uxf]d tyf cGo ;+3 ;+:yf;+u ;dGjo u/L
86\;df xft]dfnf]sf] ?kdf ;xeflu u/fpg] .
!$= ljleGg /fli6«o tyf cGt{/fli6«o ;/sf/L tyf u}/;/sf/L ;+3 ;+:yf / lghL :jf:Yo ;+:yfx¿;+u cfk;L
;xof]u / ;dGjo u/L Ifo/f]u lgoGq0f sfo{qmdsf ljleGg s[ofsnfkx¿ ;'rf? ?kn] ;+rfng ug]{ .
!%= Pr=cfO=eL=÷P8\; sfo{qmd;+u ;DalGwt ;+3 ;+:yf;+u ;dGjo u/L Ifo/f]u / Pr=cfO=eL=÷P8\; ;DalGw
;xsfo{sf ljleGg s[ofsnfkx¿ ;'rf??kn] ;+rfng ug]{ .
!^= Ifo/f]u / Pr=cfO=eL=÷P8\; ;xsfo{df sfo{qmdx¿ ;+rfng ug]{ .
!&= ax'cf}ifwL k|lt/f]ws Ifo/f]u pkrf/ Joj:yfkg sfo{qmdnfO{ lj:tf/ ub}{ n}hfg] .
!*= ul/a, hghftL, blnt lk5l8Psf ju{x¿ tyf cGo ;]jfsf] kx'Fr gk'u]sf ;d"xx¿sf] nflu ljz]if jsfnt,
sfo{qmd ;+rfng ug]{ .
 73

!(= jsfnt, ;+rf/, tyf ;fdflhs kl/rfng ;DalGw ljleGg s[ofsnfk ;+rfng ug]{ .
@)= Ifo/f]u sfo{qmdnfO{ ;kmn agfpg ljleGg lsl;dsf ;j]{If0f tyf cg';+wfgfTds s[ofsnfk ;+rfng
ug]{ .
Tuberculosis Control Program Performance Indicators:
FY 2071/072– 2073/074
Indicators 2071/72 2072/73 2073/74
Case notification rate (all forms of TB cases) 144 113.09 102.2

TB case finding rate 94% 58.64% 102.2

Sputum conversion rate (New PBC) 92% 90%
Cure rate (New PBC) 87% 87%
Treatment success rate (New PBC) 92% 78.7%
No of MDR Cases registered within district 39 21

Trend Analysis of TB Control Program

ljut # jif{sf] k|ult ljZn]if0f ubf{ Case notification ratecf=j=@)&!÷&@ df !$$ % tyf cf=j=@)&@÷&#
df !!#=)( % / )&#.)&$ df !)@=)@, TB case finding rate cf=j=@)&!÷&@ df ($ % tyf cf=j=
@)&@÷&# df %*=^$ % n] 36bf] qmddf 5 . / )&#.)&$ df !)@ k|ltzt 5 .To;} u/L Sputum
conversion ratecf=j=@)&!÷&@ df @ % tyf cf=j=@)&@÷&# df () % , nueu l:y/sf] qmddf ,Cure rate
,cf=j=@)&!÷&@ df *& % tyf cf=j= @)&@÷&# df *& % n] l:y/ qmddf ,Treatment success rate
cf=j=@)&!÷&@ df (@ % tyf cf=j= @)&@÷&# df &*=& % n] 36bf] qmddf / MDR Casescf=j=@)&)÷&!
Df @@, cf=j=@)&!÷&@ df #( tyf cf=j=@)&@÷&# df @!n] 36]sf] b]lvG5 .
Gap Analysis of TB Control Program
Performance Recommended Actions for
Causes/Reasons
Gaps improvements
• ;3g t/lsfn] s]z ktf nufpg]
kx'Fr gePsf u|fdL0f
• dfO{qmf]:sf]kL ;]G6/ a9fpg]
tyf zx/L • hgr]tgfsf] sdL
• 3'DtL lzlj/sf] ;+rfng ug]{
em'k8k§Lx¿df s]z ktf • ;]jfsf] kx'Fr gePsf]
nufpg] b/ sd ePsf] • k}/jL,;+rf/ tyf ;fdflhs kl/rfngdf hf]8
lbg]
• hgr]tgfsf] sdL ;a] :jf:Yo ;+:yfx¿df ;+qmd0f lgoGq0f sfo{qmd
;+qmd0f lgoGq0f
;+rfng ug]{
74

• ;3g t/lsfn] s]z ktf nufpg]

• HIV Positive df
TB/HIV
collaboration
• sdhf]/ k|lt/f]w Ifdtf • ;+qmd0f /f]syfd
• IPT Therapy

• k'/f cjlw;Dd • MDR expansion plan ljsf; ug]{

MDR TB Program
cf}iflwsf] ;]jg gx'g' • DST test for retreatment cases.

$=!) s'i7/f]u lgoGq0f sfo{qmd ( Leprosy Control Programme )

s'i7/f]u cToGt sd ;?jf /f]u xf], s'i7/f]u Micobactrium Lepre gfdsf] z'Id ls6f0f'n] x'G5 . of] /f]u ax'
cf}iflw pkrf/af6 k"0f{?kn] lgsf] x'G5 . s'i7/f]usf] lgbfg, pkrf/ / k/fdz{ ;j} ;/sf/L :jf:Yo ;+:yfdf
lgMz'Ns kfO{G5 tfklg /f]uaf6 x'g] c+ue+u / c;dy{tfsf] sf/0fn] s'i7/f]u ;fdflhs ;d:ofsf]?kdf /x]sf] 5 .
g]kfndf s'i7/f]usf] k|efjsf/L ax' cf}iflw pkrf/ ljwL lj=;+=@)#(÷)$) af6 ;'? ePsf] xf] . tTsflng
cj:yfdf s'i7/f]usf] ef/ k|lt bz xhf/ hg;+Vofdf @! hgf /x]sf]df ax' cf}iflw pkrf/sf] ;d'lrt k|of]uaf6
xfn s[i7/f]usf] ;+qmd0fdf sld cfPsf] 5 . xfn s'i7/f]usf] ef/ k|lt bz xhf/ hg;+Vofdf )=*( /x]sf] 5 .
kmn?j?k /fli6«o :t/af6 lj=;= @)^^ df3 % ut] g]kfnaf6 s'i7/f]u lgaf/0f eof] .
b[li6sf]0f M
s'i7/f]u u'0f:t/Lo ;]jfdf k'g{:yfkgfnfO{ ;dfj]z ul/g] 5 . o;sf] nflu k|efljtx¿sf] 3/ b}nf]d} ;a{;'ne,
cfly{s ?kdf k|efjsf/L ;]jf cfa:ostf cg';f/ lg/Gt/ pknAw x'g]5 .
nIo -;g\ @)!!-@)!%_
g]kfnaf6 s'i7/f]u pGd'ng ug]{
;g\ @)!% ;Dddf s'i7/f]usf] ef/ tyf ;d:of sd ug]{ .
p2]Zo M
s'i7/f]usf] sf/0faf6 x'g] ;d:ofnfO{ 36fpg] .Plss[t :jf:Yo ;+/rgfdf s'i7/f]usf] u'0f:tl/o ;]jfdf lg/Gt/tf /
:yfloTj pknAw u/fpg] .s'i7 k|efjLtx¿sf] k'g{:yfkgf ug]{ .hgr]tgf clej[l4 u/L s'i7/f]u k|ltsf] e]befj tyf
gsf/fTds efjgfdf sld Nofpg] .
nIo M
!= ;g\ @)!% sf] cGTo ;Dd ;g\ @)!) sf] t'ngfdf /fli6«o txdf s'i7/f]usf] gofF la/fdL b/ @% k|ltztn]
sdL Nofpg] .
@= ;g\ @)!% sf] cGTo ;Dd ;g\ @)!) sf] t'ngfdf /fli6«o :t/df s'i7/f]usf] ef/df #% k|ltztn] sdL
Nofpg] .
#= ;g\ @)!% sf] cGTo ;Dd ;g\ @)!) sf] t'ngfdf k|lt Psnfv hg;+Vofdf gofF la/fdLsf] c;dy{tf >]0fL
@ sf] b/df #% k|ltztn] sdL Nofpg] .
$= pkrf/sf] qmddf x'g] c;dy{tf -E.H.F.Score_ % k|ltzt eGbf sd ug]{ .
%= *) k|ltzt :jf:Yo sfo{stf{nfO{ s'i7/f]u klxrfg, Joj:yfkg, tyf k|]if0f ug{ ;Ifd agfpg] .
^= c;dy{tfsf] /f]syfd / :jo+ x]/rfxnfO{ k|j4{g ug]{ .
 75

$=!! Pr=cfO{=eL=P8\; sfo{qmd (HIV/AIDS Programme )

;g\ !(** df P8\;sf] klxnf] k6s kQf nfu] kZrft\ g]kfndf klg lj:tf/} lj/fdLsf] ;+Vof a9\b} uO/x]sf] 5 .
tt\ kZrft\ g]kfndf klxnf] k6s ;g\ !((% df o;sf dxfdf/L lgoGq0fsf nflu gLlt lgdf{0f eof] . HIV ÷STI
;DaGwL /fli6«o gLlt @)!! cg';f/ xfn rf}yf] /0fgLlt @)!!–@)!^ ;+rfngdf /x]sf] 5 / clxn] gofF /0fgLlt
@)!^ –@)@! klg k|lqmofdf /x]sf] 5 h;n] ()–()–() sf] ljZjJofkL dxTjsf+IfL nIo xfl;n ug]{ af6f]lt/
cu|;/ 5 . ;g @))& sf] cg'dfgdf g]kfndf &)))) jo:sdf Pr=cfO{=eL lyof] eg] s]6fs]6Ldf cyf{t jo:s
hg;+Vofsf] )=$( k|ltzt Pr=cfO{=eL=efO/; e]l6Psf] lyof] . g]kfndf P8\;sf] ljBdfg cj:yf x]bf{ s'g} 7fFp
ljz]if / lglZrt ju{ leq a9L km]nf k/]sf] 5 h:tf] Injectable drug user (IDUs) df /f]usf] ljBdfg k|sf]k
b/ 5 k|ltzt eGbf al9 km]nf k/]sf] 5 . c? b]zx¿df h:t} g]kfndf klg IDUs MSM / FSW x¿ pRr
hf]lvddf /x]sf 5g\ . w]/} h;f] Pr=cfO{=eL=;+qmd0f j;fO{ ;/fO{sf] sf/0fn] klg a9L /x]sf 5g\ . d"VotM sfdsf]
nflu ef/t hfg] g} Pr=cfO{=eL=sf ;Djfxs ag]sf 5g\ .
State of HIV epidemics
1) Low Level Epidemics
HIV prevalence <5% in all sub population with high risk behaviour and < 1% in general
population.
2) Concentrated Epidemics
HIV prevalence >5% among in any subpopulation with high risk behaviour and < 1% in
general population.
3) Generalized Epidemics
HIV > 1% in general population
Evolution of National HIV Response in Nepal
1988 - First HIV case identified
1988 - HIV/AIDS Control Project Started
1994 - National Centre for AIDS & STD Control Established
1995 - National HIV/AIDS Policy developed
1997-2001 - Strategic Plan for HIV/AIDS Prevention
2002-2006 - National HIV/AIDS Strategy (1st)
2006-2011 - National HIV/AIDS Strategic Plan (2nd)
2010 - National Policy on HIV/AIDS a] nd STI
2011-2016 - National HIV/AIDS Strategy (3rd)
2013 - Nepal HIV Investment Plan (NHIP) 2014-2016
2014 – Mainstreaming of HIV related recording/reporting with HMIS
2015 - Work on HIV Strategy to address SDG (90-90-90)
2016 - National HIV Strategic Plan 2016-2021 (underway) (4th)
76

b[li6 M
g]kfn Pp6f o:tf] 7fpF /xg]5 hxfF Pr=cfO{=eL=sf] gofF ;+qmd0f Go"g x'g]5 / lagf e]befj ;a} JolQmsf] pRr u'0f
:Q/sf] hLjgofkg ug]{ kx'Fr x'g]5 .
nIo M
Pr=cfO{=eL=sf] /f]syfd,pkrf/,:ofxf/ / ;xof]usf nflu ;j{tf]d'vL kx'Fr x'g' .
p2]Zo M
!= ;g\ @)!) sf] t'ngfdf ;g\ @)!^ ;Dddf Pr=cfO{=eL=sf] gofF ;+qmd0f b/nfO{ %) k|ltztn] 36fpg] .
@= ;g\ @)!) sf] t'ngfdf ;g\ @)!^ ;Dddf P8\;;+u ;DalGwt d[To' nfO{ @% k|ltztn] 36fpg] .
#= afnaflnsfdf x'g] Pr=cfO{=eL=sf] gofF ;+qmd0f b/nfO{ () k|ltztn] 36fpg] .
90-90-90 By 2020
s= cg'dflgt Pr=cfO{=eL=;+qmldtx¿sf] () k|ltztsf] lgbfg
v= :ofxf/df /x]sf Pr=cfO{=eL=;+qmldtx¿nfO{ () k|ltztsf] cf}iflw pkrf/
u= afx|} dlxgf cf}iflw pkrf/df /x]sf Pr=cfO{=eL=;+qmldtx¿nfO{ () k|ltztsf] efO{/n nf]8 36]sf]
;g\ @)#) ;Dddf P8\;sf] dxfdf/L cGTo /fli6«o Pr=cfO{=eL= /0fgLlt -@)!!–@)!^_
!= Pr=cfO{=eL=;+qmd0f /f]syfd, pkrf/, :ofxf/ tyf ;xof]u sfoqmd, :j]lR5s hfFr tyf k/fdz{, of}g/f]u
Joj:yfkg, cfdfaf6 aRrfdf ;g]{ /f]syfd, cf}iflw pkrf/-ART_ / cj;/jfbL ;+qmd0fsf] Joj:yfkg
@= ;Ifd jftfj/0f tyf /0fg}lts of]hgf lgdf{0f
Situation of HIV Epidemic in Nepal 2015

Total EstimatedPLHIV 39,397

HIV Prevalence (15-49) 0.206
Male living with HIV 24,449(62%)
Female living with HIV 14,947(38%)
Children living with HIV (out of total infections) 1589(5%)
HIV Prevalence (15-24) 0.03
New HIV infections 1,331
ART Need in 2015 (<500) 34,691
Mother Needing eVT services 414
AIDS-related Deaths 2,263
 77

v08 M %
;xof]uL sfo{qmd
(Supporting Programme)
78

%=! :jf:Yo tflnd ( Health Training )

k[i7e"ld M
bIftfk"0f{ hgzlQm g} :jf:Yo tflnd sfo{qmdnfO{ k|fyldstfdf /fv]sf] 5 . :jf:Yo d+qfnon] dfgj ;+;fwgsf]
bIftf ljsf;df tflnd sfo{qmdnfO{ k|fyldstfdf /fVg] 5 . /fli6«o :jf:Yo tflnd k|0ffnLn] :jf:Yo ;]jf k|bfossf]
Ifdtf clej[l4 ug{ :jf:Yo d+qfnosf] cfjZostf cg';f/sf] bIf hgzlQm tof/ ug{ d2t u5{ . o;} cjwf/0ff
cg';f/ ;g\ @))$ ;fndf /fli6«o tflnd kl/dflh{t /0fgLlt tof/ ePsf] 5 .
/fli6«o :jf:Yo tflnd s]Gb| dfgj ;+;fwgsf] If]qdf :jf:Yo d+qfnosf] :jf:Yo If]q ;'wf/ sfo{qmdsf] pknlAw g+=&
sf] k|d'v c+usf] ?kdf /x]sf] 5 . To;}n] tflnd sfo{qmdsf] d'Vo nIo :jf:Yo ;]jfdf sfo{/t ;Dk"0f{ hgzlQmnfO{
u'0f:t/Lo :jf:Yo ;]jf k|bfg ug{ hg:jf:Yo;+u ;DalGwt ,lSnlgsn tyf Joj:yfksLo tflnd k|bfg ug'{ xf] .
nIoM
/fli6«o tflnd sfo{qmdsf] nIo tflndsf] d2tn] k|efjsf/L ;]jf k|bfos pTkfbg÷tof/ ug'{ xf] .
p2]Zo M
!= :jf:Yo sdL{nfO{ sfo{qmdsf] cfjZostf cg';f/sf] tflndsf] 5gf}6 tyf of]hgf ug]{ .
@= sfo{qmdn] df+u u/] adf]lhdsf] tflndsf] of]hgf ug]{ nfu' ug]{ / tflnd lbg] .
#= tflnd sfo{qmd ;+rfngdf ;xof]u ug]{ lzIf0f ;fdfu|L to ug]{ / ljsf; ug]{ .
$= s]Gb|, If]q tyf lhNnf txdf ;+rfng x'g] tflndsf] u'0f:t/sf nflu k|lzIfssf] Ifdtf clej[l4 ug]{ .
%= gofF lgo'lQm ePsf :jf:Yo sdL{nfO{ cled'lvs/0f ug]{ .
^= tflnd sfo{qmdsf] ;'kl/j]If0f,cg'udg / d"NofÍg ug]{ .
&= kl/rfng cWoog ;+rfng ug]{ .
/0fgLlt M
!= n]vfhf]vf,dfkb08 tyf dfGotf k|bfg
@= tflnd Kofs]hsf] dfkb08 / ljsf;
#= ;+:yfut Ifdtf ljsf;
$= ljleGg vfnsf tflnd ;+rfng
%= tflndsf] PsLs/0f / cGt/udg
^= u'0f:t/Lo ;]jf k|bfg ug{ bIftf ljsf;
&= tflnd k|f]kmfO{n
k|d'v lqmofsnfk M
/fli6«o :jf:Yo s]Gb|n] tklzndf pNn]lvt d'Votof ;le{; tflnd k|bfg ug]{5 .
!= cfwf/e't tflnd
@= k'g{tfhuL tflnd
 79

#= ljlzi6 tflnd
$= kbf]Gglt tflnd
%= cled'lvs/0f sfo{qmd
^= cGt{/fli6«o tflnd
Gap Analysis of Health Training
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
Tfflndsf s]xL ljz]if Kofs]hx¿sf] Joj:yf ldnfO{g'
kof{Kt sfo{qmd gePsf] Kf|fyfldstfdf gk/]sf]
kg]{ .
;DalGwt zfvfdf
ljleGg zfvfx¿af6 tflnd
sfo{qmd ljlgof]lht Ps4f/ k|0ffnLsf] Joj:yf x'g' kg]{ .
;+rfng
/x]sf]
tflndnfO{ eQfsf] ?kdf tflndnfO{ eQfsf] ?kdf geO{ j[lt ljsf;sf]
g}ltstfsf] sdL
cEof; ePsf] cj;/sf]] ?kdf cEof; ePsf] x'g' kg]{ .

%=@ :jf:Yo lzIff ,;"rgf tyf ;+rf/ sfo{qmd

(Health Education Information and Communication)
:jf:Yo lzIff tyf ;"rgf s]Gbsf] :yfkgf ;g\ !((# df ePsf] xf] . ;g\ @)!@ df g]kfn ;/sf/ dGqL kl/ifb\n]
/fli6«o :jf:Yo ;+rf/ gLlt cg'df]bg u/]sf] xf] hf] :jf:Yo k|a4{g,lzIff tyf ;+rf/sf] nflu sf]z]9Í
' fsf] ?kdf 5 .
gofF :jf:Yo gLlt @)&@] :jf:Yo,lzIff,;"rgf tyf ;+rf/sf] dfWodaf6 hg :jf:Yo k|a4{gdf s]lGb|t /x]sf] 5 .
:jf:Yo lzIff tyf ;"rgf s]Gb| ;a} :jf:Yo ;]jf / sfo{qmdsf] :jf:Yo k|a4{g,lzIff tyf ;+rf/ sfo{qmdsf]
of]hgf,;+rfng,cg'udg tyf d"NofÍgsf] nflu lhDd]jf/ lgsfo xf] . of] :jf:Yo lzIff ;DalGw sfo{qmd ljsf;,
pTkfbg / k|;f/0f ug{ lhDd]jf/ lgsfo klg xf] .
lj=;+=@)%!÷%@ b]lv x/]s lhNnfdf :jf:Yo lzIffsf PsfO{x¿ :yflkt ePsf 5g\ . ltgLx¿n] g} lhNnfsf
cfjZostf cg';f/sf :jf:Yo lzIff ;"rgf tyf ;+rf/ cGtu{tsf lqmofsnfkx¿ ÷sfo{qmdx¿ lhNnfdf ;+rfng
u/]sf x'G5g\ . :yfgLo ;+rf/ / efiffsf] k|of]u u/L lhNnfn] cf-cfkm\gf] cfjZostf cg';f/sf] sfo{qmd tof/ u/L
;+rfng ul/G5 .
nIo M
/fli6«o :jf:Yo lzIff ;"rgf tyf ;+rf/ s]Gb|sf] d'Vo nIo lgDg dfWod4f/f hgtfsf] :jf:Yosf] tx pRrtd
k'¥ofpg of]ubfg ug'{ xf] .
!= :jf:Yo ;]jf k|a4{g,sfo{qmd / :j:Yos/ Jojxf/
@= /f]ux¿sf] /f]syfd tyf lgoGq0f
80

#= :jf:Yo ;]jfsf] kx'Fr tyf pkef]u

p2]Zo M
:yfgLo >f]tsf] pkof]u / cfkm\g} k|of;n] :jf:Yo cj:yf ;'wf/ / /f]u;+u afRg ;Sg] :jf:Yo r]tgf a9fpg]
sfo{qmdsf] ;fwf/0f p2]Zo x'g]5 .
sfo{qmdsf ljlzli6s[t p2]Zo M
!= ax';+rf/ / ;fwgsf] k|of]u u/]/ :jf:Yo ;DalGw hgr]tgf tyf 1fg a9fpg' / :j:Yos/ Jojxf/ k|a4{g
ug'{ .
@= ;DalGwt ;+:yf / ;+rf/ dfWod;+u ;dGjo / ;xsfo{ u/L ;a} txdf :jf:Yo ;+rf/ sfo{qmdnfO{
;'b[9,lj:tf/ tyf ;+rfng ug]{ .
#= k|efjsf/L :jf:Yo ;+rf/ sfo{qmd ;+rfngsf nflu ;|f]tsf] pTkfbg,;+sng tyf kl/rfng ug]{ .
$= cgflwsf/Ls tyf gsnL ;"rgfsf] k|sfzg tyf k|zf/0fnfO{ lgoGq0f ug'{ .
%= u'0f:Q/Lo,;xL,cflwsf/Ls,Psgf; tyf pko'Qm ;"rgf ljsf;,pTkfbg / k|zf/0fsf nflu :jf:Yo ;"rgfsf]
bIftf clej[l4 ug'{ .
^= pko'Qm ;+rf/ dfWodx¿af6 u'0f:t/Lo ;"rgf k|jfx ug'{ .
&= 1fg,;Lk tyf Jojxf/ kl?jt{g clej[l4 ug'{ .
*= u'0f:Q/Lo cfsl;ds :jf:Yo ;]jfsf] df+u clej[l4 u/fpg' .
(= :jf:Yo sfo{qmd ;DalGw gofF ;"rgf tyf k|ljlwdf kx'Fr a9fpg' .
!)= ;?jf /f]u tyf g;g]{ /f]usf] af/]df hgr]tgf clej[l4 ug'{ .
!!= ;"lt{hGo kbfy{sf] ;]jg,cNsf]xn ;]jg, c:j:yos/ vfgf tyf s'zf/Ll/s lqmofsnfk lj/4 ;3g / ;'b[9
lqmofsnfk ug]{ .
!@= jftfj/0fLo :jf:Yo / ;/;kmfO{ k|a4{g ug]{ .
/0fgLlt M
!= lhNnf, If]q tyf s]Gb| txdf IEC sf] k|efjsf/L tj/n] ;+rfng ug]{ .
@= IEC sf] cfk"lt{nfO{ ;'lglZrt ug]{ .
#= ;d'bfo, u}=;=;=, c=u}=;=;=tyf :yfgLo lgsfosf] kl/rfng / ;xeflutf ;'lglZrt ug]{
$= :yfgLo cfjZostf cg';f/sf :jf:Yo ;fdfu|L pTkfbg tytf ljt/0f ug]{ .
%= ax' ;+rf/ ;fwfg k|of]u u/L :jf:Yo lzIff hgtfdf k'¥ofpg] .
Gap Analysis of HEIC
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
hgr]tgf clej[l4 tyf Jojxf/ kl/jt{g /
Jojxf/ kl/jt{g tyf df+u
dflg;sf] :jf:Yo ;'wf/df o;
clej[4sf nflu kof{Kt sd k|fyldstfdf k/]sf]
sfo{qmdsf],e"ldsfnfO{ b[li6ut u/L klxnf]
sfo{qmd gePsf]
k|fyldstfdf /flvg' kg]{ .
ljleGg zfvfx¿;+u ljleGg zfvfx¿;+u Kmf]sn k;{g dfkm{t Ps4f/ k|0ffnLdf :jf:Yo
IEC/BCClqmofsnfkdf IEC/BCClqmofsnfkdf lzIff,;"rgf tyf ;+rf/ sfo{qmd ;+rfng x'g'
 81

;dGjosf] sdL ;dGjosf] sdL kg]{ .

sdhf]/ k|ltj]bgsf] cj:yf HMIS Dff ;"rs gePsf] HMIS tools df k|of{Kt ;"rs x'g' kg]{ .
g;g]{ /f]u lgoGq0fdf Wofg kof{Kt ;"rgf ;fdu|Lsf] pTkfbg tyf ljt/0f /
l;ldt ;|f]t
gk'u]sf] k|sfzg tyf k|zf/0f

%=# cfk"lt{ Joj:yfkg (Logistic Management)

k[i7e'ld M
Gfful/sx¿sf] clwsf/ ;'lglZrttfsf] nflu Uf'0f:t/Lo :jf:Yo ;]jf k|bfg ug{ cfK"lt{ Joj:yfkgsf] s'zn
Joj:yfkg Pp6f k|efjsf/L tyf dxTjk"0f{ sfo{ xf] . :jf:Yo ;]jf k|0ffnL k|efjsf/L tj/n] ;+rfng ug{ cfk"lt{
Joj:yfkg k|0ffnLsf] dxTjk"0f{ e"ldsf /x]sf] x'G5 . cf=j= @)%)÷%! Dff :jf:Yo ;]jf ljefu cGt/ut cfk"lt{
Joj:yfkg dxfzfvfsf] :yfkgf ePsf] xf] . cfk"lt{ Joj:yfkg dxfzfvfsf] sfo{ cf}iflw,cf}hf/ pks/0f,uf8L tyf
clen]v k|ltj]bg ;+u ;DalGwt kmf/d km/d]6x¿sf] of]hgf,v/Lb,5kfO{,e08f/0f tyf ljt/0f ug'{ xf] . cfk"lt{
Joj:yfkg dxfzfvfsf] sfo{ ;+hfn cGtu{t kfFr j6f If]lqo d]l8sn :6f];{ / lhNnfl:yt :6f]/ /x]sf x'G5g\ .;g\
!(($ b]lv b]ze/sf ;a} ;+:yfaf6 LMIS ;+sng / ljZn]if0f ug]{ sfo{ q}dfl;s ?kdf x'b} cfO{ /x]sf] 5 .
LMIS k|ltj]bgn] lgDg sfo{ ub{5 .

Δ Key commodities df}Hbftsf] cg'udg ug]{ .

Δ cf}iflw / ;fdfgsf] u'0f:t/ sfod /fVg] .
Δ sfo{qmd ;fdfu|L nufot EoflS;g, k=lg=;fwg / cTofjZos cf}iflwsf] jflif{s cfjZos cg'dfg tof/ ug]{ .
Δ :jf:Yo ;+:yfsf] dfu cg';f/sf] cf}ifwL, EoflS;g, k=lg= ;fwg / cTofjZos cf}ifwLsf] cfk'lt{sf] ;j}
tx;Dd eP ÷gePsf] ;'lglZrt ug]{ .
p2]Zo M
g]kfnsf ;a} :jf:Yo ;+:yfx¿af6 k|bfg ul/g] :jf:Yo ;]jfsf nflu cTofjZos cf}iflwx¿,EoflS;g,kl/jf/
lgof]hgsf ;fwg,cf}hf/ pks/0f, clen]v k|ltj]bg ;+u ;DalGwt kmf/d km/d]6x¿ -dd{t tyf ;Def/ nufot_
sf] of]hgf tyf 9'jfgL ug'{ xf] .
/0fgLlt M
!= cf}iflw,cf}hf/ pks/0f,uf8L tyf clen]v k|ltj]bg ;+u ;DalGwt kmf/d km/d]6x¿sf]
of]hgf,v/Lb,5kfO{,e08f/0f tyf ljt/0f
@= ;a} txdf ef}lts k"jf{wf/sf] ;'b[l9s/0f
#= j]ea]; ;"rgf k|0ffnL k|j4{g
$= cf}hf/,pks/0f,sf]N8r]g pks/0f,uf8L cflbsf] dd{t ;Def/
%= hgzlQm bIftf clej[l4
^= Pull system sf] k|efjsf/L ;+rfng
&= v/Lb tyf cfk"lt{ k|lqmof ;'b[l9s/0f
d'Vo lqmofsnfk M
!= cf}iflw,cf}hf/ pks/0f,uf8L tyf clen]v k|ltj]bg ;+u ;DalGwt kmf/d km/d]6x¿sf] v/Lb of]hgf
@= 6]08/ cfJxfg
82

#= cf}iflw,cf}hf/ pks/0f,uf8L tyf clen]v k|ltj]bg ;+u ;DalGwt kmf/d km/d]6x¿sf],v/Lb,5kfO{,e08f/0f

tyf ljt/0f
$= cfk"lt{ Joj:yfkg ;DalGw tflnd uf]i7L ;+rfng
%= j]ea]; ;"rgf k|0ffnL k|j4{g
^= cf}hf/,pks/0f,sf]N8r]g pks/0f,uf8L cflbsf] dd{t ;Def/
&= cfk"lt{ Joj:yfkgsf nflu ljsf; ;fem]bf/;+u ;dGjo
*= ;'kl/j]If0f tyf cg'udg
(= 6]nLd]l8l;g sfo{qmd ;+rfng
Logistic Management Reporting Status by Institutions (in %)
FY 2071/72 – 2073/74
Type of HF 2071/72 2072/73 2073/74
1. District Store 100% 100% 100%
2. Hospital 100% 0 0
3. PHCC 100% 58.33% 100%
4. Health Post 100% 57.91% 100%
5. Urban Health Centre 100 100 0
5. Community Health Unit 100 100 0

Trend Analysis of Logistic Management

ljut # jif{sf] cfk"lt{ Joj:yfkg sfo{qmdsf] k|ltj]bgsf] cj:yf ljZn]if0f ubf{ cf=j=@)&!÷&@ / @)&@÷&# df
;a} :jf:Yo ;+:yfx¿af6 zt k|ltzt /x]sf]df cf=j=@)&@÷&# df :jf:Yo ;+:yf;Dd LMIS Toolsf] cfk"lt{
lgoldt ug{ g;lsPsf] tyf sfo{/t hgzlQmsf] bfloTjaf]wsf] sdLsf sf/0faf6 k|f=:jf=s]=sf] %*=##% tyf
:jf:Yo rf}sLx¿sf] %&=(!%pknlAw ePsf] 5 .
Gap Analysis of Logistic Management
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
cf}iflwsf] u'0f:t/ dfkb08
cf}iflwsf] u'0f:t/ U'f0f:t/Lo cf}iflw v/Lb ug]{ .
;Tofkg x'g g;s]sf]
q}dfl;s LMISk|ltj]bg adf]lhd lgoldt
:jf:Yo ;+:yfx¿df cTofZos Dff+u adf]lhd lgoldt cfk"lt{
cfk"lt{ tyf k|fljlws q'l6 ;RofO{ s[lqd
cf}iflwsf] Stock out gePsf]
cefj sd ug]{ .
;dodf tyf kof{Kt
Dff+u adf]lhd lgoldt cfk"lt{ HMIS/LMIS forms ;dod} kof{Kt cfk"lt{
HMIS/LMIS formssf]
gePsf] ug]{ .
cfk"lt{ gx'g'
9'jfgLsf nflu k|ofKt ah]6 ljlgof]hg
9'jfgLsf nflu ck|ofKt ah]6 ljlgof]hg gePsf]
 83

gofF hgzlQmnfO{ LMIS tflndsf] JoJ:yf

gofF hgzlQmnfO{ tflnd Tfflndsf] sdL
ldnfpg' kg]{ .
• pko'Qm :yfg
• k|of]u ug{ gldNg],dd{t x'g g;Sg]
cf}hf/ pks/0f tyf ;fdfu|Lx¿nfO{
k|lqmofut q'l6 / k|of;sf]
e08f/ Joj:yfkg w'Nofpg]
cefj
• pkof]uL ;fdfu|Lx¿nfO{ Jojl:yt ug]
• cf}iflwnfO{FIFOsf] l;4fGtdf
e08f/0f ug{]{

%=$ hg:jf:Yo k|of]uzfnf ;]jf (Public Health Laboratory Services)

k[i7e'ld M
pkrf/fTds ;]jf cGt/ut,:jf:Yo gLltn] s]Gb| b]lv u|fdL0f :t/;Ddsf c:ktfnx¿df lgbfgfTds k|of]uzfnf
;]jfnfO{ nlIft u/]sf] 5 . /fli6«o :jf:Yo gLlt @)&! / /fli6«o :jf:Yo k|of]uzfnf gLlt @)^( cg';f/ /fli6«o
hg:jf:Yo k|of]uzfnf s]lGb|o :Q/sf] ljz]if1 k|]if0f k|of]uzfnfsf] ?kdf kl/lrt ePsf] 5 . ;fy} ;/sf/L tyf
lghL k|of]uzfnfx¿nfO{ k|df0fkq k|bfg ug]{ / lgodg ug]{ ?kdf klg kl/lrt ePsf] 5 . o;sf cltl/Qm /ut
;+/If0fsf] ;Dks{ :yn klg xf] .
b[Zo M b]zdf u'0f:t/Lo k|of]uzfnf ;]jf k|bfg ug'{ .
nIo M u'0f:t/Lo k|of]uzfnf ;]jfdf ;a} gful/sx¿sf] ;:tf] / ;'ne b/df kx'Fr k|bfg ug'{ .
p2]Zo M
!= sd vlr{nf] tyf lbuf] k|of]uzfnf ;]jfsf] ;+u7g,Joj:yfkg tyf ;/sf/L k|ltj4tf aofg ug'{ .
@= lgbfg,pkrf/ vf]hk8tfn,/f]ux¿sf] /f]syfd tyf lgoGq0fsf nflu k|of]uzfnf ;]jfnfO{ ;'b[9 ug]{ .
#= k|of]uzfnf u'0f:t/ k|0ffnL sf nflu /fli6«o dfkb08 :yfkgf ug]{ .
$= /fli6«o dfkb08 adf]lhd :jf:Yo k|of]uzfnfx¿sf] u'0f:t/ ;'lglZrt ug]{ .
%= /fli6«o hg:jf:Yo k|of]uzfnf sfo{qmd=:yfkgf,;+rfng tyf cg'udgnfO{ ;zQm ug]{ .
^= hg:jf:Yo k|of]uzfnfsf nflu cfly{s tyf dfgj ;+;fwg pko'Qm ePsf] ;'lglZrt ug]{ .
&= k|of]uzfnf cfrf/ ;+lxtf,uf]klgotf tyf Joj;flos / cg';Gwfg cEof;nfO{ j0f{g ug]{ .
*= k|of]uzfnf ;]jfsf] u'0f:t/ ;'wf/ / ;"rgf cg';Gwfg tyf ;xof]usf nflu k|f]T;flxt ug]{ .
/0fgLlt M
!= ;a} txdf hg :jf:Yo bIftf ;'b[9 ug]{ .
@= bIftf clej[l4sf nflu gLlt,lgb]{lzsf / 9fFrf tof/ ug]{ .
#= /fli6«o hg:jf:Yo k|of]uzfnfnfO{ k|d'v ;+:yfsf] ?kdf / /fli6«o O{Gkmn'Ghf s]Gb| klg x'g]5 .
$= ljleGg tx,;'b[9 k|0ffnL / cTofjZos cf}hf/ pks/0f tyf ;fdu|L aLr k|of]uzfnf k|lqmof / ;+rf/nfO{ ;'b[9
ug{ Wofg lbO{g]5
84

Public Health Laboratory Services Performance Indicators

FY 2071/072 – 2073/074
Paracitology/ Virol Hemato Microbi Histopath Biochem Immunology/ Other
FY Bacteriology ogy logy ology ology istry Serology Tests

2071/
7413/2328 2942 38982 0 0 18154 2527/0 437
072

2072/ 18324
1521/11404 5018 NA 7 125902 14735 NA
073 5

2073/
074 12446/4421 3645 84920 NA 0 67648 6418 NA

Trend Analysis of Laboratory Service

ljut # jif{sf] k|ult ljZn]if0f ubf{ cf=j @)&!÷&@ ,@)&@÷&# / @)&#.)&$ df qmdz M Paracitology/
Bacteriology 7413/2328 tyf 1521/11404 Virology 2942 tyf 5018 Hematology 38982 tyf
183245 Biochemistry18154 tyf 125902 Immunology/ Serology 2527/0 tyf 14735 hgfn]
k|of]uzfnf ;]jf k|fKt u/]sf] b]lvG5 .
Gap Analysis of Laboratory Service
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
cfjZos cf}hf/ pks/0f sf] cfjZostf adf]lhdsf] cfk"lt{
cfjZostf adf]lhdsf] cfk"lt{ x'g' kg]{ .
cefj gx'g'
Reagents cfk"lt{df ;d:of Reagentslgoldt cfk"lt{ gx'g' Reagentslgoldt cfk"lt{ x'g' kg]{ .
nf]s ;]jf jf s/f/ ;]jf 4f/f kbk"lt{ x'g'
hgzlQmsf] sdL l/Qmtf
kg]{ .

%=% sd{rf/L k|zf;g Joj:yfkg (PersonnelAdministrationManagement)

k[i7e"ld M
dfgj ;+;fwg Joj:yfkg klg :jf:Yo ;]jfsf] dxTjk"0f{ c+u xf] . :Jff:Yo If]qsf] ;Dk"0f{ dfgljo ;+;fwg ljsf;
tyf Joj:yfkgsf] sfo{ k|zf;g Joj:yfkgn] u5{ . dfgljo ;+;fwg Joj:yfkgn] :jf:Yo k|0ffnL cGt/ut dfgj
;+;fwg of]hgf,pTk|]/0ff,pkef]u,tflnd / sd{rf/Lx¿sf] j[lt ljsf;,;?jf tyf ljz]if tflndnfO{ ;d]6]sf] x'G5 .
sfo{qmdsf] k|efjsf/L ;+rfng tyf hgtfnfO{ u'0f:t/Lo :jf:Yo ;]jf k|jfxsf nflu sd{rf/Lx¿sf] plrt
kb:yfkgf tyf pkef]u dxTjk"0f{ x'G5 .
:jf:Yo ;]jf ljefu / dftxtsf If]qLo / lhNnf :t/Lo sfof{nox¿df lgoldt k|zf;lgs sfo{ ug{ dfgj ;+;fwg
Joj:yfkgsf] lhDd]jf/L k|zf;g zfvfsf] x'G5 . o; zfvfn] :jf:Yo ;+:yf :Q/f]Gglt, sd{rf/L ;?jf,
:Q/j[l4,Ifdtf ljsf; / dfgj ;+;fwgsf] cfGtl/s Joj:yfkg sfo{ ub{5 .
 85

p2]ZoM
k|zf;g Joj:yfkg sfo{qmdsf] d'Vo p2]Zo :jf:Yo ;]jf k|0ffnLdf plrt ;dodf plrt JolQmnfO{ plrt :yfgdf
k|efjsf/L 9Ín] Joj:yfkg ug'{ xf] .
ljz]if p2]Zo M
• ;/sf/sf] gLlt lgod adf]lhd sd{rf/Lx¿sf] ;?jf tyf kb:yfkgf
• ljleGg txdf sd{rf/L Joj:yfkg
• Joj;flos lgod adf]lhd cg'zf;gsf] kfngf u/fpg]
• ;a}tx / ;+:yfdf sfo{/t sd+{rf/Lx¿sf] Joj:yfkg tyf JolQmut ljj/0f cBfjlw
• sd{rf/Lx¿sf] sfo{ ljefhg
• dflyNnf] lgsfoaf6 k|fKt lgb]{zg adf]lhd sfo{ ;+rfng
• ljz]if tyf c;fwf/0f labfsf nflu l;kmfl/z
d'Vo lqmofsnfk M
• ;?jf tyf kb:yfkgf
• :Q/j[l4
• labf
• cg'zf;gsf] kfngf
• cjsfz tyf /flhgfdf
• cGo k|zf;lgs sfo{
Human Resources Situation: FY 2073/074
A. District Health Office/District Public Health Office
GOVERNMENT CURRENTLY AVAILABLE
Sanctioned Among Local and other
Fulfilled
SN POSTS post government resources
(in
(in sanction (in (contractee/volunteer/etc)
number)
number) number) (in number)
Technical Staffs
1 PHA 1 1 1
2 PHO 4
3 HA 2 2 2
4 EPIS 2 2 2
5 PHN 1 1 1
6 FPS 1 1 1
7 VCA 1 1 1
8 DTLA 1 1 1
9 Lab.Tech. 1 1 1
10 Lab.Assist. 6 6 6
86

11 CHA 2 2 2
Total 18 18 22
Administrative
(Non-Technical)
1 Account Officer 1 1 1
2 Section Officer 1 1 1
3 Statistic Officer 1 1 1
4 Accountant 1 1 1
5 Nayab Subba 1 1 1
Computer
6 1 1 1 2
Operator
7 Kharidar 1 1 1
8 Driver 1 1 1
9 Supporting Staff 4 2 2 3
Total 12 10 10 5

B. Pokhariya Hospital
GOVERNMENT CURRENTLY AVAILABLE
Local and other resources
Sanctioned Among
Fulfilled (Development
SN POSTS post government
(in committee/Helping committee/
(in sanction (in
number) contractee/volunteer/etc)
number) number)
(in number)
Technical Staffs
Medical
1 1 0 0
Superintendent
2 Medical Officer 2 0 0 5
3 Sister 1 0 0
4 HA 1 1 1
5 Staff Nurse 6 0 0
6 Lab.Tech. 1 1 1
7 Radiographer 1 1 1
8 AHWs 2 2 2 3
9 ANMs 3 3 3 2
10 Darkroom Assist. 1 0 0

Total 19 8 8 10
Administrative
(Non-Technical)
1 Kharidar 1 1 1
2 Driver 1 0 0
 87

3 S.Staff 4 3 3 3
Total 6 4 4 3
C. PHC
GOVERNMENT CURRENTLY AVAILABLE
Sanctioned Fulfilled Among government Local and other resources
SN POSTS
post (in sanction (in (contractee/volunteer/etc)
(in number) number) number) (in number)
Technical Staffs
1 Medical 3 0 0 6
2 HA 3 3 3
3 Staff Nurse 3 1 1
4 AHWs 9 8 8
5 ANMs 9 7 7 2
6 Lab.Assist. 3 3 3
Total 30 22 22
Administrative
S.Staff 6 3 3
Total 6 3 3 8
D. HP
GOVERNMENT CURRENTLY AVAILABLE
Sanctioned Fulfilled Local and other
SN POSTS Among government
post (in resources
sanction (in number)
(in number) number) (in number)
Technical Staffs
1 HA 79 17 17
2 AHWs 237 172 172 4
3 ANMs 158 100 100 10
Total 474 289 289
Administrative (Non-
1 S.Staff 79 3 3 25
Total 79 3 3 76
% of Health Personnel currently working as of sanctioned post [ 56.30% ]
Number of health personnel deputed(Kaaj):
88

ljZn]if0f :
• xfn k;f{ lhNnfsf] dfgj ;+zfwgsf] cj:yf x]bf{ s'n b/aGbLsf] %^=#) Ü dfq} hgzlQm sfo{/t /x]sf]n]
sfo{ ;Dkfbgdf lgs} ;d:of ePsf] sf/0faf6 u'0f:tl/o :jf::Yo ;]jf k|jfxdf k|efj kg{ uPsf] b]lvG5 .
Gap Analysis of PAM
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
k|zf;lgs sd{rf/Lx¿nfO{
Tflnd Joj:yf gePsf] pko'Qm tflnd k|bfg ug]{ .
ckof{Kt tflnd
sfo{ ;Dkfbg d"NofÍg k|0ffnLnfO{ :t/j[l4 tyf
sfo{ ;Dkfbg d"NofÍg k|0ffnL sfof{Tds gePsf]
k|f]df]zg;+u hf]8g].
sfo{ ljefhg :ki6 gePsf] sfo{ ljefhg ljsf; tyf ;+rfng ug]{ .
JolQmut ljj/0f Data Base
sfof{Tds gePsf] JolQmut ljj/0f Data Base dfJojl:yt ug]{ .
gePsf]
hgzlQmsf] sdL l/Qm b/aGbL hgzlQm kbk"lt{ ug]{ .

%=^ cfly{s Joj:yfkg (Finalcial Management)

k[i7e"ldM
:jf:Yo ;]jfdf cfly{s Joj:yfkg sfo{qmdsf] cxd e"ldsf /x]sf] x'G5 . dfgljo ;fwg h:t} cfly{s ;fwg ljgf
s'g}klg lqmofsnfksf] k|ult xfl;n ug{ ;lsb}g .jflif{s ah]6 tof/L,;dod} ah]6 ljt/0f,n]vfÍsg ,k|ltj]bg tyf
n]vf k/LIf0f cflb cfly{s Joj:yfkgsf] d'Vo sfo{ xf] h'gls :jf:Yo sfo{qmdx¿sf] ;+rfngsf nflu cfjZos
x'G5 . :jf:Yo ;]jf ljefu tyf dftxtsf k|f=:jf=s]=/ :jf=rf}=afx]ssf ;+:yfx¿df :yflkt 5g\ .
p2]Zo M
• ;a} sfo{qmdx¿sf nflu ah]6 tof/Ldf ;xof]u ug'{ .
• ah]6 k|fKt ug'{ tyf ljt/0f ug'{ .
• cfly{s clen]v /fVg' .
• cfly{s k|ltj]bg tof/ ug]{ / k7fpg] .
• cfGtl/s tyf afXo n]vf k/LIf0f ug{ ;xhLs/0f ug'{ .
• cfly{s k/fdz{ k|bfg ug'{ .
nIo M
g]kfn ;/sf/sf] cfly{s lgod adf]lhd lglZrt cjlwleq sfo{qmdsf] sfo{ of]hgf d'tflas ;a} ah]6 zt k|ltzt
vr{ ug'{ tyf ;xL / ;dod} clen]v k|ltj]bg k|0ffnLnfO{ b'?:t agfO{ /fVg' cfly{s Joj:yfkg sfo{qmdsf] d'Vo
nIo xf] .
 89

5.6.1 Financial Resource Mobilization

Financial Administration Programme
(according to Anusuchi 2) FY 2073/74
(Recurrent Budget)
Irregularities (BERUJU)
Budget
Budget Budget
ah]6 Programme Allocated
Released Expenditure %
Amount Clearances
lzif{s g+= Clearances

k|fyflds
#&)!#^# :jf:Yo ##))))) 70935.5 #@@()^$.%)
k'g{hfu/0f
/fli6«o
##!)!## hg;+Vof %!&$%) 450 %!&)))
lzIff
k|fyflds
:jf:yo
!##(%$%&(.#
#&))!$# s]Gb| tyf !!)**)))) -23074579
&
:jf:yo
rf}sL
cy{ ah]6
%&**@&!(.^ %&**@&!(.^
^)!)!^# sd{rf/L %
0
%
;'ljwf

!$=(& -!%Ü_
&*(!()$$

!!*!(($^
cfwf/e't
:jf=tyf
#&)!#*# (%$))) 300000 ^%$)))
cfwf/e't
ufFp
:jf:Yos/
sf]ifaf6
#&)!@&# %))))) 500 $((%))
;+rflnt
sfo{qmd
cg'udg
d'Nofs+g
#&)!#$# #&!))) 371000 )
tyf of]hgf
;'lb[l9s/0f
:jf:yo
#&)!@^# k|of]uzfnf !@%))) 125000 )
;]jf
P8\; tyf
#&)!!$# @$)))) 99950 !$))%)
of}g /f]u
90

/fli6«o
#&)*)@# ;'rgf tyf &&)))) 31597 &#*$)#
;+rf/
Ifo/f]u
#&)*)^# lgoGq0f #*($))) 462752 #$#!@$*
lhNnf :t/
cy{ ah]6
##!)!$# #&^^@^! 0 #&^^@^!
;+lrt labf
rfn'
PsLs[t
#&)*)$# &@%(&))) 19880866.1 %@&!^!##.()
lhNnf
sfo{qmd
/fli6«o
#(!!)%# of]hgf !&^@^)) 225175 !%#&$@%
cfof]u
(Capital Budget)
Irregularities (BERUJU)
Budget
Budget Budget
ah]6 Programme Allocated
Released Expenditure %
Amount Clearances
lzif{s g+= Clearances

#&)*)$$ PsLs[t &@(%)))÷– $)))%*^* #@*(!#!=*(

lhNnf
k'FhLut
#&)!@&# Ifo/f]u &^))) *&^( ^&@#!
sfo{qmd
k'Flhut
Gap Analysis of Financial management
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
cflys ljj/0f ;DalGw{ Tfflndsf]
cfly{s k|ltj]bgdf sl7gfO{ cflys ljj/0f ;DalGw{ Tfflndsf] Joj:yf
Joj:yf gePsf]
;dod} ah]6 k|df0fLs/0f tyf ljt/0f
l9nf] ah]6 k|flKt ;dod} ah]6 k|df0fLs/0f tyf ljt/0f
geP/
;dodf lgsfzf k|fKt ah]6 ljlgof]hg cufj} sfo{ of]hgf
ah]6 ljlgof]hg cufj} sfo{ of]hgf
gX'g' k|:t't gx'g]
cfly{s clen]v /fVg cflys ljj/0f ;DalGw{ Tfflndsf]
cflys ljj/0f ;DalGw{ Tfflndsf] Joj:yf
sl7gfO{ Joj:yf gePsf]
 91

%=& :jf:Yo ;"rgf Joj:yfkg (Health Information Management )

k[i7e"ld M
:jf:Yo ;]jf ljefusf nflu tof/ ePsf ;+rfng Dofg'cn @)^*- t]>f] ;+zf]wg_ n] :jf:Yo sfo{qmdx¿sf] ;"rgf
Joj:yfkg,of]hgf,;dGjo ,;'kl/j]If0f cg'udg / d"NofÍgsf] lhDd]jf/L :jf:Yo ;"rgf Joj:yfkgsf] xf] egL j0f{g
u/]sf] 5 . ;fy} ;a} k|sf/sf :jf:Yo ;+:yfx¿af6 u'0f:t/Lo :jf:Yo ;]jfsf] k|jfxsf] cg'udg klg o;}sf]
lhDd]jf/L cGt/ut kb{5 . :jf:Yo ;+:yfx¿sf] ejg lgdf{0f / dd{t ;Def/ tyf d]l8sn pks/0fx¿sf] dd{t
;Def/df ;xof]u klg k|bfg ub{5 . NHSP n] lgb]{z u/]sf] w]/}h;f] lqmofsnfkx¿;+u ;DalGwt gLlt tyf
of]hgfx¿ h:t} dfgl;s :jf:Yo,d'vsf] :jf:Yo,kmf]x/ d}nf Joj:yfkg tyf :jf:Yo ;+:yfx¿sf] :Q/f]Gglt /
gljs/0f, gl;{Í sfo{qmd,tyf ;'lrs[t /f]ux¿af6 g]kfnL hgtfsf] :jf:Yo ;'wf/ ug{ pkrf/ ;'lawf cflbsf]
sfdsf] afF8kmfF8sf] lhDd]jf/L klg o;} :jf:Yo ;"gf Joj:yfkg cGt/ut kb{5 .
p2]Zo M
• jflif{s of]hgf,sfo{qmdx¿sf] tof/L tyf cfjZos cGo Joj:yf ldnfpg] sfo{sf] nflu ;DalGwt zfvf;+u
;dGjo / ;xhLs/0f ug]{ .
• jflif{s ah]6 tof/L tyf ;+sngsf nflu cfjZos Joj:yf ldnfpg] .
• sfo{qmdx¿sf] ;+rfng cg'udg cj:yf / ;ldIff ;+rfng ug]{ .
• :jf:Yo lgsfodf u'0f:t/ ;'wf/df ;xof]u ug]{ .
• :jf:Yo ;"rgf Joj:yfkg k|0ffnL Joj:yfkg ug]{ .
• hg :jf:Yo ;+:yfx¿sf] lgdf{0f,dd{t ;'wf/ tyf cGo ef}lts k"jf{wf/x¿sf] nflu ;dGjo / Joj:yfkg ug]{ .
• lghL tyf u}/ ;/sf/L ;+:yfx¿sf] :yfkgf k|df0fLs/0fsf k|lqmof rfNg] .
• gofF hg:jf:Yo ;+:yfx¿sf] :yfkgf k|df0fLs/0f tyf :t/f]Ggltsf k|lqmof rfNg] .
• hg:jf:Yodf sfo{/t hgzlQmx¿sf] Ifdtf ljsf;sf nflu Joj:yf ldnfpg] .
• ;"rgf k|ljlwsf] Joj:yf ldnfpg] .
• ;"lrs[t /f]ux¿af6 g]kfnL hgtfsf] :jf:Yo ;'wf/ ug{ pkrf/ ;'lawf k|bfg ug]{ .
/0fgLlt M
• :jf:Yo sfo{qmdx¿sf] of]hgf,cg'udg / d"NofÍgsf nflu :jf:Yo ;"rgfsf] ;+sng tyf ljZn]if0fsf]
cfjZos Joj:yf ldnfpg] .
• :jf:Yo ;]jf ;"rgf nufot clwstd ;|f]t k|of]u u/L ;d'bfo b]lv s]Gb|;Ddsf] of]hgf k|lqmof ;'b[9 ug]{ .
• cfjlws ;ldIff a}7s ;+rfng ug]{ .
• ;'kl/j]If0f cg'udg ;'b[9 ug]{ .
• tYofÍ a}+s :yfkgf ug]{ .
• sDKo'6/fO{H8 ;"rgf k|0fnL lj:tf/ ug]{ .
• hg :jf:Yo ;+:yfx¿sf] lgdf{0f,dd{t ;'wf/ tyf cGo ef}lts k"jf{wf/x¿sf] ljsf; / ;+rfng ug]{ .
• hg:jf:Yodf sfo{/t hgzlQmx¿sf] Ifdtf ljsf;sf nflu Joj:yf ldnfpg] .
• :jf:Yo lgsfodf u'0f:t/ ;'wf/df hgzlQm ljsf; sfo{qmd ;+rfng ug]{ .
92

• :jf:Yo ;"rgf Joj:yfkg lgoldt ug]{ .

• u'0f:t/Lo :jf:Yo ;]jf k|jfxsf nflu cled'vLs/0f ug]{ .
• :jf:Yo ;+:yfx¿sf] :Q/f]Gglt ug]{ .
• lghL tyf u}/ ;/sf/L ;+:yfx¿sf] :yfkgf k|df0fLs/0fsf k|lqmof rfNg] .
• gofF hg:jf:Yo ;+:yfx¿sf] :yfkgf k|df0fLs/0f tyf :t/f]Ggltsf k|lqmof rfNg] .
• ;'kl/j]If0f cg'udg of]hgf tof/ ug]{ .
• Eff}lts k"jf{wf/ tyf hgzlQm kl/rfngsf nflu lgb]{lzsf tof/ ug]{ .
Health Information Management Performance Indicators
FY 2071/072 – 2073/074

Type of Health Facilities 2071/72 2072/73 2073/74

1. Hospital (GoN ) 100 100 100

2. PHCC 100 100 100
3. Health Post 100 100 100
4. Urban Health Center (UHC) 100 100 100
5. Community Health Unit (CHU) 100 100 100
6. PHC Outreach Clinic 47.02 47.57 51
7. Immunization Clinic 80.99 88.78 95
8. FCHV 73
9. NGOs
10. Private HF 26.66 31.03 75

Trend Analysis of Health Information Management

:jf:Yo ;"rgf Joj:yfkg sfo{s|d cGt{ut k|ltj]bg k|fKt ljj/0f x]bf{ ut jif{ / o; jif{ :jf:Yo ;+:yfsf] k|ltj]bg
Trend ztk|ltzt /x]sf] 5 . ufFp 3/ lSngLs, vf]k lSngLs / d=:jf=:j+=;]jLsfx¿sf] k|ltj]bg ut cf=j eGbf
a9bf] s|ddf /x]sf] 5 . ;du|df ;/sf/L ;+:yfsf] k|ltj]bg k|flKtsf] s|d /fd|f] b]lvG5 t/ ;a} lglh / u}/ ;/sf/L
;+:yfx¿sf] k|ltj]bg lgoldt u/fpg r'gf}ltk'0f{ b]lvG5 .
Gap Analysis of Health Information Management
Recommended Actions for
Performance Gaps Causes/Reasons
improvements
k|of]ustf{nfO{ tYofÍ Joj:yfkg ;DalGw
tYofª\s Joj:yfkg ;Lksf] sdL
tflndsf] Joj:yf
software Dff k|fljlws ;d:of software b'?:t gx'g' user friendly software sf] ljsf;
l/Qm b/aGbL tYofÍ clws[tsf] pknAwtf gx'g' kbk"lt{ x'g'
 93

%=* hg;+Vof Joj:yfkg (Polpulation Management )

hg;+Vof Joj:yfkg sfo{s|d cGt{ut ;fyL lzIfsx¿n] laBfnosf 5fq 5fqfx¿nfO{ k|bfg u/]sf] k/fdz{ ;]jf
a9bf] s|ddf /x]sf] / laBfno l:yt :yflkt ;'rgf s]Gb|x¿ klg ;'rf? /x]sf 5g\ .
%=( k|fylds :jf:Yo ;]jf k"ghf{u/0f (Primary Health Care Revitlization )
k[i7e"ld M
‘‘;a} hgtfsf] clwsQd :jf:YoæpknlAwsf nflu k|fylds :jf:Yo ;]jf Pp6f /0fg}lts qmflGt xf] . ;Dk"0f{ b]zdf
Universal Health Coverage k|flKtsf nflu k|fylds :jf:Yo ;]jf cfjZos 5 . k|fylds :jf:Yo ;]jf sd
vlr{nf] kx'Fr;+u ;DalGwt 5 / ;fdflhs Gofo,;dtf,dfgj clwsf/ / :jf:Yo ;]jfdf ;a}sf] kx'Fr,;fd'bflos
;xeflutf / Hofb} sdhf]/ tyf ljz]ifflwsf/af6 j+lrt l;4fGtdf cfwfl/t 5 .
g]kfndf k|fylds :jf:Yo ;]jf ;g\ !(&* sf] cfNdfcf6f wf]if0ffn] kl/sNkgf u/] adf]lhd /fli6«o :jf:Yo gLlt
kZrft z'? ePsf] xf] . /fli6«o :jf:Yo gLlt ;g\ !((! cg';f/ k|fylds :jf:Yo ;]jf g]kfnsf u|fld0f If]qdf
k|fylds :jf:Yo ;]jf k|bfg ug{] dxTjk"0f{ ljGb'sf] ?kdf lnOPsf] 5 . /fli6«o :jf:Yo gLltsf] dxTjk"0f{ of]ubfg
kZrft g]kfn clw/fHoe/ :jf:Yo ;]jfsf] kx'Fr j[l4 ug{ k|To]s uf=lj=;=df slDtdf Pp6f :jf:Yo rf}sL, k|To]s
lgjf{rg If]q cg';f/ tLg z}ofsf] k|fylds :jf:Yo s]Gb| :yfkgf eP . lhNnfdf @% z}ofsf c:ktfnx¿ dfkm{t
jlx/ª\u, cGt/ª\u, lgbfg / cfsl:ds ;]jf ;+rfng ePsf x'g\ .
g]kfndf e/v/} 7"nf] /fhg}lts tyf ;fdflhs kl/jt{g ePsf] 5 . g]kfn ljZjs} ul/a /fi6«n] lrlgb}5 . nueu
cfwf htL hg;+Vof clzlIft 5g\ . olt x'bfFx'b} klg :jf:Yo If]qsf k|d'v ;"rsx¿sf cj:yf ;'lw|Psf 5g\ tfklg
ljZjsf c? /fi6«sf t'ngfdf cem} sldg} 5 . cem}klg Ps rf}yfO{ hg;+Vof :jf:Yo ;]jfaf6 j+lrtg} 5g\, cfwf
h;f] g]kfnL afnaflnsf s'kf]lift 5g\,.Multiple Indicator Cluster Survey 2014cg';f/ %%=@ k|ltzt
;+:yfut k|;"lt %%=^ k|ltzt ;'Ts]/L dfq bIf k|;"tLsdL{af6 ;'Ts]/L eO/x]sf 5g\ . To;} sf/0f :jf:Yo If]q ;'wf/
sfo{qmd -@)!)-@)!%_ n] :jf:Yo If]q k"gM hfu[t ug{ /0fgLlt lnO{Psf] 5 . of]hgfsf] d'Vo ?lr ul/j, plTkl8t
tyf pk]lIft ju{df cTdfjZos :jf:Yo ;]jfsf] Jofkstf j[l4 ug'{ /x]sf] 5 .
ul/j / pk]lIft b'j} ;x/ cyjf ufFpdf j:g] ;/sf/sf] k|fyldstfdf k/]sf ju{ x'g . g]kfnsf] cGt/Ld ;+ljwfg
adf]lhd :jf:Yo ;]jf hgtfsf] clwsf/nfO{ :yflkt ug{ :jf:Yo d+qfnon] lgz'Ns :jf:Yo ;'? ul/;s]sf] 5 . o;}
cg'?k :jf:Yo d+qfnon] k|fylds :jf:Yo ;]jfnfO{ ;Daf]wg ul/ k"gM hfu[t ug{ :jf:Yo ;]jf ljefudf k"ghf{u/0f
dxfzfvf vf]lnPsf] 5 .
o; dxfzfvfn] lgDg sfo{x¿ ub{5 M
• /fli6«o lgz'Ns :jf:Yo ;]jf
• zx/L :jf:Yo sfo{qmd
• ;fd'bflos :jf:Yo aLdf sfo{qmd
• b'u{d ;fd'bflos :jf:Yo,cfwf/e"t :jf:Yo / cfw'lgs :j:Yos/ u|fdL0f sfo{qmd
• ;dtf / kx'Fr
• ;fdflhs k/LIf0f sfo{qmd
• g;g]{ /f]usf] /f]syfd tyf lgoGq0f
94

kl/b[Zo M
g]kfnL hgtf vf;ul/ ul/a / j+lrltdf k/]sfsf] :jf:Yo cj:yfdf ;'wf/ ug{ of]ubfg lbg] . o;n] :jf:Yo tyf
hg;+Vof d+qfnosf] ul/jL 36fpg pRr u'0f:t/sf] / u|x0f ug{ ;Sg] :jf:Yo ;]jfdf ;a}nfO{ ;dfg cj;/ k|bfg
ug]{ sfo{nfO{ ;xof]u ug]{5 .
nIo M
gful/ssf u'0f:t/Lo :jf:Yo ;]jf k|fKt ug]{ clwsf/nfO{ ;'lglZrt ub}{ vf;ul/ ul/a, pk]lIft tyf pTkLl8t
ju{df ?U0ftf / d[To'b/nfO{ sd ug'{ .
p2]Zo M
!= jif]{el/ u|fdL0f tyf zx/L :jf:Yo ;+:yfx¿df cTofjZos cf}iflwsf] pknAwtf ;'lglZrt u/]/ u'0f:t/Lo
cTofjZos :jf:Yo ;]jfdf kx'Fr / pkef]u clej[l4 ug]{ .
@= gu/ :jf:Yo s]Gb|x¿ dfkm{t zx/L hgtfnfO{ u'0f:t/Lo cTofjZos :jf:Yo ;]jf k|bfg ug]{ .
#= cfly{s,;f+:s[lts tyf ef}uf]lns cj/f]w sd ug]{ .
$= zx/L tyf jftfj/0fLo :jf:Yo sfo{qmdsf] cfof]hgf ug]{ .
%= cfwf/e"t :jf:Yo ;]jf Kofs]h kl/eflift ug]{ .
/0fgLlt M
• gu/ :jf:Yo s]Gb|x¿ :yfkgf ug{ ;xof]u .
• ;fd'bflos :jf:Yo aLdf sfo{qmdsf] lg/Gt/tf
• lgz'Ns :jf:Yo ;]jf k|bfg
• kx'Fr gePsf b'u{d :yfgx¿df :jf:Yo lzlj/sf] cfof]hgf
• ;dtf / kx'Fr
• ;fdflhs k/LIf0f sfo{qmd
• g;g]{ /f]usf] /f]syfd tyf lgoGq0f
• gd"gf :j:Yos/ ufpF tyf ;fd'bflos :jf:Yo OsfO{ :yfkgf
• dfkb08 pkrf/ tflnsfsf] k|of]u u/]/ tfls{s cf}iflwsf] k|of]u k|j4{g
;"rsx¿M
1. Fully immunized children in different caste/ethnic groups by sex.
2. Percentage of TT 2 or 2+ in different caste/ethnic groups.
3. New growth monitoring among under five years children in different caste/ethnic
groups by sex.
4. Underweight children in different caste/ethic groups by sex.
5. Incidence of Registered ARI in different caste/ethnic groups by sex.
6. Incidence of Registered CDD in different caste/ethnic groups by sex.
7. ANC 1st visit in different caste/ethnic groups.
 95

8. Percentage of ANC 4th wrt ANC 1st in different caste/ethnic group

9. Percentage of delivery conducted by skill birth attendant in different caste/ethnic
group.
10. Coverage of PNC 1st visit in different caste/ethnic groups.
11. Percentage of family planning new acceptors in different caste/ethnic groups.
12. Incidence of Malaria in different caste/ethnic groups.
13. Case finding rate of Tuberculosis in different caste/ethnic groups by sex.
14. New case detection in different caste/ethnic groups by sex.
15. Incidence of HIV in different caste/ethnic groups by gender.
16. Percentage of OPD visit among total population by caste/ethnic groups and
gender.
17. Percent of people admitted hospital by caste/ethnic group and gender.
18. Percentage of people aged more than 60 years visited OPD caste/ethnic group
and gender.
Gap Analysis of Primary Health Care Revitalization
Performance Gaps Causes/Reasons Recommended Actions for improvements
hgtfsf] rfxgf / Dff+u
adf]lhd cTofjZos cf}iflw df++u tyf cfjZostf ljZn]if0fsf] cfwf/df ah]6
l;ldt ah]6 ljlgof]hg
lgz'Ns pknAw u/fpg ljlgof]hg tyf cf}iflw cfk"lt{ x'g' kg]{ .
g;Sg'
• hg;+Vof tyf rfksf] cfwf/df hgzlQm
Joj:yfkg ul/g' kg]{ .
cfjZostf cg';f/sf]
zx/L :jf:Yo lSnlgs • cg'bfg /sd j[l4 u/L g]kfn ;/sf/sf] k|rlnt
hgzlQm gePsf] tyf
;+rfng :s]n adf]lhd sfo{/t hgzlQmnfO{ tna etfsf]
ck|of{Kt ah]6
Joj:yf / ;+:yf ;+rfngsf] nflu cfjZos /sd
ljlgof]hg x'g' kg]{ .
g;g]{ /f]usf] ;d:of sfo{qmd gePsf] sfo{qmd tyf ah]6 ljlgof]hg x'g' kg]{ .
96

v08 M ^
pkrf/fTds ;]jf
(Curative Services)
 97

^=! lgMz'Ns cTofjZos :jf:Yo ;]jf (Free Essential Health Care services)
k[i7e'ld M
@)^@÷^# sf] hgcfGbf]ng kZrft\, g]kfnsf] cGtl/d ;+ljwfg @)^# n] k|To]s gful/ssf] lgMz'Ns cTofjZos
:jf:Yo ;]jf kfpg] sfg"gL clwsf/ /x]sf] Jof]x/f pNn]v u/]sf] 5 . :jf:Yo dGqfnon] cf=j=@)^#÷^$ af6
;Dk'0f{ k|fylds :jf:Yo s]Gb|x¿df ;a} nlIft ;d'xsf] nflu lgMz'Ns :jf:Yo ;]jf / ! d+l;/ @)^%af6 ;a}
hgtfsf] nflu lgMz'Ns :jf:Yo ;]jf nfu' uof]{ . To;} u/L @)^$ df3 ! ut]af6 ;a} :jf:Yo rf}sLx¿df klg
lgMz'Ns :jf:Yo ;]jf nfu' eof] .
p2]Zo:
!= ;a} gful/sx¿sf nflu cfwf/e"t :jf:Yosf] clwsf/sf] ;'lglZrttf ug]{ .
@= ljz]if u/]/ j+lrtLdf /x]sf ,u/La,dlxnf,ckfÍ tyf Ho]i7 gful/sx¿sf nflu :jf:Yo ;]jfsf] kx'Fr tyf
pkef]u clej[l4 ug]{ .
#= ;a} gful/sx¿nfO{ :jf:Yo ;]jf pknAw u/fP/ d[To' tyf ?U0ftf b/nfO{ 36fpg] .
$= hgtfsf] :j:Yos/ hLjgsf] bfloTj /fHon] lnPsf] ;'lglZrttf ug]{ .
%= hg:jf:Yo ;DaLGw ljleGg sfo{qmd tyf lqmofsnfk ;+rfng ug{ pko'Qm cj;/ k|bfg ug]{ .
^= k|efjsf/L 9+un] U'0f:t/Lo cTofjZos :jf:Yo ;]jf k|bfg ug]{ .
nlIft ;d"x :
In Health Post :
;a} la/fdL hgtfnfO{ cf]=kL=l8=;]jfdf #% k|sf/sf cTofjZos cf}iflwx¿ lgz'Ns tyf btf{ z'Ns klg lgMz'Ns
k|bfg eO{/x]sf] 5 .
In PHCC and Hospital –
:jf:Yo dGqfno,k"ghf{u/0f dxfzfvfn] hf/L u/]sf] cTofjZos lgz'Ns :jf:Yo ;]jf lgb]{lzsf adf]lhd lgDg
JolQmx¿ nlIft ;d"xleq kb{5g\ .
!= clt u/La
@= u/La
#= ckfÍ
$= Ho]i7 gful/s
%= dlxnf :jf:Yo :jo+ ;]ljsfO{d/h]G;L tyf cGt/+u :jf:Yo ;]jfdf pk/f]Qm nlIft ;d'x dfq} lgz'Ns ;]jf
kfpF5g\ .
lgDg ad]lhdsf ;]jf lgz'Ns x'g]5g\ .
!= btf{ z'Ns @= cf}iflw #= k|of]uzfnf k/LIf0f $= PS; /]
98

6.1.2 OPD Services: FY 2071/072 – 2073/74

Indicators 2071/72 2072/73 2073/74
1. Total new OPD visits as % of total population 50.35% 43.86% 36%
2. Total new female OPD visits as % of total OPD 51.53 52.87 53%
visit
3. % of communicable disease among total OPD 26%
new visit
4. % of senior citizen visit among total service
provided

6.1.3 Top Ten Diseases: FY 2073/74

Disease % Disease %
1.Eye Problem 20.80% 6.Pyrexia for Unknown Origin 8.31%
2.Skin Disease 19.92% 7.Cataract 6.07%
3.Other disease & Injuries 19.25% 8.Intestinal Worms 5.88%
4.Water & Food borne disease 17.91% 9.Refractive Error 5.10%
5.Other infected disease 8.82% 10.Scabies 4.93%

Trend Analysis of Morbidity

OPD ;]jf cGt{ut laut # aif{sf] cj:yf x]bf{ ;]jfu|fxLx¿sf] k|ltzt yf]/} cGt/n] 36bf] s|ddf /x]sf] t/ dlxnf
;]jf u|fxLx¿sf] k|ltzt a9bf] s|ddf /x]sf] b]lvG5 .
cf=a @)&#.)&$ df b]lvPsf] /f]usf] cj:yf laZn]i0f ubf{ k|d'v !) /f]u dWo] cFfvf :fDalGw ;Df:of, rd{ /f]u,
;?jf /f]u, Hj/f], k/lhjL ;+s|d0f cflb /f]ux¿ a9L /x]sf 5g eg] cGo /f]u tyf ;d:ofx¿ sd /x]sf 5g\ .
lgisif{dfOPD ;]jf cGt{ut ;]jfu|fxLx¿sf] ;+Vof a9fpg lgoldt ?kdf cf}iflw cfk'lt{ / u'0f:tlo :jf:Yo ;]jf
clea[l4 cfjZos b]lvG5 . To;} u/L cfvfsf] ;d:ofnfO{ ;DalGwt lgsfox¿ Dffkm{t ;Daf]wg ug'{kg]{ b]lvG5 .
ANALYSIS AND PRESENTATION FOR DISAGGREGATED DATA,

FISCAL YEAR 2073/074

Ethnicity/Caste Groups
Total
Indicator 1 2 3 4 5 6
N % N % N % N % N % N % N %
Fully
immunized
children (as
13
% of Under 838 3489 1553 225 137 7580
38
1 Yrs
Popula
tion)
Enroll in
49
CBIMCI 2083 9894 3762 714 72 20493
68
Programme
 99

Underweig
36
ht Children 107 1040 249 12 5 1779
6
(<2 Year)
Institutiona 38
324 541 217 96 26 1586
l Delivery 2
Abortion
96 96 495 210 28 8 933
Cases
Outpatient 35
20947 112605 39873 11900 5644 226052
Cases 083
Inpatient 44
470 2264 882 835 790 5541
Cases 8
New HIV+
0 0 0 0 0 0 00 0 0 0 0 0 0 0
Cases
New
Leprosy 20 6 42 5 1 2 76
Cases
New TB
91 58 168 38 6 1 362
Cases
Gender
Based 1 5 1 0 7
Violence

Gap Analysis of Morbidity

Performance Recommended Actions for
Causes/Reasons
Gaps improvements
Dffgj ;+;fwgsf] s/f/ jf nf]s ;]jfaf6 kof{Kt hgzlQm kl/k"lt
l/Qm b/aGbL
sdL x'g' kg]{ .
ckof{Kt ef}lts b|'t ultdf ef}lts ;+/rgf tyf pks/0fJoj:yfkg
gLltut ;d:of
;+/rgf tyf tyf yk ah]6 ljlgof]hgsf] Joj:yf ldnfO{g'
ah]6sf] cefj
pks/0f kg]{ .
s/f/ jf nf]s ;]jfaf6 kof{Kt hgzlQm kl/k"lt
;]jf k|bfosx¿sf] sdL x'g' kg]{ .
sd u'0f:t/Lo ;]jf ckof{Kt ef}lts ;+/rgf tyf ef}lts ;+/rgf tyf pks/0fsf nflu yk ah]6
pks/0f cg'udgsf] sdL ljlgof]hg x'g' kg]{ .
k|efjsf/L cg'udg x'g' kg]{ .
;]jf k|bfosx¿sf] sdL
ckof{Kt ef}lts ;+/rgf tyf
;]jfsf] Go"g se/]h ;/sf/ tyf lghL ;fem]bf/Lsf] ljsf; ul/g' kg]{ .
pks/0f cg'udgsf] sdL
lgoldt tYofÍ ljZn]if0f gx'g'
g;g]{ /f]u sfo{qmdnfO{ lgoldt sfo{qmddf
g;g]{ /f]u sfo{qmd ckof{Kt g;g]{ /f]u sfo{qmd
;dfj]z ul/g' kg]{ .
100

^=@ c:ktfn ;DalGw ;]jf (Hospital Related Services )

k[i7e"ld M
g]kfn ;/sf/n] b]z} el/sf b'u{d tyf zx/L If]qdf a;f]af; u/]sf cfd g]kfnL hgtfx¿nfO{ pRr u'0f:t/Lo
:jf:Yo ;]jf k|bfg u/]/ :jf:Yo l:ytLnfO{ ;'wf/ ug]{ k|ltj4tf hfx]/ u/]sf] 5 . :jf:Yo ;+hfn tyf ;d'bfo :tl/o
:jf:Yo ;+:yfx¿ Dffkm{t /f]usf] rf8} lgbfg,pkrf/ tyf ljz]if1 / s]Gb|df cjl:yt ;/sf/L c:ktfnx¿df k|]if0f
;]jf k|bfg ug]{ gLltut nIo /x]sf] 5 . To;}u/L ;d:ofsf] rf8} ;xof]u / plrt lgbfg ug{ ljleGg txdf lgbfg
tyf k|]if0f ;]jf :yflkt ul/Psf 5g\ .
g]kfnsf] cGtl/d ;+ljwfg @)^# n] k|To]s gful/ssf] lgmz'Ns cTofjZos :jf:Yo ;]jf kfpg] sfg"gL clwsf/
/x]sf] Jof]x/f pNn]v u/]sf] 5 . g]kfn ;/sf/n] clt u/La,u/La,ckfÍ,Ho]i7 gful/s,d=:jf=;]=tyf n}+lus lx+;f
lkl8t / @% z}of ;Ddsf] c:ktfn tyf k|fylds :jf:Yo s]Gb| - !% l8;]Da/ @))^_ tyf :jf:Yo rf}sLx¿ -*
cS6f]a/ @))&_af6 cTofjZos :jf:Yo ;]jf - O{d/h]G;L tyf cGt/+u ;]jf _ lgz'Ns ug]{ lg0f{o u/]sf] 5 .
p2]Zo M
/f]usf] rf8} lgbfg tyf pko'Qm pkrf/ ;]jf k|bfg u/]/ ?U0ftf / d[To'b/nfO{ 36fpg] g} pkrf/ftds ;]jfsf]
d'Vo p2]Zo xf] .
/0fgLlt M
!= :jf:Yo rf}sL tyf k|fylds :jf:Yo s]Gb|x¿af6 PsLs[t ?kdf pkrfTds ;]jf pknAw u/fpg] .
@= hg3gTj / la/fdL rfksf] cfwf/df sDtLdf k|To]s lhNnfdf Pp6f klg c:ktfn :yfkgf ug]{ .
#= ljz]if1 ;]jf k|bfg ug{ c~rn tyf If]qLo c:ktfnx¿sf] :yfkgf ug]{ .
$= ljz]if1 / pRr ljz]if1 ;]jf k|bfg ug{ s]lGb|o c:ktfnx¿nfO{ pks/0f,lgbfg tyf cGo k"jf{wf/ ;lxt
;';lht ug]{ .
%= 3'DtL ;]jf dfkm{t b'u{d If]q;Dddf ljz]if1 ;]jf k|bfg ug]{ .
^ b'u{d If]qdf a;f]af; ug hgtfx¿nfO{ cfw'lgs ;]jf k|fKt ug{ =k|]if0f k|0ffnLsf] ljsf; ug]{ .
&= cfwf/e't :jf:Yo ;]jfnfO{ cTofjZos :jf:Yo ;]jfsf] 36ssf] ?kdf @% z}of ;Ddsf] c:ktfnx¿df
lgz'Ns ;]jf k|bfg ug]{ .
*= k|of]uzfnf,PS; /] h:tf lgbfgfTds ;]jfnfO{ ;'b[9 ug]{ .
(= lghL tyf u}/;/sf/L c:ktfn,gl;{Í xf]d / d]l8sn sn]hx¿nfO{ ;/sf/L ;+:yfsf] k"/ssf] ?kdf
k|a4{g ug]{ .
d'Vo lqmofsnfkx¿ M
!= cf]=lk=l8=;]jf @= cGt/+u ;]jf #= cfsl:ds ;]jf $= 3'DtL ;]jf %= lgbfgfTds;]jf
 101

Annexes
Annex 1: Activities Carried Out
in Fiscal Year 2073/074 by Programmes
jh]6 pk lzif{s g+=#&)*)$ Plss[t afn :jf:Yo tyf kf]if0f sfo{s|d
cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
O kl ef}lt vr{
vr{ s}lkmo
s|=; lqmofsnfk sf n / s /sd
ef/ ah]6 ef/ k|ltz t
O{ Io df k|ult ?=
t
0f Ü xhf/df
1 2 3 4 5 6 7 8 9 10 11 12
afx\o vf]k s]Gb|sf] ejg ej
1 lgdf{0f :jf:Yo of]hgf g
10 7=79 21 10 7=79 0 0 0

sf]N8 r]g pks/0fsf] dd{t

tyf ;+ef/
k6
2 -sfof{no ;+rfng;+u 1 33 9 1 33 100 0=9 100 GoN
s
;DaGwL oGq , pks/0f tyf
d]zLg cf}hf/
h]g]/]6/ vl/b -sfof{no
;+rfng;+u ;DaGwL bftfsf]
3 j6f 1 87 2=35 1 87 100 2=35 100 ;+o'Qm
oGq,pks/0f tyf d]zLg sf]if
cf}hf/_
lhNnf :t/df vf]k
sfo{qmdsf] ;"Id of]hgf
th{'df @ lbg] -pb\odzLntf, bftfsf]
k6
4 /f]huf/L 1 1=38 3=72 1 1=38 100 3=72 100 ;+o'Qm
s sf]if
d'ns÷;zlQms/0f÷;Lk
ljsf; tyfIfdtf clej[b\lw
tflnd_
k"0f{ vf]k uf=lj=;=,g=kf=tyf
lhNnf ;'lglZrttf /
lbuf]kgfsf] nflu g=kf /
uf=lj;= k|d'v tyf g=kf
k6 22512
5 j8f k|d'vx¿sf] ! lbg] 1 1=48 3=98 1 1=48 100 3=98 100
s GON
uf]li7 pb\odzLntf,/f]huf/L
d'ns÷;zlQms/0f÷;Lkljs
f; tyf Ifdtf clej[b\lw
tflnd_
k"0f{ vf]k lhNnf g=kf= ,
k6 =93 2=42 =93 100 2=42 100 22522
6 uf=lj=;=, 3f]if0ff sfo{qmd 1 1
s GoN
-hg:jf:Yo ;]jf_
lgoldt vf]ksf] se/]h
a9fpg / 8«k cfp6 36fpg k6 22522
7 a}zfv dlxgfnfO{ vf]k s
1 =44 1=2 1 =44 100 1=2 100 GoN
dlxgfsf] ?kdf ;~rfng
lhNnf vf]k ;dGjo
k6 22522
8 ;ldltsf] a}7s aif{sf] @ 1 =11 =3 1 =11 100 =3 100
s GoN
k6s
 102

vf]ksf] lbuf]kgfsf] nlfu

;fem]bf/ / :yfgLo ;+:yf
k6 22522
9 ;~rfng tyf Joj:yfkg s
1 1=33 3=6 1 1=33 100 3=6 100
GoN
;ldltsf ;b:ox¿;Fu
cGtlqmof
:jf:Yo ;+:yf :tl/o vf]k 22522
;'Id of]hgf k6 bftfsf]
10 tof/L th'{df -hg:jf:Yo_ 1 1=48 3=98 1 1=48 100 3=98 100
s ;+o'Qm
sf]if
EoflS;g tyf vf]k ;dfu|Lsf]
k6 22512
11 Jofj:Yffkg tyf ljt/0f vr{ 1 3=34 9 1 3=34 100 9 100
s GoN
- hg:jf:Yo ;]jf_
sf]N8 r]g tyf EoflS;g k6 1 22314
12 Joj:yfkgsf] nflu OGwg s
1=48 4 1 1=48 100 4 100
GON
;]jf s/f/M cx]a,cgdL-vf]k
22412
13 ;]jf sfo{qmd ;+rfngsf] hgf 3 =8 2=16 3 =8 100 2=16 100
GoN
nfuL -JolQm s/f/_
PsLs[t afn :jf:Yo
sfo{qmdsf] ;'kl/j]If0f tyf
k6 8 8 22611
14 cg'udg -cg'udg =8 2=15 =8 100 2=15 100
s 4 4 GoN
d'Nofª\sg tyf sfo{qmd
sfo{Gjog e|d0fvr{ _
l;ljcfO{ PdPgl;cfO{
k6 22522
15 sfo{qmd ;~rfng tyf 1 9=27 25 1 9=27 100 25 100
s GoN
lg/Gt/tf
ORS Kofs]6 ,lh+s rSsL
k6 22531
16 vl/b, Amoxicillin s
1 2=6 7 1 2=6 100 7 100
GoN
vl/b tyf e"QmfgL
kf]if0f ;le{n]G; k|0ffnL k6 22512
17 ;+rfng s
1 1=85 5 1 1=85 100 5 100
GoN
kf]if0f ;DalGw /fli6«o
lbjzx¿df kf]if0f ;DalGw
ultljlw ;+rfng -:tgkfg
;Ktfx, cfof]l8g dlxgf,
ljb\ofno :jfLYo tyf kf]if0f k6 22512
18 ;Ktfx cfbLdf s
1 =83 2=25 1 =83 100 2=25 100
GoN
-;'cxf/f, ;an,
PPkmP;kL,ax'If]lqo kf]if0f
of]hgf nfu' ePsf afx]ssf
lhNnf _ -hg:jf:Yo ;]jf_
PsLs[t lzz' tyf
afNosflng kf]if0f / ;"Id
kf]ifstTj afnle6f _
;d'bfo k|aw{g sfo{qmd k6 22512
19 s
1 2=22 6 1 2=22 100 6 100
GoN
;ldIff,k'g/fjnf]sg /
lg/Gt/tf-hg:jf:Yo _

dft[ lzz' tyf afNosfnLg

k6 14=8 14=8 22512
20 kf]if0f ;DalGw k"g{tfhuL s
1 40 1 100 18 50
GoN
3 3
tflnd
 103

le6fldg P Sofk;'n cfd

ljt0f sfo{qmdsf
k6 22512
21 nflu ;fdfu|L -s}rL , 1 =11 =3 1 =11 100 =3 100
s GoN
k]G;Ln cfbL _ vl/b
-hg:jf:Yo_
ax'If]qLo kf]if0f of]hgf k6 22522
22 sfo{s|d sfof{Gjog s
1 =74 2 1 =74 100 2 100
GoN
le6fldg P cfd ljt/0f ug{
k6 22512
23 sfo{sf] nflu 2 4=78 12=9 2 4=78 100 12=9 100
s GoN
d=:jf=;]=kl/rfng vr{
lz3| s'kf]if0fsf] Plss[t 22522
k6 26=8 72=3 26=8
24 Joj:yfkg sfo{qmd 1 1 100 72=36 100 UNICE
s 3 6 3 F
lj:tf/ -hg:jf:Yo ;]jf_
ax'If]qLo kf]if0f of]hgf
sfo{Gjog / lg/Gt/tf /
k6 22522
25 kf]if0f tyf vfb\o ;'/If 1 5=56 15 1 5=56 100 15 100
s USAID
;ldlt ;dGjo tyf a}7s
;+rfng _ -hg:jf:Yo ;]jf_
ljBfno :jf:Yo tyf kf]if0f
sfo{qmd cGtu{tljBfno
hfg] / ghfg] ;a} 22522
k6
26 lszf]/Lx¿nfO{ cfO/g 1 3=71 10 1 3=71 100 10 100 UNICE
s F
rSsL ljt/0f ;DaGwL
cled'lvs/0ftyf k'gtf{huL
tflnd -hg:jf:Yo ;]jf_
s'n hDdf 452 159 452 100 107 92.21
afn :jf:Yo sfo{qmd cGtu{t ef}lts tyf lalQo k|ultsf] ;ldIff ubf{ ^&=*) k|ltzt k|ult ePsf] b]lvG5 .
h;df cf=j= )&#.)&$ sf] k|yd rf}dfl;s df sfo{qmdsf] clVtof/L klg ;dodf k|fKt gePsf] / sfo{qmd
;+rfngdf klg :jf:YosdL{x¿sf] cfGbf]ng sf ;fy} /fhg}lts cGof}ntfn] ubf{ :jf:yo ;'rsx¿sf] pRrtd k|ult
xfl;n ug{ g;s]sf] b]lvG5 .

@=@ jh]6 pk lzif{s g+= #&)*)$ Plss[t lhNnf :jf:Yo -k|hgg :jf:Yo tyf dlxnf :jf:Yo_
sfo{qmd
cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
ef}lt vr{
s|=; lqmofsnfk OsfO{ ef}lt s vr{ s}lkmot
n /sd
ef/ ah]6 s ef/ k|ult k|ltz
Io ?=xhf/
k|ult t
Ü df
1 2 3 4 5 6 7 8 9 10 11 12
kf7]3/sf] d'vsf]
29511
1 SofG;/sf] hfFrsf] uf]6f 5 0=15 50 5 0=15 100 50 100
GON
nflu VIA Set v/Lb
Silicon Ring 12 0=11 29511
2 Pessary v/Lb
uf]6f 36 100 0=11 100 36 100
GON
0 1
b'u{d tyf kxf8L
lhNnfx¿df jf8{ 0=4 29511
3 uf]6f 30 150 0 0=00 0 0 0
:t/sf] nflu :«6]r/ 5 Unicef
v/Lb
104

alyÍ ;]G6/x¿sf
nflu :jf:Yo pks/0f
v/Lb (IUCD 120 29511
4 uf]6f 8 3=64 0 0=00 0 0 0
SET;d]t) 0 Unicef
(Including KMC
Corner)
zx/L :jf:Yo ;+:yfdf
29511
5 kl/jf/ lgof]hg ;]jf uf]6f 1 0=3 100 1 0=00 100 100 100
DFID
lj:tf/
SBA x¿sf] ;Lk
22522
6 ;+/If0fsf] nflu c:yfoL k6s 5 0=38 125 0 0=00 0 0 0
unicef
:yfgfGt/0f
lhNnf :t/df CCE 22522
7 k6s 1 2=27 750 0 0=00 0 0 0
;fO{6 5gf}6 sfo{s|d unicef
CCE ;fO{6x¿sf] 22522
8 k6s 2 0=73 240 0 0=00 0 0 0
;]G6/x¿sf] dd{t÷ef8f unicef
/]km/ ug]{ tyf /]km/
22522
9 lng] :jf:Yo ;+:yf aLr k6s 1 0=91 300 0 0=00 0 0 0
unicef
;dGjofTds a}7s
lhNnf tyf jf8{x¿df
22522
10 cfsl:ds¿kdf /]km/n k6s 1 1=36 450 0 0=00 0 0 0
unicef
km08
:6fkmg;{ tyf
22522
11 cgdLx¿nfO{ Clinical k6s 1 1=06 350 0 0=00 0 0 0
unicef
Update
;d'bfodf Pregnant
Women Group,
Health Mothers 22522
12 Group etc to create
k6s 1 1=51 500 0 0=00 0 0 0
unicef
awareness ;DalGw
sfo{s|d
;'/lIft dft[Tj tyf
22522
13 gjhft lzz' ;Ktfx k6s 1 0=3 100 0 0=00 0 0 0
unicef
dgfpg]
14
:jf:YosdL{x¿nfO{ k6s 1 1=06 350 0 0=00 0 0 0
22522
cGt/ lhNnf e|d0f unicef
lhNnf :tl/o EOC k6s 22522
15 1 0=91 300 0 0=00 0 0 0
Monitoring Review unicef

16
sfo{s|dsf] cg'udg k6s 1 0=61 200 0 0=00 0 0 0
22522
unicef
Mobilization of
existing network eg.
Child Clubs,Citizen
forum members,
22522
17 FCHV for social k6s 1 0=61 200 0 0=00 0 0 0
unicef
mobilization and
maternal death
serveillance focus in
DAG VDCs
;+:yfut ;'Ts]/L sd
x'g] lhNnfx¿df PPH
100 22522
18 /f]syfdsf nflu dft[ k6s 1 3=03 0 0=00 0 0 0
unicef
0
;'/Iff rSsL sfo{s|dsf]
k|lzIfs k|lzIf0f
CCE ;fO{6x¿sf] IP
22522
19 sf ;'wf/sf nflu k6s 5 0=76 250 0 0=00 0 0 0
unicef
sf]lrÍ
 105

c:ktfn tyf SBA

training Site
20
Pj+ k|f=:jf=s]=df @$ hgf 14 8=14
268
14 3=73 100 1232 46
22412
306f k|;"lt ;]jf 8 GON
;+rfng ug{ s/f/df
c=g=dL=lgo'lQm
d]l8sn ue{ktgsf
30 22522
21 nflu cf}iflw vl/b- uf]6f 0=29 96 300 0=29 100 96 100
GON
0
Kofs]6_
Obstetric Fistula
/ kf7]3/ v:g] /f]usf]
22522
22 l:qmlgª tyf l/ªk];/L k6s 2 0=24 80 2 0=24 100 80 100
GON
nufpg] / ck/]zg
ug{'kg]{sf] lnli6ª ug]{
cfdf ;"/Iff sfo{s|d
35 23=9 791 23=9 27111
23 ;]jf k|bfg ug{ ;f]wegf{ hgf 3168 89 7696=5 97
GON
55 7 4 7
tyf oftfoft vr{
ue{jlt tyf ;"Ts]/L 11 27111
24 hgf 1=33 440 841 0=92 76 305=7 69
pTk|]/0ff-4th ANC 00 GON
lhNnf c:ktfn / ;f]
eGbf tnsf ;/sf/L
:jf:Yo ;+:yfxdf k|;"lt 30 9=0 270 27111
25 hgf 3000 6=16 100 2035=7 79
x'g] ;"Ts]/L tyf gjhft 00 8 0 GON
lzz'nfO{ Gofgf] emf]nf-
n'uf ;]6_
gjhft lzz'sf] 15 27111
26 hgf 0=73 240 0 0=00 0 0 0
lgMz'Ns pkrf/ 0 GON
cfdf ;"/Iff sfo{s|d 27111
94 208
27 ;]jf k|bfg ug{ ;f]wegf{ hgf 6=32 945 6=31 100 2086 100 Pool
5 6
tyf oftfoft vr{ Fund
kl/jf/ lgof]hg :yfoL 20 22522
28 k6s 0=9 297 200 0=90 100 297 100
aGWofs/0f 0 GON
cf=o'=l;=l8=;]jf k|bfg 4 22522
29 k6s 0=13 42 649 0=13 100 42 100
GON
00
OKnf06 ;]jf 50 22522
30 k6s 0=14 45 719 0=14 100 45 100
GON
0
zx/L :jf:Yo ;+:yfdf
22522
31 kl/jf/ lgof]hg ;]jf k6s 1 0=3 100 1 0=3 100 100 100
DFID
lj:tf/
aGwofs/0f 3"DtL
lzlj/ cufj} 22522
32 k6s 4 0=3 100 4 0=3 100 100 100
d=:jf=;]=x¿;+u DFID
5nkmn
kl/jf/ lgof]hg :yfoL 70 1805 22522
33 k6s 2=8 925 2=8 100 925 100
aGWofs/0f 0 USAID
nfdf] cjlwsf]
22522
34 hGdfGt/sf] nfuL k6s 4 0=66 219 4 0=66 100 219 100
USAID
:of6]nfO6 ;]jf
ufp3/ lSnLlgs 10 50=1 50=1 22522
35 k6s 1=24 410 514 0=62 205=6
;+rfng oftfoft vr{ 25 4 4 GON
d=:jf=;] nfO{ kf]zfs 73 13=4 442 13=4 21121
36 hgf 738 100 4428 100
etf 8 1 8 0 GON
d=:jf=;]= cw{jflif{s 22522
37 k6s 1 3=79 1250 1 3=78 100 1250 100
;dLIff a}7s GON
106

d=:jf=;]=x¿nfO{
0=4 22522
38 bL3{sflng ;]jfsf] nflu k6s 15 150 15 0=45 100 150 100
GON
5
;Ddfghgs labfO{
lhNnfx¿df AFS
200 22522
39 ;]G6/x¿sf] ;]jf hgf 10 6=06 0 0=00 0 0 0
Unicef
0
;'b[l9s/0f
lhNnfx¿df AFS 0=4 22522
40 ;]G6/x¿sf] ;]jf hgf 5 150 0 0=00 0 0 0
Unicef
5
lg/Gt/tf
s'n hDdf 3303 65=0 49=9 21479= 65=0
100
5 2 5 5 2

@=$ jh]6 pk lzif{s g+=#&)*)^ /fli6o Ifo/f]u lgoGq0f sfo{s|d

cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
vr{
Osf ef}lt ef}lts vr{
s|=; lqmofsnfk /sd s}lkmot
O{ nIo ef/ ah]6 s ef/ k|ult k|ltz
?=xhf/
k|ult Ü t
df
1 2 3 4 5 6 7 8 9 10 11 12
;a} Ifo/f]usf la/fdLx¿sf]
Pr=cfO{=eL=6]i6 eP gePsf] /
l6=aL= Pr=cfO{=eL=sf]–O{Gkm]S;g 22512
k6
1 la/fdLx¿n] P=cf/=l6= z'? 2 2=52 58 2 2=52 100 58 100 GFMA
s T
u/]sf] ;'lglZrt ug{ Ifo/f]u /
Pr=cfO{-eL=P8\; sfo{s|d aLr
lhNnf :t/df c4{jflif{s ;ldIff
nf]s;]jf cfof]uaf6 gofF
b/aGbLdf cfPsf tyf klxnf
22522
2 tflnd gkfPsf hgf 1 4=78 110 1 4=78 100 110 100
GON
:jf:YosdL{x¿nfO{ Ifo/f]usf]
cfwf/e"t df]8\o'n/ tflnd
Ifo/f]usf] lrGx ÷ nIf0f ,;g]{
tl/sf Pj+ pkrf/sf af/]df k6 22522
3 300 0=65 15 300 0=65 100 15 100
l:6s/ agfO{ ;fj{hlgs s GON
oftfoftdf 6fF:g]
nf]sn Pkm=Pd=/]l8of]x¿af6
Ifo/f]usf] lrGx ÷ nIf0f ,;g]{
k6 22522
4 tl/sf Pj+ pkrf/sf af/]df 6 2=61 60 0 0 0 0 0
s GON
xKtfdf sDtLdf kfFr lbg ;Gb]z
k|zf/0f ug]{
lhNnf :6f]/af6 Ifo/f]u pkrf/
s]Gb|x¿df cf}iflw,Nofa s]ldsn 22522
5 hgf 1 3=48 80 1 3=48 100 80 100
Pj+ :nfO8 tyf cGo cfjZos GON
;fdu|L O{d/h]G;L 9'jfgL
ljZj Ifo /f]u lbj; dgfpg]=@$ k6 22522
6 1 0=13 3 1 0 100 0 0
dfr{ s GON
 107

Ifo/f]u tyf Pr=cfO{=eL=sf]–

O{Gkm]S;g Dofg]hd]G6 ug{ 86\;
22522
7 ;]G6/Pr=l6=;L=÷P=cf/=l6=;]G6/ hgf 1 1=96 49 1 1=96 100 49 100
GON
x¿sf aLr qm; /]km/n l;:6d
;'b[9 ug]{
sfo{s|d ;+rfng tyf /]sl8{+u
l/kf]l6{+usf] kmd{ km/d]6 22522
8 hgf 1 1=96 45 1 1=96 100 45 100
kmf6f]sfkL tyf cfjZos ;fdu|L GON
vl/b
86\; ;]G6/ :t/df
Pr=Pd=cfO{=P;=k|0ffnLdf 8f6f
;dfof]hg ug{ lgoldt rf}dfl;s k6 22522
9 6 3=65 84 6 3=65 100 84 100
86\; js{;kdf Ps lbg yk u/L s GON
tflnd ;+rfng ug]{

lhNnfel/sf] la/fdLx¿sf]
JolQmut k6 115 22522
10 1=22 28 71 0 6=16 0 0
ljj/0fO{=l6=la=/lhi6/df s 1 GON
cBfjlws ug cfjZos vr{
pkrf/ cjlwsf] z'? / cGtdf
Sof6f]u/L 6' cGt/ut pkrf/
lnO{/x]sf,pkrf/sf] @–#
dlxgfdf vsf/ kf]h]l6e ePsf
;a} la/fdL Pj+ l8=cf/=la/fdLsf]
22522
3/kl/jf/sf ;b:ox¿sf] lhg–
11 hgf 90 13=3 306 90 13=3 100 306 100 GFMA
PS;k6{ dl;gdf vsf/ k/LIf0f T
ug{ dlxnf :jo+;]ljsf÷cfdf
;d"x÷lgsf] ePsf Ifo/f]u
la/fdLx¿sf] kl/rfng u/L
l8=cf/=la/fdL ktf nufO{
pkrf/df Nofpg]
dlxnf :jo+;]ljsf÷cfdf
;d"x÷lgsf] ePsf Ifo/f]u 22522
27=7
12 la/fdL÷sfof{no ;xfosx¿sf] hgf 18 0=78 18 5 0 0 0 GFMA
7 T
kl/rfng u/L k|fO{d/L l8kmN6/
la/fdLx¿nfO{ pkrf/df Nofpg]
t/fO{ lhNnfsf xf8{ 6' l/r -
22522
b'u{d_If]qdf dfO{qmf]:sf]kL SofDk 12=2
13 hgf 3 12=26 282 3 100 282 100 GFMA
u/L Ifo/f]usf la/fdL ktf 6 T
nufpg]
;a} kL=aL=;L=la/fdLsf
3/kl/jf/sf ;b:ox¿nfO{
dlxnf :jo+;]ljsf÷cfdf ;d"x
22522
kl/rfng u/L la/f{dLsf] pkrf/ 47
14 hgf 27 621 600 27 100 621 100 GFMA
cjlw tyf jif{sf] @ k6s 8 T
clgjfo{?kdf l:qmlgÍ u/L
Ifo/f]usf la/fdL ktf nufO{
pkrf/df Nofpg]
108

k|fO{d/L l8kmN6/
22522
l6=la=la/fdLnfO{ pkrf/df
15 hgf 5 0=87 20 2 0 40 0 0 GFMA
Nofpg 86\; ;]G6/ aLr /]km/n T
d]sflgHd ;'b9 ug]{
:jf:Yo ;+:yfdf /}lk8 6]i6
sL6af6 Pr=cfO{=eL=kf]h]l6e
ktf nfu]sf]
la/fdLsf]Pr=l6=l;=;]G6/df 22522
16 sGkm/d]6/L 6]i6sf nflu hgf 26 3=39 78 26 0 100 0 0 GFMA
Ifo/f]usf la/fdLx¿nfO{ T
oftfoft vr{ / :jf:Yo ;+:yfdf
/|oflk8 6]i6sf nflu k|f]T;fxg
vr{
lhNnfaf6 pkrf/ s]Gb|-
k6 22611
17 l8=cf/=;lxt_x¿sf] ;kf]{l6e 20 4=52 104 20 4=52 100 104 100
s GON
;'k/lehg
k'gMpkrf/ Sof6f]u/Ldf ePsf
;a} kL=la=;L= la/fdLx/nfO{ 14=7 13=9 26412
18 hgf 85 339 80 94 320 94
dfl;s ?=%)) sf b/n] pkrf/ 4 1 GON
cjlwe/ kf]if0f vr{
230 90=1 81=5 90=1
s'n hDdf 100 2074
0 7 5 7
 109

@=% jh]6 pk lzif{s g+= #&)*)$ s'i7/f]u lgoGq0f sfo{qmd

cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
ef}lt vr{
s|= Osf ef}lt vr{ s}lkmo
lqmofsnfk nI s /sd
; O{ ef/ ah]6 s ef/ k|ltz t
o k|ult ?=xhf/
k|ult t
Ü df
1 2 3 4 5 6 7 8 9 10 11 12
Leprosy Post
Exposure 28=9 28=7 22522
2 Prophylaxissfo{s|d k6s 3 300 3 100 298=5 99=5
3 8 GON
;]jfsf] lg/Gt/tf tyf
lj:tf/
lk5l8Psf] ;d'bfox¿sf] 22522
3 k6s 1 2=12 22 1 2=12 100 22 100
kxFr d"ns sfo{s|d GON

s'i7/f]u al9 k|efljt

lhNnfdf sfo{s|d
k|ult,k|fljlws 34=8 34= 22522
4 k6s 3 361 3 100 361 100
cGt/lqmof,5nkmn,Joj:yf 1 81 GON
kg tyf ;d:of klxrfg
;ldIff Pj+ of]hgf

s'i7 /f]usf] sf/0fn]

c;dy{tf ePsfx¿sf]
22522
5 nflu ;d"xut ?kdf cfo k6s 1 5=79 60 1 5=79 100 60 100
GON
cfh{g tyf art j[l4
sfo{s|d -;d"x_

lgoldt pkrf/ k'/f u/]sf]

14=8 7=4 27111
6 lj/fdLx¿nfO{ oftfoft hgf 154 154 77 50 77 50
5 2 GoN
vr{ k|tL la/fdL

88=3
s'n hDdf 100 1037 91=67 916=5 88=37
7

jh]6 pk lzif{s g+= #&)*)$ P=lh=:jf=sf= Olk8]ldof]nf]hL, cf}nf],

sfnfhf/ lgoGq0f tyf k|fs[lts k|sf]k Joj:yfkg sfo{qmd
cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr= @_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
ef}lt vr{ s}lkm
s|=; lqmofsnfk OsfO{ nI ef}lts s /sd vr{
ef/ ah]6 ef/ ot
o k|ult k|ult ?=xhf k|ltzt
Ü /df
1 2 3 4 5 6 7 8 9 10 11 12
cGt/fli6«o :jf:Yo ljlgdo sfo{Gjog
22411
1 cGt{ut aL/u+h, eG;f/df x]Ny 8]:s 0 11=6 375 0 11=6 0 0 0
GON
:yfkgf
 110

RRT sf] rf}dflzs a}7s lgolft 22512

2 k6s 3 0=93 30 3 0=93 100 30 100
;+rfng ug]{ GON
c:ktfndf cfktsflng k'j{ tof/L 22512
3 k6s 1 0=31 10 1 0=31 100 10 100
of]hgf sfo{zfnf uf]i7L GON

lhNnf l:yt RRT/CRRT sf] 22512

4 k6s 3 3=09 100 3 3=09 100 100 100
rf}dflzs l/Eo' tyf ;ldIff sfo{ ug]{ GON
lhNnfx¿df /x]sf vfg]kfgLsf 22512
5 d'xfgx¿sf] ;le{n]G; sfo{ ug]{ k6s 3 3=09 100 3 3=09 0 100 0
GON

lhNnf :t/df dxfdf/L tyf k|sf]khGo

cj:yfdf ;dGjo ug]{kg]{ ;Dk'0f{
22522
6 ax'kIfLo lgsfox¿sf] ;dGjo k6s 3 1=55 50 3 1=55 0 50 0
GON
Multistake Holder
Interaction ) sfo{s|d ug]{
l;sn ;]n Plgldof / yfnf;]ldof
/f]usf] af/]df lhNnfdf sfo{/t
:jf:YosdL{ -d]=c, x]=c, :6fkm g;{, 22522
7 k6s 1 8=51 275 1 8=51 100 275 100
c=x]=a=, c=g=dL, 6]lSgl;og / Nofa GON
cl::6]G6_ x¿nfO{ @ lbgsf]
cled'vLs/0f
lhNnf :t/df x'g ;Sg] dxfdf/L tyf
22522
8 k|sf]ksf] cj:yfdf RRT/CRRT k6s 3 6=19 200 3 6=19 0 200 0
GON
kl/rfng ug]{
cGt/fli6«o :jf:Yo ljlgdo sfo{Gjog
22531
9 cGt{ut aL/u+h, eG;f/df x]Ny 8]:s k6s 3 3=9 45 3 3=9 100 45 100
SCF
:yfkgf
RRT sf] rf}dflzs a}7s lgolft 22531
10 k6s 3 5=19 60 1 1=08 33 12=5 20=79
;+rfng ug]{ SCF
c:ktfndf cfktsflng k'j{ tof/L 26412
11 hgf 3 0=09 3 0 0 0 0 0
of]hgf sfo{zfnf uf]i7L GON

lhNnf l:yt RRT/CRRTsf] 22531

12 k6s 1 17=32 200 1 17=32 100 200 100
rf}dflzs l/Eo' tyf ;ldIff GON
cf}nf] lgjf/0f sfo{sf] nflu cfjZos
22311
ljleGg cf}iflw tyf em'n lhNnfaf6
k6s 6 6=39 45 6 6=39 0 45 0 G
ljleGg :jf:Yo ;+:yfx¿df cfk'lt{
FASCF
Joj:yf ug]{
ljZj cf}nf] lgoGq0f lbJ; dgfpg] tyf
22512
cf}nf] lgoGq0fsf nflu ax'lgsfo k6s 3 1=24 40 3 1=24 0 40 0
GON
cGt/s[of
sL6hGo /f]ux¿ cf}nf], sfnfhf/, 8]Í',
22512
xfQLkfOn], h]=O{, hLsf ;fg]{ e]S6/x¿sf] k6s 2 3=09 100 2 3=09 0 100 0
GON
Plss[t ;le{n]G;
pRr / dWod vfnsf] cf}nf] k|efljt
uf=la=;= x¿df ljzf]if cf]nf] /fuL vf]hL 22512
uf]6f 0 1=86 60 0 1=86 0 60 0
cleofg ;+rfng ug]{ tyf hgr]tgfsf] GON
nflu sL6hGo /f]u ;DalGw :6n /fVg]]
22512
;d'bfodf cf}nf] s]za]; ;eL{n]G; af/]
k6s 1 2=26 73 1 2=26 0 73 0 GFAM
lhNndf hfgsf/L lbg]
TSCF
22512
aflif{s ?kdf lhNnf :t/df cf}nf]
k6s 1 12=65 409 1 12=65 0 409 0 GFAM
;DalGw 8f6fx¿ cWofjwLs ug]{
TSCF
gLhL If]qdf sfo{/t :jf:Yo ;+:yfx¿df 22512
sfo{/t sd{rf/L x¿nfO{ cf}nf] ;DalGw hgf 1 2=26 73 1 2=26 0 73 0 GFAM
hfgsf/L TSCF
 111

;d'bfodf cf}nf] s]za]; ;eL{n]G; af/]

22512
d=:jf=:j+=;]= x¿af6 ;dfhdf cfdf
k6s 1 0=28 9 1 0=28 0 9 0 GFAM
;d'xsf] ldl6ª\u tyf ;fdflhskl/rfng
TSCF
s[ofsnfkx¿ Ufg}{
22512
lhNnf tyf If]lqo :t//df ljZj cf}nf]
k6s 1 1=61 52 1 1=61 0 52 0 FAMT
lbj; dgfpg]
SCF
22512
cf}nf] lgoGq0fsf] nflu ljleGg
k6s 2 2=97 96 2 2=96 0 96 0 FAMT
jftfj/0fLo pkfox¿ Ufg]{
SCF
cf}nf] /f]u u|l;t If]qx¿df z+sf:kb
22522
cf}nf] /fuL kQfnufO{ gd'gf ;+sng u/L k6s 3 3=71 120 3 3=71 0 120 0
GON
pkrf/ tyf s]zsf] lgu/fgL ug]{
8]Í', tyf lrsgu'lgof /f]u lgoGq0f ug{
22522
nfdv'6\6]sf] af; :yfg vf]hL u/L nfef{ k6s 4 6=19 200 4 6=19 100 200 100
GON
gi6 ug]{ cleofg ;+rfng ug]{
cf}nf] lgoGqsf] nflu cfjZos
22531
ljleGg;fdfgx¿k|of]uzfnfnfO{ tyf
k6s 4 3=64 150 4 3=64 0 150 0 GFAM
cf}nf] kmfF6sf] nflu cfjZos cGo
TSCF
;fdfgx¿_v/Lb
cf}nf] lgoGq0f sfo{s|dsf] ;'k/Lj]If0f, 22611
uf]6f 3 0=93 30 3 0=93 0 30 0
cg'udgd'Nofª\sg GON
lhNnf tyf If]qsfsd{rf/Lx¿n] cf}nf] 22611
lgjf/0f sfo{sf] cg'udg, d'Nofª\sg uf]6f 12 2=78 90 12 2=78 0 90 0 FAMT
tyf ;'k/Lj]If0f ug]{ SCF

8]Í', lrsgu'lgof hLsf / cGo sL6hGo

/f]u lgoGq0f af/] :jf:YosdL{,
22512
d=:jf+=:j+=;=tyf cGo hgf 0 9=28 300 0 9=28 50 300 50
GON
;/f]sf/jfnfx¿nfO{ cled'lvs/0f
÷cGt/s[of
lhNnfsf sfnfhf/ /fuLx¿nfO{
26412
pkrf/sf nflu c:ktfn ;Dd cfpg] hgf 13 0=31 10 13 0=31 0 10 0
GON
oftfoft vr{ cg'bfg
dxfdf/L ÷ k|sf]khGo cj:yfdf
22531
cfJZos kg]{ cf}iflw tyf cf}iflw hGo k6s 1 7=27 235 1 7=27 0 235 0
GON
;fdfu|L vl/b ul/ :6s kfOln+u ug]{

hDdf 98

jh]6 pk lzif{s g+= #&)!!$ -rfn' vr{ _ Pr=cfO{=le=P8\; tyf of}g/f]u lgoGq0f sfo{qmd
cf=j=)&# / )&$ sf] jflif{s k|ult -cg';"lr= @_
/sd ?= xhf/df
O jflif{s nIo jflif{s ef}lts k|ult o; cjlwsf] vr{
s|= sf kl/d ah] kl/df
; lqmofsnfk O{ f0f ef/ 6 0f ef/ k|ltzt vr{ k|ltzt s}lkmot
1 2 3 4 5 6 7 8 9 10 11 12
k
22522
d]l8of sDk]g jg :6Ludf ^
UNICEF
1 P08 l8:qmLldg]zg s 3 8=33 20 0 0 0 0 0 (12)
112

lbj; ;+rfng -ljZj k

22522
P8\; lbj; tyf s08d ^
GFMAT
2 lbj;_ -@#%_ s 1 5 12 1 5 100 12 100 (11)

lhNnf :tl/o k
22522
Pr=cfO{=eL=sfo{s|dsf] ^ GFMAT
3 nflu ;+rf/ vr{ -@$^_ s 12 7=5 18 0 0 0 0 0 (11)

lhNnf :tl/o k
22522
Pr=cfO{=eL=sfo{s|dsf] ^ 66=6
GFMAT
4 nflu ;+rfng vr{ -@$&_ s 12 20 48 8 13=33 6 32 66=66 (11)
k
22522
lhNnf :t/Lo sfo{qmdsf] ^
GFMAT
5 ;ldIff vr{-@)$_ s 1 15=83 38 1 15=83 100 38 100 (11)

Nofa hfFrsf] ;f]wegf{ h

22522 Pool
6 ?=@%sf b/n] gf 3 8=33 20 3 7=80 100 18=725 94 Fund(13)

Pr=cfO{=eL=sfo{s|dsf] k
;'k/eLhg tyf cg'udg ^
22611
7 -lhNnf :t/_ s 0 20=83 50 0 9=8 100 23=5 47 GON(0)
k
22611
lhNnfdf ;kf]l6{Í ^
GFMAT
8 dlg6l/ª\u -@@)_ s 3 14=17 34 3 0 0 0 0 (11)
hDdf 100 240 51=76 58 124=225 51=76

jh]6 pk lzif{s g+=#&)*)$ Plh:jfsf - k|fylds :jf:Yo ;]jf k'ghf{u/0f sfo{s|d_

cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_

jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult

Osf ef}lts vr{
s|=; lqmofsnfk ef}lts vr{ /sd s}lkmot
O{ nIo ef/ ah]6 ef/ k|ult k|ltz
k|ult ?=xhf/df
Ü t
1 2 3 4 5 6 7 8 9 10 11 12

lhNnf c:ktfn /
lhNnf hg:jf:Yo
dftxtsf ;+:yfx¿nfO{ 59=7 22531
1 k6s 2 49=16 4700 2 29=26 100 2810
tf]lsPsf] 9 GON
cTofjZosLo cf}iflw
v/Lb
lhNnf=c:ktfn,k|f=:jf=
sf=,:jf=
99= 26412
2 rf}}sL OPD Ticket k6s 2 24=06 2300 2 23=72 100 2278
04 GON
5kfO{ / btf{ z'Ns
jfkt cg'bfg
nlIft ;d'xsf nflu 27111
3 k6s 3 0=63 60 3 0=63 100 60 100
k|]if0f sfo{s|d GON
 113

zx/L d=:jf=:jo+
21121
4 ;]ljsfsf] nflu kf]zfs hgf 58 3=64 348 58 3=64 100 348 100
GON
eQf
zx/L d]=:jf=:jo+ 22522
5 k6s 2 0=52 50 2 0=52 100 50 100
;]]ljsf lbjz dgfpg] GON
zx/L d]=:jf=:jo+
98= 22522
6 ;]]ljsf c4{ jflif{s k6s 58 0=92 89 58 0=91 100 88
87 GON
;dLIff ug]{
lgz'Ns :jf:Yo
;DaGwL lhNnf :t/Lo 22522
7 k6s 1 0=05 5 0 0=05 0 0 0
cg'udg ;ldltsf] GON
a}7s
zx/L :jf=cg'udg 22522
8 k6s 2 0=1 10 0 0=1 0 0 0
;ldltsf] a}7s GoN
:yfkgf ePsf !@( /
yk x'g] @)) j6f
zx/L :jf:Yo s]Gb|
cg'bfg -e"sDk
k|efljt If]qx¿,;f]af6
80=3 22522
9 k|efljt eO{ a;fO{ k6s 6 21=34 2040 6 17=07 100 1640
9 GoN
;/fO{ u/]sf]
:yfg,cfjZostf /
df+u cg';f/ cGo
:yfgdf u/L hDdf
#@( j6f_
s'n hDdf 99=99 9602 46=7 77=8 4464 46=7

jh]6 pk lzif{s g+=#&)!@& u|fdL0f ;fd'bflos hg:jf:Yo,cfwf/e"t :jf:Yo tyf gd"gf :jf:Yo ufp sfo{s|d
cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
ef}lt ef}lt vr{
s|= s}lkmo
lqmofsnfk OsfO{ n s s /sd
; ef/ ah]6 ef/ vr{ k|ltzt t
Io k|u k|ul ?=xhf
lt tÜ /df
1 2 3 4 5 6 7 8 9 10 11 12

;fd'bflos :jf:Yo OsfO{

;+rfng cg'bfg-e"sDk
k|efljt If]qx¿,;f]af6
k|efljt eO{ a;fO{ ;/fO{
22522
1 u/]sf] :yfg,cfjZostf / k6s 2 100 810 2 59=25 100 480 59
df+u cg';f/ cGo :yfgdf GoN
yk !%) / ;+rfngdf
/x]sf !)) j6f u/L
hDdf @%) j6f_

s'n hDdf 100 810 59=25 100 480 59

114

@=& jh]6 pk lzif{s g+=#&)*)$ /fli6«o :jf:Yo tflnd s]Gb| - lhNnf :Tf/ _
cf=j=)&@÷)&# sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
s|= Osf vr{
lqmofsnfk ef}lts vr{ s}lkmot
; O{ nI ef}lts ef /sd
ef/ ah]6 k|u k|ltz
o k|ult / ?=xh
lt Ü t
f/df

1 2 3 4 5 6 7 8 9 10 11 12

cfdf ;d"xsf] a}7s tyf d=:jf=;]= 7=4 22512

1 hgf 7 9 0 0 0 0 0
5gf}6 4 GON

80= 22512
2 d=:jf=;]=cfwf/e"t tflnd !* lbg hgf 7 98 0 0 0 0 0
GON
99

d=:jf=;]=cfwf/e"t tflndsf] nflu 11=5 22531

3 uf]6f 7 14 0 0 0 0 0
sL6 vl/b 7 GON

s'n hDdf 100 121 0 0 0 0 0

jh]6 pk lzif{s g+= #&)*)$ Plss[t lhNnf :jf:Yo -hg;+Vof_ sfo{qmd

cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
s|=; lqmofsnfk OsfO{ ef}lts ef}lts vr{ /sd vr{ s}lkmot
nIo ef/ ah]6 ef/
k|ult k|ult Ü ?=xhf/df k|ltzt

1 2 3 4 5 6 7 8 9 10 11 12
lhNnf hg;+Vof
;"rgf s]Gb| 22522
1 k6s 1 15=43 52 1 3=85 100 13 25
cBfjlws GoN
sfo{s|d
Ho]i7 gful/s
22522
2 ;r]tgf ty k6s 1 14=84 50 1 12=24 100 48 96
GoN
;Ddfg sfo{s|d
hg;+Vof tyf
h]];L 22522
3 k6s 2 13=06 44 2 13=06 100 44 100
sfo{s|dx¿sf] GoN
c4{ jflif{s ;ldIff
;]jf k|bfos
-:jf:Yo sdL_
x¿sf nflu 22522
4 k6s 1 13=35 45 1 13=35 100 45 100
n}+lus lx+;f GoN
;DalGw
cled'lvs/0f
cfTdxTof
Go"lgs/0fsf nflu 22522
5 k6s 1 3=86 13 1 3=86 100 13 100
r]tgfd"ns GoN
sfo{s|d
 115

ljwfno :t/df
lszf]/lszf]/L 22522
6 k6s 1 39=47 133 1 36=49 100 123 92=48
nlIft ;fyL lzIff GoN
sfo{s|d

s'n hDdf 100 337 84=9 100 286 84=9

jh]6 pk lzif{s g+=#&)*)$ /fli6«o :jf:Yo tflnd s]Gb| - lhNnf :Tf/ _

cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
s|=; lqmofsnfk OsfO{ ef}lts ef}lts vr{ /sd vr{ s}lkmot
nIo ef/ ah]6 ef/
k|ult k|ult Ü ?=xhf/df k|ltzt

1 2 3 4 5 6 7 8 9 10 11 12

cfdf ;d"xsf] a}7s tyf d=:jf=;]= 22512

1 hgf 7 7=44 9 0 0 0 0 0
5gf}6 GON

22512
2 d=:jf=;]=cfwf/e"t tflnd !* lbg hgf 7 80=99 98 0 0 0 0 0
GON

d=:jf=;]=cfwf/e"t tflndsf] nflu 22531

3 uf]6f 7 11=57 14 0 0 0 0 0
sL6 vl/b GON

s'n hDdf 100 121 0 0 0 0 0

@=!! jh]6 pk lzif{s g+=#&)!@^ :jf:Yo k|of]uzfnf ;]jf

cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_

jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult

vr{
s|= Osf ef}lts
lqmofsnfk ef}lts /sd vr{ s}lkmot
; O{ nIo ef/ ah]6 ef/ k|ult
k|ult ?=xhf/ k|ltzt
Ü
df
1 2 3 4 5 6 7 8 9 10 11 12

lhNnf c:ktfn /
k|f=:jf=s]=x¿df
22531
1 l/Ph]G6\; / ls6\; k6s 1 100 125 1 100 100 125 100
GON
vl/b u/L Nofa
;+rfng ug]{
s'n hDdf 100 125 100 100 125 100
116

jh]6 pk lzif{s g+=#&)*)$ Plss[t lhNnf :jf:Yo sfo{s|d - cfk"lt{ _

cf=j=)&#÷)&$ sf] jflif{s k|ult -cg';"lr=@_
jflif{s nIo jflif{s ef}{lts k|ult ljlQo k|ult
s|=; lqmofsnfk OsfO{ ef}lt ef}lts s}lkmot
nI vr{ /sd vr{
ef/ ah]6 s ef/ k|ult
o ?=xhf/df k|ltzt
k|ult Ü
1 2 3 4 5 6 7 8 9 10 11 12

cf}iflw cf}hf/
pks/0fx¿ tyf cGo k6 22522
1 3 62=5 450 3 62=5 100 450 100
;fdu|L l/KoflsÍ tyf s GoN
9'jfgL ug]{ sfo{
lhNnfdf gofF tyf
cfjZostf cg';f/
k'/fgf sd{rf/Lx¿sf]
nflu cfk"lt{ k6 22522
2 1 14=17 102 1 14=17 100 102 100
Joj:yfkg,k'n l;:6d s GoN
/ Pn=Pd=cfOO=P;=
;DaGwL cled'vLs/0f
ufi7L
afXo ;|f]t dfkm{t j]e
a]; k6 22522
3 1 23=33 168 1 13=61 100 98 58=3
Pn=Pd=cfO{=P;=k|fljlw s GoN
s k/fdz{ ;]jf

s'n hDdf 100 720 90=27 100 650 90=27

jh]6 pk lzif{s g+= #&)*)@ /fli6«o :jf:Yo lzIff , ;'rgf tyf ;+rf/ sfo{s|d
cf=j=)&# / )&$ sf] jflif{s k|ult -cg';"lr=@_
/sd ?= nfvdf
jflif{s nIo jflif{s ef}lts k|ult o; cjlwsf] vr{

s|=; lqmofsnfk OsfO{ kl/df0f ef/ ah]6 kl/df0f ef/ k|ltzt vr{ k|ltzt s}lkmot
1 2 3 4 5 6 7 8 9 10 11 12
;fd'bflos :jf:Yo k|jw{g cleofg
pBdlzntf,/f]huf/Ld"ns÷;zlQm g]kfn
s/0f÷ ;Lk ljsf; tyf Ifdtf
k6s 1 2=08 16 1 2=08 100 16 100
;/sf/
1 clej[l4 tflnd_
g;g]{ /f]u lgoGq0f ;DalGw :yfgLo
:t/df -kqsf/ ;d"x,gful/s
;dfh,ljBfno,Sna,wfld{s :yn
cflb :yfgx¿df_ ;r]tgf g]kfn
sfo{qmdx¿
k6s 6 9=35 72 6 9=35 100 72 100
;/sf/
pBdlzntf,/f]huf/Ld"ns÷;zlQm
s/0f÷ ;Lk ljsf; tyf Ifdtf
2 clej[l4 tflnd_
 117

:jf:Yo ;+:yfx¿df :jf:Yo lzIff

;fdu|Lx¿ ljt/0f-k|rf/ k|;f/ g]kfn
tyf ;fdu|L pTkfbg tyf k|sfzg
k6s 2 3=12 24 2 3=12 100 24 100
;/sf/
3 / ljt/0f_
5fkf ;+rf/ dfWoddf :jf:Yo
;Gb]z k|sfzg -k|rf/ k|;f/ tyf g]kfn
;fdu|L pTkfbg tyf k|sfzg /
;+Vof 2 6=23 48 2 6=23 100 48 100
;/sf/
4 ljt/0f_
:jf:Yo ;DalGw ;Gb]z
Pkm=Pd=/]l8of] k|zf/0f -k|rf/ 17=1 17=1 1=3 g]kfn
k|;f/ tyf ;fdu|L pTkfbg tyf
;+Vof 650 1=32 650 100 100
;/sf/
4 4 2
5 k|sfzg / ljt/0f_
lhNnf c:ktfnx¿af6 ;'/lIft
dft[Tj tyf gjhft lzz' ;DalGw
g]kfn
TV Show sfo{qmd -k|rf/ ;+Vof 365 3=51 27 365 3=51 100 27 100
;/sf/
k|;f/ tyf ;fdu|L pTkfbg tyf
6 k|sfzg / ljt/0f_
kl/jf/ lgof]hg / ;'/lIft dft[Tj
tyf gjhft lzz' ;DalGw
g]kfn
cGt/lqmof sfo{qmd -k|rf/ k|;f/ j6f 4 5=19 4 4 5=19 100 4 100
;/sf/
tyf ;fdu|L pTkfbg tyf k|sfzg
7 / ljt/0f_
:yfgLo :t/df :jf:Yo lzIff
;fdu|Lx¿ - ;'/lIft dft[Tj,g;g]{
/f]u,;g]{ /f]u,hnjfo' k|b'if0f cflb_
ljifodf :jf:Yo lzIff ;fdu|Lx¿sf] g]kfn
k|lt 1 7=92 61 1 7=92 100 61 100
;/sf/
pTkfbg tyf ljt/0f
-k|rf/ k|;f/ tyf ;fdu|L pTkfbg
8 tyf k|sfzg / ljt/0f_
jftfj/0fLo tyf k]zfut :jf:Yo /
;/;kmfO{ - :j:Yo vfgf / ;kmf
kfgL ;fy} ;fa'g kfgLn] xft w'g]
12=4 12=4 g]kfn
Jojxf/ kl/jt{g tyf ;/;kmfO{ _ k6s 3 96 3 100 96 100
;/sf/
7 7
;DalGw ;d'bfo :tl/o sfo{s|d
-jftfj/0f ;+/If0f ÷;/;kmfO{
9 sfo{qmd_
:yfgLo 6]nLlehgaf6 :jf:Yo
g]kfn
;"rgf k|jfx ug]{ -;?jf /f]u gePsf] 365 3=75 29 365 3=75 100 29 100
;/sf/
10 lgoGq0f_
dxfdf/L /f]u lgoGq0f tyf
g]kfn
/f]syfdsf nflu ;+rf/ sfo{s|d - gePsf] 250 5=84 45 250 5=84 100 45 100
;/sf/
11 ;?jf /f]u lgoGq0f_
ljZj :jf:Yo lbj; nufot :jf:Yo 12=9 12=9 g]kfn
k6s 10 1 10 100 90 90
12 lbj;x¿ dgfpg] -cGo_ 9 9 ;/sf/
:yfgLo :jf:Yo ;+:yfx¿df :jf:Yo
lzIff sfo{s|dsf] ;'kl/j]If0f tyf 10=3 10=3 g]kfn
k6s 2 8 2 100 8 100
;/sf/
cg'udg -cg'udg d"NofÍg tyf 9 9
13 sfo{qmd sfof{Gjog e|d0f vr{_
100 7=7 99 100 7=6 99
s'n hDdf
118

Annex 4 : Estimated Target Population -2073/074

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Annex 5: Majors Indicators Formula

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Above all information Verified by:

Section Name Post Contact No. Signature
1 Personnel Administration Mrs. Sumitra Lama Section 9845041494
Officer
2 Management Nawal Kisor Sah Statistician 9844031647
3 Finance Dhirendra Pokherel Account 9851162621
Officer
4 IMMUNIZATION Sachidanand singh Immunization 9855025557
Officer
5 Nutrition Parmanand Yadav HA 9855037999
6 CBIMCI/CBNCP Rambilas Yadav Public health 9847628776
Officer
7 FamilyPlanning/ Anil Kumar Mishra FP Officer 9855022511
FCHV
8 Safe Motherhood Mrs. Meera Yadav PHN 9845191966
9 PHC-ORC Bal kisor Yadav PHI 9855025273
10 TB/Leprosy Sambhu Yadav DTLO 9844090852
11 HIV/AIDS/ IEC/Training Amleshor Mishra PHO 9845092778
12 Malaria/Kala-azar Aswini Diwedi MIO 9745030290
13 Logistics Mohan Sah IO 9855034614

Prepared by: Approved by:

Name: Bidur Prasad Upreti Name: Raj Kisor Pandit
(SrAHWO) (Sr.PHA)
Signature: Signature:
Date: 2074/05/30 Date: 2074/05/30