1. 1 . 7 pwœ²¡jL hÉ¡¢d 60 ¢j¢eV
1z A¢d−hn−el E−ŸnÉ (Session Objectives) :
A¢d−hn−el −n−o AwnNËqeL¡l£l¡ ¢e−jÀ ¢m¢Ma ¢hou…¢m hÉ¡MÉ¡ Ll−a f¡l−he -
a¡−cl Hm¡L¡u ¢h¢iæ pwœ²¡jL hÉ¡¢d…¢m ¢m¢fhÜ Ll−he
j¤MÉ pwœ²¡jL hÉ¡¢d…¢ml mre J EfpNÑ…¢m ¢Q¢q²a Ll−a f¡l−he
HC hÉ¡¢d…¢m fË¢a−l¡−dl Ef¡u
−l¡N eSlc¡l£ fËe¡m£l fËpwn¡ Ll−he
2z A¢d−hn−el j§m ¢nr¡ (Key Learning Point) :
f¢ÕQjh−‰ Seü¡ÙÛÉ ¢houL ¢LR¥ pwœ²¡jL hÉ¡¢d…¢m qm - X¡C¢lu¡, ¢eE−j¡¢eu¡, jÉ¡−m¢lu¡,
q¡j Hhw kr¡
HC hÉ¡¢d…¢ml fËd¡e mre J EfpNÑ
X¡C¢lu¡ fË¢a−l¡−dl ¢h¢iæ Ef¡u
eSlc¡l£ fËe¡m£ L¡−Sl SeÉ abÉ plhl¡q Ll−he
3z −S−e l¡M¤e (Hand Out) x
f¢ÕQjh−‰l pwœ²¡
f¢ÕQjh−‰l pwœ²¡jL hÉ¡¢d x
pwœ²¡jL hÉ¡¢d hm−a ¢L −h¡T¡u ?
pwœ²¡jL hÉ¡¢d qm −p…¢m k¡ HLSe hÉ¡¢š²l −b−L AeÉ hÉ¢š² L¡−R R¢s−u f−s z ¢h¢iæ
hÉ¡L−V¢lu¡ J BcÉ fË¡Z£ (Protozoa), Ae¤L¨m f¢l−h−n jn¡ - j¡¢R, h¡ AeÉ¡eÉ hÙ¹¥l j¡dÉ−j
R¢s−u f−s z
−l¡−Nl BnËu c¡a¡
j¡dÉj f¢l−hn (Sm¡nu , j¡¢R jn¡ )
Figure 1: Triangle (Triad) of Disease
¢LR¥ pwœ²¡jL hÉ¡¢dl j§MÉ mre J EfpNÑ
hÉ¡¢dl :
−l¡N mre J EfpNÑ ¢eu¿»−el Ef¡u
q¡j SÆl, N¡−u g¥pL¥¢s, p¢cÑ - L¡¢n, −Q¡M V£L¡Lle Hhw ¢iV¡¢je A, Kod
m¡m q−u k¡Ju¡ z
¢eE−j¡¢eu¡ (ARI - Acute ü¡p- fË¡nÄ¡−pl q¡l 60 - 50 - 40 h¡pÙÛ¡e, Lðm
Respiratory Infection ) (p¡le£ 2 −cM¤e )
1

2. jÉ¡−m¢lu¡ −L¡−e¡ ÙÛ¡−el −k −L¡−e¡ SÆlC pwqa j¡¢R - jn¡ ¢eu¿»e
jÉ¡−m¢lu¡ q−a f¡−l z AeÉœ, Ly¡f¤¢e
¢c−u SÆl, pwœ²j−el fË¡b¢jL Ù¹−l
HL¢ce A¿¹l SÆl B−p z fËQä j¡b¡
hÉ¡b¡J q−a f¡−l z
kr¡ c¤C pç¡−ql −hn£ L¡¢n h¡ SÆl J L¡¢n Ru j¡p d−l m¡N¡a¡l DOTS
Hhw SÆl z c¤h¡l b¤b¤ fl£r¡l fË−u¡Se Kod −M−a q−h
X¡C¢lu¡ HL¢c−e 3 h¡−ll −hn£ f¡am¡ f¢l−o¡¢da Sm, ¢höÜ Sm
f¡uM¡e¡, −R¡V h¡µR¡−cl −r−œ j¡ h¡
A¢ii¡hL a¡ mrÉ l¡M−he
j¡l¡aÈL X¡C¢lu¡ k¢c −L¡−e¡ h¡µR¡l 14 ¢c−el −hn£ AeÉœ p¢hÙ¹¡−l hm¡ B−R
HLe¡N¡−s f¡am¡ f¡uM¡e¡ qu a−h
a¡ j¡l¡aÈL X¡C¢lu¡l l©f −eu z HC
h¡µR¡−L A¢hm−ð q¡pf¡a¡m ¢e−u −k−a
q−h z
k¢c −L¡−e¡ h¡µR¡l f¡uM¡e¡u lš² B−p
- a−h Bj¡n−ul mre z k¢c h¡µR¡l
hup 2 j¡−pl Lj qu a−h H¢V
…l¦aÆl hÉ¡L−V¢lu¡ O¢Va pwœ²je z
H¢V ¢hf−cl pw−La !
X¡C¢lu¡ Hhw ¢Xq¡C−XÊne X¡C¢lu¡ q−m fË¢a¢V h¡µR¡lC ¢X - ORS Hhw Zinc
q¡C−XÊne qJu¡l pñ¡he¡ b¡−L z a¡C
¢ejÀ¢m¢Ma mre…¢m fl£r¡ Ll¦e -
−cM¤e J Ae¤ih Ll¦e x-
• h¡µR¡¢Vl p¡d¡le AhÙÛ¡ mr
Ll¦e : h¡µR¡V¡ ¢L ¢e−Ù¹S h¡
A°QaeÉ q−u B−R ? A¢ÙÛl
h¡ ¢MV¢M−V q−u B−R ?
• h¡µR¡¢Vl −Q¡M ¢ej¢‹a ?
• h¡µR¡¢V−L f¡e Ll−a ¢ce z
−p ¢L f¡e Ll−R e¡ h¡ f¡e
Ll−a f¡l−R e¡ ? a¡s¡a¡¢s
f¡e Ll−R Hhw fËQä −aø¡u
B−R ?
• −f−Vl Q¡js¡ d−l −cM¤e z
Q¡js¡¢V ¢L avre¡v ü¡i¢hL
AhÙÛ¡u ¢g−l Bp−R e¡ ¢L
a¡l −b−L −h¢n pju ¢e−µR z
2

3. ¢e−Ql a¡¢mL¡¢V ¢h¢iæ −l¡N, a¡−cl mre J fË¢a¢V ARI Hl ¢eu¿»−el Ef¡u B−R z
¢nöl hup ¢nöl nÄ¡p fËnÄ¡p …−e −cM¤e
0 −b−L 2 j¡p 60 h¡ a¡l A¢dL / ¢j¢eV
2 j¡p −b−L 12 j¡p 50 h¡ a¡l A¢dL / ¢j¢eV
12 j¡p −b−L 5 hRl 40 h¡ a¡l A¢dL / ¢j¢eV
2 x ¢eE−j¢eu¡ (ARI) Hl mre
¢e−jÀ f¢ÕQjh−‰l jÉ¡−m¢lu¡ fËhe Hm¡L¡…¢ml e¡j −cJu¡ qm-
f¤l¦¢mu¡ (11¢V fË¡b¢jL ü¡ÙÛÉ h¡Nj¤¢ä, pcl, h−¾c¡u¡e,
−L¾cÊ) ¢plL¡h¡c, T¡mc¡-2 hml¡jf¤l,
T¡mc¡ -1, Suf¤l, hsh¡S¡l,
j¡eh¡S¡l 1 J 2
Smf¡C…¢s (13 ¢V fË¡b¢jL ü¡ÙÛÉ Ešl ma¡h¡¢s, j¡m, L¡¢mwfw,
−L¾cÊ) p¤¤Le¡, g¡m¡L¡V¡, L¥p¡lNË¡j,
f¢ÕQjh−‰l 4¢V −Sm¡l 37¢V Nl¦h¡b¡e, l¡SN”, jue¡…¢s,
fË¡b¢jL ü¡ÙÛÉ −L¾cÊ j¡¢Vu¡¢m, j¡c¡¢lq¡V, B¢mf¤lc¤u¡l
1 J2
hy¡L¥s¡ (5¢V fË¡b¢jL ü¡ÙÛÉ −L¾cÊ) l¡e£hy¡d, l¡uf¤l, M¡al¡,
−hmf¡q¡s£, ¢qlhy¡d
c¡¢SÑ¢mw (8¢V fË¡b¢jL ü¡ÙÛÉ −L¾cÊ) e„¡mh¡¢s, p¤¤Le¡, L¡¢pÑu¡w, ¢j¢lL,
gy¡¢p−cJu¡, L¡¢mwfw-1,
gy¡¢p−cJu¡ - K l¡SN”
el
X¡C¢lu¡ ¢eu¿»−el ¢h¢iæ Ef¡u :
Sm −n¡de, Sm ¢hö¢ÜLle, Sm plhl¡q, ü¡ÙÛÉ¢hd¡e ORS Hhw Zinc
Sm ¢hö¢Ü Ll−el fÜ¢a :
L) Sm −Ry−L −n¡de x k¢cJ f¡−el B−N Sm g¥¢V−u ¢e−m a¡l j−dÉ b¡L¡ −l¡N pª¢øL¡l£ S£h¡e¤
eø q−u k¡u z ¢L¿¹¥ NË¡j¡’−m HC fÜ¢a j¡e¤o hÉhq¡l L−le e¡ z SÆ¡m¡¢el Lj¢a Hhw
BL¡n−Ry¡u¡ c¡−jl SeÉ HC fÜ¢al hÉhq¡l p£¢ja z
HR¡s¡J h¡lwh¡l Bp¡ heÉ¡l SeÉ j¡e¤−ol fË¡b¢jL fË−u¡Se…¢mJ −jV¡−e¡ j¤n¢Lm q−u f−s z
Hja¡hÙÛ¡u SÆ¡m¡e£ −S¡N¡s L−l Sm −g¡V¡−e¡ Apñh z
p¡d¡leax NË¡−jl j¡e¤−ol¡ L¡fs h¡ f¤−l¡−e¡ n¡¢s à¡l¡ −Ry−L Sm f¢lú¡l L−le z N−hoe¡N¡−l
fl£r¡u −cM¡ −N−R −k, NË¡−j hÉhq©a p¡d¡le, Ljc¡j£ p§a£l n¡¢s−L Q¡l −b−L BV iy¡S L−l
3

4. k¢c Sm Ry¡L¡ qu a−h a¡ à¡l¡ S−m −l¡N pª¢øL¡l£ S£he¤ (¢h−noax L−ml¡l S£h¡e¤ ) dÆwp q−u
k¡u z
Water
filtering
Water Water
Supply purification
Diarhoea
Sanitation ORS and
Zinc
M) l¡p¡u¢eL Ef¡−u Sm −n¡de x
HL ¢mV¡l (4 NÔ¡p ) S−m ¢ae hs Q¡jQ (6 −R¡V Q¡jQ) ¢hÔ¢Qw f¡EX¡l (30 %) −jn¡e z
HC ¢jnËe¢V c§¢oa S−m ¢j¢n−u Sm −n¡de Ll¦e z ¢jnËe¢Vl -
¢ae −gy¡V¡ / 0 . 6 ¢j¢m HL ¢mV¡l S−m −jn¡e
6 ¢j¢m 10 ¢mV¡l S−m
60 ¢j¢m 100 ¢mV¡l S−m
4

5. 2) ORS Hhw Zinc
3z ü¡ÙÛÉ¢hd¡−el Ef¡u x −n±Q¡N¡−ll ¢eu¢ja hÉhq¡l, EyQ¥ −n±Q¡N¡l °al£, jm - j§œ aÉ−Nl SeÉ
−n±Q¡N¡−ll hÉhq¡l - ü¡ÙÛÉ¢hd¡e Ef¡−ul A¿¹NÑa z
4z Sm plhl¡q x
p¤¤l¢ra Ef¡−u Sm pwNËq, emL¨f EyQ¥ L−l hy¡d¡−e¡ J a¡l ašÄ¡hd¡e ab¡ Sm l¡M¡l SeÉ hs
SÉ¡¢l−Le ¢hale - HCph Ef¡u Ahmðe Ll−m X¡C¢lu¡l fË¡c¤Ñi¡h Lj−h z
−l¡N eSlc¡l£ (Disease Surveillance)
H¢V HL¢V Qmj¡e fË¢œ²u¡ z H−a Seü¡ÙÛÉ Eæu−el SeÉ f¢lLÒfe¡, h¡Ù¹h¡ue Hhw j§mÉ¡u−el
E−Ÿ−nÉ abÉ pwNËq, ¢h−nÔoe J hÉ¡MÉ¡ Ll¡ qu z
HC fË¢œ²u¡¢V Seü¡ÙÛÉ ANË¡¢dL¡l pjpÉ¡ ¢Q¢q²aLle J −Ny¡s¡−aC −l¡−Nl fË¡c¤Ñi¡h pð−å paLÑ
qJu¡l SeÉ Sl¦l£ z
abÉ pwNË−ql SeÉ ü¡ÙÛÉ hÉhÙÛ¡u hý fÜ¢a B−R z
5

6. fËSee J ¢nö ü¡ÙÛÉ ¢houL abÉ (RCH) pwNË−ql SeÉ hÔL J −Sm¡ Ù¹−l fË¢a j¡−p
°hWL qu z HR¡s¡J −f¡¢mJ, jÉ¡−m¢lu¡, kr¡, L¥ù Hhw HIV (NACO) Bm¡c¡
fË¢a−hce (Report) B−p z CHCMI Hhw ICDS Hl ¢eSü fË¢a−hce fÜ¢a B−R z
Sl¦l£ AhÙÛ¡u / −l¡−Nl fË¡c¤Ñi¡h q−m fË¢a¢ce ¢hno fË¢a−hce °al£ qu z
pwqa −l¡N eSlc¡l£ fËLÒf (IDSP) Hl abÉ V£L¡Lle A¢ik¡e J X¡C¢lu¡ S¢ea
jªa¥É−L a¥me¡ Ll¡l SeÉ 2008 H −j¢ce£f¤l heÉ¡ J 2009 H BCm¡l fl hÉhq©a
qu z
pLm fkÑ¡−u X¡š²¡l−cl p−‰ ¢LÓ¢eL −b−L ¢e¢cÑø g−jÑ Hhw N−hoe¡N¡l −b−L N−hoe¡N¡l g−jÑ
fË¢a−hce hÔL fË¡b¢jL ü¡ÙÛÉ −L¾cÊ h¡ a¡l E−ÜÑ f¡W¡−e¡ qu z HC fË¢a−hce …¢m fË¡b¢jL Ù¹−l
p−¾cq BL¡−l Ef-ü¡ÙÛÉ −L−¾cÊ f¡W¡−e¡ qu z
k¢c −L¡−e¡ ¢hfkÑ−ul fl Ef-ü¡ÙÛÉ −L¾cÊ −M¡m¡ b¡−L a¡q−m, HC abÉ…¢m ¢eu¢ja f¡W¡−e¡ k¡u z
a−h k¢c ANM −L Akb¡ AÙÛ¡u£ h¡pÙÛ¡e…¢m−a ¢e−u k¡Ju¡ qu a−h HC abÉ f¡Ju¡ k¡−h e¡
Hhw −l¡−Nl fË¡c¤Ñi¡h B−N −b−L ByQ Ll¡ k¡−h e¡ z
a−bÉl Evp x
SPHERE Guidelines
IMNCI ¢Qœ f¤¢Ù¹L¡, q¡a hC Hhw −mM¢Qœ hC
4z A¢d−hne f¢lLÒfe¡ (Session Plan):
pju A¢d−hn−el
A¢d−hn−el L¡kÑ ¢hhle£
fËbj 10 ¢j¢eV AwnNËqeL¡l£−cl L¡−R A¢d−hn−el E−ŸnÉ hÉ¡MÉ¡ L−l fË¢nrL öl¦
Ll−he z
flhaÑ£ 7 ¢j¢e−V fË¢nrL hÉ¡¢dl ¢œ−L¡e e„¡ hÉhq¡−l L−l jÉ¡−m¢lu¡
¢Li¡−h qu a¡ hÉ¡MÉ¡ Ll−he z
−l¡−Nl BnËu c¡a¡
j¡dÉj f¢l−hn (Sm¡nu, j¡¢R, jn¡ )
HC p−œ −S¡l −cJu¡ q−h pwœ²¡jL hÉ¡¢d L¡−L h−m a¡l Efl - H−a
pju m¡N−h ¢ae ¢j¢eV
11 - 15 ¢j¢eV â¥a ¢Q¿¹e x fË¢nrL AwnNËqeL¡l£−cl ¢eS-¢eS Hm¡L¡l p¡d¡le
pwœ²¡jL hÉ¡¢d…¢m ¢Q¢q²a Ll−a hm−he z ph Ešl…¢m Q¡−VÑ ¢m¢fhÜ
Ll¡ q−h z k¢c −L¡e AfËaÉ¡¢na Ešl B−p a¡J hÉ¡MÉ¡ L−l ¢c−a
q−h z
6

7. hÉ¡¢d…¢m q−h ¢ejÀl©f x
q¡j
X¡C¢lu¡
jÉ¡−m¢lu¡
kr¡
¢eE−j¡¢eu¡
16 - 40 ¢j¢eV ¢Q¿¹¡ Ae¤p¡−l L¡S (Mind Mapping) - B−Nl a¡¢mL¡¢V hÉhq¡l L−l
Hh¡l fË¢nrL f§−hÑ E−õ¢Ma pwœ²¡¢ja hÉ¡¢d …¢m hÉ¡MÉ¡ Ll−he z
fË¢a¢Vl SeÉ pju m¡N−h 5 - 7 ¢j¢eV z −k p¡lZ£¢V °al£ B−R a¡l
fËbj c¤C p¡¢l Ec¡qle ül©f hÉhq¡l Ll¡ −k−a f¡−l
X¡C¢lu¡ - −cJu¡ R¢h…¢ml p¡q¡−kÉ hÉ¡MÉ¡ Ll¦e z
jÉ¡−m¢lu¡ - Hm¡L¡u −cM¡ k¡Ju¡ mre …¢m B−m¡Qe¡ J hÉ¡MÉ¡
Ll¦e z
kr¡ - B−m¡Qe¡ hÉ¡MÉ¡ Ll¦e z
¢eE−j¡¢eu¡ - ¢i¢XJl j¡dÉ−j hÉ¡MÉ¡ Ll¦e z
41 - 45 ¢j¢eV hÉ¡¢d Hhw a¡l mre…¢m −cM¡l fl fË¢nrL Hp−hl fË¢a−l¡−dl
Ef¡u…¢m B−m¡Qe¡ Ll−he J a«a£u p¡le£−a ¢m¢fhÜ Ll−he z
V£L¡Lle, j¡¢R, jn¡ ¢eu¿»e CaÉ¡¢c pð−å pw¢rç i¡−h hm−a q−h z
46 - 55 ¢j¢eV B−N −b−L −gÓ„ hÉ¡e¡l ¢qp¡−h °al£ ¢Qœ hÉhq¡l L−l fË¢nrL X¡C¢lu¡
¢eu¿»−el Ef¡u …¢m hÉ¡MÉ¡ Ll−he z
Water
filteri
Water Water
Suppl Diarh purifi
oea
Sanita ORS
tion and
−kje- Sm Ry¡L¡, ¢hö¢ÜLle, ORS hÉhq¡l CaÉ¡¢c z
56 - 60 ¢j¢eV ü¡ÙÛÉ eSlc¡l£ hÉhÙÛ¡ L¡−L h−m, fË¢nrL a¡ h¤¢T−u −c−he z p¢œ²u
l©−f abÉ pwNËq, ¢h−nÔoe Hhw a¡l Efl ¢i¢š L−l fc−rf −eJu¡
7

8. −k−a f¡−l a¡ p¢hÙ¹¡−l −h¡T¡−he z
−L¡el©f p−¾cq / fËnÀ b¡L−m fË¢nrL a¡ c§l L−l −c−he z
5z fˢnre fܢa (Training Method) x
A¢d−hn−el
A¢d−hn−el Awn fÜ¢a
ü¡ÙÛÉ Hhw hÉ¡¢dl Ef¡c¡e L¡−XÑl j¡dÉ−j cmNa L¡S
p¤¤l¢ra ü¡ÙÛÉ ¢h¢dl AiÉ¡p q¡a −d¡Ju¡, R¢h à¡l¡ X¡C¢lu¡, ¢eE−j¡¢eu¡, ORS /
Zinc ¢höÜ Sm CaÉ¡¢cl hÉ¡MÉ¡
IMNCI Video Show
6z fË−u¡Se£u p¡jNË£ (Materail Required) x
f§−hÑ fËÙ¹¥a L¡XÑ (ü¡ÙÛÉ J hÉ¡¢dl Ef¡c¡e)
f§−hÑ fËÙ¹¥a R¢h (X¡C¢lu¡)
−h¡XÑ .
j¡LÑ¡l −fe
Q¡VÑ
CD Player Hhw Projector
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