1. 1 . 6 ü¡ÙÛÉ Ty¥¢L qÊÊ¡pLlZ hÉhÙÛ¡
pLlZ 45 ¢j¢eV
1z A¢d−hn−el E−ŸnÉ (Session Objectives) :
A¢d−hn−el −n−o AwnNËqeL¡l£l¡ ¢ejÀ¢m¢Ma ¢hou…¢m hÉ¡MÉ¡ Ll−a f¡l−h -
ü¡−ÙÛÉl Efl ¢hfkÑ−ul fËi¡h
Seü¡ÙÛÉ Ty¥¢L qÊÊ¡pLl−el j§MÉ hÉhÙÛ¡…¢m L£ L£ ?
2z A¢d−hn−el j§m ¢nr¡ (Key Learning Point) :
¢hfkÑ−ul f−l, ü¡ÙÛÉ HL¢V hs E−à−Nl L¡lZ
Ty¥¢L qÊÊ¡pLlZ hÉhÙÛ¡ ¢hfkÑ−ul f−l Seü¡−ÙÛÉl Efl Bp£e fËi¡h…¢m−L Lj¡u z
3z −S−e l¡M¤e (Hand Out) :
ü¡−ÙÛ−Él Efl ¢hfkÑ−ul fËi¡h
¢hfkÑu
fËi¡h
Sm plhl¡q ¢h¢OÀa Ap¤¤M ab¡ jªaÉ¥ h¡pÙÛ¡e ¢ho−u B−f¡p M¡−cÉl O¡V¢a
a¡vr¢eL fËi¡h hÉ¡fL ¢LR¥ pwMÉL hý
L¡−Sl fl Ü¡l
f¤e¤lÜ¡l q−u−R - ü¡ÙÛÉ f¢l−oh¡ f¤el¦Ü¡l f¤el¦Ü¡l qu ¢e - Bw¢nL f¤el¦Ü¡l
c£OÑ−ju¡c£ fËi¡h −L¡−e¡ pjpÉ¡ −eC p−šÄJ q¡j - à¡l¡ jªa¥É q¡−jl fËi¡h −cM¡ k¡−µR q−u−R -
−cM¡ k¡−µR z Af¤¢ø −h−s−R z
l−Pl hÉ¡MÉ¡ x
m¡m = Ni£l / …l¦al AhÙÛ¡,
Ljm¡ = j¡T¡Él£ fËi¡h,
e£m = Lj fËi¡h
ph¤S = −L¡−e¡ fËi¡h −eC,
M−ul£ = S¡e¡ −eC
1

2. Ef¢l - Eš² R−Ll hÉ¡MÉ¡ x
HC −r−œ, Sm plhl¡−ql hÉhÙÛ¡ j¡l¡aÈL i¡−h ¢h¢OÀa ¢Rm z ¢hfkÑ−ul f−l h¡pÙÛ¡−el ¢hou¢V−L
…l¦aÆ e¡ −cJu¡u q¡−jl fË−L¡f h¡−s z c£OÑL¡m£e fËi¡−h, jªa¥É −cM¡ k¡u ¢L¿¹¥ M¡−cÉl Efl
Ni£l fËi¡h −cM¡ k¡u ¢e z ü¡ÙÛÉ f¢l−oh¡u c¤−kÑ¡−Nl fËi¡h M¤h LjC −cM¡ k¡u z Sm plhl¡q
f¤el¦Ü¡−ll g−m, Sm O¢Va −l¡−Nl hª¢Ü ¢eu¿»−e ¢Rm z ¢hfkÑ−ul pju M¡cÉ pl¡hl¡−ql Efl
fËi¡h p¤¤Øfø ¢Rm e¡ z
Ef¢lEš² RL −b−L −h¡T¡ k¡u −k, ¢Li¡−h ü¡ÙÛÉ ¢houL ¢h¢iæ fc−r−fl j¡dÉ−j Ap¤¤ÙÛa¡ ab¡
jªaÉ¥ fË¢a−l¡d Ll¡ k¡u z ¢hfkÑu, ¢h¢iæ BO¡a, S−m −X¡h¡ ¢Lwh¡ jªaÉ¥l L¡lZ q−a f¡−l z
Sl¦l£ ü¡ÙÛÉ f¢l−oh¡l j¡dÉ−j HC fËi¡h…¢m fËn¢ja Ll¡ k¡u z c¤−kÑ¡−Nl f−l, a¡C j¡e¤−ol ¢is,
f¡e£u S−ml Ai¡h, M¡l¡f ü¡ÙÛÉ AhÙÛ¡ Hhw M¡−cÉl O¡V¢a −cM¡ k¡u z HC ph ¢LR¥C ¢h¢iæ
−l¡N / hÉ¡¢dl fË¡c¤Ñi¡h h¡¢s−u −cu z ü¡ÙÛÉLjÑ£−cl Ai¡hJ b¡L−a f¡−l z Bh¡l, ü¡ÙÛÉ f¢l−oh¡
m¡−il SeÉ j¡e¤−ol ¢isJ b¡L−a f¡−l z ¢hfkÑ−ul B−NC ü¡ÙÛÉ f¢l−oh¡u Ah¢ÙÛa c§hÑma¡…¢m
¢hfkÑ−ul fl −h−s −k−a f¡−l z fËaÉ¡¢na c¤−kÑ¡−Nl B−NC j−e¡e£a h¡ ¢Q¢q²a ¢el¡fc
ÙÛ¡e…¢m−a (p¡C−LÓ¡e −p¾V¡l) fË−u¡Se£u hÙ¹¥ Sj¡ L−l l¡M¡ −k−a f¡−l z HC AhÙÛ¡u, X¡C¢lu¡
HL¢V ÙÛ¡e£u pjpÉ¡ z f¢ÕQjh−‰l ¢h¢iæ ÙÛ¡e B−pÑ¢eL fËi¡¢ha qJu¡u −pM¡eL¡l emL¨f pÇf¨eÑ
p¤¤l¢ra eu z f¡C−fl à¡l¡ Be¡ Sm plhl¡q hÉhÙÛ¡ hý f¤l¡−e¡ qJu¡u, BCm¡u −i−‰ f−s z
−jl¡j−a c£OÑ pju −m−N k¡u z ¢ejÑm NË¡j Hm¡L¡…¢m−a jm - j§œ E¢Qa ÙÛ¡−e Ll¡l g−m H
¢e−u ¢h−no pjpÉ¡ qu ¢e z a−h, k¢c −n±Q¡N¡l…¢m e£Q¥ Hm¡L¡u b¡−L a−h ¢hfkÑ−ul pju a¡
X¥−h k¡−h z BCm¡l flhaÑ£ pj−u L−ml¡ −cM¡ k¡u z
Bj¡−cl S¡e¡ fË−u¡Se, ¢hfkÑu Q−œ²l ¢h¢iæ d¡−f ¢L ¢L fc−rf…¢m ¢e−m −l¡−Nl ¢hÙ¹¡l /
fËp¡l fË¢a−l¡d Ll−a p¡q¡kÉ q−h z ¢hfkÑu Q−œ²l ¢h¢iæ d¡f …¢m qm - fËÙ¹¥¢a (Preparedness),
¢eh¡le (Prevention) J fËnje (Mitigation)z
Ty¥¢L qÊÊ¡pLlZ fc−rf : e£−Q −cJu¡ p¡le£ −b−L ü¡−ÙÛÉl ¢h¢iæ Ef¡c¡−el A¿¹NÑa ¢h¢iæ Ty¢¥ L
pLlZ
qÊÊ¡pLlZ fc−rf…¢m hÉ¡MÉ¡ Ll¡ qm z fc−rf…¢m ¢h¢iæ i¡−h i¡N Ll¡ q−u−R z −kje -
¢eh¡le, fËÙ¹¥¢a J fËnjZ z p¡le£¢V AwnNËqeL¡l£−cl −h¡T¡l SeÉ pw¢rç i¡−h h¡e¡−e¡ q−u−R z
H¢V−a, ü¡−ÙÛÉl ¢h¢iæ Ef¡c¡e −kje, ü¡ÙÛÉ¢h¢d, Sm, ü¡ÙÛÉhÉhÙÛ¡, j¡¢R / jn¡ ¢eu¿»e, M¡cÉ Hhw
fl¡jnÑ pð−å hÉ¡MÉ¡ B−R z
¢eh¡l−el fc−rf fËÙ¹¥¢al fc−rf fËnj−el fc−rf
ü¡ÙÛÉ f¢l−oh¡ V£L¡LlZ fË¡b¢jL ü¡ÙÛÉ f¢l−oh¡−L
−S¡lc¡l Ll¡
ü¡ÙÛÉ¢h¢d ¢WLj−a¡ q¡a −d¡Ju¡, ü¡ÙÛÉ ¢h¢d Eæue, k−bø
qy¡¢Q h¡ L¡¢nl pju j¤M f¢lj¡−e p¡h¡e b¡L¡
Y¡L¡, −kM¡−e −pM¡−e b¤b¤/
Lg e¡ −gm¡
Sm ¢hÔ¢Qw f¡EX¡l J −LÓ¡¢le EyQ¥ emL¨f h¡e¡−e¡, EyQ¥
VÉ¡h−mV S¢j−u l¡M¡, Sm −n±Q¡N¡l h¡e¡−e¡
l¡M¡l hs f¡œ b¡L¡
2

3. ü¡ÙÛÉ ¢hd¡e °Sh hSÑ fc¡bÑ ¢eu¿»e k−bø f¢lj¡−e jN B−R
j¡¢R / jn¡ ¢eu¿»e pwqa j¡¢R jn¡ jn¡¢l b¡L¡, L£Ve¡nL
hÉhÙÛ¡fe¡ à¡l¡ f¢l−n¡d£a jn¡¢l
fl¡jnÑ A−eÄo¡ f¢lLÒfe¡
M¡cÉ p¤¤pwqa ¢nö Eæue
fËLÒf, L¡kÑla jdÉ¡q²
−i¡Se f¢lLÒfe¡
p¢WL l©−f LjÑla ü¡ÙÛÉ hÉhÙÛ¡C NË¡−jl j¡e¤o ab¡ f’¡−ua−L HC L¡S Ll−a p¡q¡kÉ L−l z
¢e−jÀ −p lLj ¢LR¥ Ty¥¢L qÊÊ¡pLlZ fc−rf…¢m −cJu¡ qm -
V£L¡LlZ
V£L¡LlZ x fËd¡eax Eà¡Ù¹¥ ab¡ iu¡hq ¢hfkÑu à¡l¡ fËi¡¢ha j¡e¤−ol hph¡p ÙÛ−m q¡−jl
fË¡c¤Ñi¡−hl Ty¥¢L b¡−L z H −r−œ pjÙ¹ h¡µR¡−cl q¡−jl V£L¡LlZ - Hl SeÉ fËQ¡l q−h fËd¡e J
phÑ¡−NË z
Af¢lú¡l Sm J e¡m¡l −e¡wl¡ Sm ¢eL¡n x Sm plhl¡q qm HL¢V AaÉ¡hnÉL Ty¥¢L qÊ¡Ê pLlZ
fc−rf z L¢We hSÑÉ fc¡bÑ hÉhÙÛ¡fe¡ hm−a fË¡b¢jL ü¡ÙÛÉ −L−¾cÊl p§Q / p¤C ab¡ fÔ¡¢ØV−Ll
¤
¢S¢epf−œl hÉhÙÛ¡fe¡J −h¡T¡u emL¨f…¢m EyQ¥ L−l hy¡¢d−u ¢c−m a¡ heÉ¡l pju Sm −e¡wl¡ /
AöÜ q−a −cu e¡ z j¡e¡epC i¡−h k¢c −n±Q¡N¡l …¢m−L EyQ¥ L−l hy¡¢d−u −cJu¡ qu - a¡
−b−LJ heÉ¡l pju −e¡wl¡ R¢s−u f−s e¡ z
j¡¢R / jn¡ ¢eu¿»e x −kM¡−e −pM¡−e Sm S¢j−u e¡ −l−M k¢c a¡ Efk¤š² Ef¡−u ¢eú¡ne Ll¡
k¡u - a−h j¡¢R/ jn¡ CaÉ¡¢cl fËSee ¢eu¿»e q−h z pwqa j¡¢R / jn¡ ¢eu¿»−e hÉ¢š²Na
p¤¤lr¡J h¡−s z kb¡, mð¡ q¡a¡Ju¡m¡ S¡j¡-L¡fs fs¡, jn¡¢ll hÉhq¡l, clS¡ S¡e¡m¡u S¡m
m¡N¡−e¡ z aÉ¡m¡¢fu¡ j¡−Rl hÉhq¡−ll à¡l¡ °Sh ¢eu¿»e pj−u pj−u, Sm S−j b¡L¡ j¡W-O¡V,
h¡m¢a, AhÉhq©a ¢VEh CaÉ¡¢c−L M¡¢m Ll¡, j¡¢R / jn¡ ¢eu¿»−el n¡¢ll£L fÜ¢a z l¡p¡u¢eL
fÜ¢a kb¡ - −ØfË, L−um, j¡É¡V, œ²£j, CaÉ¡¢c qm AeÉ¡eÉ fÜ¢al f¢lf§lL z jÉ¢m¢lu¡,
g¡C−m¢lu¡ (−N¡c) J j¢Ù¹ú fËc¡q (Encephalitis) pl¡p¢l jn¡ à¡l¡ O¢Va −l¡N z AeÉ¢c−L j¡¢R
pwœ²je R¢s−u X¡C¢lu¡ OV¡u z
ü¡ÙÛÉ ¢h¢d x ü¡ÙÛÉ J p¤¤lr¡l SeÉ hÉ¢š²Na ü¡ÙÛÉ¢h¢d −j−e Qm¡ AaÉ¿¹ Sl¦l£ z kb¡- M¡Ju¡l
B−N J −n±−Q k¡Ju¡l fl i¡−m¡i¡−h q¡a −d¡Ju¡, fË¢a¢ce pÀ¡e Ll¡, ¢eu¢ja p¡h¡e j¡M¡ z
−kM¡−e −pM¡−e b¤b¤ e¡ −gm¡ Hhw qy¡¢Q h¡ L¡¢nl pju l¦j¡m / L¡fs ¢c−u j¤M Y¡L−m CegÓe”¡
¥
J kr¡ (TB) ¢hÙ¹¡−l ¢eu¿»e qu z l¡æ¡l pju f¢lú¡l f¢lµRæa¡ hS¡u l¡M¡−m ab¡ l¡æ¡l fl
M¡h¡l −Y−L l¡M−m X¡C¢lu¡ ¢eu¿»e qu z
p¤¤l¢ra fËp−hl SeÉ fy¡Q¢V f¢lµRæa¡ −j−e Qm¡ Bh¢nÉL z kb¡ - f¢lú¡l q¡a, fËp−hl SeÉ
f¢lú¡l ÙÛ¡e, f¢lú¡l p§−a¡, e¡¢i L¡V¡l SeÉ f¢lú¡l −hÔX, Hhw f¢lú¡l hy¡de z
3

4. x-
a−bÉl Evp x-
SPHERE Guideline (also available in Bangali)
Skills that saves lives ASHA Module 6 NRHM.
NRHM Community Monitoring Manual.
4z A¢d−hne f¢lLÒfe¡ (Session Plan) :
pju A¢d−hn−e
A¢d−hn el L¡kÑ ¢hhle£
fËbj 3 ¢j¢eV fË¢nrL A¢d−hn−el E−ŸnÉ hÉ¡MÉ¡ à¡l¡ A¢d−hne öl¦ Ll−he z pÇf¨ZÑ fË¢nr−e
HC A¢d−hne¢Vl i¨¢jL¡ ph¡C−L h¤¢T−u −c−he z
4 - 18 ¢j¢eV ¢hfkÑ−ul fËi¡h pð−å AwnNËqeL¡l£−cl pw−hcen£m Ll¡l SeÉ a¡−cl ¢LR¥ R¢h
−cM¡−he -
¢hfkÑu
fËi¡h
Sm plhl¡q Ap¤¤M ab¡ jªaÉ¥ h¡pÙÛ¡e ¢ho−u M¡−cÉl O¡V¢a
¢h¢OÀa B−f¡p
a¡vr¢eL hÉ¡fL ¢LR¥ pwMÉL hý
fËi¡h
19 - 35 ¢j¢eV Hh¡−l fË¢nrL hÉ¡MÉ¡l j¡dÉ−j −h¡T¡−he ¢Li¡−h ü¡ÙÛÉ ¢houL ¢h¢iæ fc−r−fl
j¡dÉ−j −l¡N Rs¡−e¡l Ty¥¢L−L Lj¡−e¡ k¡u z ¢e−jÀl p¡le£ à¡l¡ ü¡ÙÛÉ, Sm, ü¡ÙÛÉ¢hd¡e
J ü¡ÙÛÉ¢h¢d, M¡cÉ, jn¡ j¡¢R ¢eu¿»u −r−œ ¢eh¡le, fËÙ¢¥¹ a J fË¢nr−el fc−rf …¢m
hÉ¡MÉ¡ Ll¦e -
¢eh¡l−el fc−rf fËÙ¹¥¢al fc−rf fËnj−el fc−rf
ü¡ÙÛÉ f¢l−oh¡ V£L¡LlZ fË¡b¢jL ü¡ÙÛÉ
f¢l−oh¡−L −S¡lc¡l
Ll¡
ü¡ÙÛÉ¢h¢d ¢WLj−a¡ q¡a −d¡Ju¡, ü¡ÙÛÉ¢h¢d Eæue, k−bø
qy¡¢Q h¡ L¡¢nl pju j¤M f¢lj¡−e p¡h¡e b¡L¡
Y¡L¡, −kM¡−e −pM¡−e b¤b¤
4

5. / Lg e¡ −gm¡
Sm ¢hÔ¢Qw f¡EX¡l J EyQ¥ emL¨f h¡e¡−e¡,
−LÓ¡¢le VÉ¡h−mV EyQ¥ −n±Q¡N¡l h¡e¡−e¡
S¢j−u l¡M¡, Sm
l¡M¡l hs f¡œ
ü¡ÙÛÉ ¢hd¡e °Sh hSÑ fc¡bÑ k−bø f¢lj¡−e jN
B−R
j¡¢R / jn¡ ¢eu¿»e pwqa j¡¢R jn¡ jn¡¢l b¡L¡,
hÉhÙÛ¡fe¡ L£Ve¡nL à¡l¡
f¢l−n¡d£a jn¡¢l
fl¡jnÑ A−eÄo¡ f¢lLÒfe¡
M¡cÉ p¤¤pwqa ¢nö Eæue
fËLÒf L¡kÑla, jdÉ¡q²
−i¡Se f¢lLÒfe¡
36 - 45 ¢j¢eV AwnNËqej§mL B−m¡Qe¡l j¡dÉ−j fË¢nrL B−m¡Qe¡l p¡l¡wn Bl HLh¡l pL−ml
p¡j−e a¥−m dl−he z k¢c L¡−l¡l −L¡−e¡ fËnÀ / p−¾cq b¡−L - a¡J c§l q−h z
A¢d−hne −no q−h z
5z fˢnre fܢa (Training Method) x
A¢d−hn−el
A¢d−hn−el Awn fÜ¢a
¢hfkÑ−ul pjuL¡l ¢h¢iæ Ty¥¢L â¥a ¢Q¿¹e
ü¡ÙÛÉ T¥y¢L hÉ¡MÉ¡
ü¡−ÙÛÉl Efl ¢hfkÑ−ul fËi¡h R¢h / p¡lZ£ / a¡¢mL¡ hÉhq¡l
Ty¥¢L qÊÊ¡p Ll¡ p¡lZ£ hÉhq¡l
6z fË−u¡Se£u p¡jNË£ :
f§−hÑ °al£ R¢h / a¡¢mL¡ / p¡lZ£
−h¡XÑ
j¡LÑ¡l −fe
Q¡VÑ −ff¡l
−gÓ„hÉ¡e¡l (p¡lZ£ )
Q¡VÑ V¡‰¡−e¡l ØVÉ¡ä J ¢LÓf
5