3. HFOMC presentation slide_final_02122018.pptx

:yfgLo:jf:Yo;+:yf;~rfngtyfJoj:yfkg;ldltsf] ;'b[9Ls/0fsf]
nflu tfnLd;Grfng ug{sf]nflu
Ganesh Baruwal Project Manager, RHIP II FAIRMED Nepal

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p2]Zo

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tfnLd Joj:yfkg af/] hfgsf/L kfpg] .
j:t'ut p2]Zox?
 ;xefuLx?Ps cfk;dfkl/lrt x'g .
 ;d"xut sfo{sf] dxTjatfpg .
 tfnLd ;~rfngsf nflu Joj:yfkg kIf af/] atfpg .
 tfnLd ;~rfngsf nflu ;fd'lxsdfGotftof/ug{ .

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bLuf] ljsf; nIo

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 ;xefuLx?n] :jf:Yoljsf;sf]Ps dxTjk"0f{d'2f, :jf:Yosf;fdflhslgwf{/sx?/ ;x>fAbL
tyf bLuf] ljsf;nIojf/] hfgsf/L kfpg] .
j:t'ut p2]Zox?
• :jf:Yoljsf;sf] PsdxTjk"0f{ d'2f xf] egL pbfx/0f;lxtatfpg
• :jf:Yosf;fdflhslgwf{/sx?atfpg
• ;x>fAbLtyf bLuf] ljsf;nIodf:jf:y ;]jfsf]nIfx? atfpg

:jf:Yo, Ps dxTjk"0f{ :yfgLoljsf;sf]ljifoj:t' (Agenda)
xfd|f] ;Gbe{df:jf:Yo Pspkrf/fTds;]jfsf] c+zdfqgeO{ ;du|tfdf
:yfgLo ljsf;sf] Ps dxTjk"0f{ljifoj:t'(Agenda) xf] . :jf:Yo
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ljsf;sf] ljifoj:t'sf?kdflngh?/L 5 .

:jf:Yo/ ljsf;
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समतामूलक
पहुँच
गणस्तरीय
सेवा
बहपक्षीय
सहकायय{
सधार
(Reform)
:jf:Yo ;]jfdf
;j{JofkL
kx'Fr

:jf:Yos;sf] lhDd]jf/L <
 JolQm
 kl/jf/
 ;d'bfo
 ;/sf/ -ljleGg txsf_
 cGt/f{li6|o;d'bfo

:jf:Yosf ;fdflhs lgwf{/sx?
:jf:Yosf ;fdflhs lgwf{/sx? cfly{s tyf ;fdflhs cj:yf/ ;d'bfodf
To;sf]ljt/0f;+u hf]l8Psf] x'G5 . :jf:Yosf] ;fdflhs lgw{f/s
eGgfn]Aoltmsf] :jf:Yodfk|efjkfg]{ ;fdflhs tTjx?eg]/
a'lemG5.

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• vfgf
• oftfoft
• Aoltmsf]cfo tyf To;sf] ljt/0f
• lzIff
• 3/sf]cj:yf Ganesh Baruwal Project Manager, RHIP II FAIRMED Nepal

क
ु पोषण, खस्कदो
स्वास््य र बसाइको
खराब अवस्था
शारीररक र मानससक
ववकासमा बाधा
सुस्त वृद्धध तथा
कम्जोर शैक्षिक
ववकास
रोजगारीमा
कम अवसर
कम आम्दानी
गररबी र अभाव
खाना, सशिा, सफा
पानी, आवासमा कम
पहुुँच
ul/aLrqm
:jf:Yo/ ul/aLsf] ;DaGw

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;x>fAbL ljsf;nIoM
•;g @))) ;]K6]Da/df;+o'tm/fi6«;+3sf] ;Dd]ng¢f/f;x>fAbL] ljsf;nIo-
Millenium Development Goals- MDG_ sf] 3f]if0ff .
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b/36fpg] ,dft[ :jf:Yo;'wfg]{ / Pr= cfO{= eL=÷P8;, cf}nf]tyf cGo;?jf
/f]uaf6 aRg] / jftfj/0fLo ;+t'''ngug]{cfbL .

lbuf] ljsf;nIo
;g @)!%df ;x>fAbL]ljsf; nIoaf6 k|fKt x'gg;s]sfs'/fx?nfO
k'/fug{ !&nIo / !^& ;"rsx?;lxt @)!^b]lv @)#) ;Ddsf] cjlw
/fv]/;+o'tm /fi6«;+3n]bLuf] ljsf;nIo (Sustainable
Development Goals-SDG) sf]3f]if0ff.

lbuf] ljsf;nIo
:jf:Yo;DjGwL bLuf] ljsf;nIoM nIo#
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hGo/f]ux? ;fy} ;?jf/f]usf]dxfdf/L ! ltxfOn] tn emfg]{ .

kf7- #
cfwf/e"t:jf:Yo ;]jf;]jfsfGo"gtd dfkb08x? (Minimum
Service (Basic Health Care), Standard) / u'0f:t/
:jf:Yo;]jf

kf7sf] p2]Zo
kf7sf] p2]Zo
 ;xefuLx?n] cfwf/e"t :jf:Yo;]jf k|jfx / ;]jfsfGo"gtd dfkb08x?jf/]hfgsf/Lkfpg] .
j:t'ut p2]Zox?
• cfwf/e"t :jf:Yo;]jfx?atfpg .
• ;]jfsfGo"gtddfkb08x? atfpg.

cfwf/e"t:jf:Yo ;]jfsf] kl/ro
cfd gful/ssf]:jf:Yo;]jfsf] cfjZostf k"lt{sfnflu /fHojf6z'ne ?kdf
lgMz'Ns pknAwx'g] k|j4{gfTds,k|ltsf/fTds,pkrf/fTds/
k'g:yf{kgfTds;]jfnfO{cfwf/e"t:jf:Yo;]jfegLkl/efliftul/Psf]5 .

cfwf/e"t:jf:Yo ;]jfx?
• vf]k ;]jf
• PsLs[t gjhft lzz' tyf afn/f]u Joj:Yffkg, kf]if0f ;]jf, ue{jtL, k|;a tyf ;'Ts]/L ;]jf, kl/jf/
lgof]hg, ue{ktg tyf k|hgg :jf:Yo h:tf dft[ gjhft lzz' tyf afn :jf:Yo ;]jf
• ;?jf /f]u ;DaGwL ;]jf
• g;g]{ /f]u tyf zf/Ll/s ljsnfËtf ;DaGwL ;]jf
• dfgl;s /f]u ;DaGwL ;]jf
• h]i7 gful/s :jf:Yo ;DaGwL ;]jf
• ;fdfGo cfsl:ds cj:yfsf ;]jf
• :jf:Yo k|a4{g ;]jf
• cfo'j]{b tyf cGo a}slNks :jf:Yo ;]jf
• g]kfn ;/sf/n] g]kfn /fhkqdf ;"rgf hf/L u/L tf]s]sf cGo ;]jf

cfwf/e"t :jf:Yo ;]jfsf Go'gtd dfkb08
• :yfgLo txdf ljleGg :jf:Yo;+:yfx?n] k|bfg ul/g] ;]jfsf] u'0fx?nfO{ ljleGg ljifout
v08x?df ljefhg u/L dfkb08 lgwf{/0f ul/Psf] 5 .
• tL x'gM ;'zf;g, ;+:yfut Joj:yfkg, dfgj ;+Zffwg Joj:yfkg, cfly{s Joj:yfkg,;"rgf
Jojj:yfkg,u'0f:t/ Joj:yfkg,pkrf/;]jf Joj:yfkg / ;xof]uL ;]jfx? (SupportServices) sf]
Joj:yfkg .
• o;dfkb08n] :jf:Yo;+:yf;+rfng tyf Joj:yfkg ;ldltsf kbflwsf/Lx? / :jf:Yo;+:yfsfk|d'v
tyf cGosd{rf/Lx?nfO{ :jf:Yo;+:yfsf]g]t[Tjut, Joj:yfksLo/ k|fljlws sfo{lbzf k|bfg
ug]{5 h;sf] kmn:j?k ;]jf k|jfxdf Jojzflostf / u'0f:t/df a[l4 x'g]5 .

cfwf/e"t:jf:Yo ;]jfaf6ck]lIft k|ltkmnx?
• cfwf/e"t:jf:Yo;]jf Kofs]hsf]sfof{Gjogaf6lgDg pNn]lvt glthfx? xfl;n x'g] ck]Iff
ul/Psf] 5 .
• cfd gful/ssf cfwf/e"t :jf:YocfjZostf Pj+ ;Daf]wgeO{ gful/ssf] :jf:Yocj:yfdf
;'wf/x'g]
• ;]jfk|bfg ug]{ :jf:Yo;+:yfx?sf]u'0f:t/df a[l4 x'g] / u'0f:t/Lo cfwf/e"t:jf:Yo
;]jfsf]k|Tofe"tx'g]
• hf]lvddf /x]sf (Vulnerable) tyf ;]jfaf6alGrthg;d'xx?df :jf:Yo;]jfsf] kx'+r
clea[l4 x'g]
• la/fdLsf] ;'/Iff (Patient’s Safety) Joj:yf yk ;'b[9x'g]

;]jfsf]Go"gtd dfkb08sf d'Vo a'Fbfx?
• lj/fdLsf nflu lbg'kg]{ kof{Kt ;do
• :jf:YosdL{x?sf] k|fKt kof{Kt ;+Vof
• lj/fdL hf+rsf] uf]klgotf sfod ul/Psf]
• lj/fdLsf] nflu cfjZos k/fdz{sf] Joj:yf
• cfjZos pks/0f / cf}hf/x?sf] pknAwtf
• cfjZos ef}lts k"jf{wf/x? ePsf]
• sd{rf/Lx?sf] ;]jf tflnsf
• lj/fdLsf nflu ;]jf / ;'ljwfx?

pbfx/0fM ;]jfsf Go'gtd dfkb08sf d'Vo a'bfx?
• ;]jfk|bfg ug]{ 7fpF-ejg, sf]7fdf x'g]pHofnf],cflb_
• cfjZos;fdu|Lsf] Go"gtd pknAwtf -cf}iflw,cf}hf/cflb_
• ;]jfk|bfossf] ;Lk, z}lIfs of]Uotf,tfnLd, cflb
• :jf:Yo;+:yfjf6lg:sg] kmf]xf]/d}nfsf] ;'/lIft lj;h{gJoj:yf
• ;+s|d0f /f]syfdsf] Joj:yf

u'0f:t/Lo :jf:Yo;]jf
• u'0f:t/Lo :jf:Yo ;]jfeGgfn] To:tf] :jf:Yo ;]jfnfO{ hgfpF5 h;n] ;]jfu|fxL, ;]jf
k|bfos /Aoj:yfkg kIfsf] clwStd;Gtt'li6 ;'lglZrt ub{} pkef]Qmfx?sf]cfjZostf
/ rfxfgfk'/f ug{ ;S5 .
• /fli6«o:t/sf] dfkb08 / dfGotf cg';f/sf]tflnd k|fKt tyf bIf:jf:YosdL{åf/f
:yfgLo >f]tsf] clwstdpkof]u u/L ck]Iffu/] cg'?k;]jfsf]nIo xfl;n ug{ ;S5 /
• :jf:YosdL{ tyf pkef]Qmf b'j}nfO{ kmfO{bfk'¥ofpg'sf ;fy} vt/f Go"g ug{
k|efjsf/Le"ldsf lgjf{xug{ ;Sb5 .

u'0f:t/sf] ;'lglZrttf
• :jf:Yo ;]jfdfu'0f:t/sf] ;'lglZrttf Pp6flg/Gt/ rln/xg]k|lqmofxf], h;n] :jf:Yo
;]jfsf ljleGgtxdf k|bfg ul/g] ;]jfsf]pRrtd u'0f:t/ sfod tyf j[l4ub{5 . o;
cGtu{t lgDgfg';f/ ultljlwx?;dfj]z x'G5g
• k|f]6f]sntyf dfkb08x?sf] ljsf;,
• dfkb08x?sf]k|of]u, :jf:Yo ;]jf;"rfÍsf] ljsf;,
• dfkb08x?sf]k|of]u u/L u'0f:t/sf]cg'udg, ;d:of tyf ;dfwfgsf pkfox?sf]
klxrfgcflb.

u'0f:t/ ;'wf/ k2lt
:jf:Yo;+:yfaf6k|bfg ul/g]:jf:Yo;]jfx?Tff]lsPsf] dfkb08 cg';f/u'0f:t/
;'lglZrtf ug{sf nflu;~rfngul/g]ljleGg s[ofsnfkx?sf]klxrfgtyf klxrfg
ul/Psf lqmofsnfkx?Jojl:yt 9ªaf6 ;DkGgug{ cfjZos;|f]t ;fwgsf]Aoj:yf /
:jf:Yo;]jfsf]u'0f:t/df ck]Iffs[t;'wf/ePsf] ;'lglZrtfsf nflucg'z/0f
ug'{kg]{ sfo{ljlwnfO{;du|df :jf:Yo;]jfsf]u'0f:t/ ;'wf/k2lt elgG5 .

kf7- $
cfwf/e"t:jf:Yo ;]jfPs df}lns xs / :jf:Yo;]jfdf k|b]z ;/sf/
/ :YffgLo ;/sf/sf] sfo{If]q

kf7sf] p2]Zo
kf7sf] p2]Zo
 ;xefuLx?n]g]kfnsf] ;+ljwfgdf cfwf/e"t :yf:Yo;]jf df}lns xssf]?kdf /x]sf] /
:jf:Yo;]jfdfUff“pkflnsftyf gu/kflnsfsf]Psn / ;+3 tyf k|b]z ;+usf] ;xsfo{df
k|of]u ug]{ ;femf clwsf/ af/] hfgsf/L kfpg] .
j:t'ut p2]Zox?
• g]kfnsf] ;+ljwfgdf cfwf/e"t :jf:Yo ;]jf df}lnsxssf] ?kdf /x]sf] jtfpg .
• Uff“pkflnsftyf gu/kflnsfsf]:jf:Yo ;]jfdf Psn clwsf/ atfpg .
• ufkf,gkfn] ;+3 tyf k|b]z ;+usf] ;xsfo{dfk|of]u ug]{;femf clwsf/jf/]] atfpg.

g]kfnsf] ;+ljwfg @)&@ :yfgLo ;/sf/ ;~rfng P]g @)&$

Wff/f #% • lgMz'Ns cfwf/e"t:jf:Yo;]jf
• cfsl:ds :jf:Yo;]jfsf] k|Tofe"lt
• :jf:Yopkrf/sf];DjGwdfhfgsf/L
• ;]jfdf ;dfg kx'Fr
• :jR5vfg]kfgL tyf ;/;kmfO{df kxF'r
dlxnfsf] xs
Wff/f #* k|To]s dlxnfnfO{ ;'/lIft dft[Tj /k|hgg :jf:Yo ;DjGwL xs x'g] 5
g]kfnsf] ;+ljwfg @)&@ df :jf:Yo;DjGwL df}lns xs

• ;+ljwfg sf] cg';"lr *df :yfgLotxsf]clwsf/;"lrdf cfwf/e"t:jf:Yo /;/;kmfO,/ cg';"lr ( df
;+3,k|b]z :yfgLo/ :yfgLotxsf]clwsf/ ;femf ;femf ;"lrdf :jf:Yo pNn]v5.
• :yfgLo ;/sf/;~rfng P]g @)&$sf]bkmf!! pkbkmf@-em_ufp“kflnsftyf gu/kflnsfsf]
sfd,st{Ao/clwsf/ cGtu{tcfwf/e"t:jf:Yo /;/;kmfO{sf! b]lv!@ a'+bf pNn]v5 .
• :yfgLo ;/sf/;~rfng P]g @)&$sf]bkmf!! pkbkmf$-v_df pNn]lvt;+3/k|b]zsf]
sfg"gsf]clwgdf/xL ufp+kflnsftyfgu/kflnsfsf]sfd,st{Ao/ clwsf/cGt/ut:jf:Yosf !
b]lv!&a'+bf pNn]v5 .
g]kfnsf] ;+ljwfg@)&@ sf] cg';"lr / :yfgLo ;/sf/ ;~rfng
P]g @)&$ df :jf:Yo

cfwf/e"t:jf:Yo / ;/;kmfO{
-!_ cfwf/e"t:jf:Yo/ ;/;kmfO{tyfkf]if0f;DjGwL gLlt,sfg"g, dfkb08, of]hgfsf] th'{df,sfof{Gjogtyf
lgodg,
-@_ cfwf/e"t:jf:Yo,k|hgg:jf:Yo/ kf]if0f;]jfsf];~rfng/ k|j4{g,
-#_ c:ktfn tyfcGo :jf:Yo;+:yfsf]:yfkgftyf ;~rfng,
-$_ :jf:Yo;]jf;DjGwL ef}lts k"jf{wf/ ljsf;tyf Aoj:yfkg,
-%_ :jR5 vfg]kfgLtyfvfBkbfy{sf] u'0f:t/, jfo' tyfWjlgsf]k|b"if0flgoGq0f / lgodg,
-^_ ;/;kmfO{;r]tgfsf]clej[l4 / :jf:YohGo kmf]xf]/d}nfsf]Joj:yfkg,
-&_ :jf:YohGokmf]xf]/d}nf;+sng,k"g pkof]u, k|zf]wg,lj;h{g / ;f]sf];]jfz'Nslgwf{/0f / lgodg,
ufp“kflnsf tyfgu/kflnsfsf] Psn clwsf/

cfwf/e"t:jf:Yo / ;/;kmfO{
-*_ /Qm ;~rf/ ;]jf tyf :yfgLo / zx/L :jf:Yo ;]jf ;~rfng,
-(_ cf}iflw k;n ;~rfng, cg'dlt, cg'udg / lgodg,
-!)_ ;/;kmfO{ tyf :jf:Yo If]qaf6 lgisfl;t kmf]x/d}nf Joj:yfkgdf lghL tyf u}/ ;/sf/L If]q;+u ;dGjo
/;xsfo{ / ;fembf/L,
-!!_ kl/jf/ lgof]hg tyf dft[lzz' sNof0f ;DjGwL ;]jf ;~rfng, cg'dlt, cg'udg / lgodg,
-!@_ dlxnf tyf jfnjflnsfsf] s'kf]if0f Go"lgs/0f, /f]syfd, lgoGq0f / Joj:yfkg .
ufp“kflnsf tyfgu/kflnsfsf] Psn clwsf/ qmdz====

:jf:Yo
-!_ ;+3Lotyfk|b]z:t/LonIo/dfkb08adf]lhd:yfgLo:t/sf]:jf:Yo ;DjGwLnIo /u'0f:t/lgwf{/0f
-@_ hg/nc:ktfn,gl;{ªxf]d, lgbfgs]GbtyfcGo :jf:Yo ;+:yfx?sf]lSnlgsbtf{,;~rfng, cg'dlt/ lgodg,
-#_ :yfgLo:t/dfc}iflwhGojg:klt,h8Lj'6L/cGosf]pTkbg,k|zf]wg/ljt/0f,
-$_ :jf:Yo jLdfnufotsf;fdflhs;'/Iffsfo{qmdsf]Joj:yfkg,
-%_ :yfgLo:t/dfcf}iflwtyfcGo d]l8snpTkbgx?sf]Go"gtdd"Nolgwf{/0f/lgodg,
-^_ :yfgLo:t/dfcf}iflwsf]plrtk|of]u ;"IdhLjlg/f]wsk|lt/f]wGogLs/0f,
-&_ :yfgLo:t/dfcf}iflw/:jf:Yo pks/0fsf]vl/b,e08f/0f/ljt0f,
-*_ :yfgLo:t/df:jf:Yo ;"rgfk|0ffnLsf]Joj:yfkg,
:yfgLo/k|b]z ;/sf/sf] ;femfclwsf/

:jf:Yo
-(_ :yfgLo :t/df hg:jf:Yo lgu/fgL -klAns x]Ny ;e]{g]G;_,
-!)_ :yfgLo :t/sf] k|j4{wgfTds, k|ltsf/fTds, pkrf/fTds,k'g:yf{kgfTds / KoflnPl6e :jf:Yo;]jfsf] ;~rfng,
-!!_ :j:yhLjgz}nL, kf]if0f, zf/Ll/s Aofofd, of]u cEof;, :jf:Yoj[Qsf]kfngf, k~rsd{nufotsfhg:jf:Yo;]jfsf] k|j4{g,
-!@_ h'gf]l6s / sL6hGo /f]usf] lgoGq0f tyf Joj:yfkg,
-!#_ ;"tL{, dlb/f / nfu'kbfy{hGoj:t'sf] k|of]u lgoGq0f tyf;r]tgfclej[l4,
-!$_ cfo'j]{lbs, o'gfgL, cfDrL, xf]df]Koflys, k|fs[lts lrlsT;fnufotsfk/Dk/fut :jf:Yopkrf/ ;]jfsf] Joj:yfkg,
-!%_ hg:jf:Yo,cfktsflng :jf:Yotyf dxfdf/Lsf] lgoGq0f of]hgf / sfof{Gjog,
-!^_ /f]usf] lgoGq0f / /f]syfd,
-!&_ cfsl:ds :jf:Yo;]jf k|jfx tyf:yfgLo ;]jfsf]Joj:yfkg
:yfgLo/k|b]z ;/sf/sf] ;femfclwsf/ qmdz====

kf7- %
:yfgLo txdf :jf:Yo ;+/rgf
:yfgLo :jf:Yo ;+:yf ;+rfng tyf Aoj:yfkg ;ldltsf] ;+/rgf, e"ldsf tyf
lhDd]jf/L

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx?n] :jf:Yosf] :yfgLo txdf;+/rgf, :yfgLo :jf:Yo;+:yf ;+rfng tyfJoj:yfkg
;ldltsf];+/rgf, e"ldsf tyflhDd]jf/Latfpg;Sg] .
j:t'ut p2]Zox?
• :jf:Yosf] :yfgLo txsf;+/rgfx? atfpg] .
• :yfgLo :jf:Yo;+:yf ;+rfng tyf Joj:yfkg;ldltsf];+/rgf atfpg] .
• :yfgLo:jf:Yo;+:yf ;+rfng tyf Joj:yfkg;ldltsf]e"ldsf tyf
lhDd]jf/Latfpg] .

:yfgLotxdf :jf:Yo;+/rgf

qm=
;+=
sd{rf/Lsf] lsl;d ;+Vof k|bfg ul/g] ;]jfx?
!= lrlsT;s $ • alx/+u;]jf,cGt/+u ;]jf
• ljz];1 lrlsT;sePdf ;Nols|of;]jf
• cfsl:ds;]jf
• kl/jf/ lgof]hg ;]jf-:yfoL÷c:yfoL_
• ;'/lIft dft[Tj, ue{jtLsf] hfFr, ;'Ts]/L hfFr tyf
k|;"lt ;]jf
• cfwf/e"t k|of]uzfnf;DaGwL hfFr tyfcGo
;]jf
@ x]Nycl;:6]G6 ^
# :6fkm g;{ ^
$ c=g=dL $
!% z}of ;Ddsf] ;fd'bfoLs c:ktfn-k|:tfljt_

qm=;
+=
!= lrlsT;s ! • alx/+u ;]jf, cGt/+u ;]jf
• kl/jf/ lgof]hg ;]jf -:yfoL÷c:yfoL_
• ;'/lIft dft[Tj, ue{jtLsf] hfFr,;'Ts]/L hfFr tyf k|;"lt ;]jf
• vf]k ;]jf -;j} lsl;dsf vf]kx?_
• kf]if0f sfo{qmd , le6fldg æPÆ, h'sfsf] cf}iflw ljt/0f,
cfof]l8go'Qm g"gsf af/]df ;Nnfx lbg]_
• emf8f kvfnf /f]u lgoGq0f / pkrf//Zjfz k|Zjf; /f]u lgoGq0f /
pkrf/, dxfdf/L tyf b}jL k|sf]k Aoj:yfkg / aftfj/0fLo ;kmfO
• :jf:Yo lzIff / uf+p3/ lSnlgs ;+rfng,k|fylds pkrf/ ;]jf / d=:jf=:j+=
;]ljsf kl/rfng
• ;fd'bflos cf}iflw sfo{qmd / cfwf/e"t k|of]uzfnf ;DaGwL hfFr
@= x]Ny cl;:6]G6 !
# :6fkm g;{ !
$ c=x]=a= #
% c=g=dL #
^ Nofj cl;:6]G6 !
& >]]]0fL lalxg sd{rf/L @
k|fylds :jf:Yo;]jfs]Gb|

qm=;
+=
!= x]Ny cl;:6]G6 !  kl/jf/ lgof]hg ;]jf -:yfoL÷c:yfoL_
 ;'/lIft dft[Tj, ue{jtLsf]hfFr, ;'Ts]/L hfFrtyf k|;"lt ;]jf
 vf]k ;]jf -;j}lsl;dsf vf]kx?_
 kf]if0f sfo{qmd -# aif{ d'lgsf afnaflnsfsf]tf}n,le6fldg æPÆ, h'sfsf]
cf}iflw ljt/0f, cfof]l8go'Qm g"gsf af/]df ;Nnfxlbg]_
 emf8f kvfnf/f]u lgoGq0f / pkrf/ / Zjfzk|Zjf; /f]u lgoGq0f / pkrf/
 cf}nf]tyfsfnfhf/ /f]u lgoGq0f / pkrf/
 Ifo/f]u lgoGq0f / pkrf/ / s'i7/f]u lgoGq0f / pkrf/
 P8;÷P;=6L=8L= lgoGq0f / pkrf/
 dxfdf/L tyfb}jL k|sf]k Aoj:yfkg / aftfj/0fLo ;kmfO
 :jf:Yo lzIff/ uf+p3/ lSnlgs ;+rfng
 k|fylds pkrf/ ;]jf/ d=:jf=:j+= ;]ljsf kl/rfng
 ;fd'bflos cf}iflw sfo{qmd / cfwf/e"t k|of]uzfnf ;DaGwL hfFr
@= l;=c=x]=a=/c=x]=a= @
# l;=c=g=dL=/c=g=dL @
$ >]]]0fL lalxg sd{rf/L !
:jf:Yorf}sL -lxdfnL lhNnf_

qm=;
+=
sd{rf/Lsf] lsl;d ;+Vof k|bfg ul/g];]jfx?
!= x]Ny cl;:6]G6 ! • kl/jf/ lgof]hg ;]jf -:yfoL÷c:yfoL_
• ;'/lIft dft[Tj, ue{jtLsf] hfFr, ;'Ts]/L hfFr tyf k|;"lt ;]jf
• vf]k ;]jf -;j}lsl;dsf vf]kx?_
• kf]if0f sfo{qmd -# aif{ d'lgsf afnaflnsfsf] tf}n, le6fldg æPÆ, h'sfsf]
cf}iflw ljt/0f, cfof]l8go'Qm g"gsf af/]df ;Nnfx lbg]_
• emf8f kvfnf /f]u lgoGq0f /pkrf//Zjfz k|Zjf; /f]u lgoGq0f / pkrf/
• cf}nf] tyf sfnfhf/ /f]u lgoGq0f / pkrf/
• Ifo /f]u lgoGq0f / pkrf/ / s'i7/f]u lgoGq0f / pkrf/
• P8;÷P;=6L=8L= lgoGq0f / pkrf/
• dxfdf/L tyf b}jL k|sf]k Aoj:yfkg /aftfj/0fLo ;kmfO
• :jf:Yo lzIff / uf+p3/ lSnlgs ;+rfng
• k|fylds pkrf/ ;]jf / d=:jf=:j+= ;]ljsf kl/rfng
• ;fd'bflos cf}iflw sfo{qmd/ cfwf/e"t k|of]uzfnf ;DaGwL hfFr
@= l;=c=x]=a=/c=x]=a= @
$ >]]]0fL lalxgsd{rf/L !
:jf:Yorf}sL -kxf8LlhNnf_

qm=;+
=
sd{rf/Lsf] lsl;d ;+Vof k|bfg ul/g];]jfx?
!= x]Ny cl;:6]G6 ! • kl/jf/ lgof]hg ;]jf -:yfoL÷c:yfoL_
• ;'/lIft dft[Tj, ue{jtLsf] hfFr, ;'Ts]/L hfFr tyf k|;"lt ;]jf
• kf]if0f sfo{qmd -# aif{ d'lgsf afnaflnsfsf] tf}n, le6fldg æPÆ, h'sfsf] cf}iflw
ljt/0f, cfof]l8go'Qm g"gsf af/]df ;Nnfx lbg]_
• emf8f kvfnf /f]u lgoGq0f / pkrf//Zjfz k|Zjf; /f]u lgoGq0f / pkrf/
• cf}nf] tyf sfnfhf/ /f]u lgoGq0f / pkrf/
• Ifo /f]u lgoGq0f /pkrf/ /s'i7/f]u lgoGq0f / pkrf/
• P8;÷P;=6L=8L= lgoGq0f / pkrf/
• dxfdf/L tyf b}jL k|sf]k Aoj:yfkg / aftfj/0fLo ;kmfO
• :jf:Yo lzIff / uf+p3/ lSnlgs ;+rfng
• k|fylds pkrf/ ;]jf / d=:jf=:j+= ;]ljsf kl/rfng
• ;fd'bflos cf}iflw sfo{qmd/ cfwf/e"t k|of]uzfnf ;DaGwL hfFr
@= l;=c=x]=a=/c=x]=a= #
$ >]]]0fL lalxg sd{rf/L !
:jf:Yorf}sL -t/fO{lhNnf_

qm=;
+=
!= x]Ny cl;:6]G6 jfc=x]=j= dWo] ! • ;fdfGo pkrf/ffTds ;]jf
• ;'/lIft dft[Tj, ue{jtLsf]hfFr, ;'Ts]/L hfFrtyf k|;"lt ;]jf
• kf]if0f sfo{qmd , le6fldg æPÆ, h'sfsf]cf}iflw ljt/0f, cfof]l8go'Qm
g"gsf af/]df ;Nnfxlbg]_
• emf8fkvfnf /f]u lgoGq0f / pkrf//Zjfz k|Zjf; /f]u lgoGq0f /
pkrf/,cf}nf]tyfsfnfhf//f]ulgoGq0f / pkrf/, Ifo/f]u lgoGq0f / pkrf/
, s'i7/f]u lgoGq0f / pkrf/,P8;÷P;=6L=8L= lgoGq0f / pkrf/,dxfdf/L
tyfb}jL k|sf]k Aoj:yfkg , aftfj/0fLo ;kmfO,:jf:YolzIff /
• k|fylds pkrf/ ;]jf/ d=:jf=:j+= ;]ljsf kl/rfng
@= :6fkm g;{ jfc=g=dL= dWo] !
# cGo cfGtløs jfjfxo ;xof]u ePdf
yKg ;lsg]
zx/L :jf:Yos]Gb|

qm=;+
=
!= x]Ny cl;:6]G6 ! • ;fdfGo pkrf/ffTds ;]jf
• ;'/lIft dft[Tj, ue{jtLsf]hfFr, ;'Ts]/L hfFrtyf k|;"lt ;]jf
• kf]if0f sfo{qmd , le6fldg æPÆ, h'sfsf]cf}iflw ljt/0f, cfof]l8go'Qm
g"gsf af/]df ;Nnfxlbg]_
• emf8fkvfnf /f]u lgoGq0f / pkrf//Zjfz k|Zjf; /f]u lgoGq0f /
pkrf/,cf}nf]tyfsfnfhf//f]ulgoGq0f / pkrf/, Ifo/f]u lgoGq0f / pkrf/ ,
s'i7/f]u lgoGq0f / pkrf/,P8;÷P;=6L=8L= lgoGq0f / pkrf/,dxfdf/L tyf
b}jL k|sf]k Aoj:yfkg , aftfj/0fLo ;kmfO,:jf:YolzIff /
• k|fylds pkrf/ ;]jf/ d=:jf=:j+= ;]ljsf kl/rfng
@= :6fkm g;{ jf c=g=dL= !
gf]6M ! a;{sf] nflu;]jfs/f/df dxfYffvfAff6 k|fKt
cg'bfg tyf OsfOsf]zsf];+lrt øsdjf6 hg:jf:yo
sfof{nodf s/f/df lng].
;fd'bfoLs :jf:YoOsfO

:jf:Yo ;+:yf ;+rfng tyf Joj:yfkg ;ldltsf] e"ldsf /lhDd]jf/L
• sd{rf/LJoj:yfkg
• Eff}lts k"jf{wf/
• cf}iflwpks/0f
• ;|f]t kl/rfng
• n+}+lus ;dfgtf tyf ;fdflhs ;dfj]zLs/0f
• of]hgf, sfof{Gjog, cg'udg
• ;Grf/, ;dGjo / ;xof]u
• ;'zf;g

:yfgLo :jf:Yo ;+:yfaf6 ;~rfng x'g] d'Vo;]jfx?
• kl/jf/ lgof]hg sfo{qmd
• ;'/lIft dft[Tj
• vf]k
• kf]if0f
• emf8fkvfnf
• Zjf; k|Zjf;
• cf}nf] tyf sfnfhf/
• Ifo/f]u lgoGq0f
• s'i7/f]u lgoGq0f
• P8; ÷of}g /f]u
• dxfdf/L lgoGq0f tyf b}jL
k|sf]k
• jftfj/0fLo ;/;kmfO{
• :jf:Yo lzIff
• ufpF3/ lSnlgs sfo{qmd
• dlxnf :jf:Yo :jo+;]ljsf
• pkrf/ ;]jf
• d]l8sf] lnun s];
• :jf:Yo jLdf
• cg'udg
• k|zf;lgs sfo{

;+/rgf
:yfgLo :jf:Yo ;+:yf ;+rfng tyf Aoj:yfkg ;ldltsf] ;+/rgf
dxf/pk/gu/kflnsfk|d'v/ufp+kflnsfsfcWoIf ;+/Ifs
! dxf/pk/gu/kflnsf/ufp+kflnsfleqkg]{ k|fylds:jf:Yo s]Gb|cjl:yt j8fsf]k|d'v cWoIf
@ ;ldltn]dgf]lgtu/]sf]lgjf{lrtdlxnf;b:ox?dWo]af6Pshgf pkfWoIf
# k|fylds:jf:Yo s]Gb/x]sf]If]qsf]ljBfnosfk|d'v/k|frfo{/dWo]af6Pshgf dlxnf ;b:o
$ :yfgLoJofkf/;+3sf]k|ltlglwPshgf ;b:o
% ;ldltaf6dgf]lgt :jf:YoIf]qsf]hfgsf/dlxnf:jf:Yo:jo+;]ljsfx?dWo]af6Pshgf ;b:o
^ ;+:yf/x]sf]j8fsfof{nosfclws[t ;b:o
& ;DalGwtk|fylds:jf:Yos]Gb|k|d'v ;b:o;lrj
k|fylds :jf:Yos]Gb| ;+rfngtyf Joj:yfkg ;ldltsf] u7gM-& ;b:oLo_

;+/rgf
dxf/pk/gu/kflnsf k|d'v /ufpFkflnsfsf cWoIf ;+/Ifs
! dxf/pk/gu/kflnsf/ ufp“kflnsfleqkg]{ zx/L:jf:Yos]Gb|dfcjl:ytj8fsf]k|d'v cWoIf
# zx/L:jf:Yos]Gb /x]sf]If]qsf]ljBfnosfk|d'v/k|frfo{/dWo]af6Pshgf dlxnf ;b:o
^ j8fsfof{nosfclws[t ;b:o
& zx/L:jf:Yos]Gbk|d'v ;b:o;lrj
zx/L :jf:Yos]Gb| ;+rfngtyf Joj:yfkg ;ldltsf] u7gM -& ;b:oLo_

;+/rgf
dxf/pk/gu/kflnsf k|d'v /ufpFkflnsfsfcWoIf ;+/Ifs
! dxf/pk/gu/kflnsf/ufp“kflnsfleqkg]{:jf:Yorf}sLdfcjl:ytj8fsf]k|d'v cWoIf
# :jf:Yorf}sL/x]sf]If]qsf]ljBfnosfk|d'v/k|frfo{/dWo]af6Pshgf dlxnf ;b:o
& :jf:Yorf}sL k|d'v ;b:o;lrj
:jf:Yorf}sL;+rfngtyfJoj:yfkg ;ldltsf] u7gM-& ;b:oLo_

;+/rgf
dxf/pk/gu/kflnsf k|d'v /ufpFkflnsfsf cWoIf ;+/Ifs
! dxf/pk/gu/kflnsf/ufp“kflnsfleqkg]{ ;fd'bflos:jf:YoO{sfO{ cjl:ytj8fsf]k|d'v cWoIf
# ;fd'bflos:jf:Yo O{sfO{ /x]sf]If]qsf]ljBfnosfk|d'v/k|frfo{/dWo]af6Ps hgfdlxnf ;b:o
& ;fd'bflos:jf:Yo O{sfO{ k|d'v ;b:o;lrj
;fd'bflos :jf:YoOsfO{;+rfngtyf Joj:yfkg ;ldltsf] u7gM-& ;b:oLo_

;+/rgf
dxf/pk/gu/kflnsf k|d'v /ufpFkflnsfsfcWoIf ;+/Ifs
! dxf/pk/gu/kflnsf/ufp“kflnsfleqkg]{ cfo'j]{bcf}ifwfno cjl:ytj8fsf]k|d'v cWoIf
# cfo'j]{bcf}ifwfno /x]sf]If]qsf]ljBfnosfk|d'v/k|frfo{/dWo]af6Pshgfdlxnf ;b:o
& cfo'j]{bcf}ifwfno k|d'v ;b:o;lrj
cfo'j]{b cf}ifwfno;+rfngtyf Joj:yfkg ;ldltsf] u7gM -& ;b:oLo_

ykJoj:yf
!= ;ldltsf kb]g ;b:ox? ;+/Ifs, ;DalGwt j8fsf k|d'v, lzIfs k|ltlglw,dxf/
pk/gu/kflnsf/ufp+kflnsfjf j8fsf sfo{sf/Lclws[t / ;DalGwt:jf:Yo
;+:yfsf k|v'vsf] klxnf] a}7sn] ;ldltsf yk ;b:ox?sf] dgf]gog ug]{5 .
@= ;ldltdf k'?ifcWoIf /x]sf] cj:yf ePdfdlxnfpkfWoIf jf dlxnfcWoIf ePsf]
xsdf k'?if pkfWoIfsf]Joj:yf ug'{kg]{5.;ldltdf k|ltlglwTjx'g] :jf:Yo ;+:yf /x]sf] If]qsf ljBfnosf
k|d'v/k|frfo{ dWo] Ps hgf dlxnfdgf]lgtx'g] k|fjwfgcg';f/dlxnf k|d'v/k|frfo{ gePsf]cj:yfdf
Joj:yfkg ;ldltn]:jf:YoIf]qdf of]ubfg lbg;Sg] dlxnflzlIfsfx? dWo]af6 Pshgfdgf]lgtug{;Sg]5 .

#= a}7sdf lgDgadf]lhd If]qsf] k|ltlglwTj/xg] u/L cfdlGqt ;b:ox? /xg]5g ,
s= blnthghfltaf6 ! hgf
v= ckf+u, czQm / h]i7 gful/sx?dWo]af6 ! hgf
u= lszf]/lszf]/Lx?sf] tkm{af6 ! hgf
………yk Joj:yf

=====ykJoj:yf
$= dxf/pk/gu/kflnsf/ufp+kflnsf :t/df:jf:Yo;]jfk|jfx ug]{ u}/ ;/sf/L
tyf bft[ ;+:yfsf cfof]hgf/ sfo{qmdsfk|ltlglwx?nfO{;ldltsf]j}7sdf
cfdlGqtsf] ?kdf;+nUg u/fpg ;lsg] 5 .
%= dxf/pk/gu/kflnsf/ufp+kflnsf:t/df :jf:Yo;]jf k|jfxdfbf]xf]/f]kg gx'g]
Joj:yfkg nfluklxn] ul7t :jf:Yo;+u;DalGwtcGo ;ldltx?sf]lj36g u/L
tL;ldltx?n]u/L cfPsf] sfo{ klg o;} ;ldltn]ug]{ Joj:yfldnfpg' kg]{5 .

kbfjlw / kb l/Qmx'g] cj:yf
kbfjlwM
;ldltsf]kbfjlwu7g ePsf] ldltn] %jif{sf]x'g]5 .
kb l/Qm x'g] cj:YffM
lgjf{lrtkbflwsf/Lx?sf]xsdflgoldtkbfjlw;dfKtePkl5 :jtM ;ldltsf]kbfjlw
;d]t ;dfKtx'g]5 . d[To' ePdf, /flhgfdflbO{;f] /flhgfdfl:js[t ePdf,
kmf}hbf/L cleof]u nfu]df, nuftf/ ltgj6fa}7sdfcg'kl:yt ePdf;d]t kb ;dfKt
x'g]5 .

Thanks !!!

kf7- ^
cfsl:ds :jf:Yo ;]jf / k|]if0f Aoa:yfkg

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx? k|]if0f Joj:yfkg jf/] hfgsf/L lng] tyf / k|]if0f Joj:yfkg ug]{ tl/sf jf/]
kl/lrt x'g] .
j:t'ut p2]Zox?
• k|]if0f Joj:yfkgsf] jt{dfgcj:yf jtfpg.
• k|]if0f k|0ffnLjf/] atfpg / k|]if0fsf]dxTjtyf Aoj:yfkg k|s[of jtfpg.

cfsl:ds :jf:Yo;]jf
• :jf:Yo ;+:yfaf6 /f]u jf rf]6sf] k|s[lt cg';f/ AoltmnfO{ cfjZostfcg';f/ tTsfn ;]jf pknAw u/fO{ hLjg /Iffug{
c:ktfn jf k|fylds :jf:Yo ;]jf s]Gb|af6 cfsl:ds ;]jf lbg] Aoa:yf ldnfPsf x'G5g .
• ToxfFaf6 ;]jfu|fxLn] @$ ;} 306f ;]jf kfp“b5g .
• e"sDk, af9L h:tf k|fs[lts k|sf]ksf]cj:yfdf /f]u tyf rf]6 k6ssf] pkrf/ p:t} ePklg Aoa:yfkg tyf ;]jfsf] k|sf/ km/s
x'g ;S5 .
• :yfgLo :t/df cfsl:dstfsf] of]hgf (Health Sector Contingency Plan) tof/ kf/]/ k|fs[lts k|sf]ksf]
Aoa:yfkg ug{ ;lsG5 .
• :yfgLo txdf ToxfFsf]k|fs[lts k|sf]ksf]Oltxf;nfO{ cfwf/ dfgL k"j{ tof/L ug'{kg]{ x'G5 .

k|]if0f Aoa:yfkg
• :jf:Yo +;+:yfdf pknAw ;|f]t ;fwg, :jf:YosdL{ jf :jf:Yo hgzlQmsf] Ifdtfn] :jf:Yo ;d:ofsf]
;dfwfg x'g g;Sg] cj:yf cfPdf a9L ;|f]t, ;fwg ;DkGg :jf+:Yo ;+:yfdf pkrf/, k/fdz{ / ;]jfsf]
lgldQk7fO{g] k|ls|ofnfO{k|]if0felgG5 .
• :jf:Yo rf}lsdf pknAw ;|f]t / ;fwgaf6 ;dfwfg ug{ g;s]sf ;d:of k|fylds :jf:Yo s]Gb|, c:ktfn
x'b} laif]z1;]jfk|bfos7"nf c:ktfn;Ddk|]if0ful/G5 .

k|]if0f Joj:yfkgsf] ;d:ofx?
• ;d:ofePsf / ;]jfsfcfjZostfePsfx? k|fyldstfdfkg{ g;s]sf] .
• :jf:Yo;+:yfdf pknAw ;|f]t / ;fwgsf] Go"g k|of]u ePsf] .
• tNnf] txsf:jf:Yo;+:yfdf bIf hgzltmsf] cefj ePsf] .
• tx cg';f/ tf]lsPsf]hgzlQmsf] b/jGbL kl/k"lt{ x'g g;s]sf] .
• 7"nf / ljz]if1;]jflbg] c:ktfndfle8 eO{ ;]jfk|jfxdf;d:ofk/]sf] .
• ljz]if1;]jfsf]cfjZostfePsf Aoltmx?le8sf]sf/0f cfjZos;]jfaf6alGrtx'g' kg]{ cj:yf
ePsf] .

k|]if0f Joj:yfkgsf] ;'wf/sf pkfox?
• :yfgLo :jf:Yo;+:yfx? h:t} c:ktfn, k|fylds:jf:Yo;]jfs]Gb|, tyf :jf:Yorf}sLsf] cj:yfdf;'wf/
ub}{ u'0f:t/Lo :jf:Yo;]jfsf]Joj:yfug]{ .
• k|]if0f s]Gb|x?n] k]|if0f eO{ cfPsf lj/fdLsf]tTsfnpkrf/ ug]{ Joj:yfldnfpg] .
• pRr txsfljif]z1tfk|fKt c:ktfn/ :yfgLo txsf:jf:Yo;+:yfx?aLr ;dGjodha'tagfpg] .
• k[i7kf]if0fk|0ffnLsf] -Feedback System_ljsf;ug]{ / pko'tm clen]v /fVg
nufpg] .
• :jf:Yo;+:yfdf cfw'lgs ;+rf/sf] ljsf;ug{ nufpg] .
• PDa'n]G; jf cGooftfoft;fwgsf] Joj:yfug{ nufpg] .

Ganesh Baruwal Project Manager,
RHIP II FAIRMED Nepal

kf7- &
;|f]t Joj:yfkg

kf7sf] p4]Zo
kf7sf] p2]Zo
 o; ;qsf]cGtdf;xefuLx? :yfgLo :jf:Yo;]jf;+rfngdf cfaZos;|f]tx?/ ltgsf]
pknAwtfjf/] kl/lrt x'g] .
j:t'utp2]Zox?
• j:t'utp2]Zox?o; ;qsf] cGtdf;xefuLx?n]lgDg s'/f ug{ ;Ifdx'g]
• :yfgLo :jf:Yo;]jf;+rfngdf cfaZos;|f]t s] s] x'g atfpg]
• ;|f]t pknAw x'g] tx tyflgsfo, sfof{nojtfpg]
• ;|f]t Aoj:yfkg ug]{ tl/sf jtfpg]

:yfgLotxdfpknAw ;|f]t ;fwgsf] ;"lr
!=jh]6
@= hgzlQm
#=ef}lts k"jf{wf/
$= cf}iflw,cf}hf/ /pks/0f
%=vfg]kfgL / ;/;kmfO{
^=lah'nLAfQL, ;f}o{ phf{cflb

:yfgLotxdf ;|f]tsflgsfox?

R.Sharan Pyakurel Nov 2018

kf7- *
ax'If]qLo ;dGjo / ;xsfo{

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx? :yfgLo:jf:Yo;]jf ;+rfngdf ax'If]qLo;dGjo/ ;xsfo{sf] dxTj/ o;sf] nflu
cfaZospkfox?jf/]kl/lrt x'g] .
j:t'utp2]Zox?
• :yfgLo :jf:Yo;]jf ;+rfngdf ;DnUg ax'If]qx?sfaf/]df atfpg.
• ;dGjo/ ;xsfo{sf]dxTj/ o;sf] nflu cfaZospkfox? atfpg] .

ax'If]qLo ;dGjosf] kl/ro
ax'If]qLo;dGjoeGgfn] gLltut?kdf ljleGgIf]qsf ;+3 ;+u7gx?jLrsf] ;xsfo{/ ;dGjonfO{
a'emfpF5 . h;n] ;fd'lxs p2]Zok|flKtdf;xof]u k'/ofpF5 .
• ;dGjo;d"x jfIf]q;+u x'g ;S5 .
• ;d"xh:t} ;/sf/, gful/s ;dfhlghLIf]q cflb.
• ljifoutIf]q h:t} :jf:Yo, jftfj/0f,cy{, lzIff, jgcflb

;xsfo{ tyf;fem]bf/L s;/L <
• :jf:Yo;]jfk|jfxdf;/sf/L, lghL tyfu}/gfkmfd"ns ;+:yfx?sf] ;xsfo{sf]nflu;fem]bf/L
gLltth'df u/]/
• ljz]if1, k]zfut k|fljlwshgzlQmsf] pTkfbg tyf:jf:Yo;]jfk|jfxsfnfluz}lIfs
;+:yfx?;+u ;dGjo/ ;xsfo{ u/]/ .

;xsfo{sf] ljifout If]qx?
s_ vfg]kfgL tyf;/;kmfO{
v_ dlxnftyfafnaflnsf
u_ lzIff
3_ hgkl/rfng / ;fd'bflos;+u7g
ª_ k|fljlws;xof]u

:yfgLotxdfax'If]qLo ;dGjo s;/L ug]{ <
• :yfgLo txdf/x]sf :jf:Yo;+u ;DalGwt ;fem]bf/x?sf] ;"lr tof/ug]{ .
• ;+o'Qm ldl6Ësf]Joj:yfldnfpg].
• ;j} ;fem]bf/sf] sfo{If]qsf]ljj/0f;+sng ug]{ .
• :yfgLo txsf] of]hgf / :jf:Yo sfo{s|ddf s–s:sf] lhDd]jf/L x'g ;S5 / sfo{If]qdf tfnd]n
ldNg ;S5 5nkmn ug]{ .
• of]hgfcg';f/sf] sfo{of]hgfdf;j} ;fem]bf/nfO{ ;xefuLagfpg] .
• sfo{s|dsf]lgoldt;'kl/j]If0f tyfcg'udgdf klg ;fem]bf/x?nfO{ ;+nUg u/fpg] .
• sfo{s|dsf] rf}dfl;s÷jflif{s ;dLIffdf ;DalGwt ;fem]bf/nfO{ clgjfo{ pkl:yltsf] Joj:yf
ldnfpg] .

kf7– (
:jf:Yo If]qdf n+}lus ;dfgtf tyf;fdflhs ;dfj]zLs/0f / ;'zf;g

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx¿n] :jf:Yo;]jfdfn}lËs;dfgtftyf ;fdflhs;dfj]zLs/0fsf] cjwf/0ff,dxTj/
k|lqmofaf/] hfgsf/L xfl;nu/Ldlxnf,blnt,hghflttyfjl~rtLdfk/]sf ;d"xsf] :jf:Yo
;]jfdfkx'Fr / :jf:Yo;]jfsf]];jfnx¿klxrfg / ;Daf]wgug{ ;Lk k|bz{g ug{ ;Sg] .
j:t'utp2]Zox?
• n}lËs;dfgtftyf;fdflhs;dfj]zLs/0f s] xf] / lsg dxTjk"0{f5 ;f] af/]dfatfpg
;Sg]5g .
• :jf:Yo;]jfdfn}lËs ;dfgtftyf;fdflhs;dfj]zLs/0fk|lqmofs;/L ckgfpg] eGg] af/]
atfpg;Sg]5g .

k|fs[lts / ;fdflhs lnËe]b
k|fs[lts lnËe]b
hGdhft ?kdf k|s[ltn] 5'6ofPsf leGgtf kl/jt{g x'Fb}g . o;nfO{ k|fs[lts lnË (sex) e]b
elgG5 . o;n] ubf{ s]xL sfo{x¿ dlxnfn] dfq ug{ ;Sb5g . h:t} ue{wf/0f ug]{, :tgkfg u/fpg]
.
k|fs[lts lnËe]bx6fpg;lsb}g

k|fs[lts / ;fdflhs lnËe]b
;fdflhslnËe]b
• Dlxnf/ k'?ifsfnflu;fdflhs,;f+:s[lts, wfdL{s, / /fhgLlts,cfly{s, Joj:yfn] 5'6ofPsf]e'ldsf /
;DjGwsf] wf/0ff;fdflhs lnË(Gender) e]b elgG5 .
• k'?if /dlxnf ePs}sf/0f ;dfhn]lgdf{0fu/]sf] d"No dfGotfsf sf/0f dlxnf/ k'?ifaLr cGo
leGgtfx¿ljBdfg /x]sf 5g .
• o:tf d"No dfGotfx¿ xfdL afNosfnb]lv g} xfd|f] kl/jf/leqsf] ;+:s[ltaf6 l;Sb} cfPsf 5f}+ . xfdLn]
cfˆgf] kl/jf/ /;dfhdfug]{Jojxf/x¿ oxL;fdflhsd"No dfGotfn] g} lgwf{/0fu/]sf] x'G5 .
;fdflhslnËe]bx6fpg;lsG5

n}lËs leGgtf ;DalGwlrq

n}Ëlus ;dfgtf
dlxnf/ k'?ifaLr pgLx¿sf]leGgtfnfO{ ;Ddfg ub}{ ;dfgtfxfl;nug]{ k|lqmofnfO{ n}Ëlus
;dfgtfelgG5 . of] k|lqmofn] d"No, dfGotf,k|j[lQ/ ;f]rfO -h'g xfd|f] ;dfhdf;fdfGotof
dlxnfk|ltlje]bsf/L5_ nfO{ kl/jt{g u/L dlxnf/ k'?ifaLr ;dfg x}l;otxfl;nug]{ s'/fnfO{
;d]6b5 .

n}ªlus ;dtf /;dfgtf

n}lËs ;dtf / ;dfgtf
n}lËs ;dtf
n}lËs ;dtf eGgfn] Gofof]lrt Jojxf/ ckgfpg' xf] . dlxnf / k'?if tyf ;'ljwf ;DkGg / k5fl8 kfl/Psf hfthfltx¿sf]
;fdflhs, cfly{s ;|f]tdflysf] kx'Fr Psgf; gx'g ;Sg] x'gfn] n}lËs / hfltut ;dtf eGgfn] dlxnf, k'?if / ljleGg
hfthfltn] kfpg] cj;/ / ;|f]tx¿sf] kx'FFrdf Gofof]lrt b[li6sf]0f / k|lqmof ckgfP/ ;|f]tdflysf] kx'Fr a9fpg]
eGg]a'emfpFb5.
n}lËs ;dfgtf
n}lËs ;dfgtf eGgfn] ln+usf cfwf/df e]befj gx'g' eGg] a'lemG5 . n}lËs / hfltut ;dfgtfn] o:tf h}ljs
leGgtfnfO{ dfGotf lb+b} ;dfhdf /x]sf d"No, dfGotf, b[li6sf]0f / ;f]rfOdf kl/jt{g u/L dlxnf / k'?ifaLrsf
;fy}cufl8/x]sf/ k5fl8kfl/PsfhfthfltaLrdf;dfg:t/sfodug'{xf].

n}lËs lx+;f
• n}lËslx+;fn];fdfGotofzf/Ll/s,of}lgsjfdfgl;sxfgLjfdlxnfnfO{lk8flgDTofpFb5,of]3/leqjf
;d'bfotxdf36g ;S5. o:tf]lx+;faf6;fdfGotofs]6Lx¿,dlxnfx¿/t];|f] lnªuLlkl8t x'G5g.
• s'6g],emfk8xfGg],skfn tfGg],nftxfGg],hnfpg],n¶Ln] s'6g], rSs'sf] k|of]u ug]{,dlxnf/
aflnsfnfO{of}ghGob'Joj{xf/ug]{,dlxnfa]rlavgug]{, of}gJoj;fodfnfUgafWou/fpg],sfo{:yndf
of}ghGob'Jo{jxf/ug]{ /t;f{pg]sfo{ef}ltslx+;fsf]¿kdflng;lsG5 .
• wDSofpg',ufnLunf]hug'{,/>Ldfgjfc¿ cfkmGtaf6lt/:sf/ul/g'nfO{dfgl;softgfsf]¿kdflng;lsG5
. l56f]ljjfx,bfOhf]dfcfwfl/tlx+;f,of}ghGob'Joj{jxf/,ax'ljjfx/j}jflxsanfTsf/klgdfgl;softgfsf
:j¿kx¿x'g.

n}lËs lx+;f
• dlxnfsf]:jf:Yodfc;/kfg]{vfnsf 5fpk8L,b]psL k|yf /dlxnfnfO{af]S;Lsf]cf/f]knufOg] sfo{klg
n}lËslx+;fsfpbfx/0fsf¿kdflng;lsG5 .
• dlxnf/ k'?ifb'j} lx+;fsflzsf/jfck/fwLx'g;S5g.
• n}ªluslx+;fn]dlxnfsf]:jf:Yo;]jfdfkx'Frk|ltcj/f]wk'¥ofpF5.kl/0ffd:j¿kpgLx¿sf]ef}ltstyfdflg;s
:jf:Yok|ltgsf/fTdsc;/ kg{hfG5.

;fdflhs ;dfj]zLs/0f
• ;dfj]zLjf;fdflhs;dfj]zLs/0feGgfn]s'g} ;]jfjf;|f]tdfkxF'rgk'u]sfdflg;x?sf]klxrfgu/LpgLx?nfO{
;]jfkfpg]k|0ffnLdf;dfj]zug'{jfcfa¢ u/fpg'eGg] a'emfpF5.
• ;]jf/;'ljwfaf6c;dfgtfdfkg]{jfal~rtx'g;Sg] ju{x?dflaz]ifu/Ldlxnf,afnaflnsf,;fdflhs?kdflgDgju{
elgg]hft,wd{–;Dk|bfo,cflbjf;L,hg–hftL,b'u{d :yfgdfa;f]af;ug]{dflg;x?kb{5g.
• ;fdflhs;dfj]zLs/0fo:tf]k|lqmofxf]h;n] ;dfhdfljBdfg/x]sf;]jfdfplrtkx'FrgePsfJolQmx¿jf
;d'bfonfO{ljsf;sf]d"nk|jfxdfNofpgsf]nflujfwf÷cj/f]wx¿sf]klxrfgu/LltgnfO{x6fO{
pgLx¿nfO{;fdflhsPj+ ljsf;sfsfo{df;xefuLu/fpgd2tk'¥ofpF5.

;fdflhs jl~rtLs/0f
• ;fdflhsjl~rtLs/0f;dfhdf/x]sf ;fdflhs;~hfn,k|rngx?, k/Dk/futJojxf/,ljZjf;/ d"NodfGotfx¿åf/f
pTkGgx'G5 eg] /fHosfsfg"gx?/;/sf/LgLltx?sfsf/0fn]klg;dfhdfk5fl8kfl/Psfju{x¿;dfhsf]
d"nk|jfxaf6aflx/k/L,;fj{hlgs;]jf,;'ljwf,;|f]tx?,cj;/x?, /fhgLltsk|efj,clwsf//cfjfh h:tfs'/fx?df;dfg
kx'Frk|fKtx'gaf6/f]s nfUb5/;fdflhsjl~rtLs/0fdfkb{5g.
• ;]jfdfkx''Fr gk'Ug'jfgx'g'To:tf]cj:yfxf],h;sfsf/0f;dfhdfjl~rtLdfk/]sfJolQm tyf;d'bfo;dfhsf]
d"nk|jfxaf6aflx/kb{5g/ ljsf;sf]k|ltkmnaf66f9fx'G5g

jl~rtLs/0fdf k/]sf ;d"xx?df:jf:Yo;]jfx¿k'Ug g;Sg'sf sf/0fx?
• ;]jf 6f9f x'g', dxªuf] ;]jfsf sf/0f vr{ ug{g;Sg'.
• ;fdflhslje]bsf sf/0f ;]jf ck|fKoaGg hfg',pbfx/0fsf nflu,blntx¿ pgLx¿sf] hftsf]sf/0f e]befj
ul/Psf]jf klxn]s'g} ;]jfk|bfosaf6g/fd|f] Jojxf/ul/Psf]eP:jf:Yo ;+:yf hfgOR5's gx'g;S5g.
cg';Gwfgn]klgo; s'/fnfO{k'li6 u/]sf] 5 .
• efiffsf]sl7gfO, ljBdfg;fF:s[lts k|rng / ;]jfu|fxLk|lt;+j]bgzLn aGg g;Sg'cflb sf/0fx¿ k|i6
b]lvG5g .
• yk sf/0fx¿df cf}iflwPjdpks/0fx? pknAw gx'g', :jf:YosdL{x¿sf] d}qLk"0f{Jojxf/ gx'g'/
ef}ltsk"jf{wf/sf]sdLn] jl~rt;d"xx¿df u'0f:t/Lo;]jf k'Ugg;s]sf] b]lvG5g .

n}lÍs ;dfgtf tyf ;fdflhs ;dfj]zLs/0f sfod /fVg :jf:Yo;+:yf;~rfngtyf Aoj:yfkg
;ldltn] ug{' kg]{ sfo{x?
• :jf:Yo ;]jfdf kx'Fr /o;sf] pkof]udf dlxnfn] ;fdgfug'{k/]sf;d:ofx¿sf] klxrfgug]{, / To:Tff
;d:ofx¿sf];Daf]wgug]{ .
• s'g ;d'bfo tyf ;d"xx¿df :jf:Yo ;]jf k'Ug;s]sf] 5}g kQf nufpg] .
• To:Tff ;d"xx¿n] :jf:Yo ;]jfsf] kx'Frdf jl~rtx'g'kgf{sf]sf/0f / cj/f]wx¿sf] ljZn]if0f ug]{ .
• ;dtfd"ns9ªun]dlxnftyf jl~rt ;d"xx¿sf];]jfdf kx'Fr /pkof]u a9fpg ;dfwfgx¿sf]vf]hL ug]{ .
• dlxnf tyf jl~rt;d"xx¿aLr ;xeflutfd"ns9ªun] o:tf r/0fx¿ ;~rfng ug]{ .

:jf:Yodf ;'zf;g

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx? :jf:Yo;'zf;gsf] dxTj, cfofdx? / :jf:Yodf;'zf;g sfodug]{ ljlwtyf
sfo{qmdx?jf/] ;'';"lrt x'g]] .
j:t'utp2]Zox?
• :jf:Yodf;'zf;gsf] dxTjjtfpg .
• :jf:Yodf;'zf;gsf] cfofdx?atfpg.
• :f'zf;g sfodug]{ ljlwx?jtfpg.

sfg"gL /fHosf] dfGotfnfO{;+:yfut ug{ /fHo;+oGqsf ;j} If]qdf;xeflutf,kf/blz{tf,
hjfkmb]lxtf/ e|i6frf/ z"Go ;xglzntfsf]cj:yf l;h{gfu/L ;fj{hlgstyf cGoIf]qdf;'zf;g
clej[l4ug]{ s'/f g]kfnsf] ;+ljwfgdfpNn]v 5 . ;'zf;gsf] l;4fGtcg'?k :yfgLo:jf:Yo
;+:yfjf6 k|bfg ul/g] ;]jf/ :jf:Yosfo{s|dx?sf]k|efjsf/L ?kdf;+rfng tyfJoj:yfkg ug{
:yfgLo:jf:Yo;+:yf ;+rfng tyf Joj:yfkg ;ldltsf]dxTjk"0f{e"ldsftyf lhDd]jf/Lx'G5 .
;'zf;g

;'zf;gsf dxTjk"0f{ TfTjx?
hjfkmb]lxtf
• plrt ;dodf ljgfemGem6 l56f] 5l/tf] / u'0f:t/Lo tj/n] u'gf;f] /lxt ;]jf lbg] sfdsf] lhDd]jf/L :jf:Yo ;+:yfdf
sfo{/t ;]jf k|bfossf] ;fy} Joj:yfkg ;ldltsf ;b:ox?sf] xf] .
• ;]jf k|bfos tyf Joj:yfkg ;ldltsf ;b:ox?sf] hgtfk|lt lhDd]jf/L / hjfkmb]lxtfsf] k|ltj4tf ePdf :jf:Yo ;]jf, sfo{s|d
cem u'0f:t/Lo, k|efjsf/L Pj+ lg/Gt/ ?kdfrNb} hfg] x'G5 .
hg;xeflutf
sfo{s|ddf ;d'bfo, ;]jfk|bfos Pj+ Joj:yfkg ;ldltsf ;b:ox?sf] ;xefuL u/fpg' ;'zf;gsf] dxTjk"0f{ k|ls|of xf].s'g} klgsfo{s|d
ubf{ :yfgLo ;d'bfo / hgtfsf] k"0f{ ;xeflutf u/fpg' k5{ . ul/a, dlxnf Pj+ d"n k|jfxdf g;d]l6Psf] alGrltdf k/]sf
;d"xnufot ;]jfu|fxL, ;]jfk|bfos / ;DalGwt ;a} ;/f]sf/jfnfx¿sf] ;xeflutf ;'lglZrt ul/g'kb{5 .

;'zf;gsf dxTjk"0f{ TfTjx?
kf/blz{tf
sfo{s|dsf] p2]Zo, cfzfltt pknAwL, pknAw ;|f]t ;fwg, sfo{/t sd{rf/Lsf] e"ldsf, cfo Joo ljj/0f cflb jf/] ;Dk"0f{
hfgsf/L ;d'bfo, ;/f]sf/jfnf tyf ;j} JolQmx?nfO{ x'g' kb{5 .
cfkm"n] ug]{ / ul/Psf sfdsf] ;fj{hlgs ;'g'jfO{ tyf ;fdflhs k/LIf0f ug]{ .
;ldlt :jf:Yo sd{rf/L / ;d'bfosf ;b:ox?;+u lgoldt j}7s, ;d"x 5nkmn / cGt/ls|of ug]{ .

;fdflhs k/LIf0f
• ;fdflhs k/LIf0f eGgfn] ;]jf k|bfos lgsfo jf ;+:yfsf] gLlt, lgod, sfo{s|d sfof{Gjog, Jojxf/, ;|f]t kl/rfng, clgoldttf,
kf/blz{tf / k|efjsfl/tfjf/] ;DalGwt ;]jfu|fxL, ;]jf k|bfos, Joj:yfkg kIftyf ;f] If]qsf ;/f]sf/jfnfx?sf wf/0ffsf cfwf/df
ul/g] ljZn]if0ffTds n]vfhf]vfnfO{ a''emfpF5 .
• o; k|lqmofdf ;]jf k|bfg ug]{ s|ddf k|fKt pknlAw,kl/jt{g tyf ;'wf/fTds kIfx?nfO{ kf/bzL{ ?kdft];|f] kIf åf/f
n]vfhf]vf u/L oyfy{ ljj/0f ;fj{hlgs u/L ;dLIffTds lgZsif{lgsfNb} ;'wf/sf] kIfdf lhDd]jf/L ;lxtsf]sfo{of]hgf ;d]t
tof/ ul/g]5 .
• :jf:Yo tyf hg;+Vof d+qfnon] ljut Ps bzs b]lv jx';+Vos lhNnfdf r/0fj4 ?kdf ;fdflhs k/LIf0f sfo{qmd ;~rfng
ub}{ cfPsf] 5 / cj;+ljwfgtM ;fdflhs k/LIf0f sfo{qmd :yfgLo txn] ;~rfng ug'{kg]{ 5 .
;fdflhs k/LIf0f sfo{qmdjf/] j[l:tt hfgsf/Lsf] nflu :jf:Yo If]`sf nflu ;fdflhs k/LIf0f sfo{;~rfng lgb]{lzsf, @)&) -
:f+zf]wg @)&#_ pknAw 5 .

kf7- !)
:jf:Yocj:yf ljZn]if0f / tYodf cfwfl/t of]hgf th'{df

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx? :yfgLo :jf:Yocj:yf ljZn]if0fug]{ tl/sf / TfYodf cfwfl/t of]hgf th'{df
ug]{ tl/sf jf/] kl/lrt x'g]]] .
j:t'utp2]Zox?
• :yfgLo :jf:Yocj:yf ljZn]if0f ug]{ tl/sf jtfpg
• tYo;+sng ug]{ ;|f]t atfpg
• TfYodfcfwfl/t of]hgf th'{df ug]{ k|s[of atfpg

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• संववधान तथा
स्वास््य नीतत,
स्थातनय सरकार
संचालन एन लाइ
कायाान्वयन गना
(तहगत)
•बबध्यमान तथा बढ्दो
स्वास््य समस्याहरू
समाधान गना
•महामारीजन्य रोगहरू
पूवातयारी तथा
व्यबस्थापन गना
•नुँया प्रववधध,
उपायहरूको अनुशरण
गना
• प्राथसमकताको आधारमा
अत्याधधक प्रततफल
प्राप्त गना
• प्रभावकारी
कायाान्वयनको
आधारशीला तयारगना
• समय, साधन र श्रोतको
समतव्यतयताको लागी
•नेतृत्वले स्वास््यिेत्रमा
गरेका प्रततबद्ता
प्रभावकारर रूपमा
कायाान्वयन गना
•सरोकारवालाहरूको
अधधकतमा सहभाधगता र
अपनत्वको लागी

:yfgLo txdf of]hgfsf]cfjZostf
• hg;xeflutfh'6fpg ;lhnf] x'G5 .
• of]hgfdfckgTj xF'bfsfof{Gjogdf;lhnf] x'G5 .
• cfjZostfx?nfO{k|fyldstf;"lrdfdf/fVg .
• :yfgLo cfly{s ;|f]t / ;fwgsf] klxrfg x'g] / kl/rfng ug{df d2t k'¥ofpg] x'Fbf
cfTdlge{/tfj[l4u/fO{ lbuf] ljsf;sf]nflu
• :yfgLo :t/df cfOkg]{ ;d:ofnfO{ :yfgLo cfjZostf/ kl/l:ylt cg's"n ;dfwfgug{sf]
nflu

:yfgLo of]hgfth'{dfsf ;ft r/0fx?

tYodf cfwfl/t of]hgf th{'df
pknAw cflwsfl/stYof+s / :yfgLo;d'bfon] dxz'; u/]sf] cfjZostfx?kl/k"lt{ug{
lgWff{l/t p2]Zo k|flKtsf]lglDts] s] sfo{ ug]{, slxn], sxfF / s;/L ug]{ egL ;|f]t ;fwgsf]
kl/rfng ;d]tWofg lbO{ tof/kfl/Psf] of]hgfnfO{ tYodfcfwfl/t of]hgfelgG5 .

:jf:Yocj:yf ljZn]if0f
• s'g} klg of]hgfth{'[df ug{' eGbf klxn] xfnsf]cfj:yfsf];l6s ljZn]if0fug'{cTofjZosx'G5
.
• ljZn]if0fubf{;DjlGwt;j} kIfx?sf] cj:yfs]nfP/ ltgLx?sf];''Id cWoog ug'[{ xf] .
• :yfgLo :jf:Yocj:yfsf]ljZn]if0fubf{ :jf:Yo;+:yfjf6 lbO{g] ;]jfx?slQsf]k|efjsf/LePsf 5g
< nIf k|flKtsltk|ltzt5 < s'g s'g hflt,;d'bfo, lnË,pd]/ ,e"uf]n sf dflg;n] ;]jfsdpkof]u
u/]sf 5g < cf]}iflwtyf pks/0fx?sf]pknAwtfs:tf] 5 < :jf:YosdL{slt5g / pgLx?sf] bIftf,
Aojxf/ s:tf] 5, , ef}lts;'ljwfs:tf] 5, ;ldltslt ;lqmo5< hg ;xuflutfs:tf]5 cflb;j} kIfsf] cj:yf
s]nfP/ x]g{' g} :jf:Yocj:yf ljZn]if0fug{'[ xf] .

tYox?sf] ;|f]t
• ;]jf/lhi6/tyfdfl;scg'udg k'l:tsf-nIf / k|ult_
• ;fdflhsk/LIf0fn] lbPsf;'emfjx?
• ;]jfu|fxLjf6cfPsf;'emfjx?
• ;d'bfojf6;+sng u/]sf k|fylds tYof+s
• ljleGg;dLIff j}7sx?n]lbPsf;'emfjx?
• lg/LIf0f k'l:tsfn] lbPsf;'emfjx?
• cGo======

तथ्य संकलन
तथ्यमा आधाररत योजना तजयमाको खाका
1. ननयममत श्रोत
• HMIS/ DHIS2
• LMIS / e-LMIS
2. स्व: मूलयांकन
• स्थलगत अवलोकन
तथा सवेक्षण
• पाश्र्वचचत्र/ प्रोफाइल
3. सामाजजक जवाफदेहहता
• सामाजजक पररक्षण र
सावयजननक सनवाइ
• गनासो ब्यवस्थापन
तथ्यको आधारमा ववश्लेषण
तथा सममक्षा
1. आधारभूत स्वास्थ्य सेवाहरूको
• उपलब्धता र समतामूलक पहूुँच
• सेवाको गणस्तर
2. स्वास्थ्य संस्थाको
• गणस्तर सधार
• संचालन र ब्यवस्थापन
3. स्वास्थ्य क्षेत्रको
• सशासन ब्यवस्थापन
• सेवाग्राहीको अचधकार र
आवश्यकता
समस्याहरू
को
पहहचान
तथा
प्राथममकी
करण
प्राथममकता
को
आधारमा
काययक्रम
तथा
क्रक्रयाकला
पहरूको
ननधायरण
• स्वास्थ्य
संस्थाको
वावषयक
कायययोजना
तथा बजेट
तजयमा
• नगरपामल
काको
वावषयक
योजना
प्रक्रक्रयाबाट
पाररत
स्वास्थ्य
संस्था संचालन
तथा
ब्यवस्थापन
सममनत द्वारा
वावषयक
कायययोजना
तथा बजेटको
प्रवाहकारी
कायायन्वयन,
अनगमन तथा
मलयांकन

;d:ofx?sf]k|fyldsLs/0f ug]{ tl/sf
klxrfgePsf ;d:ofx? k|fyldstf k|fKt ;d:ofx?
== !=====
== @===
== #====
== $====
== %===
==

k|fyldstfdf k/]sf ;d:ofx/msf];dfwfgsf]nflus], s]sfo{qmd;+rfngug{'{ k5{
;"lrjgfpg] tl/sf

;d:of;dfwfgsfnfluul/g]sfo{qmdx?nfO{of]hgflgdf{0fsf] vfsfdf/fvL
of]hgftof/ug]{
============================== :j:yo rf}sL
Jflifs of]hgf @&^/@&&
qm.; Sf{oqmd nIf ldlt :yfg Nfut / ;f]t| lhDdjf/L
!
@
#
$
%
^

of]hgfth'{df ubf{ Wofglbg'kg]{ s'/fx?
 :jf:Yo;d:of, cfjZostf/ cj;/sf]vf]hL ;xeflutfd"ns9+un] ug]{ .
 ;d:oftyf cfjZostfsf]k|fyldsLs/0fug]{
 :yfgLo;|f]t ;fwgsf] vf]hL u/L ;"lr tof/ ug]{
 of]hgfsf]ls|ofsnfk,p2]Zo :ki6 kfg]{ .
 sfof{Gjog,cg'udg / d"Nof+sgsf] lhDd]jf/L:ki6 kfg]{ .

Importance of strengthening Mother’s Group, FCHVs
and Health Facility Operation and Management
Committee

Mother’s Group

FCHVs

Health Facility Operation and Management
Committee

kf7- !!
:yfgLo :jf:Yo;+:yf;+rfngtyfAoj:yfkg ;ldlt a}7s ;~rfng
k|lqmof tyfclen]v

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx? a}7s ;+rfng k|s[of / o;sf r/0fx?jf/]kl/lrt x'g] / j}7ssf]lg0f{o clen]v -
dfOGo"6_ /fVg] tl/sf jf/] kl/lrtx'g]]] .
j:t'utp2]Zox?
• j}7s k|s[ofsf] r/0f atfpg
• k|efjsf/L j}7s ;+rfng cEof;ug]{
• j}7ssfP]h]08f / lg0f{ox?sf]dfOGo"l6ª cEof; ug{

a}7s k|lqmof
lglZrt k|lqmofk'¥ofP/ :yfgLo:jf:Yo;+:yf ;+rfng tyfAoj:yfkg ;ldltsfa}7s a:g'kb{5 .
;dfGotM a}7sk|lqmofnfO{ lgDg tLg r/0fdfljefhg u/La'emg ;lsG5M
!_ a}7ssf] k"j{ tof/L sfo{
@_ a}7s ;~rfng sfo{
#_ a}7s kl5 ul/g] sfo{

!_ a}7ssf] k"j{ tof/L sfo{
• k"j{ ;"rgfM a}7s x'g'eGbf tLg lbg cufl8kq jfcGodfWodaf6;ldltsf;b:ox?nfO{
-a}7s a:g] ldlt,;do,:yfg / 5nkmnsf] ljifoaf/]hfgsf/L lbPsf]x'g'kb{5 .
• a}7sk'l:tsfMa}7ssf]lg0f{oPj+pkl:yltsf]clen]v /fVg] a}7s k'l:tsf/fv]sf]
x'g'kb{5 .
• 5nkmnsfljifox?sf]tof/LMa}7ssfnflu cfjZos5nkmnsf ljifox?k"j{ lgwf{l/t
x'g'kb{5

@_ a}7s ;~rfng sfo{
• ;xefuLx?sf] a:g] Joj:yfMa}7s :yfgdf ;b:ox? ;dfg'kflts / ;lhnf];Fua;]sf] x'g'kb{5.
• pkl:ylt;+VofM a}7sdf ;b:ox?sf] pkl:ylt %! k|ltzt jf o; eGbf a9L /x]sf] x'g'kb{5.
• k|ult ;dLIffM a}7sdf cl3Nnf] a}7sdf ePsf lg0fo{x?sf] k|ult ;dLIff x'g'kb{5.
• ;b:ox?sf] ;xeflutfM a}7sdf;a} ;b:ox?nfO{kfn}kfnf] cf–cfˆgf] egfO/fVg] df}sf lbOg' kb{5 .
• lg0f{o k|lqmofdf ;xeflutfM a}7sdf pkl:ytdlxnf / blnt ;b:ox?n] cfˆgfegfOx? /fv]sf] / pQm
egfOnfO{lg0f{o k|lqmofdf dxTj lbPsf] x'g'kb{5.
• lhDd]jf/L afF8kmfF8M sfo{of]hgfdf plNnlvtsfo{x? ug{PseGbf a9L ;b:ox?nfO{
lhDd]jf/L tf]lsPsf] x'g'kb{5 .

@_ a}7s ;~rfng sfo{ qmdz======
• dfl;sk|ult;dLIffM :jf:Yo;+:yfaf6 ut dxLgfdful/Psf]sfo{qmdsf]k|ult;dLIff ug'{kb{5 .
• cfufdLsfo{qmdx?sf]hfgsf/LM :jf:Yo;+:yfsf k|d'v jfcGosd{rf/Laf6 cfufdLdxLgfdf
x'g] :jf:Yo;DaGwL sfo{qmdaf/] hfgsf/L lbg'kb{5 .
• clen]v /fVg] tl/sfM a}7ssflg0f{ox?a'bfFut¿kdfsfo{of]hgfsf] :j¿kdfclen]v
/fVg'kb{5 .
• cfufdLa}7sMcfufdLa}7ssflglDtldlt/ ;dotf]s]sf] x'g'kb{5 .
• j}7s ;doM tf]lsPsf]7Ls ;dodfz'? u/]/ 7Ls ;dodf g} cGt u/]sf] x'g'kb{5 .
• k|To]s a}7ssf]Ph]G8f / lg0f{ox?lglZrt9f+rf cg';f/sf] dfO{Go'6 k'l:tsfdfclen]vLs/0f
ug'{kb{5

#_ a}7s kl5 ul/g] sfo{
• cWoIf jf;b:o ;lrjn]sfo{of]hgfdftf]lsPsf]lhDd]jf/JolQmnfO{ sfdsf]cj:yfaf/];f]Wg]
u/]sf] x'g'kb{5 .
• sfo{of]hgfdfto u/]sf] sfo{;DkGg ug{ lhDd]jf/JolQmnfO{cGo ;b:ox?n]cfjZostf
cg';f/ ;xof]uu/]sf] x'g'kb{5 .

j}7s gDj/M
ldltM ut] dlxgf ;fn
• j}7s ;+rfng ePsf] :yfgM
j}7s k'l:tsf -dfOGo"6_ sf] gd"gf

j}7ssf] z+lIfKtljj/0f
cfh ldlt======================================= df o;
=========================k|fylds:jf:Yo pkrf/ s]Gb÷| :jf:Yo rf}sL÷zx/L :jf:Yo s]Gb| ÷;fd'bflos
:jf:Yo s]Gb| sf] :f+rfng tyf Aoj:yfkg ;ldltsf cWoIf
====================================================sf]cWoIftfdf lgDg lnlvt
dxfg'efjsf] pkl:yltdf j;]sf] j}7sn] ljleGg k|:tfjx?df 5nkmn u/L lgDgfg';f/sf] lg0f{o u¥of] .
pkl:yltM
qm Zf gfd dlxnf k'?if kb v:tvt
!
j}7ssf] z+lIfKtljj/0f /pkl:ylt

qm
Zf
k|:tfjx? k|:tfj ug]{ ;b:osf] gfd
!
@
j}7sdf 5nkmnsfnflu k|:tfjx?M
j}7ssf lg0f{ox?M
of] j}7sn] pk/f]Qm k|:tfx?df uxg 5nkmnu/L lgDgfg';f/sf] sfo{of]hgf
;lxtsf] lg0f{o u¥of] .
!= cluNnf] j}7sf lg0f{osf] ;dLIffM
@= j}7ssf d'Vo lg0f{ox?M
===

qm z+ lg0f{o sfof{Gjogsf s[ofsnfkx? k'/fug]{ ;do lhDd]jf/L
j}7s lg0f{o sfof{Gjogsf] sfo{of]hgf
x:tfIf/M

GESI,

Disability

kf7- !@
:jf:Yo ;+:yf;+rfng tyfJoj:yfkg;ldltn]
u/]sf sfo{x?sf] :j–d"Nof+sg

kf7sf] p4]Zo
kf7sf] p2]Zo
 ;xefuLx?n]cfkm"n] ul//x]sf] sfo{x?sf]cj:yfaf/] :j–d"Nof+sg u/L;'wf/ ug{'kg{] kIf
klxrfg ug{ ;Ifdx'g]5g .
j:t'utp2]Zox?
• :j–d"Nof+sg ug]{ ;Lkk|bz{g ug{.
• :j–d"Nof+sg u/L ;'wf/ug'{kg]{kIfx?sf] klxrfgug{.
• ls|ofzLntftyf sfo{ ;Dkfbg d"Nof+sgsf cfwf/x?sf]1fg k|fKtu/L ;Lkk|bz{g ug{.
• ls|ofzLntftyf sfo{ ;Dkfbgsf cfwf/df d"Nof+sgu/L ;'wf/ug'{kg]{kIfx?sf]klxrfg ug{.

P]gfdfcfˆgf] cg'xf/ x]l//x]sfo'jtL / o'jssf] lrq

;ldltn] u/]sf sfo{x?sf] :jd"NofÍg
d} t cfkm' lgsf] 5' eGbf]
bk{0f Sof eGbf]

d"Nof+sg ug'{kg]{ sfo{x?nfO{ afFl8Psf] tLg If]q
s_ ;ldltsf];+:yfut Ifdtf/ ;ldltsf];zlQms/0f
v_ :jf:Yo;+:yf Joj:yfkg
u_ ;]jfsfcj:yf

qm=
;=
;"rsx? 5 -!_ 5}g-)_
! ut ^ dlxgfdf ;ldltsf] a}7s lgoldt ePsf]
@ a}7sdf %! k|ltzt jf To; eGbf j9L pkl:yt x'g] u/]sf]
# ;b:ox? a}7sdf 7Ls ;dodf cfpg] u/]sf]
$ ;ldltsf] dfl;s a}7ssf] lglDt lglZrt ldlt / ;do tf]s]sf]
% Dflxnf tyf lk5l8Psf] ;d'bfosf k|ltlglwx? a}7sdf lgoldt ?kdf pkl:yt x'g] u/]sf]
^ Dflxnf tyf lk5l8Psf] ;d'bfosf k|ltlglwx?n] cfkmgf] ;d'bfosf :jf:Yo ;d:of /fv]sf] / pQm ;d:ofx?nfO{ lg0f{o
k|lqmofdf dxTj lbOPsf]
& ax'dt ;b:ox?n] cf– cfkmgf] ;d'bfoaf6 :jf:Yosf ;"rgf a}7sdf Nofpg] / a}7ssf lg0f{ox? ;d'bfo;Dd k'¥ofpg] u/]sf]
* lg0f{ox? a'Fbfut ?kdf sfo{of]hgfsf] :j?kdf n]Vg] u/]sf]
( cl3Nnf] dlxgfsf] sfo{of]hgfsf] sfof{Gjog tyf cg'udg ug{] u/]sf]
!) ut cfly{s aif{sf] Afflif{s k|utL ljj/0f ;j}n] b]Vg] :yfgdf 6fF; u/]sf]
!! cl3Nnf] a}7ssf] k|utL ;ldIff ;ldltsf] dfl;s a}7sdf lgoldt ?kdf 5nkmn x'g] u/]sf]
!@ a}7sdf p7]sf ljifoj:t' ;dfwfgsf nflu Ps eGbf a9L ;b:onfO{ lhDd]jf/L lbg] u/]sf]
!# ;ldltsf] jflif{s sfo{ of]hgf agfPsf] / ;a}n] b]Vg] :yfgdf 6fF; u/]sf]
!$ ;ldltsf ;b:ox?sf] kmf]6f] ;lxtsf] gfdfjnL jf]8{ :jf:Yo ;F:yfdf ;a}n] b]Vg] :yfgdf 6fF; u/]sf]
!% ;ldltsf ;b:ox?nfO{ cfkmgf] e"ldsf tyf lhDd]jf/Lx? Yffxf ePsf]
!^ ;ldlt ljlwjt ?kdf -lgb]{lzsf cg';f/_ u7g ePsf]
s_ ;+:yfut Ifdtf / ;ldltsf] ;zlQms/0f

qm=
;=
;"rsx? 5 -!_ 5}g-)_
! :jf:Yo ;+:yf leq tyf aflx/sf] aftfj/0f ;kmf / Jojl:yt /fv]sf]
@ cfjZostf cg';f/ ef}lts k'jf{wf/ -ejg, sf]7f, k|ltIffno, kfgL, lah'nL, rkL{, kmlg{r/ cflb_ sf] Aoj:yfkg u/]sf]]
# :jf:Yo ;+:yfdf b/aGbL cg';f/sf] sd{rf/Lsf] Aoj:yfkg ug{ ;ldltn] kxn u/]sf]
$ :jf:Yo ;+:yfnfO{ Aojl:yt ?kdf ;+rfng ug{ cfjZos cf}iflw sf] cfk"lt{ ug{] u/]sf]
% :jf:Yo ;+:yfdf cfjZos kg{] cf}hf/ tyf pks/0fx? Aoj:yfkg u/]sf]
^ Uffp“kflnsf tyf cGo lgsfoaf6 :jf:Yo sfo{qmdsf nflu ;|f]t kl/rfng u/]sf]
& sfof{no ;do cg';f/ -!) b]lv $ jf % jh];Dd_ :Jff:Yo ;+:yf vf]Ng] Aoj:yf u/]sf]
* ;ldltn] :jf:Yo ;+:yfsf] ;xof]u ug{ ;'kl/j]If0f of]hgf agfPsf]
( ;ldlt4f/f of]hgf cg';f/ :jf:Yo ;+:yfnfO{ ;xof]u / ;'kl/a]If0f ug]{ u/]sf]
!) ;ldltn] ufpF3/ tyf vf]k lSnlgsdf ;xof]u ug{ ;'kl/j]If0f of]hgf agfPsf]
!! ;ldltn] ufpF3/ tyf vf]k lSnlgsdf ;xof]u ug{ ;'kl/j]If0f of]hgf cg';f/ ug]{ u/]sf]
!@ ;ldltn] cfkm'n] u/]sf sfdsf] lglZrt k|lqmof ckgfO{ cfkm}n] ;ldIff ug{ ;Ifd ePsf] / ug]{ u/]sf]
!# ;ldltn] sd{rf/Lx?sf] sfdsf] d"NofÍg u/L k|f]T;fxg ug]{ u/]sf]
!$ ;ldltaf6 dlxnf :jf:Yo :jo+ ;]ljsfsf] sfdsf] d"NofÍg u/L k|f]T;fxg ug{] u/]sf]
!% ;ldltn] , ufp“kflnsf,lhNnf ;dGjo ;ldlt, hg:jf:Yo, jf cGo lgsfo;Fu sfo{qmd k|efjsf/L ?kdf ;+rfng ug{ ;dGjo ug]{ u/]sf] .
!^ ;ldltn] dlxnf :jf:Yo :jo+ ;]ljsfnfO{ cfjZos ;xof]u ug]{ u/]sf]
v_ :jf:Yo ;+:yf Aoj:yfkg

qm=
;=
;"rsx? 5 -!_ 5}g -)_
! k|To]s dlxgf :jf:Yo ;+:yfsf] ;]jfsf] k|ultsf] ;ldIff dfl;s cg'udg sfo{ k'l:tsfsf] cfwf/df u/L ;ldltsf] dfl;s a}7sdf /fVg] u/]sf]
@ Vff]ksf] nIo cg';f/ k|ult xfl;n u/]sf] / ;d'bfodf cfwfl/t Gfjhft lzz' :ofxf/ tyf jfn /f]usf] Plss[t Joj:yfkg u/]sf]
# $ k6s ue{hfFr ;]jf nIo cg';f/ k|ult xfFl;n u/]sf]
$ @@% cfO/g rSsL ;]jgsf] nIo cg';f/ k|ult xfFl;n u/]sf]
% nIo cg';f/ 6L=6L= vf]ksf] k|ult xfFl;n u/]sf]
^ ;ldltn] bIf :jf:YosdL{af6 :jf:Yo ;+:yfdf ;'Ts]/L u/fpg Aoj:yf u/]sf]
& Rffxgf x'Fbf x+'b} klg kl/jf/ lgof]hgsf] s'g} ;fwg pkef]u ug{ g;s]sf bDkQLx?sf] klxrfg u/]sf]
* ufpF3/ tyf vf]k lSnlgsx? lgoldt ?kdf ;+rfng x'g] u/]sf]
( ;]jfaf6 5'6]sf dflg; -dlxnf, blnt, hghftL, lk5l8Psf / ;+:yfjf6 6f9f /x]sf_ x?sf] klxrfg u/L ;]jfdf pgLx?sf] kx'Fr a9fpg ;d'bfo kl/rfng sfo{ ug]{ u/]sf]
!) /fli6«o :jf:Yo sfo{qmdx?df ;ldltn] of]hgfa¢ ?kdf ;xof]u ug]{ u/]sf]
!! :jf:Yo ;+:yfdf x'g'kg]{ cf}iflwsf] lsl;d :jf:Yo ;+:yfsf] tx cg';f/ pknAw u/]sf]
!@ :jf:Yo ;+:yfdf x'g'kg]{ $ j6f cTofjZos ;fdfu|Lx? -k'gh{nLo emf]n, sf]l6«d, cfO/g / le6fldg P_ eP gePsf] ols g u/]sf]
!# :jf:Yo ;+:yfdf x'g'kg]{ # j6f kl/jf/ lgof]hgsf ;fwgx? -s08d, lkN;, l8kf]_ eP gePsf] olsg u/]sf]
!$ Gfful/s j8fkq ;a}n] b]Vg] :yfgdf 6fF; u/]sf]
!% ;ldlt / :jf:Yo ;+:yfsf] jflif{s sfo{ of]hgf agfPsf]
!^ Uffp“kflnsf ÷gu/kflnsfsf] :jf:Yo cfjZostfsf] klxrfg u/L Uffp“kflnsf ÷ gu/kflnsf :t/Lo :jf:Yo of]hgf agfPsf]
u_ :jf:Yo ;]jfsf] cj:yf

kf7- !#
;ldlt / :jf:Yo;+:yfsf]sfo{of]hgf

kf7sf] p4]Zo
kf7sf] p2]Zo
 sfo{ of]hgfk|s[ofjf/] kl/lrt eO ;f] sf] cEof;ug{ .
 ;ldltsf]tyf:jf:Yo;+:yfsf] sfo{of]hgftof/ug{ .
j:t'utp2]Zox?
• ;d:ofklxrfg ug]{ tl/sfjtfpg.
• klxrfg ul/Psf;d:ofx?sf]k|fyldsLs/0fug{ .
• sfo{of]hgfaf/] 1fgxfl;nu/L tf]lsPsf]9f+rfdfsfo{ of]hgfagfpg .

of]hgf rqm

k|fyldsLs/0f

Uff=kf=gkf=============j8f g+=M================:jf:Yo;+:yf
==============================
:yfgLo :jf:Yo;+:yf;~rfngtyf Joj:yfkg;ldltsf] sfo{of]hgf9f+rf
s|=;+= s]ug]{< lsg ug]{< s;/Lug]{< slxn]ug]{< s;n]ug]{< cj:yf
tof/ ug{]M====================== k|dfl0ft ug{]M=================================
ldltM=============================== ldltM ============================================

wGojfb !

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