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EmONC Improvement Plan - Ministry of Health

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RksYgsuxaPi)al<br />

rUbft³ yUnIeshV sÞwgERtg<br />

EpnkarEklMGesvase®gÁaHbnÞan;EpñksmÖB<br />

nigkarEfTaMTarkeTIbnwgekItenAkm


taragmatika<br />

segçbRbtibtþi .......................................................................................................................1<br />

1 savtar/ bribT nig sniTanPaB .......................................................................................... 5<br />

1>1 mrNPaBmata nigTarkeTIbnwgekItenAkm2 bribTeKalneya)ay ....................................................................................................6<br />

1>3 mUlehtuénmrNPaBmata .............................................................................................7<br />

1>4 karkat;bnßymrNPaBmata nigTarkeTIbnwgekIt .............................................................7<br />

2> Epnkarse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekIt ...................................................11<br />

2>1 sniTanPaB ................................................................................................................11<br />

2>2 ckçúvis½y ....................................................................................................................12<br />

2>3 eKalbMNgrYm ...........................................................................................................12<br />

2>4 eKalbMNgCak;lak; ...................................................................................................12<br />

2>5 eKaledA ....................................................................................................................12<br />

2>6 eKalkarN_naMmux ....................................................................................................... 13<br />

2>7 lT§pl ...................................................................................................................... 14<br />

2>8 yuT§sa®sþ nig smasPaK ........................................................................................... 14<br />

2>9 karGnuvtþ ................................................................................................................... 15<br />

3> karBiBN’naGMBIsmasPaK nig lT§pl ........................................................................... 19<br />

3>1 karbegáItbrisßanGMeNayplmYy ................................................................................ 19<br />

3>2 kardMeLIgkRmitmUldæansuxaPi)aledIm,IKaMRTdl; <strong>EmONC</strong> ...........................................22<br />

3>3 karBRgwgsmtßPaBsßan nigFnFanmnusS .................................................................... 26<br />

3>4 karBRgwgkarpþl;esva ................................................................................................ 31<br />

3>5 RbB½n§bBa¢Ún ............................................................................................................... 33<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009


3>6 karerobcMEpnkar nigkarRKb;RKgfñak;extþ .....................................................................34<br />

3>7 karBRgwgtMNP¢ab;CamYyshKmn_ 35<br />

4> karTTYlxusRtÚvkñúgkarRbtibtþi nigkarGnuvtþ ....................................................................38<br />

4>1 karRbtibtþi ................................................................................................................38<br />

4>2 karTTYlxusRtÚvkñúgkarGnuvtþ .......................................................................................38<br />

5> kalviPaKsRmab;karGnuvtþ nigfvika ............................................................................... 41<br />

5>1 kalviPaKsRmab;karGnuvtþ .......................................................................................... 41<br />

5>2 fvika .......................................................................................................................... 42<br />

6> karRtÜtBinitütamdan nigkarvaytémø ..............................................................................44<br />

6>1 Lk;e®hVm nigsUcnakr .................................................................................................44<br />

6>2 sUcnakr <strong>EmONC</strong> ....................................................................................................44<br />

6>3 karBinitüeLIgvijrYmKñaelIsmiT§plsuxaPi)al ..........................................................45<br />

6>4 karvaytémø ................................................................................................................46<br />

6>5 karcuHBinitüenAmUldæan .................................................................................................46<br />

7> Lk;e®hVm ......................................................................................................................48<br />

7>1 eKalbMNgrYm/ eKalbMNgCak;lak; nig lT§pl ...........................................................48<br />

7>2 karbegáItbrisßanGMeNaypl ...................................................................................... 52<br />

7>3 dMeLIgkRmitmUldæansuxaPi)al edIm,IKaMRTesvase®gÁaHbnÞan;EpñksmÖB nig<br />

EfTaMTarkeTIbnwgekIt ......................................................................................................... 57<br />

7>4 BRgwgsmtßPaBsßab½n nigRbPBFnFanmnusS ...............................................................63<br />

7>5 karBRgwgkarpþl;esva .................................................................................................. 75<br />

7>6 RbB½n§bBa¢Ún ................................................................................................................ 81<br />

7>7 kareFVIEpnkar nigkarRKb;RKg <strong>EmONC</strong> fñak;extþ ..........................................................83<br />

7>8 karBRgwgtMNP¢ab;eTAnwgshKmn_ ................................................................................ 86<br />

7>9 karRKb;RKg nig karsRmbsRmÜl ................................................................................ 88<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009


Ba¢Itarag rUbPaB nig RbGb;<br />

1> bBa¢Itarag<br />

taragTI1 sUcnakrEdl)aneRCIserIssRmab;km bBa¢IrUbPaB<br />

rUbPaBTI1 brisßanGMeNaypl ...................................................................................9<br />

rUbPaBTI2 karGnuvtþkarse®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt ..........17<br />

rUbPaBTI3 rcnasm


UbPaBTI4 tMNP¢ab; nigTMnak;TMngrvagm®nþIsuxPaBmatanigTark/ qμbCMnaj nigqμb<br />

mNÐlsuxPaB ......................................................................................144<br />

3> bBa¢IRbGb;<br />

RbGb;TI1 rcnasm ]bsm


]bsm


GkSrkat;<br />

AMDD karbeBa©ósmrNPaB nigBikarPaBmata<br />

AMSTL karRKb;RKgskmμdMNak;kalTIbIénkarQWeBaHsRmal<br />

ANC<br />

karEfTaMépÞeBaHmuneBlsRmal<br />

AOP<br />

EpnkarRbtibtþiRbcaMqñaM<br />

B<strong>EmONC</strong> karse®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekItkRmitmUldæan<br />

CBT<br />

karbNþúHbNþaledayepþatelIsmtßPaBCMnaj<br />

CBTS<br />

esvapþl;Qamkm


LSS<br />

MCH<br />

MCH Sub-TWG<br />

MDG<br />

MGSO 4<br />

MoH<br />

MPA<br />

RMNH<br />

MVA<br />

NMCHC<br />

NRHP<br />

OD<br />

OT<br />

PHD<br />

PMT<br />

PMTCT<br />

PST<br />

QI<br />

RH<br />

RMNH<br />

SWAp<br />

SBA<br />

TBA<br />

TC<br />

TOR<br />

TOT<br />

TT<br />

UN<br />

CMnajse®gÁaHCIvit<br />

suxPaBmata nig kumar<br />

GnuRkumkargarbec©keTssuxPaBmata nig kumar<br />

eKaledAGPivDÆn_shsSvtS<br />

m:aejsüÚms‘ulhVat<br />

RksYgsuxaPi)al<br />

sMNuMskmμPaBGb,brma<br />

suxPaBbnþBUC mata nig Tark<br />

]bkrN_bUmedayéd<br />

mCÄmNÐlCatiKaMBarmata nig Tark ¬m>C>K>m>T¦<br />

kmμviFICatisuxPaBbnþBUC<br />

RsukRbtibtþi<br />

bnÞb;vHkat;<br />

mnÞIrsuxaPi)alextþ<br />

RkumRKb;RKgfñak;extþ<br />

karTb;sáat;karcmøgemeraKeGds_BImþayeTAkUn<br />

RkumKaMRTfñak;extþ<br />

karelIkkm


UNFPA<br />

UNICEF<br />

VERS<br />

VHC<br />

WHO<br />

mUlniFishRbCaCatisRmab;RbCaCn<br />

mUlniFishRbCaCatiedIm,Ikumar¬yUnIeshV¦<br />

RbB½n§bBa¢ÚnCMgWbnÞan;fñak;PUmi<br />

KN³kmμkarsuxPaBPUmi<br />

GgÁkarsuxPaBBiPBelak<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009


EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009


esckþIEføgGMNrKuN<br />

EpnkarelIkkMBs;esvaseRgÁaHbnÞan;EpñksmÖB nig karEfTaMTarkeTIbnwgekItenHRtÚv)anerobcMeLIg<br />

edayRkumkargarbec©keTsénRksYgsuxaPi)aleRkamkar]btßmÖKaMRTBIkmμviFIRTRTg;vis½ysuxaPi)al<br />

CMh‘anTI2nigédKUGPivDÆn_suxaPi)alTaMgGs;.<br />

RkumGñkerobcMÉksar sUmsMEdgnUvGMNrKuN d¾RCaleRCAcMeBaHÉk]tþm elakCMTav Gs;elak<br />

elakRsI mitþrYmkargarTaMgGs;cMeBaHkarpþl;eyabl; TsSn³ karcMNayeBlevlacUlrYmEksMrYl<br />

nigpþl;Gnusasn_sMxan;²kñúgkarcgRkgbBa©b;EpnkarenH. sUmEføgGMNrKuNcMeBaHsmaCikGnuRkum<br />

kargarbec©keTssuxPaBmatanigkumar rYmTaMgGgÁkarsuxPaBBiPBelak(WHO) mUlniFi<br />

shRbCaCatiedIm,Ikumar (Unicef) Edl)anelIkTwkcitþnigpþl;karENnaMEpñkbec©keTscaM)ac;<br />

kñúgkMLúgeBlénkarerobcMEpnkar. sUmEføgGMNrKuNcMeBaH elakRsIevC¢/Tug-rdæavI GnuRbFan<br />

mCÄmNÐlCatiKaMBarmatanigTarkEdl)andwknaMkargarbec©keTs nig mRnþIkmμviFICatisuxPaBbnþBUC<br />

mRnþImCÄmNÐlCatiKaMBarmata nig TarkTaMgGs;Edl)anshkarsRmbsRmYldMeNIrkarerobcM<br />

Epnkar[TTYl)anlT§pll¥.<br />

sUmEføgGMNrKuNdl;mUlniFishRbCaCatisRmab;RbCaCn (UNFPA) nig TIPñak;garGURsþalI<br />

edIm,Ikic©GPivDÆn_GnþrCati (AusAID) Edl)anpþl;karKaMRTEpñkbec©keTsnighirBaØvtßú dl;karerobcM<br />

ÉksarenH.<br />

sUmEføgGMNrKuNCaBiess cMeBaHbuKÁliksuxaPi)alTaMgenAfñak;Catinigfñak;eRkamCatiTaMgGs;<br />

cMeBaHkarxitxMpþl;esvaedaypÞal;CUnRbCaBlrdæ CaBiess RsþI Tarknigkumar. karGnuvtþnigseRmc<br />

)aneCaKC½yeTAtamEpnkarelIkkMBs;esvaseRgÁaHbnÞan;EpñksmÖBenH nwgCYykat;bnßy)aneRcInnUv<br />

GRtamrNPaBrbs;matanigTarkeTIbnwgekItenAkm


savtar<br />

segçbRbtibtþi<br />

edIm,ICYydl;karyl;GMBIehtuGVI)anCamrNPaBmatanigTarkeTIbekItenAkm


lT§pl<br />

karGnuvtþedayeCaKC½ynUvEpnkarenH nwgnaMmknUvlT§plcMnYn 7 dUcxageRkam³<br />

lT§plTI1³ maneKalneya)ay nigsþg;daGb,brma edIm,IKaMRTdl;karGnuvtþkarse®gÁaHbnÞan;Epñk<br />

smÖB nigkarEfTaMTarkeTIbnwgekItenARKb;kRmit<br />

lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwg<br />

ekIt RtÚv)anEklMG<br />

lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

lT§plTI4³ kareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIb<br />

nwgekIt EdlmandMeNIrkarRbkbedayKuNPaB<br />

lT§plTI5³ RbB½n§bBa¢ÚnEdlmandMeNIrkar<br />

lT§plTI6³ EpnkarsRmab;karEfTaMsmÖBnigTarkeTIbekItbnÞan;fñak;extþ RtÚv)anerobcM nigGnuvtþ<br />

edaymnÞIrsuxaPi)alextþ<br />

lT§plTI7³ TMnak;TMngCamYyshKmn_RtÚv)anBRgwg ehIykareRbIR)as;kan;EteRcInEfmeTotnUvesva<br />

se®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekIt<br />

yuT§sa®sþKnøwH<br />

yuT§sa®sþcMnYn 7 nwgRtÚv)anGnuvtþedIm,IENnaMdl;Gñktak;EtgeKalneya)ay/ GñkRKb;RKgkmμviFI/<br />

édKUGPivDÆn_/ sßab½nbNþúHbNþal nig Gñkpþl;esva edIm,IseRmc)anlT§plTaMg 7.<br />

1> erobcM[maneKalneya)ay nigsþg;daedIm,IKaMRTdl;karGnuvtþkBa©b;esvase®gÁaHbnÞan;Epñk<br />

smÖBnigkarEfTaMTarkeTIbnwgekItedayEp¥kelIP½sþútag enARKb;kRmiténkarEfTaM.<br />

2> BRgIkkarRKbdNþb; nigkarEbgEckmUldæanEdlmanesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaM<br />

TarkeTIbnwgekIt enATUTaMgRbeTs.<br />

3> ksagsmtßPaBrbs;mnÞIreBTüEdl)aneRCIserIs edIm,IGacbMeBjmuxgarCakEnøgbNþúHbNþal<br />

KøInik sMedAKaMRT[manbuKÁlikeFVIkar 24 em:agenAkñúgEpñkse®gÁaHbnÞan;EpñksmÖBnigkarEfTaM<br />

TarkeTIbnwgekIt.<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 2


4> BRgwgRbB½n§nanaedIm,IKaMRTdl;kareRbIR)as;kan;EteRcInEfmeTot nigkarelIkkm BRgwgRbB½n§bBa¢Ún.<br />

6> BRgwgkarRKb;RKg nigkareFVIEpnkaresvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt<br />

enAfñak;Cati nigfñak; extþ<br />

7> eRbIR)as;KN³kmμkarRKb;RKgmNÐlsuxPaB nigRkumRbwkSaXuM CaynþkarmYysRmab;begáInkar<br />

eRbIR)as;esvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekIt.<br />

karGnuvtþ<br />

yuT§sa®sþ nigGnþraKmn_ nwgRtÚvGnuvtþkñúgeBlCamYyKña TaMgenAfñak;Cati nigfñak;extþ. karGnuvtþKW<br />

CadMeNIrbnþmYy. EpnkarenHmanry³eBl 5qñaM ¬2010-2014¦. eRkayeBlbBa©b;Epnkar<br />

ry³eBl5qñaMenH EpnkarfμImYyeTotnwgRtÚv)antak;EtgeLIg edayEp¥kelIkarvaytémøry³eBl3qñaM<br />

nigemeronCabTBiesaFn_.<br />

karRKb;RKg<br />

mCÄmNÐlCatiKaMBarmatanigTark nwgTTYlxusRtÚvelIkarGnuvtþEpnkarenH. karRKb;RKg nigkar<br />

sRmbsRmÜlrYm nwgsßitenAnwgkmμviFICatisuxPaBbnþBUC sRmab;dMNak;kaldMbUg. bnÞab;BIRbtibtþikar<br />

ry³eBl12Exmk Epñkse®gÁaHbnÞan;smÖBnigEfTaMTarkeTIbnwgekItmYy nwgRtÚv)anbegáIteLIg.<br />

eKrMBwgfanwgman m®nþIsRmbsRmÜlmYyrUb/ buKÁlikEpñkbec©keTs 4 rUb nig buKÁlikKaMRT 2 rUb RtÚv<br />

)anEtgtaMg[ eFVIkarenAkñúgEpñkenH.<br />

fvikanwgRtÚvpþl;tamry³RksYgsuxaPi)alnigm©as;CMnYy tamynþkarEdlmanRsab;. fvika):an;sμan<br />

sRmab;RKb;smasPaK KW Cit 19>000>000 duløar.<br />

karRtÜtBinitütamdan nig vaytémø<br />

karRtÜtBinitütamdan nig vaytémø nwgRtÚveFV IeLIgedayeyageTAtameKalkarN_ENnaMrbs;RksYg<br />

suxaPi)al. EpnkarEklMG nigLk;e®hVm nwgbegáItCamUldæansRmab;karRtÜtBinitütamdannig<br />

vaytémø. sUcnakrsñÚlKWCasUcnakrsRmab;esvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbekItrbs;<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 3


shRbCaCati/ EdlmanTinñn½ybnÞat;edImRKaCaTinñn½yEdl)anBIkarvaytémøesvase®gÁaHbnÞan;Epñk<br />

smÖB nigkarEfTaMTarkeTIbnwgekIt qñaM2008.<br />

karGnuvtþedayeCaKC½y<br />

karGnuvtþedayeCaKC½yénEpnkarenH KWRtÚveKrMBwgfanwgpþl;plviC¢mandl;karrs;ranrbs;matanig<br />

TarkeTIbekIt nigBenøÓnvDÆnPaBeq


1 savtar/ bribT nig sniTanPaB<br />

1>1 mrNPaBmata nigTarkeTIbnwgekItenAkm


taragTI2³ GRtamrNPaBTarkeTIbekIteRkam28éf/ eRkay28éf nig eRkam1qñaM tam<br />

bBa©PaKR)ak;cMNUl ¬2005¦<br />

bBa©PaKR)ak;cMNUlkm2¦ Edl)anRbkasdak;[eRbIR)as;enA<br />

kñúgqñaM2008. GaTiPaBmYyKWRtÚvkat;bnßymrNPaBmata tamry³karEklMGesvasuxPaBbnþBUC/<br />

mata/ TarkeTIbekIt nigkumar.<br />

eKalneya)ayrbs;RksYgsuxaPi)al KWelIkTwkcitþdl;®sþITaMgGs;[sRmalkUnenAkñúgmUldæansuxa<br />

Pi)al CamYyqμbEdl)anTTYlkarbNþúHbNþal. fμI²enH raCrdæaPi)al)andak;[eRbIR)as;nUvkmμviFI<br />

elIkTwkcitþdl;qμb edIm,IelIkTwkcitþdl;karGnuvtþeKalneya)ayenH. kmμviFIenH nigyuT§nakardak;<br />

BRgayqμbenARKb;mNÐlsuxPaB )annaMmknUvkMeNIn®sþIsRmalkUnkúñgmUldæansuxaPi)alenARKb;<br />

kRmiténRbB½n§suxaPi)al. sUmemIlRbGb;TI1 sRmab;B½t’manbEnßm.<br />

RbGb;TI1<br />

rcnasm000 eTA 200>000nak; nig<br />

rYmmanmnÞIreBTübEg¥kmYy nigmNÐlsuxPaBmYycMnYn/ EdlmNÐlsuxPaBnImYy²RKbdNþb;RbCaCnBI 8>000<br />

eTA 12>000nak;.<br />

RbB½n§suxaPi)alsaFarN³man 3 kRmit nigmanvis½yÉkCnEdlKμanniy½tkmμd¾FMmYy³<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 6


• mNÐlsuxPaB EdlCitbMputeTAnwgshKmn_ pþl;esvasMNuMskmμPaBGb,brma (MPA) . esvasmÖBKWCa<br />

EpñkrYmmYyénkBa©b;esvaenH.<br />

• mnÞIreBTübEg¥kpþl;esvasMNuMskmμPaBb®gÁb; (CPA) enA 3 kRmit³ CPA1, CPA 2 nig CPA 3. CaFmμta<br />

mnÞIreBTü CPA 3 manTItaMgsßitenAkñúgTIrYmextþ nigpþl;kBa©b;esvasuxPaBRKb;RbePT.<br />

• mnÞIreBTü CPA 2 pþl;nUvesvavHkat;ykkUn/ vHkat;tUc/ bBa©ÚlQam bu:EnþKμanFnaKarQameT. cugeRkay<br />

mnÞIreBTü CPA1 pþl;esvaepSg²eRkABIvHkat;. 4<br />

• kRmitTIbIénRbB½n§suxaPi)al rYmmanviTüasßanCati/ mnÞIreBTüCati/ kmμviFICati nig sßab½nbNþúHbNþal.<br />

1>3 mUlehtuénmrNPaBmata<br />

enAkñúgRbeTskm4 karkat;bnßymrNPaBmata nigTarkeTIbnwgekIt<br />

mankarÉkPaBKñaCaGnþrCatic,as;las;fa eKminKYrx¢Hx¢ayFnFand¾kRmeTAelIkarEfTaMépÞeBaHmun<br />

eBlsRmal/ karbNþúHbNþalqμbburaNEdlKμaneKaledAc,as;las; b¤BüayamTsSn_Tayfa etI®sþI<br />

NaxøH b¤TarkeTIbekItNaxøH nwgmanplvi)akEdlKMramkMEhgdl;CIvit enaHeLIy. pÞúyeTAvij kmμviFI<br />

kat;bnßymrNPaBmata nigTarkeTIbekIt KYrBwgEp¥kelIeKalkarN_Edlfa ral;®sþImanépÞeBaHKW<br />

RbQmmuxnwgplvi)ak ehIyfa karsRmalkUnedaysuvtßiPaB niglT§PaBTTYl)anesvase®gÁaHbnÞan;<br />

EpñksmÖB nigEfTaMTarkeTIbnwgekIt KWmansar³sMxan;Casarv½nþ.<br />

4 RksYgsuxaPi)al ¬2006¦/ eKalkarN_ENnaMCatisþIBIsMNuMskmμPaBb®gÁb;sRmab;mnÞIreBTübEg¥k BIqñaM2006-2010.<br />

RBHraCaNacRkkm


karse®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt (<strong>EmONC</strong>)<br />

manP½sþútagKaMRTy:agrwgmaMfa karse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekIt KYrEtCasmas-<br />

PaKsarv½nþmYyénkmμviFITaMgLayEdlmaneKalbMNgkat;bnßymrNPaBmata nigTarkeTIbekIt 6 .<br />

karse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekItkRmitmUldæan nigkRmiteBjelj KWCasMNuM<br />

GnþraKmn_mYyEdledaHRsaynUvmUlehtuedaypÞal;nImYy²énmrNPaBmata. BaküenHRtÚv)aneK<br />

BRgIknaeBlfμI² edIm,Idak;bBa©ÚlkarEfTaMse®gÁaHCIvitTarkeTIbekIt dUcCa karCYyTark[dkdegðImCa<br />

edIm 7 ¬taragTI 3¦.<br />

taragTI3³ karse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekIt 8<br />

karse®gÁaHbnÞan;smÖBnigEfTaMTarkeTIbnwgekIt<br />

kRmitmUldæan<br />

• Gg;TIb‘ÍyU:Tik cak;sac;duM nig srésEv:n<br />

• GuksuItUsuIk ¬sac;duM nig srésEv:n¦<br />

• »sfRbqaMgnwgkarRbkac; dUcCa m:aejsüÚmsu‘l<br />

hVat<br />

• karTmøak;sukedayéd<br />

• karEfTaMeRkayeBlrMlUt (MVA)<br />

• karsRmalkUntamTVarmasedayman]bkrN_CMnYy<br />

¬karbUm/ degáób¦<br />

• GnuvtþkarCYyTarkeTIbekIt[dkdegðIm<br />

qμbCMnaj<br />

karse®gÁaHbnÞan;smÖBnigEfTaMTarkeTIbnwgekIt<br />

kRmiteBjelj<br />

karse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekIt<br />

kRmitmUldæan bUkEfm³<br />

• karvHkat; ¬vHkat;ykkUn¦<br />

• karbBa©ÚlQam<br />

edIm,I[manRbsiT§PaB qμbCMnaj 9 RtÚvEtsmÁal;/ RKb;RKg nigbBa¢ÚnkrNIplvi)akEdlGacBüa)al<br />

)an EdlekIteLIgenAkñúg 15°én®sþITaMgGs;EdlsRmalkUn. 10 qμbCMnajEdlmanvtþmankñúgkMLúg<br />

6 Paxton A., Maine D., Freedman L., Fry D., and Lobis S. 2005. “The evidence for emergency obstetric care” International Journal <strong>of</strong><br />

Gynaecology and Obstetrics 88: 181–193.<br />

7 UNFPA (2008) UNFPA’s Contribution to the Joint United Nations Accelerated Support to Countries in Maternal and Newborn <strong>Health</strong>:<br />

The Maternal <strong>Health</strong> Thematic Fund – Business <strong>Plan</strong> 2008-2011<br />

8 UNICEF, UNFPA, WHO, (2009).The Indicators for Monitoring the Availability and Use <strong>of</strong> Obstetric Services: A Handbook p 26 [5]<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 8


eBlsRmalkUn nigry³eBleRkaysRmalPøam² KWCaGñkedIrtYy:agsMxan;mñak;enAkñúgkarse®gÁaHCIvit<br />

rbs;®sþI (WHO, 1996) . karRKb;RKgsmRsbedayqμbCMnajenAeBlQWeBaH/ eBlsRmal nig<br />

ry³eBleRkaysRmalPøam² GaceCosvagplvi)akepSg² dUcCa sMNl;suk/ ebIeTaHbICaBuMman<br />

bec©keTssmÖBTMenIbEdlRtÚvkarkarvHkat; nigkarbBa©ÚlQam k¾eday.<br />

edIm,I[manRbsiT§PaB/ qμbCMnajEdl)anerobcMxøÜneBjeljRtÚvkarbrisßanGMeNaypl ¬rUbPaB<br />

TI1¦ EdlrYmmanlT§PaBTTYl)anRbB½n§bBa¢Ún/ TMnak;TMng/ kareFVIdMeNIr/ brikçar/ »sf nig smÖar³.<br />

rUbPaBTI1 brisßanGMeNaypl 11<br />

»sf nig smÖar³<br />

RbB½n§bBa¢Ún<br />

kareFVITMnak;TMng nig<br />

kardwkCBa¢Ún<br />

brikçar<br />

sþg;danigkarGnuvtþ<br />

CMnYykargar<br />

qμbCMnaj<br />

karEfTaMedayCMnaj<br />

GaNtþisRmab;<br />

Gñkpþl;esvaCYrmux<br />

RbB½n§FanaKuNPaB<br />

bEnßmBIelIenH brisßanGMeNaypl - eBalKWRbB½n§suxaPi)alEdlmandMeNIrkarl¥mYy - RtÚvkar<br />

FnFanmnusS nigRbB½n§RKb;RKgRKb;RKan; EdlFanafa man³ qμbCMnajRKb;RKan;sRmab;dak;BRgay<br />

enATINaEdlRtÚvkarBYkeK/ R)ak;bMNac;eBjcitþ nig»kasGPivDÆn_GaCIB/ »kasTTYl)ankarGb;rMbnþ<br />

edIm,IrkSa nigbegáInCMnaj/ ynþkarGPi)alKaMRT/ niglT§PaB[qμbCMnajbBa¢Ún®sþI nigTarkeTIbekIt<br />

edaypÞal;eTArkkarEfTaMkRmitx


dUecñH Baküfa {karEfTaMedayCMnaj} sMedAeTAelITaMgqμbCMnaj nigbrisßanGMeNaypl nigminGac<br />

kat;pþac;ecjBIesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekIt)aneT. karsikSamYyeday<br />

FnaKarBiPBelak )anrkeXIjfa lT§PaBTTYl)ankarse®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbnwg<br />

ekItkan;EtRbesIr Gackat;bnßymrNPaBmata)an 38°. RbeTsepSg²dUcCa m:aeLsuI nig<br />

RsIl½gáar )anGnuvtþesva se®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekIt EdlCYysRmaleday<br />

qμbCMnaj. RbeTsTaMgenH )anTTYleCaKC½ykñúgkarkat;bnßyGRtamrNPaBmata)anBak;kNþalkñúg<br />

ry³eBlticCag 10qñaM13 .<br />

kmμviFIEfTaMmatanigTarkeTIbnwgekItRbkbedayKuNPaBx


2> Epnkarse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekIt<br />

2>1 sniTanPaB<br />

edIm,IeqøIytbnwgmrNPaB nigPaBmanCMgWrbs;mata nigTarkeTIbekItd¾x


• RbB½n§lT§kmμ nigP½sþúParexSaysRmab;»sf/ smÖar³ nig brikçar<br />

• ehdæarcnasm2 ckçúvis½y<br />

®sþITaMgGs;enAkñúgRbeTskm3 eKalbMNgrYm<br />

edIm,I{BenøÓn} nigKaMRTdl;karkat;bnßyGRtamrNPaB nigPaBmanCMgWrbs;mþay nigTarkeTIbekIt<br />

enAkñúgRbeTskm5 eKaledA<br />

enAqñaM 2015³<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 12


• edIm,IbegáInvtþman/ lT§PaBTTYl)an/ kareRbIR)as; nigKuNPaBénesvaEfTaMsmÖBnigTarkeTIb<br />

ekItbnÞan;/ KYrEtmankarEfTaMsmÖBCMnajkñúgkMLúgeBlmanépÞeBaH/ eBlsRmal nigeRkay<br />

eBlsRmal enARKb;kRmiténRbB½n§EfTaMsuxaPi)al.<br />

• edIm,IFana[mannUvRbB½n§bBa¢ÚnEdlmandMeNIrkarmYyrvagmUldæansuxaPi)alnana nigrvag<br />

mUldæansuxaPi)al nigshhKmn_.<br />

• edIm,IGPivDÆsmtßPaBrbs;mnÞIrsuxaPi)alextþ kñúgkarerobcMEpnkar/ RKb;RKg nigGPi)alesva<br />

se®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbnwgekIt.<br />

• edIm,IbegáInkareRbIR)as;esvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbnwgekIt edaysmaCik<br />

shKmn_ edayBRgwgTMnak;TMngCamYyKeRmagenAshKmn_EdlmanRsab; nigsm6 eKalkarN_naMmux<br />

eKalkarN_TaMgLayxageRkamenH nwgtRmg;TiskarerobcMEpnkar nigkarGnuvtþEpnkaresvase®gÁaH<br />

bnÞan;EpñksmÖB nigEfTaMTarkeTIbnwgekIt edIm,IFanadl;RbsiT§PaB nignirnþrPaBénGnþraKmn_Edl)an<br />

esñIeLIg.<br />

• Ep¥kelIP½sþútag³ FanafaGnþraKmn_KWEp¥kelIP½sþútagbc©úb,nñPaB nigmanRbsiT§PaBkñúgkar<br />

cMNay.<br />

• GPiRkmRbB½n§suxaPi)al³ epþatelIkarse®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItenA<br />

RKb;kRmit edayeRbIR)as;mnÞIreBTübEg¥k nigmnÞIrsuxaPi)alextþ CaRckcUlmYysRmab;kar<br />

BRgwgRbB½n§bBa¢Ún.<br />

• ksagbnþelIkmμviFIEdlmanRsab;³ TTYlsÁal;BIKuNRbeyaCn_eRbóbeFobénédKUepSg²enAkñúg<br />

karerobcMEpnkar/ karGnuvtþ nig karvaytémøesvase®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwg<br />

ekIt.<br />

• PaBCaédKU³ elIkkm


• karkMNt;c,as;las;BItYnaTInigkarTTYlxusRtÚv³ kMNt;BItYnaTI nigkarTTYlxusRtÚvrbs;RKb;<br />

PaKIBak;B½n§TaMgGs;enAkñúgkarGnuvtþ/ karRtÜtBinitütamdan nigkarvaytémøskmμPaBEdl)an<br />

kMNt;edIm,ITTYl)annUvRbsiT§PaBbEnßm.<br />

• tmøaPaBnigKNenyüPaB³ elIkkm


2>8 yuT§sa®sþ nig smasPaK<br />

EpnkarEklMGesvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbnwgekItenH KaMRTdl;smasPaK nig<br />

yuT§sa®sþcRmúH EdlEp¥keTAelIP½sþútagKaMRTrwgmaM16 Edlesva <strong>EmONC</strong> enHKYrEtCasmasPaK<br />

sarv½nþmYyrbs;kmμviFInana sMedAkat;bnßymrNPaBmata nigTarkeTIbnwgekIt. yuT§sa®sþcMnYn 7<br />

enAkñúgcMeNamsmasPaKTaMg 7 nwgnaMmuxGñkkat;EtgeKalneya)ay/ GñkRKb;RKgkmμviFI/ édKUGPivDÆn_/<br />

sßab½nbNþúHbNþal enAkñúgkarseRmc[)annUvlT§plrMBwgTukEdl)anerobrab;xagelI.<br />

yuT§sa®sþITI1³ erobcM[maneKalneya)ay nigsþg;daedIm,IKaMRTdl;karGnuvtþkBa©b;EdlEp¥kelI<br />

P½sþútagénesva <strong>EmONC</strong> enARKb;kRmiténkarEfTaM.<br />

yuT§sa®sþTI2³ EklMGkarRKbdNþb; nigkarEbgEckmUldæansuxaPi)al <strong>EmONC</strong> enATUTaMg<br />

RbeTs.<br />

yuT§sa®sþTI3³ ksagsmtßPaBrbs;mnÞIreBTüEdl)aneRCIserIs edIm,IGacbMeBjmuxgarCakEnøg<br />

bNþúHbNþalKøInik sMedAKaMRT[manbuKÁlikeFVIkar 24em:agenAkñúgEpñk <strong>EmONC</strong>.<br />

yuT§sa®sþTI4³ BRgwgRbB½n§nanaedIm,IKaMRTdl;kareRbIR)as;kan;EteRcInEfmeTot nigkarelIkkm9 karGnuvtþ<br />

yuT§sa®sþTaMgenHnwgRtÚv)anGnuvtþsRmab;smasPaKTaMg7 nigrwtEtmanRbsiT§PaBbEnßmeTotCamYy<br />

smasPaKnImYy² enAeBlrYmcMENkdl;eKalbMNgCak;lak; niglT§pl. karGnuvtþnwgmanlkçN³<br />

CadMeNIrkarbnþmYyenABIrkRmit/ edaycab;epþImkñúgesÞIrEtkñúgeBldMNalKñaenAfñak;Cati nigfñak;extþ.<br />

EpnkarenHKWsRmab;ry³eBl 5qñaM ¬2010-2014¦. bnÞab;BI 5 qñaMmk EpnkarfμImYynwgRtÚv)an<br />

erobcMeLIg edayEp¥kelIkarvaytémøry³eBl 3qñaMdMbUgmYy nigemeronCabTBiesaFn_.<br />

16 Paxton A., Maine D., Freedman L., Fry D., and Lobis S. 2005. “The evidence for emergency obstetric care” International Journal <strong>of</strong><br />

Gynaecology and Obstetrics 88: 181–193.<br />

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cMNucepþaténkarGnuvtþ<br />

enAeBlmanplvi)akmYyekIteLIg kUnesasRmab;se®gÁaHCIvitrbs;®sþIKWkarTTYlkarEfTaMRKb;RKan;<br />

nigTan;eBlevla 17 . karyWty:avbIxageRkamenH GacbNþþal[®sþIsøab;³<br />

• karyWty:avkñúgkarseRmccitþeTArkkarEfTaM<br />

• karyWty:avkñúgkareTAdl;esvasuxaPi)al<br />

• karyWty:avkñúgkarTTYl)anesvaenAmUldæansuxaPi)alRbkbedayKuNPaB<br />

yuT§sa®sþénEpnkar <strong>EmONC</strong> BüayamedaHRsaybBaðayWty:avTaMgbI tamry³GnþraKmn_dUcman<br />

bgðajenAkñúgtaragTI4. enAkñúgkaryWty:avTaMgbIenH GaTiPaBnwgRtÚv)anpþl;eTAelIkaredaHRsaykar<br />

yWty:avTIbI/ eBalKWFanafa mUldæansuxaPi)alnigbuKÁlikmanbrikçarRKb;RKan;nigmansmtßPaB<br />

edIm,ICYy®sþI nigTarkeTIbnwgekIt muneBlelIkTwkcitþdl;karyl;dwgrbs;shKmn_ nigkarbBa¢Ún.<br />

taragTI4³<br />

GnþraKmn_KnøwHedIm,IedaHRsaybBaðaénkaryWty:avTaMgbI<br />

karyWty:avTaMgbI mUlehtuTUeTA GnþraKmn_KnøwHEdlRtÚvkar<br />

karyWty:avTImYy ®sþImin)andwgfa Kat;RtÚvkarkar<br />

se®gÁaHbnÞan;EpñksmÖB<br />

• begáInkareRbIR)as; nigkaryl;dwgGMBI<br />

sBaØaeRKaHfñak;eBlsRmalkUnkñúg<br />

cMeNam®sþI/ burs nig RKÜsar tamry³<br />

karBRgwgtMNP¢ab;eTAnwgshKmn_<br />

• tamry³sm


karyWty:avTaMgbI mUlehtuTUeTA GnþraKmn_KnøwHEdlRtÚvkar<br />

karyWty:avTIbI mUldæansuxaPi)alKμanbuKÁlik<br />

nigKμan]bkrN_edIm,Ipþl;esva<br />

se®gÁaHbnÞan;Epñksm<br />

RtÚvman mUldæansuxaPi)alEdlmanesva<br />

<strong>EmONC</strong> kRmitmUldæan 4 nigkRmit<br />

eBjeljmYy sRmab;ral;tMbn;Edl<br />

manRbCaCn 500>000 nak;¦.<br />

• ksagsmtßPaBrbs;mnÞIreBTümYycMnYn<br />

[køayCaTIkEnøgbNþúHbNþalKøInik edIm,I<br />

KaMRT[manbuKÁlikeFVIkar24em:agsRmab;<br />

pþl;esva <strong>EmONC</strong>.<br />

• begáInkareRbIR)as;esva <strong>EmONC</strong><br />

edayBRgwgRbB½n§edIm,IKaMRTKuNPaB Cabnþ<br />

nigEklMGkarpþl;esva<br />

dMeNIrkarénkarGnuvtþesvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt<br />

{KMrURbGb;} 18 xageRkamenH¬rUbPaBTI2¦ bgðajBIsmasFatuKnøwHEpnkar <strong>EmONC</strong>. RbGb;nImYy²<br />

mansar³sMxan;Casarv½nþ. dMeNIrkarksagRtÚv)anEbgEckCaBIrdMNak;kal³ karerobcM nigkarpþl;<br />

esva.<br />

rUbPaBTI2 karGnuvtþkarse®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt 19<br />

18 Adapted from the AMMD Building Blocks Framework http://www.amddprogram.org/index.php Last accessed October09<br />

19 Adapted from the AMMD Building Blocks Framework http://www.amddprogram.org/index.php Last accessed October09<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 17


UbPaBTI2 bgðajBIrebobénkarcab;epþImEklMGesva¬RbGb;enACan;xageRkam¦edayepþatkarykcitþ<br />

Tukdak;eTAelImUldæansuxaPi)al Edlmann½yfa Cakarcab;epþImeFVIkarCYsCulnigkarEfTaMTaMgLay<br />

NaEdlminRtÚvkarcMNayR)ak;eRcInenaHeT. karTijsmÖar³nigbrikçarEdlcaM)ac; KWkarkic©karEdl<br />

mansar³sMxan;bMput k¾dUcCadMeNIrkardMeLIgnigeRbIR)as;brikçarTaMgenHpgEdr. cugeRkay karEklMG<br />

RbB½n§RbmUlTinñn½yKWCakarcaM)ac;sRmab;karRtÜtBinitütamdan. enHminmann½yfa caM)ac;RtUvEtman<br />

RbB½n§l¥itl¥n;mYyb¤kMBüÚT½renaHeT bu:EnþeKRKan;EtRtÚvkarbBa¢Ikt;RtaEpñksmÖBd¾l¥mYyEtbu:eNÑaH.<br />

RbGb;enACan;TIBIrKWkarbNþúHbNþalnigkardak;BRgaybuKÁlik nigkarksagRkumkargar. skmμPaB<br />

TaMgenHRtÚvGnuvtþedayykcitþTukdak; nigman{kareRtómbRmugCabnþ}. eKalbMNgcm,g KWRtÚv[<br />

manesvaeBj24em:ag/ 7éfkñúgmYys)þah_/ EdlenHKWenAEtCabBaðaRbQmBitR)akdmYysRmab;<br />

km


3> karBiBN’naGMBIsmasPaK nig lT§pl<br />

3>1 karbegáItbrisßanGMeNayplmYy<br />

lT§plTI1³ eKalneya)aynigsþg;daGb,brmaedIm,IKaMRTdl;karGnuvtþesvase®gÁaHbnÞan;EpñksmÖB<br />

nigkarEfTaMTarkeTIbnwgekIt<br />

GnþraKmn_KnøwHsRmab;seRmc[)annUvlT§plxagelI nigkarbegáItbrisßanGMeNayplmanbgðajenA<br />

kñúgtaragTI 5.<br />

taragTI5<br />

GnþraKmn_KnøwHsRmab;begáItbrisßanGMeNaypl<br />

smasPaK<br />

begáItbriyakasGMeNay<br />

pl<br />

GnþraKmn_<br />

• ekogKrfñak;dwknaMkRmitx


]bsm


epSg²Edl®sþImanbBaðabnÞan;EpñksmÖB dUcCa karFøak;QameRkaysRmal/ RkLaePøIg b¤karkøayeraKeRkay<br />

eBlsRmalkUn RtÚvkardMbUnμan nigkarBüa)al. PaKeRcInénqμb nigKilanubdæak minmansiT§iGMNacc,ab;/<br />

karbNþúHbNþal b¤lT§PaBTTYl)ankarBüa)alRtwmRtÚvedIm,IedaHRsaysßanPaBTaMgenH.<br />

edIm,Ise®gÁaHCIvitrbs;®sþIEdlmanplvi)akEpñksmÖB qμb nigKilanubdæakRtÚvEtTTYl)ankarGnuBaØatedIm,IeRbI<br />

»sfTaMgLaydUcxageRkam³<br />

GuksuItUsuIn cak;<br />

m:aejsüÚms‘ulhVat cak;<br />

GMBIsuIlIn tammat;<br />

-<br />

-<br />

-<br />

emRtÚnIdahSúl tammat;<br />

BYkeKnwgRtÚvkarpgEdrnUvCMnajedIm,Ise®gÁaH nigrkSa[suxPaB®sþImanlMnwg nigcab;epþImcak;esrU:mkñúgkrNI<br />

bnÞan; nigkñúgeBlCamYyKñaenH cat;viFankarerobcMmeFüa)aydwkCBa¢ÚneTAkan;karEfTaMkRmitx sþg;daGb,brma<br />

karGnuvtþsBaØaCIvit b¤GnþraKmn_KnøwHénkarGnuvtþl¥bMput minFananUvKuNPaBenaHeT. sþg;da nig<br />

eKalkarN_ENnaMEdlRKb;mUldæansuxaPi)alEdlman <strong>EmONC</strong> TaMgGs;RtÚvman RtÚvEdlerobcM<br />

eLIg/ pSBVpSay nigGnuvtþenATUTaMgRbB½n§suxaPi)al.<br />

3> karCMrujPaBCaédKU<br />

elIkTwkcitþdl;PaBCaédKU nigshRbtibtþikarCayuT§sa®sþCamYyRksYgBak;B½n§/ m©as;CMnYy/ vis½y<br />

ÉkCn nigGaCJaFrmUldæan . GnusSrN³énkareyaKyl;Kña nig¼lixiténkic©RBmeRBóg nwgRtÚv)an<br />

htßelxarvagédKUnana. Gnuvtþkic©RbCuMBinitüeLIgvijRbcaMqñaM nigkarRtÜtBinitütamdanrYmKña.<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 21<br />

-


3>2 kardMeLIgkRmitmUldæansuxaPi)aledIm,IKaMRTdl; <strong>EmONC</strong><br />

lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esva <strong>EmONC</strong> RtÚv)anEklMG<br />

GnþraKmn_KnøwHsRmab;seRmc[)annUvlT§plxagelI nigkardMeLIgkRmiténmUldæansuxaPi)aledIm,I<br />

pþl;esva <strong>EmONC</strong> manenAkñúgtaragTI 7 .<br />

tarag 7 GnþraKmn_KnøwHsRmab;dMeLIgkRmitmUldæansuxaPi)aledIm,IKaMRTesva <strong>EmONC</strong><br />

smasPaK<br />

dMeLIgkRmitmUldæansuxa<br />

Pi)aledIm,IKaMRT <strong>EmONC</strong><br />

GnþraKmn_<br />

• dMeLIg¼BRgwgmnÞIreBTücMnYn 37 edIm,Ipþl;karesva C<strong>EmONC</strong> eBjelj/<br />

mnÞIreBTübEg¥kcMnYn 40 edIm,Ipþl;esva B<strong>EmONC</strong> kRmitmUldæan nig 62<br />

mNÐlsuxPaBedIm,Ipþl;CMnYydMbUgsRmab;smÖB (OFA).<br />

• pþÜcepþImdMeNIrkarmYyénerobcMmUldæansuxaPi)aledIm,IGnuvtþtamsþg;da nig<br />

eKalkarN_ENnaM <strong>EmONC</strong> ¬sUmemIl 1>5¦<br />

• EklMGKuNPaBénkarRbmUlTinñn½y nigkarrkSakMNt;Rta nigFanadak;bBa©Úl<br />

sUcnakr <strong>EmONC</strong> rbs;shRbCaCati eTAkñúgRbB½n§RKb;RKgB½t’mansuxa-<br />

Pi)al<br />

• pþl;kBa©b;sarv½nþénesvasuxPaBmata nigTark sMedABRgwgesva <strong>EmONC</strong><br />

• BRgwgesvabBa©ÚlQam nigkarpÁt;pÁg;QamedaysuvtßiPaBenAmUldæansuxa-<br />

Pi)alEdlmanesva C<strong>EmONC</strong> eBleljnImYy².<br />

sUmemIlEpnkarGnuvtþn_enAkúñug]bsm


<strong>EmONC</strong> kRmitmUldæan. kardMeLIgkRmitmUldæansuxaPi)alnwgRtÚveFVIeLIgedayGnuvtþtamsþg;da<br />

nigeKalkarN_ENnaMsþIBI <strong>EmONC</strong> EdlRtÚv)anTTYlykTUTaMgRbeTs. sþg;da nigeKalkarN_ENnaM<br />

TaMgenH nwgRtÚvkMNt;enAkñúgsmasPaKTImYyénEpnkar.<br />

1> karCYsCulnigkarEfTaM<br />

mnÞIreBTüsrubcMnYn77 nig mNÐlsuxPaBcMnYn62 nwgRtÚvkarkarKaMRTEpñkehdæarcnasm


sar³sMxan;énkarRbmUlTinñn½y nigkarrkSakMNt;Rta nwgRtÚv)anepþatkarykcitþTukdak;. RbPBnana<br />

sRmab;karRbmUlTinñn½y <strong>EmONC</strong> rYmman esovePAkMNt;RtaKøInik/ esovePAkMNt;RtakñúgbnÞb;vHkat;<br />

esovePAkMNt;RtakarsRmalkUn/ nigkMNt;RtaGñkCMgW. TRmg;sþg;da EdlmanbBa¢ak;BITinñn½yPaK<br />

eRcInEdlRtÚvkaredIm,IRtÜtBinitütamdanemIlsUcnakrdMeNIrkarrbs;shRbCaCati RtÚv)anpþl;CUn<br />

kmμviFICatisuxPaBbnþ nigeRbIR)as;CamKÁúeTÞsk_mYysRmab;RtÜtBinitütamdan nigviPaKTinñn½yEdl<br />

)anRbmUledayRbB½n§RKb;RKgB½t’mansuxaPi)al.<br />

sikçasalaerobcMeKalneya)ay nigEpnkarry³eBlmYyéfmYynwgRtÚv)aneFVIeLIgkñúgraCFanIPñMeBj<br />

edIm,IBinitüeLIgvijnUvsUcnakrrbs;shRbCaCati nigÉkPaBKñaelIPaKEbg nigsþg;dasRmab;sUcnakr<br />

nImYy². enAeBlsþg;da nigPaKEbgRtÚv)anÉkPaB bnÞab;mkeTot buKÁlikbec©keTsEdlTTYlxus<br />

RtÚvelIkarRbmUlTinñn½yenAfñak;extþ nigenAkñúgmUldæansuxaPi)alEdlmanesva <strong>EmONC</strong> nwgRtÚv<br />

bNþúHbNþalGMBIrebobkt;Rta nigbkRsaysUcnakr <strong>EmONC</strong> rbs;shRbCaCati.<br />

4> kBa©b;esvasuxPaBmata nigTarkEdlnwgBRgwgdl;esva <strong>EmONC</strong><br />

enHKWCakBa©b;d¾sMxan;mYyénesvasuxPaBmata nigTark CaBiess sRmab;RkumRbCaCnEdlCaGñkRk<br />

nigGñkEdlgayrgeRKaH EdlnwgCYyBRgwgdl;esva <strong>EmONC</strong>. eKrMBwgfa kBa©b;enHnwgrYmbBa©ÚlnUv³<br />

• karEfTaMépÞeBaHmuneBlsRmal<br />

• karEfTaMkñúgeBlsRmal edayepþatGaTiPaBeTAelIkarGnuvtþesva C<strong>EmONC</strong> nig B<strong>EmONC</strong><br />

• karEfTaMTarkeTIbnwgekItCasarv½nþ. GnþraKmn_sarv½nþsRmab;karEfTaMTarkeTIbnwgekIt man<br />

bBa¢ak;enAkñúg]bsm


eRkamsmasPaKBRgwgsmtßPaBsßab½n nigFnFanmnusS. enAeBlFnaKarQammandMeNIrkar<br />

eBlenaH eKGaceFVI[karbric©akQameTACaEpñkmYyéndMeNIrkarpÁt;pÁg;Qam nig¼b¤yuT§nakarpþl;<br />

QamenAshKmn_.<br />

3>3 karBRgwgsmtßPaBsßab½n nigFnFanmnusS<br />

lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

eRkamlT§plenH mCÄmNÐlCatiKaMBarmatanigTark nigmnÞIreBTübEg¥kcMnYn5 nwgRtÚv)aneRbIR)as;<br />

CaTIkEnøgsRmab;bNþúHbNþalKøInikEpñk <strong>EmONC</strong>. qμb/ Kilanubdæak nigevC¢bNÐit nigbuKÁlikdéT<br />

eTotEdlKaMRTdl;esva <strong>EmONC</strong> nwgRtÚv)anbNþúHbNþal. GnþraKmn_KnøwHmanbgðajenAkñúg]bsm


)aneT bu:Enþ mandMeNaHRsaymYycMnYnEdleKGacGnuvtþ)an ]Ta> karelIkTwkcitþ karbþÚrevneFVIkar<br />

nigerobcMkEnøgsñak;enAsRmab;buKÁlikEdl{RbcaMkar}.<br />

svnkmμmuxtMENgFnFanmnusSenAkñúgmUldæansuxaPi)alEdlmanesva <strong>EmONC</strong> nwgRtÚveFVIeLIg<br />

edIm,IEsVgyl;BIsßanPaBbuKÁlik. kic©karenHnwgCYykMNt;GaTiPaBkardak;buKÁlik nigCRmabGMBIkar<br />

dak;BRgay b¤epÞrbuKÁlik. mKÁúeTÞsk_GMBIsUcnakrbnÞúkkargar nigcMnYnbuKÁlik manbgðajenAkñúg<br />

]bsm ksagsmtßPaBmCÄmNÐlCatiKaMBarmatanigTark nigmnÞIreBTübEg¥k5 sRmab;pþl;karbNþúH<br />

bNþalGMBI <strong>EmONC</strong><br />

smtßPaBrbs;mCÄmNÐlCatiKaMBarmatanigTark nigmnÞIreBTübEg¥kcMnYn5 nwgRtÚv)anGPivDÆedIm,I<br />

KaMRTdl;karbNþúHbNþalCMnaj <strong>EmONC</strong> epþatelIsmtßPaBCMnaj. mCÄmNÐlCatiKaMBarmata nig<br />

Tark nwgTTYlxusRtÚvrYmelIkarsRmbsRmÜlkarbNþúHbNþal <strong>EmONC</strong> enATUTaMgRbeTs. bEnßmBI<br />

elImCÄmNÐlCatiKaMBarmatanigTark nwgmanTIkEnøgsRmab;bNþúHbNþalKøInikcMnYn 5 eTot Edl<br />

rYmmanmnÞIreBTübEg¥kenA)at;dMbg kMBg;cam esomrab taEkv nig mnÞIreBTüCatimYyeTotkñúgraCFanI<br />

PñMeBj ¬nwgRtÚvkMNt;enAeBlxagmux¦. TIkEnøgTaMgenHnwgpþl;karKaMRTdl;mUldæansuxaPi)al cMnYn<br />

133 bEnßmeTot TUTaMg 24extþ.<br />

enAeBlkarbNþúHbNþal nigmUldæansuxaPi)alEdlman <strong>EmONC</strong> TaMgGs;RtÚv)anBRgwg nwgman<br />

bNþajmUldæansuxaPi)alEdlman <strong>EmONC</strong> cMnYn 139 TUTaMgRbeTskmK>m>T<br />

EpñkGnuvtþ <strong>EmONC</strong><br />

TItaMgbNþúHbNþalKøInik 5<br />

133 cMNucpþl;esva<br />

¬mUldæansuxaPi)al <strong>EmONC</strong>¦<br />

22 Based on the National Clinical Training Network Model for Reproductive <strong>Health</strong> Developed by JHPIEGO for Indonesia<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 26


NþajTItaMgbNþúHbNþal nigmUldæansuxaPi)al <strong>EmONC</strong> nwg³<br />

• erobcM[mansþg;dadUc²KñaenATUTaMgRbeTskm karEklMGkarbNþúHbNþal<br />

CMhancMnYn 5 nwgRtÚv)ancat;eFVIeLIgedIm,IEklMGsßanPaBbNþúHbNþalkúñgRbeTskm svnkmμTIkEnøgbNþúHbNþal nigvaytémøtRmÚvkarbNþúHbNþal<br />

2> erobcMkEnøgbNþúHbNþaledayEp¥kelIKMehIjEdl)anmkBIsvnkmμ nigkarvaytémø<br />

3> erobcMEpnkarvKÁbNþúHbNþalRKÚbegÁal rYmTaMgkareRCIserIssikçasam/ RKÚbegÁal/ karerobcM<br />

smÖar³ nigKMrU<br />

4> bNþúHbNþalRKÚbegÁal³ CMnajKøInik/ CMnajbNþúHbNþal<br />

5> erobcMbNþúHbNþalKøIniksþIBIkarbgáarTak;TgeTAnwg <strong>EmONC</strong> kRmitmUldæan nigeBjelj<br />

karerobcMÉksarbNþúHbNþal nwgRtÚveKarBtamsþg;daEdlmankarTTYlykTUTaMgRbeTssRmab;kar<br />

bNþúHbNþalKøInik EdlRsedogKñanwgsþg;daEdlmanenAkñúg]bsm


RbsinebIextþFM²mancMNab;GarmμN_enAkñúgkarbegáItkareFVIbgðajCMnajKøInik b¤bnÞb;Gnuvtþ enAkñúg<br />

mUldæansuxaPi)alEdlmanesva C<strong>EmONC</strong> eBjelj 23 eBlenaH karKaMRTnwgRtÚv)anpþl;CUn.<br />

RKÚbegÁalKøInikmñak;nwgTTYlbnÞúkkñúgkarsRmbsRmÜlvKÁGnuvtþCak;Esþg nigvKÁbMb:nbEnßm.<br />

4> RKÚbegÁalKøInik<br />

TsSnkic©sikSary³eBl10éfmYysRmab;buKÁlikmCÄmNÐlCatiKaMBarmata nigTark cMnYn5nak; nwg<br />

RtÚveFVIeLIgkñúgqñaMTImYyénEpnkarenH. kareFVIEbbenHnwgpþl;dl;mCÄmNÐlCatiKaMBarmata nigTark<br />

nUv»kasedIm,IsegátemIlTIkEnøgbNþúHbNþalKøInikmYyenAkñúgRbeTsNamYy dUcCa hVIlIBIn/ m:aeLsuI/<br />

b¤ PNG.<br />

kic©karenHtRmÚv[km RKÚEpñkCMnajKøInik (Clinical skills trainers) ¬RKÚbgðat;bgðaj b¤RKÚkmμsikSa¦ (mentors or preceptors)<br />

EdlCaGñkpþl;esvamansmtßPaBRKb;RKan; nwgTTYlkarbNþúHbNþalEpñkCMnajKøInikmYyEdlman<br />

ry³eBlBI 5-10éf<br />

2> RKÚbegÁal (Master trainers) b¤RKÚbegÁalCan;x


RKÚbegÁalnwgpþl;karRtÜtBinitütamdanEpñkevC¢sa®sþCaeTogTat; nigkarbgðajbgðajenATIkEnøgpÞal;<br />

edIm,IbnþEklMGsþg;da nigKuNPaBénesva <strong>EmONC</strong> nigkareqøIytbsmRsb nigbnÞan; enAkñúgeBl<br />

se®gÁaHbnÞan;. enAeBlNaGaceFVIeTA)an kic©karenHnwgRtÚvGnuvtþedayshkarCamYysmaKmviC¢aCIv³<br />

nana. karykcitþTukdak;nwgRtÚvepþateTAelIviC¢aCIv³EdlkMBugekIteLIgfμI² dUcCa karEfTaMevC¢sa®sþ<br />

nigqμb.<br />

karbNþúHbNþalmUldæan nigtMNP¢ab;eTAnwgkarbNþúHbNþalbnþ<br />

enAkñúgRbeTskm


• GñkRKb;RKg<br />

• CMnYydMbUgsRmab;GñkebIkbrrfynþKilanse®gÁaH<br />

3>4 karBRgwgkarpþl;esva<br />

lT§plTI4³ kareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwg<br />

ekItbnÞan;EdlmandMeNIrkarRbkbedayKuNPaB<br />

GnþraKmn_KnøwHsRmab;BRgwgkarpþl;esvaenAkñúglT§plenH manbBa¢ak;enAkñúgtaragTI 9 .<br />

taragTI9<br />

smasPaK<br />

BRgwgkarpþl;esva<br />

1> GPiRkmCaRkum<br />

GnþraKmn_KnøwHsRmab;smasPaKBRgwgkarpþl;esva<br />

GnþraKmn_<br />

• FanakareRtómCabnþ nigesva24em:agenAkúñgmUldæansuxaPi)aledIm,Ipþl;<br />

esva <strong>EmONC</strong><br />

• GnuvtþRbB½n§eRkABIhirBaØvtßúmYyedIm,IKaMRTdl;dMeNIrkarelIkkm


2> KeRmagpþl;rgVan;eRkABIhirBaØvtßú<br />

KeRmagpþl;rgVan;eRkABIhirBaØvtßúmYy nwgRtÚv)anGnuvtþedIm,IelIkTwkcitþdl;kargarCaRkum nigdMeNIrkar<br />

énkarelIkkm karKaMRTdl;karGnuvtþl¥bMput nigKMnitécñRbDit<br />

karGnuvtþl¥bMput nigemeronCabTBiesaFn_ nwgRtÚv)ankt;RtaTuk nigKaMRT. manviFICaeRcInsRmab;<br />

GnuvtþnUvkic©karenH dUcCa karEckrMElknUvGPiRkmfμI²/ kare)aHBum


−<br />

−<br />

Vacca Reusable OmniCup® (VRO), KWCa]bkrN_smÖBfμImYysRmab;CYykarsRmal<br />

kUn ¬karsRmaledayeRbIEkvbUm b¤v:g;TUs (ventouse)¦<br />

CPAP, KWCabec©kviTüaEdlmantémøTab EdlkMBugRtÚv)anKaMRTedaymUlniFi the East<br />

Meets West Foundation manskþanuBlkat;bnßymrNPaBTarkeTIbnwgekIt sRmab;<br />

kumarEdlekItminRKb;Ex manbBaðadegðIm nigsRmab;TarkeTIbnwgekIt/ TarkeRkammYyqñaM<br />

nigkumarGayuelIsmYyqñaM EdlmanCMgWrlaksYt nig hWt.<br />

5> karGPi)al/ karRtÜtBinitütamdan/ karBinitüeLIgvijEpñkKøInik nigsvnkmμmrNPaBmþay<br />

CaRbcaM<br />

karGPi)al nigkarRtÜtBinitütamdanCaRbcaM nwgRtÚv)andak;bBa©ÚleTAkñúgRbB½n§rbs;RksYgsuxaPi)al<br />

enAfñak;Cati nigfñak;extþ. sUcnakrrbs;shRbCaCatinwgminBi)akkñúgkarRbmUlenaHeT edayehtufa<br />

Tinñn½yRtÚv)anRbmUlrYcehIy. bu:Enþ dUc)anBiPakSaxagedImmkehIy KuNPaBTinñn½ycaM)ac;RtÚveFVIkar<br />

EklMG.<br />

svnkmμmrNPaBmata nigkarBinitüeLIgvijKøInik KWCaEpñkmYyénRbB½n§enHrYceTAehIy. nwgmankar<br />

xitxMRbwgERbgbEnßmeTotedIm,Idak;bBa©Úlsvnkmμ nigkarBinitüeLIgvijelImrNPaBmata eTAkñúgRKb;<br />

EpnkarRbtibtþiRbcaMqñaMTaMgGs;.<br />

3>5 RbB½n§bBa¢Ún<br />

lT§plTI5³ RbB½n§bBa¢ÚnEdlmandMeNIrkar<br />

GnþraKmn_KnøwHsRmab;seRmc)annUvRbB½n§bBa¢ÚnEdlmandMeNIrkarmYy manbBa¢ak;enAkúñgtaragTI10<br />

taragTI10<br />

smasPaK<br />

RbB½n§bBa¢Ún<br />

GnþraKmn_KnøwHsRmab;RbB½n§bBa¢Ún<br />

GnþraKmn_<br />

• BRgwgRbB½n§bBa¢ÚnrvagmUldæansuxaPi)alEdlmanesva <strong>EmONC</strong><br />

• KaMRTdl;GnþraKmn_edIm,IBRgwgkarbBa¢ÚnedayEp¥kelItRmÚvkarrbs;extþnImYy²<br />

• BRgwgRbB½n§bBa¢ÚnrvagmUldæansuxaPi)al nigshKmn_<br />

sUmemIlEpnkarGnuvtþn_ enAkñúg]sm


karvaytémøelItRmÚvkar <strong>EmONC</strong> )anrkeXIjfa eTaHbICamaneKalkarN_ENnaMsRmab;bBa¢Únk¾<br />

eday k¾karbBa¢ÚnminRtÚv)aneKGnuvtþTUlMTUlayEdr ehIyRbB½n§bc©úb,nñminmandMeNIrkarenAkñúgextþ<br />

PaKeRcIn. CakarsMxan;Nas;EdlRtÚvBinitüeLIgvij nigEksRmÜl eKalneya)ay nigeKalkarN_-<br />

ENnaMBak;B½n§sþIBIkarbBa¢ÚnsRmab;mþay nigTarkeTIbnwgekIt muneBlBRgwgkarGnuvtþeLIgvij.<br />

bBaðaénkarR)aRs½yTak;Tg nigkareFVIdMeNIr nwgRtÚveFVIkarvaytémøtamextþnImYy² ehIyviFankarnwg<br />

RtÚvcat;eFVIeLIgEp¥ktamtRmÚvkarCak;Esþg. skmμPaBEdlnwgRtÚvKaMRT rYmman³<br />

• karCYsCul¼b¤pþl;TUrs½BÞcl½t ¬b¤meFüa)ayTMnak;TMngdéTeTot¦<br />

• karEfTaMrfynþKilanse®gÁaH<br />

• kic©snüaCamYyRbtibtþikrdwkCBa¢ÚnenAmUldæanNaEdlKμanrfynþKilanse®gÁaH<br />

• pÞHrg;caMkarsRmalkUn<br />

• karsakl,gTUrs½BÞsRmab;bBa¢ÚnGñkCMgWeday\tKitéfø<br />

• karbNþúHbNþalGñkebIbrrfynþKilanse®gÁaH GMBICMnYyse®gÁaHbnÞan;dMbUg<br />

3>6 karerobcMEpnkar nigkarRKb;RKgfñak;extþ<br />

lT§plTI6³ EpnkarsRmab;karse®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekItfñak;extþ RtÚv)an<br />

erobcMnigGnuvtþedaymnÞIrsuxaPi)alextþ<br />

GnþraKmn_KnøwHedIm,IFanafa Epnkar <strong>EmONC</strong> extþ RtÚv)anerobcM nigGnuvtþ manbBa¢ak;kñúgtaragTI<br />

11.<br />

taragTI11<br />

smasPaK<br />

karerobcMEpnkar nig<br />

karRKb;RKgfñak;extþ<br />

GnþraKmn_KnøwHsRmab;karerobcMEpnkarnigkarRKb;RKgfñak;extþ<br />

GnþraKmn_<br />

• BRgwgsmtßPaBrbs;mnÞIrsuxaPi)alextþ nigRkumkargarmUldæansuxaPi)al<br />

<strong>EmONC</strong> edIm,IRKb;RKg nigerobcMEpnkarkan;EtRbesIrnUvesva <strong>EmONC</strong><br />

• BRgwgkarRKb;RKg nigtMNP¢ab;rvagmUldæansuxaPi)al <strong>EmONC</strong> tamry³<br />

sm½


Epnkar <strong>EmONC</strong> nwgRtÚvGnuvtþedayeRbIR)as;EbbbTEdlmanRsab;rbs;RksYgsuxaPi)al edIm,I<br />

erobcMEpnkar/ RKb;RKg nig GPi)al. nwgmankarepþaty:agxøaMgeTAelIkarksagsmtßPaBrbs;m®nþI<br />

fñak;extþ nigRsuk edIm,Idak;bBa©ÚlGaTiPaB <strong>EmONC</strong> eTAkñúgEpnkarRbcaMqñaM nigRbB½n§RtÜtBinitütamdan.<br />

skmμPaBsMxan;² rYmman³<br />

• erobcMkic©RbCuMeTogTat;CamYymnÞIrsuxaPi)alextþ nigRkumkargarmUldæansuxaPi)al <strong>EmONC</strong><br />

edIm,IEckrMElkB½t’man/ BiPakSabBaða nigerobcMEpnkarsRmab;skmμPaB.<br />

• eRCIserIseLIgvijmNÐlsuxPaBkñúgextþnImYy² edayehtufa kareRCIserIsbc©úb,nñminman<br />

r)ayesμIPaBTUTaMgRbeTs.<br />

• BRgwgkarRKb;RKg nigkarGnuvtþKøInikenAkRmitepSg²énkarbBa¢Ún tamry³m®nþIsRmbsRmÜlqμb<br />

nigRkumkargarsm


taragTI12<br />

GnþraKmn_sRmab;BRgwgTMnak;TMngCamYyshKmn_<br />

smasPaK<br />

GnþraKmn_<br />

BRgwgTMnak;TMngCamYyshKmn_ • BRgwgTMnak;TMngCamYyshKmn_edayeFVIkartamry³KN³kmμkarRKb;RKg<br />

mNÐlsuxPaB nig RkumRbwkSaXuM-sgáat;<br />

• BRgwgsm


tMNP¢ab;eTAnwgsm


4> karTTYlxusRtÚvkñúgkarRbtibtþi nigkarGnuvtþ<br />

4>1 karRbtibtþi<br />

mCÄmNÐlCatiKaMBarmatanigTark nwgTTYlxusRtÚvkñúgkarRbtibtþiEpnkarEklMGenH. karRKb;RKg<br />

TUeTAsßitenAelIkmμviiFICatisuxPaBbnþBUC. kmμviFICatisuxPaBbnþBUC nwgsRmbsRmÜlEpnkarenH<br />

pgEdr rhUtdl;Epñkse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekItmYy RtÚv)anbegáIteLIg. kic©kar<br />

enHRbEhlCanwgekIteLIgenAkñúgqñaMBIrénkarGnuvtþEpnkarenH. enAeBlbegáItrYc Epñkse®gÁaHbnÞan;<br />

EpñksmÖBnigEfTaMTarkeTIbnwgekItenH nwgsRmbsRmÜlEpnkarenH/ CYysRmÜldl;karRKb;RKgnig<br />

KNenyüPaBhirBaØvtßú/ kic©RbCuMBinitüeLIgvij/ r)aykarN_vaytémøcugeRkay nigr)aykarN_<br />

Bak;B½n§.<br />

UNFPA nwgTTYlxusRtÚvkñúgkareFVIsvnkmμRbcaMqñaMelIfvikaEdlpþl;edaym©as;CMnYy tamry³<br />

UNFPA nigFanafaskmμPaBRtÚv)anGnuvtþtamry³RksYgsuxaPi)al. UNFPA nwgeFVIlT§kmμ pþl;<br />

kic©snüabnþ eRCIserIsTIRbwkSabec©keTs nigCMnYybec©keTsepSg²eTot enAeBlNasmRsb.<br />

karKaMRTEpñkbec©keTs nigmtieyabl;eTAelIbTBiesaFn_fñak;tMbn; CaBiessenAkúñgskmμPaBfμI²<br />

nwgRtÚv)anpþl;tamry³TIRbwkSabec©keTsrbs; UNFPA nigTIRbwkSabec©keTsGnþrCatidéTeTot tam<br />

tRmÚvkarcaM)ac;.<br />

4>2 karTTYlxusRtÚvkñúgkarGnuvtþ<br />

Epñkse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekIt (<strong>EmONC</strong> Unit)<br />

kmμviFICatisuxPaBbnþBUC nwgbegáItEpñkse®gÁaHbnÞan;EpñksmÖBnigTarkeTIbnwgekIt nigEtgtaMgbuKÁlik<br />

edIm,I[TTYlxusRtÚvelIkarRKb;RKgEpnkar ¬rYmTaMgfñak;extþpgEdr¦. bnÞab;BIry³eBl 12Ex mk<br />

m®nþIsRmbsRmÜlfñak;Catimñak; nwgRtÚv)anEtgtaMgedIm,I[CYydl;mCÄmNÐlCatiKaMBarmata nig<br />

Tark. ¬sUmemIlbriyaykargar ]bsm


Epñk <strong>EmONC</strong> nwg³<br />

• GnuvtþEpnkaredayGnuvtþskmμPaBTaMgLaydUcmanbBa¢ak;enAkñúgLk;e®hVm<br />

• TTYlxusRtÚvelIRbtibtþikarRbcaMéf<br />

• RtÜtBinitüemIlbuKÁlik<br />

• RtÜtBinitütamdanvDÆnPaBrYménGnþraKmn_ <strong>EmONC</strong><br />

• erobcMEpnkarkargarRbcaMqñaM nigEpnkarbNþúHbNþal<br />

KN³kmμkarbec©keTs<br />

RbsinebIbegáIteLIg KN³kmμkarbec©keTsenHnwgmankarcUlrYmBIédKUkñúgRsuk nigPaKIBak;B½n§Edl<br />

eFVIkarenAkúñgextþeRkamkmμviFICatisuxPaBbnþBUC. karTTYlxusRtÚvrYmman³<br />

• CYbRbCuMy:agticmYyRtImasmþg edIm,IBinitüemIlvDÆnPaBCamYykarGnuvtþEpnkar/ nigBiPakSa<br />

GMBIkarGnuvtþskmμPaBepSg²eTotEdlmankñúgEpnkarsRmab;RtImasbnÞan;.<br />

• CYysRmÜldl;karpøas;bþÚr nigkarerobcMeKalneya)ay<br />

• BinitüeLIgvijl¥itl¥n; nigGnum½tyuT§sa®sþnanasRmab;BRgwgesva <strong>EmONC</strong> kñúgRbeTskm


NþalKøIniknwgmantYnaTIenAkñúgkarbNþúHbNþal nigkarKaMRTEpñkbec©keTs¼karGPi)al. sUmemIl<br />

RbGb;TI 5.<br />

RbGb;TI5 tYnaTInigkarTTYlxusRtÜvenAkRmitfñak;epSg²énbNþajKaMRT <strong>EmONC</strong><br />

EpñkbNþúHbNþalenAkñúgmCÄmNÐlCatiKaMBarmata nigTark nwgkøayeTACaEpñksRmbsRmÜlsRmab;karpþl;<br />

esva <strong>EmONC</strong> nigkarbNþúHbNþalKøInik. EpñkenHmantYnaTIcm,g b¤Parkic©dUcxageRkam³<br />

• dwknaMdMeNIrkarénkarerobcMeKalkarN_ENnaM sþg;da nigeKalneya)ay sþIBIkarpþl;esva <strong>EmONC</strong> Edl<br />

mankarÉkPaBKñaTUTaMgRbeTs<br />

• erobcMsmÖar³bNþúHbNþal nigkmμsikSa<br />

• erobcMRKÚbegÁl nigRKÚEpñkCMnajKøInik<br />

• tak;Etg nigerobcMRbB½n§mYysRmab;tamdanbnþ nigGPi)aledIm,IrkSaKuNPaBénbNþaj <strong>EmONC</strong><br />

• kt;Rta/ RtÜtBinitütamdan nigKaMRTkarGnuvtþl¥bMput<br />

TItaMgbNþúHbNþalKøIniknwgRtÚv)anBRgwgedIm,IKaMRTdl;esva <strong>EmONC</strong> . TItaMgbNþúHbNþalKøIniknwg³<br />

• CYysRmÜldl;karerobcMCasþg;danUvkarpþl;esva <strong>EmONC</strong> enAkñúgextþ<br />

• erobcMCasþg;danUvCMnajKøIniksRmab;RKÚbegÁalfñak;extþ<br />

• bNþúHbNþalRKÚbegÁalfñak;extþ GMBICMnajbNþúHbNþalKøInik<br />

• pþl;karbNþúHbNþalKøInikdl;evC¢bNÐit nigqμbmkBIfñak;extþ<br />

• tamdan¼GPi)alkarbNþúHbNþalenAtamextþ<br />

• kt;Rta RtÜtBinitütamdan nigKaMRTdl;karGnuvtþl¥bMput<br />

mnÞIrsuxaPi)alextþ RsukRbtibtþi nigmCÄmNÐlbNþúHbNþalKøInikextþ EdlmantYnaTI b¤Parkic©cm,gdUcxag<br />

eRkam³<br />

• dak;bBa©Úl <strong>EmONC</strong> kñúgEpnkarRbtibtþiRbcaMqñaM nigEpnkarrMkil 3qñaM<br />

• rkSasþg;daesva <strong>EmONC</strong><br />

• pþl;CMnajfμI²sRmab;karbNþúHbNþalKøInikfñak;extþsRmab;evC¢bNÐit nigqμb<br />

• GPi)alkarpþl;esva<br />

• kt;Rta RtÜtBinitütamdan nigKaMRTdl;karGnuvtþl¥bMput<br />

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5> kalviPaKsRmab;karGnuvtþ nig fvika<br />

5>1 kalviPaKsRmab;karGnuvtþ<br />

EpnkarenHKWsRmab;ry³eBl 5qñaM ¬2010-2014¦. karGnuvtþKWCadMeNIrkarCabnþmYy. bnÞab;BI<br />

ry³eBl 5qñaM mk EpnkarfμInwgRtÚv)anerobcMedayEp¥kelIkarvaytémøry³eBlbIqñaMdMbUg nigvDÆn-<br />

PaBeFobnwgbnÞat;edImRKa. eKrMBwgfa nwgmanextþxøHEdlmankarlM)akkñúgkarGnuvtþEpnkarenH/ enA<br />

kúñgkrNIxøH vaGacRtÚvkarry³eBlCaeRcInqñaM muneBldMNak;kaldMeLIgkRmit nigkarpþl;buKÁlik<br />

cab;epþIm.<br />

EpnkarEklMGenHnwgRtÚvGnuvtþCabIdMNak;kal³<br />

1> dMNak;kalerobcMEpnkarnigcab;epðImdMbUg - qñaM2010<br />

• ekogKrfñak;dwknaMkRmitx dMNak;kalGnuvtþn_ - qñaM2011-2014<br />

• dMeLIgkRmit¼BRgwgmnÞIreBTücMnYn 37 edIm,Ipþl;esvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTark<br />

eTIbnwgekItkRmiteBjelj/ mnÞIreBTübEg¥kcMnYn 40 edIm,Ipþl;esva B<strong>EmONC</strong> kRmit<br />

mUldæan nigmNÐlsuxPaBcMnYn 62 edIm,Ipþl;esvaCMnYydMbUgsRmab;smÖB (OFA).<br />

• pþÜcepþImdMeNIrkarénkarerobcMmUldæansuxaPi)aledIm,IeqøIytbnwgsþg;da nigeKalkarN_ENnaM<br />

sþIBI <strong>EmONC</strong><br />

• elIkkm


• ksagsmtßPaBrbs;mCÄmNÐlCatiKaMBarmatanigTark nigmnÞIreBTübEg¥kcMnYn 5 CaTItaMg<br />

bNþúHbNþalKøInik<br />

• GPivDÆsmtßPaBrbs;RKÚbegÁalenAmUldæansRmab;karbNþúHbNþalCMnajKøInikedayepþatelI<br />

smtßPaBCMnaj<br />

• GPi)al nigKaMRTdl;karbNþúHbNþalKøInikenAkñúgRKwHsßan <strong>EmONC</strong><br />

• begáIn nigEklMGkarbNþúHbNþalmUldæan nigeRkaymUldæansRmab;RkumbuKÁlikEdlBak;B½n§<br />

• GnuvtþkmμviFIbNþúHbNþalbnþsRmab; <strong>EmONC</strong><br />

• pþl;karbNþúHbNþalCMnajKøInik <strong>EmONC</strong> eTogTat; ¬vKÁbMb:nbEnßm¦<br />

• BRgwgkarbBa¢ÚnrvagmUldæansuxaPi)al <strong>EmONC</strong> nigshKmn_<br />

• BRgwgTMnak;TMngCamYyshKmn_edayeFVIkartamry³KN³kmμkarRKb;mNÐlsuxPaB nig Rkum<br />

RbwkSaXuM-sgáat;<br />

• BRgwgsm dMeNIrkarCabnþ - BRgwgkarpþl;esva<br />

• Fana[mankareRtómCabnþ nigkarmanesva <strong>EmONC</strong> 24 em:ag<br />

• GnuvtþRbB½n§pþl;rgVan;eRkABIhirBaØvtßúmYyedIm,IKaMRTdl;dMeNIrkarelIkkm2 fvika<br />

fvika):an;sμansRmab;RKb;smasPaKTaMgGs; KWCit 19lan duløarGaemrik ¬sUmemIltaragTI13¦.<br />

enAkñúgkar):an;sμanfvikasRmab;EpnkarenH eKpþl;karBicarNaeTAelIcMNucsMxan;²dUcxageRkam³<br />

• bBa¢ak;BIesckþIlm¥itnImYy²énskmμPaBmYy edIm,Idak;ecjCafvika):an;sμansRmab;skmμPaB<br />

enaH<br />

• Fanafa fvikasRmab;skmμPaBmYyminRtÚv):an;sμanelIsBImYydg rYmCamYykarGnuvtþEpnkar<br />

TaMgbIkRmit.<br />

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dUecñH kar):an;sμanfvikaRtÚv)aneFVIeLIgedayBicarNaeTAelIcMNucTaMgenH. bEnßmBIelIenH eKpþl;kar<br />

BicarNaBiesseTAelI]bkrN_CatiEdlmanRsab;sRmab;karpþl;esvaEfTaMsuxPaB dUcCa kBa©b;Ca<br />

mUldæanénesvasuxPaBEdl):an;sμanfvikaeday UNFPA.<br />

fvikasRmab;dMeLIgkRmitRtÚv)anKNna KitCaPaKryénfvikacMNayedIm,IksagmUldæansuxaPi)alfμI<br />

mYy. fvikaenHKWRKan;Et):an;sμanbu:eNÑaH ehIynwgRtÚvEksRmÜleLIgvijenAeBlmanB½t’manbEnßm<br />

eTotGMBIvKÁbNþúHbNþal. fvikadMbUg ¬sUmemIltaragTI13¦ sRmab;karGnuvtþEpnkarEklMGenH RtÚv<br />

)anEbgEckeTAtamlT§pl.<br />

taragTI13<br />

fvika):an;sμansRmab;ry³eBl5qñaM<br />

smasPaK<br />

duløarGaemrik<br />

lT§plTI1 begáItbrisßanGMeNaypl 100>000/00<br />

lT§plTI2 dMeLIgkRmitmUldæansuxaPi)aledIm,IKaMRTdl; <strong>EmONC</strong> 11>434>250/00<br />

lT§plTI3 BRgwgFnFanmnusS 4>510>000/00<br />

lT§plTI4 BRgwgkarpþl;esva 1>244>000/00<br />

lT§plTI5 RbB½n§bBa¢Ún 393>900/00<br />

lT§plTI6 karerobcMEpnkarnigkarRKb;RKgfñak;extþsRmab; <strong>EmONC</strong> 430>096/00<br />

lT§plTI7 karBRgwgTMnak;TMngCamYyshKmn_ 216>000/00<br />

karRKb;RKg nigkarsRmbsRmÜl 588>000/00<br />

srub 18>916>246<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 42


6> karRtÜtBinitütamdan nigkarvaytémø<br />

6>1 Lk;e®hVm nigsUcnakr<br />

karGPivDÆsUcnakrEpnkarLk;e®hVm RtÚv)andak;enAkñúg]bsm2 sUcnakr <strong>EmONC</strong><br />

:sUcnakrkarse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbekIt : nigbBa¢IxøI²énGn þraKmn_KnøwHTaMg9 Edl<br />

)ankMNt;y:agc,as;¬Ep¥kelItaragTI14¦RtÚv)aneRbIR)as;sRmab;karvaytémømUldæansuxaPi)al nig<br />

RtÜtBinitütamdankRmiténkarEfTaMEdlRtÚv)anpÁt;pÁg;edaymUldæansuxaPi)al. sUcnakr<strong>EmONC</strong><br />

énkarsikSaRsavRCavdMbUgnigkRmitsþg;daGgÁkarshRbCaCati EdlCaeKaledAcMNuc ehIyman<br />

bgðajenAkñúg]bsm [fñaMGg;TIb‘Íy:UTikRbePTcak; ∗∗ GnuvtþGnþraKmn_KnøwH 1-7/ bUknwg³<br />

2> [fñaMk®nþak;s,Ún ¬GuksuItUsuInRbePTcak; EG‘rhÁÚemRTIn 8> eFVIkarvHkat; ¬karvHkat;ykkUn¦<br />

RbePTcak; fñaMmIsURbUsþÚl¦ 26<br />

3> [fñaMcak;RbqaMgnwgRbkac;sRmab;bRmúgRkLaePøIg 9> eFVIkarbBa©ÚlQam<br />

nigRkLaePøIg ¬m:aejsüÚms‘ulhVat düaehS):am¦<br />

4> eFVIkarTmøak;sukedayeRbIéd<br />

5> eFVIkarykkMeTcsuk ¬karrMlUtkUneday]bkrN_bUmeday<br />

esvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbnwgekIt<br />

kRmiteBjelj<br />

25<br />

GgÁkarsuxPaBBiPBelak GgÁkarmUlniFishRbCaCatisRmab;RCaCn GgÁkarmUlniFikumarshRbCaCati karbeBa©ósmrNPaB<br />

nigBikarPaBmata ¬2008¦karRtÜtBinitütamdankarEfTaMsmÖBbnÞan; ³ esovePAk,Ün ¬TMB½r7¦<br />

26<br />

H<strong>of</strong>meyr, G.J., et al/ ¬2005¦fñaMmIsURbUsþÚl kñúgkarBüa)alkarFøak;QameRkaysRmal³ karBinitüeLIgvijCaRbB½n§. BJOG³<br />

TsSnavdþIGnþrCatiEpñksmÖB nigeraK®sþI 112¬5¦³ TMB½r 547-553<br />

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éd/ fñaMmIsURbÚsþúl/ karebIkBRgIkmat;s,Ún nigkarekas<br />

sMGats,Ún ¦<br />

6> eFVIkarsRmalkUntamTVarmasedayeRbI]bkrN_CMnYy<br />

¬]bkrN_sRmab;bUmykkUn / degáób¦<br />

7> eFVIkarCYyse®gÁaHTarkeTIbekIt[dkdegðIm ¬sñb;xül;<br />

nigm:as;¦<br />

mUldæansuxaPi)alEdlmanesvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbekItkRmitmUldæan KWGnuvtþRKb;muxgarBI 1-7<br />

mUldæansuxaPi)alEdlmanesvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbekItkRmiteBjelj KWGnuvtþRKb;muxgarBI 1-9<br />

1 ∗kRmiténkarEfTaM = karse®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbekItkRmitmUldæan karse®gÁaHbnÞan;EpñksmÖB<br />

nigTarkeTIbekItkRmitTUlMTUlay b¤Kμanesvase®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbekIt<br />

∗∗kar[fñaMcak;mann½yfaCakarcak;fñaM nigkarcak;esr:UmtamsrésQam<br />

lMdab;lMedaytkáénsUcnakrsRmab;karse®gÁaHbnÞan;EpñksmÖB nigEfTaMTarkeTIbekIt KWmansar³<br />

sMxan; dUcCakarcUlrYm eqøIysMNYrdUcteTA³<br />

• etImanmNÐlsuxPaB nigmnÞIreBTüRKb;RKan; edIm,Ipþl;esvase®gÁaHbnÞan;EpñksmÖB<br />

nigEfTaMTarkeTIbekIt Edrb¤eT<br />

• etImanmNÐlsuxPaB nigmnÞIreBTü taMgenARKb;TIkEnøg Edrb¤eT<br />

• etIman®sþIRKb;cMnYnmkeRbIR)as; mNÐlsuxPaB nigmnÞIreBTü Edrb¤eT<br />

• etIman®sþIEdlsmRsbmkeRbIR)as; mNÐlsuxPaB nigmnÞIreBTü Edrb¤eT<br />

• etIKuNPaBénkarpþl;esvaRKb;RKan;Edrb¤eT<br />

Tinñn½yEdleRbIR)as;kñúgkarKNnakarse®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbekIténkarsikSa<br />

RsavRCavdMbUg KWmanenAkñúgRbB½n§RKb;RKgB½t’mansuxaPi)al ehIynigmuxgarRtÚv)anRtÜtBinitütam<br />

dany:aggay edayRkumse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbekIt enAfñak;mUldæansuxaPi)al.<br />

]TahrN_én]bkrN_EdlGacykmkeRbIR)as; edIm,IRtÜtBinitütamdanGn þraKmn_KnøwHenAfñak;mUldæan<br />

suxaPi)al RtÚv)anpþl;[enAkñúg]bsm3 karBinitüeLIgvijrYmKñaelIsmiT§plsuxaPi)al<br />

sUcnakrEdl)aneRCIserIsenAkñúgtaragLuk;e®hVm RtÚv)anRtÜtBinitütamdanedaykarBinitüeLIgvij<br />

rYmKñaelIsmiT§plsuxaPi)al eyagtaragTI 15.<br />

taragTI15 sUcnakrkarBinitüeLIgvijrYmKñaelIsmiT§plsuxaPi)alEdl)aneRCIserIs<br />

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lT§pl<br />

sUcnakrsMxan;²énsuxPaBbnþBUC mata TarkeTIbekIt nigkumar<br />

2008<br />

eKaledAcMNuc<br />

2010 2011<br />

° karsRmaledaybuKÁliksuxaPi)alEdl)anbNþúHbNþal 58° 70° 75°<br />

°énkarsRmaledaykarvHkat;ykkUn¬PaKEbgCakarsRmalkUnenAmUldæansuxaPi)al¦ 2° 2>5° 3°<br />

° karsRmaledaybuKÁliksuxaPi)alEdl)anbNþúHbNþal enAmUldæansuxaPi)al 39° 50° 55°<br />

karBieRKaHkarEfTaMépÞeBaHmuneBlsRmalCamYyedaybuKÁliksuxaPi)al2b¤eRcIn¬°¦∗∗ 81° 85° 90°<br />

° én®sþImanépÞeBaHpÞúkemeraKeGds_viC¢man )anTTYlfñaMRbqaMgemeraKeGds_ sRmab;kar 27° 50° 55°<br />

bgáarkarcmøgemeraKeGds_BImþayeTAkUn ∗∗<br />

° én®sþImanépÞeBaH )anTTYlfñaMRKab;CatiEdk¼GasuIdhVÚlikbEnßm ∗∗ 80° 85° 90°<br />

° én®sþIeRkaysRmal )anTTYlfñaMRKab;CatiEdk¼GasuIdhVÚlikbEnßm ∗∗ 49° 80° 85°<br />

2 ∗∗ GacRtÚv)anbEnßm RbsinebIkBa©b;karse®gÁaHbnÞan;EpñksmÖB nigTarkeTIbekItGb,rma RtÚv)anBRgIkedIm,Idak;bBa©Úl<br />

karEfTaMCuMvijeBlsRmal muneBlRmal nigeRkayeBlsRmal<br />

6>4 karvaytémø<br />

karvaytémønwgRtÚv)anGnuvtþ edayGnuelamtameKalkarN_ENnaMrbs;RksYgsuxaPi)al. enAcug<br />

bBa©b;énry³eBl 3qñaM karvaytémøkMBugdMeNIrkarnwgRtÚv)anerobcM eFVIedIm,IVvasEvgdMeNIrkarEpnkar<br />

niglT§pl. edayEp¥kelIkarvaytémøenH nigkarBinitüB½t’manmUldæan EpnkarnwgRtÚv)anEksRmÜl.<br />

EpnkarvaytémøcugbBa©b; nwg):an;RbmaNvisalPaB EdlEpnkarseRmc)anlT§pl nigdkRsg;<br />

emeronbTBiesaFn_ sRmab;karerobcMbegáItKeRmagkmμviFI suxPaBbnþBUC mata nigTarkeTIbnwgekIt<br />

enAkñúgbribTkm5 karcuHBinitüenAmUldæan<br />

karcuHBinitüenAmUldæanrYmKñaedaybuKÁlikmkBIkmμviFICatisuxPaBbnþBUCénRksYgsuxaPi)al m®nþIRbti<br />

btþiénGgÁkarmUlniFishRbCaCatisRmab;RbCaCn nigsmaCikKN³kmμkarsRmbsRmÜlbec©keTs<br />

GaceFVIeTA)an. eKalbMNgCabzménkarcuHBinitüenAmUldæanKW³<br />

• rk[eXIjcMNucxøaMg nigcMNucexSayénbec©keTs nig¼b¤karRbtibtþi<br />

• rk[eXIjbBaðabec©keTssRmab;ebskkmμKaMRTkargar<br />

• seRmccitþCamYyPñak;garRbtibtþi¼Gnuvtþ GMBIkarEktRmÚvskmμPaB RbsinebIcaM)ac;<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 45


• pøas;bþÚrbTBiesaFn_CamYYyGñkmanKMnitpþÜcepþImkñúgmatuPaBKμaneRKaHfñak;<br />

• eCosvagkareFVIskmμPaBCan;KñaénPñak;gardéTeTot enAtMbn;dEdl.<br />

rbkKMehIjénr)aykarN_cuHBinitüenAmUldæannwgRtÚv)anbBa©ÚleTAkñúgkarvaytémøkMBugdMeNIrkar nig<br />

karvaytémøbBa©b;.<br />

EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 46


7> Lk;e®hVm<br />

7>1 eKalbMNgrYm/ eKalbMNgCak;lak; nig lT§pl<br />

]bsm


zananuRkméneKalbMNg sUcnakrGefreKaledA meFüa)ayepÞógpÞat; eBlevlaénkarRbmUlTinñn½y karTTYlxusRtÚv kar):an;sμan<br />

lT§plTI 2<br />

lT§PaBpþl; niglT§PaBeRbIR)as;<br />

esvase®gÁaHbnÞan;EpñksmÖBnig<br />

karEfTaMTarkeTIbnwgekIt RtÚv)an<br />

EklMG<br />

lT§plTI 3<br />

smtßPaBedIm,IKaMRTdl;karGPivDÆ<br />

karEfTaMCMnaj RtÚv)anBRgwg<br />

• PaBGaceRbIR)as;)an esvase®gÁaHbnÞan;EpñksmÖB<br />

nigTarkeTIbekItkRmitmUldæan<br />

• PaBGaceRbIR)as;)anesvase®gÁaHbnÞan;EpñksmÖB<br />

nigEfTaMTarkeTIbekItkRmiteBjelj<br />

• r)aytamPUmisa®sþénesva <strong>EmONC</strong><br />

• Gn þraKmn_KnøwHén <strong>EmONC</strong> Edl)andMeNIkar<br />

• PaKryénmnÞIreBTüEdlmankEnøpþl;Qam dMeNIrkar<br />

• buKÁlikBieRKaHkarBinitüépÞeBaHmunsRmal 2b¤eRcIn<br />

¬°¦<br />

• PaKryén®sþIeRkaysRmalEdl)anTTYl<br />

fñaMRKab;Cati Edk¼GasuIdhVÚlikbEnßm<br />

• PaKryénmnÞIreBTüEdldMeNIkarkEnøgCYyse®gÁaH<br />

TarkeTIbekIt[dkdegðIm<br />

• smamaRténTarkeTIbekItTTYlkarEfTaMTarkeTIb<br />

ekItCasarv½nþ<br />

• smamaRténTarkTmn;minRKb;BIkMeNIt<br />

• PaKryénkarsRmalCYyedaybuKÁlikCMnaj<br />

Edl)anekIneLIg<br />

• PaKryénmuxdMENgEdlbMeBjedayqμbmFüm<br />

• karekIneLIgnUvcMnYnkrNIbBa¢Ún<br />

• smamaRténmnÞIreBTüEdlmanqμbCMnajdMeNIrkar<br />

24em:ag kñúgkarpþl;esvakarEfTaMsmÖBbnÞan;<br />

• RbB½n§RKb;RKgB½t’mansuxaPi)al<br />

• karvaytémø <strong>EmONC</strong><br />

• karGegátRbCasa®sþ nigsuxPaB enAkm


zananuRkméneKalbMNg sUcnakrGefreKaledA meFüa)ayepÞógpÞat; eBlevlaénkarRbmUlTinñn½y karTTYlxusRtÚv kar):an;sμan<br />

lT§plTI 4<br />

• RbB½n§RKb;RKgB½t’mansuxaPi)al<br />

• karvaytémø <strong>EmONC</strong> bnÞat; • Epñk <strong>EmONC</strong><br />

karvaytémø<br />

kareRbIR)as;kan;EteRcInEfmeTot<br />

• karvaytémø <strong>EmONC</strong><br />

edImRKa nigkarvaytémøkMBug • karKaMRTbec©keTs kMBugdMeNIrkar<br />

<strong>EmONC</strong><br />

•<br />

nUvesvase®gÁaHbnÞan;EpñksmÖB nig<br />

karGegátRbCasa®sþ nigsuxPaB enAkm


zananuRkméneKalbMNg sUcnakrGefreKaledA meFüa)ayepÞógpÞat; eBlevlaénkarRbmUlTinñn½y karTTYlxusRtÚv kar):an;sμan<br />

• PaKryénfvikaEpnkarRbtibtþiRbcaMqñaMfñak;extþ<br />

Edl)anélTuk eRbIR)as; edIm,Ikarse®gÁaHbnÞan;<br />

EpñksmÖB nigEfTaMTarkeTIbekIt<br />

• cMnYnRsukEdlpþl;GaTiPaB dl;esvaEfTaMsmÖB nig<br />

TarkeTIb ekIt bnÞan;kRmitmUldÁan enAkñúgEpnkar<br />

RbtibtþiRbcaMqñaMrbs;eK<br />

lT§plTI 7<br />

tMNP¢ab;eTAnwgshKmn_RtÚv)an<br />

BRgwg ehIykareRbIR)as;kan;EteRcIn<br />

EfmeTotnUvesvase®gÁaHbnÞan;Epñk<br />

smÖB nigkarEfTaMTarkeTIbnwgekIt<br />

lT§plTI 8<br />

• karRKb;RKgesva <strong>EmONC</strong> eday<br />

RbsiT§PaB nigs½kþisiT§i<br />

• cMnYnkarRbCuMKN³kmμkarRKb;RKgmNÐlsuxPaB<br />

EdlmanvtþmanRkumRbwkSaXuM<br />

• PaBGaceRbIR)as;)anénkardwkCBa¢ÚnshKmn_<br />

enAkñúgextþnImYy²<br />

• kareRbIR)as; RbB½n§bBa¢Únrbs;shKmn_enAkñúgextþ<br />

nImYy²<br />

• karseRmccitþ kñúgkarEsVgrkarEfTaM<br />

• cMnYn®sþIEdlmanplvi)akmkdl;mnÞIreBTü<br />

• GRtasøab;kñúgmnÞIreBTü<br />

• buKÁlikTaMgGs;RtÚv)aneRCIserIsedIm,IKaMRT<br />

<strong>EmONC</strong> b®gÁb;bEnßmdl;buKÁlik)aneRCIserIsrYc<br />

• karBinitüeLIgvijnUvB½t’manmUldæankarse®gÁaH<br />

bnÞan;EpñksmÖB nigEfTaMTarkeTIbekIt<br />

• kMNt;ehtuénkarRbCuMeFVIEpnkar <strong>EmONC</strong><br />

• karBiPakSatamRkumeKaledA<br />

• kMNt;ehtukarRbCuM<br />

• karsmÖasn_CamYyRkum<br />

RbwkSaXuM-sgáat;<br />

• Tinñn½ymUldæansuxaPi)al<br />

• RbB½n§RKb;RKgB½t’mansuxaPi)al<br />

• karvaytémø <strong>EmONC</strong><br />

• karGegátRbCasa®sþ nigsuxPaB enAkm


7>2 karbegáItbrisßanGMeNaypl<br />

yuT§sa®sþ³ erobcM[maneKalneya)ay nigsþg;daedIm,IKaMRTdl;karGnuvtþkBa©b; esvase®gÁaHbnÞan;Epñk smÖBnigkarEfTaMTarkeTIbnwgekItedayEp¥kelIP½sþútag<br />

enARKb;kRmiténkarEfTaM.<br />

lT§plTI1³ eKalneya)ay nigsþg;daGb,brmaedIm,IKaMRTdl;karGnuvtþkarse®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItenARKb;kRmit<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karTTYlxusRtÚv<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

1>1 clnaPaBCaGñkdwknaMCan;x


lT§plTI1³ eKalneya)ay nigsþg;daGb,brmaedIm,IKaMRTdl;karGnuvtþkarse®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItenARKb;kRmit<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karTTYlxusRtÚv<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

eFVIkarRbCuMBinitüeLIgvijRbcaMqñaM<br />

nigkarRtÜtBinitütamdanCamYy<br />

édKUm©as;CMnYy<br />

kMNt;ehtuénkarRbCuMnig<br />

karcuHRtÜtBinitütamdan<br />

kñúgkarbgðajFatucUlrbs;<br />

m©as;CMnYy<br />

kmμviFICatisuxPaB<br />

bnþBUC EpñkEfTaM<br />

smÖB nigTarkeTIb<br />

ekItbnÞan;<br />

édKUm©as;CMnYy<br />

x x x x x 5,000.00<br />

karRbCuM 5dg x 5qñaM<br />

1>3 BinitüeLIgvij eFVI[RbesIr<br />

eLIg nigcab;epþImeRbIbBa©b;<br />

Gb,brmaénesvasuxPaB<br />

matanigTark eTIbekIt nig<br />

Ep¥kelIkarGnuvtþCak;Esþg<br />

edIm,IBRgwgGn þraKmn_KnøwH<br />

<strong>EmONC</strong><br />

kMNt;sMNuMkRmitxusKña²énesvasRmal<br />

kUn kñúgeKalbMNg³<br />

• karGnuvtþ nigkarGnþraKmn_<br />

• FnFanmnusS<br />

• smÖar³<br />

• brikçar<br />

• ehdæarcnasm


lT§plTI1³ eKalneya)ay nigsþg;daGb,brmaedIm,IKaMRTdl;karGnuvtþkarse®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItenARKb;kRmit<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

1>4 GPivDÆ/ BinitüeLIgvij nigEk<br />

sRmÜleKalneya)ay Edl<br />

GaceFVI[GaCIBsuxaPi)al<br />

RbesIreLIg edIm,IeRbIR)as;<br />

CMnajsRmalsRmab;kar<br />

EfTaMsmÖB nigTark eTIbekIt<br />

bnÞan;<br />

eFVIkarRbCuM¼sikçasalaBieRKaHeyabl;<br />

edIm,IBinitüeLIgvijeKalneya)ay<br />

suxaPi)alEdlmanRsab;<br />

nigEksRmÜlkñúgkarrYmbBa©Úlkarse®gÁaH<br />

bnÞan;EpñksmÖB nigEfTaMTarkeTIbekIt<br />

eKalneya)ayEdlman<br />

rYcRsab;kñúgkarKaMRTkar<br />

sRmalénesvase®gÁaH<br />

bnÞan;EpñksmÖB nigTark<br />

eTIbekIt EdlmankarTak;<br />

TgeTAnwg karGnuvtþl¥<br />

RbesIr nigPaBCak;Esþg<br />

EdlmanlkçN³GnþrCati<br />

karTTYlxusRtÚv<br />

Epñkse®gÁaHbnÞan;<br />

EpñksmÖB nig<br />

TarkeTIbekIt/<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal énmCÄ<br />

mNÐlCatiKaMBar<br />

mata nigTark nig<br />

édKUm©as;CMnYy/<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x 10,000.00<br />

karKaMRTbec©keTsenAnwgkEnøg<br />

nigsikçasalasRmbsRmÜl<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 53


lT§plTI1³ eKalneya)ay nigsþg;daGb,brmaedIm,IKaMRTdl;karGnuvtþkarse®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItenARKb;kRmit<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

1.5<br />

BinitüeLIgvij nigcab;epþImeRbI<br />

sþg;da nigBiFIsarGb,brma<br />

edIm,IKaMRTkarsRmalEdl<br />

mankarEfTaMsmÖB nigTark<br />

eTIbekItbnÞan;EpñkelIsMNuM<br />

P½sþútagCak;Esþg<br />

begáItkarEfTaMsþg;dasRmab;karse®gÁaH<br />

bnÞan;EpñksmÖB nigTarkeTIbekItenARKb;<br />

lMdab;fñak; nigeKalkarN_ENnaMsRmab;<br />

RbtibtþikñúgkarerobcM mUldæansuxaPi)al<br />

Edlmanesvase®gÁaHbnÞan;EpñksmÖB nig<br />

TarkeTIbekIt. sþg;daKYrEtRtÚv)anpþl;<br />

B½t’man edayBiFIsarmatuPaBKμan<br />

eRKaHfñak; ehIyrYmbBa©Úl³<br />

• plvi)akénkarmanépÞeBaH<br />

• karEfTaMeBlQIeBaHsRmal/<br />

eBlsRmal/ eRkaysRmal<br />

nigkarEfTaMTarkeTIbekIt<br />

• esvaKaMRTepSgeTot<br />

• karpþl;B½t’man karGb;rM nigkar<br />

R)aRs½yTak;Tg<br />

• FnFanmnusS rUbv½nþ nig smÖar³<br />

• RbB½n§RKb;RKg<br />

sþg;daGb,brmasRmab; kar<br />

se®gÁaHbnÞan;EpñksmÖB nig<br />

EfTaMTarkeTIbekItmanrYcCa<br />

eRsc nigeKalkarN_ENnaM<br />

sRmab;RbtibtþikñúgkarerobcM<br />

erobcM mUldæansuxaPi)al<br />

Edlmanesvase®gÁaHbnÞan;<br />

EpñksmÖB nigTarkeTIbekIt<br />

karTTYlxusRtÚv<br />

kmμviFICatisuxPaB<br />

bnþBUC/ Epñk<br />

se®gÁaHbnÞan;<br />

EpñksmÖB nig<br />

TarkeTIbekIt/<br />

édKUm©as;CMnYy/<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x<br />

35,000.00<br />

karKaMRTbec©keTsenAnwgkEnøg<br />

nigsikçasalasRmbsRmÜl<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 54


lT§plTI1³ eKalneya)ay nigsþg;daGb,brmaedIm,IKaMRTdl;karGnuvtþkarse®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItenARKb;kRmit<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

EktRmÚv plit eFVIets þsakl,g nigpSBV<br />

pSay]bkrN_vaytémø edIm,I[buKÁlik<br />

kñúgRsukeRbIR)as;kñúgkarvaytémø nigedIm,I<br />

eFVI[RbesIreLIgnUvmUldæansuxaPi)al<br />

Edlmanesvase®gÁaHbnÞan;EpñksmÖBnig<br />

EfTaMTarkeTIbekIt edayEp¥kelIeKal<br />

neya)ayCati nigsþg;darYm<br />

]bkrN_vaytémøPasa Exμr<br />

nigGg;eKøs manrYcCaeRsc<br />

sRmab;eRbIR)as;kñúgkareFVI<br />

[RbesIeLIg nigvaytémø<br />

mUldæansuxaPi)alEdlman<br />

esvase®gÁaHbnÞan;EpñksmÖB<br />

nigEfTaMTarkeTIbekIt<br />

karTTYlxusRtÚv<br />

Epñkesvase®gÁaH<br />

bnÞan;EpñksmÖB<br />

nigTarkeTIbekIt/<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal énmCÄ<br />

mNÐlCatiKaMBar<br />

mata nigTark<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x 10,000.00<br />

karKaMRTbec©keTsenAnwgkEnøg<br />

nigsikçasalasRmbsRmÜl<br />

100,000<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 55


7>3 dMeLIgkRmitmUldæansuxaPi)al edIm,IKaMRTesvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbekIt<br />

yuT§sa®sþ³ BRgIkkarRKbdNþb; nigkarEbgEckmUldæanEdlmanesvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekItenATUTaMgRbeTs<br />

lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt RtÚv)anEklMG<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

2>1 eFVI[RbesIeLIg¼BRgwgmnÞIr<br />

eBTü 37 edIm,Ipþl;esva<br />

se®gÁaHbnÞan;EpñksmÖB nig<br />

TarkeTIbekIteBjelj/<br />

mnÞIreBTübEg¥k 40 edIm,Ipþl;<br />

esvase®gÁaHbnÞan;EpñksmÖB<br />

nigTarkeTIbekItkRmit<br />

mUldæan nigmNÐlsuxPaB<br />

60 kñúgkarpþl;esvase®gÁaH<br />

bzmEpñksmÖB<br />

karerobcMEklMGCafμI nigkarRTRTg;<br />

mUldæansuxaPi)alénkarpþl;esvase®gÁaH<br />

bnÞan;EpñksmÖB nigEfTaMTarkeTIbekIt b¤<br />

esvase®gÁaHbzmEpñksmÖB<br />

eFVIlT§kmμ»sfsarv½nþ smÖar³ nigbrikçar<br />

nigP½sþúParepSg²eTot ehIyFanafa<br />

RbB½n§RKb;RKgsmÖar³enAnwgkEnøg<br />

EpnkarmUldæansuxaPi)al<br />

nigkarTak;Tg<br />

sareBIP½NÐ nigkMNt;Rta<br />

KaMRTdl;RbB½n§pÁt;pÁg;<br />

smÖar³<br />

karTTYlxusRtÚv<br />

pÁt;pÁg;tamEpñk<br />

kNþaleTAtam<br />

sMeNIrrbs;mnÞIr<br />

suxaPi)al<br />

pÁt;pÁg;tamEpñk<br />

kNþaleTAtam<br />

sMeNIrbs;mnÞIr<br />

suxaPi)alextþ<br />

201<br />

0<br />

201<br />

1<br />

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4<br />

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x x x x x<br />

4,500,000.00<br />

RtÚv)anKNnaedayeRbI]bkrN_<br />

kMNt;éførbs;GgÁkar UNFPA<br />

dUcCaPaKryénéføsrub<br />

edIm,Isagsg; nigéføRbtibtþibnþ<br />

x x x x x<br />

2,600,000.00<br />

RtÚv)anKNnaedayeRbI]bkrN_<br />

kMNt;éførbs;GgÁkar UNFPA<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 56


lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt RtÚv)anEklMG<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

2>2 pþÜcepþImdMeNIrkarénkarerobcM<br />

mUldæansuxaPi)al[eqøIytb<br />

nwgsþg;daesvase®gÁaHbnÞan;<br />

EpñksmÖB nigTarkeTIbekIt<br />

nigeKalkarN_ENnaM<br />

¬eyagelx 1>5¦<br />

sikçasalary³eBl 1-2éf edIm,ItERm<br />

tRmg;Rkum nig¼b¤eRCIserIsbuKÁlik edIm,I<br />

dMeNIrkar nig]bkrN_ edIm,IeFVI[RbesIr<br />

eLIg nigeFVI[eTACasþg;daénmUldæan<br />

suxaPi)al Edlpþl;esvase®gÁaHbnÞan;<br />

EpñksmÖB nigEfTaMTarkeTIbekIt<br />

karvaytémøenAnwgkEnøg edayRkum<br />

mUldæansuxaPi)alEpñkesvase®gÁaHbnÞan;<br />

EpñksmÖB nigEfTaMTarkeTIbekIt<br />

sikçasala 1-2éf edIm,IerobcMEpnkar<br />

sRmab;dMeLIgkRmitmUldæansuxaPi)al<br />

kMNt;Rtavtþman<br />

karvaytémøRtÚv)anbBa©b;<br />

EpnkarsRmab;dMeLIgkRmit<br />

mUldæansuxaPi)al<br />

karTTYlxusRtÚv<br />

Epñk <strong>EmONC</strong><br />

EpñkbNþúHbNþal<br />

RKÚbegÁalénmCÄ<br />

mNÐl CatiKaMBar<br />

mata nigTark nig<br />

mnÞIrsuxaPi)al<br />

extþ<br />

mnÞIrsuxaPi)alextþ/<br />

RkummUldæan<br />

suxaPi)al Epñk<br />

<strong>EmONC</strong><br />

Epñkesvase®gÁaH<br />

bnÞan;EpñksmÖB<br />

nigEfTaMTarkeTIb<br />

ekIténmnÞIrsuxa-<br />

Pi)alextþ<br />

201<br />

0<br />

201<br />

1<br />

KeRmageBl<br />

201<br />

2<br />

201<br />

3<br />

201<br />

4<br />

duløar<br />

eyabl;<br />

x x x x<br />

69,500.00<br />

eKalkarN_ENnaM nig]bkrN_Edl<br />

snμt;KWmanrYcCaeRscsRmab;eRbI<br />

(139 mUldæan suxaPi)al x<br />

$500.00)<br />

x x x x<br />

34,750.00<br />

]bkrN_ nigkarKaMRTsRmbsRmÜl<br />

(139 mUldæansuxaPi)al x<br />

$250.00)<br />

x x x x 42,000.00<br />

EpnkarKYrEtbBa©ÚleTAkñúgEpnkar<br />

rbs;extþ ¬139 mUldæansuxaPi)al<br />

x $500.00¦<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 57


lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt RtÚv)anEklMG<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karTTYlxusRtÚv<br />

201<br />

0<br />

201<br />

1<br />

KeRmageBl<br />

201<br />

2<br />

201<br />

3<br />

201<br />

4<br />

duløar<br />

eyabl;<br />

lMhat;énPaBrYcral;ry³eBl 2-4éf<br />

EdlenATIenaH RkummUldæansuxaPi)al<br />

esvase®gÁaHbnÞan;EpñksmÖBnigEfTaMTark<br />

eTIbekIt eFVIkarTaMgGs;mUldæan<br />

suxaPi)al [seRmcnUvsþg;da<br />

bBa¢IsareBIP½NÐ edIm,IKaMRT<br />

karerobcMbrikçar nigsmÖar³<br />

Epñkesvase®gÁaH<br />

bnÞan;EpñksmÖB<br />

nigTarkeTIbekIt<br />

énmnÞIrsuxaPi)al<br />

extþ<br />

x x x x 139,000.00<br />

skmμPaBenHCaFmμtaRbRbwtþeTA<br />

2-4éf GaRs½yelITMhMénmUldæan<br />

suxaPi)al ¬$1,000kñúgmUldæan<br />

suxaPi)almYy¦<br />

eFVI[eTACasþg;daénsmaCikRkumbec©keTsesvase®gÁaHbnÞan;EpñksmÖB<br />

nig<br />

EfTaMTarkeTIbekIt enAkñúgsmtßPaB<br />

énkarse®gÁaHbnÞan;EpñksmÖB nigEfTaM<br />

TarkeTIbekIt<br />

kMNt;RtabBa¢IepÞógpÞat;<br />

CMnajKøInik<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal nig<br />

CMnajKøInikénmCÄ<br />

mNÐlCatiKaMBar<br />

mata nigTark/<br />

Epñkse®gÁaHbnÞan;<br />

EpñksmÖB nig<br />

TarkeTIbekIt/<br />

x x x x 139,000.00<br />

P¢ab;karbNþúHbNþalKøInik nigBiFI<br />

sarmatuPaBKμaneRKaHfñak; edIm,I<br />

FanafabuKÁlikdMeNIkarCMnajKøInik<br />

dUcKña¬$1,000kñúgmUldæan<br />

suxaPi)almYy¦<br />

karvaytémøedaymnÞIrsuxaPi)aleday<br />

xøÜnÉgnigsmaCikRkummUldæansuxaPi)al<br />

<strong>EmONC</strong> edIm,Irk[eXIjPaBBitR)akd<br />

énPaBrYcral;rbs;mUldæansuxaPi)al<br />

karvaytémøRtÚv)anbBa©b;<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal énmCÄ<br />

mNÐlCatiKaMBar<br />

mata nigTark/<br />

Epñk <strong>EmONC</strong><br />

x x x x 42,000.00<br />

enAeBl)anseRmacsþg;da/ mnÞIrsuxa<br />

Pi)alextþesñIsuMkarBinitüeLIgvijBI<br />

RksYgsuxaPi)alkñúgkMLúgeBl<br />

cuHRtÜtBinitütamdanCaRbcaM ¬139<br />

mUldæansuxaPi)al<br />

x $300.00¦<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 58


lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt RtÚv)anEklMG<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

2>3 begáInKuNPaBénkarRbmUl<br />

B½t’man nigkarEfrkSa<br />

kMNt;RtaEpñk ehIyFanafa<br />

sUcnakr <strong>EmONC</strong>énGgÁkar<br />

shRbCaCatiRtÚv)anbBa©Úl<br />

kñúgRbB½n§RKb;RKgB½t’man<br />

suxaPi)al<br />

sikçasala 1éf sRmab;GñkeFVIeKalneya)ayénRksYgsuxaPi)al<br />

30 nak;<br />

edIm,IBinitüeLIgvijnUvsUcnakr<br />

GgÁkarshRbCaCati nigyl;RBmelI³<br />

• PaKEbgsRmab; CS**<br />

• sþg;daGgÁkarshRbCaCati<br />

sRmab;RbeTskm


lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt RtÚv)anEklMG<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

2>4 pþl;kBa©b;sarv½nþénesvasux<br />

PaBmata nigTarkeTIbekIt<br />

EdlnwgBRgwgEpñk <strong>EmONC</strong><br />

FanafasUcnakrTaMgGs;én <strong>EmONC</strong>RtÚv<br />

)andak;bBa©ÚlenAkñúgRbB½n§RKb;RKg<br />

B½t’mansuxaPi)al nigsUcnakrEdlRtÚv<br />

)aneRCIserIsdak;enAkñúgkarBinitüeLIg<br />

vijrYmKñaelIsmiT§plsuxaPi)al<br />

pþl;karykcitþTukdak;elIkkarEfTaM<br />

épÞeBaHmunsRmal<br />

pþl;karEfTaMkñúgeBls®maledaypþl;<br />

GaTiPaBkñúgkarGnuvtþEpnkar <strong>EmONC</strong><br />

eBjeljnig <strong>EmONC</strong> kRmitmUldæan<br />

pþl;karEfTaMTarkeTIbekItCasarv½nþ<br />

sUcnakrénGgÁkar<br />

shRbCaCatiEdlRtÚv)an<br />

raykarN_edayRbB½n§RKb;<br />

RKgB½t’mansuxaPi)al/<br />

sUcnakrEdlRtÚv)aneRCIs<br />

erIsenAkñúgr)aykarN_<br />

karBinitüeLIgvijrYmKñaelI<br />

smiT§plsuxaPi)al<br />

°énmUldæansuxaPi)al<br />

Edl pþl;karykcitþTukdak;<br />

elIkkarEfTaMépÞeBaHmun<br />

sRmal<br />

°énkarsRmalenAkñúgmUl<br />

dæansuxaPi)alEpñk<br />

<strong>EmONC</strong><br />

°énmUldæansuxaPi)al<br />

CamYynigesvase®gÁaHTark<br />

eTIbekIt[dkdegðIm<br />

karTTYlxusRtÚv<br />

kmμviFICatisuxPaB<br />

bnþBUC/mCÄmNÐl<br />

CatiKaMBarmata<br />

nigTark nig Epñk<br />

<strong>EmONC</strong><br />

kmμviFICatisuxPaB<br />

bnþBUC edayman<br />

karKaMRTBI Epñk<br />

<strong>EmONC</strong><br />

kmμviFICatisuxPaB<br />

bnþBUC edayman<br />

karKaMRTBI Epñk<br />

<strong>EmONC</strong><br />

kmμviFICatisuxPaB<br />

bnþBUC edayman<br />

karKaMRTBI Epñk<br />

<strong>EmONC</strong><br />

201<br />

0<br />

201<br />

1<br />

KeRmageBl<br />

201<br />

2<br />

201<br />

3<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 60<br />

201<br />

4<br />

duløar<br />

x x x x x 0<br />

x x x x x 750,000.00 .<br />

x x x x x 750,000.00<br />

x x x x x 3,000.000.00<br />

eyabl;


lT§plTI2³ lT§PaBpþl; niglT§PaBeRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt RtÚv)anEklMG<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

2>5 begáInkmøaMgesvabBa©ÚlQam<br />

nigkarpÁt;pÁg;QamsuvtißPaB<br />

enAmUldæansuxaPi)alEpñk<br />

<strong>EmONC</strong> nImYy²<br />

pþl;karEfTaMtamEbbm þaykg;hÁarU<br />

(KMC)<br />

pþl;karEfTaMeRkaysRmal<br />

FanafaFnaKarQam nigkEnøgTukdak;<br />

QamEdldMeNIrkar ebIkTVarenARKb;<br />

mUldæansuxaPi)al kñúgkarpþl;esva<br />

<strong>EmONC</strong> eBjelj<br />

°énmUldæansuxaPi)alEpñk<br />

<strong>EmONC</strong> elIkkm


7>4 BRgwgsmtßPaBsßab½n nigRbPBFnFanmnusS<br />

yuT§sa®sþ³ ksagsmtßPaBrbs;mnÞIreBTüEdl)aneRCIserIsedIm,IGacbMeBjmuxgarCakEnøgbNþúHbNþalKøInik sMedAKaMRT[manbuKÁlikeFVIkar 24em:agenAkñúgEpñk<br />

se®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt.<br />

lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

3>1 FanafamanbuKÁlikRKb;RKan;<br />

edIm,Ipþl; <strong>EmONC</strong>eBj<br />

24 em:ag nigesvaepSg²<br />

ehIycl½tbuKÁlik b¤bBa¢Ún<br />

eTATINaEdlGaceFVIeTA)an<br />

svnkmμénmuxgarFnFanmnusSenAkñúg<br />

mUldæansuxaPi)al<br />

eFVI[Epñk <strong>EmONC</strong> eTACaGaTiPaBx


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

3>2 ksagsmtßPaBénmCÄ<br />

mNÐlCatiKaMBarmata nig<br />

Tark nigmnÞIreBTübEg¥k 5<br />

[eTACakEnøgbNþúHbNþal<br />

KøInikEpñk <strong>EmONC</strong><br />

GPivDƼcab;eRbIR)as;sþg;da nigmuxgar<br />

énTItaMgbNþúHbNþalKøInikedayrYm<br />

bBa©Úl³<br />

• TIkEnøg lMh brikçar cMnYnGñkCMgW<br />

• vKÁbNþúHbNþal smÖar³ KMrU<br />

• buKÁlik nigRKÚbNþúHbNþalKøInik<br />

• karerobcMrbs;RKÚbNþúHbNþal<br />

• kEnøgEdlmanlkçN³sþg;da<br />

• tRmÚvkarKøIniksRmab;buKÁliksuxa<br />

Pi)alRbePTepSg²<br />

• kMNt;Rta nigr)aykarN_<br />

• karGPi)al nigkarKaMRT<br />

sþg;daedIm,IKaMRTkareFVI[l¥<br />

RbesIreLIg nigmandMeNIrkar<br />

kEnøgbNþúHbNþal <strong>EmONC</strong><br />

RtÚv)anTukCaÉksar nigÉk-<br />

PaBedayRksYgsuxaPi)l<br />

sRmab;EpñkEdlmankñúgbBa¢I<br />

TaMgGs; rYmTaMgkarBiBN’na<br />

kargar sRmab;buKÁlik<br />

pþl;karbNþúHbNþalKøInik<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

Epñk <strong>EmONC</strong>/<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal énmCÄ<br />

mNÐlCatiKaMBar<br />

mata nigTark nig<br />

édKUm©as;CMnYy<br />

2010 2011 2012 2013 2014<br />

x 35,000.00<br />

sikçasalaKaMRTbec©keTs<br />

nigsRmbsRmÜl<br />

Page: 63


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

EktRmÚv plit eFVIets þsakl,g<br />

nigpSBVpSay]bkrN__vaytémøkar<br />

bNþúHbNþalKøIniksRmab;eRbIR)as;<br />

edaybuKÁlikenAnwgkEnøgkargar<br />

kñúgkar):an;RbmaN nig eFVI[mUldæan<br />

suxaPi)al <strong>EmONC</strong> RbesIreLIg<br />

edayEp¥lelIeKalneya)ayCati nig<br />

sþg;darYm<br />

svnkmμénmNÐlCatiKaMBarmatanig<br />

Tark nigmnÞIreBTübEg¥k 5 EdlnwgeFVI<br />

[eTACakEnøgbNþúHbNþalCMnajKøInik<br />

Epñk <strong>EmONC</strong>l¥RbesIr<br />

erobcMEklMGCafμInigCYsCulmCÄmNÐl<br />

CatiKaMBarmatanigTark rhUtdl;man<br />

kEnøgbNþúHbNþalKøInikcMnYn 5 Ep¥kelI<br />

sþg;da ¬eyag xx ¦<br />

]bkrN_vaytémøCaPasaExμr<br />

nigGg;eKøs manrYcCaeRsc<br />

sRmab;eRbIR)as;enAkñúgextþ<br />

• cMnYnGñkCMgW<br />

• smßPaBbuKÁlik<br />

• TIkEnøglMh nigbrikçar<br />

EpnkarmUldæansuxaPi)al<br />

nigTMnak;TMng<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

Epñk <strong>EmONC</strong>/<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal énmCÄ<br />

mNÐlCatiKaMBar<br />

mata nigTark nig<br />

édKUm©as;CMnYy<br />

EpñkbNþúHbNþalRKÚ<br />

begÁal énmCÄmNÐl<br />

CatiKaMBar mata nig<br />

Tark Epñk <strong>EmONC</strong><br />

pÁt;pÁg;tamEpñk<br />

kNþaleTAtam<br />

sMeNIrbs;mCÄ<br />

mNÐlCatiKaMBar<br />

mata nigTark<br />

2010 2011 2012 2013 2014<br />

x 10,000.00<br />

EpñkenHGacnwgRtÚv)anTTYlr:ab;rg<br />

edaykugs‘ultg;kñúgRsuk<br />

x<br />

35,000.00<br />

sikçasalaKaMRTbec©keTs<br />

nigsRmbsRmÜl<br />

x x x<br />

225,000.00 NMCHC $100,000.00 and 5<br />

clinical training sites at<br />

$25,000 each<br />

Page: 64


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

3>3 GPivDÆsmtßPaBénRKÚbNþúH<br />

bNþalkñúgRsuksRmab;kar<br />

bNþúHbNþalCMnajKøInik<br />

Ep¥kelIsmtßPaB<br />

pÁt;pÁg;smÖar³beRgónKøInik ¬rYmTaMgKMrU¦<br />

nigFanafaRbB½n§RKb;RKgsmÖar³eRtóm<br />

rYcedIm,IKaMRTkarbNþúHbNþalbnþenA<br />

mNÐlCatiKaMBarmatanigTark nigenA<br />

kEnøgbNþúHbNþalKøInik 5eTot<br />

erobcMTsSnkic©sikSaGnþrCati 10 éf<br />

sRmab;buKÁlikmCÄmNÐlCatiKaMBar<br />

matanigTarksMxan;² 5nak; edIm,I<br />

segátkEnøgbNþúHbNþalKøInik<br />

karbNþúHbNþal 10éfsRmab;RKÚ<br />

bNþúHbNþalkRmitx


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

3>4 karGPi)alnigKaMRTsRmab;<br />

karbNþúHbNþalKøInik<br />

3>5 begáIn nigGPivDÆkarbNþúH<br />

bNþalmUldæan nig<br />

eRkaybBa©b;karsikSa<br />

sRmab;buKÁliksuxaPi)al<br />

TaMgGs;kñúgkarpþl;esva<br />

EpñksmÖB<br />

BinitüeLIgvij¼eFVIbc©úb,nñkmμ]bkrN_<br />

bBa¢IepÞógpÞat;sRmab;karGPi)al<br />

sikçasala 1éf edIm,ItRmg;TisRKÚ<br />

bNþúHbNþal¼GñkENnaMKøInik eTAnwg<br />

]bkrN_énkarGPi)al<br />

karRbCuM edIm,IFanafaEpnkarman<br />

CaeRsc edIm,IKaMRTkarGPi)al<br />

karbgVwk nigEklMGbec©keTseLIgvij<br />

enAtamkRmitmUldæansuxaPi)al<br />

EksRmÜlkmμviFIbNþúHbNþalmuncUl<br />

beRmIkargar EdlmanRsab; edIm,IFana<br />

fakarbNþúHbNþal <strong>EmONC</strong><br />

¬Gn þraKmn_KnøwHTaMg 7¦ KWcaM)ac;xan<br />

min)an enAkñúgkarbNþúHbNþalmun<br />

cUlbeRmIkargarsRmab;Kilanubdæakyika<br />

qμb evC¢bNÐit nigRKÚeBTümFüm<br />

eFVIbc©úb,nñkmμ]bkrN_sRmab;<br />

karGPi)al nigkarbgVwk<br />

kMNt;RtabBa¢Ivtþmanén<br />

sikçasala<br />

kalviPaKsRmab;karGPi)al<br />

karbgVwk nigEklMGbec©keTs<br />

eLIgvij<br />

kmμviFIbNþúHbNþalRtÚv)anEk<br />

sRmÜl nigGnuvtþ<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

Epñk <strong>EmONC</strong>/<br />

kEnøgbNþúHbNþal/<br />

Epñk <strong>EmONC</strong>/<br />

kEnøgbNþúHbNþal/<br />

Epñk <strong>EmONC</strong>/<br />

RKÚbNþúHbNþalKøInik<br />

EpñkFnFanmnusS<br />

nigEpñk <strong>EmONC</strong>/<br />

sßab½nbNþúHbNþal<br />

ÉkCn nigsaFarN³<br />

2010 2011 2012 2013 2014<br />

x x x x<br />

4,000.00<br />

Ettémøplitkmμ nigkarpSBVpSay<br />

b:uNaH<br />

x x x x<br />

50,000.00<br />

sikçasalatRmg;TiseTogTat; 20<br />

x 1éfsRmab;sikçakam10nak;<br />

x x x x<br />

25,000.00<br />

karRbCuM 100elIkTUTaMg 24extþ<br />

¬mUldæansuxaPi)alxøHnwgcUlrYm<br />

CamYyKña¦<br />

x x<br />

35,000.00<br />

sikçasalaKaMRTbec©keTs<br />

nigsRmbsRmÜl<br />

Page: 66


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

begáInkarbNþúHbNþalmuneBlcUl<br />

beRmIkargar edIm,IFanafamancMnYn<br />

buKÁlikRKb;RKan; sRmab;kareRbIR)as;<br />

mUldæansuxaPi)al <strong>EmONC</strong> [man<br />

RbsiT§PaB. KYrEtpþl;karykcitþTuk<br />

dak;CaBiessdl;KilanubdæakyikaEpñk<br />

dak;fñaMsNþM KilanubdæakyikaEpñk<br />

bnÞb;vHkat;nigGñkbec©keTsmnÞIr<br />

BiesaFn_<br />

BinitürklT§PaBGaharUbkrN_eRkay<br />

bBa©b;karsikSasRmab; evC¢bNÐitkñúg<br />

EpñkCMgWkumar EpñkTarkeTIbnwgekIt<br />

EpñksmÖB nig eraK®sþI<br />

RsÚbcUlnUvkarcuHeQμaHcUl<br />

eronfñak;qμbmFümKilanubdæakyikaEpñkdak;fñaMsNþM<br />

KilanubdæakyikaEpñkbnÞb;vH<br />

kat; nigGñkbec©keTsmnÞIr<br />

BiesaFn_<br />

karbBa©b;viBaØabnbRt<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

EpñkFnFanmnusS<br />

nigEpñk <strong>EmONC</strong>/<br />

sßab½nbNþúHbNþal<br />

ÉkCn nigsaFarN³<br />

nigsmaKmviC¢aCIv³<br />

EpñkFnFanmnusS<br />

nig Epñk <strong>EmONC</strong>/<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal karKaMRT<br />

BIm©as;CMnYy<br />

2010 2011 2012 2013 2014<br />

x x x<br />

0<br />

ts‘UmtienAfñak;x


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

3>6 GnuvtþkmμviFIbNþúHbNþal<br />

eBlkMBugbeRmIkargar<br />

<strong>EmONC</strong> sRmab;<br />

Kilanub,dæakyikar qμb<br />

RKUeBTümFüm nigevC¢bNÐit<br />

nigbuKÁlikepSg²eTotEdl<br />

kMBugpþl;esvasmÖB<br />

edayEp¥kelIkmμviFIbNþúHbNþalEdl<br />

manRsab; GPivDÆRkbx½NÐkargar<br />

kmμviFIbNþúHbNþal nigeKalkarN_<br />

ENnaMRbtibtþi sRmab;eFVI[karbNþúH<br />

bNþal <strong>EmONC</strong> eTACasþg;daenA<br />

kRmiténkarEfTaMTaMgbIfñak;<br />

¬<strong>EmONC</strong>eBjelj/ <strong>EmONC</strong>kRmit<br />

mUldæan/nigkarse®gÁaHbzmEpñksmÖB¦<br />

eFVI[karbNþúHbNþal <strong>EmONC</strong> eTACa<br />

sþg;dasRmab;Epñk <strong>EmONC</strong> enAkñúg<br />

mUldæansuxaPi)al <strong>EmONC</strong><br />

eBjeljTaMg 27<br />

°énbuKÁlikRbePTepSg²<br />

Edl)anbNþúHbNþal<br />

karbgðajecjnUvsmtßPaB<br />

<strong>EmONC</strong> edayEp¥kelI<br />

bBa¢IepÞógpÞat;<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

EpñkFnFanmnusS<br />

nigEpñk <strong>EmONC</strong>/<br />

mCÄmNÐlCatiKaMBar<br />

matanigTark/<br />

TItaMgbNþúHbNþal/<br />

EpñkFnFanmnusS<br />

nigEpñk <strong>EmONC</strong>/<br />

mCÄmNÐlCatiKaMBar<br />

matanigTark<br />

TItaMgbNþúHbNþal/<br />

2010 2011 2012 2013 2014<br />

x<br />

35,000.00<br />

sikçasalaKaMRTbec©keTs<br />

nigsRmbsRmÜl<br />

x x x x x<br />

820,000<br />

karbNþúHbNþalEdlerobcMeLIg<br />

kñúgry³eTogTat;sRmab;sikçakam<br />

540nak;EdlmkBI 27mUldæan<br />

suxaPi)al. vKÁbNþúHbNþal<br />

nImYy² mansikçakam 10 nak;.<br />

TaMgGs;man 54vKÁbNþúHbNþal<br />

dUcCakarbNþúHbNþalKøInik7vKÁ<br />

kñúgry³eBlBIrqñaM bnÞab;mk<br />

bNþúHbNþaleLIgvij<br />

¬$6,000kñúgmYyvKÁ¦<br />

Page: 68


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

eFVI[karbNþúHbNþal <strong>EmONC</strong> eTACa<br />

sþg;dasRmab;Epñk <strong>EmONC</strong> enAkñúg<br />

mUldæansuxaPi)al <strong>EmONC</strong><br />

kRmitmUldæanTaMg 40<br />

karbgðajecjnUvsmtßPaB<br />

<strong>EmONC</strong> edayEp¥kelI<br />

bBa¢IepÞógpÞat;<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

EpñkFnFanmnusS<br />

nigEpñk <strong>EmONC</strong><br />

mCÄmNÐlCatiKaMBar<br />

matanigTark<br />

TItaMgbNþúHbNþal/<br />

2010 2011 2012 2013 2014<br />

x x x x x<br />

600,000<br />

karbNþúHbNþalEdlerobcMeLIg<br />

kñúgry³eTogTat;sRmab;sikçakam<br />

400nak;EdlmkBI 40mUldæan<br />

suxaPi)al. vKÁbNþúHbNþal<br />

nImYy² mansikçakam 10 nak;.<br />

TaMgGs;man 40vKÁbNþúHbNþal<br />

dUcCakarbNþúHbNþalKøInik 6-7<br />

vKÁ kñúgry³eBlBIrqñaM bnÞab;mk<br />

bNþúHbNþaleLIgvij<br />

¬$6,000kñúgmYyvKÁ¦<br />

Page: 69


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

eFVI[karbNþúHbNþalkarse®gÁaHbzm<br />

EpñksmÖBeTACasþg;da sRmab;buKÁlik<br />

kMBugpþl;karse®gÁaHbzmEpñksmÖB<br />

enAkñúgmNÐlsuxPaBcMnYn 62 Edlnwg<br />

RtÚv)andMeLIgkRmit Ca <strong>EmONC</strong><br />

kRmitmUldæan<br />

<strong>EmONC</strong> kRmitx


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

vKÁbNþúHbNþalviRkitükarsRmab;Gñk<br />

CMnYykarmnÞIrBiesaFn_RtÚv)anpþl;<br />

edayEp¥kelItRmÚvkarcaM)ac;<br />

vKÁbNþúHbNþalviRkitükarsRmab;»sf<br />

karIRtÚv)anpþl;[Ep¥kelItRmÚvkar<br />

caM)ac;<br />

karbBa©b;viBaØabnbRt<br />

karbBa©b;viBaØabnbRt<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

FnFanmnuusS/ Epñk<br />

<strong>EmONC</strong><br />

mCÄmNÐlCatiKaMBar<br />

matanigTark<br />

karKaMRTBIm©as;CMnYy<br />

FnFanmnuusS/ Epñk<br />

<strong>EmONC</strong><br />

mCÄmNÐlCatiKaMBar<br />

matanigTark<br />

karKaMRTBIm©as;CMnYy<br />

2010 2011 2012 2013 2014<br />

x x x x x<br />

500,000<br />

sikçakam 400nak;<br />

x139mUldæan suxaPi)al.<br />

vKÁbNþúHbNþal nImYy²<br />

mansikçakam 10nak;. 40vKÁ<br />

kñúgry³eBlBIrqñaMmþg.<br />

20vKÁkñúgmYyqñaM. $5,000.00<br />

sRmab;1vKÁ. sikçakammñak;²RtÚv<br />

)anbNþúHbNþalral;2qñaMmþg.<br />

Kit BicarNaGMBIkic©snüabnþeTA[<br />

sßab½nÉkCn.<br />

x x x x<br />

200,000<br />

sikçakam 200nak;x139mUldæan<br />

suxaPi)al. vKÁbNþúHbNþal<br />

nImYy² mansikçakam 10nak;.<br />

20vKÁ kñúgry³eBlBIrqñaMmþg.<br />

10vKÁkñúgmYyqñaM. $5,000.00<br />

sRmab;1vKÁ. sikçakammñak;²RtÚv<br />

)anbNþúHbNþalral;2qñaMmþg.<br />

Kit BicarNaGMBIkic©snüabnþeTA[<br />

sßab½nÉkCn.<br />

Page: 71


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

3>7 pþl;karbNþúHbNþalCMnaj<br />

KøInikeTogTat;EdlGnuBaØat<br />

[esva <strong>EmONC</strong><br />

edIm,Ipþl;karRTRTg;CMnaj<br />

nigsmtßPaB<br />

vKÁbNþúHbNþalviRkitükarsRmab;Gñk<br />

bec©keTskaMrsμIGuicRtÚv)anpþl;[Ep¥k<br />

elItRmÚvkarcaM)ac;<br />

pÁt;pÁg;FnFan¼KMrU sRmab;karbeRgón<br />

edIm,IbMeBjtamsþg;daénTIkEnøg<br />

bNþúHbNþal<br />

karbBa©b;viBaØabnbRt<br />

sMeNIsuMFnFan nigbBa¢IpÁt;pÁg;<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

FnFanmnuusS/ Epñk<br />

<strong>EmONC</strong><br />

mCÄmNÐlCatiKaMBar<br />

matanigTark<br />

karKaMRTBIm©as;CMnYy<br />

Epñk <strong>EmONC</strong> én<br />

mnÞIrsuxaPi)alextþ/<br />

EpñkbNþúHbNþal<br />

RKÚbegÁal énmCÄ<br />

mNÐlCatiKaMBar<br />

matanigTark<br />

2010 2011 2012 2013 2014<br />

x x x x<br />

160,000<br />

sikçakam 160nak; x77mUldæan<br />

suxaPi)al. vKÁbNþúHbNþal<br />

nImYy² mansikçakam 10nak;.<br />

16vKÁ kñúgry³eBlBIrqñaMmþg.<br />

8vKÁkñúgmYyqñaM. $5,000.00<br />

sRmab;1vKÁ. sikçakammñak;²RtÚv<br />

)anbNþúHbNþalral;2qñaMmþg. Kit<br />

BicarNaGMBIkic©snüabnþeTA[<br />

sßab½nÉkCn<br />

x x x x 60,000.00<br />

bnÞb;sRmab;karbgðajenAkñúgmnÞIr<br />

eBTüextþkMBugpþl;esva <strong>EmONC</strong><br />

eBjelj TaMg 6 EdlenATIenaH<br />

CMnajGacRtÚv)anGnuvtþ<br />

Page: 72


lT§plTI3³ smtßPaBedIm,IKaMRTdl;karGPivDÆkarEfTaMCMnaj RtÚv)anBRgwg<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

2010 2011 2012 2013 2014<br />

EklMGCMnajeTogTat;Tan;eBlevla<br />

nigkarbgðajsmtßPaBsRmab;Gñk<br />

hVwkhVWnTaMgGs;énbuKÁlikKøInik<br />

bBa¢IepÞógpÞat;CMnajkñúg<br />

karcg¥úlbgðajsmtßPaB<br />

nigCnajedayELk²<br />

Epñk <strong>EmONC</strong>/<br />

mUldæansuxaPi)al<br />

Epñk <strong>EmONC</strong> eBj<br />

eljEdlRtÚv)an<br />

eRCIserIs<br />

x x x x 96,000.00 TIkEnøgbNþúHbNþalKøInik 6 nig<br />

mUldæansuxaPi)alEpñk <strong>EmONC</strong><br />

eBjelj 6 CamYynwgkarEklMG<br />

CMnajeTogTat;Tan;eBl<br />

¬12 x $2,000 x 4qñaM¦<br />

4,510,000<br />

Page: 73


7>5 karBRgwgkarpþl;esva<br />

yuT§sa®sþ³ BRgwgRbB½n§nanaedIm,IKaMRTdl;kareRbIR)as;kan;EteRcInEfmeTot nigkarelIkkm1 FanafakarRbRBwtþeTAénPaB<br />

rYcral; nigPaBEdlGacrk)an<br />

24em:agénmUldæansuxaPi)al<br />

pþl;esva <strong>EmONC</strong><br />

4>2 GnuvtþEpnkarRbB½n§pþl;rgVan;<br />

EdlminEmnCaR)ak;edIm,IdMeNIr<br />

karkarGPivDÆKuNPaBCabnþ<br />

karRbCuMeTogTat;énRkummUldæansuxaPi)al<br />

edIm,IBiPakSaGMBIkarRbRBwtþeTAénPaB<br />

rYcral;énmUldæansuxaPi)al<br />

yl;RBmelIkarRbRBwtþeTAéndMeNIrkar<br />

sV½yRtÜtBinitütamdan nig]bkrN_<br />

sRmab;eRbIR)as;enAnwgkEnøg<br />

GPivDÆeKalkarN_ENnaM nig]bkrN_<br />

sRmab;GnuvtþEpnkardMeNIrkarkarGPivDÆ<br />

KuNPaBCabnþ<br />

eFVI[GñkRKb;RKgmnÞIrsuxaPi)al<br />

nigRkummUldæansuxaPi)al <strong>EmONC</strong><br />

yl;dwgEfmeTotGMBIrebobedaHRsay<br />

kMNt;RtaénkarRbCuM<br />

eTogTat;<br />

esva <strong>EmONC</strong> 24em:ag kñúg<br />

1éfenAkñúgmUldæansuxaPi)al<br />

Edll¥RbesIr<br />

eKalkarN_ENnaM nig]bkrN_<br />

sRmab;GnuvtþEpnkardMeNIrkar<br />

karGPivDÆ KuNPaBCabn<br />

B½t’manRtLb;BIshKmn_<br />

kMNt;RtabBa¢Ivtþmanénsikçasala<br />

karTTYlxusRtÚv<br />

RkumRKb;RKgfñak;extþ<br />

nigmUldæansuxaPi)al<br />

Epñk <strong>EmONC</strong><br />

RkumRKb;RKgfñak;extþ nig<br />

buKÁlEdleFVI[<br />

mUldæansuxaPi)al<br />

l¥RbesIreLIg<br />

kmμviFICatisuxPaBbnþBUC<br />

nigEpñk <strong>EmONC</strong> Ca<br />

mYykarKaMRTbec©keTs<br />

Epñk <strong>EmONC</strong> Ca<br />

mYykarKaMRTbec©keTs<br />

KeRmageBl<br />

duløar<br />

2010 2011 2012 2013 2014<br />

x x x x 48,000.00<br />

eyabl;<br />

24 extþ x 2 karRbCuM<br />

qñaM x 4 qñaM ¬$250.00<br />

kñúgkarRbCuMmYy¦<br />

x x x 0<br />

karRbCuMeTogTat;énRkum<br />

mUldæansuxaPi)alxagelI<br />

x 35,000.00<br />

sikçasalaKaMRTbec©keTs<br />

nigsRmbsRmÜl<br />

x x x x 155,000.00<br />

24 extþ x $5,000.00<br />

bUknigarKaMRTbec©keTs<br />

Page: 74


lT§plTI 4³ kareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItEdlmandMeNIrkarRbkbedayKuNPaB<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

sikçasalafñak;extþ edIm,IsRmtRmÚv<br />

KuNPaBsþg;da <strong>EmONC</strong> eTAnwg<br />

]bkrN_sRmab;sV½yRtYtBinitütamdan<br />

RtÜtBinitütamdan nigpþl;rgVan;dl;<br />

mUldæansuxaPi)alEdl)anbMeBj<br />

nigrkSa)annUvsþg;daCamUldæan<br />

elIkkmC>m>T mnÞIrsuxaPi)al<br />

extþ nigkarKaMRTBIm©as;<br />

CMnYy<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x 12,000.00<br />

sikçasala 2enAkñúgextþ<br />

nImYy²¬$500.00sRmab;<br />

sikçasala 1¦<br />

x x x 0<br />

karrYmbBa©ÚlKñaCamYynwg<br />

karRtÜtBinitütamdanCa<br />

RbcaMedaymnÞIrsuxaPi)al<br />

x x x 120,000.00<br />

24 extþ x $5,000 edIm,I<br />

GPivDÆRbB½n§pSBVpSay<br />

kñúgkarKaMRTkarGnuvtþl¥<br />

x 35,000.00<br />

sikçasalaKaMRTbec©keTs<br />

nigsRmbsRmÜl<br />

Page: 75


lT§plTI 4³ kareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItEdlmandMeNIrkarRbkbedayKuNPaB<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

4>3 BRgwgkareRbIR)as;én<br />

<strong>EmONC</strong> CamYynwg<br />

]bkrN_¼b½NÑCMnYyEdl<br />

Tak;Tg dUcCa ):atURkahV/<br />

BiFIsarmatuPaBKμan<br />

eRKaHfñak;.l.<br />

4>4 KaMRT nigelIkTwkcitþdl;<br />

karGnuvtþ d¾RbesIrbMput<br />

GPivDÆ eFVIets þsakl,g plit<br />

nigpSBVpSay]bkrN_¼b½NÑCMnYy<br />

EdlsmRsb<br />

pSBVpSay]bkrN_¼b½NÑCMnYy<br />

Edl)anEksRmÜl<br />

BRgwgkareRbI ):atURkahVenARKb;<br />

mUldæansuxaPi)alEpñk <strong>EmONC</strong><br />

karGnuvtþl¥bMput RtÚv)an<br />

Tukdak;CaÉksar nigEckcay<br />

tamry³RBwtþibRtB½t’manEdl<br />

manRsab;<br />

b½NÑCMnYymanrYcCaeRsc<br />

sRmab;pSBVpSay<br />

b½NÑCMnYykMBugeRbIenAkñúg<br />

mUldæansuxaPi)alEpñk <strong>EmONC</strong><br />

b½NÑCMnYymanlkçN³Tan;sm½y<br />

ehIy tMNag[bc©úb,nñPaBén<br />

karGnuvtþ d¾RbesIrbMput<br />

GtßbTsþIBIkarGnuvtþl¥bMput<br />

RtUv)anplitCaeTogTat;<br />

karTTYlxusRtÚv<br />

Epñk <strong>EmONC</strong> nigEpñk<br />

bNþúHbNþalRKU<br />

begÁalénm>C>m>T<br />

nigkarKaMRTBIm©as; CMnYy<br />

Epñk <strong>EmONC</strong> m>C>m>T<br />

/ m©as;CMnYy<br />

Epñk <strong>EmONC</strong> nig<br />

EpñkbNþúHbNþal<br />

RKUbegÁalén m>C>m>T<br />

nigkarKaMRTBIm©as;CMnYy<br />

Epñk <strong>EmONC</strong>/nig<br />

EpñkbNþúHbNþal<br />

RKÚbegÁalén m>C>m>T<br />

nigkarKaMRTBIm©as;CMnYy<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x x x x 50,0000.00<br />

b½NÑCMnYy 5 x $10,00.00<br />

x x x x 139,000.00<br />

pSBVpSay¼plit ¬139<br />

mUldæansuxaPi)al x<br />

$1,000¦<br />

x x x x 0<br />

BRgwgkñúgkMLúgeBl<br />

GPi)al nigKaMRT<br />

mnÞIrsuxaPi)al<br />

x x x x 32,000.00<br />

$ 8,000 x 4 qñaM<br />

Page: 76


lT§plTI 4³ kareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItEdlmandMeNIrkarRbkbedayKuNPaB<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karcuHBinitüenAmUldæan enAtam<br />

extþ edIm,Ipøas;bþÚrKMnit nig<br />

karGnuvtþd¾RbesIrbMput<br />

EktRmÚv plit nigpSBVpSay<br />

FnFanKøInik sRmab;bribTkmm>T<br />

nigkarKaMRTBIm©as;CMnYy<br />

Epñk <strong>EmONC</strong> nig<br />

EpñkbNþúHbNþal<br />

RKÚbegÁalén m>C>m>T<br />

nigkarKaMRTBIm©as;CMnYy<br />

Epñk <strong>EmONC</strong> nig<br />

EpñkbNþúHbNþal<br />

RKÚbegÁalénm>C>m>T<br />

nigkarKaMRTBIm©as;CMnYy<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x x x x 32,000.00<br />

48 TsSn³kic©elI 4qñaM<br />

¬2 dgkñúg 1extþ¦<br />

sRmab; 2-4nak;<br />

$500.00 kñúg<br />

TsSn³kic©1¦<br />

x x x x 20,000.00<br />

]TahrN_ GtßbTEpñk<br />

smÖB nigeraK®sþI<br />

sRmab;km


lT§plTI 4³ kareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItEdlmandMeNIrkarRbkbedayKuNPaB<br />

4>5 karGPi)al nigkarRtÜt<br />

Binit tamdanén<br />

<strong>EmONC</strong> nigEdl<br />

Tak;TgnwgesvaepSg²<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

dwknaMkarsikSaRsavRCavRbtibtþiGMBI<br />

tRmÚvkarCamUldæan edIm,IbegáIt[<br />

mankarseRmccitþ EdlekItmaneLIg<br />

edayEp¥kelI kargarGVI nig ehtuGVI<br />

dak;bBa©ÚlEpñk <strong>EmONC</strong> eTAkñúg<br />

karGPi)al nigkarRtÜtBinitütamdan<br />

EdleTogTat; ehIyEdlTTYlr:ab;rg<br />

edaymnÞIrsuxaPi)alextþ ¼Rsuk<br />

Rbtibtþi<br />

karRtÜtBinitütamdaneTogTat; én<br />

sUcnakrGgÁkarshRbCaCati)an<br />

bBa©ÚlGn þraKmn_KnøwH<br />

bnþeTAtamry³karGnuvtþEpnkar<br />

Ep¥kelIkarsikSaRsavRCavenAqñaM<br />

2015<br />

sUcnakr <strong>EmONC</strong> énGgÁkar<br />

shRbCaCatiEdlGaceRbIR)as;<br />

)antamry³RbB½n§RKb;RKg<br />

B½t’man suxaPi)al<br />

sUcnakr <strong>EmONC</strong> énGgÁkar<br />

shRbCaCatiTaMgGs;ykmk<br />

eRbIR)as;)anenAfñak;extþ<br />

karTTYlxusRtÚv<br />

Epñk <strong>EmONC</strong>nig<br />

EpñkbNþúHbNþal<br />

RKÚbegÁalén m>C>m>T<br />

nigkar KaMRTBIm©as;CMnYy<br />

Epñk <strong>EmONC</strong><br />

RbB½n§RKb;RKg<br />

B½t’mansuxaPi)al/<br />

naykdæanEpnkar<br />

Epñk <strong>EmONC</strong>/<br />

nigmnÞIrsuxaPi)al extþ<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x x x 50,000.00<br />

]TahrN_ kareRbIRbB½n§<br />

TUrs½BÞ\tKitéføsRmab;<br />

karbBa¢Ún bnÞab;BIkar<br />

vaytémørh½ssRmab;<br />

karbBa¢Ún ¬eyag xx ¦<br />

x x x x x 0<br />

)anrYmbBa©ÚleTAkñúgkar<br />

RtÜtBinitütamdan<br />

eTogTat;. sBaØaCIvit<br />

RtÚv)anpþl;[kmμviFICati<br />

suxPaBbnþBUC<br />

x x x x x 0<br />

)anrYmbBa©ÚleTAkñúgkar<br />

RtÜtBinitütamdan<br />

eTogTat;<br />

Page: 78


lT§plTI 4³ kareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekItEdlmandMeNIrkarRbkbedayKuNPaB<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

4>6 svnkmμmrNPaBmata<br />

nigkarBinitüKøInikeLIgvij<br />

dak;svnkmμmrNPaBmata eTAkñúg<br />

EpnkarRbtibtþiRbcaMqñaMTaMGs; nig<br />

viPaKGMBImrNPaBmata enATINa<br />

EdltRmUv[manskmμPaBsmRsb<br />

kMNt;RtakarRbCuM enATINa<br />

EdlkarRsavRCavmrNPaBmata<br />

RtUv)anelIkykmkBiPakSa<br />

karTTYlxusRtÚv<br />

Epñk <strong>EmONC</strong>/nig<br />

EpñkbNþúHbNþal<br />

RKÚbegÁalén<br />

m>C>K>m>T<br />

nigkarKaMRTBIm©as;CMnYy<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x x x 26,000.00<br />

extþcMnYn 24 x karRbCuM<br />

2 x 3 qñaM<br />

1,244,000<br />

Page: 79


7>6 RbB½n§bBa¢Ún<br />

yuT§sa®sþ³ karBRgwgRbB½n§bBa¢Ún<br />

lT§plTI 5³ RbB½n§bBa¢ÚnEdlmandMeNIrkar<br />

5>1 karBRgwgRbB½n§bBa¢Ún<br />

rvagmUldæansuxaPi)al<br />

Epñk <strong>EmONC</strong><br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

eFVIkarvaytémørh½s RbB½n§bBa¢Ún<br />

enAfñak;extþ EdlenATIenaHmanbBaða<br />

karbBa¢Ún bnÞab;mkeFVIskmμPaB<br />

BinitüeLIgvijnUveKalkarENnaMEdl<br />

Bak;B½n§nwgkarbBa¢Únmþay nigTark<br />

eTIbekIt ehIyGnuvtþEpnkar<br />

b¤EksRmÜl<br />

skmμPaBEdl)anrkeXI<br />

jenAkñúgEpnkarextþEp¥k<br />

elIkarvaytémørh½s<br />

° énmUldæansuxaPi)al<br />

EdlmaneKalkarN_EN<br />

naMsRmab;RbB½n§bBa¢ÚnrYc<br />

CaeRsc<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

Epñk <strong>EmONC</strong><br />

nigmnÞIrsuxa-<br />

Pi)alextþ/<br />

karKaMRT<br />

bec©keTsenA<br />

nwgkEnøg<br />

Epñk <strong>EmONC</strong>/<br />

NRHP/karKaM-<br />

RTbec©keTs<br />

enAnwgkEnøg<br />

201<br />

0<br />

201<br />

1<br />

201<br />

2<br />

201<br />

3<br />

201<br />

4<br />

x x x x<br />

x x<br />

120,000.00<br />

cMnYnFmμta edIm,IKaMRTkarGnuvtþ<br />

Epnkar ¬24 extþ x $5,000¦<br />

karvaytémørh½s Gacnwg<br />

RbRBwtþeTA CamYynwgkarKaMRT<br />

bec©keTsenAnwgkEnøg<br />

20,000.00<br />

karKaMRTbec©keTsenAnwgkEnøg<br />

nigsikçasalasRmbsRmÜl<br />

Page: 80


5>2 KaMRTdl;GnþraKmn_Edlnwg<br />

BRgwgkarbBa¢ÚnEp¥kelI<br />

esckþIRtÚvkarcaM)ac;énextþ<br />

dac;²BIKña<br />

5>3 BRgwgRbB½n§bBa¢Únrvag<br />

mUldæansuxaPi)al nig<br />

shKmn_<br />

CYsCul b¤pþl;TUrs½BÞcl½t[ ¬b¤<br />

meFüa)ayTak;TgdéTeTot¦enARKb;<br />

mUldæansuxaPi)aledaypþl;<br />

GaTiPaB[mUldæansuxaPi)alNa<br />

EdlenAtMbn;dac;Rsyal<br />

• GaKarrg;caMEpñksmÖB<br />

• sakl,gkareRbIRbB½n§TUrs½BÞ<br />

\tKitéfø sRmab;karbBa¢Ún<br />

• karbNþúHbNþalGñkebIkbrrfynþ<br />

se®gÁaHkñúgkrNImankarse®gÁaH<br />

bzmbnÞan;<br />

sUmemIlEpñkshKmn_<br />

° énmUldæansuxaPi)al<br />

EdlmandMeNIrkarRbB½n§<br />

TMnak;TMng<br />

GnþraKmn_ edIm,IBRgwg<br />

karbBa¢ÚnenAkñúgEpnkar<br />

RbcaMqñaM<br />

Epñk <strong>EmONC</strong>/ x x<br />

karKaMRTBI<br />

m©as;CMnYy<br />

x x x x<br />

13,900.00<br />

mUldæansuxaPi)al 139 kEnøg x<br />

$100.00<br />

240,000.00<br />

Ep¥kelIkarKaMRTBIm©as;CMnYy<br />

nigtRmÚvkarcaM)ac; ¬24 extþ x<br />

$10,000.00¦<br />

0<br />

393,900<br />

Page: 81


7>7 kareFVIEpnkar nigkarRKb;RKg <strong>EmONC</strong> fñak;extþ<br />

yuT§sa®sþ³ BRgwgkarRKb;RKg nigkareFVIEpnkaresvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekItenAfñak;Cati nigfñak;extþ<br />

lT§plTI 6³ EpnkarsRmab;karse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekItfñak;extþ RtÚv)anerobcM nigGnuvtþedaymnÞIrsuxaPi)alextþ<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

6>1 BRgwgsmtßPaBénmnÞIr<br />

suxaPi)al nigRkummUldæan<br />

suxaPi)alEpñk <strong>EmONC</strong>kñúg<br />

karRKb;RKg nigeFVIEpnkar<br />

esva <strong>EmONC</strong>RbesIrCagmun<br />

dwknaMkarRbCuMeTogTat;CamYymnÞIr<br />

suxaPi)alnigRkummUldæansuxaPi)al<br />

Epñk <strong>EmONC</strong>sRmab;pøas;bþÚrB½t’man.<br />

eFVI[sþg;da nigeKalneya)ayRbesIr<br />

eLIg/ BiPakSaGMBIbBaða <strong>EmONC</strong> nig<br />

kareFVIEpnkar<br />

RbCuMCamYymnÞIrsuxaPi)alkñúgextþ<br />

nImYy² edIm,IRBmeRBógelIkareRCIs<br />

erIsmNÐlsuxPaBkñúgextþnImYy²<br />

RbCuMedIm,IeFVIGnþraKmn_ <strong>EmONC</strong> Edl<br />

manGaTiPaBenAkñúgextþnImYy² nig<br />

RBmeRBógelIkskmμPaBGaTiPaB<br />

sRmab;bBa©ÚleTAkñúgEpnkarRbtibtþi<br />

RbcaMqñaM kñúgR)aMqñaMbnÞab;<br />

° énmUldæansuxaPi)al<br />

kMBugGnuvtþEpnkar<br />

<strong>EmONC</strong><br />

bBa¢IeQμaHmNÐlsuxPaB<br />

sRmab;eFVI[RbesIreLIg<br />

enAkñúgextþnImYy²<br />

skmμPaB <strong>EmONC</strong><br />

EdlCaGaTiPaBenAfñak;<br />

extþenAkñúgEpnkar<br />

RbcaMqñaM<br />

mnÞIrsuxaPi)al<br />

extþ nigbuKÁlik<br />

mUldæansuxaPi)al<br />

Epñk <strong>EmONC</strong><br />

Epñk <strong>EmONC</strong>nig<br />

mnÞIrsuxaPi)al<br />

extþ<br />

Epñk <strong>EmONC</strong>nig<br />

mnÞIrsuxaPi)al<br />

extþ<br />

201<br />

0<br />

x<br />

201<br />

1<br />

201<br />

2<br />

201<br />

3<br />

201<br />

4<br />

x x x x x 60,000.00<br />

extþcMnYn 24 x karRbCuM 2<br />

kñúg1qñaM x 5 qñaM¬$250.00<br />

sRmab;karRbCuM1¦<br />

15,000.00<br />

karRbCuM 4 x extþcMnYn 24<br />

kñúgkMLúgeBl 12Ex<br />

x x x x x 48,000.00<br />

24 x karRbCuM 2 x 4<br />

Page: 82


lT§plTI 6³ EpnkarsRmab;karse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekItfñak;extþ RtÚv)anerobcM nigGnuvtþedaymnÞIrsuxaPi)alextþ<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

6>2 BRgwgkarRKb;RKg nigkar<br />

Tak;TgKña rvagqμbmUldæan<br />

suxaPi)alEpñk <strong>EmONC</strong> -<br />

smC>K>m>T sRmab;m®nþIKaMBarmata<br />

nigTark[eTACaGñksRmbsRmÜl<br />

qμb<br />

vKÁbNþúHbNþalCMnajsRmbsRmÜl<br />

qμb ry³eBl 5éfenAkñúgextþnImYy²<br />

edIm,IGPivDÆ nigeFVIEpnkarskmμPaB<br />

sRmab;karGPi)al nigKaMRT<br />

mNÐlsuxPaB<br />

r)aykarN_segçb sþIBI<br />

lT§plénTIkEnøgbNþúH<br />

bNþalTaMgGs;<br />

viBaØabnbRtbBa¢ak;<br />

smtßPaBsRmab;CMnaj<br />

<strong>EmONC</strong> d¾Cak;lak;<br />

EpnkarskmμPaB Rsuk<br />

Rbtibtþi edIm,IKaMRT<br />

mNÐlsuxPaB<br />

mnÞIrsuxaPi)al<br />

extþ/Rkum<br />

<strong>EmONC</strong><br />

m>C>m>T, Epñk<br />

<strong>EmONC</strong>nigkar<br />

KaMRTBIm©as;<br />

CMnYy<br />

Epñk <strong>EmONC</strong>nig<br />

EpñkbNþúHbNþal<br />

RKÚbegÁalén<br />

nigkarKaMRTBI<br />

m©as;CMnYy<br />

201<br />

0<br />

201<br />

1<br />

201<br />

2<br />

201<br />

3<br />

201<br />

4<br />

x x 139,000.00<br />

mUldæansuxaPi)al 139 kEnøg x<br />

$1000.00<br />

x x x x 120,000.00<br />

vKÁbNþúHbNþal 5éf RtÚv)an<br />

pþl;CUneday NMCHCnigeday<br />

mankarKaMRTBIGgÁkar JICA<br />

¬extþcMnYn 24 x $5000.00¦<br />

x x x x 48,000.00<br />

vKÁbNþúHbNþal 5éf enAfñak;<br />

extþ¬extþcMnYn 24 x $2000.00¦<br />

Page: 83


lT§plTI 6³ EpnkarsRmab;karse®gÁaHbnÞan;EpñksmÖBnigEfTaMTarkeTIbnwgekItfñak;extþ RtÚv)anerobcM nigGnuvtþedaymnÞIrsuxaPi)alextþ<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

karTTYlxusRtÚv KeRmageBl duløar eyabl;<br />

cuHBinitüeTogTat;enAmNÐlsuxPaB<br />

edIm,Ipþl;karRKb;RKg nigKaMRTKøInik<br />

edayRkumsm


7>8 karBRgwgTMnak;TMngCamYyshKmn_<br />

yuT§sa®sþ³ eRbIR)as;KN³kmμkarRKb;RKgmNÐlsuxPaBnigRkumRbwkSaXuM-sgáat; CaynþkarmYysRmab;begáInkareRbIR)as;esvase®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIb<br />

nwgekIt.<br />

lT§plTI 7³ TMnak;TMngCamYyshKmn_RtÚv)anBRgwg nigkareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekIt<br />

7>1 BRgwgTMnak;TMngeTAnwg<br />

shKmn_edayeFVIkartam<br />

ry³KNkmμkarRKb;RKg<br />

mNÐlsuxPaB¬HCMC¦<br />

nigRkumRbwkSaXuM-sgáat;<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

P¢ab;karKaMRTrbs;shKmn_ edIm,I³<br />

• eFVI;[manEpnkarbBa¢ÚnCmWenA<br />

shKmn_eLIg<br />

• eRKagkarénkardwkCBa¢Ún<br />

shKmn_<br />

• KaMRTdl;karpÁt;pÁg;Qam<br />

suvtßiPaBQam<br />

7>2 BRgwgsm


lT§plTI 7³ TMnak;TMngCamYyshKmn_RtÚv)anBRgwg nigkareRbIR)as;kan;EteRcInEfmeTotnUvesvase®gÁaHbnÞan;EpñksmÖB nigkarEfTaMTarkeTIbnwgekIt<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

KaMRTqμbburaNtamry³sm


7>9 karRKb;RKg nigkarsRmbsRmÜl<br />

eKaledA³ edIm,IRKb;RKg nigsRmbsRmÜl <strong>EmONC</strong> [s½kþisiT§i nigmanRbsiT§PaB TUTaMgRbeTskm1 begáIt[manEpñksRmbsRmÜl<br />

<strong>EmONC</strong> nigpþl;karRKb;RKg<br />

TUeTAén <strong>EmONC</strong><br />

begáIt[manEpñksRmbsRmÜl<br />

<strong>EmONC</strong><br />

eRCIserIs nig¼b¤bBa¢ÚnbuKÁlik<br />

eTAEpñk <strong>EmONC</strong><br />

EtgtaMgbuKÁlikKaMRT<br />

GPivDÆEpnkarskmμPaBRbcaMqñaM<br />

karsRmbsRmÜl<strong>EmONC</strong><br />

maneXIjkñúg m>C>K>m>T<br />

kMNt;RtahirBaØvtßúsRmÜl<br />

CamYytémøcMNay<br />

kMNt;RtakargarsRmab;<br />

buKÁlik 5nak;<br />

kMNt;RtakargarsRmab;<br />

buKÁlik 2nak;<br />

EpnkarRbcaMqñaMRtÚvKñaenA<br />

kñúgEpnkarRbcaMqñaMén<br />

RksYgsuxaPi)al<br />

karTTYlxusRtÚv<br />

RksYgsuxaPi)alCamYy<br />

karKaMRTBIm©as;CMnYy<br />

RksYgsuxaPi)alCamYy<br />

karKaMRTBIm©as;CMnYy<br />

RksYgsuxaPi)alCamYy<br />

karKaMRTBIm©as;CMnYy<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x x x x x 150,000.00<br />

témøkarRKb;RKg<br />

$25,000 x 5 qñaM bUk<br />

nWgtémøbegáIteLIg<br />

x x x x 300,000<br />

buKÁlik 5 nak; $5,000<br />

sRmab; 1Ex kñúgry³<br />

eBl 5qñaM<br />

x x x x 60,000<br />

buKÁlik 2 nak;<br />

$1,000.00 sRmab;1Ex<br />

kñúgry³eBl 3qñaM<br />

Epñk <strong>EmONC</strong> x x x x 0<br />

Page: 87


lT§plTI 8³ karRKb;RKg nigkarsRmbsRmÜl <strong>EmONC</strong> Edls½kþisiT§i nigmanRbsiT§PaB<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

GPivDÆEpnkarbNþúHbNþal RbcaMqñaM<br />

EpnkarbNþúHbNþal<br />

RbcaMqñaM<br />

karTTYlxusRtÚv<br />

Epñk <strong>EmONC</strong>/nig<br />

EpñkbNþúHbNþal<br />

RKÚbegÁalén m>C>m>T<br />

KeRmageBl<br />

duløar eyabl;<br />

2010 2011 2012 2013 2014<br />

x x x x 1,000.00<br />

karRbCuMEbbsikçasala<br />

erobcMEpnkarsRmab;eFVI[<br />

mUldæansuxaPi)al <strong>EmONC</strong><br />

TUTaMgextþ RbesIreLIg<br />

sRmbsRmÜl nigRtÜtBinitü tamdan<br />

kic©snüabnþsRmab;<br />

kargarsuIvilbnÞab;bnSM<br />

RtÜtBinitütamdanvDÆnPaBén<br />

PaBeCOnelOnénehdæarcnasm


lT§plTI 8³ karRKb;RKg nigkarsRmbsRmÜl <strong>EmONC</strong> Edls½kþisiT§i nigmanRbsiT§PaB<br />

GnþraKmn_ skmμPaB meFüa)ay<br />

epÞógpÞat;<br />

GPivDÆEpnkar <strong>EmONC</strong> fμIeday<br />

Ep¥kelIkarvaytémøkMBugdMeNIrkar<br />

nigkarBinitüeLIgvijénbnÞat;edImRKa<br />

vDÆnPaBeFobnwg<br />

bnÞat;edImRKa<br />

karTTYlxusRtÚv<br />

Epñk <strong>EmONC</strong>/<br />

karKaMRTkic©snüabnþ<br />

KeRmageBl<br />

2010 2011 2012 2013 2014<br />

duløar<br />

eyabl;<br />

x 35,000.00<br />

GacGnuvtþedayGñk<br />

BieRKaHeyabl;<br />

588,000<br />

Page: 89


]bsm


sRmab;karqøgeraK³<br />

• [fñaMGg;TIb‘Íy:UTikRbePTcak;<br />

• GnuvtþkarykkMeTcsuk<br />

sRmab;rbYsenAkñúgeBaH³<br />

• [fñaMGg;TIb‘Íy:UTikRbePTcak;<br />

• GnuvtþkarbBa©ÚlQam<br />

• GnuvtþkarvHkat;<br />

bRmúgRkLaePøIg b¤RkLaePøIg • [fñaMRbqaMgnwgRbkac;<br />

• karCYyse®gÁaHTarkeTIbekIt[dkdegðIm<br />

• GnuvtþkarvHkat; ¬karvHkat;ykkUn¦<br />

épÞeBaHkUneRkAs,Ún<br />

• GnuvtþkarvHkat;<br />

• GnuvtþkarbBa©ÚlQam<br />

rEhks,Ún • GnuvtþkarvHkat;<br />

• GnuvtþkarbBa©ÚlQam<br />

• [fñaMGg;TIb‘Íy:UTikRbePTcak;<br />

TarkeTIbekItexSay<br />

• GnuvtþkarCYyse®gÁaHTarkeTIbekIt[dkdegðIm<br />

¬kñúgeBlsRmal¦<br />

• GnuvtþkarvHkat; ¬karvHkat;ykkUn¦<br />

<strong>EmONC</strong> <strong>Improvement</strong> <strong>Plan</strong> – Final Draft December 2009 - Page: 91


]bsm


BaküGkSrkat;<br />

* niymn½ykRmit I³ shKmn_; II: <strong>EmONC</strong>kRmitmUldæan; III: <strong>EmONC</strong>eBjelj; IV: mnÞIreBTüCati<br />

AMTSL: karRKb;RKgskmμdMNak;kalTIbIénkarQWeBaHsRmal³ sUmemIlr)aykarN_rYmKña<br />

FIGO/ICM PPH 2006.<br />

MgSO4 - m:aej:süÚms‘ulhVat.<br />

PMTCT - karTb;sáat;karcmøgemeraKeGds_BImþayeTAkUn<br />

qμbCMnaj - sUmemIlr)aykarN_rYmKña FIGO/ICM/WHO 2004.<br />

Basic EmOC: karse®gÁaHbnÞan;EpñksmÖBkRmitmUldæan<br />

a) fñaMGg;TIb‘Íy:UTik ¬cak;srés b¤cak;sac;duM¦<br />

b) fñaM Oxytocic<br />

c) fñaMRbqaMgnwgRbkac;<br />

d) karTmøak;sukedayeRbIéd<br />

e) GnuvtþkarykkMeTcsuk<br />

f) karsRmalkUntamTVarmasedayeRbI]bkrN_CMnYy<br />

g) karCYyse®gÁaHTarkeTIbekIt[dkdegðIm<br />

Comprehensive EmOC: karse®gÁaHbnÞan;EpñksmÖBeBjelj<br />

karse®gÁaHbnÞan;EpñksmÖBkRmitmUldæan bUknwg³<br />

a) GnuvtþkarvHkat;ykkUn<br />

b) GnuvtþkarbBa©ÚlQam<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 93


]bsm


tRmÚvkarGb,brma <strong>EmONC</strong> kRmitmUldæan <strong>EmONC</strong> eBjelj<br />

karRtÜtBinitükar<br />

cmøgeraK<br />

• Twks¥at sab‘U<br />

• sarFatusmøab;emeraK<br />

• qñaMgesar¼qñaMgesarrMgab;emeraKGUtUkøav Boiler/autoclave<br />

• karbgáarCaskl edIm,IbgáarkrrIkraldalénemeraKeGds_ nigCMgWqøgdéTeTot<br />

• kEnøge)akKk; Laundry facilities<br />

• Gkb,kiriyarbs;buKÁlik<br />

karbBa¢Ún • RbB½n§bBa¢ÚnEdleCOTukcitþ)ankñúg 24em:agkñúg1éf nig 7éfkñúg 1s)þah_<br />

• RbsinebI karsRmalkUntamTVarmasedayeRbI]bkrN_bUmTark min)an<br />

eCaKC½y kñúgry³eBl 30naTIRtUveFVIkarvHkat;ykkUnPøam<br />

• kEnøgeFVITMnak;TMng³ karehAtamviTüúTak;Tg b¤ tamTUrs½BÞ<br />

esovePAkMNt;Rta<br />

nig kMNt;Rta<br />

• esovePAkMNt;RtakarEfTaMépÞeBaHmuneBlsRmal<br />

• karsRmal¼mnÞIreBTüsmÖB ¬rYmTaMgB½t’manGMBIplvi)akEpñksmÖBsMxan;²¦<br />

• esovePAkMNt;RtakñúgbnÞb;vHkat; ¬sRmab;mUldæansuxaPi)alEpñk <strong>EmONC</strong><br />

eBjelj¦<br />

• esovePAkMNt;RtaFnaKarQam ¬sRmab;mUldæansuxaPi)alEpñk <strong>EmONC</strong><br />

eBjelj¦<br />

• esovePAkMNt;RtaGñkCMgWbBa¢Ún<br />

• esckþIsegçbRbcaMEx<br />

• b½NÑEfTaMépÞeBaHmuneBlsRmal<br />

• kMNt;RtabuKÁlGñkCMgWnImYy²<br />

• ):atURkahV<br />

• epSg²<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 95


]bsmC>m>T<br />

RBHkusm³<br />

saßnPaBbc©úb,nñ sRmab;dMeLIgkRmit RtÚv)anpþl;Gnusasn_<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

1<br />

1<br />

1<br />

EMONC<br />

kRmit<br />

mUldæan<br />

mitþPaBExμrsUevot<br />

1<br />

cMkarmn<br />

1<br />

mnÞIreBTüRkúg<br />

1<br />

eBaFicintug<br />

1<br />

semþc«<br />

1<br />

manC½y<br />

1<br />

pSaredImfáÚv<br />

1<br />

cak;GERg<br />

1<br />

Gnøg;kan<br />

1<br />

eRCaycgVar<br />

1<br />

sÞwgmanC½y<br />

1<br />

EMONC<br />

eBjelj<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

1 5 8 0 11 3<br />

mnÞIreBTüextþ<br />

1<br />

RBentRBH<br />

1<br />

GUreRCA<br />

1<br />

fμBYk<br />

1 1<br />

m:aéL<br />

1<br />

bwgRtkYn<br />

1<br />

RsHCIk<br />

1<br />

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eQμaHextþ<br />

srub<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

)at;dMbg<br />

srub<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

kMBg;cam<br />

ID<br />

fñak;<br />

205 CPA1<br />

206 CPA3<br />

207 CPA2<br />

208 CPA2<br />

6015 CPA+MPA<br />

6019 MPA<br />

6023 MPA<br />

6026 MPA<br />

6020 CPA+MPA<br />

6016 MPA<br />

209 CPA1<br />

210 CPA1<br />

211 CPA3<br />

212 CPA1<br />

213 CPA2<br />

214 CPA1<br />

215 CPA1<br />

216 CPA1<br />

217 CPA1<br />

218 CPA2<br />

6035 CPA+MPA<br />

6046 MPA<br />

6040 MPA<br />

6052 MPA<br />

6032 MPA<br />

6028 MPA<br />

6051 MPA<br />

eQμaHmUldæan<br />

suxaPi)al<br />

saßnPaBbc©úb,nñ sRmab;dMeLIgkRmit RtÚv)anpþl;Gnusasn_<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

1<br />

fμeKal<br />

1<br />

mnÞIreBTüextþ<br />

emagb¤sSI<br />

1<br />

sMeBAlUn<br />

ERBknrinÞ<br />

éRC<br />

Kas;RkL<br />

taRkI<br />

tasaj;<br />

bwgRBIg<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

2 1 4 1 5 2<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1<br />

1 2 7 0 8 2<br />

cMkarelI<br />

1<br />

eCIgéRB<br />

1<br />

mnÞIreBTüextþ<br />

1<br />

RkÚcqμar<br />

1<br />

emmut<br />

1 1<br />

GUrraMgGUv<br />

1<br />

BjaERkk<br />

1<br />

éRBQr<br />

1<br />

RsIsn§r<br />

1<br />

t,ÚgXμúM<br />

1 1<br />

ERBkkk;<br />

1<br />

cugecoc<br />

1<br />

dar<br />

1<br />

ERBkrMedg<br />

1<br />

p¥av<br />

1<br />

emsréRC<br />

1<br />

RkÚc<br />

1<br />

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eQμaHextþ<br />

srub<br />

kMBg;qñaMg<br />

kMBg;qñaMg<br />

kMBg;qñaMg<br />

kMBg;qñaMg<br />

kMBg;qñaMg<br />

srub<br />

kMBg;s


eQμaHextþ<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

kNþal<br />

srub<br />

ekaHkug<br />

ekaHkug<br />

srub<br />

RkecH<br />

RkecH<br />

RkecH<br />

srub<br />

mNÐlKIrI<br />

srub<br />

RBHvihar<br />

RBHvihar<br />

srub<br />

éRBEvg<br />

éRBEvg<br />

éRBEvg<br />

éRBEvg<br />

ID<br />

fñak;<br />

232 CPA1<br />

233 CPA2<br />

234 CPA1<br />

235 CPA3<br />

6097 MPA<br />

6100 MPA<br />

6104 MPA<br />

6107 MPA<br />

6110 MPA<br />

6112 CPA+MPA<br />

6115 CPA+MPA<br />

6119 MPA<br />

236 CPA2<br />

237 CPA1<br />

238 CPA2<br />

239 CPA3<br />

6131 CPA+MPA<br />

240 CPA2<br />

246 CPA2<br />

6148 MPA<br />

247 CPA2<br />

248 CPA2<br />

249 CPA1<br />

250 CPA2<br />

eQμaHmUldæan<br />

suxaPi)al<br />

saßnPaBbc©úb,nñ sRmab;dMeLIgkRmit RtÚv)anpþl;Gnusasn_<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

EMONC<br />

kRmit<br />

EMONC<br />

eBjelj<br />

mUldæan<br />

xSac;kNþal<br />

1<br />

ekaHFM<br />

1<br />

s¥ag<br />

1<br />

C½yCMnH<br />

1<br />

dMNak;GMBil<br />

1<br />

KKIrFM<br />

1<br />

ERBkhøÜg<br />

1<br />

eBaFirama<br />

1<br />

RkaMgy:Uv<br />

1<br />

Gnøg;remot<br />

1<br />

ERBkGBa©aj<br />

1<br />

ERBkeBñA<br />

1<br />

mnÞIreBTüextþ<br />

ERsGMbil<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

0 0 11 2 11 2<br />

1<br />

1<br />

0 1 1 0 1 1<br />

1<br />

qøÚg<br />

1<br />

mnÞIreBTüextþ<br />

1<br />

sm,ÚrN_<br />

mnÞIreBTüextþ<br />

mnÞIreBTüextþ<br />

revog<br />

0 1 2 0 2 1<br />

0 0 0 1 0 1<br />

1<br />

1<br />

0 1 1 0 1 1<br />

kMcayma<br />

1<br />

kMBg;RtEbk<br />

1<br />

emsag<br />

1<br />

GñkelOg<br />

1<br />

1<br />

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eQμaHextþ<br />

éRBEvg<br />

éRBEvg<br />

éRBEvg<br />

éRBEvg<br />

éRBEvg<br />

éRBEvg<br />

srub<br />

eBaF×sat;<br />

eBaF×sat;<br />

eBaF×sat;<br />

eBaF×sat;<br />

srub<br />

rtn³KIrI<br />

rtn³KIrI<br />

srub<br />

esomrab<br />

esomrab<br />

esomrab<br />

esomrab<br />

esomrab<br />

esomrab<br />

esomrab<br />

esomrab<br />

esomrab<br />

srub<br />

RBHsuIhnu<br />

RBHsuIhnu<br />

srub<br />

sÞwgERtg<br />

ID<br />

fñak;<br />

251 CPA2<br />

252 CPA1<br />

253 CPA3<br />

6151 MPA<br />

6169 MPA<br />

6162 MPA<br />

254 CPA1<br />

255 CPA3<br />

6175 MPA<br />

6174 MPA<br />

256 CPA2<br />

6179 MPA<br />

257 CPA1<br />

258 CPA2<br />

259 CPA3<br />

260 CPA2<br />

6182 MPA<br />

6185 MPA<br />

6192 MPA<br />

6187 MPA<br />

6190 MPA<br />

261 CPA3<br />

6194 MPA<br />

262 CPA3<br />

eQμaHmUldæan<br />

suxaPi)al<br />

saßnPaBbc©úb,nñ sRmab;dMeLIgkRmit RtÚv)anpþl;Gnusasn_<br />

EMONC<br />

kRmit<br />

mUldæan<br />

1<br />

BaraMg<br />

RBHesþc<br />

mnÞIreBTüextþ<br />

ecoc<br />

sVayGnÞr<br />

kMBg;swgð<br />

)akan<br />

mnÞIreBTüextþ<br />

PñMRkvaj<br />

sñamRBH<br />

mnÞIreBTüextþ<br />

brEkv<br />

EMONC<br />

eBjelj<br />

1<br />

EMONC<br />

kRmit<br />

mUldæan<br />

1<br />

1<br />

1<br />

1<br />

EMONC<br />

eBjelj<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

3 2 5 0 8 2<br />

1<br />

1<br />

1<br />

1<br />

0 1 3 0 3 1<br />

1<br />

1<br />

0 1 1 0 1 1<br />

GgÁrCuM<br />

1<br />

RkLaj;<br />

1<br />

mnÞIreBTüextþ<br />

sURTniKm<br />

ssrsþmÖ<br />

1<br />

RsIsñM<br />

1<br />

Gnøg;sMNr<br />

1<br />

bnÞayRsI<br />

1<br />

sMerag<br />

1<br />

mnÞIreBTüextþ<br />

GUr]kj:aehg<br />

mnÞIreBTüextþ<br />

1 1<br />

2 0 6 2 7 2<br />

1<br />

1<br />

0 1 1 0 1 1<br />

1<br />

1<br />

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eQμaHextþ<br />

sÞwgERtg<br />

srub<br />

sVayerog<br />

sVayerog<br />

sVayerog<br />

sVayerog<br />

sVayerog<br />

srub<br />

ID<br />

fñak;<br />

6197 CPA+MPA<br />

263 CPA1<br />

264 CPA2<br />

265 CPA3<br />

6204 MPA<br />

6205 MPA<br />

taEkv<br />

266 CPA1<br />

taEkv<br />

267 CPA2<br />

taEkv<br />

268 CPA1<br />

taEkv<br />

269 CPA3<br />

taEkv<br />

270 CPA1<br />

taEkv<br />

6208 MPA<br />

taEkv<br />

6222 MPA<br />

taEkv<br />

6212 MPA<br />

srub<br />

]tþrmanC½y<br />

271 CPA2<br />

]tþrmanC½y<br />

6224 MPA<br />

srub<br />

Ekb<br />

272 CPA1<br />

srub<br />

éb:lin<br />

273 CPA2<br />

srub<br />

srubTaMgGs;<br />

eQμaHmUldæan<br />

suxaPi)al<br />

esom):ag<br />

saßnPaBbc©úb,nñ sRmab;dMeLIgkRmit RtÚv)anpþl;Gnusasn_<br />

EMONC<br />

kRmit<br />

mUldæan<br />

CIPU<br />

1<br />

rmasEhk<br />

mnÞIreBTüextþ<br />

RksaMg<br />

RKÜs<br />

EMONC<br />

eBjelj<br />

EMONC<br />

kRmit<br />

mUldæan<br />

1<br />

EMONC<br />

eBjelj<br />

EMONC<br />

kRmit<br />

mUldæan<br />

EMONC<br />

eBjelj<br />

0 1 1 0 1 1<br />

1<br />

1<br />

1<br />

1<br />

1 1 3 0 4 1<br />

)aTI<br />

1<br />

KIrIvg;<br />

1<br />

éRBkb,as<br />

1<br />

mnÞIreBTüextþ<br />

1<br />

GgÁrka<br />

1<br />

revog<br />

1<br />

RtBaMgGeNþIk<br />

1<br />

remj<br />

1<br />

0 2 6 0 6 2<br />

mnÞIreBTüextþ<br />

1<br />

GUrsμac;<br />

Ekb<br />

mnÞIreBTüextþ<br />

0 0 1 1 1 1<br />

1<br />

0 0 1 0 1 0<br />

1<br />

0 1 0 0 1 0<br />

19 25 87 12 105 34<br />

1<br />

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ehdæarcnasm


• can nigfg;pøasÞiksRmab;dak;suk (Bowl and plastic bag for placenta)<br />

esÞrIl Sterilization<br />

• ]bkrN_sRmab;rMgab;emeraK (Instrument sterilizer)<br />

• RkLsRmab;dak;degáób (Jar for forceps)<br />

smÖar³epSg²eTot Miscellaneous<br />

• naLikaBüÜrCBa¢aMg<br />

• Bil nig fμBil<br />

• TUTwkkk<br />

• esovePAkMNt;Rta<br />

• TRmg;kMNt;Rta<br />

• esovePAbBa¢I<br />

brikçar<br />

• Rbdab;vas;sm


• cMBuHTasRmab;ebIkemIlTVarmas (Vaginal speculum)<br />

smÖar³<br />

• eRsaméd (Gloves):<br />

- Fmμta (Utility)<br />

- esþrIl b¤rMgab;emeraKkRmitx


meFüa)ayBnüarkMeNIt (Contraceptives)<br />

• eRsamGnam½y (Condoms)<br />

• fñaMelbEdlmanRbÚEyesþrU:nEtmYymux (Progesterone-only oral contraceptives)<br />

• fñaMcak;EdlmanRbÚEyesþrU:nEtmYymux (Progesterone-only injectables)<br />

• kgdak;eRkamEs,k (Implants)<br />

• kgdak;kñúgs,Ún (IUDs)<br />

• fñaMelbEdlmanG½rmU:nBIrmuxrYmbBa©ÚlKña (Combined oral contraceptives)<br />

• fñaMcak;EdlmanG½rmU:nBIrmuxrYmbBa©ÚlKña (Combined injectables)<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 105


»sf<br />

»sfsRmab;karEfTaMépÞeBaH/ karsRmal/ eRkaysRmal nigTarkeTIbnwgekIt<br />

• Oxytocin<br />

• Ergometrine<br />

• Magnesium sulphate<br />

• Calcium gluconate<br />

• Diazepam<br />

• Hydralazine<br />

• Ampicillin<br />

• Gentamycin<br />

• Metronidazole<br />

• Benzathine penicillin<br />

• Cloxicillin<br />

• Amoxicillin<br />

• Ceftriaxone<br />

• Trimethoprim + sulphamethoxazole<br />

• Clotrimazole vaginal pessaries<br />

• Erythromycin<br />

• Cipr<strong>of</strong>loxacin<br />

• Tetracycline or doxycycline<br />

• Metoclopramide<br />

• Arthemeter<br />

• Quinine<br />

• Chloriquine tablets<br />

• Lignocaine<br />

• Adrenaline<br />

• Paracetamol<br />

• Gentian violet<br />

• Iron/folic acid tablets<br />

• Mebendazole<br />

• Sulphadoxine-pyrimethamine<br />

• Water for injection<br />

• Tetracycline 1% eye ointment<br />

• Nevirapine (adult, infant)<br />

• Zidovudine (AZT) (adult, infant)<br />

• Lamivudine (3TC)<br />

v:ak;saMg (Vaccine)<br />

• Tetanus toxoid<br />

• BCG<br />

• OPV<br />

• Hepatitis B<br />

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ikçarCamUldæan<br />

karvHkat;smÖBbnÞan;/ kardak;fña MsNþM/ karbBa ©ÚlQam<br />

Emergency Obstetric Surgery, Anaesthesia, Blood Transfusion<br />

• Sphygmomanometer (aneroid) and stethoscope (binaural)<br />

• Self-inflating bag and face masks (adult size)<br />

• Self-inflating bag and face masks (newborn sizes 0 and 1)<br />

• Adult and infant laryngoscope with spare bulb and batteries<br />

• Adult and infant laryngoscope tubes<br />

• Absorbable, nonreactive sutures (e.g., polyglycolic, chromic catgut) and suture needles<br />

• Urinary catheters and closed bag or container for catheter drainage<br />

• Tourniquet<br />

• 16- to 18-gauge IV cannulas<br />

• Dextrose solution (5%)<br />

• Ringer’s lactate or normal saline<br />

• IV administration sets<br />

• Adhesive tape<br />

• Oxygen tubing, nasal cannulae, and face masks<br />

• Suction tubing and catheters<br />

• Surgical scrub brushes<br />

-<br />

karvHeBaHykkUn nig¼b¤karsRmalkUnedaykarvHkat;<br />

Obstetric Laparotomy and/or Caesarean Section<br />

• Stainless steel instrument tray with cover<br />

• Towel clips (5)<br />

• Sponge forceps, 22.5 cm (6)<br />

• Straight artery forceps, 16 cm (4)<br />

• Uterine heamostasis forceps, 20 cm (8)<br />

• Hysterectomy forceps, straight, 22.5 cm (4)<br />

• Mosquito forceps, 12.5 (6)<br />

• Tissue forceps, 19 cm (6)<br />

• Needle holder, straight, 17.5 cm (1)<br />

• Surgical knife handle, No. 3 (1), No. 4 (1)<br />

• Surgical knife blades (4)<br />

• Triangular point suture needles, 7.3 cm, size 6 (2)<br />

• Round-bodied needles No. 12, size 6 (2)<br />

• Abdominal retractors, double-ended (Richardson) (2)<br />

• Curved operating scissors, blunt pointed (Mayo), 17 cm (1)<br />

• Straight operating scissors, blunt pointed (Mayo), 17 cm (1)<br />

-<br />

kardak;fñaMsNþM (Anaesthesia)<br />

• Anaesthetic face masks<br />

• Oropharyngeal airways<br />

• Endotracheal tubes with cuffs (8 mm and 10 mm)<br />

• Intubating forceps (Magill)<br />

• Endoctracheal tube connectors, 15mm plastic (3 for each tube size)<br />

• Spinal needles (range <strong>of</strong> sizes, 18-gauge to 25-gauge)<br />

-<br />

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karbBa©ÚlQam ¬kareFVI cross-matching karTTYlQamBIGñkbric©ak/ karbBa©ÚlQam¦<br />

Blood Transfusion (cross-matching, collection <strong>of</strong> donor blood, transfusion)<br />

• 8.5 g/l sodium chloride solution<br />

• 20% Bovine albumin<br />

• Centrifuge<br />

• 37ºC waster bath (or incubator)<br />

• Pipettes Volumetric (1 ml, 2 ml, 3 ml, 5 ml, 10 ml, 20 ml)<br />

• Test tubes (small and medium size)<br />

• Sphygmomanometer cuff<br />

• Airway needle for collecting blood<br />

• Artery forceps and scissors<br />

• Pilot bottles (containing 1 ml ACD solution)<br />

• Compound microscope and slides<br />

• Microscope illuminator<br />

• Blood giving sets<br />

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]bsm


9910000<br />

]bkrN_vHkat;/ eBaH¼kMebø<br />

Surg. inst., abdominal/SET<br />

9910001<br />

]bkrN_vHkat;/ vHkat;mUldæan¼kMebø<br />

Surg. inst., basic surgery/SET<br />

9910002<br />

]bkrN_vHkat;/ ekor¼kMebø<br />

Surg. inst., curettage/SET<br />

9910003<br />

]bkrN_vHkat;/ sRmal¼kMebø<br />

Surg. inst., delivery/SET<br />

]bkrN_vHkat;/ sMelokbMBak;¼kMebø<br />

9910005<br />

Surg. inst., dressing/SET<br />

]bkrN_vHkat;/ kat;TajTarkecj¼kMebø<br />

9910007<br />

Surg. inst., embryotomy/SET<br />

]bkrN_vHkat;/ Binitü¼edr/ TVarmas¼ks,Ún¼kMebø<br />

9910006<br />

Surg. inst., exam/sut, vaginal/cervical/SET<br />

]bkrN_vHkat;/ edr¼kMebø<br />

9910004<br />

Surg. inst., suture/SET<br />

791500<br />

]bkrN_sRmaledaybUm<br />

Vacuum Delivery Set<br />

172.53<br />

<br />

$54.34<br />

$5.80<br />

<br />

$.5.60<br />

$.5.60<br />

$.5.60<br />

$674.97<br />

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iyayGMBIkBa©b;rbs;GgÁkaryUnIeshV<br />

eRKÓgbEnßm¼eRKÓgbnøas;¼smÖar³eRbIR)as;CaRbcaMCamYykBa©b;qμb 2<br />

Accessories/Spare parts/Consumables with Midwifery Kit 2<br />

sUmkt;smÁal;fa smÖar³TaMgLayxageRkamenH RtÚv)anpþl;Gnusasn_[eRbICaEpñkmYyénkBa©b; bu:Enþ<br />

RtÚvEtesñIedayELk³ 10 x 0481052 – ETrmU:Em:t/ KøInik/ 35-42°C<br />

Please note that the following item(s) is recommended as part <strong>of</strong> the kit, but must be<br />

ordered separately: 10 x 0481052 – Thermometer, clinical, 35-42°C<br />

kBa©b;qμb/ 1-»sf<br />

kBa©b;vHkat;smÖB - eBjelj<br />

Obstetric Surgical Kit - Complete UNICEF<br />

Midwifery Kit, 1 – Drugs UNICEF 9902217 1<br />

kBa©b;qμb/ bEnßm/ 1k-»sf<br />

Midwifery Kit, Suppl. 1a - Drugs UNICEF 9902220 1<br />

kBa©b;qμb/ 2-]bkrN_<br />

Midwifery Kit, 2 – Equipment UNICEF 9902218 1<br />

kBa©b;qμb/ 3-smÖar³EdlGacbMeBjbEnßmCaRbcaM<br />

Midwifery Kit, 3 – Renewable UNICEF 9902219 1<br />

kBa©b;smÖB/ vHkat;/ bEnßm 1-»sf<br />

Obstetric, Surgical Kit, Suppl. 1 – Drugs UNICEF 9908300 1<br />

kBa©b;smÖB/ vHkat;/ bEnßm 1k-»sf<br />

Obstetric, Surgical Kit, Suppl. 1a – Drugs UNICEF 9908303 1<br />

kBa©b;smÖB/ vHkat;/ bEnßm 2-]bkrN_<br />

Obstetric, Surgical Kit, Suppl. 2 – Equipment UNICEF 9908301 1<br />

kBa©b;smÖB/ vHkat;/ bEnßm 3-smÖar³EdlGacbMeBjbEnßmCaRbcaM<br />

Obstetric, Surgical Kit, Suppl. 3 – Renewable UNICEF 9908302 1<br />

esÞIrIl/ kBa©b; K<br />

Sterilisation Kit C UNICEF 9908200 2<br />

kBa©b;se®gÁaHTark/ mUldæan<br />

Resuscitation Kit, basic UNICEF 9908400 2<br />

Ékta<br />

Units<br />

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kBa©b;qμb/ 1-»sf (Midwifery Kit, 1-Drugs)<br />

lkçN³bec©keTs (Technical Specifications)<br />

kBa©b;enhKWCalkçxNÐtRmÚvén»sfedIm,ICYysRmÜlkarsRmalFmμta)anRbEhl 50 k,al.<br />

kMNt;smÁal;³ »sfEdlRtÚvkarkarGnuBaØatnaMcUl nig¼b¤ RbB½n§RtCak;/ RtÚv)anx©b;edayELk.<br />

sUmemIlesovePAkataLúkelx 9902220- kBa©b;qμb/ bEnßm 1k-»sf .<br />

smÖar³kñúgkBa©b;¼briyay Kit Contents/Description:<br />

kBa©b;qμb 1-»sf<br />

Midwifery Kit, 1 - Drugs UNICEF 9902217<br />

Ékta<br />

Units $230.41<br />

Amoxicillin 250 mg caps/tabs UNICEF 1505040 5,000<br />

Metronidazole 250 mg tabs UNICEF 1555650 2,000<br />

Tetracycline eye ointment 1% UNICEF 1510000 20<br />

inj 1% 50 ml vial UNICEF 1555205 25<br />

Sodium chl.inj 0.9% 500 ml w/giv.s UNICEF 1564326 20<br />

Glucose inj 5% 500 ml w/giv.set UNICEF 1552106 20<br />

Sod.lactat.comp.inj 500 ml w/g.set UNICEF 1560811 20<br />

Water for inj. 10 ml amp UNICEF 1543805 50<br />

Chlorhexidine conc. sol. 5% UNICEF 1531505 2,000<br />

Povidone iodine sol 10% UNICEF 1553105 1,000<br />

Test strips, urinalysis, gluc/prot UNICEF 584005 100<br />

Ferr.salt + folic acd 60 + 0.4 mg tab UNICEF 1550020 5,000<br />

- Magn.sulph.inj 500mg/ml 10ml amp UNICEF 1559360 100<br />

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kBa©b;qμb/ 2-brikçar Midwifery Kit, 2-Equipment<br />

lkçN³bec©keTs (Technical Specifications)<br />

kBa©b;enHrYmmanbrikçareBTüCamUldæan ¬karvinieyaKdMbUg¦ sRmab;bnÞb;sRmalmYy nig¼b¤GKar<br />

smÖBmYy<br />

smÖar³kñúgkBa©b;¼briyay Kit contents/Description:<br />

kBa©b;qμb 2-brikçar<br />

Midwifery Kit, 2 - Equipment UNICEF 9902218<br />

Ékta<br />

Units $168.99<br />

Sphygmomanometer (adult), aneroid UNICEF 683200 1<br />

Stethoscope, binaural, complete UNICEF 686000 1<br />

Stethoscope, foetal, Pinard UNICEF 686500 2<br />

Tape-measure, vinyl-coated, 1.5 m/5 feet UNICEF 567000 2<br />

Basin, kidney, stainless steel, 825 ml UNICEF 211000 2<br />

Tray, dressing, ss, 300 x 200 x 30 mm UNICEF 279000 2<br />

Bowl, stainless steel, 600 ml UNICEF 225000 2<br />

Bowl, round, stainless steel, 4 L UNICEF 216000 2<br />

Bowl, round, polypropylene, 6 L UNICEF 214020 2<br />

Jar, forceps, pp, 180 mm, w/o cover UNICEF 333500 2<br />

Jar, thermometer, pp, 11 cm, w/o cover UNICEF 334200 2<br />

Forceps, dressing, Cheron, 250 mm UNICEF 722500 2<br />

Tray, instr, ss, 225 x 125 x 50 mm,w/cover UNICEF 270000 4<br />

Brush, hand, scrubbing, plastic UNICEF 514000 2<br />

Drawsheet, plastic, 90 x 180 cm UNICEF 361020 2<br />

Apron, protection, plastic UNICEF 305000 2<br />

Tourniquet, latex rubber, 75 cm UNICEF 385000 2<br />

Towel, huck, 430 x 500 mm UNICEF 575000 5<br />

Scale, infant, springtype, 5 kg x 25 g UNICEF 557000 1<br />

Sling for use w/0145555, 0557000, 0557100 UNICEF 557200 1<br />

Pen,ball-point,blue UNICEF 4460005 10<br />

Book,exercise,A5,ruled-8mm,48 pgs UNICEF 4410010 20<br />

Surgical Instruments Delivery / Set UNICEF 9910003<br />

Scissors, Mayo, 140 mm, cvd, b/b UNICEF 770500 2<br />

Scissors, gyneco, 200 mm, cvd, b/b UNICEF 774700 2<br />

Forceps, artery, Kocher, 140 mm, str UNICEF 726000 4<br />

Surgical Instrument Suture / Set UNICEF 9910004<br />

Scissors, Deaver, 140 mm, cvd, s/b UNICEF 773550 2<br />

Needle holder, Mayo-Hegar, 180 mm, str UNICEF 743600 2<br />

Forceps, artery, Kocher, 140 mm, str UNICEF 726000 2<br />

Scalpel handle, no.4 UNICEF 745500 2<br />

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kBa©b;qμb 2-brikçar<br />

Midwifery Kit, 2 - Equipment UNICEF 9902218<br />

Forceps, tissue, standard, 145 mm, str UNICEF 737000 2<br />

Probe, double-ended, 145 mm UNICEF 759820 2<br />

Ékta<br />

Units $168.99<br />

eRKÓgbEnßm¼eRKÓgbnøas;¼smÖar³eRbIR)as;³ sUmkt;smÁal;fa smÖar³TaMgLayxageRkamenH RtÚv<br />

)anpþl;Gnusasn_CaEpñkmYyénkBa©b; bu:EnþRtÚvEtesñIsuMedayELk³ 10 x 0481052 – ETrmU:Em:t/ KøInik/<br />

35-42°C<br />

kBa©b;qμb/ 3-smÖar³EdlGacbMeBjbEnßmCaRbcaM Midwifery Kit, 3-Renewables<br />

lkçN³bec©keTs<br />

kBa©b;enHmanlkçxNÐtRmÚvCamUldæanrbs;smÖar³eBTüEdlGacbMeBjbEnßmCaRbcaM ¬smÖar³Edl<br />

manGayukaleRbIR)as;xøI¦edIm,ICYysRmÜlkarsRmalkUnFmμtacMnYnRbEhl50elIk. smÖar³TaMgenH<br />

PaKeRcIn KWGacesÞrIl nigGace)aHecal)an.<br />

This kit represents the basic requirements <strong>of</strong> renewable medical supplies (consumables) to<br />

facilitate around 50 normal deliveries. Most <strong>of</strong> the items are sterile and disposable.<br />

smÖar³kñúgkBa©b;¼briyay³<br />

kBa©b;qμb/ 3-smÖar³EdlRtUvbMeBjbEnßmCaRbcaM<br />

Midwifery Kit, 3 - Renewable Supplies UNICEF 9902219 Units $300.86<br />

Soap, toilet, bar, 110 g, wrapped UNICEF 552000 36<br />

Gloves, surg, 7, ster, disp, pair UNICEF 328501 25<br />

Gloves, surg, 8, ster, disp, pair UNICEF 329501 25<br />

Gloves, gynaeco, 7.5, ster, disp, pair UNICEF 330102 25<br />

Gloves, exam, latex, medium, disp UNICEF 330011 200<br />

Tape, umbilical, 3 mm x 50 m, non-ster UNICEF 566005 2<br />

Catheter, urethral, CH12, ster, disp UNICEF 322010 50<br />

Extractor, mucus, 20 ml, ster, disp UNICEF 319000 50<br />

Tube, suction, CH10, L50 cm, ster, disp UNICEF 374015 50<br />

Tube, suction, CH14, L50 cm, ster, disp UNICEF 374025 25<br />

Syringe, feeding, 50 ml, conical, ster UNICEF 366010 10<br />

Sut, abs, DEC3, need 3/8 50 mm, round UNICEF 564013 36<br />

Sut, abs, DEC2, need 3/8, 26 mm, tri UNICEF 564004 36<br />

Cannula, IV short, 20 G, ster, disp UNICEF 709220 50<br />

Needle, scalp vein, 21 G, ster, disp UNICEF 744400 50<br />

Compress, gauze, 10 x 10 cm, ster. UNICEF 523055 600<br />

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kBa©b;qμb/ 3-smÖar³EdlRtUvbMeBjbEnßmCaRbcaM<br />

Midwifery Kit, 3 - Renewable Supplies UNICEF 9902219 Units $300.86<br />

Compress, gauze, 10 x 10 cm, n/ster UNICEF 523005 500<br />

Tape, adhesive, Z.O., 2.5 cm x 5 m UNICEF 503010 12<br />

Syringe, dispos, luer, 10 ml, ster UNICEF 782413 100<br />

Syringe, dispos, luer, 2 ml, ster UNICEF 782205 100<br />

Needle, disp, 21 G x 1.5", ster UNICEF 747432 100<br />

Needle, disp, 19 G x 1.5", ster UNICEF 747420 100<br />

Cotton wool, 500 g, roll, non-ster UNICEF 519600 5<br />

Safety box f.used syrgs/ndls, 5 lt UNICEF 782208 25<br />

Blanket, survival, 220 x 140 cm UNICEF 572510 5<br />

Envelope, plastic, 10 x 15 cm UNICEF 521425 500<br />

Scalpel blade, ster, disp, no.22 UNICEF 746510 100<br />

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kBa©b;qμb/ bEnßm 1k-»sf Midwifery Kit, Supplementary 1a - Drugs<br />

lkçN³bec©keTs<br />

kBa©b;enHrYmman»sfEdlGacRtÚvkarlixitGnuBaØatnaMcUl ¬»sfEdlman\T§iBlelIcitþ¦ nig¼b¤»sf<br />

EdlRtÚvrkSaTukenAsItuNðPaBCak;lak; ¬RbB½n§RtCak;¦.<br />

sUmemIlbTbBa¢asþIBIkarpÁt;pÁg;³ CF/SD/2004-002 - karbBa¢aTijfñaMejónNakUTik nig¼b¤ plitpl<br />

»sfEdlman\T§iBlelIcitþ.<br />

This kit contains drugs that may need import authorizations (psychotropic) and/or drugs<br />

that need to be stored at specific temperatures (cold chain).<br />

Please refer to Supply Directive: CF/SD/2004-002 – Ordering <strong>of</strong> narcotic and/or<br />

psychotropic pharmaceutical products.<br />

kMNt;smÁal;³ kBa©b;enHKWbMeBjbEnßmelIesovePAkataLúkelx 9902217 – kBa©b;qμb/ 1-»sf.<br />

smÖar³kñúgkBa©b;¼briyay³<br />

Ékta<br />

UNICEF 9902220<br />

Units<br />

Salbutamol oral inh. 0.1 mg UNICEF 1562020 1,000<br />

Oxytocin inj 10 IU 1 ml amp UNICEF 1545300 50<br />

Diazepam inj 5 mg/ml 2 ml amp UNICEF 1543625 10<br />

kBa©b;smÖB/ vHkat;/ bEnßm 1-»sf<br />

Obstetric, Surgical Kit, Supplementary 1, Drugs<br />

lkçN³bec©keTs³<br />

kBa©b;enHmanlkçxNÐtRmUvCamUldæanrbs;»sfedIm,ICYysRmÜldl;karsRmalkUnCamFüm 50k,al<br />

Edl manplvi)ak rYmTaMgkarvHkat;ykkUn (Cesarean sections)/ karvHeBaH (laparotomy) nig<br />

karvHkat; tUcdéTeTotenAkñúgkrNIbnÞan;. PaKeRcInénsmÖar³TaMgenH esÞrIl nig Gace)aHecal)an.<br />

kMNt;smÁal;³ »sfEdlRtÚvkarkarGnuBaØatnaMcUl nig¼b¤ RbB½n§RtCak; RtÚv)anevcx©b;edayELk.<br />

sUmemIlesovePAkataLúkelx 9908303 – kBa©b;smÖB/ vHkat;/ bEnßm 1k-»sf (Obstetric,<br />

surgical kit, supplementary 1a – drugs).<br />

smÖar³kñúgkBa©b;¼briyay³<br />

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kBa©b;smÖB vHkat;/ bEnßm 1-»sf<br />

Obstetric Surgical Kit, Suppl.1-Drugs UNICEF 9908300<br />

Ékta<br />

Units $1,831.40<br />

Ampicillin pdr/inj 500 mg vial UNICEF 1505098 1,200<br />

Gentamicin inj 40 mg/ml 2 ml amp UNICEF 1551960 1,050<br />

Water for inj. 10 ml amp UNICEF 1543805 600<br />

Metronidazole inj. 500 mg/100 ml vl UNICEF 1555680 150<br />

Methylergom. inj 0.2 mg/ml 1 ml amp UNICEF 1545200 200<br />

Atropine inj 1 mg/ml 1 ml amp UNICEF 1514010 50<br />

Dexamethasone inj 4 mg/ml 1 ml amp UNICEF 1523005 50<br />

Lidocaine inj 1% 50 ml vial UNICEF 1555205 100<br />

Lidocain inj 2% 50 ml vial UNICEF 1555280 100<br />

Lidocaine 5% + gluc. 7.5% inj 2 ml amp UNICEF 1555290 100<br />

Hydralazine pdr/inj 20 mg amp UNICEF 1552416 60<br />

Metronidazole 250 mg tabs UNICEF 1555650 3,000<br />

Amoxicillin 500 mg caps/tabs UNICEF 1505048 2,000<br />

Paracetamol 500 mg tabs UNICEF 1555965 2,000<br />

Doxycycline 100 mg tabs UNICEF 1544400 2,000<br />

Erythromycin 250 mg tabs UNICEF 1546315 2,000<br />

Cipr<strong>of</strong>loxacin 250 mg tabs UNICEF 1555700 200<br />

Tetracycline eye ointment 1% /TBE-5 g UNICEF 1510000 30<br />

Glucose inj 5% 500 ml w/giv. Set UNICEF 1552106 300<br />

Sodium chl. inj 0.9% 500 ml w/giv. S UNICEF 1564326 300<br />

Chlorhexidine conc. sol. 5% /BOT-1000 ml UNICEF 1531505 30<br />

Povidone iodine sol 10% /BOT-500 ml UNICEF 1553105 36<br />

Sod.lactat. comp. inj 500 ml w/g. set UNICEF 1560811 60<br />

Test strips, urinalysis, gluc/prot UNICEF 584005 100<br />

Water purif. (NaDCC) 1.67 g tabs UNICEF 1588360 1,200<br />

Magn.sulph.inj 500mg/ml 10ml amp UNICEF 1559360 100<br />

kBa©b;smÖB/ vHkat;/ bEnßm 1k-»sf<br />

Obstetric, Surgical Kit, Supplementary 1a – Drugs<br />

lkçN³bec©keTs³<br />

kBa©b;enHrYmman»sfEdlGacRtÚvkarlixitGnuBaØatnaMcUl ¬»sfEdlman\T§iBlelIcitþ ÷ NakUTik¦<br />

nig¼b¤ »sfEdlRtÚvrkSaTukenAsItuNðPaBCak;lak; ¬RbB½n§RtCak;¦.<br />

sUmemIlbTbBa¢asþIBIkarpÁt;pÁg;³ CF/SD/2004-002 - karbBa¢aTijfñaMejónNakUTik nig¼b¤ plitpl<br />

»sfEdlman\T§iBlelIcitþ.<br />

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kMNt;smÁal;³ kBa©b;enHKWbMeBjbEnßmelIesovePAkataLúkelx 9908300 – kBa©b;smÖB/ vHkat;/ nig<br />

bEnßm 1-»sf (Obstetric, surgical kit, and supplementary 1 – drugs).<br />

smÖar³kñúgkBa©b;¼briyay³<br />

kBa©b;qμb/ 1k - »sfbEnßm<br />

Midwifery Kit, 1a - Supplementary Drugs UNICEF 9908300<br />

Ékta<br />

Units<br />

Ketamine inj 50 mg/ml 10 ml vial UNICEF 1532305 75<br />

Salbutamol oral inh. 0.1 mg UNICEF 1562020 2000<br />

Oxytocin inj 10 IU 1 ml amp UNICEF 1545300 10<br />

Diazepam inj 5 mg/ml 2 ml amp UNICEF 1543625 50<br />

Morphine sulph. inj 10 mg/ml 1 ml UNICEF 1555950 6<br />

Naloxone inj 400 mcg/ml 1 ml amp UNICEF 1569650 6<br />

Quinine inj 300 mg/ml 2 ml amp UNICEF 1560600 200<br />

Quinine 300 mg tabs UNICEF 1560610 10000<br />

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kBa©b;smÖB/ vHkat;/ bEnßm 2/ brikçar<br />

Obstetric, Surgical Kit, Supplementary 2, Equipment<br />

lkçN³bec©keTs<br />

kBa©b;enHrYmmankBa©b;brikçarsRmab;vHkat; ¬karvinieyaKBIdMbUg¦ sRmab;bnÞb;sRmalkUnmYy nig¼b¤<br />

bnÞb;vHkat;mYy.<br />

smÖar³kñúgkBa©b;¼briyay³<br />

kBa©b;smÖBvHkat;/ bEnßm 2-brikçar<br />

Obstetric Surgical Kit, Suppl.2-Equipment UNICEF 9908301<br />

Ékta<br />

Units $956.51<br />

Vacuum extractor, Bird, manual, compl /SET UNICEF 791500 1<br />

Surg. inst., abdominal /SET UNICEF 9910000 1<br />

Set Contents<br />

Clamp, towel, Backhaus, 130 mm UNICEF 712200 4<br />

Forceps, artery, Kelly, 140 mm, cvd UNICEF 724000 1<br />

Forceps, artery, Kocher, 140 mm, str UNICEF 726000 2<br />

Forceps, artery, Pean/Roch, 200 mm, cvd UNICEF 728000 2<br />

Forceps, artery, Pean/Roch, 240 mm, cvd UNICEF 728015 2<br />

Forceps, artery, Halst-Mosq, 125 mm, cvd UNICEF 730000 6<br />

Forceps, artery, Mixter, 230 mm UNICEF 725000 1<br />

Forceps, dressing, standard, 155 mm, str UNICEF 721000 1<br />

Forceps, dressing, standard, 250 mm, str UNICEF 722200 1<br />

Forceps, dressing, Cheron, 250 mm UNICEF 722500 1<br />

Forceps, intest, clamp, Doyen, 230 mm, cvd UNICEF 728670 2<br />

Forceps, uterine, Phaneuf, 215 mm, cvd UNICEF 741500 2<br />

Forceps, uterine, Duplay, 280 mm, cvd UNICEF 740000 1<br />

Forceps, tissue, Allis, 150 mm UNICEF 738000 2<br />

Forceps, tissue, Babcock, 200 mm UNICEF 736500 1<br />

Forceps, tissue, Duval, 230 mm UNICEF 739100 2<br />

Forceps, tissue, standard, 145 mm, str UNICEF 737000 1<br />

Forceps, tissue, standard, 250 mm, str UNICEF 737700 1<br />

Needle holder, Mayo-Hegar, 180 mm, str UNICEF 743600 1<br />

Retractor, abdo, Collin, 3 blades UNICEF 767800 1<br />

Retractor, abdo, Balfour, 3 blades UNICEF 767500 1<br />

Retractor, Farabeuf, d-e, 180 mm, pair UNICEF 768960 1<br />

Scalpel handle, no.4 UNICEF 745500 1<br />

Scissors, Metzem/Nelson, 180 mm, cvd, b/b UNICEF 771350 1<br />

Scissors, Metzem/Nelson, 230 mm, cvd, b/b UNICEF 771450 1<br />

Scissors, Mayo, 170 mm, cvd, b/b UNICEF 770600 1<br />

Scissors, Mayo, 230 mm, cvd, b/b UNICEF 770800 1<br />

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kBa©b;smÖBvHkat;/ bEnßm 2-brikçar<br />

Obstetric Surgical Kit, Suppl.2-Equipment UNICEF 9908301<br />

Ékta<br />

Units $956.51<br />

Spatula, abdo, malleable, 270 mm UNICEF 779700 2<br />

Tube suction, Yankauer, 270 mm UNICEF 760800 1<br />

Forceps, clip, applying/removing, Michel UNICEF 720000 1<br />

Suture clip, Michel, 3 x 14 mm, /BOX-1000 UNICEF 781000 1<br />

Bowl, stainless steel, 600 ml UNICEF 225000 1<br />

Surgical Instruments Curettage / Set UNICEF 9910002<br />

Set Contents<br />

Dilators, uter, Hegar, d-e, 3-4 to 17-18 mm UNICEF 718210 1<br />

Forceps, dressing, Cheron, 250 mm UNICEF 722500 1<br />

Forceps, uterine, Museux, 240 mm, cvd UNICEF 742400 1<br />

Retractor, vaginal, Doyen, 45 x 85 mm UNICEF 768400 1<br />

Retractor, vaginal, Auvard, 38 x 80 mm UNICEF 779500 1<br />

Scoop, uterine, Simon, 6 mm, sharp UNICEF 715300 1<br />

Curette, uterine, Sims, 8 mm, blunt UNICEF 713000 1<br />

Curette, uterine, Sims, 7 mm, sharp UNICEF 714300 1<br />

Curette, uterine, Sims, 9 mm, sharp UNICEF 714700 1<br />

Curette, uterine, Sims, 12 mm, sharp UNICEF 715200 1<br />

Sound, uterine, Martin, 320 mm UNICEF 775200 1<br />

Speculum, vaginal, Graves, 95 x 35 mm UNICEF 777500 1<br />

Bowl, stainless steel, 180 ml UNICEF 237000 1<br />

2 x 9910006 – Surg. Inst., Exam/Sut, Vaginal/Cervical/SET:<br />

smÖar³enAkñúgkMebø³<br />

brikçarvHkat; Binitü¼edr/ TVarmas ¼ ks,Ún ¼ kMebø<br />

Surgical Instruments Exam / Suture, Vaginal<br />

/ Cervical / Set UNICEF 9910006<br />

Ékta<br />

Units $5.60<br />

Scissors, Mayo, 170 mm, cvd, b/b UNICEF 770600 1<br />

Needle holder, Mayo-Hegar, 180 mm, str UNICEF 743600 1<br />

Retractor, vaginal, Doyen, 45 x 85 mm UNICEF 768400 2<br />

Speculum, vaginal, Graves, 75 x 20 mm UNICEF 777000 1<br />

Speculum, vaginal, Graves, 95 x 35 mm UNICEF 777500 1<br />

Speculum, vaginal, Graves, 115 x 35 mm UNICEF 778000 1<br />

Forceps, dressing, Cheron, 250 mm UNICEF 722500 2<br />

1 x 9910007 – Surg. Inst., Embryotomy/SET:<br />

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smÖar³enAkñúgkMebø³<br />

brikçarvHkat;sRmab;kat;ykTarkecj¼kMebø<br />

Ékta<br />

Surgical Instruments Embryotomy / Set UNICEF 9910007 Units $5.60<br />

Cranioclast, Braun, 420 mm UNICEF 712700 1<br />

Perforator, Smellie, 250 mm UNICEF 759700 1<br />

Scissors, gyneco, 200 mm, cvd, b/b UNICEF 774700 1<br />

Hook, decapitation, Braun, 310 mm UNICEF 731000 1<br />

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kBa©b;smÖB/ vHkat;/ bEnßm 3/ smÖar³EdlRtÚvbMeBjbEnßmCaRbcaM Obstetric, Surgical Kit,<br />

Supplementary 3, Renewable<br />

lkçN³bec©keTs<br />

kBa©b;enHmanlkçxNÐtRmUvCamUldæanrbs;smÖar³eBTüEdlRtUvbMeBjbEnßmCaRbcaM¬smÖar³Edlman<br />

GayukaleRbIR)as;xøI¦edIm,ICYysRmÜldl;karsRmalkUnEdlmanplvi)akcMnYn50elIk rYmTaMgkar<br />

vHkat;ykkUn/ karvHebIkeBaH (laparotomy) nigkarvHkat;tUcdéTeTotenAkñúgkrNIbnÞan;. smÖar³<br />

TaMgenH PaKeRcInGacesÞrIl nig Gace)aHecal)an.<br />

smÖar³enAkñúgkBa©b;¼briyay³<br />

kBa©b;vHkat;smÖB/ bEnßm 3-smÖar³EdlRtUvbMeBjbEnßmCaRbcaM<br />

Ékta<br />

Obstetric Surgical Kit, Suppl.3-Renewable UNICEF 9908302 Units $1,792.29<br />

Tube, suction, CH08, L50 cm, ster, disp UNICEF 374010 50<br />

Tube, suction, CH10, L50 cm, ster, disp UNICEF 374015 50<br />

Tube, suction, CH14, L50 cm, ster, disp UNICEF 374025 50<br />

Syringe, feeding, 50 ml, conical, ster UNICEF 366010 10<br />

Catheter, urethral, CH14, ster, disp UNICEF 323010 50<br />

Catheter, urethral, CH12, ster, disp UNICEF 322010 50<br />

Catheter, Foley, CH14, ster, disp UNICEF 323302 50<br />

Bag, urine, collecting, 2000 ml UNICEF 330500 100<br />

Cannula, IV short, 18 G, ster, disp UNICEF 709210 100<br />

Cannula, IV short, 20 G, ster, disp UNICEF 709220 100<br />

Cannula, IV short, 22 G, ster, disp UNICEF 709225 50<br />

Cannula, IV short, 24 G, ster, disp UNICEF 709230 50<br />

Needle, scalp vein, 25 G, ster, disp UNICEF 744300 100<br />

Needle, scalp vein, 21 G, ster, disp UNICEF 744400 50<br />

Syringe, dispos, luer, 10 ml, ster UNICEF 782413 1,200<br />

Syringe, dispos, luer, 5 ml, ster UNICEF 782405 200<br />

Syringe, dispos, luer, 2 ml, ster UNICEF 782205 1,500<br />

Needle, disp, 21 G x 1.5", ster UNICEF 747432 1,500<br />

Needle, disp, 23 G x 1", ster UNICEF 747452 500<br />

Needle, disp, 19 G x 1.5", ster UNICEF 747420 500<br />

Needle, spinal, 22 G (0.7 x 90 mm), ster, disp UNICEF 748100 100<br />

Tape, adhesive, Z.O., 2.5 cm x 5 m UNICEF 503010 20<br />

Tape, adhesive, Z.O, perforated, 10 cm x 5 m UNICEF 504000 5<br />

Compress, gauze, 10 x 10 cm, ster UNICEF 523055 1,200<br />

Compress, gauze, 10 x 10 cm, n/ster UNICEF 523005 3,000<br />

Cotton wool, 500 g, roll, non-ster UNICEF 519600 10<br />

Tape, umbilical, 3 mm x 50 m, non-ster UNICEF 566005 5<br />

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kBa©b;vHkat;smÖB/ bEnßm 3-smÖar³EdlRtUvbMeBjbEnßmCaRbcaM<br />

Ékta<br />

Obstetric Surgical Kit, Suppl.3-Renewable UNICEF 9908302 Units $1,792.29<br />

Soap, toilet, bar, 110 g, wrapped UNICEF 552000 10<br />

Brush, hand, scrubbing, plastic UNICEF 514000 12<br />

Apron, protection, plastic UNICEF 305000 5<br />

Drawsheet, plastic, 90 x 180 cm UNICEF 361020 5<br />

Blanket, survival, 220 x 140 cm UNICEF 572510 5<br />

Gloves, surg, 7, ster, disp, pair UNICEF 328501 100<br />

Gloves, surg, 7.5, ster, disp, pair UNICEF 329001 200<br />

Gloves, surg, 8.5, ster, disp, pair UNICEF 329901 200<br />

Gloves, exam, latex, medium, disp UNICEF 330011 500<br />

Gloves, exam, latex, large, disp UNICEF 330012 500<br />

Gloves, gynaeco, 7.5, ster, disp, pair UNICEF 330102 100<br />

Sut, abs, DEC2, need 3/8, 26 mm, tri UNICEF 564004 216<br />

Sut, abs, DEC1, need 1/2, 18 mm, round UNICEF 564010 72<br />

Sut, abs, DEC3, need 1/2, 30 mm, round UNICEF 564012 144<br />

Sut, abs, DEC3, need 3/8, 50 mm, round UNICEF 564013 72<br />

Sut, abs, DEC4, need 3/8 36 mm, tri UNICEF 564020 144<br />

Sut, abs, DEC3, spool UNICEF 564030 72<br />

Sut, nonabs, DEC3, need 3/8 30 mm, tri UNICEF 565011 144<br />

Scalpel blade, ster, disp, no.22 UNICEF 746510 200<br />

Safety box f. used syrgs/ndls, 5L UNICEF 782208 50<br />

Envelope, plastic, 10 x 15 cm UNICEF 521425 1,000<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 123


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CMgWettaNUscMeBaHTarkeTIbnwgekIt[)aneRcIneTenaH eKBi)aknwgpþl;karEfTaMedaymanRbsiT§PaB<br />

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• TIkEnøgenaHKYrsßitenAqayBIcrnþxül; nigKYrmankEnøgedatDuyePøIgsRmab;]bkrN_sRmab;Ef<br />

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brikçar nigsmÖar³EdlRtUvbMeBjbEnßmCaRbcaMsRmab;kEnøgEfTaMTarkeTIbekIt<br />

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1 RbB½n§EfTaMcMh³ FugkemþA/ eCIgbBaÄrcab;Cab;/ mankg;/<br />

manft/ mandbGuksuIEsn<br />

Open care system: radiant warmer, fixed height,<br />

with trolley, drawers, O2-bottles<br />

2 ]bkrN_CMnYydkdegðIm/ eRbIedayéd/ TarkeTIbekIt/ 500ml<br />

Resuscitator, hand-operated, neonate, 500ml<br />

3 CBa¢IgsRmab;føwg/ rWs½r<br />

Weighing Scale, spring<br />

4 dbsRmab;bUmesøs/ eRbIedayeCIg<br />

Pump suction, foot operated<br />

5 ETrmU:Em:tbnÞb;<br />

Room Thermometer<br />

6 ePøIgsRmab;Binitü/ cl½t/ 220-12 vul<br />

Light examination, mobile, 220-12 V<br />

7 m¢úlsRmab;cak;esrU:m<br />

I/V Cannula 24 G, 26 G<br />

8 ]bkrN_bUmesøs/ esøs/ 20ml<br />

Extractor, mucus, 20ml, ster, disp Dee Lee<br />

9 kEnSgeBaHeKasRmab;smÜt nigrMuTark<br />

Towels for drying and wrapping the baby<br />

10 brikçaresÞrIlsRmab;kat; nigcgTgp©it<br />

Sterile equipment for cutting and tying the cord<br />

11 Tueya<br />

Tube, feeding, CH07, L40cm, ster, disp<br />

12 FugGuIsuIEsn<br />

Oxygen cylinder 8 F<br />

13 eRsamédesÞrIl<br />

Sterile Gloves<br />

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KYrmanbuKÁlikqμb b¤KilanubdæakmYynak; bEnßmBIelIbuKÁlikmñak;EdlGnuvtþkarsRmal sRmab;pþl;kar<br />

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1>700/00 duløar<br />

130/00 duløar<br />

1>830/00 duløar<br />

130/00 duløar<br />

490/00 duløar<br />

620/00 duløar<br />

segçbmkvij - mKÁúeTÞsk_TUeTAsRmab;karEfTaMTarkeTIbnwgekIt<br />

• esckþIsegçbenHpþl;nUvkarENnaMsRmab;erobcMkEnøgEfTaMTarkeTIbnwgekIt.<br />

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dl;TarkTaMgLayEdlRtÚvkarkarse®gÁaHbnÞan;.<br />

− bEnßmBIelIenH esva C<strong>EmONC</strong> KYrmanbrikçarcaM)ac;edIm,Ipþl;karEfTaMdMbUgnigrkSalMnwg<br />

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manTmn;TabBIkMeNItEtminRtÚvkarkarEfTaMbnÞan;eT.<br />

EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 130


− mnÞIreBTüEdlmankarsRmalkUnelIsBI3000nak;kñúg1qñaM KYrmanEpñkEfTaMTarkeTIbnwg<br />

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• karEfTaMTarkeTIbnwgekItenAkñúgmUldæansuxaPi)al <strong>EmONC</strong> RtÚvEtmanvtþmanbuKÁliksuxa<br />

Pi)alTaMgGñkBüa)alTaMgGñkEfTaMEdlmansmtßPaBCaRbcaM nigFnFandéTeTotedIm,IeqøIytb<br />

nwgtRmÚvkarrbs;TarkTaMgGs;EdlmanCMgW.<br />

• eKKYrkMNt; nigRbkan;x¢ab;nUvsþg;dabec©keTssRmab;kRmitrMBwgTukénbrikçar. caM)ac;RtÚvman<br />

RbB½n§sRmab;eFVIlT§kmμ/ karEfTaMnigkarCYsCulbrikçarenAnwgkEnøg.<br />

• karEfTaMTarkeTIbnwgekIt KYreKarB[)anx¢ab;x¢ÚnnUv³<br />

− eKalkarN_ENnaMKøInik<br />

− karFanaKuNPaBesva<br />

− kartamdanbnþTarkEdlmanlT§PaBrs;ran bnÞab;BIkarseRgÁaH<br />

− karRtÜtBinitütamdankarpþl;esva nigkareRbIR)as;esva<br />

− karbNþúHbNþal nigkarGb;rMbnþ<br />

eKKYrelIkTwkcitþ[mþaycUlrYmkñúgkarEfTaMTarkeTIbnwgekItEdlmanCMgWrbs;Kat;enARKb;kRmit<br />

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]bsm


cMnYnbuKÁlikEdlesñIeLIgsRmab;Rkumpþl;esva <strong>EmONC</strong><br />

cMnYnbuKÁliksRmab;Rkumpþl;esva <strong>EmONC</strong> manbBa¢ak;enAkúñgRbGb; 7 xageRkam.<br />

RbGb;TI7<br />

cMnYnbuKÁlikEdlesñIeLIgsRmab;Rkumpþl;esva <strong>EmONC</strong><br />

mNÐlsuxPaBEdlRtUvdMeLIgkRmiteTACa B<strong>EmONC</strong><br />

CadMbUg mNÐlsuxPaBRtUvmanKilanubdæak1nak;bUknwgqμb1nak; Edl)anTTYlkarbNþúHbNþalGMBIkarse®gÁaH<br />

bnÞan;CMh‘andMbUg<br />

bnÞab;mk RtUvmanKilanubdæak1nak;bUknwgqμb2nak;¬y:agticmñak;CaqμbmFüm¦ EdlmankarTTYlbNþúHbNþal<br />

Epñk <strong>EmONC</strong> kRmitmUldæan<br />

bUknwg³ buKÁlikGnam½y nigsnþisux nig buKÁlikEpñkesvaKaMRT 24 em:ag kñúgmYyéf<br />

mUldæansuxaPi)alkRmit B<strong>EmONC</strong><br />

CadMbUg RtUvman qμbbzm3nak;bUknwgqμbmFüm 2nak;<br />

bnÞab;mk qμbbzm 2nak;bUknwgqμbmFüm 3nak; ¬GaRs½yeTAelIsUcnakrbnÞúkkargar-cMnYnkMeNItkñúgmYyqñaM¦<br />

bUknwg³ m®nþIRtÜtBinitükarcmøgeraK/ Gñkbec©keTs nigGñkCMnYykarmnÞIrBiesaFn_ ¬cross- matching nigkareFVI<br />

etsþnana¦/ »sfkarI/ buKÁlikGnam½y nig buKÁliksnþisux nigbuKÁlikKaMRT 24 em:ag kñúgmYyéf<br />

mnÞIreBTübEg¥kkRmit C<strong>EmONC</strong><br />

mundMbUg RtUvman qμbbzm 5nak; bUknwg qμbmFüm 5nak;<br />

bnÞab;mk GaRs½yeTAelIsUcnakrbnÞúkkargar - cMnYnkMeNItkñúgmYyqñaM<br />

bEnßm Rkumpþl;esva <strong>EmONC</strong><br />

RtÚvmanRkump þl;esva3Rkum edIm,IeFVIkarbþÚrevnKña3evn x 8em:ag nig1RkumbEnßmeTot GaRs½yelIbnÞúkkargar.<br />

RkumkargarKYrrYmbBa©ÚlnUv³<br />

-RKÚeBTüvHkat; 1nak; nig RKÚeBTüCMnYykarvHkat; 1nak;<br />

-KilanubdæakkñúgbnÞb;vHkat; 1nak; nig CMnYykar 1nak;<br />

-Kilanubdæakrt;karkñúgbnÞb;vHkat; 1nak; ¬ 1 Circulation Nurse-extra per <strong>of</strong> hands to get things)<br />

-RKÚeBTüdak;fñaMsNþM 1nak; nig KilanubdæakCMnYykardak;fñaMsN Mþ1nak;<br />

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Uknwg³ m®nþIRtÜtBinitükarcmøgeraK/ Gñkbec©keTsmnÞIrBiesaFn_nigGñkCMnYykar ¬ cross- matching nigkareFVI<br />

etsþnana¦/ »sfkarI/ buKÁlikGnam½y buKÁliksnþisux nigbuKÁlikKaMRT 24 em:ag kñúgmYyéf.<br />

mnÞIreBTüCatikRmit C<strong>EmONC</strong><br />

qμbmFüm 1nak; sRmab;ral; 175kMeNIt/ y:agtic 50°CaqμbmFüm<br />

RtUvmanRkump þl;esva6Rkum edIm,IeFVIkarbþÚrevnKña3evn x 8em:ag nig1RkumbEnßmeTot GaRs½yelIbnÞúkkargar.<br />

RkumkargarKYrrYmbBa©ÚlnUv³<br />

-RKÚeBTüvHkat; 1nak; nig RKÚeBTüCMnYykarvHkat; 1nak;<br />

-KilanubdæakkñúgbnÞb;vHkat; 1nak; nig CMnYykar 1nak;<br />

-Kilanubdæakrt;karkñúgbnÞb;vHkat; 1nak; ¬ 1 Circulation Nurse-extra per <strong>of</strong> hands to get things)<br />

-RKÚeBTüdak;fñaMsNþM 1nak; nig KilanubdæakCMnYykardak;fñaMsN Mþ1nak;<br />

bEnßm³ m®nþIRtÜtBinitükarcmøgeraK/ Gñkbec©keTsmnÞIrBiesaFn_nigGñkCMnYykar ¬cross-matchingnigeFVIetsþ<br />

nana¦/ »sfkarI/ buKÁlikGnam½y buKÁliksnþisux nigbuKÁlikKaMRT 24 em:ag kñúgmYyéf.<br />

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]bsm


]bsmC>K>m>T = 4 kBa©b;<br />

• TItaMgbNþúHbNþaldéTeTot = 3 kBa©b; kñúgmYykEnøg<br />

• mnÞIreBTüextþ ¬5 extþ¦ = 1 kBa©b; kñúgmnÞIreBTünimYy²<br />

TMnak;TMng³<br />

Gaumard<br />

14700 SW 136th Street Miami, FL 33196 Tel: 1-800-882-6655 (in U.S) 305-971-3790<br />

(worldwide) Fax: 305-667-6085 Web: www.gaumard.com Email: sima@gaumard.com<br />

<strong>Health</strong> Edco<br />

P.O. Box 21207 Waco, TX 76702 Tel: 1-800-299-3366 ext 295 Fax: 888-9977-7653 Web:<br />

www.healthedco.com<br />

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]bsm


• pÁt;pÁg;buKÁlikdl;mUldæansuxaPi)al<br />

• elIkTwkcitþkareFVIkarCaRkum<br />

2> kMNt;sþg;daKuNPaBénesva <strong>EmONC</strong><br />

RksYgsuxaPi)alnwgGPivDÆsþg;dasRmab;esva <strong>EmONC</strong> EdlnwgrYmbBa©ÚlnUvsþg;daCasarv½nþmYycMnYn<br />

EdlmUldæansuxaPi)alTaMgGs;RtÚvEtbMeeBj[)an. sþg;daTaMgenHnwgrYmbBa©ÚlnUvsUcnakrGMBI<br />

KuNPaBEdlTTYl)anBITsSnvis½yrbs;GtifiCn k¾dUcCaBITsSnvis½yrbs;Gñkpþl;esva.<br />

]TahrN_ enAkñúgRbeTseRbsuIl KeRmagRbÚkalI )anbegáIteLIgnUv {lkçN³vinicä½yénkarTTYlsÁal;<br />

KuNPaB} cMnYn 61 cMNuc EdleKGactamdanemIlCaRbcaM. lkçN³vinicä½yTaMgenHrYmman 18cMNuc<br />

sRmab;karpþl;esva/ 9cMNucsRmab;karbgáarkarcmøgeraK/ 12cMNucsRmab;karR)aRs½yTak;Tg<br />

GnþrbuKÁl/ 14cMNucsRmab;smÖar³ nigbrikçar/ nig 8cMNucsRmab;RbB½n§RKb;RKg.<br />

3> Gnuvtþsþg;da <strong>EmONC</strong> enATUTaMgRbB½n§EfTaMsuxaPi)al<br />

enAeBl{sþg;da <strong>EmONC</strong>}RtÚv)anÉkPaB pÞaMgrUbPaB nigb½NÑB½t’manEdlmanerobrab;GMBIkmμviFIenH<br />

nigerobrab;GMBI{sþg;da <strong>EmONC</strong>} nwgRtÚv)anerobcMeLIg. smÖar³TaMgenHnwgRtÚv)anEckcayenAkñúg<br />

kMLúgeBlkic©RbCuMpþl;B½t’manCamYyGñkRKb;RKgsuxaPi)alenAfñak;extþ GñkRKb;RKgmUldæansuxaPi<br />

)al emdwknaMshKmn_ nigédKUGPivDÆn_. pÞaMgrUbPaB nigsmÖar³TaMgenHnwgRtÚv)anbegáIteLIg<br />

sRmab;GtifiCn nigsmaCikshKmn_CaPasakñúgRsuk EdleKGacbiTenAelICBa¢aMgmUldæansuxaPi)al<br />

nigEckcaydl;GtifiCnEdlmkeRbIR)as;esvaenAmUldæansuxaPi)al. bMNgsMxan;KWpþl;B½t’mandl;<br />

buKÁlikénRbB½n§EfTaMsuxaPi)alTaMgGs; GMBI {sþg;da <strong>EmONC</strong>} nigTTYl)ankarebþCJacitþkñúgkarGnuvtþ<br />

yuT§sa®sþenH.<br />

4> RtÜtBinitütamdannigpþl;rgVan;dl;mUldæansuxaPi)alNaEdlbMeBj nigrkSa)annUv {sþg;da<br />

<strong>EmONC</strong>}<br />

mundMbUg sþg;danwgRtÚvRtÜtBinitütamdanedaymUldæansuxaPi)aledayxøÜnÉg edayeRbIR)as;GPiRkm<br />

eFVIkarCaRkum. enAeBlmUldæansuxaPi)albMeBjtamsþg;daehIy RkumkargarnwgGeBa¢Ijfñak;dwknaM<br />

GaCJaFrmUldæanmkeFIVGFikarkic©mUldæansuxaPi)alrbs;BYkeK.<br />

karseRmc)an {sþg;da <strong>EmONC</strong>} nwgRtÜtBinitütamdankñúgkMLúgeBlGPi)alrYmbBa©ÚlCa RbcaM<br />

edayeRbIR)as;bBa¢IepÞógpÞat;. mUldæanTinñn½yrbs;mUldæansuxaPi)alTaMgGs;nwgRtÚv)anbegáIt<br />

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eLIgedIm,ItamdanemIletIsþg;daNaxøHEdlmUldæansuxaPi)alnImYy²seRmc)an kñúgeBlcuHGPi)al<br />

mþg². enAeBlmUldæansuxaPi)alNamYy)anbMeBjtamRKb; {sþg;da <strong>EmONC</strong>} TaMgGs;enAkñúg<br />

RtImasBIrCab;Kña/ GaCJaFrRKb;RKgsuxaPi)alextþnwgbBa¢ak;fa mUldæansuxaPi)alenaH)anbMeBjRKb;<br />

lkçN³vinicä½yTaMgGs; nigpþl;dl;mUldæansuxaPi)alenaHnUv {RtaKuNPaB} mYyenAkñúgBiFIRbKl;Ca<br />

saFarN³. GaCJaFrRKb;RKgsuxaPi)alextþnwgpþl;RbKl;viBaØabnbRtdl;Gñkpþl;esvasuxaPi)al<br />

mñak;²EdleFVIkarenAkñúgmUldæansuxaPi)alenaHpgEdr. edIm,IrkSa)annUv {RtaKuNPaB} mUldæansuxa<br />

Pi)alRtÚvbnþrkSakarRbkan;x¢ab;nUv {sþg;da <strong>EmONC</strong>}. RbsinebIsþg;daTaMgenHminRtÚv)anbMeBjeT<br />

kñúgkMLúgeBlcuHGPi)al/ RtaKuNPaBnwgRtÚv)andkhUt.<br />

5> pSBVpSaymUldæansuxaPi)alEdlman{RtaKuNPaB} CaTIkEnøgEdlmanesvaKuNPaBl¥<br />

mUldæansuxaPi)alEdlbMeBjtam{sþg;da<strong>EmONC</strong>}enAkñúgRtImasBIrCab;KñanwgTTYl)an {RtaKuN-<br />

PaB} enAkñúgBiFIRbKl;mYyEdlmankarpSBVpSayCasaFarN³enAkñúgshKmn_. enAkñúgkMLúgBiFIenaH<br />

smaCikshKmn_nwgTTYl)andMNwgGMBIsþg;daénkarEfTaMEdlBYkeKrMBwgfa nwgTTYl)anenAmUldæan<br />

suxaPi)alenaH. karpSBVpSaytamRbB½n§pSBVpSayFMnwgRtÚv)anGnuvtþedIm,ICRmabdl;saFarNCn<br />

TUueTAGMBIKuNPaBénkarEfTaMTIenaH nigGtßn½yén {RtaKuNPaB} .<br />

6> vaytémøBIplb:HBal;ényuT§sa®sþ<br />

karGegátbnÞat;edImRKa nigkarvaytémøcugeRkay nwgRtÚveFVIeLIgedayEpñk <strong>EmONC</strong>.<br />

mUldæansuxaPi)alEdl)anGnuvtþRKb;smasFatuTaMgGs;ényuT§sa®sþ nwgRtÚv)aneRbóbeFobCamYy<br />

mUldæansuxaPi)alEdlminTan;)anbMeBjsmasFatu 3/ 4 nig 5. niyaymü:ageTot karGegátTaMg<br />

enHnwgvaytémøelIplb:HBal;ényuT§sa®sþTaMgmUl RBmTaMgeRbóbeFobmUldæansuxaPi)alEdl)an<br />

GnuvtþRbB½n§pþl;viBaØabnbRt nigpþl;rgVan; CamYymUldæansuxaPi)alEdlmin)anGnuvtþRbB½n§enH.<br />

karGnuvtþCadMNak;kal²<br />

edIm,IGnuBaØat[mankareRbóbeFobenH karGnuvtþsmasFatuTI3/ 4 nig 5 énGnusaRs þenH nwgeFVIeLIg<br />

CaBIrdMNak;kal Edlmanry³eBlKMlatBI 6-9 Ex. extþnwgRtÚv)anEbgEckdUcxageRkam³<br />

extþdMNak;kalTImYy³ muneBlBRgIk<br />

extþdMNaak;kalTIBIr³ enAeBlBRgIk<br />

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kargarCaRkum/ karebþCJacitþ/ karGnuvtþtameKalkarN_ nigkartRmg;Tis<br />

edIm,I[yuT§sa®sþenHTTYl)aneCaKC½yenAkñúgkarEklMGKuNPaBénesva RbB½n§suxaPi)alTaMgmUl<br />

RtÚvEteFVIkarCaRkum. kRmitnImYy²enAkñúgRbB½n§suxaPi)alRtÚvEtebþCJacitþseRmc[)an nigrkSanUv<br />

{sþg;da <strong>EmONC</strong>} nigRtÚvEtdwgBItYnaTIrbs;xøÜnenAkñúgkarKaMRTdl;mUldæansuuxaPi)al. bEnßmBIelI<br />

enH smaCikRkumTaMgGs;RtÚvEtGnuvtþtamyuT§sa®sþenH. manEtmUldæansuxaPi)alEdlseRmc)an<br />

nigrkSa)annUvsþg;dabu:eNÑaH KYrTTYl)an {RtaKuNPaB}/ ebImindUecñaHeT saFarNCnnwg)at;bg;CMenO<br />

TukcitþenAkñúgRbB½n§suxaPi)alTaMgmUl. cugeRkay eyIgRtÚvEteronsURtedIm,Ivas;EvgBIkarGnuvtþrbs;<br />

eyIgenAcMeBaHmuxGtifiCn dUcCa ®sþI kumar nig burs EdleyIgp þl;esvaCUn. eyIgRtÚvEtpþl;témø<br />

dl;karcUlrYmrbs;BYkKat; nigEsVgrkviFInanaedIm,IeqøIytbeTABYkKat;vij.<br />

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]bsmm>T¦ )aneFVIkarCaédKUCamYyTIPñak;garshRbtibtþikarGnþrCatiCbu:n(JICA)<br />

edIm,Isagsg;m>C>K>m>TmYyEdl<br />

manbMBak;brikçareBjelj nigBRgwgkarRKb;RKgkarbNþúHbNþal<br />

nigkarEfTaMKøIniksuxPaBmatanigTark. m>C>K>m>T )ankøay<br />

eTACa{mCÄmNÐl}suxPaBmatanigTarkKMrUmYysRmab;RbeTs<br />

edaybc©úb,nñenHkMBugBRgwgnigBRgIkskmμPaBTUTaMgRbeTs<br />

kmC>K>m>T pþl;vKÁbNþúHbNþal<br />

bnþepSg² dUcCa³ vKÁqμbmNÐlsuxPaB vKÁqμbmnÞIreBübEg¥k<br />

vKÁRKÚeBTüse®gÁaHbnÞan;EpñksmÖB. eCaKC½yénkarbNþúHbNþal<br />

enHRtÚv)ankt;RtaTuky:agl¥29 / 30 .<br />

kMBg;cam<br />

km799 Km<br />

RbCaCn³ 1>680>694<br />

dg;suIetRbCaCn 164/2nak;¼Km<br />

Source: Based on 2008 Cambodia Census and<br />

wikipedia org/wiki/Kampong Cham Province<br />

29 M0H (2006). Comprehensive Midwifery Review – Supported by UNFPA<br />

29 MoH (2009). National Emergency Obstetric and Newborn Care Assessment <strong>of</strong> Cambodia – Supported by AusAID UNFPA<br />

30 MoH (2009). National Emergency Obstetric and Newborn Care Assessment <strong>of</strong> Cambodia – Supported by AusAID UNFPA<br />

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vKÁbNþúHbNþalbnþTaMgenHEdlepþateKaledAeTAelIqμb RtÚv)aneKTTYlsÁal;y:agxøaMg ehIyRKb;extþ<br />

TaMgGs;kñúgRbeTsTTYl)anGtßRbeyaCn_BIkarbNþúHbNþalenH.<br />

2> karGegátbnÞat;edImRKa<br />

enAedImqñaM2008 EpñkbNþúHbNþalRKÚbegÁalrbs; m>C>K>m>T rYmCamYy JICA )aneFVIkarGegátbnÞab;<br />

edImRKamYyenAkúñgextþkMBg;cam nigm®nþITTYlbnÞúksuxPaBmatanigTarkTUTaMgRbeTs edIm,Ivaytémø<br />

faetIGñkNaxøHGacKaMRTqμbmNÐlsuuxPaBenAmUldæan.<br />

karGegátenH)anrkeXIjfa³<br />

1> m®nþITTYlbnÞúksuxPaBmatanigTark(PHD-MCH,OD-MCH)manTMnukcitþkñúgkarRtÜtBinitütam<br />

dankarEfTaMépÞeBaHmuneBlsRmal karpþl;fñaMRKab;CatiEdknigkarcak;fñaMbgáarCMgWettaNUs.<br />

eTaHbICay:agNakþI m®nþIsuxPaBmatanigTarkBuMmanTMnukcitþkñúgkarRtÜtBinitütamdankarEfTaM<br />

karsRmalkUnnigkarEfTaMTarkeTIbnwgekIteT. enAkñúgkMLúgeBlcuHGPi)alrYmbBa©Úl m®nþI<br />

suxPaBmatanigTarkfñak;RsukRbtibtþi epþateRcIneTAelIkarRtÜtBinitütamdan nigBinitür)ay<br />

karN_ BuMsUvmankarKaMRTdl;CMnajbec©keTseT. enAeBlcuHeTAmNÐlsuxPaB mRn þIsuxPaB<br />

matanigTarkxøH )anpþl;esvasuxPaBmatanigTarkedaypÞal;eRcInCagp þl;karGPi)alKaMRTdl;<br />

qμbmNÐlsuxPaB. enHbgðajBIPaBRcbUkRcbl;GMBItYnaTInigkarTTYlxusRtÚvrbs;BYkKat;Ca<br />

m®nþIsuxPaBmatanigTark. bBaðaenHekItmaneLIgedaysarEtm®nþIsuxPaBmatanigTark min)an<br />

cUlrYmvKÁbNþúHbNþalbnþbec©keTs BYkKat;CYbRbTHnUuvbBaðasμúKsμajCaeRcInenAeBlKat;eFVIkar<br />

CamYyqμbmNÐlsuxPaB b¤qμbCMnajenAmnÞIreBTübEg¥k.<br />

2> CaTUeTA qμbCMnajenAmnÞIreBTübEg¥kmanCMnajkñúgkarsRmalkUnenAkúñgbribTmnÞIreBTü eday<br />

sarBYkKat;Føab;CaRkumeKaledAénvKÁbNþúHbNþalBIGtItkal KWvKÁbNþúHbNþalqμbfñak;mnÞIr<br />

eBTüenA m>C>K>m>T vKÁbNþúHbNþalRKÚeBTüsmÖBbnÞan;EpñksmÖBenA m>C>K>m>T nig vKÁbNþúH<br />

bNþalCMnajse®gÁaHCIvitEdlpþl;eday RACHA. eTaHbICay:agenHkþI BYkKat;PaKeRcInBuMEdl<br />

)ancuHeTAmNÐlsuxPaBenaHeT ehIyBYkKat;mindwgBIkarEfTaMsuxPaBmatanigTarkenAfñak;<br />

mNÐlsuxPaBnigbriyakaskargarlM)akrbs;qμbmNÐlsuxPaBenaHeLIy. BYkKat;minyl;BI<br />

tYnaTIrbs;xøÜnenAkñúgkarTTYlkrNIbBa¢ÚnBIfñak;mNÐlsuxPaB. BYkKat;mindwgBIkRmiténkar<br />

EfTaMEdlrMBwgTukenAmNÐlsuxPaBeLIy.<br />

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3> mü:ageTot qμbbzmEdleFVIkarenAmNÐlsuxPaB CaBiessenAkñúgtMbn;CnbT b¤qμbekμg²Edl<br />

eTIbnwgdak;BRgayfμI² minTan;)anTTYlvKÁbNþúHbNþalqμbbnþenaHeT TaMgvKÁqμbmNÐlsuxPaB<br />

enA m>C>K>m>T TaMgvKÁCMnajse®gÁaHCIvitpþl;eday RACHA. qμbTaMgenH eRcInEtCaqμbeFVIkar<br />

enAmNÐlsuxPaBEdlmanqμbEtmñak;. ebIeTaHbICaBYkKat;cg;begáIncMeNHdwgnigCMnajqμbrbs;<br />

Kat;k¾eday k¾BYkKat;minman»kasedIm,IeronsURtBIqμbcas;²Edr.<br />

4> TMnak;TMngrvagm®nþIsuxPaBmatanigTark-qμbCMnajmnÞIreBTübEg¥k nigTMnak;TMngrvagqμbCMnaj<br />

mnÞIreBTübEg¥k-qμbmNÐlsuxPaB mankRmitexSay. CaBiess karR)aRs½yTak;TgexSay<br />

kñúgcMeNamqμbCMnajmnÞIreBTübEg¥kCPA3nigm®nþIsuxPaBmatanigTarkEdleFVIkarEk,rKña kñúg<br />

RsukRbtibt þiEtmYy. mnÞIreBTübEg¥k CPA3 Føab;sßitenAeRkamRsukRbtibtþi. eRkaymkRtÚv<br />

)anpøas;bþÚreTAeRkamkarRKb;RKgrbs;mnÞIrsuxaPi)alextþvijkñúgqñaM2008/ ehIybBaðaenH )aneFVI<br />

[manPaBminc,as;las;GMBItYnaTI. sUmemIlrUbPaBTI 24.<br />

rUbPaBTI4-TMnak;TMngrvagm®nþIsuxPaBmatanigTark RkumqμbmnÞIreBT ü nigqμbmNÐlsuxPaB<br />

RbFan PHD<br />

m®nþIsuxPaBmatanigTark<br />

PHD - MCH<br />

Gñkpþl;esvaKøInik SBA<br />

CPA 3 Referral Hospitals<br />

¬RkumqμbmnÞIreBTübEg¥k¦<br />

RbFan OD<br />

OD - MCH<br />

CPA1 &2 Referral Hospitals<br />

¬RkumqμbmnÞIreBTübEg¥k¦<br />

qμbmNÐlsuxPaB qμbmNÐlsuxPaB qμbmNÐlsuxPaB qμbmNÐlsuxPaB<br />

TMnak;TMngexSay³<br />

• rvagm®nþIsuxPaBmatanigTark (PHD-MCH, OD-MCH) nigqμbCMnajmnÞIreBTübEg¥kenARKb;kRmitTaMgGs; (CPA 1, 2 nig 3)<br />

• rvagmnÞIreBTübEg¥kenAkRmitepSg² (CPA 1, 2 nig 3 nigmNÐlsuxPaB)<br />

• manTMnak;TMngrvagm®nþI OD – MCH nigqμbmNÐlsuxPaB/ bu:EnþRtÚvkarkarKaMRTEpñkbec©keTsBIqμbCMnajenAmnÞIreBTü<br />

bEg¥kedIm,IBRgwg.<br />

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3> GPiRkm<br />

Ep¥kelIrbkKMehIjBIkarGegátbnÞat;edImRKa ¬qñaM2008¦ m>C>K>m>TedaymankarKaMRTBI JICA )an<br />

seRmccitþGnuvtþKeRmagsakl,gmYyenAkñúgextþkMBg;cam edIm,IEklMGkarR)aRs½yTak;Tg nigBRgwg<br />

TMnak;TMngrvagm®nþIsuxPaBmatanigTark (PHD-MCH nig OD-MCH) nigqμbCMnajmnÞIreBTübEg¥k<br />

nigqμbmNÐlsuxPaB. kareFVIEbbenH Gac[mRn þITaMgenHEklMGnUv³<br />

• RbB½n§bBa¢Ún<br />

• lT§plénkarGnuvtþkargarrbs;buKÁlik<br />

• karRtÜtBinitütamdan nigkarGPi)alkargar<br />

GPiRkmEdleRbIKWsamBaØ KWbegáItTMnak;TMngrvagm®nþIsuxPaBmatanigTark(PHD-MCH, OD-MCH)<br />

nigqμbCMnajenAmnÞIreBTübEg¥ktamry³karbN þúHbNþal edIm,Iyl;dwgBItYnaTIrbs;BYkKat;enAkñúgkar<br />

Source: JICA - Continuous education session from OD-<br />

MCH and RH-SBAs attached to the existing HC midwife<br />

meeting<br />

Source: JICA New supervision, in which OD-MCH and<br />

RH-SBAs visit HC-MWs in Kampong Cham<br />

KaMRTdl;qμbmNÐlsuxPaB. bnÞab;BIvKÁbNþúHbNþalmk RsukRbtibtþinImYy²GnuvtþskmμPaBKaMRTqμb<br />

edayeyagtamsßanPaB nigtRmÚvkarrbs;RsukRbtibtþipÞal;.<br />

4> karGnuvtþ<br />

bNþúHbNþalm®nþIsRmbsRmÜlqμb<br />

− vKÁbNþúHbNþalry³eBl 5éf enA m>C>K>m>T<br />

− sikçakam³ m®nþIsuxPaBmatanigTark 13nak; (PHD-MCH nig OD-MCH)<br />

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enAcugbBa©b;énvKÁbNþúHbNþal sikçakammansmtßPaBRtÜtBinitütamdankan;EtRbesIr nigGacbMPøW<br />

GMBItYnaTI nigkarTTYlxusRtÚvkñúgnamCam®nþIsuxPaBmatanigTark nigCam®nþIsRmbsRmYlqμb.<br />

karbNþúHbNþalm®nþIsRmbsRmÜlqμb nigRkumsm karGPi)alfμI<br />

BIdMbUgeLIy EpñkbNþúHbNþalRKÚbegÁalenAm>C>K>m>T CamYyRKÚbegÁalqμbKøInik ¬TaMgqμb TaMg<br />

evC¢bNÐit¦ )ancuHeTAGPi)alqμbmNÐlsuxPaB nigqμbCMnajenAmnÞIreBTübEg¥k ¬GtItsikçakam<br />

vKÁbNþúHbNþalbnþ¦. bnÞab;BITTYl)anvKÁbNþúHbNþalm®nþIsRmbsRmÜlqμb nigvKÁbNþúHbNþal<br />

RkumsmC>K>m>T nwgCYyBinitü<br />

tamdanemIlRKb;TidæPaB nigpþl;mtieyabl;EktRmUv.<br />

RKÚbegÁalfñak;CatiGacGPi)alelITidæPaBbec©keTsénesvasuxPaBsaFarN³ nigesvaKøInik. bu:Enþ<br />

enAfñak;mnÞIrsuxaPi)alextþ¼RsukRbtibtþi m®nþIsuxPaBmatanigTark (PHD-MCH nig OD-MCH)<br />

manCMnajxagRtÜtBinitütamdanesvasuxPaBsaFarN³EdlRKbdNþb;edaykmμviFICati. cMENkÉqμb<br />

CMnajmnÞIreBTübEg¥kvij manCMnajxagRtÜtBinitütamdanemIlkarEfTaMKøInik Edl)anbeRgónenAÉ<br />

vKÁbNþúHbNþalbnþenA m>C>K>m>T b¤vKÁCMnajse®gÁHCIvitrbs;GgÁkar RACHA .<br />

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Source: JICA New Supervision Visits Kampong Cham Province<br />

enAeBlcb;karbNþúHbNþal RsukRbtibtþinImYy²seRmcEpnkarskmμPaBrbs;xøÜnedIm,IKaMRTqμbenA<br />

mNÐlsuxPaB. EpnkarskmμPaBTaMgenHRtÚv)anGnum½tedayRbFanRsukRbtibtþi. edaysarEtm®nþI<br />

suxPaBmatanigTarkenARsukRbtibtþi nigqμbCMnajenAmnÞIreBTübEg¥k)aneFVIEpnkarrYmKña BYkKat;<br />

shkarKña)anl¥ edIm,IGnuvtþskmμPaBTaMgenHedayKμanCMnYyBIxageRkA.<br />

skmμPaBnanaEdl)ancab;epþIm rYmman³<br />

• GeBa¢IjqμbCMnajenAmnÞIreBTübEg¥k[cUlrYmRbCuMCamYyqμbenAmNÐlsuxPaB nigm®nþIsuxPaB<br />

matanigTarkRsukRbtibtþi enAfñak;RsukRbtibtþi b¤cab;;epþImerobcMkic©RbCuMCaeTogTat;CamYyqμb<br />

mNÐlsuxPaB qμbCMnajenAmnÞIreBTübEg¥k nig OD-MCH<br />

• vKÁGb;rMbnþenAkñúgkic©RbCuMqμbenARsukRbtibtþiEdlmanRsab; OD-MCH nigqμbCMnajenAmnÞIr<br />

eBTübEg¥k KWCaRKÚbegÁalenAkñúgvKÁenaH<br />

• karbNþúHbNþalkñúgeBlkMBugeFVIkarenAGKarsmÖB kñúgmnÞIreBTübEg¥k<br />

• qμbmNÐlsuxPaBcUlrYmkñúgkic©RbCMuBinitüeLIgvijelIkrNICMgWenAkñúgmnÞIreBTübEg¥k.l.<br />

eKsegáteXIjmankarpøas;bþÚrenAfñak;mnÞIrsuxaPi)alextþ. m®nþIsuxPaBmatanigTarkenARsukRbtibtþi<br />

eTACYbm®nþIsuxPaBmatanigTarkenAmnÞIrsuxaPi)alextþmþgkñúgmYyEx edIm,IcUlrYmkñúgkic©RbCuMeTogTat;<br />

rbs;m®nþIsuxPaBmata nigTarkenAfñak;mnÞIrsuxaPi)alextþ. m®nþIsuxPaBmatanigTarkenAmnÞIrsuxaPi<br />

)alextþ )ancab;epþImvKÁbNþúHbNþalRKÚbegÁalxøImYyenAkñúgkic©RbCuM OD-MCH EdlmanRsab;enH.<br />

bnÞab;BIkarbNþúHbNþalrYc m®nþIsuxPaBmatanigTarkenAfñak;mnÞIrsuxaPi)alextþ EckrMElkGVIEdlBYk<br />

Kat;)aneronsURtBIfñak;Catidl;OD-MCHy:aglMGit edIm,I[m®nþIOD-MCHGacbeRgóndl;qμb<br />

mNÐlsuxPaB)an.<br />

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6> lT§pl³ karGegáttamTUrs½BÞ<br />

karGegáttamTUrs½BÞenAkñúgRsukRbtibtþicMnYn 4 kñúgextþkMBg;cam RtÚv)aneFVIeLIgeday JICA.<br />

B½t’manRtLb;Edl)ansRmaMgmk manbgðajenAkñúgRbGb;TI1 xageRkam.<br />

RbGb;TI1 lT§plénkarGegáttamTUrs½BÞ<br />

B½t’manRtLb;mkBIqμbmNÐlsuxPaB³<br />

• {edaysarEtmankarCYyBIqμbmnÞIreBTübEg¥k eyIgGacbegáIncMeNHdwg nigCMnajbec©keTs}<br />

• {karGPi)alfμI} KWxusBI {karGPi)alrYmbBa©ÚlFmμta} - mankarKaMRTEpñkbec©keTseRcIn.<br />

• {qμbmnÞIreBTübEg¥k )anGeBa¢Ij´eTAbnÞb;sRmalkUn. bnÞab;mk BYkKat;bgðaj´GMBIviFIsRmalkUn}.<br />

B½t’manRtLb;mkBIqμbmnÞIreBTübEg¥k³<br />

• {bnÞab;BI´)ancuHeTAmNÐlsuxPaB ´yl;GMBIkargard¾lM)akrbs;qμbenAmNÐlsuxPaB}<br />

• {´rIkraynwgbeRgónqμbmNÐlsuxPaB}<br />

• {´nwgbeRgónGMBIkarEfTaMenAfñak;mNÐlsuxPaBsmRsbdl;sisSqμb BIeRBaHBYkKat;nwgeTAeFVIkarenAmNÐlsuxPaB}<br />

B½t’manRtLb;mkBIm®nþIsRmbsRmÜlqμb (PHD MCH nig OD MCH) ¬cMeBaHmNÐlsuxPaB minEmnmnÞIreBTübEg¥k¦³<br />

• {´sb,ayrIkrayBIeRBaHqμbmnÞIreBTübEg¥kcUlrYmCamYyskmμPaBxøHedIm,IKaMRTdl;qμbmNÐlsuxPaB. qμbmnÞIreBTü<br />

bEg¥k kan;Etmancitþsb,úrsenAeBlqμbmNÐlsuxPaBbBa¢ÚnGtifiCnmk}.<br />

7> B½t’manRtLb;bEnßmeTot<br />

B½t’manRtLb;viC¢manBIkarGegáttamTUrs½BÞ RtÚv)anBRgwgbEnßmedaysmaCikrbs;{sm


8> emeronCabTBiesaFn_<br />

• kargarR)aRs½yTak;Tg - RbsinebIGñkyl;Kña eBlenaHTMnak;TMngkargarkan;EtmanGtßn½y nig<br />

manRbsiT§PaBEfmeTot.<br />

• karGPi)al nigkarRtÜtBinitütamdan kan;EtmanRbsiT§PaBEfmeTot ebIsinCaGñkcUlrYm Ca<br />

mnusSEdlyl;dwgBIkargarenaH.<br />

• GñkRKb;RKgsuxaPi)al ¬RbFan nigGnuRbFanmnÞIrsuxaPi)alextþ¼RsukRbtibtþi¼mnÞIreBTü<br />

bEg¥k¦ KWCamnusSsMxan;. RbsinebIBuMmankaryl;dwgnigyl;RBmBIBYkKat;enaHeT PHD-MCH<br />

nig OD-MCH rYmCamYyRkumqμbCMnajmnÞIreBTübEg¥k minmanlT§PaBGnuvtþEpnkarskmμPaB<br />

rbs;xøÜn edIm,IKaMRTdl;qμbmNÐlsuxPaB)aneLIy.<br />

9> nirnþrPaB<br />

• eTaHbICasmC>K>m>T edaymankarKaMRTBI JICA manEpnkarBRgIk<br />

sm


karGb;rM nig CMnaj³<br />

]smC>K>m>T¦ nigkmμviFICatisux-<br />

PaBbnþBUC ¬k>C>s>B¦ enAkñúgkarGnuvtþskmμPaB.<br />

• sRmbsRmÜlskmμPaBCamYym©as;CMnYy kñúgkarpþl;esvasuxPaBbnþBUC mata TarkeTIbnwg<br />

ekIt nigCaBiess Fanadl;karpþl;esvarYmbBa©ÚlsuxPaBbn þBUC suxPaBmatanigTarkeTIbnwg<br />

ekIt.<br />

• RtÜtBinitütamdanCaeTogTat;nUvEpnkar CaBiessTak;TgeTAnwgTidæPaBbec©keTsén<br />

<strong>EmONC</strong>.<br />

• pþl;karKaMRTEpñkP½sþúPardl;buKÁlik m>C>K>m>T nig TIRbwkSabec©keTs edIm,IsRmÜlebskkmμ<br />

rbs;BYkKat;.<br />

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• Tak;TgCamYy m>C>K>m>T nig k>C>s>B enAfñak;kNþaledIm,IedaHRsayral;bBaðaTaMgGs;Edl<br />

Tak;TgeTAnwgkarGnuvtþEpnkar.<br />

• cUlrYmenAkñúgkarvaytémø nigkarBinitüeLIgvijnana nigpþl;karENnaMdl;TIRbwkSabec©keTs<br />

tamkarcaM)ac; nigsmRsb.<br />

• erobcMr)aykarN_bec©keTsGMBI <strong>EmONC</strong> nigsMeNIfμIsRmab;KMehIjeBlGnaKt.<br />

• karcuHeTAtamextþnigdak;bBa¢Únr)aykarN_tamkarcaM)ac;.<br />

• pþl;karENnaMEpñkbec©keTs nigsRmbsRmÜlCamYyédKUCam©as;CMnYynigédKUGnuvtþdéTeTot.<br />

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]bsm000nak;<br />

0/9 mUldæansuxaPi)al C<strong>EmONC</strong> kRmiteBjelj<br />

kñúgRbCaCn 500>000nak;<br />

-tMbn;PUmisa®sþfñak;eRkamCatimineqøIytbnwg<br />

kRmit EdlGacTTYlyk)anGb,brma<br />

-extþR)aM KμanmUldæansuxaPi)al <strong>EmONC</strong><br />

-KμanmNÐlsuxPaBNaRtUv)ancat;fñak;<br />

- mUldæansuxaPi)al <strong>EmONC</strong> manEtenA<br />

CuMvijtMbn;TIRbCuMCn<br />

mUldæansuxaPi)al <strong>EmONC</strong><br />

11/4°énkMeNItrs;rMBwgTukTaMgGs;kñúgRbeTs<br />

km000nak;<br />

-100°éntMbn;fñak;eRkam<br />

CatimanmUldæansuxaPi)al<br />

<strong>EmONC</strong> kRmitmUldæan<br />

nigkRmiteBjelj<br />

kñúgcMnYnEdlGacTTYlyk<br />

)anGb,brma<br />

Gb,brma³ 15°<br />

y:agtic 100°énplvi)ak<br />

Edl)an):an;sμan KW 15°én<br />

kMeNItTaMgGs;<br />

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sUcnakr<br />

karsRmalkUnedayvHkat;<br />

CaPaKryénkMeNItTaMgGs;<br />

GRtamrNPaBkñúgmnÞIreBTü<br />

edaykrNIsmÖBpÞal;<br />

(DOCFR)<br />

bnÞab;edImRKa<br />

¬Exkkáda 2007 - mifuna 2008¦<br />

RtUv)anBüa)alkñúgmUldæansuxaPi)alEdl)an<br />

Gegát<br />

mUldæansuxaPi)al <strong>EmONC</strong><br />

kñúgmUldæansuxaPi)al <strong>EmONC</strong>, 1/3°én<br />

kMeNItTaMgGs;KWeFVIeLIgedaykarvHkat;<br />

mUldæansuxaPi)alTaMgGs;Edl)anGegát<br />

kñúgmUldæansuxaPi)alTaMgGs;Edl)anGegát/<br />

1/4°énkMeNItTaMgGs; eFVIeLIgedaykarvHkat;<br />

mUldæansuxaPi)al <strong>EmONC</strong><br />

0/8°**én®sþIRtUv)anBüa)alplvi)aksmÖBenA<br />

kñúgmUldæansuxaPi)al <strong>EmONC</strong> TaMgGs;<br />

mUldæansuxaPi)alTaMgGs;Edl)anGegát<br />

0/75°**én®sþIRtÚv)anBüa)alplvi)aksmÖB<br />

enAkñúgmUldæansuxaPi)al <strong>EmONC</strong> TaMgGs;<br />

sþg;dashRbCaCati<br />

¬nigeKaledAcMNuc¦<br />

Gb,brma 5° Gtibrma<br />

15°<br />

Gtibrma 1°<br />

** enAkñúgmUldæansuxaPi)alTaMgGs;Edl)anGegát manmrNPaBmatacMnYn 57 nak; BImUlehtuedaypÞal; nigcMnYn®sþIEdlsRmalkUnKW<br />

83>708 BIExkkáda qñaM2007-mifuna qñaM2008. edaysarEtGRtamrNPaBmatarbs;km000kMeNIt/ vahak;dUcCa<br />

fa mrNPaBminRtÚv)aneKraykarN_[RKb;RKan;enaHeT. dUecñH eKRtÚvEtykcitþTukdak;enAeBlbkRsaysUcnakr.<br />

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]bsm>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><br />

eQμaHmUldæansuxaPi)al >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><br />

mUldæansuxaPi)al <strong>EmONC</strong> kRmitmUldæan¼eBjeljEdl)ankMNt; >>>>>>>>>>>>>>>>>>>>>>>>><br />

Gn þraKmn_KnøwH<br />

Gnuvtþ ¼ cMnYnkrNI ¬RbsinebIGnuvtþ¦<br />

minGnuvtþ<br />

1 eRbIGg;TIb‘ÍyU:Tikedaycak;<br />

2 eRbIfñaMGuksuItUsuIkedaycak;<br />

3 eRbI»sfRbqaMgnwgkarRbkac;sRmab;bRmúg<br />

RkLaePøIg nigRkLaePøIg<br />

4 GnuvtþkarTmøak;suk<br />

5 Gnuvtþkar)arykkMeTcsuk ¬]Ta> kareRbI<br />

]bkrN_bUmedayéd¦<br />

6 GnuvtþkarsRmalkUntamTVarmaseday<br />

man]bkrN_CMnYy<br />

7 GnuvtþkarCYyse®gÁaHTarkeTIbnwgekIt<br />

8 GnuvtþkarbBa©ÚlQam<br />

9 GnuvtþkarvHkat; ¬karsRmalkUneday<br />

vHkat;¦<br />

kareRbI»sfedaycak; mann½yfa kareRbIfñaMcak; b¤ kardak;esrU:m<br />

mUlehtuEdlmin)anGnuvtþGn þraKmn_KnøwH ¬]Ta> xVHxatCMnaj/ xVHxatbrikçar/ xVHxat»sf/ KμankrNI<br />

CMgW/ GñkÉkeTsminmanvtþman .l.¦<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

………………………………………………………………………………………………<br />

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muxgardMeNIrkar <strong>EmONC</strong>³ ¬KUsrgVg;elIcMNucEdlRtwmRtÚv¦<br />

• <strong>EmONC</strong> kRmiteBjelj<br />

• <strong>EmONC</strong> kRmiteBjelj dkmYy<br />

• <strong>EmONC</strong> kRmitmUldæan<br />

• <strong>EmONC</strong> kRmitmUldæan dkmYy<br />

erobcMeday³<br />

eQμaH³<br />

htßelxa<br />

kalbriecäT³<br />

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]bsm


Wagstaff A., Claesson M. The Millennium Development Goals for health: rising to the challenges.<br />

World Bank, Washington DC 2004<br />

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