EmONC Improvement Plan - Ministry of Health
EmONC Improvement Plan - Ministry of Health
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 />
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kmμviFICatisuxPaBbnþBUC<br />
RsukRbtibtþi<br />
bnÞb;vHkat;<br />
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karTb;sáat;karcmøgemeraKeGds_BImþayeTAkUn<br />
RkumKaMRTfñak;extþ<br />
karelIkkm
UNFPA<br />
UNICEF<br />
VERS<br />
VHC<br />
WHO<br />
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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
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mRnþImCÄmNÐlCatiKaMBarmata nig TarkTaMgGs;Edl)anshkarsRmbsRmYldMeNIrkarerobcM<br />
Epnkar[TTYl)anlT§pll¥.<br />
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ÉksarenH.<br />
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GRtamrNPaBrbs;matanigTarkeTIbnwgekItenAkm
savtar<br />
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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 />
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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 />
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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 />
EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 39
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 />
EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 43
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 />
EpnkarelIkkMBs;esvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 44
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 />
KeRmageBl<br />
201<br />
2<br />
201<br />
3<br />
201<br />
4<br />
duløar<br />
eyabl;<br />
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 96
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 99
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 100
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 101
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 108
]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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 119
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 120
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 121
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 122
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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sag;sg;EpñkEfTaMTarkeTIbnwgekIt enAkñúgsßanPaBEdlkMBugxVHxatFnFan. RbsinebIRbB½n§suxa<br />
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CMgWettaNUscMeBaHTarkeTIbnwgekIt[)aneRcIneTenaH eKBi)aknwgpþl;karEfTaMedaymanRbsiT§PaB<br />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 125
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1 RbB½n§EfTaMcMh³ FugkemþA/ eCIgbBaÄrcab;Cab;/ mankg;/<br />
manft/ mandbGuksuIEsn<br />
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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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EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 129
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éføcMNayelIkarTijsmÖar³eRbIR)as; pøas;b Úþr<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 />
− mUldæansuxaPi)al <strong>EmONC</strong> TaMgGs; RtÚvEtmanbuKÁlikEdlmanCMnaj nigmankEnøgnig<br />
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− 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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 131
]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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 136
]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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 139
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 140
]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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 141
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 151
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 152
]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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 153
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 />
EpnkarEklMGesvaese®gÁaHbnÞan;EpñksmÖBnigkarEfTaMTarkeTIbnwgekIt - BRgagcugeRkay ExFñÚ qñaM2009 - Page: 154
]bsm
Wagstaff A., Claesson M. The Millennium Development Goals for health: rising to the challenges.<br />
World Bank, Washington DC 2004<br />
WHO, UNFPA, UNICEF, AMDD (2009) Monitoring Emergency Obstetric Care: A Handbook (p 7)<br />
World <strong>Health</strong> Organization. (2004). Making pregnancy safer: the critical role <strong>of</strong> the skilled<br />
attendant. A joint statement by WHO, ICM, and FIGO. Geneva: Department <strong>of</strong> Reproductive<br />
<strong>Health</strong> and Research, World <strong>Health</strong> Organization.<br />
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