evsjv‡`k Dbœq b mgx¶v - BIDS
evsjv‡`k Dbœq b mgx¶v - BIDS evsjv‡`k Dbœq b mgx¶v - BIDS
74evsjv‡`k Dbœqb mgxvc`‡c¸‡jv we‡k−lY Ki‡j †`Lv hvq, c~‡e©i g‡Zv †ewkifvM c`‡cB MÖnY Kiv n‡q‡Q bvixicÖRbb ¯^v¯’¨‡K j¨ K‡i| 2000-01 A_©eQ‡i ¯^v¯’¨ †‡Îi ev‡R‡U †Kej bvixi Rb¨ M„nxZDbœqb cÖKí¸‡jvi m‡½ 2010-11 A_©eQ‡i M„nxZ GKB ai‡bi Dbœqb cÖKí¸‡jvi GKwUZzjbvgyjK wPÎ mviwY 2-G Zz‡j aiv n‡q‡Q| mviwYwU n‡Z ¯úó †`Lv hv‡”Q †ewkifvM cªKíBcwievi cwiKíbv Ges bvixi cÖRbb ¯^v¯’¨ wel‡q m‡PZbZv e„w× m¤úwK©Z| Aek¨ 2010-11A_©eQ‡i bvix‡K ¯^v¯’¨ †mev cÖ`v‡bi Rb¨ `ywU cÖKí MÖnY Kiv n‡q‡Q| cuvPwU bZzb bvwm©sBbw÷wUDU ¯’vcb, 6wU Bbw÷wUDU Ae †nj_ †UK‡bvjwR wbg©vY BZ¨vw` c`‡c bvix¯^v‡¯’¨iDci BwZevPK cÖfve †dj‡e|bvix‡K †Kej cÖRbb ¯^v¯’¨ †‡ÎB mxgve× ivLv nqwb, bvixi ¯^v‡¯’¨i Rb¨ eivÏI AwZmvgvb¨ Kiv n‡q‡Q| ¯^v¯’¨, RbmsL¨v I cwievi Kj¨vY Lv‡Zi ev‡RU eivÏ we‡k−lY Ki‡j †`Lvhvq, 2000-01 A_©eQ‡ii ev‡R‡U GB Ask wQj gvÎ †gvU ¯^v¯’¨ ev‡R‡Ui 0.01 kZvsk, hvPjwZ ev‡R‡U (2010-11) mvgvb¨ e„w× †c‡q `uvovq 1.30 kZvs‡k|mviwY 22000-01 Ges 2010-11 A_©eQ‡i ¯^v¯’¨ Ges RbmsL¨v †m±‡ii Dbœqb ev‡R‡U M„nxZ cÖKímg~n¯^v¯’¨, cywó,RbmsL¨v IcwieviKj¨vYA_©eQi 2000-01 A_©eQi 2010-111. cj−x mgev‡qi gva¨‡g cwievi Kj¨vY wkv I DØy×KiYGes cwievi cwiKíbv †mev`vb cÖKí (3q ch©vq)2. cj−x gvZ…‡K‡›`ªi gva¨‡g RbmsL¨v Kvh©µg†Rvi`viKiY-5g ch©vqKvwiMwi mnvqZv1. G¨vW‡fv‡Kwm Ab wi‡cÖvWvKwUf †nj_ GÛ †RÛvi Bmÿ2. G¨vW‡fv‡Kwm Ab wi‡cÖvWvKwUf †nj_ GÛ †RÛvi Bmÿ3. †d‡jvkxc †cÖvMªvg di d¨vKvwë †W‡fjc‡g›U AewewcGwUwm Ab wi‡cÖvWvKwUf †nj_ GÛ †RÛvi Bmÿ R4. G¨vW‡fv‡Kwm Ab wi‡cÖvWvKwUf †nj_ GÛ †RÛvi Bmÿdi BÛvw÷ªqvj IqvK©vm5. d¨vwgwj I‡qj‡dqvi GÛ wi‡cÖvWvKwUf †nj_ GWy‡Kkbdi wU c−vb‡Ukb IqvK©vm6. d¨vwgwj I‡qj‡dqvi GÛ wi‡cÖvWvKwUf †nj_ GWy‡Kkbmvwf©‡mm di wU Mv‡g©›Um IqvK©vm1. 5wU bvwm©s Bbw÷wUDU ¯’vcb (wSbvB`n,wK‡kviMÄ, Rvgvjcyi, Puv`cyi InweMÄ)2. 6wU Bbw÷wUDU Ae †nj_ †UK‡bvjwRwbg©vY3. `yi‡i mvgv` ingvb †iW wµ‡m›U gwnjv†gwW‡Kj K‡jR, 250 kh¨v wewkónvmcvZvj I bvwm©s Bbw÷wUDU wbg©vY,†PŠnvÆv, wm‡jUKvwiMwi mnvqZv4. Bbfjf‡g›U Ae cvj©v‡g›Uvwiqvbm Bbwi‡cÖvWvKwUf †nj_, wi‡cÖvWvKwUfivBU GÛ †RÛvi Bmÿ R GÛ†W‡fjc‡g›U5. GW‡fv‡Kmx Ab wi‡cÖvWvw±f †nj_ GÛ†RÛvi Bmÿ R _ªy wWcvU©‡g›U Ae gvmKgÿ wb‡Kkb (3q ch©vq)gvZ…g„Zz¨ nvi n«vm Kivi Rb¨ MÖv‡gi Mf©eZx gv‡q‡`i Rb¨ me iK‡gi ¯^v¯’¨ myweav N‡i N‡i†cuŠ‡Q w`‡Z n‡e Ges N‡i N‡i wbivc` cÖme myweav †cuŠ‡Q †`Iqvi Rb¨ ev‡R‡U åvg¨gvY wK¬wbKcÖKí MÖnY Ki‡Z n‡e|cÖRbb ¯^v¯’¨ wel‡q †h cÖKí¸‡jv MªnY Kiv nq Zv bvixi cÖK…Z cÖRbb ¯^v¯’¨ cÖ‡qvRb†gUv‡Z mdj n‡q‡Q AwZ mvgvb¨B| Gev‡ii Dbœqb ev‡R‡U †h 6wU cÖKí MÖnY Kiv n‡q‡Q†Kej bvixi Rb¨ Zvi cÖvq cÖwZwU cÖKíB n‡jv cÖRbb ¯^v¯’¨ wel‡q m‡PZbv e„w× Ges cÖPviwelqK| wbivc` cÖme Ges gvZ…¯^v¯’¨ Dbœq‡bi Rb¨ Ri“wi DcKiY Ges †mev †hgb- Anti-
cvj-gRyg`vi: †RÊvi ms‡e`bkxj RvZxq ev‡RU AR©‡bi c‡_ evsjv‡`‡ki AMÖMwZ 75natal Care (ANC), Post-natal Care (PNC), cÖmeKvjxb Ri“wi †mev, cÖme †mev (deliveryassistance) BZ¨vw` cÖ`v‡bi Rb¨ †Kej bvix‡K j¨f~Z K‡i †Kv‡bv cÖKí MªnY Kiv nqwb| GB†mev¸‡jv mvavi‡Yi Rb¨ M„nxZ Ab¨vb¨ cÖK‡íi gva¨‡g cÖ`vb Kiv nq| A_P GB †mev¸‡jvGKvš—B cÖm~wZ bvixi cÖ‡qvRb, Mf©ve¯’vi Kvi‡Y hv‡`i Pjv‡div mxwgZ Ges evsjv‡`‡k we`¨gvbbvbv mvgvwRK cÖ_v Ges K…wóRwbZ Kvi‡Yi Rb¨ hviv Rbmg‡ Pjv‡div Ki‡Z cv‡ib bv|ZvB bvix‡Mvôx `vex K‡iwQj MÖv‡gi Mf©eZx gv‡q‡`i Rb¨ me iK‡gi ¯^v¯’¨ myweav N‡i N‡i†cuŠ‡Q w`‡Z n‡e Ges N‡i N‡i wbivc` cÖme myweav †cuŠ‡Q †`Iqvi Rb¨ ev‡R‡U åvg¨gvb wK¬wbKcÖKí MÖnY Ki‡Z n‡e| bvixi GB `vex we‡ePbvq MÖnY K‡i GLb ch©š— †Kv‡bv ev‡RUxqc`‡c MÖnY Kiv nqwb| Gw`‡K miKvwi cÖv_wgK wPwKrmv †K›`ª Ges miKvwi nvmcvZvj¸‡jv_vbv, Dc‡Rjv, Ges †Rjv¸‡jv‡Z Aew¯’Z| †emiKvwi †‡Î ‡h wK¬wbK Ges nvmcvZvj n‡q‡QZvi cÖvq cÖ‡Z¨KwUB †Rjv Ges ivRavbx XvKv kn‡i Aew¯’Z| A_P cÖvq 70 kZvsk bvixB evmK‡ib Mªv‡g| miKvwi ¯^v¯’¨ †K›`ª Ges nvmcvZvj¸‡jv‡Z Jla, hš¿cvwZ, bvm© Ges Wv³v‡iiZxeª Afve i‡q‡Q| ¯^v¯’¨ †K›`ª¸‡jv‡Z gwnjv Wv³v‡ii Afve gvZ…g„Zz¨i GKwU eo KviY| Rvbv†M‡Q, gwnjv Wv³v‡ii Afv‡e A‡bK cÖm~wZ ¯^v¯’¨‡K‡›`ª Av‡mb bv| d‡j AvRI kZKiv 83wUwkïi Rb¥ nq N‡i MÖvg¨avÎxi mnvqZvq| †ewkifvM (cÖvq 80 kZvsk) gvZ…g„Zz¨B N‡U hLbAwkwZ avÎxi Z¡Ëveav‡b N‡i cÖme nq| hvi d‡j gvZ…g„Zz¨i nvi n«v‡mi e¨vcv‡i evsjv‡`kMDGÕi j¨gvÎvi Zzjbvq A‡bK wcwQ‡q Av‡Q| mv¤cÖwZKKv‡j evsjv‡`k miKvi Health,Nutrition and Population Sector Programme (HNPSP) bv‡g GKwU cÖKí MªnY K‡i‡Q| hviwe‡kl j¨B n‡”Q gvZ…g„Zz¨ nvi n«vm Ges gvZ…¯^v‡¯’¨i DbœwZ Kiv| wKš‘ cÖvß Z_¨ cÖKvk Ki‡QGi c‡iI gvZ…¯^v‡¯’¨i DbœwZ nqwb| Bangladesh Demographic and Health Survey KZ…©KcwiPvwjZ mv¤cÖwZKKv‡ji GK Rwi‡ci Z_¨ †_‡K Rvbv hvq, 40 kZvsk Mf©eZx gwnjvB†Kv‡bv ANC MªnY K‡iwb| hw`I HNPSPÕi j¨ wQj kZfvM Mf©eZx bvix‡K GB cÖK‡íi†mev cÖ`vb Kiv| GB Rwi‡ci Z_¨ we‡k−lY Ki‡j †`Lv hvq, gvÎ 20 kZvsk gwnjv wba©vwiZ 4evi ANC MªnY K‡i‡Qb| PNCÕi †ejvqI GKB wPÎ j Kiv hvq| gvÎ 21 kZvsk cÖm~wZ bvixPNC MªnY K‡i‡Qb|cÖm~wZ‡`i mnvqZv †`Iqvi Rb¨ wKQy Safety net cÖKí MªnY Kiv n‡q‡Q MZ A_©eQ‡iiev‡RU¸‡jv‡Z| Zvi g‡a¨ Maternal Health Voucher Scheme Ges Urban Primary HealthCare Project Ab¨Zg| Maternal Health Voucher cÖKíwU HNPSPÕi AvIZvq `wi`ª cwiev‡iicÖm~wZ gv‡q‡`i j¨ K‡i MªnY Kiv n‡q‡Q| cÖm~wZ gv‡qi cÖK…Z cÖ‡qvRb †h GB cÖK‡íiKvh©µg †gUv‡Z cv‡iwb Zv c~‡e©B D‡j−L Kiv n‡q‡Q| Urban Primary Health Care cÖKíwUIwkï I gvZ…¯^v¯’¨ Dbœq‡bi Dci †Rvi w`‡q MªnY Kiv n‡q‡Q| †`Lv †M‡Q, GB cÖK‡íiDcKvi‡fvMx‡`i 70 †_‡K 80 kZvskB n‡”Q bvix I wkï| GB cÖKíwUi Kvh©µg †ewkifvM†‡ÎB ew¯— GjvKv wfwËK| GB ¯^v¯’¨‡K›`ª bvixiv AwaK msL¨vq †mev MªnY Ki‡Z Av‡m| KviYwn‡m‡e Zviv D‡j−L K‡i‡Qb ew¯—i m‡½ †K‡›`ªi ‰bKU¨| 2009-10 A_©eQ‡ii ev‡RU e³„Zvqgvbbxq A_©gš¿x KwgDwbwU wK¬wbK e¨e¯’vi cybi“×v‡ii †NvlYv w`‡qwQ‡jb| GB †NvlYv Abyhvqx13,500wU KwgDwbwU wK¬wbK ¯’vcb I PvjyKiY Kvh©µ‡gi AvIZvq B‡Zvg‡a¨B 9,525wU wK¬wbK
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cvj-gRyg`vi: †RÊvi ms‡e`bkxj RvZxq ev‡RU AR©‡bi c‡_ evsjv‡`‡ki AMÖMwZ 75natal Care (ANC), Post-natal Care (PNC), cÖmeKvjxb Ri“wi †mev, cÖme †mev (deliveryassistance) BZ¨vw` cÖ`v‡bi Rb¨ †Kej bvix‡K j¨f~Z K‡i †Kv‡bv cÖKí MªnY Kiv nqwb| GB†mev¸‡jv mvavi‡Yi Rb¨ M„nxZ Ab¨vb¨ cÖK‡íi gva¨‡g cÖ`vb Kiv nq| A_P GB †mev¸‡jvGKvš—B cÖm~wZ bvixi cÖ‡qvRb, Mf©ve¯’vi Kvi‡Y hv‡`i Pjv‡div mxwgZ Ges evsjv‡`‡k we`¨gvbbvbv mvgvwRK cÖ_v Ges K…wóRwbZ Kvi‡Yi Rb¨ hviv Rbmg‡ Pjv‡div Ki‡Z cv‡ib bv|ZvB bvix‡Mvôx `vex K‡iwQj MÖv‡gi Mf©eZx gv‡q‡`i Rb¨ me iK‡gi ¯^v¯’¨ myweav N‡i N‡i†cuŠ‡Q w`‡Z n‡e Ges N‡i N‡i wbivc` cÖme myweav †cuŠ‡Q †`Iqvi Rb¨ ev‡R‡U åvg¨gvb wK¬wbKcÖKí MÖnY Ki‡Z n‡e| bvixi GB `vex we‡ePbvq MÖnY K‡i GLb ch©š— †Kv‡bv ev‡RUxqc`‡c MÖnY Kiv nqwb| Gw`‡K miKvwi cÖv_wgK wPwKrmv †K›`ª Ges miKvwi nvmcvZvj¸‡jv_vbv, Dc‡Rjv, Ges †Rjv¸‡jv‡Z Aew¯’Z| †emiKvwi †‡Î ‡h wK¬wbK Ges nvmcvZvj n‡q‡QZvi cÖvq cÖ‡Z¨KwUB †Rjv Ges ivRavbx XvKv kn‡i Aew¯’Z| A_P cÖvq 70 kZvsk bvixB evmK‡ib Mªv‡g| miKvwi ¯^v¯’¨ †K›`ª Ges nvmcvZvj¸‡jv‡Z Jla, hš¿cvwZ, bvm© Ges Wv³v‡iiZxeª Afve i‡q‡Q| ¯^v¯’¨ †K›`ª¸‡jv‡Z gwnjv Wv³v‡ii Afve gvZ…g„Zz¨i GKwU eo KviY| Rvbv†M‡Q, gwnjv Wv³v‡ii Afv‡e A‡bK cÖm~wZ ¯^v¯’¨‡K‡›`ª Av‡mb bv| d‡j AvRI kZKiv 83wUwkïi Rb¥ nq N‡i MÖvg¨avÎxi mnvqZvq| †ewkifvM (cÖvq 80 kZvsk) gvZ…g„Zz¨B N‡U hLbAwkwZ avÎxi Z¡Ëveav‡b N‡i cÖme nq| hvi d‡j gvZ…g„Zz¨i nvi n«v‡mi e¨vcv‡i <strong>evsjv‡`k</strong>MDGÕi j¨gvÎvi Zzjbvq A‡bK wcwQ‡q Av‡Q| mv¤cÖwZKKv‡j <strong>evsjv‡`k</strong> miKvi Health,Nutrition and Population Sector Programme (HNPSP) bv‡g GKwU cÖKí MªnY K‡i‡Q| hviwe‡kl j¨B n‡”Q gvZ…g„Zz¨ nvi n«vm Ges gvZ…¯^v‡¯’¨i DbœwZ Kiv| wKš‘ cÖvß Z_¨ cÖKvk Ki‡QGi c‡iI gvZ…¯^v‡¯’¨i DbœwZ nqwb| Bangladesh Demographic and Health Survey KZ…©KcwiPvwjZ mv¤cÖwZKKv‡ji GK Rwi‡ci Z_¨ †_‡K Rvbv hvq, 40 kZvsk Mf©eZx gwnjvB†Kv‡bv ANC MªnY K‡iwb| hw`I HNPSPÕi j¨ wQj kZfvM Mf©eZx bvix‡K GB cÖK‡íi†mev cÖ`vb Kiv| GB Rwi‡ci Z_¨ we‡k−lY Ki‡j †`Lv hvq, gvÎ 20 kZvsk gwnjv wba©vwiZ 4evi ANC MªnY K‡i‡Qb| PNCÕi †ejvqI GKB wPÎ j Kiv hvq| gvÎ 21 kZvsk cÖm~wZ bvixPNC MªnY K‡i‡Qb|cÖm~wZ‡`i mnvqZv †`Iqvi Rb¨ wKQy Safety net cÖKí MªnY Kiv n‡q‡Q MZ A_©eQ‡iiev‡RU¸‡jv‡Z| Zvi g‡a¨ Maternal Health Voucher Scheme Ges Urban Primary HealthCare Project Ab¨Zg| Maternal Health Voucher cÖKíwU HNPSPÕi AvIZvq `wi`ª cwiev‡iicÖm~wZ gv‡q‡`i j¨ K‡i MªnY Kiv n‡q‡Q| cÖm~wZ gv‡qi cÖK…Z cÖ‡qvRb †h GB cÖK‡íiKvh©µg †gUv‡Z cv‡iwb Zv c~‡e©B D‡j−L Kiv n‡q‡Q| Urban Primary Health Care cÖKíwUIwkï I gvZ…¯^v¯’¨ <strong>Dbœq</strong>‡bi Dci †Rvi w`‡q MªnY Kiv n‡q‡Q| †`Lv †M‡Q, GB cÖK‡íiDcKvi‡fvMx‡`i 70 †_‡K 80 kZvskB n‡”Q bvix I wkï| GB cÖKíwUi Kvh©µg †ewkifvM†‡ÎB ew¯— GjvKv wfwËK| GB ¯^v¯’¨‡K›`ª bvixiv AwaK msL¨vq †mev MªnY Ki‡Z Av‡m| KviYwn‡m‡e Zviv D‡j−L K‡i‡Qb ew¯—i m‡½ †K‡›`ªi ‰bKU¨| 2009-10 A_©eQ‡ii ev‡RU e³„Zvqgvbbxq A_©gš¿x KwgDwbwU wK¬wbK e¨e¯’vi cybi“×v‡ii †NvlYv w`‡qwQ‡jb| GB †NvlYv Abyhvqx13,500wU KwgDwbwU wK¬wbK ¯’vcb I PvjyKiY Kvh©µ‡gi AvIZvq B‡Zvg‡a¨B 9,525wU wK¬wbK