cÖwkÿY Kg©m~Px ÒKvjvR¡iÓ - kalacorebd.comkalacorebd.com/wp-content/uploads/2016/C4/Training-Material/Presentation/Training... · cÖ_g KvjvR¡‡ii cÖv`yf©ve N‡U . 1824

ÒKvjvR¡iÓ cÖwkÿY Kg©m~Px

†cÖÿvcU

êwk¦K †cÖÿvcU

• AvbygvwbK 35 †KvwUiI †ekx gvbyl GB †iv‡Mi SuzwK‡Z Av‡Q

• cÖwZ eQi 1 †KvwU 20 jÿ †jvK GB †iv‡M AvµvšÍ nq

• cÖwZ eQi cÖvq 20-40 nvRvi †jvK GB †iv‡M g„ZzëiY K‡i

• c„w_exi cÖvq 5wU gnv‡`‡ki 90 wU †`‡kB KvjvR¡i GKwU Rb¯v ’ mgm¨v

Source: WHO (most endemic counties are highlighted in red) • 90 fvM KvjvR¡i †ivMxB †`Lv hvq evsjv‡`k, fviZ, eªvwRj,

Bw_Iwcqv, `wÿY m~`vb I m~`vb GB 6wU †`‡k

AvÂwjK †cÖÿvcU • fviZxq Dcgnv‡`‡ki evsjv‡`k,

†bcvj I fviZ GB 3 wU †`‡k

KvjvR¡i †iv‡Mi cÖv`yf©ve †ewk

• 20 †KvwU †jvK GB †iv‡Mi

SzuwK‡Z Av‡Q

• cÖwZ eQi 25-40 nvRvi †ivMx

mbv³ nq

• eQ‡i 2-3 kZ gvbyl gviv hvq

Source: Joshi et.al (2008)

• mvaviYZ mvgvwRKfv‡e cÖvwšÍK I `wi ª Rb‡Mvôxi gvbyl GB †iv‡M †ekx

AvµvšÍ nq

evsjv‡`k †cÖÿvcU • cÖ_g KvjvR¡‡ii cÖv yf©ve N‡U 1824

mv‡j h‡kv‡i Ges 70 nvRvi gvbyl gviv hvq

• 1960 mv‡ji w`‡K e¨vcK g¨v‡jwiqv wbqš¿Y Kg©m~Pxi gva¨‡g wWwWwU wQUv‡bvi d‡j KvjvR¡‡ii cÖ‡Kvc Kg‡jI wewfbœ mgq cybivq wewÿßfv‡e Avwef©~Z nq

• 45 wU †Rjvi 130 wU Dc‡Rjv Ges hvi g‡a¨ gqgbwmsn Ab¨Zg KvjvR¡i cÖeY GjvKv wn‡m‡e wPwýZ wQj Ges ZLb †_‡K 1 jÿ 20 nvRv‡ii †ewk †ivMx kbv³K…Z n‡q‡Q

Source: CDC, DGHS, GoB (2009)

RvZxq KvjvR¡i wbg©~j Kg©m~Px

2005 mv‡j evsjv‡`k, fviZ, †bcvj KvjvR¡i wbg©~‡j mg‡SvZv (GgIBD) ¯vÿwiZ nq

D‡Ïk¨: Dc‡Rjv ch©v‡q 2017

mv‡ji g‡a¨ KvjvR¡i †ivMxi msL¨v cÖwZ 10,000 R‡b 1 R‡bi wb‡P Kwg‡q Avbv

evsjv‡`k miKvi 2008 mvj n‡Z G j‡ÿ¨ RvZxq KvjvR¡i wbg©~j

Kg©m~Px cwiPvjbv K‡i Avm‡Q

[ 2014 mv‡j _vBj¨vÛ I f‚Uvb GB wbg©~j Kg©m~PxwU‡Z †hvM`vb K‡i ]

RvZxq KvjvR¡i wbg©~j Kg©m~Pxi †KŠkj evsjv‡`k miKvi KvjvR¡i wbg~©‡ji Rb¨ wb‡Pi †KŠkj ¸‡jv MÖnY K‡i- `ªæZ †ivMx mbv³ KiY Ges c~Y© wPwKrmv †kl Kiv (Early Diagnosis

and Complete Treatment) evnK `g‡b mgwš^Z eë ’vcbv (Integrated Vector Management) †iv‡Mi cÖ‡Kv‡ci AZ›`ª bRi`vwi (Effective Disease

Surveillance)

mvgvR DØy×KiY Ges AskMÖnY (Social Mobilization and Partnerships)

dwjZ M‡elYv (Operational Research)

KvjvR¡i Kvh©µ‡gi mdjZv

wKš‘...c~Y© mdjZv AR©‡bi P¨v‡jÄ¸‡jv nj-

• gqgbwms‡ni 2wU Dc‡Rjvq (dzjevwoqv, wÎkvj) GL‡bv Kvw•LZ jÿ¨gvÎv AwR©Z nqwb

• wPwýZ KvjvR¡icÖeY GjvKv QvovI wewfbœ GjvKv n‡Z wewÿßfv‡e †ivMx mbv³ nIqv

• KwgDwbwUi gvby‡li KvjvR¡i m¤ú‡K© Kvw•LZ m‡PZbZvi Afve

• gvV ch©v‡qi ¯^v ’ Kg©x‡ì KvjvR¡i †ivM I mbv³KiY wel‡q Áv‡bi cwiwa Avkvbyiƒc bq

KvjvR¡i wbg©~‡ji jÿ¨gvÎv AR©‡b gvV ch©v‡qi ¯^v ’ Kg©x‡ì ÔKvjvR¡iÕ wel‡q `ÿZv e„w×g~jK cÖwkÿY

cÖwkÿY

cÖwkÿ‡Yi D‡Ïk¨

gvV ch©v‡qi ¯^v ’ Kg©x‡ì KvjvR¡i wel‡q `ÿZv e„w× Kiv| hvi gva¨‡g KvjvR¡i wbg©~j Kg©m~Px‡Z Zv‡ì wbR wbR `vwqZ¡ m¤ú‡K© we¯ÍvwiZ Rvb‡e Ges Zv cÖ‡qvM Ki‡Z mÿg n‡e|

cÖwkÿY †k‡l Avgiv hv Rvb‡ev!

• KvjvR¡i I wc‡KwWGj wK?

• KvjvR¡i I wc‡KwWGj Gi mbv³KiY I wPwKrmv

• gvV ch©v‡q m‡›`nRbK KvjvR¡i I wc‡KwWGj †ivMx AbymÜvb I †idv‡ij c×wZ

• KvjvR¡‡ii evnK I Gi wbqš¿‡Yi Dcvq

• KvjvR¡i welqK KwgDwbwU gwejvB‡Rk‡bi cÖwµqv

• RvZxq KvjvR¡i wbg©~j Kg©m~Px‡Z Avgv‡ì KiYxq

KvjvR¡i

KvjvR¡i wK ?

KvjvR¡i wjkg¨vwbqv W‡bvfvwb

(Lieshmania donovani) bvgK

GK‡Kvlx ciRxex Øviv NwUZ GKwU †ivM

KvjvR¡‡ii evnK • KvjvR¡‡ii evnK Gi bvg ‡e‡jgvwQ

• Gi Mv‡qi is aymi e‡Y©i

• AÂj‡f‡` ‡e‡jgvwQ, evBj¨vgvwQ, evjygvwQ BZ¨vw` bv‡g cwiwPZ

• hvi êÁvwbK bvg Phlebotomus argentipes

KvjvR¡‡ii evnK †e‡jgvwQ

†e‡jgvwQi êwkó¨ • Giv jvwd‡q jvwd‡q P‡j Ges †ekx Dci ch©šÍ Do‡Z ev

jvdv‡Z cv‡i bv

• mvaviYZ gvwUi N‡ii †`qv‡ji dvUj, ‡fRv müvZm¨vu‡Z †g‡S, †Mvqvj Ni Ges gqjv AveR©bvq _vK‡Z cQ›` K‡i

• Giv wbtk‡ã Kvgovq Ges mÜ¨v †_‡K mKvj ch©šÍ †ekx mwµq nq

• Giv G‡Zv †QvU (‰`N©¨ 3 wg.wg.) †h, Lvwj †Pv‡L †`Lv hvq bv

• GKgvÎ ¯¿x gvwQivB i³ Pzlvi Rb¨ Kvgovq, KviY i³ Zv‡ì wW‡gi cwic°Zvi Rb¨ Acwinvh©

†e‡jgvwQi Avevm¯’j

KvjvR¡‡ii †cvlK

evsjv‡`‡k KvjvR¡‡ii GKgvÎ †cvlK n‡jv gvbyl| ¿x †e‡jgvwQi Kvg‡o KvjvR¡‡ii ciRxex gvby‡li †`‡n cÖ‡ek K‡i Ges KvjvR¡i †iv‡Mi m„wó K‡i

KvjvR¡i Gi wewfbœ cÖKvi wf‡mivj wjkg¨vwbqvwmm (Visceral Leishmaniasis) wKD‡Uwbqvm wjkg¨vwbqvwmm (Cutaneous Leishmaniasis)

KvjvR¡i Gi wewfbœ Ae¯’v

bZyb KvjvR¡i (New Kala-azar, NKA) wPwKrmvq e¨_© KvjvR¡i (Kala-azar

Treatment Failure, KATF) cyYivwef©~Z KvjvR¡i (Relapse Kala-

azar, RKA)

KvjvR¡‡ii jÿY bZyb KvjvR¡i

1| `yB (2) mßv‡ni †ekx R¡i

2| KvjvR¡i cÖeY GjvKvq

_vKv ev åg‡Yi BwZnvm

3| cøxnv dy‡j hvIqv

4| Ab¨vb¨: IRb K‡g

hvIqv, i³¯^íZv, Pvgov

Kv‡jv n‡q hvIqv

wPwKrmvq e¨_© KvjvR¡i 1| `yB (2) mßv‡ni †ekx R¡i 2| KvjvR¡i cÖeY GjvKvq _vKv ev åg‡Yi BwZnvm 3| cøxnv dz‡j hvIqv 4| Ab¨vb¨: IRb K‡g hvIqv, i³¯íZv, Pvgov Kv‡jv n‡q hvIqv 5| c~‡e© KvjvR¡i wPwKrmvi BwZnvm i‡q‡Q Ges wPwKrmvi 6 gv‡mi g‡a¨ GB jÿY¸‡jv †`Lv w`‡q‡Q|

cyYivwef©~Z KvjvR¡i

1| `yB (2) mßv‡ni †ekx R¡i 2| KvjvR¡i cÖeY GjvKvq _vKv ev åg‡Yi BwZnvm 3| cøxnv dz‡j hvIqv 4| Ab¨vb¨: IRb K‡g hvIqv, i³¯^íZv, Pvgov Kv‡jv n‡q hvIqv 5| c~‡e© KvjvR¡i wPwKrmvi BwZnvm i‡q‡Q Ges wPwKrmvi 6 gvm ci cyYivq KvjvR¡‡ii jÿY †`Lv †Ìqv

KvjvR¡‡ii jÿY

KvjvR¡i mbv³KiY

bZyb KvjvR¡i • Av½y‡ji WMv †_‡K GK-yB †dvUv i³ wb‡q Avi‡K-

39 w÷ªc †Uó Gi gva¨‡g bZzb KvjvR¡i mbv³ Kiv nq|

wPwKrmvq e¨_© KvjvR¡i

• Av½y‡ji WMv †_‡K GK-yB †dvUv i³ wb‡q Avi‡K-

39 w÷ªc †Uó Gi gva¨‡g wPwKrmvq e¨_© KvjvR¡i mbv³ Kiv nq| • cøxnvim Ges Aw¯’g¾v cixÿv • gwjKzjvi (wcwmAvi) †U÷


• Av½y‡ji WMv †_‡K GK-yB †dvUv i³ wb‡q Avi‡K-

39 w÷ªc †Uó Gi gva¨‡g cyYivwef©~Z KvjvR¡i mbv³ Kiv nq| • cøxnvim Ges Aw¯’g¾v cixÿv • gwjKzjvi (wcwmAvi) †U÷

RDT rk39 †U÷ w÷ªc:

RDT rk39 †U÷

KvjvR¡‡ii wPwKrmv bZyb KvjvR¡i

GKK gvÎvi (single dose) jvB‡cv‡mvgvj Gg‡dv‡Uwiwmb-we (AmBisome) B‡ÄKk‡bi gva¨‡g bZzb KvjvR¡‡ii wPwKrmv Kiv nq|

wPwKrmvq e¨_© KvjvR¡i

wPwKrmvq e¨_© KvjvR¡i ‡ivMxi wPwKrmvi Rb¨ mgwšZ wPwKrmv c×wZ eënvi Kiv nq| ‡hLv‡b jvB‡cv‡mvgvj Gg‡dv‡Uwiwmb-we B‡ÄKkb, c¨v‡ivggvBwmb B‡ÄKkb I wgj‡U‡dvwmb K¨vcmyj eënvi Kiv nq


cyYivwef©~Z KvjvR¡i ‡ivMxi wPwKrmvi Rb¨ mgwšZ wPwKrmv c×wZ eënvi Kiv nq| ‡hLv‡b jvB‡cv‡mvgvj Gg‡dv‡Uwiwmb-we B‡ÄKkb, c¨v‡ivggvBwmb B‡ÄKkb I wgj‡U‡dvwmb K¨vcmyj eënvi Kiv nq

jvB‡cv‡mvgvj Gg‡dv‡Uwiwmb-we

c¨v‡ivggvBwmb B‡ÄKkb

wgj‡U‡dvwmb K¨vcmyj

wc‡KwWGj (Post Kala-azar Dermal Leishmanisis, PKDL)

• GwU mvaviYZ KvjvR¡‡ii wPwKrmv cieZ©x Ae¯’v • KvjvR¡i nIqvi mvaviYZ 1 eQi ci †_‡K †h‡Kvb mgq GwU †`Lv w`‡Z cv‡i| • Gi d‡j Pvgovq d¨vKv‡k `vM, ÿZ, ¸wU ev wgkª jÿY †`Lv †`q, hv PzjKvwbnxb Ges Aek bq

wP‡Î wc‡KwWGj (PKDL)

wc‡KwWGj (PKDL) Gi jÿY

1| AZx‡Z †Kvb GK mg‡q KvjvR¡‡ii wPwKrmv MÖn‡Yi BwZnvm

2| Pvgovq d¨vKv‡m `vM, ÿZ, ¸wU ev wgkÖ jÿY hv PzjKvwbnxb Ges Aek bq|

wc‡KwWGj (PKDL) mbv³KiY

Avi‡K-39 †Uó (rk39)

øxU ¯‹xb †¯§qvi †Uó

wcwmAvi ‡Uó (PCR)

wgj‡U‡dvwmb K¨vcmyj 3 gvm †me‡bi gva¨‡g wc‡KwWGj Gi wPwKrmv Kiv nq

wc‡KwWGj (PKDL) wPwKrmv

KvjvR¡i †ivMx `ªæZ AbymÜvb I mbv³Ki‡Yi ¸iæZ¡

• KvjvR¡i ‡ivMx KvjvR¡i †iv‡Mi ciRxwei †cvlK

• AvµvšÍ †ivMx †_‡K †e‡jgvwQi Kvg‡oi gva¨‡g

†h †KD G †iv‡M msµwgZ n‡Z cv‡i

• AvµvšÍ e¨w³‡K `ªæZ wPwKrmvi AvIZvq Avbvi gva¨‡g mn‡RB g„Zy¨ SzuwK †iva Kiv hvq

wc‡KwWGj ‡ivMx `ªæZ AbymÜvb I mbv³Ki‡Yi ¸iæZ¡

• wc‡KwWGj †ivMx KvjvR¡i †iv‡Mi ciRxwei †cvlK

• wc‡KwWGj †ivMxi †`‡n †Kvb R¡vjv-hš¿Yv nq bv e‡j A‡bK †ÿ‡Î Ae‡njv K‡i, hv DwPZ bq

• wc‡KwWGj †ivMx‡K `ªæZ mbv³Ki‡Yi gva¨‡g msµg‡Yi nvi Kwg‡q Avbv m¤¢e

wPwKrmv cieZ©x KiYxq

• KvjvR¡‡ii wPwKrmv cÖ`v‡bi c‡i †ivMx‡K GKwU ch©‡eÿY (d‡jv-Avc) KvW© †Ìqv nq

• wPwKrmv MÖn‡Yi ci †_‡K cieZ©x cvuP eQi ch©šÍ †ivMx‡K ch©‡eÿ‡Y ivLv nq

• d‡jv-Av‡ci Rb¨ †ivMx‡K wba©vwiZ mg‡q Dc‡Rjv ^v ’ Kg‡cø‡· wbqwgZ Avm‡Z nq

d‡jv-Avc Gi mgqKvj d‡jv-Avc mgq 1g d‡jv-Avc wPwKrmv MÖn‡Yi 01 gvm ci 2q d‡jv-Avc wPwKrmv MÖn‡Yi 06 gvm ci 3q d‡jv-Avc wPwKrmv MÖn‡Yi 12 gvm ci 4_© d‡jv-Avc wPwKrmv MÖn‡Yi 18 gvm ci 5g d‡jv-Avc wPwKrmv MÖn‡Yi 24 gvm ci 6ô d‡jv-Avc wPwKrmv MÖn‡Yi 30 gvm ci 7g d‡jv-Avc wPwKrmv MÖn‡Yi 36 gvm ci 8g d‡jv-Avc wPwKrmv MÖn‡Yi 42 gvm ci 9g d‡jv-Avc wPwKrmv MÖn‡Yi 48 gvm ci 10g d‡jv-Avc wPwKrmv MÖn‡Yi 54 gvm ci 11Zg d‡jv-Avc wPwKrmv MÖn‡Yi 60 gvm ci

KvjvR¡i d‡jv-Avc Gi ¸iæZ¡ • my ’ nIqvi ci cybivq KvjvR¡i n‡j A_ev

wc.‡K.wW.Gj. ‡`Lv w`‡j wPwKrmv cieZ©x d‡jv-Av‡ci gva¨‡g †ivM mn‡RB aiv co‡e

• d‡jv-Av‡c wPwKrm‡Ki wbweo ch©‡eÿY †ivMxi Ab¨vb¨ ¯v¯’¨ SzuwK A‡bKvs‡k Kwg‡q w`‡e

• AvµvšÍ †ivMxi KvjvR¡i msµvšÍ wPwKrmv webvg~‡j¨ MÖnY Ki‡Z cvi‡e

†ivMx AbymÜvb

KvjvR¡‡ii †ivMx AbymÜvb cÖwµqv KvjvR¡‡ii †ivMx AbymÜv‡bi Rb¨ ‡hmKj c×wZ AbymiY Kiv nq- AbymÜv‡bi g~j cÖwµqv 2 ai‡Yi;

• c‡ivÿ ‡ivM wbY©q (Passive Case Detection, PCD) Ges

• cÖZ¨ÿ ‡ivM wbY©q (Active Case Detection, ACD)

cÖZ¨ÿ †ivM wbY©q

cÖZ¨ÿ †ivM wbY©q cÖwµqvq evsjv‡`‡k KvjvR¡i Ges wc‡KwWGj †ivM AbymÜv‡b 3 ai‡Yi c×wZ AbymiY Kiv nq;

• evwo evwo †ivMx AbymÜvb c×wZ (House to House Search Approach),

• K¨v¤ú c×wZ (Camp Based Approach),

• Bb‡W· †Km wfwËK c×wZ (Index Case Based Approach)|

cÖZ¨ÿ c×wZ‡Z †ivMx AbymÜv‡bi mgq †h welq¸‡jv †Lqvj ivL‡Z n‡e

KvjvR¡i Gi †ÿ‡Î :

2 mßv‡ni †ekx R¡i

wc‡KwWGj Gi †ÿ‡Î :

Pvgovq d¨vKv‡m `vM, ÿZ, ¸wU ev wgkÖ jÿY

evwo evwo †ivMx AbymÜvb c×wZ

evwo evwo †ivMx AbymÜvb c×wZ‡Z KvjvR¡icÖeY GjvKvq cÖwkÿY cÖvß miKvix /†emiKvix ¯v ’ Kg©xiv (HI, AHI, HA) evwo evwo wM‡q yB mßv‡ni †ekx R¡i Ges Pvgovq mv`v †Qvc †Qvc `vM wewkó †ivMx AbymÜvb K‡i _v‡Kb

evwo evwo †ivMx AbymÜvb c×wZ

K¨v¤ú c×wZ • K¨v¤ú wUgt

- †gwW‡Kj Awdmvi, bvm©, j¨ve‡iUix †UKwbkqvb Ges ¯^v ’ mnKvix

• ¯’vbt - ¯‹zj, K‡jR, gv`ªvmv ev MY¨gvb¨ e¨w³i evwo

• cÖwµqvt - mgq, ZvwiL I ¯’vb m¤ú‡K© ’vbxq †jvKRb‡K 1/2 w`b c~‡e© AeMZ Kiv nq

• hv cÖPvi Kiv nqt - `yB mßv‡ni †ekx R¡‡i fzM‡Q Ges Pvgovq mv`v †Qvc †Qvc `vM wewkó †ivMx‡ì K¨v‡¤ú Avm‡Z ejv nq

K¨v¤ú c×wZ

Bb‡W· †Km wfwËK c×wZ

Bb‡W· †Km wfwËK c×wZ‡Z bZzb mbv³ nIqv †ivMxi cwiev‡ii m`m¨ I Zvi evwoi Pvicv‡ki 100 wgUvi (†gvUvgywU 60wU evwo‡Z) Gi g‡a¨ KvjvR¡i Ges wc‡KwWGj †ivMx AbymÜvb Kiv nq

Bb‡W· †Km wfwËK c×wZ

†bv-KvjvR¡i UªvÝwgkb G¨vw±wfwU (NKTA)

†bv-KvjvR¡i UªvÝwgkb G¨vw±wfwU GKwU mgwšZ c×wZ, hvi gva¨‡g KvjvR¡i ‡iv‡Mi `ªæZ AbymÜvb I evnK wbqš¿Y GKmv‡_ Kiv nq| GB A¨vw±wfwUi AvIZvq Bb‡W· †ivMxi evwo I Gi Pvicv‡ki 60wU evwo‡Z wb‡¤œv³ KvR¸‡jv Kiv nq-

bZzb KvjvR¡i Ges wc‡KwWGj †ivMx mwµqfv‡e AbymÜvb Kiv nq

wQUvB (AvBAviGm) Kvh©µg I †e‡jgvwQi cÖRbb †ÿÎ

aŸsm Kiv nq

NKTA WvqvMÖvg

52

`j‡bZv I wQUvBKvix

GgI (wWwm), GgI, mvK‡gv, GgwU

(j¨ve)

AvBAviGm I jvwf©mvBW †¯úª

†ivMx wfwËK Bb‡W· evwo evwo ‘rk39’ cixÿv ACD Kv‡Ri ZË¡veavb

GBPAvB, GGBPAvB wUg wjWvi

G‡›UvgjwR÷ Ges G‡›Uv-‡UK

60wU evwo‡Z ACD

AvBAviGm I jvwf©mvBW Kv‡Ri

ZË¡veavb

evnK I ïKKxU Rwic, AvBAviGm I jvwf©mvBW

Kv‡Ri ZË¡veavb

Bb‡W· †ivMxi evwo

`jxq Abykxjb

KvjvR¡i †ivMx AbymÜvb cÖwµqv Ges d‡jv-Av‡c

Avcbv‡ì KiYxq

†ivMx AbymÜvb cÖwµqvq Avcbvi KiYxq

^v ’ cwi`k©K • evwo evwo †ivMx AbymÜvb Kv‡Ri mvwe©K cwiKíbv Kiv • ¯v¯’¨ K¨v¤ú Av‡qvR‡b mnvqZv Kiv Ges Gi mvwe©K mgšq mvab Kiv • wPwýZ †ivMxi evwoi Pvi cv‡k †ivMx AbymÜvb Kv‡Ri ZË¡veavb Kiv • †ivMx AbymÜvb Kv‡Ri cÖwµqvi mvwe©K Z_¨ msiÿY I cÖwZ‡e`b ‰Zwi Kiv

mn:¯v¯’ cwi`k©K • evwo evwo †ivMx AbymÜvb Kv‡Ri cwiKíbv Kiv • ¯v¯’¨ K¨v¤ú Av‡qvR‡b mnvqZv Kiv Ges Gi ZË¡veavb Kiv • wPwýZ †ivMxi evwoi Pvi cv‡k †ivMx AbymÜvb Kv‡Ri Z`viwK Kiv • †ivMx AbymÜvb Kv‡Ri cÖwµqvi Z_¨ msiÿY I cÖwZ‡e`b ‰Zwi Kiv

¯v ’ mnKvix • evwo evwo †ivMx AbymÜvb cÖwµqvq AskMÖnY Kiv • ¯v¯’¨ K¨v¤ú Av‡qvR‡b mnvqZv Kiv • wPwýZ †ivMxi evwo Luy‡R †ei Kiv Ges Zvi evwoi Pvi cv‡k †ivMx AbymÜv‡b Ask MÖnY Kiv • †ivMxi wbqwgZ d‡jv-Avc Kiv I Zv wbwðZ Kiv Ges Z_¨ msiÿY I cÖwZ‡e`b ˆZwi Kiv

KwgDwbwU gwejvB‡Rkb

KwgDwbwU gwejvB‡Rkb

KwgDwbwU gwejvB‡Rkb n‡jv KwgDwbwUi gvby‡li m¶gZv e…w×i GKwU cÖwµqv

†hLv‡b GKK e¨w³, `j GKwU AskMÖnYg~jK I †UKmB wfwË‡Z Kvh©µg g~j¨vq‡bi gva¨‡g DbœZ ^v ’ Ges Ab¨vb¨ Pvwn`v c~i‡Y Zv‡ì wbR¯

D‡`¨vM MÖnY K‡i, cvkvcvwk Ab¨‡K AbycÖvwYZ K‡i

AvB.B.wm. (Information, Education and Communication-IEC)

AvBBwm e¨w³, m¤cÖ`vq I msMV‡bi mv‡_ mswkøó gvby‡li AvPi‡Yi BwZevPK cwieZ©b Avbv I Zv eRvq ivLvi Rb¨ GKwU Kvh©Ki †hvMv‡hv‡Mi †KŠkj| †hgb-

Ò`yB mßv‡ni †ekx R¡i, m¤¢eZ KvjvR¡iÓ

we.wm.wm. (Behavior Change Communication-BCC)

AvPiY cwieZ©‡bi Rb¨ †hvMv‡hvM ev wewmwm n‡jv GKwU DfqgyLx †hvMv‡hv‡Mi †KŠkj| hv gvby‡li AvPi‡Yi BwZevPK cwieZ©b K‡i, Ab¨‡K AbycÖvwYZ Ki‡Z DØy× K‡i Ges mnvqK cwi‡ek m„wó K‡i

ÒDc‡Rjv ¯^v¯’ Kg‡cø‡· KvjvR¡‡ii wPwKrmv

webvg~‡j¨ cvIqv hvqÓ

KvjvR¡i wbg~©j Kg©m~Px‡Z eëüZ AvBBwm / wewmwm DcKiY

mvgvwRK DØy×Ki‡Yi Rb¨ DVvb êVK

MvRx Mvb (KvjvR¡i m¤úwK©Z)

gva¨wgK we`¨vj‡qi wkÿK‡ì DØy× Kiv

¯‹zj cÖv½‡b †`qvj wjLb

wUwf Kgvwk©qvj I WKz Wªvgv (Z_¨ bvUK)


¯^v¯’¨Kgx©MY wd¬c Pv‡U©i gva¨‡g KvjvR¡i cÖeY GjvKvq gvV ch©v‡q DVvb êVK cwiPvjbv Ki‡eb Ges KvjvR¡i m¤ú‡K© m‡PZbZv e„w×‡Z AMÖYx f~wgKv cvjb Ki‡eb


MvRx Mvb (KvjvR¡i m¤úwK©Z) • MvRx Mvb mvaviYZ MÖv‡gi wewfbœ evwoi DVv‡b

cÖ`wk©Z n‡q _v‡K

• ev`¨hš¿ Qvov GKwU eo †cvóv‡i AuvKv A‡bK

¸‡jv avivevwnK Qwei gva¨‡g Mvb MvIqv nq

• AvuKv Qwe¸‡jv‡Z GKwU jvwVi gva¨‡g wb‡`©k

K‡i Zv myi I K_vi mvnv‡h¨ MvIqv nq

MvRx Mvb

QvÎ-QvÎx‡ì DØy×KiY • KvjvR¡icÖeY GjvKvi mKj gva¨wgK we`¨vj‡qi

cÖavb wkÿK‡ì KvjvR¡i m¤úwK©Z wel‡q

AewnZKi‡Yi eë¯’v Kiv n‡”Q

• hvi gva¨‡g cÖavb wkÿKMY QvÎ-QvÎx‡ì mgv‡e‡k

(G‡m¤^wj) KvjvR¡i m¤úwK©Z Z_¨ cÖ`vb Ki‡eb

• d‡j QvÎ-QvÎxiv evwo‡Z wM‡q Zv‡ì cwiev‡ii

m`m¨‡ì Ges cÖwZ‡ewk‡ì g‡a¨ GB Z_¨¸‡jv

wewbgq Ki‡Z cvi‡e


KvjvR¡icÖeY GjvKvi wkÿv_©xmn I Ab¨vb¨ ¯’vbxq gvbyl‡K KvjvR¡i m¤ú‡K© m‡PZb Ki‡Z cÖwZwU D”P gva¨wgK we`¨vj‡qi †`qv‡j KvjvR¡i welqK Z_¨ (†køvMvb) wjLv‡bvi eë¯’v Kiv n‡q‡Q


wUwf Kgvwk©qvj I WKz Wªvgv (Z_¨ bvUK)

• KvjvR¡‡ii Dci wbwg©Z ¯í ˆ`‡N¨©i Z_¨ bvUK KvjvR¡i cÖeY GjvKvi ¯’vbxq P¨v‡b‡j K¨vej Acv‡iU‡ii gva¨‡g cÖ`k©‡bi eë¯’v Kiv n‡”Q • cvkvcvwk H mKj GjvKvi RbmgvMg ¯’v‡b myweavRbK mg‡q GwU cÖ`k©‡biI eë¯’v Kiv n‡”Q

wewmwm I AvBBwm Kg©m~Px‡Z Avcbvi KiYxq

gvV ch©v‡q RvZxq KvjvR¡i wbg©~j Kg©m~Pxi

AvIZvq M„wnZ D‡`¨vM‡K mdj Ki‡Z wewmwm

I AvBBwm Kvh©µg ev¯Íevq‡b mvwe©K

mn‡hvMxZv cÖ`vb

wd¬cPvU© weZiY Ges eënvwiK †W‡gv

†e‡jgvwQ wbqš¿‡Yi Dcvq

†e‡jgvwQ wbqš¿‡Yi Dcvqmg~n

1. evwo‡Z KxUbvkK wQUv‡bv

2. `xN©¯’vqx KxUbvkK hy³ gkvix eënvi

3. †`qv‡j KxUbvkKhy³ is Gi eënvi

4. cwi‡ek eë¯’vcbv

5. †`qvj Av¯ÍiY

evwo‡Z KxUbvkK wQUv‡bv

• KvjvR¡i cÖeY GjvKvq eQ‡i 2 evi KxUbvkK (†Wëv‡gw_ªb) wQUv‡bv nq| • cÖwZwU wQUvB `‡j 5 Rb †¯úª Kvix Ges GKRb mycvifvBRvi (HA) _v‡Kb| • G‡ì g‡a¨ GKRb mnvqK Ges evwK 4 Rb †¯úª K‡i _v‡Kb| • GiKg 4-5wU `‡ji ZË¡veavb K‡i _v‡Kb GK Rb AHI|

evwo‡Z KxUbvkK wQUv‡bv

KxUbvkK wQUv‡bv c~e©eZ©x KiYxq • KxUbvkK wQUvB‡qi 7w`b c~‡e© †jcv-gyQvi KvR

_vK‡j †kl Ki‡Z ejv

• N‡ii wfZ‡ii mKj AvmevecÎ hZ`~i m¤¢e Ni †_‡K †ei Kivi Rb¨ ejv

• AvmevecÎ †ei Kiv m¤¢e bv n‡j †`qvj †_‡K mwi‡q †X‡K ivL‡Z ejv

• Lvevi wRwbmcÎ †hgb- cvwbi cvÎ, Lvevi BZ¨vw` evwoi evwn‡i wb‡q †X‡K ivL‡Z ejv

• nuvm-gyiMx _vK‡j N‡ii evwn‡i wb‡q ivL‡Z ejv

KxUbvkK wQUv‡bv c~e©eZ©x KiYxq

KxUbvkK wQUv‡bv PjvKvjxb KiYxq • KxUbvkK wQUvB‡qi mgq N‡ii g‡a¨ †Kvb wKQz

LvIqv ev †meb bv Ki‡Z ejv

• wQUvBKv‡j mivmwi KxUbvk‡Ki ms¯úk© Gwo‡q Pj‡Z ejv| †PvL ev Z¡‡K fzj K‡i KxUbvkK †j‡M †M‡j mvevb I cwi¯‹vi cvwb w`‡q ZrÿYvZ ay‡q †dj‡Z ejv

KxUbvkK wQUv‡bv PjvKvjxb KiYxq

KxUbvkK wQUv‡bv cieZ©x KiYxq • wQUvB‡qi 2 N›Uvi g‡a¨ N‡i cÖ‡ek bv Ki‡Z

ejv

• †h me RvqMvq KxUbvkK wQUvB Kiv n‡q‡Q, †m me RvqMvq Qq gvm ch©šÍ †jcv gyQv ev PzbKvg Kiv hv‡e bv

• wQUvB Kv‡j ev wQUvB Gi c‡i †h me †cvKv-gvKo gviv hv‡e Zv Svo– w`‡q GKwÎZ K‡i gvwUi wb‡P cuy‡Z ivL‡Z ej‡Z n‡e

KxUbvkK wQUv‡bv cieZ©x KiYxq

`xN© ’vqx KxUbvkK hy³ gkvix eënvi

†Wëv‡gw_ªb KxUbvkK hy³ gkvix eënvi K‡iI KvjvR¡‡ii cÖ‡Kvc †_‡K iÿv cvIqv hvq| G‡Z †e‡jgvwQ ‡ivMxi ms¯ú‡k© Avm‡Z cv‡i bv e‡j KvjvR¡i Qovq bv

`xN© ’vqx KxUbvkKhy³ gkvix eënvi

`xN©¯’vqx KxUbvkKhy³ gkvix eënv‡i mZK©Zv

eQ‡i 2 evi Gi †ekx †avqv hv‡e bv

mvevb/ wWUvi‡R›U w`‡q wfwR‡q ivLv hv‡e

bv, mv‡_ mv‡_B ay‡q †dj‡Z n‡e

†avqvi ci †iv‡` ïKv‡bv hv‡e bv, Qvqvhy³

¯’v‡b ïKv‡Z n‡e

†`qvj Av¯ÍiY • GwU †e‡jgvwQ cÖwZ‡iv‡ai GKwU c×wZ

• GB c×wZ‡Z N‡ii ‡fZ‡i ‡`qv‡ji mv‡_ KxUbvkKhy³ GKwU Av¯ÍiY mshy³ K‡i Uvbv‡bv nq

• GB Av¯ÍiYwU †`L‡Z A‡bKUv Rv‡ji gZ ÿz`ª ÿz`ª wQ`ª wewkó

†`qvj Av¯ÍiY

†`qv‡j KxUbvkKhy³ is Gi eënvi

• eZ©gv‡b evwYwR¨Kfv‡e KxUbvkKhy³ is cvIqv hv‡”Q, hv †e‡jgvwQ cÖwZ‡iv‡a GKwU AvaywbK I Kvh©Kix c×wZ

• mv¤cÖwZK M‡elYvi cÖ_wgK djvdj †_‡K Rvbv hvq †h, GB bZyb c×wZ‡Z †e‡jgvwQi g„Zzï nvi 95 kZvsk

• gvby‡li Dci ev M„ncvwjZ cïcvwLi Dci ‡Kvb weiæc cÖwZwµqv †bB

• KwgDwbwU ch©v‡q MÖnY †hvM¨Zv 94 kZvsk

†`qvj is Kivi mgq KxUbvk‡Ki eënvi

cwi‡ek eë¯’vcbv

emev‡mi ¯’vb I †Mvqvj Ni cwi®‹vi

cwi”Qbœ ivLv

†`qv‡ji duvUj eÜ Kiv

†e‡jgvwQi m¤¢ve¨ evm¯’vb aŸsm Kiv

cwi‡ek eë¯’vcbv

KvjvR¡‡ii evnK wbqš¿‡Y Avcbv‡ì KiYxq

^v ’ cwi`k©K KvjvR¡i cÖwZ‡iv‡a mnvqK Kvh©µ‡gi cwiKíbv I myôy ZË¡veavb Kiv KwgDwbwU ch©v‡q Kv‡Ri mgq mnKg©x‡ì mvwe©K mn‡hvMxZv Kiv Pjgvb Kv‡Ri d‡jv-Avc wbwðZ Kiv Kvh©µg ev Íevq‡b cÖwZeÜKZv ¸‡jv mswkøó KZ…©cÿ‡K AewnZ Kiv Ges m¤¢ve¨ mgvav‡bi Dcvq †ei Kiv

mn:¯v¯’ cwi`k©K gvV ch©v‡q KxUbvkK wQUvB Kv‡Ri cwiKíbv Kiv KxUbvkKhy³ gkvix eënv‡i DrmvwnZ Ki‡Z mnKg©x‡ì mn‡hvwMZv Kiv †`qvj is Kivi mgq I Av Íi‡Y KxUbvk‡Ki eënvi e„w×‡Z mnKg©x‡ì mn‡hvwMZv Kiv cwi‡ek cwi¯‹vi I cwi”Qbœ ivL‡Z mnKg©x‡ì DØy× Kiv I KwgDwbwU gwejvB‡Rkb Kiv

¯v ’ mnKvix KxUbvkK wQUv‡bv Kv‡R mnvqZv Kiv KxUbvkKhy³ gkvix eënv‡i DrmvwnZ Kiv †`qvj is Kivi mgq KxUbvk‡Ki eënvi Ki‡Z DrmvwnZ Kiv evm ’vb I Mevw`cï ivLvi ’vb wbqwgZ cwi¯‹vi I ï®‹

ivL‡Z DØy× Kiv evwoi †`qv‡j Av ÍiY jvMv‡Z DØy× Kiv

†kl K_v

KvjvR¡i wbg©~j Kg©m~Px mdj Ki‡Z Avcbv‡ì KiYxq

• KvjvR¡i wel‡q gvV ch©v‡q m‡PZbZv e„w× Kiv

• KvjvR¡i m‡›`n n‡j `ªæZ wbKU ’ Dc‡Rjv ¯^v ’ Kg‡cø· G †cÖi‡Yi (†idvi) eë ’v Kiv

• †ivMx‡K wPwKrmv m¤úbœ Ki‡Z I d‡jv-Avc G Avm‡Z DØy× Kiv

• ’vbxq gvby‡li AskMÖnY I cvi¯úvwiK mn‡hvwMZv wbwðZ Ki‡Z GW‡fv‡Kwm Kiv

• gvV ch©v‡q Ni-evwo¸‡jv‡K KxUbvkK wQUvB Kg©m~wP‡Z AšÍf©~w³ wbwðZ Kiv

abëv`

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cÖwkÿY Kg©m~Px ÒKvjvR¡iÓ - kalacorebd.comkalacorebd.com/wp-content/uploads/2016/C4/Training-Material/Presentation/Training... · cÖ_g KvjvR¡‡ii cÖv`yf©ve N‡U . 1824