1. 3 . 2 plL¡l£ fËLÒf 60 ¢j¢eV
1z A¢d−hn−el E−ŸnÉ (Session Objectives) x
HC A¢d−hn−el −n−o AwnNËqeL¡l£l¡ ¢e¢jÀ¢m¢Ma ¢hou…¢m heÑe¡ Ll−a f¡l−he -
ü¡ÙÛÉ ¢houL ¢h¢iæ fËLÒf ¢Li¡−h ¢hfkÑu Ty¢¥ L qÊ¡Ê pLle L¡kÑ¡hm£−a p¡q¡kÉ L−l z
2 z A¢d−hn−el j§m ¢nr¡ (Key Learning Points) :
ü¡ÙÛÉ −r−œ f¢ÕQjh‰ plL¡l Hhw i¡la plL¡−ll ¢h¢iæ fËL fËLÒf B−R z
HC fËLÒf…¢m f’¡−ua£ l¡S fË¢aù¡−el j¡dÉ−j L¡kÑLl£ qu k¡ Eæu−el fËLÒf…¢ml f¡n¡f¡¢n
¢hfkÑu Ty¥¢L qÊÊ¡pLle L¡S…¢ml p¡−b pwk¤š² ü¡ÙÛÉ pÇf¢LÑa Ty¥¢L Lj¡−e¡l SeÉ L¡S L−l z
l¡M¤
3 z −S−e l¡M¤e (Hand Out) :
fË¢aù¡e / fËLÒf / Ef−i¡š²¡ c¡¢u−aÆ b¡L¡ f¢lcnÑL m¡i
f¢l−oh¡ / f¢loh¡ B¢dL¡¢lL /
c¡a¡ LjÑQ¡l£
hÔL fË¡b¢jL ü¡ÙÛÉ pjÙ¹ −l¡N£ hÔL ü¡ÙÛÉ j¤MÉ ü¡ÙÛÉ ¢Q¢Lvp¡, Sl¦l£ AhÙÛ¡u i¢aÑ,
−L¾cÊ (BPHC) B¢dL¢lL B¢dL¡¢lL Ty¥¢L ¢eh¡leL¡l£ ü¡ÙÛÉ p¤¤lr¡ z
(BMOH) (CMOH)
fË¡b¢jL ü¡ÙÛÉ −L¾cÊ pjÙ¹ dl−el −l¡N£ ü¡ÙÛÉ B¢dL¢lL BMOH ¢Q¢Lvp¡, Ty¥¢L ¢eh¡leL¡l£ ü¡ÙÛÉ
(PHC) (i¢aÑ qJu¡ k¡u e¡) (MO) p¤¤lr¡ z
Ef-ü¡ÙÛÉ −L¾cÊ pjÙ¹ dl−e −l¡N£ A‰yeJu¡s£ Supervisor, hÔL NiÑ¡hÙÛ¡u kaÀ, V£L¡Lle, kr¡,
(Sub- Centers) ¢eu¢ja ¢Q¢Lvp¡ −p¢hL¡ (ANM) Seü¡ÙÛÉ −p¢hL¡ jÉ¡−m¢lu¡ / g¡C−m¢lu¡ / L¥ù,
Ll¡−a f¡−l z (BPHN) SÆl, X¡C¢lu¡, ¢eE−j¢eu¡
CaÉ¡¢cl ¢Q¢Lvp¡ Ll¡−e¡ k¡u z
NiÑ¡hÙÛ¡L¡m£e kaÀ NiÑha£ j¢qm¡ ANM Supervisor, JSe J EµQa¡ j¡f¡ k¡u,
(ANC) BPHN lš²Q¡f j¡f¡ k¡u, BCle Hhw
Folic Acid VÉ¡h−mV f¡Ju¡
k¡u, TT ¢q−j¡−NÔ¡¢he, Urine
Albumin / Sugar, Abdominal
Palpation CaÉ¡¢c fl£r¡
Ll¡−e¡ k¡u z
See£ p¤¤lr¡ −k¡Se¡ NiÑha£ j¢qm¡ k¡l¡ ANM Supervisor, NiÑha£ qJu¡l 7 j¡−pl j¡b¡u
JSY (Plus) (¢àa£u p¿¹¡e fkÑ¿¹) BPHN 500 V¡L¡ −cJu¡ qu (¢aeh¡l
SC / ST, BPL, ü¡ÙÛÉ fl£r¡l fl)
Nl£h c¤xÙÛ−cl
¢Q¢Lvp¡ qu z
1

2. H−r−œ f’¡−ua
fËd¡−el ¢Q¢W m¡−N z
Referral /AeÉœ q¡pf¡a¡−m fËph Ambulance BMOH 20 KM −b−L −h¢n c§laÆ q−m
ÙÛ¡e¡¿¹l−el fl¡jnÑ f¢l−oh¡ / 150 - 450 V¡L¡ −cJu¡ qu z
−hplL¡l£ N¡¢s
Hhw BAM Hl
SeÉ V¡L¡
q¡pf¡a¡−m fËph q¡pf¡a¡−m fËph, q¡ppf¡a¡m / Superintendent fË¢aù¡−e fËph q−m 500 V¡L¡
SC/ST, BPL J fË¢aù¡e (ašÄ¡hd¡uL) −cJu¡ qu z
Nl£h c¤xÙÛ−cl
¢Q¢Lvp¡ qu z
fËd¡−el ¢Q¢W m¡−N z
S−eÈl e¢bi¨š²LlZ 21 ¢c−el j−dÉ ph fËd¡e / −f±lpi¡ S−eÈl fËj¡e fœ
S£ha ¢nö−L (q¡pf¡a¡m
e¢bi¨š Ll¡−a q−h /ANM Hl fËj¡e
fœ / ¢Q¢W m¡N−h)
p¡hÑSe£e V£L¡LlZ HLj¡p / 18j¡−pl ANM Supervisor, BCG, DPT, OPV, −qf¡V¡C¢VpÚ
LjÑp§Q£ Hhw e£−Q hup, NiÑha£, BPHN B, TT, q¡j (DPT œhw OPV
¢iV¡¢je A (UIP + f¡yQ hRl, 10hRl Hl A¢a¢lš² j¡œ¡) Hl
VIT A) Hhw 16 hRl V£L¡LlZ
pwqa ¢nö Eæue 6 hR−ll e£−Ql ¢nö JSe fl£r¡, f¢lf§lL f¤¢ùLl
fËLÓf (ICDS) M¡cÉ, fË¡LÚ ¢hcÉ¡mu z
RNTCP / DOTS kr¡ (c¤C pç¡−ql ANM (¢Q¢Lvp¡ TU X¡š²¡l TB l Kod
−hn£ L¡n£ q−m) J fl£r¡)
NVBDCP / Sƹ−ll −l¡N£ Fever Depot, BMOH fl£re J jÉ¡−m¢lu¡ Kod
jÉ¡−m¢lu¡ ANM
NVBDCP / ¢Q¢q²a −Sm¡…¢m−a ANM Supervisor, PROPHYLAXIS VÉ¡h−mV
g¡C−m¢lu¡ ¢Qq²aLlZ BPHN hR−l 1 h¡l, AeÉ¡eÉ Kod
NVBDCP / JE 1 −b−L 2 hR−ll ANM Supervisor, ¢eu¢ja fË¢a−odL, fËQ¡l¡¢ik¡e,
¢nö (¢Q¢q²a BPHN fl£re
−Sm¡…¢m−a),
1 −b−L 15 hR−ll
(l¡E−ä k¡−cl SÆ−l
A°QaeÉ AhÙ¹¡u
−cM¡ −N−R )
NVBDCP / SÆl ANM (¢LR¥ ¢LR¥ Supervisor, ¢Q¢Lvp¡ J fl£rZ
L¡m¡SÆl Hm¡L¡u fl£rZ BPHN
IMNCI / p−cÉS¡a 5 hRl hup fk¿¹Ñ ASHA, ANM BPHN ¢Q¢Lvp¡ J AeÉœ ÙÛ¡e¡¿¹l−Zl
J ¢nö−cl Ap¤¤ÙÛa¡ fl¡jÑn
hÉhÙÛ¡fe¡
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3. Anweshi hu:p¢å L¡m£e Anweshi, hÔL −Sm¡ hu:p¢å fl¡jÑn, ¢Q¢Lvp¡
h¡¢mL¡ −p¢hL¡, ¢el£rL ü¡ÙÛÉ fl£rZ cm
Poushi hu:p¢å L¡m£e −h-plL¡¢l pwÙÛ¡ −Sm¡l cm j¡¢p−Ll pju hÉhq©a L¡fs
h¡¢mL¡ / Pad
Nªqf¡¢ma föl Nªqf¡¢ma fö fö ¢Q¢LvpL −Sm¡ fö Nªqf¡¢ma fö−cl ¢Q¢Lvp¡
Ap¤¤M k¡ j¡e¤o−L ¢Q¢LvpL
fËi¡¢ha L−l z
ea¥e ¢eÕQu k¡e / NiÑhaÑ£ j¢qm¡ −hplL¡¢l pwÙÛ¡ CMOH fËp−hl ÙÛ¡e fkÑ¿¹ ¢he¡j§−mÉ
j¡a« k¡e −k¡Se¡ (1 à¡l¡ NRHM Hl k¡a¡u−al hÉhÙÛ¡
m¡ H¢fËm 2011 ¢hL−Òf
−b−L Q¡m¤ ) ÙÛ¡e¡¿¹l−el SeÉ
k¡a¡u¡a hÉhÙÛ¡
fËph −L¾cÊ NiÑhaÑ£ j¢qm¡ c¡¢uaÆ fË¡ç BPHN/BMOH p¤¤l¢ra fËph
(Level 1) ANM
HR¡s¡ J k¢c
AwnNËqZL¡l£−cl
S¡e¡ Hm¡L¡ ¢i¢šL
−L¡−e¡ −k¡Se¡ b¡−L,
a¡J A−m¡Qe¡u −k¡N
Ll−a q−h z
4z A¢d−hne f¢lLÒfe¡ (Session Plan) :
pju A¢d−hn−el
A¢d−hn−el L¡kÑ ¢hhle£
fËbj 10 ¢j¢eV pLm−L AiÉbÑe¡ S¡¢e−u ¢c−el öi p§Qe¡ q−h z HC A¢d−hn−e ü¡ÙÛÉ pð¢åa
plL¡¢l ¢h¢iæ fËLÒf pÇf−LÑ S¡e¡−e¡ q−h AwnNËqeL¡l£l¡ a¡−cl Hm¡L¡ /
NË¡−j fËQ¢ma ¢LR¥ fËL−Òfl e¡j hm−he z a¡−cl hm¡ fËLÒf…¢ml e¡j Q¡−VÑ
a¡¢mL¡hÜ Ll−a q−h z
11 - 55 ¢j¢eV ¢h¢iæ plL¡¢l fËLÒf pÇf−LÑ ¢hÙ¹¡¢la i¡−h heeÑ¡ −cJu¡l SeÉ hÔL h¡ −Sm¡
Ù¹−ll −L¡e plL¡¢l B¢dL¡¢lL−L j−’ Bj¿»Z S¡e¡−a q−h z
plL¡¢l B¢dL¡¢lL−L Bj¿»e S¡¢e−u ay¡−L ¢LR¥ hš²hÉ l¡M−a B−N −b−LC
Ae¤−l¡d L−l l¡M−a q−h z fË¢nr−Zl ¢hou, AwnNËqeL¡l£−cl fËaÉ¡n¡ J
pjup£j¡ CaÉ¡c£ hš²¡l p¡−b f§−hC Lb¡ h−m l¡M¡ fË−u¡Se z H¢V hš²¡−L
hš²hÉ l¡M¡l SeÉ p¡q¡−kÉ Ll−h z
k¢c hš²¡−L B−N −b−LC ¢m¢Ma BL¡−l e£−Ql ¢hou…¢m S¡e¡−e¡ qu a¡q−m
p¤¤¢hd¡ q−h z
• A¢d−hn−el E−ŸnÉ : plL¡−ll ü¡ÙÛÉ pðå£u ¢h¢iæ fËLÒf…¢m pð−å
AwnNËqeL¡l£−cl S¡e¡−e¡ z
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4. • ¢houhÙ¹¥ : fË¢a¢V fËL−Òfl ¢hÙ¹¡¢la heÑe¡, −L¡b¡u fËLÒf…¢m L¡kÑL¡l£
houhÙ¹
i¡−h pgm q−u−R Hhw a¡ −b−L m¡i f¡Ju¡ −N−R a¡ Ec¡qlZ ¢c−u
h−m ¢c−a q−h z
• AwnNËqZL¡l£−cl SeÉ fËL−Òfl f¤¢Ù¹L¡ Be¡ −k−a f¡−l z
pjup£j¡ : 55 ¢j¢eV
56 - 60 ¢j¢eV • hš²¡−L a¡l j§mÉh¡e hš²hÉ Hhw pju −cJu¡l SeÉ deÉh¡c S¡e¡−a
q−h z
• AwnNËqeL¡l£−cl hš²¡l hš²hÉ −b−L fË−u¡Se£u abÉ ¢m−M l¡M¡l SeÉ
hm−a q−h Hhw −pC p−‰ fËLÒf…¢m a¡−cl ¢e−S−cl NË¡−j Q¡m¤
Ll¡l fË−Qø¡ ¢e−a Evp¡q ¢c−a q−h z
5z fˢnrZ fܢa (Training Method)
A¢d−hn−el Awn fÜ¢a
A¢d−hn−el p§Qe¡ B−m¡Qe¡
plL¡l£ fËLÒf / −k¡Se¡ plL¡l£ B¢dL¡¢l−Ll hš²hÉ
A¢d−hn−el pj¡¢ç deÉh¡c ‘¡fe
6z fË−u¡Se£u p¡jNË£ (Material Required) :
• 12 ¢V Q¡VÑ
• 12 ¢V ¢h¢iæ l−Pl j¡LÑ¡l −fe
• −h¡XÑ
• −h¡−XÑ −mM¡l j¡LÑ¡l −fe
• Q¡VÑ V¡P¡−e¡l øÉ¡ä J ¢LÓf z
4