immunization session monitoring format_hindi

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fu;fer Vhdkdj.k l= ekWfuVfja x izi= fu;fer Vhdkdj.k l= ekWfuVfja x izi= fu;fer Vhdkdj.k l= ekWfuVfja x izi= fu;fer Vhdkdj.k l= ekWfuVfja x izi= ekWfuVj dk uke ekWfuVj dk uke ekWfuVj dk uke ekWfuVj dk uke : ……………………………… la LFkk la LFkk la LFkk la LFkk : ljdkjh foHkkx NPSP UNICEF vU; ………… inuke inuke inuke inuke : ………………….. fnuka d fnuka d fnuka d fnuka d : dd / mm / yy Lke; e; e; e; : ………………………………….. fnol fnol fnol fnol : cq )okj “kq Øokj “kfuokj vU; ………… jkT; jkT; jkT; jkT; ftyk ftyk ftyk ftyk CykWd@Iykfua x ;q fuV CykWd@Iykfua x ;q fuV CykWd@Iykfua x ;q fuV CykWd@Iykfua x ;q fuV mids a nz @ mids a nz @ mids a nz @ mids a nz @”kgjh iks LV kgjh iks LV kgjh iks LV kgjh iks LV txg txg txg txg dk irk dk irk dk irk dk irk iz dkj iz dkj iz dkj iz dkj : xz keh.k “kgjh efyu cLrh HRA : gka ugha Lk= LFky LFky LFky LFky : LokLF; ds a nz mids a nz vka xuokM+ h ds a nz vU; …… lgh tokc ij dk fu”kku yxk,a A 1. D;k l= vk;ks ftr gks jgk gS gka ugha v- ;fn ugha rks l= vk;ks ftr u gks us dk dkj.k fy[ks a ¼iz i= ds uhps ns [ks a ½ A B C D…………………… c- ;fn gka rks D;k l= ekbØks Iyku ds vuq lkj vk;ks ftr gks jgk gS gka ugha 2. ykHkkfFkZ ;ks a dks l= LFky rd dkSu cq yk dj yk jgk gS * vka xuokM+ h dk;Z drkZ vk”kk vU; dks bZ ugha 3. Ikh-,p-lh-@CykWd ls l= LFky rd oSDlhu rFkk vU; ykWftfLVd dSls yk, x, oSdfYid lk/ku # ,-,u-,e- lq ijokbt+j vU; ……… 4. D;k lHkh oSDlhu rFkk MkbY;w,aV pkj vkbl iSd okys oSDlhu dSfj;j es a s ft+ ij ;q Dr FkSyh ds va nj j[ks x, gSa gka ugha 5. Lk= LFky ij dkSu dkSu lh oS Dlhu miyC/k gS a * BCG Measles tOPV BCG dk MkbY;w ,aV Measles dk MkbY;w ,a V mOPV DPT DT TT JE JE dk MkbY;w,a V Hepatitis B 6. dkSu dkSu lh oSDlhu dh ok;y fcuk VVM yxs ikbZ xbZ a * BCG Measles DPT DT OPV TT Hep-B JE 7. D;k dks bZ oSDlhu ok;y mfYyf[kr voLFkk es a ikbZ xbZ ] ;fn gka rks , dk fu”kku yxk,a rFkk oSDlhu dk uke fy[ks a * fcuk ys cy@u i<+ ldus yk;d ys cy ……………….. VVM LVs t III vFkok IV ………………… ,Dlik;j gks pq dh oSDlhu ok;y ………………... teh voLFkk es a oSDlhu (DPT, TT, DT, Hepatitis -B) ……………… 8. mfYyf[kr ykWftfLVd es a ls D;k D;k oLrq,a l= LFky ij miyC/k gS * ,-Mh- ¼0-1 fe-yh-½ flfja ts a ,-Mh- ¼0-5 fe-yh-½ flfja ts pkyw voLFkk es a gc dVj [kkyh Vhdkdj.k dkMZ yky vkSj dkyh FkSfy;ka foVkfeu , lkWY;w ”ku foVkfeu , gs rq IykfLVd dh pEep iq ’Vkgkj@Supplements vis f{kr ykHkkfFkZ ;ks a dh lw ph fiNys l=ks a ds dkma VjQkW;y ORS ds iSds V IFA dh VScys V iSjkflVkeks y ot+ u ukius dh e”khu BP ukius dh e”khu 9. D;k l= LFky ij leq fpr la [;k es a feJ.k djus gs rq 5 fe-yh- dh fMLiks ft+ cy flfja ts a miyC/k gSa (=BCG + Measles +JE dh ok;ys a ) gka ugha miyC/k ugha 10. D;k fefJr BCG/Measles/JE dh ok;yks a ij feJ.k dk le; va fdr gS gka ugha ykxw ugha 11. D;k ba ts D”ku ls nh tkus okyh oSDlhu ns us ds fy, ,-Mh- flfja tks a dk bLrs eky fd;k tk jgk gS gka ugha ykxw ugha 12. D;k DPT oSDlhu e/; tka ?k ds ckgjh Hkkx es a nh tk jgh gS gka ugha ykxw ugha 13. D;k ba ts D”ku yxkrs oDr ,-,u-,e- lq bZ vFkok mlds fdlh Hkkx dks Nw jgh gS gka ugha ykxw ugha 14. D;k iz R;s d flfja t dks bLrs eky ds rq ja r Ik”pkr gc dVj ls dkVk tk jgk gS gka ugha ykxw ugha 15. D;k iz R;s d ykHkkFkhZ dks fn, x, Vhds dh tkudkjh l= VS yh “khV es a Hkjh tk jgh gS gka ugha ykxw ugha 16. D;k vkt fn, tk jgs Vhdks a dh tkudkjh dks dkmWVjQkW;y es a Hkjdj mUgs a v|q uka r fd;k tk jgk gS gka ugha ykxw ugha 17. D;k ekrk firk dks Vhdkdj.k ds ckn pkj egRoiw .kZ la ns ”k fn, tk jgs gSa gka ugha ykxw ugha (iz . 1v): A= ,-,u-,[email protected] dehZ rFkk oS Dlhu ,oa ykWftfLVd nks uks a miyC/k ugha gS a A B= ,-,u-,[email protected] dehZ miyC/k gS a ija rq oS Dlhu ,oa ykWftfLVd miyC/k ugha gS a A C= oS Dlhu ,oa ykWftfLVd miyC/k gS a ija rq ,-,u-,[email protected] dehZ miyC/k ugha gS A , D-vU; ¼fooj.k ns a ½ # (iz . 3): oSdfYid lk/ku& fdlh vU; lk/ku ls oS DLkhu@ykWftfLVd igq apkuk *,d ls vf/kd tokcks a ij fu”kku yxk ldrs gS a

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Immunization session monitoring tool

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Page 1: Immunization Session monitoring format_hindi

fu;fer Vhdkdj.k l= ekWfuVfjax izi=fu;fer Vhdkdj.k l= ekWfuVfjax izi=fu;fer Vhdkdj.k l= ekWfuVfjax izi=fu;fer Vhdkdj.k l= ekWfuVfjax izi=

ekWfuVj dk uke ekWfuVj dk uke ekWfuVj dk uke ekWfuVj dk uke : ……………………………… laLFkk laLFkk laLFkk laLFkk : � ljdkjh foHkkx � NPSP � UNICEF � vU; ………… inuke inuke inuke inuke : …………………..

fnukadfnukadfnukadfnukad : dd / mm / yy LLLLkkkke;e;e;e; : ………………………………….. fnol fnol fnol fnol : � cq)okj � “kqØokj � “kfuokj � vU; …………

jkT;jkT;jkT;jkT;

ftykftykftykftyk

CykWd@Iykfuax ;qfuVCykWd@Iykfuax ;qfuVCykWd@Iykfuax ;qfuVCykWd@Iykfuax ;qfuV

midsanz@midsanz@midsanz@midsanz@””””kgjh iksLVkgjh iksLVkgjh iksLVkgjh iksLV

txg txg txg txg dk irkdk irkdk irkdk irk

izdkj izdkj izdkj izdkj : � xzkeh.k � “kgjh � efyu cLrh HRA : � gka � ugha LLLLkkkk==== LFky LFky LFky LFky : � LokLF; dsanz � midsanz � vkaxuokM+h dsanz � vU; ……

T

lgh tokc ij � dk fu”kku yxk,aA 1. D;k l= vk;ksftr gks jgk gS � gka � ugha

v- ;fn ugha rks l= vk;ksftr u gksus dk dkj.k fy[ksa ¼izi= ds uhps ns[ksa½∆

� A � B � C � D……………………

c- ;fn gka rks D;k l= ekbØksIyku ds vuqlkj vk;ksftr gks jgk gS � gka � ugha

2. ykHkkfFkZ;ksa dks l= LFky rd dkSu cqyk dj yk jgk gS * � vkaxuokM+h dk;ZdrkZ � vk”kk � vU; � dksbZ ugha

3. Ikh-,p-lh-@CykWd ls l= LFky rd oSDlhu rFkk vU; ykWftfLVd dSls yk, x, � oSdfYid lk/ku

# � ,-,u-,e- � lqijokbt+j � vU; ………

4. D;k lHkh oSDlhu rFkk MkbY;w,aV pkj vkbl iSd okys oSDlhu dSfj;j esas ft+ij ;qDr FkSyh ds vanj j[ks x, gSa

� gka � ugha

5. Lk= LFky ij dkSu dkSu lh oSDlhu miyC/k gSa *

� BCG

� Measles

� tOPV

� BCG dk MkbY;w,aV

� Measles dk MkbY;w,aV

� mOPV

� DPT

� DT

� TT

� JE

� JE dk MkbY;w,aV

� Hepatitis B

6. dkSu dkSu lh oSDlhu dh ok;y fcuk VVM yxs ikbZ xbZa *

� BCG

� Measles

� DPT

� DT

� OPV

� TT

� Hep-B

� JE

7.

D;k dksbZ oSDlhu ok;y mfYyf[kr voLFkk esa ikbZ xbZ]

;fn gka rks, � dk fu”kku yxk,a rFkk oSDlhu dk uke fy[ksa *

� fcuk yscy@u i<+ ldus yk;d yscy ………………..

� VVM LVst III vFkok IV …………………

� ,Dlik;j gks pqdh oSDlhu ok;y ………………...

� teh voLFkk esa oSDlhu (DPT, TT, DT, Hepatitis -B) ………………

8. mfYyf[kr ykWftfLVd esa ls D;k D;k oLrq,a l= LFky ij miyC/k gS *

� ,-Mh- ¼0-1 fe-yh-½ flfjatsa � ,-Mh- ¼0-5 fe-yh-½ flfjats � pkyw voLFkk esa gc dVj

� [kkyh Vhdkdj.k dkMZ � yky vkSj dkyh FkSfy;ka

� foVkfeu , lkWY;w”ku

� foVkfeu , gsrq IykfLVd dh pEep

� iq’Vkgkj@Supplements

� visf{kr ykHkkfFkZ;ksa dh lwph � fiNys l=ksa ds dkmaVjQkW;y

� ORS ds iSdsV

� IFA dh VScysV

� iSjkflVkeksy

� ot+u ukius dh e”khu

� BP ukius dh e”khu

9. D;k l= LFky ij leqfpr la[;k esa feJ.k djus gsrq 5 fe-yh- dh fMLiksft+cy flfjatsa miyC/k gSa

(=BCG + Measles +JE dh ok;ysa) � gka � ugha � miyC/k ugha

10. D;k fefJr BCG/Measles/JE dh ok;yksa ij feJ.k dk le; vafdr gS � gka � ugha � ykxw ugha

11. D;k batsD”ku ls nh tkus okyh oSDlhu nsus ds fy, ,-Mh- flfjatksa dk bLrseky fd;k tk jgk gS � gka � ugha � ykxw ugha

12. D;k DPT oSDlhu e/; tka?k ds ckgjh Hkkx esa nh tk jgh gS � gka � ugha � ykxw ugha

13. D;k batsD”ku yxkrs oDr ,-,u-,e- lqbZ vFkok mlds fdlh Hkkx dks Nw jgh gS � gka � ugha � ykxw ugha

14. D;k izR;sd flfjat dks bLrseky ds rqjar Ik”pkr gc dVj ls dkVk tk jgk gS � gka � ugha � ykxw ugha

15. D;k izR;sd ykHkkFkhZ dks fn, x, Vhds dh tkudkjh l= VSyh “khV esa Hkjh tk jgh gS � gka � ugha � ykxw ugha

16. D;k vkt fn, tk jgs Vhdksa dh tkudkjh dks dkmWVjQkW;y esa Hkjdj mUgsa v|qukar fd;k tk jgk gS � gka � ugha � ykxw ugha

17. D;k ekrk firk dks Vhdkdj.k ds ckn pkj egRoiw.kZ lans”k fn, tk jgs gSa � gka � ugha � ykxw ugha ∆ (iz. 1v): A= ,-,u-,[email protected] dehZ rFkk oSDlhu ,oa ykWftfLVd nksuksa miyC/k ugha gSaA B= ,-,u-,[email protected] dehZ miyC/k gSa ijarq oSDlhu ,oa ykWftfLVd miyC/k ugha gSaA

C= oSDlhu ,oa ykWftfLVd miyC/k gSa ijarq ,-,u-,[email protected] dehZ miyC/k ugha gSA , D-vU; ¼fooj.k nsa½

# (iz. 3): oSdfYid lk/ku& fdlh vU; lk/ku ls oSDLkhu@ykWftfLVd igqapkuk *,d ls vf/kd tokcksa ij fu”kku yxk ldrs gSa