niyaménebbbtsmrab;gnuvtþkñúgkarfana kunpab esvapþl ......hsg -tjrnh~mj urc : tbljlfilw jessy...

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RBHraCaNacRkkm<úCa Cati sasna RBHmhakSRt IIIII RksYgsuxaPi)al niyaménEbbbTsMrab;GnuvtþkñúgkarFana KuNPaB esvapþl;RbwkSa nigkarRtYtBinitü KuNPaBénkareFVIetsþQamrkemeraKeGds_ enARBHraCaNacRkkm<úCa mCÄmNÐlCatiRbyuT§nwg CMgWeGds_ esIEs,k nigkameraK ExFñÚ qñaM 2006

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  • RBHraCaNacRkkm

  • ~ do. ' • c. ~ ~~ "':l

    8tm'i:HUUUgfUnUH~r~Dij1i1H;lm~rulmmfUrl~illLUnJl 8ij1i1lUJnbl8nJ~rulmblt81i1l.. . tgtn~runmnmmmm3hhrllm~L\:iTI~fBmnJl1i1lrJij'li; ~~irGfUlL~§til8fUll:rJ31BrJnU

    " ,

    trunf2m~r~rulmmfUrl~ruLUnJl8ijtgtn~run'i:HmDijLmmrmJm:iLnn~m ~ "" 1 I '

    .8llilHtuuugn5nUH~r~Dijmlmm~llilmm8g 1]rtiH:mju~m~mgJijn31mmHmHm I

    mymgfU~ruLUnJl 8ijtgtn~runmnmmmH13rd qijlirulij~m13ruU~iH~nHnWillrJnUtLU

    LWM 8ijH~r~ tru1i1lij'llHftWill 8~1i1lij'lHtljijmjmrhUtgtmmmBtnLmfihmjij~r~rulmbl

    t8tfUrl~ruLUnJl8ijtgtn~run'i:Hl3lmf!J·tj:iTI~ 8mnJlmln5ij'li; ~

    8tmHtUUUgrJnUH~r~qij1i1lmm~rulmm8g 1]rW8tjjnmb]mt1lt~mJ31B9~: mHg

    tmm1i1BtnLmfihmjij~r~rulmblt8tfUrl~ruLUnJltl3lmtil81i1lHftWillmmjijmi; 8ijmH

    lm:1i1lLU~UCW1b]~ruLUnJl Sij1i1lmm~rulmmfUrltgtn~lf1tHmmH13rd nflmtilS1i1l . . .

    HftWillmtgjijmi; 8ij1i1lrnn~SnJ~rulmmru1i1Hgtn~runmnmmj:itH13rd ~

    mmm:8tmHtUUUgrJnUH~r~Dij1i1lmm~~Jlmm8g nruU'1Jlt13ill~ULugg 8ijtRntil8, tgJijqijfUn~mbl~ruLunJl Bijtgtn~runmmHmj:itH13rdmjj1]rW8tl3lgtfUlm~8 nnm~rul

    mblt8tfUrlmrW8tg1i1BtnLmwmjijmrul3lU ~

    LntiJijfi131RWillfUijjmn 8tmHtuuum8g8ijmSfUll:rJ31B13ru1i1lmm~rf1rulmmfUh

    ~ruLUnJl 8mgm~runmnmmmH13rdtl3lm~Lj:iTI~ Sijlf1Jl1i1lrJij'liitmDijLmgfUn~m , ,

  • jj~mtjtjilltmDrnm~Lt5U1gB~~~tHL3WtNtWjfi smnmnl:i §tiJtjWtL3tj~ItWU~t~~ . , I

    Hllilj~llilWl~LmmtLcti~BL3ruHnJtblJlfi-tblJlfiU~tL3mmB~rnJtjq~mmt~eiSWlHhHJU9

    Wntm~I~q~mjG1m~llilrnmtuIl~ruLUfiJl S~mjrneiFlSeiJ~llilmb11BmHgm~runmfi

    mmmHL3WtL3lm~L~t;~s~jfiJl mHJ~i;tBg mFlttutu13ru:

    - tjrnm~JtjrrJ:lm~l~LUtItgB~~~mtlfii tNttujfi s~mmnl:i: tIE. tim t'U1~

    tIE. Lb1uJ 8Sei. d~ . m~§ryturut{s. tI~. ~3 unn. d~. 9jfi ~B1tl ~ I

    - 9LUfiJlm1imgtu1Btjilitj~mm~LUtItgB~~~tH13W tWtWjfi s~mtjml:i:

    tblJlfi Peter Godwin , tblJlfi Alex Hurd

    - tjrn19Jl~BLWlILmI~2mb1WlG1jllil:- tblJlfi Htj ~~ L3ln

    - tjrn19Jl~Bul~1: tblJlfiatutlm1LW tnSTIB- tblJlmU tl)fimB -tblJlfiLW fj~ Fltlig

    - tjrn H~mj UNICEF : tblJlfiuU ~B ttu~

    - tjrnH~mj FHI: dE. Chawalit Napratan, mnfiLW Tess Prombuth

    - tjWH~mj USCDe: tIE. ill hSG

    - tjrnH~mj URC : tblJlfiLW Jessy Bonnet, tI~. ~ m~

    - tjrnH~mj RHAC : tIE. n~ ~~Bl .

    - tjrnH~mj RACHA: tIE· tajf ttu1 r~

    - tjrnH~mj PSI: tblJlfi mJ~ nrn]

    - tjrnH~mj wvc tIE· LW 1?B

    t13rumBt;llil·lmmrutIblJl§BlBii1ru\1ruJtj~ru~IH~t>.nwS13rumjm~~ttujItmtBgt~~ '1

  • matika TMB½r

    1> esckþIepþIm 4 2> karFanaKuNPaB nigRbsiT§iPaBénesvapþl;RbwkSa 5

    2>1> karcuHGPi)aleTogTat; 5 2>1>1> fñak;Cati 2>1>2> fñak;extþ-Rkug 2>1>3> skmμPaBcuHGPi)al 2>1>4> karedaHRsaybBaðaeRkayeBlGPi)al 2>2> bNþajGñkpþl;RbwkSa 9 2>2>1> eKalbMngénkarbegáItbNþajGñkpþl;RbwkSa 2>2>2> rcnasm2>3> karRbCMubNþajGñkpþl;RbwkSa

    3> karRtYtBinitüKuNPaBénkareFVIetsþQamrkemeraKeGds_ 11 3>1> karGPi)aleTogTat; 12 3>1>1> fñak;Cati 3>1>2> fñak;extþ-Rkug 3>1>3> skm μPaBcuHGPi)al 3>2> karRtYtBinitüKuNPaBkareFVIetsþQamrkemeraKeGds_ 14 3>2>1> eKalbMngénkarRtYtBinitüKuNPaBkareFVI etsþQamrkemeraKeGds_ 3>2>2> kareRCIserIsEbbbTsMrab;karGnuvtþn_karBinitüKuNPaB kareFVIetsþQamrkemeraKeGds_ 3>2>3> viFIsaRsþsMrab;RtYtBinitüKuNPaB Serum Panel Process

    4> esckþIsniñdæan 17 ]bsm

  • 1-esckþIepþIm³ GñkpÞúkemeraKeGds_EdleKrkeXIjdMbUgbg¥s;enAkñúgRbeTskm

  • kareFVIetsþQamrkemeraKeGds_edaysμR½Kcitþ nigrkSakarsMgat;sMrab;GnuvtþenAmNÐlpþl;RbwkSa nig eFVIetsþQamedays μR½Kcitþ nigrkSakarsMgat;TaMgGs;enAkñúgRBHraCaNacRkkmkarFanaKuNPaB nigRbsiT§iPaBénesvapþl;RbwkSa edIm,IFanaKuNPaBesvapþl;RbwkSaGMBICMgWeGds_ KWcaM)ac;RtUvmanynþkarc,as;las;EdlCYybegáIn smtßPaBCMnajenHdl;RKb;Gñkpþl;RbwkSatamry³karcuHtamdan nigGPi)aleTogTat; nigkarRbCMu bNþajGñkpþl;RbwkSa. 2>1> karcuHtamdan nigGPi)aleTogTat; (Regular Monitoring and Supervision) 2>1>1> fñak;Cati³

    • karcuHGPi)alRtUvGnuvtþedayeTogTat; nigkMNt;eBlevlac,as;las;. • karerobcMEpnkarRbcaMqñaMsMrab;karGPi)alRtUverobcMedaymCÄmNÐlCatiRbyuT§

    nwgCMgWeGds_ esIEs,k nigkameraK edIm,IFanafaral;mNÐlpþl;RbwkSa nigeFVIetsþ QamrkemeraKeGds_edaysμR½KcitþnigrkSakarsMgat;RtUv)anGPi)aly:ag RtwmRtUv.

    • mRnþImCÄmNÐlCatiRbyuT§nwg CMgWeGds_ esIEs,k nigkameraK RtUvcuHGPi)al mNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_edays μR½KcitþnigrkSakarsMgat; nimYy²y:agehacNas;BIrdgkñúgmYyqñaM. mRnþIénmCÄmNÐlCatiRbyuT§nwgCMgW eGds_esIEs,knigkameraKnwgeRbIR)as;bBa¢IepÞógpÞat;sMrab;karGPi)al¬]bsm½

  • 2>1>2> fñak;extþ-Rkug³ • karcuHGPi)al mNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ edaysμR½K

    nigrkSakarsMgat; RtUveFVIeLIgedaymRnþIkariyal½yeGds_extþ Edl)anTTYlnUvkar bNþúHbNþalBIkargarcuHGPi)alenAmNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraK eGds_edaysμ ½RK citþ nigrkSakarsMgat;.

    • mRnþIfñak;extþ Rkug RtUverobcMEpnkarRbcaMqñaMrbs;xøÜn nigeRbIR)as;bBa¢IepÞógpÞat; sMrab;karGPi)al ¬]bsm½1>3> skm μPaBénkarcuHGPi)al³ GñkcuHGPi)alRtUvBinitüemIl nigBiPakSaGMBI³

    bnÞb;pþl;RbwkSa³ bnÞb;pþl;RbwkSaRtUv³ - manGnam½y erobcMekAGIeGayes μ IKñasMrab;Gñkpþl;RbwkSa nigGtifiCn - FanaPaBÉkCn³ minRtUveGayGtifiCnxageRkAbnÞb;sþab;B£nUvkarsnÞnaKña

    rvagGtifiCn nigGñkpþl;RbwkSaBIkñúgbnÞb;eLIy. enAeBlpþl;RbwkSa TVar bnÞb;RtUvbiT bu:EnþRtUvebIkbg¥ÜcedIm,IeGayxül;ecjcUl)anl¥.

    dMeNIrkarpþl;RbwkSa³ cMNucsMxan;²énkarpþl;RbwkSaEdlRbkbedayKuNPaBKW³ - briyakassmrmüedaymanPaBÉkCn nigkarrkSakarsMgat; - karTTYlGtifiCn)anl¥ edaymanPaBrak;Tak; nigkarENnaMxøÜn - kareKarB nigPaBes μaHRtg;EdlelIkTwkcitþeGayGtifiCneFVIkarsMerccitþ

    6

  • - bgðajBIkareBjcitþ nigyl;citþ nigykcitþTukdak;BIGarm μN_rbs;GtifiCn - KitKUrBIGtifiCn nigmineFVIkarvinicä½y - sþab;GtifiCnedayykcitþTukdak; ¬tamrebobTMnak;TMngkayvikar¦. RtUv

    sþab;eGay)aneRcInCagniyay. - KaMRTGarm μN_GtifiCn nigEsVgrkviFIsMrab;eFVIkaredaHRsaybBaðaCamYyGti

    fiCn . - eRbIPasasamBaØ nigsMrYleTAtamkMrityl;dwg nigCMenOrbs;GtifiCn - pþl;Bt’man nigbBa¢ÚnGtifiCneGay)ansmRsb - elIkTwkcitþeGaypøas;bþÚrkarRbRBwtþRbQmmux nigecHedaHRsayral;bBaða - rkSasuvtßiPaBr)aykarN_ nigmankarrkSakarsMgat;.

    karpþl;RbwkSamuneBleFVIetsþQamrkemeraKeGds_³ kñúgkarpþl;RbwkSamuneBleFVI etsþQam GñkGPi)alRtUvBinitüemIlfaetIGñkpþl;RbwkSa)an³

    - BiPakSaBIkarrkSakarsMgat;CUnGtifiCn nigetIRtUvrkSakarsMgat;eday rebobNa .

    - etIpþl;Bt’mandl;GtifiCnGMBIesvapþl;RbwkSaGMBICMgWeGds_b¤eT? - sYrGtifiCnfaetIKat;RtUvkarGVIBIesvapþl;RbwkSaenH? - BinitüelIcMeNHdwgrbs;GtifiCnBICMgWeGds_ nigkarcMlg nigplvi)ak

    rbs;va . - bMPøWnUvkarPan;RcLMrbs;GtifiCnBIemeraKeGds_ nigCMgWeGds_ - vaytMélkarRbQmmuxrbs;GtifiCn³ karrYmePT ¬rYmTaMgkarrYmePTtam

    mat;¦ nigkareRbIR)as;fñaMejon . - BiPakSaBIdMeNIrkarénkareFVIetsþ nigGtßn½yrbs;etsþ viC¢man nigGviC¢man

    ry³eBlcMh .l. - BiPakSaBIPaBTak;Tg plRbeyaCn_ nigEpnkarsMrab;GtifiCn bnÞab;BIdwg

    lT§pletsþviC¢man b¤GviC¢man.

    7

  • - BiPakSaBIviFIsMrab;Tb;Tl;nwglT§plviC¢man nigBItMrUvkarrbs;GtifiCn nig karKaMRTdl;GtifiCn

    - erobcMkic©RBmeRBogCamYyGtifiCn - eFVIkarNat;CYbCamYyGtifiCnsMrab;karTTYlyklT§pl

    karpþl;RbwkSaeRkayeBleFVIetsþQamrkemeraKeGds_³ kñúgkMLúgeBlpþl;RbwkSa eRkayeBleFVIetsþQamrkemeraKeGds_ GñkGPi)alRtUvBinitüemIlfaGñkpþl; RbwkSa)anGnuvtþnUvskm μPaBdUcxageRkam³

    - BinitüemIlfaGtifiCnenHCaGtifiCnBitR)akdEmnb¤eT? - rMlwknUvcMnucsMxan;²Edl)anBiPakSaenAmuneBlpþl;RbwkSamuneBleFVIetsþ

    Qam rkemeraKeGds_ - sYrGtifiCnBIectnaTTYlyklT§pletsþviC¢man b¤GviC¢man. - bgðajGtifiCnBIelxkUdenAelIb½NÑNat;CYb nigelxkUdenAelIeRsam

    sMbuRt edIm,IFanafaCaGtifiCnenaHBitR)akdEmn. - pþl;lT§pletsþQameTAGtifiCntamrebobsamBaØ. ebIkeRsamsMbuRt

    RbsinebIGtifiCnesñIsMu ehIyBnül;BIsBaØaénlT§pletsþ. - pþl;eBleGayGtifiCnKit nigbgðajBIGarm μN_rbs;Kat;. - EsVgrkBIkarkgVl;rbs;GtifiCn - BiPakSaCamYyGtifiCnBIsßanPaBrbs;Kat; BIskþanuBlénbBaðarbs;Kat;

    nigkar erobcMEpnkareTAGnaKt. - eqøIynUvral;sMnYr b¤cMgl;rbs;GtifiCn. - RbsinebIlT§pletsþQamGviC¢man³ BiPakSaBIlT§plGviC¢man BIry³

    eBlcMh . l. elIkTwkcitþdl;Kat;eGaymkeFVIetsþmþgeToteRkayry³ eBl 3 Ex.

    - BiPakSaBIEpnkarkat;bnßykarRbQmmuxenAeBlGnaKt.

    8

  • - RbsinebIlT§pletsþQamviC¢man³ BinitüemIlBIdMNak;kalénkarpÞúkem eraKeGds_.

    - bBa¢ÚnGtifiCneTAesvacaM)ac;d¾éTeTot³ esvaBüa)alCMgW»kasniymdUcCa CMgWrebg esvaEfTaMépÞeBaHmuneBlsMral esvaBüa)alCMgWkameraK esvaBüa)al eday»sfRbqaMgemeraKeGds_ esvaEfTaMGñkCMgWeGds_ tampÞH.

    - RbsinebIlT§pletsþQam minGackMnt;)an³ bnÞab;BIkareFVIetsþQamrk emeraKeGds_ ticCag3Ex ¬kñúgry³eBlcMh¦ bnÞab;BIkarRbQmmux RtUvesñIeGayGtifiCnenaHmkeFVI etsþmþgeTotkñúgry³eBl 3Ex.

    2>1>4> edaHRsaybBaðaeRkayeBlGPi)al³ GñkGPi)alRtUveFVIkarBiPakSa nigrkdMeNaH RsayCamYybuKÁlikpþl;RbwkSaelIbBaðaTaMgLayEdl)anCYbRbTHkñúgeBlcuHGPi)al. cMeBaHbBaða NaEdlminGaceFVIkaredaHRsayenAnwgkEnøg)anRtUvraykarN_ eTAfñak;CatiedIm,IsMumtieyabl;. enAeBlEdlRkumGPi)alBinitüeXIjfaGñkpþl;RbwkSamin)anGnuvtþtamdMeNIrkarénkarpþl;RbwkSaeTenaHRkumGPi)alRtUveFVIkarBnül; nigEksMrYldl;Gñkpþl; RbwkSaeTAtameKalkarN_ENnaMsþIBIkar pþl;RbwkSa. 2>2>bNþajGñkpþl;RbwkSa bNþajGñkpþl;RbwkSaKWCakarRbmUlpþúMGñkpþl;RbwkSaEdlbMerIkargarenAmNÐlpþl;RbwkSa nigeFVI etsþQamrkemeraK eGds_EdlenAkñúgextþ nigkñúgtMbn;mkcUlrYmRbCMuBiPakSaCaeTogTat; ehIyviFI enHpþl;nUvkarvaytMélelIesvapþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ nigpþl;CUnnUvkarbNþúH bNþalenAtamtMbn;. bBaðaEdlCYbRbTHenAkñúgbNÐlpþl;RbwkSa nimYy²nwgRtUvelIkeLIg nigeFVI karedaHRsayenA eBlRbCMuenaH. Gñkpþl;RbwkSa nigGñkmnÞIrBiesaFn_EdlmanbTBiesaFn_enAkñúg bNþajGacCYypþl; karKaMRTdl;smaCikkñúgbNþaj. 2>2>1 eKalbMNgénkarbegáItbNþajGñkpþl;RbwkSa ³ edIm,IBRgwgesvapþl;RbwkSa nig eFVIetsþQamrkemeraKeGds_enAfñak;extþ nigtMbn;. karBRgwgKuNPaBesvapþl;RbwkSa Gac

    9

  • GnuvtþtamkarerobcMbNþaj nigtamkarRbCMuGñkpþl;RbwkSaCaeTogTat;EdlmankarbNþúHbNþal nig karvaytMél. 2>2>2> rcnasm karRbCMubNþajpþl;RbwkSa³ • vtßúbMngénkic©RbCMubNþajGñkpþl;RbwkSa³

    - BRgwgKuNPaBesvapþl;RbwkSa - pøas;bþÚrbTBiesaFn_ nigBinitürYmKñaelIbBaða nigkarlM)aknanakñúgeBlpþl;RbwkSa - pþl;Bt’manGMBIlT§plesvapþl;RbwkSa

    - pþl;nUvcMeNHdwgbEnßmBIfñak;Cati. • enAfñak;extþ³ cMeBaHextþNaEdlmanmNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraK

    eGds_cab;BI3eLIgeTAGaceFVIkarRbCMubNþajpþl;RbwkSaenAkñúgextþrbs;xøÜnCaerog

    10

  • ral; 2 Ex. cMENkextþEdlmanmNÐlpþl;RbwkSaticCag3GaceFVIkarRbCMuRbcaMEx edayrYmCamYyextþd¾éTeTot.

    • enAfñak;tMbn;³ dUcEdl)anerobrab;enAkñúgbNþajGñkpþl;RbwkSakñúgtMbn; karRbCMu bNþajGñkpþl;RbwkSaRtUveFVIeLIgCaerogral;3Exmþg. karRbCMubNþajGñkpþl; RbwkSaenHGaceFVIeLIgtamrebobbþÚrevnKñasMrab;extþkñúgtMbn;. mRnþIkm μviFIRbyuT§nwgCMgWeGds_kñúgtMbn;RtUvTTYlxusRtUvkñúgkarerobcMkñúgkic©RbCMu enaH. karerobcMRbCMuRtUvdak;kñúgKMeragEpnkarRbcaMqñaMrbs;extþ.

    • enAfñak;Cati³ mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraKRtUverob cMkic©RbCMubNþajGñkpþl;RbwkSaRbcaMqñaM. karerobcMkic©RbCMuRbcaMqñaMenHRtUvdak;enA kñúgEpnkarRbcaMqñaMrbs;mCÄmNÐlCatiRbyuT§nwgCMgWeGds_esIEs,k nigkameraK.

    • karerobcMmuneBlRbCMu³ mNÐlpþl;RbwkSanimYYy²RtUverobcMCamunnUvr)aykarN_sþIBI esvapþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_edIm,IbgðajenAeBlRbCMu. karerob cMTinñn½yrYmman³

    - cMnYnGtifiCneFVIetsþQam - cMnYn nigPaKryénkarpþl;RbwkSamun nigeRkayeBleFVIetsþQam - cMnYn nigPaKryénlT§pletsþ viC¢ man - cMnYn nigPaKryénlT§pletsþGviC¢man - cMnYn nigPaKryénGtifiCnEdl)anbBa¢ÚneTArk esvasuxPaB - nigRtUvEsVgrkbBaða dUcCakarpÁt;pÁg; sMPar³ nigRbtikrCaedIm edIm,IeFVIkar bgðajenAkñúgeBlRbCMumþg².

    3> karBinitüKuNPaBénkareFVIetsþQamrkemeraKeGds _ (Quality Control of HIV testing) :

    eTaHbICamanetsþrh½sy:agRbesIrk¾eday PaBeCOTukcitþ)anénlT§pletsþBwgEp¥kelIkar eRbIR)as;)anRtwmRtUvl¥. kareFVIeraKvinicä½yxusGacnaMeGaymanplvi)akF¶n;F¶rsMrab;GtifiCn nig

    11

  • cMeBaHshKmn_pgEdr. dUcenHkartamdan nigkarvaytMélKuNPaBénkareFVIetsþmansar³sMxan; Nas;. 3>1> karGPi)aleTogTat;³ 3>1>1> fñak;Cati³ karcuHGPi)alelImNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_RtUveFVIeLIg tameBlevlaeTogTat;BImCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK b¤BIviTüasßan CatiRsavRCavsuxPaBsarFarN³. kareFVIEpnkarRbcaMqñaMsMrab;karGPi)alRtUverobcMeLIgeday mCÄmNÐlCatiRbyuT§nwgCMgWeGds_esIEs,k nigkameraKshkarN_ CamYyviTüasßanCatiRsavRCav suxPaBsaFarN³edIm,IFanafaral;mNÐlpþl;RbwkSanigeFVIetsþQamrkemeraKeGds_nimYy²RtUv)an GPi)alRtwmRtUv³ cMeBaHmNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_edays μR½Kcitþ nigrkSa karsMgat;EdleTIbbegáItfμI b¤dMeNIrkarmin)anl¥ karcuHGPi)alRtUveFVICajwkjab;. cMeBaHmNÐl pþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_edaysμR½Kcitþ nig rkSakarsMgat;EdldMeNIrkar l¥ karcuHGPi)alRtUveFVItameBlkMNt;. CaTYeTA mNÐlpþl;RbwkSa nigeFVIetsþQamedays μR½Kcitþ nigrkSakarsMgat; nimYy² TTYl)ankarGPi)alBIfñak;Catiy:agtic BIrdgkñúgmYyqñaM b¤eFVIeLIg tamkarcaM)ac;. mRnþIénmCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraK b¤viTüasßanCati RsavRCavsuxPaBsaFarN³nwgeRbIR)as;bBa¢IepÞógpÞat;sMrab;karGPi)al ¬]bsm½1>2> fñak;extþ-Rkug³ karcuHGPi)almNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ eday sμR½K nigrkSakarsMgat;RtUveFVIeLIgedaymRnþIbMerIkarenAkariyal½yeGds_extþpgEdr EdlmRnþITaMg enaH)anTTYlnUvkarbNþúHbNþalBIkarcuHGPi)almNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ edaysμ ½RKcitþ nigrkSakarsMgat;. karcuHGPi)alRtUveFVIeLIgCaerogral;Ex ehIyRtUverobcMEpn karRbcaMqñaMrbs;xøÜnpgEdr. bBa¢IrepÞógpÞat;sMrab;karGPi)alsUmemIlenA]bsm½

  • 3>1>3> skmμPaBGPi)al³ RtUvBinitünUvbec©keTs nigskmμPaB nigBiPakSaCamYyGñkmnÞIrBiesaFn_ GñkTTYlxusRtUv mnÞIrBiesaFn_ . RtUveRbIbBa¢IepÞógpÞat;sMrab;eFVIkarBinitütamdan³

    • lkçx½NÐénkareFVIetsþ nigkarpÁt;pÁg;³ - bnÞb;mnÞIrBiesaFn_³ manGnam½y nigmansItuNðPaBBI 22-28 GgSaes - manTwkeRbIR)as;RtwmRtUv - BinitübBa¢IsareBIP½Nг

    -Rbtikr³kMNt;éf¶eRbIR)as;Rbtikr ¬BinitüsMPar³EdlTukyUrmun Binitüéf¶ cUl¦ elxRbtikr rebobTukdak;CaedIm. -sMPar³pÁt;pÁg;³ cMnYnGal;kul sMLI m¢úl v:aKuyetn½r esraMug bMBg;BIEb:t.

    - karrkSaTuk ¬sItuNðPaBTUrTwkk¦ RtUveRbIbBa¢ItamdansItuNðPaB rYckt;RtaTuk RbcaMéf¶ ¬edayGñkmnÞIrBiesaFn_¦ nigsItuNðPaBkñúgbnÞb; ¬RbsinebIGaceFVIeTA)an eRbI Max/Min thermometer ¦

    - kEnøgeFVIetsþ TIFøa lkçx½NÐsuvtißPaB vtþmansMPar³pÁt;pÁg;RKb;RKan;. - GnuvtþviFankarbgáarCaskledayeRbInUveKalkarENnaMCatisþIBIkarbgáarCaskl

    ¬vtþmaneKalkarENnaMCatisþIBIkarbgáarCasklsMrab;buKÁlikTaMgGs;¦. vtþman FugsMram FugsMrab;dak;m¢úl.l.

    - RtUvyl;GMBIviFankarbgáareRkayeBleRKaHfñak; PEP ¬CakarsMxan;buKÁlikRtUvsÁal; eQ μaH elxTMnak;TMngbuKÁlikTTYlbnÞúk PEP nigBiIvtþmaneKalkarN_ENnaM sþIBIkar bgáareRkayeRKaHfñak;sMrab;buKÁlikTaMgGs;.

    • dMeNIrkarénkareFVIetsþ ³ - BinitüemIldMeNIrkareFVIetsþ³ viFIeFVIetsþ ¬ ELISA, PA or rapid test ¦ - karBinitüKuNPaBetsþ ¬ Internal quality control ¦ - vtþmanÉksarsMrab;eFVIetsþQamrkemeraKeGds_ ¬eKalkarN_ENnaMCati nig

    viFIsarsMrab;eFVIetsþ eKalkarN_ENnaMCatisþIBIkarbgáarCaskl¦.

    13

  • - karbkRsaylT§pl³ lT§pletsþRtUvkt;enAkñúgesovePAkt;RtasMrab;mnÞIrBi esaFn_. bBaðaEdlTak;TgeTAnwgbec©keTseFVIetsþ b¤karbkRsaylT§pl b¤kar cuuHbBa¢Irmin)anRtwmRtUv RtUvEksMrYleLIgvijedayGñkGPi)al. Gñkbec©keTsmnÞIr BiesaFn_RtUvdwgfaetIkEnøgNaEdlGacTak;TgkarCYyKaMRTenAeBlmancMgl; b¤ bBaða ³ RtUvmanelxTMnak;TMng nigGas½ydæanrbs;mnÞIrBiesaFn_bEg¥k b¤ rbs;Gñk bec©keTsmnÞIrBiesaFn_.

    • eRkaykareFVIetsþ - GnuvtþviFankarsMGat Tukdak;sMPar³brikçarEdleRbIrYc viFankarRbugRbytñ½kñúgkar

    bgáarCayfaehtu ¬eKalkarENnaMsþIBIkarbgáarCaskl¦. - GnuvtþRbB½n§TMnak;TMngedIm,IFana)annUvRbBn§½r)aykarN_ edayGñkbec©keTsmnÞIr - BiesaFn_ cMeBaHkarlM)aknanaEdlBYkeKCYbRbTH nigeFVIkaredaHRsaytamry³

    karcuHGPi)al b¤RtUveFVIkarTMnak;TMngCamYymCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esI Es,k nigkameraK b¤CamYymnÞIrBiesaFn_bEg¥k.

    - RtUveFVIeGayTan;eBlevla nigBiPakSaelIviFIsaRsþénkareFVIetsþCamYyGñkbec©k eTsmnÞIrBiesaFn_ .

    - viPaKnigpþl;Bt’manRtLb;eGay)anRtwmRtUveTAmCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraKnUvkarRtYtBinitüKuNPaBénkareFVIetsþQamrkemeraKeGds_

    - BiPakSaBIkarbgáarCaskl nigkarBüa)aleRkaykarRbQmmux (PEP) CamYy Gñkbec©keTsmnÞIrBiesaFn_.

    - RtUvrkSakarpþl;Bt’mansþIBIkarGnuvtþrbs;BYkeK. 3>2> karRtYtBinitüKuNPaBkareFVIetsþQamrkemeraKeGds_ 3>2>1> eKalbMngénkarRtYtBinitüKuNPaBkareFVIetsþQamrkemeraKeGds_³ KWedIm,IrkSanUvKuN PaBx

  • 3>2>2 kareRCIserIsEbbbTénkarRtYtBinitüKuNPaB (QC)³ manEbbbTeRcIny:agsMrab;eRbIR)as;kñúgkareFVIkarRtYtBinitüKuNPaB dUcCakareRCIserIsesvaeFVI etsþQamedayécdnü (Random Sampling) karBinitüExVgKña (Cross Check) nigkarbBa¢Ún esrU:mKMrU (serum Panel) BImnÞIrBiesaFn_bEg¥ksMrab;karvaytMélKuNPaB. edayEp¥kelIkar cMNayEdlmanRbsiT§iPaB nigGaceCOTukcitþ)an (Cost effectiveness and reliability). mCÄmNÐlCatiRbyuT§nwgCMgWeGds_ esIEs,k nigkameraKeRCIsykrebobbBa¢ÚnesrU:mKMrU (serum Panel) Edl)anmkBImnÞIrBiesaFn_bEg¥kEdlCaviFIsMrab;GnuvtþkarRtYtBinitüKuNPaB (QC) elI esvaeFVIetsþQamrkemeraKeGds_.

    3>2>3> viFIsaRsþsMrab;RtYtBinitüKuNPaB Panel Process:

    CMhanTI1³ Serum Panel b¤ QamKMrURtUv)anerobcMenAmnÞIrBiesaFn_bEg¥k ¬viTüasßan)a:sÞr½ b¤viTüasßanCatiRsavRCavsuxPaBsaFarN³¦. kareFVIetsþQamrkemeraKeGds_RtUv)ankt;RtalT§ plTuk. esrUmKMrURtUv)anerobcMCa 4 TIb EdlmanlT§plepSg²Kña sMrab;mYyRkum² nigsMrab; VCCT nimYy². bnÞab;mkesrU:mKMrURtUvbBa¢ÚneTAmnÞIrBiesaFn_eFVIetsþQamrkemeraKeGds_enA VCCT tamry³FugTwkkkEdlmankarBinitüemIlsItuNðPaB ¬2-28 GgSaes¦ . CMhanTI2 ³ buKÁlikeFVIkarenAmnÞIrBiesaFn_ VCCT GnuvtþeFVIetsþQamrkemeraKeGds_elI esrUm Edl)anbBa¢ÚnBImnÞIrBiesaFn_bEg¥kfñak;Cati rYcbMeBjlT§plelIRkdas;lT§plEdlmanP¢ab;mkCa mYy ehIyepJIRkdaslT§plenaHRtLb;eTAmnÞIrBiesaFn_bEg¥ktamry³mCÄmNÐlCatiRbyuT§nwg CMgWeGds_ esIEs,k nigkameraK. CMhanTI3³ enAmnÞIrBiesaFn_bEg¥k lT§pletsþEdlbBa¢ÚnBImnÞIrBiesaFn_eFVIetsþQamrkemeraK eGds_edaysμR½Kcitþ nigrkSakarsMgat; RtUv)anBinitü nigeRbobeFobCamYylT§plEdl)anerob cMTukenAmnÞIrBiesaFn_bEg¥kEdl)aneFVIenACMhanTI 1.

    15

  • CMhanTI4³ lT§pletsþnwgRtUvviPaK nigbkRsaydUcxageRkam³ 1> RbsinebIlT§pl1 kñúgcMeNamTIbTaMg4 RtUv mann½yfaRtUv 25° 2> RbsinebIlT§pl 2 kñúgcMeNamTIbTaMg 4 RtUv mann½yfaRtUv 50° 3> RbsinebIlT§pl 3 kñúgcMeNamTIbTaMg 4 RtUv mann½yfaRtUv 75°. 4> RbsinebIlT§pletsþRtUvTaMg 4 TIbRtUv mann½yfaRtUv 100°

    CMhanTI5³ RbsinebIlT§pletsþEdl)anmkBI VCCT xusBIlT§pletsþenAmnÞIrBiesaFn_ bEg¥k mRnþIénmCÄmNÐlCatiRbyuT§nwgCMgWeGds_esIEs,k nigkameraK nigmRnþIenAmnÞIrBiesaFn_bEg¥k nwg cuHBinitüdl;mNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_edays μR½Kcitþ nigrkSakarsMgat; edayeFVIkar BinitüeLIgvij nigeFVIkarGegátpÞal;nUvdMeNIrkar eFVIetsþQamrkemeraKeGds_ karrkSa nigTukdak;etsþ éf¶ExkMNt;énRbtikr nigeFVIkarKaMRTbec©keTsdl;kareFVIetsþenaH.

    tMrUvkarsMPar³ nigFnFanmnusS³ 1: TIbsMrab;dak;esrU:mKMrU 4TIb (Serum panel 4 tubes) 2: FugTwkkk (cold chains) 3: RkdasbMeBjlT§pl (result sheets)

    FnFanbuKÁlik³ - mRnþIeFVIkarenAmCÄmNÐlCatiRbyuT§nwgCMgWeGds_esIEs,k nigkameraK - mRnþIbMerIkarenAviTüasßan)a:sÞ½r b¤ viTüasßanCatiRsavRCavsuxPaBsaFarN³ - Gñkbec©keTsmnÞIrBiesaFn_enAmNÐleFVIetsþQamrkemeraKeGds_ - GñkGPi)almNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_edaysμR½Kcitþ

    nigrkSakarsMgat;. eBlevlaEdlRtUveFVIkarBinitüKuNPaBkareFVIetsþQamrkemeraKeGds_³ 3 b¤ 6 Exmþg. meFüa)aydwkCBa¢ÚñnesrU:m³ RtUvepJI b¤bBa¢Únesr:UmKMrUeTAmNÐlpþl;RbwkSa nigeFVIetsþ QamrkemeraKeGds_mineGayelIBI 1 s)þah_bnÞab;karerobcMrYc.

    16

  • kardwkCBa¢Ún³ meFüa)ayEdll¥CageKkñúgkardwkCBa¢Únesr:UmKMrU KWkarerobcMnUvsikçasala Edlmanry³eBlmYyéf¶enAfñak;CatiEdleroccMedaymRnþIEpñkpþl;RbwkSa nigeFVIetsþQamrkemeraK eGds_ énmCÄmNÐlCatiRbyuT§nwgCMgWeGds_esIEs,k nigkameraKshkarN_CamYymRnþImnÞIr BiesaFn_bEg¥k. GñkmnÞIrBiesaFn_mñak;²énmNÐlpþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_ nimYy²RtUv)anGeBa¢IjeGaycUlrYmsikçasalaenH. enAeBlEdlsikçasala)anRtUvbBa©b;mRnþITaMg enaH RtUvnaMykesrUmKMrUEdl)anerobcMCUneTAkan;mNÐlpþl;RbwkSa nigeFVIetsþQamrbs;xøÜn ehIy GnuvtþeFVIetsþelIesrU:mKMrUenaH. kardwknaMesrU:mKMrU GaceFVItamry³rfynþQñÜl b¤tammRnþIcuH GPi)alBIfñak;Cati b¤tammRnþIkariyal½yeGds_extþEdlmkebIkRbtikrenAfñak;Cati. sikçasa laenHRtUv erobcMdak;kñúgEpnkarRbcaMqñaMrbs;Epñkpþl;RbwkSa nigeFVIetsþQamrkemeraK eGds_ énmCÄmNÐl CatiRbyuT§CMgWeGds_esIEs,k nigkameraK.

    4>esckþIsniñdæan³ niyaménEbbbTsMrab;GnuvtþkñúgkarFanaKuNPaB esvapþl;RbwkSa nigkarRtYtBinitüKuN PaBénkareFVIetsþQamrkemeraKeGds_edays μ ½RKcitþ nigrkSakarsMgat;enHRtUv)anerobcMeT,Igeday Rkumkarbec©keTspþl;RbwkSa nigeFVIetsþQamrkemeraK edaymankarCYyKaMRTbec©keTsBIGñk bec©keTsmnÞIrBiesaFn_bEg¥kCaeRcIn. karbegáItniyamenHKWmansar³sMxan;Nas;edIm,IelIksÞÜy nUvKuNPaBesvapþl;RbwkSa nigeFVIetsþQamrkemeraKeGds_enAkñúgRBHraCaNacRkkm

  • ]bsm sMrab;karpþl;RbwkSamuneBleFVIetsþQamrkemeraKeGds_ 1> Bt’manTUeTA - kalbriecäTénkarGPi)al ¬éf¶¼Ex¼qñaM¦……../……../……. -eQμaHGñkGPi)al³>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> -eQμaHmNÐlpþl;RbwkSa>>>>>>>>>>>>>>>>>>>>>RsukRbtibtþi>>>>>>>>>>>>>>>>>>>>>extþ>>>>>>>>>>>> -eQμaHGñkpþl;RbwkSa³ 1>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TUrs½BÞ³>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TUrs½BÞ³>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> - eBlevlaeFVIkargar³ 1> eBlRBwkcab;BIem:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>dl;em:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2> eBll¶accab;BIem:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>dl;em:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

    skmμPaB man Kμan epSg² k>karpþl;RbwkSamuneBleFVIetsþ

    1> karrak;Tak; nigkarbgðajxøÜn nigtYnaTI 2> BiPakSaBIehtuplEdlGtifiCnmkrkesva VCCT 3> vaytMélelIkaryl;dwgGMBIemeraKeGds_ CMgWeGds_rbs;GtifiCn

    4> eFVIkarEksMrYlkaryl;RcLMrbs;GtifiCnsþIBICMgWeGds_

    18

  • 5> eFVIkar)a:n;sμanBIkarRbQmmuxeTAnwgkarqøgemeraKeGds_ 6> pþl;RbwkSaBIkarkat;bnßykarRbQmmuxeTAnwgkarqøgemeraKeGds_ 7> pþl;RbwkSaBIEpnkarkat;bnßykarcMlgemeraKeGds_ 8> BiPakSaBIeRsamGnam½y nigbgðajBIrebobeRbIeRsamGnam½y)anRtwmRtUv 9> BiPakSaBIkarcMlg nigkarkat;bnßykarcMlgemeraKeGds_BImþayeTATark 10> pþl;Bt’manBIry³eBlcMh nigBnül;GtifiCn)anc,as;BIkarRtLb;mk eFVIetsþQamrkemeraKeGds_mþgeTot

    11> BiPakSaBIeraKsBaØaEdlTak;TgCMgWrebg nigkarBüa)alCMgWrebg 12> BiPakSaBIeraKsBaØaCMgWkameraK nigkarBüa)alCMgWkameraK 13> bgðajBIplRbeyaCn_EdlTak;TgeTAnwgkareFVIetsþQamrkemeraKeGds_ 14> BiPakSaBIkic©RBmeRBogénkarsμR½KcitþeFVIetsþrkemeraKeGds_ 15> bMeBjelxkUdelITIbQam nigelIb½NÑNat;CYb)anRtwmRtUv 16> pþl;RkdasNat;CYb nigpþl;Bt’manBIeBlevlaénkarpþl;RbwkSaeRkayeBl eFVIetsþ nigkarTTYllT§pletsþ

    17> BinitüePT Gayurbs;GtifiCn)anRtwmRtUvmunnwgRbKl;lT§pletsþdl; GtifiCn

    k>1> karpþl;RbwkSamuneBleFVIetsþQam-EdlmankarGnuvtþn_elIkarTMnak; TMngbuKÁl 18> karpþl;b½NÑNat;CYbtamrebobsamBaØ 19> eRbIsMnYrsamBaØ niggayyl; 20 sYrsMnYrbiTedIm,IRsg;ykBt’man 21> eqøIytbeTAnwgsMnYredayeRbIPasasamBaØ niggayyl; 22> TukeBleGayGtifiCnKitbnÞab;BIsYrsMnYreTAKat; 23> bgðajBIkarykcitþTukdak;sþab;cMeBaHGtifiCn 24> bgðajTwkmuxtameTAtamerOg nigGarm μN_rbs;GtifiCn 25> EPñksMLwgeTArkGtifiCn)anl¥ 26> sYrBIGarm μN_ nigkarrMePIbrbs;GtifiCn 27> GnuBaØateGayGtifiCnbeBa©jGarmμN_

    19

  • 28> BinitüBIkaryl;rbs;GtifiCn edayeGayGtifiCnniyayeLIg vijBIGVIEdl Kat;TTYl)anBIkarsnÞna

    29> sYrfaetIGtifiCnyl;b¤eT 30> elIkTwkcitþeGayGtifiCnsYrsMnYr 31> sYrsMnYrmYymþg² 32> sYrfaetIGtifiCncg;sYrsMnYrGVIbEnßmeTot nigBiPakSaGVIb¤eT 33> eqøIysMnYredaymankarGt;Fμt; nigc,as;las;

    k>2> karpþl;RbwkSamuneBleFVIetsþQam-EdlmankarGnuvtþn_elIkarTMnak; TMngbuKÁlmin)anl¥ 34> eRbIsMnYrnaMmux 35> niyaykat;GtifiCn 36> niyayeRcInelIsBIGtifiCn 37> niyaysMdIemIlgayGtifiCn 38> niyayxøaMgeBk nigelOneBk 39> niyayEtBIBakübec©keTs 40> ykcitþTukdak;EtelIÉksar edayminemIlmkGtifiCn

    x> karpþl;RbwkSaeRkayeBleFVIetsþQam 41> sVaKmn_ nigrak;Tak;GtifiCn 42> FanafaR)akdCaGtifiCnenaHEmn 43> rMlwkcMNucsMxan;²enAkñúgkarpþl;RbwkSamuneBleFVIetsþ 44> sYrBIGarm μN_ nigkareRtomCamunEdlTak;TgeTAnwg lT§plviC¢man nigGviC¢man

    45> BiPakSaBIsßanPaBrbs;GtifiCn nigBIbBaðaEdlekItman nigBIEpnkareTA GnaKt

    46> Nat;eGayGtifiCnmkeFVIetsþmþgeTotenAeBllT§plminGackMnt;)an 47> BiPakSaBICMerIsrbs;GtifiCnBIkarebIksMbuRtlT§pl

    x>1> karpþl;RbwkSaeRkayeBleFVIetsþcMeBaHlT§lviC¢man 48> BiPakSaBIGtßn½yénlT§pletsþ

    20

  • 49> pþl;karKaMRTpøÚvcitþ BinitüBIEpnkaredaHRsaybBaðarbs;GtifiCn 50> BiPakSaBIkal³eTs³pÞal;xøÜn RKYsar nigsgÁm 51> BiPakSaBIkarvivtþn_énCMgWeGds_ 52> BiPakSaBIkarBüa)al nigEfTaMevC¢saRsþ karbgáar Büa)alCMgW»kasniym karbgáarkarcMlgemeraKeGds_BImþayeTATark karbgáarCMgWrebg Bt’man BI»sfRbqaMgemeraKeGds_

    53> BiPakSaEpnkarkat;bnßykarRbQmmux karbgáarkarcMlgemeraKeGds_ karrYmePTedaysuvtißPaB

    54> pþl;Bt’manBIesvad¾éTeTot nigRbB½n§bBa¢ÚnGtifiCneTArkesvaepSg²eTot

    x>2> karpþl;RbwkSaeRkayeBleFVIetsþcMeBaHlT§lGviC¢man 55> Bnül;BIGtßn½yénlT§pletsþ nigBIryHeBlcMh 56> pþl;Bt’manBIkareFVIetsþmþgeTotRbsinebIsßitenAkñúgry³eBlcMh 57> rMlwkBIcMeNHdwgmUldæansþIBICMgWeGds_ Edl)anBiPakSaenAmuneBleFVIetsþ 58> BiPakSaBIEpnkarkat;bnßykarRbQmmux nigkarrYmePTedaysuvtßiPaB 59> pþl;CUnGtifiCnnUvÉksar IEC RbsinebIman 60> pþl;Bt’manBIesvaEfTaM KaMRT nigBüa)al

    x>3> karpþl;RbwkSaeRkayeBleFVIetsþEdlmanTMnak;TMngl¥CamYyGtifiCn 61> pþl;lT§pletsþtamrebobsamBaØ 62> pþl;lT§pletsþEdlmaneRsamsMbuRt 63> TukeBleGayGtifiCnKitbnÞab;BIsYrsMnYreTAKat; 64> rkSabriyakasgayRsYl 65> elIkTwkcitþeGayGtifiCnsYrsMnYr 66> eqøIysMnYredayPaBrak;Tak; niggayyl; 67> eqøIynwgsMnYrrbs;GtifiCn)anRtwmRtUv 68> sYr nigeqøIysMnYredayeRbIPasasamBaØ niggayyl; 69> sYr nigeqøIysMnYredaymanPaBrIkray 70> sYrsMnYrmYymþg²

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  • 71> BinitüBIkaryl;rbs;GtifiCn edayeGayGtifiCnniyayeLIg vijBIGVIEdl Kat;TTYl)anBIkarsnÞna

    72>sYrfaebIGtifiCncg;sYrsMnYrGVIbEnßmeTot nigBiPakSaGVIb¤eT 73> bBa©b;karpþl;RbwkSaedaymankarlaKña nigkarGrKuNdl;GtifiCn

    74> CUndMeNIrGtifiCndl;TaVrecjeBlbBa©b;karpþl;RbwkSa

    x>4> karpþl;RbwkSaeRkayeBleFVIetsþQam-EdlmankarGnuvtþn_elIkar TMnak; TMngbuKÁlmin)anl¥ 75> pþl;dMbUn μandl;GtifiCn 76> R)ab;eGayGtifiCnRtUvEteFVIkarpøas;bþÚr RtUveFVIenH b¤eFVIenaH 77> niyaysMdIemIlgayGtifiCn 78> niyaykat;GtifiCn 79> eRbIR)as;Bakübec©keTseRcIn

    80> sYrsMnYrnaMmux 81> niyayfa kuMKitGI vaminGIeT kMuyM mincaM)ac;KiteRcIneT

    K>tYnaTIGñkpþl;RbwkSa 82> FananUvkarrkSakarsMgat; nigBIkarsμ ½RKcitþ 83> BiPakSaBIkic©yl;RBmeFVIetsþ 84> kt;Rta nigcuHbBa¢IeFVIr)aykarN_)anRtwmRtUv 85> manligÁsib,nimitþ nigbgðajkareRbIeRsamGnam½y)anRtwmRtUv 86> karbUmQam)anRtwmRtUv

    X>karerobcMTinñn½y 87>FanafakarbBa©ÚlTinñn½y)anRtwmRtUv nigTan;eBl 88> BinitüemIlkarcuHbBa¢Irtamrebobécdnü)anRtwmRtUv 89> karerobcMTukdak;Éksar)anRtwmRtUv 90> rkSaÉksareFVIetsþRtYtBinitüKuNPaB)anRtwmRtUv

    g>karerobcM Éksar nig sMPar³IEC 91> vtþmanénviFIsarsMrab;kareFVIetsþrkemeraKeGds_ 92> vtþmanb½NÑNat;CYbsMrab; VCCT

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  • 93> b½NÑTMnak;TMngCamYymnÞIrBiesaFn_sMrab; VCCT 94> vtþmanb½NÑbBa¢Ún 95> vtþmansMePAcuHbBa©IsMrab;karpþl;RbwkSa 96> vtþmanTMrg;r)aykarN_ 97> vtþmanTMrg;sMeNIrebIksMPar³ 98> vtþmaneRsamGnam½y 99> vtþmanÉksarGb;rMsuxPaB 100> vtþmanBt’manRbB½n§bBa¢Ún

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  • bB¢aIepÞógpÞat;sMrab;karGPi)almNÐlpÞl;RbwkSa nigeFVIetsþrkemeraKeGds_edaysμR½Kcitþ nigrkSakarsMgat;

    sMrab;GñkmnÞIrBiesaFn_ 1> Bt’manTUeTA³ - kalbriecäTénkarGPi)al³ ¬éf¶¼Ex¼qñaM¦……../……../……. -eQμaHGñkGPi)al³>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> -eQμaHmNÐlpþl;RbwkSa>>>>>>>>>>>>>>>>>>>>>RsukRbtibtþi>>>>>>>>>>>>>>>>>>>>>extþ>>>>>>>>>>>> -eQμaHGñkmnÞIrBiesaFn_³ 1>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TUrs½BÞ³>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TUrs½BÞ³>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> - eBlevlaeFVIkargar³ 1> eBlRBwkcab;BIem:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>dl;em:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> 2> eBll¶accab;BIem:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>dl;em:ag>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

    skmμPaB man Kμan epSg² k>karsMGat nigkarrkSaGnam½y

    1> bnÞb; 2> ma:sIunRtCak; 3> karTukdak;Rbtikr)anRtwmRtUv 4>karTukdak;sMParH)anRtwmRtUv

    x>karerobcMTukdak;Éksar 5>vtþmanTMrg;EbbbTesñIsMPar³eRbIR)as; 6> vtþmanTMrg;ÉksarsMrab;eFVIr)aykarN_RbcaMEx 7> vtþmanTMrg;ÉksarsMrab;eFVIr)aykarN_RbcaMRtImas 8> esovePAcuHbBa¢IrsMrab;mnÞIrBiesaFn_

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  • K>karGegátelITMrg;EbbbTénkareFVIetsþQam 9> eRbIma:sIunbgVilQam)anRtwmRtUv 10> dak;Rbtikr)anRtwmRtUv 11> eRbIQam)anRtwmRtUvtamcMnYn 12> eRbIesrUm)anRtwmRtUv 13> GanlT§pl)anRtUveBlkMnt; 14> bkERblT§pl)anRtwmRtUv 15> cuHéf¶Ex)anRtwmRtUv

    X>tYnaTIGñkbec©keTsmnÞIrBiesaFn_ 16> vtþmaneKalkarN_ENnaMsþIBIkarbgáarCaskl 17> Bak;GavsMrab;eRbIR)as;kñúgmnÞIrBiesaFn_ 18>eRbIeRsamédmYysMrab;GtifiCnmñak; 19>erobcMTukdak;sMPar³mnÞIrBiesaFn_)anRtwmRtUv 20>biTelxkUdelITIbQam)anRtwmRtUv 21>Fanakt;Rta nigrkSalT§pletsþ)anRtwmRtUv

    g>karBinitükarTukdak;Rbtikr nigsMParHmnÞIrBiesaFn_ cMnYn kalkMnt; 22> Serodia HIV ½ 23> Genscreen HIV ½ 24> Uni-Gold 25> Determine HIV ½ 26> Vacutainer tube 27> Vacutainer needle 28> Microplate 29> Yellow tube 30> Glove

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    lkçx½NÐénkareFVIetsþ nigkarpÁt;pÁg;³