+ All Categories
Home > Documents > Bangladesh: Urban Primary Health Care Project II

Bangladesh: Urban Primary Health Care Project II

Date post: 05-Apr-2018
Category:
Upload: adbgad
View: 230 times
Download: 0 times
Share this document with a friend

of 22

Transcript
  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    1/22

    =

    Lv* Hl* ^mvtmv FmvkLbsr|{ ^bnvb|mv{ ) Lbsr|{ Svgabn| Lkvbn|gv

    6jl Rvfmj Svkhmv{ @bme|` nmvb Svgabn|

    Egnme Dgy|* Lkyk~kgj% Hkjk~|v{ gi EDVL)N

    Fmjdemlb~`

    6JL RVFMJ SVKHMV[ @BME\@ NMVB SVGABN\

    Egnme Dgy|* Lkyk~kgj% Hkjk~|v{ gi EDVL)N

    FMJDEMLB^@

    69(60 Hmvn` 63=6

    Ngeghfg% ^vk Emjom

    \`b ykbt~ bpsvb~~bl kj |`k~ smsbv mvb |`b ykbt~ gi |`b mr|`gv~ mjl lg jg| jbnb~~mvke{ vbiebn| |`b ykbt~ gv sgeknkb~ gi |`bM~kmj Lbybegshbj| Fmjo MLF+% gv k|~ Fgmvl gi Dgybvjgv~% gv |`b dgybvjhbj|~ |`b{ vbsvb~bj|* MLF lgb~ jg| drmvmj|bb

    |`b mnnrvmn{ gi |`b lm|m kjnerlbl kj |`k~ smsbv mjl mnnbs|~ jg vb~sgj~kfkek|{ igv mj{ ngj~b}rbjnb gi |`bkv r~b* \`bngrj|vkb~ ek~|bl kj |`k~ smsbv lg jg| khse{ mj{ ykbt gj MLF$~ smv| m~ |g ~gybvbkdj|{ gv kjlbsbjlbj| ~|m|r~ gv jbnb~~mvke{ngjigvh |g MLF$~ |bvhkjgegd{*

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    2/22

    6

    FMNODVGRJL

    Rvfmj Svkhmv{ @bme|` Nmvb Svgabn| k~ m rjk}rb% kjjgym|kyb mjl vbhmvomfebsvgabn| kj Fmjdemlb~` igv lbekybvkjd miigvlmfeb ]rmek|{ S@N mjl V@ nmvb |grvfmj sggv % smv|knremve{tghbj mjl N`kelvbj

    \`b 6jl Rvfmj @bme|` Nmvb Svgabn| k~ m ngj|kjrm|kgj gi ~rnnb~~ire ikv~| s`m~b gi|`b svgabn| t`kn` ~|mv|bl kj =;;0 mjl bjlbl kj Arjb 6332

    \`k~ svgabn| k~ m skgjbbv kj khsebhbj|m|kgj gi srfekn svkym|b smv|jbv~`ks (SSS+hglbe mjl svgsggv |mvdb|kjd kj svkhmv{ `bme|` nmvb ) hm|bvjme `bme|` ~bn|gvgi Fmjdemlb~`

    Bpbnr|kjd Mdbjn{1 Egnme Dgybvjhbj| Lkyk~kgj

    Khsebhbj|kjd Mdbjnkb~1 Nk|{ Ngvsgvm|kgj~ mjl Hrjknksmek|kb~

    ^bvyknb svgyklbv~1 Smv|jbv JDG~ Svgabn| Sbvkgl1 4 {bmv~ (Are{ 6332Arjb 63=6+ (tk|` 9 hgj|`~ jgng~|

    bp|bj~kgj+

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    3/22

    Dgme gi |`b Svgabn|

    \`b dgme gi |`b svgabn| k~ |g khsvgyb |`b `bme|`

    ~|m|r~ gi |`b rvfmj sgsrem|kgj% b~sbnkmee{ |`b sggv%

    tghbj mjl n`kelvbj |`vgrd` khsvgybl mnnb~~ |gmjl r|kekqm|kgj gi biiknkbj|% biibn|kyb mjl ~r~|mkjmfeb

    svkhmv{ `bme|` nmvb (S@N+ ~bvyknb~*

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    4/22

    \`b ^sbnkikn Gfabn|kyb gi 6jl Rvfmj Svkhmv{ @bme|`

    Nmvb Svgabn| k~ |g khsvgyb

    Mnnb~~ |g mjl r~b gi rvfmj S@N ~bvyknb~ kj |`bsvgabn| mvbm% tk|` m smv|knremv ignr~ gj bp|bjlkjdsvgyk~kgj |g |`b sggvb~|

    \`b }rmek|{ gi rvfmj S@N ~bvyknb~ kj |`b svgabn| mvbm

    \`b ng~|(biibn|kybjb~~% biiknkbjn{% mjl kj~|k|r|kgjme

    mjl ikjmjnkme ~r~|mkjmfkek|{ gi S@N |g hbb| |`b jbbl~gi |`b rvfmj sggv

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    5/22

    2

    GR\NGHB ) GR\SR\

    Gr|nghb1 Khsvgybl mnnb~~ |g mjl r~b gi biiknkbj|% biibn|kybmjl ~r~|mkjmfeb dggl }rmek|{ svkhmv{ `bme|` nmvb (S@N+~bvyknb~ igv |`b rvfmj sggv kj svgabn| mvbm~% tk|` m smv|knremvignr~ gj tghbj mjl dkve~*

    Gr|sr|~1=* Svgyk~kgj gi S@N |`vgrd` Smv|jbv~`ks Mdvbbhbj|~ )

    Fb`mykgv N`mjdb Nghhrjknm|kgj mjl Hmvob|kjd (FNNH +6* Rvfmj Svkhmv{ @bme|` Nmvb Kjivm~|vrn|rvb ) Bjykvgjhbj|m

    @bme|`>* Frkelkjd Nmsmnk|{ ) Sgekn{ ^rssgv| igv Rvfmj Svkhmv{

    @bme|` Nmvb

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    6/22

    SvgSggv \mvdb|kjd mjlSSS Mssvgmn`

    M| ebm~| >3" gi bmn` ~bvyknb tkee fb svgyklbl ivbb |g |`b sggv% klbj|kikbl|`vgrd` smv|knksm|gv{ sgybv|{ m~~b~~hbj|~ mjl `gr~b`gel ek~|kjd~*

    \`b sggv mvb svgyklbl ivbb ~bvyknb~% kjnerlkjd ivbb hblknkjb~* Igv |`b jgj

    sggv% ~eklkjd r~bv ibb~ k~ n`mvdbl mjl lvrd~ mvb hmlb mymkemfeb m| =363"egtbv |`mj hmvob| svknb*

    Sggv `gr~b`gel~ tbvb klbj|kikbl fm~bl gj |`b ~gnkme mjl bngjghknkjlknm|gv~* \`b~b `gr~b`gel~ tbvb dkybj bj|k|ebhbj| `bme|` nmvl~ dkykjd |`bh

    ivbb mnnb~~ |g `bme|` ~bvyknb~ rjlbv |`b Svgabn|* \`b ~rvyb{ gi |`b sggv`gr~b`gel~ tkee fb rslm|bl mjjrmee{ f{ |`b smv|jbv JDG*

    Svgabn| `m~ m rjk}rb khsebhbj|m|kgj ~|vm|bd{% m SSS mssvgmn`% r~kjd JDG~mjl svkym|b ~bn|gv igv ~bvyknb lbekybv{ |`vgrd` smv|jbv~`ks mdvbbhbj|~*

    9

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    7/22

    4

    DBJLBV MN\KGJ SEMJ\G KHSVGYB MNNB^^KFKEK\[ MJL MIIGVLMFKEK\[ GI S@N ^BVYKNB^ \G

    SGGV TGHBJ MJL N@KELVBJ (GR\SR\ =+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|

    Mn|kyk|{1 Klbj|ki{ sggv |`vgrd` sgybv|{m~~b~~hbj|~ mjl `gr~b`gel ek~|kjd~ mjl

    bj~rvb ~bvyknb~ |g |`bh*Kjlknm|gv~1 Svgabn| fbjbiknkmvkb~ kjnvbm~bl ivgh

    >3" |g 93" (43" tghbj ) n`kelvbj+ ivghsvgabn| fm~bekjb |g bjl* >3" gi bmn` ~bvyknbsvgyklbl |g sggv tghbj mjl hbj

    [bmve{ ngj|mn|(sm|kbj| iegt kj`bme|` nmvb imnkek|{kj |`b svgabn|mvbm+ kjnvbm~bl>9=" kj 63=3==ivgh 633239

    (Jrhfbv gi vbl nmvl

    `gelbv `gr~b`geltm~ 6>9%26%300kj 63==+

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    8/22

    0

    DBJLBV MN\KGJ SEMJ (GR\SR\ =+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|Mn|kyk|{1 Svgyklb >3" gi bmn` ~bvyknb ivbb gi ng~|

    |g |`b sggv tghbj% hbj mjl n`kelvbj*Kjlknm|gv~1 M| ebm~| >3" gi bmn` ~bvyknb svgyklbl |g

    rvfmj sggv gi t`kn` tghbj mjl n`kelvbj tkeengj~|k|r|b m| ebm~| 42"*

    Svgsggv |mvdb|kjdtm~

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    9/22

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    10/22

    =3

    DBJLBV MN\KGJ SEMJ (GR\SR\ =+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|

    Mn|kyk|{1 Ngrj~bekjd mjl hg|kym|kgj |g `r~fmjl~mjl mlre| imhke{ hbhfbv~ igv sg~|jm|me nmvb*

    Kjlknm|gv~1 Hgvb |`mj

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    11/22

    ==

    DBJLBV MN\KGJ SEMJ (GR\SR\ =+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|

    Mn|kyk|{1 Ngjlrn|kjd mtmvbjb~~ ~b~~kgj% lggv |g

    lggv ngrj~bekjd% bj~rvb ngjlgh ~rssekb~*Kjlknm|gv~1 M| ebm~| 9%333 mtmvbjb~~ ~b~~kgj~

    ngjlrn|bl {bmve{ f{ bmn` SM gj svghg|kgj gingjlgh r~b f{ hmeb smv|jbv? Ngjlgh r~bvvm|b f{ hmeb smv|jbv lrvkjd ~bp tk|` jgj

    vbdremv smv|jbv~ kjnvbm~bl f{ =3"=2" bybv{{bmv

    6%603 ~b~~kgj(==%;0>

    smv|knksmj|+ngjlrn|bl'SM'{bmv

    M~~b~~hbj| ~rvyb{k~ vb}rkvbl igv

    ngjlgh r~bvm|b*

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    12/22

    =6

    DBJLBV MN\KGJ SEMJ (GR\SR\ =+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|

    Mn|kyk|{1 Ngjlrn| |vmkjkjd igv ~|mii gj dbjlbvfm~bl ykgebjnb*

    Kjlknm|gv~1 =33" gi S@NN~ ) NV@NN~ `m~ m|ebm~| 6 |vmkjbl ~|mii gj dbjlbv fm~bl ykgebjnb?

    =42 ngjnbvjbl ~|mii~

    gi SHR% SKR% NN%

    HN% S@NN )

    NV@NN~ kj 4fm|n`b~ vbnbkybl

    |vmkjkjd gj YMT

    f{ H^)\ Ikvh?

    22 ibhmeb Tmvl

    Ngrj~begv~ ivgh

    6< SM~ vbnbkybl|vmkjkjd f{ FNNS

    Ikvh*

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    13/22

    =>

    DBJLBV MN\KGJ SEMJ (GR\SR\ 6+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|

    Mn|kyk|{1 Svghg|b tghbj mjl fmf{ ivkbjle{`bme|` nmvb kjivm~|vrn|rvb imnkek|kb~ (fvbm~| ibblkjdngvjbv% ~bsmvm|b |gkeb| b|n igv fg|` ~bvyknb svgyklbv mjl vbnkskbj|+

    Kjlknm|gv~1 Hgvb |`mj 42" tghbj mjl n`kelvbjmjl 62" hbj vbnbkybl ~bvyknb~ lrb |gkhsvgybl kjivm~|vrn|rvb ivgh svgabn| fm~bekjb|g |`b bjl*

    Tk|`kj |`b nekbj|iegt mvgrjl40" |g 03" mvb

    ibhmeb mjl 63"|g 66" mvb hmeb

    Mn|kyk|{1 Svghg|b tghbj ) R~bv ivkbjle{Nghhrjk|{ \gkeb|~*

    Kjlknm|gv~1 M| ebm~| 23" gi |`b |gkeb| fegno~ mvbvb~bvybl igv |`b r~b gi tghbj*

    23" gi bmn` |gkeb|fegno~ mvbvb~bvybl igvtghbj

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    14/22

    =+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|

    Mn|kyk|{1 Vbnvrk|hbj| mjl Hmjmdbhbj|

    Kjlknm|gv~1 Tghbj ngj~|k|r|b~ >3" gi |`b

    hmjmdbhbj| sg~k|kgj mjl 23" gi `bme|`~bvyknb svgyklbv~*

    >3" (hmjmdbvkme+Hgvb |`mj 43"(~bvyknb svgyklbv~+

    Mn|kyk|{1 \vmkjkjd

    Kjlknm|gv~1 Tghbj vbsvb~bj| 23" gi kjngrj|v{

    |vmkjkjd ngrv~b~? Tghbj vbsvb~bj| >3" gigr|ngrj|v{ |vmkjkjd ngrv~b~*

    93" (kjngrj|v{+63" (gr|ngrj|v{+

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    15/22

    =2

    DBJLBV MN\KGJ SEMJ (GR\SR\ >+

    Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|

    Mn|kyk|{1 Kj~|k|r|kgjme Mvvmjdbhbj| mjlHmjmdbhbj| igv DMS

    Kjlknm|gv~1 =33" DMS mn|kyk|kb~ khsebhbj|bl? M|ebm~| >3" tghbj hbhfbv~ kj mee TS@NN?

    Tghbj n`mkv~ m| ebm~| >3" gi TS@NN? Mee |`br~bv igvrh `myb m| ebm~| 23" tghbj hbhfbv~kjnerlkjd sggv mjl jgjsggv*

    TS@NN igvhbl`bmlbl f{ TmvlNgrjnkegv mjl ng

    N`mkvbl f{ ibhmeb tmvl ngrjnkegv* >tghbj hbhfbvivgh ~erh ltbeebvmjl sggv dvgrs

    mvb kjnerlbl* R~bvIgvrh igvhbltk|` fg|` sggvmjl jgjsggvhmkj|mkjkjddbjlbv b}rk|{*

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    16/22

    =9

    DBJLBV MN\KGJ SEMJ (GR\SR\

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    17/22

    =4

    MN@KBYBHBJ\^

    Khsvgykjd Tghbj~ Bhseg{hbj| ) Ebmlbv~`ks kj @bme|` ^bn|gv \`b svgabn| svgyklb~ bhseg{hbj| gssgv|rjk|{ |g m emvdb

    jrhfbv gi ibhmeb hblknme |bn`jgnvm|~ mjl g|`bvsvgib~~kgjme~ ngybvkjd m |mvdb| sgsrem|kgj gi 0 hkeekgj

    Tghbj `myb m||mkjbl ebmlbv~`ks sg~k|kgj~ |`vgrd`smv|jbv~`ks mdvbbhbj|

    Khsvgykjd Mnnb~~kfeb mjl Miigvlmfeb @bme|` Nmvb ^bvyknb~

    \`b svgabn| `m~ ngj~|vrn|bl k|~ gtj `bme|` kjivm~|vrn|rvbimnkek|kb~ (NV@NN 3; jg* mjl S@NN ==9 jg*+tk|`kj |`b

    neg~b svgpkhk|{ gi |`b sggv Sggv `gr~b`gel~ smv|knremve{ tghbj ~mybl |khb mjl hgjb{

    `mykjd mnnb~~ |g `bme|` nmvb ~bvyknb~ neg~b |g |`bkv `ghb~

    >3" gi b~~bj|kme S@N ~bvyknb~ svgyklbl ivbb gi n`mvdb

    ^k jkiknmj| biigv| kj FNNH kj ggv rvfmj nghhrjk|kb~

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    18/22

    MN@KBYBHBJ\^

    Khsvgykjd |`b Nmsmnk|{ gi Nk|{ Ngvsgvm|kgj~'hrjknksmek|kb~ mjl|`bkv smv|jbv~ |g ~|vbjd|`bj |`b nmsmnk|{ gi egnme dgybvjhbj|~ |gsemj% svgyklb% ikjmjnb% hgjk|gv mjl hmjmdb rvfmj S@N ~bvyknb~ ^|vbjd|`bj |`b tghbj mjl fmf{ ivkbjle{ rvfmj S@N kjivm~|vrn|rvb

    |`vgrd` ngj~|vrn|kgj gi =62 jg* `bme|` nmvb imnkek|kb~ jbmv ~erh~ Ngj~klbvmfeb jrhfbv gi |vmkjkjd svgdvmh~ ngjlrn|bl gj ~sbnkikn |gskn~ kj

    rvfmj S@N igv ~bvyknb svgyklbv~% nn'hrjknksmek|kb~ mjl SHR ~|mii~

    Dbjlbv b}rk|{ kj kjngrj|v{ |vmkjkjd svgdvmh~? ~|rl{ |grv~ mjl gr|gingrj|v{ |vmkjkjd mjl ibeegt~`ks~ svgyklbl kj S@N hmjmdbhbj|% `bme|`ikjmjnkjd mjl `bme|` hmjmdbhbj| kjigvhm|kgj ~{~|bh~ (HK^+

    Dbjlbv kjner~kyb HK^ `m~ fbbj lbybegsbl kj |`b svgabn| mjl ~bplk~mddvbdm|bl lm|m mvb mymkemfeb

    =0

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    19/22

    KHSMN\

    Svb~bj| lm|m (6332 y~* 63==+ ~`gt khsmn| gj sgybv|{ vblrn|kgjf{ khsvgykjd |`b `bme|` ngjlk|kgj gi |`b sggv rvfmj tghbjmjl n`kelvbj f{

    Hgvb |`mj ;3" Khhrjkqm|kgj ngybvmdb 49" Ojgtebldb gj S@N mjl imhke{ semjjkjd

    Vblrn|kgj kj nghhgj lk~bm~b~

    Hgvb |`mj 93" Svbjm|me mjl mvgrjl >>" sg~|jm|me n`bnors~ b|n (svgabn| HK^ lm|m ~`gt~ |g|me jrhfbv gi MJN

    kjnvbm~bl 9 |khb~ mjl SJN kjnvbm~bl 0 |khb~ ~kjnb 6332+

    =;

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    20/22

    63

    N@MEEMJDB^ ) ^GER\KGJ^

    Tmvl Svkhmv{ @bme|` Nmvb Nggvlkjm|kgj Nghhk||bb hbhfbv~ mvb jg| tbeekjigvhbl gj |`bkv vgeb~% vb~sgj~kfkek|kb~ mjl gfekdm|kgj

    ^rddb~|kgj1 @gel hbb|kjd~'tgvo~`gs~ |g nemvki{ |`b svgabn| m~sbn|~mhgjd mee ~|mob`gelbv~ kjnerlkjd tghbj mjl FNN |g fb ~|vbjd|`bjbl

    Hmagvk|{ gi |`b ngj|vmnbs|kyb r~bv~ mvb tghbj

    ^rddb~|kgj1 Gvdmjkqb smv|jbv ngrj~bekjd mjl hmeb ngj|vmnbs|kgj |g fbbjngrvmdbl

    Hg~| gi |`b JDG ~|mii k~ jg| mlb}rm|be{ dbjlbv ~bj~k|kqbl

    ^rddb~|kgj1 Gvdmjkqb dbjlbv ~bj~k|kqm|kgj |vmkjkjd tk|` ~bvkb~ gi vbivb~`bvngrv~b~

    ^rddb~|kgj1 Kjnerlb dbjlbv mjl lbybegshbj| k~~rb~ kj mee |vmkjkjd ngrv~b~

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    21/22

    6=

    N@MEEMJDB^ ) ^GER\KGJ^

    Lkiiknre|kb~ kj |khbe{ mymkemfkek|{ gi egdk~|kn~ mjl b}rkshbj| |`m|`mhsbv~ |`b ~bvyknb lbekybv{ |g tghbj% n`kelvbj ^rddb~|kgj1 Bj~rvb |khbe{ ~rsse{ gi egdk~|kn mjl b}rkshbj|

    Emno gi mlb}rm|b dbjlbv mjl n`kel ivkbjle{ kjivm~|vrn|rvb tk|`

    ~riiknkbj| ~smnb fg|` igv ~bvyknb svgyklbv~ mjl ~bvyknb r~bv~ ^rddb~|kgj1 Ngj~|vrn| hgvb dbjlbv mjl n`kel ivkbjle{

    kjivm~|vrn|rvb mllvb~~kjd |`b jbbl~ gi fg|` ~bvyknb svgyklbv~mjl ~bvyknb r~bv~

    ^`gv|mdb gi ibhmeb ~|mii m| hmjmdbhbj| ebybe

    ^rddb~|kgj1 Vbnvrk| mjl lbseg{ ibhmeb ~|mii m| hmjmdbhbj|ebybe

  • 8/2/2019 Bangladesh: Urban Primary Health Care Project II

    22/22

    66


Recommended