RAHA · 2017-04-24 · Annual Report 2015-16 RAHA RAIGARH AMBIKAPUR HEALTH ASSOCIATION (RAHA) An...

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Annual Report 2015-16 RAHA RAIGARH AMBIKAPUR HEALTH ASSOCIATION (RAHA) An NGO with special focus on community health and sanitation, school health, livelihood, disability & empowerment B.T.I. Chowk, Post : Pathalgaon, District : Jashpur, Chhattisgarh - 496118 Ph. : 07765-233384, 9993775859, 9424183907, Email : [email protected], [email protected] Web : http://www.rahaindia.org | Facebook : https://www.facebook.com/rahaindia.org

Transcript of RAHA · 2017-04-24 · Annual Report 2015-16 RAHA RAIGARH AMBIKAPUR HEALTH ASSOCIATION (RAHA) An...

Annual Report 2015-16RAHA

RAIGARH AMBIKAPUR HEALTH ASSOCIATION (RAHA)An NGO with special focus on community health and sanitation, school health, livelihood, disability & empowerment

B.T.I. Chowk, Post : Pathalgaon, District : Jashpur, Chhattisgarh - 496118Ph. : 07765-233384, 9993775859, 9424183907, Email : [email protected], [email protected]

Web : http://www.rahaindia.org | Facebook : https://www.facebook.com/rahaindia.org

Deworming-School Children

Eye Screening-School Children

School Health Checkup

Teachers Training on School Health

Health Camp

Spectacles-School Children

ANNUAL REPORT2015-2016

RAIGARH AMBIKAPUR HEALTH ASSOCIATION (RAHA)An NGO with special focus on community health and sanitation, school health, livelihood, disability & empowerment

B.T.I. Chowk, Post : Pathalgaon, District : Jashpur, Chhattisgarh - 496118Ph.: 07765-233384, 9993775859, 9424183907, Email : [email protected], [email protected]

Web : http://www.rahaindia.org | Facebook : https://www.facebook.com/rahaindia.org

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1 From the Director's Desk Sr. (Dr.) Elizabeth Nalloor 1

2 RAHA : A Report for The Year 2015-16 Sr. (Dr.) Elizabeth Nalloor 2

3 Community Health Protection Scheme (CHPS) Mr. Ramanand Singh 13

4Report on Support to use of Oral Rehydration Solution (ORS) & Zinc for Childhood Diarrhoea Management (CDM) Progarm

Mr. Ramanand Singh 17

5 A Brief Report on Strengthening SABLA program Mr. Ramanand Singh 19

6The Epsom Salt Sponge Bath Can Reduce Hypertension

Miss. Sruthy Joseph 20

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2015-2016Best employee of the year

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Food and Agriculture Organization of the United Nations has announced the year 2016 as the 'Year of Pulses.' This theme has been chosen to promote awareness among the people about importance of pulses in terms of food security, nutrition, prevention of life style related diseases and environmental sustainability. Pulses are the dry, edible seeds from bean family. They form an important portion of our diet and provide proteins, complex carbohydrates, vitamins and minerals. Each 100 grams contain about 32 grams of proteins and several amino acids not made by the body. Pulses are popularly known as the 'poor people's meat'. The rural households in particular depend on dals for their protein daily requirement. Therefore greater awareness among people about the usefulness of pulses from nutritional and health point of view has to be promoted.

For the last two years RAHA has been focusing on 'Lifestyle Diseases/Non-communicable Diseases (NCDs)'. Health and well-being are made possible through combination of various factors. Preventing disease is always wiser than curing them. Ensure health by safe drinking water, hygiene, right food, exercising daily, sleeping enough, not consuming tobacco and alcohol as well as staying stress free can keep most of the diseases at bay.

Today, instead of infectious disease, more people die of NCDs such as Hypertension, Heart disease, Diabetes, Cancer, Obesity, Bone ailments – joint pain, Backache, Digestive disorders, Liver trouble, Kidney problems and Depression. Most of these are silent killers and they are a creeping catastrophe.

Hypertension exerts a substantial public health burden on Cardio Vascular health status and health care system in India. About 33% urban and 25% rural Indians are hypertensive. Indians have high rates of cardio vascular disease and according to world health record 2002, cardio vascular diseases will be the largest cause of death and disability and 2.6 million Indians are predicted to die by 2020 in India from cardio vascular disease.

Cancer is one of the most common diseases in India responsible for maximum mortality. 1300 die of cancer every day in India. Since the turn of the century Cancer has overtaken diarrheal diseases and respiratory infections to become the fourth major killer disease in India.

There is an estimated 70 million diabetes cases in India and the prevalence is growing. 60% of the deaths in the contrary already are due to non-communicable disease, particularly the four biggest killers, namely Cardio Vascular disease, Diabetes, Cancer and Chronic Obstructive Lung disease.

In response to these problems RAHA involve itself by imparting health education to bring awareness to people on healthy lifestyles consisting of healthy and balanced diet with locally produced organic food and abstaining from use of alcohol and tobacco. RAHA is also actively involved in educating school children and adolescents on healthy lifestyles, screening children for disease and eye problems and also de-worming.

This annual report gives information on all our activities during this year.

Sr. (Dr.) Elizabeth NalloorExecutive Director, RAHA

From the Director's Desk .....

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RAHA : A Report for The Year 2015-16

RAHA is working for 47 years, (since 1969) for health promotion, prevention of illness and early treatment of mild to moderate cases of sicknesses through its network of Rural Health Centers (RHCs). There are now 95 established RHCs, Staffed each one with a trained Staff nurse and an ANM or a Helper. The Clinical Establishment Act (CEA) which was implemented in Chhattisgarh in 2013 restricted the functioning of these RHCs. Many RHCs declined from its services. Now 60 RHCs are functioning

as extended service points of referral hospital: the hub and spoke model. The Christian Coalition for health in Chhattisgarh (CCHCG) formed on December 13, 2013 continues to support RHCs and conducts regular meeting and updates the functioning. On March 30-31, 2016 there was a work shop on “Grievance Redressal Mechanisms in the Health Sector in Chhattisgarh : Opportunities, Experiences and Challenges" organized by Public Health Resource Network (PHRN) and Jan Swasthya Abhiyan (JSA) in Raipur at Hotel Simran Pride. The CCHI Director Ms. Anuvinda Varkey and the CCH CG members attended the above workshop. During this workshop CCHI Director and the members of CCH CG met together to identify issues that our institutions are facing in the delivery of health care in the state and presented them to DHS. He gave the representatives of CCH CG a patient listening and was proactive and positive with the request made.

Rural Health Centre (RHC) Sister Nurses Meeting and Training :

Sister nurses of RHCs have regular quarterly meeting and training. Sister Doctors in Ambikapur and Kunkuri take classes as per need expressed by sister nurses.

Sr. Linda CHF from Karangabahla and Sr. Ancillin CHF from Beltoli health center attended a 3 month community Heath Enablers course with CHAI. The course prepared them to gain skills in Counselling, Substance abuse and De-addiction, Acupuncture, Acupressure, Sujoke, Naturopathy, Reiki etc .The sisters appreciated and said that this course equipped them with many new skills. The course was free for members of CHAI .

In the following Pages, Graphs and Tables depict the activities at RHCs as well as activities in the villages around RHCs.

Male

Female

* Herbal, Malnutrition, Mental Health, Family welfare, Hygiene.

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Number of Persons benefitted from Health Education on Life-Style Diseases

Supportive Activities in the Health centres and in the villages :

Deworming Albendazole Tab 1706 Use of SRI technique for paddy cultivation 159

Herbal Garden 153 Medicated Mosquitonets 295

Preparation of Herbal Medicine 2817 Village Health Workers (VHWs) Meeting 863

Kitchen Garden 408 Demonstration for ready to eat food 208

Preparation of Organic Manure 111 Family Visit 14157

Tree Plantation 1500 Meetings with SHGs 1239

Village Health Camp :

Sl Number of Beneficiaries

Sarguja, Balrampur,

Surajpur and Korea

Jashpur RaigarhTotal

M F M F M F1 Total camps 19 19 3 412 Total Patients 332 592 359 625 111 116 21353 Blood pressure checked 286 543 336 587 105 111 19684 Patients treated in camps for

high blood pressure45 39 56 51 10 9 210

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Eye Screening camps at Villages :

Sl Districts 

Tota

l ca

mps Persons

screenedPersons

treated at camp site

Persons adviced for spectacles

Persons received

spectaclesPersons referred

M F C M F C M F C M F C M F C1 Sarguja,

Balrampur, Surajpur and Korea

22 143 212 1 19 23 0 56 53 0 33 29 0 21 22 1

2 Jashpur 20 192 267 13 19 32 2 83 106 1 45 76 0 38 35 13 Raigarh 5 60 24 6 3 6 1 18 14 1 18 6 0 18 11 3Sub Total 47 395 503 20 41 61 3 157 173 2 96 111 0 77 68 5Total 47 918 105 332 207 150

School Health Programme :

School Health is a regular programme of RAHA since 1980. The programme includes health check up, eye screening, deworming and health education. The ultimate aim of school health is to provide well planned and organized comprehensive health care services to school going children through school system to help in attaining their optimum health and develop wholesome behavior.

Number of students benefitted from School Health Education Programme : 2015-2016

Sl. No.

Details of Schools & Students

JashpurSurguja, Balrampur, Surajpur and Korea

Raigarh Total

School Student School Student School Student School Student

1 Primary 24 5316 28 7847 10 1840 62 150032 Middle 25 4702 29 5171 09 1289 63 111623 Higher Secondary 08 2616 12 5430 03 0467 23 08513

Totals 57 12634 69 18448 22 3596 148 34678

4 Students treated with Albendazole Tab.

12634 18448 3596 34678

De-worming Tablet Albendazole is supported by MUT GELDER, GERMANY

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Eye Screening Camps at Schools in 2015-2016 :

Sl DistrictsTotal eye screening

camps

Total Students screened

Students with visual problems

Spectacles distributed to students

Students referred to

eye specialist

Students treated

1 Sarguja, Balrampur, Surajpur and Korea

68 376 210 46 28 136

2 Jashpur 55 231 112 33 24 553 Raigarh 15 73 36 9 9 21

Total 138 680 358 88 61 212

Attack by Wild Elephants :

August 2015 and the following months were frightening days and months for villagers in the districts of Jashpur, Raigarh and Surguja. In district Jashpur alone 258 villages were affected by wild elephants. They moved in group of 30-40 and in the evening entered villages and pulled down houses, ate stored grains and pulses, also ate ready crops in the field and crushed and destroyed standing crops and killed livestock. Few persons also were succumbed in these encounters.

People were in great fear and distress and left their houses and belongings to live together in safer public places for several months. RAHA team along with people of good will visited the area, assessed their needs and helped them with food materials, cloth, searchlight and financial support to repair three houses. RAHA team visited Patuakona, Tilinga, Bardand, Gohshila, Pandopara, Kohpani etc. We are thankful to all who generously responded to our request in this emergency.

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Liliane Foundation (LF) of Holland :

RAHA gets help from LF through Jan Vikas Samiti in Varanasi to rehabilitate disabled persons below the age of 25 years. RAHA is also engaged in home based rehabilitation for 17 Cerebral Palsy (C.P.) children.This year RAHA has distributed 8 walkers, one wheel chair and one Tricycle. Two children with club foot underwent corrective surgery in RJSIOR Hospital, Ranchi.

Trainings and workshop during the year 2015-2016 :

There were 2 skill training camp for blind children. Classes were taken in two groups. Primary children, classes in one group and middle high school students in another group. In all 21 blind children attended the camp. Totally blind children's parents meeting/training/in six places in small groups so that the parents could join the meeting when it is conducted near to their homes.

Mr. Ramanand attended several meetings/trainings with Micronutrient Initiative India (MII) for support to use on Zinc & ORS for Childhood Diarrheal Management and with UNICEF for planning Sabla Programme in Lakhanpur Block of Surguja.

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The Village Health Supervisors (VHS) who are selected to assist the field supervisor in the field were called twice for training, one in October 2015 and the other in March 2016. Both the trainings were of two days each.

In 2008 RAHA had supported 20 villages for a Community Lead Planning and Action. It was a process of Participatory Learning, Institutional Design and Collective Action. Where there was a complete handing over of responsibilities to the people of the villages. The leaders of these 20 villages came for a sharing and input session for two days 29-30 September 2015 in RAHA Gramin Sansadan Vikas Kendra (GSVK), Kakna. The coming together was an enriching experience for all. RAHA has requested these leaders to motivate other villages to adopt this Svavlamban process for over all development of the villages. RAHA would join to facilitate the process.

Sr. Elizabeth participated for a day long consultation on Child Right Advocacy on 12, December 2015. The objective of this consultation was to discuss on possible advocacy agenda for child right issues in the state.

Swawlamban Village Leader

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ICDS, Lundra :

Integrated Child Development Scheme (ICDS) Project, Lundra, District Surguja, the management of which was handed over to RAHA on 09-05-1995. In August 1994 it was decided that the Central Government shall grant financial assistance to the NGOs who are interested with the task of implementing the ICDS project and the State Government will also be responsible for supporting the NGO. Primarily it is the States duty to implement the ICDS scheme and handing over of the project to a NGO has been on experimental basis.

The agreement was signed between RAHA and the Collector of Surguja and it was on a year to year basis. Since then, the ICDS run by RAHA has been ideal for the rest of the ICDS project Blocks in the district of Surguja and has been given the award of Birsa Munda for the best performance in 1999-2000. On 10/10/2006 an order was given to RAHA to hand over ICDS, Lundra, to the District Collector. At that time RAHA was concerned about the staff employed in Lundra and gave a petition, to be allowed to continue service. However after 9 years of further service the court dismissed the petition and asked ICDS, Lundra, to be handed over to the District “Women and Child Development Department".

RAHA finally handed over this project to the District ICDS officer on 03/10/2015- the whole office with all the documents and the related papers.

Axshaya India Project :

RAHA collaborated with CARE India, Raipur in running Advocacy, Communication and Social Mobilization (ACSM) in Revised National Tuberculosis Control Programme (RNTCP) in Jashpur, Surguja and Korea Districts from 2010. This programme concluded on September 30, 2015.

Special Events During the Year :

World Health Day, April 7, 2015 :

Every year, the World Health Organization (WHO) selects a priority area of global public health concern and selects a theme for World Health Day, which falls on 7 April, the birthday of the organization. The theme for World Health Day 2015 was “Food Safety – From Farm to Plate, Make food safe". This was an opportunity to alert Governments, manufacturers, retailers and the public to

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the importance of food safety and to ensure that the food on peoples' plates is safe to eat. This year RAHA addressed nursing students of Holy Cross Hospital, Kunkuri, on food safety so that the theme 'Food Safety' could be an area of public health action to protect people from the risks of food poisoning and food borne diseases like diarrheal disease, viral disease, cancers etc. We also conducted a session with B.T.I. students at Pathalgaon and villagers around RAHA Health Centre. Total number of persons contacted 1243.

World Environment Day, June 5, 2015 :

Every year, the United Nations Environment Programme honors World Environment Day on June 5 to raise global awareness about environmental issues and call for action. This years' theme 'Sustainable lifestyle' is a very crucial topic and asks everyone to evaluate our consumer habits: how we shop, eat and travel. Expanding the theme it said “Seven billion dreams, one planet, consume with care". Sr. Elizabeth Director, RAHA addressed on this topic and raised several questions and how to protect environment. Sr. Elizabeth further explained how common people disrupt natural environment because of indiscriminate exploitation of ground water, unplanned cutting of forest and air pollutions.

This year World Environment Day was observed in village Rede of health centre Beoradand, Block Pathalgaon, Dist. Jashpur, Block Pathalgaon.

International Tribal Day :

RAHA core team staff contributed to International Tribal Day on 9th August by discussing health issues of tribal in this area. Mr. Abraham Lakra and Mr. Linus Kujur shared health information in Jashpur district and Mr. Joseph in Surguja District. This was an opportunity to talk to over 3200 people on health and lifestyle diseases.

World Sight Day :

The annual World Sight Day (WSD) provides an opportunity to become more aware and more committed to ensuring the right to sight for all. 2015 WSD theme 'Eye Care for All" was organized for, Janta Primary and Middle School at Basen, District Jashpur. A health camp was organized on October 8, 2015 with eye screening and health education on eye care. 442 School children benefitted from this programme. RAHA supports “Vision 2020: The Right to Sight" The global initiative, launched in 1999, which aims to eliminate avoidable blindness by the year 2020. There is an estimated 9 million blind people in India.

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World AIDS Day, December 1 :

The theme for World Aids Day an ongoing theme from 2011 to 2015 is “Getting to Zero", The theme was set by the World AIDS Campaign and International Coalition of HIV AIDS groups and networks. Getting to Zero refers to “Zero AIDS related deaths, Zero New HIV Infections, Zero discrimination". This year the AIDS day programme in Surguja district was by the combined effort of RAHA and Holy Cross Social Service Centre. Sr. Christy, Coordinator of Holy Cross Social work, Sr. Agatha Minj OSU, Coordinator, RAHA, Ambikapur and Mr. Vishwanath, Field Supervisor (F.S), coordinated the

event there. The F.Ss of RAHA Ambikapur staged a 'Nukkad' to raise awareness on AIDS among school students. There was good support from school authority. The programme was organized in Government Higher Secondary School, Narmadapur and Model School, Kamleswerpur, Mainpath. Mr. Jaiarathi Kispotta, Principal Govt. H. S. School, Narmadapur and Sr. Elizabeth spoke on the theme and addressed the students.On 2nd December AIDS progarmme was conducted in coumpter school. In Surajpur Mr. Rajendra Kumar, F.S. RAHA organized a huge gathering and rally where civil society and school students participated and gave their views. Sr. Agatha Minj, OSU, Coordinator and RAHA F.S. also joined to encourage the gathering and staged a Nukkad on AIDS. At Kunkuri, Sr. Flory CHF, Coordinator, RAHA, Jashpur; F.S. Mr. Abraham and other F.Ss of RAHA conducted AIDS Day. A total of 2962 students took part in the event and benefitted from the programme.

International Women's Day (IWD), March 8 :

International Women's Day (IWD), is celebrated globally on 8 March. The campaign theme was - “Pledge for Parity". This is the theme to uphold women's achievements, recognize challenges and focus greater attention on Women's rights and gender equality to mobilize all people especially women to do their part. Several gatherings of women were organized in the villages, emphasizing the theme – Gender Parity. Every woman has a role to accelerate the speed in getting their equality in the society. Equality for women is progress for all, emphasizes how gender equality, empowerment of women, women's full enjoyment of human rights and the eradication of poverty are essential to economic and social development. The women at the end of the gathering pledged to work for parity in their own locality. RAHA team in different groups addressed about 4760 women and conveyed the message of IWD.

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World Disability Day, December 3 :

RAHA observed World Disability Day on 3 December. The theme this year was “Inclusion Matters: Access and Empowerment for People of all Abilities." On this occasion we organized a rally of persons with disability from RAHA office, Pathalgaon to Indira Chowk, Bus stand, Pathalgaon. They came from different directions and gathered in RAHA and then we all marched together to Pathalgaon to raise their voice for their immediate needs like Bus Pass, Rail Pass, Disabled friendly environment in Government and public places. Staff of Block Resource Centre and other people from Civil Society attended the gathering. A young blind boy of class-9 Narendra Nagdev addressed the group and spoke about social inclusion and equality in the society and spread awareness in the society.

Republic Day Celebration January 26, 2016 :

Support and help to the young disabled persons to make their life a little easier and comfortable is an important activity of RAHA. This year during republic day celebration the visually and the orthopedically impaired children together performed a very rhythmic dance with a 'Desh Bhakti Gaan' (Patriotism song). During their performance the whole gathering greeted them with a standing ovation.

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Expenses AmountAnimal husbandry/ dogs 105307

Vehicle Maintenance & repairs 12450

Agriculture / Tree farm 670492

bank charges 56

Electricity Solar 20243

Manage Training Centre 48964

TA project supervisor 14730

Christmas Gift 3100

Fishries 2750

Fixed Assets:  

Equipment 281493

Furniture 15757

Live Stock 15100

Total Expenses 1190442

Farm Income-2015-2016

Agriculture 

Farm Product 158843.00

Vegetables 41981.00  

Firewood 5108.00  

Fruit 48740.00 254672.00

Training Centre 156450.00 156450.00

Animal - Milk , Pup 34974.00 34974.00

Herbal Garden 630.00 630.00

Donation- Individual 30000.00 30000.00

  Total 476726.00

I place on record my sincere thanks and appreciation to :

� MISEREOR, Germany, for their long standing partnership with RAHA for its Integrated Rural Health Programme.

� Liliane Foundation (LF), Holand and Jan Vikas Samiti, Varanasi, for their help for children with disability .

� CARE, UNICEF and MII for the chance to collaborate with them.

� Governing body and General body of RAHA for their participation, guidance and honest expression of their view.

� RAHA Core Team and the team of every project for their commitment to the Vision of RAHA.

� All those who support us in the field-Parish Priests, Sister Nurses of RHCs and their co-workers and all grass root level volunteers VHW & VHS.

� All friends, benefactors and well wishers.

I look forward to your continued support and encouragement in our onward journey towards a healthy community.

Sr. (Dr.) Elizabeth Nalloor Executive Director, RAHA

RAHA Gramin Sansadhan Viksas Kendra (GSVK), Kakna, Dist-Balrampur :

The land of RAHA at kakna needs further care to improve the soil.The trees and herbal plants are coming up well. A 5 KVA Solar lightining system has been installed there with 75% subsidy from CHAI. RAHA Sincerely thank, Rev. Fr. Tomy IMS and CHAI team for the support.

2015-2016 Income and Expenditure is given below :

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COMMUNITY HEALTH PROTECTION SCHEME (CHPS)

A Brief Report for the Year 2015-2016 :

A universal health protection scheme for acute hospitalization care will succeed only if it is part of an integrated system that seamlessly connects essential basic services for disease prevention and early clinical care with referred advanced care when needed and ensures efficient follow up on return to primary care.

The claim that the health protection scheme will reduce catastrophic financial shocks due to hospitalization is only partly true, since the over limit in hospital costs and post hospitalization expenses will be out of pocket. More important, is the cumulative burden of recurrent expenses on common ailments and continuous

spending on chronic conditions that drain the health and saving of many Indians.

RAHA has managed to protect many families from catastrophic health expenditure. The CHPS has helped in reducing the out-of-pocket payments by the patients by about 45%. There are still a certain number of referral admissions that can be handled at the Rural Health Centre (RHC) level. Some of the patients prefer to see a doctor rather than a nurse even for minor problems. They insist that the nurse should give them referral forms so that they can visit the hospital and see a doctor. This problem specifically exists in the RHCs that are near the referral hospitals

Weak primary care services will land more people in hospitals and health care costs will escalate beyond the reach of RAHA's budgets.

RAHA CHPS from its inception was launched for the poor tribals and other poor people living in remote areas and thus most of the beneficiaries are from tribal communities and other poor people. The CHPS is an effective programme that meets the needs of the poor communities.

Membership in RAHA CHPS has risen since its inception. Membership in 2015-16 was 90,214.   Rates of utilization of the Community Health Protection Scheme have been low. The reason for this low rate may be for the more Preventive care and more health camps in villages as well as in schools. Out of the 90,214 enrolled members in 2015-16, the total number of patients referred to referral hospitals during April 2015 to March 2016 was 408. Out of the 408 patients, 76 patients went to a referral hospital more than once.

Rs. 5, 44,273.00 was paid by RAHA to referral hospitals for providing further health services to the referred patients. On an average every patient who was referred to a referral hospital got a benefit of Rs 1,237.00. There is a very high proportion of age groups 19 to 40 (144 members) and 41 to 60 (83 members) among the insured who were referred to referral hospitals.

At the referral hospital level the ratio of women hospitalization was higher than that of men, the percentage of the total women referred being 63 % .Out of 408 patients 257 were women and 151 men who visited referral hospitals. It also shows that the Community health protection scheme is being utilized for reproductive as well as other health needs of women. RAHA values women and it is hoped that women would continue to have better access to reproductive health care through CHPS and eventually have better reproductive health.

Lowering financial barriers to accessing health services and providing financial protection against health care-related impoverishment are the objectives of the community health protection scheme, to which RAHA is committed.

Hearty thanks to all RAHA staff members whose efforts made this scheme run very successfully.

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Trend of MIS Membership

Referral Hospital Bills paid by RAHA (MISEREOR)

Trend of Referral to Primary hospital

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xzkeh.k {ks=kksa esa yksxksa rd LokLF; lqfo/kvksa dh igq¡p lqyHk cukus gsrq ^jkgk* }kjk lu~ 1980 ls ^lapkfyr*

;kstuk ls ykHk

1- xk¡o Lrj ij % 3- LokLF; dsUnz Lrj ij % jkgk xzkeh.k LokLF; dk;ZdrkZ ds }kjk izkFkfed

LokLF; lsok ,oa ijke'kZ

jkgk LokLF; dsUnz ij rqjUr fpkfdRlk lsok ,oa ijke'kZ

jkgk dk;ZdrkZ@i;Zos{kd }kjk LokLF; f'k{kk] tM+h cwVh dh f'k{kk ,oa fpfdRlk

fpfdRlk gsrq dqy [kpZ ij 100 :i;s rd dh NqVA

fpfdRld }kjk vko';drkuqlkj LokLF; ijh{k.k] fpfdRlk ,oa nok forj.k

HkrhZ gksus ij uflZax ,oa fcLrj [kpZ esa iw.kZ NwVA

LokLF; iks"k.k gsrq tSfod Ñf"k] Jh fof/k }kjk /kku dh [ksyh] ckxokuh ,oa vU; Ñf"k laca/kh ijke'kZ

lkewfgd Hkkxhnkjh }kjk tM+h&cwVh nokvksa ds iz;ksx ls chekjh ls cpko dks izksRlkguA

2- Ldwy Lrj ij % 4- jsQjy vLirky Lrj ij %

Ldwyksa esa LokLF; f'k{kk

LokLF; ijh{k.k] Ñfeuk'kd xksyh dk forj.k] fpfdRlk f'kfoj esa nok forj.k

fj;k;rh njksa ij LokLF; f'k{kk ikB~; iqLrd] ekslckj ¼ePNj jks/kh fVfd;k½ ,oa ePNjnkuh forj.k

utnhdh jkgk LokLF; dsUnz esa ^LokLF; chek ;kstuk* dh iw.kZ ykHkA

jsQjy vLirky & gksyhØkWl vLirky dqudqjh] gksyhØkWl vLirky vfEcdkiqj] ,oa ekWfuZx LVkj vLirky jk;x<+ esa fpfdRlk [kpZ ij 2500 :- rd dh NwVA

jsQjy vLirky esa vfxze tek jkf'k ls jkgrA

uksV % LokLF; dsUnz esa batsD'ku vkSj flji ds fy;s iSls vyx ls nsus gksaxsA

Û bl ;kstuk dk YkkHk jk;x<+] t'kiqj] ljxqtk] ,oa dksfj;k ftys ds 95 jkgk LokLF; dsUnzksa ,oa 3 jsQjy vLirkyksa esa miyC/k gSA

Û vkikrdkyhu fLFkfr esa ,EC;qysal dh lqfo/kk gsrq izHkkjh ulZ flLVj ls laidZ djsaA

Û ykbykbt fcekjh ,oa iqfyl ds'k dh fLFkfr esa bl ;kstuk }kjk fdlh izdkj dk ykHk ugha fn;k tkrk gSA

xzkeh.kksa gsrq %'kqYd tek djus dk LFkku % utnhdh ^jkgk* LokLF; dsUnzmRrjnk;h O;fDr % flLVj ulZ ;k dk;Zjr lgkf;dk] jkgk xzkeh.k LokLF; dk;ZdrkZ] ,oa i;Zos{kd'kqYd tek djus dh vof/k % izfro"kZ vDVwcj] uoEcj] fnlEcj vkSj tuojhokf"kZd 'kqYd % izfr O;fDr 30 :i;s;kstuk ykHk dh vof/k % 1 vizSy ls 31 ekpZ ¼12 ekg½

fo|kfFkZ;ksa gsrq %'kqYd tek djus dk LFkku % Ldwy dk;kZy;mRrjnk;h O;fDr % izkpk;Z@iz/kkuk/;kid'kqYd tek djus dh vof/k % izfro"kZ ukekadu ;k 'kkyk izos'k ds le;okf"kZd 'kqYd % izfr Nk=@Nk=k 30 :i;s;kstuk ykHk dh vof/k % 1 tqykbZ ls 30 tqu ¼12 ekg½

vf/kd tkudkjh ds fy, lEidZ djsa % ^^jkgk** ch-Vh-vkbZ- pkSd] iRFkyxkao] t'kiqj ¼N-x-½Qksu ua- 07765&233384] 09630028578] 08120046205

Raigarh Ambikapur Health AssociationA

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Raigarh Ambikapur Health Association

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Report on Support to use of Oral Rehydration Solution (ORS) & Zinc for Childhood Diarrhoea

Management (CDM) Progarm

Diarrhoea is the passage of 3 or more loose or liquid stools per day, or more frequently than is normal for the individual. It is usually a symptom of gastrointestinal infection, which can be caused by a variety of bacterial, viral and parasitic organisms. Infection is spread through contaminated food or drinking-water, or from person to person as a result of poor hygiene.

Severe diarrhoea leads to fluid loss, and may be life-threatening, particularly in young children and people who are malnourished or have impaired immunity.

RAHA was selected by “Micronutrient Initiative"(MI) a corporation under the laws of Canada to support the logistics of training in 12 districts namely Raigarh, Jashpur, Surguja, Balrampur, Surajpur, Koriya, Korba, Janjgir-Campa, Bilaspur, Mungeli, Bemetra & Kawardha. The selected monitors and District level volunteers of RAHA attended a one day training on 4th august 2015 in Korba. The training was given by State Program Officer (MI) Dr. Bhagyashree Trivedi.

MI was the first to implement a demonstration project to promote the use of zinc and ORS for the management of childhood diarrhoea in Chhattisgarh and Bihar in 2009. This project provided several lessons for scale-up initiatives in Bihar, Uttar Pradesh and Gujarat, all of which led to increase in zinc and ORS usage.

Consequently, MI plans to support the government of Chhattisgarh in implementation of their diarrhoea management program and conducted capacity building of healthcare service providers in public sector which was a key component of the program. Training was imparted to healthcare service providers at state, district and block levels.

The Manual/ Module for training and other IEC Materials are very informative and down to earth so that the information would be understood and assimilated easily. It was with great enthusiasm that RAHA supported this program on the management of childhood diarrhea.

We were also in touch with State Program Officer of MII. Training materials for each block was prepared and packed such as pre-post test papers, reporting and feedback form, attendance sheet, monitoring format, resource person honorarium sheet, TA format, banner, chart papers and marker, etc.

The training began on 17th of August 2015. Total 3450 participant were planned in 131 batch out of which 3152 had their training.

The District coordinators and monitors have tried to ensure overall quality of training, use of standard training module and training materials to the participants. At the end of every training summary of training was done to make sure that the trainees have understood their roles and responsibilities. The medical officers and the BPMs did the major part of the training, supported by other master Trainer. RAHA District coordinators / facilitator & Monitors helped out in managing the training and other logistics support.

RAHA faced problem in getting the training modules, due to this one training in Pharshabahar Block of Jashpur district was done without the modules. Later the modules were distributed. Incessant rain and local festival also disturbed smooth running of the programme and needed re-schedule. Though time was fixed from 10.00 AM to 4.00 PM the training began in most of the places by 11:00 AM The participants were also eager to leave early due to transportation problem. The training was supposed to start from

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13th August 2015 but started only from 17th of August and ended on 16th of September 2015. Most of the trainings completed in 5 hours.

Overall it was a good experience, for RAHA team especially the monitors and District Coordinators / facilitators. Through this program the team developed better relationship with block / district level medical staff.

Details of Participants (District wise)

S. No.

District No of BatcheExpected no of

participantParticipant Attended

variance

1 Bilaspur 13 352 344 82 Janjgir-champa 14 367 317 503 Jashpur 17 448 393 554 Korba 10 262 250 125 Koriya 9 239 241 -26 Rigarh 18 455 343 1127 Surguja 11 313 296 178 Mungeli 6 157 152 59 Surajpur 11 299 267 32

10 Balrampur 11 246 246 011 Kawardha 7 170 161 912 Bemetra 4 142 142 0

Total 131 3450 3152 298

Ramanand Singh & Team

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A Brief Report on Strengthening SABLA program

Adolescent programmes in India have become broad based and aim to address adolescent issues in its totality such that adolescents are empowered. Some of the notable schemes and programmes that are presently envisaged under the Health and Women and Child development Departments include the following:

� Rashtriya Kishori Swastha Karyakram : It incorporates:- Weekly Iron folic acid supplementation programme, Adolescent friendly health clinics, Menstrual hygiene Management, Approach of peer educators

� SABLA Programme : It incorporates :- Supplementary nutrition, Life-skills and Home management, Vocation Skills

There are certain gaps within these two programmes under two different departments which lead to certain constraints towards seamless integration of these two programmes. Currently programmes are on ground although not in their entirety and poorly implemented.

UNICEF Chhattisgarh has committed to implement a demonstration model for an adolescent program that is scalable. The model is structured around SABLA platform and aims to incorporate elements of Child Protection within its structure. The elements of Child Protection (CP) that would be incorporated into the adolescent programming are as follows:

� Needs assessment of children / adolescents in need of care and protection

� Capacity building of adolescent girls and concerned stakeholders on CP issues like child labor, trafficking, children out of school, child abuse

� Working in coordination with and strengthening the ICPS system at block/village level

� Community mobilisation on various convergent issues through the SABLA group

� Communication campaigns on child marriage and trafficking

� Collect and collate evidences on specific CP issues at block/village level

� Empower adolescent groups to act as watch dogs in the community

� Facilitate livelihood options for girls

Linkages with other adolescent focused programmes would also be established under the model.

The interventions would be anchored by the system under the platform of SABLA programme while RAHA led arm would be developed to support front line workers deliver the key interventions under the SABLA programme, with field delivery of interventions led and delivered through the Government Functionaries.

� Additional components would be developed for demonstration

� Establishing baseline and End-line assessment design with comparison and also to plan gap filling interventions.

� Designing up-scalable capacity enhancement plan

� Intervention components would include supervisory staff time linked to administrative units of the Anganwadi sectors.

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� Non-negotiable and opportunistic linkages with relevant components of adolescent engagement would be explored.

� Emerging opportunities will be kept in mind and utilized.

� Vocation Skills

� Area : Lakhanpur Block of District Surguja

� Program Start Date : 5th November 2015

� Duration : 26 month

� Block Profile : Lakhanpur

� CHC : 1, PHC : 5, Sub centre : 31

� Villages : 96

� Population : 1,12,699

� Male : 56,610 Female : 56,089

� ICDS Sector : 12

� AWC : 354

� Adolescent Girls : 8839

Ramanand Singh & Team

THE EPSOM SALT SPONGE BATH CAN REDUCE HYPERTENSIONSruthy Joseph

M.Sc. Nursing final year studentHoly Cross College of Nursing

Ambikapur, CG

The study was carried out to assess the effectiveness of a Epsom salt sponge bath in the reduction of blood pressure among hypertensive clients in rural areas of Pathalagoan, Chattisgargh. It was conducted by Sruthy Joseph at Holy Cross College of Nursing in fulfilment of the requirement for the degree of M.Sc. Nursing from the CG Ayush and Health Sciences University, Raipur, CG.

The objectives of study was to assess the pre and post interventional blood pressure among the hypertensive clients, to administer the Epsom salt bath to hypertensive patients, to assess the effectiveness of Epsom salt bath among hypertensive clients and to determine the association with the pre interventional score among hypertensive clients with selected socio demographic variables.

The conceptual frame work of this study was based on “General system theory" developed by Ludwig Von Bertanlanffy. The research design was pre experimental one group pre test post test design. The pilot study was conducted in Parsa village, Ambikapur CG.

The research approach used in this study was evaluative approach. Purposive non probability sampling was used to select the sample. The sample size comprised of 50 clients with hypertension in selected villages of Pathalgoan. Data was collected using semi-structured questionnaire for the demographic variables and sphygmomanometer to assess the blood pressure of the clients'. Analysis was done by using descriptive and inferential analysis.

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A total of 55 clients were selected from the villages namely Badapara, Shantinagar and Behanatanger of Pathalgaon. Badapara 12, Shantinagar 20 and Behnatanger 23 samples- study done from 7- 18-March 2016. In order to evaluate the effect of Epsom salt bath in the reduction of hypertension were assessed using the sphygmomanometer.

The result of the study was as follows: The mean pre interventional and post interventional systolic blood pressure score are 154.36 mm of Hg and 132.08 mm of Hg respectively and mean difference is -22.28. The mean pre interventional and post interventional diastolic blood pressure score are 100.72 mm of Hg and 88.72 mm of Hg respectively and mean difference is -22.28. The Z test computed between the scores of pre interventional and post interventional blood pressure scores was statistically significant at 0.05 level of significance. The calculated Z value of pre and post interventional systolic blood pressure is 8.80 is greater than the table value (t55) = 2.00 and the calculated Z value of pre and post interventional diastolic blood pressure 8.63 is greater than the table value (t55) = 2.00 and was statistically significant .

The study also shows that there was significant association with the pre interventional blood pressure and selected demographic variables like age in years and history of other illness. The calculated values of socio-demographic variables were greater than tabulated value of chi square p< 0.05 level of significance.

The finding of the study has several implications for general education, nursing education, nursing practice, administration and research. Based on the findings of the present study following conclusions were made.

The same study can be replicated on a large number of samples. Effectiveness of Epsom salt bath can be assessed by conducting the study with control and experimental groups. Epsom salt bath can be advocated as simple as safer means for reducing hypertension in home setup as well as hospital. Further study can be conducted to assess the knowledge, attitude and practice of nursing personnel in Epsom salt sponge bath to reduce hypertension among clients with high blood pressure. On the whole the study supports the effectiveness of Epsom salt sponge bath therapy in reducing the blood pressure of clients with hypertension.

Grattitude is the language of love from the core of Heart

Hearty thanks to Sr. Elizabeth, Executive Director, RAHA, who has given me the opportunity and all the support to do my research on ''THE EPSOM SALT SPONGE BATH CAN REDUCE HYPERTENSION'' under RAHA and the members of RAHA who has helped me all through my research, thank you all. I am personally very happy that through my research I have helped the villagers to maintain their health and also to an extent this Epsom salt can reduce the incidence of killer disease, hypertension.

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Ldwy LokLF; f×k{kk dk;ZØe^^jkgk** ds egRoiw.kZ dk;ZØeksa esa ls ,d gS] ^^Ldwy LokLF; f'k{kk**

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5 ls 17 o"kZ dh mez okys cPps Ldwy tkus okys cPpksa dh fxurh esa vkrs gSaA yxHkx 30% tula[;k blh mez okys lewg esa lekfo"V gSaA Ldwy LokLF; dk;ZØe dk eq[; y{; ;g gS fd Ldwy iz.kkyh }kjk loksZRre] LokLF;o/kZd O;ogkj lqO;ofLFkr ,oa O;kid LokLF; lsok eqgS;k djkukA

Ldwy LokLF; lsok dh vko';drk %

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� Ldwy vkus okys cPps fofHkUu lkekftd] vkfFkZd ,oa lkaLd`frd ifjos'k ls vkrs gSa] ftldk izHkko muds LokLF; ,oa ikS"kf.kd ij iM+rk gSA vr% mUgs bl ifjfLFkfr esa enn ,oa ekxZn'kZu dh t:jr gksrh gSA

� Ldwyh cPps bl mez esa dqN fo'ks"k LokLF; leL;kvksa dk lkeuk djrs gSa tSls& nkar laca/kh leL;k] d`fe] iryk nLr] [kqtyh vkSj us= ls lacaf/kr leL;k,a vkfnA

Ldwy LokLF; dk;ZØe dh n`f"V ,oa y{; %

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� f'k{kdksa] fo|kFkhZ;ksa vkSj muds ekrk& firk dks LokLF; dh ns[kHkky djus esa lfEefyr djukA

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School Health education Eye Screening

a. ftyk t'kiqj a. ftyk t'kiqj

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mPprj ek/;fed 'kkyk 3 467 467 Nk=ksa dh la[;k ftUgsa p'ek fn;k

x;k 9

dqy ;ksx 22 3596 3596 n`f"V nks"k ls fpfUgr Nk=ksa dh la[;k ftUgsa us= fo'ks"kK ds ikl jsQj fd;k x;k 9

dqy vYcsUMktksy (a+b+c) 34678 Nk=ksa dh la[;k ftUgs fpfdRlk iznku fd;k x;k 21

MkW- xkSre csjk] jkgk]iRFkyxkaofl- vxkFkk feat] leUo;d] vfEcdkiqj

fl- ¶yksjh] leUo;d] t'kiqjJh tsEl frXxk] vksñihñ,ñ ,oa {ksf=; i;Zos{kd] jkgk

Raigarh Ambikapur Health AssociationA

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Lkekos×kh f×k{kk dk;ZØefodkl[k.M & iRFkyxkao] Qjlkcgkj] dkalkcsy ,oa cxhpk

ftyk & t×kiqj ¼N-x-½

jk;x<+ vfEcdkiqj gsYFk ,lksfl,'ku ¼jkgk½] iRFkyxkao] ftyk & t'kiqj ¼N-x-½ }kjk fodkl[k.M iRFkyxkao o Qjlkcgkj esa foxr 2006 ls ,oa fodkl[k.M dkalkcsy o cxhpk esa o"kZ 2010 ls lekos'kh f'k{kk dk;ZØe dk lapkyu fd;k tk jgk gSA bl dk;ZØe dk eq[; mís'; lHkh fpfUgr n`f"Vckf/kr cPpksa dks lkekU; Ldwyksa esa izos'k fnykdj czsy i)fr ls lkekU; ikB~;Øe ds v/;kiu esa lg;ksx iznku djuk] muds fy;s vko';d midj.k ,oa f'k{k.k lkexzh miyC/k djkuk] isa'ku o Nk=o`fr izkIr djus esa lg;ksx iznku djuk rFkk nSfud fnup;kZ dkS'ky dk izf'k{k.k nsdj leqnk; esa mudh igpku cukuk gSA fo'ks"k f'k{kdksa dk 'kkyk Hkze.k ds nkSjku n`f"V ckf/kr cPpksa dks lkekU; cPpksa ds lkFk lkekU; iqLrd ds }kjk v/;kiu djk;k tkrk gSA

n`f"Vckf/kr cPpksa dh mez] :fp o {kerk dks /;ku esa j[krs gq, muds fy;s izR;sd rhu ekg dh lqfuf'pr dk;Z;kstuk cuk;h tkrh gSA izf'kf{kr pkj fo'ks"k f'k{kd dk;Z;kstukvksa dks /;ku esa j[krs gq;s bu cPpksa ds ?kjksa o Ldwyksa esa fu;fer Hkze.k djrs gSa vkSj czsy i)fr }kjk f'k{kk iznku djrs gSa lkFk gh [ksy] laxhr] x`g dk;Z o vU; dkS'ky dks fl[krs gSaA bu fo'ks"k f'k{kdksa ds }kjk Ldwyksa esa v/;;ujr~ n`f"Vckf/kr cPpksa ds oxZ f'k{kd] vfHkHkkod o lkFk i<+us okys ge mez cPpksa dks czsy f'k{k.k i)fr dh ewyHkwr tkudkjh nh tkrh gS] ftlls os bUgsa f'k{kk xzg.k djus esa lg;ksx iznku dj ldsaA

orZeku esa dqy 23 cPps bl dk;ZØe ls ykHkkfUor gks jgs gaSA bu lHkh cPpksa ds ikl fodykaxrk izek.k i=] cl&ikl] jsy&ikl gS] isa'ku] Nk=o`fr o ;k=k HkRrk fu;fer :i ls izkIr gks jgk gSA

lekos'kh f'k{kk dk;ZØe] jkgk funsf'kdk fl- ,fytkcsFk ds fn'kk&funsZ'k o ekxZn'kZu esa lapkfyr fd;k tk jgk gS] ftlesa Jh fuykacj egkuan] Qjlkcgkj] Jh jfo'kadj iSadjk] iRFkyxkao] Jh gseUr ydM+k] iRFkyxkao] Jh pSrkuan ;kno] dkalkcsy bu cPpksa dks fu;fer f'k{kk iznku dj jgs gaSA

Ø- d{kk Nk= Nk=k dqy la[;k

1 vk¡xuckM+h 02 0 02

2 d{kk 4 Fkh 0 01 01

3 d{kk 5 oha 01 02 03

4 d{kk 6 oha 0 01 01

5 d{kk 7 oha 02 0 02

6 d{kk 8 oha 03 02 05

7 d{kk 9 oha 01 03 04

8 d{kk 10 oha 02 03 05

dqy 11 12 23

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cPpksa ds f'k{k.k dk;Z ds vfrfjDr vU; izeq[k xfrfof/k;ka %

1- {kerk fodkl izf'k{k.k dk;Z'kkyk %

n`f"Vckf/kr cPpksa dh {kerk fodkl gsrq vkoklh; dk;Z'kkyk dk vk;kstu jkgk dk;kZy;] iRFkyxkao esa fd;k x;k gSA ;g dk;ZØe pkj pj.kksa esa fd;k x;kA bl izf'k{k.k esa cPpksa dks izh&czsy ¼czsy iwoZ f'k{kk½] czsy xfrfof/k] czsy iBu o ys[ku] ,scsdl rFkk Vsyj Ýse esa vad ys[ku] tksM+] ?kVko] xq.kk o Hkkx djuk fl[kk;k x;kA dsu ds ek/;e ls pyus dh fofHkUu rjhdksa dks crk;k x;kA nSfud fnup;kZ esa vius futh dk;kasZ dks xq.koÙkk iwodZ djus gsrq fl[kk;k x;kA xk;u] oknu] dfork] Hkk"k.k] dgkuh] u`R; fl[kk;k x;k vkSj lkekU; Kku dks ;kn djok;k x;kA

Ø- Xkfrfof/k dk uke fnukadykHkkfUor ckyd ,oa ckfydkvksa dh la[;k

ckyd Ckfydk dqy ;ksx

1 {kerk fodkl izf'k{k.k dk;Z'kkyk

8&12-10-2015 7 3 10

5&9-11-2015 6 3 9

18&20-11-2015 4 8 12

23&26-01-2016 4 9 13

2- vfHkHkkod cSBd %

cSBd esa vfHkHkkod dks cPpksa ds v/;kiu dk;Z] lgk;d midj.kksa dk iz;ksx ,oa mudh ns[k&js[k] 'kkldh; ;kstukvksa dk ykHk tSls& isa'ku] Nk=o`fr] ;k=k HkRrk] cl&ikl] jsy&ikl rFkk cPpksa ds nSfud fnup;kZ dkS'ky] vuqfLFkfr ,oa pfy".kqrk] cPpksa ds LokLF; ,oa lkQ& lQkbZ dk /;ku j[kuk] lkekftd dk;ZØeksa esa cPpksa dh lgHkkfxrk lqfuf'pr djuk] fo'ks"k f'k{kdksa }kjk fn;s x;s fn'kk funsZ'k dk ikyu djuk bR;fn dh tkudkjh nh tkrh gSA

Ø- xfrfof/k dk ukexfrfof/k dh la[;k

ykHkkfUorksa dh la[;k

Ckkyd ckfydk vfHkHkkod o vU; dqy ;ksx

1 vfHkHkkod cSBd 6 23 27

1- vfHkHkkod & 232- cPps & 503- lgikBh & 304- vkaxuckMh+ & 055- ferkuhu & 076- iap & 13

128

Raigarh Ambikapur Health Association

3- f'k{kd izf'k{k.k %

fodkl[k.M dkalkcsy o cxhpk ds 'kkldh; Ldwyksa esa inLFk f'k{kdksa dks n`f"Vckf/kr cPpksa o vU; fodykax cPpksa ds f'k{k.k] lekos'kh f'k{kk dk;ZØe ds rgr Hkkjr esa ,dhd`r f'k{kk dk mn;] vko';drk] n`f"Vckf/kr cPpksa dh f'k{kk dh ,frgkfld i`"BHkweh] f'k{kk dk ekWMy] fodykaxrk vf/kfu;e 1995 ¼fodykax O;fDr ds leku volj] vf/kdkj] laj{k.k] iw.kZ Hkkxhnkjh½] Hkkjrh; iquokZl ifj"kn vf/kfu;e] 1992] jk"Vªh; U;kl vf/kfu;e] 1999] loZ f'k{kk vfHk;ku o 'kklu }kjk miyC?k lqfo/kk;sa] jkgk }kjk lapkfyr lekos'kh f'k{kk dk;ZØe] czsy fyfi] fodyakx cPpksa dk d{kk izca/ku] Ldwy ds f'k{kdksa dk mÙkjnkf;Ro] lgk;d f'k{k.k lkexzh ,oa yks&fotu midj.kksa dh tkudkjh nh tkrh gSA

Ø- xfrfof/k dk uke xfrfof/k dh la[;kykHkkfUorksa dh la[;k

dqy ;ksxf'k{kd f'kf{kdk

1 f'k{kd izf'k{k.k 4 86 58 144

4- x.kra= fnol lekjksg esa n`f"Vckf/kr cPpksa dh Hkkxhnkjh %

fodkl[k.M iRFkyxk¡o esa x.kra= fnol] 2016 ds fnu 'kkldh; ckyd mPp ek/;fed 'kkyk ds ØhM+k izkax.k esa dk;ZØe dk vk;kstu fd;k x;k] ftlesa jkgk ds lekos'kh f'k{kk dk;ZØe ls ykHkkfUor 7 n`f"Vckf/kr cPpksa ds lkFk 'kfDr Hkou ds 6 vfLFkckf/kr fodykax cPpksa us feydj lkeqfgd u`R; izLrqr fd;kA bu cPpksa }kjk izLrqr fd;s x;s u`R; ns'kHkfDr fQYe ^^fgUnqLrku dh dle** ls fy;k x;k] ftlds xkus dk cksy ^^,s oru ,s oru tkus tka tkus eu ;s lek ;s cgkj fny fQnk tk fulkj** gSA bu cPpksa ds dk;ZØe dks ns[kdj mifLFkr eq[; vfrfFk] tuin v/;{k] fodkl[k.M f'k{kk vf/kdkjh] fofHkUu Ldwyksa ds f'k{kdx.k o vU; mifLFkr x.kekU; O;fDr;ksa us ljkguk dh vkSj ^jkgk* laLFkk dks /kU;okn nsrs gq;s dgk dh ^jkgk* bu cPpksa dks vkxs ykrs gq;s buds Hkfo"; dks mToy cukus dk dk;Z dj jgh gSA dk;ZØe lekfIr i'pkr~ eq[; vfrfFk;ksa us bu cPpksa dks O;fDrxr ,oa lkeqfgd :i ls iqjLd`r fd;k ,oa buds mToy Hkfo"; dh dkeuk dhA

Jh vfer dqekj] fodykaxrk leUo;d] jkgk

Jh fuykacj egkuan] Jh jfo'kadj iSadjk]

Jh gsear ydM+k ,oa Jh pSrkuan ;kno]fo'ks"k f'k{kd& jkgk lekos'kh f'k{kk dk;ZØe] iRFkyxkao] t'kiqj ¼N-x-½

VHW Training - Khamhar

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Ayushi Tiwari- Before Operation

Low Vision Checkup at MGM Eye Institute, Raipur

DHU Kunkuri

Ayushi Tiwari After Operation

DHU Ambikapur

Ayushi Tiwari with AFO

MGM Eye Institute, Raipur

VHW Training - Khamhar

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Demonstration -Supplementry Food

Health Camp

Village Health Camp

Home Visit

Hearbal Medicine Preparation Hearbal Medicine Preparation

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CHAI Meeting at Hyderabad

Monthly Monitoring Meeting Core Team

Oreintation of Core Team

VHW Traning

Orientation of Core Team

Traning on use of Zinc & ORS in Diarrhoea

New Motor Bikes for Core Team

Monthly Meeting- Inclusive Education Program

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Community Paticipation in Disability Care

SABLA Awearness Program

Mobile Health Unit

SABLA Awearness Program

Visit of Friend - Mr. Praveen Lwande

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esjh lQyrk dh dgkuh eS dqekjh fryksRek Jhokl] firk Loñ Jh euq Jhokl] ekrk Jhefr yyhrk Jhokl] xzke&iksLV lqjaxikuh] iRFkyxkao] t'kiqj] NRrhlx<+ dh fuoklh gw¡A esjs ifjokj dh vkfFkZd fLFkfr cgqr gh detksj gSA ekrk th fnu Hkj etnwjh djds ifjokj dk ikyu iks"k.k dj jgh gSA eSa Lo;a iw.kZ n`f"Vckf/kr gw¡ ftlls eSa le>rh Fkh fd esjs thou esa rks ?kus va/kdkj ds vykok dqN Hkh fn[kkbZ ugh nsrh gSA ijUrq jk;x<+ vfEcdkiqj gsYFk ,lksfl,'ku ^jkgk*] iRFkyxk¡o }kjk lapkfyr lekos'kh f'k{kk dk;ZØe us eq>s fdlh Hkh pht dh deh eglwl gksus ugha nhA o"kZ 2006 ls fofHkUu {ks=ksa esa izf'k{k.k ,oa lsok iznku dj jgh gS] ftlls eS vkt czsy fyfi ds ek/;e ls ,d u;h n`f"V ,oa txexkrh ftanxh ,oa nqfu;k dk vuqHko dj jgh gw¡A

orZeku esa eSa l= 2015&16 dh okf"kZd ijh{kk esa fof/kor lgHkkfxrk dj d{kk 9 oha 'kkldh; dU;k mPprj ek/;fed fo|ky; lqjaxikuh esa v/;;ujr jgdj mRrh.kZ dj yh gw¡A orZeku esa d{kk 10 oha esa Hkh lQyrk izkIr djus ds fy;s dM+h esgur dj jgh gw¡A eSa Hkfo"; esa czsy fyfi f'kf{kdk cuuk pkgrh gw¡A

esjh bl lQyrk dk Js; jkgk laLFkk dh funsf'kdk fl- ¼MkW-½ ,fytkcsFk uYyqj] esjs f'k{kd Jh jfo'kadj iSadjk ,oa leLr jkgk LVkWQ] esjh ekrk th ,oa ifjokj ds lnL; vkSj v/;;ujr 'kkldh; dU;k mPprj ek/;fed fo|ky; lqjaxikuh ds leLr f'k{kd ,oa f'kf{kdkvksa dks nsrh gw¡A D;ksafd mijksDr lHkh ekxZn'kZdksa us eq>s vkt bl eqdke rd igw¡pkus esa enn dh gSA vki lHkh dks eSa lknj iz.kke djrh gw¡ vkSj lân; /kU;okn nsrh gw¡A

dq- fryksRek Jhokld{kk & 9oha

'kkldh; dU;k mPprj ek/;fed fo|ky; lqjaxikuh iRFkyxkao

dqekjh lqfurk ;kno] firk Jh eucgy ;kno] xzke Vkaxjxkao¼iVsyikj½] iksLV iksaxjks] dklakcsy] t'kiqj NRrhlx<+ dh fuoklh gSA lqfurk ;kno tUe ls gh n`f"Vckf/kr FkhA ftl otg ls buds ifjokj dks cM+k lnek gqvk Fkk fd esjh iq=h dk thou va/kdkje; gh jgsxkA bZ'oj dh vkSj gh bPNk Fkh] rHkh jk;x<+ vfEcdkiqj gsYFk ,lksfl,'ku ^jkgk*] iRFkyxkao dh funsf'kdk fl- ¼MkW-½ ,fytkcsFk us enn dks gkFk c<+;kA loZizFke lqfurk dks vuqfLFkfr ,oa pfy".kqrk rFkk nSfud fnup;kZ dkS'ky dk izf'k{k.k fn;k x;k rRi'pkr~ fo'ks"k f'k{kd ds }kjk czsy fyfi ds ek/;e ls v/;kiu izkjaHk fd;k x;kA lqfurk ds va/kdkje;h thou dks izdk'ke;h cukus dk ^jkgk* funsf'kdk dk iz;kl vkt Hkh tkjh gSA vkt lqfurk Lo;a vius HkkbZ cguksa ds lkFk 'kkldh; gkbZ Ldwy Vkaxjxkao tkrh gSa vkSj d{kk 9 oha f}rh; Js.kh ls

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mRrh.kZ dh gSA d{kk 10 oha ds fy;s dM+h esgur dj jgh gSA lqfurk vkt [kq'k gS fd eSa i<+ fy[k dj f'kf{kdk cuwaxh vkSj vius rFkk vius tSls HkkbZ cguksa ds va/kdkje; thou dks izdk'ke;h cukÅ¡xhA vkt lqfurk vius ekrk firk dks ?kj ds dk;ksZa esa lg;ksx djrh gS tSls& crZu lkQ djuk] >kM+w iksNk] fyikbZ iksrkbZ djuk [kkuk cukuk] lCth dkVuk vkSj cksfjax ls ikuh ykuk ¼?kj ls cksfjax dh nwjh rdjhcu 200 ehVj½ bR;kfnA

lqfurk ds firk dgrs gSa fd fl- ,fytkcsFk tks dk;Z bu tSls cPpksa ds fy;s dj jgh gSa og ,d izHkq ds dke dh rjg gS] tks nq[kh ifjokjksa esa [kq'kh iznku dj jgs gS] ftls thou Hkj ugh Hkqyk;k tk ldrk gSA eSa fl- ,fytkcsFk] Jh pSrkuan ;kno vkSj leLr jkgk LVkWQ dks /kU;okn nsuk pkgrk gw¡] tks esjs cPps ds mToy Hkfo"; fuekZ.k esa lg;ksx iznku dj jgs gSA

lqfurk ;kno] d{kk 9oha Vkaxjxkao] dkalkcsy

t'kiqj ftys ds vUrZxr xzke dkMjks esa ,d n`f"Vckf/kr ckyd dk tUe gqvk ftldk uke eksVw jke ukxoa'kh gS blds firk dk uke dqojlk; ,oa ekrk dk uke lfu;kjks ckbZ gSA

o"kZ 2008 esa jkgk dh lekos'kh f'k{kk dk;ZØe ds vUrxZr eksVw jke ds fy;s f'k{k.k lacaf/kr lqfo/kk;sa miyC/k djkdj jkgk }kjk fu;qDr fo'ks"k f'k{kd dks Hkstk x;k] ml le; eksVw jke dh mez 7 o"kZ FkhA eksVw jke cgqr papy Fkk fdUrq tc f'k{kd ?kj ij vkrs Fks rks ;s pqipki dgha Nqi tkrs] isM+ ij p<+ tkrs] vkaxu esa nkSM+ yxkrs] flj >qdkdj cSB tkrs vkSj Mj ls dkairs FksA bl rjg ds O;ogkj ds dkj.k eksVw dks i<+kuk ;k fy[kkuk cgqr gh dfBu FkkA ysfdu jkgk funsf'kdk fl- ¼MkW-½ ,fytkcsFk ds ekxZn'kZu esa loZizFke eksVw jke dks vkaxuckM+h dsUnz esa izos'k fnyk;k x;k] lkFk gh bUgs buds ?kjksa o Ldwyksa esa fo'ks"k f'k{kd ds }kjk okrkoj.k ,oa pfy".kqrk] nSfud fnup;kZ dkS'ky vkSj laosnuk dk izf'k{k.k fn;k x;kA

orZeku esa eksVw jke d{kk 7 oha esa v/;;ujr gSA Jh gseUr ydM+k bUgs ?kj o Ldwyksa es Hkze.k dj czsy fyfi ds ek/;e ls v/;kiu dk;Z esa lg;ksx dj jgs gSA ;s cM+s gksdj f'k{kd cuuk pkgrs gSaA eksVw jke vius NksVs HkkbZ ds lkFk Ldwy tkrs gSA leqnk; vkSj ifjokj ds yksx eksVw jke dks v/;kiu djrs ;k viuk dk;Z Lo;a djrs ns[kdj cgqr [kq'k gksrs gSaA

vkt eksVw jke eqLdqjkrs gq;s dgrs gSa fd jkgk ds lg;ksx ds dkj.k esjs es cgqr cnyko vk;k gS vkSj os dgrs gSa fd eSa ^^jkgk funsf'kdk fl- ¼MkW-½ ,fytkcsFk ,oa vius f'k{kd Jh gseUr ydM+k dk /kU;okn nsuk pkgrk gw¡A

eksVwjke] d{kk 7oha xzke& dkMjks

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Tkhou ×kSyh fcekjh] mPp jDrpki dh jksdFkke ij jkgk dh fo×ks"k igy

jkgk laLFkk foxr 47 o"kksZ ls NRrhlx<+ jkT; ds dksfj;k] lwjtiwj] ljxqtk] cyjkeiqj] t'kiqj ,oa jk;x<+ ftyksa ds fofHkUu xkoksa esa lEiw.kZ LokLF;] laiks"; ,oa laosnu'khy :ikarfjr tu leqnk; dk fuekZ.k djus esa iz;Rujr gSaA le; dh iqdkj ,oa yksxksa dh vko';drkuqlkj jkgk dh xfrfof/k;ka cnyrh gSA

jkgk ds izkjafHkd o"kksZ esa yksxksa dks LokLF; dh tkudkjh ,oa lqfo/kk;sa cgqr de FkhA blfy;s yksx dbZ rjg dh fcekfj;ksa ds f'kdkj gks tkrs Fks] tSls & eysfj;k] ihfy;k] VkbZQkbM] iryk nLr] gStk] Vhñchñ vkSj [kqtyh vkfnA orZeku esa yksxksa dks LokLF; dh tkudkjh ,oa lqfo/kk;sa miyC/k gS] vr% yksx bu fcekfj;ksa ls de gh ihfM+r gSaA

orZeku le; esa ;g ns[kk tk jgk gS fd yksx thou 'kSyh fcekfj;ksa ds f'kdkj gks jgs gSaA tSls&e/kqesg] mPp jDrpki] ydok ekjuk] fny dk nkSjk iM+uk] dSalj vkfnA bu lHkh fcekfj;ksa dk eq[; dkj.k tad QwM [kkuk] 'kjkc ihuk] /kweziku djuk rFkk 'kkfjfjd fuf"Ø;rk vkfnA

vr% jkgk dk iz;kl gS fd vf/kd ls vf/kd yksxksa dks thou 'kSyh lacaf/k fcekfj;ksa dh tkudkjh nsa vkSj yksxksa dks bu lkjh fcekfj;ksa ls cpk;saA fo'ks"k dj mPp jDrpki dh jksdFkke] bykt ,oa iquokZlkRed LokLF; vfHkj{k.k lsokvksa dks lqyHk cukukA mPp jDrpki ,slh chekjh gS] ftldk dksbZ y{k.k ugha gksrk] blfy;s bls ekSu gR;kjk Hkh dgk tkrk gSA vr% mPp jDrpki dh tkudkjh lHkh dks gksuk pkfg;sA

flLVksfyd Mk;LVksfyd oxhZd`r1 <120 <80 lkekU;

2 120 -139 80-89 'kq:vkrh voLFkk

3 140-159 90-99 Ikgys Lrj is mPp jDrpki

4 >=160 >=100 nqljs Lrj is mPp jDrpki

Hkkjr esa 40% o;Ld yksxksa dks mPp jDrpki dh chekjh gS] ftlesa 50% yksxksa dks ;g ekywe gh ugha gSa fd mUgsa mPp jDrpki gSA

mPp jDrpki ds ejhtksa dks fuEufyf[kr ckrksa ij /;ku nsuk pkfg;s %

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� LokLF;dj Hkkstu] ftlesa ued o rsy dh ek=k u ds cjkcj gks

� 'kkjhfjd O;k;ke] mnkgj.k gsrq & 30 feuV rd rst pyuk

� lkekU; otu ij /;ku nsuk

� /kweziku uk djuk

� nokbZ;ksa dk izfrfnu le; ij lsou djuk

� ifjokj ds lnL;ksa }kjk le; ij nok lsou gsrq izsfjr djuk

vizSy 2015 ls ekpZ 2016 rd esa fd;s x;s LokLF; f'kfoj esa tkaps x;s mPp jDrpki dk fooj.kA

LokLF; dsUnz ds vUrxZr xkoksa esa fd;s x;s LokLF;

f'kfoj dh la[;k

dqy la[;k ftudk jDrpki

fy;k x;k

dqy la[;k ftuesa mPp jDrpki ik;k

x;kvk;q&oxZ

dqy ;

ksx ¼v$c$

l½ Lkjxqtk]

cyjkeiqj] lwjtiqj vkSj

dksfj;k

t'kiqj jk;x<+

dqy eñ iqñ dqy Ekñ iqñdqy¼v½

eñ iqñdqy ¼c½

eñ iqñdqy ¼l½

eñ iqñ

40 1584 1052 532 369 215 154

30 & 40 81 46 33 13 32 19 13 3 2 141 & 50 95 56 28 28 26 12 14 13 6 751 & 60 107 50 37 13 42 26 16 15 6 961 & 70 86 49 27 21 30 15 16 7 4 3

mij ds vk¡dM+ksa ds vkadyu ds vuqlkj 41 ls 50 vk;q oxZ ds yksxksa esa mPp jDrpki vf/kd ik;k x;k gS] vr% /;ku j[ksaA

fl- vxkFkk feat ,oa fl- ¶yksjh leUo;d] jkgk] vfEcdkiqj ,oa t'kiqj

lkeqfgd lgHkkfxrk&LoPNrk dh vksj NRrhlx<+ jkT; ds jk;x<+ ftyk ds vUrxZr xk¡o y{ehiqj ftldk fodkl[k.M /kjet;x<+ gSA vkt ds fnuksa esa vius vki esa felky gSA ;g xk¡o iw.kZ :i ls LoPN ,oa nwljksa ds fy;s izsj.kk L=ksr dk ek/;e gSA bl xk¡o esa dqy 130 ?kj gSA

ekpZ 2015 ls igys ;s xk¡o Hkh Hkkjr ds vU; xk¡o dh gh rjg FkkA xk¡o esa f'kf{kr&vf'kf{kr] jkstxkj&csjkstxkj] vehj&xjhc vkfn lHkh rcds ds yksx jgrs gSA bl xk¡o esa jk;x<+ vfEcdkiqj LokLF; laxBu¼jkgk½ laLFkk ds dk;ZdrkZ fu;fer :i ls Hkze.k o"kksZ ls djrs vk jgs gSa ftl otg ls xk¡o ds yksx dkQh tkx:d gSa ,oa fofHkUu fo"k;ksa is viuh ckrksa dks l{kerk ds lkFk j[k ldrs gSaA orZeku esa Jh larks"k th jkgk ds rjQ ls ;gka ds i;Zos{kd gSA

ekpZ 2015 esa jktuanxk¡o dh ,d lkekftd laLFkk tu lg;ksx bl {ks= esa Hkze.k ds fy;s vkbZA ;g laLFkk fo'ks"kdj LoPNrk vfHk;ku ls tqM+h gqbZ gS vkSj LoPNrk eqís is gh dke djrh gSA blh lanHkZ esa ;g laLFkk

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xk¡o okyksa ls feydj ckr djuk 'kq: fd;k vkSj mUgsa LoPNrk dk egRo le>krs gq;s bl ij dke djus dks jkth fd;kA blds fy;s bUgksus xk¡o ds dqN yksxksa dks izf'k{k.k fn;k rFkk LoPNrk ,oa 'kkSpky; ds fo"k;ksa ds ckjs esa rduhfd Kku fn;kA izf'k{k.k ysus ds ckn lHkh xk¡o okys vius&vius ?kj okil vk x;sA

ekpZ 2015 ls igys bl xk¡o esa dkQh xanxh jgrh Fkh fo'ks"kdj ^^ey** ls lacaf/krA xk¡o esa bl oDr rd flQZ 10&12 ?kjksa esa 'kkSpky; dk iz;ksx gksrk Fkk ckdh ?kjksa ds yksx [kqys esa 'kkSp tk;k djrs FksA ftl dkj.k yksxksa dks fofHkUu izdkj dh fcekfj;ksa ds lkFk lkFk dbZ vU; rjg dh fnDdrksa dk Hkh lkeuk djuk iM+rk Fkk ftlesa 'kfeZanxh mBkuk lcls T;knk [kjkc FkkA yksx lM+d ds chp ,oa xkfM+;ka lM+d ds fdukjs pyk djrh Fkh D;ksafd lM+d ds fdukjs ey Hkjk jgrk FkkA bldk lcls T;knk uqdlku lkoZtfud ,oa euksje LFkyksa dks gqvk] tSls rkykc] lM+d] eSnku] taxy vkfnA vkt Hkh dbZ txgksa is rkykc] unh fdukjs] taxy ds rjQ tkus dk eryc ey fu"dkflr djus ls gksrk gSA

blesa lcls T;knk ijs'kkuh vkSjrksa ,oa cPpksa dks gksrh FkhA ykt yTtk ds lkFk&lkFk dke djus esa Hkh dkQh ijs'kkuh;ksa dk lkeuk djuk iM+rk FkkA cPps fo'ks"kdj tYn fcekj iM+ tkrs FksA NksVs cPpksa dks ysdj ey R;kx djuk Hkh vius vki esa ,d pqukSrh Fkk vkSj ?kj is mUgsa vdsyk NksM+us esa HkhA

gykfd 'kkSpky; u cuus ds dbZ dkj.k Fks ftlesa vkfFkZd raxh ds lkFk&lkFk lkekftd ,oa euksoSKkfud dkj.k Hkh ekStqn FksA bls fy[ks tkus rd ljdkj ;k fdlh vU; txgksa ls bUgsa fdlh izdkj dh dksbZ Hkh lgk;rk jkf'k ugha feyh Fkh flok; ljdkjh v'oklu ds tks vHkh Hkh tkjh gSA

izf'k{k.k ysds vkus ds ckn xk¡o okys vkil esa bu fo"k;ksa is fopkj foe'kZ djuk 'kq: fd;k vkSj bldh xaHkhjrk dks eglwl fd;kA 'kq: esa xk¡o ds dqN yksx lkeus vk;s ftlesa xk¡o ds ljiap Jh tksokfdu frdhZ] Jhefr vjk/kuk feat] jkgk LokLF; dk;ZdrkZ Jh chjsu frdhZ ,oa dqN vU; yksx egRoiw.kZ FksA bUgksaus vkil esa feydj 20&25 yksxksa dh ,d lfefr cukbZA lfefr esa xk¡o ds gj ,d ikjk ¼Vksyk] eksgYyk½ ls ,d ls nks yksxksa dks lnL; cuk;k x;kA gykafd lfefr cukus rFkk phtksa dks rsth ls djus esa bUgsa 6 ls 7 eghus dk le; yx x;kA blds okotwn ;s yksx fcuk :ds] fcuk Fkds vkxs c<+rs x;s vkSj ihNs eqM+dj ugha ns[kkA vkfgLrk&vkfgLrk yksx [kqn vkxs vkus yxs vkSj vius ?kjksa esa 'kkSpky; cuokus yxsA xk¡o okys 'kkSpky; cukus ds oDr viuk Jenku fd;k djrs FksA ijUrq fnDdr rc 'kq: gksus yxh tc xk¡o ds dqN yksx bls cuokus ds fy;s jkth ugha gq;sA dkQh fnDdrksa vkSj eku euOoy ds ckn ;s 'kkSpky; cuokus ds fy;s rS;kj gq;sA ftlesa xk¡o ds dqN izHkko'kkyh vkSj cqtqxksZ dk dkQh ;ksxnku jgkA blds ckctwn dqN yksx Fks tks vc Hkh rS;kj ugha gq;s rc lfefr ,oa xk¡o okyksa us feydj budk lkekftd cfgLdkj djuk 'kq: fd;k ftlls varr% os yksx Hkh eku x;sA lfefr ds yksxksa us xk¡o okyksa ds lkFk feydj ;s QSlyk fy;k ds vxj dksbZ Hkh O;fDr [kqys esa 'kkSp djrs ns[kk x;k rks mls 500 :i;k tqekZuk rFkk crkus okys dks 200 :i;k buke Lo:Ik feysxkA vHkh rd flQZ rhu yksx ij gh tqekZuk yxk gSA bl vFkd iz;kl dk ifj.kke ;s gS dh xk¡o ds 100 Qhlnh ?kjksa esa 'kkSpky; cuk lkFk gh lkFk bldk mi;ksx Hkh fd;k tkus yxkA

vkt vki vxj y{ehiqj xk¡o tk;saxs vkidks ogka dgha Hkh [kqys esa 'kkSp ugha fn[ksxk ftl otg ls fcekjh vkSj tkuoj nksuks nwj jgus yxs gSA yksx vc lM+d ds fdukjs vkSj xkfM+;ka lM+d ij pyus yxh gSA efgykvksa dks vc csotg 'keZ dk ,glkl ugha gksrk gSA yksx rkykc ;k vU; lkoZtfud txgksa ij ?kweus tkrs gSa u fd 'kkSp djusA vkt ;s xk¡o gj rjg ls lqUnj cu x;k gSA

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xk¡o ds ljiap th ls ckr djus is ekywe pyk dh 'kkSpky; ugha cuokus esa os yksx Hkh Fks tks i<+s fy[ks gksus ds lkFk lkFk iSls okys Hkh FksA blesa ljdkjh foHkkx ds lh- vks- Jh jkBkSj] /kjet;x<+ us Hkh O;fDrxr rkSj ij dkQh lg;ksx fd;kA

ijUrq dgkuh ;gha is [kRe ugha gqbZ] ;s yksx ;gha is :ds ugha gSa ;s yksx vius xk¡o dh rjg gh nqljs xk¡o dks Hkh lqUnj cukus ds fy;s iz;kljr gSa muesa dqN xk¡o esa dke 'kq: Hkh gks pqdk gSA budk vxyk eq[; dne xzke lfefr;ksa ds lg;ksx ls vkl ikl ds lHkh iapk;rksa esa bls ykxw djokuk gSA

Jh fof/k djds ns[kks---

jkgk eq[;ky; ls djhc 53 fdyksehVj nwj jkgk ds vU; p;fur xzkeksa esa ls ,d <+saxqjtksj gSA bldk xzke iapk;r ?kks?kj] CykWd cxhpk] ftyk t'kiqj gSA bl xk¡o esa dqy 250 ifjokj gSa ftlesa 18 lky ls T;knk mez okyksa dh la[;k rdjhcu 800 gSa rFkk 400 ds djhc 18 o"kZ ls de mez okys yksxksa dh la[;k gSA

^^Jh fof/k** [ksrh ,d ,slh i)fr gS ftlds bLrseky ls /kku dh Qly esa dkQh o`f) gksrh gSA bl i}fr dks ijaijkxr rFkk vk/kqfud Kku dks feykdj cuk;k x;k gSA ;g i)fr nqfu;k ds dkQh txgksa esa fo'ks"kdj xjhc ns'kksa esa dkQh izpfyr gSA vaxzsth esa bls Systematic Rice Intensifiction (SRI) dgk tkrk gSA

jkgk ds p;fur xzkeksa esa ls ,d <+saxqjtksj esa lu~ 2010 ls igys lHkh yksx [ksrh dh lkekU; i)fr ls /kku mitkrs FksA ml oDr /kku ds ,d ikS/ks ls mUgsa 10 ls 15 dalk gh izkIr gksrk FkkA bl izdkj tehu dh mi;qDrrk jgus ds ckotwn muds ikl Ik;kZIr ek=k esa [kkus ds fy;s /kku ugha gks ikrk FkkA vkt Hkh xk¡o okyksa ds fy;s vk; dk eq[; lzksr [ksrh gh gSA [ksrh ds lgkjs gh ;s viuh iwjh ftUnxh fcrkrs vk jgs gSA

jkgk i;Zos{kd Jh vczkge ydM+k th tks jkgk ds i;Zos{kd Hkh gSa] ftUgsa jkgk ls Jh fof/k dk izf'k{k.k feyk gSA ^^Jh fof/k** ds ckjs esa ;s dkQh tkudkjh j[krs gSA lu~ 2010 esa xk¡o okyksa dks izsfjr djds bl fof/k dks viukus ds fy;s dgkA 'kq:vkr esa FkksM+h fnDdr vkbZ] xk¡o ds yksx ;s lksprs Fks dh tks i)fr os vkSj muds iwoZt djrs vk;s gSa ogh lcls csgrj gSA dqN xk¡o okys lksprs Fks fd vxj Qly ugh gqvk rks D;k djsaxs vkfnA ijUrq jkgk Ik;Zos{kd ds yxkrkj le>kus ls 'kq:vkr esa lu~ 2010 esa 03 fdlkuksa us bls fl[kk vkSj 20 ls 25 Msfley tehu is bl i)fr ls [ksrh fd;kA xk¡o ds gh ,d fdlku Jh ,fol ,Ddk ds vuqlkj izFke o"kZ esa gh muds ,d ikS/ks esa 40 ls 45 dalk vk;k tks fiNys lky ds eqdkcys rhu xquk ls Hkh T;knk FkkA

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xk¡o ds gh Jh eqjyh/kj ;kno us foLrkj ls crkrs gq;s dgk dh vHkh xk¡o ds djhc 40 ifjokj bl i)fr ds tfj;s [ksrh dj jgs gS rFkk gj ,d fdlku dks igys dh rqyuk esa rhu xquk ls vf/kd Qly izkIr gks jgk gSA 40 ls 50 dalk gj ,d ikS/ks ls fudyrk gSA tks ,d dkQh cM+h miyfC/k FkhA vU; xzkeh.kksa ds vuqlkj iSlk vkSj le; dh deh ds dkj.k os T;knk cM+s HkwHkkx esa bls ugha yxk ik jgs gSA xzkeh.k bl i}fr dks vkt Hkh orZeku i;Zos{kd Jh LrkfuLykl frXxk ds lkFk yxkrkj dj jgs gSa rFkk ;s mik; yxk jgs gsa fd ckdh yksx Hkh bls viuk;sa rFkk dalk dks vkSj T;knk ls T;knk c<+k;saA

ge lHkh ;s vk'kk djrs gsa fd xk¡o okys vkSj ^^jkgk** laLFkk fey tqydj Hkfo"; esa Hkh bl i}fr dks c<+kok nsrs jgsaxsA

xq.kdkjh uhacq] iihrk] ve:n] equxk ,oa dsyk ds Qk;ns

vkt ge mDr phtksa ds ckjs esa tkudkjh lk>k djsaxs tks gekjs xkao] ?kjksa esa gj txg ik;k tkrk gS] blds vusad Qk;ns gSaA

uhacq %

uhacq ds dbZ Qk;ns gSa tks gekjs 'kjhj ds fy;s dkQh Qk;nsean gSA tSlk dgk x;k gS fd jkst ,d lsc [kkvks vkSj MkWDVj dks nwj Hkxkvks mlh rjg 10 cq¡n uhacq fi;ks vkSj MkWDVj dks nwj HkxkvksA blfy;s ;g gj ?kjksa es ik;k tkrk gSA blls fofHkUu izdkj dh phtsa tSls vpkj] tSe] tsyh] uedhu vkfn ds :i esa vkSj [kkuk idkus ds :i esa nqfu;k Hkj esa lsou fd;k tkrk gSA blds iz;ksx ls u flQZ gekjk lkSUn;Z cfYd LokLF; Hkh vPNk jgrk gSA uhacq fo'ks"k :i ls gekjs 'kjhj esa ,df=r tgj dks 'kjhj ls fudky ckgj djrk gSA ekufld nqcyZrk gks ;k flj nnZ gks ;k fQj vk¡[kksa dh jks'kuh detksj gks lHkh esa ;s cgqr ykHk nsrk gSA uhacq foVkfeu & ^^lh** dk HkaMkj gS vkSj blds Qk;ns Hkh vusd gSA

uhacq ds iz;ksx ls gksus okys gekjs 'kjhj esa Qk;ns %

� jkstkuk ,d fxykl xquxquk uhacq ikuh ds bLrseky ls 'kjhj esa ekStqn vfrfjDr QSV dks de djrk gSA

� uhacq ,flfMVh dh leL;k dks Hkh nwj djrk gSA

� uhacq ds bLrseky ls dSalj dk [krjk de gks tkrk gSA

� uhacq ds bLrseky ls nkarksa dh izkd`frd lQsnh cuh jgrh gSA

� uhacq ds bLrseky ls cky >M+us ,oa :lh tSlh leL;kvks ls futkr feyrk gSA

� ;g gekjs bE;qu flLVe dks etcwr djus esa lgk;d gksrk gSA

� isV dh ijs'kkuh dks nwj djus ds fy;s 'kgn esa uhacq dk jl fu;fer :i ls lqcg ysus ls dCt laca/kh leL;k dks Hkh nwj fd;k tk ldrk gSA

� uhacq esa fQVdjh dk pw.kZ feykdj [kqtyh okys LFkku ij jxM+us ls [kqtyh nwj gks tkrh gSA

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� 'kq) 'kgn esa uhacq dh f'kdath ihus ls eksVkik nwj gksrk gSA

� uhacq dk jl ,oa 'kgn ,d&,d rksyk ysus ls nek esa vkjke feyrk gSA

� uhacq dk jl jDrpki dks larqfyr j[krk gSA

jksx ds mipkj esa %

� ew= fodkj % uhacq esa mPPk iksVsf'k;e xqnsZ vkSj ew=k'k; esa tek fo"kkDr inkFkksZ vkSj vo{ksi dks gVkus esa cgqr izHkkoh gSA uhacq dk dhVk.kquk'kd xq.k Hkh ew= iz.kkyh ds laØe.k esa enn djrs gSA blds vykok ¼40 ls mij ds iq:"kksa esa cgqr gh lkekU;½ ew= can gks tkrk gS] vkSj ew= ekxZ esa dSfYl;e tek ls ew= dh :dkoV dks lkQ djrk gSA

� LdohZ % jksx ls elwM+ksa esa lwtu vk tkrh gS tks foVkfeu&lh dh deh ls gksrk gS vkSj uhacq foVkfeu ls Hkjk gS ftlls blesa vkjke feyrk gSA

� ân; jksx % ?kqyu'khy Qkbcj ân; jksx] fny ds nkSjs vkSj LVªksd ds f[kykQ ,d Kkr mik; gS tks jDr okfgdkvksa dh lwtu esa dVkSrh dj ldrs gSA

� isfIVd vYlj % dCt lHkh jksxksa dh tM+ gSA ;k rks dCt dks le; ij Bhd dj yks ugh arks cgqr lh nwljh fcekfj;ka vkidks t:j idM+ ysaxhA jkr dks xeZ ikuh esa uhacq dk jl ysa vkSj lqcg gj rjg ls isV lkQ gks tk;sxkA uhacq dk jl Loknkuqlkj] 12 xzke 'kDdj 1 Xykl ikuh esa feykdj ihus ls iqjkuh dCt Hkh [kRe gks tkrh gSA

� mnj jksx ds fy;s uhacq dk uqL[kk % ikuh dks xeZ djds mlesa uhacq fupksM+ dj fnu esa dbZ ckj ihus ls ikpu ra= iwjh rjg ls lkQ gks tkrk gSA lHkh jksx ds dhVk.kq ;k fo"k dh iwjh rjg ls ?kqykbZ gks tk;sxhA lkjh dh lkjh vanj dh xanxh ew= }kjk ckgj vk tk;sxhA 'kjhj ,dne LoLF; o fujksx gks tk;sxkA ;d`r ds Hkh lHkh jksxksa esa uhacq xq.kdkjh gSA uhacq dkV dj xeZ djds vkSj ued yxkdj pwlus ls vip nwj gksdj [kkuk iw.kZ :i ls ip tkrk gSA

bl izdkj uhacq gekjs 'kjhj ds fy;s dkQh ykHknk;d gS vkSj blds lgh iz;ksx ls gekjs 'kjhj ds dbZ fodkj nwj gks ldrs gSA

iihrk %

iihrk ,d ,slk Qy gS tks vkidks dgha Hkh vklkuh ls fey tk;sxk] vxj vkids ?kj ds lkeus dqN tehu gS rks vki bldk isM+ Hkh yxk ldrs gSa] ;s ,d ,slk Qy gS ftls dPpk gksus ij Hkh bLrseky esa yk;k tk ldrk gSA bls Mk;tsfLVo flLVe ds fy;s cgqr vPNk ekuk tkrk gSA dPps iihrs esa foVkfeu ^^A** vkSj ^^C** Hkjiwj ek=k esa ik;s tkrs gSA vk;qosZn esa iihrk dks vusd ykbykt chekfj;ksa dks nwj djus okyk ekuk x;k gSA iihrk Mk;ts'ku laca/kh fnDdrksa] ihfy;k] gkfuZ;k] iztuu {kerk c<+kus okyk] fny ds fy;s mi;ksxh] dksysLVªkWy ds jksfx;ksa ds fy;s ;g ve`r ds leku gSA

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� iihrk gkbZCyM izs'kj ds jksfx;ksa ds fy;s csgn Qk;nsean gksrh gS] D;ksafd blesa dkjisu ;k dkisZbUt uked {kkjh; rRo gksrk gSA tks CyM izs'kj dks fu;f=r djrk gSA blh dkj.k gkbZ CyM izs'kj ds jksxh dks ,d iihrk ¼dPpk½ fu;fer :i ls [kkuk pkfg;sA

� fny ds jksfx;ksa ds fy;s Hkh iihrk cgqr Qk;ns ean gksrk gSA ;fn os iihrs ds iRrksa dk dk<+k cukdj fu;fer :i ls ,d di dh ek=k esa jkst ihrs gS rks cgqr Qk;nk gksrk gSA

� Ikihrk detksjh nwj djus okyh gSA ftu iq:"kksa dks oh;Z ls lacaf/kr leL;k gks muds fy;s iihrk jkeok.k dh rjg dke djrh gSA

� dCt ;k ckoklhj tSlh leL;kvksa esa iihrk cgqr Qk;nsean gksrk gSA ckoklhj ds jksfx;ksa dks izfrfnu ,d idk iihrk [kkuk pkfg;sA

� iihrs esa djisZu uked ,d {kkjh; rRo gksrk gS tks jDr pki dks fu;af=r djrk gSA blh dkj.k mPp jDrpki ds jksxh dks ,d iihrk ¼dPpk½ fu;fer :i ls [kkrs jguk pkfg;sA

� efgykvksa esa vfu;fer ekfld /keZ ,d vke fldk;r gksrh gSA le; ls igys ;k le; ds ckn ekfld vkuk] vf/kd ;k de L=ko dk vkuk] nnZ ds lkFk ekfld dk vkuk vkfn ls ihfM+r efgykvksa dks <+kbZ lkS xzke idk iihrk izfrfnu de ls de ,d ekg rd vo'; gh lsou djuk pkfg;sA blls ekfld /keZ ls lacaf/kr lHkh ijs'kkfu;ka nwj gks tkrh gSA

� ftu izlwrk dks nw/k de curk gS] mUgsa izfrfnu dPps iihrs dk lsou djuk pkfg;sA lCth ds :i esa Hkh bldk lsou fd;k tk ldrk gSA

� lkSUn;Z o`f) ds fy;s Hkh iihrs dk bLrseky fd;k tkrk gSA iihrs dks psgjs ij jxM+us ls psgjs ij O;kIr dhy eqgkals] dkfyek o eSy nwj gks tkrs gS rFkk ,d u;k fu[kkj vk tkrk gSA bldks yxkus ls Ropk dksey o yko.;;qDr gks tkrh gSA blds fy;s ges'kk ids iihrs dk gh iz;ksx djuk pkfg;sA

� jksx izfrj{kk {kerk vPNh gks rks chekfj;ka nwj jgrh gS] iihrk vkids 'kjhj ds fy;s vko';d foVkfeu ^^lh** dh ekax dks iwjk djrk gS ,sls es vxj vki gj jkst dqN ek=k esa iihrk [kkrs gSa rks vkids chekj gksus dh vk'kadk de gks tk;sxhA

� iihrs ds ,d pEep cht dks ikuh esa ihldj vk/kk di ikuh ds lkFk ihus ls isV ds dhM+s ej tkrs gSA

� iihrk esa ,aVhvkWfDlMsaV gksrk gS tks le; ls igys cw<+k gksus ls jksdrk gS vkSj 'kjhj yacs le; rd toku cuk jgrk gSA

� iihrk [kkus ls 'kjhj dh gM~Mh;ka etcwr gksrh gS vkSj tksM+ksa ds nnZ esa Qk;nk gksrk gSA

ve:n %

ve:n vkerkSj ij Hkkjr ds lHkh {ks=ksa esa ik;k tkrk gS vkSj ve:n dks vyx&vyx dbZ ukeksa tSls & tkeQy] is:] vkfn ls Hkh tkuk tkrk gSA ve:n [kkus esa Lokfn"V gksus ds lkFk lkFk gekjs LokLF; ds fy;s Hkh cgqr gh Qk;nsean gksrk gS D;ksafd blesa vf/kd ek=k esa iks"kd rRo tSls& foVkfeu] feujYl vkSj Qkbcj Hkjiwj ek=k esa ik;s tkrs gSA mRrj izns'k esa ik;s tkus okyh ve:n rks iwjs fo'o esa izfl) gSA

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isV nnZ %

� ued ds lkFk idk ve:n [kkus ls vkjke feyrk gSA

� ve:n ds isM+ ds dksey 50 xzke iRrksa dks ihldj ikuh esa feykdj Nkudj ihus ls ykHk gksxkA

� ve:n ds isM+ dh iRrh;ksa dks ckjhd ihldj dkys ued ds lkFk pkVus ls ykHk gksrk gSA

� ve:n ds Qy dh Qqxuh ¼ve:n ds Qy ds uhps okys NksVs iRrs½ esa FkksM+h lh ek=k esa lsa/kk ued dks feykdj xquxqus ikuh ds lkFk ihus ls isV esa nnZ lekIr gks tkrk gSA

� ;fn isV nnZ dh f'kdk;r gks rks ve:n dh dksey ifRr;ksa dks ihldj ikuh esa feykdj ihus ls vkjke gksrk gSA vip] vfXuekUn~; vkSj vQkjk ds fy;s ve:n cgqr gh mRre vkS"kf/k gSA bu jksxksa ls ihfM+r O;fDr;ksa dks 250 xzke ve:n Hkkstu djus ds ckn [kkuk pkfg;sA ftu yksxksa dks dCt u gks rks mUgsa [kkuk [kkus ls igys [kkuk pkfg;sA

Ckoklhj %

� lqcg [kkyh isV 200 ls 300 xzke ve:n fu;fer :i ls lsou djus ls ckoklhj esa ykHk feyrk gSA

� ids ve:n [kkus ls isV dk dCt [kRe gksrk gS] ftlls ckoklhj jksx nwj gks tkrk gSA

� ey R;kx djrs le; ck;sa iSj ij tksj nsdj cSBsa] bl iz;ksx ls ckoklhj ugha gksrk gS vkSj ey lkQ vkrk gSA

lw[kh [kkalh %

� xeZ jsr esa ve:n dks Hkwudj [kkus ls lw[kh] dQ;qDr vkSj dkyh [kkalh esa vkjke feyrk gSA ;g iz;ksx fnu esa rhu ckj djsaA

� ,d cM+k ve:n ysdj mlds xwns dks fudkydj ve:n ds vUnj FkksM+h lh txg cukdj ve:n esa ihlh gqbZ vtokbZu vkSj ihlk gqvk dkyk ued 6&6 xzke dh ek=k esa Hkj nsrs gSaA blds ckn ve:n esa diM+k Hkjdj mij ls feV~Vh p<+kdj rst xeZ miys dh jk[k esa Hkwusa] ve:n ds Hkqu tkus ij feV~Vh vkSj diM+k gVkdj ve:n ihldj Nku ysrs gSaA bls vk/kk&vk/kk xzke 'kgn esa feykdj lqcg&'kke feykdj pkVus ls lw[kh [kkalh esa ykHk gksrk gSA

nkarksa dk nnZ %

� ve:n dh dksey ifRr;ksa dks pckus ls nkarksa dh ihM+k ¼nnZ½ u"V gks tkrh gSA

� ve:n ds iRrksa dks ty esa mcky ysa] bl ty esa fQVdjh ?kksydj dqYys djus ls nkarksa dh ihM+k ¼nnZ½ u"V gks tkrh gSA

� elwM+ksa esa nnZ vkSj lwtu gksus ij ve:n ds iRrksa dks mckydj xquxqus ikuh ls dqYyk djsaA

tqdke %

� :ds gq;s tqdke dks nwj djus ds fy;s cht fudyk gqvk ve:n [kk;sa vkSj mij ls ukd candj 1 Xykl ikuh ih ysaA tc 2&3 fnu ds iz;ksx ls L=ko ¼cgko½ c<+ tk;s] rks mls jksdus ds fy;s 50&100 xzke xqM+ [kk ysaA /;ku jgs dh ckn esa ikuh u ih;saA flQZ 3 fnu rd yxkrkj ve:n [kkus ls iqjkuh lnhZ vkSj tqdke nwj gks tkrh gSA

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ve:n dk eqjCck %

� vPNh fdLe ds rjksrktk cM+s&cM+s ve:n ysdj mlds fNydksa dks fudkydj VqdM+s dj ysa vkSj /kheh vkx ij ikuh esa mckysa] tc ve:n vk/ks iddj uje gks tk;s rc uhps mrkjdj diM+s esa Mkydj ikuh fudky ysaA mlds ckn mlls 3 xq.kk 'kDdj ysdj mldh pkluh cuk;sa vkSj ve:n ds VqdM+s mlesa Mky nsaA fQj mlesa byk;ph ds nkuks dk pw.kZ vkSj dslj bPNkuqlkj Mkydj eqjCck cuk;saA BaMk gksus ij bl eqjCcs dks phuh&feV~Vh ds crZu esa Hkjdj mldk eqg can djds FkksM+s fnuksa rd j[k NksM+saA ;g eqjCck 20&25 xzke dh ek=k esa jkstkuk [kkus ls dks"Vcn~/krk ¼dfCt;r½ nwj gksrh gSA

dCt %

� 250 xzke ve:n [kkdj mij ls xeZ nw/k ihus ls dCt nwj gksrh gSA

� ve:n ds dksey iRrksa ds 10 xzke jl esa FkksM+h 'kDdj feykdj izfrfnu dsoy ,d ckj lqcg lsou djus ls 7 fnu esa vth.kZ ¼iqjkuh dCt½ esa ykHk gksrk gSA

� ve:n dks uk'rs ds le; dkyhfepZ] dkyk ued] o vnjd ds lkFk [kkus ls vth.kZ] xSl] vQkjk ¼isV Qwyuk½ dh rdyhQ nwj gksdj Hkw[k c<+ tk;sxhA uk'rs esa ve:n dk lsou djsA

� ve:n dks dqN fnuksa rd fu;fer lsou djus ls 3&4 fnu esa gh ey 'kqf) gksus yxrk gSA dks"Bc)rk feVrh gS ,oa dfCt;r ds dkj.k gksus okyk vka[kksa dh tyu vkSj flj nnZ Hkh nwj gksrk gSA

� ve:n [kkus ls vkarksa esa rjkoV vkrh gS vkSj dCt nwj gks tkrk gSA bls [kkuk [kkus ls igys gh [kkuk pkfg;s] D;ksafd [kkuk [kkus ds ckn [kkus ls dCt djrk gSA dCt okys dks lqcg ds le; uk'rs esa ve:n ysuk pkfg;sA iqjkus dCt okys jksfx;ksa dks lqcg vkSj 'kke ve:n [kkuk pkfg;sA blls isV lkQ gks tkrk gSA

� ve:n [kkus ls ;k ve:n ds lkFk fd'kfe'k [kkus ls dCt dh f'kdk;r ugha jgrh gSA

vU; iz;ksx %

� ve:n dh dksey ifRr;ka mckydj ihus ls iqjkus nLrksa dk jksx Bhd gks tkrk gSA nLrksa esa vkao vkrh jgs] vkarksa esa lwtu vk tk;s] ?kko gks tk;s rks 2&3 efgus yxkrkj 250 xzke ve:n jkstkuk [kkrs jgus ls nLrksa es ykHk gksrk gSA ve:n esa Vsfud ,flM gksrk gS] ftldk eq[; dk;Z ?kko dks Hkjuk gSA blls vkarksa ds ?kko Hkjdj vkarsa LoLF; gks tkrh gSA

� Mk;fcVht ds jksxh ds fy;s ,d ids gq;s ve:n dks vkx essa Mkydj mls Hkwudj fudky ysa vkSj Hkwus gq;s ve:n dks Nhydj lkQ djds mls vPNs ls eS'k djds vldk Hkjrk cuk ysa] mlesa Loknkuqlkj ued dkyh fepZ] thjk feykdj [kk;sa] blls Mk;fcVht esa dkQh ykHk gksrk gSA

� ve:n [kkus ;k ve:n ds iRrksa dk jl fiykus ls Hkkax ;k 'kjkc dk u'kk de gks tkrk gSA

� tc Hkh vki QksM+s&Qqafl;ksa ls ijs'kku gksa rks ve:n dh 7&8 ifRr;ksa dks ysdj FkksM+s ikuh esa mckydj ihldj isLV cuk ysa vkSj bl isLV dks QksM+s&Qqafl;ksa ij yxkus ls vkjke feysxkA

� ,d ve:n dks vkx esa Hkwudj [kkus ls dQ okyh [kkalh ls rqjar gh dkQh jkgr fey tkrh gS vkSj 2&3 fnu rd jkstkuk Hkquk gqvk ve:n [kkus ls dQ ;k lw[kh [kkalh fcYdqy Bhd gks tkrh gSA

Raigarh Ambikapur Health AssociationA

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equxk %

lgtu] lqtuk] lsatu vkSj equxk ;k eq:axk vR;ar lqanj o`{k rks gS gh vusd iks"kd rRoksa ls Hkjiwj gksus ds dkj.k mi;ksxh vksj LokLF;o/kZd Hkh gSA eksfjaxk vksysQsjk okuLifrd uke okyk ;g ikS/kk yxHkx 10 ehVj mapkbZ okyk gksrk gS] fdUrq yksx bls Ms<+&nks ehVj dh mapkbZ ls izfro"kZ dkV nsrs gSa rkfd blds Qy&Qwy&ifRr;ka rd gkFk vklkuh ls igqp ldsA lgtu ds ikS/ks esa ekpZ eghus ds vkjaHk esa Qwy yxrs gSa o blh efgus ds var rd Qy Hkh yx tkrs gSA bldh dPph gjh Qfy;ka lokZf/kd mi;ksx esa yk;h tkrh gSA

� equxk ikpu ls tqM+h leL;kvksa dks [kRe dj nsrk gSA gStk] nLr] isfp'k] ihfy;k vkSj dksykbfVl gksus ij blds iRrs dk rktk jl] ,d pEep 'kgn vkSj ukfj;y ikuh feykdj ysaA ;g ,d mRd`"V gcZy nokbZ gSA

� dqiks"k.k ihfM+r yksxksa ds vkgkj ds :i esa equxk dk iz;ksx djus dh lykg nh xbZ gSA ,d ls rhu lky ds cPpksa vkSj xHkZorh efgykvksa ds fy;s ;g ojnku ekuk x;k gSA

� bldk twl izlwrk L=h dks nsus dh lykg nh tkrh gSA blls fMysojh esa gksus okyh leL;k ls jkgr feyrh gS vkSj fMysojh ds ckn Hkh eka dks rdyhQ de gksrh gSA

� blesa dSfYl;e dh ek=k vf/kd gksrh gS] ftlls gfì;ka etcwr curh gSA blds vykok blesa vk;ju] eSXuhf'k;e vkSj lhfy;e gksrk gSA blfy;s efgykvksa vkSj cPpksa dks bldk lsou t:j djuk pfg;sA blesa ftad Hkh Hkjiwj ek=k esa ik;k tkrk gS] tks fd iq:"kksa dh detksjh nwj djus esa vpwd nok dk dke djrk gSA bldh Nky dk dk<+k vkSj 'kgn ds iz;ksx ls 'kh?kz iru dh chekjh Bhd gks tkrh gS vkSj ;kSu nqcZyrk Hkh lekIr gks tkrh gSaA

� equxk essa vksfyd ,flM Hkjiwj ek=k esa ik;k tkrk gSA ;g ,d rjg dk eksukseSP;qjsVsM QSV gS vkSj ;g 'kjhj ds fy;s vfr vko';d gSA lkFk gh equxk esa foVkfeu lh cgqr ek=k esa gksrk gSA

� ;g dQ dh leL;k esa Hkh jkeck.k dh rjg dke djrk gSA tqdke esa equxk dks ikuh esa mcky dj ml ikuh dk Hkki ysaA

� equxk tM+ ls ysdj Qwy vkSj iRrh;ksa rd lsgr dk [ktkuk gSA equxk ds rkts Qwy vkSj xk; dk nw/k ,slk gcZy VkWfud gS ftlls iq:"kkssa dh enkZuk detksjh vkSj efgykvksa esa lsDl dh detksjh nwj gksrh gSA

� equxk dh Nky dk ikmMj jkst ysus ls oh;Z dh xq.kork esa lq/kkj gksrk gS rFkk iq:"kksa esa 'kh?kziru dh leL;k Hkh nwj gksrh gSA Nky dk ikmMj] 'kgn vkSj ikuh ls ,slk feJ.k rS;kj gksrk gS tks 'kh?kziru dh leL;k dk vpwd bykt gSA

� equxk dh djhc 50 xzke ifRr;ksa dks ysdj pVuh cuk;k tk; rks ;g isV dh d`fe;ksa dks ckgj fudky Qsadus esa dkQh dkjxj gksrh gSA equxk dh ifRr;ksa dk lwi Vh- ch-] czksadkbfVl rFkk vLFkek ij fu;a=.k djus ds fy;s dkjxj le>k tkrk gSA

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� ;g gktesa ds fy;s lcls eqQhn lCth ekuh tkrh gSA

� vxj is'kkc esa vf/kd ek=k esa ;wfj;k tk jgh gks rks ejht dks equxk dh rkth ifRr;ksa dks fupksM+s gq;s jl ds lkFk [khjk ;k xktj ds jl ds lkFk feykdj fiyk nsa] blls rRdky vkjke feysxkA

� equxk dh rkth ifRr;ksa ds fupksM+s gq;s jl ds lkFk uhacq dk jl ls eqgkals dk dkjxkj bykt fd;k tkrk gSA blls CySd LikWV gVrs gSa lkFk gh mez ds dkj.k Fkdh vkSj dkafr ghu Ropk esa ubZ tku Qwadh tk ldrh gSA blhs ds lkFk gh equxk ds Qwyksa ds lkFk ifRr;ksa] equxk ds cht vkSj tM+ ls 'kjhj esa gqbZ xBkuksa dk bykt fd;k tk ldrk gSA

� equxk dh tM+ :[kh vkSj Lokn esa dM+oh gksrh gS ysfdu QsQM+ksa ds fy;s cf<+;k VkWfud ds :i esa dke djrh gSA ;g dQ dks ckgj fudkyrh gSA

� equxk esa foVkfeu ^,* gksrk gS tks fd iqjkus le; ls gh lkSUn;Z ds fy;s iz;ksx fd;k vkrk tk jgk gSA vxj vki bl gjh lCth dks vDlj vius [kkus esa 'kkfey djsaxh rks vki dHkh cw<+h ugha gksaxhA blls vka[kksa dh jks'kuh Hkh vPNh gksrh gSA

� equxk dh lCth [kkus ls iqjkus xfB;k] tksM+ksa ds nnZ] ok;q lap; o okr jksx esa ykHk gksrk gSA

� equxk ds rkts iRrksa dk jl dku esa Mkyus ls nnZ Bhd gks tkrk gSA

� equxk dh lCth [kkus ls xqnkZ vkSj ew=k'k; dh iFkjh dVdj fudy tkrh gSA

� equxk dh tM+ dh Nky dk dk<+k lsa/kk ued vkSj ghax Mkydj ihus ls firk'k; dh iFkjh esa ykHk gksrk gSA

� equxk ds irksa dk jl cPpksa ds isV ds dhM+s fudkyrk gS vkSj mYVh nLr Hkh jksdrk gSA

� equxk Qyh dk jl lqcg 'kke ysus ls mPp jDrpki esa ykHk gksrk gSA

� equxk dh ifRr;ksa dk jl lsou djus ls eksVkik /khjs /khjs de gksus yxrk gSA

� equxk dh Nky ds dk<+s ls dqYyk djus ij nkarksa ds dhM+s u"V gksrs gSa vkSj nnZ esa vkjke feyrk gSA

� equxk ds dksey iRrksa dk lkx [kkus ls dCt nwj gksrk gSA

� equxk dh tM+ dk dk<+s dks lsa/kk ued vkSj ghax ds lkFk ihus ls fexhZ ds nkSjs esa ykHk gksrk gSA

� equxk dh ifRr;ksa dks ihldj yxkus ls ?kko vksj lqtu Bhd gksrs gSaA

� equxk ds iRrksa dks ihldj xeZ dj flj esa ysi yxk;sa ;k blds cht ?khldj lwa?ks rks lj nnZ nwj gks tkrk gSaA

� equxk ds chtksa dk rsy f'k'kqvksa dh ekfy'k ds fy;s iz;ksx fd;k tkrk gSA Ropk lkQ djus ds fy;s equxk ds chtksa dk lRo dkWLesfVd m|ksxksa esa csgn yksdfiz; gSaA lRo ds tfj;s Ropk dh xgjkbZ esa fNis fo"kSys rRo ckgj fudkys tk ldrs gSaA

� equxk ds chtksa dk isLV Ropk ds jax vkSj Vksu dks lkQ j[kus esa enn djrk gSA e`r opk ds iquthZou ds fy;s blls csgrj dksbZ jlk;u ugha gSA

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dsyk

^^gj xk¡o ds] gj ?kj es gks dsys dk ikS/kk] cuk jgs lcdk lsgr vPNk**

dsyk fo'oHkj esa ,d cgqr gh egRoiw.kZ Qy gS ftlesa dbZ rjg ds ikSf"Vd rRoksa ds xq.k fo|eku gSA dqN oSKkfudksa dk fo'okl gS fd dsyk lalkj dk igyk Qy gSA

orZeku esa dsyk 107 ns'kksa esa mxk;k tkrk gSA gekjs [kk| inkFkksZa esa bldk pkSFkk LFkku gSA vkb;s ge dsys dk egRo ,oa peRdkfjd dk;kaZs dks tkus ,oa le>saA

ikSf"Vd ¼Nutritional½ egRo & ,d e/;e lkbZt dsyk ¼126 xzke½ esa 110 dSyksjh] 30 xzke dkcksZgkbMªsV vkSj 1 xzke izksVhu dh ek=k jgrh gSA izkd`frd :i ls dsyk esa olk] dksysLVªksy ,oa lksfM;e dh ek=k ugha jgrh gSA

foVkfeu ,oa [kfut yo.k

foVkfeu ^B6* & 5 feñxzkñ

foVkfeu ^C* & 2 feñxzkñ

iksVkf'k;e & 450 feñxzkñ

izksVhu & 1 xzke

eSXusf'k;e & 34 feñxzkñ

jScks¶ysfcu & 0-1 feñxzkñ

ykSg rRo & 0-3 feñxzkñ

foVkfeu ^A* & 81 IU

uSf'ku & 0-8 feñxzkñ

,d O;Ld O;fDr dks izfrfnu iksVkf'k;e dh ek=k 4700 feñ xzkñ vko';d gSA

gekjs LokLF; esa dsys dk peRdkfjd dk;Z %

� Ekaklisf'k;ksa ds fy;s XySdksftu iznku djrk gS vkSj bUgsa etcwr cukrk gSA

� iksVkf'k;e ân; ds dk;ksZa esa fo'ks"k enn djrk gS] jDrokfguh ufy;ksa }kjk iwjs 'kjhj esa izpqj ek=k esa jDr lapkfyr gksrk gS] vkSj vkWfDltu feyrk gSA ân; dk /kM+du lkekU; cuk jgrk gS] vkSj 'kjhj esa ikuh dh ek=k lkekU; cuh jgrh gSA

� fcVkfeu ^B6* CyM lqxj dks fu;fer j[kus esa enn djrk gSA

� dsyk esa ekStqn ?kqyu'khy js'kk cM+h vkar ds dk;Z esa cM+k lgk;d gksrk gSA

� iryk nLr ls ihfM+r jksxh ds 'kjhj ls iksVkf'k;e dh deh vf/kd ek=k esa gks tkrh gS] ,slh fLFkfr esa dsyk [kkus ls iksVkf'k;e dh iwfrZ gks tkrh gSA

� dsyk gekjh gfì;ksa dks etcwr cukrk gS] vka[kksa dks LoLF; ,oa pedhyk cukrk gS] xqnsZ dh fcekjh dks jksdrk gS ,oa dSalj dh fcekjh ls cpkrk gSA

� ;knnk'r 'kfDr dks c<+krk gSA

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Ropk lcaf/k leL;kvksa esa dsys dk egRo %

� dsys esa foVkfeu ^C* vkSj foVkfeu ^B6* i;kZIr ek=k esa gS tks Ropk dks LoLF;] pedhyk ,oa yphyk cukrk gSA

� ,d dsyk dks elydj ,d pEep e/kqjl ds lkFk feykdj :[kh Ropk esa yxkus ls Ropk uje ,oa lqanj gksrk gSA

� dsyk esa foVkfeu ^A* ,oa ikuh ekStqn gS ftlls 'kjhj esa ikuh dh deh ugha gksrh gS vkSj Ropk uje o pedhyk cuk jgrk gSA

� dsyk] ngh] e/kqjl vkSj cknke dks feykdj isLV cukdj psgjs ij yxk;sa vkSj vk/kk ?kaVk ckn psgjs dks lkQ ikuh ls /kks ysaA blls psgjk lqanj vkSj pedhyk gksrk gSA

� dsyk vkSj xqM+ feykdj isLV cuk ysa vkSj psgjs esa yxk;sa vk/ks ?kaVs ckn psgjs dks lkQ ikuh ls /kks;saA blls dkyk nkx lkQ gksrk gSA

� ?kko ,oa eqgakls dks nqj djus es lgk;d gksrk gSA

� Ikdk dsyk vkSj xqykc ty feykdj QVs gkFk ikao esa yxkus ls Ropk lkQ gksrk gSA

jkgk Vhe] iRFkyxkao

fyax vk/kkfjr fgalk euq"; ,d lkekftd izk.kh gSA lekt dks lqpk: :i ls pykus ds fy;s dqN fu;e dkuwu gksrs gSaA mlh rjg ns'k dks Hkh lqpk: :i ls pykus ds fy;s dkuwu gSA dkuwu esa ges cgqr lkjs vf/kdkj izkIr gSA mlh dks lh[kus ,oa le>us ds fy;s 24&25 Qjojh] 2016 dks lkek pkSiky lekt lsoh laLFkk ds ek/;e ls ^^ljy dkuwuh f'k{kk** dk lsehukj jk;iqj esa vk;ksftr fd;k x;kA bl lsfeukj esa NRrhlx<+ ds fofHkUu ftyksa ls v'kkldh; lekt lsoh laLFkkvksa ds 50 dk;ZdrkZ lgHkkxh gq;sA ftlesa jkgk laLFkk

ls fl- ¶yksjh] leUo;d] t'kiqj] Jhefr vXusl lqfprk] tjcyk] gsYFk lsaVj HkfM+;k ,oa Jhefr uhy dqeqnuh dqtwj] gsYFk lsaVj dsjlbZ us lgHkkfxrk fuHkkbZA

bl lsfeukj esa M.A.R.G. tkx:drk laxBu] ubZ fnYyh ls Jh uwj vkye ,oa Vhe mifLFkr FksA oDrk Jh uwj vkye us dkuwu dks ljy Hkk"kk esa ifjHkkf"kr djrs gq;s dgk dh & ^^dkuwu og fu;e gS tks lekt dks lqpk: :i ls pykus ds fy;s cuk;s tkrs gSa] tks vf/kdkjksa dh j{kk ,oa lqj{kk ds fy;s cuk;s tkrs gSA** dkuwu ds vanj gesa cgqr lkjs vf/kdkj izkIr gSaA vf/kdkjksa dk guu djuk gh vijk/k gSA vf/kdkjksa dh j{kk ,oa lqj{kk ds fy;s iqfyl ,oa dksVZ dh lgk;rk ysrs gSA iqfyl lgk;rk ugha feyus ij Hkh dqN fu;e gS ftudk ge mi;ksx dj ldrs gSA

efgykvksa ,oa ckydksa ds dkuwuh vf/kdkj] fgalk] ?kjsyq fgalk ls efgykvksa dh lqj{kk] fyax vlekurk] ySafxd mRihM+u] tu lkekU; ds mi;ksxh dkuwu ,oa fof/kd lsokvksa dh tkudkjh feyhA bl lsfeukj ls tks

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Hkh tkudkjh eq>s izkIr gqbZ mls eSa vius iM+kslh] xkao okyksa ,oa ftuls Hkh feyrh gw¡] mu lHkh dks tkudkjh ns jgh gw¡A xzkeh.k LokLF; dk;ZdrkZ izf'k{k.k f'kfoj&dduk esa Hkh tkudkjh nhA

jkgk dh ifjdYiuk & lEiw.kZ LokLF;] laiks"; ,oa laosnu'khy :ikarfjr tu leqnk; gSA fdUrq jkgk us ;g tkuk dh lEiw.kZ LokLF; ds lkFk gh thou dks csgrj cukus ds fy;s vf/kdkj vkSj dkuwu dh Hkh tkudkjh vfr vko';d gS] bl ckr dks /;ku esa j[krs gq;s bl lsfeukj esa ges jkgk }kjk Hkstk x;kA

blds fy;s eSa gekjh funsf'kdk fl- ¼Mk-½ ,fytkcsFk dks /kU;okn nsrh gw¡A

Jhefr vXusl lqfprk gsYFk lsaVj HkfM+;k

ftxj ¼yhoj½ cpkus ×kjkc dks dgs uk 19 vizSy nqfu;kHkj esa oYMZ yhoj Ms ds :i esa euk;k tkrk gSA ykbQ LVkby esa vk;s cnyko] gekjs 'kjhj ds ftu vaxksa ij rsth ls vlj Mky jgk gS] mlesa yhoj lcls vge gSA yhoj ds fy;s lcls [krjukd ^'kjkc* gSA vxj vki fnu esa 80 feyh fyVj 'kjkc Hkh ihrs gSa] rks vkids yhoj ds fy;s og tkuysok lkfcr gks ldrh gSA gj 10 feyh fyVj 'kjkc ds lkFk yhoj dSalj dk [krjk 4 fQlnh ds fglkc ls c<+rk pyk

tkrk gSA fnu esa 'kjkc ds dsoy 3 iSx vkidks ekSr ds djhc ysdj pys tkrs gSaA MkWDVjksa dh lykg ;gh gS fd mipkj ls csgrj gS ,gfr;krA 'kjkc ls nwjh cuk ysa ojuk og vkidks [kkus yxsxhA

D;k vki tkurs gSa \

iz'u % vYdksgkWfyd yhoj Mhflt ¼,-,y-Mh-½ D;k gS \mRrj % 'kjkc ds lsou ds ifj.kke Lo:i yhoj dh {kfr dks ,ñ,yñMhñ dgrs gSA bl uqdlku ds rhu iSVuZ gks ldrs gSa&

� QSVh yhoj % yhoj dh lajpukRed dksf'kdkvksa esa olk dk vlekU; laxzgu]

� vYdksgkWfyd gsisVkbfVl % 'kjkc dh otg ls yhoj esa lwtu]

� vYdksgkWfyd fljksfll % izxfr'khy fouk'k vkSj yhoj dh dksf'kdkvksa dk QkbczksfllA

iz'u % fdruh ek=k esa 'kjkc lsou ls ;g chekjh gks ldrh gS\mRrj % 80 feñ fyñ 'kjkc izfr fnu ik¡p lky rd lsou djus ls QSVh yhoj esa ifjofrZr gks ldrk gSA vf/kd le; rd ;fn dsoy 50 ls 60 feñ fyñ 'kjkc dk lsou fd;k tk; rks vYdksgkWfyd gsisVkbfVl ,oa fljksfll dh laHkkouk gks tkrh gSA bl izdkj 90 ls 100% gSoh fMªadlZ esa QSVh yhoj gksrk gS] ftlesa ls 10 ls 35% vYdksgkWfyd gsisVkbfVl esa ifjofrZr gks tkrs gS] vkSj 8 ls 20% esa yacs le; esa vYdksgkWfyd fljksfll gks tkrk gSA

iz'u % vYdksgkWfyd yhoj Mhflt ¼,-,y-Mh-½ ds D;k y{k.k gksrs gS \mRrj % 'kq:vkrh voLFkk esa yhoj dk c<+uk vkSj yhoj ,atkbe dk c<+uk gksrk gSA dqN lkyksa ckn vYdksgkWfyd gsisVkbfVl gks tkrk gS] rc detksjh] th epyuk] Hkw[k dh deh] otu ?kVuk] isV nnZ] cq[kkj] vkSj ihfy;k vkfn ds y{k.k gksrs gSaA fljksfll gksus ij bUgha y{k.kksa ds lkFk isV esa ikuh Hkjuk] gkFk&ik¡o es lwtu vkSj [kwu dh mYVh bR;kfn y{k.k gksrs gSA

iz'u % QSVh yhoj D;k gS \

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mRrj % yhoj dh dksf'kdkvksa esa olk dk vlekU; laxzg gksuk tks vDlj Qkbczksfll ds lkFk gks ldrk gSA ;g ik¡p lky dh vof/k esa izfrfnu 80 feñ fyñ ls vf/kd 'kjkc dk lsou djus ls gksrk gSA blesa yhoj dk vkdkj c<+ tkrk gSA 'kjkc ds vykos vU; fLFkfr;ka Hkh QSVh yhoj dk dkj.k gks ldrh gSA

iz'u % vYdksgkWfyd yhoj Mhflt ¼,-,y-Mh-½ dk irk dSls yxk;k tkrk gS \mRrj % jDr ifj{k.k ,ñ,yñMhñ ds fu/kkZj.k esa mi;ksxh gksrk gSA vke rkSj ij yhoj ds ,atkbe c<+ tkrs gSaA yach vof/k rd 'kjkc dk mi;ksx djus ls xkek XuwVsek,y VªkalfQjst c<+ tkrk gS] izksFkksEcu le; FkDdk teus ds fy;s jDr dh {kerk dk c<+uk yhoj Qsfuoj dk ladsr gksrk gSA yhoj dh dk;Z{kerk esa deh ls ,Ycq;qfeu dk ysoy de gks tkrk gSA vYVªklkm.M vkSj flVh LdSu Hkh vi;ksxh gksrk gSA vYVªklkm.M ls QSVh yhoj dks ekyqe fd;k tkrk gS] tcdh fof'k"V vYVªklkm.M Qkbczks LdSu ls yhoj Qkbczksfll dk irk yxrk gSA flVh LdSu fljksfll iksVZy gkbijVsa'ku vkSj dSalj dk irk yxkrs gSaA

iz'u % vYdksgkWfyd yhoj Mhflt ¼,-,y-Mh-½ dk bykt dSls gksrk gS \mRrj % vYdksgkWfyd yhoj Mhflt ¼,-,y-Mh-½ ds bykt dk lcls egRoiw.k pj.k gS] thou'kSyh esa ifjorZuA vf/kd 'kjkc esa la;e] blds fy;s 'kjkc dh ryc de djus okyh dqN nokb;ka vkrh gS] ftuds vi;ksx ls vYdksgkWy dh yr NqM+kus esa enn feyrh gS] ij bu nokb;ksa ls Hkh t:jh gS n`<+ ladYi ftlesa O;fDr dks vius eu ij dkcw j[kuk vkSj O;kid ijke'kZ ysrs jgukA blds lkFk gh vPNk iks"k.k ysuk pkfg;sA iks"kd rRoksa dh deh dks iwjk djus ls yhoj dk dk;Z{kerk esa lq/kkj gks ldrk gSA blesa O;fDr dks gkb izksVhu vkSj de olk;qDr Hkkstu djuk pkfg;sA

MkW- xkSre csjk]jkgk] iRFkyxkao

eysfj;k ls lEiw.kZ NqVdkjkØ- LokLF; dsUnz dk uke xzke dk uke tula[;k le;

1 'kkafrikjk Ckklsu] [kkyikjk 218 4 o"kZ2 'kkafrikjk Mekiqj 445 1 o"kZ3 HkfM+;k dqVek 142 1 o"kZ4 HkSalk[kkj HkSalk[kkj 283 1 o"kZ

mi;qZDr xzke dks p;u djus ds fy;s tc izFke cSBd fd;k x;k rks eSus izLrko j[kk Fkk fd xzke esa lcls T;knk fcekjh dkSu lh gksrh gS\ tckc esa xzkeh.kksa us eysfj;k dk gh uke fy;k vkSj cksys fd tc eysfj;k jksx gekjs xkao esa gksrh gS rks njoktk can gks tkrk gSA ,d O;fDr dk bykt djsa rks nqljs dks idM+rk gS] rFkk yksxksa esa jksx ls yM+us dh izfrjks/kd {kerk Hkh de gks tkrh gSA vr% eysfj;k jksxksa dh jksdFkke ls igys eysfj;k jksx ds izfr yksxksa esa tkx:drk vkuk t:jh gSA bl ckr dks /;ku esa j[krs gq;s xzkeh.kksa dks LokLF; f'k{kk] lkQ& lQkbZ ij fo'ks"k /;ku nsus gsrw cksyk x;kA eysfj;k jksdFkke gsrq eysfj;k uk'kd xksyh] ePNjnkuh mipkj vkfn djus gsrq crk;k x;kA vkt dh ifjfLFkfr esa mi;qZDr xzke ds xzkeh.k vR;ar [kq'k gSa] D;ksafd] muds xkao dks eysfj;k eqDr djus gsrq jkgk }kjk viuh dk;ZdrkZ Jh tkslsQ VksIiks dks HkstkA blds fy;s jkgk dk 'kqØxqtkj gSA

Jh tkslsQ VksIIkksjkgk& {ksf=; i;Zos{kd

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xfB;k jksx ls & eqfDr izHkkfor 'kjhj esa lwtu ds lkFk nnZ gksrk gS] ijUrq FkksM+s le; ckn nnZ de gks tkrk gS] vkSj ,d tksM+ ls nqljs tksM+ esa nnZ LFkkukarfjr gksus yxrk gS] bl rjg ls f'k?kz ifjorZu gksus okyk ;k QM+Qjkus okyk nnZ dks xfB;k jksx dgk tkrk gSA ;g T;knkrj cPpksa ,oa ;qokvksa esa ns[kk tkrk gSA

eSa yky lk; ikYgs] xzke eksjsfu;k] LokLF; dsUnz cxjk dk fuoklh gw¡A foxr 10 o"kksZ ls jkgk lnL; gw¡A eS rhu lkyksa ls xfB;k jksx ls ijs'kku FkkA fcekjh ds dkj.k ?kj dh nSfud fLFkfr [kjkc FkhA xzke cSBd esa jkgk lqijokbtj Jh fot; dsjdsV~Vk th ds

ek/;e ls xfB;k jksx dk nok fuekZ.k fd;k x;k ftlesa tM+h cqVh bl izdkj ls gS & ek=k

1 vdou tM+ & 500 xzke 5 dksjs;k Nky & 500 xzke

2 djkSnk tM+ & 500 xzke 6 flU/kokj iRrh & 500 xzke

3 fM.Mk egqvk Nky & 500 xzke 7 cj;kjh iRrh & 500 xzke

4 dqtwj tM+ & 500 xzke

cukus dh fo?kh % lHkh dks vyx&vyx ihldj ,oa ,d&,d dks feykdj eVj nkus ds cjkcj xksyh cukuk ,oa Nk;k esa lq[kkukA

iz;ksx fo?kh % izfrfnu 2&2 xksyh [kkyh isV lsou djsaA

bl nok ds lsou ls eS xfB;k jksx ls eqDr gqvkA bl izdkj dk tM+h&cqVh vn~Hkqr peRdkj fl) gks jgk gSA igys ge vaxzsth nok ij T;knk Hkjkslk j[krs FksA bl dkj.k tM+h cqVh ij fo'okl de FkkA ysfdu tM+h cqfV;ksa ds }kjk jksx izfrjks/kd 'kfDr dks c<+kdj csgrj cukus dk iz;kl gks jgk gSA gekjs xkao esa eysfj;k nok] nnZ uk'kd xksyh] 'kjhj nnZ ,oa tksM+ksa dh nnZ vkfn dh nokbZ;ka tM+h cqVh ls cukbZ tkrh gSA tM+h cqVh ls fcekfj;ksa dk bykt ds lkFk lkFk fcekfj;ksa dks jksdus esa T;knk izHkkoh fl) gqvk gSA vr% eSa jkgk dk vkHkkjh gw¡ ,oa /kU;okn nsrk gw¡A

bykt djus esa lg;ksxh

1- fl- ,Myhu VksIiks & LokLF; dsUnz izHkkjh

2- fot; dsjdsV~Vk & jkgk i;Zos{kd

Jh yky lk; ikYgsjkgk lnL;] eksjsfu;k

Loñ dsñ cxjk

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eSa foUlsaV dsjdsVV~k] firk Jh tkslsQ dsjdsVV~k] xzke [kVaxk] rglhy

nqynqyk] ftyk t'kiqj] NRrhlx<+ dk jgus okyk gw¡A

eSa isV dh fcekjh ls xzflr FkkA eSa 10 o"kksZ ls vaxzsth nok

[kk&[kkdj Fkd pqdk FkkA ljdkjh MkWDVj eq>s ftUnxh Hkj nok [kkus

dh lykg fn;k djrsA nnZ lgu u dj ikus ij esjs ifjokj okys iqu%

eq>s gksyhØkWl vLirky dqudqjh esa HkrhZ djk;sA ,Dljs djokus ij irk

pyk dh fdMuh esa iFkjh dk f'kdk;r feykA vkWijs'ku djkus ds fy;s

gksyhØkWl vLirky vfEcdkiqj jsQj djus dh lykg fn;k x;kA iSls

dh deh ls ifjokj okys vLirky ugha fy;sA

blh chp jk;x<+ vfEcdkiqj LokLF; laxBu ¼jkgk½] iRFkyxk¡o

ds {ksf=; i;Zos{kd Jh vczkge ydM+k th ls esjh eqykdkr gqbZA mUgksaus

[kku&iku ls lacaf/kr funsZ'k fn;sA mUgksus dgk fd u'kkiku vkSj elkysnkj

Hkkstu u djsaA u'kkiku dh txg Qy& iihrk] xktj] ve:n vkSj dsyk

[kjhn dj [kkus ds fy;s lykg fn;s] vkSj eS oSlk gh dj jgk gw¡A

izpkjd gksus ds ukrs eSa bZ'oj ij T;knk fo'okl djrk FkkA bZ'oj

dks fo'okl djrs gks oSls gh tM+h&cwVh dks fo'okl djuk gksxk] ,slk

dgk vkSj vius gkFkksa ls nok cukdj mUgksaus fn;kA nok ds izdkj& uhacq

jl] ukxQuh tM+ vkSj leqnzh dkSoM+hA

cukus dh fof/k %

uhacq ds jl esa leqnzh dkSoM+h rhu ux vkSj ukxQuh tM+ dks 3 ls 4 fnu

rd Mqck dj j[krs gS] tc leqnzh dkSoM+h uhacq ds jl esa ?kqy x;k rc

eSa mlh jl dks lqcg [kkyh isV ,d pEep lsou djuk 'kq: fd;kA vc

eSa bl nok dks lsou djus ds ckn Hkyh Hkkafr paxk gksdj fQV gw¡A ekuks

esjs 'kjhj esa dksbZ jksx gh ugha gSA jkgk dks vkxs c<+kus ds fy;s eSa vius

xk¡o dks tksj d:axkA eSa jkgk ds iwjs ifjokj dks /kU;okn vnk djrk gw¡A

Jh fHkUlsaV dsjdsVV~kxzke&[kVaxk

lQyrk dh dgkuh

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dqekjh lhrk dks cky fookg dh vfHk'kki ls cpkus esa lQyrk

dq- lhrk mez 16 o"kZ] firk Jh f'koukjk.k] xzke iyxM++h] fodkl[k.M& y[kuiqj] ftyk ljxqtk dk 'kknh 25 Qjojh] 2016 dks gksuk fuf'pr FkkA 'kknh dk fuea=.k dkMZ Hkh Ni pqdk FkkA ?kj esa 'kknh dh rS;kjh py jgh FkhA 18 Qjojh] 2016 dks Jh fo|kuan nqcs] fodkl[k.M ifj;kstuk leUo;d&lcyk dk;ZØe] xzke iyxM+h ds vkaxuckM+h dsUnz esa Hkze.k ds m|s'; ls igq¡ps vkSj vkl&ikl ds yksxksa ls ppkZ fd;s] ppkZ ds nkSjku gh mUgsa cky fookg dh Hkud yxhA Jh fo|kuan th us rRdky bl ckr dh lwpuk vius lgdehZ Jh jkt ukjk;.k f}osnh] fodkl[k.M ifj;kstuk leUo;d&lcyk dk;ZØe dks Qksu ij fn;sA Jh jkt ukjk;.k th Hkh xzke iyxM+h ds vkaxuckM+h dsUnz igq¡ps vkSj nksuks fodkl[k.M ifj;kstuk leUo;dksa us 'kkyk R;kxh ckfydk ds lanHkZ esa ppkZ fd;s vkSj ckfydkvksa ds ukeksa dh lwph ysdj x`g lEidZ gsrq xzke esa Hkze.k djus yxsA rhu x`g Hkze.k esa vkaxuckM+h dk;ZdrkZ Hkh lkFk jghaA ml fnu dqy rhu fd'kksjh ckfydkvksa ds ?kjksa esa muds ekrk firk ls lEidZ fd;k x;kA tc rhuks yksx dq- lhrk ds ?kj igq¡ps rks ckfydk lesr rhu cgusa ?kj dh fyikbZ iksrkbZ dk dke dj jgh FkhA NksVh cgu fuea=.k dkMZ ij vius fj'rsnkjksa dk uke fy[k jgh FkhA ?kj okyksa ls vizR;{k :i ls cky fookg ij ppkZ fd;k x;kA ckfydk dk tUe frFkh iqNus ij ckfydk us Lo;a viuk tUe frFkh 22 uoEcj] 1999 crk;kA nksuks fodkl[k.M ifj;kstuk leUo;d us ckfydk ds ekrk firk ,oa cM+h cgu dks le>k;k ijUrq ?kjokys 'kknh jksdus ds fy;s lger ugha gq;sA

rRi'pkr~ Jh jktukjk;.k us Jhefr izHkk ydM+k] efgyk cky fodkl vf/kdkjh dks dq- lhrk ds cky fookg dh lwpuk ls voxr djk;kA Jhefr izHkk us Hkh vfoyEc lsDVj i;Zos{kd Jhefr nlefr;k ekdksZ dks lqfpr fd;kA iqu% 19 Qjojh] 2016 dks Jh pUnzosl flag fllksfn;k] ftyk dk;ZØe vf/kdkjh ¼ICDS-DPO½ dks lwfpr fd;k x;kA Jh fllksfn;k us Hkh rRdky pkbYM ykbu Vhe dks lqfpr fd;sA fQj Hkh Jh jktukjk;.k ds }kjk cky laj{k.k bdkbZ dks ekSf[kd lwpuk fn;k x;kA blds ckn dk;Zokgh dk Øe pyuk 'kq: gks x;kA ,d Vhe vkaxuckM+h dsUnz iyxM+h xbZ vkSj cky fookg gksus dk tk¡p&iM+rky fd;k x;kA cky fookg gksus dh iqf"V gqbZ vkSj dq- lhrk dk fookg gksus ls :d x;kA

Jh jktukjk;.k f}osnh ,oa fo|kuan nqcs] fodkl[k.M ifj;kstuk leUo;d&lcyk dk;ZØe dh rRijrk ,oa lg;ksx ls dq- lhrk dks cky fookg ds vfHk'kIk ls cpkus esa lQyrk izkIr gqbZA 25 Qjojh] 2016 dks xzke ljiap dks Qksu fd;k x;k rks ljiap us 'kknh :dus dh iqf"V dhaA

Jh jktujk;.k f}osnh ,oa Jh fo|kuan nqosfodkl [kaM ifj;kstuk leUo;d

liksVZ Vq lcyk dk;ZØe

lQyrk dh dgkuh

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i<+ksa nky (Pulses) ds ckjs esa---

o"kZ 2016] varjkZ"Vªh; nky o"kZ ?kksf"kr fd;k x;k gSA

nky lq[kh gksrh gS] [kkus ;ksX; chtsa tks Qfy;k¡ ifjokj dh gSA os nqfu;k Hkj esa vfuok;Z [kk| ds :i

esa ik, tkrs gSA os mPp iks"; [kk|ksa esa ls ,d gSa ,oa fofHkUu lH;rkvksa esa bldh mRikndrk dbZ 'krkfCn;ksa

ls dh tkrh jgh gSaA os gekjh nSfud Hkkstu esa LokLFko/khZ vkgkj ekuk tkrk gSA ;g dkcksZgkbZMªsV] de olk]

foVkehu] [kfut ds lkFk&lkFk izksVhu dk cgwr vPNk lzksr gSA izfr 100 xzke nky esa 32 xzke izksVhu] vehuks

vEy gksrs gSa] ftls 'kjhj Lor% ugha cuk ikrsA vadwfjr nkyksa dks [kkus ls LokF; dk ykHk c<+ tkrh gS]

tSls&puk] mM+n] ewax bR;kfnA

nky D;ks cgwr egRoiw.kZ gS \

izfrfnu ,d O;fDr dks izksVhu dh 60 xzke dh t:jr gksrh gSA nky] xjhcks ds fy, ekal ds leku

gS] vkSj 'kkdkgkjh yksxksa ds vkgkj esa izksVhu dh ek=k lCth vkSj nky ls gh feyrk gSA nky] fny ds fy,

LokLF;o/kZd vkgkj ekuk tkrk gSA NksVs Ñ"kdksa dks nky mRiknu t:j djuk pkfg,] ;g mudh vkfFkZd

fLFkfr dks lqn`<+ djrh gSa] ,oa ifjokj gsrq de [kpZ esa iks"k.k rRo Hkh izkIr gks tkrh gSA ge xzkeh.kksa dks nkyksa

ds egRo dks le>rs gq,] bldh Ñf"k vf/kd ls vf/kd c<+kuk pkfg,A

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AIDS Day

AIDS Day

SRI Technique of Paddy Cultivation

SRI Technique of Paddy Cultivation

AIDS Day

Kitchen Garden

SRI Technique of Paddy Cultivation

Village Level Meeting

SRI Technique of Paddy Cultivation

nqfu;k¡ esa xeksa dk vEckj Fkk]

ij dgka rq>s blls ljksdkj FkkA

nksuks iSjksa dh fod`fr;k¡ ns[k dqnjr Hkh gSjku Fkh]

ek¡ cki ds lkFk lkFk lkjh nqfu;k¡ ijs'kku Fkh]

dqN us dgk cks> dqN us dgk ykpkj Fkk]

ij ek¡ cki ds vk¡[kksa dks rw oSls gh Lohdkj FkkA

rwus Hkh bls [kq'kh ls Lohdkj fd;k]

nqfu;k¡ ls yM+us ds fy;s vius vki dks rS;kj fd;kA

eafty dh rkyk'k esa tc rw fudyk]

jkLrs esa vPNk vkSj cqjk lc vuqHko feyk]

rq>s yxk ;s nqfu;k¡ gS ,d igsyh]

ijUrq jkgk esa rsjs fny dks feyh rlYyhA

rwus ru eu ls ;s iz.k fd;k]

vius eu ls lHkh vaf/k;kjs dks nwj fd;kA

ysds mEehn dh elky gkFkksa esa]

fu'kDrksa dh nqfu;k dks jks'ku fd;k A

rqeus mu yksxksa dh Hkh lsok dh]

ftUgksaus mudk 'kks"k.k fd;kA

tc rw fudyk Fkk gkaFkksa esa ysds mEehn dh

T;ksfr] rc rw fcydqy vdsyk FkkA

rwus Hkh u lkspk gksxk ij]

vkt rsjs lkFk yksxksa dk esyk FkkA

rsjh cnkSyr mudh nqfu;k¡ Hkh jks'ku gqbZ]muesa Hkh thus dh ubZ pkg gqbZArsjh txg nwtk u dksbZ ys ik;sxk]

rsjs edln dks jkgk vc vkxs c<+k,xkAtc Hkh ekuork dh ckrsa djsaxs]

vatyql ge lc rqedks ;kn djsaxsAvc rw rks dHkh u vk,xk]

ij ge lc rqedks ;kn djsaxsAftl mEehn dks rwus jks'ku fd;k Fkk]

mls cq>us u nsaxsArqEgkjh f[akph gqbZ ydhj is]

ge lc pyrs jgsaxsArqEgkjk tkuk fdlh nnZ dh igpku gS]

vkt Hkh dbZ yksxksa dh cSlkf[k;k¡ rqEgkjh igpku gSA

;s cSlkf[k;k¡ gS muds thou dk losjk]ftuds fdLer dks rqeus gS laokjkA

lsok esa vc rqEgkjk Hkh ,d uke gksxk]liuksa ds >wyksa dk lkekUk gksxkA

ge lc dh eafty ogha gSa]vc nwj flrkjksa esa rqEgkjk Hkh ,d uke gksxkA

rqEgkjs ns[ks gq;s liuksa dk] vc ,d vkdkj FkkA

nqfu;k¡ esa xeksa dk vEckj Fkk]ij dgk¡ rq>s blls ljksdkj Fkk---

vatyql

vkatyql

Jh lS;n 'kkfjd

Tribute

Rev. Fr. Van Besouw SJ came to MP in 1974 as Director of Social Service in Raigarh Ambikapur Diocese. He was also asked to take the responsibility of RAHA. From 1974-1995 he directed RAHA through many innovative paths. In 1995 he returned to Belgium and was resting in Jesuit house at Waversebaan. He died on 16-09-2015.

RAHA team along with Jesuit community and all the people of this area salute him for his loving, far sighted and pioneering services. May he enjoy eternal Peace and Joy.

Shri R. D. Pandey, retired professor of Ranchi University supported RAHA since 2002. His wide and in depth knowledge and experience on various subjects and his interest in RAHA’s mission drew him to join our activities. He edited all RAHA’s books and annual reports since 2002. His extensive knowledge in English and Hindi taught us to think concretely and critically on a topic and he corrected our language and shaped the pages of our annual report.

RAHA team has many happy and rich memories of working with him. Shri R. D. Pandey breathed his last on 5 April 2016 after a brief illness. May his soul enjoy eternal peace is our prayer for him.

Disability Camp - Dr. A. K. Pandey

Disability Camp - Dr. A. K. Pandey

Service for disabled - Mobility India

Service for disabled

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