TMO gudeline for penta-2012-Body - South-East Asia ... · yHkrSefumuG,faq;xdk;vkyfief;wGif...

yHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm;yHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm;yHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm;yHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm;yHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm;

"Pentavalent vaccine including Haemophilus influenzae type-b" ESifhESifhESifhESifhESifh

'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;

pwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;ñTefpwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;ñTefpwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;ñTefpwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;ñTefpwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;ñTef

usef;rma&;0efBuD;Xme

usef;rma&;OD;pD;Xme

wdk;csJUumuG,faq;xdk;vkyfief;

iiiyHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm; pwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;nTef

rmwdumrmwdum

rmwdumrmwdumrmwdum

1/1/1/1/1/ ed'gef;ed'gef;ed'gef;ed'gef;ed'gef; 11111

2/2/2/2/2/ Haemophilus influenzae a&m*gydk;aMumifha&m*gydk;aMumifha&m*gydk;aMumifha&m*gydk;aMumifha&m*gydk;aMumifh

jzpfyGm;aoma&m*grsm;jzpfyGm;aoma&m*grsm;jzpfyGm;aoma&m*grsm;jzpfyGm;aoma&m*grsm;jzpfyGm;aoma&m*grsm; 55555

2.1 Haemophilus influenzae a&m*gydk; 5

2.2 a&m*gul;pufysHUESHYykH 5

2.3 Hib a&m*gul;pufcH&Ekdifonfh touft&G,ftkyfpkrsm; 6

2.4 Haemophilus influenzae a&m*gydk;aMumifh

jzpfyGm;aoma&m*grsm; 6

2.5 Hib a&m*gul;pufcH&rIudktwnfjyKjcif;enf;vrf; 8

2.6 ukojcif; 8

3/ 3/ 3/ 3/ 3/ Hib umuG,faq;yg0ifaom ig;rsdK;pyfumuG,faq;umuG,faq;yg0ifaom ig;rsdK;pyfumuG,faq;umuG,faq;yg0ifaom ig;rsdK;pyfumuG,faq;umuG,faq;yg0ifaom ig;rsdK;pyfumuG,faq;umuG,faq;yg0ifaom ig;rsdK;pyfumuG,faq;

(Hib containing Pentavalent vaccine) 99999

3.1 umuG,faq;xkwfvkyfrIykHpH 9

3.2 aq;yg0ifrIyrmP 10

3.3 umuG,faq;\xkxnf 10

3.4 okdavSmifxm;&Sd&rnYftylcsdef 10

3.5 umuG,faq;xkd;&rnfh touft&G,f 11

3.6 umuG,faq;xkd;tpDtpOf 11

3.7 wpfBudrfxdk;&rnfYaq;yrmPESifh aq;xdk;&rnfhvrf;aMumif; 14

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

ivyHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm; pwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;nTef

3.8 umuG,faq;rsm;oHk;pGJEdkifrI 15

3.9 (Multi-dose vial policy) toHk;jyKjcif; 16

3.10 umuG,faq;xkd;ESHNyD; aemufqufwGJjzpfay:aom

usef;rma&;jyóemrsm; (AEFI) 19

3.11 umuG,faq;xdk;ESHNyD; Hib a&m*gydk;tm;

ckcHEdkifpGrf;tm;jzpfay:rI 20

3.12 umuG,faq;xdk;NyD; a&m*grS a&&SnfumuG,frIESifh

Booster dose xdk;ESHjcif; 21

3.13 tonf;a&miftom;0g (bD) umuG,faq;

arG;pwpfBudrfqufvufxdk;ESHjcif; 21

4/4/4/4/4/ yHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGif Hib yg0ifaomyg0ifaomyg0ifaomyg0ifaomyg0ifaom

Pentavalent umuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGif

aqmif&Guf&rnfh vkyfief;tqifhqifhaqmif&Guf&rnfh vkyfief;tqifhqifhaqmif&Guf&rnfh vkyfief;tqifhqifhaqmif&Guf&rnfh vkyfief;tqifhqifhaqmif&Guf&rnfh vkyfief;tqifhqifh 2323232323

4.1 NrdKUe,ftqifhaqmif&Guf&rnfhvkyfief;rsm; 24

4.2 wdkif;a'oBuD;^jynfe,ftqifhaqmif&Guf&rnfhvkyfief;rsm; 25

4.3 Pentavalent umuG,faq; xnfhoGif;xdk;ESH&mwGif

aqmif&Guf&rnfhvkyfief;pOfrsm; 26

4.4 vufusef DPT umuG,faq;rsm;udk pDrHcefYcGJjcif; 28

4.5 tat;vrf;aMumif;xdef;odrf;&efvdktyfaom

ae&myrmPcefYrSef;jcif;? pDrHcefYcGJjcif; 28

vyHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm; pwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;nTef

4.6 rSwfwrf;yHkpHrsm;? owif;ydkYyHkpHrsm;jyifqifjcif; 28

4.7 ynmay;ypönf;rsm;udk jyefvnfjyifqifjcif; 29

4.8 tajccHusef;rma&;0efxrf;rsm;tm; oifwef;ay;jcif; 29

4.9 umuG,faq;xdk;tpDtpOfopf

pwiftaumiftxnfazmfjcif; 31

4.10 a&m*gjzpfyGm;rIqufvufapmifhMuyfMunfh½Ijcif;ESifh

umuG,faq;\tusdK;xda&mufrIudk avhvmqef;ppfjcif; 35

5/5/5/5/5/ 'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;

ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif; 3737373737

5.1 0ufoufa&m*gqdkonfrSm 37

5.2 a&m*gul;pufjcif; 37

5.3 zsm;NyD; tzktydrYfxGufjcif; 38

5.4 0ufoufa&m*gt"dyÜm,fowfrSwfcsuf 39

5.5 enf;AsL[mrsm; 40

5.6 yxrtBudrfESifh 'kwd,tBudrf0ufoufumuG,faq;udk

yHkrSefumuG,faq;xdk;vkyfief;wGif xdk;ay;jcif; 42

5.7 'kwd,tBudrf 0ufoufumuG,faq;udk yHkrSefumuG,f

aq;xdk;jcif;vkyfief;wGifpwifjcif; 42

5.8 tydkaqmif;umuG,faq;xdk;jcif; 44

5.9 apmifhMuyfMunfh½Ijcif;vkyfief; 44

5.10 0ufoufa&m*gvlemudk jyKpkukoapmifha&Smufjcif; 45

viyHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm; pwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;nTef

5.11 0ufoufa&m*gESifh jrefrm 46

5.12 0ufoufumuG,faq; 47

5.13 0ufoufumuG,faq;rxdk;oifhaom taMumif;t&mrsm; 50

5.14 umuG,faq;xdk;pOf tat;vrf;aMumif;xdef;odrf;jcif; 51

5.15 umuG,faq;\ pdwfcs&rIESihf ab;xGufqkd;usdK;rsm; 52

yHkrSefumuG,faq;xdk;vkyfief;wGif umuG,faq;topfrsm; pwifxnfhoGif;xdk;ESHjcif; vkyfief;vrf;nTef1

ed'gef;ed'gef;ed'gef;ed'gef;ed'gef;

Haemophilus influenzae type b (Hib) onf bufwD;&D;,m;ydk;jzpfonf/

2000 jynfYESpfpm&if;Z,m;t& urÇmay:ü Hib a&m*gydk;aMumiYf jyif;xefaom

a&m*gjzpfyGm;rI (8.1)oef;ESihf aoqkH;rI (371ç000) &Sdrnf[kcefYrSef;ygonf/ Hib

a&m*gyk d;ul;pufjcif;aMumif h t"dutjzpfrsm;aoma&m*grsm;jzpfonfh

erkd;eD;,m;tqkwfa&mifa&m*g? OD;aESmuftajr§;a&mif a&m*gESihfaoG;tqdyfwuf

a&m*grsm;onf touf(2)ESpfatmufuav;rsm;wGif trsm;qkH;jzpf yGm;avY½SdNyD;

txl;ojzihfwpfESpfatmufuav;rsm;wGif ydkítjzpfrsm;ygonf/ uav;i,f

rsm;udk Hib a&m*gydk;aMumiYfjzpfaoma&m*grsm;rS umuG,fEkdifonfh wpfckwnf;

aomenf;vrf;rSm umuG,faq;xdk;jcif;omjzpfygonf/ HibumuG,faq;onf

a&m*gudk xda&mufpGm umuG,frIay;&HkomrutEÅ&m,fvnf;uif;&Sif;ygonf/

xdkYaMumifYurÇmhusef;rma&;tzGJUBuD;onf Hib umuG,faq;udk EdkifiHrsm;\

ykHrSef umuG,faq;xkd;tpDtpOfwGifxnhfoGif;&ef 2006 ckESpfrSpwifí

axmufcHtMuH jyKcJYygonf/ ,cktcg urÇmay:&Sd EkdifiHaygif; (150)ausmfü

ykHrSefumuG,faq;xdk;tpDtpOfwGif Hib umuG,faq;ukd yg0ifxnfhoGif;NyD;

jzpfygonf/ xdkUaMumifh zGHYNzdK;NyD;EkdifiHBuD;rsm;pGmwGif Hiba&m*gonf vHk;0eD;yg;

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

1


yaysmufvsuf&SdNyD; zGHUNzdK;qJEkdifiHrsm;wGifvnf; a&m*gjzpfrIEIef; ododomom

usqif;vsuf &Sdaeygonf/

jrefrmEkdifiHwGifaqmif&GufcJYaom okawoejyKvkyfcsufrsm;t& ig;ESpf

atmufuav;rsm;wGiftjzpfrsm;aom erkd;eD;,m;ESihf OD;aESmuftajr§;yg;a&mif

a&m*grsm;onf Hib a&m*gydk;aMumifYjzpfonfukd awGY&Sd&ygonf/urÇmhusef;rma&;

tzGJU\cefYrSef;csuft& jrefrmEkdifiHwGif ESpfpOf Hib a&m*gydk;aMumifha&m*gjzpfyGm;

ol (96ç000) cefY&SdNyD; aoqkH;rI (3ç200) cefY &SdaMumif;awGY&Sd&ygonf/ (2006)

ckESpfrS(2007)ckESpf? aq;&kHtajcjyKavhvmcsufrsm;t& touf(5)ESpfatmuf

uav;rsm;wGif OD;aESmuftajr§;a&mifa&m*grsm;\ (30) &mckdifEIef;rS (50)

&mckdifEIef;ESihf erkd;eD;,m;a&m*grsm;\(25)&mckdifEIef;rS(30)&mckdifEIef;rSm Hib a&m*gydk;

aMumifYjzpfaMumif; awGY&Sd&ygonf/

HibumuG,faq;udk jrefrmEkdifiH\ ykHrSefumuG,faq;xkd;tpDtpOfwGif

xnfhoGif; xkd;ESHay;jcif;jzihf4if;a&m*gjzpfyGm;rIESihfaoqkH;rIrsm;ukd umuG,fEkdifrnf

jzpfygonf/ wpfESpfatmuf uav;aoqkH;EIef;ukdvnf;avQmhcsEkdifrnfjzpfNyD;?

axmifpkESpf&nfrSef;csuf trSwf(4)ukdjynfhrD&ef wpfenf;wpfvrf;taxmuf

tuljyKum uav;i,ftm;vHk; usef;rma&; wajy;nDwkd;wufvmaprnf jzpfyg

onf/


Hib a&m*gydk;aMumifYaoqkH;rIEIef;/ touf(1) vrS(59) xd uav;a&m*gydk;aMumifYaoqkH;rIEIef;/ touf(1) vrS(59) xd uav;a&m*gydk;aMumifYaoqkH;rIEIef;/ touf(1) vrS(59) xd uav;a&m*gydk;aMumifYaoqkH;rIEIef;/ touf(1) vrS(59) xd uav;a&m*gydk;aMumifYaoqkH;rIEIef;/ touf(1) vrS(59) xd uav;

wpfodef;vQifaoqkH;rIEIef;wpfodef;vQifaoqkH;rIEIef;wpfodef;vQifaoqkH;rIEIef;wpfodef;vQifaoqkH;rIEIef;wpfodef;vQifaoqkH;rIEIef;

<1010-<2525-<100100-<200>200

Hib umuG,faq;xnfhoGif;xdk;ESHvsuf&SdaomEdkifiHrsm;ESihfumuG,faq;xnfhoGif;xdk;ESHvsuf&SdaomEdkifiHrsm;ESihfumuG,faq;xnfhoGif;xdk;ESHvsuf&SdaomEdkifiHrsm;ESihfumuG,faq;xnfhoGif;xdk;ESHvsuf&SdaomEdkifiHrsm;ESihfumuG,faq;xnfhoGif;xdk;ESHvsuf&SdaomEdkifiHrsm;ESihf

umuG,faq;vTrf;jcHKrIEIef; (2010)umuG,faq;vTrf;jcHKrIEIef; (2010)umuG,faq;vTrf;jcHKrIEIef; (2010)umuG,faq;vTrf;jcHKrIEIef; (2010)umuG,faq;vTrf;jcHKrIEIef; (2010)

(169 EdkifiHwGif yHkrSefumuG,faq;xdk;vkyfief;jzihf aqmif&Gufvsuf&Sdonf/)

Hib3 >_ 80% (134 EdkifiH - 69%)

Hib3 < 80% (30 EdkifiH - 16%)

Hib umuG,faq;xnfhoGif;xdk;ESHvsuf&Sdaomfvnf; vTrf;jcHKrItajctaer&&Sdaom EdkifiHrsm; (5 EdkifiH - 2 %)

Hib umuG,faq;xnfhoGif;xdk;ESHjcif; rjyK&ao;aomEdkifiHrsm; (24 EdkifiH - 13%)


Haemophilus influenzae a&m*gydk;aMumifhjzpfyGm;aoma&m*grsm; a&m*gydk;aMumifhjzpfyGm;aoma&m*grsm; a&m*gydk;aMumifhjzpfyGm;aoma&m*grsm; a&m*gydk;aMumifhjzpfyGm;aoma&m*grsm; a&m*gydk;aMumifhjzpfyGm;aoma&m*grsm;

2.12.12.12.12.1 Haemophilus influenzae a&m*gydk;a&m*gydk;a&m*gydk;a&m*gydk;a&m*gydk;

Haemophilus influenzae onf Gram negative coccobacilli bacteria

jzpfonf/ vlrsm;wGifom a&m*gjzpfapygonf/ H. influenzae onf a? b? c? d? e

ESifh f [lítrsdK;uGJ (6)ck&Sdygonf/ uav;rsm;wGif Hib a&m*gydk;aMumifh jzpfyGm;

onfh jyif;xefa&m*grsm;teuf (90) &mcdkifEIef;ausmfonf type b aMumifY jzpfyg

onf/ Hib bufwD;&D;,m;onf ESmacgif;ESihf vnfacsmif;wGifrSDwG,fae xkdifyg

onf/ tEÅ&m,fray;yg/ odkYaomf wpfcgw&H bufwD;&D;,m;rsm; aoG;xJodkY 0if

a&mufNyD; jyif;xefaoma&m*g jzpfapEdkifapygonf/

2.22.22.22.22.2 a&m*gul;pufysHUESHYykHa&m*gul;pufysHUESHYykHa&m*gul;pufysHUESHYykHa&m*gul;pufysHUESHYykHa&m*gul;pufysHUESHYykH

a&m*g&Sdolacsmif;qkd;ESmacsomtcg touf&SLvrf;aMumif;rS xGufvm

aomtrIefrsm;rS tjcm;olrsm;ukd a&m*gul;pufjyefYyGm;apygonf/ a&m*gjzpfae

2

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○


onfYuav;rsm;ukdifwG,fxm;aom upm;p&mrsm;? tjcm;aomypönf;rsm;udk

udkifwG,fxdawGYjcif;rSvnf; ul;pufEkdifygonf/ a&m*gvu©PmrjybJ Hib

a&m*gykd;o,faqmifxm;aomuav;rsm;rSwpfqifYvnf; tjcm;uav;rsm;ukd

ul;pufEkdifygonf/

2.32.32.32.32.3 Hib a&m*gul;pufcH&Ekdifonfh touft&G,ftkyfpkrsm;a&m*gul;pufcH&Ekdifonfh touft&G,ftkyfpkrsm;a&m*gul;pufcH&Ekdifonfh touft&G,ftkyfpkrsm;a&m*gul;pufcH&Ekdifonfh touft&G,ftkyfpkrsm;a&m*gul;pufcH&Ekdifonfh touft&G,ftkyfpkrsm;

Hib a&m*gonf toufig;ESpfatmufuav;rsm;wGif tjzpftrsm;qkH;

jzpfonf/ txl;ojzifY touf(4)vrS(18)v t&G,fuav;rsm;wGifydkrdkul;pufcH

&EdkifNyD; a&m*gjzpfyGm; Edkifygonf/ uav;rsm;ukd owfrSwfxm;onfhtwdkif;

apmpD;pGm umuG,faq;xkd;ay;EkdifrSom a&m*gumuG,fEkdifygrnf/ arG;puav;

rsm;wGif rdcifxHrS&&Sdaom y#dypönf;rsm;u a&m*grjzpfap&ef tjynfht0

umuG,fay;aomfvnf; uav;touf (2)vrS (3)vcefUt&G,f a&mufaom

tcg 4if;y#dypönf;rsm; avsmhenf;vmNyD; a&m*gykd;0ifEkdifonfhtajcae jzpfvmyg

onf/ uav;trsm;pkonf touf (5)ESpft&G,f a&mufNyD;vQif Hib a&m*gukd

ckcHumuG,fedkifpGrf;tm; tvdktavsmuf&&SdNyD;jzpfygonf/

2.42.42.42.42.4 Haemophilus influenzae a&m*gydk;aMumifhjzpfyGm;aoma&m*gydk;aMumifhjzpfyGm;aoma&m*gydk;aMumifhjzpfyGm;aoma&m*gydk;aMumifhjzpfyGm;aoma&m*gydk;aMumifhjzpfyGm;aom

a&m*grsm;a&m*grsm;a&m*grsm;a&m*grsm;a&m*grsm;

(1)(1)(1)(1)(1) bufwD;&D;,m;OD;aESmuftajr§;a&mifa&m*gbufwD;&D;,m;OD;aESmuftajr§;a&mifa&m*gbufwD;&D;,m;OD;aESmuftajr§;a&mifa&m*gbufwD;&D;,m;OD;aESmuftajr§;a&mifa&m*gbufwD;&D;,m;OD;aESmuftajr§;a&mifa&m*g

(Bacterial meningitis)

bufwD;&D;,m;OD;aESmuftajr§;a&mifa&m*gqkdonfrSm OD;aESmufESihf

ausm½kd;tm&kHaMumrBuD;ukd &pfywfxm;aomtajr§;yg;rsm;a&mif&rf;


jcif;jzpfonf/ uav;rsm;wGifjzpfwwfonfh OD;aESmuftajr§;a&mifa&m*g

rsm;teuf Hib a&m*gykd; aMumihfjzpfyGm;rIonftrsm;qkH;jzpfonf/ xdk

a&m*gjzpfyGm;ygu aoqkH;rIEIef;rsm;NyD; raoqkH;vQifvnf; OD;aESmuf

tm&kHaMumcRwf,Gif;ysufpD;íÓPf&nfrrDjcif;? em;rMum;jcif;rsm;

jzpfwwfonf/

(2)(2)(2)(2)(2) tqkwfa&mifa&m*g tqkwfa&mifa&m*g tqkwfa&mifa&m*g tqkwfa&mifa&m*g tqkwfa&mifa&m*g (Pneumonia)

zGHYNzdK;qJEkdifiHrsm;wGif uav;rsm;üjzpfyGm;aomtqkwfa&mifa&m*g\

t"du taMumif;&if;rSm Hiba&m*gykd;aMumifYjzpfonf/ bufwD;&D;,m;

ydk;aMumifY jzpfyGm;aomjyif;xeftqkwfa&mifa&m*g\ (25)&mcdkifEIef;rS

(30)&mcdkifEIef;cefUonf Hiba&m*gykd;aMumihfjzpf yGm;&jcif;jzpfygonf/

(3)(3)(3)(3)(3) tjcm;a&m*gtrsdK;tpm;rsm; tjcm;a&m*gtrsdK;tpm;rsm; tjcm;a&m*gtrsdK;tpm;rsm; tjcm;a&m*gtrsdK;tpm;rsm; tjcm;a&m*gtrsdK;tpm;rsm;

aoG;qdyfwufjcif; (aoG;xJwGif Hib bufwD;&D;,m;rsm;yHsUESHUaejcif;)

tqpfa&mif&rf;jcif;?

t½kd;a&mif&rf;jcif;?

toHtdk;tay:ydkif;tzkH;tajr§;a&mif&rf;jcif; (Epiglottitis) ESifY

vnfacsmif;a&mif&rf;jcif;wdkYjzpfonf/

Haemophilus influenzae a&m*gydk;aMumifhjzpfyGm;aoma&m*grsm;udk

vsifjrefxda&mufpGmrukoygu a&m*gjzpfyGm;ol\xuf0ufcefU aoqkH;Edkifyg

onf/


2.52.52.52.52.5 Hib a&m*gul;pufcH&rIudktwnfjyKjcif;enf;vrf;a&m*gul;pufcH&rIudktwnfjyKjcif;enf;vrf;a&m*gul;pufcH&rIudktwnfjyKjcif;enf;vrf;a&m*gul;pufcH&rIudktwnfjyKjcif;enf;vrf;a&m*gul;pufcH&rIudktwnfjyKjcif;enf;vrf;

(1) Hib a&m*gykd;arG;jrLjcif; (Culture)?

(2) Latex Agglutination Test?

(3) Polymerase Chain Reaction (PCR) enf;rsm;jzihf twnfjyKEkdifonf/

"mwfcGJypönf;ud&d,mrjynfhpkHaomae&mrsm;wGif Hib a&m*gykd; &SmazG

twnfjyK&efrvG,fulyg/ ykHrSeftm;jzifY ykd;uif;pifaomenf;vrf; (Aseptic

technique) jzifh&,lxm;aom aoG;? okdYr[kwf cg;½kd;jcifqD&nf (CSF) rS

yk d;arG;jrL&rnf/ 4if;prf;oyferlemrsm;ukd qDavsmfaom media

wGifxnfYvsuf tat;vrf;aMumif;rysufpepfwusokdavSmifí o,f,l

ykdYaqmif&ef vkdtyfygonf/ odkYrSom Hib a&m*gydk;&Sdygu taumifayguf

onfudkawGU&SdEdkifrnfjzpfygrnf/

2.6 ukojcif;2.6 ukojcif;2.6 ukojcif;2.6 ukojcif;2.6 ukojcif;

Hiba&m*gudkuko&mwGif y#dZD0aq;rsm;ESifYukoaomfvnf; aq;rwkd;

aom tajctaersm; (Antibiotics resistance) &SdEkdifygonf/ odkUjzpfaomaMumifh

a&m*grjzpfrD MudKwifíumuG,faq;xkd;jcif;onfom Hib a&m*gumuG,f&ef

taumif;qkH;enf;vrf; jzpfygonf/


Hib umuG,faq;yg0ifaomumuG,faq;yg0ifaomumuG,faq;yg0ifaomumuG,faq;yg0ifaomumuG,faq;yg0ifaom

ig;rsdK;pyfumuG,faq;ig;rsdK;pyfumuG,faq;ig;rsdK;pyfumuG,faq;ig;rsdK;pyfumuG,faq;ig;rsdK;pyfumuG,faq;

(Hib containing Pentavalentvaccine)

HibumuG,faq;udk umuG,faq;wpfrsdK;wnf;? okdYr[kwf tjcm;

umuG,faq;rsm;jzifY aygif;pyfxm;aomykHpHjzifYxkwfvkyfavY&Sdygonf/xdk

umuG,faq;xkd;ay;jcif;jzihf Haemophilus influenzae type b ul;pufrIrS

umuG,fEkdifygrnf/ tjcm;a&m*gykd;rsm;aMumifhjzpfaom tqkwfa&mifa&m*gESihf

OD;aESmuftajr§;a&mifa&m*grsm;ukdrl rumuG,fEdkifyg/

3.1 umuG,faq;xkwfvkyfrIykHpH3.1 umuG,faq;xkwfvkyfrIykHpH3.1 umuG,faq;xkwfvkyfrIykHpH3.1 umuG,faq;xkwfvkyfrIykHpH3.1 umuG,faq;xkwfvkyfrIykHpH

Hib umuG,faq;ukd t&nf? okdYr[kwf at;cJxm;aom tajcmuftrIefY

yHkpHjzifhvnf;aumif;? wpfrsdK;wnf;oD;oefY? okdYr[kwf aygif;pyf (DPT+ Hib? DPT+

HepB+ Hib) ykHpHrsm;jzifhvnf;aumif; xkwfvkyfMuygonf/

jrefrmEkdifiHumuG,faq;xkd;tpDtpOfwGiftokH;jyKrnfh Hib umuG,faq;

yg0ifaom Pentavalent umuG,faq;onf t&nfykHpHjzpfygonf/ qHkqdkY?

MuufnSm? ar;cdkif? tonf;a&miftom;0g(bD) ESifY Hib y#d"gwfig;rsdK;ukd

3

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○


wpfrsdK;wnf; aygif;pyfxm;aom a&m*gig;rsdK;umuG,faomaq;jzpfygonf/

qHkqdkY?MuufnSm?ar;cdkif? tonf;a&mif tom;0g(bD) ESifY Hib a&m*gydk;aMumifh

jzpfyGm; aoma&m*grsm;rS umuG,fEdkifygonf/

3.2 aq;yg0ifrIyrmP3.2 aq;yg0ifrIyrmP3.2 aq;yg0ifrIyrmP3.2 aq;yg0ifrIyrmP3.2 aq;yg0ifrIyrmP

Hib umuG,faq;yg0ifaom Pentavalent umuG,faq;udk ykvif;wpfvkH;

vQif uav; (10)OD; xdk;ESHEdkifaom q,fa,mufpm (10 doses) ykvif;jziYf

&&SdEdkifrnfjzpfygonf/

3.3 umuG,faq;\xkxnf3.3 umuG,faq;\xkxnf3.3 umuG,faq;\xkxnf3.3 umuG,faq;\xkxnf3.3 umuG,faq;\xkxnf

Pentavalent umuG,faq;ykvif; (10 doses) \ ae&m,laom xkxnf

yrmPrSm DPT umuG,faq; (10 doses) (odkUr[kwf) HepB umuG,faq;

(10 doses) rsm;\ xkxnfyrmPESihf twlwlavmufyifjzpfonf/ okdYjzpfí

t&nfykHpH Pentavalent umuG,faq;udk odkavSmifjzefYjzL;&eftwGuf tat;vrf;

aMumif;xdef;ypönf;rsm; xyfrHvkdtyfrI &Sdrnfr[kwfyg/

3.4 okdavSmifxm;&Sd&rnfhtylcsdef3.4 okdavSmifxm;&Sd&rnfhtylcsdef3.4 okdavSmifxm;&Sd&rnfhtylcsdef3.4 okdavSmifxm;&Sd&rnfhtylcsdef3.4 okdavSmifxm;&Sd&rnfhtylcsdef

Pentavalent umuG,faq;udk +2 rS +8º Celsius tylcsdefüodkavSmif

tokH;jyK&rnfjzpfonf/ Ice Lined Refrigerator \ jcif;awmif;rsm;xJwGif


okdavSmifxm;&Sd&rnf/ umuG,faq;onf at;cJvQifysufpD;wwfaomaMumifY

a&cJaowÅmrsm;\ eH&Hrsm;ESifhuyfNyD;xm;odkjcif;? a&cJaowÅmMurf;jyifwGif

xm;odkjcif; rjyKvkyf&yg/ umuG,faq;o,f,lykdYaqmifpOfat;cJjcif;rS umuG,f

&ef t&nfaysmfatmifjyKjyifxm;aoma&cJjym;rsm; (conditioned ice packs)

ukdtokH;jyK&rnf/a&cJtokH;jyK&aom a'orsm;wGifa&cJESifY wdkuf½dkufrxdawGU

ap&ef yvyfpwpfbl;rsm;wGifxnfYí o,faqmif&rnf/

3.5 umuG,faq;xkd;&rnfh touft&G,f3.5 umuG,faq;xkd;&rnfh touft&G,f3.5 umuG,faq;xkd;&rnfh touft&G,f3.5 umuG,faq;xkd;&rnfh touft&G,f3.5 umuG,faq;xkd;&rnfh touft&G,f

Hib yg0ifaom Pentavalent umuG,faq;ukd touf (6)ywfrS pwifxdk;

ay;EdkifNyD; touf(1)ESpfrjynfhrD pkpkaygif;(3)Budrf xkd;ay;NyD;jzpf&ygrnf/

3.6 umuG,faq;xkd;tpDtpOf3.6 umuG,faq;xkd;tpDtpOf3.6 umuG,faq;xkd;tpDtpOf3.6 umuG,faq;xkd;tpDtpOf3.6 umuG,faq;xkd;tpDtpOf

Pentavalent umuG,faq;ukd jrefrmEdkifiHumuG,faq;xdk;vkyfief;wGif

ajymif;vJusifhoHk;onfh umuG,faq;xdk;tpDtpOft& touf(2)vrSpwifí

toufwpfESpfrjynfhrD (2)vpDjcm;í pkpkaygif; (3) Budrfxkd;ay;&ygrnf/


Pentavalent umuG,faq;ESifYtwl OPV umuG,faq;wdkufauGs;ay;&rnf/

umuG,faq;xkd;tpDtpOfrSm atmufygtwkdif; jzpfygrnf/

vuf&SdumuG,faq;xdk;vuf&SdumuG,faq;xdk;vuf&SdumuG,faq;xdk;vuf&SdumuG,faq;xdk;vuf&SdumuG,faq;xdk; Pentavalent vaccine

tpDtpOftpDtpOftpDtpOftpDtpOftpDtpOf yg0ifxdk;ESHrnfhtpDtpOfyg0ifxdk;ESHrnfhtpDtpOfyg0ifxdk;ESHrnfhtpDtpOfyg0ifxdk;ESHrnfhtpDtpOfyg0ifxdk;ESHrnfhtpDtpOf

umuG,faq;umuG,faq;umuG,faq;umuG,faq;umuG,faq; tBudrftBudrftBudrftBudrftBudrf touftouftouftouftouf umuG,faq;umuG,faq;umuG,faq;umuG,faq;umuG,faq; tBudrftBudrftBudrftBudrftBudrf touftouftouftouftouf

tonf;a&mif arG;p* arG;p*

tom;0g(bD)

bDpD*sD** 6 ywf bDpD*sD** arG;p**^ (2)v

yxr 6 ywf Pentavalent yxr (2) v

'kwd, 10 ywf 'kwd, (4) v

wwd, 14 ywf wwd, (6) v

ydkvD,dk yxr 6 ywf ydkvD,dk yxr (2) v

'kwd, 10 ywf 'kwd, (4) v

wwd, 14 ywf wwd, (6) v

0ufouf yxr (9) v 0ufouf yxr (9) v

'kwd, (1)ESpfcGJ 'kwd, (1)ESpfcGJ

* arG;pqdkonfrSm- arG;NyD;(24)em&DtwGif;xdk;ESHay;jcif;onf taumif;qkH; jzpfjyD;

(7)&ufxd xdk;Edkifygonf /

** BCG umuG,faq;udk arG;pwGifrxdk;ESHEdkifygu touf(2)vrwdkifrDESifh

touf (2)vt&G,fwGif tjcm;umuG,faq;rsm;ESifhtwl xdk;ESHEdkifygonf/


Pentavalent vaccine pwifxdk;ESHay;jcif;pwifxdk;ESHay;jcif;pwifxdk;ESHay;jcif;pwifxdk;ESHay;jcif;pwifxdk;ESHay;jcif;

(2012)ckESpf? Edk0ifbmvwGif Pentavalent umuG,faq; pwifxdk;ESH

rnfjzpfonfhtwGuf Edk0ifbmv? yHkrSefumuG,faq;xdk;tpDtpOfwGif touf

(2)vjynfhNyD; aomuav;rsm;udk Pentavalent umuG,faq; First dose pwif

xdk;ESHygrnf/

(2012)ckESpf?Zlvdkifv(15)&ufaemufydkif;arG;zGm;í pufwifbmv

yHkrSefumuG,faq;xdk; tpDtpOfwGif First dose xdk;ESH&ef toufrjynfhao;

yHkrSefumuG,faq;xdk;^wdkufjcif;ESifh yHkrSefumuG,faq;xdk;^wdkuf&ef

toifhawmfqHk;touft&G,fwGif rxdk;^wdkufvdkuf&aomuav;rsm;twGufvrf;ñTef


aomuav;rsm;onf atmufwdkbmv yHkrSefumuG,faq;xdk;tpDtpOfwGif

touf(1)vcGJjynfhí DPT First dose xdk;ESHay;&rnfh uav;rsm;jzpfygonf/

xdkuav;tkyfpkudk atmufwdkbmvwGif DPT First dose xdk;ESHay;jcif; udk

qdkif;iHhxm;NyD; Edk0ifbmv? yHkrSefumuG,faq;xdk;tpDtpOfwGifrSom Pentavalent

umuG,faq; First dose udkpwifxdk;ESHay;rnfjzpfygonf/ odkUjzpfí atmufwdk

bmv yHkrSefumuG,faq;xkd;tpDpOfwGif DPT second dose ESifh DPT third dose

xdk;ES Hay;&rnfh uav;rsm;tm;vHk;om DPT umuG,faq; tBudrfjynfY

NyD;qkH;atmif xdk;ay;rnf/

Pentavalent umuG,faq; pwifxkd;ay;onfYEdk0ifbmvwGif DPT third

dose xdk;ESHay;&rnfhuav;rsm;tm; DPT umuG,faq;udkomtoHk;jyKí

tBudrfjynfY NyD;qkH;atmif xdk;ESHay;&rnf jzpfNyD; Pentavalent umuG,faq;jzifh

tpm;xdk;xkd;ESHjcif;rjyKyg/

3.7 wpfBudrfxdk;&rnfYaq;yrmPESifh aq;xdk;&rnfhvrf;aMumif;3.7 wpfBudrfxdk;&rnfYaq;yrmPESifh aq;xdk;&rnfhvrf;aMumif;3.7 wpfBudrfxdk;&rnfYaq;yrmPESifh aq;xdk;&rnfhvrf;aMumif;3.7 wpfBudrfxdk;&rnfYaq;yrmPESifh aq;xdk;&rnfhvrf;aMumif;3.7 wpfBudrfxdk;&rnfYaq;yrmPESifh aq;xdk;&rnfhvrf;aMumif;

Pentavalent umuG,faq; wpfBudrfxkd;&rnfhaq;yrmPrSm 0.5 ml

jzpfygonf/ umuG,faq;udk uav;i,f\aygif tv,fydkif;? ta&SUESifY ab;

wapmif;usaomae&m (Antero-lateral part of the mid thigh) wGif tom;aq;

(lntramuscular) tjzpfxdk;ay;rnf/ (DPT vaccine xdk;ESHay;&onfhenf;twdkif;jzpf

ygonf/)


3.8 umuG,faq;rsm;oHk;pGJEdkifrI3.8 umuG,faq;rsm;oHk;pGJEdkifrI3.8 umuG,faq;rsm;oHk;pGJEdkifrI3.8 umuG,faq;rsm;oHk;pGJEdkifrI3.8 umuG,faq;rsm;oHk;pGJEdkifrI

Pentavalent umuG,faq;rsm;udk xkwfvkyfaomukrÜPDrwlaomfvnf;

umuG,faq;xdk; tpDtpOf (3)MudrfwGif ajymif;vJtpm;xdk;toHk;jyKEdkifygonf/

tu,fí ykHrSefumuG,faq;xdk;tpDtpOfwGif Multi-dose vial policy

udk pwifusifUoHk;ygu atmufygtwdkif; usifhoHk;&ygrnf/

tyfpdkufoGif;yHk aq;xdk;ESHyHk

tom;aq;? ta&jym;xJESifh ta&jym;atmuf aygiftv,fydkif;ü ta&SUESifY

aq;xdk;ESHyHkrsm;uGmjcm;rSI ab;wapmif;usaom ae&mwGif

tom;aq;xdk;ESHyHk


3.93.93.93.93.9 (Multi-dose vial policy) toHk;jyKjcif;toHk;jyKjcif;toHk;jyKjcif;toHk;jyKjcif;toHk;jyKjcif;

Multi-dose vial policy udk Pentavalent umuG,faq;uJhodkU t&nfyHkpHjzifh

vmaom Liquid vaccine rsm;wGifom toHk;jyKEdkifygonf/

rzGifhazmuf&ao;aomumuG,faq;ykvif;twGufrzGifhazmuf&ao;aomumuG,faq;ykvif;twGufrzGifhazmuf&ao;aomumuG,faq;ykvif;twGufrzGifhazmuf&ao;aomumuG,faq;ykvif;twGufrzGifhazmuf&ao;aomumuG,faq;ykvif;twGuf

umuG,faq;xdk;^wdkufpk&yf (usef;rma&;Xme?uGif;qif;pk&yf)rsm;odkY

,laqmifoGm;aomfvnf; rzGifhazmufcJh&ao;aom umuG,faq;ykvif;

rsm;&Sdygu oD;oefYbl;rsm;wGifxnfhí ]]yxrOD;pGmtoHk;jyK&ef}}[k

pmwef;uyfxm;NyD; Nrd KUe,f^aus;vufusef;rma&;Xmersm;od kU

tat;vrf;aMumif;rysuf jyefvnftyfESH&rnfjzpfNyD; NrdKUe,f aus;vuf

usef;rma&;Xme? umuG,faq;tat;cef;wGif tylcsdef +2 pifwD*&dwf

rS +8 pifwD*&dwftwGif; odrf;qnf;&ygrnf/ aemufwpfBudrf jyKvkyf

rnfh umuG,faq;xdk;^wdkuftpDtpOfwGif tqdkygumuG,f aq;rsm;

udk yxrOD;pGm toHk;jyK&ygrnf/

zGifhazmufNyD;aomumuG,faq;ykvif;twGufzGifhazmufNyD;aomumuG,faq;ykvif;twGufzGifhazmufNyD;aomumuG,faq;ykvif;twGufzGifhazmufNyD;aomumuG,faq;ykvif;twGufzGifhazmufNyD;aomumuG,faq;ykvif;twGuf

umuG,faq;xdk;^wdkufpk&yf (usef;rma&;Xme?uGif;qif;pk&yf) rsm;odkY

,laqmifoGm;í zGifhazmufcJhNyD;aomfvnf; (10)OD;pmvHk;roHk;pGJ&ao;

aom umuG,faq;ykvif;rsm;&Sddygu rnfrQyif usef&Sdaeygap oD;oefYbl;

rsm;wGif xnfhí ]]yxrOD;pGmtoHk;jyK&ef}}[k pmwef;uyfxm;NyD; NrdKUe,f

aus;vufusef;rma&;Xmersm;odkU tat;vrf;aMumif;rysuf jyefvnf

tyfESH&rnf jzpfNyD; NrdKUe,f aus;vufusef;rma&;Xme? umuG,faq;


tat;cef;wGif tylcsdef +2 pifwD*&dwfrS +8 pifwD*&dwftwGif;

odrf;qnf;&ygrnf/ atmufygtcsuftvufrsm;ESifh jynfhpHkygu tqdkyg

umuG,faq;rsm;udk NrdKUe,f aus;vufusef;rma&;Xme? umuG,faq;

tat;cef;rS jyefvnfvufcHodrf; qnf;ay;Edkifjcif;? aemuf wpfBudrfjyK

vkyfrnfhumuG,faq;xdk;^wdkuftpDtpOfwGif yxrOD;pGm toHk;jyKjcif;

rsm; jyKvkyf&ygrnf/

- umuG,faq;ykvif;pwifzGifhazmufonfh&ufrS &ufowåywf (4)ywf

xuf rausmfvGef&ao;yg/

- umuG,faq;ykvif;ay:wGif yg&Sdaomoufwef;vGef&ufrausmfvGef

&ao;yg/

- tylcsdef +2 H pifwD*&dwf rS +8 H pifwD*&dwftwGif; odrf;qnf;

xm;cJhaMumif; aocsm&rnf/

- umuG,faq;ykvif;\&mbmtzHk;onf a&wGifarsmía&ESifhrxd

awGUae ap&yg/

- ydk;uif;pifaomenf;vrf; (Aseptic technique) jzihf aq;pkyf,l

toHk;jyKaom ykvif;jzpfaMumif; aocsm&rnf/

- zwfom;Edkifaom VVM yg&Sd&rnfjzpfNyD; VVM onf tqifh (1)ESifh

(2)xuf rausmfvGef&yg/

tyl½SdefxdawGUrI½SdcJhNyD; VVM trSwftom; ajymif;vJpjyKNyD;jzpfaom

umuG,faq;ykvif;rsm;udk ]]yxrOD;pGmtoHk;jyK&ef}}[k pmweff;uyfxm;

aombl;xJwGifxm;í 4if;umuG,faq;rsm;udk aemufwpfMudrf aqmif


½Guf&rnfh umuG,faq;xdk;^wdkuf tpDtpOfwGif yxrOD;pGm toHk;jyK

oGm;&efjzpfygonf/

AGDAGDtrf trSwftom;udkzwfíoHk;oyfjcif;AGDAGDtrf trSwftom;udkzwfíoHk;oyfjcif;AGDAGDtrf trSwftom;udkzwfíoHk;oyfjcif;AGDAGDtrf trSwftom;udkzwfíoHk;oyfjcif;AGDAGDtrf trSwftom;udkzwfíoHk;oyfjcif;

umuG,faq;ykvif;ay:½SdtylxdawGYrIyrmP pdppfonfhtrSwftom;udk

atmufygtwdkif; jyoygrnf/


3.103.103.103.103.10 umuG,faq;xkd;ESHNyD; aemufqufwGJjzpfay:aomumuG,faq;xkd;ESHNyD; aemufqufwGJjzpfay:aomumuG,faq;xkd;ESHNyD; aemufqufwGJjzpfay:aomumuG,faq;xkd;ESHNyD; aemufqufwGJjzpfay:aomumuG,faq;xkd;ESHNyD; aemufqufwGJjzpfay:aom

usef;rma&;jyóemrsm;usef;rma&;jyóemrsm;usef;rma&;jyóemrsm;usef;rma&;jyóemrsm;usef;rma&;jyóemrsm; (AEFI)

Hib umuG,faq;xdk;NyD;aemuf aemufqufwGJjzpfay:aomusef;rma&;

jyóemrsm; jyif;xefpGm rjzpfyGm;wwfyg/ odkY&mwGif umuG,faq;xdk;onfh

ae&mwGif eDjcif;? a&mifjcif;? emjcif;rsm;udk aq;xkd;NyD;uav;rsm;\ 10%

wGifawGU&SdEdkifNyD; xdkvu©Pmrsm;onf umuG,faq;xdk;NyD;aemuf wpf&uf twGif;

pwifavY½SdNyD; (3)&ufcefUtxdMumwwfygonf/ wpfcgwpf&HwGif zsm;jcif;?

rtDromjzpfjcif;rsm; jzpfwwfonf/ oufqdkif&m usef;rma&; 0efxrf; rsm;tm;

uRrf;usifpGmukoEdkif&ef oifMum;ay;yg/ txufqifhqifhodk h tBuHÓPf

awmif;cHyg/

Pentavalent umuG,faq; pwifxdk;ESHaomtcsdefonf umuG,faq;

topfudk ydkrdkowdjyK rdonfhtcsdefjzpfaomaMumifh AEFI owif;ay;ydkYrI ydkrdk

rsm;jym;vmEdkifygonf/ yHkrSefumuG,faq;xkd;NyD;aemufqufwGJjzpfay:aom

usef;rma&;jyóemrsm;apmifYMuyfMunfY&Sjcif; (Routine AEFI surveillance)?

owif;ay;ydkUjcif;ESifh wkUHjyefaqmif&Gufjcif;vkyfief;rsm;twdkif; aqmif&Guf&yg rnf/

Nature of Adverse event Description Rate/doses

Mild Local reactionsInjection site reactions 1 per 10

SystemicFever 1 per 50

Severe None

Hib umuG,faq;xdk;ESHNyD;aemufumuG,faq;xdk;ESHNyD;aemufumuG,faq;xdk;ESHNyD;aemufumuG,faq;xdk;ESHNyD;aemufumuG,faq;xdk;ESHNyD;aemuf

aemufqufwGJjzpfay:wwfaomusef;rma&;jyóemrsm;aemufqufwGJjzpfay:wwfaomusef;rma&;jyóemrsm;aemufqufwGJjzpfay:wwfaomusef;rma&;jyóemrsm;aemufqufwGJjzpfay:wwfaomusef;rma&;jyóemrsm;aemufqufwGJjzpfay:wwfaomusef;rma&;jyóemrsm;


xdkUtjyif umuG,faq;rxdk;rDuav;\usef;rma&;&mZ0ifudkar;jcif;? um

uG,faq;xdk;ESHrnfh uav;tm;usef;rma&;ppfaq;jcif;? vkdtyfygu q&m0efESifh

jyowdkifyifjcif; ponfwdkUtm; aqmif&Gufí tEÅ&m,fuif;aom aq;xdk;ESHrIjzifh

tav;xm; aqmif&Guf&ygrnf/

umuG,faq;rxdk;ay;&rnfhtajctae umuG,faq;rxdk;ay;&rnfhtajctae umuG,faq;rxdk;ay;&rnfhtajctae umuG,faq;rxdk;ay;&rnfhtajctae umuG,faq;rxdk;ay;&rnfhtajctae (Contraindications)

Pentavalent umuG,faq;xdk;ay;&ef roifYonfUtajctaeESpfrsKd;&Sdygonf/

(1)(1)(1)(1)(1) aq;rwnfhjcif; aq;rwnfhjcif; aq;rwnfhjcif; aq;rwnfhjcif; aq;rwnfhjcif; (Absolute contraindication)

umuG,faq;wGifyg0ifaomypönf;wpfckckudk "mwfrwnfhjcif;onf tvGef

jzpfcJaomfvnf; &Sm;yg;pGmjzpfEdkifygonf/ ,cifwpfMudrf Pentavalent

umuG,faq;xdk;NyD; "mwfrwnfhjcif;(Hypersensitivity) jzpfcJhvQif

Pentavalent umuG,faq;udk aemufwpfBudrfxdk;ESHray;oifhawmhyg/

(2)(2)(2)(2)(2) toifhtwifhrS jyif;xefaomvwfwavma&m*gwpfck jzpfyGm;toifhtwifhrS jyif;xefaomvwfwavma&m*gwpfck jzpfyGm;toifhtwifhrS jyif;xefaomvwfwavma&m*gwpfck jzpfyGm;toifhtwifhrS jyif;xefaomvwfwavma&m*gwpfck jzpfyGm;toifhtwifhrS jyif;xefaomvwfwavma&m*gwpfck jzpfyGm;

aeolrsm; aeolrsm; aeolrsm; aeolrsm; aeolrsm; (((((Temporary contraindication)

toifhtwifhrS jyif;xefaomvwfwavma&m*gwpfck jzpfyGm;ae

onfh uav;i,frsm;tm; Pentavalent umuG,faq;xdk; ray;oifh

ao;yg/ a&m*goufomonftxd apmifhyg/ omrefESmap;? acsmif;

qdk;jzpfaomuav;rsm;udk aq;xdk;ay;Edkifygonf/

3.113.113.113.113.11 umuG,faq;xdk;ESHNyD;umuG,faq;xdk;ESHNyD;umuG,faq;xdk;ESHNyD;umuG,faq;xdk;ESHNyD;umuG,faq;xdk;ESHNyD; Hib a&m*gydk;tm;a&m*gydk;tm;a&m*gydk;tm;a&m*gydk;tm;a&m*gydk;tm;

ckcHEdkifpGrf;tm;jzpfay:rIckcHEdkifpGrf;tm;jzpfay:rIckcHEdkifpGrf;tm;jzpfay:rIckcHEdkifpGrf;tm;jzpfay:rIckcHEdkifpGrf;tm;jzpfay:rI

Hib yg0ifaom Pentavalent umuG,faq;onf tEÅ&m,fuif;NyD;

xda&mufrI&Sdygonf/ owfrSwfxm;onfhtwdkif; umuG,faq;tBudrfjynfh


xdk;ESHNyD;ygu Hib a&m*gydk;aMumifh a&m*gjzpfyGm;rIudk (85)&mcdkifEIef;rS

(95)&mcdkifEIef;txd umuG,frIay;ygonf/ umuG,faq;xdk;ESHxm;NyD;aom

uav;rsm;wGif a&m*gydk;o,faqmifonfhEIef;avQmhusoGm;aomaMumifh

tjcm;olrsm;odkUa&m*gul;pufysHUESHUrIudk ododomomavsmhenf;apNyD; a&m*g

jzpfyGm;rIEIef; usqif;apygrnf/ odkUjzpfaomaMumifh vltrsm;pkwGif umuG,f

rI&oGm;apaom tusKd;&&SdEdkifygonf/

3.12 umuG,faq;xdk;NyD; a&m*grS a&&SnfumuG,frIESifh3.12 umuG,faq;xdk;NyD; a&m*grS a&&SnfumuG,frIESifh3.12 umuG,faq;xdk;NyD; a&m*grS a&&SnfumuG,frIESifh3.12 umuG,faq;xdk;NyD; a&m*grS a&&SnfumuG,frIESifh3.12 umuG,faq;xdk;NyD; a&m*grS a&&SnfumuG,frIESifh

Booster dose xdk;ESHjcif;xdk;ESHjcif;xdk;ESHjcif;xdk;ESHjcif;xdk;ESHjcif;

a,bk,stm;jzifh Hib umuG,faq;onf tenf;qHk; (15) ESpf umuG,frI

ay;Edkifygonf/ avhvmcsufrsm;t& wpfoufwmvHk;umuG,fEdkif aMumif;vnf;

awGU&Sd&ygonf/ Booster dose xyfrHxdk;ESH&ef rvdktyfyg/

3.13 tonf;a&miftom;0g (bD) umuG,faq;3.13 tonf;a&miftom;0g (bD) umuG,faq;3.13 tonf;a&miftom;0g (bD) umuG,faq;3.13 tonf;a&miftom;0g (bD) umuG,faq;3.13 tonf;a&miftom;0g (bD) umuG,faq;

arG;pwpfBudrfqufvufxdk;ESHjcif;arG;pwpfBudrfqufvufxdk;ESHjcif;arG;pwpfBudrfqufvufxdk;ESHjcif;arG;pwpfBudrfqufvufxdk;ESHjcif;arG;pwpfBudrfqufvufxdk;ESHjcif;

tonf;a&miftom;0g (bD) umuG,faq; arG;pwpfBudrfxdk;ESHjcif;udk

qufvufaqmif&Gufrnf jzpfí tonf;a&miftom;0g (bD) umuG,faq;

yg0ifaom Pentavalent umuG,faq; tBudrfjynfhxdk;ESHay;jcif;jzifh tonf;a&mif

tom;0g (bD) umuG,faq;udk (3)Budrf&&Sdrnfjzpfaomfvnf; birth dose

(1)Budrf&&SdNyD;aom uav;rsm;wGif pkpkaygif; (4)Budrf &&Sdrnfjzpf ygonf/


yHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGifyHkrSefumuG,faq;xdk;tpDtpOfwGif Hibyg0ifaom yg0ifaom yg0ifaom yg0ifaom yg0ifaom Pentavalent umuG,faq;umuG,faq;umuG,faq;umuG,faq;umuG,faq;

xnfhoGif;xdk;ESH&mwGifaqmif&Guf&rnfhxnfhoGif;xdk;ESH&mwGifaqmif&Guf&rnfhxnfhoGif;xdk;ESH&mwGifaqmif&Guf&rnfhxnfhoGif;xdk;ESH&mwGifaqmif&Guf&rnfhxnfhoGif;xdk;ESH&mwGifaqmif&Guf&rnfh

vkyfief;tqifhqifhvkyfief;tqifhqifhvkyfief;tqifhqifhvkyfief;tqifhqifhvkyfief;tqifhqifh

yHkrSefumuG,faq;xdk;tpDtpOfwGif Hib yg0ifaom Pentavalent vaccine

atmifjrifpGmxnfhoGif;xdk;ESHEdkif&eftwGuf usef;rma&;XmetqifhqifhwGif pDrH csuf

pepfwusa&;qGJaqmif½Guf&ef vdktyfygonf/ A[dktqifhrS atmuf tqifhqifhodkU

ñ Te f Mum;c su fE Si f htnD aus;vufuse f ;rma&;Xmec G J ? aus;vuf

usef;rma&;Xmersm;rS tqifhqifha&;qGJxm;aom tEkpdwfpDrHcsufrsm;udk NrdKUe,f

usef;rma&;Xmersm;rS aygif;pnf;a&;qGJ&rnfjzpfygonf/ xkdodkUa&;qGJ&mwGif

NrdKUe,fusef;rma&;Xmeonf atmufajctqifhqifh\ umuG,faq;? umuG,f

aq;xkd;vkyfief;oHk;ypönf;vdktyfcsufrsm;ESifh tjcm;ukefusp&dwfrsm;udk twd tus

cefYrSef;a&;qGJ&ygrnf/,if;tcsuftvufrsm;udk pkpnf;NyD; txuftqifh qifhodkY

ay;ydkYMu&rnf/

pDrHcsufudkumuG,faq;topfpwifxdk;ay;rnfhtcsdefrwdkifrD tenf;qHk;

(1)v BudKwif jyifqif a&;qGJMu&ef vdktyfygonf/

4

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○


Pentavalent umuG,faq;xdk;ESHjcif;vkyfief;rsm; jyifqifaqmif&Gufjcif;

jzifh yHkrSefumuG,faq;xdk;vkyfief;rsm;ykdrdkwdk;wufap&eftwGuf tm;jznfh

aqmif½Guf&ma&mufygonf/

4.14.14.14.14.1 NrdKUe,ftqifhaqmif&Guf&rnfhvkyfief;rsm;NrdKUe,ftqifhaqmif&Guf&rnfhvkyfief;rsm;NrdKUe,ftqifhaqmif&Guf&rnfhvkyfief;rsm;NrdKUe,ftqifhaqmif&Guf&rnfhvkyfief;rsm;NrdKUe,ftqifhaqmif&Guf&rnfhvkyfief;rsm;

usef;rma&;Xmetqifhwdkif;wGifowfrSwfxm;aomyHkpHrsm;toHk;jyKí

tEkpdwfpDrHcsufrsm; jyifqifa&;qGJjcif;?

usef;rma&;Xmetqifhwdkif;wGifumuG,faq;ESifh aq;xdk;vkyfief;

oHk;ypönf; vdktyfcsufrsm; wGufcsufcefYrSef;jcif;?

usef;rma&;XmetqifhqifhwGif tat;vrf;aMumif;xdef;odrf;aom

ypönf;rsm;&&SdrIESifh vHkavmufrItajctaersm; qef;ppfjcif;?

vdktyfaomumuG,faq;rsm;ESifh aq;xdk;vkyfief;oHk;ypönf;rsm; tcsdefrD

rSm,ljcif;? jzefYa0jcif;?

A[dkrSay;ydkUxm;aomowif;ydkYyHkpH?rSwfyHkwifpmtkyf? umuG,faq;xkd;

rSwfwrf;uwfjym;rsm;? yHkpHrsm; jzefYjzL;jcif;?

umuG,faq;topf pwifxnfhoGif;jcif;ESifYywfoufjyD; today;&Sif;

vif;jcif;ESifh vlxkpnf;½Hk; vIHUaqmfa&;vkyfief;rsm; aqmif&Gufjcif;?

tajccHusef;rma&;0efxrf;rsm;tm;oifwef;ay;jcif;/

yhHydk;BuD;Muyfjcif;ESifh pOfqufrjywfapmifUMunfhjcif;? vkyfief;qef;ppfjcif;

qdkif&m tpDtpOfrsm; a&;qGJowfrSwfjcif;/


4.24.24.24.24.2 wdkif;a'oBuD;^jynfe,ftqifhwdkif;a'oBuD;^jynfe,ftqifhwdkif;a'oBuD;^jynfe,ftqifhwdkif;a'oBuD;^jynfe,ftqifhwdkif;a'oBuD;^jynfe,ftqifh

aqmif&Guf&rnfhvkyfief;rsm;aqmif&Guf&rnfhvkyfief;rsm;aqmif&Guf&rnfhvkyfief;rsm;aqmif&Guf&rnfhvkyfief;rsm;aqmif&Guf&rnfhvkyfief;rsm;

ESD;EG,faomXmeqdkif&mtoD;oD;ESifh vlrIa&;tzGJUtpnf;rsm;? tpdk;&

r[kwfaom tzGJUtpnf;rsm;\ yHhydk;ulnDyg0ifaqmif&GufEdkifrnfhvkyfief;

rsm;udk azmfxkwfaom today;aqG;aEG;yGJ (Advocacy meeting) rsm;

usif;yjcif;?

jynfolvlxktm;ynmay;jcif;ESifh pnf;½Hk;vIHUaqmfjcif;?

NrdKUe,ftqifhq&m0efrsm;?tajccHusef;rma&;0efxrf;rsm;tm; oifwef;

ydkYcs&ef tpDtpOf jyifqifa&;qGJjcif;ESifh oifwef;ay;jcif;?

oifMum;rItaxmuftuljyKypönf;rsm;? vkyfief;vrf;ñTefrsm;vdktyfcsuf

cefUrSef;wGufcsufjcif;? A[dkodkUwifjyawmif;cHjcif;?

owif;ydkYyHkpHrsm;? umuG,faq;xdk;rSwfwrf;uwf? rSwfyHkwifpmtkyfESifh

tjcm;yHkpHrsm; jyifqifjcif;? yHkpHrsm;jzefYa0jcif;?

NrdKUe,ftqifhrSwifjyawmif;cHvmaom umuG,faq;ESifh aq;xdk;

vkyfief;oHk;ypönf;rsm;? tjcm;taxmuftyYHypönf;rsm; tcsdefrD&&SdEdkif&ef

rSmMum;jcif;ESifh qufvufjzefUjzL;jcif;?


4.34.34.34.34.3 Pentavalent umuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGifumuG,faq; xnfhoGif;xdk;ESH&mwGif

aqmif&Guf&rnfhvkyfief;pOfrsm;aqmif&Guf&rnfhvkyfief;pOfrsm;aqmif&Guf&rnfhvkyfief;pOfrsm;aqmif&Guf&rnfhvkyfief;pOfrsm;aqmif&Guf&rnfhvkyfief;pOfrsm;

4.3.1 umuG,faq;ESifhaq;xdk;vkyfief;oHk;ypönf;rsm; vdktyfrIcefYrSef;4.3.1 umuG,faq;ESifhaq;xdk;vkyfief;oHk;ypönf;rsm; vdktyfrIcefYrSef;4.3.1 umuG,faq;ESifhaq;xdk;vkyfief;oHk;ypönf;rsm; vdktyfrIcefYrSef;4.3.1 umuG,faq;ESifhaq;xdk;vkyfief;oHk;ypönf;rsm; vdktyfrIcefYrSef;4.3.1 umuG,faq;ESifhaq;xdk;vkyfief;oHk;ypönf;rsm; vdktyfrIcefYrSef;

wGufcsufjcif;/wGufcsufjcif;/wGufcsufjcif;/wGufcsufjcif;/wGufcsufjcif;/

wdk;csJUumuG,faq;xdk;vkyfief;wGif vuf&SdtoHk;jyKvsuf&Sdaom DPT

umuG,faq;ESifh tonf;a&miftom;0gbDumuG,faq;rsm;tpm; Pentavalent

umuG,faq;udk ajymif;vJwGufcsufawmif;cH&ef jzpfonf/ &nfrSef;uav; wdkif;udk

Pentavalent umuG,faq; (3)Budrfay;&ef vdktyfrnf/ umuG,faq;

avvGiYfrIEIef;udk (25)&mcdkifEIef; pHjyKowfrSwfNyD; t&efaq;vdktyfcsufudk

wpfESpfpmpkpkaygif;vdktyfcsuf\ (25)&mcdkifEIef;xm;&Sdygu ESpfpOfumuG,faq;

vdktyfrIudk atmufygtwdkif; wGufcsufEdkifygonf/

= &nfrSef;uav;OD;a& _ 3 Budrf _ 1.33 _ 1.25

umuG,faq;avvGiYfrIEIef; (25)&mcdkifEIef;\ajrmufaz:udef;= 1.33

t&efaq;vdktyfcsuf (wpfESpfpm pkpkaygif;vdktyfcsuf\ (25)&mcdkifEIef;)

ajrmufaz:udef; = 1.25

vuf½SdyHkrSefumuG,faq;xdk;tpDtpOft& DPT umuG,faq;ESifh

tonf;a&mif tom;0gbDumuG,faq;rsm;twGuf AD syringe oD;jcm;pD

ESpfpOfumuG,faq;

vdktyfcsuf


vdktyfaomfvnf; Pentavalent umuG,faq;twGuf AD syringe (1)acsmif;pD

om vdktyfaomaMumifh vdktyfcsufxuf0ufavsmhenf;oGm;rnf/

usef;rma&;XmetoD;oD;wGif &nfrSef;uav;tm;vHk;tm; umuG,f

aq; xdk;ay;Edkif&efvdktyfrnfh umuG,faq;xdk;vkyfief;oHk;ypönf;rsm;ESifh

tat;vrf;aMumif; xdef;odrf;a&;ypönf;rsm;\ ta&twGufudk BudKwif

cefYrSef;&rnf/ usef;rma&;Xme tqifhqifhwdkif;onf umuG,faq;ESifh

aq;xdk;vkyfief;oHk;ypönf;vufusefpm&if;udk pOfqufrjywfpdppfavhvm&ef

vdktyfNyD; xyfrHrSm,lrnfhtcsdefumvudk od&Sd qef;ppfEdkif&ygrnf/

odkU&mwGif Pentavalent umuG,faq;pwifxdk;ESHrnfh (2012)ckESpf?

Edk0ifbmvtwGuf Pentavalent umuG,faq;vkdtyfcsufwGufcsuf&mwGif

,cif DPT umuG,faq;vdktyfcsuftwdkif; awmif;cHjcif;rjyK&ef vkdtyf

onf/ cefUrSef;wGufcsuf&mwGif tcef; (3) Pentavalent umuG,faq;pwif

xdk;ESHay;jcif; tydk'fwGifazmfjyxm;onfh &nfrSef;uav;rsm;udk Penta1 xkd;ESH

&efvdktyfonfhtwdkif;om wGufcsufawmif;cH&rnf/

4.3.24.3.24.3.24.3.24.3.2 aq;avvGifhrIEIef;ESifh t&efaq;odkavSmifrIyrmP aq;avvGifhrIEIef;ESifh t&efaq;odkavSmifrIyrmP aq;avvGifhrIEIef;ESifh t&efaq;odkavSmifrIyrmP aq;avvGifhrIEIef;ESifh t&efaq;odkavSmifrIyrmP aq;avvGifhrIEIef;ESifh t&efaq;odkavSmifrIyrmP

Pentavalent umuG,faq;twGuf trsm;qHk;vufcHEdkifaomavvGifhrIEIef;rSm (25)

&mcdkifEIef;jzpfygonf/umuG,faq;jywfvyfjcif;r&Sdap&ef vHkavmufaom

aq;t&efokdavSmif xm;&Sd&rnf/ ESpfpOfvdktyfcsuf\ (25)&mcdkifEIef;udk

t&efaq;odkavSmifaom aq;yrmPtjzpf owfrSwfonf/


4.44.44.44.44.4 vufusefvufusefvufusefvufusefvufusef DPT umuG,faq;rsm;udk pDrHcefYcGJjcif;umuG,faq;rsm;udk pDrHcefYcGJjcif;umuG,faq;rsm;udk pDrHcefYcGJjcif;umuG,faq;rsm;udk pDrHcefYcGJjcif;umuG,faq;rsm;udk pDrHcefYcGJjcif;

Pentavalent umuG,faq; pwifxdk;ay;rnfhtcsdeftay: rlwnfygonf/

(2012)ckESpf? Edk0ifbmv Pentavalent umuG,faq;pwifxdk;ESHcsdefwGif

(2012)ckESpf?pufwifbmvwGif DPT1 xdk;ESHí atmufwdkbmvwGif DPT2

xdk;ESHcJhaomuav;rsm;udk umuG,faq;xdk; tpDtpOftwdkif; NyD;pD;ap&ef DPT3

xdk;ay;rnf/ odkUjzpfaomaMumifh Edk0ifbmvtwGuf DPT vaccine vdktyfcsufudk

DPT3 twGufom wGufcsufawmif;cH&rnfjzpfonf/

4.54.54.54.54.5 tat;vrf;aMumif;xdef;odrf;&efvdktyfaomtat;vrf;aMumif;xdef;odrf;&efvdktyfaomtat;vrf;aMumif;xdef;odrf;&efvdktyfaomtat;vrf;aMumif;xdef;odrf;&efvdktyfaomtat;vrf;aMumif;xdef;odrf;&efvdktyfaom

ae&myrmPcefYrSef;jcif;? pDrHcefYcGJjcif;ae&myrmPcefYrSef;jcif;? pDrHcefYcGJjcif;ae&myrmPcefYrSef;jcif;? pDrHcefYcGJjcif;ae&myrmPcefYrSef;jcif;? pDrHcefYcGJjcif;ae&myrmPcefYrSef;jcif;? pDrHcefYcGJjcif;

DPT umuG,faq;ESifh tonf;a&miftom;0gumuG,faq;ESpfrsdK;udk

Pentavalent umuG,faq;wpfrsdK;ESifh tpm;xdk;rnf&mwGif tat;vrf;aMumif;

ae&mxkxnfyrmP xyfrHvdktyfrI&Sdrnfr[kwfyg/

4.64.64.64.64.6 rSwfwrf;yHkpHrsm;? owif;ydkYyHkpHrsm;jyifqifjcif;rSwfwrf;yHkpHrsm;? owif;ydkYyHkpHrsm;jyifqifjcif;rSwfwrf;yHkpHrsm;? owif;ydkYyHkpHrsm;jyifqifjcif;rSwfwrf;yHkpHrsm;? owif;ydkYyHkpHrsm;jyifqifjcif;rSwfwrf;yHkpHrsm;? owif;ydkYyHkpHrsm;jyifqifjcif;

Pentavalent umuG,faq;pwifxdk;ay;jcif;aMumifh pDrHcsufajymif;vJrIESifY

vdkufavsm nDaxG&Sdap&eff rSwfwrf;yHkpHrsm;? owif;ydkYyHkpHrsm; jyifqif&efvdktyfyg

onf/ jyKjyif&ef vdktyfonfh yHkpHrsm;rSm umuG,faq;t0iftxGufpm&if;yHkpHrsm;?

rSwfykHwifpmtkyfrsm;? umuG,faq;xdk; rSwfwrf;uwfjym;rsm;? vpOftpD&ifcHpm

yHkpHrsm;? vTrf;NcHKrIpdppfZ,m;? BuD;Muyfppfaq;jcif;yHkpHrsm; ESifh vkyfief;qef;ppfyHkpH

rsm;jzpfonf/ 4if;yHkpHrsm;udk Pentavalent umuG,faq; pwifrxdk;ESHrD jyifqif

xm;&SdNyD;? BudKwifjzefYa0xm;&ygrnf/


4.74.74.74.74.7 ynmay;ypönf;rsm;udk jyefvnfjyifqifjcif; ynmay;ypönf;rsm;udk jyefvnfjyifqifjcif; ynmay;ypönf;rsm;udk jyefvnfjyifqifjcif; ynmay;ypönf;rsm;udk jyefvnfjyifqifjcif; ynmay;ypönf;rsm;udk jyefvnfjyifqifjcif;

jynfolvlxktm; umuG,faq;ESifhywfoufonfh today;vkdaom

owif;? tcsuftvufrsm;udk jyefvnfjyifqifNyD;tcsdefrDjzef Ya0&rnf/

jyifqifxm;onfh ynmay;ypönf;rsm;rSm umuG,faq;xdk;tpDtpOfZ,m;?

ydkpwm? ajrpdkufaMumfjimbkwf? umuG,faq;xdk;rSwfwrf;uwfjym;? rdbrsm;

twGuf vufurf;pmapmif? oifMum;rItaxmuftulypönf;rsm;? vrf;ñTef

pmtkyfrsm; jzpfygonf/

4.84.84.84.84.8 tajccHusef;rma&;0efxrf;rsm;tm; oifwef;ay;jcif;tajccHusef;rma&;0efxrf;rsm;tm; oifwef;ay;jcif;tajccHusef;rma&;0efxrf;rsm;tm; oifwef;ay;jcif;tajccHusef;rma&;0efxrf;rsm;tm; oifwef;ay;jcif;tajccHusef;rma&;0efxrf;rsm;tm; oifwef;ay;jcif;

Pentavalent umuG,faq;xdk;ESHjcif;vkyfief; atmifEdkif&eftwGuf

usef;rma&;0efxrf; tqifhqifhtm; pepfwusoifwef;ay;jcif;ESifh 4if;wdkU

wuf<upGmyg0ifaqmif&Gufjcif;rsm; vdktyfygonf/ usef;rma&;0efxrf;rsm;onf

umuG,faq;rsm;udk pepfwusudkifwG,fjcif;? xdk;ESHay;jcif;rsm;wGif wm0ef,l

aqmif&GufMu&onfhtjyif rdbrsm;ESihfjynfolvlxktwGuf owif;jzefYjzL;ay;&m

wGifvnf; t"duaqmif½Guf&onfholrsm;jzpfygonf/ Pentavalent umuG,faq;

pwiftoHk;jyKxdk;ESHay;&mwGif tajccHusef;rma&;0efxrf;rsm;tm; oifwef;ay;

jcif;onf tvdktyfqHk;vkyfief;wpfckjzpfygonf/

oifwef;ay;&rnfh0efxrf;rsm;rSmNrdKUe,fusef;rma&;OD;pD;XmerSL;rsm;?

tat;vrf;aMumif; wm0efcHrsm;? BuD;Muyfolrsm;? pm&if;Z,m;xdef;odrf;olrsm;?

tajccHusef;rma&;0efxrf;rsm; jzpfMuygonf/


4.8.14.8.14.8.14.8.14.8.1 oifwef;ydkYcsjcif;enf;vrf;oifwef;ydkYcsjcif;enf;vrf;oifwef;ydkYcsjcif;enf;vrf;oifwef;ydkYcsjcif;enf;vrf;oifwef;ydkYcsjcif;enf;vrf;

A[dktqifhwGifwdkif;a'oBuD;ESifY jynfe,fusef;rma&;OD;pD;XmerSL;rsm;?

'kwd, wdkif;a'oBuD;^jynfe,fusef;rma&;OD;pD;XmerSL;rsm;? NrdKUe,fusef;rma&;

t&m&Sdrsm;? txl; a&m*gESdrfESif;a&;tzGJUacgif;aqmifq&m0efrsm;tm;

oifwef;(1)&uf ay;&rnf/ wdkif;a'oBuD;^jynfe,ftqifh oifwef;q&mrsm;

onf NrdKUe,fusef;rma&;OD;pD;XmerSL;rsm;? NrdKUe,fusef;rma&;Xme oifwef;q&m

rsm;tm; qifhyGm;oifwef; (1)&uf ydkYcs&rnf/ NrdKUe,fusef;rma&;XmerS oifwef;

q&mrsm;onftajccHusef;rma&;0efxrf;rsm;tm; Pentavalent umuG,faq;

xdk;ESHjcif;vkyfief;ESifh ywfoufíoifwef;ay;rnf/

uav;txl;ukq&m0efrsm;?taxGaxGa&m*gukq&m0efrsm;udkvnf;

oifwef;ydkUcs&efvdktyfrnfjzpfNyD; xdkodkUoifwef;ydkUcs&mwGif TMO Guidelines udk

oifwef; taxmuftultjzpftoHk;jyK&efjzpfonf/ xdkUtjyif rMumcP

ar;avh&Sdaom ar;cGef;rsm;udkajzMum;&eftwGuf BudKwifjyifqifxm;&rnf/

4.8.24.8.24.8.24.8.24.8.2 oifwef;wGif yg0ifrnfhtaMumif;t&mrsm;oifwef;wGif yg0ifrnfhtaMumif;t&mrsm;oifwef;wGif yg0ifrnfhtaMumif;t&mrsm;oifwef;wGif yg0ifrnfhtaMumif;t&mrsm;oifwef;wGif yg0ifrnfhtaMumif;t&mrsm;

oifwef;wGif Hiba&m*gydk;aMumifh jzpfyGm;aoma&m*grsm;? Pentavalent

umuG,faq;ESifh pDrHcsufqdkif&mvkyfief;rsm;yg0ifrnfjzpfNyD; t"duacgif;pOfrsm;

rSm atmufygtwdkif; jzpfygonf/

Haemoplilus influenzae bufwD;&D;,m;trsKd;tpm;rsm;?

Hib bufwD;&D;,m;ydk;aMumifh jzpfyGm;aoma&m*grsm;ESifh ul;pufyHk?

wpfESpfatmufuav;rsm;umuG,faq;xdk;&ef ta&;BuD;yHk?


Pentavalent umuG,faq; taMumif;ESifh umuG,faq;xdk;tpDtpOf?

Pentavalent umuG,faq;ESifh aq;xdk;vkyfief;oHk;ypönf;rsm;wGuf

csufjcif;? pDrHcefYcGJjcif;?

Pentavalent umuG,faq;xdk;ESHjcif;?

tEÅ&m,fuif;pGmumuG,faq;xdk;ESHay;jcif;ESifh tEÅ&m,fuif;pGm

pGefYypfjcif;

umuG,faq;xdk;NyD;aemufqufwGJjzpfay:aom usef;rma&;jyóemrsm;

apmifhMuyfMunfh½Ijcif;

rSwfwrf;wifjcif;? tpD&ifcHjcif;? pdppfjcif;? yHhydk;BuD;Muyfjcif;

rdbrsm;ESifh jynfolvlxktm; qufoG,fjcif;

4.94.94.94.94.9 umuG,faq;xdk;tpDtpOfopfumuG,faq;xdk;tpDtpOfopfumuG,faq;xdk;tpDtpOfopfumuG,faq;xdk;tpDtpOfopfumuG,faq;xdk;tpDtpOfopf

pwiftaumiftxnfazmfjcif;pwiftaumiftxnfazmfjcif;pwiftaumiftxnfazmfjcif;pwiftaumiftxnfazmfjcif;pwiftaumiftxnfazmfjcif;

Pentavalent vaccine xdk;ESHjcif;tpDtpOfopfpwiftaumiftxnf

azmfjcif;jzifh jynfolvlxk ESifhtkyfcsKyfa&;tzGJUtpnf;rsm;tm; today;&Sif;vif;

jcif;rsm; jyKvkyfEdkifaom tcGifhtvrf;wpf&yf&&Sdrnf jzpfygonf/ umuG,faq;

jzifhumuG,fEdkifaoma&m*grsm;taMumif; &nfrSef;tkyfpkESifY jynfolvlxktwGuf

usef;rma&;qdkif&mtusKd;tjrwfrsm;udk &Sif;vif;jcif;rsm; vnf;jyKvkyfEdkifrnf

jzpfonf/ zGifhyGJtcrf;tem;rsm;ukd A[dktqifhESifh wdkif;a'oBuD; jynfe,frsm;

wGif wpfNydKifeufwnf;usif;yygrnf/ zGifhyGJtcrf;tem;rsm; usif;yjcif;jzifh

jynfolrsm;onf wdk;csJUumuG,faq;xdk;vkyfief;udk ydkrdkod&SdvmEdkifNyD; Pentavalent


umuG,faq;ESifh oufqdkifaomA[kokwrsm;&&SdvmEdkifygonf/ Pentavalent

umuG,faq; atmifjrifpGm pwifxnfhoGif;xdk;ESH&mwGif jynfoltrsm;od&Sd

Edkifaom owif;jzefYa0a&;Xmersm;\tm;udk &,l½Hkomru usef;rma&;0efxrf;

rsm;onf &nfrSef;tkyfpkrsm;ESifhwpfOD;csif;pD qufoG,fjcif;enf;vrf;udktoHk;jyKí

r&Sif;vif;aom tcsuftvufrsm;udkajzMum; &Sif;vif;ay;&ygrnf/

ydkrdkxda&mufpGmaqmif&GufEdkif&eftwGuf tjcm;Xmeqdkif&mrsm;? a'o

qdkif&mowif;Xmersm;? tpdk;&r[kwfaomtzGJUtpnf;rsm;tm; &Sif;vif;wifjyMu

&rnf/ odkYrSom ,if;Xmersm;ESifh tzGJUtpnf;rsm;uulnDí ae&mtESHU owif;

jzefYa0jcif;? jynfolvlxktm; uav;i,frsm; umuG,faq;xdk;&ef vHIUaqmfwdkuf

wGef;jcif;rsm; jyKvkyfay;Edkifygrnf/

vkyfief;qdkif&mvrf;ñTefcsufrsm;? qDavQmfaomqufoG,fa&; enf;vrf;

rsm;? a'oqdkif&m bmompum;rsm;udktoHk;jyKí owif;ay;vdkaomvltkyfpkESifh

udkufnDap&efjyKpkNyD; BudKwifjzefYjzL;xm;&rnf/

4.9.14.9.14.9.14.9.14.9.1 vkyfief;taumiftxnfazmfrIBuD;Muyfjcif;vkyfief;taumiftxnfazmfrIBuD;Muyfjcif;vkyfief;taumiftxnfazmfrIBuD;Muyfjcif;vkyfief;taumiftxnfazmfrIBuD;Muyfjcif;vkyfief;taumiftxnfazmfrIBuD;Muyfjcif;

Pentavalent umuG,faq;xdk;ESHjcif;vkyfief;aqmif&GufrIudkBuD;Muyf&m

wGifvkyfief; aqmif&Gufvsuf&Sdonfhvltiftm;?ukefusp&dwf?awGUBuHK&onfY

jyóemrsm;tjyif OD;pm;ay;pdppf BuD;Muyfoifhonf/

xdkUtwGufvkyfief;pwiftaumiftxnfrazmfrDuwnf;u pDrHudef;

a&;qGJ&mwGif rSefuefjynfhpHk&efvkdtyfonf/ xkdUtjyif BuD;Muyfolrsm;onf

pDrHudef;&nfrSef;csufrsm;udk em;vnfoabmaygufxm;&rnf/ aqmif&Guf&rnfh


vkyfief;wm0efrsm;od&Sd&rnf/ BuD;Muyfjcif;\ aomhcsufusaomvkyfief;rSm

tajccHusef;rma&;0efxrf;rsm;tm; tm;ay;wdkufwGef;vHIUaqmf&efESifh vufawGU

vkyfief;cGifwGif oifMum;ay;&efjzpfonf/

yHhydkk;ulnDBuD;MuyfrItpDtpOfudk tqifhwdkif;wGif tao;pdwf a&;qGJ

jyifqifxm;&Sd&rnf/ pDrHudef;ESifY oufqdkifaomvkyfief;t&nftaoG;? xd a&mufrI?

tEÅ&m,fuif;&Sif;a&;udk t"du OD;pm;ay;onf/ owfrSwfxm;aom

BuD;MuyfrIyHkpHZ,m; (Supervisory Check-list) udktoHk;jyK&rnf/vkyfief;taumif

txnfazmfEdkifrItajctaeESifh umuG,faq; vTrf;NcHKrI tajctaeudkod&SdEdkif

rnfhvdktyfaomyHkpHrsm;½dkufESdyf?jzefUa0NyD; tqifhwdkif;wGif toifh &&Sdae&rnf/

4.9.24.9.24.9.24.9.24.9.2 Pentavalent umuG,faq; xdk;ESHjcif;vkyfief;tm;pdppfjcif; umuG,faq; xdk;ESHjcif;vkyfief;tm;pdppfjcif; umuG,faq; xdk;ESHjcif;vkyfief;tm;pdppfjcif; umuG,faq; xdk;ESHjcif;vkyfief;tm;pdppfjcif; umuG,faq; xdk;ESHjcif;vkyfief;tm;pdppfjcif;

pHudkufxm;aom owif;ay;ydkUyHkpHrsm;? vkyfief;vrf;ñTefrsm;udk usef;rm

a&;OD;pD;Xme? wdk;csJUumuG,faq;xdk;vkyfief;ujyifqifjyKpkxm;NyD; jzpfonf/

yHkrSefumuG,f aq;xdk;vkyfief; rsm;udk sessions plan,work plan tvdkuf BuD;Muyf

pdppf&efvdktyfygonf/ umuG,faq;xdk;pk&yfrsm;ESifh usef;rma&;XmecGJrsm;tm;

BuD;MuyfuGyfuJ&mwGif aus;&GmESifh &yfuGuftqifhwGif umuG,faq;rsm;\

vTrf;NcHKrIrsm;udk od&Sd&ygrnf/ vdktyfcsufrsm;? uGm[csufrsm;? tm;enf;csufrsm;

udkazmfxkwfEdkif&ygrnf/ Pentavalent umuG,faq; xnfhoGif;xdk;ESHjcif;vkyfief;

onf yHkrSefumuG,faq;xdk;vkyfief;wpfckvHk;udk qef;ppf&eftwGuf tm;jznfh

aqmif&GufEdkifaom tcGifhtvrf;wpfck jzpfygonf/ yHkrSefumuG,faq;xdk;

vkyfief;qef;ppfBuD;Muyfjcif;enf;AsL[mwGif atmufygtydkif;u@rsm; yg0ifyg

rnf/


1/ umuG,faq;xdk;pk&yfudk qef;ppfBuD;Muyfjcif;?

umuG,faq;ESifhumuG,faq;xkd;vkyfief;oHk;ypönf;rsm;vHkavmufrI

tajctaeESifh pDrHcefUcGJrSI? umuG,faq;xdk;olrsm;\ umuG,faq;

udkifwG,fyHk? xdef;odrf;yHk? aq;xdk;ESHyHk? umuG,faq;xdk;jcif;enf;AsL[m

tvdkufaqmif&GufyHk? aq;xdk;ypönf;rsm;pGefYypfyHk? pm&if;Z,m;rsm; a&;rSwfyHk?

wp fO D ;c si f ;qufoG,fa jym Mum;y H kr sm ;u d k qe f ;pp f Bu D ; Muy f

ívdktyfcsufrsm;udk jyKjyifoifMum;ay;&rnf/

2/ tdrfaxmifpkrsm;wGif uGif;qif;avhvmjcif;

umuG,faq;xdk;pk&yfae&m0ef;usif&Sd tdrfaxmifpkrsm;wGif usbrf;

erlem,lNyD; (24)vatmuf uav;rsm;\ yHkrSefumuG,faq;vTrf;NcHKrI

tajctaeudk avhvmqef;ppfEdkifygonf/

4.9.3 umuG,faq;ESifh umuG,faq;xdk;vkyfief;oHk;ypönf;rsm;pdppfjcif;4.9.3 umuG,faq;ESifh umuG,faq;xdk;vkyfief;oHk;ypönf;rsm;pdppfjcif;4.9.3 umuG,faq;ESifh umuG,faq;xdk;vkyfief;oHk;ypönf;rsm;pdppfjcif;4.9.3 umuG,faq;ESifh umuG,faq;xdk;vkyfief;oHk;ypönf;rsm;pdppfjcif;4.9.3 umuG,faq;ESifh umuG,faq;xdk;vkyfief;oHk;ypönf;rsm;pdppfjcif;

umuG,faq;rsm;ESifh umuG,faq;xdk;vkyfief;oHk;ypönf;rsm; vufcH&&SdrI?

oHk;pGJrIESifh vufusefpm&if;rsm;udk ppfaq;Munfh½INyD; umuG,faq;xdk;vTrf;jcHKrIESifh

udkufnDrI&Sd? r&Sd Munfh½IEdkifygonf/ Pentavalent umuG,faq;ESifh wpfcsdefwnf;

wdkufauR;aom OPV umuG,faq;rsm;\vufcH&&SdrI? oHk;pGJrIESifh vufusef

pm&if;rsm;udk wdkufqdkifppfaq;Munfh½IEdkifygonf/


4.9.4 tat;vrf;aMumif;pdppfjcif;4.9.4 tat;vrf;aMumif;pdppfjcif;4.9.4 tat;vrf;aMumif;pdppfjcif;4.9.4 tat;vrf;aMumif;pdppfjcif;4.9.4 tat;vrf;aMumif;pdppfjcif;

Pentavalent umuG,faq;udk +2o rS +8o Celsius tylcsdeftwGif;

odkavSmifxm;&Sd&rnf/tylvGefuJjcif;aMumifhysufpD;EdkifouJhodkY at;cJjcif;aMumifh

ysufpD;Edkifonf/ tat;vrf;aMumif; xdef;odrf;jcif;udk txl;*½kpdkuf&rnf/

4.9.5 umuG,faq;tEÅ&m,fuif;&Sif;rIpdppfjcif;4.9.5 umuG,faq;tEÅ&m,fuif;&Sif;rIpdppfjcif;4.9.5 umuG,faq;tEÅ&m,fuif;&Sif;rIpdppfjcif;4.9.5 umuG,faq;tEÅ&m,fuif;&Sif;rIpdppfjcif;4.9.5 umuG,faq;tEÅ&m,fuif;&Sif;rIpdppfjcif;

Pentavalent umuG,faq;onf tEÅ&m,fuif;NyD; xda&mufrI&Sdaom

umuG,faq;wpfrsKd;jzpfygonf/ odkYaomfvnf; umuG,faq;topfwpfck yHkrSef

umuG,f aq;xdk;tpDtpOfwGif xnfhoGif;xdk;ESHaomtcg umuG,faq;xdk;NyD;

aemufqufwGJjzpfay:aomusef;rma&;jyóemrsm;udk apmifhMuyfMunfh&Ijcif;udk

pepfwus aqmif&Guf&rnf/ Pentavalent umuG,faq;ESifh qufpyfvsuf

jzpfay:vmonfh oHo,&Sdaom AEFI rsm;udk owif;ydkYtpD&ifcHjcif;? wHkUjyefjcif;

rsm;? vrf;nTefcsufrsm;twdkif; aqmif&Guf&rnf/

4.104.104.104.104.10 a&m*gjzpfyGm;rIqufvufapmifhMuyfMunfh½Ijcif;ESifha&m*gjzpfyGm;rIqufvufapmifhMuyfMunfh½Ijcif;ESifha&m*gjzpfyGm;rIqufvufapmifhMuyfMunfh½Ijcif;ESifha&m*gjzpfyGm;rIqufvufapmifhMuyfMunfh½Ijcif;ESifha&m*gjzpfyGm;rIqufvufapmifhMuyfMunfh½Ijcif;ESifh

umuG,faq;\tusdK;xda&mufrIudk avhvmqef;ppfjcif;umuG,faq;\tusdK;xda&mufrIudk avhvmqef;ppfjcif;umuG,faq;\tusdK;xda&mufrIudk avhvmqef;ppfjcif;umuG,faq;\tusdK;xda&mufrIudk avhvmqef;ppfjcif;umuG,faq;\tusdK;xda&mufrIudk avhvmqef;ppfjcif;

bufwD;&D;,m;aMumifhjzpfaom OD;aESmuftajr§;a&mifa&m*gESifh aoG;qdyf

wufjcif; a&m*grsm;apmifhMuyfMunfh½Iaomvkyfief;tm; tm;jznfhwdk;csJU

aqmif&Guf&rnf/ Hiba&m*gydk; aMumifha&m*gjzpfyGm;rItajctaeESifh a&m*g

jyóemtwdrfteufudk rsufjcnfrjywf oHk;oyf avhvm&ygonf/

bufwD;&D;,m;? OD;aESmuftajr§;a&mifa&m*gapmifhMuyfMunfh½Ijcif; pepf

udk wdk;csJUumuG,faq;xdk;vkyfief;? A[dkul;pufa&m*gwdkufzsufa&;Xme? A[dk


tqifh aq;½HkBuD;rsm;? trsKd;om;"mwfcGJXmeESifh aq;okawoeXmersm; yl;aygif;

aqmif&Guf&rnf/

Pentavalent vaccine pwifxdk;ESHay;NyD; (3) vrS (6) v umvtwGif;wGif

A[dkESifh wdkif;a'oBuD;^jynfe,fusef;rma&;Xmersm;onf jyefvnfqef;ppfaom

vkyfief;tpDtpOfrsm; a&;qGJ&onf/ qef;ppfjcif;\&nf&G,fcsufrsm;rSm umuG,f

aq;xdk;vTrf;NcHKrItajctae? tusKd; oufa&mufrIESifhvdktyfaom jyKjyifrIaqmif

&GufEdkif&efoifcef;pmrsm;&,loHk;oyf &efjzpfonf/


'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;'kwd,tBudrf0ufoufumuG,faq;

ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;ykHrSefumuG,faq;xdk;tpDtpOfwGif pwifjcif;

5.1 0ufoufa&m*gqdkonfrSm5.1 0ufoufa&m*gqdkonfrSm5.1 0ufoufa&m*gqdkonfrSm5.1 0ufoufa&m*gqdkonfrSm5.1 0ufoufa&m*gqdkonfrSm

0ufoufAdkif;&yfa&m*gydk;aMumifh jzpfyGm;aom a&m*gjzpfNyD; tvGef

ul;pufjrefaom a&m*gwpfrsdK;jzpfonf/ þa&m*gydk;onf vlwGifoma&m*g

jzpfyGm;apEdkifonf/ jrefrmEdkifiHwGif 0ufoufumuG,faq;xdk;ay;onfh umv

rwdkifcifu touf 10ESpft&G,f uav;i,frsm;\ OD;a& 90%cefUonf

0ufoufa&m*gudk ul;pufcHpm;&NyD;om;jzpfaeNyD;jzpfonf/

5.2 a&m*gul;pufjcif;5.2 a&m*gul;pufjcif;5.2 a&m*gul;pufjcif;5.2 a&m*gul;pufjcif;5.2 a&m*gul;pufjcif;

acsmif;qdk;jcif;rSxGufvmaom trIeftpufrsm;rSwpfqifhaomfvnf;aumif;?

wdkuf½dkufxdawGUrd&mrSvnf;aumif; 0ufoufa&m*g ul;pufonf/ þa&m*gudk

cHEdkif&nfr&Sdaom ol\ udk,fwGif;odkU a&m*gydk; 0ifa&mufygu 100% cefUaom

olwdkUonf a&m*gydk;ul;puf jcif;cH&jyD;vQif 0ufoufa&m*g\vu©Pm rsm;udk

cHpm;&rnfjzpfonf/

5

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○


a&m*gydk;pwif0ifa&mufcsdefrS teDtzktydrfYpwifay:aygufcsdeftxdMum;

umvonf ysrf;rQjcif; tm;jzifh 14-&uf&SdNyD; tapmqHk; 7-&ufrS aemuftusqHk;

18-&uftxd MumjrifhEdkifonf/ teDtzktydrYfrsm;ray:cif 2-3 &ufcefUrSpí

teDtzktydrUfrsm;aygufNyD; 1-2 &ufcefUtwGif;wGif tjcm;olrsm;xHodkU

a&m*gul;puf apEdkifonf/

5.3 zsm;NyD; 5.3 zsm;NyD; 5.3 zsm;NyD; 5.3 zsm;NyD; 5.3 zsm;NyD; tzktydrYfxGufjcif;tzktydrYfxGufjcif;tzktydrYfxGufjcif;tzktydrYfxGufjcif;tzktydrYfxGufjcif;

uyftoGifjzpfyGm;rIrsm;udk axmufvSrf;jcif;ESifh pHkprf;ppfaq;jcif; tygt0if

0ufoufa&m*gwpfOD;csif; tvdkuf apmifhMuyfMunfh½Ijcif;vkyfief; (Case-based

measles surveillance) udkaqmif&Guf&mwGif zsm;NyD;tzktydrYfxGuf aom

vlemtm;vkH;udk &SmazGpkHprf; avYvm&efjzpfygonf/ atmufyga&m*grsm; onf

zsm;jyD;tzktydrYfxGufaom vu©PmjyoEdkifyg onf/

*sdKufodk;a&m*g? *sdKufodk;a&m*g? *sdKufodk;a&m*g? *sdKufodk;a&m*g? *sdKufodk;a&m*g? teDtzktydrYffrsm;xGufízsm;wwfaoma&m*grsm;wGif

*sdKufodk;a&m*gonf tjzpftrsm;qHk; a&m*gwpfck jzpfonf/ a&m*gvu©Pmrsm;

rSm teDtzktydrYffrsm;xGufjcif;? rsufpdeDjcif;? ESmap;jcif;? em;&GufaemufzufESifh

aemufpdatmufzufem;wGif tusdwfaygufjcif;? udk,ftenf;i,fyljcif;? ysdKUjcif;

ponfwdkUjzpfonf/ teDtzktydrYfrsm;onf rsufESmESifhvnfyif;rS pwifay:vm

NyD; udk,fcEm atmufydkif;odkY jyefUyGm;oGm;onf/

aoG;vGefwkyfauG;a&m*g? aoG;vGefwkyfauG;a&m*g? aoG;vGefwkyfauG;a&m*g? aoG;vGefwkyfauG;a&m*g? aoG;vGefwkyfauG;a&m*g? aoG;vGefwkyfauG;a&m*gonf ½kwfw&uf zsm;jyD;

aoG;,dkpD;onfh vu©Pmrsm;udkawGU&Ed kifjyD; tzsm;usoGm;jyD;cs defwGif

(emvefxcsdefwGif)teDuGufrsm;ay:vmwwfonf/


csduef*efnm? csduef*efnm? csduef*efnm? csduef*efnm? csduef*efnm? csduef*efnmonf wpfcgwpf&HwGif uyftoGiffjzpfwwf

NyD; udk,fylwufjcif;? ajcqpf vufqpfrsm;udkufcJjcif;? cg;udkufjcif;? acgif;udkuf

jcif;wdkUudkcHpm;&avh&Sdonf/ vlem 50% cefUwGif teDpuffrsm; cPwmrQ

ay:vmwwfonf/

teDpufrsm;xGufwwfaom tjcm;aomAdkif;&yfa&m*grsm; -teDpufrsm;xGufwwfaom tjcm;aomAdkif;&yfa&m*grsm; -teDpufrsm;xGufwwfaom tjcm;aomAdkif;&yfa&m*grsm; -teDpufrsm;xGufwwfaom tjcm;aomAdkif;&yfa&m*grsm; -teDpufrsm;xGufwwfaom tjcm;aomAdkif;&yfa&m*grsm; - adenovirus

ESifh enterovirus a&m*gydk;aMumifh jzpfwwfaoma&m*grsm;/ Oyrm - Hand

foot and mouth

bufwD;&D;,m;aoG;qdyfwufjcif;?bufwD;&D;,m;aoG;qdyfwufjcif;?bufwD;&D;,m;aoG;qdyfwufjcif;?bufwD;&D;,m;aoG;qdyfwufjcif;?bufwD;&D;,m;aoG;qdyfwufjcif;? Meningococcaemia - þa&m*g onf

wnfae&ma'o tvdkufjzpfwwfaoma&m*gwpfckjzpfNyD; jrefrmEdkifiHwGif

tv,fydkif;ajcmufaoGUaoma'oESifh &Srf;ukef;ajrjrifhwGif awGU&wwfonf?

ajcmufaoGUaom&moDOwkrsm;wGif jzpfyGm;wwfonf/ vlem 20% cefUwGif

teDpufrsm;awGU&wwfonf/

Rickettsial infections þa&m*gonf,cifu jrefrmEdkifiHwGif jzpfyGm;

cJhbl;aoma&m*gjzpfonf/ &kwfw&uf csrf;wkefzsm; NyD;vQif acgif;udkufjcif;?

rsufpdemjcif; ESifh tusdwfrsm;a&mifjcif;wdkUudk cHpm;&onf/ cE¨mudk,fwGif

teDuGufrsm; awGU&onf/

5.4 0ufoufa&m*gt"dy5.4 0ufoufa&m*gt"dy5.4 0ufoufa&m*gt"dy5.4 0ufoufa&m*gt"dy5.4 0ufoufa&m*gt"dyÜÜ ÜÜ Üm,fowfrSwfcsufm,fowfrSwfcsufm,fowfrSwfcsufm,fowfrSwfcsufm,fowfrSwfcsuf

rnfolrqdk ppfaq;Munfh&Iaomq&m0efu 0ufoufa&m*gudk cHpm;ae&

onf[k oHo,&Sdygu? odkUr[kwf rnfolrqdk atmufyg a&m*gvu©Pmrsm;udk

awGU&vsif-


udk,fyljcif; (ESifh)

wpfudk,fvHk; (t&nfMunfzkrsm;r[kwfaom) teDtzktydrYfrsm;ay:jcif;

(ESifh)

acsmif;qdk;jcif;? ESm&nf,dkjcif; (odkU) rsufpdemjcif;

0ufoufa&m*gowfrSwf&ef "mwfcGJppfaq;jcif;qdkif&mowfrSwfcsufrsm;

0ufoufa&m*goD;oefUjzpfaom IgM antibodies udkppfaq;awGU&Sdjcif;

qD;? vnfacsmif;ESifhESmacgif;wdkUrS 0ufoufa&m*gydk;udk arG;jrL &SmazGawGU

&Sdjcif;

5.5 enf;AsL[mrsm;5.5 enf;AsL[mrsm;5.5 enf;AsL[mrsm;5.5 enf;AsL[mrsm;5.5 enf;AsL[mrsm;

2007-ckESpfwGif ta&SUawmiftm&Sa'oqdkif&m ydkvD,dka&m*gyaysmufa&;

ESifh umuG,faq;xdk;jcif;jzifh wm;qD;Edkifaom a&m*grsm;udk xdef;csKyfjcif;qdkif&m

enf;ynmtwdkifyifcH tkyfpku 2007-2010 ckESpftwGuf 0ufoufa&m*gaMumifh

aoqHk;rIudkavQmhcs&eftwGuf a'oqdkif&menf;AsL[m tpDtpOfudk twnfjyK

axmufcHcsufay;cJhonf/

jrefrmEdkifiHtaejzifh0ufoufa&m*guif;pifaomEdkifiHtjzpfodkU a&muf&Sd

Edkif&eftwGuf 0ufoufa&m*gapmifhMuyfMunfh½SKjcif;vkyfief;\tqifYudk wdk;jrSifh

aqmif&Guf&efvdkygonf/


0ufoufa&m*guif;pifEdkif&eftwGufaqmif&Guf&rnfh t"duenf;AsL[m

rsm;rSm-

(u) uav;touf 9-vt&G,fwGif 0ufoufa&m*gumuG,faq;udk

yxrtBudrf xdk;ay;jcif;

(c) uav;touf 18 rS 24 vt&G,fwGif 0ufoufa&m*gumuG,faq;udk

'kwd,tBudrf xdk;ay;jcif;

(*) oifhawmfonfhumvtydkif;tjcm;wGif tpkvdkuf0ufoufa&m*g

umuG,faq;xdk;jcif; vkyfief;udk aqmif&Guf&ef

(C) oHo,jzpfzG,f&m 0ufoufa&m*g uyftoGifjzpfyGm;rIrsm;udk axmuf

vSrf;jcif;ESif hpHkprf;ppfaq;jcif;tygt0if 0ufoufa&m*gwpfOD;csif;

tvdkuf apmif h MuyfMunfY½S K jcif;vkyfief; (Case-based measles

surveillance)udk aqmif&Gufjcif;

(i) 0ufoufa&m*gapmifhMuyfMunfh½Ijcif;vkyfief;udk vwfwavmaysmhacG

taMumaoa&m*g apmifhMuyfMunfh½Ijcif;vkyfief;? arG;uif;puav;

ar;cdkifa&m*g apmifhMuyfMunfh½Ijcif;vkyfief;wdkUESifh yl;wGJaqmif&Gufjcif;

(p) 0ufoufa&m*g\aemufqufwGJjyóemrsm;udk ukojyKpkjcif;udk ydkrdk

aumif;rGefatmif aqmif&Gufjcif;


5.65.65.65.65.6 yxrtBudrfESifh 'kwd,tBudrf0ufoufumuG,faq; udkyxrtBudrfESifh 'kwd,tBudrf0ufoufumuG,faq; udkyxrtBudrfESifh 'kwd,tBudrf0ufoufumuG,faq; udkyxrtBudrfESifh 'kwd,tBudrf0ufoufumuG,faq; udkyxrtBudrfESifh 'kwd,tBudrf0ufoufumuG,faq; udk

yHkrSefumuG,faq;xdk;vkyfief;wGif xdk;ay;jcif;yHkrSefumuG,faq;xdk;vkyfief;wGif xdk;ay;jcif;yHkrSefumuG,faq;xdk;vkyfief;wGif xdk;ay;jcif;yHkrSefumuG,faq;xdk;vkyfief;wGif xdk;ay;jcif;yHkrSefumuG,faq;xdk;vkyfief;wGif xdk;ay;jcif;

0ufoufa&m*guif;pif&eftwGuf vlxk\ 0ufoufa&m*gudk umuG,f

EdkifpGrf;tm;onf 93-95% txufodkUa&mufatmifaqmif&Guf xdef;odrf;xm;

&efvdkonf? xdkodkUa&mufap&eftwGuf yxrtBudrf ESifh'kwd,tBudrf 0ufouf

a&m*gumuG,faq;wdkUudk jrdKUe,fwdkif;wGif umuG,faq;xdk;vTrf;jcHKrI 95%

txufa&mufatmif aqmif&Guf&efvdkonf/ þodkU&&Sdap&eftwGuf yHkrSefum

uG,faq; xdk;vkyfief;ESifhtwl tpkvdkuf0ufoufa&m*g umuG,faq;xdk;

vkyfief;rsm;udk ygaqmif&Guf ay;&efvdkonf/

'kwd,tMudrftcGif Ytvrf;ay;jcif;qdkonfrSm uav;tm;vkH;udk

0ufoufumuG,faq; &&Sdap&ef tcGifYta&;ay;jcif;jzpfygonf/ 0ufouf

umuG,faq;tenf;qkH;wpfBudrf&&Sdol ydkrsm;apEdkifjyD; ,cifxdk;NyD; aomfvnf;

ckcHumuG,ftm;rjzpfay:ao;ygu jzpfay:vmaprnf jzpfygonf/ þuJYodkY

tcGifYtvrf;rsdK;udk ykHrSefumuG,faq;xdk;ay;jcif;vkyfief;wGifaomfvnf;aumif;

tcsdeftcg tvdkufjyKvkyfaom tpkvdkufumuG,faq;xdk;vkyfief;rsm; wGifaomf

vnf;aumif; aqmif&Gufay;Edkifonf/

5.75.75.75.75.7 'kwd,tBudrf 0ufoufumuG,faq;udk yHkrSefumuG,f'kwd,tBudrf 0ufoufumuG,faq;udk yHkrSefumuG,f'kwd,tBudrf 0ufoufumuG,faq;udk yHkrSefumuG,f'kwd,tBudrf 0ufoufumuG,faq;udk yHkrSefumuG,f'kwd,tBudrf 0ufoufumuG,faq;udk yHkrSefumuG,f

aq;xdk;jcif; vkyfief;wGifpwifjcif;aq;xdk;jcif; vkyfief;wGifpwifjcif;aq;xdk;jcif; vkyfief;wGifpwifjcif;aq;xdk;jcif; vkyfief;wGifpwifjcif;aq;xdk;jcif; vkyfief;wGifpwifjcif;

yHkrSefumuG,faq;xdk;vkyfief;jzifh 'kwd,tMudrf 0ufoufa&m*g

umuG,faq;xdk;jcif;pwifEdkif&efrSm yxrtBudrfumuG,faq;xdk;vTrf;jcHKrIudk

EdkifiHtqifYwGif oHk;ESpfqufwdkuf 80 &mcdkifEIef;ausmfvGef&ygrnf/ Mum;umv


wGif yxrtBudrfumuG,faq;xdk; vTrf;jcHKrIudkjynfhrDatmifaqmif&Guf aeonf

ESifY wpfNydKifeuf tpkvdkufumuG,faq;xdk;vkyfief;rsm; aqmif&Gufay; Edkifonf/

'kwd,tMudrf 0ufoufa&m*gumuG,faq;xdk;jcif; pwif&onfh

taMumif;&if;rsm;rSm

1/ touf (9) v wGif yxrtBudrf0ufouf umuG,faq;xdk;jcif;\

umuG,frIpGrf;&nfrSm 85% omjzpfaomaMumifY umuG,frIr&&SdbJ

a&m*gul;pufcH&zG,f&Sdaom uav;rsm; pkjyHKvmEdkifonf/ ,if;uJYodkY

pkjyHKvmjcif;udk aES;auG;apNyD; tpkvdkufumuG,faq;xdk; vkyfief;jyKvkyf&

rnfhumvtydkif;tjcm; &Snfap&ef/

2/ ukefusp&dwftvGefrsm;aom tpkvdkufumuG,faq;xdk;vkyfief;udkom

tm;udk;vdkpdwf avsmYenf; vmapNyD;? 0ufoufa&m*guif;pif&eftwGuf

'kwd,tBudrf0ufoufa&m*g umuG,faq;xdk;jcif;jzifY vlxk\

0ufoufa&m*gudk umuG,fEdkifpGrf;tm;onf 93-95% txufodkU

a&mufatmif aqmif&Gufxdef;odrf;xm;&ef/

3/ uav;ESpfESpfom;t&G,fwGif tjcm;xyfrHxdk;umuG,faq;rsm; (booster)

xdk;Edkif&efESifY tjcm;usef;rma&; aqmif&GufrIrsm;( ADwmrif at aq;ay;

jcif;? oefcsaq;ay;jcif;? iSufzsm; aq;pdrfjcifaxmifa0jcif;rsm;)

aygif;pnf;aqmif&GufEdkifygrnf/

yHkrSefumuG,faq;xdk;jcif;vkyfief;wGif pwif&mwGif atmufygtpDtpOf

rsm; aqmif&Guf&efvdktyfonf/


'kwd,tBudrf 0ufoufumuG,faq;udkxdk;ay;&rnfYoifYavsmfaom

touftydkif; tjcm; rSm 18 v rS 24 v twGif;jzpfygonf

0ufoufumuG,faq;tBudrfrsm;udk uav;wpfOD;csif;\ umuG,faq;

xdk;rSwfwrf;uwfjym;wGif pepfwusrSwfom;&efESifY 0ufoufumuG,f

aq;xdk;rSwfykHwifpmtkyfwGif pm&if;oGif; rSwfom;xm;&efvdktyfygonf/

usef;rma&;0efxrf;rsm;udk pepfwusoifwef;ydkUcsNyD; 0ufouf umuG,f

aq;tBudrfrsm;udk tcsdefudkufpDpOfxdk;ay;vsuf vGwfusefaeaom

uav;rsm;udk vdkufvH&SmazG&ef vdktyfonf/

5.8 tydkaqmif;umuG,faq;xdk;jcif;5.8 tydkaqmif;umuG,faq;xdk;jcif;5.8 tydkaqmif;umuG,faq;xdk;jcif;5.8 tydkaqmif;umuG,faq;xdk;jcif;5.8 tydkaqmif;umuG,faq;xdk;jcif;

yHkrSefumuG,faq;xdk;vkyfief;jzifh 'kwd,tBudrf0ufoufa&m*g umuG,f

aq;xdk;vTrf;jcHKrIudk jrifhrm;pGm&&Sdxdef;odrf;xm;aomEdkifiHrsm;yifvQif a&m*g

ul;pufrIudk cHEdkif&nfr&Sdao;aom uav;i,frsm;pkyHkvmjcif;aMumifh tydkaqmif;

umuG,faq;udk xdk;ay;&ef vdktyfaeygao;onf/

5.9 apmifhMuyfMunfh½Ijcif;vkyfief;5.9 apmifhMuyfMunfh½Ijcif;vkyfief;5.9 apmifhMuyfMunfh½Ijcif;vkyfief;5.9 apmifhMuyfMunfh½Ijcif;vkyfief;5.9 apmifhMuyfMunfh½Ijcif;vkyfief;

0ufoufa&m*gwpfOD;csif;tvdkufapmifhMuyfMunfh½Ijcif;vkyfief; (Case-

based measles surveillance) udk aqmif&Gufvsuf&Sdygonf/

apmifhMuyfMunfh½Ijcif;vkyfief;aqmif&GufrI tnTef;udef;rsm;&&Sdatmif vkyfaqmif

Edkifonfh t&nftaoG;jynfhrDaomapmifhMuyfMunfh½Ijcif;vkyfief;udk aocsmpGm

taumiftxnf azmf&efvdkonf/ "mwfcGJvkyfief;rsm;udk tm;jznfhaqmif&Gufjcif;


onf 0ufoufa&m*guif;pifa&;twGuf aqmif&Guf&rnfhenf;AsL[mrsm; teuf

r&Sdrjzpfta&;ygaomvkyfief;wpfck jzpfonf/

5.10 0ufoufa&m*gvlemudk jyKpkukoapmifha&Smufjcif;5.10 0ufoufa&m*gvlemudk jyKpkukoapmifha&Smufjcif;5.10 0ufoufa&m*gvlemudk jyKpkukoapmifha&Smufjcif;5.10 0ufoufa&m*gvlemudk jyKpkukoapmifha&Smufjcif;5.10 0ufoufa&m*gvlemudk jyKpkukoapmifha&Smufjcif;

0ufoufa&m*g\tjzpfrsm;aom aemufqufwGJjyóemrsm;rSm em;jynf

,kdjcif;? av>yefrsm;a&mifjcif;ESifh tqkwftat;rdjcif;wdkUjzpfonf/ uav;rsm;

wGif em;jynf,kdjcif;onf 5 - 15% cefUjzpfNyD;? tqkwftat;rdjcif;onf 5-

10% jzpfwwfonf/ zGHUNzdK;qJEdkifiHrsm;wGif 0rf;avsmjcif;ESifY tm[m&csdKU

wJhjcif;wdkUudk wpfESpfatmufuav;rsm;wGif txl;ojzifh awGY&wwfonf/

0ufoufa&m*g aMumifh OD;aESmufa&mifjcif;udkvnf; vlem 1000 rS 100,000

cefUwGif 1-OD;jzpfonfudk awGU&onf/

ADwmrifatcsdKUwJhjcif;onf 0ufoufa&m*gjyefvnfemvefxrIudk Mumap

onfhtjyif 0ufoufa&m*g\ aemufqufwGJjyóemrsm;udkvnf; tjzpfrsm;

aponf/

t&nf"mwfjznfhpGufay;jcif; (Oyrm-"mwfqm;&nfwdkufjcif;) ESifh udk,f

tylusaq;ay;jcif;tygt0if taxmuftuljyKukxHk;rsm; (Supportive

treatment) jzifh ukoay;&ef vdkygonf/ em;jynf,kdjcif;twGuf y#dZD0aq;rsm;

ay;&efvdkNyD;? tm[m&csdKUwJhjcif;twGuf tm[m&qdkif&m ukxHk;rsm;jzifh jyefvnf

jyKpk ysdK;axmifay;&efvdkonf/


5.11 0ufoufa&m*gESifh jrefrm5.11 0ufoufa&m*gESifh jrefrm5.11 0ufoufa&m*gESifh jrefrm5.11 0ufoufa&m*gESifh jrefrm5.11 0ufoufa&m*gESifh jrefrm

jrefrmEdkifiHwGif 0ufoufa&m*gEdSrfeif;a&;twGuf 1987-ckESpfwGif touf

9-vt&G,f uav;i,frsm;udk 0ufoufa&m*gumuG,faq; yxr tBudrf

xdk;ay;jcif;udk pwifaqmif&GufcJhonf/ yxrtBudrf 0ufoufa&m*g umuG,f

aq;rxdk;vdkuf&aom uav;rsm;twGufvnf; 'kwd,tBudrf tcGifhta&;tjzpf

2002?2003 ESifh2004 ckESpfrsm;twGif;wGif jrefrmwpfEdkifiHvHk;tm; wpfESpfNyD;wpfESpf

tpkvdkuf0ufoufa&m*gumuG,faq;xdk;jcif;vkyfief; ESifh 2007 ckESpfwGif wpfEdkifiH

vHk;okH;qifcGJNyD; tpkvdkuf 0ufoufa&m*g umuG,faq; xdk;jcif;vkyfief;wdkUudk

aqmif&GufcJhonf/ 2009-ckESpfwGif usif;ycJhaom 0ufoufa&m*gtwGuf

a'oqdkif &m aqG;aEG;yGJu jrefrmEdkifiHonf 2000-ckESpf\ 0ufoufa&m*gaMumifh

cefUrSef; aoqHk;rI\ 90% cefUtxdavsmhcs&ef&nfrSef;csufodkU a&muf&SdNyD[k

aumufcsufcs cJhonf/

jrefrmEdkifiHwGif 1987-ckESpfwGif 0ufoufa&m*gumuG,faq;xdk;jcif;udk

pwifcJhjyD;onfhaemufwGif 0ufoufa&m*gjzpfyGm;EIef;ESifh 0ufoufa&m*gaMumifh

aoqHk;EIef;wdkUonf odompGmyif usqif;cJhonf/ 1995-ckESpfrSpí tpkvdkuf

0ufoufa&m*g umuG,faq;xdk;jcif; vkyfief;udk a&G;cs,fxm;aom jrdKUe,frsm;

wGifjyKvkyfcJYygonf/ 2002-ckESpfrS 2004-ckESpftwGif; 3-BudrfcGJNyD; wpfEdkifiHvHk;

wGif tpkvdkuf0ufoufa&m*g umuG,faq;xdk;jcif;vkyfief;udk aqmif&GufcJhjyD;?

2007-ckESpftwGif;wGif 3-BudrfcGJí tpkvdkuf 0ufoufa&m*g umuG,faq;xdk;

jcif;vkyfief;udk wpfEdkifiHvHk;wGif aqmif&GufcJhonf/ 2008-ckESpfwGif obm0

ab;'PfcH&aom jrpf0uRef;ay:a'owGif ta&;ay:tjzpf 0ufoufa&m*g


umuG,faq; xdk;ay;cJhonf/ odkUaomfvnf; a&m*gul;pufrIudk cHEdkif&nf

r&Sdao;aom uav;i,frsm; pkyHkrsm;jym;vmjcif;aMumifh 3-ESpf? odkUr[kwf4-

ESpfvQifwpfBudrf 0ufoufa&m*g tpkvdkufuyftoGifjzpfvmwwfonfh oabm

t& 2011ckESpfwGif 0ufoufa&m*g tpkvdkufjzpfyGm;jcif;onf 34 Budrf txd

wdk;wufvmcJhonf/ zsm;NyD;teDtzktydrfYxGufaom uav; trsm;pkonf

0ufoufa&m*gudk cHpm;cJh&aMumif;udk twnfjyKEdkifcJhonf/

5.125.125.125.125.12 0ufoufumuG,faq;0ufoufumuG,faq;0ufoufumuG,faq;0ufoufumuG,faq;0ufoufumuG,faq;

0ufoufa&m*gumuG,faq;udk trIefUjyKvkyfxm;jyD; toHk;rjyKrD oD;jcm;

ykvif;wGif xnfhxm;aomazsmfpyf&nfjzifh umuG,faq;jzpfvmap&ef azsmfpyf&

onf/ umuG,faq;ESifYtwl ygvmaomazsmfpyf&nfudkom tokH;jyK&ef ta&;BuD;

onf/ umuG,faq;ESifY xdkazsmfpyfNyD;aom 0ufoufumuG,faq;&nfudk + 2°C

rS + 8°C wGif xm;&Sd&rnf/

owfrSwfaomt&GG,fwGifuav;rsm;tm; umuG,faq;xdk;ay;jcif;jzifh

om 0ufoufa&m*gudk umuG,fay;Edkifonf? 0ufoufa&m*gumuG,faq;onf

xda&muf pdwfcs&onf/

5.11.1 umuG,faq;azsmfpyfjcif;5.11.1 umuG,faq;azsmfpyfjcif;5.11.1 umuG,faq;azsmfpyfjcif;5.11.1 umuG,faq;azsmfpyfjcif;5.11.1 umuG,faq;azsmfpyfjcif; (Reconstitution of vaccine)

umuG,faq;xdk;&efuav;rsm;a&muf&SdaomtcgrSom umuG,faq;udk

azsmfpyf&rnf/

umuG,faq;azsmfpyf&mwGif xdk0ufoufumuG,faq;twGuf xkwfvkyf

aom azsmfpyf&nfESifhom azsmfpyf&rnf/


umuG,faq;azsmfpyf&nfESifh umuG,faq;wdkUudk &ufvGefjcif;&Sd r&Sd

ppfaq;&rnf/

azsmfpyfonfhtcsdefudk umuG,faq;wHqdyfay:wGif rSwfom;xm;yg/

umuG,faq; wpfykvif;azsmfpyf&ef wpfcgoHk; 5 pDpD aq;xdk;jyGefudk oHk;yg/

xdkaq;xdk; jyGefjzifh aemufxyf aq;ykvif;azsmfpyf&eftwGuf toHk;rjyK&/

ydk;oefUpifaomenf; tjynfUt0jzifh udkifwG,f azsmfpyfyg/

azsmfpyf&nfwpfykvif;rS azsmfpyf&nftm;vHk;udk aq;xdk;jyGefjzifh aocsmpGm

tjynfht0pkyf,lNyD; tjynfht0 aq;ykvif;xJodkUxnfhyg/ umuG,faq;

rIefUESifh a&mpyfyg/

azsmfNyD;umuG,faq;&nfudk vuf0g;Mum;wGifvSdrfhjcif; rjyKvkyf&/ aq;

ykvif;\ vnfyif;udkudkifí tcsdeftenf;i,f txufatmufnifompGm

vIyfay;yg/

5.11.2 umuG,faq;xdk;ay;jcif;5.11.2 umuG,faq;xdk;ay;jcif;5.11.2 umuG,faq;xdk;ay;jcif;5.11.2 umuG,faq;xdk;ay;jcif;5.11.2 umuG,faq;xdk;ay;jcif;

0ufoufumuG,faq;xdk;aomtcg atmufygtqifhqifhtwdkif; vdkuf

emaqmif&Gufyg/

0.5 pDpD Auto Disable(AD) aq;xdk;jyGefudkom toHk;jyKyg/

tay:ydkif; b,fbufvufarmif;\ ta&jym;atmufodkU 0.5 pDpD xdk;

ay;yg/ (vufarmif;udk tykdif; oHk;ydkif; ydkif;yg? tay:qHk;tydkif; tjyifbuf

ae&mwGif xdk;yg)


aq;xdk;ay;rnfhtydkif;onf npfayjcif;r&Sdygu? oefU&Sif;ay;&ef rvdkyg/

tu,fí npfayaeonfudkawGUjrif&ygu a&oefYoefUjzifhaq;aMumí

ajcmufaoGUoGm;atmif apmifhyg/

rdb? odkYr[kwf uav;ESifhygvmoltm; uav;i,ftm; jrJjrJ xdef;

udkifxm;cdkif;yg/ (uav;i,f\ vufarmif;udk atmufrSqkyfudkifNyD;

vufrESifh vufnSdK;wdkUjzifh nSpfxm;yg/ ta&jym;tacguf ay:vmrnf/

xdknSpfxm;aom ta&jym;tacgufxJodkU aq;xdk;tyfudk 45 'D*&D apmif;

í ¾ vufrxuf rydkatmif xdk;oGif;yg/ wnfhwnfh pdkufrcs&/ apmif;

apmif; a'gifhjzifhxdk;yg/

aq;xdk;jyGefwefudk vufrjzifh zday;jcif;jzifh umuG,faq;rsm; xdk; oGif;yg/

aq;xdk;oGif;jyD;vQif aq;xdk;tyfudk nifompGm qGJxkwfyg/ aq;xdk;

onfhae&mudk *Grf;pjzifh zdxm;yg/ *Grf;pwGif aoG;p&SdvQif aoG;&yfoGm;

onftxd zdxm;yg/

aq;xdk;onfhae&mudk rajcygESifh/


5.135.135.135.135.13 0ufoufumuG,faq;rxdk;oifhaom taMumif;t&mrsm;0ufoufumuG,faq;rxdk;oifhaom taMumif;t&mrsm;0ufoufumuG,faq;rxdk;oifhaom taMumif;t&mrsm;0ufoufumuG,faq;rxdk;oifhaom taMumif;t&mrsm;0ufoufumuG,faq;rxdk;oifhaom taMumif;t&mrsm;

0ufoufumuG,faq;onf tvGeftEÅ&m,fuif;aomaq;jzpfNyD; pifppf

aq;rxdk;oifhaomtaMumif;t&m r&Sday/ odkUaomfvnf; 0ufouf umuG,f

aq;udk atmufyg&Sm;yg;aomtajctaersm;wGif xdk;ray;&yg/

eD,dkrdkifpif? *s,fvufwif (odkUr[kwf) ESifh umuG,faq;wGif yg0ifaom

tjcm;ypönf;rsm; ESifh aq;rwnfhbl;aom &mZ0if&Sdaomolrsm;/

arG;&myga&m*g? tdwfcsftdkifAGDa&m*gjzpfyGm;aeol? qdk;0g;onfhtqifh

a&mufaeonfh aoG;jzLOuifqma&m*gjzpfaeol? qdk;0g;onfh uifqm

a&m*g? odkUr[kwf pwD;&dGKuf aq;rsm;ajrmufrsm;pGmoHk;í aq;uko

ae&olponfh ckcHtm;usqif;jcif; jyif;xefpGm jzpfyGm;aeolrsm;/

uav;rSmtzsm;jyif;vQif? odkUr[kwf tjcm;jyif;xefaoma&m*gvu©Pm

rsm;&SdvQif umuG,faq;rxdk;ao;yg/ uav;jyefvnfaeaumif;

vmaomtcgrS umuG,faq;xdk;zdkUjyefvm&ef tMuHjyKoifhygonf/

atmufygtajctaersm;wGifvnf; 0ufoufumuG,faq; xdk;atmufygtajctaersm;wGifvnf; 0ufoufumuG,faq; xdk;atmufygtajctaersm;wGifvnf; 0ufoufumuG,faq; xdk;atmufygtajctaersm;wGifvnf; 0ufoufumuG,faq; xdk;atmufygtajctaersm;wGifvnf; 0ufoufumuG,faq; xdk;

ay;Edkifygonf/ay;Edkifygonf/ay;Edkifygonf/ay;Edkifygonf/ay;Edkifygonf/

tm[m&csKdUwJhjcif;? tu,fpifppf tm[m&csKdUwJUjcif;onf umuG,f

aq;xdk;ay;&rnfhtajctaejzpfonf/ tm[m&csKdUwJUaeaom uav;

rsm;udk umuG,faq; xdk;ay;NyD; teD;qHk;usef;rma&;Xmersm;odkU nTef;ydkUí

tm[m&csKdUwJhjcif;taMumif; qef;ppfjcif;ESifh ukoay;jcif;wdkUudk jyKvkyf

&ygrnf/


tenf;i,fzsm;emjcif;? rjyif;xefaomtouf&SLvrf;aMumif;ESif h

ywfoufonfha&m*g? 0rf;ysuf0rf;avQma&m*g ESifY (3)&ufxuf rydkaom

udk,ftylcsdefrjrifhonfh tzsm;a&m*grsm;/

5.14 umuG,faq;xdk;pOf tat;vrf;aMumif;xdef;odrf;jcif;5.14 umuG,faq;xdk;pOf tat;vrf;aMumif;xdef;odrf;jcif;5.14 umuG,faq;xdk;pOf tat;vrf;aMumif;xdef;odrf;jcif;5.14 umuG,faq;xdk;pOf tat;vrf;aMumif;xdef;odrf;jcif;5.14 umuG,faq;xdk;pOf tat;vrf;aMumif;xdef;odrf;jcif;

0ufoufumuG,faq;onf tyl'PfESifh aea&mifxdawGUjcif;udk rcHEdkif

yg/ ysufoGm;ygonf/ azsmfpyfNyD;aq;onf ydkíyif rcHEdkifyg/ aq;xdk;

onfhpk&yfwGif xdkaq;rsm;udk +2 rS +8 'D*&DpifwD*&dwfwGifxm;&Sd&rnf/

umuG,faq;azsmf&nfudkvnf; umuG,faq;ESifhtwl vaccine carrier

jzifh o,faqmif&rnf/ umuG,faq; azsmfpyfonfhtcsdefwGif azsmfpyf&nf

onf umuG,faq;ESifh wlnDaomtylcsdef&Sd&rnf/

umuG,faq;xdk;pk&yfokdU uav;i,fwpfOD; umuG,faq;xdk;&ef a&muf

vmonftxd umuG,faq;ESifh aq;azsmf&nfykvif;wkdUudk vaccine

carrier twGif;xm;í tzHk;udk ydwfxm;&rnf/

umuG,faq;xdk;rnfhae&modkU uav;i,fwpfOD; umuG,faq;xdk;&ef

a&muf&SdvmrSom umuG,faq;xdk;ay;rnfholonf umuG,faq;

wpfykvif;udk azsmfpyf&rnf/

uav;rsm;apmifhqdkif;aejcif; r&Sdonfhtcg azsmfpyfNyD;aom umuG,faq;

ykvif;udk vaccine carrier xJwGifygaom Foam Pad (a&jrSKyfjym;)&Sd

Mum;ae&mwGif xnfhxm;&rnf/ xdktcgrsKd;wGif vaccine carrier tzHk;

udk ydwf&efrvdkyg/ tjcm;tcsdefwGif tjrJydwfxm;&rnf/


5.15 umuG,faq;\ pdwfcs&rIESihf ab;xGufqkd;usdK;rsm;5.15 umuG,faq;\ pdwfcs&rIESihf ab;xGufqkd;usdK;rsm;5.15 umuG,faq;\ pdwfcs&rIESihf ab;xGufqkd;usdK;rsm;5.15 umuG,faq;\ pdwfcs&rIESihf ab;xGufqkd;usdK;rsm;5.15 umuG,faq;\ pdwfcs&rIESihf ab;xGufqkd;usdK;rsm;

rsm;aomtm;jzihf umuG,faq;\ tm;aysmYaom omrefwkHUjyefrIrsm;

&Sdwwfonf/ ab;xGufqkd;usdK; rsm;wGif atmufygtajctaersm; yg0ifygonf/

emjcif;? emjcif;? emjcif;? emjcif;? emjcif;? umuG,faq;xdk;aom uav;tcsdKUwGif umuG,faq;xdk;NyD; 24

em&DtwGif; aq;xkd;xm;aomae&mü tenf;i,femjcif;udk MuHKawGY&rnf/

,if;uJYodkY wkHUjyefrIrsm;onf 2 &uf 3 &uftwGif; aq;ukorI r&aomfvnf;

tvdkvdkaysmufoGm;rnf/

tzsm;&Sdjcif;?tzsm;&Sdjcif;?tzsm;&Sdjcif;?tzsm;&Sdjcif;?tzsm;&Sdjcif;? umuG,faq;xkd;NyD; (7) &ufrS (12) &uftwGif;ü

uav;(5) % wGif tzsm;tenf;i,f &SdEkdifygonf/ tzsm;onf (1)&uf (2)

&uftwGif;aysmufuif;oGm;ygrnf/ tzsm;onf wpfcgwpf&H wufapEdkifygonf/

( vl 3000 wGif wpfOD;EIef;)

0ufoufumuG,faq;aMumifY jyif;xefaomaq;rwnfhonhf wkHYjyefrI

tvGeftrif;&Sm;yg;ygonf/ jyif;xefaomaq;rwnfhonhf(aoG;vefYjcif;)

(Anaphylaxis) onf 0ufoufumuG,faq; tBudrfwpfoef;wGifwpfa,mufom

jzpfygonf/ jyif;xefaom aq;rwnfhjcif; (Severe allergic reactions) onf

0ufoufumuG,faq;tBudrfwpfodef;wGif wpfa,mufomjzpfygonf/

umuG,faq;wGifyg0ifaom neomycin, gelatin, sorbitol aq;rsm;ESifY "mwf

rwnfhjcif; jzpfEdkifonf/ aoG;cJOi,frsm;enf;jcif; (thrombocytopenia ) onf

umuG,faq;tBudrfokH;aomif;wGif wpfa,mufomjzpfygonf/

TMO gudeline for penta-2012-Body - South-East Asia ... · yHkrSefumuG,faq;xdk;vkyfief;wGif...

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Transcript of TMO gudeline for penta-2012-Body - South-East Asia ... · yHkrSefumuG,faq;xdk;vkyfief;wGif...