tflnd ;+rfng lgb]{lzsf - dohs.gov.npdohs.gov.np/wp-content/uploads/chd/Immunization/Vaccine_Mgmt... · ax'dfqf efon gLlt kf]lnof], 8L=kL=6L=, 6L=6L=, x]k aL, 8L=kL=6L=±x]k aL±lxa

$Page 1: tflnd ;+rfng lgb]{lzsf - dohs.gov.npdohs.gov.np/wp-content/uploads/chd/Immunization/Vaccine_Mgmt... · ax'dfqf efon gLlt kf]lnof], 8L=kL=6L=, 6L=6L=, x]k aL, 8L=kL=6L=±x]k aL±lxa$
tflnd ;+rfng lgb]{lzsf

vf]k Joj:yfkg

g]kfn ;/sf/ :jf:Yo tyf hg;+Vof dGqfno

:jf:Yo ;]jf ljefu

afn :jf:Yo dxfzfvf, vf]k zfvf sf7df8f}+ g]kfn

@)^%

1

laifo ;"lr

laifo j:t' k]h gDa/

laifo ;"lr !!= vf]k Joj:yfkg ;DalGw tflnd ;+rfng lgb]{lzsfsf] kl/ro @–$@= sfo{qmdsf] ljj/0f %–^#= EoflS;g Joj:yfkg tflnd k"j{ ;f]lwg] k|ZgfjnL &–*$= klxnf] lbgsf] tflnd sfo{qmd ( kf7 !M g]kfnsf] ;Gbe{df /fli6«o vf]k sfo{qmddf vf]k Joj:yfkg !) –!# kf7 @M cfjZos kl/df0fdf vf]ksf] pknAwtf !$ –@)%= bf]>f] lbgsf] tflnd sfo{qmd @! kf7 #M sf]N8r]gsf] kof{Kttf @@–#@ kf7 #M sf]N8r]g pks/0f ;fdfu|Lx?sf] dd{t ;Def/ ##–#& kf7 $M e/kbf]{ sf]N8r]g k|0ffnL #*–$&^= t]>f] lbgsf] tflnd sfo{qmd $* kf7 %M lhG;L Joj:yfkg $(–%* kf7 ^M eL=eL=Pd= -EoflS;g efon dlg6/_ %(–^# kf7 &M pko'Qm tl/sfn] 3f]nssf] k|of]u ^$–^^ kmLN8 cjnf]sgM s]lGb|o tyf lhNnf sf]N8?d &= rf}yf] lbgsf] tflnd sfo{qmd ^& kf7 *M g]kfnsf] ;Gbe{df ax'dfqf EoflS;g efon k|of]u gLlt ^*–&) kf7 (M EoflS;g efon xNnfP/ hfFr ug]{ &!–&$ kf7 !)M vf]k v]/ hfg] b/ / o;df sdL Nofpg] /0fgLltx? &%–*@ vf]k Joj:yfkg ;DalGw af]8{ v]n *# tflnd ;dflKt kl5 lnOg] k/LIff *$ tflnd k"j{ ;f]lwg] / cGTodf ;f]lwg] k|ZgfjnLx?sf] k|lzIfsnfO{ pQ/ *%cg';"lr ! k|efjsf/L EoflS;g Joj:yfkgdf c;/ kfg]{ ljleGg tTjx? *^cg';"lr @ cfsl:ds cj:yfdf EoflS;g hf]ufpg] of]hgf gd"gf *&–*(cg';"lr # cfsl:ds cj:yfdf EoflS;g hf]ufpg] of]hgf kmf/d ()cg';"lr $ Vaccine Arrival Report ( VAR ) sf] gd"gf (!–(@ cg';"lr %M Aofr sf8{ (#–($cg';"lr ^ s, v, u M EoflS:g, l;l/~h, ;]km\6L aS;sf] df}Hbft lgoGq0f kmf/d (%–(&cg';"lr &M dfu, k|flKt tyf ljt/0f kmf/d (*cg';"lr *M lhG;L lg;u{ ldgxf kmf/d ((cg';"lr (M bflvnf k|ltj]bg kmf/d !))cg';"lr !)M vr{ eP/ hfg] lhG;L ;fdfgsf] vftf !)!cg';"lr !!M x:tfGt/0f kmf/d !)@

2

!M vf]k Joj:yfkg ;DalGw tflnd ;+rfng lgb]{lzsfsf] kl/ro ævf]k cyjf EoflS;gsf] Joj:yfkgÆ zAbn] /fli6«o vf]k sfo{qmd ;+rfng ug{ EoflS;g pTkfbg x'g] 7fpFaf6 nlIft ul/Psf ;d"xnfO{ vf]k k|bfg ug]{ cj:yf ;Dd ul/g] ljleGg k|sf/sf lqmofsnfkx?, sfo{qmdx? / ;]jfx?df vf]ksf] k|of]u / o;sf] plrt lj;{hg eGg] ;fwf/0f cy{ /fVb5 . !=! k[i7e"ldM g]kfn /fHoel/ ljut nfdf] ;do b]lv ;+rfngdf NofOPsf] /fli6«o vf]k sfo{qmd dfkm{t

afnaflnsf tyf ue{jtL dlxnfx?nfO{ ljleGg k|sf/sf vf]k k|bfg u/L vf]k hGo /f]ux?

nfUgaf6 ;'/Iff k|bfg ul/b} cfOPsf] 5 . o; sfo{qmd dfkm{t vf]k hGo /f]ux?af6 x'g]

la/fdLb/df sdL NofO{ lzz' tyf afnd[To'b/ 36fpg] nIo /flvPsf] 5 . xfn g]kfndf o;

sfo{qmd dfkm{t * j6f ;?jf /f]u lj?4 vf]k sfo{qmd ;+rfngdf NofOPsf] 5 . o; sfo{qmdsf]

nIo xfl;n ug{ ;a} eGbf dxTjk"0f{ s'/f sfo{qmddf k|of]u x'g] vf]k -EoflS;g_ sf] plrt

Joj:yfkg ug'{ xf] . EoflS;g pTkfbg eP kl5 To;sf] k|of]u gx'Gh]n ;Dd /fd|f] ;+u Joj:yfkg

ug'{ h?/L x'G5 . vf]k sfo{qmd ;+rfng ug{ / vf]ksf] plrt Joj:yfkgsf] nflu g]kfn ;/sf/,

:jf:Yo tyf hg;+Vof dGqfno4f/f v6fOPsf :jf:YosdL{x? / cGo ;/f]sf/jfnf tyf

;xof]uLx?sf] lgs} 7"nf] e"ldsf x'G5 . ljZj :jf:Yo ;+u7g / o'lg;]kmn] vf]k sfo{qmdsf]

u'0f:t/Lotf a[l4 ug{ ;do ;dodf ljleGg k|sf/sf gofF t/Lsf / gLltx?sf] lgdf{0f ul//x]sf]

cj:yf / ljZjsf ;a} h;f] d'n'sn] ;f] gLltx?sf] cjnDag ul//xFbf o; sfo{qmddf vl6g] /

pQ/bfoL e"ldsf lgjf{x ug]{ ;a} :jf:Yo sdL{x?nfO{ ;f] sf af/]df hfgsf/L x'g' clgjfo{ 7fgL of]

tflnd ;+rfng lgb]{lzsf tof/ ul/Psf] 5 .

!=@ kl/roM lakm/ pGd"ngnfO{ cfwf/ dfgL lj:tfl/t vf]k sfo{qmd dfkm{t ljleGg vf]kx?nfO{ ;dfj]z u/L

g]kfndf vf]k sfo{qmdsf] z'?jft ul/b} cfPsf]df xfn yk ;?jf /f]usf lj?4 klg vf]kx?

ljsl;t ePsfn] tL vf]kx? ;d]t qmdzM vf]k sfo{qmddf ;dfj]z ul/b} nluPsf] 5 . o;}

cg'?k lj:tfl/t vf]k sfo{qmdnfO{ /fli6«o vf]k sfo{qmdsf] ?kdf ljsl;t ul/Psf] 5 eg]

cfufdL lbgx?df klg gofF vf]kx?nfO{ sfo{qmddf ;dfj]z ul/b} hfg] nIo /flvPsf] 5 .

Psftkm{ gofF vf]kx?nfO{ sfo{qmddf ;dfj]z ub}{ n}hfg'kg]{ 5 eg] csf]{tkm{ ;+rfngdf /x]sf

vf]kx?sf] u'0f:t/nfO{ a[l4 ub}{ vf]k sfo{qmdnfO{ yk k|efjsf/L agfpg'kg]{ b]lvG5 . o;

cj:yfnfO{ Vofn u/L vf]k sfo{qmddf vf]ksf] Joj:yfkg ;DalGw clt dxTjk"0f{ cjwf/0ff

ljsl;t ePsf] 5 . o; cawf/0ffn] ljZjJofkL ?kdf vf]k sfo{qmddf to ul/Psf gofF

3

gLltx?sf] sfof{Gjog ug{ ;xof]u k'¥ofpF5 . EoflS;g 9'jfgL ubf{ sfod ug'{kg]{ tfkqmdsf] nflu

sf]N8r]g pks/0fx?sf] 5gf}6 ug{, cfjZostf cg';f/sf] EoflS;g / vf]k ;fdfu|Lx?sf]

;'lglZrttf u/L ;f] sf] /]s8{ /fVg, EoflS;g efondf x'g] eL=eL=Pd=sf] k|of]u ug{, 3f]nssf]

;xL k|of]u ug{, ax'dfqf EoflS;g efon gLltsf] cjnDjg ug{, vf]k v]/hfg] b/df sdL Nofpg,

EoflS;gx? e08f/0f ubf{, ljt/0f ubf{, / o;sf] k|of]u ubf{ o;sf] u'0f:t/Lotf ;'lglZrt ug{ /

s]Gb| b]lv vf]k s]Gb|;Dd vf]k ;DalGw ;a} lqmofsnfkx?sf] ljZn]if0f, d"Nof+sg / cg'udg ug{

klg vf]k Joj:yfkg cjwf/0ffn] dxTjk"0f{ e"ldsf v]Nb5 . oL ;a} cjwf/0ffnfO{ ;d]6L vf]k

Joj:yfkg ;DalGw tflnd ;+rfng ug{ clt cfjZos 7flgPsf]n] of] lgb]{lzsf tof/ ul/Psf] xf].

o;n] tflnd ;+rfngdf ;xof]uL e"ldsf lgjf{x ug]{5 eGg] ck]Iff /flvPsf] 5 .

!=# nlIft ;d"xM o; tflnd lgb]{lzsfn] lgDg JolQmx?nfO{ vf]k Joj:yfkg ;DalGw hfgsf/L lng / ;f]xL

cg';f/sf] sfo{ ug{ ;xof]u ug]{5 M

♦ lhNnf hg:jf:Yo÷:jf:Yo clws[tx?

♦ vf]k ;'k/efOh/x?

♦ s]Gb|Lo / If]qLo:t/sf d]l8sn :6f]/x?df sfo{/t sd{rf/Lx?

♦ sf]N8 r]g cl;:6]G6x?

♦ :yfgLo :jf:Yo ;+:yfdf sfo{/t sd{rf/Lx?

!=$ tflnd ;+rfng x'g] cjlwM

♦ $ lbg

!=% tflnd ;+rfng x'g] :yfgM

♦ :jf:Yo ;]jf ljefu / If]lqo :t/df +

!=^ tflndsf] p2]ZoM rf/ lbg ;Dd ;+rfng ul/g] vf]k Joj:yfkg ;DalGw tflnddf ;xefuL e} ;a} k|sf/sf

lqmofsnfkx?df ;dfj]z x'g] JolQmn] tflnd kZrft lgDg s'/fx? ug{ ;Ifd x'g]5g\ eGg] p2]Zo

/flvPsf] 5 M

!= ljZj :jf:Yo ;++u7g / o"lg;]kmn] to u/]sf] dfkb08 cg';f/ /fli6«o vf]k gLlt cjnDag

u/L sfof{Gjog ug{ .

4

@= plrt dfkb08 cg';f/sf] cfjZos sf]N8r]g pks/0fsf] 5gf}6 ug{ .

#= sf]N8r]g e/kbf]{ agfpgsf] nflu pko'Qm ljlw / ;fdfu|Lsf] plrt k|of]u ug{ .

$= kof{Kt kl/df0fdf vf]ksf] pknAwtf ;'lglZrt ug{ .

%= vf]k ;fdfu|Lsf] plrt lhG;L Joj:yfkg ug{ .

^= eL=eL=Pd=nfO{ Joj:yfksLo cf}hf/sf] ?kdf k|of]u ug{ .

&= vf]k 3f]Nbf ;xL 3f]nssf] k|of]u ;'lglZrt ug{ .

*= ax'dfqf EoflS;g efon gLltsf] cjnDjg u/L EoflS;g v]/hfg]b/df sdL Nofpg .

(= vf]ksf] e08f/0f, ljt/0f / k|of]u ubf{ vf]ksf] u'0f:t/ ;'lglZrt ug{ .

!)= ;a} txdf vf]k v]/hfg]b/sf] cg'udg ug{ .

tflnd ;+rfng ug{ / hfgsf/L xfl;n ug{ ;lhnf] xf];\ eGg] clek|fon] o; lgb]{lzsfdf rf/

lbgsf] vf]k Joj:yfkg ;DalGw tflnd sfo{qmdnfO{ cfwf/ agfO{ ;]fxL cg';f/sf] laifoj:t'x?

;dfj]z ul/Psf] 5 .

k|lzIfsnfO{ hfgsf/L M rf/ lbg ;Dd ;+rfng ul/g] o; tflnddf ;a} eGbf klxnf s] s:tf laifoj:t'x? ;d]6\g

nfluPsf] 5 / pQm laifoj:t'x?sf] af/]df ;xefuLx?nfO{ s;/L k|efjsf/L?kdf hfgsf/L k|bfg

ug{ ;lsG5 eGg] af/]df cfkm} tof/L cj:yfdf /xg' kb{5 . o;sf nflu ;a} laifoj:t'x?sf]

;fdfu|L tof/L cj:yfdf x'g' kb{5 . ;xefuLnfO{ k|bfg ul/g] ;a} k|sf/sf tflnd ;fdfu|Lx?

cWofjlws ul/g' kb{5 . tflnd ;+rfngsf] nflu ;xefuLx?sf] 5gf}6 / lgdGq0ff, :yfgsf]

tof/L, sDKo'6/, Pn=;L=8L=, af]8{ k]k/, dfs{/, d]6f sf8{, gf]6a's, snd nufot ;a} ;fdfu|Lx?

tof/L cj:yfdf x'g' kb{5 . sfo{qmd ;+rfngdf ;xof]u ug]{ >f]tJolQmsf] 5gf}6, ;xof]uL

e"ldsf lgjf{x ug]{ sd{rf/L / ;a} k|zf;lgs k|aGwx? tflnd ;+rfng x'g] lbg cufj} ldnfpg'

kb{5 .

vf]k Joj:yfkg tflnddf k|lzIfs / ;xefuLx? b'a} g} ;lqmo eO x/]s 5nkmn / ;d"x sfo{df

;dfj]z x'g' h?/L 5 . k|lzIfsn] tflndsf ;xefuLx?nfO{ x/]s laifoj:t'df lgk'0f x'g] cj;/

k|bfg ug'{kb{5 .

5

@= sfo{qmd

;do laifoj:t' t/Lsf@=! klxnf] lbg

!% ldg]6 ;xefuLx?nfO{ :jfut / tflndsf] p2]Zosf] af/]df hfgsf/L

!% ldg]6 ;xefuLx?n] o; tflndaf6 s] ck]Iff /fv]sf5g\ ;f] sf] hfgsf/L lng]

@% ldg]6 ;xefuLx?n] k|fKt ug]{ b}lgs eQf / cGo ;'ljwfsf] hfgsf/L

#) ldg]6 ;xefuLx?df vf]k Joj:yfkg ;DalGw s] s:tf] hfgsf/L 5 ;f] sf]

d"No+fsg ug]{M tflnd ;f]lwg] k|ZgfjnLx?sf] k|of]u u/]/

!% ldg]6 klxnf] lbgsf] tflnddf ;dfj]z x'g] ljifoj:t'sf] hfgsf/L

!% ldg]6 lrofkfg

^) ldg]6 kf7 !M g]kfnsf] ;Gbe{df /fli6«o vf]k sfo{qmddf vf]k Joj:yfkg

$% ldg]6 Vffhf

!) ldg]6 cltl/Qm lqmofsnfk

!#% ldg]6 kf7 @M cfjZos kl/df0fdf vf]ksf] pknAwtf

!% ldg]6 klxnf] lbgsf] d"Nof+sg

@=@ bf]>f] lbg

!% ldg]6 bf]>f] lbgsf] tflnddf ;dfj]z x'g] ljifoj:t'sf] hfgsf/L

() ldg]6 kf7 #M sf]N8r]gsf] kof{Kttf / sf]N8r]g pks/0f ;fdfu|Lx?sf] dd{t

;+Def/

!% ldg]6 lrofkfg


!@) ldg]6 kf7 $M e/kbf]{ sf]N8r]g k|0ffnL

$% ldg]6 Vffhf

^) ldg]6 ===kf7 $M e/kbf]{ sf]N8r]g k|0ffnL


!% ldg]6 bf]>f] lbgsf] d"Nof+sg

@=# t]>f] lbg

!% ldg]6 t]>f] lbgsf] tflnddf ;dfj]z x'g] ljifoj:t'sf] hfgsf/L

^) ldg]6 kf7 %M lhG;L Joj:yfkg

!% ldg]6 lrofkfg

6

;do laifoj:t' t/Lsf!) ldg]6 cltl/Qm lqmofsnfk

!@) ldg]6 nuftf/===, kf7 %M lhG;L Joj:yfkg

$% ldg]6 Vffhf

#) ldg]6 kf7 ^M eL=eL=Pd= -EoflS;g efon dlg6/_

^) ldg]6 kf7 &M pko'Qm tl/sfn] 3f]nssf] k|of]u

^) ldg]6 lkmN8 cjnf]sg M s]lGb|o tyf lhNnf sf]N8?d

!% ldg]6 t]>f] lbgsf] d"Nof+sg

@=$ rf}yf] lbg

!% ldg]6 Rf}fyf] lbgsf] tflnddf ;dfj]z x'g] ljifoj:t'sf] hfgsf/L

^) ldg]6 kf7 *M g]kfnsf] ;Gbe{df ax'dfqf EoflS;g efon k|of]u gLlt

!% ldg]6 lrofkfg


$% ldg]6 kf7 (M EoflS;g efon xNnfP/ hfFr ug]{

^) ldg]6 nuftf/===, kf7 (M EoflS;g efon xNnfP/ hfFr ug]{

$% ldg]6 Vffhf

#) ldg]6 kf7 !)M vf]k v]/ hfg] b/ / o;df sdL Nofpg] /0fgLltx?

() ldg]6 nuftf/===,kf7 !)M vf]k v]/ hfg] b/ / o;df sdL Nofpg] /0fgLltx?

^) ldg]6 vf]]k Joj:yfkg ;DalGw af]8{ v]n

@) ldg]6 Tfflnd ;dflKt kl5 lnOg] kl/Iff / ;f] sf] kl/0ffdsf] 3f]if0ff

!% ldg]6 ;xefuLx?af6 k|ltj4tf hfx]/

% ldg]6 sfo{qmd ;dfkgsf] 3f]if0ff

$) ldg]6 k|zf;lgs sfo{ -eQf ljt/0f OToflb_

gf]6M laifoj:t' k|:t'lts/0f ug]{ ljlw tflnd ;+rfng ug]{ JolQm cg';f/ km/s km/s x'g] ePsf]n] ;f] sf] Joj:yf tTsfnsf] ;do / cj:yfnfO{ cfwf/ dfgL ul/g]5 .

7

#= vf]k Joj:yfkg tflnd k"j{ ;f]lwg] k|ZgfjnL

k|To]s k|Zgsf] 7Ls bflxg]kl§sf] sf]7fdf 7Ls eP / a]7Ls eP lrGx lbg'xf];\ .

qm=;+= k|Zgx?

pQ/

! vf]k / 3f]ns e08f/0f ubf{ vf]k / 3f]nssf] k|s[lt cg';f/ tLg lsl;dsf cnu cnu tfks|ddf e08f/0f ug'{kb{5 . e08f/0f ul/g] vf]k / 3f]nssf] nflu cfjZos kg{] cfotg eGbf e08f/0f ul/g] :yfgsf] cfotg vf]k / 3f]nssf] hDdfhlDd cfotg eGbf a9L x'g' kb{5 .

@ olb cfjZos vf]k / 3f]nssf] cfotg eGbf e08f/0f ul/g] e08f/sf] cfotg sd 5 eg] / e08f/0fsf] nflu gofF sf]N8r]g pks/0f yk ug'{jfx]s cGo ljsNk x'Fb}g .

# sf]N8 ?dsf] cfotgsf] lx;fa ubf{ sf]N8?dsf] dflyNnf] txsf] tVtf (Shelves_ nfO{ cfotg lx;fa ubf{ ;dfj]z ug{'kb{}g .

$ bfb'/f vf]k hlxn] klg -!%o;]= tfks|d eGbf tn /flvg' kb{5 . % olb eL=eL=Pd= sf] cj:yf 7Ls 5 eg] Dofb gf3]sf] ePklg pQm vf]k k|of]udf Nofpg

;lsG5 .

^ k|To]s vf]k e08f/0f sf]7fdf/:yfgdf lg/Gt/ ?kn] tfks|d clen]v cg'udg ug{ ;lsg] pks/0fx?sf] Joj:yf x'g'k5{ .

& vf]k sfo{s|ddf ;+nUg vf]k ;'k/efOh/ tyf sf]N8r]gsf sd{rf/Lx? sf]N8 r]g sf]7f / ejg, pks/0f/kf6{k'hf{ / oftfoftsf ;fwgsf] of]hgfa4 dd{tsf nflu pQ/bfoL x'G5g\

* k'/fgf hgu0fgfsf] tYofFs jf unt u0fgf / a;fO{ ;/fO{sf] sf/0fn] nlIft hg;+Vofsf] olsg cg'dfg ug{ ;d:of k5{ .

( dxfdf/L, /f]u k|sf]k lgoGq0fsf] nflu cfjZos kg]{ EoflS;g ;'/lIft df}Hbftdf gufeL cnUu} df}Hbftdf 5'6\ofP/ /fVg'kb{5 .

!) s]lGb|o :t/sf] vf]k e08f/0fdf /x]sf] vf]ksf] hDdf k|fKt dfqf dWo] s'n ljt/0f u/]sf] vf]k dfqfsf] k|ltztsf] cfwf/ g} /fli6«o vf]k se/]h lgsfNg] ;/n t/Lsf xf] .

!! aL=;L=hL= / bfb'/f EoflS;g;Fu 3f]ns klg ;Fu;Fu} k7fOg] ePsf]n] 3f]nsx?sf] 5'§} clen]v /fVg cfjZos kb{}g .

!@ lau|]sf / Dofb gf3]sf vf]kx? gi6 gu?~h]n lglZrt lrGx/;+s]t lbO{ n]jn 6Ff;L sf]N8 ?ddf /fVg'kb{5 .

!# k|To]s aif{df Ps k6s vf]k, 3]fns / 8«k/sf] df}Hbftsf] ef}lts u0fgf u/L clen]v /fVg'kb{5 .

!$ If]qLo :6f]/af6 k7fOPsf] EoflS;g Nofpbf Nofpb} olb eL=eL=Pd= leqsf] auf{sf/ sf]7f ;]tf] 5}g eg] To:tf vf]kx? :jLsfg{' xF'b}g .

!% Psk6s 3f]lnPsf] bfb'/f vf]k ;f] sf] eL=eL=Pd= 7Ls 5 eGg] ;+s]t u5{ eg] ef]lnkN6 klg k|of]u ug{ ;lsG5 .

!^ b'u{d ef}uf]lns If]qdf sf]N8r]gsf] nflu nluPsf] cfO;Kofsx? klUnP klg le=le=Pdsf] cj:yf 7Ls 5 eg] To:tf vf]k k|of]u ug'{kb{5 .

!& olb :jf:YosdL{x? eL=eL=Pd=hfFrug{ ;Ifd 5g\ eg] vf]k e08f/0f ;DalGw Joj:yfkg (Early Expiry First Out) gLltaf/] kl/dfh{g ug{ ;lsG5 .

!* Pp6f vf]ksf] nflu tf]lsPsf] 3f]ns csf{] vf]ksf] nflu k|of]u ug{'x'Fb}g .

8

qm=;+= k|Zgx?

pQ/

!( bfb'/f vf]k 3f]Ngsf] nflu lgd{nLs[t 3f]ns l;l/Gh4f/f % ld=ln= 3f]ns tfGg'kb{5 . @) EoflS;g efondf eL=eL=Pd= ;+s]t 5}g eg] ax'dfqf EoflS;g efon gLlt cjnDag

ug{ ;lsb}g .

@! afx\o vf]k ;];gdf ;~rfngdf cfO;s]sf 8L=kL=6L== x]k aL / 6L=6L= EoflS;g efon afFsL /x]sf] ePtfklg EoflS;gsf] efon clnslt leh]df klg efl]nkN6sf] ;];gdf k|of]u ug{'xF'b}g .

@@ xNnfP/ ug]{ hfFr (Shake test) ubf{ hd]sf] z+sf nfu]sf] Pp6f vf]ksf] efon csf{] ghd]sf] vf]k efon;F+u t'ngf ug{' kb{5 .

@# hd]sf] cfO;KofsnfO{ sl08zlgË ub{f cfO;Kofs ljt/0f ug{' eGbf cufj} cfwf 306f;Dd aflx/ /fVg'k5{ .

@$ lr;f];+u ;Dj]bgzLn x'g] vf]kx? 9'jfgL ug{] ;dodf lr;f];Fu} ;Dj]bgzLn x'g] tfkdfks ;"rsx? (Freeze Indicator) ;Fu;Fu} /fVg'kb{5 .

@% dfu ul/Psf EoflS;g cfk"lt{ ubf{ pQm uf=lj=; jf lhNnfn] ut/laut dlxgfdf dfu u/}sf] dfqf / cg'dfg ul/Psf] dfusf] cfwf/df kl5Nnf] dfu ul/Psf] vf]ksf] kl/df0f hfFr ug{'k5{ .

@^ EoflS;g e08f/0f ug]{ sf]N8?dsf] vf]k v]/hfg] b/ / vf]k s]Gb|df vf]k v]/ hfg] b/ lgsfNg k|of]u ul/g] ;"q km/s km/s x'G5 .

@& ;a} vf]ks]Gb| / vf]k e08f/sf] dfl;s ?kn] vf]ksf] k|of]u / v]/ hfg] b/nfO{ cg'udg ug'{kb{5 .

@* !) 8f]hsf] 8L=kL=6L== vf]ksf] $%Ü v]/ hfg] b/nfO{ :jLsf/of]Uo dflgGg . @( ;fdfGotof sf]N8r]g / vf]k df}Hbft Joj:yfkg ;DalGw sdL sdhf]/Lsf sf/0f

gvf]lnPsf vf]k efonsf] v]/ hfg] b/ a9L x'g;S5 .

9

$= klxnf] lbgsf] tflnddf ;dfa]z ul/g] laifoa:t'x?

kf7 ! M g]kfnsf] ;Gbe{df /fli6o vf]k sfo{qmddf Joj:yfkg

kf7 @M cfjZos kl/df0fdf vf]ksf] pknAwtf

10

kf7 !M g]kfnsf] ;Gbe{df /fli6«o vf]k sfo{qmddf vf]k Joj:yfkg

/fli6«o vf]k sfo{qmd M g]kfn clw/fHoe/sf ;Dk"0f{ afnaflnsfx?nfO{ ljleGg ;?jf /f]ux? nfUgaf6 ;'/Iff k|bfg ub}{ vf]k hGo /f]ux?af6 x'g] la/fdLb/df sdL NofO{ lzz' tyf afnd[To'b/ 36fpg lgoldt ?kdf ;+rfng ul/b} cfPsf] vf]k ;]jf sfo{qmdnfO{ /fli6«o vf]k sfo{qmd elgG5 . xfn g]kfndf o; sfo{qmd dfkm{t * j6f ;?jf /f]u lj?4 vf]k sfo{qmd ;+rfngdf NofOPsf] 5 .

of] sfo{qmd dfkm{t g} vf]k ;]jf k|bfg ug{ cfjZos gLlt, /0fgLlt to ug'{sf ;fy} ;]jf ;+rfng ug{ cfjZos kg]{ ;Dk"0f{ >f]t–;fdfu|Lx?sf] Joj:yfkg ul/G5 . vf]k sfo{qmd ;a} :jf:Yo ;+:yf, afx\o vf]k s]Gb| tyf 3'lDt 6f]nL kl/rfng u/L ;+rfng ul/G5 .

o; kf7df lgDg laifoj:t'x? ;dfj]z ul/Psf] 5 M !=!= /fli6«o vf]k sfo{qmdsf p4]Zox?

!=@= /fli6«o vf]k sfo{qmdsf] s'n nfut

!=#= /fli6«o vf]k sfo{qmdsf r'gf}tL tyf jfwfx?

!=$= /fli6«o vf]k gLltx?

!=!= /fli]6«o vf]k sfo{qmdsf p4]Zox? /fli6«o vf]k sfo{qmsf p2]Zox? lgDgcg';f/ /x]sf5g\M

• ;g\ @)!) ;Dddf x/]s uf=lj=;=÷g=kf= df ;a} vf]kx?sf] se/]h () k|ltzt k'¥ofpg] / o;nfO{ sfod /fVg] .

• kf]lnof] d'Qm cj:yf sfod /fVg] . • gjlzz' wg'i6+sf/ /f]usf] lgjf/0f cj:yfnfO{ sfod /fVg] . • ;g\ @)!) ;Dddf lhNnf :t/df bfb'/faf6 x'g] ;g\ @))# sf] d[To' b/nfO{ () k|ltztn]

sd ug]{ . • vf]kaf6 arfpg ;lsg] /f]ux?sf] vf]h k8\tfn tyf lgu/fgL sfo{nfO{ lj:tf/ ug]{ . • lgoldt vf]k ;]jfsf] u'0f:t/ /fd|f] ub}{ To;nfO{ sfod /fVg] . • gofF vf]kx? klg qmdzM /fli6«o vf]k sfo{qmddf ;dfj]z ub}{ hfg] . • cGo pd]/ ;d"xsf afnaflnsfx? / jo:sx?nfO{ klg vf]k ;]jf k|bfg ug]{ .

dfly pNn]lvt p2]Zox? k|flKtsf] nflu k|efjsf/L vf]k Joj:yfkg x'g' h?/L 5 . vf]k

Joj:yfkgdf lgDg cg';f/sf tTjx?sf] plrt Joj:yfkgn] dfq dfly pNn]lvt p2]Zox? xfl;n

ug{ ;lsG5 M

• cfjZos vf]ksf] k"jf{g'dfg • vf]k vl/b ug{] • e08f/0f ug{], ljt/0f ug{]

• lhG;L Joj:yfkg ug]{ • cg'udg / ;'kl/j]If0f ug]{

11

!=@= vf]k sfo{qmdsf] nfut g]kfndf la=;+ @)^$÷^% df lgoldt vf]k sfo{qmdsf] nflu cfjZos vf]ksf] nfut lgDg

cg';f/ lyof] M

• hDdf nfut ? $@ s/f]8

o g]kfn ;/sf/jf6 Joxf]g{] ? * s/f]8

o ufeL (GAVI) ? @* s/f]8

o bftfsf] ;+o'Qmsf]if ? ^ s/f]8

olt w]/} nfut vf]kdf nfUg] eP klg vf]k k|ltsf] cfdwf/0ff eg] leGg ePsf] kfOG5 h:t}M

• vf]k l;Q}df kfOg] j:t' xf] . of] d"Nojfg\ tyf dxFËf] j:t' xf]Og .

• vf]k bftfx?jf6 lbOg] cg'bfg xf] . o;df ;/sf/L nufgL xF'b}g .

• vf]k hlt dfu] klg l;Q}df kfO{G5 . o;sf] Joj:yfkgdf w]/} Wofg lbg' kb}{g . h;/L EoflS;gsf] x/]s dfqf /f]u lj?4 ;'/Iff k|bfg ug{ dxTjk"0f{ x'G5 To;/L g} EoflS;gsf]

nfut x]bf{ x/]s EoflS;gsf] yf]kf clt dxTjk"0f{ / dx+uf] b]lvG5 . g]kfndf la=;= @)^$÷)^%

df vl/b} eO k|of]u x'g] EoflS;gsf] d"No o;k|sf/ x'g] b]lvG5 M

EoflS;g d"No -?=_ @)^$ ÷ @)^% M

EoflS;g OsfO{ OsfO{ d"No k|lt dfqf d"No

aL=;L=hL== @) dfqfsf] efon÷PDk'n &^=&@ #=*$

8L=kL=6L==± x]k aL !) dfqfsf] efon %)) %)

kf]lnof] !) dfqfsf] efon÷6\o"a !## !#=##

kf]lnof] @) dfqfsf] efon÷6\o"a @%% !@=&%

Bfb'/f !) dfqfsf] efon !!*=*) !!=**

6L=6L= !) dfqfsf] efon #!=(@ #=!(

6L=6L= @) dfqfsf] efon %&=%@ @=**

12

!=#= /fli6«o vf]k sfo{qmdsf r'gf}tL tyf jfwfx? /fli6«o vf]k sfo{qmd dfkm{t ljleGg /f]u lj?4 vf]kx? k|bfg u/L afnaflnsfx? / ue{jtL

dlxnfx?nfO{ ;'/Iff k|bfg ul/b} cfOPsf] 5 . o; sfo{qmdsf] ;kmntfdf ljleGg kIfx? ;+usf]

glhssf] ;DaGw /x]sf] 5 . sfo{qmdn] 7"n} ;kmntf xfl;n ul//x]]sf] ePtf klg cem} klg

cfzfltt ul/P d'tfljssf] nIo k|fKt ug{ ;lsPsf] 5}g . o;sf nflu lgDg cg';f/sf r'gf}tLx?

/x]sf] kfOG5M

• EoflS;g / cfjZos ;fdfu|Lx?sf] lgoldt cfk"lt{ x'g ;s]sf] 5}g .

• sf]N8 r]g ;dfu|Lx?sf] dd{t ;+Def/df sdL x'g'sf ;fy} sf]N8r]gdf cfslZds cj:yfsf]

of]hgf sfof{Gjogdf klg sdL b]lvG5 .

• sf]N8r]g cg'udg ug]{ cf}hf/x?sf] k|efjsf/L k|of]u gePsf] .

• sf]N8r]gsf] ;fdfu|Lsf] lhG;L cWofjlws gePsf] .

• lhG;L Joj:yfkg b'?:t gkfOPsf] .

• ef}lts u0fgf lgoldt u/L df}Hbft cBfjlws gul/Psf] . cfjZos eGbf w]/}÷yf]/}

df}Hbft x'g' tyf df}Hbft} g/xg' .

• dfu, k|flKt / ljt/0f k|0ffnL Jojl:yt gePsf] . ljgf of]hgf hyfefjL ?kn] vf]ksf]

ljt/0f ul/Psf] .

• EoflS;gsf] v]/hfg] b/ pRr x'g' .

• :jf:YosdL{x? sf]N8r]g ;DalGw 1fg / l;kdf cWofjlws gePsf] .

• ;a} txdf ;'kl/j]If0f / cg'udg k|efjsf/L gePsf] .

oL dflysf ;a} r'gf}tLx?nfO{ ;fdgf ub}{ cfufdL lbgx?df oL ;a}sf] ;dfwfg / cWofjlws ug'{

h?/L 5 . dfly pNn]lvt r'gf}tLx? xfd|f cfkm\g} Joj:yfksLo sdhf]/Lx?n] ubf{ klg yk ePsf

x'g . oL sdhf]/Lx?n] sfo{qmddf pNn]lvt nIo xfl;n ug{ afwf l;h{gf ub{5g\ eg] csf]{ tkm{

nufgLsf] klg gf]S;fg x'g] u/]sf] kfOG5 . h:t} pbfx/0fsf] nflu vf]k v]/ hfg] b/ pRr x'g'

eg]sf] M

• ;|f]t / ;fwgsf] v]/ hfg' xf] .

• vf]ksf] nfut a9\g' xf] .

• cGo vf]kx? z'?jft ug{ gofF vf]k vl/b / vf] sfo{qmd ;+rfngsf] ;|f]tdf sdL x'g' xf] .

vf]k v]/hfg] b/ pRr ePdf sfo{qmd ;+rfng ug{ cg'dfg ul/Psf] EoflS;g ck'u eO vf]ksf]

se/]h ;d]t 36\g hfG5 .

13

!=$= /fli6«o vf]k gLltx?M vf]k sfo{qmdnfO{ k|efjsf/L ?kdf ;+rfng ug{, vf]k Joj:yfkgnfO{ ;xof]u ldNg] u/L g]kfndf

s]lx /fli6«o vf]k gLlt ;+rfngdf NofOPsf5g\ h'g o; k|sf/ /x]sf 5g\ .

s_ vf]k vl/b gLltM

• Vff]k / cfjZos vf]k ;fdu|Lx? s]Gb|Lo txaf6 vl/b ul/G5 .

• vl/b >f]t M

o ;/sf/L >f]t M kf]lnof], bfb'/f, 6L=6L= / aL=;L=hL==

o ufeL (GAVI) af6 ef}lts j:t' vl/bsf] nflu cg'bfg

8L=kL=6L=– x]k aL

o bftfsf] ;+o'Qmsf]if

;'/lIft ;'O{

h]=O{= vf]k

v_ ax'dfqf EolS;g efon k|of]u gLlt

• g]kfn ;/sf/n] ;g\ @))@ df ax'dfqf EoflS;g efon gLltnfO{ nfu" u/]sf] 5 .

u_ ;'/lIft ;'O{ gLlt

• ;g\ @))@ b]lv ;'/lIft ;'O{ gLlt nfu" u/]sf] . o; cGt{ut g]kfndf /fli6«o vf]k sfo{qmd

cGtu{t vf]k lbgsf] nflu P=l8= l;l/~hdfq k|of]u ul/G5 .

3_ eL=eL=Pd= k|of]u gLlt

• g]kfn ;/sf/af6 vl/b x'g] ;a} EoflS;gx?df -h]=O{= EoflS;g afx]s_ eL=eL=Pd= ePsf]

vf]k dfq vl/b ug{] .

ª_ P=O{=Pkm=cfO{= gLlt

• vf]k kZrft x'g] cjflG5t 36gfx?sf] vf]hk8\tfn / Joj:yfkg

14

kf7 @M cfjZos kl/df0fdf vf]ksf] pknAwtf

o; ;];gsf] cGTodf ;xefuLx? lgDg sfo{x? ug{ ;Ifd x'g]5g\ M

• lhNnf, If]q / s]Gb|sf] nlIft hg;+Vof klxrfg ug{ .

• cfjZos vf]k / vf]k ;fdu|Lsf] kl/df0f cg'dfg ug{ .

⇒ aflif{s÷q}dfl;s÷dfl;s ?kdf cfjZos EoflS;g tyf ;fdu|L

⇒ k|To]s ;];gsf] nflu cfjZos EoflS;g tyf ;dfu|L

⇒ dfxfdf/L /f]u lgoGq0f / cleofgsf] nflu

• EoflS;g vktsf] cfwf/df vf]k se/]hsf] cg'dfg ug{ .

cfjZos kl/df0fdf vf]ksf] ;xL cg'dfg ug'{ dxTjk"0f{ sfo{ xf] lsgeg]M

vf]k sfo{s|dsf] nflu vf]k / vf]k ;fdu|L lg/Gt/ pknAw u/fpg kg]{ x'G5 .

clws df}Hbft tyf z'Go df}Hbftsf] cj:yf cfpg glbg .

gofF vf]kx? dx+uf] ePsf] x'gfn] ;b'kof]u ug{ .

dfxfdf/L x'Fbf vf]ksf] df}Hbft sld x'g glbg .

15

;xefuLx?nfO{ pT;flxt agfpg / pgLx?sf] wf/0ff a'em\g lgDg cleJolQm JoQm ug]{M

kof{Kt dfqfdf vf]ksf] cg'dfg ug{ dflysf] cleJolQm slQsf] ;fGble{s / ;'xfFpbf] 5 ;a}

;xefuLx?sf] wf/0ff a'em\g] .

vf]ksf] cg'dfgdf k|efj kfg]{ d'Vo tTjx?sf] af/]df ;xefuLx?nfO{ ;"lr tof/ ug{ nufpg]M

k|lzIfsnfO{ ;NnfxM ;"lr tof/ ug{ nufpFbf ;d"x sfo{ klg u/fpg ;lsG5 jf ;a}nfO{ ;fd"lxs k|Zg u/L af]8{ jf k]k/df klg ptfg{ ;lsG5 . o;n] ;a}nfO{ cf–cfkm\gf] /fo JoQm ug]{ cj;/ k|bfg ub{5 .

vf]ksf] cg'dfgdf k|efj kfg{] d"Vo tTjx?sf] ;"lr tof/ kfg'[{xf];\ M ! ===========================================================================================

@ ===========================================================================================

# ===========================================================================================

$ ===========================================================================================

% ===========================================================================================

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hg;+Vof a9]sf] a9\o} 5 . xfd|} kl/jf/ klg slt 7"nf] e};Sof] . ahf/df htf uof] pt} 3/}3/ / dfG5]sf] eL8 dfq b]lvG5 . To;sf/0f d t of] aif{, utjif{ eGbf bf]Aa/ EoflS;g dfU5'' .

16

vf]ksf] kl/df0f cg'dfg ug]{ t/Lsfx? M != nlIft hg;+Vofsf] cfwf/df

@= ljutsf vktsf] cfwf/df

#= of]hgf u/]sf] ;];gsf] k|sf/ / ;+Vofsf] cfwf/df

g]kfnsf] ;Gbe{df EoflS;g cg'dfg lgDg cfwf/df ul/G5 M

• kf]lnof], 8L=kL=6L—x]k=aL=—lxa tyf 6L=6L=sf] cg'dfg nlIft hg;+Vofsf] cfwf/df ul/G5

• aL=;L=hL= tyf bfb'/f vf]ksf] nflu vf]k ;];g cg';f/

o slDtdf k|lt ;];g k|lt efonsf b/n] . nlIft hg;+VofnfO{ x]/]/ a9fpg ;lsG5 .

vf]ksf] kl/df0f cg'dfg ubf{ k|efj kfg{] tTjx?M k|lzIfsnfO{ ;NnfxM -;fGble{s b]lvPdf dflysf] 5nkmnaf6 cfPsf goFf cjwf/0ffx? klg ;dfj]z ug'{xf];\_

!= nlIft hg;+Vof

@= ck]lIft se/]h

#= vf]ksf] v]/ hfg] b/

$= Go"gtd -;'/lIft_ df}Hbft

%= vf]ksf] laBdfg df}Hbft

^= ax'dfqf EoflS;g efon k|of]u gLlt

&= vf]k cfk"lt{sf] cGt/fn

*= vf]k ;]jf k|bfg ug]{ gLlt of]hgf / /0fgLlt

(= cfsl:ds dfu

!= nlIft hg;+VofM

! aif{ d'lgsf lzz'x? !@ b]lv @# dlxgf ;Ddsf

afnaflnsfx? ue{jtL dlxnfx?

aL=;L=hL==, 8L=kL=6L==—x]k=aL, kf]lnof] / bfb'/f

hfkflgh OG;]kmnfOl6;\ -k|efljt lhNnfx?df dfq_

6L=6L= vf]k

Gff]6M lgoldt vf]k ;]jfsf cltl/Qm vf]k cleofgdf ljleGg pd]/ ;d"xsf JolQmx?nfO{ vf]k ;]jfsf] nflu nlIft ;d"x dflgPsf] x'G5 / ;f]xL cg';f/ vf]k ;]jf pknAw u/fpg' kb{5 .

17

nlIft hg;+Vof lgwf{/0f ug{] t/LsfM

• HMIS, -:jf:Yo ;]jf ljefu, Joj:yfkg dxfzfvfaf6 k7fOPsf] nIo cg';f/_

• hgu0fgf,

• hGd btf{ /

• :yfgLo :t/af6 ul/g] hgu0fgf

oL dflysf ;a} s'/fx?nfO{ dWogh/ ubf{ vf]k kl/df0f cg'dfgdf nlIft hg;+Vofsf] 7"nf] e"ldsf

/x]sf] x'G5 .

@= ck]lIft se/]h

• EoflS;g cg'dfg ubf{ cfufld aif{df ck]Iff ul/Psf] vf]k se/]hnfO{ Wofgdf /fVg'kg]{

x'G5 .

#= vf]ksf] v]/ hfg] b/

• EoflS;g -vf]k_ v]/hfg] b/n] EoflS;gsf] cg'dfgdf km/s kfb{5 .

$= Go"gtd -;'/lIft_ df}Hbft

• Go"gtd -;'/lIft / dfu k|flKt larsf] cGt/_ df}Hbft eg]sf] lgoldt vf]ksf] nflu rflxg]

EoflS;g jfx]ssf] EoflS;g kl/0ffd xf] . o;sf] k|of]u lgDg cj:yfdf ul/G5 .

o PsfPs EoflS;gsf] dfu a9\g uPdf,

o dfGob/ eGbf a9L v]/hfg] b/ ePdf,

o EoflS;g cfk"lt{df l9nfO -dfu / k|flKtsf] cGt/fn_ x'g uPdf,

-w]/}h;f] sfo{qmddf cfsl:ds k|of]usf] nflu @% k|ltzt df}Hbft /fVg'k5{ _

%= vf]ksf] laBdfg df}Hbft

• v'b df}Hbftdf ePsf] EoflS;gsf] ;+Vofn] EoflS;g cg'dfgdf k|efj kfb{5 .

o jf:tljs / k|of]uof]Uo EoflS;g df}Hbft yfxf kfpg EoflS;gsf] ef}lts u0fgf

ug'{ k5{

^= ax'dfqf EoflS;g efon k|of]u gLlt

• o; gLltsf] cjnDagn] EoflS;g v]/hfg] b/ 36fO{ vf]k cg'dfgdf k|efj kfb{5 .

18

&= vf]k cfk"lt{sf] cGt/fn

• EoflS;g cfk"lt{sf] cGt/fn lgwf{/0f ubf{ lgDg a'Fbfx?df Wofg lbg'kb{5

o EoflS;g e08f/0fsf] Ifdtf

o EoflS;g 9'jfgL ug{sf] nflu sf]N8aS;, uf8L OToflbsf] kof{Kttf,

o ljB't tyf cGo OGwgsf] cfk"lt{df lg/Gt/tf

o df};d tyf ef}uf]lns cj:yf

*= vf]k ;]jf k|bfg ug]{ gLlt, of]hgf / /0fgLlt

• nlIft hg;+Vof

• vf]k ;];gsf] ;+Vof / k|To]s ;];gdf ;]jf lng] lzz'x?sf] ;+Vof .

• ;];gsf] k|sf/ M ;+:yfut, afXo / 3'DtL

(= cfsl:ds dfuM

• dxfdf/Lsf] nflu

cfjZos vf]ksf] kl/df0f cg'dfg ug]{ t/Lsf M

cfjZos vf]ksf] kl/df0f Ö aflif{s nlIft hg;+Vof × ck]lIft se/]h × ;DalGwt vf]ksf]

lbg'kg]{ dfqf ;+Vof × EoflS;g v]/hfg] b/sf] u'0ffÍ

pbfx/0fsf] nflu lgDg tYof+Íx?nfO{ lng ;lsG5 M

nlIft hg;+Vof Ö !)))

ck]lIft se/]h Ö () k|ltzt

aRrfsf] nflu rflxg] kf]lnof] EoflS;g Ö # dfqf

EoflS;g v]/hfg] b/sf] u'0ffÍ Ö !=!* -v]/hfg] b/ !% k|ltzt_

cfjZos vf]ksf] kl/df0f Ö !,))) × )=() × # × !=!* Ö #!*& dfqf

;xefuLx?nfO{ ;lhnf] xf];\ eGg] clek|fon] EoflS;g v]/hfg] b/sf] EoflS;g v]/hfg] u'0ffÍ lgDg

cg';f/ k|:t't ul/Psf] 5 M

v]/hfg] b/ %Ü !)Ü !%Ü @)Ü @%Ü #)Ü #%Ü $)Ü $%Ü %)Ü

v]/hfg] u'0ffÍ !=)% !=!! !=!* !=@% !=## !=$# !=%$ !=^& !=*@ @=))

lhNnfnfO{ lgoldt vf]k sfo{qmd ;+rfng ug{ Ps aif{sf] nflu rflxg] EoflS;g / vf]k ;fdfu|Lsf]

cg'dfg lgDg cg';f/sf] kmf/fd k|of]u u/L ug{ ;lsG5 .

k|lzIfsnfO{ hfgsf/LM tn k|:t't ul/Psf] kmf/fddf ;xefuLx?nfO{ EoflS;g nufot vf]k ;fdfu|Lsf] cg'dfg ug{ nufpg' kb{5 .

19

k|lzIfsnfO{ lgb]{zgM ;xefuLx?nfO{ ;d'"xdf ljefhg ug'{xf];\ -# b]lv % hgfsf] Ps ;d"x_ . ;d"x g]tf rog ug'{xf];\

h;n] ;d"x sfo{sf] k|:t'lts/0f ug'{kg]{ x'G5 . ;xefuLx?nfO{ ;d"x sfo{sf] nflu cEof; ! /

cEof; @ df lbOPsf] tYofÍx? lbg'xf];\ M

cEof; !M uf]/vf lhNnfsf] nflu rflxg] EoflS;g tyf vf]k ;fdfu|Lx?sf] cg'dfg ug'{xf];\ M

uf]/vf lhNnfdf o; cfly{s aif{ df ! aif{d'lgsf aRrfx?sf] hg;+Vof (,#^& tyf ue{jtL

dlxnfsf] hg;Vof !),^!@ /x]sf] 5 . hxFFf utaif{ 8L=kL=6L=# sf] cfwf/df vf]k se/]h ^)

k|ltzt dfq lyof] . o;aif{ () k|ltzt k'¥ofpg] nIo /flvPsf] 5 . o; lhNnfdf dfl;s @#%

j6f vf]k ;];g ;+rfng ul/G5 . lhNnfdf 8L=kL=6L=sf] ;/b/ EoflS;g v]/hfg] b/ !% k|ltzt

b]lvPsf] 5 . cj tkfFOx?n] cfkm\gf] ;d"xdf a;L uf]/vf lhNnfsf] aflif{s, q}}dfl;s, dfl;s

vf]ksf] cfjZostf / Go"gtd df}Hbft -@% k|ltzt_ lgwf{/0f ug'{xf];\ .

cEof; @ M cj s]Gb| / If]qsf nflu rflxg] EoflS;g tyf vf]k ;fdfu|Lsf] cg'dfg ug'{xf];\ M

g]kfnsf] /fli6«o / If]qut ?kdf ! aif{d'lgsf lzz'sf] tyf ue{jtL dlxnfsf] hg;+Vof tn lgDg

cg';f/ lbOPsf] 5 . ;fy} g]kfndf k|To]s dlxgf hDdf !^,#@$ vf]k ;];g dfkm{t vf]k ;]jf

k|bfg ul/b} cfPsf] 5 . ca x/]s ;d"xn] cf–cfkm\gf] ;d"xdf a;L If]q / s]Gb|sf] nflu cfjZos

x'g] aflif{s, q}dfl;s, dfl;s vf]ksf] cfjZostf / Go"gtd df}Hbft lgwf{/0f ug'{xf];\ .

k|lzIfsnfO{ lgb]{zgM EoflS;g / vf]k ;fdfu|L cg'dfg ug]{ kmf/fd ljt/0f u/L cf–cfkm\gf] ;d"xdf a:g nufO{ sfo{ ug{ lgb]{zg ug'{xf];\ . sfo{ ;lsPkl5 ;d"x g]tfnfO{ k|:t'lts/0f ug{ nufpg'xf];\

(^!,@$!(^!,@$!&$&,%^&&$&,%^&/fli6/fli6««o :o :t/dft/df hDdfhDdf

(&,!!**@,^@);'b"/ klZrdf~rn

!#),^^*!!$,!%#dWo klZrdf~rn

!*(,(*%!%!(%*klZrdf~rn

#!&,(#&@#(,$%@dWodf~rn

@@%,%##!%(,#*$k"jf{~rn

ue{jtL dlxnfsf] hg;+Vof! aif{ d'lgsf lzz'sf] hg;+VofIf]q

(^!,@$!(^!,@$!&$&,%^&&$&,%^&/fli6/fli6««o :o :t/dft/df hDdfhDdf

(&,!!**@,^@);'b"/ klZrdf~rn

!#),^^*!!$,!%#dWo klZrdf~rn

!*(,(*%!%!(%*klZrdf~rn

#!&,(#&@#(,$%@dWodf~rn

@@%,%##!%(,#*$k"jf{~rn

ue{jtL dlxnfsf] hg;+Vof! aif{ d'lgsf lzz'sf] hg;+VofIf]q

20

lhNnf :jf:Yo sfof{noM

hDdf vf]k s]Gb|

-@) 8f]h efon_

-!) 8f]h efon_

-! 8f]h efon_ -!) 8f]h efon_

-!) 8f]h efon_

! efon Ö ! 3f]ns

! efon Ö ! 3f]ns

A B C D =a E=b*3*1.18/10 F=b*3*1.05 G=a

H=c*2*1.18/10 I=a J=a K=b*1.05 L=(b*6*1.05)

!@ dlxgfnfO{ rflxg] dfqf - - - - - - - - -

! dlxgfnfO{ rflxg] dfqf -v'b df}Hbft_ - - - - - - - - -

dfu / cfk"lt{ larsf] cGt/fn -;'/Ift df}Hbft @% Ü_ - - - - - - - - -

Go'gtd df}Hbft -v'b df}Hbft / ;'/Ift df}Hbft_ - - - - - - - - -


! dlxgfnfO{ rflxg] dfqf -v'b df}Hbft_ - - - - - - - - - dfu / cfk"lt{ larsf] cGt/fn -;'/Ift df}Hbft @% Ü_ - - - - - - - - -


clwstd df}Hbft -@=@%dlxgf_ - - - - - - - - -

gf]6M

EoflS;gsf] cg'dfg M

la=l;=hL= / bfb'/f EoflS;g cg'dfg ug]{ t/Lsf M k|To]s vf]k ;];gsf] nflu slDtdf ! efonsf] b/n] cg'dfg ug]{

l;l/~hsf] cg'dfg ug]{ t/LsfM M nlIft hg;+Vof X WMF -!=)%_

: nlIft hg;+VofnfO{ lbg'kg]{ dfqf X ^ X WMF -!=)%_;]ˆ6L aS; M !)) uf]6f l;l/~hsf] nflu ! ;]ˆ6L aS;

gf]6 M rf}dfl;s cg'dfg ug{ aflif{s ;FVofnfO{ # n] efuf ug'{k5{, dfl;s cg'dfg ug{ aflif{s ;FVofnfO{ !@ n] efuf ug'{k5{ ._

l8lk6L–x]k aL– lxa EoflS;gsf] cg'dfg ug]{ t/Lsf M nlIft hg;+VofnfO{ lbg'kg]{ dfqf X WMF -!=)%_ jf - cfzftLt se/]h b/_ X WMF -!=)%_

lhNnf ue{jtL dlxnf

aflif{s nIo

kf]lnof] / 6L6L EoflS;gsf] cg'dfg ug]{ t/Lsf M nlIft hg;+VofnfO{ lbg'kg]{ dfqf X WMF -!=!*_ jf - cfzftLt se/]h b/_ X WMF -!=!*_

() Ü ck]lIft se/]]hsf] nflu

EoflS;g efon 3f]ns P=l8= l;l/Gh

la=l;=lh= vf]ksf] nflu

! aif{ d'lgsf lzz'

l6=6L= la=l;=lh=sf]

3f]ns bfb'/fsf] 3f]ns

la=l;=hL=sf] nfuL

cGo vf]ksf] nfuL

vf]k ;]jfsf] ;'Id of]hgf th'{dflgoldt vf]k ;]jfsf] nflu cfjZoskg]{ EoflS;g / cGo vf]k ;dfu|Lx?sf] aflif{s cg'dfg

la=l;=lh= kf]lnof] l8=lk=l6=± x]k la=± lxa

bfb'/f cGo vf]ksf]

nflu

cfly{s jif{ M

M=a*1.05 N=a*1.05 O=K+L+M+N/100

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

;]ˆ6L aS;

3f]ns l;l/Gh


bfb'/f vf]ksf] nflu

lhNnf :jf:Yo sfof{noM

hDdf vf]k s]Gb|

-@) 8f]h efon_

-!) 8f]h efon_

-! 8f]h efon_ -!) 8f]h efon_

-!) 8f]h efon_

! efon Ö ! 3f]ns

! efon Ö ! 3f]ns

A B C D =a E=b*3*1.18/10 F=b*3*1.05 G=a

H=c*2*1.18/10 I=a J=a K=b*1.05 L=(b*6*1.05)


! dlxgfnfO{ rflxg] dfqf -v'b df}Hbft_ - - - - - - - - -

dfu / cfk"lt{ larsf] cGt/fn -;'/Ift df}Hbft @% Ü_ - - - - - - - - -



! dlxgfnfO{ rflxg] dfqf -v'b df}Hbft_ - - - - - - - - - dfu / cfk"lt{ larsf] cGt/fn -;'/Ift df}Hbft @% Ü_ - - - - - - - - -


clwstd df}Hbft -@=@%dlxgf_ - - - - - - - - -

gf]6M

EoflS;gsf] cg'dfg M

la=l;=hL= / bfb'/f EoflS;g cg'dfg ug]{ t/Lsf M k|To]s vf]k ;];gsf] nflu slDtdf ! efonsf] b/n] cg'dfg ug]{

l;l/~hsf] cg'dfg ug]{ t/LsfM M nlIft hg;+Vof X WMF -!=)%_

: nlIft hg;+VofnfO{ lbg'kg]{ dfqf X ^ X WMF -!=)%_;]ˆ6L aS; M !)) uf]6f l;l/~hsf] nflu ! ;]ˆ6L aS;

gf]6 M rf}dfl;s cg'dfg ug{ aflif{s ;FVofnfO{ # n] efuf ug'{k5{, dfl;s cg'dfg ug{ aflif{s ;FVofnfO{ !@ n] efuf ug'{k5{ ._

l8lk6L–x]k aL– lxa EoflS;gsf] cg'dfg ug]{ t/Lsf M nlIft hg;+VofnfO{ lbg'kg]{ dfqf X WMF -!=)%_ jf - cfzftLt se/]h b/_ X WMF -!=)%_

lhNnf ue{jtL dlxnf

aflif{s nIo

kf]lnof] / 6L6L EoflS;gsf] cg'dfg ug]{ t/Lsf M nlIft hg;+VofnfO{ lbg'kg]{ dfqf X WMF -!=!*_ jf - cfzftLt se/]h b/_ X WMF -!=!*_

() Ü ck]lIft se/]]hsf] nflu

EoflS;g efon 3f]ns P=l8= l;l/Gh


! aif{ d'lgsf lzz'

l6=6L= la=l;=lh=sf]

3f]ns bfb'/fsf] 3f]ns

la=l;=hL=sf] nfuL

cGo vf]ksf] nfuL

vf]k ;]jfsf] ;'Id of]hgf th'{dflgoldt vf]k ;]jfsf] nflu cfjZoskg]{ EoflS;g / cGo vf]k ;dfu|Lx?sf] aflif{s cg'dfg

la=l;=lh= kf]lnof] l8=lk=l6=± x]k la=± lxa

bfb'/f cGo vf]ksf]

nflu

cfly{s jif{ M

M=a*1.05 N=a*1.05 O=K+L+M+N/100

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

;]ˆ6L aS;

3f]ns l;l/Gh


bfb'/f vf]ksf] nflu

21

%= bf]>f] lbgsf] tflnddf ;dfj]z ul/g] laifoj:t'x?M

kf7 #M sf]N8r]gsf] kof{Kttf / sf]N8r]g pks/0f ;fdfu|Lx?sf] dd{t

;Def/

kf7 $M e/kbf]{ sf]N8r]g k|0ffnL

22

kf7 # M

sf]N8r]gsf] kof{Kttf / sf]N8r]g pks/0f ;fdfu|Lx?sf] dd{t ;+ef/

o; ;];gsf] cGTodf ;xefuLx? lgDg sfo{x? ug{ ;Ifd x'g]5g\ M != vf]k ;]jfsf] nflu cfjZos sf]N8r]g pks/0f / cf}hf/x?sf] klxrfg / 5gf}6 ug{

@= EoflS;gsf] cfotg -Volume_ lgsfNg

#= ljBdfg pks/0fdf EoflS;g e08f/0f ug{, cfotg -storage volume_ lgsfNg

$= EoflS;g ;+ro ug]{ Ifdtfsf] cfwf/df cfk"lt{ cGt/fn ldnfpg

%= sf]N8r]g pks/0fx? ;+rfngsf] nflu rflxg] cfjZos ;"rgfx?sf] ;"lr tof/ kfg{

k|lzIfsnfO{ gf]6 M laifo j:t'df k|j]z ug'{ eGbf cufl8 ;xefuLx?sf] Wofgfsif{0fsf] nflu lgDg lrq b]vfO{ ;f]Rg afWo t'Nofpg] h:t}M

#=! sf]N8r]gsf] kof{Kttf sf]N8 r]gsf] kofKttfnfO{ ljleGg tTjx?n] k|efj kfb{5g\ . o; laifo j:t'df ;xefuLx?sf]

wf/0ff a'em\gsf] nflu sf]N8 r]g Space sf] kof{KttfnfO{ c;/ kfg]{ tTjx?sf] ;"lr tof/ ug{

nufpg' kb{5 .

o;df hlt klg 7fpF afFsL 5b} 5 lg . afFsL EoflS;g klg o;df cl6xfN5 lgÈlsg csf]{ lk|mh / sf]N8 aS; rflxof] / <

Wofgfsif{0fM

EoflS;gx? h}lasL pTkfbs

(biological product) ePsf] x'Fbf

o;sf] e08f/0f / lat/0f ubf{

xf]l;of/ x'g'kb{5 .

23

k|efj sfk|efj sf/L EoflS; g Aoa: yfkgdf c ; / /L EoflS; g Aoa: yfkgdf c ; / kfgkfg{]{] laleGglaleGg t Tj xt Tj x? ?

k|of{Kt dfqfdf

EoflS;gsf] cfk"lt{

lhG;LJoj:yfkg

EoflS;glat/0f

sf]N8 r]gsf]k||of{Kttf

e/kbf]{ sf]N8 r]gk|0ffnL

EoflS;gv]/ hfg] b/

ax'dfqf EoflS;gefon gLlt

le=le=Pd=sf] k|of]u

e/kbf]{ tYof+Í 7Ls cg'dfg

;xL nlIft hg;+Vof

tfkqmdsf] If]q e/kbf]{ sfo{ k|0ffnL

sfo{ / ;'/Iffsf] nfludf}Hbft

cleofg pks/0fsf] k|lt:yfkg of]hgf

tfkqmd cg'udg cf}hf/sf] k|of]u

c}fhf/x?sf] dd{t

cltl/Qm jf e}k/L of]hgf ydf]{:6of6sf] h8fg

;dodf c8{/ ;do cuf8L

e/kbf]{ ah]6

EoflS;g v]/ hfg] b/

k7fpg' / kfpg' eGbfcuf8Lsf]

hfgsf/L k|0ffnL

k|efjsf/L k|0ffnLkfpg' /

X:tfGt/0f kmf/dcg';f/

cfk"lt{ cGt/fn

cfk'lt{ cGt/fn

lhG;L vftfklxn] Dofb ;lsg]

klxnf k|of]ule=le=Pd=sf];lx k|of]u

clwstd / Go"gtddf}Hbft

cf];f/ k;f/ ubf{lkm|h ;"rssf] k|of]u

sl08;lgªcfO;Kofs

ljt/0fof]hgf

ef}lts / Jftfj/0fLo tTj

cg'dfg

;'kl/j]If0f

lgd{lns[tljlw

vf]k s]Gb| ;+Vof/ rfn' x'g] cjlw

efon dfqf

afXo s]Gb|

7LsljZn]if0f

lhG;L vftfdf cfjZostfcg';f/ kl/jt{g

sd{rf/LnfO{tflnd

3f]nssf] k|of]u

k|of]u ug'{ cuf8L3f]nsnfO{ lr;fpg'

EoflS

;g

Joj:

yfkg

gLlt

k|efjsf/L EoflS;g Aoa:yfkgdfc;/ kfg{] laleGg tTjx?

sf]N8 r]gsf] kof{KttfnfO{ c;/ kfg{] laleGg tTjx?M

;xL tYof+s;xL cg'dfg

;xL nlIft hg;+Vof

tfkqmdsf] If]q e/kbf]{ ;~rfng

rfn' / Go'gtd df}Hbft

cleofg pks/0fsf] k|lt:yfkg of]hgf

cfk"lt{ cGt/fn

sf]N8r]gsf]N8r]g SpaceSpace sfsf] ]

kof{Kttfkof{Kttf

24

#=!=! sf]N8r]g pks/0fsf] klxrfg tyf 5gf}+6 d]6f sf8{ k|of]u u/]/ lhNnfdf pknAw ePsf] sf]N8r]g pks/0fsf] gfd / To;sf] k|sf/ n]Vg

nufpg] . != lk|mh/–C0ffTds -—_ tfkqmd sfod ug{] pks/0f

• Absorption • Compression

• Solar

@= /]lk|mh/]6/–3gfTds -+_ tfkqmd sfod ug{] pks/0f • Absorption • Compression • Solar

k|lzIfsnfO{ lgb]{zgM ;xefuLx?nfO{ ;d"x sfo{ ug{ nufpg]M

tn lbOPsf /]lk|mh]/]6/x?sf] kmfObf / a]kmfObfx? pNn]v ug'

Solar /]lk|mh]/]6/

Compression /]lk|mh]/]6/

Absorption /]lk|mh]/]6/

a]kmfObfkmfObf/]lk|mh]/]6/x?sf] k|sf/

Solar /]lk|mh]/]6/

Compression /]lk|mh]/]6/

Absorption /]lk|mh]/]6/

a]kmfObfkmfObf/]lk|mh]/]6/x?sf] k|sf/

25

/]lk|mh]/]6/÷lk|mh/x? af/] hfgsf/L Absorption /]lk|mh/]6/÷lk|mh/ Compressor /]lk|mh]/]6/÷lk|mh/ Solar /]lk|mh]/]6/÷lk|mh/

• oL lkm|hx? ljB't, dl§t]n, vfgf ksfpg] UofF; (LPG) /

;f}o{ phf{af6 rnfpg ;lsG5 . o;df sDk|];/ x'b}g .

• lxl6Ë /8 rNbf dfq o; leqsf] ydf{]:6f6n] sfd u5{ .

• dl§t]n / vfgf ksfpg] UofF; rnfpFbf ydf{]:6f6n] /fd|/L

sfd ub}{g .

o ag{/sf] gLnf] Hjfnfsf] cfwf/df /]lk|mh/]6/ leqsf]

tfks|d ldnfpg' kb{5 .

o o;sf] ;~rfng ug{ tflnd k|fKt :jf:YosdL{

rflxG5 .

o dl§t]n / vfgf ksfpg] UofF;n] ;~rfng ubf{

ljz]if ;fjwfgL ckgfpg' kb{5 cGoyf cfuf] nfUg

;S5 .

• Absorption /]lkm|h/]6/ sDk|];/ /]lk|mh/]6/ eGbf dxFuf]

x'G5 .

• o;sf] cfo' a9L x'G5 .

• of] rNbf cfjfh cfpb}g .

• of] sDk|];/ /]lk|mh/]6/n] h:tf] l56f] lr;f] lbb}g .

• o;df s'g} klg rNg] (Moving) kf6{k'hf{ x'b}g . s'g}

7"nf] dd{tsf] cfjZos x'b}g s]jn lxl6Ë /8, jLs /

ag{/ g} d"Vo kf6{k'hf{ xf] .

• o;df Ammonia+Hydrogen+Water tLg lsl;dsf]

UofF; x'G5 . u'?Tj k|jfx (gravity flow) sf] cfwf/df

rNg] ePsf]n] n]en ldnfO{ /fVg h?/L x'G5 .

• of] ljB'taf6 dfq rN5 .

• of] rNbf clnslt -x'Dd_ cfjfh cfpF5 . rNbf k5fl8sf] efu

cln cln tfT5 .

• o;n] Absorption lkm|hn] eGbf $ u'0ff l56f] lr;f] lbG5 .

• o; k|sf/sf] /]lk|mh/]6/nfO{ sd dd{t ;Def/ ug'{kg]{ x'G5 t/

lju|]sf] v08df dd{t ug{ a9L dx+uf] kb{5 .

• of] lkm|h absorption lkm|h eGbf a9L e/kbf]{ x'G5 .

• ILR(Ice Lined Refrigerator): olb @$ 306fdf * 306f dfq

nuftf/ lah'nL pknAw ePdf klg ±@ l8u|L b]lv ±* l8u|L ;]=

;Dd /fvL EoflS;gnfO{ ;'/lIft /fVg ;S5 .

• ljB'tsf] cfk"lt{ ca?4 x'g] t/ lbgdf sDtLdf * 306f nuftf/

ljB't cfk"lt{ x'g] :yfgsf] nflu of] lsl;dsf] /]lk|mh/]6/ clt

pko'Qm x'G5 . o; k|sf/sf] /]lk|mh/]6/df slxn] sfFxL tfkqmd

z"Go l8u|L -))_ eGbf tn emg{;S5 .

• To;}n] T-series sf] EoflS;g e08f/0f ubf{ /]lk|mh/]6/leqsf]

lkFwsf] efuaf6 !% ;]=dL= dfyL jf Basket leq /fVg'kb{5 .

• IPF-Front Loading(Ice Pack Fast Freezer) l56f] cfO; Kofs

hdfpg] k|sf/sf] lkm|h/ xf]

• IPF-chest type df cfO;Kofs hdfpg tyf hd]sf]

cfO;Kofs e08f/0f ul/G5 .

• 3/df k|of]u x'g] /]k|mh]/]6/ / lk|mh/df EoflS;g e08f/0f ug{

x'Fb}g t/ cfO; Kofs hdfpg / e08f/0f ug{ eg] ;lsG5 .

• dl§t]n, Uof; /

lah'nLsf] cefj

ePsf] :yfgdf

o;sf] k|of]u pko'St

x'G5 .

• o; k|sf/sf]

/]lk|mh]/]6/sf] Hf8fg

/ ;~rfng ug{

tflndsf]

cfjZostf kb{5

o Solar lk|mh

h8fgsf] nflu

;DefJotf

cWoog ug'{kb{5

• o; k|sf/sf]

/]lk|mh]/]6/x?df w]/}

cfO; Kofs hdfpg

;lsb}g .

26

EoflS;g / 3f]ns /fVg] /]lk|mh]/]6/ k|of]u ubf{ lgDg s'/fx¿df Wofg lbg'kb{5 M -s_ EoflS;g /fVg] /]lk|mh]/]6/df EoflS;g, 3f]ns / cfO; Kofs dfq /fVg] . -v_ olb s'g} :jf:Yo ;+:yfdf Pp6f dfq /]lk|mh]/]6/ 5 / tftf]af6 lau|g] cf}iflw / k|of]uzfnfsf

gd"gfx¿ ToxL /]lk|mh]/]6/df /fVg' kg]{ ePdf tL ;a}df n]an (Label) nufP/ EoflS;g / 3f]ns eGbf 5'§} /fVg] .

-u_ EoflS;gx¿nfO{ /]lk|mh]/]6/sf] 9f]sfdf /x]sf] ¥ofsdf g/fVg] . lsgeg] o;df tfkqmd a9L x'G5 / /]lk|mh]/]6/ vf]Nbf 9f]sfdf /fv]sf] EoflS;g aflx/L tfkqmdsf] ;Dks{df cfpF5 .

-3_ Dofb u'h]|sf] EoflS;g /]lk|mh]/]6/df g/fVg] . -ª_ eL=eL=Pd= cg';f/ EoflS;g k|of]u ug{ gx'g] cj:yf ePsf] ;+s]t u/]sf] 5 eg] tL

EoflS;gnfO{ /]lk|mh]/]6/df g/fVg] . -r_ EoflS;g 3f]n]sf] ^ 306f ePsf] 5 eg] afFsL ePsf] EoflS;gnfO{ /]lk|mh]/]6/df g/fVg] . -5_ vf]k s]Gb| ;~rfngsf] cGTokl5 3f]n]sf] EofflS;g afFsL 5 eg] To;nfO{ /]lk|mh]/]6/df

g/fVg] . -h_ gDa/ 3, ª, r / 5 df pNn]lvt EoflS;gx¿nfO{ tt\;DalGw /fli6«o gLlt cg'?k tTsfn

ôfFSg] / o;jf/]df ;'k/Lj]IfsnfO{ hfgsf/L lbg] . -em_ EoflS;g /fVg] /]lk|mh]/]6/df vfg]s'/f / k]okbfy{ g/fVg] . -`_ /]lk|mh]/]6/sf] 9f]sf k6s k6s gvf]Ng], ;s];Dd yf]/} k6s dfq vf]Ng] . lsgeg] 9f]sf vf]Nbf

/]lk|mh]/]6/ leqsf] tfkqmd a[l4 x'G5 . gf]6M Vofn ug'{xf];\, /]lk|mh/]6/¿ ;w}e/L ;kmf / xfjf /fd|/L cfjh hfjt x'g ;Sg] :yfgdf dfq /fVg'kb{5 . EoflS;g /fVg] /]lk|mh]/]6/df b'O{j6f efux¿ (Compartment) x'G5g\ . tL b'a} efusf] 5'§f–5'§}| ljz]iftf 5 . o;sf] af/]df ;+lIfKtdf tn j0f{g ul/Psf] 5 M

• d'Vo efu (Main compartment)M o;nfO{ /]lk|mh]/]6/ sDkf6{d]06 (Refrigerator compartment) klg elgG5 . of] efu csf]{ efueGbf 7"nf] x'G5 . of] efudf ± (Plus) tfkqmd ldnfOPsf] x'G5 . o;df ±@) ;]= b]lv ±*) ;]= tfkqmddf /fVg'kg]{ EoflS;gx¿ / 3f]nsx¿ e08f/ ug'{k5{ . o;df ydf]{:6\of6 /x]sf] x'G5 / o;}af6 tfkqmd ldnfpg ;lsG5 .

• bf]>f] efu (Second compartment)M o;nfO{ lk|mlhË sDkf6{df]06 (Freezing compartment) klg elgG5 . of] efu ;fgf] x'G5 . o; efudf dfOg;\ -–_ (Minus) df /fVg'kg]{ EoflS;gx¿ dfq /flvG5 / o;df cfO; Kofs hdfpg klg k|of]u ul/G5 . olb /]lk|mh]/]6/n] 7Ls;Fu sfd u/]sf] 5 eg] o;df –%) ;]= b]lv –!%) ;]=sf] tfkqmd sfod ePsf] x'G5 .

27

#=!=@ EoflS;gsf] cfoftg lgsfNg] tl/sf vf]ksf] cfoftg lgsfNbf lgDg s'/fx?sf] cu|Ld hfgsf/L x'g'kb{5 .

• vf]ksf] k|sf/ / pknAw dfqf -efondf_

• KoflsË ;fOh

• k|lt dfqf cfoftg

• aflif{s cfjZos dfqf

• aflif{s e08f/0f Ifdtf

• cfk"lt{ cGt/fn

• Go"gtd df}Hbft

k|To]s vf]k e08f/0fsf] nflu rflxg] s'n cfoftg lgsfNg] tl/sf

3206L=6L=

6.05h]=O{=

1.020kf]lnof] -cf]=lk=le_

1.410kf]lnof] -cf]=lk=le_

2.810bfb'/f

2.8106L=6L=

16.81l8=lk=l6= x]k aL= lxa

1.420la=l;=lh=

+20 b]lv

+8 0 ;]=- 25 0 b]lv -

150 ;]=

tfkqmd cg';f/ hDdf :6f]/ cfotg -ln6/_

hDdf:6f]/

cfotg

–ln6/_

hDdf :6f]/ cfotg -;]=ld=#_

e08f/0f ug{ cg'dfgul/Psf] EoflS;gdfqf

k|lt dfqfEoflS;g

Kofs ubf{sf]

cfotg -;]=ld=#_

k|lt efondfqf

EoflS;g

'

cEof;M

Uff]/vf lhNnfsf] nflu cfjZos kg]{ EoflS;gx?sf] cfotg lgsfNg'xf]; . tkFfO{x?nfO{ lx;fj ug{

EoflS;g cfotg l;6\ lbOPsf] 5 .

28

vf]k e08f/0fsf] cfotgM -gd"gf_

cEof; !M

uf]/vf lhNnfsf] aflif{s vf]ksf] cfjZostf lgDgfg';f/ /x]sf] 5 .

aL=;L=hL==, @) 8f]h M @*@) efon

8L=kL=6L=– x]k jL–lxa -! 8f]h_ M #%!#) efon

kf]lnof] -!) 8f]h_ M #%!# efon

bfb'/f - !) 8f]h_ M @*@) efon

l6=l6 -!) 8f]h_ M @^%# efon

xfn uf]/vf lhNnfdf qmdzM

• Ice lined Refrigerator TCW1152 (Electrolux) ! yfg

• Ice pack freezer TFW791(Electrolux) ! yfg

• Icepack Freezer SB302 (Vesfrost) ! yfg 5g\ .

ITEM:

Storage temperature: -15 to -25C +2 to+8C Ambient (tick approprate box)

A. Presentation: doses per vial or ampoule A.

B. Packaging: vials or ampoules per pack B.

ENTER PACKED VOLUME PER DOSE

C. Volume per dose = cm3/dose C.

CALCULATE NUMBER OF DOSES REQUIRED

D. Total doses/year: (from analysis of programme records) = doses D.

CALCULATE STORAGE VOLUME

E. Annual volume: C x D = litres E.

1000

F. Supply interval: Enter supply frequency in months: = years F.

12

G. Safety stock: Enter safety stock level in months: = years G.

12

H. STORAGE VOLUME (litres): E x (F + G) = litres H.

J. STORAGE VOLUME (cubic metres): H = m3 J.

1000

K. Transport box bulking factor: BCG, OPV, Measles, MMR, MR = 6.0 K.

(enter value in box K) Other vaccines = 3.0Diluent,droppers = 1.5

L. TRANSPORT BOX VOL: J x K = m3 L.

NOTES:1) Complete one of these worksheets for each vaccine. 2) Complete one of these worksheets for each diluent and for the OPV droppers.3) Collect the completed worksheets for each of the three storage temperatures and add up the total storage volume required for each temperature.4) Carry the calculated total volume for each storage temperature to Worksheet 2.

Note: For step C, refer to Table 2 of the Guidelines on the international shipping of vaccines (WHO/V&B/01.05) or to the WHO Vaccine volume calculator. http://www.who.int/vaccines-documents/DocsPDF01/www586.pdf. Alternatively, obtain manufacturer's data

29

s_ dfly pNn]lvt EoflS;gx?sf] nflu cfjZos kg]{ EoflS;g e08f/0fsf] nflu cfjZos

cfotg lgsfNg'xf];\ .

of] cj:yfdf tkfFO{;Fu pknAw e08f/0f Ifdtf k'u gk'u kQf nufpg'xf];\ . pk/f]Qm ;a}

EoflS;gx? e08f/0f ug{ gk'u ePsf] cj:yfdf s;/L Joj:yfkg ug'{x'G5 <

v_ o;sf] cltl/Qm ;~rfng x'g] /fli6«o kf]lnof] vf]k sfo{qmd cGtu{t nlIft ul/Psf %) xhf/

afnaflnsfx?sf] nflu cfjZos kg]{ kf]lnof] @) 8f]h efonsf] EoflS;g -v]/hfg] b/ !=!*_

nflu e08f/0f cfotg lgsfNg'xf];\ .

of] cj:yfdf tkFfO{;Fu pknAw e08f/0f Ifdtf k'u gk'u kQf nufpg'xf];\ . pk/f]Qm ;a}

EoflS;gx? e08f/0f ug{ gk'u ePsf] cj:yfdf s;/L Joj:yfkg ug'{x'G5 <

#=!=# laBdfg sf]N8r]g pks/0fsf] e08f/0f Ifdtf (Capacity)

Make

Model

Type Hold over

time @ 32 C

Hold over time

@ 43 C Capacity

Compression / Absorption

from -20 to +10

C

from -20 to +10

C Gross Net

DF : -15 to -25 C Hrs Hrs Ltrs Ltrs

Vestfrost MF 304 / SB 302 10.2 282 172

Domatic TCW 1151 Compression 23.7 250 160

Domatic TCW 1152 Compression 23.7 250 160

Sanyo SCF 2850 6 271 150

Electrolux RC 65 Absorption 7 105

Electrolux RCW 42 EK Absorption 12.5 1.2

Sibir V240 KE 32 33

ILRS : +2 to * C

Vestfrost MK 304 Compression 49 28 204 102

Domatic TCW 1151 Compression 42 250 169

Domatic TCW 1152 Compression 42 250 169

30

ZERO RCW 42 EK Absorption 12.5 40

Sibir V240 KE 32 32

IP freezer No. of IPs

0.4 L

Domatic TFW 800 compression 14 209 204

Domatic TCW 791 compression 136

Sanyo old Compression 230

Reference information for equipment that operate as DF or ILR or have two compartment

Make Model Hold

over time @ 32 C

Hold over time @ 43 C



from -20 to +10 C

from -20 to +10 C

Gross net from -20 to +10 C

from -20 to +10 C

Gross net

Hrs Hrs Ltrs Ltrs Hrs Hrs Ltrs Ltrs

Domatic TCW 1151 23.7 250 160 42 250 160

Domatic TCW 1152 23.7 250 160 42 250 160

Sanyo SCF 2850 6 271 150 6 271 150

Electrolux RC 65 7 105 7 105

Electrolux RCW 42 EK 12.5 1.2 12.5 40

Sibir V240 KE 32 33 32 33

Sibir S2325 0.5 32 230

Sibir V170 KE 3.6 2.4 47 170

Zero PR265 3.5 1.5 20 170

DF capacity ILR capacity

DF : -15 to -25 C ILR : +2 to +8 C

31

=E.nbr.nbr.C/D

E. NUMBER OF UNITS REQUIRED:

D.litres169litres333D. Manufacturer's net vaccine capacity:

RefrigeratorsFreezersNUMBER OF APPLIANCES REQUIRED

C.litres78.96litresA+BC. Total volume of all items:

B.litres0litresB. Total volume of other refrigerated items:

A.litres78.96litresA. Total vaccine volume

+2 to +8C-15 to - 25C

At storage temperature

REFRIGERATED STORAGE

E.nbr.nbr.C/DE. NUMBER OF UNITS REQUIRED:

D.litres169litres333D. Manufacturer's net vaccine capacity:

RefrigeratorsFreezersNUMBER OF APPLIANCES REQUIRED

C.litres78.96litresA+BC. Total volume of all items:

B.litres0litresB. Total volume of other refrigerated items:

A.litres78.96litresA. Total vaccine volume

+2 to +8C-15 to - 25C

At storage temperature

REFRIGERATED STORAGE

sf]N8 aS;sf k|sf/ tyf lr;f] sfod /xg] cjlwM sf]N8 aS;sf

k|sf/x? RCW 25

luxemburg RCW 36 55 Model Igloo

clwstd lr;f]

cjlwM

±#@) ;]=

±$#) ;]=

!*! 306f

!#) 306f

!)& 306f

-$=$ lbg_

^% 306f -

(! 306f -#=&

lbg_

rflxg] cfO;KofsM

;fgf] -)=$_

7"nf] -)=^_

#^ j6f

-!$=$ s]=lh=_

@$ j6f -!$=$

s]=lh_

EoflS;g ;lxt @$

j6f -(=^ s]=lh_ N/A

@$ j6f

-

$@ j6f -

!^=* s]=lh=_

@* j6f -

!^=* s]=lh_

k'/} el/Psf]

cj:yfsf] tf}n

$) b]lv $@

s]=lh=

@% b]lv @& s]=lh= #% b]lv #&

s]=lh=

32

$= EoflS;g ;+ro ug]{ Ifdtfsf] cfwf/df cfk"lt{ cGt/fn ldnfpg lgDg s'/fx?df Wofg lbg'kb{5 .

• aflif{s cfjZos dfqf

• aflif{s e08f/0f Ifdtf

• clwstd / Go"gtd df}Hbft

• cfk"lt{ cGt/fn

/fd|f] EofS;Lg e08f/0fsf] lhG;L Joj:yfkg u|fkm o:tf] b]lvG5 M

Go'gtd df}Hbft-!=@% dlxgf_ ;'/lIft df}Hbft -! dlxgf_

clwstd df}Hbft

dfu

dfu

c;'/lIft cj:yf

EoflS;g tyf l;l/Ghsf] clwstd df}HbftM

of] df}Hbft h'g ;fdfGotoflgoldt / dfu ul/Psf] cjlwel/ k|of]u ul/G5 .

of] df}Hbft h'g dfu / cfk"lt{sf] larsf] cj:yfdfk|of]u ul/G5 .

dfu / cfk"lt{sf] larsf] nflu @% k|ltzt

Go"gtd df}Hbft -EoflS;g tyf cfjZos ;fdfgsf]lhNnfsf] xsdf M !=@% dlxgf eGbf s'g} klg xfntdf sd x'g' x'b}g .

If]qsf] xsdf M # dlxgf eGbf sd x'g' x'b}g

s]Gb|sf] xsdf M & dlxgf eGbf sd x'g' x'b}g

clwstd df}Hbft EoflS;g tyf cfjZos ;fdfgsf]

lhNnfx?df M @=@% dlxgfsf] EoflS;g df}Hbft

If]q:t/ M $=% dlxgfsf] EoflS;g df}Hbft

s]Gb|:t/ M !# dlxgf EoflS;g df}Hbft

33

#=@ sf]N8r]g pks/0f ;fdfu|Lx?sf] dd{t ;Def/ M

o; ;];gsf] cGTodf ;xefuLx? lgDg sfo{x? a'em\g / ug{ ;Ifd x'g]5g\ M

• sf]N8r]gsf] nflu cfjZos kg]{ cf}hf/, pks/0fsf] ;Def/sf

nflu ug'{kg]{ d'Vo lqmofsnfkx? ug{

• crfgs sf]N8r]gdf ;d:of cfPsf] cj:yfsf nflu

cfsl:ds÷a}slNks of]hgfx? tof/ ug]{

• sf]N8r]g e/kbf]{ agfpg lgoldt ;Def/ of]hgf ug{

k|lzIfsnfO{ gf]6 M laifo j:t'df k|j]z ug'{ eGbf cufl8 ;xefuLx?sf] Wofgfsif{0fsf] nflu lgDg lrq b]vfO{ ;f]Rg

afWo t'Nofpg] h:t}M

dnfO{ oltsf w]/} s'/fx?sf] af/]df ljrf/ ug'{k/]sf] 5====. e08f/0fsf] nflu /]lk|mh/]6/, /]lk|mh/]6/sf] nflu h]g]/]6/, h]g]/]6/sf] nflu dl§t]n, =======. olb of] lah'nL ljxfg;Dd cfPg eg] oltsf w]/}yf]s /2Lsf 6f]s/Ldf hfg]eP === .

34

#=@=!= sf]N8r]gsf] nflu cfjZos kg]{ cf}hf/, pks/0fsf] ;Def/sf nflu ug'{kg]{ d'Vo

lqmofsnfkx?

• EoflS;g e08f/0f ug]{ /]lk|mh/]6/x?sf] ;Def/ M EoflS;g e08f/0f ug]{ /]lk|mh/]6/x?sf] /fd|f] ;+u ;Def/ ug'{ kb{5 . lgoldt ?kdf ;kmf tyf

l8k|mf]:6 ul/Psf] /]lk|mh/]6/n] dfq} /fd|f];Fu sfd ub{5 . /]lk|mh/]6/sf] lk|mh/ sDkf6{d]G6df )=%

;]=dL= eGbf df]6f] a/kmsf] tx hDg uPdf /]lk|mh/]6/n] cfjZos lr;f] lbg ;Sb}g, a? pN6} a9L

OGwgsf] vkt u/fpF5 . /]lk|mh/]6/sf] lk|mh/ leq )=% ;]=dL= eGbf df]6f] j/km hDg uPdf t'?Gt}

jf k|To]s dlxgfdf /]lk|mh/]6/nfO{ l8k|mf]i6 ug''{kb{5 . /]lk|mh/]6/nfO{ l8k|mf]i6 tyf ;kmf ubf{ lgDg

s'/fx?df Wofg lbg'kb{5 M

• /]lk|mh/]6/af6 ;a} EoflS;g, 3f]ns tyf hd]sf] cfO;Kofsx?nfO{ lgsfNg'

k5{ .

• sf]N8aS;df slG8;g u/]sf] cfO;Kofs /fvL EoflS;gnfO{ To; leq /fVg'kb{5 jf olb

csf]{ rfn' /]lk|mh/]6/ ePdf EoflS;gnfO{ To;df ;fg'{k5{ .

• /]lk|mh/]6/sf] ljB't nfOg aGb ug'{kb{5 .

• /]lk|mh/]6/sf] 9f]sf v'Nnf /fv]/ j/kmnfO{ klUng lbg'kb{5 t/

a/km lgsfNg 3fl/nf] xltof/ jf rSs'sf] k|of]u ug'{x'b}g .

a/km l8k|m]f:6 ul/;s] kl5 /]lk|mh/]6/sf] leqL efu tyf 9f]sf -Uof:s]6_ g/d /

;kmf sk8fn] /fd|/L ;kmf ug'{kb{5 .

9f]sfnfO{ /fd|f];Fu aGb ug'{kb{5 .

• ;kmf u/]/ ;'Svf ePkl5 k'gM /]lk|mh/]6/nfO{ rfn' ug'{k5{ .

• /]lk|mh/]6/sf] leqL efusf] tfkqmd *) ;]= eGbf sd ePkl5 dfq} EoflS;gnfO{ km]/L leq

;fg'{kb{5 .

ofb ug'{xf];\M

/]lk|mh/]6/nfO{ w]/} k6s vf]n]df -lbgdf # rf]6L eGbf a9L /]lk|mh/]6/ vf]lnPdf_, /]lk|mh/]6/sf]

9f]sf /fd|/L aGb gePdf / 9f]sfsf] l;n -Uof:s]6_ lau|]df /]lk|mh/]6/nfO{ l56f] l56f] l8k|mf]i6

ug'{kg]{ cj:yf cfpF5 .

35

/]lk|mh/]6/n] sfd gu/]df s] ug]{ <

;a}eGbf klxnf EoflS;g lau|gaf6 hf]ufpg] .

EoflS;g s;/L hf]ufpg] < -cg';'lr ====_

EoflS;g csf]{ 7fpFdf ;'/lIft ?kdf e08f/0f ug'{k5{ .

/]lk|mh/]6/ agfpg sd ;do nfU5 eg]

sf]N8aS;df klg EoflS;g /fv]/ hf]ufpg ;lsG5 . To:tf] cj:yfdf sf]N8aS;df sl08;g ul/Psf] cfO;Kofs rf/}lt/af6 /fv]/ EoflS;g /fVg'kb{5 . /]lk|mh/]6/ agfpg a9L ;do nfU5 eg]

EoflS;g csf]{ /]lk|mh/]6/df /fVg'k5{\ / ydf]{ld6/ /fv]/ tfkqmd cg'udg ug'{kb{5 .

/]lk|mh/]6/ k'gM;~rfngdf Nofpgsf nflu M

ljB't jf OGwg cfk"lt{sf] l7s eP gePsf] kl/If0f ug]{ .

ljB't jf OGwg cfk"lt{sf] ;d:of xf]Og eg] ;'k/efOh/nfO{ l/kf]6{ ul/ :yflgo :t/df ;Dej eP dd{t ug]{ cGoyf /]lk|mh/]6/ 6]lSgl;og af]nfO{ dd{t u/fpg] .

t/ /]lk|mh/]6/ k'gM;~rfngdf Nofpgsf nflu ljif]z kxn ug'[{kb{5 . h:t} ljB't jf OGwg

cfk"lt{sf] cj:yf 7Ls geP/ o;f] ePsf] eP ;f] sf] a}slNks pkfo ckgfpg] . ljB't jf OGwg

cfk"lt{sf] ;d:of xf]Og eg] ;'k/efOh/nfO{ l/kf]6{ u/L :yfgLo :t/df ;Dej eP dd{t ug]{

cGoyf /]lk|mh/]6/ 6]lSglzog af]nfO{ dd{t u/fpg] .

sf]N8 aS; / EoflS;g Sofl/o/sf] ;Def/ M sf]N8 aS; h:t} EoflS;g Sofl/o/ klg EoflS;g /

3f]nsx¿ 9'jfgL ug{sf] nflu k|of]u ul/g] efF8f] xf] . o;sf]

leQf / lasf]{ OG;'n]6]8 (Insulated) ul/Psf] x'G5 h;n] ubf{

aflx/L tfkqmd leq l5g{ ;Sb}g / o;leq /fv]sf

EoflS;gx¿ lr;f] /lx/xG5g\ . EoflS;g Sofl/o/ leq

rf/}lt/ cfO; Kofsx¿ /fv]/ aLrdf EoflS;gx¿ /flvG5 .

:jf:Yo ;+:yfaf6 vf]k s]Gb|;Dd EoflS;gx¿ lnP/ hfgsf]

nflu of] efF8f] k|of]u ul/G5 . sf]N8 aS; eGbf EoflS;g

Sofl/o/ ;fgf] x'g] ePsf]n] o;nfO{ lnP/ hfg ;lhnf] x'G5 . t/ o;df sd cjlw;Dd dfq

lr;f] /xG5 . o;sf] las]{f nufO/x]df $* 306f;Dd lr;f] /xg ;S5 . yf]/} EoflS;g dfq

36

cfjZos kg]{ :jf:Yo ;+:yfn] o;nfO{ ;j–;]G6/af6 EoflS;g Nofpgsf] nflu klg k|of]u ug{

;S5g\ . /]lk|mh]/]6/ lau|bf / /]lk|mh]/]6/ l8k|m:6 (Defrost) ubf{ 5f]6]f cjlwsf] nflu EoflS;g

e08f/ ug{ klg EoflS;g Sofl/o/ k|of]u ug{ ;lsG5 . EoflS;g Sofl/o/sf] lgoldt ?kdf ;Def/

ug'{kg]{ x'G5 . EoflS;g Sofl/o/sf] ;Def/ ug{ lgDg sfo{ ug{ ;lsG5 M

• EoflS;g Sofl/P/nfO{ k|of]u ul/;s]kl5 ;kmf u/L ;'Vvf /fVg} k5{ .

o EoflS;g Sofl/o/ ;'Vvf g/fvL aGb ubf{ To; leq 9';L knfP/ EoflS;g Sofl/o/

lalu|g ;S5 .

• EoflS;g Sofl/o/df ;f]em} 3fd kbf{ / 7f]lsbf EoflS;g Sofl/o/ rls{O{ lau|g ;S5 /

sf]N8r]g sfod ug{ ;Sb}g .

• EoflS;g Sofl/o/ / sf]N8 aS; nf]8 cgnf]8 ubf{ ;f]em} v;fNg] jf hldgdf aemfg]{ ug'{

x'b}g .

• EoflS;g Sofl/o/df ;fgf ;fgf lr/f k/]sf] /x]5 eg] c:yfoL ?kdf 6]k nufP/ sfd rnfpg

;lsG5 .

;d"xut 5nkmnsf] nflu k|ZgM EoflS;gnfO{ ;'/lIft e08f/0f / lat/0f -±@) ;]= b]lv +±*) ;]=_

df hf]lvd k'/\ofpg] tTjx? s] s] x'g < ;f] ljifodf ;d'xdf 5nkmn ul/ d]6fsf8{ dfkm{t

k|:t'tLs/0f ug'{xf];\ .

-lj:t[t lrq x]g]{_

#=@=@= cfsl:ds cj:yfdf EoflS;g hf]ufpg] of]hgf (Contingency Plan) M sf]N8 r]]gdf s'g} klg a]nfdf cfsl:ds ?kdf ;d:of pTkGg x'g ;Sb5 . o:tf] a]nfdf

EoflS;gx? lau|g ;Sg] / o;af6 sfo{qmddf g/fd|f] c;/ kg{ ;Sg] x'G5 . o:tf k|sf/sf ;d:of

g} cfpg glbg' a'l4dfQf xf] t/ grFfxFbf grfFxFb} klg ;d:of cfpg ;Sb5 h;sf] nflu

of]hgfj4 ?kdf tof/L cj:yfdf /xg' kb{5 . cfsl:ds cj:yfdf EoflS;g hf]ufpg] of]hgfsf

tTjx? lgDg cg';f/ x'g ;Sb5g\M

• k|To]s sf]N8?ddf cfsl:ds ?kdf sf]N8r]gdf ;d:of cfpFbf EoflS;gnfO{ s;/L

hf]ufpg] eGg] lnlvt of]hgf 6fFl;Psf] x'g' k5{ .

• EoflS;g e08f/0fsf] lhDd]jf/ JolSQmx?nfO{ lgDg s'/fsf] hfgsf/L x''g}kb{5 M

o EoflS;gnfO{ hlxn] klg ±@) ;]= b]lv +±*) ;]=df dfq e08f/0f ug'{kb{5 .

o olb EoflS;g / 3f]ns Pp6} aS;df Kofs ul/Psf] 5 eg] To;sf] e08f/0f klg

±@) ;]= b]lv +±*) ;]= tfkqmddf g} /fVg'kb{5 .

37

• EoflS;g / 3f]ns cnu cnu 5g\ eg], EoflS;gnfO{ ±@) ;]= b]lv +±*) ;]=df e08f/0f

ug]{ tyf 3f]nsnfO{ sf]7fsf] tfkqmddf e08f/0f ug'{kb{5 .

• cfsl:ds cj:yfdf EoflS;g hf]ufpg ;lsg] of]hgfx? M

!= pknAw ;/sf/L jf lghL sf]N8?dx?;Fu ;dGjo / ;Demf}tf ug]{ / cfsl:ds

cj:yf cfOk/]df Toxf EoflS;g ;fg]{ .

@= sf]N8 aS;df slG8;g u/]sf] cfO; Kofs /fv]/ EoflS;g /fVg] .

#= Knfli6ssf] jf cGo ef8fdf j/km /fv]/ sf]N8r]g sfod ug]{, t/ o:tf] cj:yfdf

nuftf/ tfkqmdsf] cg'udg ug'{k5{ .

a/km klUnxfn]sf] cj:yfdf j/km cfk"lt{sf] Joj:yf ug'{k5{ .

cfsl:ds k|of]hgsf] nflu slDtdf b'Oj6f lasNkx?sf] of]hgf agfO/fVg''kb{5 M

• pQm lasNkx?sf]] af/]df ;DalGwt JolSQmx? aLr la:t[t 5nkmn u/L pgLx?nfO{

hfgsf/L agfOg' kb{5 .

• klxn] g} pQm of]hgfsf] cEof; u/fOg' kb{5 .

• cfsl:ds kl/l:yltdf ;Dks{ ug{sf nflu cfjZos JolQm / ;+:yfx?sf] 6]lnkmf]g gDa/ /

7]ufgfx? sf]N8?ddf pknAw x'g' kb{5 .

pbfx/0fsf] nflu -cg';'lr ======_

dgg ug'{xf];\M cfsl:ds cj:yf knf{ / ToxL a]nfdf h] knf{ ToxL u/f}nf eg]/ ga;f}+ . cfsl:ds of]hgfsf] k'j{ cEof; u/L tof/L cj:yfdf a;f}+ .

#=#=# sf]N8r]g ;fdu|Lsf] dd{t ;Def/ ug{ hlxn] klg lgDg s'/fx? ug'{kb{5 M

• sf]N8r]g Joj:yfkgdf dd{t ;Def/ ul//xg'kg]{ cf}hf/÷pks/0fx?sf] ;"rL tof/ ug]{ • tL cf}hf/ pks/0fx?sf] ;Def/sf] nflu ul/g'kg]{ dxTjk"0f{ sfo{x? klxrfg ug]{ • To;sf] nflu lhDd]jf/ JolQmsf] klxrfg ug]{ • dd{t ug'{k/]df ;Dks{ ug'{kg]{ JolQm / ;+:yfs]f klxrfg ug]{ • sf]N8r]g dd{t sfo{sf] ;Dkfbg d"NofÍgsf] ;'rsx? lglZrt ug]{

sf]N8r]g ;Def/sf] of]hgf agfpg lgDg lnlvt tflnsfsf] k|of]u ug{] M

aflif{s k/LIf0f x'g] d'Vocfwf/x?

;Def/ tyfdd{t ug{

;Sg] JolSt jf;+:yf

;Def/ ug]{ lhDd]jf/ JolSt

;Def/ ul/g] d'Vo d'Vosfo{x?

sf]N8r]g pks/0f / cf}hf/sf]

gfdl;=g+=

aflif{s k/LIf0f x'g] d'Vocfwf/x?

;Def/ tyfdd{t ug{

;Sg] JolSt jf;+:yf

;Def/ ug]{ lhDd]jf/ JolSt

;Def/ ul/g] d'Vo d'Vosfo{x?

sf]N8r]g pks/0f / cf}hf/sf]

gfdl;=g+=

38

kf7 $M e/kbf]{ sf]N8r]g k|0ffnL o; ;];gsf] cGTodf ;xefuLx? lgDg sfo{x? ug{ ;Ifd x'g]5g\ M

• EoflS;gnfO{ tftf], lr;f], tyf k|sfzaf6 hf]ufpg

• EoflS;g e08f/0f ubf{ ;xL tfkqmd sfod ug{

• tfkqmd cg'udg ug{sf] nflu pko'SQm cf}hf/sf] 5gf}6 /

k|of]u ug{


afWo t'Nofpg] h:t}M

$=!= EoflS;gnfO{ tftf], lr;f], tyf k|sfzaf6 hf]ufpg

sf]N8r]g k|0ffnLnfO{ e/kbf]{ agfpg sfo{qmd Joj:yfks / sf]N8r]gdf ;+nUg sd{rf/Lx?sf]

;lqmotf / s'zn sfo{ ;Dkfbg lgtfGt cfjZos kb{5 . o;sf] nflu o;df ;+nUg sd{rf/Lsf]

s'zn sfo{ ;Dkfbg rflxG5 . e/kbf]{ sf]N8r]g pks/0f / ;fdfu|Lx?sf] k|of]u / ;dodf g}

cfxf Û ef]ln b]lv Ps xKtfsf] 5'l§ 5 . EoflS;g ljt/0f ul/ xfn]+, lhG;Ldf klg r9fO{ ;s] . ca afFsL sfd s] g} 5 / < ljB'tsf] nfOg hf]8]s} 5 . lrGtf ug'{ kg]{ s'/f s]xL klg 5}g . ca uOof] 3/ lt/ .

39

dd{t ;Def/ u/L ljB't / OGwgsf] lg/Gt/ cfk"lt{ ug{ ;s]df sf]N8r]g k|0ffnLn] e/kbf]{ ?kdf

sfd ub{5 . sf]N8r]g cg'udgsf cf}hf/x?sf] k|efjsf/L k|of]un] ;f] s'/fsf] olsg ub{5 .

EoflS;g / sf]N8 r]g ;DalGw s]xL tYox?M

• ;a} EoflS;gx? tftf]af6 lalu|G5g\ -tfk ;+a]bgzLn_

• s]xL EoflS;gx? tftf]af6 l56f] lalu|G5g\

• s]xL EoflS;gx? tftf]af6 l9nf] lalu|G5g\

• s]xL EoflS;gx? w]/} lr;f]af6 lalu|G5g\ -w]/} lr;f] = hDg] tfkqmddf /xg'_

w]/} lr;f] / tftf]df s'g s'g EoflS;gx¿ slt ;+j]bgzLn 5g\ eGg] s'/f tnsf] 6]a'ndf lbOPsf] 5 . tnsf af0fn] a9L ;+j]bgzLn EoflS;gx¿ dflyaf6 tnlt/ b]vfOPsf] 5 .

tftf];Fusf] ;+j]bgzLntf M

;+j]bgzLntf EoflS;g

kf]lnof]

bfb'/f

aL=;L=hL== h]=O{=

8L=kL=6L==±x]k aL 8L=kL=6L==±x]k aL± lxa

l6=l8=, 6L=6L= x]k aL

w]/} lr;f] -hDg] tfkqmd_ ; Fusf] ;+j]bgzLntf

;+j]bgzLntf EoflS;g x]k aL

8L=kL=6L=±x]k aL±lxa 8L=kL=6L=±x]k aL

l6=l8=

6L=6L=

;a}eGbf a9L ;+j]bgzLn

;a}eGbf sd ;+j]bgzLn

;a}eGbf a9L ;+j]bgzLn

;a}eGbf sd ;+j]bgzLn

40

EoflS;gnfO{ 9'jfgL tyf e08f/0f ubf{ tftf] / lr;f]af6 s;/L hf]ufpg ;lsG5<

EoflS;g 9'jfgL tyf e08f/0f ubf{ tftf] / lr;f]af6 lau|g ;Sb5g\ . To;}n] tftf]af6 lau|]

glau|]sf] olsg ug{ eL=eL=Pd=sf] ;xL k|of]uaf6 ug{ ;lsG5 eg] EoflS;gnfO{ lr;f]af6

arfpgsf] nflu slG8;g u/]sf] cfO;Kofssf] k|of]u ug{ ;lsG5 .

@= EoflS;g e08f/ ubf{ sfod/fVg' kg]{ tfkqmd tflnsfM

k|sfzaf6 l56f] v/fa x'g] EoflS;gaf/] hfgsf/L

aL=;L=hL= / bfb'/f EoflS;gx¿ s8f lsl;dsf] pHofnf] ;"o{sf] ls/0fdf /x] eg] tL EoflS;gx¿sf] sfo{Ifdtf x|f; x'Fb} hfG5 jf u'0f:t/ sd x'Fb} hfG5 . oL EoflS;gx¿ tftf] / ;"o{sf] ls/0f b'a};Fu ;+j]bgzLn x'G5g\ . To;}n] oL EoflS;gx¿ uf9f /Ë ePsf] lzzfsf] efondf pknAw x'G5g\ . h;n] ubf{ efonleq ;"o{sf] ls/0f k|j]z ug{af6 s]lx dfqfdf ;'/lIft u5{ /

llee==llee==PPdd==ssff]] ;;xxLL kk||ooff ]]uu ssllGG88;;gg uu//]]ssff]] ccffOO;;KKooffssssff]] kk||ooff ]]uu

;a} :yflgo :jf:Yo ;:yfx¿dfvf]k e08f/0f ug]{ tfkqmd

EoflS;g s]Gb|Lo sf]N8 :6f]/

If]qLo sf]N8 :6f]/

lhNnf sf]N8 ?d

:jf:Yo;+:yf

vf]ks]Gb|

kf]lnof] –!%);]= b]lv –@%

);]=

bfb'/f

la=l;=hL=

–!%) ;]= b]lv –@%) ;]= jf ±@) ;]=

b]lv ±*) ;]=df e08f/ ug{ ;lsG5 .

t/ –!%);]= b]lv –@%

);]=

df e08f/ ug{ h?/L 5}g \ .

± @);]= b]lv ± *

);]=

l8=lk=6L=± x]k aL

l6=6L=

h]=O{=–

sf]N8r]g sf]N8r]g aflxaflx/ EoflS;g / EoflS;g slxnslxn] ] klgklg //fVgfVg' ' x'b}gx'b}g . .

EoflS;g 9'jfgL EoflS;g 9'jfgL ubfubf{ ;lx sf]N8r]g { ;lx sf]N8r]g sfodsfod u/]sfu/]sf] x'g'k5{ . ] x'g'k5{ .

41

EoflS;g lau|g kfpFb}g . t;y{ o; k|sf/sf EoflS;gx¿nfO{ ;w}e/L g} ;"o{sf] ls/0f / s8f pHofnf] kg{af6 ;'/lIft ug'{ kb{5 . o;sf] nflu oL EoflS;gx¿nfO{ 9fs]/ /fVg' kb{5 / ;"o{sf] ls/0f kg]{ 7fpFdf slxNo} klg /fVg' x'b}g .

EoflS;gsf] Dofb u'h|g] ldlt (Expiry Date): sf]N8r]g hlt;'s} /fd|/L Joj:yfkg ul/Psf] ePtfklg lglZrt ;do kl5 vf]ksf] k|of]u Dofb

;lsG5 . ctM x/]s EoflS;g efondf Dofb u'h|g] ldlt hgfOPsf] x'G5 . Dofb u'h|LP kl5

eL=eL=Pd= !, @ sf] cj:yfdf ePklg k|of]u ug'{ x'b}g . Dofb afFsL /x] klg eL=eL=Pd= #, $ sf]

cj:ydff k'u]sf EoflS;gx? k|of]u ug'{ x'b}g . EoflS;g cGo sf/0fx?af6 v/fj x'g uPdf Dofb

g;lsPsf] ePklg EoflS;g k|of]u ug{' x'b}g .

/]lk|mh]/]6/df EoflS;g /fVbf Wofg lbg'kg]{ s'/fx? M -s_ EoflS;gnfO{ vfb]/ -xfjf gl5g]{ ul/_ hyfefjL /fVg' x'b}g . -v_ lk|mh/ tyf /]lk|mh/]6/sf] 9f]sfdf -shalves_ EoflS;g /fVg' x'b}g . -u_ Eofb u'h|]sf, eL=eL=Pd= # tyf $ cj:yfdf k'lu;s]sf, 3f]ln ;s]sf EoflS;g slxn] klg

lk|mh/ jf /]lk|mh/]6/df /fVg' x'b}g . -3_ 3/]n' /]lk|mh/]6/df EoflS;g e08f/0f slxn]klg k|of]u ug'{x'b}g . -ª_ EoflS;g /fVg] /]lk|mh/]6/ af/Daf/ vf]Ng' x'b}g .

3/]n' /]lk|mh/]6/df EoflS;g /fVg pko'Qm x'b}g .

$=@ /]lk|mh/]6/sf] k|of]u tyf EoflS;g /fVbf Wofg lbg'kg]{ s'/fx?

lkm|h/ Compartment cfO;Kofs hdfpg jf e08f/0f ug{

/]lkm|h/]6/ Compartment

;a} lsl;dsf EoflS;g tyf 3f]nsx? e08f/0f ug{

o ;aeGbf dflysf] tVtfdf kf]lnof], aL=;L=hL=, bfb'/f / h]=O{ /fVg] .

o aLrsf] tVtfdf 8L=kL=6L=—x]a aL — lxa, 6L=6L= /fVg] .

;aeGbf tNnf] tVtfdf 3f]ns tyf kfgL e/]sf cfO;Kofsx? /fVg] .

vf]k 3f]Ng'eGbf @$ 306f cufl8 EoflS;g / 3f]nsnfO{ ;dfg tfkqmddf /fVg'kb{5 .

3f]nsnfO{ afXo tfkqmddf klg e08f/0f ug{ ;lsG5

EoflS;gnfO{ vft -Stacks_ nufP/ /fVg'kb{5 / :6}s;x?sf] aLraf6 xfjf cf]x/bf]xf]/ ug{ ;Sg] x'g'kb{5 .

42

lr;f]af6 lalu|g ;Sg] EoflS;gnfO{ lk|m+lhË Compartment jf /]lkm|h/]zg Kn]6 tyf OEofkf]/]6/af6 6f9f /flvg'kb{5,

ax'dfqf EoflS;g k|of]u gLlt cjnDaj ul/Psf] cj:yfdf vf]lnPsf] kf]lnof], 6L6L tyf l8lk6L / x]k aL efOnx? afs;df æklxn] k|of]u ug]{Æ egL n]v]/ /fVg'kb{5 / cfufdL ;];gdf ltgsf] k|of]u x'g'kb{5 .

klxnf Dofb u'h|g] EoflS;gnfO{ klxnf lgsfNg ldNg] ul/ /flvg'kb{5 . o;}nfO{ klxn] k|of]u ug'{kb{5 .

EoflS;g /fVg] /]lk|mh]/]6/df b'O{j6f efux¿ (Compartment) x'G5g\ . tL b'a} efusf] 5'§f–5'§}| ljz]iftf 5 . o;sf] af/]df ;+lIfKtdf tn j0f{g ul/Psf] 5 M

• d'Vo efu (Main compartment)M o;nfO{ /]lk|mh]/]6/ sDkf6{d]06 (Refrigerator compartment) klg elgG5 . of] efu csf]{ efueGbf 7"nf] x'G5 . of] efudf ± (Plus) tfkqmd ldnfOPsf] x'G5 . o;df ±@) ;]= b]lv ±*) ;]= tfkqmddf /fVg'kg]{ EoflS;gx¿ / 3f]nsx¿ e08f/ ug'{k5{ . o;df ydf]{:6\of6 /x]sf] x'G5 / o;}af6 tfkqmd ldnfpg ;lsG5 .

• bf]>f] efu (Second compartment)M o;nfO{ lk|mlhË sDkf6{df]06 (Freezing compartment) klg elgG5 . of] efu ;fgf] x'G5 . o; efudf dfOg;\ -–_ (Minus) df /fVg'kg]{ EoflS;gx¿ dfq /flvG5 / o;df cfO; Kofs hdfpg klg k|of]u ul/G5 . olb /]lk|mh]/]6/n] 7Ls;Fu sfd u/]sf] 5 eg] o;df –%) ;]= b]lv –!%) ;]=sf] tfkqmd sfod ePsf] x'G5 .

/]lk|mh]/]6/sf] k|of]u tyf EoflS;g /fVg] tl/sf tn pNn]v ul/Psf] 5 M

-s_ k|mLlhË sDkf6{d]06 (Freezing compartment) df cfO; Kofs hdfpg' k5{ / hd]sf] cfO; Kofs klg o;}df /fVg'k5{ . ;fy} – (Minus) df /fVg'kg]{ EoflS;g h:t} kf]lnof], bfb'/f / aL=;L=hL= klg k|mLlhË sDkf6{d]06df /fVg ;lsG5 .

-v_ cGo ;a} EoflS;g / 3f]nsx¿ /]lk|mh]/]6/ sDkf6{d]06 (Refrigerator compartment)df /fVg' kb{5 . olb o;df 7fpF gk'u 5 eg] 3f]nsnfO{ aflx/ /fVg ;lsG5 . t/ EoflS;g 3f]Ng' eGbf klxn] 3f]ns lr;f] ePsf] x'g'k5{, o;sf] nflu 3f]ns k|of]u ug'{ eGbf klxn] o;nfO{ /]lk|mh]/]6/ jf sf]N8 aS; jf EoflS;g Sofl/o/df /fv]/ lr;f] agfpg' kb{5 .

-u_ EoflS;gsf aS;x¿ /fVbf aLr–aLrdf xfjf l5g]{ 7fpF x'g'k5{ .

-3_ hd]/ lau|g] EoflS;gsf aS;x¿nfO{ k|mLlhË sDkf6{d]06 (Freezing compartment) eGbf 6f9f /fVg' kb{5 . ;fy} tL EoflS;gx¿nfO{ /]lk|mh]/]6/ sDkf6{d]06sf] dfly, tn, bfofF / afofFsf leQfx¿;Fu hf]8]/ klg /fVg' x'b}g . lsgeg] tL leQfx¿df – (Minus) tfkqmd ePsf] x'g;S5 / o;sf] ;Dks{df cfPsf EoflS;gx¿ hDg ;S5g\ .

-ª_ ax'dfqf efon gLlt (Multi Dose Vial Policy- MDVP) nfu" ul/Psf] 5 eg], vf]n]/ afFsL ePsf tL EoflS;g efonx¿nfO{ /]lk|mh]/]6/ sDkf6{d]06sf] 5'§} tvtfdf /fVg] / o;df æklxnf k|of]u ug]{ EoflS;gx¿Æ eg]/ n]Vg] . o;n] ubf{ tL EoflS;gx¿ csf]{ lbg ;~rfng

43

ul/g] vf]k s]Gb|sf] nflu z'?df g} ljt/0f ul/G5 . Ps k6s vf]n]sf] EoflS;gnfO{ csf]{ lbg klg k|of]u ug{ ;lsg]df kf]lnof], 8L=kL=6L, 6L=6L=, 8L=kL=6L=±x]k aL±lxa EoflS;gx¿ x'g\

-r_ eL=eL=Pd= bf]>f] cj:yf -rf/s'g] leqsf] /Ë s]lx uf9f_ ePsf] EoflS;gnfO{ æklxnf k|of]u ug]{ EoflS;gx?Æ /fVg] tVtfdf /fVg] / tL EoflS;gx¿nfO{ klxnf k|of]u ug]{ .

-5_ 3f]n]sf] EoflS;g afFsL /x]sf], Dofb u'h|]sf] EoflS;g / k|of]u ug{ gx'g] cj:yf egL eL=eL=Pd=n] ;+s]t u/]sf] EoflS;gx¿nfO{ /]lk|mh]/]6/df g/fVg] .

-h_ /]lk|mh]/]6/sf] tNnf] tVtf / 9f]sfsf] ¥ofsdf kfgL e/]sf cfO; Kofsx¿ /fVg] . o;n] ljB't ;KnfO{ aGb ePsf] a]nfdf /]lk|mh]/]6/ leqsf] tfkqmd lr;f] /flv/xg d2t u5{ .

-em_ /]lk|mh]/]6/df EoflS;gx¿ e08f/0f ubf{ tn pNn]v ul/P adf]lhd 7Ls–7Ls 7fpFdf /fVg] M cufl8af6 vf]Ng] ePsf] / dflykl§ lk|mh/ ePsf] /]lk|mh]/]6/df lgDgfg';f/ EoflS;g e08f/ ug]{ M -tnsf] lrqdf b]vfOPsf] 5_ -c=_ /]lk|mh]/]6/ sDkf6{d]06sf] ;a}eGbf

dflyNnf] tVtfdf kf]lnof], bfb'/f / aL=;L=hL= EoflS;g /fVg] .

-cf=_ aLrsf] tVtfdf 8L=kL=6L=, 6L=6L=, x]k

aL, 8L=kL=6L=±x]k aL±lxa / h]=O{= EoflS;g /fVg] .

-O=_ tNNff] tvtfdf 3f]nsx¿ /fVg] .

lrq M cufl8af6 vf]Ng] Joj:yf ePsf] /]lk|mh]/]6/df EoflS;gx¿ /fVg] tl/sf b]vfPsf] M

dflyaf6 vf]Ng] ePsf] cfO{;nfOlgË /]lk|mh]/]6/df lgDgfg';f/ EoflS;g e08f/ ug]{ M -tnsf] lrqdf b]vfOPsf] 5_ o; k|sf/sf] /]lk|mh]/]6/df EoflS;g /fVbf o;};Fu pknAw u/fOPsf] 6f]s/L (Basket) nfO{ /]lk|mh]/]6/ sDkf6{d]06df /fv]/ o;}df EoflS;g /fVg'k5{ . jf ;a}eGbf lk+wdf kfgL gel/Psf] vfln cfO;Kofs /flv EoflS;gx?nfO{ lk+waf6 dfly /fVg'kb{5 . -c=_ 6f]s/Lsf] ;a}eGbf tnkl§ kf]lnof], bfb'/f /

aL=;L=hL= EoflS;g /fVg] . -cf=_ hd]/ lau|g] EoflS;gx¿ -8L=kL=6L=, 6L=6L=, x]k aL,

8L=kL=6L=±x]k aL±lxa_ nfO{ dflykl§ /fVg] . lrq M dflyaf6 vf]Ng] Aoj:yf ePsf] /]lk|mh]/]6/df EoflS;g /fVg]

44

$=#= tfkqmd cg'udg ;"rs oGqx? M

EoflS;g tyf 3f]nsx? e08f/0f / 9'jfgL ubf{ tf]lsPsf] tfkqmd eGbf a9L jf sddf /x]sf]

lyof] ls eg]/ yfxf kfpg sf]N8 r]g cg'udg ug]{ ljleGg pks/0fx? k|of]u ul/G5 .

• 8fon ydf]{ld6/ M lk|mh leq EoflS;gsf] ;fydf k|of]u ul/G5 .

• Integral 8fon ydf]{ld6/ M lk|mhdf hl8t tfkqmd ;"rs oGq .

• Freeze Indicator M )) ;]l06u|]6 eGbf sd tfkqmdnfO{ ;+s]t u/fpg] oGq xf] . of]

Psk6s z"Go eGbf sd tfkqmddf k'u]kl5 k|of]u ug{ ;lsb}g .

• Temperature Data Logger M of] vf;u/L EoflS;g 9'jfgL cjlw el/sf] tfkqmd cg'udg

ug{sf] nflu k|of]u ul/G5 . ;fy} o;nfO{ k'gM k|of]u ug{ ;lsG5 .

• Pen Recorder M o;n] sf]N8?d leqsf] tfkqmd lg/Gt/ ?kdf u|fkmdf /]s8{ ub{5 . u|fkm

k]k/ uf]nf] sfuh jf /f]ndf a]l/Psf] x'G5 .

• Digital Recording System M of] d]sflgsn /]sl8{Ë l;:6dsf] Onf]S6«f]lgs :j?k xf] .

o;nfO{ k|f]u|fldª u/]/ Ps}rf]6Ldf Ps eGbf a9L sf]N8?d, /]lk|mh/]6/, OToflbsf] tfkqmd

/]s8{ ug{ ;lsG5 tyf sDKo"6/df klg /fVg ;lsG5 .

• Computer and Data Logger M o;n] klxn]]b]lv ;]6 ul/Psf] cGt/fndf tfkqmd /]s8{ ub{5

• Vaccine Cold Chain Monitor (VCCM) M of] sf8{ nfdf] b'/Ldf EoflS;g 9'jfgL ubf{

EoflS;gsf] sf6{'g leq /fvL k7fOG5 . o;df rf/ j6f cj:yfx? -A, B, C / D_ pNn]v

ul/Psf] x'G5 .

• Q Tag M of] ;"rs EoflS;g 9'jfgL ubf{sf] cjlwsf] ;do;Fu} tfkqmdsf] ;+s]t ug]{

On]S6«f]lgs oGq xf] . of] klg nfdf] b"/Lsf] 9'jfgL ubf{ k|of]u ul/G5 .

45

tfkqmd cg'udg ug]{ ;"rs oGqx?sf] lrqM

ydf]{ld6/ lk|mh jfr

lk|mh–6\ofu EoflS;g sf]N8 r]g cg'udg sf8{

le=le=Pd Electronic temp monitor with LCD screen

Min-Max ydf]{ld6/ 8f6f nu/

hDg] tfkqmddf k'u]sf] hfgsf/L lbg] ;"rsx? M

010

20

30

40

-10

-20

010

20

30

40

-10

-20

46

k|lzIfsnfO{ lgb]{zgM

;xefuLx?nfO{ klxnf h:t} ljleGg ;d"xdf ljefhg ug'{xf];\ / lgDg lnlvt cEof; u/fpg'xf];\M

cEof; !M tfkqmd dfks ;"rsx?sf] k|of]u

tkFfO{nfO{ lbOPsf] tfkqmd dfks ;"rsx? leQfdf 6Ffl;Psf] rf6{df pNn]v ul/P cg';f/sf] s'g

s'g cj:yfdf k|of]u ul/G5, 6f:g'xf];\ / ;d"xdf 5nkmn ug'{xf];\ .

Downloadable electronic temperature data logger

Min-max thermometer

Thermometer

Multi-channel computerized temperature recording sys.

Freeze indicator

Vaccine vial monitor

Vaccine cold chain monitor

Electronic temperature monitor with LCD screen

Service levelIn-country transport

Intermediate vaccine

store

In-country transport

Primary vaccine

store

International

transportDevice

Downloadable electronic temperature data logger

Min-max thermometer

Thermometer

Multi-channel computerized temperature recording sys.

Freeze indicator

Vaccine vial monitor

Vaccine cold chain monitor

Electronic temperature monitor with LCD screen

Service levelIn-country transport

Intermediate vaccine

store

In-country transport

Primary vaccine

store

International

transportDevice

47

cEof; @M tfkqmd /]s8{ ug]{ rf6{sf] cWoog u/fO{ lgDg cg';f/sf] 5nkmn u/fpg'xf];\M

• tkFfO{nfO{ lbOPsf] tfkqmd cg'udg rf6{ cWoog ug'{xf];\ .

• To;df kfOPsf ;jn kIf / sdL sdhf]/L kQf nufpg'xf];\ .

• Toxf kfOPsf sdL sdhf]/Lsf] cfwf/df s'g lsl;dsf] ;'wf/ ug'{ k5{ 5nkmn u/L k|:t't

ug'{xf];\ .

Record temperature at 08:00 and 16:00 daily

M A M A M A M A M A M A M A M A M A M A M A M A M A M A M A M A M A M A M A M A2220181614121086420 Freeze damage?

-2 Freeze damage?-4-6-8

-10

Defrost

UN

SAFE

SAFE

UN

SAFE

Deg. C 17 18 19 2013 14 15 169 10 11 125 6 7 81 2 3 4

;fawfg M sf]N8r]gsf] tfkqmd @$ 306fdf slDtdf @ k6s, xKtfdf ;ft} lbg /]s8{ ul/g'kb{5 . olb s'g} klg a]nf tfkqmd ;'/lIft l;df jflx/ uPdf lhDd]jf/ AolQmn] tTsfn} cfjZos sbd rfNg'kb{5 .

48

^= t]>f] lbgsf] tflnddf ;dfj]z x'g] ljifoj:t'x?

kf7 %M lhG;L Joj:yfkg

kf7 ^M eL=eL=Pd= -EoflS;g efon dlg6/_

kf7 &M pko'Qm t/Lsfn] 3f]nssf] k|of]u

lkmN8 cjnf]sg M s]Gb|Lo tyf lhNnf sf]N8?d

49

kf7 %M lhG;L Joj:yfkg o; ;];gsf] cGTodf ;xefuLx? lgDg s'/fx? ug{ ;Ifd x'g]5g\ M

• vf]k cfudg k|ltj]bg (Vaccine Arrival Report) eg{ -s]Gb|Lo:t/df el/g]_

• lhG;L Joj:yfkgsf] dxTj af/]df atfpg

• EoflS;g tyf ;fdfu|L df}HbftnfO{ c;/ kfg]{ tTjx?sf] af/]df hfgsf/L lng

• lhG;L Joj:yfkgsf clen]vx? /fVg

• EoflS;gsf] lhG;L clen]v ljZn]if0f ug{

• clwstd / Go"gtd EoflS;g df}Hbft sfod ug{

• lgoldt ?kdf ef}lts u0fgf u/L lhG;L clen]v b'?:t /fVg


afWo t'Nofpg] h:t}M

lhG;L Joj:yfkg M ;fwf/0ftof of] egfO 5 ls æolb /]s8{ /flvPg eg], Tof] slxNn} pknAw x'g] 5}gÆ . of] egfO

dflg;sf] cfjt hfjtsf] /]s8{ /fVg / k|ltj]bg ug{, EoflS;g / ;f] ;+u ;DalGwt a:t'x?sf]

/]s8{ /fVbfsf] cj:yfdf ;fGble{s b]lvG5 . olb /]s8{ g} /flvPsf] 5}g eg] EoflS;gsf] plrt

t/Lsfn] Joj:yfkg ul/Psf] 5 eGg'sf] cf}lrTo g} 5}g . /fd|f] lhG;L Joj:yfkg k|0ffnL cGtu{t

EoflS;gsf] Joj:yfkg, To;sf] /]sl8{ª, cf];f/–k;f/ / plrt k|of]u kb{5g\ / of] k|0ffnL vf]k

Joj:yfkgdf Pp6f dxTjk"0f{ cf}hf/ xf] . csf]{ egfO 5, olb klxnf] k6s Joj:yfkg ul/Pg eg]

csf]{ kN6 klg To:t} x'G5 .

ss]] eegg]]ssff ]] << ggffzz xx''gg]] EEooffllSS;;gg ggffzz eeOO;;SSooff ]] .. EEooffllSS;;ggssff]] lluuGGttLL ttyyff llhhGG;;LL vvffttff llssgg rrffllxxooff ]] // << ss]] dd]]//ff ]] cc?? ssffdd 55}}gg <<

7Ls} 5, xfdL km]/L lhG;L u0fgf b'?:t kf/f}+ .

50

Pp6f csf]{ egfO 5M ælnvt ljgfsf] wg gf; x'g;S5 .Æ vf]k Joj:yfkgdf o;sf] cy{ xf] ævf]ksf] lhG;L lgoGq0f

tyf Joj:yfkgdf clen]v gePdf vf]k sfo{s|dsf] Joj:yfkg slxn] klg /fd|f] x'g ;Sb}gÆ .

k|lzIfsnfO{ gf]6M ;xefuLx?nfO{ lgDg s'/f atfO{ ;f]Rg afWo t'Nofpg]M

Psfb]zsf] s'/f xf], hxfF Pp6f cfZr{o g} eof], lsgeg] ToxFf EoflS;g / 3f]nssf] kl/0ffd lhG;L

clen]v / ef}lts u0fgf ubf{ Pp6} kfOof] .

lhG;L vftf af6 Ö !@&,@$)

aL=;L=hL= EoflS;gsf] ef}lts u0fgf af6 Ö !@&,@$)

aL=;L=hL= sf] 3f]ns ef}lts u0fgf af6 Ö !@&,@$)

;xefuLnfO{ dflysf] cj:yfsf] af/]df 5nkmn ug{ nufpg]

cEof;M EoflS;g df}HbftnfO{ c;/ kfg]{ d"Vo tTjx? d]6fsf8{df n]Vg'xf]; / 5nkmn ug'{xf];\ .

EoflS;g df}HbftnfO{ c;/ kfg]{ tTjx? M

cfk'lt{sf] cGt/fn

k7fpg l9nf ug'{

0

50

100

150

200

250

300

350

400

450

500

1 2 3 4 5 6

Series1Series2

le=le=Pd=sf] k|of]u

ljt/0f of]hgf

sf]N8r]gsf] cj:yf lju|g'

cleofg

cg'dfg ug'{

lau|g'

;dGjo gePsf] cfk"lt{ / dfu

cleofg

dfl;s k|of]u

se/]h

clgoldt cfk'lt{

dxfdf/L

cg'dfg u/] eGbf a9L /f]uL b]vf kg'{

lhG;L Joj:yfkg

51

• EoflS;gsf] df}Hbft eg]sf] s] xf] <

vf]k sfo{qmd ;+rfng ug{ rflxg] EoflS;g tyf vf]k ;fdfu|Lx? slxn] klg gk'u gxf];\ / s'g}

cj:yfdf rflxg] eGbf a9L pknAw e} v]/ hfg] cj:yfdf gk'uf]; eGg] p2]Zon] EoflS;gsf]

df}Hbft Jojl:yt kfl/G5 .

• /fd|f] df}Hbft Joj:yfkgsf p2]Zox?M

• clwstd df}Hbft x'gaf6 /f]sL v]/hfg] b/ 36fpg] .

• df}Hbftsf] cefj x'g glbg] .


;xefuLx?nfO{ cEof; u/fpg'xf];\, k|:t't ug{ nufpg'xf];\ / cfkm"n] la:t[lts/0f ug'{xf];\ .

EoflS;g df}Hbftdf dxTjk"0f{ kIfx?M

• EoflS;g / vf]k ;+u ;DalGwt ;a} ljj/0fx?sf] Jojl:yt / plrt t/Lsfn] /]sl8{ª /

k|ltj]bg ug]{ k|0ffnLnfO{ ;'b[9Ls/0f ug]{ . ;Dje ePdf s]Gb|Lo :t/df sDKo"6/df ;a}

ljj/0fx?sf] /]s8{ /fvL ;f]xL cg';f/ k|ltj]bg ug'{kb{5 .

• EoflS;g / vf]k ;+u ;DalGwt ;a} ;fdfu|Lx?nfO{ clwstd / Go"gtd df}Hbft larsf]

cj:yf sfod x'g] u/L Joj:yfkg ug'{kb{5 .

• tf]lsPsf] lglZrt ;dodf EoflS;g / vf]k ;fdfu|LnfO{ j:t'ut?kdf u0fgf ug'{kb{5 .

• ;a} ;fdfu|Lx?sf] plrt t/Lsfn] e08f/0f, ljt/0f / Joj:yfkg ug'{kb{5 .

EoflS;g df}Hbftsf] lhG;L clen]vx? /fVg lgDg kmf/fdx? k|of]udf Nofpg' kb{5 M

• Jofr sf8{

• lhG;L vftf -d=n]=k=kmf=g+= %@_

• EoflS;g df}Hbft lgoGq0f kmf/d

• dfu kmf/d -d=n]=k=kmf=g+= %!_

• x:tfG/0f kmf/d -d=n]=k=kmf=g+= $&_

• bflvnf k|ltj]bg -d=n]=k=kmf=g+= $^_

• dfu, k|flKt tyf lat/0f kmf/d

• ldgfxf k|ltj]bg -d=n]=k=kmf=g+= %)_

52

lhG;L clen]v Joj:yfkgM

dfly pNn]lvt kmf/fdx?sf] ljleGg ?kdf k|of]u u/L / cGo k|sf/sf lqmofsnfkx?af6 lhG;Lsf]

clen]vnfO{ s]Gb| b]lv vf]k ;];g ;Dd cWofjlws ug{ ;lsG5 .

%=! EoflS;g cfudg k|ltj]bg (VAR)M s]Gb|Lo sf]N8?dsf] nflu dfq M afXo /fi6«

-cfk"lt{stf{_ af6 s]Gb|Lo :6f]/df k|fKt x'g] EoflS;gx?sf] cj:yfnfO{ eg]{ ;+nUg ljj/0f ;lxtsf]

k|ltj]bgnfO{ EoflS;g cfudg k|ltj]bg elgG5 .

%=@ EoflS;gsf] dfu

EoflS;gsf] dfu ubf{ of]hgf d'tfljs ljutdf vf]k sfo{qmddf jf:tljs ?kdf vkt ePsf],

xfn ;DalGwt :jf:Yo ;+:yfdf df}Hbft /x]sf] / clwstd df}Hbft slt /fVg'kg]{ xf] ;a}sf] lx;fa

u/L rflxg] ;a} ljj/0fx?sf] ;fy dfu ug'{ kb{5 . EoflS;g dfu ubf{ lgDg cfwf/x? to ul/g'

kb{5 M

• dfu ubf{ k|If]lkt of]hgf

• ljutsf] jf:tljs vkt

• xfnsf] df}Hbft / clwstd df}Hbft

• dxfdf/L tyf lj:yflkt cj:yf

dfly pNn]lvt ;a} cfwf/x?nfO{ dgg\ u/L tf]lsPsf] kmf/d e/L EoflS;g dfu ug'{ kb{5 .

EoflS;gsf] jf:tljs dfu ubf{ lgDg cg';f/sf] ;"q k|of]u ul/G5 M

jf:tljs dfu kl/df0f = clwstd df}Hbft - xfnsf] df}Hbft -ef}lts u0fgfsf] cfwf/df k|of]u

of]Uo x'g'kb{5_ .

EoflS;gsf] dfu ubf{ d=n]=k= %! g+= sf] kmf/dsf] cltl/Qm dfu, k|flKt / lat/0f kmf/d k|of]u

ug'{ kb{5 h'g o; k|sf/ 5 .

53

%=# EoflS;g ljt/0f -sf]N8?d b]lv sf]N8?d;Dd_M

EoflS;g ljt/0f ug'{ eGbf cufl8 ;a} eGbf klxnf dfu e} cfPsf] ljj/0fnfO{ Wofg k"j{s ?h'

ug'{ kb{5 . cfjZos kg]{ ;a} sfuhft / kmf/dx? 5g\ jf 5}gg\, ljutsf] dfu ;+u vkt d]n

vfG5 jf vfFb}g, dfu ug]{ ;+:yfdf df}Hbft slt 5 h:tf s'/fx? olsg ul/g' kb{5 . ljt/0fsf

cfwf/x? lgDg 5g\ .

• dfu ul/Psf] kl/df0f olsg ug'{xf];\

o ljutsf] dfu / vktsf] cfwf/df

o aflif{s ljt/0f tflnsf dfu ug]{ ;+:yfsf] df}Hbft

• dfly pNn]lvt kl/df0fsf] tfnd]n gePdf ;DalGwt lgsfodf ;f]wL olsg ug]{

• cfkm";Fusf] jt{dfg df}Hbftsf] l:ylt

• cfjZos clen]v kmf/dx?

o x=kmf=-d=n]=k=kmf/d $&_

! @ !

1 BCG

2 BCG -dil.

3 DPT-HepB-Hib 4 Measles

5 Measles -dil.

6 TT-10

7 TT-20

8 JE

9 JE-Dil.

12 OPV-10

13 OPV-20

15 Droppers

16 cGo ;fdfu|Lx?

i. 0.01 ml syringes for BC G

ii. 0.05 ml syringes for BC G

iii. 0.5 ml syringes , all Immunization

iv. 2 ml syringes , BC G mix.

v. 5 ml syringes , Meas les mix.

vi. 10 ml syringes , Mennegitis mix.

vii. S afety boxes , 5 L itres

tof/ ug]+{ l:js[t ug]+{ gfd : gfd : kb :

Dffu u/]sf] ldlt : kb : kb : ldlt: ldlt : ldlt : ;do:

b:tvt M ;do M ;doMb:tvt : b:tvt :

gf]6 M of] yk kmf/d ePsf]n] d=n]=k=kmf=g+= dfu kmf/dsf] ;fydf k7fpg' k5{ .

xfnsf] df}Hbft

Dffu u/LPsf] ;+Vof

Jofr g+=Go'gtd df}Hbft

VV

k|fKtljt/0f ul/Psf]

ljt/0fsf] nflu

lr;f] ;°]t

k|fKt u

b:tvt :

clwst\d df}Hbft

dfusf] nflu

l;=g+=

EoflS;gsf] gfd

kb : Dffu ug]{sf] gfd : k|fKt ug]{sf] gfd:

dfu, k|flKt tyf ljt/0f kmf/d cfly{s jif{ Dffu kmf/d g+= ljt/0f ug]{ e08f/ M

Dofb u'h|g] ldlt

dfu ul/Psf]

;+Vof -efondf_

n]h/ k]h g+=

;'/lIft df}Hbft

VVM sf] cj:yf;+Vof -efondf_

54

o dfu, k|flKt / lat/0f kmf/d

o lhG;L /lhi6/

o Jofr sf8{

EoflS;g ljt/0f ubf{ cfjZos x'g] Go"gtd ;"rgfx?M

EoflS;gsf] k|sf/ / dfqf, Jofr g+=, Dofb u'h|g] ldlt, lk|mh ;"rsx? tyf eL=eL=Pd=sf] cj:yf,

lgsf;f kl/df0f, lgsf;f lbg] tyf k|dfl0ft ug]{sf] x:tfIf/ h:tf ;"rgfx? EoflS;g ljt/0f ubf{

rflxg] Go\"gtd ljj/0fx? x'g\ ;fy} EoflS;g k7fpg] a]nfdf o;sf] k"j{ ;"rgf 6]lnkmf]g, km\ofS;

cflbaf6 ;DalGwt ;+:yfsf] lhDd]jf/ sd{rf/LnfO{ lbg'kb{5 .

EoflS;g lat/0f sf]N8?d b]lv ;];g;Dd

;];g:t/df EoflS;g ljt/0f ubf{ ;];gsf] nlIft hg;+Vof, ;];gsf] ;+Vof / EoflS;gsf]

ljutsf] vktnfO{ ;d]t dWogh/ /fVg'kb{5 . ;];g ;dfKt ePkl5 afFsL /x]sf k'gM k|of]u

x'g;Sg] EoflS;gx? lkmtf{ ug'{kb{5 .

EoflS;g ljt/0f ubf{ Wofg lbg'kg]{ s'/fx? M

• eL=eL=Pd=sf] cj:yf

• klxnf Dofb u'h|g] EoflS;g klxnf ljt/0f ug]{ -Early Expiry First Out_

• EoflS;gsf] n]jn hf]ufpgsf nflu Zip lock jf kf]lnlygsf] emf]nfdf /fvL ljt/0f ug]{

• /fd|f];Fu slG8zlgª ul/Psf cfO;Kofs /fvL k7fpg]

• EoflS;g ljt/0f ubf{ EoflS;g kl/df0f;Fu d]nvfg]u/L cfjZos 3f]ns, l;l/~h /

;]km\6LaS; Ps};fy ljt/0f ug'{kb{5 .

• EoflS;g 9'jfgLsf nflu 9'jfgL ;fwgsf] clu|d of]hgf agfO tof/L cj:yfdf /fVg'kg]{

x'G5 .

• EoflS;g 9'jfgL ubf{ lhDd]jf/ JolQmsf] lgu/fgLdf k7fpg'kb{5 .

EoflS;g k|flKt / e08f/0f M

EoflS;g k|flKt / e08f/0f ubf{ lgDgs'/fx?sf] ;'lglZrttf ug'{ kb{5 M

• EoflS;g k|fKt ubf{ ?h' ug'{kg]{ s'/fx? M

o x:tfGt/0f kmf/d, dfu k|flKt / lat/0f kmf/d .

o EoflS;g / ;DalGwt ;fdu|Lsf] k|sf/ / kl/df0f .

o lk|mh ;"rsx?, eL=eL=Pd= / Dofb u'h|g] ldlt .

o Jofr g+=

55

• olb eL=eL=Pd= / lk|mh ;"rsx?df s'g} kl/jt{g cfPsf] kfOPdf ;f] s'/f bflvnf

k|ltj]bgdf pNn]v u/L cfjZos cg';Gwfg ug]{ / sfo{qmddf ;'wf/ Nofpg] .

• k|fKt EoflS;g tyf ;DalGwt ;fdu|Lsf] lhG;L vftf / EoflS;g df}Hbft lgoGq0f

kmf/ddf clen]v /fVg] .

• x:tfGt/0f kmf/d ! k|lt, bflvnf k|ltj]bg tof/ kfl/ ;DalGwt lgsfodf k7fpg] .

EoflS;gsf] e08f/0f ubf{ Wofg lbg'kg]{ s'/fx?M

• Dofb u'h|g] ldlt / Jofr cg';f/ :ki6 b]lvg] u/L k|To]s afs;nfO{ ldnfP/ /fVg],

• eL=eL=Pd=sf] cj:yf @ df k'u]sf] 5 eg] klxn] ljt/0f ug{ ldNg] u/L /fVg],

• k|of]u x'gg;Sg] EoflS;gx?nfO{ sf]N8r]gaf6 aflx/ /fVg'kb{5 ;fy} df}Hbftaf6 klg

k|lqmof ldnfO{ x6fpg'kb{5 .

Eff}lts u0fgf

sfuhL?kdf h] n]lvPsf] ePtf klg ef}lts ?kdf pknAw kl/df0fx? dfq sfo{qmddf k|of]u ug{

ldNb5 . /]s8{df hlt 5 elg n]lvPsf] 5 ;f]xL cg';f/ g} ef}lts u0fgf ubf{ pknAw x'g'

clgjfo{ x'G5 . olb o;f] x'g g;s]df clen]vx?sf] s'g} dxTj /xFb}g . s]Gb|Lo:t/ b]lv lhNnf:t/

;Dd ef}lts u0fgf x'g' clgjfo{ 5 / ;f] lgDg adf]lhd x'g' kb{5 .

• s]Gb|Lo :t/df k|To]s # dlxgf ef}lts u0fgf ePsf] x'g'k5{ .

• If]qLo :t/df k|To]s @ dlxgfdf u0fgf ePsf] x'g'k5{ .

• lhNnf:t/df k|To]s dlxgfdf u0fgf ePsf] x'g'k5{ .

vf]k sfo{qmdsf] lhG;L Joj:yfkgdf k|of]u x'g] zAbfjnL M

• Go"gtd df}Hbft

;'/lIft df}Hbft

cfk"lt{ dfu tyf k|fKt ug]{ aLrsf] ;do -Lead Time_ • clwst\d df}Hbft

• v'b df}Hbft

• cf};t dfl;s df}Hbft

• df}Hbftn] wfGg ;Sg] dlxgf

56

%=$ Go"gtd / clwstd df}HbftM

EoflS;gsf] Go"gtd df}Hbftn] EoflS;g dfu ul/;s]kl5 k|fKt gx'Gh]n ;Ddsf] cjlwnfO{

cfjZos kg]{ kl/df0fsf] vktdf ;xof]u ub{5 . olb Go"gtd df}Hbft sfod ePg eg] dfu

u/]sf] EoflS;g k|fKt gx'Gh]n ;Dd EoflS;gsf] cefj eO sfo{qmddf afwf kg{ ;Sb5 . t/

EoflS;gsf] rflxg] eGbf a9L df}Hbft ePdf sf]N8 r]g sfod ul//xg' kg]{ / Dofb u'lh|P/

gf]S;fg x'g ;Sg] cj:yf cfpg ;Sb5 . To;}n] EoflS;g ;w} e/L Go"gtd / clwstd rflxg]

df}Hbftsf] lardf x'g'kb{5 . of] cj:yf lhNnf b]lv s]Gb| ;Dd km/s km/s kb{5 To;}n] lgDg

cg';f/ ug'{u/fpg' kb{5 M

/fd|f] EofS;Lg e08f/0fsf] lhG;L Joj:yfkg u|fkm o:tf] b]lvG5 M

Go'gtd df}Hbft-!=@% dlxgf_ ;'/lIft df}Hbft -! dlxgf_

clwstd df}Hbft

dfu

dfu

c;'/lIft cj:yf

of] df}Hbft h'g ;fdfGotoflgoldt / dfu ul/Psf] cjlwel/ k|of]u ul/G5 .

of] df}Hbft h'g dfu / cfk"lt{sf] larsf] cj:yfdfk|of]u ul/G5 .

dfu / cfk"lt{sf] larsf] nflu @% k|ltzt

Go"gtd df}Hbft -EoflS;g tyf cfjZos ;fdfgsf]_

lhNnfsf] xsdf M !=@% dlxgf eGbf s'g} klg xfntdf sd x'g' x'b}g .

If]qsf] xsdf M # dlxgf eGbf sd x'g' x'b}g

s]Gb| ;t/df M & dlxgf eGbf sd x'g' x'b}g

clwstd df}Hbft -EoflS;g tyf cfjZos ;fdfgsf]_

lhNnfx?df M @=@% dlxgfsf] EoflS;g df}Hbft

If]q:t/ M $=% dlxgfsf] EoflS;g df}Hbft

s]Gb|:t/ M !# dlxgf EoflS;g df}Hbft


;xefuLx?nfO{ ;d"xdf ljefhg u/L lgDg cg';f/sf] pbfx/0f k|:t't ub}{ olb cfkm"x? pQm

:yfgdf ePsf] eP s] s:tf kxn / sfo{x? ul/g' kYof]{ ;f] sf] ;"lr agfpg nufpg'xf];\ M

57

;d"x sfo{sf] k[i7e"ldM

6]s' l:yt s]Gb|Lo EoflS;g e08f/df @)^$ ;fn cfiff9 % df EoflS;gsf] df}Hbft lgDg

cg';f/sf] 5 . 5nkmn u/L sdL sdhf]/L cf}Nofpg'xf];\ tyf /fd|f] lhG;L Joj:yfkgsf] nflu

ug'{kg]{ kxn tyf sfo{x?sf] ;"lr agfpg'xf];\ .

pbfx/0f !M

EoflS;g k|sf/ @)^$ cfiff9 %

sf] cj:yf

cf};t dfl;s

vkt

df}Hbftn] cfk"lt{ ug{ ;Sg]

hDdf dlxgf

8L=kL=6L=— x]=aL= 42490 23362 1.82

kf]lnof] 53991 23362 2.3

bfb'/f 151200 15902 9.5

6L=6L=, !) 69756 20026 3.5

aL=;L=hL= 88050 15902 5.5

pbfx/0f @M

EoflS;g

df}h'bf

df}Hbftaf6

cfk"tL{ ug{ ;lsg

hDdf dlxgf

df}hbftdf ePsf

EofS;Lgx?sf]

========== ;+Vof

df}hbftdf ePsf

EofS;Lg sf] Dofb

u'h|Lg] ldlt

EofS;Lg k|fKt ug]{

======= dlxgfdf

8L=kL=6L=—

x]=aL=, !)

1.82 300 18 0.5

kf]lnof], !) 3.2 300 15 NA

bfb'/f, !) 9.5 700 17 4

6L=6L=, !) 3.5 200 24 0.5

aL=;L=hL=, @) 5.5 800 13 3

58


;xefuLx?nfO{ klxnfs} ;d"xdf ljefhg u/L lgDg cg';f/sf] pbfx/0f k|:t't ub}{ ;d"x sfo{ ug{

nufpg'xf];\M

cEof; !M

uf]/vf lhNnfsf] ut h]7 dlxgfsf] cGTodf EoflS;gx?sf] df}Hbftsf] l:ylt b]xfo adf]lhd 5 M

aL=;L=hL=-@)_ M !@# efon

bfb'/f-!)_ M (( efon

kf]lnof]-!)_ M (* efon

8L=kL=6L== x]k aL-!)_ M !)@ efon /

6L=6L=-!)_ M !)* efon

oL vf]kx?sf] clwstd df}Hbft qmdz M@)), @)), @^), @^) / @)) /x]sf] 5 . df}Hbftdf

/x]sf vf]k dWo] aL=;L=hL== @) M !# efon, bfb'/f !) M !( efon, 8L=kL=6L== x]k aL !)M !@

efon, l6=l6 !) M !* sf] le=le=Pd t];|f] cj:yfdf k'u]sf] / aL=;L=hL= @)M # efon, bfb'/f

!)M( efon / 8L=kL=6L= x]k aL !)M * sf] Dofb u'lh|;s]sf] ef}lts u0fgf ubf{ e]l6of] . vr{ /

;+dfof]hg kmf/d eg'{xf];\ . ;f]xL adf]lhd lhG;L vftfdf ;dfof]hg u/L rfn' dlxgfsf] nflu

cfjZos vf]ksf] dfu tyf x:tfGt/0f kmf/d e/L If]qLo d]l8sn :6f]/df k7fpg'xf];\ .

lgDg kmf/dx? k|of]udf Nofpg cg';'lr x]g'{xf];\ M • Vaccine Arrival Report

• Jofr sf8{

• lhG;L vftf -d=n]=k=kmf=g+= %@_

• EoflS;g df}Hbft lgoGq0f kmf/d

• dfu kmf/d -d=n]=k=kmf=g+= %!_

• x:tfG/0f kmf/d -d=n]=k=kmf=g+= $&_

• bflvnf k|ltj]bg -d=n]=k=kmf=g+= $^_

• dfu, k|flKt tyf lat/0f kmf/d

• ldgfxf k|ltj]bg -d=n]=k=kmf=g+= %)_

59

kf7 ^M eL=eL=Pd= -EoflS;g efon dlg6/_ o; ;];gsf ;xefuLx?n] lgDg s'/fx? ug{ ;Ifd x'g]5g\ M

• EoflS;g efon dlg6/ -eL=eL=Pd=_ s] xf] eGg] atfpg,

• eL=eL=Pd= n] s;/L sfd u5{ eGg] JofVof ug{,

• eL=eL=Pd=sf] laleGg cj:yfsf] ;xL klxrfg ug{ ;Sg] tyf c?nfO{ a'emfpg ;Sg],

• eL=eL=Pd= sf] cj:yf cg';f/ EoflS;g k|of]u ug]{ of gug]{ lg0f{o ug{,

• eL=eL=Pd=nfO{ Joj:yfkg cf}hf/sf] ?kdf k|of]u ug{ .

k[i7e"ldM

EoflS;g Tfftf]af6 lalu|Psf] eP klg x]bf{ EoflS;gdf s'g} kl/jt{g b]lvb}g . lautdf EoflS;g

9'jfgL / e08f/0f ubf{ EoflS;g tftf]af6 lalu|P glalu|Psf] yfxf x'Fb}gYof] . Psk6s vf]k s]Gb|df

lgsflnPsf] EoflS;gnfO{ lau|]sf] dfg]/ k|of]u ul/b}gYof] / lkmtf{ klg ul/b}gYof] . To;}n]

EoflS;gsf] v]/hfg] b/ pRr x'g] ub{Yof] . ;]fxL cj:yfnfO{ dWogh/ /fv]/ EoflS;g 9'jfgL ubf{

tf]lsPsf] tfkqmd eGbf a9L lyof] ls eg]/ yfxf kfpg sf]N8 r]g cg'udg ug]{ pks/0fx? tof/

ul/P h;df eL=eL=Pd= Pp6f k|efjsf/L pks/0f dflgPsf] 5 .


afWo t'Nofpg] h:t}M

x]/, ltdL d]/f] cfkm\g} efO h:t} xf}+ . x'gt d;Fu Dofb ;lsg nfu]sf EoflS;g klg 5 . t/ Tof] lbP/ lsg ltd|f] 6fpsf] b'vfpg] < To;}n] d ltdLnfO{ le=le=Pd= l7s ePsf] EoflS;g lbb}5' . x]/, d ltdLnfO{ slt w]/} dfof u5'{ <

60

EoflS;g efon dlg6/ (Vaccine Vial Monitor - VVM) eg]sf] s] xf]< EoflS;g efon dlg6/ -eL=eL=Pd=_ Ps k|sf/sf] n]an (Label) xf] . of] efonsf] n]an PDk'nsf] 6'Kkfdf jf efonsf] lasf]{df 6fFl;Psf] x'G5 . lglZrt ;do eGbf a9L cjlw;Dd EoflS;g tftf]df /Xof] eg] eL=eL=Pd=sf] /Ë kl/jt{g x'Fb} hfG5 h;cg';f/ tftf]sf] sf/0faf6 EoflS;g lau|]sf] 5 ls 5}g egL yfxf kfpg ;lsG5 . To;}n] s'g} klg efon jf PDk'n vf]Ng' eGbf cufl8 To;df /x]sf] eL=eL=Pd= x]g'{ k5{ .

EoflS;g pTkfbg ubf{ g} efon jf PDk'ndf eL=eL=Pd= 6fFl;G5 . of] EoflS;gsf] n]andf g} 5flkPsf] x'G5 / eL=eL=Pd=nfO{ dfq 5fk]/ klg 6fF:g] ul/G5 . of] rf/s'g] cfsf/sf] aLrdf Pp6f uf]nfsf/ x'G5 / EoflS;g tftf]df /Xof] eg] qmdz M pQm uf]nfsf/sf] /Ë uf9f x'Fb} hfG5 .

EoflS;g tftf]af6 lau|]sf] 5 ls 5}g egL yfxf kfpg] ;"rs xf] .

sf]N8 r]g sfod eP gePsf] cg'udg ug{ cf}hf/ xf] .

sf]N8r]g Aoj:yfkgdf ;'wf/ ug{ ;xof]u k/\ofpg] Aoj:yfklso ;fwg xf] .

lhG;L Joj:yfkgdf ;xof]u k/\ofpg] pkfo xf] .

le= le= Pdn] EEFO ;d]tnfO{ c;/ kf5{ .

-rf/s'g] leqsf] /Ë aflx/L uf]nsf/ leqsf] /Ë eGbf sd uf9f eP;Dd EoflS;g k|of]u ug]{ ._

le=le=Pd=

le=le=Pd=

le=le=Pd=

la=l;=hL= EoflS;gsf]

PDk'n

bfb'/f EoflS;gsf] efon

emf]nsf] ?kdf x'g] EoflS;g

lrq M efonsf] n]an (Label), lasf]{ / 6'Kkf]df le=le=Pd= 6fF;]sf]

61

aflx/L uf]nfsf/ leqsf] /Ë eGbf rf/s'g] leqsf] /Ë ;]tf] ePsf] .

EoflS;gsf] Dofb u'h]|sf] 5}g eg] k|of]u ug]{ . le=le=Pd= cj:yf !

rf/s'g] leqsf] /Ë cem}klg aflx/L uf]nfsf/ leqsf] /Ë eGbf sd uf9f ePsf] .

EoflS;gsf] Dofb u'h]|sf] 5}g eg] k|of]u ug]{ . le=le=Pd= cj:yf @

EoflS;g k|of]u ug{ gx'g] cj:yf M rf/s'g] leqsf] /Ë / aflx/L uf]nfsf/ leqsf] /Ë Ps}gf;sf] ePsf] .

EoflS;g k|of]u gug]{ / ;'k/Lj]IfsnfO{ hfgsf/L lbg] . le=le=Pd= cj:yf #

EoflS;g k|of]u ug{ gx'g] cj:yf M rf/s'g] leqsf] /Ë aflx/L uf]nfsf/ leqsf] /Ë eGbf a9L uf9f -sfnf]_ ePsf] .

EoflS;g k|of]u gug]{ / ;'k/Lj]IfsnfO{ hfgsf/L lbg] . le=le=Pd= cj:yf $

EoflS;g efon dgL6/n] s;/L sfd u5{ <

eL=eL=Pd= EoflS;g efonsf] n]jndf x'g] /;fogo'Qm lrGx xf] . o; n]jndf Pp6f uf]nfsf/ lrGx leq /;fogo'St juf{sf/ lrGx x'G5 . of] juf{sf/ lrGxn] tftf];Fusf] ;Dks{sf] n]vfhf]vf u5{ .

eL=eL=Pd= n] tfkqmd / ;Dk{s ;do b'j}sf] k|efj juf{sf/ lrGx leqsf] /+udf qmdzM kl/jt{g ul/ b]vfp5 .

Ps rf]6L eL=eL=Pd= lau|]sf] cj:yfdf k'u]kl5 s'g} lsl;dn] klg k"jf{j:yfdf cfpFb}g .

eL=eL=Pd= n] k|ToIf ?kn] EoflS;gsf] k|efjsfl/tf dfkg ub}{g . t/ o;n] EoflS;g kf]6]G;LnfO{ c;/ kfg]{ tfkqmdsf] ;+ks{df cfPsf] tYonfO{ dfq hgfp5 .

eL=eL=Pd=n] EoflS;g hd]/ lau|]sf] xf] ls xf]Og To;sf] s'g}klg hfgsf/L u/fpb}g .

lrq M EoflS;g efon dlg6/ -eL=eL=Pd=_ df kl/jt{g x'g] ;+s]t / o;sf] cy{

ofb ug'{xf];\ M • EoflS;g lk|mlhË -hDg]_ tfkqmddf /x]sf] jf g/x]sf] jf/]df eL=eL=Pd=n] s'g} ;+s]t lb+b}g .

62

TT OPV

DTPMeasles

OpenedReconstituted

Opened Opened

• hd]/ lalu|g] EoflS;gdf eL=eL=Pd= k|of]u ul/Psf] 5 / To;sf] eL=eL=Pd= 7Ls - _ cj:yfdf 5 eg] klg Tof] EoflS;g klxn] hd]sf] lyof] ls lyPg eg]/ lglZrt ug'{k5{ . lsgeg] eL=eL=Pd= 7Ls cj:yfdf eof] eGb}df Tof] EoflS;g hd]sf] lyPg eGg] lglZrt x'g ;Sb}g .

eL=eL=Pd / eL=;L=;L=Pd aLr cGt/ M

o le=;L=;L=Pd= n] k|To]s sf6{'gsf] dfq tfkqmdsf] cg'udg ub{5 eg] eL=eL=Pd= n] k|To]s

efon tftf]af6 lju|]sf] xf] xf]Og eGg] af/] hfgsf/L u/fpF5 .

o eL= ;L=;L=Pd= 9'jfgLsf] ;dodf dfq k|of]u ul/G5 . of] EoflS;g e08f/sf] d"Nof+sgsf] nflu

k|of]u ul/G5 eg] eL=eL=Pd=n] k|To]s EoflS;g efonnfO{ sfd ug]{ u/L d2t k'¥ofpF5 .

eL=eL=Pd= sf] k|efjsf/L k|of]u lsg <

• tfkaf6 EoflS;g lalu|P glalu|Psf] klxrfg ug{ .

• EoflS;g v]/hfg] b/df sd ug{ .

• afx\o vf]k ;+rfngdf ;xh agfO{ / vf]ksf] kx'Frsf] a[l4 u/L se/]h a9fpg .

• EoflS;g lat/0f / k|of]udf ;xof]u k'¥ofpFg .

• ax'dfqf EoflS;g efon gLltnfO{ nfu" ug{ d2t ug{ .

• sf]N8r]g cf}hf/sf] lge{/tfnfO{ Go"lgs/0f ug{ .

gf]6M kf]lnof] vf]k cleofgdf cfO; Kofs klUnP klg eL=eL=Pd=sf] cj:yf x]/L vf]k ;];g

;+rfng ug'{kb{5 .

k|lzIfsnfO{ lgb]{zgM ;a} ;xefuLx?nfO{ tnsf] cj:yfdf cEof; u/fpg'xf];\ M

cEof;M dfgf}+ tkFfO{ /fdgu/ k|f=:jf= s]Gb|sf] vf]k sfo{stf{ x'g'x'G5 . tkFfO{;Fu lgDg eL=eL=Pd=sf] cj:yf ePsf] EoflS;g k|fKt eof] . tnsf] cj:yfdf s'g s'g EoflS;g k|of]u ug'{x'G5 <

;+:yfut vf]k s]Gb|sf] nflu s'g EoflS;g k|of]u ug'{ x'G5 <

To;} ufFpsf] afXo vf]k s]Gb|sf] nflu s'g EoflS;g lnP/ hfg'x'G5 <

@ lbg lx8\g] afXo vf]k s]Gb|sf] nflu s'g efon lnP/ hfg' x'G5 <

gf]6M ;d"x sfo{ ;ls;s]kl5 ;xefuLx?nfO{ lgDg s'/fx?sf] ofb

63

lbnfpg] . • kUn]sf] cfO; Kofs 5 t/ eL=eL=Pd= 7Ls 5 eg] EoflS;g k|of]u ug{ ;lsG5 . • h'g efonsf] eL=eL=Pd= 7Ls 5 To;n] ToxL efonsf] EoflS;gsf] cj:yfnfO{ dfq ;+s]t

u/]sf] cy{ nfU5 . o ;Fu} /flvPsf cGo EoflS;gx? tftf]df eP gePsf] jf/] csf]{ efondf ePsf]

eL=eL=Pd=n] ;+s]t ub}{g . • Dofb u'h|]sf] EoflS;gdf eL=eL=Pd= 7Ls ePklg To;nfO{ k|of]u ug'{ x'b}g . • EoflS;g efonnfO{ ;w} g} lr;f]df /fVg] . • EoflS;g k|of]u ug'{ eGbf klxn] eL=eL=Pd=x]g]{ . • EoflS;g efonsf] n]jn ;'/lIft /fVg Zip lock bag jf Knfli6ssf] emf]nf k|of]u ug]{ .

kf]lnof] EoflS;gsf] eL=eL=Pd= df tfkqmdsf] c;/ aflx/L tfkmqmd cg';f/ eL=eL=Pd= lalu|g] ;do cjlw klg km/s km/s x'G5 . kf]lnof] EoflS;gsf] eL=eL=Pd=lalu|g] cjlw lgDg cg';f/ 5 .

aflx/L tfkqmd eL=eL=Pd= lalu|g] ;do cjlw

± #&) ;]= !=% b]lv @ lbg

± @%) ;]= & lbg

± $) ;]= !*) lbg -^ dlxgf_

– @)) ;]= @ aif{ eL=eL=Pd=sf laleGg k|sf/x? M

eL=eL=Pd=sf] alu{s/0f -tfk ;+j]bgzLntf

cg';f/_

eL=eL=Pd= lalu|g] cj:yfdf k'Ug nfUg] hDdf lbg

±#&) ;]= ±@%) ;]= ±%) ;]=

eL=eL=Pd= #) #) lbg !(# lbg $ jif{eGbf a9L

eL=eL=Pd= !$ !$ lbg () lbg # jif{eGbf a9L

eL=eL=Pd= & & lbg $% lbg @ jif{eGbf a9L

eL=eL=Pd= @ @ lbg ∗ @@% lbg

• eL=eL=Pd=@ kf]lnof] EoflS;gdf /x]sf] x''G5 / #&) ;]= tfkqmddf @ lbg;Dd /Xof] eg] lau|G5 .

• eL=eL=Pd=#) x]k aL EoflS;gdf /x]sf] x'G5 / #&) ;]= tfkqmddf #) lbg;Dd /Xof] eg] lau|G5 .

64

P gf/fo0f kv{ kv{ . ltdLn] EoflS;gsf] 3f]ns lng} la;]{5f}+, d}n] NofOlbPsf] 5', a'em]/ n}hfp, d oxLaf6 kms{G5' .

P gf/fo0f kv{ kv{ . ltdLn] EoflS;gsf] 3f]ns lng} la;]{5f}+, d}n] NofOlbPsf] 5', a'em]/ n}hfp, d oxLaf6 kms{G5' .

kf7 &M pko'Qm tl/sfn] 3f]nssf] (Diluents) k|of]u o; ;];gsf ;xefuLx?n] lgDg

s'/fx? ug{ ;Ifd x'g]5g\ M

• EoflS;gsf] nflu plrt

3f]ns k|of]u ug{ .

• 3f]ns k|of]u ug'{ cufl8

EoflS;g / 3f]nssf] tfkqmd

;dfg /fVg .

• lhG;L lgoGq0f, lat/0f /

e08f/0f ubf{ EoflS;g tyf

3f]nssf] ;+Vof a/fa/L

/fVg .


afWo t'Nofpg] h:t}M 3f]ns (Diluents) eg]sf] s] xf]< k|To]s vf]ksf] nflu 5'§f 5'§} 3f]nsx¿ cfPsf x'G5g\ . 3f]Ng' kg]{ EoflS;gx? w'nf] cj:yfdf cfpg] x'gfn] pQm EoflS;gnfO{ 3f]Ng 3f]nssf] cfjZostf kb{5 . w'nf] cj:yfdf cfpg]

x]g'{;\ g d]/f] sxf uNtL 5 < d;Fu hlt EoflS;g efon 5 TotL g} ;+Vofdf 3f]ns klg t 5 . olx t xf] ;xL lhG;L lgo+Gq0f .

s] km/s k5{ t, 3f]ns 3f]ns g} xf] . h'g;'s} EoflS;gsf] nflu ePtf klg 3f]nssf] ;+Vof EoflS;g;Fu ldn]t e} uof] lg <

65

EoflS;gdf 3f]ns ld;fO{ ;'O{sf] dfWodaf6 lbg' kb{5 . vf]kx¿ ;+u} cfPsf 3f]nsx¿dfq k|of]u ug'{kb{5 / oL 3f]nsx? slxNo} klg ;fl6g' xF'+b}g .

3f]nssf] af/]df Wofg lbg'kg]{ s'/fx?M

• k|To]s vf]ksf] nflu 5'§f 5'§} 3f]nsx¿ cfPsf x'G5g\ . vf]kx¿ ;+u} cfPsf 3f]nsx¿ slxNo} klg ;fl6g' xF'+b}g . olb ;fl6of] eg] s8f vfnsf ;'O{ kZrft x'g] cjflG5t 36gfx¿ nufot d[To' klg x'g ;S5 .

• EoflS;g pTkfbg ug]{ sDklgn] pTkfbg u/]s} 3f]ns dfq k|of]u ug'{xf];\ .

• 3f]ns vf]k 3f]Ng'eGbf cufl8 b]lv g} lr;f] kfl/Psf] x'g' kb{5 .

• lzz' tyf cfdfx¿ vf]k lng tof/ geOsg vf]k g3f]Ng'xf];\ .

• vf]k 3f]n]sf] ^ 306f kl5 jf vf]k s]Gb| ;dfKt ePkl5 o;/L 3f]lnPsf vf]kx¿ la;h{g ug'{xf];\ .

EoflS;g 3f]Ng] / k|of]u ug]{ lalwM EoflS;gx? b'O{ lsl;dsf x'G5g\ . s'g} EoflS;gx? t/n cj:yfdf cfpF5g\ h'g ;f]em} k|of]u ul/G5 eg] lk|mh 8«fO8 EoflS;gx? kfp8/sf] ?kdf pTkfbg x'G5g\ h;nfO{ k|of]u ug'{ eGbf cufl8 To;;Fu cfk"lt{ ul/Psf] 3f]ns dfq /fvL 3f]lnG5 . ;a} 3f]nsx? p:t} b]lvP tfklg oL km/s km/s x'G5g\ .

• EoflS;g 3f]nsdf lgDg u'0fx? x'G5g\ . o o;df :6]jnfOh/ x'G5 h'g ls tfkqmdn] lalu|gaf6 hf]ufpF5 . o o;df ls6f0f'gfzs x'G5 hf] EoflS;g 3f]ln;s]kl5 b"lift x'gaf6 hf]ufFp5 . o o;df /;fog x'G5 hf] EoflS;gsf] 3'ngzLntf a9fpF5 . o o;n] lk=Pr= (pH_ nfO{ sfod u5{ .

s'g} klg xfntdf 3f]ns cGo EoflS;g 3f]Ng] kfgL tyf csf]{ EoflS;gdf k|of]u x'g] 3f]ns ;+u ablng' x''b}g . h'g EoflS;gsf] nflu 3f]ns pTkfbg ul/Psf] xf] Tolx 3f]ns dfq k|of]u ug{'k5{ . lk|mh 8«fO8 EoflS;g 3f]Nbf 3f]ns l;l/~h tyf lgl8n b'lift x'g'x'b}g . 3f]n]sf] EoflS;g 5 306f kl5 b"lift x'g;S5 To;sf/0f vf]k ;];gsf] cGTodf cyjf 5 306f kl5 k|of]u ug'{x'Fb}g .

3f]nssf] e08f/0fM • 3f]nsnfO{ sf]N8?ddf aflx/ sf]7fsf] tfkqmddf e08f/0f ug{ ;lsG5 . • vf]k 3f]Ng' eGbf cufl8 EoflS;g / 3f]nssf] tfkqmd -@) b]lv *) ;]N;Lo;_ Pp6}

x'g'kb{5 . • olb EoflS;g / 3f]ns Pp6} Kofs]6df cfPsf] 5 eg] @) b]lv *) ;]=df e08f/0f ug'{kb{5 • 3f]nsnfO{ slxNo} klg hDg lbg'x'Fb}g . • e08f/0f, 9'jfgL / lat/0f ubf{ EoflS;g / 3f]ns a/fa/ ;+Vof x'g'kb{5 .

EoflS;g efonsf] u0fgf ubf{ hlxn]klg To;sf] 3f]ns ;+Vof;Fu a/fa/ x'g'kb{5 .

66

;'/lIft tl/sfn] EoflS;g 3f]Nbf Wofg lbg' kg]{ !) a'Fbfx?M != pTkfbsn] pknAw u/fPsf] n]jndf s'g EoflS;g tyf s'g ;fOhsf] efondf Tof] 3f]ns k|of]u ug]{ xf], k9g'xf];\ . @= EoflS;gsf] Dofb gu'lh|g] olsg ug'{xf]; . #= eL=eL=Pd= x]g'{xf];\, eL=eL=Pd= ! / @ sf] cj:yfdf eP dfq k|of]u ug'{xf];\ . $= 3f]ns k|of]u ug'{eGbf @$ 306f cufl8 @) b]lv *) ;]= tfkqmddf /fVg'xf];\ . %= 3f]ns efondf ePsf] 3f]ns lgd{lns[t l;l/Ghaf6 tfg]/, k'/} 3f]nsnfO{ EoflS;g efon leq ldnfpg'xf];\ . ^= k|of]u ePsf] 3f]ns l;l/GhnfO{ l/Sofk gul/ ;]km\6L aS;df xfNg'xf];\ . &= 3f]n]sf] EoflS;g efondf l;l/GhnfO{ 3';fP/ g/fVg'xf];\ . *= 3f]ln;s]sf] EoflS;gnfO{ /+lug sfuh jf kmf]dKof8df 3';f/]/ /fVgf];\ . EoflS;g v'nf jf kfgLdf lehfP/ g/fVg';\ . (= 3f]ln;s]sf] EoflS;g ;];gsf] cGt ;Dddf jf ^ 306f leq -h'g klxn] cfpF5_ k|of]u ug'{xf]; t/ h]=O{=sf] xsdf ! 306f leq k|of]u ug'{xf];\ . !)= k|To]s 8f]hsf] nflu Pp6f gofF l;l/Gh k|of]u u/L EoflS;g lbg'xf];\ . ;'O lbO;s]kl5 l;l/Ghsf] l/Sofk gul/ ;]km\6LaS;df v;fNg'xf];\ .

lkmN8 cjnf]sg M s]lGb|o tyf lhNnf sf]N8?d lkmN8 cjnf]sg of] tflndsf] Pp6f dxTjk"0f{ If0f xf] . ;xefuLn] tflnddf l;s]sf ;a} s'/fx?sf] k|ToIf?kdf cjnf]sg ug{ / To;nfO{ ;'wf/fTds?kdf cfufdL lbgdf sfof{Gjogdf Nofpgsf] nflu of] clt dxTjk"0f{ 5 . ;xefuLn] tf]lsPsf] :yfgdf -s]lGb|o sf]N8?d jf lhNnf sf]N8?d_ cjnf]sg ubf{ ;a} ;"rgfx?sf] clen]v /fVg' kb{5 . cjnf]sg kZrft ;a} ;"rgfx?sf] ;d"xdf ljZn]if0f ug'{kb{5 . k|lzIfsnfO{ lgb]{zgM lkmN8 cjnf]sgsf] nflu ;xefuLx?nfO{ # b]lv % ;d"xdf ljefhg ug'{xf];\ . x/]s ;d"xdf slDtdf Ps Ps j6f >f]t JolQmx? ;+nUg x'g' kb{5 . >f]t JolQmn] cjnf]sgsf] a]nfdf ;xefuLx?nfO{ b]vfpg vf]lhPsf] laifoj:t'sf] hfgsf/L lbg' kb{5 . cjnf]sg kZrft ;xefuLn] b]lvPsf ;a} ;an / b'a{n kIfx?sf] k|:t'tLs/0f ug'{kg]{ x'G5 To;sf] nflu pgLx?nfO{ tof/ /xg cfu|x ug'{xf];\ .

67

&= rf}yf] lbgsf] tflnddf ;dfj]z x'g] ljifoj:t'x?

kf7 * M g]kfnsf] ;Gbe{df ax'dfqf EoflS;g efon k|of]u gLlt

kf7 ( M EoflS;g efon xNnfP/ hfFr (Shake Test) ug]{

kf7 !) M vf]k v]/ hfg] b/ / o;sf] sdL Nofpg] /0fgLltx?

vf]]k Joj:yfkg ;DalGw af]8{ v]n

Tflnd ;dflKt kl5 lnOg] kl/Iff

68

kf7 *M g]kfnsf] ;Gbe{df ax'dfqf EoflS;g efon k|of]u gLlt o; ;];gsf] cGTodf ;xefuLx? lgDg sfo{x? a'em\g / ug{ ;Ifd x'g]5g\ M

• ax'dfqf EoflS;g efon gLltsf] af/]df hfgsf/L xfl;n ug{

• ax'dfqf EoflS;g efon gLlt cGt/ut k|of]u x'g] EoflS;gsf] hfgsf/L lng

• ax'dfqf EoflS;g efon gLltsf] cg';/0f ug{

lautdf h'g;'s} EoflS;g klg Ps rf]6L k|of]u ug{ vf]ln ;s]kl5, To; efondf hlt dfqf afFsL

/xg uPklg ;];gsf] cGTodf kmflnGYof] . To;n] ubf{ EoflS;gsf] v]/hfg]b/ a9L x'GYof] .

k|lzIfsnfO{ gf]6 M laifo j:t'df k|j]z ug'{ eGbf cuf8L ;xefuLx?sf] Wofgfsif{0fsf] nflu lgDg lrq b]vfO{ ;f]Rg

afWo t'Nofpg] h:t}M

ax'dfqf EoflS;g efon gLlt (Multi Dose Vial Policy- MDVP) eg]sf] s] xf]< Ps k6s vf]ln;s]sf] EoflS;gnfO{ lglZrt ul/Psf dfkb08x? k'/f u/L csf]{ k6s jf csf]{ lbg -a9Ldf Ps dlxgf leq_ k|of]u ug{ ;lsg] u/L lgdf{0f ul/Psf] gLltnfO{ ax'dfqf EoflS;g efon gLlt elgG5 . g]kfndf of] gLlt @)^) ;fn b]lv /fli6«o vf]k sfo{qmddf nfu" ul/b} cfPsf] 5 .

of] ;];gsf] cGTodf ;xeflux?n] lgDg s'/fx? l;Sg ;Sg]5g\ M

ax'dfqf EoflS;g efOn k|of]u gLlt atfpg .

ax'dfqf EoflS;g efOn gLlt nfu' ug{ .

cf===, oltsf vf]n]sf EoflS;g ar]sf 5g\, EoflS;g slt dx+uf] k5{ eGg] ;'g]sf] 5' . 3f]n]sf EoflS;g -h:t} bfb'/f, la=l;=lh=_ klg afFls 5g\ ;a}nfO{ csf]{ vf]k ;];gdf k|of]u ug'{knf{ . cfhnfO{ hfG5' === .

69

ax'dfqf efon gLlt kf]lnof], 8L=kL=6L=, 6L=6L=, x]k aL, 8L=kL=6L=±x]k aL±lxa EoflS;gx¿sf] nflu nfu" x'G5 . oL EoflS;gx¿ s'g} !) dfqfsf] / s'g} @) dfqfsf] efondf pknAw x'G5g\ . vf]k ;]jf ;~rfng ubf{ oL EoflS;gsf] efonaf6 @–$ dfqf EoflS;g k|of]u u/]/ afFsL /x]sf] 5 eg] klg afFsL /x]sf] EoflS;gnfO{ $ xKtf leq k|of]u ug{ ;lsG5 olb tnsf ;a} cj:yfx¿ 7Ls 5g\ eg] M

• EoflS;gsf] Dofb u'h|]sf] 5}g,

• EoflS;gnfO{ tf]lsPsf] tfkqmd sfod u/]/ /flv/x]sf] 5,

• EoflS;g efon kfgLdf 8'a]sf] 5}g,

• efonaf6 x/]s dfqf lgsfNbf lgd{nLs/0f tl/sf ckgfOPsf] 5,

• olb eL=eL=Pd= 6fFl;Psf] 5 eg], EoflS;g k|of]u ug{ gx'g] cj:yf ;+s]t u/]sf] 5}g g]kfndf nfu" ul/Psf] ax'dfqf EoflS;g efon gLltsf] :j?kM gLlt M vf]lnPsf] ax'dfqf -EoflS;g_ efonsf] k|of]u ug]{ . laifoM vf]lnPsf -EoflS;g_ efonsf] arfj6, vf]lnPsf] EoflS;g efonnfO{ lj;h{g ug]{,

EoflS;gsf] df}Hbft Joj:yfkg, ;'Vvf ul/Psf] (Freeze dried), preservative ePsf] t/n EoflS;g, k|lts'n k|efjx? / EoflS;g v]/ hfg] b/ .

gLltut cjwf/0ffM s_ cf]/n kf]lnof] EoflS;g (Oral Polio Vaccine)M :jf:Yo sfo{stf{n] vf]lnPsf] vf]k efon lgDg lnlvt cj:yfdf k'gM k|of]u ug{ ;Sg]5g\ .

• eL=eL=Pd= sf] cj:yf l7s b]lvPdf • vf]ksf] Dofb ggf3]df . • EoflS;gdf ld;fj6 jf k|b'if0fsf] z+sf gePdf . • dflysf tLgj6} cj:yfx? pko'Qm eP tfklg EoflS;g clwstd $ xKtf ;Dd dfq

k|of]u ug{ ;lsG5 .

dfly pNn]lvt vf]k lgoldt jf ljz]if vf]k ;];gdf k|of]u ug{ ;lsg]5 .

v_ 8L=kL=6L=, x]k aL, 8L=kL=6L=±x]k aL±lxa / 6L=6L= EoflS;gsf] k|of]u af/] . lhNnf leqsf clwsf/ k|fKt :jf:Yo ;+:yfx?n] vf]lnPsf] 8L=kL=6L=±x]k aL±lxa= / 6L=6L= EoflS;gnfO{ ;'/lIft /fVg] / a9Ldf rf/ xKtf leq csf]{ k6ssf] ;];gdf lgDg cj:yfx? l7s b'?:t kfOPdf k|of]u ug{ ;Sg] 5g\ .

EoflS;gsf] ldlt -Dofb_ ggf3]sf] ePdf . EoflS;g e08f/0fdf pko'Qm tyf sf]N8 r]gsf] /fd|f] l:ylt ePdf . EoflS;g efonsf] 9sgL kfgLdf g8'a]sf] ePdf .

70

EoflS;g efonaf6 l;l/~hdf EoflS;g tfGbf ;'/lIft ljlw ckgfOPsf] ePdf . EoflS;g efPndf n]jn ePdf / eL=eL=Pd= sf] cj:yf l7s b'?:t b]lvPdf .

lhNnf Joj:yfksn] cfˆgf] lhNnf / cGtu{tsf :jf:Yo ;+:yfx?nfO{ rf/ xKtf;Dd vf]k ;'/lIft /fVg ;Sg] k|dflf0ft ug{ ;Sg] 5 . o:tf] :jf:Yo ;+:yfnfO{ k|dfl0ft lgDg s'/fx?sf] cfwf/df ul/g] 5 .

:jf:Yo ;+:yfx?sf sd{rf/Lx?n] sf]N8 r]g Joj:yf r':t /fv]df vf]k ;DalGw pks/0f l7s / b'?:t /fv]df . vf]k e08f/ / vf]ksf] v]/ hfg]b/sf] l7s Joj:yfkg u/]df .

3l'Dt vf]k s]Gb|, afXo vf]k ;]jfsf nflu vf]lnPsf vf]k efonx?df ld;fj6, k|b'if0f x'g], rfF8} ljlu|g] vt/f ePsf]n] # lbg ;Dd dfq k|of]u ug{ ;lsG5 . EoflS;g k|of]u ubf{ vf]ksf] Dofb ggf3]sf] / k|b'if0f gePsf] x'g'kg]{ 5 . EoflS;g slxNo} klg 3fddf /fVg' x'Fb}g . cfkl"t{ Joj:yf dxfzfvfn] eL=eL=Pd= ePsf EoflS;g efonx? vl/b ug'{kg]{5 . u_ lj=l;=lh=, bfb'/f / hfkflgh OG;]kmnfOl6;\ Ps k6s 3f]lnPsf] EoflS;g vf]k ;];gsf] cGTodf lj;h{g ug'{k5{ cyjf aL=;L=hL== / bfb'/fnfO{ a9Ldf ^ 306f / hfkfgLh OG;]kmnfOl6;\nfO{ ! 306f leqdf k|of]udf NofO;Sg' kb{5 . ax'dfqf EoflS;g efon gLlt aL=;L=hL=, bfb'/f / hfkflgh OG;]kmnfOl6;\df nfu" x'Fb}g .

71

kf7 ( M EoflS;g efon xNnfP/ ul/g] hfFr (Shake Test) o; ;];gsf] cGTodf ;xefuLx? lgDg sfo{ ug{ ;Ifd x'g]5g\ M

• s'g–s'g EoflS;gx? hd]/ lau|G5g\ hfGg

• Shake Test s] xf] ;f] sf] hfgsf/L

• EoflS;g lr;f]af6 hd]/ lau|] glau|]sf] Shake Test ul/ hfFr ug{


afWo t'Nofpg] h:t}M

EoflS;g efon xNnfP/ hfFr (Shake Test) ug]{<

hd]/ lau|g] EoflS;g -8L=kL=6L==, 6L=6L=, x]k aL, 8L=kL=6L==±x]k aL_x¿ hd]sf 5g\ ls eg]/ yfxf kfpg EoflS;g efon xNnfP/ hfFr (Shake Test) ul/G5 . oL EoflS;gx¿ e08f/ ubf{ jf 9'jfgL ug]{ qmddf w]/} lr;f] (Freezing) tfkqmddf /x]df hDg ;S5g\ / hd]kl5 lau|G5g\ . efonx¿nfO{ xNnfP/ x]¥of] eg] o;sf] emf]n Ps}gf;sf] wldnf] x'Fb}g / efonsf] lkwdf jfn'jfsf s0fx¿ h:tf] b]lvG5 . xNnfPkl5 ghd]sf] EoflS;g eGbf hd]sf] EoflS;g l56f] lyu|G5 . o;/L t'ngf u/]/ x]bf{ ghd]sf] / hd]sf] z+sf nfu]sf] EoflS;g Pp6} pTkfbgstf{sf] x'g' kb{5 . o; k|sf/sf] hfFr tfkqmdsf] /]s8{df dfOg;\ – (Minus) tfkqmd b]vfPsf] jf lk|mh jfr (Freeze watch) n] EoflS;g hd]sf] ;+s]t u/]sf] ;a} Kofssf] slDtdf !÷! efon EoflS;g xNnfP/ hfFr ug'{ kb{5 .

xNnfP/ hfFr (Shake Test) ug]{ tl/sf M

!= Ps csf]{;Fu t'ngf u/]/ x]g{sf] nflu Pp6f efonnfO{ hdfpg] M h'g EoflS;g hfFr ug]{ xf] ;f]xL EoflS;gsf] Ps efonnfO{ lng] . pQm EoflS;gsf]

pTkfbgstf{ / Aofr gDa/ Pp6} x'g' kb{5 . To;nfO{ leqsf] ;a} emf]n Ps l9Ssf x'g] u/L hdfpg] . o;sf] nflu To; efonnfO{ –@)) ;]=df slDtdf !@ 306f;Dd /fVg'k5{ . To;

of] EoflS;g t hd]/ lau|] h:tf] 5, o; ;+u} /fv]sf ;a} EoflS;g t lau|] xf]nfg, d]/f] afpsf] s] hfG5 / d t ;a} EoflS;g km\ofFls lbG5' . a? xflsdn] yfxf kfP eg] ufnL ug]{ xf]nfg\ s] eGg] xf] s'lGg === .

72

efonnfO{ s]xL ;do;Dd aflx/L aftfj/0fdf /fv]/ klUng lbg] . of] EoflS;g efon t'ngf ug]{ gd"gfsf] ?kdf tof/ x'G5 . o;df s'g} lrGx nufpg] jf hd]sf] efon eg]/ n]Vg] h;n]ubf{ pQm efon ;lhn};Fu 5'6\ofpg ;lsof];\ .

@= xNnfP/ hfFr ug{ ;f]xL EoflS;gsf] Pp6f efon 5gf}6 ug]{ M

hfFr ug{ Pp6f efon lng] . t/ xNnfP/ hfFr ug]{ EoflS;g / t'ngf ug{ hdfP/ /fv]sf] EoflS;gsf] pTkfbgstf{ / Aofr gDa/ Pp6} x'g' kb{5 .

#= hfFr ug{ / t'ngf ug{ /fv]sf] b'a} efonnfO{ xNnfpg] M

b'a} efonnfO{ Pp6} xftdf /fv]/ !)–!% ;]s]08;Dd a]:;/L xNnfpg] .

$= b'a} efonnfO{ s'g} 7fpFdf grnfO{ /fVg] M

tL b'a} efonnfO{ 6]a'n jf s'g} 7fpFdf grnfO{ /fVg] .

%= t'ngf u/]/ x]g]{ M

b'a} efonnfO{ t'ngf u/]/ x]g]{ . pQm b'O{j6f efon dWo] s'g efonsf] EoflS;g l56f] lylu|G5 x]g]{ . olb t'ngf ug{ /fv]sf] efonsf] EoflS;g eGbf hfFr ul/Psf] efonsf] EoflS;g l9nf] lylu|Psf] 5 eg] Tof] EoflS;g hd]sf] 5}g . o;nfO{ k|of]u ug{ x'G5 . t/ b'a} efonsf] EoflS;g lylu|g] ;do Pp6} ePdf hfFr ul/Psf] EoflS;g hd]sf] 5 / o;nfO{ k|of]u ug{ x'b}g .

s'g} s'g} efonsf] n]an 6fF;]sf] sfuh 7"nf] x'G5 . h;n]ubf{ efon leqsf] EoflS;g k"/} 9flsPsf] x'g ;S5 . o:tf efonx¿nfO{ xNnfP/ hfFr ubf{ tnlt/ kmsf{P/ efonsf] 3fF6Ldf x]/]/ EoflS;g slt l56f] lylu|G5 eg]/ x]g'{ kb{5 .

xNnfP/ hfFr ubf{ EoflS;g hd]sf] yfxf ePkl5 o;jf/] t'?Gt} ;'k/Lj]IfsnfO{ hfgsf/L lbg'k5{ . afFsL efonx¿ klg hd]sf 5g\ ls eg]/ hfFr ug]{ . hd]sf EoflS;g efonx¿nfO{ 5'6\ofP/ /fVg] / oL EoflS;gx¿ k|of]u gug]{ / ljt/0f klg gug]{ .

gf]6 M– t'ngf ug]{ gd"gfsf] ?kdf tof/ ul/Psf] efon ToxL EoflS;g, ToxL sDkgLsf] / ToxL Aofr gDa/sf] EoflS;g efonx¿ x'g' kb{5 / o;f] ePdf dfq hfFr ubf{ t'ngf ug{ ldN5 . csf]{ EoflS;g, csf]{ sDkgLsf] / csf]{ Aofr gDa/sf] nflu k'g M csf]{ t'ngf ug]{ gd"gf tof/ ug'{ kb{5 . o;f] ubf{ EoflS;g v]/ hfg] b/ a9\g ;S5 .

73

EoflS;g efon xNnfP/ hfFr ug]{ (The Shake test)

EoflS;g klxn] g} hd]sf] lyof] ls < s;/L yfxf kfpg] <

hd]sf] efon / hd]sf] z+sf nfu]sf] efon hd]sf] 5 ls 5}g\ egL t'ngf

hd]sf] EoflS;g efon hd]sf] z+sf nfu]sf] EoflS;g efon

;kmf emf]n

lylu|Psf] afSnf] emf]n

of] EoflS;g k|of]u ug]{

olb EoflS;g lj:tf/} lylu|Pdf, hd]sf] z+sf

nfu]sf] EoflS;g k|of]u ug{ x'G5 .

of] EoflS;g k|of]u gug]{

olb hd]sf] efon / z+sf u/]sf] efonsf] EoflS;g

lylu|g] ;do Pp6} ePdf ;f] EoflS;g k|of]u ug{ x'b}g .

hd]sf] EoflS;g efon;Fu hd]sf] z+sf nfu]sf] efonnfO{ t'ngf u/]/ x]g]{

ghd]sf] EoflS;glk+wdf Ps}gf;sf] afSnf] emf]n b]lvG5

hd]sf] EoflS;g

lk+wdf ;fgf ;fgf s0fx¿ b]lvG5g\

tn lbOPsf] t'ngfTds lrq x]g'{xf];\ .

k|of]u g

ug'{xf];\

hd]sf] EoflS;g

74

k|lzIfsnfO{ lgb]{zgM EoflS;g efon xNnfP/ ug]{ hfFrsf] k|lzIfs cfkm}n] cEof; u/]/ b]vfpg' kb{5 . ;xefuLx?nfO{

klg cEof; u/fO{ cfufdL lbgdf pgLx?n] pQm hfFr cfkm} ug{ ;Sg] agfpg' kb{5 .

010

20

30

40

-10

-20

010

20

30

40

-10

-20

EoflS;g hDg] tfkqmddf k'u]sf] b]vfpg] ;'rsx?

laleGg ;'rsx?

hd]sf] z+sf nfu]sf] Eo

flS;g

75

kf7 !) M vf]k v]/ hfg] b/ / o;sf] sdL Nofpg] /0fgLltx? o; ;];gsf] cGTodf ;xefuLx? lgDg sfo{x? ug{ ;Ifd x'g]5g\ M

• laleGg k|sf/sf] EoflS;g v]/ hfg] b/nfO{ klxrfg ug{ -e08f/0f / vf]k ;];g:t/df_ • EoflS;g v]/hfg] d'Vo sf/s tTjx?sf] klxrfg ug{ / lt dWo] Go"lgs/0f ug{ ;lsg]

tTjx?nfO{ klxrfg ug{ • EoflS;gsf] k|of]u / v]/hfg] b/sf] lx;fa ug{ • laleGg k|sf/sf v]/hfg] b/sf] klxrfg u/L cg'udg ug{ • EoflS;g Joj:yfkgnfO{ ;'wfg{ / v]/hfg] b/ 36fpgsf] nflu laleGg tYofÍx?sf]

d'NofÍg ug{ • vf]k v]/hfg] b/ 36fpgsf] nflu laleGg gLlt / cf}hf/x?sf] hfgsf/L lng


afWo t'Nofpg] h:t}M

vf]k v]/ hfg] b/ eg]sf] s] xf] < vr{ ePsf] EoflS;gsf] hDdf dfqf / aRrfx?nfO{ lbOPsf] EoflS;gsf] dfqfsf] cGt/nfO{ EoflS;g v]/ uPsf] elgG5 . EoflS;g v]/ hfg] b/nfO{ k|ltztdf lgsflnG5 . h'g;'s} vf]k ;]jfdf EoflS;gsf] s]lx dfqf v]/hfg] cg'dfg ul/Psf] x'G5 . EoflS;g h'g;'s} txdf v]/ hfg ;S5 . h:t} sl]Gb|o txsf] sf]N8 :6f]/df, s]Gb|af6 Ifl]qo :6f]/ / lhNnfdf n}hfFbf, c? dWod txx¿df, vf]k ;];gdf k|of]u ug]{ a]nfdf / cf];f/ k;f/ ug]{ a]nfdf . v]/ hfg] b/ 36fpg] sfo{ ljleGg txx¿df ul/g] plrt Joj:yfkgdf e/ kb{5 . EoflS;g v]/ hfg] b/ ;+u ;DalGwt tTjx¿nfO{ x6fpg ;lsg] / x6fpg g;lsg] u/L b'O{ k|sf/df ljefhg ug{ ;lsG5 .

Pp6f dfq aRrf cfPsf] 5, gofF EoflS;g efon vf]Ng] / <

76

!= EoflS;g v]/ hfg] b/df x6fpg g;lsg] tTjx¿M x6fpg g;lsg] dxTjk"0f{ tTjx¿ cGtu{t lgDg kb{5g\ M • ;];gsf] cGTodf 3f]lnPsf EoflS;gx¿ km\ofFlsg'kg]{ • ax'dfqf ljlwsf] k|of]u gePsf cj:yf

@= EoflS;g v]/ hfg] b/df x6fpg ;lsg] tTjx¿M tn lbOPsf a'Fbfx¿ cg';f/ EoflS;gsf] plrt Joj:yfkgn] EoflS;gv]/ hfg] b/df lgoGq0f ug{ ;lsG5 M • df}Hbft Joj:yfkgsf] /fd|f] k|jGw gx'Fbf a9L EoflS;g cfk"lt{ x'g] / EoflS;gsf] k|of]u ug'{

cufj} EoflS;g k|of]u ug]{ ldlt gfl3;Sg' . • sf]N8 r]g lal+u|bf tfkqmd 36 a9 eO{ EoflS;g k|of]u ug{ gx'g] cj:yfdf hfg' . • a]l7s dfqf, h:t} @ yf]kf kf]lnof] EoflS;g v'jfpg' kg]{df # yf]kf v'jfpg', )=% Pd=Pn=

sf] l;l/Gh k|of]u u/L EoflS;g lbg' kg]{df )=^ Pd=Pn sf] k|of]u . • ax'dfqf ljlwsf] pkof]u ug{ c;dy{ x'g] cj:yf ;[hgf ug'{ . • EoflS;g efon x/fpg', km'6'g' jf r'lxg' .

#= EoflS;g v]/ hfg] b/ 36fpg' M w]/} h;f] b]zx¿ hxfF ;a} lzz'x¿;+u k'Ugsf] nflu afXo vf]k ;];gsf] cfjZostf kb{5 ToxfF vf]ksf] pRrtd k|ult xFfl;n ug{ ck]lIft ?kdf EoflS;gsf] v]/ hfg] b/ a9L g} x'G5 . EoflS;gsf] k|of]u ubf{ dfq geO{ cGo ljleGg tTjx¿n] EoflS;g v]/ hfg] b/df k|efj kfl//x]sf x'G5g\ To;}n] vf]kdf ;+nUg sd{rf/Lx¿sf] nflu ljBdfg gLltdf kl/jt{g ug'{kg]{ h?/L b]lvb}g . t/ ;a} txdf EoflS;gsf] v]/ hfg] b/nfO{ sd ug'{ cyjf 36fpg' dxTjk"0f{ dflgG5 . To;df lgDg s'/fx¿ kb{5g\ M

• lhNnf / ;f] eGbf dfly, df}Hbftsf] lgoldt l/kf]l6{ª, EoflS;g cg'dfg ug]{ k|lqmofdf ;'wf/ / k|efjsf/L df}Hbft Joj:yfkg,

• vf]k ;]jfsf] u'0f:t/Lotfdf a[l4 ug]{ clek|foaf6 lhNnf:t/Lo of]hgfdf ;'wf/ , • ;];gsf] cfsf/ / ;a} nfO{ ;]jf k'Ug] u/L ;];gsf] :t/Lo of]hgf, • EoflS;gsf] ax'dfqf ljlwsf] k|of]u, • EoflS;g v]/ hfg] b/sf] lgoldt cg'udg / l/kf]6{ ug]{ k|0ffnLsf] Joj:yf .

dfly pNn]lvt ;a} ;'wf/fTds a'Fbfx¿ x'g\ t/ o;f] ubf{ vf]ksf] se/]hdf sd x'g] u/L ug'{x'b}g . $=afXo vf]k ;];gdf EoflS;g v]/ hfg] b/ ;+u ;DalGwt x6fpg g;lsg] tTjx¿sf pbfx/0fM tnsf] pbfx/0fn] -6]an %=!@_ #% j6f ;'O{ vkt x'g] afXo vf]k ;];g ;+rfng ubf{ cfzf ul/P d'tfljs b]lvPsf] EoflS;g v]/hfg]b/nfO{ b]vfpF5 . Vofn ug'{xf]nf aL=;L=hL== / bfb'/f EoflS;gx¿sf] v]/ hfg] b/ a9L g} 5 . cGo EoflS;gsf] nflu vf]ksf] ax'dfqf ljlw

77

ckgfOPsf]n] v]/ hfg] b/ 36]sf] 5 hxfF EoflS;g nfO{ k|of]u ug{ NofpFbfsf] cj:yf b]lv k|of]u ul/;s]/ :jf:Yo ;+:yfsf] /]lk|mh]/]6/df /fVg n}hfFbf ;Dd /fd|f];+u sf]N8 r]g Joj:yfkg ul/G5 . t/klg xf]l;of/L k"j{s ul/g] df}Hbftsf] Joj:yfkg, ;];gsf] of]hgf, / sfo{of]hgfn] klg v]/ hfg]b/ 36fpg d4t ub{5 .

ofb ug'{xf];\ M ;s];Dd ;a} gjhft lzz' / dlxnfx¿nfO{ vf]k k|bfg ug'{ /fi6«sf] nIo xf] . v]/ hfg]b/ sd ug{ s'g} klg xfntdf o; nIo nfO{ s'lG7t kfg'{ x'Fb}g . EoflS;gsf] dfqf eGbf vf]k k|fKt ug]{ cj;/ a9L d"Nojfg\ x'G5 . laZj :jf:Yo ;+u7gn] laZjJofkL ?kdf cg'dfg u/] cg';f/ %) k|ltzt eGbf a9L EoflS;g v]/ uPsf] b]lvG5 t/ ===

• laZjJoflk?kdf ;a} b]zx?nfO{ lgDg cg';f/ v]/hfg] b/ Go"lgs/0f ug{ pk|]l/t ul/Psf] 5 M

o T-Series sf] EoflS;gsf] v]/hfg] b/ !% k|ltzt df Nofpg] . o Ps dfqf jf b'O{ dfqfsf] efonsf] xsdf % k|ltztdf Nofpg] .

• olb vf]ksf] v]/hfg] b/ 36fpg ;lsPdf lgoldt vf]ksf] nfut klg sd ug{ ;lsG5 / sfo{qmd klg ;'rf? / lj:tf/ ug{ ;lsG5 .

k|To]s vf]k sfo{qmddf s]xL EoflS;g v]/ hfG5 t/ v]/hfg] b/nfO{ sd ug{ ;lsG5 / To;sf pkfox? 5g\ . EoflS;g v]/ hfg] sf/0fx? M !_ gvf]lnPsf] efondf

• sf]N8r]gsf] / df}Hbft Joj:yfkgsf] ;d:ofn] x'G5 . o d'VotM of] cj:yf sf]N8?d, 9'jfgLsf] qmddf x'G5 .

• h;nfO{ 36fpg jf Go"g kfg{ ;lsG5 . @_ vf]lnPsf] efondf

• ax'dfqf efon gLltsf] cjnDag u/]/ o;nfO{ Go"lgs/0f ug{ ;lsG5 . • eL=eL=Pd=sf] k|efjsf/L k|of]u u/]/ EoflS;g v]/ hfg] cj:yfnfO{ Go"lgs/0f ug{ ;lsG5 . • vf]ksf] /0fgLlt / cEof;df ;'wf/ NofP/ v]/ hfg] cj:yfnfO{ Go"lgs/0f ug{ ;lsG5 .

k|lzIfsnfO{ lgb]{zgM EoflS;g v]/hfg] b/nfO{ c;/ k'/\ofpg] tTjx? / EoflS;g v]/ hfg] b/nfO{ Gol"gs/0f ug]{ pkfox?sf] af/]df ;xefuLnfO{ lgDg lnlvt cEof; u/fpg'xf];\ . • EoflS;g v]/hfg] b/nfO{ c;/ kfg]{ tLg dxTjk"0f{ tTjx? ˆNof;\ sf8{df n]Vg'xf];\ / ;fy}

;d"xdf 5nkmn u/L tL tTjx?nfO{ Joj:yfkgsf lx;fan] ;d"xdf jlu{s/0f ug'{xf];\ .

78

• tL jlu{s/0f ul/Psf dflysf tTjx?nfO{ Gol"gs/0f jf lgjf/0f ug{ ;lsg] tLg dxTjk"0f{ lqmofsnfkx?nfO{ csf]{ ˆNof;\ sf8{df pNn]v ug'{xf];\ . pNn]v ul/Psf ;a} tTjx?sf] lg/fs/0f jf Gol"gs/0f ug]{ lqmofsnfkx? ;dfj]z ePsf] x'g'kb{5 .

EoflS;g sxfF / s;/L v]/hfG5 < 5

gvf]n]sf] efon

Dofb gf3]/

le=le=Pd=sf] ;+s]t #, $ df k'u]/ .

w]/} lr;f]df /fv]/

6'6\g] km'6\g]

nlIt hg;+Vof jf ljutdf vkt eGbf

a9L EofS;Lg k7fpbf .

vf]ks]Gb|af6 lkmtf{ ePsf] efon ôfs]/

n]an lg:s]/

vf]n]sf] efon

;];gsf] cGtdf afFsL /x]sf] EoflS;g ôfFSg]

efonaf6 s]xL EoflS;g k|of]u ug{ g;Sg'

EoflS;g 3f]Nbf uNtL ePdf

efon kfgLdf 8'a]df

EoflS;g b'lift ePsf] z+sf nfu]df

tf]lsPsf] eGbf a9L dfqf lbPdf

n]an lg:s]/

EoflS;g v]/hfg] b/nfO{ lg/Gt/ cg'udg ug{ lsg h?/L 5 < !_ cfjZos kg]{ EoflS;gsf] ;xL cg'dfg ug{

• cfjZos EoflS;g cg'dfg ug{ EoflS;g v]/hfg] b/sf] cfFs8f ;xL x'g'k5{ . • olb vf]ksf] v]/hfg] b/sf] cfFs8f ;xL gePdf,

o EoflS;gsf] 7"nf] sdL x'G5 cyjf EoflS;g a9L k|fKt eO{ v]/hfg] b/ a9\5 / ;fy} EoflS;gsf] Dofb u'h|g] hf]lvd /xG5 .

;a} vf]k s]Gb|x? / :6f]/x?n] lgoldt ?kdf vf]ksf] k|of]u / v]/hfg] b/sf] cg'udg ug'{ cTofjZos x'G5 . EoflS;g v]/hfg] b/sf] cg'udg lgoldt x'g'kb{5M

• ;a} vf]k s]Gb|x?df dfl;s?kdf vf]ksf] k|of]u / v]/hfg] b/ cg'udg ul/g' kb{5 . o;n] cfkm\g} sfdsf] d'Nof+Íg ug{ ;xof]u ub{5 .

• k|To]s vf]k e08f/0f:t/df klg vf]ksf] v]/hfg] b/sf] dfl;s cg'udg ug'{ kb{5 .

79

vf]ksf] v]/hfg] b/ lgsfNg lgDg tYofÍx? ;+sng ul/g' kb{5M

• z'? df}Hbft -8f]hdf_, • EoflS;g k|fKt -8f]hdf_, • gvf]lnPsf] EoflS;g vr{ -8f]hdf_, • k|of]usf nflu vf]lnPsf] EoflS;g -8f]hdf_, • vf]k kfPsf] hDdf lzz'x?

EoflS;g k|of]u / v]/hfg] b/ M

:jf:Yo ;+:yf :t/df EoflS;g v]/ hfg]b/ lgsfNg] tl/sf M

hDdf vr{ ePsf] EoflS;g 8f]hdf – hDdf vf]k kfPsfsf] ;+Vof

hDdf vr{ ePsf] EoflS;g 8f]hdf

tnsf] pbfx/0fn] Ps kl5 csf]{ ub}{ s;/L EoflS;gsf] k|of]u / v]/ hfg] b/sf] u0fgf ug]{ af/] j0f{g ub{5 M eQmk'/ lhNnfn] hgj/L dlxgfdf !) dfqf efon a/fa/sf] @)) 8f]h 8L=kL=6L== EoflS;g k|fKt u/\of] . dlxgfsf] l/kf]{6df !#) hgf aRrfx¿ vf]k kfPsf] /]s8{ ul/of] . ltgLx¿;+u hgj/L dlxgfsf] ! tfl/vsf] z'?df #) dfqf afFsL lyof] / hgj/L #! tfl/vdf hDdf df}Hbft ^) dfqf eof] .

EoflS;g v]/ hfg]b/ Ö !)) – EoflS;g k|of]u ul/Psf] b/ EoflS;g k|of]u -b/_ Ö pQm ;dodf hDdf vf]k kfPsf lzz'x¿

z'?sf] cj:yfdf hDdf k|of]u ug{ ldNg]

dfqf

pQm ;dodf hDdf k|fKt

dfqf ± –

clGtddf afFsL /x]sf] dWoaf6 k|of]u ug{ ldNg]

dfqf

× !))

EoflS;g v]/hfg] b/ Ö × !))

80

30 dosesstart balance

200 doses receivedduring January

130 children immunized during January End balance 60 dosesusable by 31 January

Wasted amount40 doses

(Each block represents 10 doses) != pQm dlxgf e/L slt dfqf EoflS;g k|of]u eof] u0fgf ug'{xf];\ M dlxgfsf] z'?df pQm lhNnfdf hDdf #) dfqf lyof] / ltgLx¿n] pQm dlxgfdf yk @)) dfqf k|fKt u/] . o;/L hDdf k|of]u ug{ ldNg] dfqf @#) eof] . dlxgfsf] cGTodf clGtd afFsL hDdf ^) dfqf b]vfOPsf] 5 . pQm dlxgfdf hDdf ePsf] dfqf af6 pQm dlxgfsf] clGtddf afFsL /x]sf] dfqfnfO{ 36fPdf hDdf pQm dlxgfdf k|of]u ePsf] dfqf cfpF5, h'g @#) – ^) Ö !&) dfqf x'g cfpF5 . @= pQm dlxgfdf slt k|ltzt EoflS;g k|of]u eof] u0fgf ug'{xf];\ M ;f]xL dlxgfdf hDdf vf]k kfPsf aRrfx¿sf] ;+VofnfO{ ;f]xL dlxgfdf hDdf k|of]u ePsf] EoflS;gn] efu ug'{xf];\ h'g !#) nfO{ !&) n] efuf ubf{ )=&^$ x'G5 . o;nfO{ !)) n] u'0ff u/f}+ h;n] &^=$Ü lbG5 . o;nfO{ /fp08 ubf{ &^Ü x'G5 . #= tkfFO{sf] EoflS;g v]/ hfg] b/ u0fgf ug{'xf];\ M dflysf] km/d'nfdf b]vfOP h:t} !)) af6 hDdf k|of]u ePsf] EoflS;g k|ltzt 36fpg' xf];\ -!)) – &^_ Ö @$Ü EoflS;g v]/ uPsf] b/ EoflS;g v]/hfg] u'0ffÍ tn lbP cg';f/ x'ghfG5M EoflS;g v]/hfg] b/ b'O{ :t/df u0fgf ul/G5 M e08f/0f:t/ M s]lGb|o, If]lqo, lhNnf / ;a;]G6/:t/df ;]jf:t/ M vf]k ;];g:t/

@=))!=*@!=^&!=%$!=$#!=##!=@%!=!*!=!!!=)%v]/hfg] u'0ffÍ

%)Ü$%Ü$)Ü#%Ü#)Ü@%Ü@)Ü!%Ü!)Ü%Üv]/hfg] b/

@=))!=*@!=^&!=%$!=$#!=##!=@%!=!*!=!!!=)%v]/hfg] u'0ffÍ

%)Ü$%Ü$)Ü#%Ü#)Ü@%Ü@)Ü!%Ü!)Ü%Üv]/hfg] b/

81

EoflS;g v]/hfg] b/ 36fpg] pkfox?M !_ sd dfqfsf] efon k|of]u ug]{ t/ o;n]M

• EoflS;g e08f/0fdf w]/} 7fpF lnG5 . • 9'jfgL vr{ a95 / • ;+rfng vr{ klg a9L nfU5 .

@_ ljZjJofkL gLltx?sf] cjnDjg u/]/M

• ax'dfqf EoflS;g efon k|of]u u/]/ • klxn] Dofb u'lh|g] EoflS;gnfO{ klxn} k|of]u ug]{ (EEFO)

#_ hDgaf6 arfpg]

• EoflS;g hd]/ lau|]sf sf/0f v]/hfg] b/ a9\5 . ctM e08f/0f ubf{ tfkqmdsf] k|efjsf/L cg'udg / ljt/0f ubf{ ;b}j sl08zlgª u/]sf] cfO;Kofs k|of]u ug'{kb{5 .

ofb ug'{xf];\, EoflS;g v]/hfg] b/ 36fpg h'g;'s} pkfo cjnDjg ul/Ptf klg To;n] vf]k se/]hdf s'g} xfntdf sdL cfpg lbg' x'b}g . EoflS;g v]/hfg] b/ slt x'g'k5{ < EoflS;g v]/hfg] b/nfO{ dfq PSn} d'NofÍg ug{ ldNb}g . hlxn]klg v]/hfg] b/sf] d'NofÍg ubf{ vf]ksf] se/]h;Fu} t'ngf ul/g'k5{ . k|foh;f] vf]ksf] kFx'r a9fpbf se/]h a9\5 o:tf] cj:yfdf EoflS;gsf] v]/hfg] b/ klg a9\g ;S5 . pbfx/0fsf] nfluM k|lzIfsnfO{ lgb]{zgM ;xefuLx?nfO{ lgDg lnlvt a'Fbfx? k9\g nufpg'xf];\ / tn k|:t't ul/Psf] u|fkmdf s'g a'Fbf d]n vfG5 ;f] sf] ljZn]if0f ug{ nufpg'xf];\M

• EoflS;gsf] Eofb u'lh|Psf] jf e08f/0f / 9'jfgLdf sf]N8r]g lalu|Psf] . • of] sfo{qmdn] cfjZostf eGbf j9L EoflS;g vl/b u/]sf] .

0

1020

3040

5060

70

1999 2000 2001Immunization coverage Vaccine wastage

01020304050607080

1999 2000 2001Immunization coverage Vaccine wastage

82

• EoflS;gsf] Eofb u'lh|Psf] jf e08f/0f / 9'jfgLdf sf]N8r]g lalu|Psf] . • vf]Nb} gvf]n]sf] EoflS;g efon laleGg sf/0faf6 lalu|P/ EoflS;gsf] cefj eO{ sfo{qmd

;+rfng x'g g;s]sf] . • afx\o vf]k ;];gx?sf] ;+rfng a9fOPsf] . • vf]k ;];gx?sf] ;+rfng 36]sf] . • vf]ksf cj;/x? u'dfOPsf] (Increase in missed opportunities)

vf]k v]/hfg] b/ / vf]k se/]hsf] ;DaGw

&=$ vf]]k Joj:yfkg ;DalGw af]8{ v]n of] v]n v]Nbf af]8{sf] k|of]u ul/g] ePsf]n] o;nfO{ af]8{ v]n elgPsf] xf] . o;df vf]k

Joj:yfkgsf ljleGg kIfx?sf] af/]df ;xefuLx?nfO{ k|Zg ul/G5 / plgx?af6 ;lx pQ/sf]

;do

EoflS;g v]/ uPsf]

vf]k se/]h

k|ltzt

u|fkm !

;do

EoflS;g v]/ uPsf]

vf]ksf] se/]hk|ltz

t

u|fkm @

EoflS;g v]/ uPsf]

vf]k se/]h

;do

k|ltzt

EoflS;g v]/ uPsf]

vf]k se/]h

;do

k|ltzt

;do

k|ltzt

u|fkm #

EoflS;g v]/ uPsf]

vf]ksf] se/]h

;do

k|ltzt

EoflS;g v]/ uPsf]

vf]ksf] se/]h

;do

k|ltzt

EoflS;g v]/ uPsf]

vf]ksf] se/]h

;do

k|ltzt

u|fkm $

EoflS;g v]/uPsf]

vf]ksf] se/]h

;do

k|ltz

t

;do

k|ltz

t

u|fkm %

83

ck]Iff /flvPsf] x'G5 . To;}n] of] v]nsf] k|:t'lts/0f xflh/Lhjfkm k|ltof]lutf h:tf] nfUb5 .

b]Vbf n'F8f] v]n h:tf] b]lvg] of] v]nsf] p2]Zo eg] ;xefuLx?nfO{ vf]k Joj:yfkgdf cem}

c:ki6 ePsf] ljifoj:t'df yk hfgsf/L lbg] g} xf] . To;}n] k|Zg /fVbf olb s'g} klg ;d'xn] ;lx

pQ/ glbPdf To;nfO{ yk k|:6fpg] sfd v]n v]nfpg] >f]t JolQmsf] x'G5 .

$ lbgsf] tflnddf af]8{ v]n clGtd cj;/ ePsf]n] o;nfO{ /f]rs / 1fgd'ns agfOg' kb{5

h;df tflnddf pkl:yt ;a} ;xefuLsf] plQs} ;xefuLtf cfjZos kb{5 .

&=% Tfflnd ;dflKt kl5 lnOg] kl/Iff tflnd ;dfkg ug'{ eGbf klxn] tflndsf] p2]Zo k'/f eP gePsf] Plsg ul/g' cfjZos x'G5 . olb tflndsf ;xefuL ;a}n] $ lbgdf k|:t't ul/Psf w]/} h;f] ljifoj:t'df cfkm\gf] 1fg clej[4L ug{ ;s] / To;nfO{ cfufdL lbgdf nfu' ug{ ;s] eg] Tof] tflnd ;kmntfk"j{s ;DkGg ePsf] dfGg ;lsG5 . ;f] sf] s]lx dfqfdf olsg ug{ ;xefuLx?nfO{ tflnd ;dflKt kl5 tflnddf ;d]l6Psf laifoj:t' leq}af6 k|Zgx? lgdf{0f ul/ kl/Iff lng ;lsG5 . o;/L lnOg] clGtd kl/Iffsf k|Zgx? lgDgcg';f/ x'g ;Sg]5g\ . kl/Iff lnPkl5 k|lzIfsn] pQ/x?sf] :sf]l/ªu/L ;xefuLnfO{ b]vfO lbg'kb{5 t/ s;}sf] klg gfd / ;f+s]lts cy{ /fVg] vfnsf] s'g} klg ;+s]t ug'{x'Fb}g . olb s'g} klg k|Zgdf w]/} ;xefuLx?sf] a]7Ls pQ/ 5 eg] Tof] ;DalGw ljifoj:t'df yk hfgsf/L ;xefuLnfO{ lbg' kb{5 . k"j{ kl/Iff / clGtd kl/Iffsf] glthfnfO{ ;dfof]hg ul/ ;xefuLx?df b]lvPsf] ;kmntfnfO{ klg ;a} ;fd' k|:i6 kfg'{ kb{5 . af]8{ v]n v]fNbf b]lvPsf c:ki6tfnfO{ klg yk k|fyldstf lb+b} ;a}nfO{ hfgsf/L lbg' kb{5 . ;xefuLx?n] s'g} klg k|Zg / laifodf cfkm'nfO{ hfgsf/L pknAw gePdf k|lzIfsnfO{ ;f] ;DalGw yk hfgsf/L lbg cg'/f]w ug'{kb{5 . tflnd ;dflKt kl5 lnOg] kl/Iff k|ZgfjnL

k|To]s k|Zgsf] 7Ls bflxg]k6[Lsf] sf]7fdf 7Ls eP / a]7Ls eP lrGx lbg'xf];\ .

qm=;+= k|Zgx?

;xL pQ/

! lhNnf sf]N8 ?d / ;a ;]G6/df ;a} lsl;dsf EoflS;gx? @) b]lv *) l8u|L ;]= df ;'/lIft /fVg ;lsG5 .

@ bfb''/fsf] EoflS;gnfO{ ;a} :6f]/df – !% l8u|L ;]= df /fVg' k5{ . # kf]lnof] EoflS;g dfq o:tf] EoflS;g xf] h;nfO{ k|f/lDes :t/df :6f]/ ubf{ hDg]

tfks|ddf /flvG5 .

$ olb le= le= Pd 7Ls 5 eg] klg ldlt ;lsPsf] EoflS;g k|of]u ug'{x'b}g <

84

qm=;+= k|Zgx?

;xL pQ/

% sf]N8?ddf k|of]u x'g] h]g]/]6/ 7Ls cj:yfdf 5 5}g eGg] hfFr ug{ h]g]/]6/nfO{ k|To]s

^ dlxgfdf rnfP/ x]g'{k5{ .

^ ;a} e08f/0f ul/Psf EoflS;gnfO{ lg/Gt/ ?kdf tfks|d cg'udg u/L clen]v /fVg' k5{ .

& olb tfks|d !) l8u|L ;]= dfly b]lvG5 eg], EoflS;gx?sf] cj:yf hf]lvddf 5 eg]/ t'?Gt cfjZos sf/jfxL ug'{ k5{ .

* hDg] (walk in freezer) sf]7fsf] tfks|d – @) b]lv – #% l8u|L ;]= /flvg' k5{ . ( lk|mh leq EoflS;g e08f/0f ubf{ 7fFp sd ePdf /]lk|mh]/]6/sf] 9f]sfsf] shelve df

klg EoflS;g e08f/0f ug{ ;lsG5 .

!) sf]N8 aS;nfO{ k|of]u u/] kl5 k|To]s k6s ;'Vvf kf/]/ ;kmf ug'{k5{ < !! ;]jf:t/df sf]N8r]g pks/0fsf] b}lgs ;fdfGo dd{t / ;Def/ ug{] lhDd]af/L :jf:Yo

sdL{sf] xf] <

!@ sf]N8 r]gsf] k|To]s txdf sf]N8 r]g Joj:yfkgsf] nfuL cfsl:ds of]hgf tof/ u/]sf] x'g' k5{ <

!# :jf:Yo ;+:yf :t/df /x]sf] /]lk|mh]/]6/ sf] tfks|d cg'udg ug{sf] nfuL pQdljlw ydf{ld6/sf] k|of]u ug{' xf] <

!$ hd]/ lju|g] vfnsf EoflS;gx? 9'jfgL ubf{ cfjZos tfkdfks ;"rsx? /flvg' k5{ < !% EoflS;g e08f/0f ubf{ k|efjsf/L ?kdf tfks|d cg'udg ug{ eL=;L=;L=Pd= sf8{

k|of]u ug{ ;lsG5 <

sfo{qmd ;dfkgsf] 3f]if0ffM sfo{qmd cfof]hssf tkm{af6 sfo{qmdsf] cf}krf/Ls ?kdf ;dfkgsf] 3f]if0ff ug'{ kb{5 . of] cj;/df ;xefuLx?nfO{ plgx?sf] ;xefuLtfsf] k|;+zf ub}{ $ lbg] vf]k Joj:yfkg tflnddf efu lnPsf] k|df0f–kq ljt/0f ug'{ pko'Qm x'G5 . k|zf;lgs sfo{ -eQf ljt/0f OToflb_M vf]k Joj:yfkg sfo{qmdnfO{ ;xof]u ug{ vl6Psf k|zf;lgs sd{rf/L of] lqmofsnfkdf ;xof]uLsf] e'ldsf lgjf{x ub{5g\ . plgx?n] ;xefuLnfO{ tflnddf lbPsf ;a} ;fdfu|Lx? k|bfg ug'{kb{5 eg] ;xefuL ;a}nfO{ lgod cg';f/ kfpg] ;'ljwf -eQf OToflb_ k|bfg ug'{kb{5 .

85

tflnd k"j{ / cGTodf ;f]lwPsf k|ZgfjnLx?sf] k|lzIfsnfO{ pQ/ tflnd k"j{M

qm=;+=

pQ/

! 7Ls @ a]7Ls # a]7Ls $ a]7Ls % a]7Ls ^ 7Ls & 7Ls * 7Ls

qm=;+=

pQ/

( 7Ls!) A]7Ls!! A]7Ls!@ A]7Ls!# A]7Ls!$ A]7Ls!% A]7Ls!^ 7Ls

qm=;+=

pQ/

!& 7Ls!* 7Ls!( a]7Ls@) 7Ls@! a]7Ls@@ a]7Ls@# a]7Ls@$ 7Ls

qm=;+=

pQ/

@% 7Ls@^ 7Ls@& 7Ls@* a]7Ls@( 7Ls

tflndsf] cGTodfM

qm=;+=

;xL pQ/

! 7Ls @ a]7Ls # 7Ls $ 7Ls % a]7Ls ^ 7Ls & 7Ls * a]7Ls

qm=;+=

;xL pQ/

( a]7Ls !) 7Ls !! 7Ls !@ 7Ls !# 7Ls !$ 7Ls !% a]7Ls

86

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