Upload
adbgad
View
231
Download
0
Embed Size (px)
Citation preview
8/2/2019 Bangladesh: Urban Primary Health Care Project II
1/22
=
Lv* Hl* ^mvtmv FmvkLbsr|{ ^bnvb|mv{ ) Lbsr|{ Svgabn| Lkvbn|gv
6jl Rvfmj Svkhmv{ @bme|` nmvb Svgabn|
Egnme Dgy|* Lkyk~kgj% Hkjk~|v{ gi EDVL)N
Fmjdemlb~`
6JL RVFMJ SVKHMV[ @BME\@ NMVB SVGABN\
Egnme Dgy|* Lkyk~kgj% Hkjk~|v{ gi EDVL)N
FMJDEMLB^@
69(60 Hmvn` 63=6
Ngeghfg% ^vk Emjom
\`b ykbt~ bpsvb~~bl kj |`k~ smsbv mvb |`b ykbt~ gi |`b mr|`gv~ mjl lg jg| jbnb~~mvke{ vbiebn| |`b ykbt~ gv sgeknkb~ gi |`bM~kmj Lbybegshbj| Fmjo MLF+% gv k|~ Fgmvl gi Dgybvjgv~% gv |`b dgybvjhbj|~ |`b{ vbsvb~bj|* MLF lgb~ jg| drmvmj|bb
|`b mnnrvmn{ gi |`b lm|m kjnerlbl kj |`k~ smsbv mjl mnnbs|~ jg vb~sgj~kfkek|{ igv mj{ ngj~b}rbjnb gi |`bkv r~b* \`bngrj|vkb~ ek~|bl kj |`k~ smsbv lg jg| khse{ mj{ ykbt gj MLF$~ smv| m~ |g ~gybvbkdj|{ gv kjlbsbjlbj| ~|m|r~ gv jbnb~~mvke{ngjigvh |g MLF$~ |bvhkjgegd{*
8/2/2019 Bangladesh: Urban Primary Health Care Project II
2/22
6
FMNODVGRJL
Rvfmj Svkhmv{ @bme|` Nmvb Svgabn| k~ m rjk}rb% kjjgym|kyb mjl vbhmvomfebsvgabn| kj Fmjdemlb~` igv lbekybvkjd miigvlmfeb ]rmek|{ S@N mjl V@ nmvb |grvfmj sggv % smv|knremve{tghbj mjl N`kelvbj
\`b 6jl Rvfmj @bme|` Nmvb Svgabn| k~ m ngj|kjrm|kgj gi ~rnnb~~ire ikv~| s`m~b gi|`b svgabn| t`kn` ~|mv|bl kj =;;0 mjl bjlbl kj Arjb 6332
\`k~ svgabn| k~ m skgjbbv kj khsebhbj|m|kgj gi srfekn svkym|b smv|jbv~`ks (SSS+hglbe mjl svgsggv |mvdb|kjd kj svkhmv{ `bme|` nmvb ) hm|bvjme `bme|` ~bn|gvgi Fmjdemlb~`
Bpbnr|kjd Mdbjn{1 Egnme Dgybvjhbj| Lkyk~kgj
Khsebhbj|kjd Mdbjnkb~1 Nk|{ Ngvsgvm|kgj~ mjl Hrjknksmek|kb~
^bvyknb svgyklbv~1 Smv|jbv JDG~ Svgabn| Sbvkgl1 4 {bmv~ (Are{ 6332Arjb 63=6+ (tk|` 9 hgj|`~ jgng~|
bp|bj~kgj+
8/2/2019 Bangladesh: Urban Primary Health Care Project II
3/22
Dgme gi |`b Svgabn|
\`b dgme gi |`b svgabn| k~ |g khsvgyb |`b `bme|`
~|m|r~ gi |`b rvfmj sgsrem|kgj% b~sbnkmee{ |`b sggv%
tghbj mjl n`kelvbj |`vgrd` khsvgybl mnnb~~ |gmjl r|kekqm|kgj gi biiknkbj|% biibn|kyb mjl ~r~|mkjmfeb
svkhmv{ `bme|` nmvb (S@N+ ~bvyknb~*
8/2/2019 Bangladesh: Urban Primary Health Care Project II
4/22
\`b ^sbnkikn Gfabn|kyb gi 6jl Rvfmj Svkhmv{ @bme|`
Nmvb Svgabn| k~ |g khsvgyb
Mnnb~~ |g mjl r~b gi rvfmj S@N ~bvyknb~ kj |`bsvgabn| mvbm% tk|` m smv|knremv ignr~ gj bp|bjlkjdsvgyk~kgj |g |`b sggvb~|
\`b }rmek|{ gi rvfmj S@N ~bvyknb~ kj |`b svgabn| mvbm
\`b ng~|(biibn|kybjb~~% biiknkbjn{% mjl kj~|k|r|kgjme
mjl ikjmjnkme ~r~|mkjmfkek|{ gi S@N |g hbb| |`b jbbl~gi |`b rvfmj sggv
8/2/2019 Bangladesh: Urban Primary Health Care Project II
5/22
2
GR\NGHB ) GR\SR\
Gr|nghb1 Khsvgybl mnnb~~ |g mjl r~b gi biiknkbj|% biibn|kybmjl ~r~|mkjmfeb dggl }rmek|{ svkhmv{ `bme|` nmvb (S@N+~bvyknb~ igv |`b rvfmj sggv kj svgabn| mvbm~% tk|` m smv|knremvignr~ gj tghbj mjl dkve~*
Gr|sr|~1=* Svgyk~kgj gi S@N |`vgrd` Smv|jbv~`ks Mdvbbhbj|~ )
Fb`mykgv N`mjdb Nghhrjknm|kgj mjl Hmvob|kjd (FNNH +6* Rvfmj Svkhmv{ @bme|` Nmvb Kjivm~|vrn|rvb ) Bjykvgjhbj|m
@bme|`>* Frkelkjd Nmsmnk|{ ) Sgekn{ ^rssgv| igv Rvfmj Svkhmv{
@bme|` Nmvb
8/2/2019 Bangladesh: Urban Primary Health Care Project II
6/22
SvgSggv \mvdb|kjd mjlSSS Mssvgmn`
M| ebm~| >3" gi bmn` ~bvyknb tkee fb svgyklbl ivbb |g |`b sggv% klbj|kikbl|`vgrd` smv|knksm|gv{ sgybv|{ m~~b~~hbj|~ mjl `gr~b`gel ek~|kjd~*
\`b sggv mvb svgyklbl ivbb ~bvyknb~% kjnerlkjd ivbb hblknkjb~* Igv |`b jgj
sggv% ~eklkjd r~bv ibb~ k~ n`mvdbl mjl lvrd~ mvb hmlb mymkemfeb m| =363"egtbv |`mj hmvob| svknb*
Sggv `gr~b`gel~ tbvb klbj|kikbl fm~bl gj |`b ~gnkme mjl bngjghknkjlknm|gv~* \`b~b `gr~b`gel~ tbvb dkybj bj|k|ebhbj| `bme|` nmvl~ dkykjd |`bh
ivbb mnnb~~ |g `bme|` ~bvyknb~ rjlbv |`b Svgabn|* \`b ~rvyb{ gi |`b sggv`gr~b`gel~ tkee fb rslm|bl mjjrmee{ f{ |`b smv|jbv JDG*
Svgabn| `m~ m rjk}rb khsebhbj|m|kgj ~|vm|bd{% m SSS mssvgmn`% r~kjd JDG~mjl svkym|b ~bn|gv igv ~bvyknb lbekybv{ |`vgrd` smv|jbv~`ks mdvbbhbj|~*
9
8/2/2019 Bangladesh: Urban Primary Health Care Project II
7/22
4
DBJLBV MN\KGJ SEMJ\G KHSVGYB MNNB^^KFKEK\[ MJL MIIGVLMFKEK\[ GI S@N ^BVYKNB^ \G
SGGV TGHBJ MJL N@KELVBJ (GR\SR\ =+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|
Mn|kyk|{1 Klbj|ki{ sggv |`vgrd` sgybv|{m~~b~~hbj|~ mjl `gr~b`gel ek~|kjd~ mjl
bj~rvb ~bvyknb~ |g |`bh*Kjlknm|gv~1 Svgabn| fbjbiknkmvkb~ kjnvbm~bl ivgh
>3" |g 93" (43" tghbj ) n`kelvbj+ ivghsvgabn| fm~bekjb |g bjl* >3" gi bmn` ~bvyknbsvgyklbl |g sggv tghbj mjl hbj
[bmve{ ngj|mn|(sm|kbj| iegt kj`bme|` nmvb imnkek|{kj |`b svgabn|mvbm+ kjnvbm~bl>9=" kj 63=3==ivgh 633239
(Jrhfbv gi vbl nmvl
`gelbv `gr~b`geltm~ 6>9%26%300kj 63==+
8/2/2019 Bangladesh: Urban Primary Health Care Project II
8/22
0
DBJLBV MN\KGJ SEMJ (GR\SR\ =+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|Mn|kyk|{1 Svgyklb >3" gi bmn` ~bvyknb ivbb gi ng~|
|g |`b sggv tghbj% hbj mjl n`kelvbj*Kjlknm|gv~1 M| ebm~| >3" gi bmn` ~bvyknb svgyklbl |g
rvfmj sggv gi t`kn` tghbj mjl n`kelvbj tkeengj~|k|r|b m| ebm~| 42"*
Svgsggv |mvdb|kjdtm~
8/2/2019 Bangladesh: Urban Primary Health Care Project II
9/22
8/2/2019 Bangladesh: Urban Primary Health Care Project II
10/22
=3
DBJLBV MN\KGJ SEMJ (GR\SR\ =+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|
Mn|kyk|{1 Ngrj~bekjd mjl hg|kym|kgj |g `r~fmjl~mjl mlre| imhke{ hbhfbv~ igv sg~|jm|me nmvb*
Kjlknm|gv~1 Hgvb |`mj
8/2/2019 Bangladesh: Urban Primary Health Care Project II
11/22
==
DBJLBV MN\KGJ SEMJ (GR\SR\ =+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|
Mn|kyk|{1 Ngjlrn|kjd mtmvbjb~~ ~b~~kgj% lggv |g
lggv ngrj~bekjd% bj~rvb ngjlgh ~rssekb~*Kjlknm|gv~1 M| ebm~| 9%333 mtmvbjb~~ ~b~~kgj~
ngjlrn|bl {bmve{ f{ bmn` SM gj svghg|kgj gingjlgh r~b f{ hmeb smv|jbv? Ngjlgh r~bvvm|b f{ hmeb smv|jbv lrvkjd ~bp tk|` jgj
vbdremv smv|jbv~ kjnvbm~bl f{ =3"=2" bybv{{bmv
6%603 ~b~~kgj(==%;0>
smv|knksmj|+ngjlrn|bl'SM'{bmv
M~~b~~hbj| ~rvyb{k~ vb}rkvbl igv
ngjlgh r~bvm|b*
8/2/2019 Bangladesh: Urban Primary Health Care Project II
12/22
=6
DBJLBV MN\KGJ SEMJ (GR\SR\ =+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|
Mn|kyk|{1 Ngjlrn| |vmkjkjd igv ~|mii gj dbjlbvfm~bl ykgebjnb*
Kjlknm|gv~1 =33" gi S@NN~ ) NV@NN~ `m~ m|ebm~| 6 |vmkjbl ~|mii gj dbjlbv fm~bl ykgebjnb?
=42 ngjnbvjbl ~|mii~
gi SHR% SKR% NN%
HN% S@NN )
NV@NN~ kj 4fm|n`b~ vbnbkybl
|vmkjkjd gj YMT
f{ H^)\ Ikvh?
22 ibhmeb Tmvl
Ngrj~begv~ ivgh
6< SM~ vbnbkybl|vmkjkjd f{ FNNS
Ikvh*
8/2/2019 Bangladesh: Urban Primary Health Care Project II
13/22
=>
DBJLBV MN\KGJ SEMJ (GR\SR\ 6+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|
Mn|kyk|{1 Svghg|b tghbj mjl fmf{ ivkbjle{`bme|` nmvb kjivm~|vrn|rvb imnkek|kb~ (fvbm~| ibblkjdngvjbv% ~bsmvm|b |gkeb| b|n igv fg|` ~bvyknb svgyklbv mjl vbnkskbj|+
Kjlknm|gv~1 Hgvb |`mj 42" tghbj mjl n`kelvbjmjl 62" hbj vbnbkybl ~bvyknb~ lrb |gkhsvgybl kjivm~|vrn|rvb ivgh svgabn| fm~bekjb|g |`b bjl*
Tk|`kj |`b nekbj|iegt mvgrjl40" |g 03" mvb
ibhmeb mjl 63"|g 66" mvb hmeb
Mn|kyk|{1 Svghg|b tghbj ) R~bv ivkbjle{Nghhrjk|{ \gkeb|~*
Kjlknm|gv~1 M| ebm~| 23" gi |`b |gkeb| fegno~ mvbvb~bvybl igv |`b r~b gi tghbj*
23" gi bmn` |gkeb|fegno~ mvbvb~bvybl igvtghbj
8/2/2019 Bangladesh: Urban Primary Health Care Project II
14/22
=+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|
Mn|kyk|{1 Vbnvrk|hbj| mjl Hmjmdbhbj|
Kjlknm|gv~1 Tghbj ngj~|k|r|b~ >3" gi |`b
hmjmdbhbj| sg~k|kgj mjl 23" gi `bme|`~bvyknb svgyklbv~*
>3" (hmjmdbvkme+Hgvb |`mj 43"(~bvyknb svgyklbv~+
Mn|kyk|{1 \vmkjkjd
Kjlknm|gv~1 Tghbj vbsvb~bj| 23" gi kjngrj|v{
|vmkjkjd ngrv~b~? Tghbj vbsvb~bj| >3" gigr|ngrj|v{ |vmkjkjd ngrv~b~*
93" (kjngrj|v{+63" (gr|ngrj|v{+
8/2/2019 Bangladesh: Urban Primary Health Care Project II
15/22
=2
DBJLBV MN\KGJ SEMJ (GR\SR\ >+
Mn|kyk|kb~% Kjlknm|gv~ mjl \mvdb|~ Mn`kbybhbj|
Mn|kyk|{1 Kj~|k|r|kgjme Mvvmjdbhbj| mjlHmjmdbhbj| igv DMS
Kjlknm|gv~1 =33" DMS mn|kyk|kb~ khsebhbj|bl? M|ebm~| >3" tghbj hbhfbv~ kj mee TS@NN?
Tghbj n`mkv~ m| ebm~| >3" gi TS@NN? Mee |`br~bv igvrh `myb m| ebm~| 23" tghbj hbhfbv~kjnerlkjd sggv mjl jgjsggv*
TS@NN igvhbl`bmlbl f{ TmvlNgrjnkegv mjl ng
N`mkvbl f{ ibhmeb tmvl ngrjnkegv* >tghbj hbhfbvivgh ~erh ltbeebvmjl sggv dvgrs
mvb kjnerlbl* R~bvIgvrh igvhbltk|` fg|` sggvmjl jgjsggvhmkj|mkjkjddbjlbv b}rk|{*
8/2/2019 Bangladesh: Urban Primary Health Care Project II
16/22
=9
DBJLBV MN\KGJ SEMJ (GR\SR\
8/2/2019 Bangladesh: Urban Primary Health Care Project II
17/22
=4
MN@KBYBHBJ\^
Khsvgykjd Tghbj~ Bhseg{hbj| ) Ebmlbv~`ks kj @bme|` ^bn|gv \`b svgabn| svgyklb~ bhseg{hbj| gssgv|rjk|{ |g m emvdb
jrhfbv gi ibhmeb hblknme |bn`jgnvm|~ mjl g|`bvsvgib~~kgjme~ ngybvkjd m |mvdb| sgsrem|kgj gi 0 hkeekgj
Tghbj `myb m||mkjbl ebmlbv~`ks sg~k|kgj~ |`vgrd`smv|jbv~`ks mdvbbhbj|
Khsvgykjd Mnnb~~kfeb mjl Miigvlmfeb @bme|` Nmvb ^bvyknb~
\`b svgabn| `m~ ngj~|vrn|bl k|~ gtj `bme|` kjivm~|vrn|rvbimnkek|kb~ (NV@NN 3; jg* mjl S@NN ==9 jg*+tk|`kj |`b
neg~b svgpkhk|{ gi |`b sggv Sggv `gr~b`gel~ smv|knremve{ tghbj ~mybl |khb mjl hgjb{
`mykjd mnnb~~ |g `bme|` nmvb ~bvyknb~ neg~b |g |`bkv `ghb~
>3" gi b~~bj|kme S@N ~bvyknb~ svgyklbl ivbb gi n`mvdb
^k jkiknmj| biigv| kj FNNH kj ggv rvfmj nghhrjk|kb~
8/2/2019 Bangladesh: Urban Primary Health Care Project II
18/22
MN@KBYBHBJ\^
Khsvgykjd |`b Nmsmnk|{ gi Nk|{ Ngvsgvm|kgj~'hrjknksmek|kb~ mjl|`bkv smv|jbv~ |g ~|vbjd|`bj |`b nmsmnk|{ gi egnme dgybvjhbj|~ |gsemj% svgyklb% ikjmjnb% hgjk|gv mjl hmjmdb rvfmj S@N ~bvyknb~ ^|vbjd|`bj |`b tghbj mjl fmf{ ivkbjle{ rvfmj S@N kjivm~|vrn|rvb
|`vgrd` ngj~|vrn|kgj gi =62 jg* `bme|` nmvb imnkek|kb~ jbmv ~erh~ Ngj~klbvmfeb jrhfbv gi |vmkjkjd svgdvmh~ ngjlrn|bl gj ~sbnkikn |gskn~ kj
rvfmj S@N igv ~bvyknb svgyklbv~% nn'hrjknksmek|kb~ mjl SHR ~|mii~
Dbjlbv b}rk|{ kj kjngrj|v{ |vmkjkjd svgdvmh~? ~|rl{ |grv~ mjl gr|gingrj|v{ |vmkjkjd mjl ibeegt~`ks~ svgyklbl kj S@N hmjmdbhbj|% `bme|`ikjmjnkjd mjl `bme|` hmjmdbhbj| kjigvhm|kgj ~{~|bh~ (HK^+
Dbjlbv kjner~kyb HK^ `m~ fbbj lbybegsbl kj |`b svgabn| mjl ~bplk~mddvbdm|bl lm|m mvb mymkemfeb
=0
8/2/2019 Bangladesh: Urban Primary Health Care Project II
19/22
KHSMN\
Svb~bj| lm|m (6332 y~* 63==+ ~`gt khsmn| gj sgybv|{ vblrn|kgjf{ khsvgykjd |`b `bme|` ngjlk|kgj gi |`b sggv rvfmj tghbjmjl n`kelvbj f{
Hgvb |`mj ;3" Khhrjkqm|kgj ngybvmdb 49" Ojgtebldb gj S@N mjl imhke{ semjjkjd
Vblrn|kgj kj nghhgj lk~bm~b~
Hgvb |`mj 93" Svbjm|me mjl mvgrjl >>" sg~|jm|me n`bnors~ b|n (svgabn| HK^ lm|m ~`gt~ |g|me jrhfbv gi MJN
kjnvbm~bl 9 |khb~ mjl SJN kjnvbm~bl 0 |khb~ ~kjnb 6332+
=;
8/2/2019 Bangladesh: Urban Primary Health Care Project II
20/22
63
N@MEEMJDB^ ) ^GER\KGJ^
Tmvl Svkhmv{ @bme|` Nmvb Nggvlkjm|kgj Nghhk||bb hbhfbv~ mvb jg| tbeekjigvhbl gj |`bkv vgeb~% vb~sgj~kfkek|kb~ mjl gfekdm|kgj
^rddb~|kgj1 @gel hbb|kjd~'tgvo~`gs~ |g nemvki{ |`b svgabn| m~sbn|~mhgjd mee ~|mob`gelbv~ kjnerlkjd tghbj mjl FNN |g fb ~|vbjd|`bjbl
Hmagvk|{ gi |`b ngj|vmnbs|kyb r~bv~ mvb tghbj
^rddb~|kgj1 Gvdmjkqb smv|jbv ngrj~bekjd mjl hmeb ngj|vmnbs|kgj |g fbbjngrvmdbl
Hg~| gi |`b JDG ~|mii k~ jg| mlb}rm|be{ dbjlbv ~bj~k|kqbl
^rddb~|kgj1 Gvdmjkqb dbjlbv ~bj~k|kqm|kgj |vmkjkjd tk|` ~bvkb~ gi vbivb~`bvngrv~b~
^rddb~|kgj1 Kjnerlb dbjlbv mjl lbybegshbj| k~~rb~ kj mee |vmkjkjd ngrv~b~
8/2/2019 Bangladesh: Urban Primary Health Care Project II
21/22
6=
N@MEEMJDB^ ) ^GER\KGJ^
Lkiiknre|kb~ kj |khbe{ mymkemfkek|{ gi egdk~|kn~ mjl b}rkshbj| |`m|`mhsbv~ |`b ~bvyknb lbekybv{ |g tghbj% n`kelvbj ^rddb~|kgj1 Bj~rvb |khbe{ ~rsse{ gi egdk~|kn mjl b}rkshbj|
Emno gi mlb}rm|b dbjlbv mjl n`kel ivkbjle{ kjivm~|vrn|rvb tk|`
~riiknkbj| ~smnb fg|` igv ~bvyknb svgyklbv~ mjl ~bvyknb r~bv~ ^rddb~|kgj1 Ngj~|vrn| hgvb dbjlbv mjl n`kel ivkbjle{
kjivm~|vrn|rvb mllvb~~kjd |`b jbbl~ gi fg|` ~bvyknb svgyklbv~mjl ~bvyknb r~bv~
^`gv|mdb gi ibhmeb ~|mii m| hmjmdbhbj| ebybe
^rddb~|kgj1 Vbnvrk| mjl lbseg{ ibhmeb ~|mii m| hmjmdbhbj|ebybe
8/2/2019 Bangladesh: Urban Primary Health Care Project II
22/22
66