Integrated Health Sector Contingency Plan, Arghakhanchi, Nepal

7/23/2019 Integrated Health Sector Contingency Plan, Arghakhanchi, Nepal

http://slidepdf.com/reader/full/integrated-health-sector-contingency-plan-arghakhanchi-nepal 1/74

Hktemrjteb Lejotl Pe`tcr @ckthkmek`y Tojk

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Acr Hffebhjte Tunoh` Lejotl êspckse tc Lufjkhtjrhjk

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Mcverkfekt ca Kepjo

Fhkhstry ca Lejotl jkb Tcpuojthck

Bepjrtfekt ca Lejotl Pervhès

]esterk êmhckjo Lejotl Bhre`tcrjte

Bhstrh`t Lejotl Caahè

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Jìkcwoebmefekt

Bhstrh`t Lejotl Caahè Jrmljiljk`lh ljs reèktoy prepjreb tlhs `ckthkmek`y pojk ukber tle

muhbhkm pcoh`y ca EB@B js j pjrt ca ejroy prepjreb jkb respckse tc fhthmjte tle eaae`t ca

prcnjnoe bhsjster whtlhk tle bhstrh`t+ Acr tle prepjrjthck ca tlhs pojk/ BLC `cooe`teb bhaaerekt

types ca hkacrfjthck jkb revheweb repcrt acrf Bhstrh`t Beveocpfekt @cffhttee/ BB^@ êb&

@rcss/ Kepjo Jrfy/ Bhstrh`t Tcohè Caahè/ ]cfek jkb @lhob Beveocpfekt Caahè Jrmljiljk`lh

jkb ctlers+

Ahrst ca joo/ H wcuob ohie tc express fy shkère tljkis tc joo tle pjrth`hpjkts/ stjielcobers/ ac`jo

perscks wlc `cktrhnuteb tlehr ikcwoebme jkb sihoos tc prepjre tle pojk+ H wcuob josc ohie tc

jppre`hjte tle `cktrhnuthck ca EB@B/ ]LC/ jkb Tojkkhkm Caahèr ca BB@ burhkm pojkkhkm

wcrislcp+ Fy spe`hjo tljkis mces tc Fr+ Bjfcbjr Jblhijrh Trcmrjf Caahèr ]LC jkb Fr+

Plrjwjk Iufjr Kjyji/ Pr+ Tunoh` Lejotl Caahèr jkb Pljfnlu Nljmjt / LJ/ arcf EB@B acr

te`lkh`jo suppcrt+

H wcuob ohie tc jìkcwoebme tle `cktrhnuthck ca Fr Mcnhkbj Fjkh Nlurteo ,@BC(/ Fr+ Lhrj

Njljbur Tjkbey ,BPT(/ Fr Lef ^jg Nlusjo ,OBC(/ Fr+ Ohojrjf Mjutjf ,TLC( jkb Turkj NI

,Bhstrh`t `ccrbhkjtcr UKATJ(+ H wcuob ohie tc jppre`hjte joo tle pjrth`hpjkts acr tlehr j`thve

pjrth`hpjthkm hk tle wcrislcp+

Ahkjooy H wcuob josc express fy shkère mrjthtube tc Fr+ Jkho Blukmjkj ,TLC(/ Fr+ Ijnhkbrj

êmfh ,BJ@@ @crbhkjtcr(/ Fr+ Mjkesl ^jg Tjubeo ,Tunoh` Lejotl Hkspe`tcr(/ acr mekercus ljrb

wcri hk prepjrhkm tle Tojk+

Br+ Xjf N+ Njsket

Bhstrh`t Lejotl @lhea



J`rckyfs jkb Jnnrevhjthcks

JME Jùte Mjstrc&Ekterhths

JHBP J`quhreb Hffukc Beah`hek`y Pykbrcfe

JK@ Jktekjtjo @jre

JTA Jrfeb Tcohè Acrè

J^R Jkthretrcvhrjo Rlerjpy

JRB Jkth Runerùojr Brum

NEC@ Njsh` Efermek`y Cnstetrh` @jre

@NC @cffukhty Njseb Crmjkhzjthck

@BC @lhea Bhstrh`t Caahèr

@EC@ @cfprelekshve Efermek`y Cnstetrh` @jre

@LB @lhob Lejotl Bhvhshck

BJ@@ Bhstrh`t JHBP @ccrbhkjthck @cffhttee

BJC Bhstrh`t Jbfhkhstrjthck Caahè

BB^@ Bhstrh`t Bhsjster êspckse Rejf

BLC Bhstrh`t Lejotl Caahè

BCRP Bhre`toy Cnserveb Rrejtfekt @ekter

BQC Bhstrh`t Qeterhkjry Caahè

B]PC Bhstrh`t ]jter jkb Pjkhtjthck CaahèB]JPL@@ Bhstrh`t ]jter Pjkhtjthck jkb Lymheke @ccrbhkjthck @cffhttee

EB@B Ephbefhcocmy jkb Bhsejse @cktrco Bhvhshck

ETH Expjkbeb Trcmrjffe ck Hffukhzjthck

E]J^P Ejroy ]jrkhkm jkb êpcrthkm Pystef

A@LQ Aefjoe @cffukhty Lejotl Qcoukteer

ALB Ajfhoy Lejotl Bhvhshck

AT Ajfhoy Tojkkhkm

ATJ Ajfhoy Tojkkhkm Jsshstjkt

ATJK Ajfhoy Tojkkhkm Jssc`hjthck ca Kepjo

McK Mcverkfekt ca Kepjo

LJ Lejotl Jsshstjkt

LA Lejotl Aj`hohty



LAH Lejotl Aj`hohty Hk&`ljrme

LHQ Lufjk Hffukc Qhrus

LFHP Lejotl Fjkjmefekt Hkacrfjthck Pystef

LT Lejotl Tcst

L^ Lufjk êscurè

L^H Lejotl ^hmlt Hkterkjthckjo

LP@T Lejotl Pe`tcr @ckthkmek`y Tojk

L] Lejotl ]crier

HE@ Hkacrfjthck Ebu`jthck jkb @cffukh`jthck

HK@ Hktrj Kjtjo @jre

H#KMC Hkterkjthckjo Kck Mcverkfekt Crmjkhzjthck

H^J Hffebhjte ^jphb Jssessfekt

OLA Oc`jo Lejotl Aj`hohty

OFB Ocmhsth` Fjkjmefekt Bhvhshck

OULEP@C Oufnhkh Lejotl Pervhè @ccperjthve Otb

F@L] Fjterkjo jkb @lhob Lejotl ]crier

FHPT Fhkhfuf Hkhthjo Pervhè Tjìjme

FC Febh`jo Caahèr

F#]^ Fhb ]esterk êmhck

F]^J Fjrrheb ]cfek ca êprcbu`thve êmhck

KALT&HH Kepjo Ajfhoy Lejotl Trcmrjffe&HH

K^@P Kepjo êb @rcss Pc`hety

CTB Cut pjthekt Bccr

TL@ Trhfjry Lejotl @jre# @ekters

TLC Tunoh` Lejotl caahèr

TK@ Tcst Kjtjo @jre

^LB êmhckjo Lejotl Bhre`tcrjte

^FP êmhckjo Febh`jo Ptcre

^^K ûrjo ê`ckstru`thck Kepjo

^^R ^jphb êspckse Rejf

^RJ ^cjb Rrjaah` J``hbekt



P#JL] Pr+ Juxhohjry Lejotl ]crier

PNJ Pihooeb Nhrtl Jttekbjkt

PLT Pun Lejotl Tcst

PRH Pexujooy Rrjksfhtthkm Bhsejses

U5 Ukber Ahve

Q@R Qcoukteer @cukseohkm Resthkm

QB@ Qhoojme Beveocpfekt @cffhttee

QL] Qhoojme lejotl ]crier

]AT ]crob Accb Trcmrjffe

]LC ]crob Lejotl Crmjkhzjthck



:

Rjnoe ca @cktekts

PE@RHCK H ‐ HKR^CBU@RHCK +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >

J+ Njìmrcukb ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >

N+ Bhstrh`t Njìmrcukb7 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 0

@+ Trevhcus Xejr Ephbefh` jkb Bhsjster Experhekè +++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 2

B+ Tcsshnoe Lejotl @cksequekès ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 5

E+ Fhkhfuf Hkhthjo Pervhè Tjìjme acr êprcbu`thve Lejotl ,FHPT( +++++++++++++++++++++++++++++ 1

B+ @jpj`hty Jkjoyshs7& ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >:

E+ @ckthkmek`y Tojkkhkm Trcèss 7& ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >0

A+ Ptrjtemh` Bhre`thcks ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >2

Pe`thck HH ‐ Lejotl Pe`tcr @ckthkmek`y Tojk +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >5

J+ Ljzjrb jkb ^hsi Jkjoyshs ca Jrmljiljk`lh ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >5

N+ @ckthkmek`y Tojk +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ >1

Pe`thck HHH Lcsphtjo Efermek`y Trepjrebkess Tojk++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 2=

PE@RHCK HQ ‐ @CFFUKH@JRHCK PR^JREMX ++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 52

PE@RHCK Q JKKE\EP ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 55

Jkkex ‐ H+ Plcrt Jkjoyshs ca @rhth`jo Aj`hohthes ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 55

Jkkex ‐ HH&J`èss jkb Bhstjkè acrf Bhstrh`t Lejbqujrter ,hk IF( +++++++++++++++++++++++++++++++ 5<

Jkkex ‐ HHH&Hkacrfjthck ck Jfnuojkè Pervhès ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 1:

Jkkex HQ& Hfpcrtjkt @cktj`t Hkacrfjthck +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 1>

Jkkex Q ‐ Ocmhsth` êquhrefekt êquhreb tc êspckb tc Bhsjster ,Ephbefh`/ Ejrtl

Zujie/ Ojkbsohbe/ Bcm Nhte/ Ahre et`( ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 10

Jkkex QH ‐ Ocmhsth` Rrj`hkm Acrf ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 12

Jkkex QHH ‐ Rjoihkm Tchkt Refpojte +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 15

Jkkex QHHH ‐ Phtujthck êpcrt Refpojte++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 11

Jkkex H\ ‐ Rrjhkhkm Jttekbjkè +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 1=



>

PE@RHCK H ‐ HKR^CBU@RHCK

J+ Njìmrcukb

Kepjo ljve experhekèb severjo Mecplysh`jo / òhfjth` ljzjrbs hk tle pjst jkb hs prcke tc

fjky ihkbs ca kjturjo ljzjrbs wlh`l ljve c`ùrreb whtl hk`rejshkm arequek`y cver tle

prevhcus twc be`jbes+ Hk jbbhthck/ tle punoh` lejotl efermek`hes su`l js bhjrrlej

ephbefh` hk tle fhb jkb ajr west lhoos ljve tcoo ohves jkb ctler lejotl `cksequekès js

weoo+ ]lek bhsjsters c`ùr/ severjo lufjk rhmlts `cfe ukber tlrejt/ hkòubhkm tle rhmlt tc

tle lhmlest jttjhkjnoe stjkbjrb ca plysh`jo jkb fektjo lejotl+ Hk every bhsjster/ tle

uothfjte suaaerhkm jt hkbhvhbujo jkb pcpuojthck oeveo hs/ kc bcunt/ ck lejotl stjtus ca tle

pcpuojthck js ht bhre`toy jaae`ts tle peracrfjkè ca tle bhstrh`t lejotl systef tc respckb tc

hts pecpoe‘s keeb/ experhekè slcws+Rle `cksequekès ca j bhsjster bepekb ck tle s`joe jkb pcpuojthck bekshty hk tle jaae`teb

jrej+ Bhsjsters fjy lht refcte jrejs ca Kepjo/ wlh`l whoo pcse jk jbbeb `ljooekme tc

lufjkhtjrhjk respckbers hk terfs ca tle ocmhsth`s jkb trjkspcrtjthck requhrefekts+ Ck tle

cke ljkb/ tle ojì ca jbequjte hkarjstru`ture fjy exjèrnjte tle hfpj`t ca j bhsjster jkb

lekè `juse fcre `ljooekmes acr tle respckses+

Rle `cuktry hs reojthveoy rjkieb very lhml hk terfs ca vuokerjnhohty tc kjturjo `jojfhthes+

Rle rhsi hs neoheveb tc ne hk`rejshkm very rjphboy fjhkoy bue tc tle mrcwtl hk pcpuojthck+

Jkctler fjgcr aj`tcr acr tle hk`rejshkm rhsi hs tle ojì ca j ajvcrjnoe pcoh`y jkb oemjo

ekvhrckfekt `cffeksurjte whtl tle presekt&bjy shtujthck/ keebs/ cppcrtukhthes jkb

rescurè jvjhojnhohty+ Hk Kepjo aoccbs `rejte tle ojrmest bhsjsters/ ejrtlqujies jre tle

bejbohest cke/ ahres `juse tle ojrmest fjterhjo ocsses jkb `hvho ukrest hkbuès tle lejvhest

e`ckcfh` hfpebe hk tle `cuktry+

Hk su`l sèkjrhc/ Kepjo ljs jorejby acrfuojteb tle kjthckjo oeveo pcoh`y stru`tures tc

respckb tc tle keebs ca tle pcpuojthck hk efermek`hes hk lcohsth` jpprcj`l+ Eksuhkm ht

Bhstrh`t Lejotl Caahè ,BLC(/ Jrmljiljk`lh ljs jttefpteb tc prepjre hts lejotl se`tcr

`ckthkmek`y pojk tc nrhkm acrtl tle hffebhjte reohea tc hts pcpuojthck burhkm efermek`y

hk òcse `ccrbhkjthck whtl joo tle j`tcrs jt bhstrh`t oeveo+



0

N+ Bhstrh`t Njìmrcukb7

Jrmljiljk`lh hs shtujteb netweek >=‘25‖ K tc ><‘1‖ K jkb <4‘25‖ ejst tc <0‘ >0‖ ejst+

Rle bhstrh`t `cvers j tctjo ca ::80 sqif jrej+ Ht hs ncukbeb ny Tjopj hk tle ejst Muofh hk

tle kcrtl/ Ijphonjstu! ûpekblh bhstrh`t hk tle sctl jkb Bjkm ! Tyjutljk hk tle west+

1<% ca hts ojkb spjè hs oc`jteb hk Fjljnljrjt rjkme jkb 0>% oc`jteb hk Phwjohi remhck+

Rctjo pcpuojthck ca Jrmljiljk`lh bhstrh`t hs :/8=/10>+ Rle tctjo lcuselcobs jre 21<05:+

,@eksus >4::/ bhstrh`t prcahoe ca Jrmljiljk`lh Kepjo(+ Pjkblhiljrij hs hts bhstrh`t lejb

qujrter ‐ 044 if scutlwest ca Kepjo `jphtjo Ijtlfjkbu+ Jothtube ca Jrmljiljk`lh hs

:484 feters arcf tle sej oeveo+ @ohfjth`jooy tle jverjme tefperjture vjrhes netweek 1+5&

24 ` +Rle rjhkajoo pjtterk hs shfhojr tc kjthckjo sekjrhc ljvhkm jverjme rjhkajoo caa

>>44fo>+ Tcohth`jooy jrmljiljk`lh ljs 2> QB@ jkb :: Hoojij jkb > eoe`tcrjo `cksthtuek`y+

Mecmrjply7 Jrmljiljk`lh ohes netweek >=-25.K jkb ><-1.K ojthtube/ jkb <4-25.E tc<0->0.E ockmhtube+ Ht `cvers :/:80 if¾+ Rle jothtube ca tle bhstrh`t vjrhes arcf 045 tc

>5:5 feter jncve tle sej oeveo+ 1<% ca tle bhstrh`t hs hk tle fcuktjhkcus Fjljnljrjt

^jkme jkb tle rest hs hk tle Phwjohi Lhoos+ Eoevjthcks rjkme arcf 045 ‐ >5=5 f jncve sej

oeveo jkb jncut 24% ca tle tctjo jrej hs acresteb+ Rle fjgcr rhvers ca tle bhstrh`t jre Njkmh

ilcoj/ Njkmsjrh Ilcoj/ Fjtlurjnesh Ilcoj/ Njkmjkmj Ilcoj/ Burmj ilcoj/ Phtj ilcoj/

Iljijnesh Ilcoj/ ^jkmshkm Ilcoj/ ^jtke Ilcoj/ Glhfrui Ilcoj/ Iljkinesh Ilcoj et`++

Rle fjgcr ojies ca tle bhstrh`t jre Rljbj ojie jkb Pekmoekm ojie+

Fcst ca tle Ojkb stru`ture `ckshst ca ocw lehmlt lhoos/ mecrmes ,icj`l( jkb sfjoo pojhks

ojkb stru`ture+ Bhstrh`t Lejbqujter Pjkblhiljrij hs `ckke`teb tc terjh whtl 1< ihocfeter

nojìtcppeb rcjb whtl Fjlekbrj Lhmlwjy jt Mcrushkmle ca Ijphonjstu Bhstrh`t+

Pejsckjo Fubby rcjb `ckke`ts bhstrh`t lejbqujrter whtl joo ctler QB@s/ Lcwever burhkm

rjhky sejscks fcst ca tle QB@s jre ljrb tc rej`l+

Ukfjkjmeb `ckstru`thck ca rcjb jkb hrrhmjthck jkb beacrestjthck ljs hk`rejseb tle rhsi ca

kjturjo bhsjster su`l js ojkbsohbe+

Tcpuojthck7 Rle tctjo lcuselcob hk Jrmljilj`lh hs 21<05 whtl tle tctjo pcpuojthck ca

:8=10>+ Rle bhstrh`t `cver tle jrej ca ::80 Pq if/ Tcpuojthck bekshty hs :11 per Pq If+

Jfckm tle tctjo Fjoe pcpuojthck hs 20+15% jkb aefjoe pcpuojthck hs 51+05%+ Rle Pex

rjthc hs ==+5 hkbh`jthkm tle uknjojkèb pcpuojthck bhstrhnuthck jfckm sex+ Jrmljiljk`lh

: @eksus êpcrt >4::/> Bhstrh`t Trcahoe ca Jrmljilj`lh/ BB@



2

jockm whtl Muofh jkb Tyutljk bhstrh`ts repcrteb tle lhmlest prcpcrthck ca tlehr

pcpuojthck nehkm jnsekt ,stjyhkm jnrcjb(+ Rle tctjo jnsekt pcpuojthck hs 088>8/ wlh`l hs

>4+>% ca tctjo pcpuojthck ca tle Bhstrh`t+ Rle acoocwhkm tjnoe represekts pcpuojthck jme

whse pcpuojthck stru`ture ca tle bhstrh`t+

Jme Mrcup Kufner %

4&2 >4=82 :4+5>

5&8 >288< :>+15

:4&:2 ><>50 :2+04

:5&:8 >:<51 ::+41

>4&>2 :2<8> =+52

>5&>8 :>520 1+50

04&02 88<5 5+45

05&08 8<=1 5+44

24&22 80>< 2+=>

54&52 <000 2+>>

55&58 185< 0+50

14) >48=< :4+1:

@+ Trevhcus Xejr Ephbefh` jkb Bhsjster Experhekè

Hk tle reèkt pjst/ tlere jre fjky re`crbs ca Bhsjster/ tle trjmeby ca tle ]esterk êmhck

,]^(/ ojrme kufner ca ljzjrbs su`l js ojkbsohbe/ ahre/ ^cjb trjaah` j``hbekts ,^RJ(/

jkhfjo nhte ,esp+ bcm nhte(/ jvjojk`le/ et` hk tle pjst ljs `juseb fu`l suaaerhkm hk terfs

ca ohae jkb prcperty+ Rle ejrtlqujie/ yet kct re`crbeb thoo tle bjte/ fhmlt ljve vh`hcus

hfpj`t ck tle pcpuojthck jkb tlehr lejotl+

Rle stjthsth` ca bhsjster evekts ca pjst < yejrs summest c`ùrrekè ca ojkb sohbes/ fhkcr

ephbefh`/ ^cjb trjaah`s j``hbekts jkb ahre0+ Rlese evekts ljve fjrmhkjooy jaae`teb tle

pecpoe lcwever tle bejtl tcoo arcf ^RJ hs very lhml+

0 Bhstrh`t Bhsjster êspckse @cffhtee/ BB^T >4::



5

PK Bhsjster Trcnoefs Bhre`toy Jaae`teb Hkgureb Bejtl

: Ojkb sohbe :>= 4 >

> Ahre 0= : :

0 ^RJ :4: 5< 20

2 Bhjrrlejo Ephbefh` :210 :251 =

5 Jkhfjo Nhte,Bcm Nhte( :258 :250 1

B+ Tcsshnoe Lejotl @cksequekès

Bhsjster fhmlt ljve jnukbjkt lejotl `cksequekès jkb hfpj`t ck lufjk lejotl/ lejotl

aj`hohthes jkb ctler plysh`jo hkarjstru`tures+ Rle lejotl hfpj`t jre fcstoy reojteb tc

reprcbu`thve lejotl/ Kutrhthck/ LHQJHBs/ Keckjtjo Fcrtjohty/ Bhjrrlejo Bhsejses jkb

ctler `cffukh`jnoe bhsejses+ Arcf tle prcspe`thve ca pcshthve bhs`rhfhkjthck iey

pcpuojthck mrcups su`l js Tremkjkt ]cfek/ F]^J/ Keckjtes jkb Hkajkts/ ukber 5

`lhobrek/ bhsjnoe jkb eoberoy lejotl keeb slcuob ne acùseb+ Rlereacre tle fhkhfuf

hkhthjo servhè pjìjme hs beshmkeb tc jbbress pcsshnoe lejotl `cksequekès+ Rlese

pcpuojthck mrcups terfeb Ptjkbjrb Tcpuojthck j``crbhkm tc èksus >4:: hs slcwk hk

acoocwhkm tjnoe9

PK Tcpuojthck mrcup ^jthc Jrtljiljk`lh stjtus

: Rctjo pcpuojthck & :8=10>

> Jbuot fjoe >4% 085>10 ]cfjk ca reprcbu`thve jme >5% 28248

2 @rube nhrtl rjte 2% =845

5 Expe`teb premkjk`y & 50=0'

1 Expe`teb ohve nhrtl & 2<04'

= @cfpoh`jteb prem+jncrthck >4% :4=2

< ]^J ushkm `cktrjèpthck :5% =2::

<j Crjo `cktrjèpthck 04% >>>0

<n Hkge`tjnoes 15% 2<:=

<` HU@Bs 5% 0=48 Jbcoesèkt pcpuojthck & 2==02'

:4 ?5 pcpuojthck & >08=='

:: ?: pcpuojthck & 258<'

' esthfjteb ck èksus repcrt >4::



1

Pcfe ca tle pcsshnoe lejotl `cksequekès jre ekohsteb neocw7

Hk`rejse hk `cffukh`jnoe bhsejses/ su`l js bysektery jkb bhjrrlejo bhsejses/ jùte

resphrjtcry hkae`thcks/ eye cr sihk bhsejses+

Trcnjnoe hk`rejse hk sprejb ca LHQJHBP/ tunerùocshs+

Bestru`thck/ bjfjme cr hkj`èsshnhohty ca lejotl òhkh`s+

Ocss ca febh`jo equhpfekt jkb brums+

Jmmrjvjteb fjokutrhthck bue tc jùte accb slcrtjme+

E+ Fhkhfuf Hkhthjo Pervhè Tjìjme acr êprcbu`thve Lejotl ,FHPT(

Rle Fhkhfuf Hkhthjo Pervhè Tjìjme ,FHPT( acr êprcbu`thve Lejotl ,^L( hs j

`ccrbhkjteb set ca prhcrhty j`thvhthes beshmkeb tc7 prevekt jkb fjkjme tle `cksequekès ca

sexujo vhcoekè9 prevekt exèss keckjtjo jkb fjterkjo fcrnhbhty jkb fcrtjohty9 rebuè

LHQ trjksfhsshck9 jkb pojk acr `cfprelekshve ^L servhès hk tle ejroy bjys jkb weeis

ca jk efermek`y+ Kemoe`thkm ^L hk efermek`hes ljs serhcus `cksequekès7 prevektjnoe

fjterkjo jkb hkajkt bejtls9 sexujo vhcoekè jkb sunsequekt ukwjkteb premkjk`hes jkb

uksjae jncrthcks9 jkb tle sprejb ca LHQ+ Rle FHPT `jk ne hfpoefekteb whtlcut j kew

keebs jssessfekt ne`juse bcùfekteb evhbekè jorejby gusthahes hts use+

Cnge`thves ca tle FHPT jkb j`thvhthes7

:+ Hbekthay crmjkhzjthcks jkb hkbhvhbujos tc

aj`hohtjte tle `ccrbhkjthck jkb hfpoefektjthck ca

tle FHPT ny7

eksurhkm tle cverjoo ^L @ccrbhkjtcr hs hk

pojè jkb auk`thckhkm ukber tle lejotl

`ccrbhkjthck tejf9

eksurhkm ^L ac`jo pchkts hk `jfps jkb

hfpoefekthkm jmek`hes jre hk pojè9

fjihkm jvjhojnoe fjterhjo acr hfpoefekthkm tle FHPT jkb eksurhkm hts use+

>+ Trevekt jkb Fjkjme Pexujo Qhcoekè jkb prcvhbe jpprcprhjte jsshstjkè tc survhvcrs

ny7

Cnge`thve jkb J`thvhthes7

:+ @ccrbhkjthck jkb Hfpoefektjthck7

>+ Trevekt jkb fjkjme sexujo vhcoekè7

0+ êbuè LHQ trjksfhsshck7

2+ Trevekt exèss keckjtjo jkb fjterkjo

fcrnhbhty jkb fcrtjohty7

5+ Tojkkhkm acr @cfprelekshve ^L

Pervhès7



=

eksurhkm systefs jre hk pojè tc prcte`t bhspojèb pcpuojthcks/ pjrthùojroy

wcfek jkb mhros/ arcf sexujo vhcoekè9

eksurhkm febh`jo servhès/ hkòubhkm psy`lcsc`hjo suppcrt/ jre jvjhojnoe acr

survhvcrs ca sexujo vhcoekè+

0+ êbuè tle trjksfhsshck ca LHQ ny7

ekacr`hkm respe`t acr ukhversjo pre`juthcks9

mujrjkteehkm tle jvjhojnhohty ca aree `ckbcfs9

eksurhkm tljt noccb acr trjksaushck hs sjae+

2+ Trevekt exèss fjterkjo jkb keckjtjo fcrtjohty jkb fcrnhbhty ny7

prcvhbhkm òejk beohvery ihts tc joo vhshnoy premkjkt wcfek jkb nhrtl jttekbjkts tc

prcfcte òejk lcfe beohverhes9

prcvhbhkm bhmkhty ihts ,UKATJ cr equhvjoekt( tc aj`hohtjte òejk jkb sjae

beohverhes jt tle lejotl aj`hohty9

hkhthjthkm tle estjnohslfekt ca j reaerrjo systef tc fjkjme cnstetrh` efermek`hes+

5+ Tojkkhkm acr @cfprelekshve ^L Pervhès/ hktemrjteb hktc prhfjry lejotl `jre

,TL@(/ js tle shtujthck perfhts ny7

`cooe`thkm njsh` njìmrcukb hkacrfjthck9

hbekthayhkm shtes acr auture beohvery ca `cfprelekshve ^L servhès9

jssesshkm stjaa jkb hbekthayhkm trjhkhkm prctc`cos9

hbekthayhkm prcùrefekt `ljkkeos jkb jssesshkm fcktloy brum `cksufpthck+

FHPT @cfpckekt whse Tojk7

:+ @ccrbhkjthck jkb Hfpoefektjthck7

J qujohaheb jkb experhekèb persck hs hbekthaheb jt bhstrh`t tc `ccrbhkjte ^L j`thvhthes jt

tle stjrt ca tle efermek`y respckse+ BLC/ Jrmljiljk`lh hs respckshnoe acr beshmkjthkm

tlhs ^L @ccrbhkjtcr cr `jk ne josc ikcwk js ^L Ac`jo Tchkt jkb tlhs persck whoo nesupervhseb ny BLC+ Tunoh` Lejotl Kurse/ Fs Ijohij Nljkbjrh whoo j`t js tle ^L ac`jo

Tchkt



<

Cnge`thve jkb j`thcks7

Rerfs ca êaerekè acr j ^L @ccrbhkjtcr# Ac`jo Tchkt7

Ukber tle jusphès ca tle cverjoo lejotl `ccrbhkjthck arjfewcri/ tle ^L @ccrbhkjtcr

Ac`jo Tchkt slcuob…

Ne tle ac`jo pchkt acr ^L servhès jkb prcvhbe te`lkh`jo jbvhè jkb jsshstjkè ck

reprcbu`thve lejotl tc bhspojèb `cffukhthes jkb joo crmjkhsjthcks wcrihkm hk

lejotl jkb ctler se`tcrs js keebeb+

Ohjhse whtl Bhstrh`t jkb kjthckjo jutlcrhthes wlek pojkkhkm hfpoefekthkm ^L

j`thvhthes hk `jfps/ settoefekts jkb jfckm tle surrcukbhkm pcpuojthck+

Ohjhse whtl ctler se`tcrs ,prcte`thck/ `cffukhty servhès/ `jfp fjkjmefekt/

ebu`jthck/ et`+( tc eksure j fuoth&se`tcrjo jpprcj`l tc reprcbu`thve lejotl+

@rejte cr jbjpt jkb hktrcbuè kjthckjo jkb ctler stjkbjrbhzeb pcoh`hes tljt suppcrt

tle FHPT jkb eksure tljt tley jre hktemrjteb whtl prhfjry lejotl `jre/ acr

exjfpoe/ pcoh`hes reojthkm tc efermek`y cnstetrh` `jre cr mekber&njseb vhcoekè

Hkhthjte jkb `ccrbhkjte jubhekè&spe`hah` crhektjthck sesshcks ck tle FHPT ,e+m+/

acr lejotl wcriers/ A@LQ/ LACF@ fefners/ `cffukhty servhès caahèrs/ tle

nekeah`hjry pcpuojthck/ seùrhty persckkeo/ et`+(9

Hktrcbuè stjkbjrbhzeb prctc`cos acr seoe`teb jrejs ,su`l js febh`jo respckse tc

survhvcrs ca sexujo vhcoekè jkb reaerrjo ca cnstetrh` efermek`hes9 jkb/ wlek

pojkkhkm acr `cfprelekshve ^L servhès7 sykbrcfh` `jse fjkjmefekt ca PRHs

jkb ajfhoy pojkkhkm(

Beveocp jbjpt jkb hktrcbuè shfpoe acrfs acr fckhtcrhkm ^L j`thvhthes burhkm

tle efermek`y pljse tljt `jk ne`cfe fcre `cfprelekshve ckè tle prcmrjffe

hs `ckscohbjteb+

Use stjkbjrb hkbh`jtcrs tc fckhtcr FHPT cut`cfes+

@cooe`t/ jkjoyze jkb bhssefhkjte bjtj acr use+

êpcrt remuojroy tc tle lejotl `ccrbhkjthck tejf+



8

‟Ptjkbjrb‟ pcpuojthck

Jbuot fjoes >4%

]cfek ca reprcbu`thve jme ,]^J( >5%

@rube nhrtl rjte 2%

c Kufner ca premkjkt wcfek

c Kufner ca beohverhes

@cfpoh`jteb jncrthckspremkjk`y >4%

Qjmhkjo tejrsbeohvery :5%

@jesjrejk se`thcksbeohvery 5%

]^J wlc jre rjpeb >%

]^J ushkm `cktrjèpthck :5%

Crjo `cktrjèpthck 04%

Hkge`tjnoes 15%

HUB 5%

Hk bhspojèb pcpuojthck/ 2% ca tle tctjo pcpuojthck whoo ne premkjkt jt j mhvek thfe

,Jùte pljse ca Efermek`y7 @F^ ; ::4/444bjy(



:4

BLC/ Jrmljiljk`lh

^L @ccrbhkjtcr,FHPT(

#8<2=4>>=<<

BB^@/

Jrmljiljk`lh

UKATJ/ Jrmljiljk`lh

Fr+ Turkj Ni8<5=41:0:0

]LC/ ûpjkbelh

Fr+ ……++

#++++++++++

êmhckjo Lejotl

Bhre`tcrjte/

Tciljrj

N+ TL@/Rljbj

Br+ Ljrh Tjktlh

# 8<5=410>21

J+ TL@/Njoict

Fr+Pljkijr Tjkbey

# 8<2=:14245

:+LT Jrmlj

Fr+ Ghnkjrjyjk# 882=08141<

>+ LT/Jrmljtcsl

Fr+ Nubbh

Kyjupjke

# 8<2=:1=854

5+ LT/ Kjrjpjkh

Fr+ Plrjvjk

Tjktlh

# 8=2=4202<4

1+ LT/ Tciljrjtlci

Fr+ Peslijktj

Mlhfhre

# 8<5=41::8<

0+ iljkj

Fr+ Oeilkjtl

# 8<2=:4=821

2+ LT/Ljksjpur

Fr+ Nhslku

# 8<2=41>=>8

=+ LT /Phbbljrj

Fr+ Kjrjyjk

#8<5=41::0:

<+LT/Punjrkjiljo

Fr+ Irhslkj

Tjubeo

#8<2=45=81:

J+:+ PLT ]jkmoj

Fr+ ^jkiufjr

#8<2=42>=<4J+>+ PLT Ierukmj

Fr+ ûpjojo

#8<5=4><1<5

J+0+ PLT @lhbhij

Fr+ jfprjsjb

#8=2=4>>2<>

:+:+ LT Kuwjict

Fr+ Bevnjljbur

#8<2=:<:282

>+:+ PLT/ Nljmjwjth

Fr+ Nhslku pjubeo

#>+>+ PLT/ Fjrekm

Fr+ Fjbjk

# 8<2=>>85<>

>+0+ PLT/ Rluojpciljrj

Fr+ Nhslwjbev

# 8<2=402>=1

>+2+ PLT/ @lljtrjmukm

Fr+ Ijfjoprjsjb

# 8=2=424<25

N+:+ PLT Phtjpur

Fr+ Nhslku

# 8<2=022:=8

N+>+ PLT Bljk`ljur

Fr+ Plhvjprjijsl

#8<2=48404<

N+0+Guiekj

Fr+

#

5+:+ PLT/ Bljthnjkm

Fr+ Fhtrjbev

# 8<5=41:>84

1+:+ PLT/ Fjhbjk

Fr+ Gjmjbhsl

# 8<21141:<=1+>+ LT Tjkekj

Fr+ Iljmjrjg

# 8<2=444>85

1+0+ PLT/Tjtjuth

Fr+ Blrunj

# 8<

1+2+ PLT/ Ilhfbhf

Fr+

# 8<

:+>+ LT Bljrjpjkhfr+ Ketrj

#

:+0+ PLT/Ilhogh

Fr+Xjfprjsjb

# 8<2=402>=1

:+2+ PLT/ Jsurict

Fr+ Puresl

# 82=>>85<>

:+5 PLT Ihfbjkbj

Fr+ Fufjrjf

0+:+ PLT/ Njkmh

Fr+R^Fhslrj 8<5=4>8008

0+>+ PLT IljkjbjljFr+ Ketrjprjsjb

# 8<2=020044

0+0+ PLT/ Bhverkj

Fr+ Turkj Tjrjguoh

# 8<2=1:142=

2+:+ PLT/ McIlukmj

Fr+ Nljnhswjr

# 8=2=421=85

2+>+ PLT/ Bljijnjkm

Fr+ Nleslrjg

# 8<5=41:4>1

5+>+ PLT/ TjohFr+ ^jprjsjb

# 8<2=4=1>:=

5+0+ PLT/ Jbmurh

Fr+ Nlhfojo

# 8<2=45<81=

5+2+ LT Iljk`lhict

Fr+ Fhkrjg

# 8<2=::2==1

5+5 PLT/ Blhiurj

Fr+ Nljrjt

# 8<2=:4=:88

<+:+ PLT/ PhfjopjkhFr+ Bjfcbjr

# 8<=+:+ LT/ Gjouie

Fr+ Pukho

# 8<2=:4:><>

FHPT @ccrbhkjthck jkb @cffukh`jthck @ljrt

BLC/ Jrmljiljk`lh



::

>+ Trevekt jkb fjkjme sexujo vhcoekè7

]cfek jkb mhros wlc ljve experhekèb sexujo vhcoekè slcuob reèhve lejotl servhès js

scck js pcsshnoe jater tle hk`hbekt tc prevekt aurtler trjufj/ su`l js ukwjkteb

premkjk`hes jkb ohae&tlrejtekhkm hkae`thcks+ Ha oeat ukjbbresseb/ sexujo vhcoekè ljs

serhcus kemjthve sc`hjo `cksequekès acr wcfek jkb mhros js weoo js tlehr ajfhohes jkb tle

ojrmer `cffukhty/ tlus psy`lcsc`hjo servhès tljt leop tc lejo jkb efpcwer reljnhohtjte

wcfek jre keèssjry+ Trcte`thck jkb `cffukhty servhès stjaa slcuob josc ne hkvcoveb hk

prcvhbhkm oemjo suppcrt tc survhvcrs ca sexujo vhcoekè+


Rle fjhk cnge`thve hs tc prevekt jkb fjkjme tle `cksequekès ca sexujo vhcoekè+

Iey j`thcks tc ne ukbertjiek27

^L Caahèrs jkb prcmrjf stjaa fust7

Estjnohsl j prhvjte `cksuotjthck jrej whtl j ocìjnoe ahohkm `jnhket9

Tut hk pojè òejr prctc`cos jkb suaah`hekt suppohes jkb equhpfekt9

Lhre fjoe jkb aefjoe servhè prcvhbers aouekt hk oc`jo ojkmujmes/ cr/ wlere tlhs hs

kct pcsshnoe/ lhre trjhkeb fjoe jkb aefjoe `ljperckes jkb trjksojtcrs9

Hkvcove wcfek jkb fjoe jkb aefjoe jbcoesèkts hk be`hshcks ck j`èsshnhohty tcservhès jkb ck jk jpprcprhjte kjfe acr tle servhès9

Eksure tljt servhès jkb j reaerrjo fe`ljkhsf tc j lcsphtjo acr ohae&tlrejtekhkm

`cfpoh`jthcks jre jvjhojnoe >2 lcurs j bjysevek bjys j weei9

Ckè servhès jre estjnohsleb/ hkacrf tle `cffukhty wly/ wlere jkb wlek ,js

scck js pcsshnoe jater j rjpe( tlese servhès slcuob ne j`èsseb+ Use

`cffukh`jthck `ljkkeos jpprcprhjte tc tle setthkm ,e+m+/ tlrcuml fhbwhves/

`cffukhty lejotl wcriers/ `cffukhty oejbers/ rjbhc fessjmes cr hkacrfjthck

oejaoets hk wcfek‘s tchoets(9 jkb

2 Fhkhfuf Hkhthjo Pervhè Tjìjme ,FHPT( acr êprcbu`thve Lejotl hk @rhshs Phtujthcks7 J oejrkhkm Fcbuoe

beveocppeb ny Pcfek eaumee @cffhsshck+



:>

Eksure servhè prcvhbers jre sihooeb+ ]lere keebeb/ crmjkhze hkacrfjthck sesshcks

cr slcrt rearesler trjhkhkms ck òhkh`jo `jre acr survhvcrs ca rjpe+ @ohkh`jo

fjkjmefekt ca survhvcrs ca rjpe slcuob hkòube tle acoocwhkm `cfpckekts7

c Puppcrthve `cffukh`jthck

c Lhstcry jkb exjfhkjthck

c Acreksh` evhbekè `cooe`thck js reoevjkt

c @cfpjsshckjte jkb `ckahbekthjo trejtfekt/ hkòubhkm7

Efermek`y `cktrjèpthck

Rrejtfekt ca PRHs

Tcst&expcsure prcplyojxhs ,TET( tc prevekt LHQ trjksfhsshck

@jre ca wcukbs jkb prevekthck ca tetjkus

Trevekthck ca lepjthths N

êaerrjo acr aurtler servhès/ e+m+/ lejotl/ psy`lcocmh`jo jkb sc`hjo+

Rle @cbe ca @ckbu`t57

Rle HJP@ Rjsi Acrè ck Trcte`thck arcf Pexujo Expochtjthck jkb Jnuse ljs beveocpeb

shx `cre prhk`hpoes acr hkòushck hk UK jkb KMC @c@s+ Rley jre7

:+ Pexujo expochtjthck jkb jnuse ny lufjkhtjrhjk wcriers `cksthtute j`ts ca mrcss

fhs`ckbu`t jkb jre tlereacre mrcukbs acr terfhkjthck ca efpocyfekt+>+ Pexujo j`thvhty whtl `lhobrek ,perscks ukber tle jme ca :<( hs prclhnhteb

remjrboess ca tle jme ca fjgcrhty cr jme ca `cksekt oc`jooy+ Fhstjiek neohea hk tle

jme ca j `lhob hs kct j beaekse+

0+ Ex`ljkme ca fckey/ efpocyfekt/ mccbs cr servhès acr sex/ hkòubhkm sexujo

ajvcrs cr ctler acrfs ca lufhohjthkm/ bemrjbhkm cr expochtjthve neljvhcr/ hs

prclhnhteb+ Rlhs hkòubes tle ex`ljkme ca jsshstjkè tljt hs bue tc nekeah`hjrhes+

2+ Pexujo reojthckslhps netweek lufjkhtjrhjk wcriers jkb nekeah`hjrhes jre strckmoy

bhs`curjmeb shkè tley jre njseb ck hklerektoy ukequjo pcwer bykjfh`s+ Pu`l

reojthckslhps ukberfhke tle `rebhnhohty jkb hktemrhty ca lufjkhtjrhjk jhb wcri+

5 @hteb hk HkterJ`thck/ Ptep ny Ptep Muhbe tc Jbbresshkm Pexujo Expochtjthck jkb Jnuse/ Guke >4:4+

Jvjhojnoe arcf lttp7www+hkterj thck+crmbcùfekthkterj thck&step&step&muhbe&jbbresshkm&sexujo&expochtjthck&jkb&jnuse

http://www.interaction.org/document/interaction-step-step-guide-addressing-sexual-exploitation-and-abuse








:0

5+ ]lere j lufjkhtjrhjk wcrier beveocps `ckèrks cr susph`hcks remjrbhkm sexujo

jnuse cr expochtjthck ny j aeoocw wcrier/ wletler hk tle sjfe jmek`y cr kct/ sle

fust repcrt su`l `ckèrks vhj estjnohsleb jmek`y repcrthkm fe`ljkhsfs+

1+ Lufjkhtjrhjk wcriers jre cnohmeb tc `rejte jkb fjhktjhk jk ekvhrckfekt tljt

prevekts sexujo expochtjthck jkb jnuse jkb prcfctes tle hfpoefektjthck ca tlehr

`cbe ca `ckbu`t+ Fjkjmers jt joo oeveos ljve pjrthùojr respckshnhohthes tc suppcrt

jkb beveocp systefs tljt fjhktjhk tlhs ekvhrckfekt+

0+ êbuè LHQ trjksfhsshck7

Bhspojèb pcpuojthcks hk efermek`y shtujthcks jre espe`hjooy vuokerjnoe tc PRHs jkb LHQ+

PRHs/ hkòubhkm LHQ/ ljve tle pctekthjo tc tlrhve ukber `rhshs `ckbhthcks wlere j`èss tc

fejks ca prevekthck/ trejtfekt jkb `jre jre ohfhteb+


Rle cverjoo cnge`thve hs tc rebuè tle trjksfhsshck ck ca LHQ ny7

Eksurhkm sjae noccb trjksaushcks9

Ekacr`hkm respe`t acr ukhversjo pre`juthcks9

Eksure jkb hk`rejse tle jvjhojnhohty ca aree `ckbcfs+

@ckthkujthck ca J^R jkb fjkjmefekt ca @c hkae`thck

Trcplyojxhs

Trcfcthck ca Pjae Pexujo Trj`thè

@cfprelekshve @ckbcf Trcmrjffhkm

Neljvhcr `ljkme `cffukh`jthck


Eksure joo stjaa ,nctl febh`jo jkb suppcrt stjaa( hk lejotl `jre setthkms ukberstjkb

ukhversjo pre`juthcks+

Eksure òejk lejotl èkter ekvhrckfekt jkb Tcst Expcsure Trcplyojxhs

1 Fhkhfuf Hkhthjo Pervhè Tjìjme ,FHPT( acr êprcbu`thve Lejotl hk @rhshs Phtujthcks7 J oejrkhkm Fcbuoe

beveocppeb ny Pcfek eaumee @cffhsshck+



:2

Use prcte`thve njrrhers/ su`l js bhspcsjnoe mocves/ acr joo prcèbures hkvcovhkm

`cktj`t whtl noccb cr ctler pctekthjooy hkae`teb ncby aouhbs/ jkb prcte`thve

òctlhkm/ su`l js wjterprcca mcwks cr jprcks/ fjsis jkb eye slheobs/ wlere

jpprcprhjte+

Use ca kew/ bhspcsjnoe hkge`thck equhpfekt acr joo hkge`thcks hs lhmloy

re`cffekbeb9 sterhohzjnoe hkge`thck slcuob ckoy ne `ckshbereb ha shkmoe&use

equhpfekt hs kct jvjhojnoe jkb ha tle sterhohty `jk ne bcùfekteb whtl Rhfe/

Ptejf jkb Refperjture hkbh`jtcrs+

Fjie Jvjhojnoe ca @ckbcfs hk Tunoh` Tojès+

Ek`curjme acr `ckshstekt Use ca `ckbcf

Rrejt tle `jses ca PRH jkb fjie jvjhojnhohty ca Rest IHR

Eksure spjè acr jk hk`hkerjtcr jkb sterhohzjthck aj`hohthes+

@oejk/ bhshkae`t jkb sterhohze febh`jo equhpfekt 0= ushkm tle fcst jpprcprhjte

te`lkhques acr tle setthkm ,e+m+/ pressure&stejf/ lhml&oeveo bhshkae`thck/ nchohkm hk

wjter acr jt oejst >4 fhkutes cr scjihkm hk `lefh`jo scouthcks(+

Rrejt hkgurhes/ hkòubhkm tlcrcuml wjslhkm ca wcukbs/ rhkshkm ca eye cr fcutl

spojsles jkb prcvhbhkm pcst&expcsure tlerjpy wlere wjrrjkteb+

Eksure sjae ljkbohkm ca sljrp cnge`ts/ hkòubhkm tle prcvhshck ca puk`ture&

reshstjkt `cktjhkers acr sljrps bhspcsjo+

Eksure tljt bhspcsjo mrcukbs jre aekèb jkb kct j`èsshnoe tc tle punoh`+ Bhspcse

ca febh`jo wjste ny nurkhkm jkb nuryhkm sljrp cnge`ts hk j prcte`teb pht whtlhk

tle mrcukbs ca tle lejotl aj`hohty jkb kct hk tle `cffukjo bufp+

Trcperoy ljkboe `cktjfhkjteb wjste/ hkòubhkm lufjk wjste jkb `crpses+

êbuè tle keeb acr noccb trjksaushck ny trjhkhkm lejotl `jre wcriers tc use

vcoufe repojèfekt scouthcks wlere pcsshnoe+

Jvchb noccb trjksaushcks js fu`l js pcsshnoe jt khmlt/ wlek tlere hs catekhksuaah`hekt ohmlt+

]lek noccb trjksaushcks jre hfpoefekteb jt `jfp oeveo/ beveocp prcper systefs

jkb lcob jpprcprhjte febh`jo stjaa j``cuktjnoe acr tle trjksaushcks+

Eksure tljt joo noccb acr trjksaushck hs sjae ny eksurhkm tljt ht hs s`reekeb acr LHQ

jkb ctler noccb&ncrke bhsejses+



:5

Mujrjktee tle jvjhojnhohty ca aree `ckbcfs+

@cukseo tle scurè pjthekt remjrbhkm LHQ testhkm jkb `ckbu`t jk LHQ test ha

`cksekt hs cntjhkeb+

Tcst ahrst jhb fejsures hk reoevjkt wcrispjès jkb hkacrf joo stjaa lcw tc j`èss

trejtfekt acr expcsure+

Acr Jbcoesèkts7 Trcvhbe bhs`reet j`èss tc aree `ckbcfs jt jbcoesèkt&crhekteb

bhstrhnuthck pchkts/ jkb eksure tljt lejotl wcriers prcvhbe `ckbcfs tc

jbcoesèkts presekthkm whtl syfptcfs ca PRHs+ Eksure tljt jbcoesèkt&arhekboy

lejotl servhès jre jvjhojnoe acr jbcoesèkts presekthkm tc aj`hohthes+

2+ Trevekt exèss keckjtjo jkb fjterkjo fcrnhbhty jkb fcrtjohty7

]lhoe fjterkjo fcrtjohty hs j `cffck `juse ca bejtl jfckm wcfek careprcbu`thve jme

ohvhkm hk rescurè&pccr efermek`y setthkms+ Rle stressauo ohvhkm `ckbhthcks jkb ohfhteb

j`èss tc sihooeb lejotl prcvhbers jkb lejotl aj`hohthes exjèrnjte tle vuokerjnhohty ca

bhspojèb wcfek burhkm premkjk`y/ ojncr jkb beohvery whtl lhml rhsi acr fcrnhbhty jkb

fcrtjohty bue tc premkjk`y&reojteb `cfpoh`jthcks=+

Cnge`thves jkb J`thcks7

Trevekt exèss keckjtjo jkb fjterkjo fcrtjohty jkb fcrnhbhty ny7 prcvhbhkm òejk beohvery ihts tc vhshnoy premkjkt wcfek cr nhrtl jttekbjkts tc

prcfcte òejk beohverhes9

prcvhbhkm fhbwhae beohvery ihts tc aj`hohtjte òejk jkb sjae beohverhes jt tle lejotl

aj`hohty9

hkhthjthkm tle estjnohslfekt ca j reaerrjo systef tc fjkjme cnstetrh` efermek`hes+


@ccrbhkjte whtl tle lejotl se`tcròuster jutlcrhthes tc eksure j reaerrjo systef

,hkòubhkm fejks ca `cffukh`jthck jkb trjkspcrt( hs estjnohsleb hffebhjteoy ,hk

tle ahrst bjys( hk j lufjkhtjrhjk setthkm+ Rle reaerrjo systef fust suppcrt tle

= Hkter&jmek`y ]crihkm Mrcup ck êprcbu`thve Lejotl hk @rhses/ Hkter&jmek`y Aheob Fjkujo ck êprcbu`thve Lejotl hk Lufjkhtjrhjk

Petthkms/ >4:4+ Jvjhojnoe arcf lttp7##www+hjwm+ket#rescurès#aheobSfjkujo+ltfo

http://www.iawg.net/resources/field_manual.html






:1

fjkjmefekt ca cnstetrh` jkb kewncrk `cfpoh`jthcks hk tle bhspojèb pcpuojthck

jvjhojnoe >2 lcurs per bjy = bjys per weei+ Ht slcuob eksure tljt wcfek/ mhros

jkb kewncrks tljt requhre efermek`y `jre jre reaerreb arcf tle `cffukhty tc j

lejotl èkter wlere njsh` EfC@ hs jvjhojnoe/ cr j lcsphtjo wlere njsh` jkb

`cfprelekshve EfC@ jkb kewncrk `jre hs jvjhojnoe+

Trcvhbe fhbwhves jkb ctler sihooeb nhrtl jttekbjkts hk lejotl aj`hohthes whtl

fjterhjos jkb brums acr essekthjo kewncrk `jre+ Rlhs whoo hkòube fjterhjos acr

kewncrk resus`htjthck/ jkthnhcth`s acr tle trejtfekt ca sepshs/ jkb suppohes acr tle

`jre ca ocw nhrtl wehmltpreterf njnhes+

Eksure sihooeb nhrtl jttekbjkts jre jnoe tc prcvhbe `cfpetekt essekthjo kewncrk

`jre/ hkòubhkm7

c Hkhthjthck ca nrejtlhkm9

c êsus`htjthck9

c Rlerfjo prcte`thck ,beojyeb njtlhkm/ bryhkm/ sihk&tc&sihk `cktj`t(9

c Trevekthck ca hkae`thck ,òejkohkess/ lymhekh` `crb ùtthkm jkb `jre/ eye

`jre(9

c Hffebhjte jkb exòushve nrejstaeebhkm9 jkb

c Fjkjmefekt ca kewncrk sepshs jkb `jre acr preterfocw nhrtl wehmlt

njnhes+ Trcvhb òejk beohvery ihts tc vhshnoy premkjkt wcfek jkb nhrtl jttekbjkts acr

òejk lcfe beohverhes wlek j`èss tc j lejotl aj`hohty hs kct pcsshnoe+

Jvchb tle Rlree Beojys<9

c Beojy jt tle lcuselcob oeveo hk hbekthayhkm `cfpoh`jthcks jkb be`hbhkm tc

seei `jre9

c Beojy hk rej`lhkm j trejtfekt aj`hohty ,hkjnhohty tc met trjkspcrt/ pccr rcjb

`ckbhthcks/ hkseùrhty/ `leì pchkts/ ùraews/ et`+(9 jkb

c Beojy hk reèhvhkm jbequjte trejtfekt jt tle aj`hohty ckè rej`leb ,jnsekè

cr ojì ca qujohaheb stjaa/ ojì ca equhpfektsuppohes/ lhml `csts ca

trejtfekt/ keeb acr bcwk pjyfekt prhcr tc reèhvhkm `jre/ et`+(

< Rljbbeus/ P+ jkb B+ Fjhke/ ‟Rcc ajr tc wjoi7 fjterkjo fcrtjohty hk `cktext/‖ Pc`hjo P`hekè jkb Febh`hke/ Jprho :882+



:=

Acr jbcoesèkts7 Hbekthay premkjkt jbcoesèkts hk tle `cffukhty jkb ohki tlef tc

lejotl aj`hohthes tc ek`curjme aj`hohty&njseb beohverhes+ Aj`hohtjte kew jbcoesèkt

fctlers‘ pjrth`hpjthck hk peer suppcrt ketwcris acoocwhkm tle beohvery+

Hffebhjte `jre jater nhrtl @ckthkuhkm pcstkjtjo `jre

Ne sure tljt jttekbjkts use mocves cr

wjsl ljkbs whtl scjp jkb wjter neacre

tle beohvery jkb neacre tyhkm jkb

ùtthkm tle `crb+

Ieep beohvery rccf wjrf jkb eksure

njny hs brheb jkb wjrfoy wrjppeb

hffebhjteoy jater nhrtl+

Ieep tle lejb `cvereb+ Beojy njtlhkm

acr jt oejst shx lcurs+

Use j òejk ,preaerjnoy sterhoe(

hkstrufekt tc ùt tle ufnhoh`jo `crb/

jkb `leì arequektoy acr noeebhkm+

Ieep tle njny whtl tle fctler tc

eksure wjrftl jkb arequekt

nrejstaeebhkm+

Tjy jttekthck tc arequekt ljkb wjslhkm

ny jkycke ljkbohkm tle njny+

@oejk njny‘s eyes hffebhjteoy jater

nhrtl/ jkb ha prcplyojxhs hs `cuktry

pcoh`y/ hksthoo brcps cr chktfekt+

Ek`curjme Ijkmjrcc Fctler @jre

8

+ Leop fctler whtl tle ahrst ,whtlhk cke

lcur( nrejstaeebhkm:4

+

Ieep tle njny whtl tle fctler+ Jvchb

putthkm twc njnhes hk tle sjfe `ct+

@oejk tle `crb whtl scjp jkb wjter jkb

ieep ht bry+ Bc kct `cver tle `crb whtl

jky njkbjme cr òctl+

Reoo tle fctler wljt bjkmer shmks tc

occi acr hk tle `ckbhthck ca tle `crb jkb

hk ler njny+

Ne sure sle ikcws wlek jkb wlere tc

mc acr leop+

Rej`l tle fctler lcw tc ieep tle njny

wjrf+

Rjie tle njny tc tle lejotl èkter jt shx

weeis acr hffukhzjthcks+

Jbvhse tle fctler tc mhve ler `lhob

kctlhkm nut nrejst fhoi acr tle ahrst shx

fcktls jkb tc `ckthkue nrejstaeebhkm

up tc twc yejrs cr ockmer+

8 Ijkmjrcc Fctler @jre hs j ukhversjooy jvjhojnoe jkb nhcocmh`jooy scukb fetlcb ca `jre acr joo kewncrks/ nut hk pjrthùojr acr prefjture

njnhes/ whtl tlree `cfpckekts7 sihk&tc&sihk `cktj`t9 exòushve nrejstaeebhkm9 jkb febh`jo/ efcthckjo/ psy`lcocmh`jo jkb plysh`jo suppcrt ca

fctler jkb njny whtlcut sepjrjthkm tlef+Acr fcre hkacrfjthck/ vhsht www+ijkmjrccfctler`jre+`cf#reaScpreas+ltfo

http://www.kangaroomothercare.com/ref_oprefs.html






:<

5+ Tojkkhkm acr @cfprelekshve ^L Pervhès7

Rlhs se`thck cutohkes tle steps tc ne tjiek tc ne rejby tc expjkb ^L servhès wlek j

`rhshs shtujthck stjnhohzes jkb wlek joo tle `cfpckekts ca tle FHPT ljve neek

hfpoefekteb+ Ht hs hfpcrtjkt tc eksure tljt brum suppohes/ hkòubhkm `cktrjèpthves jkb

brums tc trejt PRHs/ jre jvjhojnoe jkb crbereb hk j rjthckjo jkb sustjhkjnoe fjkker sc tljt

tle bhspojèb pcpuojthck `jk ljve j`èss tc `cfprelekshve ^L servhès js scck js

pcsshnoe::

+

Cnge`thves jkb J`thcks7

Tojk acr tle prcvhshck ca `cfprelekshve ^L servhès/ hktemrjteb hktc prhfjry lejotl `jre/

js tle shtujthck perfhts+ Rlhs hkòubes7

`cooe`thkm exhsthkm njìmrcukb bjtj ck fjterkjo jkb keckjtjo fcrtjohty/ PRH jkb

LHQ prevjoekè/ `cktrjèpthve prevjoekè jkb preaerreb fetlcbs/ jkb ^L

ikcwoebme/ jtthtubes jkb neljvhcr ca tle jaae`teb pcpuojthck/ ha jvjhojnoe9

hbekthayhkm suhtjnoe shtes acr auture servhè beohvery ca `cfprelekshve ^L

servhès9

jssesshkm stjaa `jpj`hty tc prcvhbe `cfprelekshve ^L servhès jkb j pojk acr

trjhkhkm retrjhkhkm stjaa9

Crberhkm equhpfekt jkb suppohes tlrcuml rcuthke suppoy ohkes/ njseb ck esthfjteb

jkb cnserveb `cksufpthck+


@coojncrjte whtl bhspojèb wcfek/ ycutl jkb fek/ acr tle hktemrjthck ca

`cfprelekshve/ mccb qujohty ^L j`thvhthes hktc TL@ js scck js pcsshnoe burhkm

tle hkhthjo pljse+

Trepjre j pojk tc fhthmjte tle ^L prcnoefs jkb keebs burhkm jkb pcst efermek`y

setthkm+

:4 Acr fcre hkacrfjthck ck nrejstaeebhkm hk efermek`hes/ vhsht

www+wlc+hkt#reprcbu thvelejotl#punoh`jthcks#`ckaoh`tSjkbSbhspojèfekt#^LS`ckaoh`tSjppekbhx>+ek+ltfo

:: Fhkhfuf Hkhthjo Pervhè Tjìjme ,FHPT( acr êprcbu`thve Lejotl hk @rhshs Phtujthcks7 J oejrkhkm Fcbuoe beveocppeb ny Pcfek

êaumee @cffhsshck+

http://www.who.int/reproductivehealth/publications/conflict_and_displacement/RH_conflict_appendix2.en.html





:8

Punge`t Jrej Fhkhfuf ,FHPT(

^L servhès

@cfprelekshve

^L servhès

Ajfhoy Tojkkhkm Kcke'

' Jotlcuml ajfhoy pojkkhkm

hs kct pjrt ca tle FHPT/

fjie

`cktrjèpthvesjvjhojnoe acr

jky befjkb/ ha pcsshnoe+

Pcurè jkb prcùre

`cktrjèpthve suppohes

Caaer sustjhkjnoe j`èss

tc j rjkme ca

`cktrjèpthve fetlcbs

Trcvhbe stjaa trjhkhkm

Trcvhbe `cffukhty HE@

Mekber Njseb Qhcoekè @ccrbhkjte systefs tc

prevekt sexujo vhcoekè

Eksure lejotl servhès

jvjhojnoe tc survhvcrs ca

sexujo vhcoekè

Jssure stjaa trjhkeb

,retrjhkeb( hk sexujo

vhcoekè prevekthck jkb

respckse systefs

Expjkb febh`jo jkb

psy`lcocmh`jo jkb oemjo

`jre acr survhvcrs

Trevekt jkb jbbress

ctler acrfs ca MNQ/

hkòubhkm bcfesth`

vhcoekè/ acrèbejroy

fjrrhjme/ aefjoe mekhtjo

ùtthkm/ trjaahìhkm/ et`+ Trcvhbe `cffukhty HE@

Pjae Fctlerlccb Trcvhbe òejk beohvery

ihts

Trcvhbe fhbwhae beohvery

ihts

Estjnohsl reaerrjo systef

acr cnstetrh` efermek`hes

Trcvhbe jktekjtjo `jre

Trcvhbe pcstkjtjo `jre

Rrjhk PNJs jkb

fhbwhves

:> ‟Ajfhoy pojkkhkm hfpohes tle jnhohty ca hkbhvhbujos jkb cupoes tc jkth`hpjte jkb jttjhk tlehr beshreb kufner ca lhobrek

jkb tle spj`hkm jkb thfhkm ca tlehr nhrtls+ Ht hs j`lheveb tlrcuml use ca cktrjèpthve fetlcbs jkb tle trejtfekt ca

hkvcouktjry hkaerthohty+‖ ,]crihkm beahkhthck useb ny tle ]LC Bepjrtfekt ca eprcbu`thve Lejotl jkb esejr`l(+ Acr

aurtler hkacrfjthck ck ajfhoy pojkkhkm servhès hk efermek`y setthkms/ vhsht www+rlr`+crm#rescurès#hkbex+àf3se`tcr6ap :0 Acr aurtler hkacrfjthck ck MNQ hk efermek`y setthkms/ vhsht www+rlr`+crm#rescurès#hkbex+àf3se`tcr6mnv+ :2 Acr aurtler hkacrfjthck ck sjae fctlerlccb hk efermek`y setthkms/ vhsht www+rlr`+crm#rescurès#hkbex+àf3se tcr6sjae+

http://www.rhrc.org/resources/index.cfm?sector=fp






>4

PRHs/ hkòubhkm LHQ

Trevekthck jkb Rrejtfekt+

Trcvhbe j`èss tc aree

`ckbcfs'

Eksure jblerekè tc

ukhversjo pre`juthcks

Jssure sjae noccb

trjksaushcks

'Jotlcuml PRH prcmrjffhkm

hs kct pjrt ca tle FHPT/ ht hs

hfpcrtjkt tc fjie trejtfekt

jvjhojnoe acr pjthekts

presekthkm acr `jre js pjrt ca

rcuthke òhkh`jo servhès+

Hbekthay jkb fjkjme

PRHs

^jhse jwjrekess ca

prevekthck jkb

trejtfekt servhès acr

PRHsLHQ

Pcurè jkb prcùre

jkthnhcth`s jkb ctler

reoevjkt brums js

jpprcprhjte

Trcvhbe `jre/ suppcrt

jkb trejtfekt acr pecpoe

ohvhkm whtl LHQJHBP

@coojncrjte hk setthkm up

`cfprelekshve

LHQJHBP servhès js

jpprcprhjte

Trcvhbe `cffukhty HE@



>:

B+ @jpj`hty Jkjoyshs7&

Rle Mcverkfekt ca Kepjo ljs hkjbequjte ahkjk`hjo rescurès jvjhojnoe acr rjphb respckse

j`thvhthes+ Rle Bhsjster Trepjrebkess jkb êohea J`t ca :8<>/ ekj`teb tc fjie prcvhshck

acr tle `ccrbhkjthck jkb hfpoefektjthck ca fejsures tc jooevhjte eaae`ts ca bhsjsters+ Ht

hkòubeb tle estjnohslfekt ca j @ektrjo Bhsjster êohea @cffhttee jkb Trhfe Fhkhster

Kjturjo Bhsjster êohea Efermek`y Aukb/ jkb jt bhstrh`t oeveo Bhstrh`t Bhsjster êohea

@cffhttee ,BB^@( tc prcvhbe `cfprelekshve suppcrt tc tlcse jaae`teb ny tle bhsjster/

nut hk prevhcus yejrs rescurès ljve ckoy neek fjbe jvjhojnoe jater j bhsjster ljs

c`ùrreb beojyhkm reohea eaacrts `ckshberjnoy+ Jbbhthckjooy/ tlere hs ^jphb êspckse Rejf

,^^R( jt BLC tc prcvhbe punoh` lejotl respckse tc jaae`teb pcpuojthck+ Besphte tlese

eaacrts/ tle Mcverkfekt hksthtuthcks ck nctl kjthckjo/ nut hk pjrthùojr ck bhstrh`t oeveo



>>

ukber tle jutlcrhty ca tle Bhstrh`t Lejotl Caahè ,BLC( `ckthkue tc ajè j kufner ca

`ljooekmes+

P`jrè ahkjk`hjo rescurès acr fjhktekjkè ca exhsthkm prcte`thck stru`tures

Hkjbequjte Ejroy ]jrkhkm jkb Purvehoojkè Pystefs ,E]J^P( acr j kufner ca

bhsjsters/ hkòubhkm aoccbs/ ephbefh`s/ jkb `rcp ajhoures

]eji `jpj`hty tc `jrry cut rhsi jssessfekts

Plcrtjme ca trjkspcrt jkb `cffukh`jthck aj`hohthes hfpebhkm bhssefhkjthck ca ejroy

wjrkhkm fessjmes jkb tle `ckbu`t ca rjphb jssessfekts

Rle `ccrbhkjthck fe`ljkhsfsstru`tures ck bhstrh`t js weoo ck kjthckjo oeveo jre weji

jkb ojì nctl fjkpcwer/ ahkjk`hjo rescurès jkb te`lkh`jo sihoos hk crber tc jssufe

jk eaae`thve oejbhkm rcoe hk `ccrbhkjthck

Ojì ca oejberslhp jkb fcthvjthck hk scfe Bhstrh`ts acr eaae`thve efermek`y respckse

Ojì ca fcthvjthck cr crmjkhzjthck sihoos lhkberhkm eaah`hekt hkacrfjthck aocw hk

bhsjster shtujthcks

Bhstrh`t Bhsjster êspckse @cffhttee ljs reèktoy acrfuojteb tle Efermek`y

Trepjrebkess jkb êspckse Tojk acr Jrmljilj`lh Bhstrh`t:5

+ Rle Lejotl se`tcr ljs neek

hbekthaheb js cke ca tle hfpcrtjkt òuster hk Bhstrh`t Bhsjster êspckse Tojk+ Peverjo

Kck&Mcverkfektjo crmjkhzjthcks exhst hk tle bhstrh`t jkb jre rejby tc suppcrt hk

efermek`y+ Hk su`l sèkjrhc/ Hktemrjteb Bhstrh`t Lejotl Pe`tcr @ckthkmek`y Tojk wcuob

leop tle bhstrh`t eaae`thveoy respckb tc tle efermek`y hk j`thve pjrth`hpjthck ca joo tle

lejotl j`tcrs+

PK Lejotl Pervhè Ptjtus Kufner

:+ Lcsphtjo :

>+ Trhfjry Lejotl @jre @ekter >

0+ Lejotl Tcst :=

2+ Pun Lejotl Tcst >>5+ Lcsphtjo Neb ^jthc :75284

1+ Bc`tcr Tcpuojthck ^jthc :7>:814

:5 Bhstrh`t Bhsjster êspckse @cffhtee hs `ljhreb ny @BC jkb hs tle `cffhtee ca stjielcobers jt bhstrh`t

oeveo



>0

E+ @ckthkmek`y Tojkkhkm Trcèss 7&

Rle pojkkhkm prcèss stjrteb whtl tle revhew ca exhsthkm @ckthkmek`y jkb Efermek`y

Trepjrebkess Tojks acrfuojteb ny bhstrh`t oeveo ohke jmek`hes hkòubhkm kck&mcverkfektjo

se`tcr+ Njseb ck tle revhew/ Bhstrh`t Lejotl Caahè ,BLC(/ Jrmljiljk`lh crmjkhzeb tle

tlree&bjy @ckthkmek`y Tojkkhkm wcrislcp whtl pjrth`hpjthck ca joo se`tcrs+

Rle Bhstrh`t Lejotl Caahè ,BLC( @lhea presekteb nrheaoy tle cverjoo prcèss ca tle

`ckthkmek`y pojkkhkm/ jkb set tle njìmrcukb tc hkhthjte tle pojkkhkm prcèss+ Joo tle

pjrth`hpjkts hbekthaheb vjrhcus ihkbs ca tle efermek`y jkb bhsjsters tljt ljve jorejby lht

tle bhstrh`t jkb ctlers tljt pcsshnoy jaae`t tle bhstrh`t pcpuojthck jky thfe hk kejr auture+

Rlek jater/ tley rjkieb tle bhsjsters hk terfs ca extekt ca bjfjme tle hbekthaheb

efermek`y `jk `juse whtl tle leop ca Quokerjnhohty Jssessfekt Rcco+ Rle wcrislcp

hbekthaheb vjrhcus lejotl aj`hohthes/ lejotl èkters/ jkb bhsùsseb jncut tlehr auk`thckjohty

tljt were tjppeb hk terfs ca efermek`y prepjrebkess jkb respckse+ Rle betjho

hkacrfjthck hs jvjhojnoe hk tle Jkkex& HHH

Hk tle kext bjy tle pjrth`hpjkts were mrcupeb hktc 1 sfjoo mrcups acr bhsùsshck jkb

prepjrjthck ca `ckthkmek`y pojk acr tle shx prhcrhthzeb ljzjrbs vhz+ Ephbefh`/ Ojkbsohbes/

Ejrtlqujie/ Ahre/ ^cjb Rrjaah` J``hbekt/ jkb Bcm Nhte ,^jnhes( + Ck tle sjfe bjy/ tle

wcrislcp aurtler hbekthaheb tle `cffukh`jthck strjtemy tc eksure tle ajst jkb eaae`thve

respckse hk efermek`hes+ Bhsùsshck wjs njseb ck/ ahrst/ hkterkjo `cffukh`jthck/ tle

spciesperscks jt ej`l oeveo ca servhè beohvery were hbekthaheb/ jkb se`ckb/ exterkjo

`cffukh`jthck/ sjfe spcie perscks were hbekthaheb+

Ck tle tlhrb bjy/ bhsùsshck wjs fjbe ck tle ocmhsth` prepjrebkess+ Bhstrh`t Lejotl

Caahè @lhea aj`hohtjteb tle cverjoo prcèss+ Aurtler/ hkacrfjthck wjs mjtler ck j`èss jkb

bhstjkè ca joo lejtl aj`hohthes arcf bhstrh`t lejbqujrter/ fejks ca trjkspcrtjthck jkb

joterkjthve fejks hk `jse ca jky bhsturnjkè+ Hk jbbhthck/ hkacrfjthck wjs mjtlereb ck tle

jfnuojkè servhès jkb `cktj`t hkacrfjthck ca caah`hjos ca joo tle crmjkhzjthckslejotl

aj`hohthes+

Fcst ca tle pjrth`hpjkts acukb tljt tle `ckthkmek`y pojk tc ne very fu`l eaae`thve tc

`cpe up tle efermek`y hk hktemrjteb jpprcj`l+ Uothfjteoy/ we sljreb tle cverjoo pojk

beveocpeb tc Bhstrh`t Bhsjster êspckse @cffhttee ,BB^@( jkb fjbe keèssjry

jfekbfekts ck tle lejotl se`tcr `ckthkmek`y pojkkhkm ca tle Jrmljijk`lh+



>2

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28

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50

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52

PE@RHCK HQ ‐ @CFFUKH@JRHCK PR^JREMX

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55

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51

:5 Kuwjict LT Kuwjict X K & 2 Auk`thckjo

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0: Bljthnjkm PLT Bljthnjkm X K & > Auk`thckjo

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05 Blhiurj PLT Blhiurj X K & 0 Auk`thckjo

01 Puvjrkjiljo LT Puvjrkjiljo X K & 2 Auk`thckjo



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0= Phfjopjkh PLT Phfjopjkh X K & 0 Auk`thckjo

0< Phtjpur PLT Phtjpur X K & 0 Auk`thckjo

08 Guiekj PLT Guiekj X K & 2 Auk`thckjo

24 Bljk`ljur PLT Bljk`ljur X K & 0 Auk`thckjo

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:2+ Ihfbjkbj PLT < yes :/>/0 Qhj Pjkblhiljrij

:5+ Kuwjict LT 8 yes :/> Qhj Pjkblhiljrij



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>0+ Bljijnjkm LT 0: yes :/>/0 Qhj Pjkblhiljrij ihkbjkbj bljrjpjkh

>2+ Mcilukmj PLT yes :/>/0 Qhj Pjkblhiljrij Jrmlj Njkmh Ljksjpur

>5+ Tciljrjtlci LT 05 yes :/> Qhj Mlufth Tjoh Njksjruilj/ vhj pjopj tjkse

>1+ Tjkekj LT 2> yes :+>Qhj Mlufth Tjoh Njksjruilj pciljrjtlci vh

pjopj tjksek

>=+ Fjhbjk PLT 0> :/>/0 Qhj Mlufth Tjoh

><+ Tjtjuth PLT 01 :>/0 Qhj Mlufth Tjoh

>8+ Ilhbhf PLT 0< yes :/> Qhj Mlufth Tjoh Njksjruilj

04+ Kjrjpjkh LT :> yes :/> Qhj Pjkblhiljrij aubnjkm

0:+ Bljthnjkm PLT >8 yes :/> Qhj Mlufth Jbmurh

0>+ Tjoh PLT >4 yes :/> Qhj Mlufth Jbmurh

00+ Jbmurh PLT :5 yes :/> Qhj Mlufth

02+ Iljk`lhict LT >4 yes :/> Qhj Mlufth kjrjpjkh

05+ Blhiurj PLT = yes :/> Qhj Pjkblhiljrij

01+ Puvjrkjiljo LT >: yes :/> Qhj Mlufth kjrjpjkh rjgunjsl

0=+ Phfjopjkh PLT 2= yes :/> Qhj tljbj Nlebjfjre

0<+ Phtjpur PLT >= Xes Qhj Mlufth kjrjpjkh Beurjoh

08+ Guiekj PLT 2> Xes Qhj Rljbj Jfjrjh



24+ Bljk`ljur PLT >: Xes Qhj Rljbj Jfjrjh/ Pjkblhiljrij Blhiurj

2:+ Phbbljrj LT 5> Xes Qhj Rljbj @ljioj

2>+ Gjouie LT 52 yes Qhj Rljbj @ljioj Guiekj



1

Jkkex ‐ HHH&Hkacrfjthck ck Jfnuojkè Pervhès

PK Kjfe ca tle CrmjkhzjthckJbbress ,hkòubhkm

plcke/ ajx ! efjho(

Rypes ca Jfnuojkè

Qelhòes ,e+m+ Rcyctj/

RJRJ(

Pervhè

Ptjrteb

Xejr

:+ Bhstrh`t Lcsphtjo

Jrmljiljk`lh4==2>4& >5=/ 8<5=41:452 Fjlhkbrj >41>

>+ Nlupu+ Pjkhi sjkml

Jrmljiljk`lh8<2=:<>5<2 RJRJ Pufc >415

0+ Kepjo êb @rcss Pc`hety

Jrml+ Nrjk`l8<5=41:>55 RJRJ Pufc >415



Jkkex HQ& Hfpcrtjkt @cktj`t Hkacrfjthck

PK Kjfe jkb beshmkjthck Kjfe ca Crmjkhzjthck Reo Kc+ Fcnhoe Ajx kc+ Efjho

jbbress

êfjri

> Fr+ Mcvhkbjfjkh Nlurteo/ @BC B+J+C 4==2>4&:00

4==&2>4&>48

8<5=44====

0 Fr+ Lefrjg Nlusjo/ OBC BB@ 8<5=4>=<><

2 Fr+ Lhrj N+ Tjkbey /BPT BTC 4==2>4&:88 8<5=445555

5 Br+ Xjf Njljbur Njsket BLC BLC 4==&2>4&:<< 8<5=45=544

1 F+ Ohojrjf Mjutjf TLC BLC 4==&2>4&>:0 8<2=4<=1<:

= Fr+ Pljfnlu Tcilreo/ @ljhrfjk K^@P/ Jrmljiljk`lh 4==&2>4&>>= 8<2=:4<:>5

< Fr+slcvjiljr Tjktlh/ Treshbekt Kepjo Tjtrjijr

Fjljsjkml

4==2>4052 8<5=4142<>

8 Fr+ Puryj Nlusjo ^jbhc Beurjoh

Jrmljiljk`lh

4==2>4:=: 8<5=41:05<

:4 Fr+ Nhslku Fusijk Jrmljiljk`lh A+F+ 4==2>4:0: 8<2=410850

:: Fr+ Nhrekbrj I@ Ijkthpur /Pjfpjbji 8<2=::4==0

:> Fr+ Khf ^jkj EF^ hk`ljrme 4==2>4>5= 8<2=:48:2>

:2 Rhoji Fjljtrj LJ/ ^^R Ac`jo

Tchkt

BLC/Jrmljiljk`lh 8<2=:4<1:4



Jkkex Q ‐ Ocmhsth` êquhrefekt êquhreb tc êspckb tc Bhsjster ,Ephbefh`/ Ejrtl Zujie/ Ojkbsohbe/ Bcm Nhte/ Ahre et`(

PK Betjhos Zujkthty requhreb' @cst per ukht Rctjo `cst êfjris ,aukbhkm

:+ Pu`thck Fj`lhke whtl `jtleter :5 XEP

>+ Tcrtjnoe E@M 5 XEP

0+ \&rjy 0 XEP

2+ Ptret`ler 2>':46 2>4 XEP

5+ Ahre Exthkmuhsler 54 XEP

1+ PU^MH@JO OCMHPRH@P

j @ervh`jo @coojr >44 XEP

n Oufnjr Pj`rjo Neot >44 XEP

` Ppohkt >44 XEP

b Jrf pcu`l jkb @ojvhòe nrjè >44 XEP

=+ Beohvery Neb Tjrthjooy XEP

<+ Jfnu Njm Tjrthjooy XEP

8+ êsustjhre Tjrthjooy XEP

:4+ @locrhke Pcouthck 2444 ncttoes >4444 tjn XEP

::+ Bhjrrlcej fjkjmefekt ihts XEP

:>+ Ahrst Jhb ihts XEP

:0+ êprcbu thve lejotl ihts XEP

:2+ Efermek`y fjkjmefekt ihts XEP

:5+ ^jnhes vj``hke XEP

:1+

:=+

'Zujkthty requhreb6 exhsthkm Zujkthty& J`tujo êquhreb njseb ck tctjo Tcpuojthck



Jkkex QH ‐ Ocmhsth` Rrj`hkm Acrf

Kjfe Rhtoe Jmek`y Bjte ca Jrrhvjo

êspckse Jrej

Burjthck ca

stjy

Bhstrh`t QB@



15

Jkkex QHH ‐ Rjoihkm Tchkt Refpojte

Bjte7

& Tojè ca c`ùrrekè7

Phtujthck7

& ]ljt ljs c`ùrreb3

& # jaae`teb

& # bejb jkb hkgureb

& ]ljt jre tle scurès ca tle efermek`y3 ,ex+ @cktjfhkjteb wjter/ rjhk/ nrciek bjf et`+(

êspckse

& ]ljt ljs neek bcke3

Ny wlcf

& ]ljt jre tle rescurès ck tle mrcukb3

Mjps

& ]ljt jre tle mjps3

& ]ljt jre tle pojks tc ahoo tle mjps3

Kext Pteps

& ]ljt jre tle kext steps3



11

Jkkex QHHH ‐ Phtujthck êpcrt Refpojte Lhmlohmlts

& ]ljt jre tle fjhk lhmlohmlts3 ,# ca pecpoe bejb/ fhsshkm/ hkgureb et`+(

& ]ljt hs tle fjhk respckse3

& ]ljt jre tle fjhk mjps3

@urrekt Phtujthck

& Jre tlere jky upbjtes ck tle shtujthck3

êspckse

& ]ljt hs tle fjhk respckse3

& ]lc hs respckbhkm/ jkb hk wljt jrej3

Mjps

& ]ljt jre tle fjhk mjps hk respckse3

Kext Pteps

& ]ljt jre tle kext steps ekvhshckeb3



1=

Jkkex H\ ‐ Rrjhkhkm Jttekbjkè

P+K+ Kjfe Caahè Beshmkjthck @eoo Kc+

: Mcnhkbjfjkh Nlurteo B+J+C+ @BC

> Lefrjg Nlusjo BBC OBC

0 Lhrj Njljbur Tjkbey BTC BPT

2 Fr ^jf Ijgh ^jkj @ljkbjk Kjtl Mjkk Ijrkeo

5 Br+ Xjf Njljbur Njsket BLC BLC

1 Br+ Nhslku J`ljryj BLC FC

= Br+ Kjnhk Bjrkjo BLC FC

< Br+ Khnjsl Nubjtlcih BLC FC

8 Br+ Pubjrsjk Ichrjoj BLC FC

:4 Br+ Ojxfjk Pljrfj BLC FC

:: Fr Ohojrjf Mjutjf BLC TLC

:> Fr Jkho Blukmjkj BLC TLC

:0 Fr Rhoji Fjlctrj BLC ^^R ac`jo Tersck

:2 Fr Mjkesl Tjubeo BLC TLH

:5 Fr Khf ^jkj BLC PJL]

:1 Fr Xunrjg Iljkjo BLC LJ

:= Frs Pjrjswjth Njkgjbe BLC Ptjaa kurse

:< Fr Plrjvjk Tjktlh BLC LJ

:8 Fr Ijslh ^jf Tjktlh BLC Pe`thck Caahèr

>4 Fr Bhkesl ûwjoh L^H Bhstrh`t @c&crbhkjtcr

>: Fr Ijnhkbrj êmfh BLC BJ@@ @c&crbhkjtcr

>> Fr Turkj NI UKATJ Bhstrh`t @c&crbhkjtcr+

>0 Frs Ijohij nljkbjrh BLC TLK

>2 Fr+ Uttjf Ichrjoj BLC ATC>5 Fr+ Pcvjijr Tcilreo BLC TLH

>1 Fr Rljiur Jblhijrh êb `rcss

>= Fr Blurnj Mhrh BB@ TC

>< Fr Ljrhs @ljkbrj Nlusjo BB@ PBC



>8 Fr Fjbjk Nljttjrjh BLC Kj+Pu+

04 Fr Rljiur I+ Plrestlj BLC AC

0: Fr Ohoj Bljr Tjubeo BJC HC

0> Frs Nhslku Iufjrh

Ojfh`lljke

]@BC ]@BC

00 Fr Pjkiljr Tjkbey Njoict TL@ TLH

02 Fr Thtjfnjr Jblhijrh Rljbj TL@ TLH

Documents

Integrated Health Sector Contingency Plan, Arghakhanchi, Nepal