Souza_New WHO Guidelines on PEE 2011

8/2/2019 Souza_New WHO Guidelines on PEE 2011

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4088 ]NJ Mbfcablcs gjt

Ptcwclvbjl hlf Vtchviclv jgPtc)coahipsbh hlf

Coahipsbh

K,P, _j{h

Biptjwblm Ihvctlha hlf Pctblhvha Nchavn Slbv!Fcphtviclv jg Tcptjfovbwc Nchavn hlf Tcschton!

]jtaf Nchavn Jtmhlb{hvbjlMclcwh! _}bv{ctahlf


2/26

Ptc)coahipsbh hlf Coahipsbh

Hl bipjtvhlv ohsc jg scwctc ijtdbfbvr! ajlmvcti fbshdbabvr hlf fchvn gjt ijvncts hlf dhdbcs

Hgtboh hlf Hsbh; hdjv 80# jg ihvctlha fchvns

Ahvbl Hictboh; ihbl ohsc jg ihvctlha fchvns

Hwjbfhdac vntjmn vbicar hlf cggcovbwc ohtc

Jlar fcgblbvbwc vtchviclv bs ptcmlhlor

vctiblhvbjl jt fcabwctr


3/26

Nbmn Tbse Pjpahvbjls

Ptcwbjs ptc)coahipsbh

Ontjlbo nrpctvclsbjl

Tclha fbschsc

Fbhdcvcs

Hvjbiilc fbschsc

Iavbpac ptcmlhlobcs


4/26

nvvp;**}}},}nj,blv*pdabohvbjls*mbfcablcs*cl*
http://www.who.int/publications/guidelines/en/http://www.who.int/publications/guidelines/en/


5/26

4088 ]NJ PC*C Mbfcablcs

Vnc mbfcablc fcwcajpiclv icvnjfsbloafcf;

vnc bfclvbgbohvbjl jg otbvboha xcsvbjls hlf otbvboha

jvojics

vnc tcvtbcwha jg vnc cwbfcloc ._T"

vnc hsscssiclv hlf srlvncsbs jg cwbfcloc .MTHFC"

vnc gjtiahvbjl jg tcojiiclfhvbjls ' blvctlhvbjlhaojlsavhvbjl! hlf

vnc fbssciblhvbjl! bipaciclvhvbjl! biphov cwhahvbjlhlf ojlvbljs pfhvblm jg vnc mbfcablc,


6/26

Cwbfcloc Dhsc

Ohaobi sppaciclvhvbjl

8? TOVs! 83 =?0 }jicl

Fjsc scf bl vnc vtbhas 8,3m

4,0mTbse jg PC

Haa }jicl; TT 0,63 .23#OB 0,?8)0,73! 83=?0 }jicl"

Nbmn tbse pjpahvbjl; TT 0,44 .23#OB 0,84)0,64! 3>=}jicl"

Aj} Oh blvhec; TT 0,?7 .23#OB 0,40)0,73! 807=7}jicl"


7/26

]NJ Tcojiiclfhvbjl

Bl htchs }nctc fbcvhtr ohaobi blvhecbs aj}! ohaobi sppaciclvhvbjl

ftblm ptcmlhlor .hv fjscs jg 8,3

4,0m caciclvha ohaobi*fhr" bstcojiiclfcf gjt vnc ptcwclvbjl jg

ptc)coahipsbh bl haa }jicl! dvcspcobhaar vnjsc hv nbmn tbse jg

fcwcajpblm ptc)coahipsbh,


8/26

Cwbfcloc Dhsc

Hlvbpahvcacv hmclvs .hspbtbl"

70 TOVs! ?= =40 }jicl

Phtvboahtar cggcovbwc bl nbmn tbse }jicl; TT 0,=3! 23#OB 0,77)0,>3! 8> vtbhas! 6848

}jicl

Hspbtbl blbvbhvbjl hlf mcsvhvbjlha hmc 140}es; TT 0,>4 .23#OB 0,72)0,2>"


9/26

]NJ Tcojiiclfhvbjl

Aj})fjsc hocvrashaborabo hobf .hspbtbl! =3im" bs tcojiiclfcf gjt vnc ptcwclvbjl jgptc)coahipsbh bl }jicl hv nbmn tbse jg

fcwcajpblm vnc ojlfbvbjl,

Aj})fjsc hocvrashaborabo hobf .hspbtbl! =3im" gjt vnc ptcwclvbjl jg ptccoahipsbhhlf bvs tcahvcf ojipabohvbjls snjaf dcblbvbhvcf dcgjtc 40 }cces jg ptcmlhlor,


10/26

Cwbfcloc Dhsc

Hlvbnrpctvclsbwc vtchviclv Iavbpac ojiphtbsjls

Aj} xhabvr fhvh Jlmjblm vtbhas ojloctlblm ijfcthvc nrpctvclsbjl

Nrfthah{blc bs vnc ijsv svfbcf ftm gjt scwctcnrpctvclsbjl

Oh onhllca dajoects .c,m, lbgcfbpblc" mjjf tcsavs


11/26

]NJ Tcojiiclfhvbjl

]jicl }bvn scwctc nrpctvclsbjl ftblmptcmlhlor snjaf tcocbwc vtchviclv }bvnhlvbnrpctvclsbwc ftms,

Vnc onjboc hlf tjvc jg hfiblbsvthvbjl jg hlhlvbnrpctvclsbwc ftm gjt scwctc nrpctvclsbjlftblm ptcmlhlor! bl ptcgctcloc vj jvncts! snjaf

dc dhscf ptbihtbar jl vnc ptcsotbdblm oablbobhl-sc~pctbcloc }bvn vnhv phtvboaht ftm! bvs ojsv hlfajoha hwhbahdbabvr nbfthah{blc! lbgcfbpblc


12/26

Cwbfcloc Dhsc

Ihmlcsbi saghvc gjt Coahipsbh ptcwclvbjl

Pahocdj ojiphtbsjl; _b~ vtbhas .88 666}jicl"! bloafblm vnc ahtmc Ihmpbc vtbha .80868 }jicl"

TT 0,68! 23#OB 0,42)0,3>

Lj svhvbsvbohaar sbmlbgbohlv fbggctclocs }ctcjdsctwcf ojloctlblm tcspbthvjtr httcsv!tcspbthvjtr httcsv hlf sc jg Ohaobimaojlhvc,


13/26

Cwbfcloc Dhsc

Ihmlcsbi saghvc gjt Coahipsbh vtchviclv

= TOVs .8?27 }jicl"5 ojiphtbsjl; fbh{cphi

Fchvn; TT 0,32! 23#OB 0,?>)0,24 Tcottcloc jg ojlwasbjls; TT 0,6?! 23#OB

0,??)0,33


14/26

]NJ Tcojiiclfhvbjl

Ihmlcsbi saghvc bs tcojiiclfcf gjtvnc ptcwclvbjl jg coahipsbh bl }jicl }bvnscwctc ptc)coahipsbh bl ptcgctcloc vj

jvnct hlvbojlwashlvs,

Ihmlcsbi saghvc bs tcojiiclfcf gjtvnc vtchviclv jg }jicl }bvn coahipsbh blptcgctcloc vj jvnct hlvbojlwashlvs,


15/26

]NJ Tcojiiclfhvbjl

Vnc gaa blvthwcljs jt blvthisoaht ihmlcsbisaghvc tcmbicls htc tcojiiclfcf gjt vncptcwclvbjl hlf vtchviclv jg coahipsbh,

Gjt scvvblms }nctc bv bs ljv pjssbdac vj hfiblbsvctvnc gaa ihmlcsbi saghvc tcmbicl! vnc sc jgihmlcsbi saghvc ajhfblm fjsc gjaaj}cf dr

biicfbhvc vthlsgct vj h nbmnct acwca nchavn)ohtcghobabvr bs tcojiiclfcf gjt }jicl }bvn scwctcptc)coahipsbh hlf coahipsbh,


16/26

Cwbfcloc Dhsc

Blfovbjl jg ahdjt dcgjtc vcti

_phtsc fhvh! thtc jvojics! sihaa shipacsb{cs! cvnboha ojlsvthblvs

Blvctwclvbjlbsv hpptjhon; 46)6>n svhdbab{hvbjl.Im_J6! ojtvbojsvctjbfs! hlvbnrpctvclsbwcs"

gjaaj}cf dr fcabwctr

C~pcovhlv ihlhmciclv; svhdbab{hvbjl!ijlbvjtblm hlf fcahrcf fcabwctr


17/26

]NJ Tcojiiclfhvbjl

Blfovbjl jg ahdjt bs tcojiiclfcf gjt}jicl }bvn scwctc ptccoahipsbh hv hmcsvhvbjlha hmc }ncl vnc gcvs bs ljv

wbhdac jt labecar vj honbcwc wbhdbabvr }bvnbljlc jt v}j }cces,


18/26

]NJ Tcojiiclfhvbjl

Bl }jicl }bvn scwctc ptc)coahipsbh! hwbhdac gcvs hlf dcgjtc ?6 }cces jgmcsvhvbjl! h pjabor jg c~pcovhlv

ihlhmciclv bs tcojiiclfcf! ptjwbfcfvnhv lojlvtjaacf ihvctlha nrpctvclsbjl!blotchsblm ihvctlha jtmhl frsglovbjl jt

gcvha fbsvtcss htc hdsclv hlf ohl dcijlbvjtcf,


19/26

]NJ Tcojiiclfhvbjl

Bl }jicl }bvn scwctc ptc)coahipsbh! hwbhdac gcvs hlf dcv}ccl ?6 hlf ?7 .pas7 fhrs" }cces jg mcsvhvbjl! h pjabor jg

c~pcovhlv ihlhmciclv ihr dctcojiiclfcf! ptjwbfcf vnhv lojlvtjaacfihvctlha nrpctvclsbjl! blotchsblm

ihvctlha jtmhl frsglovbjl jt gcvhafbsvtcss htc hdsclv hlf ohl dc ijlbvjtcf,


20/26

Cwbfcloc Dhsc

Blfovbjl jg ahdjt hv vcti

NRPBVHV vtbha; =37 }jicl }bvn ibaf ptc)coahipsbh jt mcsvhvbjlha nrpctvclsbjl

Tcfocf tbse jg scwctc nrpctvclsbjl hijlm}jicl tcocbwblm blfovbjl jg ahdjt

TT 0,70! 23#OB 0,?>)0,23

C~vthpjahvbjl vj scwctc ptc)coahipsbh


21/26

]NJ Tcojiiclfhvbjl

Bl }jicl }bvn scwctc ptc)coahipsbh hvvcti! chtar fcabwctr bs tcojiiclfcf,

Bl }jicl }bvn ibaf ptc)coahipsbh jt ibafmcsvhvbjlha nrpctvclsbjl hv vcti! blfovbjljg ahdjt bs tcojiiclfcf,


22/26

Cwbfcloc Dhsc

Ihlhmciclv jg pjsvphtvi nrpctvclsbjl

_ihaa shipac sb{cs! thtc cwclvs hlf ijfcthvc tbse jgdbhs

Ih~bii blobfcloc jg scwctc nrpctvclsbjl hv vnc clfjg vnc gbtsv }cce pjsvphtvi .}ncl ljtihaar }jiclhtc hv vnc ojiilbvr"

Nbmnct blobfcloc jg svtjec ftblm pjsvphtvi

Tcpctossbjls jg ibaf .ftm)blfocf" nrpjvclsbjlhtc tcahvbwcar sihaa! lj gcvha cggcovs


23/26

]NJ Tcojiiclfhvbjl

Bl }jicl vtchvcf }bvn hlvbnrpctvclsbwcftms hlvclhvhaar! ojlvblcfhlvbnrpctvclsbwc vtchviclv pjsvphtvi bs

tcojiiclfcf,

Vtchviclv }bvn hlvbnrpctvclsbwc ftms bstcojiiclfcf gjt scwctc pjsvphtvinrpctvclsbjl,


24/26

nvvp;**}}},}nj,blv*pdabohvbjls*mbfcablcs*cl*
http://www.who.int/publications/guidelines/en/http://www.who.int/publications/guidelines/en/


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26/26

]NJ tcojiiclfs hmhblsv

Hfwboc vj tcsv hv njic gjt vnc ptbihtrptcwclvbjl jg ptc)coahipsbh

_vtbov dcftcsv gjt biptjwblm jvojics jgPC*C

Tcsvtbovcf fbcvhtr shav blvhec

Wbvhibl O!F!C sppaciclvhvbjl

Fbtcvbos

Ojtvbojsvctjbfs gjt NCAAP

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Souza_New WHO Guidelines on PEE 2011