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I. Maternal Health MAS_Training_Module |
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1 Pages 1-10 |
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1.1 Page 1 |
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efgyk vkjksX; lfefr
izf’k{k.k iqfLrdk
I. ekr` LokLF;
vLirky
Health of the Urban Poor (HUP) Program
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1.2 Page 2 |
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Mahila Arogya Samiti Training Module
Prepared by
Health of the Urban Poor [HUP] Program
Population Foundation of India
B-28, Qutab Institutional Area, New Delhi – 110 016
Authors
} Dr. Swati Mahajan
} Dr. Jatin Dhingra
Special Inputs
} Dr. Sainath Banerjee
Designing and Layout
} Ajith Kumar
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
i
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1.3 Page 3 |
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efgyk vkjksX; lfefr
izf’k{k.k iqfLrdk
I. ekr` LokLF;
Health of the Urban Poor (HUP) Program
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
ii
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1.4 Page 4 |
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efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
iii
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1.5 Page 5 |
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PæFðFÜF õF[˜FU
õF·F - I ;FÚFFaæFõ»FF =+U ÑFù˜FFÎF æF ¡FFc˜F
1
õF·F - II ;FÚFFaæFõ»FF =W+ õFÛFÜF ¼W&FÚFFáF
4
õF·F - III &F¶FÞW æFFáFU ;FÚFFaæFõ»FF
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õF·F - IV ;FÚFFaæFõ»FF =W+ ¼ZÞFÎF &F¶FÞW =W+ áF‡FµF
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õF·F - V õF]ÞP‡F¶F ÒõFæF =W+ PáFJ ¶FYÜFFÞU
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õF·F - VI EFÑFF¶F=+FáFUÎF õFÛFÜF ÛFWk 5 õF×+FGaÜFXk =+F ÑFFáFÎF =+ÞWk
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õF·F - VII ÒõFæF =W+ õFÛFÜF &F¶FÞW+=W+ áF‡FµF
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õF·F - VIII ÒõFæF HÑFÞkF¶F ¼W&FÚFFáF
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õF·F - IX ÎFæF¡FF¶F PèFèF] =+U EFæFèÜF=+ ¼W&FÚFFáF
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efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
iv
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1.6 Page 6 |
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efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
v
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1.7 Page 7 |
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õF·F - I
;FÚFFaæFõ»FF =+U ÑFù˜FFÎF æF ¡FFc˜F
;FÚFFaæFõ»FF =+U ÑFù˜FFÎF
ÑFùáFF ÛFFPõF=+ ÍFÛFa ÙFk¼ ùXÎFW =W+ ÙFF¼ P¡F¶FÎFF ¡Fá¼U ùX õF=W+, ;FÚFFaæFõ»FF =+U PÎFPè˜F¶F
ÑFù˜FFÎF =+Þ áFWÎFU ˜FFPùJ—
i) ;FÚFFaæFõ»FF =W+ P˜Fû æF áF‡FµF
} ÛFFùæFFÞU =+F ÙFk¼ ùXÎFF
} õFÞ ˜F=+ÞFÎFF
} Há©U EFÎFF
} ÑFW© =W+ EF=+FÞ ÛFWk æF_PÊ
} õ¶FÎF =W+ EF=+FÞ ÛFWk ÑFPÞæF¶FaÎF (3 ÛFùUÎFW =W+ ÙFF¼)
} ÑFW© =W+ Ek¼Þ ÚFe[µF =W+ PùáFÎFW =+F EÎF]ÚFæF ùXÎFF (5 ÛFùUÎFW =W+ ÙFF¼)
} èFÞUÞ =+F ÚFFÞU ùX ¡FFÎFF
ii) ;FÚFFaæFõ»FF =+U ¡FFc˜F
ÛFFùæFFÞU =W+ ÙFk¼ ùX¶FW ùU PÎFè˜FÜF P=+© =W+ ¡FPÞÜFW, P¡F¶FÎFU ¡Fá¼U ùX õF=W+ ;FÚFFaæFõ»FF =+U
¡FFc˜F =+ÞFJc—
;FÚFFaæFõ»FF =+U ¡FFc˜F P¡F¶FÎFU
¡Fá¼U ùX;FU, H¶FÎFU ùU õæFFõ»ÜF
=W+ν ÛFWk ÑFk¡FU=+ÞµF ÛFWk EFõFFÎFU
ùX;FU—
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
1
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1.8 Page 8 |
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ÑFWèFFÙF =+U ¼X ÙFc[¼Wk
C
T
} õF]ÙFù =W+ ÑFWèFFÙF =+X õFF×+ JæFk õF[&FW P;FáFFõF
ÜFF ÑáFFPõ© =+ =+U+èFUèFU ÛFWk ¡ FÛFF =+ÞWk
S } ÑFWèFFÙF =+U ¼X ÙFc[¼Wk ÎFÛF[ÎFW =W+ =[+ÑF ÛFWk °FáFWk
} 5 PÛFÎF© ¶F=+ Gk¶F¡ FFÞ =+ÞWk
EFÑF ;FÚFaæF¶FU ùYk
C
T
} E;FÞ ¡ FFc˜ F æFFáFW ‡ FW·F ÛFWk ¼X ÙFYk;FÎFU Þk;F
=+F ÞW&FFJc ÙFÎF¶FU ùY, ¶FX ÛFPùáFF
;FÚFaæF¶FU ùY
} E;FÞ æFù ;FÚFa =+X Þ&FÎFF ˜ FFù¶FU ù,Y ¶FX
S
HõFW ;FÚF=a +FáFUÎF ¼&W FÚFFáF =+F ÑFÞFÛFèFa ¼kW
} E;FÞ æFù ;FÚFa =+X ÎFùUk Þ&FÎFF ˜ FFù¶FU
ùY, ¶FX HõFW õæFFõ»ÜF =W+ν ¡ FFÎFW =+F
ÑFÞFÛFèFa ¼Wk
EFÑF ;FÚFaæF¶FU ÎFùUk ùYk
C
T
} E;FÞ ¡ FFc˜ F æFFáFW ‡ FW·F ÛFWk ÙFYk;FÎFU Þk;F =+U
PõF×a+ J=+ ÞW&FF ÙFÎF¶FU ùY, ¶FX ÛFPùáFF
;FÚFaæF¶FU ÎFùUk ùY
S } HõF ÛFPùáFF =+X ÑFPÞæFFÞ PÎFÜFX¡ FÎF =+U
ÑFÊP¶F =W+ ÙFFÞW ÛFWk ÙF¶FFJWk JæFk HõFW õFùU
ÑFÊP¶F =+F ˜ F]ÎFFæF =+ÞÎFW ÛFWk HõF=+U
ÛF¼¼ =+ÞW
P× Þ õFW ¡FFc˜F = ÞW
C
T
} E;FÞ ¡ FFc˜ F ‡ FW·F ÛFWk =+XGa ÚFU Þk;F ÎFùUk
EF¶FF ùY, ¶FX E;FáFU õF]ÙFù ÎFJ ;FÚFa
S
¡ FFc˜ F =+F°a õFW ÑF]ÎFO ¡ FFc˜ F =+ÞÎFW =+U
õFáFFù ¼Wk
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
2
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1.9 Page 9 |
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iii) ÒõFæF =+U õFÛÚFFPæF¶F ¶FFÞU&F (EDD) =+F EÎF]ÛFFÎF áF;FFÎFF
EkP¶FÛF ÛFFùæFFÞU =+F EkP¶FÛF ÛFFùæFFÞU =+W
õFÛFÜF (LMP) = ÑFùáFF P¼ÎF =+U ¶FFÞU&F
ÒõFæF =+U õFÛÚFFPæF¶F EkP¶FÛF ÛFFùæFFÞU =+U
=
¶FFÞU&F (EDD) ¶FFÞU&F + 9 ÛFùUÎFW + 7
P¼ÎF
H¼FùÞµF:
ÛFFùæFFÞU =+F ÑFùáFF P¼ÎF - 02.10.2011
9 ÛFùUÎFW ÙFF¼ - 02.07.2012
7 P¼ÎF ¡FX°sWk - 09.07.2012
ÒõFæF =+U õFÛÚFFPæF¶F ¶FFÞU&F - 09.07.2012
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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1.10 Page 10 |
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õF·F - II
;FÚFFaæFõ»FF =W+ õFÛFÜF ¼W&FÚFFáF
i) ;FÚFFaæFõ»FF ÛFWk ¡FFc˜F =+ÞFÎFW =+U õFÛFÜF õF[˜FU
fu;fer tk¡p
ANC
foftV g¶rs
igyh 12 g¶rs ds vanj
nwljh 14-16
rhljh 28-34
pkSFkh 36 g¶rs ds ckn
izloiwoZ tkap ds nkSjku lykg%
izFke ,,ulh (1st ANC) foft+V
} gjh iÙksnkj lfCt;k¡] ihys ids gq, Qy] nw/k] nqX/k mRiknksa] nkyksa] vaMs bR;kfn dks
[kqjkd esa 'kkfey djuk
} fnu ds le; 2 ?kaVs vkjke vkSj jkr dks 8 ?kaVs dh uhan ysuk
} 2 VhVh baTksD'ku
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
4
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2 Pages 11-20 |
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2.1 Page 11 |
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f}rh; ,,ulh (2nd ANC) foft+V
} 100 vkbZ,Q, (IFA) xksfy;ka
} tUe ekbØks Iykfuax
} dq'ky tUe lgk;d (Skilled BirthAttendent) dh igpku
} xHkkZoLFkk ds [krjs ds y{k.k tSls iSjksa dh lwtu] xaHkhj lj nnZ] nkSjs ;k ,saBu]
;ksfu ls jDr lzko] Hkzw.k dk uk fgyuk] /kqa/kykiu vkfn dh igpku
} ut+nhdh vLirky esa jsQjy
rhljh ,,ulh (3rd ANC) foft+V
} uotkr dh vko';d ns[kHkky& uky] vk¡[k vkSj FkeZy ds;j
} ek¡ dk xk<+k ihyk nw/k fiykuk
} igys 6 eghuksa rd flQZ ek¡ dk nw/k fiykuk
} tUe ds mijkUr cPps dks u ugykuk vkSj ?kqV~Vh ugha nsuk
ii) ÒõFæF - ÑF[æFa EFæFèÜF=+ ¼W&FÚFFáF
} õæFFõ»ÜF =W+ν ÛFWk ÑFk¡FU=+ÞµF
- ;FÚFFaæFõ»FF ÛFWk P¡F¶FÎFU
¡Fá¼U ùX õF=W+ ÜFF ÑFùáFW 3
ÛFùUÎFW =W+ Ek¼Þ ÑFk¡FU=+ÞµF
=+ÞFJWk
} ÑFk¡FU=+ÞµF õFÛFW¶F =+ÛF õFW
=+ÛF 4 ÙFFÞ ;FÚFFaæFõ»FF =+U
õæFFõ»ÜF =W+ν ÛFWk ¡FFc˜F
=+ÞFJWk
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.2 Page 12 |
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õæFFõ»ÜF =W+ν ÛFWk HÑFáFÙÍF õFWæFFJWk:
} ¼X ©W©ÎFõF ©X=+õFXJ° (TT)
=W+ Gk¡FWƒèFÎF (J=+ ÛFùUÎFW =W+
EζFÞ ÑFÞ)
} =+ÛF õFW =+ÛF 100 EFÜFÞÎF
×+XPáF=+ JPõF° (IFA) =+U
;FXPáFÜFFk áFWÎFF
} æF¡FÎF ÎFFÑFÎFF
} Þƒ¶F˜FFÑF (BP) ÎFFÑFÎFF
EÎÜF HÑFáFÙÍF õF]PæFÍFFJc:
} ùUÛFX;áFXPÙFÎF, JWáFÙÜF]PÛFÎF EZÞ °FÜFFÙFWP©õF =W+ PáFJ ¡FFc˜F =+U õF]PæFÍFF
} JPÎFPÛFÜFF, ÚFe[µF =+U I+c˜FFÜFU EZÞ ;FÚFaPõ»FP¶F =+U ¡FFc˜F =+U õF]PæFÍFF
} ;FkÚFUÞ EæFõ»FF =+U ÑFù˜FFÎF
iii) ;FÚFFaæFõ»FF =W+ õFÛFÜF õFáFFù ¼Wk
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.3 Page 13 |
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} =+ÛF ÛFF·FF ÛFWk ÙFFÞ-ÙFFÞ ÚFX¡FÎF (ùÞW ÑF¸FW¼FÞ õFÙ¡FU, ¼FáF, ÞF;FU, ;F]°s JæFk ÛFFkõF) =+ÞÎFWk
=+U õFáFFù ¼Wk
} =+ÛF õFW =+ÛF 2 fFk©W P¼ÎF ÛFWk EZÞ 8 fFk©W ÞF¶F =W+ õFÛFÜF EFÞFÛF =+ÞWk
iv) ;FÚFFaæFõ»FF ÛFWk ƒÜFF ÎF =+ÞWk
} èFFÞUPÞ=+ êFÛF ÎF =+ÞWk
} ÚFFÞU =+FÛF ÎF =+ÞWk
} ¡ÜFF¼F õF×+Þ ÎF =+ÞWk
} ÛFFÎFPõF=+ ¶FÎFFæF ÛFWk ÎF ÞùWk
û
ü
} ÛFÃÑFFÎF, ÍF[ÛFeÑFFÎF, ;F]©&FF
EFP¼ ÙF]ÞU EF¼¶FWk ÎF °FáFWk
} =+XGa ¼æFF ¼WÎFW =W+ ÑFùáFW
õæFFõ»ÜF =W+ν õFW ÑFÞFÛFèFa áFWk
û
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.4 Page 14 |
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õF·F - III
&F¶FÞW æFFáFU ;FÚFFaæFõ»FF
&F¶FÞW æFFáFU ;FÚFFaæFõ»FF - áF‡FµF
5 ×]+© õFW =+ÛF =+¼ 19 õFFáF õFW =+ÛF HÛFe 40 õFFáF õFW ¡ÜFF¼F HÛFe
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.5 Page 15 |
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¶FUÎF õFW ¡ÜFF¼F ÙF˜˜FW
} 5 ×]+© õFW =+ÛF =+¼
} 19 õFFáF õFW =+ÛF HÛFe
} 40 õFFáF õFW ¡ ÜFF¼F HÛFe
} ¶FUÎF õFW ¡ ÜFF¼F ÙF˜ ˜ FW
} PÑFš áFW ÒõFæF =W+ õFÛFÜF ÛFWk =+P*ÎFFGa (Bad Obstetric history)
} H˜ ˜ F Þƒ ¶F˜ FFÑF (BP), ÑFUPáFÜFF (Jaundice), =+XGa ÚFU B¼ÜF õFkÙFkÍFU
ÙFUÛFFÞU, ÛFÍF]ÛFWù (Diabetes) EFP¼ ÞX;F õFW ÑFUP°s¶F
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.6 Page 16 |
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õF·F - IV
;FÚFFaæFõ»FF =W+ ¼ZÞFÎF &F¶FÞW =W+ áF‡FµF
i) ;FÚFFaæFõ»FF =W+ ¼ZÞFÎF &F¶FÞW =W+ áF‡FµF : P¡FÎùW ¶F]ÞζF EõÑF¶FFáF ÚFW¡FÎFF ˜FFPùJ
} ÜFXPÎF õFW &F[ÎF =+F ÙFùFæF
} ÙFWùXèF ùX ¡ FFÎFF / ¼ZÞF ÑF°sÎFF
} ÑFW© =W+ EÎ¼Þ ÙF˜ ˜ FW =+F PùáFÎFF ß=+ ¡ FFÎFF } ùF»F / ÛF]cù =W+ õFF»F ÑZÞFWk ÛFWk õF[¡ FÎF
} õFÞ ¼¼a / EFc&FX ÛFWk ÍFc]ÍFáFF P¼&FÎFF
ii) ;FÚFFaæFõ»FF =W+ ¼ZÞFÎF &F¶FÞF: P¡FÎùWk ¶F]ÞζF EõÑF¶FFáF ÚFW¡FÎFW =+U EFæFèÜF=+¶FF ÎFùUk ùY
} ;FkÚFUÞ JPÎFPÛFÜFF
} ÙF]&FFÞ
} ÞF¶F =+F EkÍFFÑFÎF ( Þ¶FZkÍFU )
} ÑFWèFFÙF =W+ õFÛFÜF ¡ FáFÎF/¼¼a
} ÜFXPÎF õFW õF×+W¼ öFFæF =+F ÙFùFæF ùXÎFF
} J=+ õFW EPÍF=+ ;FÚFa
} æF¡ FÎF fF© ÎFF
} ¶æF˜ FF ÑFÞ &F]¡ FáFU =W+ õFF»F ×+X°sF, ×]+kõFU ùXÎFF
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.7 Page 17 |
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õF·F - V
õF]ÞP‡F¶F ÒõFæF =W+ PáFJ ¶FYÜFFÞU
i) õF]ÞP‡F¶F ÒõFæF =W+ PáFJ ¶FYÜFFÞU
} õF]ÞP‡ F¶F ÒõFæF =W+ PáFJ EõÑF¶FFáF P˜ FPû¶F =+ÞWk
} EFÑFF¶F=+FáF =W+ PáFJ &F[ÎF =+F ÒÙFkÍF =+ÞWk
} EFÑFF¶F=+FáF =W+ PáFJ ÑFYõFXk =+F Gk¶FW¡ FFÛF Þ&FW
} EõÑF¶FFáF ¡ FFÎFW =W+ PáFJ æFFùÎF =+F ÒÙFkÍF Þ&FWk
} ¼‡ F ÒõFæF õFùFÜF=+ (SBA) =+X &FÙFÞ =+ÞWk
} õFF×+ õF[¶FU =+ÑF°sW ¶FYÜFFÞ Þ&FWk
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.8 Page 18 |
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ii) EõÑF¶FFáF ÛFWk õF]ÞP‡F¶F ÒõFæF =W+ PáFJ EÑFÎFF ÙFY;F ¶FYÜFFÞ Þ&FWk
} ÛF¼Þ Jk° ˜ FFGá° ÒX© W=+èFÎF =+F°a
} ¡ FW JõF æFFGa / ¡ FW JõF JõF =W+ =+F°a
} ÙáF° ;Fe]ÑF
} ×+XÎF ÎFÛÙFÞ =W+ õFF»F fFÞ =+F ÑF¶FF
} ¼æFFGÜFFc ¡ FX æFù ÞX¡ F áFW¶FU ùY
} õFF×+ õF[¶FU =+ÑF°sW
iii) EõÑF¶FFáF ÛFWk ÒõFæF =W+ áFFÚF
} õF]ÞP‡ F¶F EZÞ EFõFFÎF
} ÒõFæF =W+ ÙFF¼ ¼W&FÚFFáF
} õFÞ=+FÞU õF]PæFÍFFJc HÑFáFÙÍF
} ¡ FW JõF æFFGa =W+ Ek¶Fa;F¶F EFP»Fa=+ ÒFæFÍFFÎF
iv) ÑFPÞæFFÞ =W+ áFX;FXk =+U ÚF[PÛF=+F
} 7 ÛFùUÎFW =W+ ÙFF¼ ÒõFæF õ»FFÎF EZÞ æFFùÎFXk =+F
Gk¶FW¡ FFÛF =+ÞWk
} ÒõFæF æFW¼ÎFF èF]ß ùX¶FW ùU EõÑF¶FFáF áFW ¡ FFJc ¶F»FF
ÒõFæF ùXÎFW ¶F=+ EõÑF¶FFáF ÛFWk ùU ÛFZ¡ F[¼ ÞùWk
} ÎFæF¡ FF¶F =W+ PáFJ =+ÑF°sFkW =+F ÒÙFkÍF Þ&FWk
} ¼‡ F ÒõFæF õFùFÜF=+ =+F Gk¶FW¡ FFÛF =+ÞWk (E;FÞ ÒõFæF
fFÞ ÛFWk ùX ¶FX)
} ÑFFc˜ F õF×+FGa =+F ÑFFáFÎF =+ÞWk (EFÑFF¶F=+FáF ÛFWk)
} fFÞ ÛFWk ÒõFæF =W+ ÙFF¼ ¶F]Þk¶F °Fƒ © Þ =W+ ÑFFõF ¡ FFJc
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.9 Page 19 |
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õF·F - VI
EFÑFF¶F=+FáFUÎF õFÛFÜF ÛFWk fFÞ ÛFWk ÒõFæF : õF]ÞP‡ F¶F ÒõFæF =W+ PáFJ 5 õF×+FGaÜFXk
(5 Cleans) =+F ÑFFáFÎF =+ÞWk
} õFF×+ ùF»F
} õFF×+ ÒõFæF õ»FFÎF
} õFF×+ ÙáFW°
} õFF×+ ÍFF;FF
} õFF×+ ÎFFáF
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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2.10 Page 20 |
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õF·F - VII
ÒõFæF =W+ õFÛFÜF &F¶FÞW+=W+ áF‡FµF
ÒõFæF =W+ õFÛFÜF &F¶FÞW+=W+ áF‡FµF
} ÑFFÎFU =+U »FYáFU © [© ¡ FFÎFW =W+ ÙFF¼ 24 fFk© W =W+ Ek¼Þ ÒõFæF æFW¼ÎFF =+F èF]ß ÎFùUk ùXÎFF
} ÜFXPÎF õFW ÙFùFæF =+F Þk;F ùÞF ÜFF ÙFF¼FÛFU ùFW
} áFkÙFW õFÛFÜF ¶F=+ ÒõFæF =+F ¼¼a - 12 fFk© W õFW ¡ ÜFF¼F (ÑFùáFF ÙF˜ ˜ FF) / 8 fFk© W õFW
¡ ÜFF¼F (¼[õFÞF EZÞ HõF=W ÙFF¼ =W+ ÙF˜ ˜ FW)
} ;FÚFaÎFFáF =+F Ek¼Þ ùU Þù ¡ FFÎFF - 30 PÛFÎF© õFW ¡ ÜFF¼F
} H˜ ˜ F Þƒ ¶F˜ FFÑF (BP)
} ÜFXPÎF õFW ¡ ÜFF¼F &F[ÎF =+F ÙFùFæF
} ÙF˜ ˜ FW =W+ PõFÞ =W+ ÙF¼áFW ÑFYÞ EZÞ ùF»F =+F PÎF=+áF EFÎFF
&F¶FÞW+=W+ áF‡ FµFFWk =+X ÑFù˜ FFPÎFJ EZÞ ¶F]Þk¶F PÎF=+© ¶FÛF × õ© a ÞW×+ÞáF
ÜF]PÎF© (FRU) ÛFWk ÚFWP¡ FÜFW
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3 Pages 21-30 |
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3.1 Page 21 |
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õF·F - VIII
ÒõFæF HÑFÞkF¶F ¼W&FÚFFáF
=+ÛF õFW =+ÛF 3 ÙFFÞ õæFFõ»ÜF ÑFÞU‡ FµF : ¡ FFc˜ F =+ÞFÎFW =+F õFÛFÜF
} ÑFùáFU ¡ FFc˜ F - 48 fFk© W =W+ Ek¼Þ (fFÞ ÛFWk ÒõFæF ùXÎFW ÑFÞ, 24 fFk© W =W+ Ek¼Þ)
} ¼[õFÞU ¡ FFc˜ F - 48 fFk© W - 7 P¼ÎF =W+ Ek¼Þ
} ¶FUõFÞU ¡ FFc˜ F - 7 P¼ÎF - 42 P¼ÎF =W+ Ek¼Þ
izFke ih,ulh (1st PNC) foft+V
} 24 ?kaVs esa efgyk fdruh ckj iwjk Hkkstu djrh gS
} vR;kf/kd jDrlzko ¼>5 iSM~l@fnu½
} cq[kkj ¼>102o F½
} nqxZa/k;qDr lzko
} nkSjs@,saBu
f}rh; ih,ulh (2nd PNC) foft+V
tkap djsa%
} cq[kkj ¼>102o F½
} nqxZa/k;qDr lzko
} nkSjs@,saBu
} ek¡ eglwl djrh gS fd mldk nw/k cPps ds fy, de jgrk gS
} Nkrh esa nnZ ;k Hkkjhiu eglwl gksuk
rhljh ih,ulh (3rd PNC) foft+V
lykg nsa%
} igys 6 eghuksa rd flQZ ek¡ dk nw/k fiykuk
} cPps dk Vhdkdj.k
} nks cPpksa ds tUe ds chp varj j[kuk
} izlo ds 3 eghus ckn rd vkbZ,Q, (IFA) xksfy;ka ysuk
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.2 Page 22 |
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i) ÒõFæF =W+ ÙFF¼: EFÑFF¶F=+FáFUÎF Põ»FP¶F (¶F]ÞζF EõÑF¶FFáF ÚFW¡FWk)
} ÜFXPÎF õFW &F[ÎF =+F ÙFùFæF
} õFÞ ¼¼a / EFc&FX ÛFWk ÍFc]ÍFáFF P¼&FÎFF
} ùF»F / ÛF]cù =W+ õFF»F ÑZÞFWk ÛFWk õF[¡ FÎF
} ÙFWùXèF ùX ¡ FFÎFF / ¼ZÞF ÑF°sÎFF
} õFk=e+ÛFµF
ii) ÒõFæF =W+ ÙFF¼: ;FYÞ EFÑFF¶F=+FáFUÎF (¶F]ÞζF ÚFW¡FÎFW =+U EFæFèÜF=+¶FF ÎFùUk)
} õ¶FÎF =W+ EF=+FÞ ÛFWk æF_PÊ æF õFk=e+ÛFµF
} ÜFXÎFU =W+ EFõFÑFFõF õF[¡ FÎF æF õFk=e+ÛFµF
} ;FkÚFUÞ JPÎFPÛFÜFF
} ÒõFæF =W+ ÙFF¼ ÛFFÎFPõF=+ ÙFW˜ FYÎFU
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.3 Page 23 |
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ÒõFæF =W+ ÙFF¼ ¼W&FÚFFáF =+U ˜FW=+PáFõ©:
Ø la
tkap lwph
1
24 ?kaVksa esa fdruh ckj ekrk us iw.kZ vkgkj fy;k ¼nw/k fiykus okyh ekrk dks
pkj ckj iw.kZ vkgkj ysuk t:jh gS½
ekrk ls
2
iwNsa jDr dk fudyuk % ,d fnu esa fdrus ckj iSM~ cnys x, ¼,d fnu esa 5
iSM~l ls vf/kd cnyus ij jsQj djsa½
3
ukiuk rkieku % 'kjhj ds rkieku dks ukiuk rFkk fy[kdj j[kuk ¼;fn rkieku
102oF ls vf/kd gS rks ijke'kZ ds fy, Hkstuk½
4
cgrq T;knk nxq /Za k okyk L=ko dk vkuk ¼;fn gk]a rks ekrk dks rjq ra vLirky Hkts ½as
5 ukiuk D;k ekrk dks nkSjk iM+ jgk gS ;k cksyus esa ijs'kkuh gks jgh gS
6
;fn nw/k fiykus esa rdyhQ gks jgh gS ;k nw/k fiykrs le; fuIiy ds Åij
[kjksap ds fu'kku utj vk jgs gSa
7
;fn ekrk dks ;g eglwl gksrk gS fd viuk nw/k cPps ds fy, i;kZIr ugha gS
8 ijke'kZ ;fn ?kj ds lnL; lg;ksx u nsrs gksa
9
ifjokj fu;kstu ls lacaf/kr fof/k;ksa ds ckjs esa
gka/ugha
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.4 Page 24 |
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õF·F - IX
ÎFæF¡FF¶F PèFèF] =+U EFæFèÜF=+ ¼W&FÚFFáF
i) ÎFæF¡ FF¶F =+X š [ÎFW õFW ÑFùáFW ùF»F ÍFXJk
maxfy;ksa ds chp Hkh
vPNh rjg ?khlsaA
gFksafy;ksa ds chp Hkh
vPNh rjg ?khlsaA
vaxwBksa ds chp Hkh
vPNh rjg ?khlsaA
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.5 Page 25 |
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ii) ÎFæF¡ FF¶F =+U õFF×+ =+ÞÎFF EZÞ HõFW áFÑFW© ÎFF
} ÎFæF¡ FF¶F =+X õF[&FW EZÞ õFF×+
=+ÑF°sW õFW õFF×+ =+ÞW (ÎFæF¡ FF¶F
=W+ èFÞUÞ =+X Þ;F°sW ÎFùUk )
} ÎFæF¡ FF¶F =+X õF[¶FU =+ÑF°sW ÛFWk
áFÑFW© Wk
ÎFæF¡FF¶F =+X EX³sÎFWk =W 10 ˜FÞµF:
˜ FÞµF 1:
J=+ õFF×+ õF[¶FU =+F =+ÑF°sF áFWk
(2ft x 2 ft) P¡ FõFW Gõ¶FWÛFFáF õFW ÑFùáFW
20 PÛFÎF© ÑFFÎFU ÛFWk HÙFFáF=+Þ æF
PÎF˜ FX°s=+Þ, ÍF[ÑF ÛFWk õF[&FF áFWk—
˜ FÞµF 2:
=+ÑF°sW =+F J=+ =+XÎFF, P·F=+XµFUÜF
EF=+FÞ ÛFWk ÛFX°s ¼W—
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.6 Page 26 |
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˜ FÞµF 3:
ÙF˜ ˜ FW =+X =+ÑF°sW ÑFÞ PáF© FJc— GõF
˜ FÞµF ÛFWk HõF=+F PõFÞ, P·F=+XµFUÜF
PùõõFW =W+ ÛFÍÜF ÛFWk ùXÎFF ˜ FFPùJ—
˜ FÞµF 4:
ÙF˜ ˜ FW =+W PõFÞ =+X =+ÑF°Ws =+W P·F=+XµFUÜF
ÚFF;F õFW ³=+ P¼ÜFF ¡ FF¶FF ù—Y
ÜFù =+ÑF°Fs ÙF˜ ˜ FW =+W ÛFF»FW EZÞ =+FÎFXk =+X
© XÑFU (Cap) =+U ¶FÞù ³=+ ¼¶W FF ù—Y
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
˜ FÞµF 5:
=+ÑF°sW =W+ ÙFFùÞU ‡ FW·FXk =+X (PÑFš áFW
P˜ F·F ÛFWk ¼X ¶FUÞ =W+ PÎFèFFÎF ÂFÞF
EkP=+¶F) EX³s=+Þ, ÙF˜ ˜ FW =+F ÑF[ÞF PõFÞ
EZÞ ¼XÎFXk =+FÎFX =+X J=+ ùWáFÛFW©
(Helmet) =+U ¶FÞù ³=+ P¼ÜFF ¡ FF¶FF
ùY— GõF ˜ FÞµF =W+ ÙFF¼ ÙF˜ ˜ FW =+U =W+æFáF
EFc&FWk, ÎFF=+ EZÞ ÛFc]ù P¼&FFGa ¼W¶FU ùYk—
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3.7 Page 27 |
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˜ FÞµF 6:
GõF ˜ FÞµF ÛFWk, ÑFYÞXk =+U ¶FÞ×+ õFW =+ÑF°sW
=+X ÛFX°s=+Þ ;FÞ¼ÎF =+U EXÞ áFFÜFF
¡ FF¶FF ùY— GõFõFW ÙF˜ ˜ FW =W+ ÑFYÞXk =+U, *k°s
õFW õF]Þ‡ FF ùX¶FU ùY—
˜ FÞµF 7:
ÜFùFc =+ÑF°sW =W+ ¼FPùÎFW PùõõFW =+X
H*F=+Þ, HõFW ÙFFJc ¶FÞ×+ =+X ÛFX°sF
¡ FF¶FF ùY—
˜ FÞµF 8:
=+ÑF°sW =+F æFù š XÞ P¡ FõFW ¼FGak õFW ÙFFGa
EXÞ áFÑFW© F ;FÜFF »FF, EÙF HõFW ÙF˜ ˜ FW
=W+ ¼FPùÎFW ùF»F EFYÞ ÑFU* =W+ ÎFU˜ FW
ÛFX°s =+Þ, áFÑFW© P¼ÜFF ¡ FF¶FF ùY— GõFõFW
ÙF˜ ˜ FW =+W EX³sÎFF =+F ³UáFF ùXÎFW ÜFF
&F]áFÎFW =+F &F¶FÞF ÎFùUk Þù¶FF—
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.8 Page 28 |
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˜ FÞµF 9:
ÜFù ˜ FÞµF õFF¶FæFWk P˜ F·F =W+ PæFÑFPÞ¶F ùY—
EÙF =+ÑF°sW =W+ ÙFFcJ ÚFF;F =+X ¼FGak EXÞ
ÙF³sFÜFF ¡ FF¶FF ùY—
˜ FÞµF 10:
EÙF ÙF˜ ˜ FF õF]ÞP‡ F¶F JæFk EFÞFÛF¼FÜF=+
³k;F õFW EX³sF ;FÜFF ùY, ¡ FX HõF=W+
èFFÞUPÞ=+ ¶FFÑFÛFFÎF =+X ÚFU P;FÞÎFW õFW
ÞX=W+;FF—
iii) EFc&FXk JæFk ÎFFÚFU =+U ¼W&FÚFFáF
} Ò¶ÜFW=+ EFc&F =+X EáF;F-EáF;F ßGa õFW
EÎ¼Þ õFW èF]ß =+Þ¶FW CJ, ÙFFùÞ (P=+ÎFFÞW)
=+U EXÞ õFF×+ =+ÞÎFF ˜ FFPùJ
} ÙF˜ ˜ FW =+U ÎFFÚFU =+X õFF×+ JæFk õF[&FF Þ&FÎFF
˜ FFPùJ
} ÎFFáF =+X ÙF˜ ˜ FW =+U ¶æF˜ FF õFW 2 õFWk© UÛFU© Þ
¼[ÞU ÑFÞ J=+ õFF×+ ÙáFW° õFW =+F© ÎFF ˜ FFPùJ—
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.9 Page 29 |
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iv) ÎFæF¡ FF¶F =+F èFFÞUPÞ=+ ¶FFÑFÛFFÎF, æF¡ FÎF áFWÎFF JæFk èæFFõF ¼Þ P;FÎFÎFF
èFFÞUPÞ=+ ¶FFÑFÛFFÎF:
} ÎFæF¡ FF¶F =+F èFFÞUPÞ=+ ¶FFÑFÛFFÎF ¼W&FÎFF ˜ FFPùJ
} P¡ FõF ÎFæF¡ FF¶F =+F èFFÞUPÞ=+ ¶FFÑFÛFFÎF <95.0°F õFW =+ÛF ùY,
HõFW ¶F]ÞζF ÎFr¡ F¼U=+U õæFFõ»ÜF =W+ν ÛFWk áFW ¡ FFJk
èFFÞUPÞ=+ ¶FFÑFÛFFÎF (×W+ÞÎùFG© ÛFWk)
97.0°F - 98.6°F
< 95.0°F
PÎFð=+ðFa
õFFÛFFÎÜF èFFÞUPÞ=+ ¶FFÑFÛFFÎF æF;Fa
ùFGÑFX»FPÛFaÜFF
æF¡ FÎF áFWÎFF:
} ¡ FÎÛF =W+ 48 fFk© W =W+ Ek¼Þ ÙF˜ ˜ FW =+F æF¡ FÎF áFWÎFF
EFæFèÜF=+ ùY
} ÙF˜ ˜ FW =W+ æF¡ FÎF =W+ ÂFÞF, ùÛF ;FÛÚFUÞ PèFèF] =+X ÑFù˜ FFÎF
=+Þ, HõF=+U ¼W&FÚFFáF =+F ÒÙFkÍF =+Þ õF=+¶FW ùYk
} æFr¡ FÎF áFWÎFW =W+ PáFJ PæFèFWðF ÜFk·F =+F Gõ¶FWÛFFáF =+ÞWk, ¡ FX
P=+ æFr¡ FÎF =+U Põ»FP¶F =+X áFFáF, ÑFUáFW EZÞ ùÞW Þk;FXk ÛFWk
¼èFFa¶FF ùY
} P¡ FõF ÎFæF¡ FF¶F =+F ¡ FÎÛF æFr¡ FÎF 1.8 P=+áFX õFW =+ÛF ùY,
HõFW ¶F]ÞζF ÎFr¡ F¼U=+U õæFFõ»ÜF =W+ν ÛFWk áFW ¡ FFJk
æFr¡FÎF
2.5 P=+áFX ÜFF HõFõFW ¡ÜFsF¼F
1.8 P=+áFX õFW 2.5 P=+áFX
1.8 P=+áFX õFW =+ÛF
õ=W+áF ÑFÞ EkP=+¶F Þk;F
PÎFµFaÜF
õFFÛFFÎÜF ¡FÎÛF æFr¡FÎF
õFFÛFFÎÜF õFW =+ÛF æFr¡FÎF
(Low Birth Weight)
õFFÛFFÎÜF õFW ÙFC¶F =+ÛF æFr¡FÎF
(Very Low Birth Weight)
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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3.10 Page 30 |
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èæFFõF ¼Þ:
} ÎFæF¡ FF¶F =+U õFFcõF áFWÎFW =+U ¼Þ =+F EFc=+áFÎF
=+ÞÎFF ˜ FFPùJ—
} ÜFP¼ PèFèF] =+F ¡ FÎÛF fFÞ ÛFWk ùX¶FF ùY EZÞ HõF=+U
õFFcõF =+U ¼Þ 60 õFW ¡ ÜFsF¼F ùY, ¶FX HõFW ¶F]ÞζF
ÎFr¡ F¼U=+U õæFFõ»ÜF =W+ν ÛFWk ÞW×+Þ =+ÞWk—
HÛFe
0 õFW 59 P¼ÎF
2 ÛFùUÎFW õFW 12 ÛFùUÎFW ¶F=+
12 ÛFùUÎFW õFW 5 õFFáF ¶F=+
¶FW¡F õFFcõF áFWÎFW =+U ¼Þ
ùÞ PÛFÎF© ÛFWk 60 ÜFF ¡ ÜFsF¼F ÙFFÞ õFFcõF áFWÎFF
ùÞ PÛFÎF© ÛFWk 50 ÜFF ¡ ÜFsF¼F ÙFFÞ õFFcõF áFWÎFF
ùÞ PÛFÎF© ÛFWk 40 ÜFF ¡ ÜFsF¼F ÙFFÞ õFFcõF áFWÎFF
v) ÎFæF¡ FF¶F =+U ¼W&FÚFFáF =+W PáFJ PÎFÛÎF õFáFFù ¼Wk
} ÎFæF¡ FF¶F =+X J=+ õFѶFFù ÜFF ¶FÙF ¶F=+ ÎF ÎFùáFFcJ ¡ FÙF
¶F=+ HÎF=+F æFr¡ FÎF =+ÛF õFW =+ÛF 2000 ;FeFÛF ÎF ùX ¡ FFJ—
} ¡ FÎÛF õFW ¶F]ÞζF ÙFF¼ EZÞ PæFèFWðF¶F: 30 PÛFÎF© =W+ EμÞ
&FUõF (=+XáFXõ© dÛF) PÑFáFFÎFF ˜ FFPùJ
} ÑFùáFW š ù ÛFùUÎFXk =W+ PáFJ =W+æFáF õ¶FÎFÑFFÎF =+ÞFJc
} ÙF˜ ˜ FW =+X ÑFùáFW š ù ÛFùUÎFXk ¶F=+ èFù¼, ÑFFÎFU, ;FFcÜF =+F ¼[ÍF ÜFF ÙFF¡ FFÞ ÛFWk
PÛFáFÎFW æFFáFU =+XGa ÚFU ˜ FU¡ F ÎF PÑFáFFJc
} © U=+F=+ÞµF =W+ ÙFFÞW ÛFWk ÑFÞFÛFèFa ¼Wk
efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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4 Pages 31-40 |
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4.1 Page 31 |
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efgyk vkjksX; lfefr izf’k{k.k iqfLrdk
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4.2 Page 32 |
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Vision
A responsive, functional, and sustainable health system that provides need based, affordable and
accessible quality health care, improved water, sanitation and hygiene for urban poor in eight states.
Goal
To improve the health status of the urban poor by adopting effective, efficient and sustainable
strategic intervention approaches, adopting the principle of convergence of the various development
programs.
Jaipur
HUP Demonstration Cities
Delhi
Agra
Pune
Bhubaneswar
For more information please contact:
Health of the Urban Poor (HUP) Program
Population Foundation of India
B-28, Qutab Institutional Area, New Delhi-110016, Tel: 91-11-43894166, Fax: 91-11-43894199
E-mail: info_hup@populationfoundation.in, www.populationfoundation.in
This document is made possible by the support of the American people through the United States Agency for International Development (USAID). The
contents are the responsibility of the Population Foundation of India and do not necessarily reflect the views of USAID or the United States Government