<p>o”kZ 2013&14 ls jk”Vªh; xzkeh.k LokLF; fe’ku ds vUrxZr Hkkjr ljdkj }kjk jk”Vªh; cky LokLF; dk;ZØe (RBSK) izkjEHk fd;k x;k gSA bl dk;ZØe ds fuEu m}s’; gSaA 1-0 ls 18 o”kZ ds lHkh cPpksa dh o”kZ esa 2 ckj LokLF; tkap ,oa fu%’kqYd mipkj iznku djukA 2- Birth Defects ds ekeyksa dk vkjfEHkd Lrj esa irk yxkdj mipkj djukA 3-chekj cPpksa] iks”k.k dh deh ls xzflr cPpksa] Developmental delay ,oa fodykaxrk dh igpku dj mipkj djukA 4-lHkh mipkj fu%’kqYd dj ifjokj dk Out of pocket expenditure de djukA dk;ZØe ds rgr iwjs izns’k esa Ldwy LokLF; Vheksa ds ek/;e ls izkFkfed Lrj ls b.VjehfM,V Lrj rd ds lHkh ljdkjh ,oa ljdkjh lgk;rk izkIr fo|ky;ksa esa ukekafdr cPpksa dk Ldwy Lrj ij] vkaxuckM+h esa ukaekafdr cPpksa dk vkaxuckM+h Lrj ij rFkk Ldwy u tkus okys cPpksa dk vkaxuckM+h dsUnzksa ij o”kZ esa 2 ckj LokLF; ijh{k.k fd;k tk;sxkA LokLF; ijh{k.k eq[; :i ls 4Ds (Birth at defects, Diseases in children, Deficiency conditions and Developmental delay including disabilities) dh igpku ,oa mipkj ij vk/kkfjr gksxk] ftlds vuqlkj cPpksa dk On the spot health examination dj p;fur cPpksa dks mPp fpfdRlk ds fy;s District Early Intervention Center (DEIC) ,oa rr~i'pkr jkT; } kjk vuqcfU/kr Tertiary care treatment hospitals dks lUnfHkZr fd;k tk;sxkA lUnHkZ.k lsokvksa ds fy;s fu%’kqYd okgu dh O;oLFkk lEcfU/kr tuin ds eq[; fpfdRlkf/kdkjh }kjk miyC/k djk;h tk;sxhA dk;ZØe ds v/khu mipkj gsrq lUnfHkZr cPpksa dks leqfpr lUnHkZ.k lsok iznku djus gsrq izns'k ds 9 ftyk@rglhy Lrj ds fpfdRlky;ksa esa District Early Intervention Center (DEIC) LFkkfir fd;s tk;sxsa] tksfd vius rFkk lEc) tuin ds lHkh lUnfHkZr cPpksa dks mipkj iznku djsaxsaA (DEIC) LFkkiuk gsrq p;fur tuinksa esa Hkkjr ljdkj ds lg;ksx ls Infrastructure/equipment rFkk vko’;d ekuo lalk/ku dh rSukrh dh tk;sxhA ftu cPpksa dk mipkj (DEIC) esa lEHko ugha gksxk mUgsa Tertiary care treatment hospitals dks lUnfHkZr fd;k tk;sxk tgka ij ,sls cPpksa dks fu%’kqYd mipkj izkIr gksxkA Hkkjr ljdkj ds fn’kk&funsZ’kkuqlkj Target Group dk;ZØe dh LokLF; tkap dk dk;Z fuEukuqlkj lEiUu fd;k tk;sxkA  0 ls 6 ekg rd ds cPpksa dh ns[kHkky ,oa chekfj;ksa dh igpku izR;sd Delivery point ij rSukr LVkQ }kjk Facility level ij ,oa vk’kk dk;Zd=h ds }kjk vius dk;Z{ks= esa ?kj&?kj Hkze.k dj dh tk;sxhA  6 lIrkg ls 6 o”kZ rd ds cPpksa dk LokLF; ijh{k.k dk;Z Cykd Lrjh; eksckby LokLF; Vheksa ds }kjk vkaxuckM+h dsUnzksa ij lEiUu fd;k tk;sxkA  6 o”kZ ls 18 o”kZ dh vk;qoxZ ds cPpksa tksfd izns’k ds ljdkjh ,oa ljdkjh lgk;rk izkIr fo|ky;ksa esa ukekafdr gSa dk LokLF; ijh{k.k dk;Z Cykd Lrjh; eksckby LokLF; Vheksa ds } kjk lEcfU/kr fo|ky;ksa esa Hkze.k ds le; fd;k tk;sxkA jk”Vªh; cky LokLF; dk;ZØe fpfdRlk] f’k{kk ,oa efgyk l’kDrhdj.k rFkk cky fodkl foHkkx ds xgu leUo; ,oa vkilh lg;ksx ls lapkfyr gksxkA bl gsrq lEcfU/kr foHkkxksa dk jkT; Lrj ij ,d dksjxqzi xfBr fd;k tkrk gS] ftldk Lo:i fuEuor gksxk&</p><p>1-izeq[k lfpo] fpfdRlk LokLF; ,oa ifjokj dY;k.k] mRrjk[k.M v/;{k 2-izeq[k lfpo@lfpo] efgyk l’kDrhdj.k ,oa cky fodkl] mRrjk[k.M lnL; 3-izeq[k lfpo@lfpo] fo|ky;h f’k{kk] mRrjk[k.M lnL; 4-egkfuns’kd] fpfdRlk LokLF; ,oa ifjokj dY;k.k lnL; 5-fe’ku funs’kd] ,u0vkj0,p0,e0] mRrjk[k.M lnL; lfpo 6-funs’kd] vkbZ0lh0Mh0,l0] mRrjk[k.M lnL; 7-funs’kd] fo|ky;h f’k{kk] mRrjk[k.M lnL; 8-MkW0 lqtkrk flUgk lnL; mijksDr lfefr o”kZ esa 4 ckj jkT; Lrj ij cSBd dj dk;ZØe dh leh{kk dj dk;ZØe ds lQy lapkyu gsrq vko’;d fn’kk&funsZ’k tkjh djsxhA jkT; Lrj ij egkfuns’kd] fpfdRlk LokLF; ,oa ifjokj dY;k.k] mRrjk[k.M dh v/;{krk esa dk;ZØe fØ;kUo;u desVh dk xBu fd;k tk;sxk] ftldk Lo:i fuEuor gksxk& 1-egkfuns’kd] fpfdRlk LokLF; ,oa ifjokj dY;k.k] mRrjk[k.M v/;{k 2-fe’ku funs’kd] ,u0vkj0,p0,e0] mRrjk[k.M lg v/;{k 3-funs’kd] efgyk l’kDrhdj.k ,oa cky fodkl] mRrjk[k.M lnL; 4-funs’kd] fo|ky;h f’k{kk] mRrjk[k.M lnL; 5-vij funs’kd] jk”Vªh; dk;ZØe] LokLF; egkfuns’kky;] mRrjk[k.M lnL; lfpo mDr lfefr izR;sd ekg cSBd dj dk;ZØe ds fØ;kUo;u dh leh{kk djsxhA dk;ZØe esa lg;ksx iznku dj jgs rhuksa foHkkxksa ¼LokLF;] f’k{kk rFkk vkbZ0lh0Mh0,l0½ esa ls ftl Hkh foHkkx } kjk f’kfFkyrk@ykijokgh cjrh tk jgh gks ml ij dk;Zokgh dj lq/kkj djsxsaA lfefr viuh =Sekfld fjiksVZ dksjxzqi dks izsf”kr djsxhA ftyk Lrj ij dk;ZØe ds lQy lapkyu ,oa vuqJo.k gsrq ftykf/kdkjh dh v/;{krk esa desVh xfBr dh tk;sxh] tks fuEuor gksxh& 1-ftykf/kdkjh v/;{k 2-eq[; fodkl vf/kdkjh lnL; 3-eq[; fpfdRlkf/kdkjh lnL; 4-eq[; f’k{kk vf/kdkjh lnL; 5-ftyk cky fodkl vf/kdkjh lnL; 6-mi eq[; fpfdRlkf/kdkjh] vkj0lh0,p0 lnL; lfpo mijksDr i`”BHkwfe esa ‘kklu }kjk RBSK dk;ZØe ds m}s’;ksa dh izkfIr gsrq LokLF; foHkkx] efgyk l’kDrhdj.k ,oa cky fodkl rFkk fo|ky;h f’k{kk foHkkxksa ds e/; vfHklj.k LFkkfir fd;s tkus ds m}s’; ls fodkl[k.M] ftys ,oa jkT; Lrj ij rhuksa foHkkxksa ds lEcfU/kr vf/kdkjh@deZpkfj;ksa ds e/; leUo; LFkkfir djus dk fu.kZ; fy;k x;k gSA bl gsrq rhuksa foHkkxksa ds nkf;Roksa dk fu/kkZfjr vuqyXud &d ds vuqlkj fd;s x;s gSaA LokLF;] efgyk] f’k{kk foHkkx ds e/; ftyk ,oa Cykd Lrjh; cSBdksa esa dk;ZØe ds fØ;kUo;u esa vk jgh leL;kvksa ds lek/kku ds lkFk&lkFk RBSK dk;ZØe esa lwpuk Hkstus ds fu/kkZfjr izk:iksa vuqyXud&[k dh leh{kk djsxsa ,oa izxfr dh tkudkjh rFkk lwpukvksa dk vknku&iznku djsxsaA mijksDr vkns’kksa ds izlkfjr gksus ds mijkUr izR;sd foHkkx vius Lrj ls vko’;d funsZ’k tkjh dj fu;fer vuqJo.k O;oLFkk LFkkfir djsaxsaA RBSK dk;ZØe esa vfHklj.k ds lkFk gh izf’k{k.k gsrq vko’;drkuqlkj okafNr lg;ksx iznku djsxsaA ;g vkns’k efgyk l’kDrhdj.k ,oa cky fodkl foHkkx rFkk f’k{kk foHkkx dh lgefr ls tkjh fd;s tk jgs gSaA</p><p> vuqyaXud&d ¼LokLF;] f’k{kk ,oa vkbZ-lh- Mh-,l- foHkkxksa ds dk;Z nkf;Ro½</p><p>LokLF; foHkkx] efgyk l’kDrhdj.k rFkk f’k{kk foHkkx fuEukuqlkj la;qDr :i ls dk;ZØe ds fØ;kUo;u gsrq vfHklj.k LFkkfir dj dk;Z djsxsaA izR;sd foHkkx ds fuEu nkf;Ro gksxsaA efgyk l’kDrhdj.k ,oa cky fodkl foHkkx& </p><p> 6 ekg ls 6 o”kZ rd ds cPpksa dh Cykdokj lwph rFkk vkaxucM+h dsUnzksa dh lwpuk lEcfU/kr Cykd ds fpfdRlk ,oa f’k{kk foHkkx dks miyC/k djkukA  eksckby LokLF; Vhe dk iwjs o”kZ gsrq Cykdokj Hkze.k dk;ZØe cukus esa f’k{kk ,oa LokLF; foHkkx ds lkFk lg;ksx iznku djukA  Cykdjokj vkaxuckM+h dsUnzksa ij LokLF; Vheksa }kjk fd;s tk jgs LokLF; ijh{k.k ds le; lg;ksx iznku djukA  vf/kd ls vf/kd cPpksa dks LokLF; tkap dk ykHk iznku djus gsrq izpkj&izlkj djukA  ohdyh vkj;u Qkfyd ,flM lfIyesaV (WIFS) dk;Zdze ds vUrxZr LokLF; foHkkx }kjk nh x;h vkbZ0,Q0,0 rFkk fMokjfeax xksfy;ksa dks vkaxuckM+h dsUnzksa ij vk jgh fd’kksfj;ksa dze’k% lIrkg esa ,d ckj rFkk o”kZ esa nks ckj vius lkeus f[kyokukA  fu/kkZfjr izk:iksa ij izR;sd ekg lwpuk ftyk eq[;ky; dks izsf”kr djukA  jkT; Lrj ls fuxZr funsZ’kksa dk vuqikyu lqfuf’pr djukA  dk;ZØe dh foLr`r tkudkjh gsrq lHkh foHkkx jkT; ls fn;s x;s funsZ’kkuqlkj izpkj&izlkj djsaxsaA f’k{kk foHkkx&  Cykdokj 6 o”kZ ls 18 o”kZ rd ds cPpksa ,oa fo|ky;ksa dh la[;k dk fooj.k LokLF; foHkkx dks miyC/k djkukA  eksckby LokLF; Vhe dk iwjs o”kZ gsrq Cykdokj Hkze.k dk;ZØe cukus esa LokLF; ,oa vkbZ0lh0Mh0,l0 foHkkx ds lkFk lg;ksx iznku djukA  Cykdjokj eksckby LokLF; Vheksa }kjk fd;s tk jgs LokLF; ijh{k.k ds le; lEcfU/kr fo|ky; ds uksMy v/;kid lg;ksx iznku djsaxsaA  vf/kd ls vf/kd cPpksa dks LokLF; tkap dk ykHk iznku djus gsrq izpkj&izlkj djukA  mPp tkap gsrq (DEIC) esa lUnfHkZr fd;s x;s cPpksa ds vfHkHkkodksa ,oa ekrk&firk dks izsfjr djuk rFkk lUnfHkZr cPpksa rFkk lUnHkZ.k bdkbZ ij igqaps cPpksa dh la[;k ls LokLF; foHkkx dks voxr djkukA  ohdyh vkj;u Qkfyd ,flM dk;Zdze (WIFS) ds vUrxZr LokLF; foHkkx }kjk nh x;h vkbZ0,Q0,0 rFkk fMokfeax xksfy;ksa dks 6&12 rd ds cPpksa dks dze’k% vius lkeus lIrkg esa ,d ckj rFkk o”kZ esa nks ckj f[kyokukA  fu/kkZfjr izk:iksa ij izR;sd ekg lwpuk Cykd ls ftyk rFkk ftyk Lrj ls jkT; eq[;ky; dks izsf”kr djukA  dk;ZØe dh foLr`r tkudkjh gsrq lHkh foHkkx jkT; ls fn;s x;s funsZ’kkuqlkj izpkj&izlkj djsaxsaA  jkT; Lrj ls fuxZr funsZ’kksa dk vuqikyu lqfuf’pr djukA </p><p>LokLF; foHkkx&  ftykf/kdkjh ds funsZ’kkuqlkj ftyksa gsrq fu/kkZfjr Ldwy LokLF; Vheksa dk p;u dj mUgsa Cykdokj IyslesaV nsuk rFkk eksckby LokLF; Vhe dh eksfcfyVh gsrq okgu dh O;oLFkk djukA  lHkh fMyhojh IokbaV ¼Mh0,p0] rglhy Lrjh; fpfd0] lh0,p0lh0] ih0,p0lh0 ,oa midsUnz½ tgka izlo gks jgsa gks dk fpUghdj.k dj mldh lwph vU; nksuksa foHkkxksa dks miyC/k djkukA  eksckby LokLF; Vheksa dk Cykdokj ,Mokal Vwj izksxzke nksuksa foHkkxksa ds lg;ksx ls rS;kj dj mls ldqZysV djokukA  vkaxuckM+h dsUnzksa ,oa fo|ky;ksa esa eksckby LokLF; Vheksa }kjk fd;s tks jgs LokLF; ijh{k.k dk;Z dh xq.kkRedrk dk ijh{k.k djuk ,oa mlesa vko’;d lq/kkj djukA  DEIC rFkk Tertiary care gsrq lUnfHkZr cPpksa dks fu%’kqYd okgu miyC/k djkukA  vk’kk dk;Zdf=;ksa dks izf’k{k.k nsdj ?kj ij jgus okys 6 ekg ls 6 o”kZ rd ds chekj ,oa fodykax cPpksa dh igpku dj vkaxuckM+h dsUnzksa ij eksckby LokLF; Vheksa ds }kjk tkap gsrq izsfjr djukA  fu/kkZfjr izk:iksa ij izR;sd ekg lwpuk Cykd ls ftyk rFkk ftyk }kjk jkT; eq[;ky; dks izsf”kr djukA  dk;ZØe dh foLr`r tkudkjh gsrq lHkh foHkkx jkT; ls fn;s x;s funsZ’kkuqlkj izpkj&izlkj djsaxsaA  (RBSK) gsrq Logistic dh vkiwfrZ djukA </p>