gaba-pat emva gaba-pat sambamiqat ]pcaar saovaaeom p`dana krnao ko ilayao inajai svaasqya kond`aom ki AiQakRit idsaainad-ossa

Transcription

1 gabba-pat emeva gaba-a-pat samambamiqat ]pcaarr saovaaaeom p`dana a krnnaoo ko illayao inajai i svvaasqya ko knd`aom ki k AiQiQakRit idssaainad-ossa

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3 Guidelines for accreditation of private sites for provision of comprehensive abortion care services Anauk`maiNaka SaIYa-k pryz k`maamk I. pryzbauima 4 II. gaba-pat emva gaba-pat sambamiqat ]pcaar saovaaaaom ko ilayao AiQakRit yaaojanaa yaui@t yaaojanaa 5 III.yaui@t yaaojanaa ko p`mauk GaTk 6 1. ij,alaa AiQakRit kmaoti ka gazna krnaa 6 2. ij,alaa AiQakRit kmaoti sadsyaaom ka ]nmau#aikrna 7 3. yaaojanaa ka p`saar 7 4. Aavaodna p`ik`yaa 8 5. AiQakiRt krnao ki p`ik`yaa ko ilayao saoooovaa kond`aom ka maulyaamkna 8 6. p`maanaikrna va emaaaoyau pr hstaxar 9 7. yaaojanaa ko AMtga-t AiQakiRt inajai svaasqya komd`aom Wara p`dana ki jaanao vaalai saovaaem 9 8. inaqaa-irt saovaa Saulk ki dr inajai saoooovaa p`dataaaom kao inaqaa-irt raisa p`dana krnaa irpaoit-mga p`maana p~ ki vaoqata inagaranai va maulyaamkna AiQakRit kao samaapti krnaa isakayataom ka inavaarna 13 PairiSaYz 1: ij,alaa AiQakRit kmaoti Wara maaisak irpaoit-ga p`a$p 14 PairiSaYz 2: yaui@t yaaojanaa ko AMtga-t AiQakRit kond`aom ko naamaaom ki saucai ka p`a$p 15 PairiSaYz 3: AiQakRt inajai svaasqya kond`aom pr lagaae jaanao vaalao saa[naoja ka p`a$p 16 PairiSaYz 4: Aavaodna va svamya maulyaamkna saucai PairiSaYz 5: ijalaa svaasqya saimait va inajai saoooovaa p`dataaaom ko maqya emaaaoyau PairiSaYz 6: AiQakRit p`maana p~ 32 PairiSaYz 7: Aa[-saI (IEC) [ndont fa^ma- 33 PairiSaYz 8: inajai svaasqya kond` saucanaa caat-r PairiSaYz 9: [navaa^[sa p`a$p PairiSaYz 10: edimasana rijastr

4 Guidelines for accreditation of private sites for provision of comprehensive abortion care services samkotaxaraom ki saucai ANM ASHA AWW CAC CDPO CMO CS DAC DHS DLC DM DPO DPM FOGSI FWNO GoB ICDS IMA MMR MoU MTP NGO RDD SHSB sahayak nasa- imadvaa[-f AiQakRt saamaaijak svaasqya kaya-kta- AaMganavaaDI kaya-ktavyaapk gaba-pat dokbaala baala ivakasa piryaaojanaa AiQakarI mau#ya icaik%saa AiQakarI isaivala saja-na ij,alaa AiQakRit kmaoti ijalaa svaasqya saimait ijalaa striya saimati ³emaTIpI ko ilayao ijalaa maijast/ot ijalaa piryaaojanaa AiqakarI ijalaa kaya-k`ma AiQakarI fodrosana Aa^f end gaayanaaolaa^ijakla saaosaayati Aa^f [indyaa pirvaar klyaana naaodla AiQakarI ibahar sarkar samaoikt baala ivakasa piryaaojanaa [indyana maoidkla esaaoisayaosana maatr mar%yau dr maomaaorondma Aa^f AnDrsToinD,Mga icaik%sakiya gaba-pat gaor sarkari samsqaa rijanala idpti rajya svaasqya saimati ibahar 3

5 Guidelines for accreditation of private sites for provision of comprehensive abortion care services I. pryzbauima Balao hi Baart maom gaba-pat sana\ 1971 sao kanaunana vaoqa ho laoikna saurixat AaOr kanaunai $p sao maanya gaba-pat ki sauivaqaaem Aba BaI ]plabqa nahi hmo. vkt h fcgkj dh xjhc xzkeh.k efgykvksa esa vlqjf{kr xzikr ds dkj.k chekjh o e`r;q gksuk,d cmh+ lel;k gs. ibahar ka maatr mar%yau dr 312 ho jaao ik rayt/iya dr 254 sao khim jyaada ho. fcgkj esa gj lky yxx 5-8 yk[k xzikr fd;s tkrs gsa ftuesa ls vf/kdka'k xzikr ljdkjh eku;rk çkir LokLF; kond`aom ls ckgj] vçf'kf{kr çnkrkvksa }kjk vloklf;dj ifjflfkfr;ksa esa fd;s tkrs gom. Asaurixat gaba-pat ki sam#yaa maom kmai Aanao sao rajya ko maatr mar%yau dr maom BaI kmai Aa sakogai. inamna dao AvaraoQaaoM kao dur krnao sao Asaurixat xzikr kao raoknao maom madd kafi madd imala sakti ho: sahi kimat pr gaunava%tapuna- va saurixat gaba-pat sauivaqaaaaom ki kmai efgykvksa o lekt esa xzikr ds dkuwuh gksus o le; jgrs xzikr ds fu.kz; ysus laca/kh tkudkjh dh deh jkt; esa gksus okys dqy xzikr esa ls dkqh la[;k esa futh LokLF; dsuæksa }kjk fd;s tkrs gsa.cgjgky] ;g {ks= T;knkrj foä gs vksj fu/kkzfjr fu;eksa ds vuqlkj dke ugh djrk. budh vusd lel;k,a gsa ftuesa ls dqn fueu fyf[kr gsa% ga`amaina xao~aom maom kanaunaià saurixatàp`isaixat saovaa p`dataaaom ki kmai saovaaaaom ko AiQak maulya p`dataaaom Wara ematipi AiQainayama 1971 ka palana naa krnaa 1 galat AaOr Anaupyau@t [laaja fcgkj ljdkj] çf'kf{kr,oa mi;qä futh LokLF; dsuæksa dks] ;fn mudh :fp gks rks] O;kid xzikr lsok,a çnku djus ds fy;s vf/k r djuk pkgrh gsa blds varxzr çfke frekgh rd dh xzikr lsok,a] xzikr dh tfvyrkvksa dk bykt] Lor% ¼vius vki½+ gksus okys xzikr dk bykt rfkk nwljh frekgh ds xzikr dslkas o mudh tfvyrkvksa laca/kh bykt ds fy;s efgyk dh gkyr dks flfkj djds jsqj djuk rfkk ljdkj ls fu/kkzfjr lsok nj ds vuqlkj jkf'k@'kqyd çkir djuk vkrk gsa fcgkj ljdkj us futh LokLF; çnkrkvksa ls ikjn'khz :i esa mudh lsok,a [kjhndj bu lsokvksa ds bpnqd yksxksa rd ;s lsok,a igqapkus ds fy;s ;s vf/k ir ;kstuk cukbz gsa ematipi p`maainat inajai va AlaaBakarI gaor sarkari svaasqya kond` tqaa vao pirvaar klyaana saovaa kond` jaao ik ematipi p`maainat hom vao yaui@t yaaojanaa ko AMt-gat AiQakRit ko ilae yaaogya ho. [na kondªaom pr mauft maom p`qama itmaahi tk ko gaba-pat ApUNa- gaba-pat saovaaem va gaba-pat ko baad ki jaitlataaaom ka [laaja ikyaa jaaegaa. saaqa hi yaid kao[- kondª dusari itmaahi ko gaba-pat krnao ko ilayao AiQakRt nahim ho tao vah ]na kosaaom va ]naki jaitlataaaom sambamqai [laaja ko ilayaom rofrla sauivaqaa p`dana krogaa. efgykvksa esa le; jgrs xzikr laca/kh fu.kz; ysus rfkk ;fn vko';drk gs rks fqj çfke frekgh esa gh xzikr djkus ij tksj nsus ds fy;s bu vf/k r dsuæksa dks dsoy çfke frekgh rd ds xzikr ds fy;s gh vf/k r fd;k tk,xka fcgkj ljdkj bu vf/k r LokLF; dsuæksa }kjk visf{kr nlrkost o dsl dk fooj.k tek djus ij gj dsl ds vk/kkj ij 'kqyd çnku djsxh. [sa Saulk ki dr maom dvaa[-yaaom ka maulya Anya vastuem Kcao- Anya laagat va saovaa p`data ka Saulk Saaimala haogaa. tgka h lao gksxk] futh LokLF; dsuæ] efgyk ds lkfk 1 ematipi AiQainayama 1971 inayama va ivainayama 4

6 Guidelines for accreditation of private sites for provision of comprehensive abortion care services vkus okyh lkeqnkf;d LokLF; dk;zdrkz¼vk'kk],,u,e] vkaxuokmh dk;zdrkz½ dks vkokxeu dk [kpkz h nsaxs. vah sabai sarkari svaasqya dsuæ jaha^ gaba-pat ko ilayao p`isaixat Da^@Tr ]plabqa hom saurixat gaba-pat saovaae p`dana krtom rhomgaom. sarkari svaasqya dsuæksa maom ]plabqa mauft saurixat gaba-pat saovaaaaom ki jaanakari samaudaya mao baz,anao ko ilayao sabai dsuæksa pr saa[naoja va Anya Aa[[saI saamaga`i p`disa-t ki jaayaogai. [na sabai dsuæksa pr yaui@t yaaojanaa ko Antga-t saamaudaiyak svaasqya kaya-kta- ³AaSaaÀeenaemaÀ AaMganavaaZ,I kaya-kta- Àsvaasqya kaya-kta- kao Aavaagamana saibsadi imalaogai prntu [na saovaaaom ko evaja mao sarkari svaasqya dsuæksa kao sarkar Wara kao[ Anya raaisa nahi di jaayaogai. II. saurixat gaba-pat saovaaaaom ko ilayao AiQakRit yaaojanaa : yaui@t yaaojanaa orzeku ifjçs{; esa] vf/k fr dk vfkz gs og çfø;k ftlds varxzr bl vf/k fr ;kstuk esa lfeefyr gksus ds bpnqd futh LokLF; dsuæksa dk fu/kkzfjr ekudksa ij vkdyu fd;k tk,xk rfkk mi;qä LokLF; dsuæksa dks fueu fyf[kr lsok,a çnku djus ds fy;s eku;rk nh tk,xh vksj vf/k fr fn'kk funzs'k ds vuqlkj 'kqyd çnku fd;k tk,xka [sa yaaojanaa kao yaui@t yaaojanaa ka naama idyaa gayaa ho AaOr [samaom inamna saovaaaaom ko p`avaqaana hom: p`qama itmaahi tk ki gaba-pat saovaaem ApUNa- gaba-pat ko kosaaom ka [laaja krnaa gaba-pat ki jaitlataaaom ka [laaja va AavaSyakta pd,nao pr rofrla p`dana krnaa ³maihlaa ki halat kao isqar krnao ko baad dusari itmaahi ko gaba-pat ko ilayao rofr krnaa vao maihlaaem jaao ]pya-u@t saovaaem caahti hom ]nho AiQakRt inajai svaasqya kond` Wara gaba-pat ko ivayaya maom pramasa- va gaba-pat ko pscaat ]icat gaba- inaraoqa ko saaqanaaom ko baaro maom salaah di jaaegai. yaui@t yaaojanaa ibahar sarkar ki inajai svaasqya kond`aomom kao AiQakRit krnao ki yaaojanaa ho ijasamaom saurixat gaba-pat ki saovaaaaom ki ]plaibqa baz,anaa va gaba-pat ki jaitlataaaom ka [laaja krnaa Saaimala hom. [sa yaaojanaa ko AMtga-t AiQakRit inajai saoooovaa p`data ibahar sarkar ki Anya p`janana svaasqya sambamqai yaaojanaaaaom ka ihssaa BaI bana sakto hom. III. yaui@t yaaojanaa ko p`mauk GaTk inamna p`mauk GaTk hom ijanako Anausaar yaui@t yaaojanaa laagau ki jaayaogai: 1. ij,alaa AiQakRit kmaoti ³DIesaI ka gazna krnaa ijalaa AiQakiRt kmaoti maom inamna sadsya Saaimala haogaom: ijalaa maijast/ot [sako AQyaxa haomgao ijalaa striya saimait ³emaTIpI kanauna ko p`avaqaana ko AMtga-t gaizt 2 ko sadsya ijalao ka pirvaar klyaana naaodla AiQakarI ijalaa kaya-k`ma AiQakarI 2 ematipi e@t 1971 ko sao@sana 4 va ematipi inayama 2003 ki Qaara 3 ko Anausaar ij,alaa striya kmaoti maom 3 sao kma AaOr pamca sao jyaada sadsya nahi haonao caaihyao ijanamaom AQyaxa BaI Saaimala hom. DIelasaI ka ek sadsya s~i raoga ivasaoya& À saja-na À enaoisqaoitst haonaa caaihyao va Anya sadsya sqaanaiya icaik%sakiya vyavasaaya sao sambaw haonao caaihyao jaao ik gaor sarkari samsqaa yaa ij,alao ko pmcaayati raja samsqaana sao sambaw haonaa caaihyao. kmaoti AQyaxa ijalaa svaasqya AiQakarI Aqavaa caif maoidkla Aa^ifsar haonaa caaihyao. 5

7 Guidelines for accreditation of private sites for provision of comprehensive abortion care services DIesaI maom nyaunatma C: va AiQaktma Aaz sadsya haomgao. [sako p`mauk haomgao ijalaa maijast/ot. mau#ya icaik%saa AiQakarIÀ ijalao ko isaivala saja-na [sako kayaa-kari sadsya sicava rhomgao. mau#ya icaik%saa AiQakarIÀ isaivala saja-na ijalaa pirvaar klyaana naaodla AiQakarI DielasaI ka ek sasdsya ³p`mauK $p sao s~i raoga ivasaoya& AaOr DIpIema imalakr DIesaI ki samrcanaa kromgao. p`%yaok DIesaI baozk maom kaor samauh ko sadsyaaom ka haonaa AavaSyak ho. (A) DIesaI ki BaUimaka va ]%trdaiya%va yah sauinaiscat krnaa ik AiQakRit yaaojanaa ka ijalao maom sahi p`caar ikyaa jaa rha ho va inajai svaasqya kond`aom va saamaudaiyak svaasqya kayaa-kta-aaom tk [saki saucanaa phum^ca rhi hom. AiQakRit haonao ki puri p`ik`yaa ko ilayao ]%trdayai rhnaa [namaom Saaimala ho Aavaodna p`apt krnaa kond` ka maulyaamkna p`maanaikrna samcaalana p`gait ka Aaklana sambamiqat isakayat inadana krnaa di ga[- saovaaaaom ko ilayao inaqaa-irt raisa idlavaanaa AaOr ibahar ko rajya svaasqya saimait kao irpaot- krnaa. ftk+yk LokLF; la?k o futh LokLF; dsuæ ds chp eseksjsume vkwq vumjlvsfumax djuk. yaid inajai svaasqya kond` Wara saovaaem sahi triko sao nahi di jaa rhi ho Aqavaa AnaOitk kayaao-m ki isakayatom AatI hom tba ]sa kond` ki AiQakRit kao r_ krnaa. phlao sao tya draom pr inajai svaasqya kond`aom kao ]nako Wara di jaanao vaalai saovaaaaom ko ilayao inaqaa-irt samayaavaiqa pr Saulk p`dana krnaa. ~Omaaisak baozk ko daorana AiQakRit yaaojanaa ki p`gait ka samcaalana krnaa va samaixaa krnaa AiQakRit inajai svaasqya kond` ka samaya samaya pr jaa^mca krnao hotu daora krnaa. (B) sadsya saicava ko ]%trdaiya%va sadsya saicava baozkaom ko daorana DI e sai ko roka^d- ki dokrok ka ijammaodar haota ho AaOr vah fa[-lsa rknao naaot\sa Aaid banaanao ko ilayao ]%trdayai rhogaa. sadsya saicava ki yao BaI ijammaodari rhogai ik vah DI eca esa va inajai svaasqya kond` ko maqya maomaoarondma Aa^f AnDrsToinD,Mga kao kayaa-invat kro. Anya sadsyaaom Wara [sa p`ik`yaa kao samaya pr pura krnao ko ilayao sahyaaoga idyaa jaa sakogaa. sadsya saicava Wara kmaoti ki baozk baulaa[- jaaegai ijasamaom yaaojanaa ki p`gait ki samaixaa ki jaaegai. sadsya saicava Wara yaui@t yaaojanaa ko AMtga-t hr mahinaa BaaOitk va iva%tiya irpaot- e@jai@yauitva Dayaro@Tr esaecaesabai ³PairiSaYz 1 kao BaojaI jaaegai. sadsya saicava Wara PairiSaYz 2 maom vaina-t p`a$p maom esaecaesabai kao yaui@t yaaojanaa ko Antga-t Saaimala sabai AiQakRt kond`aom ki saucai saaompi jaaegai.[sa saucai kao samaya samaya pr AQyayana ikyaa jaaegaa va phlao dao vayaao-m tk ~Omaaisak $p sao va ]sako baad CmaahI $p maom BaojaI jaaegai. (C) AQyaxa ko ]%trdaiya%va iksai BaI kond` kao AiQakRt krnao yaa na krnao ka AMitma inana-ayak AQyaxa haogaa. futh LokLF; dsuæ ;k Mh,pl }kjk fdlh dsuæ dh vf/k fr jí djus dh vthz dk vafre fu.kkz;d] v/;{k gksxk. v/;{k çfke O;fä gksxk ftls futh LokLF; dsuæ f'kdk;rksa ds fy;s laidz djsaxs. 2. DIesaI sadsyaaom ka ]nmaukikrna lh ijalaa maijast/ot] mau#ya icaik%saa AiQakarIÀ isaivala saja-na ds fy;s ;qfä ;kstuk ds ckjs esa mudh fmfotu Lrjh; csbdksa ds nksjku dk mueq[khdj.k gksxk rfkk Mhih,e rfkk ifjokj dy;k.k uksmy vf/kdkfj;ksa ds fy;s 1 fnu dk mueq[khdj.k dk;zøe vk;ksftr fd;k tk,xk. [samaom ]naki BaUimaka va 6

8 Guidelines for accreditation of private sites for provision of comprehensive abortion care services ]%trdaiya%va roka^d- irpaoit-mga va sa%yaapna Saulk inaqaa-rna Aaid Saaimala haogaa. p`%yaok p`itbaagai kao ek saucanaa ikt di jaaegai ijasamaom sabai AavaSyak jaanakari va sandiba-t saamaga`i va saaro p`a$p BaI Saaimala haomgao. [sako baad vao DIesaI sadsyaaom kao ]nako ij,alaom maom p`isaxana domgao jaao ik yaaojanaa ki p`ik`yaa va DIesaI ki BaUimaka sao sambamiqat haogaa. 3. yaaojanaa ka p`saar,l,p,lch rfkk Mh,lh mi;qä futh LokLF; dsuæksa] lkeqnkf;d LokLF; dk;zdrkzvksa rfkk leqnk; esa ;qfdr ;kstuk ds ckjs esa tkx:drk QSykus ds fy;s vko';d dne ysxsa.[sako ilayao ijalao ko samast inajai svaasqya saovaa p`dataaaom FOGSI, IMA ko sadsyaaom tqaa Anya s~i raoga ivasaoya&aom ka ijalaa striya ]nmaukikrna Aayaaoijat ikyaa jaa sakta ho. [sa kaya-k`ma mao ijalao ko MOIC, ICDS ko ijalaa kaya-k`ma AiQakarI(DPO) va baala ivakasa piryaaojanaa AiQakarI (CDPO) kao BaI AamaMi~t ikyaa jaayaogaa emva yaaojanaa ki jaanakari di jaayaogai.yao AiQakarI Aagao calakr saamaudaiyak svaasqya kaya-kta-aaom kao saurixat gaba-pat saovaaem va [sa yaaojanaa ko ivayaya maom jaanakari domgao. [sa yaaojanaa ko sambamqa maom jaanakari kao sampuna- maiidyaa maom p`saairt ikyaa jaaegaa jaosao AKbaar roidyaao paostr FOGSI, IMA ki baozkaom maom GaaoYaNaa Aaid. mau#ya icaik%saa AiQakarIÀisaivala saja-na Aqavaa DIecaesa evam esaecaesabai ko kayaa-laya sao [sa yaaojanaa ko ivayaya maom sahi jaanakari jaosao ik: yaaojanaa mao Saaimala saovaaem AiQakRit laonao ko ilayao nyaunatma yaaogayta Aaid p`apt ki jaa sakti ho. [sa yaaojanaa ko ivayaya mao ivastrt jaanakari evam Aavaodna p~ rajya svaasqya saimait ³esa eca esa bai ibahar ki vaobasaa[t pr BaI ]plabqa haomgao. esaecaesabai Wara sahi maa~a maom ba`aosasa- Capo jaaemgao ijanamaom yaaojanaa p`ik`yaa Saulk ki dr inajai svaasqya kond` ko ilaya svamya maulyaamkna caokilast ematipi ki p`it gaba-paat saovaa p`dana krnao sambamqai idsaainad-osa 3 inajai svaasqya kond` va DIesaI ko ]%trdaiya%va Aaid haomgao. [na ba`aosasa- kao sabai DIesaI kao inajai svaasqya komd`aom kao Aagao p`saar ko ilayao idyaa jaaegaa. p`%yaok inajai svaasqya komd` ko ek baar AiQakRt hao jaanao pr ]sao saa[-naoja ³piriSaYaz 3 ka p`dsa-na krnaa haogaa ijasasao ik vaha^ ]plabqa mauft gaba-pat va sambaiqat saovaaaaom ki jaanakari Aama samuadaya kao di jaa sako. [sako saaqa hi inajai svaasqya kond` kao yaaojanaa ko AMtga-t ]plabqa paostr laiflaot va Anya Aa[-[-saI ka saamaana ]icat maa~a maom rknaa haogaa. e ena ema emva AaSaa ka ]nmaukikrna sambamiqat MOIC Wara ikyaa jaayaogaa. AaMganavaaZ,I kaya-kta- ka ]nmaukikrna sambamiqat e ena ema Wara ikyaa jaayaogaa. 4. Aavaodna p`ik`yaa vao inajai svaasqya kond` jaao [sa yaaojanaa maom $ica rkto hao ]nho ba`aosasa- idyao jaa sakomgao ijanamaom Aavaodna fa^ma- haogaa va svamya maulyaamkna saucai ³piriSaYz 4 Saaimala haogai. yao mau#ya icaik%saa AiQakarIÀ isaivala saja-na DIecaesa yaa esaecaesabai ko kayaa-layaaom maom tqaa esaecaesabai ki vaobasaa[-t pr BaI ]plabqa haogai. inajai svaasqya kond` ApnaI caokilast kao Barkr isaivala saj-ana@mau#ya icaiktsaa AiQakarIÀ DIecaesa ko kaya-laya mao jamaa kromgao AaOr jamaa krnao ki rsaid BaI lao sakogaom. AiQakRit krnao ki p`ik`yaa ko daorana hi kao[- BaI eosaa komd` jaao ematipi ko ilayao AiQakRt naa hao vao ematipi AiQakRit ko ilayao BaI Aavaodna kr sakto hom. [sako ilayao ematipi AiQakRit ko ilayao AavaSyak fa^ma- e jamaa krnaa pd,ogaa³doikyao inayama 5 ka ]p inayama 2 ematipi inayama vyaapk gaba-pat dokbaala: saovaaem evam p`isaxana sambaiqa idsaainad-osa svaasqya evam pirvaar klyaana mam~alaya Baart sarkar,

9 Guidelines for accreditation of private sites for provision of comprehensive abortion care services 5. AiQakRt krnao ki p`ik`yaa ko ilayao inajai svaasqya komd/ ka maulyaamkna sadsya saicava vaàaqavaa DIpIema Wara p`%yaok Aavaodna kao doka jaaegaa va svaasqya komd`aom ko inarixana ko ilayao AavaodnaaoM ki sam#yaa ko AaQaar pr yaaojanaa banaa[- jaaegai. sadsya saicava Wara inarixana ko ilayao cayainat komd`aom ki saucai banaa[- jaaegai va komd`aom kao sauicat ikyaa jaayaogaa. inajai svaasqya komd` ka inarixana Aavaodna p`apt haonao ko 30 idnaaom ko BaItr haonaa caaihyao. komd` ka inarixana DI e sai ko kma sao kma dao sadsyaaom Wara ikyaa jaayaogaa DIpIema AaOr mau#ya icaik%saa AiQakarIo yaa isaivala saja-na Aqavaa pirvaar klyaana naaodla AiQakarI.yaid pirvaar klyaana naaodla AiQakarI ]plabqa nahi ho tao sadsya saicava iksai Anya DIesaI sadsya ³mau#yat: ek icaik%sak kao [sa kaya- ko ilayao inayau@t kr sakto hom. inajai svaasqya kond` ka maulyaamkna krto samaya jamaa ki ga[- svamya jaa^ca caokilast ka sa%yaapna ikyaa jaaegaa. [sako ilayao bauinayaadi 8 inajai svaasqya komd` ki saiesai saovaa hotu pa~ta ksaaoti inajai svaasqya komd/ kao saovaa hotu Anaumaaodna inamnailaikt Satao-M pr idyaa jaa sakogaa: DIelasaI Wara ematipi ko ilayao Anaumaaoidt svaasqya komd/ ki toyaari sambamqai caokilast ka pura haonaa ³piriSaYz 4 inajai svaasqya komd/ Wara tyasauda icaik%sakiya p`aotaoka^la ka palana ikyaa jaanaa caaihyao jaao ik ematipi ko ilayao saiesai saovaa hotu tya ikyao gae hom. kma sao kma ek s~i raoga ivasaoya& haonaa caaihyao ³emaDIÀ DIjaIAao Aqavaa ematipi p`maainat saovaa p`data jaao ematipi ki saovaaem do sako. iwtiya itmaahi maom gaba-pat krvaanao ko ilayao sahi rofrla sauivaqaa vyavasqaaem maanava samsaaqana saovaa donao ka trik,a Aaid ka maulyaamkna ikyaa jaaegaa. yaid inajai svaasqya kond` yaui@t yaaojanaa ko ilayao sahi payaa jaata ho tba maulyaamkna samauh Wara ]nako Anaumaaodna ki ek p`it ³PairiSaYz 4 ]sa komd/ ko maailak kao di jaayaogai. [sa p`it kao ]sa inajai svaasqya kond` ko Aavaodk Wara BaI hstaxar krnaa caaihyao ijasako saamanao yao maulyaamkna sampnna huaa ho. yaid inajai svaasqya kond` pr iksai p`kar ki kmai pa[- jaati ho ijasasao AiQakRt haonaa sambava na hao [sa tqya kao kond/ ko p`itinaqai kao ]sai samaya yaa tina idnaaom ko BaItr bata idyaa jaanaa caaihyao ³PairiSaYz 4. PairiSaYz 4 pr ]sa kond` ko p`itinaqai Wara BaI hstaxar ikyao jaanao caaihyao ijanako samaxa yao maulyaamkna ikyaa gayaa. vah kond` kimayaa^ sauqaar laonao ko baad ifr sao Aavaodna kr sakta ho. 6. p`maanaikrna va emaaaoyau pr hstaxar kond` maulyaamkna TIma³esa e TI Wara ApnaI irpaot- sadsya saicava DIesaI kao maulyaamkna ko 7 idnaaom ko BaItr saaompi jaaegai ijasamaom ]na karnaaom ki jaanakari haogai ijasako calato iksai kond` kao AiQakRt krnao yaa naa krnao ki isafairsa ki gayai ho. sabai inajai svaasqya kond`aom ki irpaot- tqaa esa e TI ki Anaumaaodna ko AaQaar pr sadsya saicava kond`aom kao AiQakRit donao ko ivayaya mao ApnaI raya banaaeomgao tqaa AaOr yah Anaumaaodna ek saaqa kaor samauh va DIesaI ko sadsyaaom ko samaxa rkaa jaayaogaa. iksai komd` kao gaba-pat va sambaiqat saovaaaaom ko ilayao AiQakRt ikyaa jaanaa ho yaa nahi yah inana-ya kaor samauh ka rhogaa.aqyaxa va sadsya saicava kao yaui@t yaaojanaa ko AMtga-t inajai svaasqya kond` kao AiQakRt krnao ka AiQakar ho. inajai svaasqya kond` kao ]saki svaikrit ki isqati ko sambamqa maom sadsya saicava DIesaI Wara maulyaamkna daoro ko baad 14 kaya- idvasaaom ko BaItr sauicat ikyaa jaaegaa. sadsya saicava Wara inajai svaasqya kond` ko maailak kao DIecaesa ko saaqa emaaaoyau (pirisayz 5) pr hstaxar ko ilayao tqaa saiemaaaoà saiesa ko kayaa-laya ki Aaor sao komd/ ko AiQakRt haonao ka p`maana p~ ³piriSaYz 6 laonao ko ilayao baulaayaa jaaegaa. [sai ko saaqa sambaw rasai BaI inajai svaasqya kond` kao p`dana ki jaaegai ³ivastRt jaanakari

10 Guidelines for accreditation of private sites for provision of comprehensive abortion care services iva%tiya ivabaaga maom. yao smapuna- p`ik`yaa svaasqya komd` pr inarixana ko 30 idvasaaom ko BaItr sampnna haonai caaihyao. 7. yaaojanaa ko AMtga-t inajai AiQakRt svaasqya komd`aom Wara p`dana ki jaanaovaalai saovaaem sabai inajai svaasqaya kond` ijanho yaaojanaa ko AMtga-t AiQakRt ikyaa gayaa ho ]nho inamna sauinaiscat krnaa AavaSyak ho: p`qama itmaahi ko gaba-pat ApUNa- gaba-pat va gaba-pat jaitlataaaom stoibalaayajaosana AaOr rofrla ko ilayaom gaunava<aapuna- saovaaem tqaa dusari itmaahi gaba-pat ko ilayao Apoxaanausaar rofrla saovaaem. gaba-pat ko pscaat gaba- inaraoqa sambamqai pramasa- ematipi ko inayamaanausaar ematipi saovaaem saa[-naoja tqaa paostsa- Wara sahi triko sao samaudaya maom yaaojanaa ka p`saar yaaojanaa ko ilayao toyaar ikyao gae laiflaot\sa va paostsa- ka sahi maa~a maom ]plabqa haonaa. inajai svaasqya kond` [sa p`kar ko saamaana ko ilayao [ndont fa^ma- ³piriSaYz 7 ko Wara maamga kr sakto hom. yaui@t yaaojanaa ko sambamqa maom jaanakari va ivakasaa%mak kayaao-m ka ivavarna komd` pr lagaanaa.[samaom pirisayz 8 maom di ga[- jaanakari haonai caiahyao. maihlaa ko saaqa Aanao vaalao samaaudaiyak svaasqya kaya-kta- kao Aavaagamana sabaisadi di jaaegai³eenaema AaSaa AaMganavaaZ,I kaya-kta- svaasqya kaya-kta- saovaaaaom ko irkad- kao sahi p`kar sao rka jaayao va sahi p`$p mao Bar kr sahi samaya pr jamaa ikyaa jaae. gaba-pat saovaaem va ]pkrnaaom ki dokrok Baart sarkar Wara inaqaa-irt inayaamakaom ko Anausaar haonai caihyao ³fuTnaaoT 3 dokom. 8. saovaa raisa ki dr inajai svaasqya kond` jaao yaui@t yaaojanaa ko Antga-t AiQakRt hom ]nho gaba-pat sauivaqaa panao ki [ccuk maihlaaaaom ko ilayao inamna sauinascat krnaa haogaa saovaaem ematipi e@t va gaba-pat saovaaaaom ko ilayao idsaainad-osaaom ko Anau$p hom 4 saovaa p`data ApnaI saovaa p`dana krnao ka kao[- Saulk nahi laomgao iksai BaI p`kar ka Saulk caaho p`yaaogasaalaa ki jaamca hao yaa dvaa[-yaam yaa D/oisaMga Aaid sao sambamiqat hao nahi ilayaa jaaegaa. yaui@t yaaojanaa ko AMtga-t p`%yaok inajai AiQakRt svaasqaya komd` kao inamna draom pr saovaa Saulk idyaa jaa sakogaa: p`dana ki ga[- saovaaem p`it kosa dr ³$, a. p`qama itmaahi ki gaba-pat saovaa sampnna ki ga[- ³[vaIe emavaie yaa emaemae 500/- b. p`qama itmaahi ko ApUNa- gaba-pat ka [laaja 750/- c. gaba-pat ki jaitlata ka [laaja 750/- d. jaitlata ki isqati maom maihlaa ki halat kao isqar krnaa va rofr krnaa 300/- 4 vyaapk gaba-pat dokbaala: saovaaem evam p`isaxana sambaiqa idsaainad-osa svaasqya evam pirvaar klyaana mam~alaya Baart sarkaar,

11 Guidelines for accreditation of private sites for provision of comprehensive abortion care services eosai isqati maom jaham pr maihlaa kao gaba-pat saovaa laonao ko ilayao saamaudaiyak svaasqya kaya-kta- ³AaSaaÀeenaemaÀ AaMganavaaZ,I kaya-kta svaasqya kaya-kta Wara laayaa gayaa ho ]nho inajai svaasqya kond` tk Aanao jaanao ko ilayao 150 $pyao ka Aavaagamana Saulk ka Baugatana ikyaa jaaegaa.[sao draom ko Alaavaa ilayaa jaayaogaa. 9. AiQakRt raisa p`dana krnaa AiQakRt raisa esaecaesabai Wara ijalaa svaasqya saimait kao p`dana ki jaayoagai ijasao ijalaa svaasqya saimait inajai svaasqya kond` kao dogai. inajai svaasqya kond` kao yaaojanaa ko Anausaar sauinaiscat draom pr Baugatana ikyaa jaaegaa.inajai svaasqaya kond` Wara inamna ivaklpaom maom sao iksai ek kao caunaa jaa sakta ho: 1. [navaa^[-sa ko saaqa maaisak mauaavajaa 2. ek baomk gaarmti ko evaja maom idyaa jaanao vaalaa Aiga`ma Qana yao gaarmti yaid sambava hao tao rayt/iyakrt baomk sao hao. (A) saovaaem p`dana krnao ko evaja maom [navaa^[-sa ko Wara maaisak p`aipt inajai svaasqaya kond` kao ]nako Wara hr maah di ga[- saovaaaaom ko eovaja maom [navaa^[-sa banaanai haogai ³piriSaYz 9 maom p`a$p ijasao hr mahinao ki 7 tarik, tk ]sao mau#ya icaik%saa AiQakarIÀ isaivala saja-na sadsya ko pasa jamaa krvaanaa haogaa. sadsya saicava DIesaI Wara [sa sambamqa maom Qana p`daya kao laokr kaya- krto hue 75 p`itsat raisa [navaa^[sa ko p`apt haoto hi do domgao AaOr baaki 25 p`itsat raisa [navaa^[sa ko sa%yaapna ko pscaat di jaaegai.bacai hu[- 25 p`itsat ki raisa kao [navaa^[sa p`aipt ko 6 saptah ko BaItr do di jaayaogai. (B) nh xbz lsokvksa ds,ot esa tek fd;s x, buokwbl ds vk/kkj ij vfxze jkf'k dh iqu% iwfrz ds fy; ekax 10. irpaoit-mga dksbz h vf/kdrr futh LokLF; dsuæ] fdlh jk"vªh; r csad ls Mh,p,l dks xkjavh nsdj 50]000 :i;s dh vfxze jkf'k ekax ldrk gsa futh LokLF; dsuæ mlesa ls 80 çfr'kr jkf'k dks [kpz djus ds i'pkr] nh xbz lsokvksa ds,ot esa,d buokwbl cukdj ¼ifjf'k"V 9 esa çk:i gs½ eq[; fpfdrlk vf/kdkjh@ flfoy ltzu dks stsxka eq[; fpfdrlk vf/kdkjh@flfoy ltzu buokwbl feyrs gh 75 çfr'kr jkf'k ns nsxsa o ckdh ds 25 çfr'kr] buokwbl ds çek.khdj.k ds ckn nh tk,xh- ckdh dh 25 çfr'kr jkf'k buokwbl feyus ds N% g rs ds vanj nh tk,xha ;fn fdlh futh LokLF; dsuæ dh eku;rk dks lekir fd;k tkrk gs ;k,evks;w dks jí dj fn;k tkrk gs] rc ml LokLF; dsuæ }kjk Mh,p,l dks tek fd;s x, vafre buokwbl dks Mh,p,l }kjk vuqeksnu fd;s tkus ds ckn çnku fd;k tk,xka ckdh vfxze jk'kh og dsuæ Mh,p,l dks okfil ns nsxka csad xk,avh dk i= futh LokLF; dsuæ dks vfxze o vu; [kpks± ds Hkqxrku d+s pkj g rksa ds ckn okfil ns fn;k tk,xka inajai svaasqya kond` kao yaaojanaa ko AMtga-t AiQakRt haonao ko calato gaba-pat gaba-pat jaitlata va rofrla sambamqai kosa ka irkad- pmjaikrna rijastr maom krnaa AavaSyak ho ³piriSaYz 10.Apoixat jaanakari kao sahi p`a$p va [navaa^[sa ko saaqa DIesaI ko pasa jamaa ikyaa jaaegaa. ij,alaa AiQakRt kmaotiàijalaa svaasqya saimait AiQakRt svaassqya kondªksa sao imalai jaanakari kao ek~ krnao ko baad hr mahinao rajya svaasqya saimait ibahar kao ivasaoya p`a$p ³piriSaYz 1 mao Baojaogaa. 10

12 Guidelines for accreditation of private sites for provision of comprehensive abortion care services 11. p`maana p~ ki vaoqata AiQakRt inajai svaasqya kond` ko ilayao jaari ikyaa gayaa p`maana p~ ek baar jaari ikyao jaanao ko baad tina vayako ilayao vaoqa rhta ho va [saka p`%yaok vaya- navainaikrna krvaayaa jaa sakta ho. p`maana p~ ki samaaipt ko pscaat inajai svaasqya kond` kao pirisayz 4 ko Anausaar [sako navainaikrna ko ilayao Aavaodna donaa haogaa. inarmtr AiQakRit isqait banaae rknao ko ilayao inajai svaasqaya kond` kao ]naki p`maana p~ ki AvaiQa samaapt haonao sao tina maah phlao hi navainaikrna ko ilayao Aavaodna donaa haogaa. bahrhala dori ko karna navainaikrna na ikyao jaa saknao ki isqait maom yao sauivaqaa AMtirma AvaiQa tk baz,a[- jaa sakti ho ³AiQaktma 3 maah. 12. inagaranai va maulyaamkna (A) p`qama itmaahi ko gaba-pat ko ilayao AiQakRt inajai svaasqya kondªaom mao saovaaaaom irkad- va irpaot- ki gaunava<aa ki jaa^ca ko ilayao iksai BaI samaya DI e sai Aqavaa ]nako p`itinaqai Aqavaa esaecaesabai Wara inayau@t p`itinaqai iksai BaI 10% AiQakRt inajai svaasqya kondªaom ka AaOcak inarixana kr saktom hom. jaba BaI iksai inajai svaasqya kondz Wara irpaot- jamaa ki jaati ho AaOr DIesaI kao yao AnauBava haota ho ik ematipi ki sam#yaa Anapoixat $p sao baz, rhi ho tba vao ApnaI Aaor sao [sa kondz ko inarixana va sahi isqait ki jaamca ko ilayao iksai p`itinaqai ki inayaui@t kr sakto hom. [sa vyavasqaa kao sadsya saicava DIesaI Wara di ga[- AvaiQa tk jaari rka jaa sakta ho. [sako Alaavaa mau#ya icaik%saa AiQakarI Aqavaa isaivala saja-na ematipi e@t ko ematipi inayama ³doKoM inayama 6 ]p inayama 1 ematipi inayama 2003 ko Anausaar iksai BaI inajai svaasqaya kond` ka inarixana kr sakto hmo. DIesaI ko AQyaxa ko pasa yao AiQakar ho ik vao ematipi inayama 6 ³doKoM ematipi inayama 2003 ko Anausaar ematipi ko kosa sambamqai ivastrt jaanakari ka prixana kr sakto hom ijasamaom maihlaa ka naama BaI Saaimala haota ho. (B) ApUNa- va jaitla gaba-pat ko ilayao DIesaI Wara yaa ]nako p`itinaqai Aqavaa ecaecaesabai ko p`itinaqai iksai BaI 10 p`itsat kod`aom ka AaOcak inarixana kr sakto hom [samao vah ]sa komd` ko roka^d- rko jaanao ki ivaqai jaamca saucai va irpaoit-mga ki samaixaa kr saktom hmo. jaba BaI iksai inajai svaasqya kond` Wara irpaot- jamaa ki jaati ho AaOr DIesaI kao yao AnauBava haota ho ik ematipi ki sam#yaa Anapoixat $p sao baz, rhi ho tba vao ApnaI Aaor sao [sa kond` ko Wara jamaa ki ga[- irpaotko sa%yaapna ko ilayao laabaaqai- ko str pr jaa^mca kr sakto ho. (C) rajya striya inagaranai ecaecaesabai] ftk+yksa }kjk Loh r fcyksa esa ls 1 çfr'kr fcyksa dks tkapsxh- ;qfdr ;kstuk ds leqfpr fø;kuo;u dh fuxjkuh ds fy;s jkt; LokLF; lfefr dks ;g vf/kdkj gs fd og iwjh çfø;k dk fdlh vu; O;fä@ lalfkk }kjk ewy;kadu djk ldrh gs ftlesa vkwfmv,ao,evhih vf/kfu;e ds vuqlkj o çpfyr lkekftd@lkal frd eku;rkvksa dks /;ku esa j[krs gq, ykkfkhz ds Lrj ij lr;kiu Hkh kkfey gs A 11

13 Guidelines for accreditation of private sites for provision of comprehensive abortion care services 13. AiQakRit kao samaapt krnaa iksai BaI samaya yaid eosaa AnauBava Aata ho ik inajai svaasqya kond` p`maana p~ maom vaina-t inayamaaom va p`avaqaanaaom ka palana nahi kr rha ho Aqavaa yao doka jaata rha ho ik yaham pr gaunava%ta yaa saovaaaaom ko saaqa samajaaota ikyaa jaa rha ho saaqa hi roka^d- rknao va irpaoit-mga krnao maom BaI samajaaota hao rha ho tba yao p`maana p~ rd\d ikyaa jaa sakta ho. [sako ilayao sadsya saicava DIesaI Wara inajai svaassqya kond` kao ek karna bataaao naaoitsa jaari ikyaa jaaegaa ho [saki ek p`it AQyaxa DIesaI va esaecaesabai kao BaojaI jaayaogai. yaid inajai svaasqya kond` kao Qana idyao jaanao ko tina maah ko BaItr saurixat gaba-pat saovaaem p`dana krnaa Sau$ nahi ikyaa jaata ho tba DIesaI ko pasa Qana vaapsa laonao ka AiQakar ho va vao AiQakRit isqait pr punaiva-caar kr sakto hom. yaid kao[- inajai svaasqya kond` ApnaI AiQakiRt isqait kao rd\d krvaanaa caahta ho tba ]nho ApnaI Aaor sao ek Aavaodna p~ ilaikt maom donaa haogaa ijasamaom [saka karna idyaa jaanaa caaihyao. [sao sadsya saicava DIesaI kao Baojaa jaanaa caaihyao ijasaki ek p`it AQyaxa DIesaI va esaecaesabai kao BaojaI jaaegai. iksai BaI inajai svaasqya kond` ki AiQakRit kao samaapt krnao ki p`ikyaa AQyaxa DIesaI ko Anaumaaodna ko ]prant hi puri haogai. 14. isakayataom ka inarakrna yaid inajai svaasqya kond` ko inarixana ko baad AiQakRit p`maana p~ donao maom 45 idnaaom sao jyaada ki dori haoti ho yaa AiQakRit p`maana p~ nahi idyaa jaata ho tba inajai svaasqya kond` DIesaI ko AQyaxa kao isakayat kr sakta ho. yaid inajai svaasqya kond` samtuyt na hao tao vah idvaijanala kimasnar ko pasa jaa sakta ho. fmfotuy dfe'uj] {ks=h; fmivh Mk;jsDVj ds lkfk feydj ;kfpdk dh leh{kk djsxk o fookn dk lek/kku djsxka fmfotuy dfe'uj dk fu.kz; gh bl lanhkz esa vafre fu.kz; gksxka inajai p`data kao ek ilamkà[maola pta idyaa jaaegaa vao [sa yaui@t yaaojanaa sao sambamiqat isakayataom kao saiqao esaecaesabai kao Baoja sakom. 12

14 Guidelines for accreditation of private sites for provision of comprehensive abortion care services p`it pirisayz 1 yaui@t yaaojanaa ko AMtga-t idyaa jaanaovaalaa maaisak irpaot- ka p`a$p (hr mahinao ki 15 tarik tk jamaa krnaa ho) kaya-kari inadosak ij,alaa: rajya svaasqya saimait, ibahar Wara sadsya saicava idnaamk: ijalaa AiQakRit kmaoti ij,alaa: vaya-..maah k`maamk saovaaem p`qama itmaahi gaba-pat ApUNa- gaba-pat ka saovaaem [laaja BaaOitk p`gait gaba-pat jaitlataaaom ka [laaja r\ofrla 1 irpaoit-mga maah maom kula kosa Aavaagamana sabaisadi kosaaom ki sam#yaa AiQakRt svaasqya kondªaom }ara ijalaa AiQakRt kmaoti sao irpaoit-mga maah tk maamga ki ga[- kula raisa ijalaa AiQakRt kmaoti }ara AiQakRt svaasqya kondªaom kao irpaoit-mga maah tk di ga[- kula raisa iva%tiya p`gait p`maainat ikyaa jaata ho ik ]prao@t roka^d- ijalaa AiQakRt kmaoti yaui@t yaaojanaa ko roka^d- ko Anausaar ho AaOr maoro &anaanausaar sahi ho. sqaana: idnaamk mau#ya icaik%saa AiQakarIÀ isaivala saja-na ³hstaxar va stamp 13

15 Guidelines for accreditation of private sites for provision of comprehensive abortion care services p`it yaaojanaa ko AMtga-t AiQakRt inajai svaasqaya kond`ksa ko naamaaom sambamqai irpaot- hotu p`a$p kaya-kari inadosak ij,alaa: rajya svaasqya saimait, ibahar pirisayz 2 Wara sadsya saicava idnaamk: ijalaa AiQakRit kmaoti ij,alaa: vaya-..maah k`maamk inajai svaasqaya kond` ka naama va pta blaak sampk- sau~ ka naama sampk- hotu durbaaya ³i@lainak va maaobaa[la [-maola pta p`maainat ikyaa jaata ho ik ]prao@t roka^d- ijalaa AiQakiRt kmaoti yaui@t yaaojanaa ko roka^d- ko Anausaar ho AaOr maoro &anaanausaar sahi ho. sqaana: idnaamk sadsya saicava ³DIesaI ³hstaxar va stamp 14

16 Guidelines for accreditation of private sites for provision of comprehensive abortion care services pirisayz 3 saovaa kondª saa[naoja ¼dIvaar laokna½ ka p`$p³dªaft 15

17 pirisayz 4 Aavaodna k`maamk:: SHSB-YY/< ij,alaa >/ yaui@t yaaojanaa Aavaodna p~ yao Aavaodna p~ ek svayam jaamca saucai (checklist) tqaa maulyaamkna fama- ko samaana kama krogaa ijasako Anausaar Aapko i@lainakà naisa-mga haomaàasptala ³ijanho Aagao sao svaasqya kond` kha jaaegaa ka inarixana yah pta krnao ko ilayao ikyaa jaaegaa ik vah yaui@t yaaojanaa ko AMtga-t saovaaem p`dana krnao ko ilayao ]pyau@t hom Aqavaa nahi. Aavaodna p~ mao Aapko }ara di gayai jaanakari ko AaQaar pr ijalaa AiQakRit kmaoti Wara Aapko svaasqya kondª ka maulyaamkna ikyaa jaaegaa ik vah yaui@t yaaojanaa ko AMtga-t saovaaem p`dana krnao ko ilayao ]pyau@t hom Aqavaa nahi. [sa saucanaa kao ijalaa AiQakiRt kmaoti ko sadsyaaom Wara svaasqya kond` ko inarixana ko daorana puna: sa%yaaipt ikyaa jaaegaa. [sa jaamca saucai (checklist) kao [sailayao banaayaa gayaa ho taik Aap Aavaodna sao puva- Apnao svaasqya kondª ka svayam maulyaamkna kr sakom ik vah yaui@t yaaojanaa ko AMtga-t saovaaem p`dana krnao ko ilayao toyaar ho Aqavaa nahi. caokilast ek inaqa-airt famamao ho tqaa [samao ivaibanna jaanakari jaosao gaba-pat kosa laaod bauinayaadi sauivaqaaem ]plabqa ]pkrna dvaaem va Anya saamaana Saaimala ho. p`%yaok p`sna ka ]%tr sarlatapuva-k ham yaa naa maom idyaa jaa sakta ho.kuc sqaanaaom pr Aapkao ivastrt suacanaa nambar va naama kp $p mao donai haogai jaosao ik Da^@Tr naisa-mga kma-caari ibastr Aaid. yaid iksai spyzikrna ki AavaSyakta hao tao krpyaa Apnao DIesaI p`itinaqai Aqavaa mau#ya icaik%saa AiQakarIÀisaivala saja-na kayaa-lya sao pucom. mah%vapuna- inado-sa: 1. Aavaodna kao Aavaodnakta- Wara hi Bara jaanaa caaihyao 2. p`it blaa^k isaf- ek hi Axar ilakom evam bad,o AxaraoM ka p`yaaoga krom 3. vyai@tgat $p sao jamaa ikyao jaanao pr inamna p`kar ki p`aipt rsaid imala sakogai yaham sao katom yaui@t yaaojanaa ij,alaa: p`aipt rsaid Aavaodna k`maamk: Aavaodk ka naama: i@lainak ³svaasqya kondª ka naama: hma Aapkao Qanyavaad doto hom jaao Aapnao yaui@t yaaojanaa ko AMtga-t Apnao svaasqya kondªª ka Aavaodna ikyaa. yao Aapko Aavaodna ki rsaid ho. krpyaa yaaojanaa sambamqai sabai samvaadaomàp~acaar maom }pr idyaa gayaa Aavaodna k`maamk AavaSya dom. mau#ya icaik%saa AiQakarIÀ isaivala saja-na kayaa-laya ij,alaa idnaamk: p`aipt ilaipk ko hstaxar va stamp

18 ij,alaa Aavaodk ka naama ³svaasqya kondª ka naama sampuna- Dak pta ipna kaod svaasqya kondª - durbaaya k`maamk ³esaTIDI kaod ko saaqa inavaasa - Anya - maaobaa[-la maaobaa[la 2 [-maola pta pona (PAN)naMbar ³svayaM poona (PAN) nambar ³sqala svaasqya kondª ki sqaapnaa ka vaya- M M / Y Y Y Y iksai Anya sarkari yaaojanaa maom naamaamikt ³yaaojanaa ka naamaàkba sao naamaamikt hom krpyaa svaasqya kondª ko sambamqa maom inamna jaanakari p`dana krom:

19 1. gaba-pat saovaaaaom ko ilayao Anaumaaodna hamànahi svaasqya kondª gaba-pat saovaaaaom ko ilayao Anaumaaoidt ho 1.1 p`qama itmaahi tk ki gaba-pat saovaaaaom ko ilayao hamànahi 1.2 dusari itmaahi tk ki gaba-pat saovaaaaom ko ilayao hamànahi svaasqya kondª ka vagai-krna (Category Status) ³maUlyaaMknakta- Wara Bara jaae sa%yaaipt ³DIesaI Wara 2. kula gaba-pat kosaaom ki jaanakari k`maamk AaOsat maaisak gaba-pat kosa ³ipClao 12 maah maom 2.1 p`qama itmaahi sam#yaa 2.2 iwtiya itmaahi sam#yaa 2.3 ApUNa- gaba-pat sam#yaa sa%yaaipt ³DIesaI Wara svaasqya kondª ka vagai-krna (Category Status) ³maUlyaaMknakta- Wara Bara jaae 3. kma-caairyaaom ki jaanakari naama À nambar 3.1 s~i raoga ivasaoya&ao ki sam#yaa sam#yaa s~i raoga ivasaoya& ka naama naama sa%yaaipt ³DIesaI Wara s~i raoga ivasaoya& ka naama naama s~i raoga ivasaoya& ka naama naama 3.2 emabaibaiesa ki sam#yaa sam#yaa 3.3 gaba-pat saovaa ko ilayao AiQakRt emabaibaiesa ki sam#yaa emabaibaiesa ka naama naama emabaibaiesa ka naama naama emabaibaiesa ka naama naama 3.4 naisa-mga kma-caairyaaom ki sam#yaa sam#yaa svaasqya kondª ka vagai-krna (Category Status) ³maUlyaaMknakta- Wara Bara jaae

20 4. bauinayaadi sauivaqaaem va ]pkrna hamànahiàsam#yaa sa%yaaipt ³DIesaI Wara 4.1 AavaSyak Z,aMcaa va ]pkrna ka (Sim s/ Cusco s hamànahi speculum) entoiryaaor vajaayanala vaa^la irt/^@tr (Anterior vaginal hamànahi wall retractor) elaa[sa faorsaop Aqavaa vaa^lsaolama ³CaoTo damtaom vaalaa hamànahi (Allis forceps or volsellum (small toothed) spnja haoildmga faorsaop (Sponge holding forceps) hamànahi blant va (Blunt and sharp curette) hamànahi caotla ka faorsaop (Cheatle s forceps) hamànahi entisaoiptk saaolyausana ko ilayao baa]la (Bowl for hamànahi antiseptic solution) sahi p`kasa ka sa`aot À Ta^ca- Proper (light source/ hamànahi torch) emavaie eisprotrà ivavut sa@sana masaina (MVA hamànahi aspirator/ Electric suction machine) ibanna AakaraoM ki konyaulao (Cannulae of required sizes) hamà nahi va sam#yaa isairnja kao KalaI krnao ko ilayao ]pyau@t ikdnai T/o hamànahi (Kidney tray or suitable receptacle for emptying the contents of the syringe) itsyauja ko ilayao st/onar (Strainer for tissues) hamànahi PlaaisTk ki baalti (Plastic bucket) hamànahi irsyauisatosana ko ilayao ]pkrna (Equipment for resuscitation) a. Ambau baoga (Ambu bag) hamànahi b. Aaorla earvao (Oral airway) hamànahi c. Aa^@saIjana isalaondr (Oxygen cylinder) hamànahi samk`mana sao bacaava va strlaayajaosana ko ilayao ]pkrna ³inamna tina maom sao kma sao kma ek (Equipment for infection prevention and sterilization (at least one of the three below) d. (Autoclave) hamànahi e. baa^yalar (Boiler) hamànahi f. isado@sa T/o (Cidex tray) hamànahi 4.2 AavaSyak saamaana eintsaoiptk saaolyausana : p`aoivadaona AayaaoDIna saaolyausana hamànahi (Antiseptic solution: Povidone iodine solution) stra[-la ka^tna svaabsa (Sterile cotton swabs) hamànahi stra[-la dstanao (Sterile gloves) hamànahi porasavaa-yakla blaa^k va Anya dvaa[-yaaom ko ilayao isairnja va hamànahi naiidla (Syringe and needle for administration of paracervical block and other drugs) stra[-la salaa[-na (Sterile saline) hamànahi

21 ka saaolyausana À blaiicamga pa]dr (Chlorine hamànahi solution/ bleaching powder) 4.3 AavaSyak dvaa[-yaam empiisailana T/ayahayaD/oT Aqavaa Anya ivaklp (Ampicillin, Amoxicillin hamànahi Trihydrate, Cephalexin or a suitable alternative) poraisatamaa^la ponaatajaaosaa[na Dayasaaya@laaomaa[-na Aqavaa hamànahi Anya ivaklp (Paracetamol, Penatazocine, Dicyclomine or a suitable alternative) [njao@sana et/aofa[-na salfot (Injection Atrophine hamànahi Sulphate) [njao@sana ilagnaaokona (Injection Lignocaine 1-2%) hamànahi [njao@sana DayaJaapama (Injection Diazepam) hamànahi [njao@sana Aa^@saITaoisana (Injection Oxytocin) hamànahi [njao@sana imaqaa[laorgaaomaot/a[na imalaot (Injection hamànahi Methylergometrine Maleate) Do@sT/aoja 5% (Dextrose 5%) hamànahi irmgar lao@tot saaolyausana Aa[-vaI saot ko saaqa (Ringer hamànahi Lactate solution with IV sets) konyaulao Aqavaa skolp vaona saot\sa ³iBanna Aakar hamànahi (Cannulae or scalp vein sets (different sizes) 4.4.AapatkalaIna icaik%saa ko ilayao AaOYaiQa [njao@sana ed/olaa[na (Injection Adrenaline) hamànahi [njao@sana eimanaaofa[-laa[-na (Injection hamànahi Aminophyline) [njao@sana saaoidyama baa[- kabaao-naot 7.5% (Injection hamànahi Sodium-Bi-Carbonate 7.5%) [njao@sana koilsayama glaukaonaot 10% (Injection hamànahi Calcium Gluconate 10%) [njao@sana maot@laaop`amaa[d Aqavaa sahi ivaklp (Injection hamànahi Metclopramide or a suitable alternative) [njao@sana pàomaoqaajaa[-na ha[-d/ao@laaora[-d Aqavaa ]pyau@t hamànahi ivaklp (Injection Promethazine Hydrochloride or a suitable alternative) [njao@sana ha[-d/aokaot-saaona syauisanaot (Injection hamànahi Hydrocortisone Succinate) [njao@sana f`usaomaa[d (Injection Frusemide) hamànahi [njao@sana Daopamaa[-na (Injection Dopamine) hamànahi 4.5 AaOYaQaIya gaba-pat hotu AavaSyak dvaa[-yaam maa[foip`staona (Mifepristone) hamànahi maa[saaop`aostaola (Misoprostol) hamànahi poraisatamaa^la Aa[-byaup`aofona Aqavaa sahi ivaklp hamànahi (Paracetamol, Ibuprofen or a suitable alternative)

22 svaasqya kondª ka vagai-krna (Category Status) ³maUlyaaMknakta- Wara Bara jaae 5. saamaanya jaanakari hamà nahi va sam#yaa sa%yaaipt ³DIesaI Wara 5.1 bauinayaadi sauivaqaaem Aa^proSana kxa mau#ya AaoTI (major OT) hamà nahi va sam#yaa Aa^proSana kxa CaoTa AaoTI (minor OT) hamà nahi va sam#yaa laobar kxa hamà nahi va sam#yaa Aa^proSana puva- ka kxa À xao~ hamànahi Aa^proSana ko pscaat À irkvari kxa À xao~ hamànahi kula kmaraom À vaad-\sa ki sam#yaa sam#yaa kula ibastraom ki sam#yaa sam#yaa ivavut baokap janarotrà [nvat-r hamànahi p`tixaa kxa hamànahi Alaga pramasa- xao~ hamànahi 5.2 marij,aaom ko ilayao sauivaqajanak svaasqya kondª pr saa[noaja lagao hom va ]sao AasaanaI sao Kaojaa hamànahi jaa sakta ho svaasqya kondª pr AasaanaI sao phumcaa jaa sakta ho. hamànahi svaasqya kondª ki svaccta svaasqya kondª saaf va svacc ho svaasqya kondª ki svaccta svaasqya kondª pr duga-nqa nahi ho hamànahi svaasqya kondª ki svaccta p`saaqana kxa svacc ho hamànahi svaasqya kondª pr panai ki ]plabqata samauicat ho hamànahi pramasa- ko daorana marija À ga`ahk ki gaaopnaiyata banai rhti hamànahi ho. Aavaodk ka naama va hstaxar tqaa idnaamk

23 maula maulyaamkna irpaot- ³[sao DIesaI fa[-la maom rka jaae ³[saka ]pyaaoga ij,alaa AiQakiRt kmaoti Wara maulyaamkna TIma ³esa e TI Wara inajai svaasqaya kond` ko maulyaamkna ko daorana sa%yaapna ko ilayao ikyaa jaaegaa ij,alaa AiQakiRt kmaoti Wara inayau@t kond` maulyaamkna TIma ³esa e TI Wara idnaamk,,,,,,,,,,,,,,,,,,, kao ikyao gae inajai svaasqaya kond`,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ko maulyaamkna ko daorana: ]pyau@t sqaana pr inasaana lagaaem yao payaa gayaa ik yao svaasqaya kond` samast kma-caari va kond` sambamqai AavaSyaktaAaoM kao puna- krta ho jaosaa ik [sa idsaainad-osa maom vaina-t ho. [sa AaQaar pr esa e TI Wara yao isafairsa ki jaati ho ik yao svaasqaya kondª,,,,,,, yaui@t yaaojanaa hotu AiQakRt ikyaa jaae. Aqavaa yao payaa gayaa ik yao svaasqaya kond` kma-caairyaaom AaOrÀ Aqavaa bauinayaadi AavaSyaktaAaoM kao laokr samtaoyajanak isqati nahi rkta ho jaosaa ik [sa idsaainad-osa maom idyaa gayaa ho. sambaiqat kimayaaom kao Aavaodk ko Qyaana maom laayaa gayaa ho.]na kimayaaom pura krnao ko pscaat Aavaodk Apnaa Aavaodna DIesaI kao yaui@t yaaojanaa ko ilayao puna: Baoja sakta ho. pa[- ga[- kimayaam k`maamk vastu k`maamk ³maUlyaaMkna saucai maom sao ijasamaom kimayaam pa[ gayai itppnai ³yaid kao[- hao p`qama esa e TI sadsya ka naama va hstaxar iwtiya esa e TI sadsya ka naama va hstaxar Aavaodk ka naama va hstaxar

24 maulyaamkna irpaot- Aavaodk ki p`it ³Aavaodk kao maulyaamkna ko turmt baad idyaa jaae [saka ]pyaaoga ij,alaa AiQakiRt kmaoti Wara maulyaamkna TIma ³esa e TI Wara inajai svaasqaya kond` ko maulyaamkna ko daorana sa%yaapna ko ilayao ikyaa jaaegaa ij,alaa AiQakiRt kmaoti Wara inayau@t kond` maulyaamkna TIma ³esa e TI Wara idnaamk,,,,,,,,,,,,,,,,,,, kao ikyao gae inajai svaasqaya kond`,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ko maulyaamkna ko daorana: ]pyau@t sqaana pr inasaana lagaaem yao payaa gayaa ik yao svaasqaya kond` samast kma-caari va kond` sambamqai AavaSyaktaAaoM kao puna- krta ho jaosaa ik [sa idsaainad-osa maom vaina-t ho. [sa AaQaar pr esa e TI Wara yao isafairsa ki jaati ho ik yao svaasqaya kondª,,,,,,, yaui@t yaaojanaa hotu AiQakRt ikyaa jaae. Aqavaa yao payaa gayaa ik yao svaasqaya kond` kma-caairyaaom AaOrÀ Aqavaa bauinayaadi AavaSyaktaAaoM kao laokr samtaoyajanak isqati nahi rkta ho jaosaa ik [sa idsaainad-osa maom idyaa gayaa ho. sambaiqat kimayaaom kao Aavaodk ko Qyaana maom laayaa gayaa ho.]na kimayaaom pura krnao ko pscaat Aavaodk Apnaa Aavaodna DIesaI kao yaui@t yaaojanaa ko ilayao puna: Baoja sakta ho. pa[- ga[- kimayaam k`maamk vastu k`maamk ³maUlyaaMkna saucai maom sao ijasamaom kimayaam paö gayai itppnai ³yaid kao[- hao esa e TI sadsya ka naama va hstaxar esa e TI sadsya ka naama va hstaxar Aavaodk ka naama va hstaxar ³yah pryz pryz 7 [sao maulyaamkna ko turmt baad Aavaodk kao idyaa jaanaa caaihyao

25 ij,alaa AiQakiRt kmaoti ka AMitma Anaumaaodna inajai svaasqaya kond` kao AiQakRt ikyaa jaae: itppnai yaid kao[- hao: ham nahi ij,alaa AiQakRit kmaoti ko sadsyaaom ko naama va hstaxar: hstaxar naama esa e TI ka p`qama sadsya esa e TI ka p`qama sadsya DIpIema ³yaid esa e TI ka sadsya naa haó pd idnaamk mau#ya icaik%saa AiQakarIÀ isaivala saja-na ka naama va hstaxar ³sadsya saicava DIesaI DIesaI ko AQayaxa Wara AMitma Anaumaaodna DIema ko hstaxar ³AQyaxa DIesaI * * * * * * ³pRYz 7 kao Aavaodk kao kond` maulyaamkna ko turmt baad idyaa gayaa ho

26 Memorandum of Understanding between, District Health Society and Private Site Annexure 5 This agreement is made on the day of, between the District Health Society, hereinafter referred to as DHS which in turn shall include its successors, assigned and authorized persons of the first part and Mr/Ms/Dr, owner of hereinafter referred to as private site which shall include its successor, assigns and authorized persons of the second part. Whereas the DHS is working with (private site) for provision of CAC services free of charge to the woman under the Yukti Yojana. The expected role of the private site under this MoU is: 1) To provide CAC services to the women seeking the same in a non-coercive and respectful manner. CAC services approved under the Yukti Yojana are listed in clause 2 below. 2) To provide appropriate counseling to the women seeking such information and help them in taking informed decisions regarding CAC and post abortion contraception. 3) To maintain record of services provided under the Yukti Yojana in prescribed forms /formats and submit correct and accurate report in a timely manner. 4) To provide free of cost services to women under the scheme and be reimbursed by the state for the services rendered under the scheme. 5) To contribute to the state in its effort for reducing the maternal morbidity and mortality by improving the quality of CAC services. NOW THEREFORE, THIS AGREEMENT WITNESSETH AS UNDER That the parties to this agreement have discussed, mutually agreed and accepted the project on the following: 1) The agreement will be in force for a period of three years from to. 2) CAC services under Yukti Yojana: The private site hereby agrees to provide the below listed under the Yukti Yojana. It further undertakes to abide by the clause 7 of Yukti Yojana guidelines governing the provisions of following services.

27 2.1 First trimester abortion services 2.2 Treatment of cases of incomplete abortion 2.3 Treatment of abortion complications and referrals when needed 2.4 Referral of second trimester induced abortion cases 3) The private site will be given a one-time advance of Rs. 50,000/- at the time of signing of MoU against a bank guarantee from a recognized bank, preferably a nationalized bank, of an equivalent amount to as a revolving amount. The private site will submit an invoice when 80% of advance amount has been utilized and will be reimbursed for services rendered at the prevailing reimbursement rates in force for the period during which the services were rendered under the Yukti Yojana. Or 3) The private site will raised a monthly invoice for services rendered under the Yukti Yojana. It will be reimbursed for services rendered at the prevailing reimbursement rates in force. (Strike out whichever is not applicable) 4) The private site will pay Rs 150/- to the community health intermediary (ASHA/AWW/ANM/ Health Worker) who accompanies the woman availing abortion services from the site. The private site will submit the details of these payments in the invoice as prescribed and will be reimbursed for these in addition to the reimbursements mentioned above. 5) In the event of termination of the MoU or expiry of the term of MoU, the private site will have to return back the one-time advance within four weeks of termination or expiry whichever is earlier. 5.1 In the event of termination/expiry of the MoU, the advance will have to be returned within four weeks. In case of any delay in returning the money by the private site beyond four weeks, the granting authority will levy 18% interest. 6) FUND RELEASES AND FINANCIAL REPORTS A. The reimbursement will be made only for services approved under the Yukti Yojana and for payments made to community health intermediaries under the Yukti Yojana and will be computed at the prevalent service rates stated in the guidelines or in force at the time. B. The Executive Director, SHSB reserves the right to revise the rates for all or any service at any time. However, the private site will be informed about the said revision, in writing, at least one month in advance from the effective date of revision. C. All expenditure under the scheme should be incurred in accordance with the Yukti Yojana accreditation guidelines circulated by the SHSB. D. The frequency of submission of the invoice by the private site under this MoU is monthly / on utilization of 80% of advance amount (strike out whichever is not applicable). E. All invoices must be submitted in proper format (Annexure 9 of Yukti Yojana guideline document) and must be supported with relevant pages of prescribed admission register (Annexure 10 of Yukti Yojana guideline document). F. Of the total claim amount submitted in an invoice in the prescribed format 80% will be reimbursed on receipt of the invoice and the balance 20% of claim amount will be reimbursed after the District Accreditation Committee verifies the invoice. This duration, under normal circumstances, will not be longer than six weeks from the date