Yojana Magazine August 2024 - 3 (Hindi) | Current Affairs (Hindi): Daily, Weekly & Monthly - UPSC PDF Download

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49 ????? 2024
cls cM+h tkuysok chekfj;ksa esa ls ,d] {k;jksx 
(Vhch) ,d laØked chekjh gS tks nqfu;k osQ 
gj fgLls esa ikbZ tkrh gSA ;g oSf'od fpark dk 
,d çeq• lkoZtfud LokLF; eqík cuk gqvk gSA Hkkjr bl 
chekjh dk lokZfèkd Hkkj ogu djus okys ns'kksa esa ls ,d gSA 
osQaæ vkSj jkT; ljdkjsa lrr fodkl y{; (,lMhth) 2030 
osQ rgr oSf'od y{; ls ikap lky igys gh 2025 rd 
bls lekIr djus osQ fy, çfrc¼ gSaA vkb,] ge bl jksx osQ 
fofHk igyqvksa ij xgjkbZ ls fopkj djsa vkSj bl fn'kk esa 
Hkkjr dh igy dks le>saA
Vhch dk oSf'od Hkkj
Vhch ekbdkscSDVhfj;e V~;wcjD;wyksfll (M.tb) osQ 
dkj.k gksus okyk ,d laØked ok;qtfur jksx gSA MCY;w,pvks 
(WHO) dk vuqeku gS fd yxHkx 1-8 fcfy;u yksx] tks fd 
oSf'od vkcknh dk yxHkx 1@4 fgLlk gS] Vhch ls laØfer gSaA 
gj lky yxHkx 13 yk• cPps Vhch ls chekj iM+rs gSaA ;g 
nqfu;k Hkj esa ekSrksa osQ fy, mÙkjnk;h çeq• laØked dkj.kksa 
esa ls ,d gSA fiNys lky] Vhch dks dksfoM&19 osQ ckn nqfu;k 
esa fdlh ,d laØked ,tsaV ls gksus okyh ekSrksa osQ nwljs 
çeq• dkj.k osQ :i esa ntZ fd;k x;kA ;g ,pvkbZoh@,M~l 
l
ls yxHkx nksxquh ekSrksa dk dkj.k jgkA 2022 esa] 1-06 djksM+ 
yksx Vhch ls laØfer gq, vkSj 14 yk• yksxksa dh ekSr gqbZA 
Vhch osQ dkj.k çfrfnu 3]500 ekSrsa gksrh gSaA
{k;jksx fofHk lkekftd] vkfFkZd rFkk LokLF; lacaèkh 
tksf•e dkjdksa }kjk xgurk ls çHkkfor gksrk gSA ;s dkjd gSa& 
oqQiks"k.k] eèkqesg] ,pvkbZoh laØe.k] e| lsou ls gksus okys 
fodkj vkSj èkwezikuA MCY;w,pvks osQ vuqlkj] o"kZ 2020 esa 
oSf'od Lrj ij] Vhch osQ vuqekfur 19 yk• ekeys oqQiks"k.k 
osQ dkj.k] 7-4 yk• ,pvkbZoh laØe.k osQ dkj.k] 7-4 yk• 
e| lsou ls mRi fodkjksa osQ dkj.k] 7-3 yk• èkweziku osQ 
dkj.k vkSj 3-7 yk• eèkqesg osQ dkj.k FksA gkykafd] {ks=kh; 
vkSj jk‘ªh; Lrj ij blesa fHkÂrk,a gSaA mnkgj.k osQ fy,] 
>qXxh&>ksifM+;ksa esa jgus okyh 'kgjh vkcknh esa bldk foLrkj 
vfèkd ns•k x;k gSA
fo'o osQ] 87 izfr'kr Vhch ekeyksa dk Hkkj mPp laØe.k 
okys 30 ns'kksa ij gSA buesa ls] oSf'od ekeyksa dk oqQy 
nks&frgkbZ fgLlk vkB ns'kksa esa ik;k x;kA
oqQy oSf'od ekeyksa esa Hkkjr dh 27 izfr'kr dh cM+h 
fgLlsnkjh gS] ftlosQ ckn baMksusf'k;k (10 izfr'kr)] phu 
(7-1 izfr'kr)] fiQyhihal (7-0 izfr'kr)] ikfdLrku ( 5-7 
MkW euh"kk oekZ
vij egkfuns'kd (ehfM;k vkSj lapkj)] osQaæh; LokLF; ,oa ifjokj dY;k.k ea=kky;] Hkkjr ljdkjA 
bZesy% pibhealth@gmail.com
^Vhch&eqDr Hkkjr* cukus gsrq  
Hkkjr dh çfrc)rk
bl vfHk;ku dk mís'; lkeqnkf;d lgk;rk iznku djus ds fy, lHkh Vhch 
jksfx;ksa dks fu&{k; fe=k ds lkFk mipkj ds fy, tksM+uk lqfuf'pr djuk gSA uhps 
fn;k x;k ykbo Vhdj jk"Vªh; Lrj ij vfHk;ku dh izxfr dks iznf'kZr djrk gSA
Vhch dk bZykt djk 
jgs ejht
lkeqnkf;d lgk;rk izkIr 
djus ij Vhch jksfx;ksa us 
lgefr O;Dr dh
Vhch jksfx;ksa ds fy, 
fu&{k; fe=k dh 
izfrc¼rk
fu&{k; fe=kksa dh 
iathÑr la[;k
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku
Page 2


49 ????? 2024
cls cM+h tkuysok chekfj;ksa esa ls ,d] {k;jksx 
(Vhch) ,d laØked chekjh gS tks nqfu;k osQ 
gj fgLls esa ikbZ tkrh gSA ;g oSf'od fpark dk 
,d çeq• lkoZtfud LokLF; eqík cuk gqvk gSA Hkkjr bl 
chekjh dk lokZfèkd Hkkj ogu djus okys ns'kksa esa ls ,d gSA 
osQaæ vkSj jkT; ljdkjsa lrr fodkl y{; (,lMhth) 2030 
osQ rgr oSf'od y{; ls ikap lky igys gh 2025 rd 
bls lekIr djus osQ fy, çfrc¼ gSaA vkb,] ge bl jksx osQ 
fofHk igyqvksa ij xgjkbZ ls fopkj djsa vkSj bl fn'kk esa 
Hkkjr dh igy dks le>saA
Vhch dk oSf'od Hkkj
Vhch ekbdkscSDVhfj;e V~;wcjD;wyksfll (M.tb) osQ 
dkj.k gksus okyk ,d laØked ok;qtfur jksx gSA MCY;w,pvks 
(WHO) dk vuqeku gS fd yxHkx 1-8 fcfy;u yksx] tks fd 
oSf'od vkcknh dk yxHkx 1@4 fgLlk gS] Vhch ls laØfer gSaA 
gj lky yxHkx 13 yk• cPps Vhch ls chekj iM+rs gSaA ;g 
nqfu;k Hkj esa ekSrksa osQ fy, mÙkjnk;h çeq• laØked dkj.kksa 
esa ls ,d gSA fiNys lky] Vhch dks dksfoM&19 osQ ckn nqfu;k 
esa fdlh ,d laØked ,tsaV ls gksus okyh ekSrksa osQ nwljs 
çeq• dkj.k osQ :i esa ntZ fd;k x;kA ;g ,pvkbZoh@,M~l 
l
ls yxHkx nksxquh ekSrksa dk dkj.k jgkA 2022 esa] 1-06 djksM+ 
yksx Vhch ls laØfer gq, vkSj 14 yk• yksxksa dh ekSr gqbZA 
Vhch osQ dkj.k çfrfnu 3]500 ekSrsa gksrh gSaA
{k;jksx fofHk lkekftd] vkfFkZd rFkk LokLF; lacaèkh 
tksf•e dkjdksa }kjk xgurk ls çHkkfor gksrk gSA ;s dkjd gSa& 
oqQiks"k.k] eèkqesg] ,pvkbZoh laØe.k] e| lsou ls gksus okys 
fodkj vkSj èkwezikuA MCY;w,pvks osQ vuqlkj] o"kZ 2020 esa 
oSf'od Lrj ij] Vhch osQ vuqekfur 19 yk• ekeys oqQiks"k.k 
osQ dkj.k] 7-4 yk• ,pvkbZoh laØe.k osQ dkj.k] 7-4 yk• 
e| lsou ls mRi fodkjksa osQ dkj.k] 7-3 yk• èkweziku osQ 
dkj.k vkSj 3-7 yk• eèkqesg osQ dkj.k FksA gkykafd] {ks=kh; 
vkSj jk‘ªh; Lrj ij blesa fHkÂrk,a gSaA mnkgj.k osQ fy,] 
>qXxh&>ksifM+;ksa esa jgus okyh 'kgjh vkcknh esa bldk foLrkj 
vfèkd ns•k x;k gSA
fo'o osQ] 87 izfr'kr Vhch ekeyksa dk Hkkj mPp laØe.k 
okys 30 ns'kksa ij gSA buesa ls] oSf'od ekeyksa dk oqQy 
nks&frgkbZ fgLlk vkB ns'kksa esa ik;k x;kA
oqQy oSf'od ekeyksa esa Hkkjr dh 27 izfr'kr dh cM+h 
fgLlsnkjh gS] ftlosQ ckn baMksusf'k;k (10 izfr'kr)] phu 
(7-1 izfr'kr)] fiQyhihal (7-0 izfr'kr)] ikfdLrku ( 5-7 
MkW euh"kk oekZ
vij egkfuns'kd (ehfM;k vkSj lapkj)] osQaæh; LokLF; ,oa ifjokj dY;k.k ea=kky;] Hkkjr ljdkjA 
bZesy% pibhealth@gmail.com
^Vhch&eqDr Hkkjr* cukus gsrq  
Hkkjr dh çfrc)rk
bl vfHk;ku dk mís'; lkeqnkf;d lgk;rk iznku djus ds fy, lHkh Vhch 
jksfx;ksa dks fu&{k; fe=k ds lkFk mipkj ds fy, tksM+uk lqfuf'pr djuk gSA uhps 
fn;k x;k ykbo Vhdj jk"Vªh; Lrj ij vfHk;ku dh izxfr dks iznf'kZr djrk gSA
Vhch dk bZykt djk 
jgs ejht
lkeqnkf;d lgk;rk izkIr 
djus ij Vhch jksfx;ksa us 
lgefr O;Dr dh
Vhch jksfx;ksa ds fy, 
fu&{k; fe=k dh 
izfrc¼rk
fu&{k; fe=kksa dh 
iathÑr la[;k
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku
50 ????? 2024
izfr'kr)] ukbthfj;k (4-5 izfr'kr)] ckaXykns'k (3-6 izfr'kr) 
vkSj dkaxks yksdrkaf=kd x.kjkT; ( 3-0 izfr'kr) dk LFkku 
vkrk gSA
fo'o LokLF; laxBu }kjk Hkkjr dh çxfr dh ljkguk
fo'o LokLF; laxBu (WHO) dh oSf'od Vhch fjiksVZ 
o"kZ 2023 us Hkkjr dks {k;jksx eqDr ns'k cukus dh fn'kk esa 
bldh mYys•uh; xfrfofèk;ksa vkSj igyksa dks Js; fn;k gSA 
WHO us o"kZ 2015 ls (2022 rd) {k;jksx dh ?kVukvksa 
esa 16 çfr'kr vkSj blosQ dkj.k gksus okyh e`R;q nj esa 18 
çfr'kr dh deh ykus esa Hkkjr dh vR;fèkd egÙoiw.kZ çxfr 
dh ljkguk dh gSA
Hkkjr dks viuh rhoz osQl & fMVsD'ku j.kuhfr;ksa osQ 
fy, ljkguk feyh gS] ftuosQ dkj.k o"kZ 2022 esa vc rd 
osQ lcls vfèkd ekeys vfèklwfpr gq, vkSj 24-22 yk• ls 
vfèkd Vhch ekeyksa dh ;s vfèklwpuk,a iwoZ& dksfoM Lrjksa dks 
ikj dj xb±A 2023 esa 25-5 yk• Vhch ekeyksa dh vfèklwpuk 
osQ lkFk ,d fjdkWMZ vfèklwpuk ntZ dh xbZA buesa ls 17-1 
yk• Vhch ekeys lkoZtfud {ks=k esa vfèklwfpr fd, x,] 
tcfd 8-4 yk• futh {ks=k }kjk vfèklwfpr fd, x,A oqQy 
vfèklwpukvksa osQ 33 izfr'kr ij] ;g vc rd dk mPpre 
;ksxnku FkkA fofHk gLr{ksiksa osQ ekè;e ls futh {ks=k osQ lkFk 
osQafær vkSj yf{kr tqM+ko osQ ifj.kkeLo:i futh {ks=k dh 
vfèklwpuk esa fiNys ukS o"kks± esa vkB xquk ls vfèkd dh o`f¼ 
gqbZ gSA blosQ vfrfjDr] mipkj dojst vuqekfur Vhch ekeyksa 
osQ 80 çfr'kr rd c<+ x;k gS] tks fiNys o"kZ dh rqyuk esa 
19 çfr'kr dh o`f¼ gSA
,d mRlkgtud voyksdu esa] MCY;w,pvks dh fjiksVZ 
;g Hkh Lohdkj djrh gS fd Hkkjr esa fxjkoV dh xfr oSf'od 
Vhch ?kVukvksa esa deh dh xfr ls yxHkx nksxquh gS] tks fd 
8-7 çfr'kr gSA blosQ vykok] MCY;w,pvks us Vhch e`R;q nj 
dk vèkkseq•h la'kksèku Hkh fd;k gS (2021 esa 4-94 yk• ls 
2022 esa 3-31 yk• rd)A 34 çfr'kr ls vfèkd dh deh 
uewuk iathdj.k ç.kkyh (,lvkj,l) ls ,d=k fd, x, 
2014&2019 osQ e`R;q&dkj.k vkadM+ksa ij vkèkkfjr gSA
Hkkjr dks Vhch eqDr cukus osQ fy, çeq• igy
;g è;ku j•uk egÙoiw.kZ gS fd ;|fi {k;jksx cgqr 
laØked gS] ijUrq ;fn bldk ;Fkkle; irk py tk, vkSj 
iwjk mipkj gks tk, rks ;g iwjh rjg ls jksdFkke&;ksX; vkSj 
mipkj&;ksX; jksx gSA
oSf'od Vhch dh ?kVukvksa osQ vR;f/d ekeyksa ls =kLr 
Hkkjr ljdkj us Vhch dh leL;k ls fe'ku eksM esa fuiVus 
dk iSQlyk fd;k gSA la;qDr jkԻ vkSj fo'o LokLF; laxBu 
us Vhch egkekjh dks lekIr djus dh çfrc¼rk trkbZ gSA 
Vhch ,lMhth y{; 3-3 dk fgLlk gS] ftlesa dgk x;k gS% 
^,M~l] {k;jksx] eysfj;k vkSj misf{kr m".kdfVcaèkh; jksxksa 
dh egkekfj;ksa dks lekIr djuk vkSj gsisVkbfVl] ty&tfur 
jksxksa vkSj vU; laØked jksxksa ls 2030 rd fuiVukA ijarq] 
çèkkuea=kh Jh ujsaæ eksnh us 2018 esa ?kks"k.kk dh fd Hkkjr 
oSf'od y{; ls ikap lky igys ;kuh 2025 rd Vhch dks 
ns'k ls •+Re dj nsxkA blus uhfr&fuekZrkvksa vkSj Vhch eqDr 
Hkkjr dh fn'kk esa dke djus okyh ,tsafl;ksa dks osQafær ÅtkZ 
osQ lkFk dke djus osQ fy, çsfjr fd;k gSA ekpZ 2023 esa 
okjk.klh esa ^LVkWi Vhch ikVZujf'ki* ehfVax esa] Vhch eqDr 
lekt lqfuf'pr djus osQ çfr Hkkjr dh çfrc¼rk dh iqf‘ 
djrs gq,] ih,e us dgk fd ¶Hkkjr us 2014 osQ ckn Vhch ls 
fuiVus osQ fy, ftl çfrc¼rk vkSj n`<+ ladYi osQ lkFk •qn 
dks lefiZr fd;k gS] og vHkwriwoZ gSA**
çèkkuea=kh us dgk fd Hkkjr osQ ç;kl egÙoiw.kZ gSa] 
D;ksafd ;g ¶Vhch osQ f•yki+Q oSf'od& ;q¼ dk u;k ekWMy 
gSA** Hkkjr osQ ç;klksa dks oSf'od ç'kalk feyh gSA LVkWi Vhch 
ikVZujf'ki dh dk;Zdkjh funs'kd MkW- yqfldk fnfrm us Vhch 
ls fuiVus esa Hkkjr osQ ç;klksa ,oa ^Vhch&eqDr Hkkjr* igy dh 
ljkguk dhA mUgksaus fo'okl trk;k fd Hkkjr o"kZ 2025 rd 
Vhch dks •+Re dj nsxk vkSj blls oSf'od Vhch osQ ekeyksa esa 
Hkkjh deh vk,xhA Hkkjr dks o"kZ 2025 rd Vhch eqDr cuus 
osQ vius y{; dks iwjk djus esa nks lky ls Hkh de le; 'ks"k 
gS] blfy, vkxs c<+us dk n`f‘dks.k jksx dh jksdFkke ij è;ku 
osQafær djuk vkSj Vhch osQ funku ,oa mipkj esa lsokvksa osQ 
dojst dks c<+kuk gSA ;g ns•uk mRlkgtud gS fd ljdkjksa] 
lgk;rk ,tsafl;ksa vkSj leqnk;ksa osQ fujarj ç;klksa ls Hkkjr esa 
fu&{k; fe=k Vhch ls ihfM+r O;fDr;ksa dks  
chekjh ls ckgj fudkyus esa enn djrs gq,
paMhx<+
Page 3


49 ????? 2024
cls cM+h tkuysok chekfj;ksa esa ls ,d] {k;jksx 
(Vhch) ,d laØked chekjh gS tks nqfu;k osQ 
gj fgLls esa ikbZ tkrh gSA ;g oSf'od fpark dk 
,d çeq• lkoZtfud LokLF; eqík cuk gqvk gSA Hkkjr bl 
chekjh dk lokZfèkd Hkkj ogu djus okys ns'kksa esa ls ,d gSA 
osQaæ vkSj jkT; ljdkjsa lrr fodkl y{; (,lMhth) 2030 
osQ rgr oSf'od y{; ls ikap lky igys gh 2025 rd 
bls lekIr djus osQ fy, çfrc¼ gSaA vkb,] ge bl jksx osQ 
fofHk igyqvksa ij xgjkbZ ls fopkj djsa vkSj bl fn'kk esa 
Hkkjr dh igy dks le>saA
Vhch dk oSf'od Hkkj
Vhch ekbdkscSDVhfj;e V~;wcjD;wyksfll (M.tb) osQ 
dkj.k gksus okyk ,d laØked ok;qtfur jksx gSA MCY;w,pvks 
(WHO) dk vuqeku gS fd yxHkx 1-8 fcfy;u yksx] tks fd 
oSf'od vkcknh dk yxHkx 1@4 fgLlk gS] Vhch ls laØfer gSaA 
gj lky yxHkx 13 yk• cPps Vhch ls chekj iM+rs gSaA ;g 
nqfu;k Hkj esa ekSrksa osQ fy, mÙkjnk;h çeq• laØked dkj.kksa 
esa ls ,d gSA fiNys lky] Vhch dks dksfoM&19 osQ ckn nqfu;k 
esa fdlh ,d laØked ,tsaV ls gksus okyh ekSrksa osQ nwljs 
çeq• dkj.k osQ :i esa ntZ fd;k x;kA ;g ,pvkbZoh@,M~l 
l
ls yxHkx nksxquh ekSrksa dk dkj.k jgkA 2022 esa] 1-06 djksM+ 
yksx Vhch ls laØfer gq, vkSj 14 yk• yksxksa dh ekSr gqbZA 
Vhch osQ dkj.k çfrfnu 3]500 ekSrsa gksrh gSaA
{k;jksx fofHk lkekftd] vkfFkZd rFkk LokLF; lacaèkh 
tksf•e dkjdksa }kjk xgurk ls çHkkfor gksrk gSA ;s dkjd gSa& 
oqQiks"k.k] eèkqesg] ,pvkbZoh laØe.k] e| lsou ls gksus okys 
fodkj vkSj èkwezikuA MCY;w,pvks osQ vuqlkj] o"kZ 2020 esa 
oSf'od Lrj ij] Vhch osQ vuqekfur 19 yk• ekeys oqQiks"k.k 
osQ dkj.k] 7-4 yk• ,pvkbZoh laØe.k osQ dkj.k] 7-4 yk• 
e| lsou ls mRi fodkjksa osQ dkj.k] 7-3 yk• èkweziku osQ 
dkj.k vkSj 3-7 yk• eèkqesg osQ dkj.k FksA gkykafd] {ks=kh; 
vkSj jk‘ªh; Lrj ij blesa fHkÂrk,a gSaA mnkgj.k osQ fy,] 
>qXxh&>ksifM+;ksa esa jgus okyh 'kgjh vkcknh esa bldk foLrkj 
vfèkd ns•k x;k gSA
fo'o osQ] 87 izfr'kr Vhch ekeyksa dk Hkkj mPp laØe.k 
okys 30 ns'kksa ij gSA buesa ls] oSf'od ekeyksa dk oqQy 
nks&frgkbZ fgLlk vkB ns'kksa esa ik;k x;kA
oqQy oSf'od ekeyksa esa Hkkjr dh 27 izfr'kr dh cM+h 
fgLlsnkjh gS] ftlosQ ckn baMksusf'k;k (10 izfr'kr)] phu 
(7-1 izfr'kr)] fiQyhihal (7-0 izfr'kr)] ikfdLrku ( 5-7 
MkW euh"kk oekZ
vij egkfuns'kd (ehfM;k vkSj lapkj)] osQaæh; LokLF; ,oa ifjokj dY;k.k ea=kky;] Hkkjr ljdkjA 
bZesy% pibhealth@gmail.com
^Vhch&eqDr Hkkjr* cukus gsrq  
Hkkjr dh çfrc)rk
bl vfHk;ku dk mís'; lkeqnkf;d lgk;rk iznku djus ds fy, lHkh Vhch 
jksfx;ksa dks fu&{k; fe=k ds lkFk mipkj ds fy, tksM+uk lqfuf'pr djuk gSA uhps 
fn;k x;k ykbo Vhdj jk"Vªh; Lrj ij vfHk;ku dh izxfr dks iznf'kZr djrk gSA
Vhch dk bZykt djk 
jgs ejht
lkeqnkf;d lgk;rk izkIr 
djus ij Vhch jksfx;ksa us 
lgefr O;Dr dh
Vhch jksfx;ksa ds fy, 
fu&{k; fe=k dh 
izfrc¼rk
fu&{k; fe=kksa dh 
iathÑr la[;k
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku
50 ????? 2024
izfr'kr)] ukbthfj;k (4-5 izfr'kr)] ckaXykns'k (3-6 izfr'kr) 
vkSj dkaxks yksdrkaf=kd x.kjkT; ( 3-0 izfr'kr) dk LFkku 
vkrk gSA
fo'o LokLF; laxBu }kjk Hkkjr dh çxfr dh ljkguk
fo'o LokLF; laxBu (WHO) dh oSf'od Vhch fjiksVZ 
o"kZ 2023 us Hkkjr dks {k;jksx eqDr ns'k cukus dh fn'kk esa 
bldh mYys•uh; xfrfofèk;ksa vkSj igyksa dks Js; fn;k gSA 
WHO us o"kZ 2015 ls (2022 rd) {k;jksx dh ?kVukvksa 
esa 16 çfr'kr vkSj blosQ dkj.k gksus okyh e`R;q nj esa 18 
çfr'kr dh deh ykus esa Hkkjr dh vR;fèkd egÙoiw.kZ çxfr 
dh ljkguk dh gSA
Hkkjr dks viuh rhoz osQl & fMVsD'ku j.kuhfr;ksa osQ 
fy, ljkguk feyh gS] ftuosQ dkj.k o"kZ 2022 esa vc rd 
osQ lcls vfèkd ekeys vfèklwfpr gq, vkSj 24-22 yk• ls 
vfèkd Vhch ekeyksa dh ;s vfèklwpuk,a iwoZ& dksfoM Lrjksa dks 
ikj dj xb±A 2023 esa 25-5 yk• Vhch ekeyksa dh vfèklwpuk 
osQ lkFk ,d fjdkWMZ vfèklwpuk ntZ dh xbZA buesa ls 17-1 
yk• Vhch ekeys lkoZtfud {ks=k esa vfèklwfpr fd, x,] 
tcfd 8-4 yk• futh {ks=k }kjk vfèklwfpr fd, x,A oqQy 
vfèklwpukvksa osQ 33 izfr'kr ij] ;g vc rd dk mPpre 
;ksxnku FkkA fofHk gLr{ksiksa osQ ekè;e ls futh {ks=k osQ lkFk 
osQafær vkSj yf{kr tqM+ko osQ ifj.kkeLo:i futh {ks=k dh 
vfèklwpuk esa fiNys ukS o"kks± esa vkB xquk ls vfèkd dh o`f¼ 
gqbZ gSA blosQ vfrfjDr] mipkj dojst vuqekfur Vhch ekeyksa 
osQ 80 çfr'kr rd c<+ x;k gS] tks fiNys o"kZ dh rqyuk esa 
19 çfr'kr dh o`f¼ gSA
,d mRlkgtud voyksdu esa] MCY;w,pvks dh fjiksVZ 
;g Hkh Lohdkj djrh gS fd Hkkjr esa fxjkoV dh xfr oSf'od 
Vhch ?kVukvksa esa deh dh xfr ls yxHkx nksxquh gS] tks fd 
8-7 çfr'kr gSA blosQ vykok] MCY;w,pvks us Vhch e`R;q nj 
dk vèkkseq•h la'kksèku Hkh fd;k gS (2021 esa 4-94 yk• ls 
2022 esa 3-31 yk• rd)A 34 çfr'kr ls vfèkd dh deh 
uewuk iathdj.k ç.kkyh (,lvkj,l) ls ,d=k fd, x, 
2014&2019 osQ e`R;q&dkj.k vkadM+ksa ij vkèkkfjr gSA
Hkkjr dks Vhch eqDr cukus osQ fy, çeq• igy
;g è;ku j•uk egÙoiw.kZ gS fd ;|fi {k;jksx cgqr 
laØked gS] ijUrq ;fn bldk ;Fkkle; irk py tk, vkSj 
iwjk mipkj gks tk, rks ;g iwjh rjg ls jksdFkke&;ksX; vkSj 
mipkj&;ksX; jksx gSA
oSf'od Vhch dh ?kVukvksa osQ vR;f/d ekeyksa ls =kLr 
Hkkjr ljdkj us Vhch dh leL;k ls fe'ku eksM esa fuiVus 
dk iSQlyk fd;k gSA la;qDr jkԻ vkSj fo'o LokLF; laxBu 
us Vhch egkekjh dks lekIr djus dh çfrc¼rk trkbZ gSA 
Vhch ,lMhth y{; 3-3 dk fgLlk gS] ftlesa dgk x;k gS% 
^,M~l] {k;jksx] eysfj;k vkSj misf{kr m".kdfVcaèkh; jksxksa 
dh egkekfj;ksa dks lekIr djuk vkSj gsisVkbfVl] ty&tfur 
jksxksa vkSj vU; laØked jksxksa ls 2030 rd fuiVukA ijarq] 
çèkkuea=kh Jh ujsaæ eksnh us 2018 esa ?kks"k.kk dh fd Hkkjr 
oSf'od y{; ls ikap lky igys ;kuh 2025 rd Vhch dks 
ns'k ls •+Re dj nsxkA blus uhfr&fuekZrkvksa vkSj Vhch eqDr 
Hkkjr dh fn'kk esa dke djus okyh ,tsafl;ksa dks osQafær ÅtkZ 
osQ lkFk dke djus osQ fy, çsfjr fd;k gSA ekpZ 2023 esa 
okjk.klh esa ^LVkWi Vhch ikVZujf'ki* ehfVax esa] Vhch eqDr 
lekt lqfuf'pr djus osQ çfr Hkkjr dh çfrc¼rk dh iqf‘ 
djrs gq,] ih,e us dgk fd ¶Hkkjr us 2014 osQ ckn Vhch ls 
fuiVus osQ fy, ftl çfrc¼rk vkSj n`<+ ladYi osQ lkFk •qn 
dks lefiZr fd;k gS] og vHkwriwoZ gSA**
çèkkuea=kh us dgk fd Hkkjr osQ ç;kl egÙoiw.kZ gSa] 
D;ksafd ;g ¶Vhch osQ f•yki+Q oSf'od& ;q¼ dk u;k ekWMy 
gSA** Hkkjr osQ ç;klksa dks oSf'od ç'kalk feyh gSA LVkWi Vhch 
ikVZujf'ki dh dk;Zdkjh funs'kd MkW- yqfldk fnfrm us Vhch 
ls fuiVus esa Hkkjr osQ ç;klksa ,oa ^Vhch&eqDr Hkkjr* igy dh 
ljkguk dhA mUgksaus fo'okl trk;k fd Hkkjr o"kZ 2025 rd 
Vhch dks •+Re dj nsxk vkSj blls oSf'od Vhch osQ ekeyksa esa 
Hkkjh deh vk,xhA Hkkjr dks o"kZ 2025 rd Vhch eqDr cuus 
osQ vius y{; dks iwjk djus esa nks lky ls Hkh de le; 'ks"k 
gS] blfy, vkxs c<+us dk n`f‘dks.k jksx dh jksdFkke ij è;ku 
osQafær djuk vkSj Vhch osQ funku ,oa mipkj esa lsokvksa osQ 
dojst dks c<+kuk gSA ;g ns•uk mRlkgtud gS fd ljdkjksa] 
lgk;rk ,tsafl;ksa vkSj leqnk;ksa osQ fujarj ç;klksa ls Hkkjr esa 
fu&{k; fe=k Vhch ls ihfM+r O;fDr;ksa dks  
chekjh ls ckgj fudkyus esa enn djrs gq,
paMhx<+
51 ????? 2024
Vhch osQ ^xqeuke ekeyksa* (missing cases) dh la[;k 2015 
esa 1 fefy;u ls ?kVdj 2023 esa 0-26 fefy;u jg xbZ gSA
o"kZ 2025 rd Vhch ls lacafèkr lrr~ fodkl y{;ksa 
(,lMhth) dks çkIr djus osQ y{; osQ lkFk] osQaæh; LokLF; 
,oa ifjokj dY;k.k ea=kky; fuEufyf•r mís';ksa osQ lkFk 
jk‘ªh; mUewyu dk;ZØe (,uVhbZih) dks ykxw dj jgk gS%
1- Vhch jksfx;ksa dk 'kh?kz funku] xq.koÙkkiw.kZ nokvksa vkSj 
mipkj i¼fr;ksa osQ lkFk 'kh?kz mipkjA
2- futh {ks=k esa ns•Hkky pkgus okys ejhtksa ls tqM+ukA
3- jksdFkke dk;Zuhfr;ksa esa mPp tksf•e@laosnu'khy vkcknh 
esa laidZ dk irk yxkuk 'kkfey gSA
4- ok;qtfur laØe.k& fu;a=k.k
5- lkekftd fuèkkZjdksa dks lacksfèkr djus osQ fy, cgq& 
{ks=kh; çfrfØ;kA
çèkkuea=kh Vhch&eqDr Hkkjr vfHk;ku
Vhch osQ fo#¼ yM+kbZ dks fe'ku eksM n`f"Vdks.k nsus osQ 
fy,] ^çèkkuea=kh Vhch&eqDr Hkkjr vfHk;ku* flracj] 2022 
esa 'kq: fd;k x;k FkkA bldk mís'; o"kZ 2025 rd Vhch osQ 
lacaèk esa ,lMhth y{; dks iwjk djus osQ fy, xfrfofèk;ksa 
vkSj igyksa dks rS;kj djuk FkkA blosQ fy, lkeqnkf;d Lrj ij 
Hkkxhnkjh dh vko';drk Fkh] tgka fofHk ,tsafl;ka] leqnk; 
vkSj ljdkjsa ,d lkFk feydj dke dj jgh gSaA bl igy us 
lHkh i`’Hkwfe osQ yksxksa dks ,d ^tu vkanksyu* osQ :i esa ,d 
lkFk ykdj Vhch mUewyu dh fn'kk esa çxfr dks vkxs c<+k;kA 
bls dkWikZsjsV lkekftd mÙkjnkf;Ro (lh,lvkj) xfrfofèk;ksa 
dk Hkh ykHk çkIr gqvkA
,d ubZ igy] fu&{k; fe=k dh 'kq#vkr dh xbZ] tgka 
lekt osQ fofHk {ks=kksa osQ Lo;alsod Vhch jksfx;ksa dks muosQ 
Bhd gksus dh ;k=kk esa enn djus osQ fy, ^fe=k* cusaxsA 
^fu&{k; fe=k* os O;fDr] xSj&ljdkjh laxBu] lgdkjh 
lfefr;ka] èkkfeZd laxBu] futh {ks=k] jktuhfrd ny vkSj 
vU; gks ldrs gSa] tks Vhch jksfx;ksa dks iks"k.k lgk;rk] iks"k.k& 
lacaèkh iwjd] vfrfjDr tkap vkSj O;kolkf;d lgk;rk osQ 
:i esa de ls de Ng eghus ;k vfèkdre rhu lky rd 
dh vofèk osQ fy, lgk;rk djus osQ fy, lgefr nsrs gSaA 
Vhch jksfx;ksa dks vDlj leqnk;ksa esa dyad (stigma) dk 
lkeuk djuk iM+rk gSA Vhch&mUewyu vfHk;ku esa leqnk; dh 
Hkkxhnkjh dk mís'; jksx ls lacafèkr dyad dks lekIr djuk 
gSA lkeqnkf;d Hkkxhnkjh ls jksx osQ ckjs esa vfèkd tkx#drk 
vkSj bls jksdus vkSj bls csgrj rjhosQ ls çcafèkr djus osQ 
rjhdksa dk Hkh irk pysxkA bl jksx vkSj blosQ yacs le; rd 
pyus okys mipkj osQ dkj.k dbZ yksxksa dh ukSdfj;ka xbZ vkSj 
mUgsa vkfFkZd dfBukb;ka gqbZA fu&{k; fe=k Vhch jksfx;ksa dks 
O;kolkf;d lgk;rk çnku djus dk Hkh ladYi ysrs gSaA
20 vçSy] 2024 rd 1-55 yk• ls vfèkd fu&{k; fe=k 
iathdj.k djok pqosQ gSaA ns'k esa mipkjkèkhu 13-45 yk• Vhch 
jksfx;ksa esa ls 8-66 yk• ls vfèkd us lkeqnkf;d lgk;rk 
çkIr djus osQ fy, lgefr çnku dh gSA osQaæh; LokLF; 
ea=kky; us lHkh dks vkxs vkdj fu&{k; fe=k osQ #i esa viuk 
iathdj.k djkus osQ fy, çksRlkfgr djus vkSj LFkkuh; leqnk;ksa 
vkSj jksfx;ksa dk leFkZu djus osQ fy, ,d ns'kO;kih vfHk;ku 
'kq: fd;k gSA çfl¼ fu&{k; fe=kksa esa 27 jkT;ksa@osQaæ 'kkflr 
çns'kksa osQ ekuuh; jkT;iky@mijkT;iky] osQaæh; ea=kh] jkT;ea=kh] 
eq[;ea=kh] dbZ jkT;ksa@osQaæ 'kkflr çns'kksa osQ LokLF; ea=kh Vhch 
,d yk[k ls vf/d 
fu&{k; fe=k 
Vhch ls xzLr 10 ls vf/d O;fDr;ksa dks vfrfjDr 
iks"k.k lgk;rk iznku dh gSA 
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku] Vhch ls xzLr 
O;fDr;ksa dh lgk;rk ds fy, fo'o dh lcls cM+h 
ØkmM lksfl±x igy gSA ;g igy Vhch eqDr Hkkjr ds 
y{; dks izkIr djus esa enn djsxhA 
fu&{k; fe=k cusa vkSj Vhch ds fo#¼  
yM+kbZ esa lg;ksx djsa
Vhch gkjsxk ns'k thrsxk
fu&{k; fe=k laidZ % 1800&11&6666
iathdj.k djus ds fy, LdSu djsa
Page 4


49 ????? 2024
cls cM+h tkuysok chekfj;ksa esa ls ,d] {k;jksx 
(Vhch) ,d laØked chekjh gS tks nqfu;k osQ 
gj fgLls esa ikbZ tkrh gSA ;g oSf'od fpark dk 
,d çeq• lkoZtfud LokLF; eqík cuk gqvk gSA Hkkjr bl 
chekjh dk lokZfèkd Hkkj ogu djus okys ns'kksa esa ls ,d gSA 
osQaæ vkSj jkT; ljdkjsa lrr fodkl y{; (,lMhth) 2030 
osQ rgr oSf'od y{; ls ikap lky igys gh 2025 rd 
bls lekIr djus osQ fy, çfrc¼ gSaA vkb,] ge bl jksx osQ 
fofHk igyqvksa ij xgjkbZ ls fopkj djsa vkSj bl fn'kk esa 
Hkkjr dh igy dks le>saA
Vhch dk oSf'od Hkkj
Vhch ekbdkscSDVhfj;e V~;wcjD;wyksfll (M.tb) osQ 
dkj.k gksus okyk ,d laØked ok;qtfur jksx gSA MCY;w,pvks 
(WHO) dk vuqeku gS fd yxHkx 1-8 fcfy;u yksx] tks fd 
oSf'od vkcknh dk yxHkx 1@4 fgLlk gS] Vhch ls laØfer gSaA 
gj lky yxHkx 13 yk• cPps Vhch ls chekj iM+rs gSaA ;g 
nqfu;k Hkj esa ekSrksa osQ fy, mÙkjnk;h çeq• laØked dkj.kksa 
esa ls ,d gSA fiNys lky] Vhch dks dksfoM&19 osQ ckn nqfu;k 
esa fdlh ,d laØked ,tsaV ls gksus okyh ekSrksa osQ nwljs 
çeq• dkj.k osQ :i esa ntZ fd;k x;kA ;g ,pvkbZoh@,M~l 
l
ls yxHkx nksxquh ekSrksa dk dkj.k jgkA 2022 esa] 1-06 djksM+ 
yksx Vhch ls laØfer gq, vkSj 14 yk• yksxksa dh ekSr gqbZA 
Vhch osQ dkj.k çfrfnu 3]500 ekSrsa gksrh gSaA
{k;jksx fofHk lkekftd] vkfFkZd rFkk LokLF; lacaèkh 
tksf•e dkjdksa }kjk xgurk ls çHkkfor gksrk gSA ;s dkjd gSa& 
oqQiks"k.k] eèkqesg] ,pvkbZoh laØe.k] e| lsou ls gksus okys 
fodkj vkSj èkwezikuA MCY;w,pvks osQ vuqlkj] o"kZ 2020 esa 
oSf'od Lrj ij] Vhch osQ vuqekfur 19 yk• ekeys oqQiks"k.k 
osQ dkj.k] 7-4 yk• ,pvkbZoh laØe.k osQ dkj.k] 7-4 yk• 
e| lsou ls mRi fodkjksa osQ dkj.k] 7-3 yk• èkweziku osQ 
dkj.k vkSj 3-7 yk• eèkqesg osQ dkj.k FksA gkykafd] {ks=kh; 
vkSj jk‘ªh; Lrj ij blesa fHkÂrk,a gSaA mnkgj.k osQ fy,] 
>qXxh&>ksifM+;ksa esa jgus okyh 'kgjh vkcknh esa bldk foLrkj 
vfèkd ns•k x;k gSA
fo'o osQ] 87 izfr'kr Vhch ekeyksa dk Hkkj mPp laØe.k 
okys 30 ns'kksa ij gSA buesa ls] oSf'od ekeyksa dk oqQy 
nks&frgkbZ fgLlk vkB ns'kksa esa ik;k x;kA
oqQy oSf'od ekeyksa esa Hkkjr dh 27 izfr'kr dh cM+h 
fgLlsnkjh gS] ftlosQ ckn baMksusf'k;k (10 izfr'kr)] phu 
(7-1 izfr'kr)] fiQyhihal (7-0 izfr'kr)] ikfdLrku ( 5-7 
MkW euh"kk oekZ
vij egkfuns'kd (ehfM;k vkSj lapkj)] osQaæh; LokLF; ,oa ifjokj dY;k.k ea=kky;] Hkkjr ljdkjA 
bZesy% pibhealth@gmail.com
^Vhch&eqDr Hkkjr* cukus gsrq  
Hkkjr dh çfrc)rk
bl vfHk;ku dk mís'; lkeqnkf;d lgk;rk iznku djus ds fy, lHkh Vhch 
jksfx;ksa dks fu&{k; fe=k ds lkFk mipkj ds fy, tksM+uk lqfuf'pr djuk gSA uhps 
fn;k x;k ykbo Vhdj jk"Vªh; Lrj ij vfHk;ku dh izxfr dks iznf'kZr djrk gSA
Vhch dk bZykt djk 
jgs ejht
lkeqnkf;d lgk;rk izkIr 
djus ij Vhch jksfx;ksa us 
lgefr O;Dr dh
Vhch jksfx;ksa ds fy, 
fu&{k; fe=k dh 
izfrc¼rk
fu&{k; fe=kksa dh 
iathÑr la[;k
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku
50 ????? 2024
izfr'kr)] ukbthfj;k (4-5 izfr'kr)] ckaXykns'k (3-6 izfr'kr) 
vkSj dkaxks yksdrkaf=kd x.kjkT; ( 3-0 izfr'kr) dk LFkku 
vkrk gSA
fo'o LokLF; laxBu }kjk Hkkjr dh çxfr dh ljkguk
fo'o LokLF; laxBu (WHO) dh oSf'od Vhch fjiksVZ 
o"kZ 2023 us Hkkjr dks {k;jksx eqDr ns'k cukus dh fn'kk esa 
bldh mYys•uh; xfrfofèk;ksa vkSj igyksa dks Js; fn;k gSA 
WHO us o"kZ 2015 ls (2022 rd) {k;jksx dh ?kVukvksa 
esa 16 çfr'kr vkSj blosQ dkj.k gksus okyh e`R;q nj esa 18 
çfr'kr dh deh ykus esa Hkkjr dh vR;fèkd egÙoiw.kZ çxfr 
dh ljkguk dh gSA
Hkkjr dks viuh rhoz osQl & fMVsD'ku j.kuhfr;ksa osQ 
fy, ljkguk feyh gS] ftuosQ dkj.k o"kZ 2022 esa vc rd 
osQ lcls vfèkd ekeys vfèklwfpr gq, vkSj 24-22 yk• ls 
vfèkd Vhch ekeyksa dh ;s vfèklwpuk,a iwoZ& dksfoM Lrjksa dks 
ikj dj xb±A 2023 esa 25-5 yk• Vhch ekeyksa dh vfèklwpuk 
osQ lkFk ,d fjdkWMZ vfèklwpuk ntZ dh xbZA buesa ls 17-1 
yk• Vhch ekeys lkoZtfud {ks=k esa vfèklwfpr fd, x,] 
tcfd 8-4 yk• futh {ks=k }kjk vfèklwfpr fd, x,A oqQy 
vfèklwpukvksa osQ 33 izfr'kr ij] ;g vc rd dk mPpre 
;ksxnku FkkA fofHk gLr{ksiksa osQ ekè;e ls futh {ks=k osQ lkFk 
osQafær vkSj yf{kr tqM+ko osQ ifj.kkeLo:i futh {ks=k dh 
vfèklwpuk esa fiNys ukS o"kks± esa vkB xquk ls vfèkd dh o`f¼ 
gqbZ gSA blosQ vfrfjDr] mipkj dojst vuqekfur Vhch ekeyksa 
osQ 80 çfr'kr rd c<+ x;k gS] tks fiNys o"kZ dh rqyuk esa 
19 çfr'kr dh o`f¼ gSA
,d mRlkgtud voyksdu esa] MCY;w,pvks dh fjiksVZ 
;g Hkh Lohdkj djrh gS fd Hkkjr esa fxjkoV dh xfr oSf'od 
Vhch ?kVukvksa esa deh dh xfr ls yxHkx nksxquh gS] tks fd 
8-7 çfr'kr gSA blosQ vykok] MCY;w,pvks us Vhch e`R;q nj 
dk vèkkseq•h la'kksèku Hkh fd;k gS (2021 esa 4-94 yk• ls 
2022 esa 3-31 yk• rd)A 34 çfr'kr ls vfèkd dh deh 
uewuk iathdj.k ç.kkyh (,lvkj,l) ls ,d=k fd, x, 
2014&2019 osQ e`R;q&dkj.k vkadM+ksa ij vkèkkfjr gSA
Hkkjr dks Vhch eqDr cukus osQ fy, çeq• igy
;g è;ku j•uk egÙoiw.kZ gS fd ;|fi {k;jksx cgqr 
laØked gS] ijUrq ;fn bldk ;Fkkle; irk py tk, vkSj 
iwjk mipkj gks tk, rks ;g iwjh rjg ls jksdFkke&;ksX; vkSj 
mipkj&;ksX; jksx gSA
oSf'od Vhch dh ?kVukvksa osQ vR;f/d ekeyksa ls =kLr 
Hkkjr ljdkj us Vhch dh leL;k ls fe'ku eksM esa fuiVus 
dk iSQlyk fd;k gSA la;qDr jkԻ vkSj fo'o LokLF; laxBu 
us Vhch egkekjh dks lekIr djus dh çfrc¼rk trkbZ gSA 
Vhch ,lMhth y{; 3-3 dk fgLlk gS] ftlesa dgk x;k gS% 
^,M~l] {k;jksx] eysfj;k vkSj misf{kr m".kdfVcaèkh; jksxksa 
dh egkekfj;ksa dks lekIr djuk vkSj gsisVkbfVl] ty&tfur 
jksxksa vkSj vU; laØked jksxksa ls 2030 rd fuiVukA ijarq] 
çèkkuea=kh Jh ujsaæ eksnh us 2018 esa ?kks"k.kk dh fd Hkkjr 
oSf'od y{; ls ikap lky igys ;kuh 2025 rd Vhch dks 
ns'k ls •+Re dj nsxkA blus uhfr&fuekZrkvksa vkSj Vhch eqDr 
Hkkjr dh fn'kk esa dke djus okyh ,tsafl;ksa dks osQafær ÅtkZ 
osQ lkFk dke djus osQ fy, çsfjr fd;k gSA ekpZ 2023 esa 
okjk.klh esa ^LVkWi Vhch ikVZujf'ki* ehfVax esa] Vhch eqDr 
lekt lqfuf'pr djus osQ çfr Hkkjr dh çfrc¼rk dh iqf‘ 
djrs gq,] ih,e us dgk fd ¶Hkkjr us 2014 osQ ckn Vhch ls 
fuiVus osQ fy, ftl çfrc¼rk vkSj n`<+ ladYi osQ lkFk •qn 
dks lefiZr fd;k gS] og vHkwriwoZ gSA**
çèkkuea=kh us dgk fd Hkkjr osQ ç;kl egÙoiw.kZ gSa] 
D;ksafd ;g ¶Vhch osQ f•yki+Q oSf'od& ;q¼ dk u;k ekWMy 
gSA** Hkkjr osQ ç;klksa dks oSf'od ç'kalk feyh gSA LVkWi Vhch 
ikVZujf'ki dh dk;Zdkjh funs'kd MkW- yqfldk fnfrm us Vhch 
ls fuiVus esa Hkkjr osQ ç;klksa ,oa ^Vhch&eqDr Hkkjr* igy dh 
ljkguk dhA mUgksaus fo'okl trk;k fd Hkkjr o"kZ 2025 rd 
Vhch dks •+Re dj nsxk vkSj blls oSf'od Vhch osQ ekeyksa esa 
Hkkjh deh vk,xhA Hkkjr dks o"kZ 2025 rd Vhch eqDr cuus 
osQ vius y{; dks iwjk djus esa nks lky ls Hkh de le; 'ks"k 
gS] blfy, vkxs c<+us dk n`f‘dks.k jksx dh jksdFkke ij è;ku 
osQafær djuk vkSj Vhch osQ funku ,oa mipkj esa lsokvksa osQ 
dojst dks c<+kuk gSA ;g ns•uk mRlkgtud gS fd ljdkjksa] 
lgk;rk ,tsafl;ksa vkSj leqnk;ksa osQ fujarj ç;klksa ls Hkkjr esa 
fu&{k; fe=k Vhch ls ihfM+r O;fDr;ksa dks  
chekjh ls ckgj fudkyus esa enn djrs gq,
paMhx<+
51 ????? 2024
Vhch osQ ^xqeuke ekeyksa* (missing cases) dh la[;k 2015 
esa 1 fefy;u ls ?kVdj 2023 esa 0-26 fefy;u jg xbZ gSA
o"kZ 2025 rd Vhch ls lacafèkr lrr~ fodkl y{;ksa 
(,lMhth) dks çkIr djus osQ y{; osQ lkFk] osQaæh; LokLF; 
,oa ifjokj dY;k.k ea=kky; fuEufyf•r mís';ksa osQ lkFk 
jk‘ªh; mUewyu dk;ZØe (,uVhbZih) dks ykxw dj jgk gS%
1- Vhch jksfx;ksa dk 'kh?kz funku] xq.koÙkkiw.kZ nokvksa vkSj 
mipkj i¼fr;ksa osQ lkFk 'kh?kz mipkjA
2- futh {ks=k esa ns•Hkky pkgus okys ejhtksa ls tqM+ukA
3- jksdFkke dk;Zuhfr;ksa esa mPp tksf•e@laosnu'khy vkcknh 
esa laidZ dk irk yxkuk 'kkfey gSA
4- ok;qtfur laØe.k& fu;a=k.k
5- lkekftd fuèkkZjdksa dks lacksfèkr djus osQ fy, cgq& 
{ks=kh; çfrfØ;kA
çèkkuea=kh Vhch&eqDr Hkkjr vfHk;ku
Vhch osQ fo#¼ yM+kbZ dks fe'ku eksM n`f"Vdks.k nsus osQ 
fy,] ^çèkkuea=kh Vhch&eqDr Hkkjr vfHk;ku* flracj] 2022 
esa 'kq: fd;k x;k FkkA bldk mís'; o"kZ 2025 rd Vhch osQ 
lacaèk esa ,lMhth y{; dks iwjk djus osQ fy, xfrfofèk;ksa 
vkSj igyksa dks rS;kj djuk FkkA blosQ fy, lkeqnkf;d Lrj ij 
Hkkxhnkjh dh vko';drk Fkh] tgka fofHk ,tsafl;ka] leqnk; 
vkSj ljdkjsa ,d lkFk feydj dke dj jgh gSaA bl igy us 
lHkh i`’Hkwfe osQ yksxksa dks ,d ^tu vkanksyu* osQ :i esa ,d 
lkFk ykdj Vhch mUewyu dh fn'kk esa çxfr dks vkxs c<+k;kA 
bls dkWikZsjsV lkekftd mÙkjnkf;Ro (lh,lvkj) xfrfofèk;ksa 
dk Hkh ykHk çkIr gqvkA
,d ubZ igy] fu&{k; fe=k dh 'kq#vkr dh xbZ] tgka 
lekt osQ fofHk {ks=kksa osQ Lo;alsod Vhch jksfx;ksa dks muosQ 
Bhd gksus dh ;k=kk esa enn djus osQ fy, ^fe=k* cusaxsA 
^fu&{k; fe=k* os O;fDr] xSj&ljdkjh laxBu] lgdkjh 
lfefr;ka] èkkfeZd laxBu] futh {ks=k] jktuhfrd ny vkSj 
vU; gks ldrs gSa] tks Vhch jksfx;ksa dks iks"k.k lgk;rk] iks"k.k& 
lacaèkh iwjd] vfrfjDr tkap vkSj O;kolkf;d lgk;rk osQ 
:i esa de ls de Ng eghus ;k vfèkdre rhu lky rd 
dh vofèk osQ fy, lgk;rk djus osQ fy, lgefr nsrs gSaA 
Vhch jksfx;ksa dks vDlj leqnk;ksa esa dyad (stigma) dk 
lkeuk djuk iM+rk gSA Vhch&mUewyu vfHk;ku esa leqnk; dh 
Hkkxhnkjh dk mís'; jksx ls lacafèkr dyad dks lekIr djuk 
gSA lkeqnkf;d Hkkxhnkjh ls jksx osQ ckjs esa vfèkd tkx#drk 
vkSj bls jksdus vkSj bls csgrj rjhosQ ls çcafèkr djus osQ 
rjhdksa dk Hkh irk pysxkA bl jksx vkSj blosQ yacs le; rd 
pyus okys mipkj osQ dkj.k dbZ yksxksa dh ukSdfj;ka xbZ vkSj 
mUgsa vkfFkZd dfBukb;ka gqbZA fu&{k; fe=k Vhch jksfx;ksa dks 
O;kolkf;d lgk;rk çnku djus dk Hkh ladYi ysrs gSaA
20 vçSy] 2024 rd 1-55 yk• ls vfèkd fu&{k; fe=k 
iathdj.k djok pqosQ gSaA ns'k esa mipkjkèkhu 13-45 yk• Vhch 
jksfx;ksa esa ls 8-66 yk• ls vfèkd us lkeqnkf;d lgk;rk 
çkIr djus osQ fy, lgefr çnku dh gSA osQaæh; LokLF; 
ea=kky; us lHkh dks vkxs vkdj fu&{k; fe=k osQ #i esa viuk 
iathdj.k djkus osQ fy, çksRlkfgr djus vkSj LFkkuh; leqnk;ksa 
vkSj jksfx;ksa dk leFkZu djus osQ fy, ,d ns'kO;kih vfHk;ku 
'kq: fd;k gSA çfl¼ fu&{k; fe=kksa esa 27 jkT;ksa@osQaæ 'kkflr 
çns'kksa osQ ekuuh; jkT;iky@mijkT;iky] osQaæh; ea=kh] jkT;ea=kh] 
eq[;ea=kh] dbZ jkT;ksa@osQaæ 'kkflr çns'kksa osQ LokLF; ea=kh Vhch 
,d yk[k ls vf/d 
fu&{k; fe=k 
Vhch ls xzLr 10 ls vf/d O;fDr;ksa dks vfrfjDr 
iks"k.k lgk;rk iznku dh gSA 
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku] Vhch ls xzLr 
O;fDr;ksa dh lgk;rk ds fy, fo'o dh lcls cM+h 
ØkmM lksfl±x igy gSA ;g igy Vhch eqDr Hkkjr ds 
y{; dks izkIr djus esa enn djsxhA 
fu&{k; fe=k cusa vkSj Vhch ds fo#¼  
yM+kbZ esa lg;ksx djsa
Vhch gkjsxk ns'k thrsxk
fu&{k; fe=k laidZ % 1800&11&6666
iathdj.k djus ds fy, LdSu djsa
52 ????? 2024
jksfx;ksa dks xksn ysus osQ fy, vkxs vk, gSaA dbZ foèkk;d vkSj 
LFkkuh; ifj"kn Hkh fu&{k; fe=k cu x, gSaA oSQfcusV lfpoky; 
vkSj osQaæh; ea=kky;ksa osQ dbZ vfèkdkfj;ksa us fofHk ekè;eksa 
ls Vhch jksfx;ksa dh lgk;rk djus osQ fy, mUgsa xksn fy;k gSA
lfØ; ekeyksa dk irk yxkus laca/h vfHk;ku
vU; dbZ mik;ksa us Hkkjr esa Vhch & fojksèkh vfHk;ku dks 
et+cwrh ls c<+kok fn;k gSA vè;;uksa (gks- ts- ,oa vU;-] o"kZ 
2016) ls irk pyk gS fd ^iSflo osQl iQkbafMax* (ihlh,iQ) 
osQ ekè;e ls Vhch osQ ekeyksa dk irk yxkus dk ifj.kke gks 
ldrk gS fd Vhch jksfx;ksa dk irk yxus esa deh jg tk,A 
;g ço`fÙk de vkSj eè;e vk; okys ns'kksa esa vfèkd gS] tgka 
Vhch ds ejht vfèkd gSA ;g eq[; :i ls LokLF; lqfoèkkvksa 
rd igqapus esa HkkSxksfyd ;k lkekftd&vkfFkZd ckèkkvksa osQ 
dkj.k gksrk gS] ftlosQ dkj.k vDlj funku esa nsjh gksrh gSA
fo'o LokLF; laxBu (MCY;w,pvks) }kjk Vhch osQ ekeyksa 
dk irk yxkus vkSj le; ij mipkj osQ fy, ^Vhch mUewyu 
dk;Zuhfr (End TB Stretegy) osQ ,d Hkkx osQ :i esa 
mPp tksf•e okys vkcknh milewgksa dh ^O;ofLFkr tkap* dk 
leFkZu fd;k x;k gSA
Hkkjr us Vhch osQ ^xqeuke jksfx;ksa* rd igqapus osQ fy, 
jk‘ªh; {k;jksx mUewyu dk;ZØe dh dk;Zuhfrd ;kstuk osQ 
fgLls osQ :i esa mPp tksf•e okys lewgksa esa jk‘ªh; leqnk;& 
vkèkkfjr ^lfØ; ekeyksa dk irk yxkus laca/h* vfHk;ku 'kq: 
fd;kA bl dk;ZØe osQ rgr] laosnu'khy vkcknh osQ chp 
Vhch osQ ekeyksa dh lfØ; ?kj&?kj tkdj tkap dh tkrh gSA 
blesa ,pvkbZoh ls ihfM+r yksx] eèkqesg jksxh] 
oqQiksf"kr] vkoklh; laLFkku tSls & tsy] 'kj.kky;] 
o`¼kJe] vukFkky;] vkfnoklh {ks=k rFkk gkf'k, 
ij jgus okyh vkcknh 'kkfey gSaA bl xfrfofèk osQ  
ifj.kkeLo:i] bldh 'kq#vkr ls vc rd yxHkx  
3 yk• vfrfjDr Vhch ekeyksa dk funku gqvk gSA
fodflr Hkkjr ladYi&;k=kk osQ nkSjku Vhch 
dh tkap
fodflr Hkkjr ladYi&;k=kk uoacj] 2023 osQ 
nkSjku 'kq: dh xbZ FkhA bl jk‘ªO;kih dk;ZØe osQ 
fgLls osQ :i esa] jkT;ksa vkSj osQaæ 'kkflr çns'kksa esa 
tkx:drk c<+kus okyh vkbZbZlh oSu }kjk fy, x, 
ekxks± ij LokLF; f'kfoj vk;ksftr fd, x,] tgka 
xzkeh.k Lrj ij leqnk;ksa osQ fy, muosQ ?kjksa osQ ikl 
dbZ LokLF; lsok,a çnku dh xbZ] ftuesa Vhch dh 
tkap Hkh 'kkfey FkhA
bu LokLF; f'kfojksa esa 38 fefy;u ls vfèkd 
O;fDr;ksa dh Vhch osQ fy, tkap dh xbZ gS vkSj 1 
fefy;u ls vfèkd yksxksa dks Vhch & ijh{k.k osQ fy, jsiQj 
fd;k x;k gSA blosQ vfrfjDr] xkao Lrj ij 1]00]000 ls 
vfèkd O;fDr;ksa us fu&{k; fe=k cuus esa #fp fn•kbZ gSA
Vhch vfèklwpukvksa esa mYys•uh; o`f¼
fo'ks"k ,fDVo osQl iQkbafMax vfHk;ku] CykWd Lrj rd 
vk.kfod funku (molecular diagnostics) esa c<+ksrjh osQ 
lkFk feydj] vk;q"eku Hkkjr vkjksX; eafnjksa (ftUgsa igys 
LokLF; vkSj dY;k.k osQaæ osQ :i esa tkuk tkrk Fkk] ftudh 
la[;k ns'k Hkj esa 1-64 yk• ls vfèkd gS) osQ ekè;e ls 
foosQUæhÑr LØhfuax lsokvksa vkSj futh {ks=k dh Hkkxhnkjh us 
xqeuke ekeyksa esa vUrj dks ikVus dh çfØ;k dks dkiQh c<+kok 
fn;k gSA ;s osQaæ Vhch dh tkap osQ fy, çFke laidZ fcanq osQ 
:i esa dke djrs gSaA
Hkkjr us o"kZ 2022 esa 24-2 yk• Vhch ekeyksa dks 
vfèklwfpr fd;k] tks 2019 osQ iwoZ& dksfoM Lrj ls dkiQh 
vfèkd FkkA 2023 esa oqQy 25-5 yk• Vhch jksfx;ksa dks 
vfèklwfpr fd;k x;kA
Vhch eqDr iapk;r vfHk;ku
Vhch eqDr iapk;rksa dk mís'; iapk;rksa dks Vhch ls tqM+h 
leL;kvksa dh lhek vkSj ifjek.k ls voxr djkus vkSj mUgsa 
gy djus osQ fy, vko';d dkjZokbZ djus osQ fy, l'kDr 
cukuk] iapk;rksa osQ chp LoLFk çfrLièkkZ mRi djuk vkSj 
muosQ ;ksxnku dh ljkguk djuk gSA
{kerk&fuekZ.k osQ ,d fgLls osQ :i esa] jkT; vkSj ftyk 
Lrj osQ vfèkdkfj;ksa dks bl igy dh vksj mUeq• djus osQ 
vkidks dSls irk pysxk
fd vkidks Vhch gS\
iqQÝiqQlh; Vhch ;k isQiQM+ksa ds Vhch ds y{k.k
nks lIrkg ;k mlls vf/d 
le; rd yxkrkj [kklh jguk
Nkrh esa nnZ
lkal ysus esa dfBukbZ
Fkwd esa [kwu vkuk
jkr esa ilhuk vkuk
'kke dks rkieku c<+uk 
(cq[kkj)
Fkdku
otu ?kVuk
Page 5


49 ????? 2024
cls cM+h tkuysok chekfj;ksa esa ls ,d] {k;jksx 
(Vhch) ,d laØked chekjh gS tks nqfu;k osQ 
gj fgLls esa ikbZ tkrh gSA ;g oSf'od fpark dk 
,d çeq• lkoZtfud LokLF; eqík cuk gqvk gSA Hkkjr bl 
chekjh dk lokZfèkd Hkkj ogu djus okys ns'kksa esa ls ,d gSA 
osQaæ vkSj jkT; ljdkjsa lrr fodkl y{; (,lMhth) 2030 
osQ rgr oSf'od y{; ls ikap lky igys gh 2025 rd 
bls lekIr djus osQ fy, çfrc¼ gSaA vkb,] ge bl jksx osQ 
fofHk igyqvksa ij xgjkbZ ls fopkj djsa vkSj bl fn'kk esa 
Hkkjr dh igy dks le>saA
Vhch dk oSf'od Hkkj
Vhch ekbdkscSDVhfj;e V~;wcjD;wyksfll (M.tb) osQ 
dkj.k gksus okyk ,d laØked ok;qtfur jksx gSA MCY;w,pvks 
(WHO) dk vuqeku gS fd yxHkx 1-8 fcfy;u yksx] tks fd 
oSf'od vkcknh dk yxHkx 1@4 fgLlk gS] Vhch ls laØfer gSaA 
gj lky yxHkx 13 yk• cPps Vhch ls chekj iM+rs gSaA ;g 
nqfu;k Hkj esa ekSrksa osQ fy, mÙkjnk;h çeq• laØked dkj.kksa 
esa ls ,d gSA fiNys lky] Vhch dks dksfoM&19 osQ ckn nqfu;k 
esa fdlh ,d laØked ,tsaV ls gksus okyh ekSrksa osQ nwljs 
çeq• dkj.k osQ :i esa ntZ fd;k x;kA ;g ,pvkbZoh@,M~l 
l
ls yxHkx nksxquh ekSrksa dk dkj.k jgkA 2022 esa] 1-06 djksM+ 
yksx Vhch ls laØfer gq, vkSj 14 yk• yksxksa dh ekSr gqbZA 
Vhch osQ dkj.k çfrfnu 3]500 ekSrsa gksrh gSaA
{k;jksx fofHk lkekftd] vkfFkZd rFkk LokLF; lacaèkh 
tksf•e dkjdksa }kjk xgurk ls çHkkfor gksrk gSA ;s dkjd gSa& 
oqQiks"k.k] eèkqesg] ,pvkbZoh laØe.k] e| lsou ls gksus okys 
fodkj vkSj èkwezikuA MCY;w,pvks osQ vuqlkj] o"kZ 2020 esa 
oSf'od Lrj ij] Vhch osQ vuqekfur 19 yk• ekeys oqQiks"k.k 
osQ dkj.k] 7-4 yk• ,pvkbZoh laØe.k osQ dkj.k] 7-4 yk• 
e| lsou ls mRi fodkjksa osQ dkj.k] 7-3 yk• èkweziku osQ 
dkj.k vkSj 3-7 yk• eèkqesg osQ dkj.k FksA gkykafd] {ks=kh; 
vkSj jk‘ªh; Lrj ij blesa fHkÂrk,a gSaA mnkgj.k osQ fy,] 
>qXxh&>ksifM+;ksa esa jgus okyh 'kgjh vkcknh esa bldk foLrkj 
vfèkd ns•k x;k gSA
fo'o osQ] 87 izfr'kr Vhch ekeyksa dk Hkkj mPp laØe.k 
okys 30 ns'kksa ij gSA buesa ls] oSf'od ekeyksa dk oqQy 
nks&frgkbZ fgLlk vkB ns'kksa esa ik;k x;kA
oqQy oSf'od ekeyksa esa Hkkjr dh 27 izfr'kr dh cM+h 
fgLlsnkjh gS] ftlosQ ckn baMksusf'k;k (10 izfr'kr)] phu 
(7-1 izfr'kr)] fiQyhihal (7-0 izfr'kr)] ikfdLrku ( 5-7 
MkW euh"kk oekZ
vij egkfuns'kd (ehfM;k vkSj lapkj)] osQaæh; LokLF; ,oa ifjokj dY;k.k ea=kky;] Hkkjr ljdkjA 
bZesy% pibhealth@gmail.com
^Vhch&eqDr Hkkjr* cukus gsrq  
Hkkjr dh çfrc)rk
bl vfHk;ku dk mís'; lkeqnkf;d lgk;rk iznku djus ds fy, lHkh Vhch 
jksfx;ksa dks fu&{k; fe=k ds lkFk mipkj ds fy, tksM+uk lqfuf'pr djuk gSA uhps 
fn;k x;k ykbo Vhdj jk"Vªh; Lrj ij vfHk;ku dh izxfr dks iznf'kZr djrk gSA
Vhch dk bZykt djk 
jgs ejht
lkeqnkf;d lgk;rk izkIr 
djus ij Vhch jksfx;ksa us 
lgefr O;Dr dh
Vhch jksfx;ksa ds fy, 
fu&{k; fe=k dh 
izfrc¼rk
fu&{k; fe=kksa dh 
iathÑr la[;k
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku
50 ????? 2024
izfr'kr)] ukbthfj;k (4-5 izfr'kr)] ckaXykns'k (3-6 izfr'kr) 
vkSj dkaxks yksdrkaf=kd x.kjkT; ( 3-0 izfr'kr) dk LFkku 
vkrk gSA
fo'o LokLF; laxBu }kjk Hkkjr dh çxfr dh ljkguk
fo'o LokLF; laxBu (WHO) dh oSf'od Vhch fjiksVZ 
o"kZ 2023 us Hkkjr dks {k;jksx eqDr ns'k cukus dh fn'kk esa 
bldh mYys•uh; xfrfofèk;ksa vkSj igyksa dks Js; fn;k gSA 
WHO us o"kZ 2015 ls (2022 rd) {k;jksx dh ?kVukvksa 
esa 16 çfr'kr vkSj blosQ dkj.k gksus okyh e`R;q nj esa 18 
çfr'kr dh deh ykus esa Hkkjr dh vR;fèkd egÙoiw.kZ çxfr 
dh ljkguk dh gSA
Hkkjr dks viuh rhoz osQl & fMVsD'ku j.kuhfr;ksa osQ 
fy, ljkguk feyh gS] ftuosQ dkj.k o"kZ 2022 esa vc rd 
osQ lcls vfèkd ekeys vfèklwfpr gq, vkSj 24-22 yk• ls 
vfèkd Vhch ekeyksa dh ;s vfèklwpuk,a iwoZ& dksfoM Lrjksa dks 
ikj dj xb±A 2023 esa 25-5 yk• Vhch ekeyksa dh vfèklwpuk 
osQ lkFk ,d fjdkWMZ vfèklwpuk ntZ dh xbZA buesa ls 17-1 
yk• Vhch ekeys lkoZtfud {ks=k esa vfèklwfpr fd, x,] 
tcfd 8-4 yk• futh {ks=k }kjk vfèklwfpr fd, x,A oqQy 
vfèklwpukvksa osQ 33 izfr'kr ij] ;g vc rd dk mPpre 
;ksxnku FkkA fofHk gLr{ksiksa osQ ekè;e ls futh {ks=k osQ lkFk 
osQafær vkSj yf{kr tqM+ko osQ ifj.kkeLo:i futh {ks=k dh 
vfèklwpuk esa fiNys ukS o"kks± esa vkB xquk ls vfèkd dh o`f¼ 
gqbZ gSA blosQ vfrfjDr] mipkj dojst vuqekfur Vhch ekeyksa 
osQ 80 çfr'kr rd c<+ x;k gS] tks fiNys o"kZ dh rqyuk esa 
19 çfr'kr dh o`f¼ gSA
,d mRlkgtud voyksdu esa] MCY;w,pvks dh fjiksVZ 
;g Hkh Lohdkj djrh gS fd Hkkjr esa fxjkoV dh xfr oSf'od 
Vhch ?kVukvksa esa deh dh xfr ls yxHkx nksxquh gS] tks fd 
8-7 çfr'kr gSA blosQ vykok] MCY;w,pvks us Vhch e`R;q nj 
dk vèkkseq•h la'kksèku Hkh fd;k gS (2021 esa 4-94 yk• ls 
2022 esa 3-31 yk• rd)A 34 çfr'kr ls vfèkd dh deh 
uewuk iathdj.k ç.kkyh (,lvkj,l) ls ,d=k fd, x, 
2014&2019 osQ e`R;q&dkj.k vkadM+ksa ij vkèkkfjr gSA
Hkkjr dks Vhch eqDr cukus osQ fy, çeq• igy
;g è;ku j•uk egÙoiw.kZ gS fd ;|fi {k;jksx cgqr 
laØked gS] ijUrq ;fn bldk ;Fkkle; irk py tk, vkSj 
iwjk mipkj gks tk, rks ;g iwjh rjg ls jksdFkke&;ksX; vkSj 
mipkj&;ksX; jksx gSA
oSf'od Vhch dh ?kVukvksa osQ vR;f/d ekeyksa ls =kLr 
Hkkjr ljdkj us Vhch dh leL;k ls fe'ku eksM esa fuiVus 
dk iSQlyk fd;k gSA la;qDr jkԻ vkSj fo'o LokLF; laxBu 
us Vhch egkekjh dks lekIr djus dh çfrc¼rk trkbZ gSA 
Vhch ,lMhth y{; 3-3 dk fgLlk gS] ftlesa dgk x;k gS% 
^,M~l] {k;jksx] eysfj;k vkSj misf{kr m".kdfVcaèkh; jksxksa 
dh egkekfj;ksa dks lekIr djuk vkSj gsisVkbfVl] ty&tfur 
jksxksa vkSj vU; laØked jksxksa ls 2030 rd fuiVukA ijarq] 
çèkkuea=kh Jh ujsaæ eksnh us 2018 esa ?kks"k.kk dh fd Hkkjr 
oSf'od y{; ls ikap lky igys ;kuh 2025 rd Vhch dks 
ns'k ls •+Re dj nsxkA blus uhfr&fuekZrkvksa vkSj Vhch eqDr 
Hkkjr dh fn'kk esa dke djus okyh ,tsafl;ksa dks osQafær ÅtkZ 
osQ lkFk dke djus osQ fy, çsfjr fd;k gSA ekpZ 2023 esa 
okjk.klh esa ^LVkWi Vhch ikVZujf'ki* ehfVax esa] Vhch eqDr 
lekt lqfuf'pr djus osQ çfr Hkkjr dh çfrc¼rk dh iqf‘ 
djrs gq,] ih,e us dgk fd ¶Hkkjr us 2014 osQ ckn Vhch ls 
fuiVus osQ fy, ftl çfrc¼rk vkSj n`<+ ladYi osQ lkFk •qn 
dks lefiZr fd;k gS] og vHkwriwoZ gSA**
çèkkuea=kh us dgk fd Hkkjr osQ ç;kl egÙoiw.kZ gSa] 
D;ksafd ;g ¶Vhch osQ f•yki+Q oSf'od& ;q¼ dk u;k ekWMy 
gSA** Hkkjr osQ ç;klksa dks oSf'od ç'kalk feyh gSA LVkWi Vhch 
ikVZujf'ki dh dk;Zdkjh funs'kd MkW- yqfldk fnfrm us Vhch 
ls fuiVus esa Hkkjr osQ ç;klksa ,oa ^Vhch&eqDr Hkkjr* igy dh 
ljkguk dhA mUgksaus fo'okl trk;k fd Hkkjr o"kZ 2025 rd 
Vhch dks •+Re dj nsxk vkSj blls oSf'od Vhch osQ ekeyksa esa 
Hkkjh deh vk,xhA Hkkjr dks o"kZ 2025 rd Vhch eqDr cuus 
osQ vius y{; dks iwjk djus esa nks lky ls Hkh de le; 'ks"k 
gS] blfy, vkxs c<+us dk n`f‘dks.k jksx dh jksdFkke ij è;ku 
osQafær djuk vkSj Vhch osQ funku ,oa mipkj esa lsokvksa osQ 
dojst dks c<+kuk gSA ;g ns•uk mRlkgtud gS fd ljdkjksa] 
lgk;rk ,tsafl;ksa vkSj leqnk;ksa osQ fujarj ç;klksa ls Hkkjr esa 
fu&{k; fe=k Vhch ls ihfM+r O;fDr;ksa dks  
chekjh ls ckgj fudkyus esa enn djrs gq,
paMhx<+
51 ????? 2024
Vhch osQ ^xqeuke ekeyksa* (missing cases) dh la[;k 2015 
esa 1 fefy;u ls ?kVdj 2023 esa 0-26 fefy;u jg xbZ gSA
o"kZ 2025 rd Vhch ls lacafèkr lrr~ fodkl y{;ksa 
(,lMhth) dks çkIr djus osQ y{; osQ lkFk] osQaæh; LokLF; 
,oa ifjokj dY;k.k ea=kky; fuEufyf•r mís';ksa osQ lkFk 
jk‘ªh; mUewyu dk;ZØe (,uVhbZih) dks ykxw dj jgk gS%
1- Vhch jksfx;ksa dk 'kh?kz funku] xq.koÙkkiw.kZ nokvksa vkSj 
mipkj i¼fr;ksa osQ lkFk 'kh?kz mipkjA
2- futh {ks=k esa ns•Hkky pkgus okys ejhtksa ls tqM+ukA
3- jksdFkke dk;Zuhfr;ksa esa mPp tksf•e@laosnu'khy vkcknh 
esa laidZ dk irk yxkuk 'kkfey gSA
4- ok;qtfur laØe.k& fu;a=k.k
5- lkekftd fuèkkZjdksa dks lacksfèkr djus osQ fy, cgq& 
{ks=kh; çfrfØ;kA
çèkkuea=kh Vhch&eqDr Hkkjr vfHk;ku
Vhch osQ fo#¼ yM+kbZ dks fe'ku eksM n`f"Vdks.k nsus osQ 
fy,] ^çèkkuea=kh Vhch&eqDr Hkkjr vfHk;ku* flracj] 2022 
esa 'kq: fd;k x;k FkkA bldk mís'; o"kZ 2025 rd Vhch osQ 
lacaèk esa ,lMhth y{; dks iwjk djus osQ fy, xfrfofèk;ksa 
vkSj igyksa dks rS;kj djuk FkkA blosQ fy, lkeqnkf;d Lrj ij 
Hkkxhnkjh dh vko';drk Fkh] tgka fofHk ,tsafl;ka] leqnk; 
vkSj ljdkjsa ,d lkFk feydj dke dj jgh gSaA bl igy us 
lHkh i`’Hkwfe osQ yksxksa dks ,d ^tu vkanksyu* osQ :i esa ,d 
lkFk ykdj Vhch mUewyu dh fn'kk esa çxfr dks vkxs c<+k;kA 
bls dkWikZsjsV lkekftd mÙkjnkf;Ro (lh,lvkj) xfrfofèk;ksa 
dk Hkh ykHk çkIr gqvkA
,d ubZ igy] fu&{k; fe=k dh 'kq#vkr dh xbZ] tgka 
lekt osQ fofHk {ks=kksa osQ Lo;alsod Vhch jksfx;ksa dks muosQ 
Bhd gksus dh ;k=kk esa enn djus osQ fy, ^fe=k* cusaxsA 
^fu&{k; fe=k* os O;fDr] xSj&ljdkjh laxBu] lgdkjh 
lfefr;ka] èkkfeZd laxBu] futh {ks=k] jktuhfrd ny vkSj 
vU; gks ldrs gSa] tks Vhch jksfx;ksa dks iks"k.k lgk;rk] iks"k.k& 
lacaèkh iwjd] vfrfjDr tkap vkSj O;kolkf;d lgk;rk osQ 
:i esa de ls de Ng eghus ;k vfèkdre rhu lky rd 
dh vofèk osQ fy, lgk;rk djus osQ fy, lgefr nsrs gSaA 
Vhch jksfx;ksa dks vDlj leqnk;ksa esa dyad (stigma) dk 
lkeuk djuk iM+rk gSA Vhch&mUewyu vfHk;ku esa leqnk; dh 
Hkkxhnkjh dk mís'; jksx ls lacafèkr dyad dks lekIr djuk 
gSA lkeqnkf;d Hkkxhnkjh ls jksx osQ ckjs esa vfèkd tkx#drk 
vkSj bls jksdus vkSj bls csgrj rjhosQ ls çcafèkr djus osQ 
rjhdksa dk Hkh irk pysxkA bl jksx vkSj blosQ yacs le; rd 
pyus okys mipkj osQ dkj.k dbZ yksxksa dh ukSdfj;ka xbZ vkSj 
mUgsa vkfFkZd dfBukb;ka gqbZA fu&{k; fe=k Vhch jksfx;ksa dks 
O;kolkf;d lgk;rk çnku djus dk Hkh ladYi ysrs gSaA
20 vçSy] 2024 rd 1-55 yk• ls vfèkd fu&{k; fe=k 
iathdj.k djok pqosQ gSaA ns'k esa mipkjkèkhu 13-45 yk• Vhch 
jksfx;ksa esa ls 8-66 yk• ls vfèkd us lkeqnkf;d lgk;rk 
çkIr djus osQ fy, lgefr çnku dh gSA osQaæh; LokLF; 
ea=kky; us lHkh dks vkxs vkdj fu&{k; fe=k osQ #i esa viuk 
iathdj.k djkus osQ fy, çksRlkfgr djus vkSj LFkkuh; leqnk;ksa 
vkSj jksfx;ksa dk leFkZu djus osQ fy, ,d ns'kO;kih vfHk;ku 
'kq: fd;k gSA çfl¼ fu&{k; fe=kksa esa 27 jkT;ksa@osQaæ 'kkflr 
çns'kksa osQ ekuuh; jkT;iky@mijkT;iky] osQaæh; ea=kh] jkT;ea=kh] 
eq[;ea=kh] dbZ jkT;ksa@osQaæ 'kkflr çns'kksa osQ LokLF; ea=kh Vhch 
,d yk[k ls vf/d 
fu&{k; fe=k 
Vhch ls xzLr 10 ls vf/d O;fDr;ksa dks vfrfjDr 
iks"k.k lgk;rk iznku dh gSA 
iz/kuea=kh Vhch eqDr Hkkjr vfHk;ku] Vhch ls xzLr 
O;fDr;ksa dh lgk;rk ds fy, fo'o dh lcls cM+h 
ØkmM lksfl±x igy gSA ;g igy Vhch eqDr Hkkjr ds 
y{; dks izkIr djus esa enn djsxhA 
fu&{k; fe=k cusa vkSj Vhch ds fo#¼  
yM+kbZ esa lg;ksx djsa
Vhch gkjsxk ns'k thrsxk
fu&{k; fe=k laidZ % 1800&11&6666
iathdj.k djus ds fy, LdSu djsa
52 ????? 2024
jksfx;ksa dks xksn ysus osQ fy, vkxs vk, gSaA dbZ foèkk;d vkSj 
LFkkuh; ifj"kn Hkh fu&{k; fe=k cu x, gSaA oSQfcusV lfpoky; 
vkSj osQaæh; ea=kky;ksa osQ dbZ vfèkdkfj;ksa us fofHk ekè;eksa 
ls Vhch jksfx;ksa dh lgk;rk djus osQ fy, mUgsa xksn fy;k gSA
lfØ; ekeyksa dk irk yxkus laca/h vfHk;ku
vU; dbZ mik;ksa us Hkkjr esa Vhch & fojksèkh vfHk;ku dks 
et+cwrh ls c<+kok fn;k gSA vè;;uksa (gks- ts- ,oa vU;-] o"kZ 
2016) ls irk pyk gS fd ^iSflo osQl iQkbafMax* (ihlh,iQ) 
osQ ekè;e ls Vhch osQ ekeyksa dk irk yxkus dk ifj.kke gks 
ldrk gS fd Vhch jksfx;ksa dk irk yxus esa deh jg tk,A 
;g ço`fÙk de vkSj eè;e vk; okys ns'kksa esa vfèkd gS] tgka 
Vhch ds ejht vfèkd gSA ;g eq[; :i ls LokLF; lqfoèkkvksa 
rd igqapus esa HkkSxksfyd ;k lkekftd&vkfFkZd ckèkkvksa osQ 
dkj.k gksrk gS] ftlosQ dkj.k vDlj funku esa nsjh gksrh gSA
fo'o LokLF; laxBu (MCY;w,pvks) }kjk Vhch osQ ekeyksa 
dk irk yxkus vkSj le; ij mipkj osQ fy, ^Vhch mUewyu 
dk;Zuhfr (End TB Stretegy) osQ ,d Hkkx osQ :i esa 
mPp tksf•e okys vkcknh milewgksa dh ^O;ofLFkr tkap* dk 
leFkZu fd;k x;k gSA
Hkkjr us Vhch osQ ^xqeuke jksfx;ksa* rd igqapus osQ fy, 
jk‘ªh; {k;jksx mUewyu dk;ZØe dh dk;Zuhfrd ;kstuk osQ 
fgLls osQ :i esa mPp tksf•e okys lewgksa esa jk‘ªh; leqnk;& 
vkèkkfjr ^lfØ; ekeyksa dk irk yxkus laca/h* vfHk;ku 'kq: 
fd;kA bl dk;ZØe osQ rgr] laosnu'khy vkcknh osQ chp 
Vhch osQ ekeyksa dh lfØ; ?kj&?kj tkdj tkap dh tkrh gSA 
blesa ,pvkbZoh ls ihfM+r yksx] eèkqesg jksxh] 
oqQiksf"kr] vkoklh; laLFkku tSls & tsy] 'kj.kky;] 
o`¼kJe] vukFkky;] vkfnoklh {ks=k rFkk gkf'k, 
ij jgus okyh vkcknh 'kkfey gSaA bl xfrfofèk osQ  
ifj.kkeLo:i] bldh 'kq#vkr ls vc rd yxHkx  
3 yk• vfrfjDr Vhch ekeyksa dk funku gqvk gSA
fodflr Hkkjr ladYi&;k=kk osQ nkSjku Vhch 
dh tkap
fodflr Hkkjr ladYi&;k=kk uoacj] 2023 osQ 
nkSjku 'kq: dh xbZ FkhA bl jk‘ªO;kih dk;ZØe osQ 
fgLls osQ :i esa] jkT;ksa vkSj osQaæ 'kkflr çns'kksa esa 
tkx:drk c<+kus okyh vkbZbZlh oSu }kjk fy, x, 
ekxks± ij LokLF; f'kfoj vk;ksftr fd, x,] tgka 
xzkeh.k Lrj ij leqnk;ksa osQ fy, muosQ ?kjksa osQ ikl 
dbZ LokLF; lsok,a çnku dh xbZ] ftuesa Vhch dh 
tkap Hkh 'kkfey FkhA
bu LokLF; f'kfojksa esa 38 fefy;u ls vfèkd 
O;fDr;ksa dh Vhch osQ fy, tkap dh xbZ gS vkSj 1 
fefy;u ls vfèkd yksxksa dks Vhch & ijh{k.k osQ fy, jsiQj 
fd;k x;k gSA blosQ vfrfjDr] xkao Lrj ij 1]00]000 ls 
vfèkd O;fDr;ksa us fu&{k; fe=k cuus esa #fp fn•kbZ gSA
Vhch vfèklwpukvksa esa mYys•uh; o`f¼
fo'ks"k ,fDVo osQl iQkbafMax vfHk;ku] CykWd Lrj rd 
vk.kfod funku (molecular diagnostics) esa c<+ksrjh osQ 
lkFk feydj] vk;q"eku Hkkjr vkjksX; eafnjksa (ftUgsa igys 
LokLF; vkSj dY;k.k osQaæ osQ :i esa tkuk tkrk Fkk] ftudh 
la[;k ns'k Hkj esa 1-64 yk• ls vfèkd gS) osQ ekè;e ls 
foosQUæhÑr LØhfuax lsokvksa vkSj futh {ks=k dh Hkkxhnkjh us 
xqeuke ekeyksa esa vUrj dks ikVus dh çfØ;k dks dkiQh c<+kok 
fn;k gSA ;s osQaæ Vhch dh tkap osQ fy, çFke laidZ fcanq osQ 
:i esa dke djrs gSaA
Hkkjr us o"kZ 2022 esa 24-2 yk• Vhch ekeyksa dks 
vfèklwfpr fd;k] tks 2019 osQ iwoZ& dksfoM Lrj ls dkiQh 
vfèkd FkkA 2023 esa oqQy 25-5 yk• Vhch jksfx;ksa dks 
vfèklwfpr fd;k x;kA
Vhch eqDr iapk;r vfHk;ku
Vhch eqDr iapk;rksa dk mís'; iapk;rksa dks Vhch ls tqM+h 
leL;kvksa dh lhek vkSj ifjek.k ls voxr djkus vkSj mUgsa 
gy djus osQ fy, vko';d dkjZokbZ djus osQ fy, l'kDr 
cukuk] iapk;rksa osQ chp LoLFk çfrLièkkZ mRi djuk vkSj 
muosQ ;ksxnku dh ljkguk djuk gSA
{kerk&fuekZ.k osQ ,d fgLls osQ :i esa] jkT; vkSj ftyk 
Lrj osQ vfèkdkfj;ksa dks bl igy dh vksj mUeq• djus osQ 
vkidks dSls irk pysxk
fd vkidks Vhch gS\
iqQÝiqQlh; Vhch ;k isQiQM+ksa ds Vhch ds y{k.k
nks lIrkg ;k mlls vf/d 
le; rd yxkrkj [kklh jguk
Nkrh esa nnZ
lkal ysus esa dfBukbZ
Fkwd esa [kwu vkuk
jkr esa ilhuk vkuk
'kke dks rkieku c<+uk 
(cq[kkj)
Fkdku
otu ?kVuk
53 ????? 2024
fy, dbZ {ks=kh; dk;Z'kkyk,a vk;ksftr dh xbZ gSaA lHkh jkT; 
vkSj ftyk Lrj osQ vfèkdkfj;ksa dks tkx:d (sensitized) 
fd;k x;k gSA orZeku esa] lR;kiu fd;k tk jgk gS] rRi'pkr 
ifj.kke ?kksf"kr fd, tk,axsA vHkh rd bl vfHk;ku us Vhch 
fuokjd mipkj nok (TB preventive treatment drug) osQ 
5 fefy;u ls vfèkd dkslZ lqfuf'pr djus esa enn dh gSA 
lkFk gh] xzkeh.kksa dks vk;q"eku vkjksX; eafnjksa esa Vhch dh tkap 
djkus osQ fy, Hkh çksRlkfgr fd;k gSA
futh {ks=k dh vfèklwpuk esa mYys•uh; mNky
jksxh çnkrk lgk;rk ,tsalh (PPSA)] Vhch ekeyksa dh 
vfuok;Z vfèklwpuk osQ fy, jkti=k vfèklwpuk] ekeyksa dh 
vfèklwpuk osQ fy, çksRlkgu vkSj Hkkjrh; fpfdRlk la?k 
(vkbZ,e,)] Hkkjrh; cky jksx la?k (vkbZ,ih)] Hkkjrh; izlwfr 
,oa L=kh jksx la?k (,iQvksth,lvkbZ)] bR;kfn tSls is'ksoj 
fudk;ksa osQ lkFk lg;ksx tSlh igyksa osQ ekè;e ls futh {ks=k 
osQ lkFk osQafær vkSj yf{kr Hkkxhnkjh osQ lkFk] fiNys ukS o"kks± 
esa futh {ks=k dh vfèklwpuk esa 8 xquk ls vfèkd dh o`f¼ 
gqbZ gSA o"kZ 2022 esa] 7-33 yk• Vhch ekeys vfèklwfpr 
fd, x,] tcfd o"kZ 2023 esa] 8-42 yk• jksfx;ksa dks futh 
{ks=k ls vfèklwfpr fd;k x;k] ftlus oqQy vfèklwpukvksa dk 
33 izfr'kr (vc rd dk mPpre) ;ksxnku fn;k (iQjojh 
2024 rd)A dk;ZØe lEcUèkh lg;ksxkRed ç;klksa osQ  
ifj.kkeLo:i futh {ks=k ls fjiksVZ fd, x, ekeyksa esa 8 xquk 
o`f¼ gqbZA ;s vfHkuo (innovative) futh {ks=k ekWMy oSf'od 
Lrj ij mÙke çpyu jgs gSaA
Vhch mipkj dh liQyrk nj esa o`f¼
fiNys ukS o"kks± esa] ,d frgkbZ vfèklwpuk,a futh {ks=k ls 
vkus osQ ckotwn] dk;ZØe 80 izfr'kr ls vfèkd dh mipkj 
liQyrk nj cuk, j•us esa l{ke jgk gSA o"kZ 2021 esa] 
liQyrk nj 84 izfr'kr rd igqap xbZ vkSj o"kZ 2022 esa ;g 
va'kr% c<+dj 85-5 izfr'kr gks xbZA o"kZ 2023 esa] liQyrk 
nj c<+dj 86-9 izfr'kr gks xbZA
ubZ Vhch&jksèkh nokvksa osQ vkus ls iM+k egÙoiw.kZ çHkko
lHkh jkT;ksa vkSj osQaæ 'kkflr çns'kksa esa vYidkyhu] 
lqjf{kr vksjy csMkfDofyu ;qDr Mhvkj&Vhch mipkj 'kq: 
fd, x, gSaA ;s nok,a eYVh Mªx jsflLVsaV Vhch jksfx;ksa dks 
ÝyksjksfDouksyksu osQ çfrjksèk osQ lkFk ;k fcuk çfrjksèk osQ] 
de le; osQ vksjy ,eMhvkj@vkjvkj (eYVhMªx jsflLVsaV@
fjiSQfEiflu & jsflLVsaV)&Vhch mipkj ;k yacs le; osQ vksjy 
,e (eYVhMªx jsflLVsaV)@,DlMhvkj (O;kid :i ls nok& 
çfrjksèkh)& Vhch mipkj osQ fgLls osQ :i esa nh tkrh gSaA o"kZ 
2022 esa] oqQy yxHkx 31]000 jksfx;ksa dks nh?kZdkyhu lHkh 
vksjy ,e@,DlMhvkj&Vhch mipkj vkSj 27]431 jksfx;ksa dks 
vYidkyhu ,eMhvkj@vkjvkj&Vhch mipkj (ekSf•d@batsD'ku 
vkèkkfjr) ij 'kq: fd;k x;kA
o"kZ 2023 esa] 63]939 ls T;knk ejht+ksa esa ,eMhvkj@
vkjvkj dk funku fd;k x;k vkSj muesa ls 58]527 ls T;knk 
yksxksa us bykt 'kq: fd;kA buesa ls] yxHkx 20]567 ejht+ksa dks 
vYidkyhu vksjy ,eMhvkj@vkjvkj&Vhch mipkj (9&11 
eghus) fn;k x;k vkSj djhc 29]990 ejht+ksa dks nh?kZdkyhu 
,e@,DlMhvkj&Vhch mipkj (18&20 eghus) fn;k x;kA
fu{k; iks"k.k ;kstuk osQ ekè;e ls iks"k.k lgk;rk
Vhch osQ fy, oqQiks"k.k ,d egÙoiw.kZ tksf•e dkjd osQ 
:i esa ik;k tkrk gS ftldk Vhch jksfx;ksa osQ LokLF;ykHk ij 
Vhch gkjsxk ns'k thrsxk
Vhch mUewyu dh fn'kk esa  
Hkkjr dh izxfr
Vhch dh ?kVukvksa esa 16 izfr'kr dh 
fxjkoV] oSf'od xfr ls yxHkx nks xquk 
vf/dA Vhch ds dkj.k gqbZ e`R;q nj esa 
18 izfr'kr dh fxjkoVA
LokLF; ,oa ifjokj dY;k.k ea=kky;
Hkkjr ljdkj
2014 ls Vhch ekeyksa ds mipkj esa  
56 izfr'kr dh o`f¼A 2024 ls futh 
{ks=k }kjk Vhch ekeyksa dh fjdkWfM±x vkSj 
mipkj esa lkr xquk o`f¼A
jSfiM ekWfyD;wyj Mk;XuksfLVd e'khusa 
2014 esa 40 ls c<+dj 2023 esa 5]786 
gks xbZ] tks ns'k ds gj ftys dks doj 
djrh gSaA
vizSy 2018 ls 94-4 yk[k$ 
ykHkkfFkZ;ksa dks 2]568 djksM+$ #i;s 
forfjr fd;s x;sA 
Vhch ds ykirk ekeys 2015 esa 10 
yk[k ls ?kVdj 2022 esa 3-4 yk[k 
ls de gks x;sA
,d yk[k ls vf/d fu&{k; fe=kksa us 
10 yk[k ls vf/d Vhch ls ihfM+r 
O;fDr;ksa dks vfrfjDr iks"k.k&laca/h 
lgk;rk iznku fd;sA