Proyecto Comunitario de Salud

WI_YGDLEK GBDLXKWLKNK AI XINIVYIDK MLNLUQIWLB AID _BAIW _B_YDKW _KWK DK IAYEKELÕN UY_IWLBW MLULÕN UYEWI ― KDAIK YNLXIWULQKWLK —ELYAKA KNCBUQYWK” QWK\IEQB LNLELKD UIEELÕN K *;,

EDLE K[YÍ \ AIUEËWCYIDB IN HBWMKQB SBWA

EDLE K[YÍ \ AIUEËWCYIDB IN HBWMKQB SBWA

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_kwqlelpknqiu Bmkw Bmkw ai Fiuö Fiuöu$ u$ K{yl K{ylnb nb.. Idlknk ai dbu Ëncidiu Hlcyiwk. Dylu Keiwb

X.X.- 999; 999;3<8 3<8 X.- ;35:7;3?

ELYAKA GBDLXKW$ KCBUQB AI 7??<

LNALEI lnqwbayeelõn.................................................................................... ........................................................................................... .............. ...........1 ekpíqydb L.............................................................................................. L..................................................................................................... ............. ...... 8 Aiuewlpelõn aid ëwik ai lnxiuqlckelõn.............. ............................. .............................. .............................. .............................. ......................... ............... ......8. L. Aiuewlpelõn ai dk ebmynlaka.............. ............................. .............................. .............................. .............................. .............................. ..................... .......8. ;.;. _dknb Iebnõmleb Iebnõ mleb.............. ............................. .............................. .............................. .............................. .............................. .............................. ..................... .......... ....8 Aiukwwbddb aid uieqbw Qiwelkwlb ai dk iebnbmík............... .............................. .............................. ....................... ............. .......... ........... ........ ..8 ;.7. _dknb Ubelkd........................................................................................................................... Ubelkd........................................................................................................................... 8 ;.7.;. Ukdya ..................................................................................................................................8 ;.5. _dknb Iayekelõn.............. ............................. .............................. .............................. .............................. .............................. .......................... ................ ........... ........... .....3 ;.1. Hynelbn Hynelbnkd kd ......... ................... .................... .................... .................... .................... .................... .................... .................... .................... ..................................... ...........................3 ;.9. _dknb Cibcwëhleb............... .............................. .............................. .............................. .............................. .............................. ........................... .................. ........... ....... ..3 ;.8. _bdíqleb................................................................................................................................... _bdíqleb................................................................................................................................... : ;.3. _wbgdimku Aiqieqkabu ..........................................................................................................:

Ekplqydb LL. Miqbabdbcík.................................................................................. ....................................................................................< Lnuqwyminqbu ai lnxiuqlckelõn kpdlekabu...................................................................................... kpdlekabu...................................................................................... < 7. Fiwkw{ylvkel÷n ai _wbgdimku............... .............................. .............................. .............................. .............................. ............................ ................... ........... ......<.

EYKAWB N¶ ;............................................................................ ................................................................................... .............. .............. ....... ;? EYKAWB N¶ 7............................................................................ ................................................................................... .............. .............. ....... ;; Ebnedyulõn............................................................................... ...................................................................................... .............. .............. .........;7

LNQWBAYEELÕN Id pwiuinqi qwkgkfb db kgbwakwimbu kgbwakwimbu in ynk ebmynlaka ai dk _kwwb{ylk Ekqiawkd$ Dk ebmy ebmynl nlak aka a hyi hyi uidi uidieel eelbn bnka kak k _kwk _kwk wikd wikdlv lvkw kw iuqk iuqk ekmp ekmpkû kûk k iaye iayekq kqlxk lxk in dk pwix pwixin inel elõn õn ai dk lnhd lnhdyi yinv nvk k KJ;N KJ;N;$ ;$ pbw pbw iuqk iuqkww in dku dku eiwe eiwekn kník íkuu ai dk Kdai Kdaik k Ynlxiwulqkwlk Kncbuqywk ai dk MLULÕN UYEWI. Ai keyiwab k dku izlcinelku aid qwkgkfb pdknqikab jlelmbu ynk xlulqk$ in dk eykd ekmlnkmbu dku pwlnelpkdiu ekddiu aid gkwwlb$ | wikdlvkmbu dk ekmpkûk iayekqlxk wipkwqlinab hbddiqbu ebn lnhbwmkelõn {yi k|yakn k dbu pbgdkabwiu k lainqlhlekw dbu uínqbmku uínqbmku ai dk lnhdyinvk | dku hbwmku ai ixlqkw ixlqkw id ebnqkclb. Iuqk ekmpkûk iayekqlxk kpdl kpdlek ekak ak n id uieq uieqbw bw Gkwlb Gkwlb Kfywb Kfywb iuqk iuqk lnui lnuiwq wqk k ainq ainqwb wb ai dk ekmpk ekmpkûk ûk nkel nkelbn bnkd kd aiukwwbddkak pbw id cbgliwnb wixbdyelbnkwlb pkwk kqkekw | aiwwbqkw dk lnhdyinvk KJ;N; ainqwb aid qiwwlqbwlb pkqwlb.

FYUQLHLEKELBN In mkwvb ai 7??<$ ynk cwlpi {yi ui pwiuinqkgk in dk mk|bwík ai dbu ekubu ebn cwkxiu pwbgdimku wiuplwkqbwlbu khieqb k ekul id 8?) ai dk pbgdkelõn ai Dk Cdbwlk$ Xiwkewyv$ Mìzleb$ in id miu ai kgwld iuqk cwlpi ui izpknalõ k qbab Mìzleb | ai kddí k qbabu dbu pkíuiu aid mynab. Id Xlwyu {yi pwbpkcb iuqk lnhdyinvk hyi gkyqlvkab pbw dk Bwcknlvkelõn Mynalkd ai dk Ukdya ―BMU- ebmb KJ;N;$ ebnbelab in uyu pwlnelplbu ebmb dk Cwlpi _bwelnk$ lnlelk uy pwbpkckelõn aiuai ynk Hlnek aialekak k dk ewík ai eiwa eiwabu bu ygle ygleka kak k eiwe eiwek k ai dk pbgd pbgdke kelõ lõn n ai Dk Cdbw Cdbwlk lk$$ Xiwk Xiwkew ewyv yv$$ Mìzl Mìzleb eb | {yi {yi knykdminqi inxík kd miwekab ai dk ekwni mku ai yn mlddõn ai eiwabu pkwk uy mkqknvk. Xinivyidk in wkvõn aid cwkn qwkhleb ai pkukfiwbu {yi inqwkn kd pkíu | ukdin ai iuqi$ nb pbaík iuekpkw k iuqk inhiwmiaka {yi in wkvõn ai iuqkw khieqknab k elyakaknbu ai dbu 9 ebnqlninqiu aid mynab jk ulab aiedkwkab pbw dk BMU ebmb ynk _knaimlk. Dbu pwlmiwbu ekubu in nyiuqwb pkíu hyiwbn aiqieqkabu in id miu ai fydlb in dk elyaka ai Ekwkeku | in dk keqykdlaka dk inhiwmiaka ui jk lab pwbpkcknab k qbabu dbu iuqkabu ai dk Wipygdlek$ kyn{yi qbakxík qbakxík nb ui jkn wipbwqkab wipbwqkab ekubu mbwqkdiu$ mbwqkdiu$ dk pwib pwibey eypk pkel elõn õn wiln wilnk k in dk mk|b mk|bwí wík k ai dk pbgd pbgdke kelõ lõn n xini xinivb vbdk dknk nk | id cbgl cbgliw iwnb nb wixbdyelbnkwlb jk lnlelkab ynk ekmpkûk pbw dbu mialbu ai lnhbwmkelõn aiuqlnkak k iayekw k dk pbgdkelõn | k k|yakwdk k ixlqkw id ebnqkclb i lainqlhlekw dbu uínqbmku ai dk inhiwmiaka$ ulinab iuqk dk ekyuk {yi nbu jk mbqlxkab k lnebwpbwkwnbu in iuqk ekmpkûk ekmpkûk iayekqlxk | ebnqwlgylw ebnqwlgylw k wihbwvkwdk wihbwvkwdk iayeknab k dk cinqi k {yi jkglqk in dk ebmynlaka ai GKWWLB KFYWB ebmgkqlw dk inhiwmiaka | k mlqlckw uyu ihieqbu ubgwi dk pbgdkelõn.

EK_ÍQYDB L. Aiuewlpelõn aid ëwik ai lnxiuqlckelõn

L. Aiuewlpelõn ai dk ebmynlaka ;.;. _dknb Iebnõmleb

Dk ebmynlaka iuqk inedkxkak in yn ëwik pwlxldiclkak ai dk elyaka$ eyinqk ebn qbabu dbu uiwxlelbu pögdlebu$ kd nbwqi ai iuqk ui ineyinqwk id Ebmpdifb Jbuplqkdkwlb Wylv Wylv | _ëiv$ _ëiv$ kd Uyw dlmlqk dlmlqk ebn id kiwbpyi kiwbpyiwqb wqb$$ kd iuqi ebn id uieqbw uieqbw ai Mialnk Mialnk  Knckwlqk$ abnai iuqk lnuqkdkak ynk pyfknqi | alnëmlek vbnk ebmiwelk | kd biuqi ebn vbnku wiulainelkdiu ai dk edkui mialk kdqk. Qlini yn ëwik kpwbzlmkak ai 58.??? m7.

Aiukwwbddb aid uieqbw Uieynakwlb ai dk iebnbmík zluqi in in id piwí piwími miqqwb aid aid Gkww Gkwwlb lb yn cwyp cwypb b ai mëu mëu ai 8? Lnayuqwlk6 Izluq impwiuku$ dku eykdiu aiukwwbddkn keqlxlakaiu ai alxiwuku ínabdiu k ukgiw6

Aiukwwbddb aid uieqbw Qiwelkwlb ai dk iebnbmík In id piwímiqwb aid Gkwwlb | ainqwb ai ìd$ ui ineyinqwkn keqlxbu yn nymiwbub cwypb ai impwiuku impwiuku | mlewbimpwiuku mlewbimpwiuku aid uieqbw uieqbw uiwxlelbu$ uiwxlelbu$ dku eykdiu piwmkniein piwmkniein keqlxku aknab kuí uy kpbwqi k dk pwbayeelõn nkelbnkd. ;.7. _dknb Ubelkd. ;.7.;. Ukdya 

Gkwwlb Kfywb iu kqwkxiukab pbw yn eknkd ai aiuekwck ai kcyku ai ddyxlku pbw id eykd eykd kdcynbu kdcynbu xielnb xielnbuu aiuekw aiuekwckn ckn uyu kcyku kcyku uiwxlak uiwxlaku$ u$ ulqyke ulqykelõn lõn iuqk iuqk {yi ewik ewik ebnalelbniu pkwk dk pwbpkckelõn ai inhiwmiakaiu$ ebmb iu ebnbelab dku kcyku ubn id jkglqkq nkqywkd ai myejbu lnuieqbu qwknumlubwiu ai inhiwmiakaiu k dbu uiwiu jymknbu.

 Kyn{yi in id gkwwlb nb izluqin ialhlekelbniu alupinukabwku ai ukdya$ dk ebmynlaka kuluqi k dku Lnuqkdkelbniu aid Ebmpdifb Jbuplqkdkwlb Wylv | _ëiv. ;.5. _dknb Iayekelõn

In id Gkwwlb izluqin lnuqkdkelbniu iayekqlxku aiuai id Nlxid Ulmbmelqb jkuqk id Nlxid Ynlxiwulqkwlb$ in uy inqbwnb ui ineyinqwkn hynelbnkab 1 ynlxiwulakaiu$ dk YGX$ Dk Kdaik ynlxiwulqkwlk Kncbuqywk$ Dk Ynlxiwulaka ai Bwlinqi | dk ynlxiwulaka piakcõclek izpiwlminqkd ”Dlgiwqkabw”

Gliniu6 dk ebmynlaka eyinqk ebn einqwbu ai pwbayeelõn ai gliniu qkdiu ebmb jiww jiwwiw iwík íku$ u$ ebwq ebwqi i | ebuq ebuqyw ywk$ k$ xinq xinqku ku ai kdlm kdlmin inqb qbu$ u$ hwyq hwyqku ku$$ xiwa xiwayw ywku ku$$ wbpk wbpk$$ wiuqkywknqiu$ dlebwiwíku$ uypiwmiwekabu$ hkwmkelku.

Uiwxlelbu6 dk ebmynlaka eyinqk ebn einqwbu ai pwbayeelõn ai uiwxlelbu qkdiu ebmb0 hwlqkncku$ kyqb dkxkab$ qkddiwiu mieënlebu | qkddiwiu ai idieqwbkyqb. ;.1. Hynelbnkd 

Uiwxlelb idìeqwleb6 ebn dk lmpdiminqkelõn ai dk mlulõn iniwcík *uyuqlqyelõn ai gbmglddku nbwmkdiu pbw gbmglddku kjbwwkabwku ai iniwcík, id uiwxlelb mifbwõ0 ebn id pkui ai dk impwiuk k mknbu ai ynk fynqk lnqiwxinqbwk {yi wipwiuinqk dbu lnqiwiuiu aid cbgliwnb wixbdyelbnkwlb$ kjbwk dk impwiuk ebdbek dku gbmglddku aid kdymgwkab pögdleb | dku ekddi nb ui mknqlini k bueywku.

Kuib ywgknb6 Iuqi uiwxlelb jk ulab pwiuqkab ebn wicydkwlaka in id gkwwlb$ dk impwiuk jk xinlab pwiuqknab id uiwxlelb ebn eliwqk wicydkwlaka$ iuqku impwiuku aid kuib ywgknb. ;.9. _dknb Cibcwëhleb

Dlmlqiu Kd NBWQI6 ebn dk kxinlak Ciwmknlk $ ebn ynk izqinulõn ai 8?? miqwbu. kpwbzlmkakminqi.

Kd UYW6 ebn dk kxinlak Wipygdlek 8?? miqwbu. kpwbzlmkakminqi.

KD IUQI6 ebn dk kxinlak Dlgiwqkabw 8?? miqwbu. kpwbzlmkakminqi. Kd BIUQI6 ebn dk kxinlak Knawìu Giddb 8?? miqwbu. kpwbzlmkakminqi. Uypiwhleli 6 Gkwwlb Kfywb eyinqk ebn ynk uypiwhleli 5$8 `m7. ;.8. _bdíqleb.

In qbabu dbu pwbeiubu pwbeiubu idieelbnkwlb idieelbnkwlbu$ u$ dbu jkglqknqiu jkglqknqiu aid Gkwwlb Kfywb Kfywb di jkn xinlab aknab id qbqkd wiupkdab kd _wiulainqi ai dk Wipygdlek. ;.3. _wbgdimku Aiqieqkabu

;.3.;. Ukdya6 Id Eknkd ai aiuekwck ai Kcyku ai ddyxlku$ abnai ui aiuekwckn kcyku uiwxlaku

;.3.7 Ukdya. Dbu jkglqknqiu nb iuqën lnhbwmkabu in qbwnb k dk lnhdyinvk  KJ;N;$ nb ukgin ebmb pwixinlwdk | qkmpbeb ebnbein dbu uínqbmku.

EK_LQYDB LL. MIQBABDBCÍK Lnuqwyminqbu ai lnxiuqlckelõn kpdlekabu.

_kwk dk wikdlvkelõn wikdlvkelõn ai iuqk Ekmpkûk Ekmpkûk wikdlvkak id aík abmlncb 7 ai kcbuqb kcbuqb ai 7??< 7??<$$ pkwk pkwk pwixi pwixinl nlww id ebnq ebnqkc kclb lb ai dk lnhd lnhdyi yinv nvk k KJ;N KJ;N;$ ;$ in gkwwl gkwwlb b Kfywb Kfywb$$ dbu dbu pwbhiub pwbhiubwiu wiu aid qwk|ie qwk|ieqb qb lnlelk lnlelkdd aluiûk aluiûkwbn wbn yn lnuqwy lnuqwyminq minqb$ b$ id eykd eykd ui kpdleb kpdleb$$ dk ineyiuqk hyi wikdlvkak ekuk pbw ekuk | ekddi pbw ekddi$ dbu iuqyalknqiu aid Qwk|ieqb lnlelkd ai dk Kdaik Kncbuqywk ai dk Mlulõn Uyewi jlelmbu xkwlbu wiebwwlabu pbw dk ebmy ebmynl nlak aka a kebm kebmpk pkûk ûkab abuu ai nyiu nyiuqw qwbu bu pwbh pwbhiu iubwi bwiuu | pwbei pwbeial almb mbuu k wikd wikdlv lvkw  kw  inqwixluqku widëmpkcbu k dbu qwknuiönqiu | qkmglìn ekuk pbw ekuk $ qbaku dku wiupyiuqku ebnhlwmkwbn {yi id
Ewlqiwlb kuymlab pkwk fiwkw{ylvkw6 Hkeqlgldlaka6 ID pwbgdimk ui ciniwk pbw dk kcwiulxk izpknulõn ai dk cwlpi  KJ;N;$ dbu xielnbu kdickn nb ebnbeiw dku hbwmku in {yi ui pwbpkck dk inhiwmiaka$ aiuebnbein dbu uínqbmku | dku hbwmku | qwkqkmlinqbu pkwk eywkw dk inhiwmiaka$ ulqykelõn iuqk {yi ewik ebnalelbniu bgfiqlxku pkwk {yi in pwiuinelk ai yn ekub ekub ai cwlp cwlpi i KJ;N KJ;N;$ ;$ iuqi iuqi ui pwbpk pwbpkcyi cyi ebn hkeld hkeldla laka ka kd wiuq wiuqb b ai dk ebmynlaka. Dk eiwekník ai dk ebmynlaka ebn id ebmpdifb jbuplqkdkwlb Wylv | _ëiv$ dk ebnxliwqi in vbnk ai qwkhleb ai piwubnku khieqkaku pbw iuqk lnhdyinvk | uyu xielnbu ebwwin ai wliucb ai ebnqkclb uypiwlbw kd ai bqwku ebmynlakaiu. 7.;. Uidieelõn aid pwbgdimk k wiubdxiw 

Id pwbgdimk {yiaõ uidieelbnkab ebmb id {yi pwiuinqk mëu ywcinelk pbw  wiubdxiw0 k,

dbu xielnbu kdickn {yi aiuebnbein dbu mialbu k qwkxìu ai dbu eykdiu ui

pwbpkck dk inhiwmiaka. g,

Qkmglìn kdickn {yi dk pbgdkelõn ai vkneyabu | mbueku iu my| idixkak$ |

qimin {yi k qwkxìu ai iddbu ui pyiak qwknumlqlw iuqk inhiwmiaka.

7.7. _dknqikmlinqb aid pwbgdimk.

Id pwbgdimk ebnuluqi in {yi dbu xielnbu nb ukgin ebmb ixlqkw uiw ebnqkclkabu pbw  dk Lnhdyinvk KJ;N;$ ulqykelõn iuqk {yi diu pwibeypk aiglab k dbu wipbwqiu ai pwinuk {yi ixlainelkn id kxknei keidiwkab ai dk lnhdyinvk$ iuqknab in dk ìpbek ai lnxliwnb dbu xielnbu ewiin {yi iuqk ulqykelõn pbqinelk dku pbulgldlakaiu ai ebnqkclb | {yi dk pwiuinelk ai kcyku uiwxlaku elweydknab pbw id eknkd ai aiuekwck ai kcyku ai ddyxlku$ iu yn hkeqbw {yi pyaliwk k|yakw dk pwbpkckelõn ai iuqk inhiwmiaka.

Knqieiainqiu aid pwbgdimk6 In mkwvb ai 7??<$ dku kyqbwlakaiu Mizleknku aiqieqkwbn {yi yn 8?) ai dbu jkglqkn jkglqknqi qi ai dk pbgdke pbgdkelõn lõn ai DK CDBWLK CDBWLK$$ XIWKEWY XIWKEWYV$ V$ MIZLEB MIZLEB$$ pwiuinq pwiuinqkgk kgk cwlpi$ {yi in ciniwkd ui ebmpdlekgk ebn cwkxiu pwbgdimku wiuplwkqbwlbu$ in uy mbminqb ui di kqwlgy|b k dk inqwkak ai dk qimpbwkak ai ddyxlku$ dk eiwekník ai iuqk pbgdkelõn ebn ynk ebejlniwk {yi ewík mku ai yn mlddõn ai eiwab kd kûb$ kdiw kdiwqb qb k dku dku kyqb kyqbwl wlak akai aiuu uknlq uknlqkw kwlk lkuu mizl mizlek eknk nku$ u$ | ebmi ebminvk nvkwb wbn n k aiuek aiuekwq wqkw kw dk pbulgldlaka ai dk cwlpi pbwelnk$ kyn{yi in qbab mbminqb qknqb dku kyqbwlakaiu mizleknku$ mizleknku$ ebmb dku nbwqikmiwleknku nbwqikmiwleknku jkn nickab eykd{yliw pbulgldlaka pbulgldlaka {yi iuqk cwlpi jygliwk ukdlab ai iuqk ebejlniwk$ dk ebmynlaka elinqíhlek jk ebnhlwmkab {yi iuqk lnhdyinvk gkyqlvkak pbw dk Bwcknlvkelõn Mynalkd ai dk ukdya ebmb KJ;N;$ IU

YNK IXBDYELBN AI DK CWL_I [YI KHIEQK K DBU EBJLNBU. Aiuai mkwvb ai 7??< | eykqwb aiupyìu iuqk lnhdyinvk ui pwbpkcb k qbabu dbu ebnqlninqiu aid pdkniqk pdkniqk qliwwk$ dk mk|bwík mk|bwík ai dku myiwqiu pwbxbekaku pwbxbekaku pbw iuqk inhiwmiaka inhiwmiaka ui jkn ciniwkab in wkvõn {yi dbu pkelinqiu khieqkabu ebnhynain dbu uínqbmku ebn id ai ynk cwlpi ebmön | qkwakn in kuluqlw kd mialeb. Uidieelõn aid pwbgdimk k wiubdxiw 6

EYKAWB N¶ ; _dknb u

_wbgdim _iwubnku k

Wliucb ai ebnqkclb

khieqkaku My| dixi

Dixi cwkxi

my| cwkxi

;.7.;.

? z KJ;N; Ukdya HYINQI6 INEYIUQK K_DLEKAK ID ABMLNCB 7 AI KCBUQB AI 7??<

EYKAWB N¶ 7 _dknb

_BGDKELÕN [YI _YALIWK UIW KHIEQKAK

;.7.;.

;:?? piwubnku inqwi nlûbu$ fõxiniu | kaydqbu

u Ukdya

EBNEDYULÕN Dk ekmpkûk wikdlvkak in id uieqbw GkwwlbKfywb$ ebnqwlgy|b k idixkw dku aihinuku ai dbu jkglqknqiu jkglqknqiu ai iuqi uieqbw pkwk ebmgkqlw ebn ìzlqb dbu mkdiu ai dk lnhdyinvk lnhdyinvk  KJ;N;$ id kxknei ai iuqk inhiwmiaka pbw id qiwwlqbwlb nkelbnkd bgdlck k qbmkw  qbaku dku mialaku pwixinqlxku {yi ui kmiwlqi$ in iuqi uinqlab dk hbwmk mku laõnik laõnik ai ebmgkqlw ebmgkqlw id ebnqkc ebnqkclb lb ai inhiwmi inhiwmiakai akaiuu iu iayeknab iayeknab k dbu pbulgd pbulgdiu iu khieqkabu$ khieqkabu$ iuqk ekmpkûk ekmpkûk iayekqlxk kyn{yi pkwieliwk pkwieliwk ginihlelkw ginihlelkw k dbu jkglqknqiu jkglqknqiu aid uieqbw Gkwwlb Kfywb$ ai lcykd mkniwk ebnqwlgy|i k mlnlmlvkw id ebnqkclb in dbu lnqicwknqiu ai dk pbgdkelõn iuqyalknqld$ |k k dbu jkglqknqiu ai iuqi uieqbw dbu qini qinimb mbuu ebmb ebmb xiel xielnb nbu. u. Dbu Dbu xiel xielnb nbuu in cini ciniwk wkdd k dk jbwk jbwk ai wiup wiupbn bnai aiww dku dku pwicynqku mknlhiuqkwbn uy pwibeypkelõn pbw id kxknei ai dk inhiwmiaka | ai lcykd hbw mknlhliuqkn aiuebnbeiw dku hbwmku ai pwbqiciwui iddbu | uyu hkmldlkwiu.