Tuberculosis is one of the most prevalent infectious disease and significant public health problem in Nepal and continues to pose serious threat to the health of the population and development of the country. Currently nearly 80,000 people have tuberculosis in Nepal, with more than 44,000 new cases arising every year. About half of these are infectious (sputum smear-positive) cases which continue the chain of transmission. The majority of TB patients belong to the economically active age groups of 15–45 years.
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This manual was initially developed in 2006 by National Centre for AIDS and STD Control (NCASC) with technical and financial support from FHI Nepal under United States Agency for International Development (USAID). The manual was further revised through a workshop organized by ASHA* Project under the leadership of NCASC in 2010.
नेपालमा महामारी रोग बिफर उम्मुलन पश्चात् विस्तारित खोप आयोजनको नामबाट बि.स. २०३५ सालमा खोप सेवा प्रारम्भ भएको हो । हाल खोप सेवाले आमा र बच्चाहरूको रोगलाग्ने दर, अशक्तता हुने दर तथा मृत्यूदर घटाउन उल्लेख्य भूमिका खेलेको सर्वविदितै छ । एकातिर हामीले खोप सेवाको विस्तारसँगै यसको गुणस्तरीयता कायम गर्नु चुनौतीपूर्ण कार्य हो भने अर्कोतिर शतप्रतिशत लक्षित बालबालिकाहरूलाई खोप सेवादिनु पनि त्यतिकै आवश्यकता छ ।त्यसरी नै भ्याक्सिन उत्पादन भएदेखि सेवाग्राहीलाई सेवा दिंदासम्म यसका प्राविधिक प्रक्रियाहरू चरणबद्ध रूपमा पूरा गर्र्नु अपरिहार्य हुन आउँदछ ।
Cold Chain maintenance is an essential component of every immunization programme, without which delivery of immunization services is rendered impossible. For the safe storage and transportation of vaccine, cold chain equipment is a mandatory requirement. All equipment must be able to keep vaccines safely whatever the outside temperature, and however the climate varies at different times of the year. This means it is vitally important to use well-made, reliable equipment that at the very least, meets the minimum standards determined by WHO for vaccine storage and transport.
The World Development Report 2018: Learning to Realize Education’s Promise argues that without learning, education will fail to deliver on its promise to eliminate extreme poverty and create shared opportunity and prosperity for all.