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The document outlines the structure and objectives of health services aimed at promoting and maintaining health within communities. It emphasizes the importance of addressing various factors such as education, employment, and housing in health outcomes, and highlights the need for accessible and equitable health care systems. Additionally, it discusses the roles of different health professionals and community health workers in delivering essential health services at various levels of care.
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Save Health care services in india For Later Health, Gey pees an i
Date
Sea er
H gee ee
Multitude of Sonvices VE exxeh C0 Individual
tormibees and Communitis by the fealth
wopessionals fox Ye puzpose ‘Qad ' of
rommating , rmrarntavMng amomilorine ox
estoaving” Areal.
Ae presopt Comeept ue _& wot
Wantadk to He onedual Case Ot extomds
beyond His lymit Yaw /ealth & fnflirone
leek by 2 number, of factors Suck a
educatim., empleymest, food, Housing
jeanedeticn Peale Life Slee. ant “©
Cea protetlan against Coker n) cable
pisedsee hbipot (& ts onultilicte of
CIWS pxbvitid £0 tepliviials Wig)
Teneo ie fie lie leet eed beetiean ie Iq.
1
a oe
aad Colormunily Py Tie _agonts of]
Fie Pealh of orvicos for Die Purpose. :
fb pumoting , marnfaining , gribnitooeg -
wie
ok ztstowing healt Bra Couatirg ¢
there ave 2 saj0r Shemes jm She”
Lelivesy off Aeklh Serviws .
[he heath Services Should be able £0 rat
We health needs of He trlie fopily
cltiin_ and _nbt menly Ae Gelactéce
pop cp Sp Sp Sp ty
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eocbontive wrote and geohabs di
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a
ot 3 qalned Pal fy best vagy © _
provide heal Coan at pre gress oka . 6
level to Ht Undexsesved vvral And &
U%ban fr008) 0 chenvolop am Cffeitur @)
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@
oy On “Appropriate. aoperxal Systéz -
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orvices , Ae patiepabion
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Tn Pris Abfroogch, tonole system”
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calth, Care’ ise Patabonent, promotion ©
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3 taken Ontr Cnsiewatan -
Fe Servis. dre alive,
Acallh.bystem vitich 18 C
| a! @| OM!
Btannet and Shoctitod Th Bb lone
Yo oncel Pro reeds Of an enitid fopul «
Shh and make foallh, Sewitts Qccessufea
£0 from ob a Cost _vehich thd _Covrlof 4
Can afpord vith full particepation 06 4
We peoplt - To achive the Comp vehenswre, 4
call ‘Ce, Realth Sewviets ave’ O%gaailuc ,
at Saree levebs- ,
| Hiallh_Cank System , Pie he
Bos ave Osganized at bree
als. Fhose QF2 povnary Stlonda
ad text? Lol Frese Loves -
t ont tfP3 {Mb 7
Pali Vay ioe Beare op Complex
ld, oiled BY a Aefierral” fyaitenao Goat)
This 3 Ho Corttatl fortwity =
the lndividval, family and lammunilye —
Lh the national hell AYystem svhele.
povinasy health Cre ov an Cssemtial ©
heal "Case iB frovialel oe
Vis t & He ful lol of Cast, Fonte a
| KS Close to He people aed ACCC ss ble - -
s+ |piost of He health “problems are ale ia
red ht Satisfactooy swaniney and ave vetoed —
Pere - :
lin an Irian Content, Pe Primi Ca
vided dprouy, SdblonticsS and Prurmaiep —
health Centers Soy an Cgemey Of Peale 7 —
oxkexs bsAith” pretode Atv), ASHA, Arganw -t
~kbi_workens, village health guide." ~
Bt Q180 Joelude trav Sak, emetical. =
fpicers and Other §t2bh ab Parrary- +
calth Corbi Movil
4
yr opr
Log
“r [Fe next Aighor bowvil H Cae & Secondary
Mh IA2l on rytoitomediatt Lovok of Caw. fe *
‘ he pat woke Complex robles Gre cle -
Whe Specialist Sesvices and Janvestigation
Auuliliis Ove available pose -
Wiis Level of Caw Comprises OsenPially
Carsatwe SeaviieS And 3 Proyated cb
Sfstil hospitls ard Comanumidy haalth
Centon. a
Fis Lovil SeVis_ as @ fiast popewaelh Level
n Pre feallh Ej em. a
Paget,
wiei Gaatht)
Date__/
Festiany Levit of3 Case ee 6
ized thas} Se Selondavy hevt 6 eee “i
“| He Speedie falilris ard highhy Spurl ¢:
red Keatth Kovkers are cnatable "to
xpvicle. Spetiahired Aeglth, Cort
“(its lever ‘of Cow 8 Boovicled toy Fe Fequral
or Central Luk institutions “Such as
moecrtal Colleges, hosprtals atl _srolta
Unstitides Anak apex imstkutions:
«|[7n_ addition, Fhe’ texttary Lunt Supports
And Complornent Ha getwn Carziécl
oY yl aE prvmary and Setondusy Level q
Coe
- |The toot any Tir ingtitutiomé ) in adld lion &
to feoviding fortiasy lovil of, Cae abe ©
\Seove as teaching AEUES »
‘he flanaimg , mandgement ard qiitawilg
nk 23 alo exechited at this lil
Lith poliFical ‘mlipordonte Thorens a
national Commitanent £0 leprove hoabth,
im_qeveloping Counfasis - Against Spix 3
ack gro wnt “Aiphostont ap ORACS Came ~
its existance 08 grin “bilow. 4
wiZoonprthensive Aealth Care - «
\pasic Teablh Senwc0 _ 4
> aLengrige dlealn. Coe Sie a,bite
Lit. Phowe Comencltlet py (Pyb, Used this
[fox of Comprthenswe Acalth. Case. The
Comommcltoe sant provision of (nt ograte
wovontie , Cyvatve! ark pr0motonal
alth Seariios from “Libemh £0 tomb,”
Lowey imdiviyual wosihine jn a
L*eWNned Geogmiphical area -
a
Ti. tet yas Usek ff UNICEF [o3t10 in
(96S. in Shei, apynt Dealt. Poliny . Thay
L@Amed basic health soxiiies i Jl! Jolliio
sng gmanne4y
v asic Aialth Sotes 8 Ureforskao) ~
ito Le a petywrk ob loordcinateat , feuph -
seral amd _rotetmecdiate healt vik Capa ¢
|b of effectively peakoromung guoyv a -
Selectkh Group of funttions “ssertial to The 7
aolth an aren and assum Phe availe
bib, 06 Compelent fProfesstosal ar® Quxil) -
bay Besionntl te ferherm ppise Pumcbiun - -
| ¥ Np A
peas = é 7
Vowrmcvey Artakth Core am essenteck Hestth
te _ynade universally accessible osx
-Lwals ard acceptaAle to Hem Prrough
ietr full fastiupation anc at _a_ Cost
Ae Comanunt4y anh Countsy Con oor
Derimress
eT —
wh a -
Theve ave fire foinuples of Patra
foalth Out quien Tog” wo , whieh 77Date__s__,
oLlow- ; a —{
Equitable Aatoioution 4
2 IComanunbly par liupatian ae
“4 20 frotatel” techan Logy : _@
°FOCKS On fseventicn 7 I
tea kectedal Coordination -
Fe health Cave System i imtonded £0
ehelivery heallh Cay Sorvilesh- 9t Const ;-uls
prarmagement? keloy and rmvolves o7gan
national matter. ot oferates in ee
Poame. work of fe Cowntsy In Indu
hese ae © maox Sectors “ot agencis,
botuch, froide Feat, Cae amd “fhey
LWibher' hrom bach Othis, by She heglih
\Cehrology applud and” Sorte ob
Gunds 7x opedation-
dontéxt 08 Sotiveconoaye and political :
Pus
| ‘
De fubhic Pell. Seetos t& & Government
honsor0d System. ot & finaticed Ay
whic furds generale “trough tes
rvites ate providedh to We sural and 2
Urban area! 4Yy %- trex, Stbm. je at s
block hevl, ABtrib foveal “and State Loadk
Public healt Seotor ynebls Aw _follorming.
-| Pavinary stealth Cong __"
jab =
| Ss
: ary Health Corse Contors- mA
Mospibels | eatthCentoxs.
rosetta]g
a
Coommuntty AealtL Contax
‘| Rural ho sptab -
‘| Datauck hébshtol L Heath, Carter:
I Specalit hospitdls
backing tos puta :
d i
om. cre *
mmbloyers Slate 2.
LE
“Contoch Lfovewnarent Wealth Sthemi -
Othe Agencts
Dehense Yorviee hospital
[Ratlway ho shi tals’
1
IF 1977, Aw Lovornament 6 lndia lavatha
Dvral hilt Scheme vil the painaplys -
bh Blaciong *feohls hoalfh im pLoples Fancls.” 5
og te_Bystom of TPM Cag 7
Livery ochich_B “based 0) Aho xelomanan =
atin” oF de pcals
f A SAtiVvAsLAV Camarbhoe
lo 1995" Prumany hoalth Corr i 3- Lux =
7 WM we7ral agra. -
Ag village tovel ca
ale
4 subebn ten level
(THF EP LG fo fo [o/b
His ob Primary —
Services" tha Unwersal Core :
7;—
7—
7
% vmple 2” Hhrough che a
> fallloiesh See u
Jo Wd 2ouitable Isfsibufin, 06 —
OT Services At village lonl fos 7"
nos
oy Schemes:
Po
Pogewio.[—__]6
oe Gaatht
village fliallh Yule Schorne-
training © lowl Pa .
elelele
Leys Schome Prigaaniacts Aoxhe7%s)
OOS 1 eeeCC ———— Page No.:
O
—
vlogs pealth Luu (viG):-
A villogo quite fualth, Yuide 3 x posson prepewahl
female Lot the Game village fr! Coral Woot Iouk
ese ane mot fill tune Wo2xtkes
| This Scheme pas Naureback in 199% ton ale Stiles
ercept kaveatake, 1bk, kovalic And Mami Made
Y
ipccle- Serves as a blink betwen Comonuirilyy ard
yhich pone alternate kyston- the vellage ‘healt
over one Urkvastoyttiuse
af Dy oe x Lyuidehiny fer Selucltin 26 VG «
Tele Srould bo a permanent Visicfent of He
O
2
\ #
oO
eo
SOF
(| fested Of chrree mois
Lisi
WNDISSV
Wage : ;
edd Howe joe! Communication #0 velit
covards postive Jialt -
eee aducatin Sho be “ip @ ERY
agtcer Selection Vb GER Crauuy fo_3,2roitts
eg By ArMIgek | caweest gubcrter ox ;
ye del Conde
Luh A rama B Deo hows per over fhe \
2 viliy 5 O77 Completa OF Caine a
Pad ancl a fll Sirf. reditire v1
oak & Given to WG
Tw
|
None WG 3 WS eusale ke
LunctPD
?
o
(>
_htwn- te objetlve Was Co male
Date:- Page No. :-
Gealement oniroy palarenits:
fist aid in Orrergeng Cases:
Aauce people fanily pPonneg
Durpectun
[waa
o
Exainyrg Op Local fas was _jaitlateck
Lyuoong 007-002. Gt vos farplomealicl
[kh dabich jo /S States pall 7S
of Indie ~ The aim nus 00 teal al Lash
Dre tai jn dro village Fie (000 pope
cies Lob. gum (aoing FR SoCo ab
"Dicon gublenter
o|ne toaumng 2 Cordutlek B% Qdays im &
peck. Ong the somamnmg Y days thiy acco
ompany He Atm to the vblage
|e quite ard Super isten 0B female yall vi
provited "wh a Aobuery Kee ond a Corbifee:
2 onbltled 0 10/ doduiery Provted He
Os js Topstered with.” Subtones of Puc
Td LNAWNOISSY
\ Ea cad 4 frat 30% husimg The wainiig. |
Apter 2i) OB traning cath dai is ©and new _boin babs:
a) Poovide essential neriboxn Case +
—\Rpot aout bY Grd foal py Av
acta tO the SubContox 0% Pye:
0D/ bIUOZKOYS -
LL
angan” bitebally groans a Courtyarce . Urcler
Yio! inbograbel vil clevelopment Gehome (1255)
Z Were b One Prgarwadi provkex fox feoo Py
{Ruin Thon ae about [00 Arganund) poxkors
|i Gach TCDS project They Guo fash lime
SS | poor. Y ° |
Argaouni workers are Selecliel oor fie
2 lemeundy Seb Cxpected bo “Soave. She rd,
oO rgues tectinving oo Y antl 90) Sha. fellowns
ts of She TOUR U
a Dud
Welt checkup of chilpen ;
< lnavortemance of G700TA Se Loehackerige
mann aat tonDate:- Page No. :-
Health acueation
ited Social Health. Actual
dfne "post 06 BASHA was Created Under Walhoral|
gunal frialth, &ernios Also Knewn as NRE.
One Asha for tooo popular -
| She ould be omarstid [Aivartah/ ryXhovs:
JAge group $ QS and YS yoms:
|minizrwm edyation up tl 51 Slandaagd
|e should have good knoesteclige on
CamanuaiCatiin tnd plates 8h
Kole ord Respongieilily OB" Asira
lemeata Quavemess arol_frovide imstouctions |
Comanunivly Aheut Leal, muta tien ,
vgiane and Sanitation:
. De Loomen on Safe pregnancy , clo
“ver bitast feedung and Cnplomentaily fetal
[eosvonsee
ark ammbrizatich
He _pomen to_adope Small Jonah,
MODIS -
[She well ascot Prep nank women Aguhung
U
Tit ENG WN OLS”Date:- Page No. :-
catanent Short couse (Dots) ureler frational -tuher
083 Contvol frogoam .
wy Bove 108 pri gna qnedl ak Cre fo muror
ailments Buh 2 fever, cligrotea and frst
“|.
— fr omninor 1yJUoes -
_ Robe “aol Lategoation pike Anganwiacl) H
«| Anganwadi porker wilt Gute ASHA 19 Propagat trv
He followsing activities
e Ouganizertion ob Acallr Aays — Onte ov twit a
month:
z. enparneac Aboicers wile /nfoom Arm to pawlepale
ri lard Quiche ompari2ateon 06 health oy at Aaypancoa
Cenbse °
=> Aargannacls poxkes wttl pe dopot holder fps Fag
kits amd issuing & +o DsHa-
Zl Apiraxnd) and prin pail ad as geswure porson Far
te Ctoaming % Aspy-
Se Tare bs de fate
—=l40m wile Que Av in fry fallo a
hrm wil ‘hold heck [ Patripitiy ecleg
Asha ard tues He gti vader Cake® fiat
D |e week:
auth abso Guido Aisha (m (ase She (yee? Tg
culls Auving je execution of fhe Alniles
o| AL ntl tae sop ph Me In _ubdaling Me oGes
of} JD villeOF 3 She SSOP ih unit bet
won pre lomanvoit and hiahlk Sesy ts
jan tural Area: g
St Covers ow population of S000 I'm plas
nd _3000_I'n Ally area, tothal anc
backnacd Aka
¢ hollowing members.
The Subcentes t& samamaged toy cht
Ytealith Worker female
eats worker “femnale
velontary past iri. yekee
Fratel vesibs,
|iath and aleath rogutralin
7
lImvolvimaent vn national health programs:
([Poease SurveiLlante
[Praimng and Supe DP Das -
Irup pasestim .”
|[Tananuni zattor
Corn Aiea
LC (Psirnaia Hea Ca Lonton )Lewuf
>
t_Contral - = Banit bus Hho yullage
sl Oy dnp _tucical _ offitin,
° Tene a
+}
oat Health Contorn lovers c fephk
U4) 20,000 RAL aves ang 20,000
ln ge
ol é sibeonllows Uinclor, Oackh, PHe-
Pageno.__]paternal at PHC
Ri Meese ees
Medical oe it 3MO 1 from AYUSH
pharmacist 1 :
Nurse midwife 1 5 for 24 hours
ealth worker female (ANM) 1 z
Block extension educator 2 1
Health assistant male z z
Health assistant female (LHV) 1 1
Upper division clerk (UDC)/storekeeper e a. 1
Lower division clerk (LDC)/junior assistant 1 1
Laboratory technician a 2
Driver (If vehicle available) 1 Optional
Class 1V workers 4 4.
Accountant cum data entry operator i ies
Total 15 24/25
in each PHC for 30,000 populations in
‘There are 6 subcenters under each PHC.
This health team delivers health care services
Plains and 20,000 in hilly tribal and backward area.Tie. funetiaos ey Adalth Corler vn
meh "The vrdin” wv to Covey att the ®
|. |v
essemtial elements of Psuinan health. Care
These. Ove Ub Uren 7
lS
Modical Care
>.
Dasveot ion amd Conteok G locality trdemic
&
Ope *
Basit (aborata CVs, «
PS
oherrel Losi
COG.
Vl Comonucn tp Fall iat, aa Previee
Setomrdasy Ure of haath. Care yp! sural.
cal th Sesviees «
°
As_on lst (arch Boly , S363 CGonarunthey
cali. Contome pore 28 tables pock Sof!
Lpgrading He Puma Herth, Cantd9s
kath (omenuniby “heal Cont ow Coyors a
Vpopubation off "1, 20,000: jm parr Cyncl. Vo,000;
vs hilly aad toibal aaods -
[Each Como vntly. devil onent block P28
|One Comanrvntty Heli Galeri, afersal
ae Bloom onuncby Heh Cortar Ax nsitll.
Bo bads -
unit for Primary hihte Copttors?
ae Specialst’ Serv Providleh a CHE F2
Surgevy
°
midicene
lobstetates an Yyneclloyy
Tg gg each.
“|= 7 7" FF PPMP ee es sas aC Ott CO
[Pet atescs
|
I
s jo
Dental and Gyo
|staffing Pattern at CHC
norder to provide round the clock services, the revised IPHS, staff pattern are as follows:
staffing Pattern at CHC (Existing)
Physician
Surgeon
specialist medical officers 4
Obstetrician & gynecologist
Pediatrician
Nurse midwives
Dresser
Pharmacist
Lab technician
Radiographer
Ward boys
Safai karamchari
aya
Peon
Dhobi
Mali
Chowkidar
Bee ee nun
Ree ey
Total 2!
e
EBStaffing as per IPHS Pattern
te au)
Personnel
1. Block health officer 1
2. General surgeon 1
Physician 1
4. Obstetrician and
gynecologist
Pediatrician 1
Anesthetist 1
7. Public health manager 1
8. Eye surgeon 1 (for every
5 CHC)
9. Dental surgeon 1
10. General duty medical 6 (at least
officer 2 female
doctors)
11. — Specialist of AYUSH 1
12. General duty medical 1
officer of AYUSH
Total 15/16Supporting Manpower
Personnel
Be
wo
Staff nurse
Public health nurse
ANM
Pharmacist/compounder
Pharmacist AYUSH
Lab technician
Radiographer
Ophthalmic assistant
Dresser (certified by Red Cross/St Johnson Ambulance)
Ward boys/Nursing orderly
Un PN WR Ww Re
Contd...(ace ial
Safai karamchari
Chowkidar
Dhobi
Mali
Aya
Peon
OPD attendant
Registration clerk
Statistical assistant/Data entry operator
‘Accountant/Admin assistant
OT technician
Functions of CHCs
Routine and emergency surgery
Routine and emergency medical care
24 hours delivery services including surgi
Essential and emergency obstetric care
Newborn care
Routine and emergency care of sick children
a storage facilities
ae laboratory services
ra abortion center
Al Tange of family planning servi
National health programs
re emergency measure like tra
erral services
ces including !apar
cheostomy, foreig)
Saar
BPeENNEBNUR HUY
Q
g
cal intervention like cesarean section
oscopic surgery
n body removal and nasal packing, ¢\Staate tm (952 as & pat of nate
e. mes feete,
eon plang €o $0 that The Socal , cuttural + A
comome progxes off fe wuaal arig Can _!
Gchievad | fhrough, comet piypiflimary approick
Rural Hocpitals
Be wr/l As spensartS G72 nob propose] — 7 °
eepgradte -bo foimacy fenttie Confea 7
vov~de Kaurias fo mye intaeh Caomatinlies,
The hospitals ae also Aeferval anh for the
fousal Comenumekies « —_ -
to fhe Urban arc yudal fap latin Such as
meulso logical hosp thal, oxtho pectic fospital ele
These hospitals Frovicke taauning to die foctas
(
(
é
¢
me
(he Sheciabat ‘ogpitals ieee Specialized Seavjces ‘§
7g
“§
nurses And various gee 6 forarvredreal
staf in action to ide Specraldt Services
bo the presple -
a
There & NO Universal heath in§orance
lm India Ot ts bimdef 40 the industatal ae
worker amd Heir families The Contre e.
mem)st) =
» =
» Date __ Gaaths)
> Govormanral vonployees 0nd Old Caverah try (he
Aral insurancd Urdey The banvex “Cereal
{p.
a Parnes Health. Scheme "(CGHS)
<3 ; fon} g tes, ‘iC — |
3 | __ = ee evant
3 re Est Scheme was Intwoctorocl 14 trdlia_on te_
> Principles of Contatbutiin ly the._employer ord
a he emptoyeos- Ot was Starke! undeo He frrklé-"
lament” Ack tn _19Yp. to _frvovtcte _yneclical beach
in Cash ard kind frowig Likeness , employembrt
ngury » voateronuty benefits Aref pon vino f= ape pen
OS bnl 0m the ‘chath” Brooks pecauic Of
lajury . The Act Covers employers Aaawing Wofes *;
Hot? axteating Al, ooo | pow “oon. g nd =
++ was fmtvodue mm _/4SY. brost_ at vee Delly =
to frovete Comprehensive PcaltK Cave to he
Ceotoal Govewsiront employees: later on, Was j
‘putorte to chor Cit mot only to the a
omployecs tuk to fheir facnily anbmbtrs. Also. ~
Of ies Prflementec! to She" autonomous gan
wlpoaktn omploydes, members Bo padioment , Vi
red veal wstral govornanont Servants , widows
receiving family “pension Governors ard aehred —
Auda Us -
gag
8
8
“g
-$
Tuva enous Dns -
: Under fis Category Somme rastilules aecwre ~
. Lact foo Contetl Government put exept
r love Im pootant matters., ale olbey_cfltesrs—
de 1 yncete Sry the _irscipudim seh» —
.? tore of Ft” Qutonorc mgt ites Ove a
pu india _imstitule of Meoltcal Scent! , News ~
a| 7 Gaathy) ~
deat &
___ Peth'- «
«
exe axe qefemse Sorvitls “hos piles anc _«
; garlivayy Hespelals = e.
(oe Aespi tae Ga ered by lnbval e
Qeverrmentl ard provide hovvitts to»
Bee. Aifpanse Barflo ees and their é
[Gani lee. ; e
: Trése desp cbats aye ra pe by & al rel €!
__overnangnt and provide Servitef 0 4
b
Fhe wal employers Qnd Hee:
ei ae 4 on cxyale, Pespetela Lobgp his 1 Nowstrg Jon fF
rf pis pensaatis-
Crone fractlo v0 ang Clinic3
P31 yaleGeiles -
on pavate Sectors, there re speciality Shospg
[Ta fais? buper Specials Fospieals’, rnedutal colleze
hospitals , aispensactes ard healt, lives Eel
ciple tho Can abifox/ peony Lubomses ae
fuking Hie facililies © health Care Pram
Hse “hospitils. But ise hospitals provile
only Curative Gesuces- foox and weaker
Section Connte aa Hues Aacdtees .
Se
| PACSE type B cenit ub Tins axe _Chowtable
7 ed oun by the PUL oF rmisstin » They
provide rnéhical S0wiiS ethan few ox ab
(oe) onan 2Ate - They ave Present analy
1) veban read bob “abso = Coe to Pel
ny wah cea, Hire ay
NK
ese are privatd Ggereies oun Me:
nena priattioness* Thty also Paovicke hoalltl
eae to! fe fel oSho Con ford ox
Cannot yeah! fi. government pospi@h
py Aah Contexs-:
-Lxprourg Aaalth Co Anlouy
, lonifoxtrg Sha A20Uufi H Pst Gee lary |
Date : Page No.:
Publ fi bs wale Lars newshLp _
| Public pPrvate fartnerthip is an imporlint
aspect” to ackleve the ‘Obyeclives 06 healit
as fr. population fpobiiy Boon Qn Ken-it
and national aoa Rodkth, anissiay Public
[Bsivate partnership is am essential tool
towards ionplomenting pe frroqramns- * A
| Lasge number H Pip ubat icy HK the
Qvacl She fualth Sores & DL prvak
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