dksYM pSu midj.

k dk j[k
j[kko

v/;k; & 5 oSDlhu ,oa dksYM psu dk;ZdrkZ dk izf’k{k.k%

fcgkj
 1 dksYM psu eSUVsusal ¼j[kj[kko½ flLVe ¼ra=½

'kCn
2 'kCnkoyh

3 ejEer dk oxhZdj.k

4 dksYM psu czsdMkmu nj

5 QyksV vlsEcyh

6 vkbZ-,y-vkj vkSj MhQ Qhtj dk fuokjd vuqj{k.k

7 D;k djuk vkSj D;k ugha djuk \

8 lEkL;k dk lek/kku

9 fuokjd vuqj{k.k
 dksYM pSu j[k j[kko ra=
 ;w0vkbZ0ih ds varxZr lHkh izdkj ds dksYM pSu midj.k ds j[k j[kko dk O;oLFkk
dh tkrh gSA
 muds dy iqtsZa
 fuxjkuh
 lgk;d iz;Zos{k.k
 dk;ZØe esa foRrh; lgk;rk
 m}s'; % lHkh Lrjksa ij midj.kksa dks dk;Zjr cuk, j[kuk
 dksYM pSu midj.k dk fdlh Hkh fcanq ij de [kjkc gksuk
gYdh ejEer & 7 fnuksa ds vUnj
estj ejEer & 21 fnuksa ds vUnj
 eq[; ckrsa %& midj.k [kjkc gksus ds ckn oSDlhu ,oa dksYM psu dk;ZdrkZ ds
}kjk lle; lwpuk nsuk gSA

3 Training of Vaccine & Cold Chain Handlers – Bihar

dksYM pSu j[kj[kko laca/kh 'kCnkoyh

czsdMkmu fjiksfVZXk :
 midj.k ds [kjkc gksus ds ckn dksYM pSu VsDfufl;u dks midj.k dh ejEer gsrq
lwfpr djus dh vof/k dks czsdMkmu fjiksfVZx dgrs gSA

 y{;%& [kjkc gq, midj.k dks nks fnuksa esa iqu% Bhd dj ysuk A

tokc dh vof/k ¼jsLiksal Vkbe½

 midj.k esa vkbZ [kjkch dh lwpuk nsus ls mls Bhd djus rd ds chp dk vUrjky
A

[kjkc gksus dh vof/k ¼Mkmu Vkbe½

 og vof/k ftles [kjkc midj.k dk;Z ugha djrk gSA

4 Training of Vaccine & Cold Chain Handlers – Bihar

ejEer dk oxhZdj.k
cM+h ejEer NksVh ejEer
•xSl pkTkZ djuk@fQYVj fuEu midj.k dks cnyuk %&
cnyuk LVkVZj] fjys] dSisflVj] FkeksZLVsV] FkekZehVj lsUlj] QSu
•deizs'kj cnyuk eksVj] LVscykbZtj ] Lfop] Q;wt] rkj] Iyx] ,e-lh-ch] oksYV
ehVj
•rsy dk fjlko ik,W tkus ij
midj.k dks dsfedy ls
iksNuk
•midj.k es cnyko

5 Training of Vaccine & Cold Chain Handlers – Bihar

dksYM psu fldusl jsV
;g fdlh Hkh vof/k esa dksYM psu LFky ij [kjkc dksYM psu midj.k dk
vuqikr gSA
mnkgj.k ds fy, ;fn ,d ftys esa 100 vkbZ,yvkj@MhÝhtj gSa vkSj muesa ls 7
[kjkc gSa ¼dke u djus okys ;k daMe fd, x, ;k ftudh ejEerugha gks ldrh]
blesa 'kkfey ugha½ rks ml fnu dksYM psu fldusl jsV 7 izfr'kr gksxkA
ekud ds vuqlkj ;g 2 izfr'kr ls T;knk ugha gksuk pkfg,
[kjkc dksYM psu midj.k ¼ejEer ;ksX;½
dksYM ¼vkbZ-,y-vkj $ Mhi Ýhtj½ dh la[;k
pSu ⁼ X 100
fldusl dk;Zjr $ [kjkc ¼ejEer ;ksX;½ midj.kksa
jsV ¼vkbZ-,y-vkj $ Mhi Ýhtj½ dh la[;k

6 Training of Vaccine & Cold Chain Handlers – Bihar

¶yksV vlsEcyh
¶yksV vlsEcyh vfrfjDr vkbZ,yvkj@Mh,Q bdkbZ dk Hk.Mkj gS ftUgsa
ftyk@jkT; eq[;ky; ij lqfj{kr j[kk tkrk gS vkSj fdlh bdkbZ ¼vkbZ,yvkj@Mhi Ýhtj½
ds [kjkc gksus ij rqjar cnys esa bLrseky fd;k tkrk gSA

m}s'; %
 dksYM pSu ds izHkkoh j[k&j[kko ds fy,
 tc rd [kjkc e'khu Bhd u gks tk,a rc rd QyksV vlsEcyh esa miyC/k midj.k dk mi;ksx dj
Vhdkdj.k dk;ZØe ij izfrdqy izHkko u iM+us fn;k tk,aA
ftyk Lrj ij %
 ftyk eq[;ky; ij dqy fØ;k'khy vkbZ-,y-vkj vkSj Mhi Ýhtj dh la[;k dk 5 izfr'kr ,oa 20 izfr'kr
oksYVst LVsiykbZtj vkSj FkekZehVj ¶yksV ,lsEcyh ds :i esa miyC/k jguk pkfg,A

 [kjkc gks x, vkbZ,yvkj@Mhi Ýhtj dks ejEer fd, tkus ds ckn Hkfo"; esa vkikrfLFkfr gksus ij
¶yksV ,lsEcyh esa 'kkfey dj ysuk pkfg,A

7 Training of Vaccine & Cold Chain Handlers – Bihar

MhÝkfLVax ¼cQZ gVkuk½

 ;fn dksYM psu midj.k esa 5feeh ls vf/kd eksVh

cQZ dh ijr te tk,a rks ml ijr dks gVkus dh izfd;k dks cQZ cuuk %
MhÝkfLVax dgrs gSA • midj.k dks tYnh & tYnh ,oa ckj
 MhÝkfLVax ds igys midj.k es j[ks lHkh oSDlhu & ckj [kksyus lsA
dks fdlh nwljs vkbZ-,y-vkj ;k dafMlUM vkbZliSd • njoktk vPNh rjg can ughs djus
;qDr dksYM ckWDl esa j[ksaA lsA
 Ýhtj ds ekeys esa & tes gq, vkbZl iSDl dks ckgj • njokts dk lhYk [kjkc gksus lsA
fudkys vkSj mUgsa dksYM ckWDl esa j[k nsaA • vknzZrk ;k g;wfefMVh dk Lrj
 midj.k dks Lohp vkWQ dj fctyh Iyx dks fudky T;knk jgus lsA
nsaA
 midj.k ds <Ddu dks [kqyk NksM+ nsaA
 tc rd cQZ iwjh rjg fi?ky u tk, <Ddu [kqyk j[ksaA
 cQZ dks tYnh&tYnh gVkus ds fy, xeZ ikuh dk
bLrseky u djsaA
8  fdlh pkdw
Training ;k& Cold
of Vaccine /kkjnkj midj.k
Chain Handlers ls cQZ dks u gVk,a
– Bihar
MhÝkfLVax vkSj lQkbZ

 vkbZ,yvkj@Mhi Ýhtj dh ryh okyk LVkWij [kksysa ftlls fd cQZ fi?kyus ls cuk
ikuh ckgj fudy tk,A
 jsfÝtsjsVj dh vUnj okyh lrg rFkk <Ddu dh lhy dks diM+s ls ikSaN dj lkQ djsa
,oa iwjh rjg lw[kus nsaA
 jcM+ lhy dh lQkbZ ds fy, dHkh Hkh fMVtsZaV ;k jlk;u dk bLrseky u djsaA
 lw[kus ds ckn ryh esa yxs vkmVysV Msªu ds Iyx dks can dj nsaA
 <Ddu dks can dj fctyh ds Iyx dks lkWdsV esa tksM+ nsaA
 tc midj.k dk rkieku 8˚C lsfYl;l ;k mlls uhps vk tk, rks okil oSDlhu] Mk;yw,.V
rFkk vkbZl iSDl dks igys dh rjg muds LFkku ij j[k nsaA

9 Training of Vaccine & Cold Chain Handlers – Bihar

vkbZ,yvkj@Ýhtj ds bLrseky djrs le; D;k djs
 midj.k dks lh/ks /kwi ls cpkdj rFkk nhokj ls 10 lseh- dh nwjh ij goknkj dejs esa
j[ksA
 lkdsV esa Iyx dks LFkkbZ :i ls yxk nsaA
 izR;sd midj.kksa ds fy, vyx oksYVst LVscykbtj dk iz;ksx djsaA
 midj.k ds <Ddu dks can j[ksa vkSj rHkh [kksysa tc t:jr gksA
 le;&le; ij cQZ gVkrs jgsa ¼MhÝkLV djsa½A
 fnu esa nks ckj lqcg 'kke rkieku pSd djsa rFkk bldk fjdkWMZ j[ksaA
 lacaf/kr lqijokbZtj@fpfdRlkf/kdkjh }kjk lR;kfir djk;saA
 Rkieku ekud lhek ls ckgj gksus ij mls Bhd djus gsrq rqjar dk;ZokbZ djsaA
 Ekkudks ds vuqlkj vkdfLed ¼dafVtsUlh½ dk;Z;kstuk fodlhr dj dkaYM psu d{k
ds ckgj iznf'kZr djsa

10 Training of Vaccine & Cold Chain Handlers – Bihar

vkbZ,yvkj@Ýhtj ds bLrseky djrs le; D;k u djs
 vkbZ,yvkj esa ;wvkbZih esa u vkus okyh oSDlhu rFkk nwljh nok,a u j[ksaA
 [kk| ,oa is; inkFkZ vkbZ-,y-vkj @MhQ fÝtj esa u j[ksaA

 oSDlhu LVkWd %
 fdlh Hkh miftyk Hk.Mkj.k dsUnz esa Ms<+ eghus dh t:jr ls T;knk
oSDlhu u j[ksA
 ftyk oSDlhu Hk.Mkj.k dsUnz ij 2-75 eghus dh t:jr ls T;knk oSDlhu u
j[ksaA
 oSDlhu tks ,Dlik;j gks pqdh gS rFkk ohoh,e vuqi;ksxh fcUnq dks ikj dj
pqdh gS mUgsa dksYM psu esa u j[ksaA
 dksYM psu midj.k ds Åij u cSaBs vkSj mlds Åij Hkkjh cks> u j[ksaA
 FkeksZLVsV dks ckj&ckj u NsM+sA

11 Training of Vaccine & Cold Chain Handlers – Bihar

leL;k fuokj.k ¼Vªcy 'kwfVax½
;fn midj.k fcYdqy dk;Z ugha dj jgk gS ;k Bhd ls dk;Z ugha dj jgk gS rks vius
lqijokbZtj dks lwfpr djus ls igys fuEufyf[kr dh tkap djsa%
 D;k ikoj LiykbZ ysEi [kqyk gS \
 Iyx rFkk lkWdsV dusD'ku dks pSd djsa \
 D;k Q;wt mM+ x;k gS \
 D;k FkeksLVsV dk lsfVx lgh gS \
 D;k midj.k xe L=ksr ds ikl j[kk x;k gS\
 D;k LVscykbZtj ls mi;qDr oksYVst izkIr gks jgk gS\
 D;k LVscykbZtj dk ,e-lh-ch Vªhi x;k gS\

12 Training of Vaccine & Cold Chain Handlers – Bihar

leL;k fuokj.k ¼Vªcy 'kwfVax½
;fn gjh cÙkh ;k ihyk fLop ped ugha jgk ¼jks'kuh ugha dj jgk½
rks%
 pSd djsa fd lkWdsV esa fctyh vk jgh gSA dsoy ijh{k.k cÙkh
¼VsLV ysEi½ dks bLrseky djsaA VsLV ySEi ml le; tyrk gS tc Qst
vkSj U;wVªy dusD'ku Bhd gksrs gSA fctyh dk ijh{k.k djus okyk ;a=
¼bysfDVªdy VsLVj½ xyr ifj.kke nsrk gSA

 Iyx rFkk lkWdsV dusD'ku dks pSd djsaA

 oksYVst LVsfcykbtj dke dj jgk gS bldks pSd djsaA
 fctyh vkiwfrZ jksddj oksYVst LVsfcykbtj dusD'ku dh tkap djsaA

13 Training of Vaccine & Cold Chain Handlers – Bihar

vkbZ-,y-vkj @Mhi fQtj ds fy, fizosafVo psdfyLV

Ø- izfrfnu fizosafVo j[k j[kko psdfyLV vkbZ-,y-vkj vkSj Mhi fQtj ds fy,@rkjh[k
la
1 ckgjh lrg LoPN ,oa lw[kh j[ksaA
2 midj.k Q'kZ ij lh/kk o etcwrh ls j[kk gSA
3 midj.kks dks lery rjhds ls j[kk x;k gSA
4 midj.kks dks fnokj ls 10 lseh nwj j[kk x;k gSA
5 lw;Z dh jks'kuh ls nwj j[kk x;k gSA
6 dejk goknkj gSA
7 midj.kks dks vko';drk vuqlkj [kksyk tkrk gSA
8 dqath dks mi;qDr LFkku ij j[kk x;k gSA
9 <Ddu fcuk xSi ds can gSA
10 <Ddu dk lhy lkQ gSA
14 Training of Vaccine & Cold Chain Handlers – Bihar
vkbZ-,y-vkj @Mhi fQtj ds fy, fizosafVo psdfyLV

Ø-l izfrfnu fizosafVo j[k j[kko psdfyLV vkbZ-,y-vkj vkSj Mhi fQtj ds fy,@rkjh[k
11 vkbZl iSd mfpr fLFkfr esa gS ¼Mhi fQtj ds fy,½
12 vkbZl iSd esa ikuh mfpr Lrj rd Hkjsaa gS ,oa dksbZ fjlko ugha gks jgk gSA
13 vkbZ,yvkj@Mhi Ýht esa 5 fe-eh- ls T;knk eksVh cQZ ugha teuh pkfg,A
14 oSDlhu dks lgh de ls j[kk x;k gSA
15 oSDlhuks dk bl izdkj j[kk x;k gks fd midj.k ds vanj BaMh gok dk lapj.k lHkh txg ij
gks ldsA
16 BaM ls teus okyk Vhdks dks Vksdjh esa j[ksA BaM lrg ds laidZ esa u
j[ksA¼vkbZ-,y-vkj ds fy,½
17 izR;sd midj.k esa vyx vyx vyx FkekZehVj j[ksa gksA
18 rkieku fjdkWfMZx fnu esa nks ckj fd;k tk jgk gSA
19 midj.k dk rkieku fu/kkZfjr lhek esa gksA
20 midj.k dks oksYVst LVscykbtj ls pyk;k tk jgk gSA
15 Training of Vaccine & Cold Chain Handlers – Bihar
vkbZ-,y-vkj @Mhi fQtj ds fy, fizosafVo psdfyLV

Ø-l izfrfnu fizosafVo j[k j[kko psdfyLV vkbZ-,y-vkj vkSj Mhi fQtj ds fy,@rkjh[k
21 buiqV oksYVst fjfMZXk ……………….oksYV~l
22 vkmViqV oksYVst fjfMZXk ……………….oksYV~l
23 oksYVst LVscykbZtj dk Iyx ikoj lkfdZV ls lgh izdkj ls tqM+k gSA
24 fo|qr dk dusDlu lgh rjhds ls gksA
25 midj.k ls vlkeU; vkokt rks ugh vk jgh gSA

Signature of Vaccine & Cold Chain Handler

Signature of MOI/C
*If not, adjust thermostat to obtain steady temperature within specified limits (by the user if he/she is
fully aware of setting procedure & confident about, or otherwise contact Cold Chain Technician)

16 Training of Vaccine & Cold Chain Handlers – Bihar

vkbZ-,y-vkj @Mhi fQtj ds fy, fizosafVo psdfyLV
fizosafVo j[k j[kko psdfyLV vkbZ-,y-vkj @Mhi fQtj ds fy, 1st Wk 2nd Wk 3rd Wk 4th Wk

bZdkbZ ds jcj xSlfdV lhV dks lkQ fd;k x;k gSA ¼vxj gks
pqdk gS rks √ yxk,½

midj.k ds Mksj lhy] Mksj fQfVx] Qyksj is j[ks midj.k dh fLFkfr

vkSj xSldsV dh lQkbZ] tkWpsA ¼vxj gks pqdk gS rks √
yxk,½
ykWd dks psd djs fd dke dj jgk gS ;k ugh ¼vxj fd x;k gS rks
√ yxk,½
fctyh dh rkjksa dh fLFkfr dks tkWpsA ¼vxj gks pqdk gS rks
√ yxk,½
dkWMZ ,oa Iyx dh fLFkfr dks tkWps A ¼vxj gks pqdk gS rks
√ yxk,½

17 Training of Vaccine & Cold Chain Handlers – Bihar

vkbZ-,y-vkj @Mhi fQtj ds fy, fizosafVo psdfyLV
¼lIrkg½ fizosafVo j[k j[kko psdfyLV vkbZ-,y-vkj @Mhi fQtj 1st Wk 2nd Wk 3rd Wk 4th Wk
ds fy,
LVscykbtj Bhd ls dke dj jgk gks ,oa mi;qDr vkmViqV
oksYVst ns jgk gS ¼vxj gks pqdk gS rks √ yxk,½
dksYM psu midj.k esa ikoj lIykbZ ekStwn gSA ¼vxj gks
pqdk gS rks √ yxk,½
midj.k ds nhojksa ij tes cQZ ds ijrks dks tkWps ¼vxj gks
pqdk gS rks √ yxk,½
oSDlhu ,oa dksYM pSu gSaMyj dk gLRÙkk{kj
fpfdRlk izHkkjh dk gLrk{kj
(vxj cQZ dh eksVkbZ midj.k ds fnokj ij 5 eh-eh ls T;knk gks vkSj midj.k ds mijh {ks= dh
eksVkbZ 1 eh-eh gks rks ;g le> tkuk pkfg, fd MhÝkfLVax dh t:jr gSA

18 Training of Vaccine & Cold Chain Handlers – Bihar

<+Ddu lhy dh tkWp dSls djs A
vuqmiks;qDr rjhds ls njoktk yxus ij dwfyax ?kV tkrh gSA
 ;fn njoktk ds dCts xyr yxs gSa ;k lhy {kfrxzLr gks xbZ gS rks
oSDlhu dk rkieku cuk, j[kus ds fy, midj.k ij vR;kf/kd Hkkj iMrk
gSA
 mi;qDr lhy dh tkWp ds fy, lcls vklku rjhdk gS njoktk vkSj
nhokj ds chp esa dkxt dk VqdM+k j[kukA bldks isij VsLV dgk
tkrk gSA bl izdkj njoktk ds pkjksa vksj fo'ks’k :i ls dksuks esa lhy
psd djsa A
 ;fn dkxt dk VqdM+k vklkuh ls fudyrk gS rks njoktk dh lhy
dks ejEer ;k cnyus dh vko';rk gks ldrh gSA
fjfÝftjsVj ds dCtks dks FkksM+k cgqr ,MtLV djus ls njokts ds
fLFkfr dks Bhd fd;k tk ldrk gS ,oa bl laca/k esa Vsduhf'k;u dks
19 lwfpr djsaA
Training of Vaccine & Cold Chain Handlers – Bihar
Lkjka'k

 dksYM psu midj.k dh fdlh rjg dk [kjkch gksus ij oSDlhu dksYM psu gs.Myj]
dksYM psu VsfDufl;u dks rqjar lwfpr djsaA

 nSfud] lkIrkfgd vkSj ekfld vko';d j[k&j[kko dks dM+kbZ ls ikyu fd;k tkuk
pkfg,A

 njokts dh lhy ,oa QksfLVx dh tkWp fo'ks"k :i ls psd djs ,oa vko';rk gksus ij
MhQksfLVx djsA

20 Training of Vaccine & Cold Chain Handlers – Bihar

 (PLEASE GIVE YOUR FEEDBACK ON THIS SESSION
IN THE FEEDBACK PROFORMA)

21 Training of Vaccine & Cold Chain Handlers – Bihar