Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
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    <h1 class="cat-box-title">रिपोर्ट में खुलासा : कुपोषण से नहीं उबर पा रहे 44 फीसदी मासूम</h1>
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शशिकांत तिवारी, भोपाल। प्रदेश में 44 फीसदी बच्चे कुपोषण से नहीं उबर पा रहे हैं। जबकि इन्हें शासन द्वारा पोषण, इलाज समेत सारी सुविधाएं दी जा रही हैं। कई जिलों में तो ऐसे बच्चों की संख्या एक तिहाई तक पहुंच गई है। इस मामले में राजधानी की स्थिति तो और भी बुरी है। यहां पोषण पुनर्वास केंद्रों (एनआरसी) में भर्ती बच्चों में से 47 फीसदी ही कुपोषण को मात दे पा रहे हैं। यह खुलासा राष्ट्रीय स्वास्थ्य मिशन (एनएचएम) की एक रिपोर्ट में हुआ है।
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कुपोषित बच्चों में लगभग 12 फीसदी गंभीर होते हैं। ऐसे बच्चों को पोषण पुनर्वास केंद्रों में भर्ती कर इलाज दिया जाता है। इसके लिए प्रदेश में 315 केंद्र बनाए गए हैं। आंगनबाड़ी कार्यकर्ताओं के जरिए या फिर परिजन सीधे ऐसे बच्चों को लाकर एनआरसी में भर्ती कराते हैं।
</p>
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यहां इन्हें 14 दिन तक भर्ती कर विश्व स्वास्थ्य संगठन द्वारा तय मापदंडों के अनुसार पौष्टिक आहार देने का प्रावधान है। इस दौरान हर दिन बच्चों का वजन लेना भी अनिवार्य है। हालत में सुधार होने पर बच्चों को डिस्चार्ज कर दिया जाता है। हालांकि इसके बाद भी उन्हें चार बार फालोअप के लिए लाया जाता है। इस पूरी प्रक्रिया में बच्चा कुपोषण से पूरी तरह से मुक्त हो जाना चाहिए, लेकिन प्रदेशभर के 56 फीसदी बच्चे ही इसे मात दे पा रहे हैं।
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इन जिलों की खराब स्थिति
</p>
<p align="justify">
जिला बेड भर्ती क्योर रेट (प्रतिशत में)
</p>
<p align="justify">
होशंगाबाद 70 1,151 31
</p>
<p align="justify">
बड़वानी 70 977 40
</p>
<p align="justify">
सागर 68 1,323 40
</p>
<p align="justify">
मंडला 50 822 36
</p>
<p align="justify">
नीमच 50 519 41
</p>
<p align="justify">
भोपाल 40 768 47
</p>
<p align="justify">
इन जिलों की स्थिति बेहतर
</p>
<p align="justify">
झाबुआ 85 1,245 73
</p>
<p align="justify">
छतरपुर 80 1,591 73
</p>
<p align="justify">
कटनी 80 1,285 69
</p>
<p align="justify">
मुरैना 70 1,227 76
</p>
<p align="justify">
ग्वालियर 60 754 69
</p>
<p align="justify">
दतिया 60 733 76
</p>
<p align="justify">
(आंकड़े वर्ष 2013-14 में अप्रैल से जनवरी तक के)
</p>
<p align="justify">
अस्पताल में भर्ती होने वाले बच्चे पर खर्च
</p>
<p align="justify">
परिवहन 100 रुपए
</p>
<p align="justify">
आशा कार्यकर्ता 100 रुपए
</p>
<p align="justify">
बच्चे का भोजन 50 रुपए रोज
</p>
<p align="justify">
बच्चे की मां को भुगतान 70 रुपए रोज
</p>
<p align="justify">
फॉलोअप पर खर्च- 1,210 रुपए
</p>
<p align="justify">
(गंभीर कुपोषित बच्चे को 14 दिन एनआरसी में भर्ती किया जाता है।)
</p>
<p align="justify">
भोपाल में लड़कियों की स्थिति बेहद खराब
</p>
<p align="justify">
राजधानी में जेपी अस्पताल, बैरागढ़, कोलार और पीपुल्स अस्पताल में एनआरसी बनाए गए हैं। यहां 2012-13 में 793 कुपोषित बच्चों को भर्ती कराया गया है। इलाज और फॉलोअप के बाद 40 फीसदी बच्चे तो कुपोषण से उबर गए, लेकिन लड़कियों में महज 20 फीसदी ही ठीक हो पाईं। इसी तरह से 2013-14 में भर्ती होने वाली लड़कियों में 18 फीसदी का कुपोषण दूर हो सका। भोपाल की चारों एनआरसी में पीपुल्स अस्पताल की एनआरसी में क्योर रेट 27 फीसदी और बैरागढ़ में 33 फीसदी है।
</p>
<p align="justify">
प्रदेश में एनआरसी - 315
</p>
<p align="justify">
गंभीर कुपोषित बच्चे - 12 फीसदी
</p>
<p align="justify">
एनआरसी में हर साल भर्ती - करीब 60 हजार
</p>
<p align="justify">
भोपाल में आंगनवाड़ी केंद्र - 1,688
</p>
<p align="justify">
एक केंद्र में बच्चों की संख्या - 30
</p>
<p align="justify">
शहर में कुपोषित बच्चों की संख्या - 44 हजार
</p>
<p align="justify">
मप्र और भोपाल में कुपोषण (प्रतिशत में)
</p>
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श्रेणी मप्र भोपाल
</p>
<p align="justify">
अंडर वेट- 51.2 55.8 उम्र अनुसार वजन
</p>
<p align="justify">
स्टंटिंग- 48 47.7 उम्र के अनुसार ऊंचाई
</p>
<p align="justify">
वेस्टिंग- 25.8 24.6 ऊंचाई के अनुसार वजन
</p>
<p align="justify">
स्टंटिंग-लंबे समय से गंभीर कुपोषित बच्चों का इससे पता चलता है। कुपोषित मां के बच्चे भी इसी श्रेणी में आते हैं।
</p>
<p align="justify">
अंडर वेट- बीमारी, पर्याप्त पोषण आहार नहीं मिलने से बच्चों का वजन उम्र के अनुसार कम हो जाता है।
</p>
<p align="justify">
वेस्टिंग- बच्चे का उसकी लंबाई के मुताबिक वजन नहीं बढ़ता है।
</p>
<p align="justify">
एनआरसी से सॉफ्टवेयर पर नजर
</p>
<p align="justify">
पहले प्रोटोकाल का कड़ाई से पालन नहीं हो पा रहा था, इसलिए आउटपुट कम है। अब सॉफ्टवेयर से सभी पोषण पुनर्वास केंद्रों की मॉनिटरिंग की जा रही है। इससे क्योर रेट बढ़ जाएगा।
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प्रवीर कृष्ण, प्रमुख सचिव स्वास्थ्य
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    <h1 class="cat-box-title">रिपोर्ट में खुलासा : कुपोषण से नहीं उबर पा रहे 44 फीसदी मासूम</h1>
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शशिकांत तिवारी, भोपाल। प्रदेश में 44 फीसदी बच्चे कुपोषण से नहीं उबर पा रहे हैं। जबकि इन्हें शासन द्वारा पोषण, इलाज समेत सारी सुविधाएं दी जा रही हैं। कई जिलों में तो ऐसे बच्चों की संख्या एक तिहाई तक पहुंच गई है। इस मामले में राजधानी की स्थिति तो और भी बुरी है। यहां पोषण पुनर्वास केंद्रों (एनआरसी) में भर्ती बच्चों में से 47 फीसदी ही कुपोषण को मात दे पा रहे हैं। यह खुलासा राष्ट्रीय स्वास्थ्य मिशन (एनएचएम) की एक रिपोर्ट में हुआ है।
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कुपोषित बच्चों में लगभग 12 फीसदी गंभीर होते हैं। ऐसे बच्चों को पोषण पुनर्वास केंद्रों में भर्ती कर इलाज दिया जाता है। इसके लिए प्रदेश में 315 केंद्र बनाए गए हैं। आंगनबाड़ी कार्यकर्ताओं के जरिए या फिर परिजन सीधे ऐसे बच्चों को लाकर एनआरसी में भर्ती कराते हैं।
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यहां इन्हें 14 दिन तक भर्ती कर विश्व स्वास्थ्य संगठन द्वारा तय मापदंडों के अनुसार पौष्टिक आहार देने का प्रावधान है। इस दौरान हर दिन बच्चों का वजन लेना भी अनिवार्य है। हालत में सुधार होने पर बच्चों को डिस्चार्ज कर दिया जाता है। हालांकि इसके बाद भी उन्हें चार बार फालोअप के लिए लाया जाता है। इस पूरी प्रक्रिया में बच्चा कुपोषण से पूरी तरह से मुक्त हो जाना चाहिए, लेकिन प्रदेशभर के 56 फीसदी बच्चे ही इसे मात दे पा रहे हैं।
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इन जिलों की खराब स्थिति
</p>
<p align="justify">
जिला बेड भर्ती क्योर रेट (प्रतिशत में)
</p>
<p align="justify">
होशंगाबाद 70 1,151 31
</p>
<p align="justify">
बड़वानी 70 977 40
</p>
<p align="justify">
सागर 68 1,323 40
</p>
<p align="justify">
मंडला 50 822 36
</p>
<p align="justify">
नीमच 50 519 41
</p>
<p align="justify">
भोपाल 40 768 47
</p>
<p align="justify">
इन जिलों की स्थिति बेहतर
</p>
<p align="justify">
झाबुआ 85 1,245 73
</p>
<p align="justify">
छतरपुर 80 1,591 73
</p>
<p align="justify">
कटनी 80 1,285 69
</p>
<p align="justify">
मुरैना 70 1,227 76
</p>
<p align="justify">
ग्वालियर 60 754 69
</p>
<p align="justify">
दतिया 60 733 76
</p>
<p align="justify">
(आंकड़े वर्ष 2013-14 में अप्रैल से जनवरी तक के)
</p>
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अस्पताल में भर्ती होने वाले बच्चे पर खर्च
</p>
<p align="justify">
परिवहन 100 रुपए
</p>
<p align="justify">
आशा कार्यकर्ता 100 रुपए
</p>
<p align="justify">
बच्चे का भोजन 50 रुपए रोज
</p>
<p align="justify">
बच्चे की मां को भुगतान 70 रुपए रोज
</p>
<p align="justify">
फॉलोअप पर खर्च- 1,210 रुपए
</p>
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(गंभीर कुपोषित बच्चे को 14 दिन एनआरसी में भर्ती किया जाता है।)
</p>
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भोपाल में लड़कियों की स्थिति बेहद खराब
</p>
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राजधानी में जेपी अस्पताल, बैरागढ़, कोलार और पीपुल्स अस्पताल में एनआरसी बनाए गए हैं। यहां 2012-13 में 793 कुपोषित बच्चों को भर्ती कराया गया है। इलाज और फॉलोअप के बाद 40 फीसदी बच्चे तो कुपोषण से उबर गए, लेकिन लड़कियों में महज 20 फीसदी ही ठीक हो पाईं। इसी तरह से 2013-14 में भर्ती होने वाली लड़कियों में 18 फीसदी का कुपोषण दूर हो सका। भोपाल की चारों एनआरसी में पीपुल्स अस्पताल की एनआरसी में क्योर रेट 27 फीसदी और बैरागढ़ में 33 फीसदी है।
</p>
<p align="justify">
प्रदेश में एनआरसी - 315
</p>
<p align="justify">
गंभीर कुपोषित बच्चे - 12 फीसदी
</p>
<p align="justify">
एनआरसी में हर साल भर्ती - करीब 60 हजार
</p>
<p align="justify">
भोपाल में आंगनवाड़ी केंद्र - 1,688
</p>
<p align="justify">
एक केंद्र में बच्चों की संख्या - 30
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शहर में कुपोषित बच्चों की संख्या - 44 हजार
</p>
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मप्र और भोपाल में कुपोषण (प्रतिशत में)
</p>
<p align="justify">
श्रेणी मप्र भोपाल
</p>
<p align="justify">
अंडर वेट- 51.2 55.8 उम्र अनुसार वजन
</p>
<p align="justify">
स्टंटिंग- 48 47.7 उम्र के अनुसार ऊंचाई
</p>
<p align="justify">
वेस्टिंग- 25.8 24.6 ऊंचाई के अनुसार वजन
</p>
<p align="justify">
स्टंटिंग-लंबे समय से गंभीर कुपोषित बच्चों का इससे पता चलता है। कुपोषित मां के बच्चे भी इसी श्रेणी में आते हैं।
</p>
<p align="justify">
अंडर वेट- बीमारी, पर्याप्त पोषण आहार नहीं मिलने से बच्चों का वजन उम्र के अनुसार कम हो जाता है।
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<p align="justify">
वेस्टिंग- बच्चे का उसकी लंबाई के मुताबिक वजन नहीं बढ़ता है।
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<p align="justify">
एनआरसी से सॉफ्टवेयर पर नजर
</p>
<p align="justify">
पहले प्रोटोकाल का कड़ाई से पालन नहीं हो पा रहा था, इसलिए आउटपुट कम है। अब सॉफ्टवेयर से सभी पोषण पुनर्वास केंद्रों की मॉनिटरिंग की जा रही है। इससे क्योर रेट बढ़ जाएगा।
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प्रवीर कृष्ण, प्रमुख सचिव स्वास्थ्य
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    <br><a href="http://naidunia.jagran.com/madhya-pradesh/bhopal-the-report-revealed-malnutrition-are-able-to-recover-44-per-cent-innocent-333817#sthash.ROsUWSrh.dpuf" class="re" target="_blank">- See more at: http://naidunia.jagran.com/madhya-pradesh/bhopal-the-report-revealed-malnutrition-are-able-to-recover-44-per-cent-innocent-333817#sthash.ROsUWSrh.dpuf</a><div class="clear"></div>
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Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148
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Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 181]
Code Context
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    <h1 class="cat-box-title">रिपोर्ट में खुलासा : कुपोषण से नहीं उबर पा रहे 44 फीसदी मासूम</h1>
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शशिकांत तिवारी, भोपाल। प्रदेश में 44 फीसदी बच्चे कुपोषण से नहीं उबर पा रहे हैं। जबकि इन्हें शासन द्वारा पोषण, इलाज समेत सारी सुविधाएं दी जा रही हैं। कई जिलों में तो ऐसे बच्चों की संख्या एक तिहाई तक पहुंच गई है। इस मामले में राजधानी की स्थिति तो और भी बुरी है। यहां पोषण पुनर्वास केंद्रों (एनआरसी) में भर्ती बच्चों में से 47 फीसदी ही कुपोषण को मात दे पा रहे हैं। यह खुलासा राष्ट्रीय स्वास्थ्य मिशन (एनएचएम) की एक रिपोर्ट में हुआ है।
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कुपोषित बच्चों में लगभग 12 फीसदी गंभीर होते हैं। ऐसे बच्चों को पोषण पुनर्वास केंद्रों में भर्ती कर इलाज दिया जाता है। इसके लिए प्रदेश में 315 केंद्र बनाए गए हैं। आंगनबाड़ी कार्यकर्ताओं के जरिए या फिर परिजन सीधे ऐसे बच्चों को लाकर एनआरसी में भर्ती कराते हैं।
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यहां इन्हें 14 दिन तक भर्ती कर विश्व स्वास्थ्य संगठन द्वारा तय मापदंडों के अनुसार पौष्टिक आहार देने का प्रावधान है। इस दौरान हर दिन बच्चों का वजन लेना भी अनिवार्य है। हालत में सुधार होने पर बच्चों को डिस्चार्ज कर दिया जाता है। हालांकि इसके बाद भी उन्हें चार बार फालोअप के लिए लाया जाता है। इस पूरी प्रक्रिया में बच्चा कुपोषण से पूरी तरह से मुक्त हो जाना चाहिए, लेकिन प्रदेशभर के 56 फीसदी बच्चे ही इसे मात दे पा रहे हैं।
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इन जिलों की खराब स्थिति
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जिला बेड भर्ती क्योर रेट (प्रतिशत में)
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<p align="justify">
होशंगाबाद 70 1,151 31
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बड़वानी 70 977 40
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<p align="justify">
सागर 68 1,323 40
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मंडला 50 822 36
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नीमच 50 519 41
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भोपाल 40 768 47
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इन जिलों की स्थिति बेहतर
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झाबुआ 85 1,245 73
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<p align="justify">
छतरपुर 80 1,591 73
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कटनी 80 1,285 69
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मुरैना 70 1,227 76
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ग्वालियर 60 754 69
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दतिया 60 733 76
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(आंकड़े वर्ष 2013-14 में अप्रैल से जनवरी तक के)
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अस्पताल में भर्ती होने वाले बच्चे पर खर्च
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<p align="justify">
परिवहन 100 रुपए
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<p align="justify">
आशा कार्यकर्ता 100 रुपए
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बच्चे का भोजन 50 रुपए रोज
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बच्चे की मां को भुगतान 70 रुपए रोज
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फॉलोअप पर खर्च- 1,210 रुपए
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(गंभीर कुपोषित बच्चे को 14 दिन एनआरसी में भर्ती किया जाता है।)
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भोपाल में लड़कियों की स्थिति बेहद खराब
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राजधानी में जेपी अस्पताल, बैरागढ़, कोलार और पीपुल्स अस्पताल में एनआरसी बनाए गए हैं। यहां 2012-13 में 793 कुपोषित बच्चों को भर्ती कराया गया है। इलाज और फॉलोअप के बाद 40 फीसदी बच्चे तो कुपोषण से उबर गए, लेकिन लड़कियों में महज 20 फीसदी ही ठीक हो पाईं। इसी तरह से 2013-14 में भर्ती होने वाली लड़कियों में 18 फीसदी का कुपोषण दूर हो सका। भोपाल की चारों एनआरसी में पीपुल्स अस्पताल की एनआरसी में क्योर रेट 27 फीसदी और बैरागढ़ में 33 फीसदी है।
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प्रदेश में एनआरसी - 315
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गंभीर कुपोषित बच्चे - 12 फीसदी
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एनआरसी में हर साल भर्ती - करीब 60 हजार
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भोपाल में आंगनवाड़ी केंद्र - 1,688
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एक केंद्र में बच्चों की संख्या - 30
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शहर में कुपोषित बच्चों की संख्या - 44 हजार
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मप्र और भोपाल में कुपोषण (प्रतिशत में)
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श्रेणी मप्र भोपाल
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अंडर वेट- 51.2 55.8 उम्र अनुसार वजन
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स्टंटिंग- 48 47.7 उम्र के अनुसार ऊंचाई
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वेस्टिंग- 25.8 24.6 ऊंचाई के अनुसार वजन
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स्टंटिंग-लंबे समय से गंभीर कुपोषित बच्चों का इससे पता चलता है। कुपोषित मां के बच्चे भी इसी श्रेणी में आते हैं।
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अंडर वेट- बीमारी, पर्याप्त पोषण आहार नहीं मिलने से बच्चों का वजन उम्र के अनुसार कम हो जाता है।
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वेस्टिंग- बच्चे का उसकी लंबाई के मुताबिक वजन नहीं बढ़ता है।
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एनआरसी से सॉफ्टवेयर पर नजर
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<p align="justify">
पहले प्रोटोकाल का कड़ाई से पालन नहीं हो पा रहा था, इसलिए आउटपुट कम है। अब सॉफ्टवेयर से सभी पोषण पुनर्वास केंद्रों की मॉनिटरिंग की जा रही है। इससे क्योर रेट बढ़ जाएगा।
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प्रवीर कृष्ण, प्रमुख सचिव स्वास्थ्य
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रिपोर्ट में खुलासा : कुपोषण से नहीं उबर पा रहे 44 फीसदी मासूम

Published on Mar 25, 2015   Modified on Mar 25, 2015

शशिकांत तिवारी, भोपाल। प्रदेश में 44 फीसदी बच्चे कुपोषण से नहीं उबर पा रहे हैं। जबकि इन्हें शासन द्वारा पोषण, इलाज समेत सारी सुविधाएं दी जा रही हैं। कई जिलों में तो ऐसे बच्चों की संख्या एक तिहाई तक पहुंच गई है। इस मामले में राजधानी की स्थिति तो और भी बुरी है। यहां पोषण पुनर्वास केंद्रों (एनआरसी) में भर्ती बच्चों में से 47 फीसदी ही कुपोषण को मात दे पा रहे हैं। यह खुलासा राष्ट्रीय स्वास्थ्य मिशन (एनएचएम) की एक रिपोर्ट में हुआ है। कुपोषित बच्चों में लगभग 12 फीसदी गंभीर होते हैं। ऐसे बच्चों को पोषण पुनर्वास केंद्रों में भर्ती कर इलाज दिया जाता है। इसके लिए प्रदेश में 315 केंद्र बनाए गए हैं। आंगनबाड़ी कार्यकर्ताओं के जरिए या फिर परिजन सीधे ऐसे बच्चों को लाकर एनआरसी में भर्ती कराते हैं। यहां इन्हें 14 दिन तक भर्ती कर विश्व स्वास्थ्य संगठन द्वारा तय मापदंडों के अनुसार पौष्टिक आहार देने का प्रावधान है। इस दौरान हर दिन बच्चों का वजन लेना भी अनिवार्य है। हालत में सुधार होने पर बच्चों को डिस्चार्ज कर दिया जाता है। हालांकि इसके बाद भी उन्हें चार बार फालोअप के लिए लाया जाता है। इस पूरी प्रक्रिया में बच्चा कुपोषण से पूरी तरह से मुक्त हो जाना चाहिए, लेकिन प्रदेशभर के 56 फीसदी बच्चे ही इसे मात दे पा रहे हैं। इन जिलों की खराब स्थिति जिला बेड भर्ती क्योर रेट (प्रतिशत में) होशंगाबाद 70 1,151 31 बड़वानी 70 977 40 सागर 68 1,323 40 मंडला 50 822 36 नीमच 50 519 41 भोपाल 40 768 47 इन जिलों की स्थिति बेहतर झाबुआ 85 1,245 73 छतरपुर 80 1,591 73 कटनी 80 1,285 69 मुरैना 70 1,227 76 ग्वालियर 60 754 69 दतिया 60 733 76 (आंकड़े वर्ष 2013-14 में अप्रैल से जनवरी तक के) अस्पताल में भर्ती होने वाले बच्चे पर खर्च परिवहन 100 रुपए आशा कार्यकर्ता 100 रुपए बच्चे का भोजन 50 रुपए रोज बच्चे की मां को भुगतान 70 रुपए रोज फॉलोअप पर खर्च- 1,210 रुपए (गंभीर कुपोषित बच्चे को 14 दिन एनआरसी में भर्ती किया जाता है।) भोपाल में लड़कियों की स्थिति बेहद खराब राजधानी में जेपी अस्पताल, बैरागढ़, कोलार और पीपुल्स अस्पताल में एनआरसी बनाए गए हैं। यहां 2012-13 में 793 कुपोषित बच्चों को भर्ती कराया गया है। इलाज और फॉलोअप के बाद 40 फीसदी बच्चे तो कुपोषण से उबर गए, लेकिन लड़कियों में महज 20 फीसदी ही ठीक हो पाईं। इसी तरह से 2013-14 में भर्ती होने वाली लड़कियों में 18 फीसदी का कुपोषण दूर हो सका। भोपाल की चारों एनआरसी में पीपुल्स अस्पताल की एनआरसी में क्योर रेट 27 फीसदी और बैरागढ़ में 33 फीसदी है। प्रदेश में एनआरसी - 315 गंभीर कुपोषित बच्चे - 12 फीसदी एनआरसी में हर साल भर्ती - करीब 60 हजार भोपाल में आंगनवाड़ी केंद्र - 1,688 एक केंद्र में बच्चों की संख्या - 30 शहर में कुपोषित बच्चों की संख्या - 44 हजार मप्र और भोपाल में कुपोषण (प्रतिशत में) श्रेणी मप्र भोपाल अंडर वेट- 51.2 55.8 उम्र अनुसार वजन स्टंटिंग- 48 47.7 उम्र के अनुसार ऊंचाई वेस्टिंग- 25.8 24.6 ऊंचाई के अनुसार वजन स्टंटिंग-लंबे समय से गंभीर कुपोषित बच्चों का इससे पता चलता है। कुपोषित मां के बच्चे भी इसी श्रेणी में आते हैं। अंडर वेट- बीमारी, पर्याप्त पोषण आहार नहीं मिलने से बच्चों का वजन उम्र के अनुसार कम हो जाता है। वेस्टिंग- बच्चे का उसकी लंबाई के मुताबिक वजन नहीं बढ़ता है। एनआरसी से सॉफ्टवेयर पर नजर पहले प्रोटोकाल का कड़ाई से पालन नहीं हो पा रहा था, इसलिए आउटपुट कम है। अब सॉफ्टवेयर से सभी पोषण पुनर्वास केंद्रों की मॉनिटरिंग की जा रही है। इससे क्योर रेट बढ़ जाएगा। प्रवीर कृष्ण, प्रमुख सचिव स्वास्थ्य

- See more at: http://naidunia.jagran.com/madhya-pradesh/bhopal-the-report-revealed-malnutrition-are-able-to-recover-44-per-cent-innocent-333817#sthash.ROsUWSrh.dpuf

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