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Introduction

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clglR5t ue{af6 aRg cfsl:ds ue{lg/f]w Ps ljsNk

k[i7e"ld

;a} lsl;dsf kl/jf/ lgof]hgsf ;fwgx?sf] ;xL ?kn] ;w}+ k|of]u u/] tfklg ljZjdf jif]{gL em08} ^) nfv clglR5t ue{x? /xg] ub{5g\ . w]/}h;f] ljsfG;f]d'v b]zx?df $)% eGbf a9L hGd clglR5t ue{sf sf/0fn] x'g] u/]sf] cg'dfg 5 . g]kfnsf] ;Gbe{df klg #&% lzz'x? clglR5t ue{af6 hlGdg] kfOPsf] 5 . clglR5t ue{wf/0f g} ue{ktg ug'{kg]{ k|d'v sf/0f xf] . olb clglR5t ue{wf/0fsf] b/ 36fpg ;lsof] eg] c;'/lIft ue{ktg / o;af6 dlxnfdf x'g] dft[ c:j:ytfsf ;fy} dlxnfnfO{ csfn d[To'af6 arfpg ;lsG5 .

clglR5t ue{wf/0f /f]syfdsf nflu cfsl:ds ue{lg/f]w Ps k|efjsf/L pkfo x'g ;S5 . c;'/lIft of}g ;Dks{ ePsf] cj:yfdf jf ;fwg c;kmn ePsf] cj:yfdf -h:t}M s08d km'6\g', lkN; vfg lj;{g', cflb_ s]xL ;do jf lbgleq cfsl:ds ue{lg/f]wsf] k|of]u u/]df ue{ /xg] ;Defjgf x'Fb}g . t;y{, olb cfsl:ds ue{lg/f]wsfaf/] ;d'bfodf hfgsf/L u/fO{ r]tgf hufpg ;lsof] eg] dlxnfx?nfO{ ue{ktg ug'{kg]{ afWotf / To;af6 x'g] vt/faf6 w]/} xb;Dd arfpg ;lsG5 .

Emergency Contraception (EC) eg]sf] s] xf] <

Emergency Contraception -cfsl:ds ue{lg/f]w_ Pp6f o:tf] pkfo xf], h;n] dlxnfnfO{ c;'/lIft of}g ;Dks{ ePsf] jf ;fwg c;kmn ePsf] cj:yfdf -h:t}M s08d km'6\g', lkN; vfg lj;{g', cflb_ s]xL ;do jf lbgleq k|of]u u/]df ue{ /xgaf6 arfpF5 . cfsl:ds ue{ lg/f]wsf] k|of]u cfsl:ds cj:yfdf dfq ug{ ;lsG5 . cfsl:ds ue{lg/f]wsf] ;fwg cGtu{t cfsl:ds ue{lg/f]w rSsLx? (Emergency Contraceptive Pills) / cfO{=o'=8L= -sk/–6L_ kb{5g\ .

Emergency Contraceptive Pills (ECP ) eg]sf] s] xf] <

c;'/lIft of}g ;Dks{ ePsf] &@ 306f -# lbg_ leq ue{ /xg glbgsf] nflu k|of]u ul/g] rSsLnfO{ ECP elgG5 . ECP cfsl:ds ue{lg/f]wsf] xdf]{gn -Hormonal_ tl/sf xf] . o;nfO{ "Morning after pills" jf "Post coital pills" klg elgG5 . kl/jf/ lgof]hgsf c:yfoL ;fwgsf] nflu vfg] u/]sf rSsLx? gLnf]sg JxfO6 / ;'gf}nf] u'nfkmnfO{ g} cfsl:ds ue{lg/f]wsf] ?kdf vfg ;lsG5 .

ECP sf] ?kdf k|of]u ul/g] ;fwgx? s]–s] x'g\ <

ECP sf ?kdf k|of]u ul/g] rSsLx? ;j{;'ne ?kdf kfOg] kl/jf/ lgof]hgsf c:yfoL ;fwgx? lgnf]sg JxfO{6 / ;'gf}nf] u'nfkm g} x'g\ . k|f]h]li6g lkN; cfsl:ds ue{lg/f]w s} nflu agfO{Psf] ;fwg xf] . To;}n] o;nfO{ cfsl:ds cj:yfdf dfq} k|of]u ug'{ kb{5 . ECP ] k|of]u x'g] b]zx?df o;nfO{ kf]li6gf]/–@ sf] gfdaf6 lrlgG5 . kf]li6gf]/–@ df b'O{j6f rSsL x'G5g\ . o;sf] k|of]u ;fwf/0f lkN; h:t} c;'/lIft of}g ;Dks{ ePsf] &@ 306f jf # lbg leqdf ug'{kb{5 t/ xfn of] g]kfndf pknAw 5}g .

ECP sf] k|of]u s;/L ug{' kb{5 <

dlxnfx?n] c;'/lIft of}g ;Dks{ ePsf] &@ 306f leq hlt;Sbf] rfF8f] klxnf] 8f]h lng' kb{5 . klxnf] 8f]hdf $ j6f ;]tf] /+usf] rSsL vfg' kb{5 . klxnf] 8f]h lnPsf] l7s !@ 306f kl5 bf];|f] 8f]hdf k]ml/ $ j6f ;]tf] /+usf] rSsL g} vfg' kb{5 . b'O{j6f 8f]h vfPkl5 8f]h k"/f x'G5 .

ECP sf] k|of]u

lkN; klxnf] 8f]h
-c;'/lIft of}g ;Dks{ ePsf] &@ 306f leq lng'kg]{_
bf];|f] 8f]h
-klxnf] 8f]h lnPsf]
!@ 306fkl5 lng'kg]{{_
!= lgnf]sg JxfO{6 jf ;'gf}nf] u'nfkm • • • •
-$ j6f ;]tf] /+usf] lkN;_
• • • •
-$ j6f ;]tf] /+usf] lkN;_
@= k|f]h]li6g lkN; kf]li6gf]/–@
-! j6f lkN;_

-! j6f lkN;_

cfO{=o'=8L -sk/–6L_M cfO{=o'=8L=n] klg cfsl:ds ue{lg/f]wsf] ;fwgsf] ?kdf sfd ub{5 . o;nfO{ c;'/lIft of}g ;Dks{ ePsf] % lbg leq kf7]3/df /fv]df ue{ /xg lb+b}g .

ECP sf] k|of]u ubf{ s]–s] s'/fdf Wofg lbg'kb{5 <

ECP sf] k|of]u ug'{ cufl8 lgDg s'/fdf Wofg lbg'kb{5 M

olb s'g} dlxnf klxn] g} ue{jtL eO{;s]sL l5g\ eg] cfsl:ds ue{lg/f]wsf] ;fwg k|of]u ug{ x'Fb}g;

cfsl:ds ue{lg/f]wsf] ;fwgnfO{ lgoldt ue{lg/f]wsf] ;fwgsf] ?kdf k|of]u ug{ x'Fb}g;

cfsl:ds ue{lg/f]wn] of}g c+usf] ;+qmd0f / Pr=cfO{=eL=÷P8\;af6 hf]ufpFb}g .

ECP sf] k|of]u ubf{ afGtf ePdf s] ug]{ <

ECP lnPsf] @ 306f leq afGtf ePdf k'gM ToxL 8f]h cyf{t rf/ rSsL bf]xf]¥ofpg' kb{5 . 8f]h bf]xf]¥ofpg' Ps 306f cufl8 afGtf /f]lsg] cf}ifwL vfP/ dfq 8f]h bf]xf]¥ofpg' kb{5 . o;/L vfFbf klg afGtf /f]lsPg eg] tflnd k|fKt :jf:YosdL{sf] ;xof]udf of]lgaf6 kf7]3/df k7fP/ klg o;sf] k|of]u ug{ ;lsG5 .

ECP sf kmfObf / c;/x? s] s] x'g\ <

kmfObfx?
ECP ;:tf], ;'ne / k|of]u ug{ ;lhnf] 5 . o;nfO{ dlxnfx?n] s'g} klg ue{lg/f]wsf] ;fwg k|of]u gu/L of}g ;Dks{ ePsf] cj:yfdf jf ;fwg k|of]u ubf{ klg c;kmn ePsf] cj:yfdf clglR5t ue{af6 aRgsf] nflu k|of]u ug{ ;S5g\ . ECP sf] k|of]un] ue{ /xg g} glbg] ePsf] x'gfn] o;n] ue{ktg ug'{kg]{ cj:yf cfpg lb+b}g .

c;/x?
ECP sf] k|of]un] dlxnfx?df ;fdfGo c;/x? b]vf kg{ ;S5g\, h:t}M jfs–jfs nfUg], l/Ë6f nfUg], 6fpsf] b'Vg], dlxgfjf/L clgoldt x'g], cflb . ECP sf c;/x? lgoGq0f ug{sf nflu vfgf vfPkl5 ;'Tg] ;dodf o;sf] k|of]u u/]df o;sf c;/x?df sdL cfpF5 .

s] EC ue{ktgsf] k|lqmof xf] <

cfsl:ds ue{lg/f]wn] clglR5t ue{ /xgaf6 hf]ufpF5 t/ of] ue{ktgsf] k|lqmof eg] xf]Og . ECP sf] k|of]un] l8Dafzoaf6 l8Da lg:sgnfO{ cj/f]w k'¥ofO{ z'qmsL6 / l8Dasf] ldng x'g lb+b}g . olb z'qmsL6 / l8Dasf] ldng eO{;s]sf] 5 eg] klg kf7]3/sf] leQfdf 6fFl;g lb+b}g / kf7]3/df k|lts"n jftfj/0fsf] ;[hgf ul/ ue{ /xg lb+b}g . t;y{, ue{ g} /xg glbg] x'gfn] of] ue{ktgsf] k|lqmof xf]Og .

s] ECP sf] k|of]un] ue{df /x]sf] aRrfnfO{ c;/ u5{ <

cfsl:ds ue{ lg/f]wsf] ;fwg k|of]u ubf{ olb dlxnf klxn] s} of}g ;Dks{af6 ue{jtL eO{;s]sL l5g\ eg] klg pQm ue{jtL dlxnf / ue{df /x]sf] e|'0fnfO{ s'g} klg c;/ ub}{g .

ECP nfO{ kl/jf/ lgof]hgsf] ;fwgsf] ?kdf lgoldt k|of]u ug'{ x'G5 ls x'“b}g <

ECP nfO{ kl/jf/ lgof]hgsf] ;fwg h:t} u/L lgoldt k|of]u ug'{ x'Fb}g . o;nfO{ cfsl:ds ?kdf dfq k|of]u ug'{ kb{5 .

s] Psk6s ECP sf] k|of]un] dlxgf e/L g} ue{jtL x'gaf6 arfp“5 < s] ECP sf] k|of]u ug]{ ljlQs} dlxgfjf/L z'? x'G5 <

ECP cfsl:ds cj:yfsf] nflu dfq xf] . o;n] Psk6ssf] of}g ;Dks{af6 /xg ;Sg] ue{af6 dfq arfpF5 , k'/} dlxgf;Dd sfd ub}{g . olb csf]{ k6s of}g ;Dks{ ug'{k/]df kl/jf/ lgof]hgsf] c:yfoL ;fwgsf] k|of]u ug'{k5{ . o;sf] k|of]ukl5 t'?Gt} dlxgfjf/L x'Fb}g ,dlxgfjf/L klxn] s} ;dodf jf s]xL cl3kl5 x'g ;S5 .

cfsl:ds ue{lg/f]w rSsL slQsf] k|efjsf/L 5 <

olb cfsl:ds ue{lg/f]w lkN;sf] 8f]h c;'/lIft of}g ;Dks{ ePsf] &@ 306fleq k|of]u eof] eg] &% k|ltzt k|efjsf/L x'G5 (WHO-HRP 2000-2001) . olb c;'/lIft of}g ;Dks{ ePsf] !@ 306f leq g} cfsl:ds ue{lg/f]w lkN; lnPdf of] cema9L k|efjsf/L x'G5 .

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