This live class by Shalini Mam from PS Tricky Classes covers essential concepts for BTSC ANM 8938 exam preparation, including cold chain equipment (vaccine carriers for sub-centres, ILR and deep freezers for PHC/district levels), vaccination schedules (pentavalent vaccine at 6, 10, and 14 weeks; DPT booster at 16-24 months and 5-6 years), vaccine vial monitoring (VVM stages 3-4 indicate vaccine is no longer safe), Mission Indradhanush 5.0 targeting children up to 5 years, open vial policy (applicable to Pentavalent, Hepatitis B, DPT, TT, TD, OPV, IPV but not BCG, MR, Rotavirus), and HMIS (Health Management Information System) for health data management.
Deep Dive
Prerequisite Knowledge
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Deep Dive
BTSC ANM 8938: सिलेक्शन वाली क्लास 🔥 | बस इतना पढ़ लो, सीट पक्की! | Live @ 10 AM l BY SHALINI MAMAdded:
Hello Hello Hello Hello Namaskar Namaskar Namaskar Sat Shri Akal Aadab Sushwagatam Welcome to all of you PS you all are on Tricky Classes nothing, the phone sound was on, right so Adarsh ji very very very good morning to all of you very good morning how are all of you lovely sisters how are you all Bindu Bindu Kumari ji very good morning Mukesh Shah very good morning Sarita Suman very good morning Babli ji very good morning Adarsh ji very good morning Julie very good morning from Tripati ji oh from our side too a very very lovely good morning to you Lata ji very good morning Gopal ja Soni ji Arastha Arastha oh sorry Sarita please forgive my words our Kalyani viva Poonam ji very good morning Rani ji Tripati ji Adarsh ji Mukesh ji ma'am how does the class get turned on you are talking about the class app ok one day I told you no problem there might not be a home option down below the class option so if you click there it will be turned on. Chanda Kumari ji very good morning. How are you guys? How are you all? Krishna Kumari ji, Har Har Mahadev. Amrita Kumari ji good morning Guddu Azad. Guddu Azad, maybe your name is Khushboo Khatoon.
Guddu is free. Is your name Khushboo Khatoon?
Wow madam.
Thank you very much for making such a prediction. Us Bano Khan Assalam Ma'am Assalam Walekum how are you my dear sister Om Shanti Ma'am Om Shanti Ranju Devi ji Om Shanti how are you doing your beautiful day has dawned how is your life going Mukesh Sahab no one, you just message me once you just message on Sir's number you will be given directions once ok that's how it starts.
Ok. This is a very lovely question today.
Yes, that's a very lovely question today.
Ok. So let's get started. Today's breakfast is absolutely new and freshly prepared.
Today's breakfast is absolutely fresh and hot.
Today's class is with a new concept. Ok?
Your today's class is with some new concepts. That means whatever your program is for the second year. Yes, from today onwards we are going to treat the questions of all the programmes.
Ok? Today we are going to treat all those questions.
All the important questions, possible questions, all those questions will be there.
Ok ok ok Preeti ji very good morning.
Rajesh, good morning. Pof Grammer Very good morning. Very good morning Anjani ji.
Kanchana very good morning.
Devil very good morning Noor Khatoon very good morning oh wow after a long time we took your name Gopal Das Ram ji Har Har Mahadev Har Har Mahadev when you read ANM interview then what question is asked in it when you read ANM interview then what question is asked in it Sweety Kumari very lovely question is asked oh wow madam I did not know that very lovely questions are asked when you give ANM interviews, give vivas then see which questions will be asked from here let us see today what can be asked which can be asked in ANM interview come come let us start today's lovely class here take which cold chain equipment is mainly used for storing vaccine at a sub-centre option A is iceline refrigerator vaccine carrier walk in cooler or deep freezer quickly Radhe-Radhe ma'am how are you? Rikki Rinki Devi ji Radhe-Radhe Shri Radhe is very lovely, we are very happy. I am happy, I am engrossed in it. Are in the remembrance of the Lord.
Jai Shri Ram Ma'am. Govind ji Jai Shri Ram.
Jai Shri Ram.
Sangeeta Kumari Good morning ji. Good Morning. Hey, please give us your answer quickly.
Tell me how did you like this question? Yes sir. So what will happen?
Which cold chain equipment is primarily used for storing vaccines on a device? Which cold chain equipment is primarily used for vaccine storage at a sub centre. At a sub center. Oh wow, some people, oh this is what I enjoy, there are some people who will answer right away. I will like those people who will answer that madam this will happen. Oh wow very good very good very good very good B guys very good very good who all are there are some people like Divya Devi very good Pammi very good oh wow Anjani very good oh all those who have B, you all are in our hearts because you have given the correct answer. Vaccine carrier is used. It is like a box. There is a hanger. Do you remember that blue box? Hey, not that blue colored box, not that blue colored box, this vaccine carrier is the cube shaped one which you hang on the shelf, yes, the same one is used in all the centres, as a part of the cold chain, we are using the same boxes.
Ok? Vaccine carrier will be the most important and primary means to store and transport the vaccines at safe temperature at the sub-centre level or at a village level site.
ILR and defrosters are mainly located at PHC or district level. So remember this. For all those who were answering D or A, this is the main point that what is ILR, right? Where are iceline refrigerators and deep freezers used? So brother, where are you in our PSC? All these things are used at our district level because the population here is high. The population in PSC is low. So we will place our call chain box accordingly. It's okay, it's okay. How did you like the question pattern? Yes, sometimes I will keep surprising you like this. Don't worry.
Ok? Just trust us.
Ok. Ok. Don't worry.
Come. At what age is the third dose of pentavalent vaccine given as per the National Immunization Schedule? According to the National Immunization Schedule, at what age is the third dose of pentavalent vaccine given?
Yes sir. A at six weeks, B at 10 weeks, C at 14 weeks or 9 months. Yes, quickly, quickly, quickly, quickly, quickly, okay Sakshi B, good morning, Radhe-Radhe, Suraj Kumar ji, I saw the dawn as soon as I saw you, yes, oh madam, what did you say [laughs] what will happen, there are so many people, Ranjeet, what is it, friend, it has gone up as well, Rajti Kumari, I am also a person like that, I also do not leave without reading. It was written Rajti Kumari. Kajal Kumari ji very good morning ji. We also extend our heartfelt regards to you. Come and start answering. Look, when we read the answer of one person, then all the people turn towards that person. Oh no no, this will be the answer. Oh, I made a mistake.
14 weeks last six. Hey friend, I remembered you guys. Okay, very good. Yes, I remember.
What will happen at 14 weeks? Hey, I told you right now 6 10 6 10 14 Yes, the baby is given three primary doses of pentavalent vaccine, one at six weeks, one at 10 weeks and one at 14 weeks.
These are all ages that we will give pentavalent on so many weeks. What all will come? This will include DPT Hepatitis B Hib sorry B Hib okay that means DPT Hepatitis and Hib okay yes okay brothers let's move ahead let's talk about PVM vaccine vial monitor okay so which stage indicates that the vaccine is no longer safe for use.
It should be destroyed. Yes. That means you should throw it away. At what stage? At what stage? Do you remember anything like that?
Well, we will change the color and then it will be fun. Then it will be fun.
Then it will be fun madam. Yes, then it will be fun.
Oh my god, oh my god. Then it will be fun. There is so much fun in teaching by changing the colour. Yes. Ding ding ding ding ding ding ding no ding ding.
Yes. Do you remember this thing? Do you remember this thing? Do you remember?
He should run away. Time sings the same song over and over again.
Some people say things to me like this. I am telling the truth. What will you say? She keeps singing the same song again and again. You have more [sound of clearing throat] do you even remember the oaths we took. We went crazy together, yes, do you remember [singing voice]? Let's see the answer now. Let us take a look at our comments. Ma'am, no, I do n't remember. Neeva Kumar [laughs] Good morning ma'am. Lalita Samastipur.
Brother, please send me the address. I am telling you. The distance between you and me is just a short distance.
We will come. You just write till Samastipur.
Where will we go after reaching there? Tell.
Write down the address. Ma'am, Samastipur, this is the number of the house in this ward on this road. Then see, you will find us near your door in the morning.
What will happen? What will happen to you Kalia? Four.
In stages three and four, you will see this symbol placed behind the vaccine vial monitor.
Ok? There is a circle and in the middle there is a rectangular shape. The rectangular shape is deeper blue and the side one changes color as time goes by. When we come to the third and fourth, the colour of both of them becomes almost similar. It is a little less on the fourth. This much remains in the timing of the third.
What will happen in the timing of the Fourth?
This middle color that you are seeing, sister look at here, this middle color that you saw, this middle color will become the same and the color of this circle will also become totally the same dark blue.
Ok? Yes, okay. Once it turns dark blue, it will no longer be usable.
Simple move forward. Done. I have said enough.
Steps Three and Four In Steps One and Two of the VMI, the inner square is lighter than the square clock circle. Ok? I made the circular shape of the circle in the first and second so that this sphere remains light. The middle one will be dark. When both match in the third and fourth stage, then the vaccine does not have to be used.
End End In step three the square becomes the same color as the circle and in step four it becomes darker than the circle. The vaccine is considered bad in both these stages.
Ok? In both these stages we consider the vaccine to be bad. Under whom?
So under vaccine vial monitoring, the vaccine vial has to be monitored. Ok? Ok? Next question is Mission Indradhanush 5.0 yes err do you know the difference between zero and shunya it will be like this zero sorry sorry excuse me [laughs] so you know the difference between zero and 0 err it was said by mistake brother you guys are intelligent right ok brother so this is zero and this is 0 okay so it is like this so look there it is 5 0 okay right? Isn't it 5.0? Look how are you friend, it's 5.0. Ok? What is? It is 5.0. So which age group of left out children is primarily focused on under Indradhanush 5.0? So now I will tell you that in Mission Indradhanush, we know that humanization happens.
But which child has also been added under Kis Ab Dekho 5.0? Who is the abandoned child? So I will tell you. Yes, I will tell you.
Under Mission Indradhanush 5.0 which is group of left out children is primarily focused upon Option A is only children of 0 to 2 years Option B is children of 5 years Option C is children of 10 years Option D is only teenagers Who were added Madam, you had come but could not meet you Lalita Kumari from Samastipur It was good that you had come but you could not meet us You are looking very happy today Ma'am Neetu Kumari from Gaya Yes that today we thought that whatever has gone wrong should be rectified Yes rubbish days keep coming in life Yes things keep going bad, things keep getting ruined too but it all depends on our thinking if we think that friend what happened, I went home, my YouTube class for a day was such and such, then we become completely dull, like we drain our energy a lot, so I thought that no, it all depends on my thinking. If we think that the world is very beautiful. Really the world is very beautiful and all the people are good.
Everyone thinks that we are giving you classes. That's why I am happy brother and the secret of my happiness is that I have changed my thinking and I am happy.
Yes yes no come on brother see the answer. Come on.
How many under Mission Indradhanush? So what was done to children up to 5 years of age? got involved.
What was done to children up to 5 years of age? got involved. Please ma'am teach me quickly. The weather is bad. Hey thanks for telling me. Otherwise the connection will become loose. Yes absolutely. Oh, it's so early.
Look, so much so quickly. Let me see whether my answer is correct or not?
B. Ok. Children up to 5 years of age. Yes, the main objective of the Intensive Mission Indradhanush for children up to five years is to reach all the children up to 5 years of age and pregnant women who have missed regular vaccination due to any reason.
You can get all the vaccinations done for all those children within 5 years.
I forgot to get BCG or Hepatitis, DPT, MID, you can get all the vaccinations for your child till the age of 5 years.
Okay, right? The next question is about the digital water solution for BCG vaccine.
What is the maximum time period required to use BCG vaccine after dissolving it in digital water? With in how much? Maximum time the VCG vaccine must be used after what reconstitutions will be told quickly of course you know you guys know that this will happen in 4 hours, after that nothing, see the stuff does not take time where it is not required, we do not take it where we have to explain, we will have to explain and the weather on our side is a little up and down, God is with me, nothing bad will happen, okay, I know all this, there is nothing new in it, okay, whatever I tell you, remember this thing that after 4 hours brother, why do you start dancing brother? Yes what to do after 4 hours? The vaccine has to be thrown away. Just remember the open vials policy of the Government of India.
Yes, the meaning of open vials policy is that after you open the vials, what will be its policy? So wow, what did you understand? Same thing happens.
Look at this, which of the following teas is not applicable to this policy? If it is not there, please pay attention. Janata Party Option A on Pentavalent and Hepatitis B on BCG MR and Protavas on DPT and TT and TD on OPV and IPV what is the effect on whom it will not be applicable Open Vile Policy on whom has it not been implemented Open Vile Policy People will say this is the policy I don't understand Oh, so to speak, on opening the open vile policy brother, on opening we have asked you so many expensive questions, sister I am telling the truth, after doing this you will enjoy, on which one will you enjoy, so see brother, on which one, let us see the answer first what would the public say Oh wow if we tell you who are the good people like Anu Kumari, now see the one who went wrong, don't misunderstand yes Anu Kumari is there, Shobha ji who is answering B Sonali is there, Tripati is there wow very good yes Neebha is there and who is Pooja is there and who is Khushboo is there Oh wow Vijay Gammar you here I mean Vijay people I mean boys and girls BCG MR and Rota virus these are the vaccines which what about open vile vaccine Does it? Meaning that he does not follow the policy of that thing. It means that all these vaccines have to be dissolved and mixed.
Its powder is different and the water used to mix it contains almost NaCl. Ok? So let's combine that with the help of water, what does this policy do? Does not use it.
Okay, right? Ok? Look brother, the open vial policy does not apply to teas that are made by mixing powder. Like BCG, MR or those which are live antibodies like rota virus, these have to be thrown away after a certain time after the session is over.
Ok? So what does open wile policy do? Ca n't maintain it. Because after opening it, it has to be thrown away immediately. You cannot store it for long. Okay, right? Okay, right? Come to the next question. Pentavalent vaccine protects the child from which five life-threatening diseases? What happened to my voice? It is decreasing. TB, polio, measles, pneumonia, diarrhoea, diphtheria, whooping cough, tetanus, hepatitis just mentioned. Ok? Hib or diphtheria, typhoid, malaria, smallpox, Hib, all of these should be correct. Tetanus Corona AIDS Tolia Phalna Chilna will tell quickly everyone will tell quickly this should not be wrong by anyone yes if it is wrong then it will be a sin for them we are telling [laughs] if it is wrong then what will be the sin and what else diphtheria whooping cough tetanus yes DPT hepatitis and habit okay yes next question is you know this I don't want to go into it you should explain you guys know this next is your eight what is the main objective of logistics supply chain in health management? Option A is building a new health center. Option B is to ensure continuous availability of pressure and tees and prevent stockouts. Option C is to transfer the doctors.
Halving hospital budgets. What will happen? Open while sorry not open while it's about the logistics supply chain. Now you are saying that madam, yes everything was fine, what is this? Okay, fine, I will tell you why are you worried, first answer it, it should be locked on B, wow, wow, it should be locked on B, some people say no, oh no, you are of course answering correctly, but we are telling you, don't guess, it's okay that the one which appears to be big is the one, yes, oh my god, that's it, so let's ensure continuous availability of medicines and vaccines and prevent stock out, all these things, how much medicine do you have, how much do you need, how much do you want? All these things come under the logistics supply chain.
Ok? All these things come under the logistics supply chain. Ok?
Hey very good very good very good good.
Press the direct connection of logistics. Look, look, this is very cute. We have designed it like that. See if you understand the concept.
This logistics is directly related to medicine. Ok? And what causes it? It happens through vaccine, it happens through syringe. from other necessary materials.
Whatever the demand, supply and storage, now this is the only thing that needs to be done brother, with the management of storage so that there is no hindrance in the treatment of patients.
Ok? Have you heard the name of a disease, what is it useless? Waste your time. Let's see. RMNCH Plus A strategy name given A plus sorry plus means plus means first will be A is giving additional health medicines okay very lovely question a little serious ho ke okay yes mausamsi hoga rehna but when the question comes then become serious inclusion of adolescence and linking different stages of life D is to treat only HIV positive patients.
What do you think?
What does plus mean in the RMH Plus A strategy?
What is the meaning of plus? What does the public say? Hey, please answer while being completely conscious.
We are saying don't guess. Do n't go where you see something written in big letters.
Ok?
Ranju Devi locks it. Directly everyone gives us the lock and key. Here you go ma'am, just rock it. Hey brother, okay, fine.
Now listen, you might not have understood its meaning as far as I am concerned but do you want me to explain it to you? Look, look, let me tick this first, it's long. Yes, let's listen very carefully. You guys listen carefully that the RMN CA+ strategy came in 2013. How much did it cost? In 2013, first remember this is the strategy of 2013.
Another strategy came under this. Ok? Let us look at the next slide. I do n't want to gather here. So let's read it first. Ok? The full form of RMNCA+A is Reproductive Maternal Newborn Child Health Adolescent Health. Ok? The plus here means inextricably linking health services from home to brother hospital, including adolescent health. Ok? Ok? What was this only before? What was it? Earlier this was this, this was MCH. Ok?
What was there before? MCH was for Mater Health Care. Isn't it? Or rather, it was a national health mission. Ok? Then by changing it, that is, in this, only mothers and small children were added.
Then it was revised. Then the change was made.
And what will he do about all the changes that occur in the adolescent during adolescence? I will tell you. And when was this implemented?
It was implemented in 2013. Apart from this, there is another one, what about our National Health Mission? National Health Mission, okay? National Health Mission. Was this also implemented in 2013? Was this also implemented in 2013? NHM, okay?
And one more, when was a National Health Program also implemented? How much does the National Child Health Program (RBS) cost? So what happened in 2013 itself? It came into effect.
So these three things were implemented only in 2013.
That's why we have told you about it here.
Ok? So keep this in mind.
A substation let me see the time.
Ok? What information is mandatory to be written in the stock register of pressure by the ANM at a sub-centre? Option A Only names of patients and their mobile numbers Receipt of pressure, distribution and remaining quantity C Only hospital work, attendance of staff Name and address of the medicine factory What is this, think and answer Think and answer No ma'am we will not think No we will see the length We have seen the length Madam it looks very big Yes this is what it will be now Yes this is what it will be now. Hey Baba, I always tell you to read it sometimes.
Whether it happens is a different matter. It happens. What should be done? Ok. Ok. What will these rewards do? So what about pressure gain, delivery, and remaining volume you have to keep? Its stock register has to be maintained. Ok? Ok?
When should the first tetanus and diphtheria vaccine be given during pregnancy?
When is the first tetanus and diphtheria vaccine given during pregnancy? Hey everyone who just got pregnant, have you got it? If it is not lying then run.
Ok. No, not at all, that's the problem brother. Look brother, when is the first vaccination for tetanus and diphtheria given during pregnancy?
Hey madam, we will go only if you say so.
As soon as we came to know that our cow ownership has been confirmed, we got ourselves registered initially and left. Oh wow you have done a great job my dear sister, yes what more can I say you have gone, okay then what injection is given for tetanus and diphtheria, all right all right yes all right ma'am so listen where will you go, under which it is done, it is done under ANC, okay okay, TD first and TT injection is given only after it is known, what is the correct route and dosage of giving rota virus vaccine to the child, which vaccine is it, it is rota virus. Which vaccine is it? Rota is live antititude. So what do you think? When should it be given? Through which route and how much should be given? What is? You must know it.
Rotavirus OPV is sub-oral. Everything is oral. Two drops of OPV have to be given. Rota virus, of course, absolutely correct. Absolutely correct.
What will happen? It will be five drops, madam.
Give five drops orally. Ok? Give five drops orally.
This raises another question. What becomes of whom the brother is given? So for whom? So brother, it is given for diarrhea.
Another question has arisen.
For whom is it given? So for diarrhea. Ok? Hey Baba, for whom is it given? So it is given for diarrhea. Okay, right? Let's move on to the next question. It's just like Tofuru.
What is your next question? Yes Birth dose of Hepatitis B should be given Yes At what maximum time after the birth of the baby? Within 24 hours, within 48 hours, within 7 days or within a week or within six weeks. This is a common question. This is a very nice question that there is a birth dose of hepatitis B. What dose is this?
Birth dose. So I am also telling you that there is a birth dose. So how much should it be? With in 24 hours.
To prevent the spread of Hepatitis B infection from mother to child, it is important to give its first dose immediately after birth or within a maximum of 24 hours.
What will be its effect if given after this? Its effect will be reduced.
That thing will be transferred to the child. Then this medicine will not work. That's why they don't give it.
Okay, right?
Come, do you know about the portal HMIS used in the health sector? Those whose mother is an ANM would know about it. Yes, ma'am, it is an app. What is the full form of HMIS? Let us tell you Health Mission and Humanization Schedule, Health Management Information System, Hospital Management and Internal Safety, Human Monitoring Indian Service. What would be the meaning of HMIS, which is being used a lot during these days. All our hospitals, that is, all our ANMs, use this thing.
What will happen? What will happen? This is a very sweet question. Hey friend, why are you bored? How can anyone be bored? No one is getting bored right now. Look, everything is being answered continuously. Mam Health Mission and Information Health Mission and Information being done. Oh wow, wow, management innovation, oh wow. Let's get it all wrong now. What will happen? What will happen? [laughter] [laughter] Now look, the public will follow our slightly crooked path.
But ma'am you are lying madam. This does not happen. this is what happens.
Ok.
Ok. Ok. No problem. No problem.
Hey, it's nothing like that. Come on, what will happen? So nowadays everyone is using Health Management Information System.
Look, this is a health management information system. It is a digital platform brother. Just remember that. This is a digital platform. Today ANM people use it a lot. It is used a lot at all centres and PHCs.
Where data of health centres across the country i.e. sub centres PHC CHC is recorded. Brother, so what? So that health policies and programs can be reviewed. Yes.
What can be done about all the health policies that are in place, all the programs that are being conducted in hospitals? Inspection can be done. That's why this app was created. This site is created here as H MIS is the information management information system. Ok? And whatever hospitals there are, our PSA, CSC and sub- centres, you will be able to handle all the things there through this on the phone. You will get a tab.
Ok? Be happy, you will get it.
Yes brother, I will get it. Ok? All of you will get a tab and you will put all the things on it.
Ok? You will write things down, enter data so that those above you know everything about how much money you spent.
Yes yes now look I am nothing here, everything is fine. Look FIPV yes okay.
By what route and where is the Fractional Inactivated Polio Vaccine administered as per the National Immunization Schedule? In the muscle, under the skin, under the skin or through the mouth, where is FIP applied brother, do you remember?
Do you remember where FIP is applied, where is it applied, where is it applied, madam I can't remember, okay, okay, where will it be applied, oh just see the answer, where will it be applied, mine is also wrong, very good, everyone's is going wrong, some people are running away, it's going wrong, so is this something, oh stay firm, stay determined, read it completely, brother, in this way you are getting so much good, that too free, free, free, be happy, loot it, what else, the whole lot will come, more will come right now, yes, more will come right now, new questions, new things will come right now, do n't worry, okay, what will happen, where should we worry, intradermal in the right upper arm, okay, right upper arm, what will happen, intradermal in the right upper arm, FIP is applied inside the skin in the ID, please remember, FIP VV in the ID, on the right upper arm, okay, on the right upper arm, by doing this you will remember, there was one or the other, a lovely sister, a lovely sister of mine, but I don't know her name I remember he had said ma'am immunization immunization so I thought whatever comments you people have made till now, if you would have noticed of course that I have brought questions on the basis of each comment, you have noticed that we do not ignore anything, neither do we ignore the good nor the bad.
Let's answer it's inside the skin. What is the routine vaccination for FIV given in two doses at 6 and 14 weeks by intradermal route in the right upper arm? We give. For how much? At 14 and 16 sorry six and 14 weeks. What thing brother?
What were you giving me just now? Will FIP also occur at 6 and 14 weeks? It will fall between 6 and 14 weeks.
Ok? In which age group is the second dose of DPT booster given to a child? 16 to 24 months, 5 to 6 years, 10 to 10 years or 14 years? I will tell you. DPT asks in which age group the second dose is given?
DPT Yes, it is sunny. Oh wow. And tell me where else are you from? Tell me about all the places.
Weather departments, oh my weather departments, please tell us how much and where, tell us everything about your respective areas that yes madam, it is sunny here, hot here, rain here. Yes.
So guys are my weather department team.
[laughter] Okay.
Hey we are trying our best to finish on time. It will be done with full effort. There are 25 questions. It will definitely happen.
We will not waste your time.
We will not let even a minute of yours go waste. Not even 1 minute. Then it will be a sin for me. I wasted your 1 minute.
This is not good. Brother, it will be 5 to 6 years old. What answers do you guys give? You do amazing things. Come on.
First booster dose of DPT at 16 to 24 months. Hey, first of all remember it. The second dose is 5 to 6 booster doses. The first is 16 to 24. The first is 16 to 24. Ok? Whereas the second booster dose is to boost the immunity of children.
Now he will say the second one, now we will ask you a question, tell me why do we give the second dose?
What will you say, elder sister? Ma'am, to keep the immunity strong, we also give a booster at the age of 5 to 6 years. We give a booster. Take the next question.
According to the rules of coal chain management, it is mandatory to record the temperature of vaccine refrigerator at least how many times a day? You all are sitting at the centre. Imagine, imagine that you are sitting at a sub-centre and you have to go there again and again, oh not again and again, there is a certain period of time, you have to go there and check whether your ILR is working properly or not, madam, you just told me that ILR is done in PSC, CSC, where did it happen at all the centres, okay, it was not done, okay, in PSC, CSC [laughs], in PSC, CSC, how many times will you check, how many times, oh madam, don't ask, see, we will give you a straight answer after checking, yes, after checking, we will check in the evening, morning and evening, okay, suppose you got the sub-centre, will it be fine, if you go to the adjacent one, then what will you do, you will check the temperature of the ILR, what is it now, what is it now, okay, next question is, do you have anything else in it, is there anything new in it, nothing new, why is it written 'health, cleanliness, sorry, cleanliness, tobar' in public health facilities i.e. government hospitals, centres? Which award program is launched by the government to promote enhanced hygiene practices and infection control? I will remember one thing now, if I tell you about it, I will remember it. Ayushman Bharat Award, Kayakal Award, Janani Suraksha Award or Swasth Balpat Swasth Bharat Medal, just look, you will suddenly see that once a year when you go to a government hospital, you will see it shining, suddenly it will appear clean but hey, Diwali has come, the hospital is clean, yes then you know what you will come to know, what you will come to know is that in a government hospital, for cleanliness and to promote infection control practices, the government gives an award for the hospital, OPSC, CSC for everyone, that whose hospital is good, he will be given the award. This happens when you are training, you will remember that once you are made to clean the hospital without any reason, you are cleaning here and there.
Hey brother, this was so that your hospital gets an award. Which one?
Under the Kayakalp Award.
Under the Kayakalp Award, your hospital is given a prize that brother, this is the most lovely, clean and unique hospital here. Ok? It is under this. Okay, right? Ok.
Under the Kayakalp scheme, the government health centres that meet the standards, i.e., those that meet the standards, are given cash prizes for their cleanliness, better maintenance and waste management. The waste management here is also very good.
What else does it do for them? She gives respect Babu, she gives money and also gives respect. That's why people go crazy.
Even if you assume that out of 365 days, for 300 days all the stuff is lying scattered here and there. Blood here and urine there, but on that day you will see that the whole thing will look clean, new and fresh. Yes, you are selfish, what for? Look, this is what people have said for Kalpa money. Now look, you should not say this brother. Ok. Some of them exist in real life also. Some people do this too.
Okay, right? Come on next question.
What will be the primary objective of the mental review meeting conducted by the ANM with the ASHA and Anganwadi workers of her area? Yes, think that now you have to sit in a meeting and there is also an Asha sitting in that meeting. Ok? Will you both sit together and tell the whole story? What else will you do? You will say this happened in our house.
This has happened in his house. We don't know, sister. It's going on like this. You will do that what will you do in that meeting? Yes. What would you do? It is okay to review the targets of the previous month. It is okay. You will do more micro planning for the next month's vaccination health sessions. You will sit and plan minutely how to run your sub- centre. What was the target for this month? Did we achieve it or what more do we need to add to the target that we are making for the next month? Both the sisters will talk together.
Yes, you have become an NM and Asha is fine, if you have become an WW, then come there. There is something else in this. She plans for the next month's VHND. It is okay, right? It is okay for the health nutrition day. We will tell you in the month. Now see the question here. If any child's primary vaccination is completely missed. Yes, there is no need to worry if it is missed. It is okay. If any child 's primary vaccination is completely missed, then according to the national schedule, till what maximum age can the measles and rubella vaccine be administered? There is no complete vaccine exemption right now. Oh no Babu, if the vaccination for measles and rubella has been missed, then till what age should it be given? Only for 1 year, 2 years, 5 years or 10 years? When should the measles and rubella vaccine be administered? Well, we're not looking at the comments. Okay, I am taking a look.
Tell me quickly, quickly, quickly, quickly. Tell me what will happen?
No, yes, these were common things. How much? Now 10 5 means you have to do everything within 5 years.
No matter what the dose is. Ok? It may belong to anyone. The next question is for you. Children, remove one of the following minutes, we did not apply it, it is very hot today. You know there is a little less sunshine in the weather but because of this sunshine there is more humidity. Ok?
Which of the following T vaccines is given at birth? DPT, BCG, Measles and Pentavalent.
DPT, BCG, Measles and Pentavalent. I mean, we were telling this because the weather has become a little bit of a big meaning for us here. It's hot brother. Even now the weather department is formed. Let's move ahead.
Hey, don't worry, friend.
You know that nothing is very important in summer. When did the family planning program start in India? When did it start? When did it start? In 47, 52, 65 or 71?
When did family planning start? Hey, do you know that India was the first among the 52.
Look at our great India, the first question of the first country in the world, this one is when was it implemented? Second, who implemented it first? From our side, India. Next question: What is the mechanism of M in MCH services? Oh wow. Please ask such questions.
What does M stand for in MCS services?
What does M mean? Malaria, Mental, Maternal, Medicine. What does M mean?
What will happen? Maternal. What will happen? M stands for maternal. Ok? Maternal means motherhood of M.
You have the next question. How often is V HMD organized in the village? That's why you were not telling it once a week once a month once a year every 15 days you were not telling it still I understood it from this option itself I understood from this option what would be the answer ok ok ok so give me fast ok 54 I mean 10 54 but in this also some people do it right what D people yes hey D people Re ji so your answer is once a month brother ok what will you do for BHA ND once a month you people will organize it in your village ok on Wednesday ok no generally we do it on Wednesday only yes brother come what can't it be done it is over alright now see I don't know how it happened so thank you so much all of you stay till the end stay connected see understand read oh brother keep studying ok wherever you are study move towards your goal every day do n't sit idle for even a single day study every day ok study from wherever you find it convenient. But if you want to read from us on the app, yes brother, let us see your magic on the app also, then to contact us, go to our contact details which we do not remember. Yes [laughs] this is the number 8051305735, consult on that number. You can understand each of your basic points by visiting us on our app.
Read the things of first year and second year carefully and keep them in mind so that you will not face any problem in the exam. I just want to say that there will be no problem. Ok?
Thank you so much. You stopped here. If you are new then please like, subscribe and share.
If you think it is worth giving. Ok? Otherwise you yourself know who is what and who is not. People feel it. I explained 16th November again, I said what is the meaning of 16th November Kanchan ji, all right Noor Khatoon, thank you so much, you are also lovely friend, lovely people only, please explain 16th November again, we will explain 16th November right now, let us see once what is there in 16th November, yes 16th November, where are you, 16th November is here. In which age group is the second dose of DPT booster given to a child? DPT booster is the first dose of DPT. There is a second dose.
DPT is reading twice. Ok? Here you have been given the description to read DPT twice, in which you will see that DPT is given once at 16 to 24 months and the second dose is given in the armpit when the child turns five or six years old. Do n't you go at the end to give a DPT injection, that means you go to give an injection to your child in the fifth year? Yes, madam, your child is five years old, you are going to get the injection, so which injection, DPT? Yes, it remains the same and what else do I have to understand in this, concept wise brother, and I have sent some PDFs, yes, I will send it, I don't know, I am feeling strange, I have to go, bye, yes, let it be, now I will not be able to do it, I am not fine, bye, okay, take care of yourself, everyone, keep studying well, okay, thank you so much.
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