d]/L rfnf]{6 sf/dfOsn :6f]K;sf] hGd ;g\ !(*) df ePsf] lyof] . pxfF k|hgg clwsf/ / ue{lg/f]ws ;fwgsf k|of]usf] If]qdf cu|0fL JolQmTj x'g'x'G5 . cfˆgf bf];|f] klt;Fu ldn]/ a]nfotdf klxnf] k6s hGd lgoGq0f lSnlgs vf]Ng pxfF ;kmn x'g'eof] . To;kl5 pxfFn] Tolta]nf Hofb} ljjfbf:kb /x]sf] sfo{ cf/De ug'{eof] . t/, b}lgs ;dfGotfaf6 7"nf sfo{ ug{ ;Dej x'Fb}g . pxfF ue{ktgsf] kIfkf]ifs geP klg ue{lg/f]ws ;fwgsf] k|of]uaf6 To;sf] /f]syfd ug{ ;lsG5 eGg]df ljZjfz ug'{x'GYof] . oxfF hfltjfbL x'g'x'GYof] . pxfFn] c¿eGbf sfs]lzogsf] hftLo >]i7tfdf ljZjf; ug'{x'GYof] . pxfFn] :yfkgf u/]sf lSnlgs cfˆgf ;]jfu|fxLnfO{ kf7]3/sf] d'vdf /fVg] ;le{sn Sofk -l;lnsgaf6 ag]sf] ;fgf] 6f]kL h:tf] j:t'_, z'qmf0f'gfzs cf}iflw / coitus interruptus -;Def]usf qmddf ljo{ of]lgleq geO{ aflx/ kmfNg] sfo{_ sf ;DaGwL hfgsf/L h:tf ;]jf k|bfg ug{ ;kmn eof] . tyflk, pxfFsf] lgwgkl5sf jif{df lSnlgsn] cfly{s sl7gfOsf] ;fdgf ug'{k¥of] / kl5 pgsf] gfdaf6 :yfkgf ul/Psf] n08gl:yt cGt/f{li6«o u}/;/sf/L ;+:yf d]/L :6f]K; OG6/g]zgnn] o;sf] lhDd]jf/L jxg u¥of] . ;g\ @)@) sf] gf]e]Da/df d]/L :6f]K; OG6/g]zgnsf] gfd kl/jt{g u/L d]/L :6f]K; OG6/g]zgn l/k|f]8lS6e RjfO;]h (MSI Reproductive Choices) /flvof] .

xfn pQm ;+:yf ljZjsf #& /fi6«df ue{lg/f]ws ;fwg / ;'/lIft ue{ktg ;]jf k|bfg ug{ ;kmn ePsf] 5 . ;+:yfn] cfˆgf ;"rgf tyf hfgsf/LnfO{ 5gf}6sf] :jtGqtf / JolQmsf] hLjgdf o;sf] dxTjdfly s]lGb|t u/]sf] 5 . o;n] ;g\ @)#) ;Dddf c;'/lIft ue{ktgsf cEof; cGTo u/L cfjZostf ePsf x/]s JolQmnfO{ ue{lg/f]ws ;fwgsf] kx'Fr ;'lglZrt ug]{ dxTjfsf+IfL nIo lnPsf] 5 . o;n] k|bfg ug]{ ;]jfx¿ o; k|sf/
5g\ M ue{lg/f]ws ;fwg, ;'/lIft ue{ktg, ue{ktgkZrftsf :jf:Yo ;]jf, dft[lzz' :jf:Yo ;]jf cflb . o;n] k|bfg ug]{ ;]jf ;DaGwL ;"rL ;DalGwt b]zsf] sfg"g / k|bfg ul/g] cg'dlt cg';f/ km/s–km/s 5g\ . o; ;+:yfsf] ci6«]lnofl:yt zfvf ToxfFsf] Psdfq /fli6«o:t/sf] / :jtGq ¿kdf k|Tofog ul/Psf] ;'/lIft ue{ktg, Eof;]6f]dL -k'?ifsf] :yfoL kl/jf/ lgof]hg_ / ue{lg/f]w ;fwgsf] ;]jf k|bfos xf] .

d"n ;+:yfsf] ;f]xL nIosf ;fy cfheGbf @) jif{ cufl8 d]/L :6f]K; OG6/g]zgn :yfkgf ul/Psf] lyof] . To;a]nfb]lv g} dflg;nfO{ of}g tyf k|hgg :jf:Yosf af/]df ;;"lrt 5gf}6 ug{ d2t ub}{ cfPsf] 5 . b]zel/ o;sf #) j6f s]Gb|, 3'DtL afXo 6f]nL -df]afOn cfp6l/r l6d_ / d]/L :6f]K; dlxnf -d]/L :6f]K; n]l8h_ sf] ;~hfn of}g tyf k|hgg :jf:Yo clwsf/sf] ;'b[9Ls/0fsf nflu sfo{/t 5 . ;+:yfsf s]Gb|x¿ ;'/lIft, ;'ljwfhgs / kfos kg]{ :yfgdf cjl:yt 5g\ . ;]jf k|bfosn] ;]jfu|fxLsf JolQmut ;"rgfsf] uf]kgLotfnfO{ lz/f]wfo{ u/]sf 5g\ . g]kfndf d]/L :6f]K; OG6/g]zgnaf6 k}bfg ul/g] ;]jfx¿ b]xfosf ljifo;Fu ;DalGwt
5g\ M

!= ue{lg/f]w tyf kl/jf/ lgof]hg ;]jf

@= ;'/lIft ue{ktg / ue{ktgkZrftsf] :jf:Yo ;]jf

#= dft[lzz' :jf:Yo ;]jf

$= ;fdfGo :jf:Yo ;]jf

%= k'?if k|hgg :jf:Yo ;]jf 

ue{lg/f]w tyf kl/jf/ lgof]hg ;]jfM c;'/lIft of}g ;Dks{ ePsf] &@ 306fleq k|of]u ug'{kg]{ cfsl:ds ue{lg/f]ws ;fwgx¿ . k'?if s08d, vfg] ue{lg/f]ws rSsL ljt/0f . uef{zoleq ue{lg/f]ws ;fwg /fVg] jf lemSg], OGh]S;gaf6 lbOg] xdf]{g, k|Tof/f]k0f ;]jf . o;sf cltl/Qm s]xL s]Gb|af6 6\o'an lnu];g / Eof;]6f]dL h:tf :yfoL kl/jf/ lgof]hg ;DaGwL ;]jf k|bfg ug]{ ul/Psf] .

;'/lIft ue{ktg / ue{ktgkZrftsf] :jf:Yo ;]jfM ue{wf/0f hfFr, lrlsT;sLo ue{ktg, ;lh{sn ue{ktg, ck"0f{ ue{ktgsf] pkrf/, / ue{ktgkZrftsf] :jf:Yo ;]jf .

dft[lzz' :jf:Yo ;]jfM of}g ;Dks{af6 x'g] ;+qmd0f ;DaGwL hfFr (STI testing), k]6 Pj+ >f]0fL (abdomen and pelvis) sf] cN6«f;fpG8, :qL/f]u ;DaGwL k/fdz{, kf7]3/sf] d'vsf] SofG;/ hfFr / k|;'ltk"j{sf] :jf:Yo ;]jf . tkfO{+sf] glhs /x]sf d]/L :6f]K; OG6/g]zgn s]Gb|df oL ;a} ;]jf pknAw gx'g ;S5 . To;}n] ;]jf ;DaGwL Joj:yfsf af/]df hfgsf/L lng 6]lnkmf]g dfkm{t pQm s]Gb|df ;Dks{ ug{ ;lsG5 . s]Gb|df k|To]s k|fljlws ;]jf;Fu} tflndk|fKt :jf:YosdL{n] dft[lzz' :jf:Yo cj:yf, pkrf/ k|lqmof, To;sf nflu cfjZos kg]{ s'/f / pkrf/kZrftsf ;]jfsf af/]df ;d]t k/fdz{ k|bfg ub{5g\ .

cfkm}F ef}lts ¿kdf hfg ;lsg] d]/L :6f]K; lSnlgssf cltl/Qm d]/L :6f]K; n]l8h -dlxnf :jf:YosdL{_ / afXo lSnlgs dfkm{t klg ;]jfsf] kx'Fr k|fKt ug{ ;lsG5 . d]/L :6f]K; n]l8h tflndk|fKt ;'8]gL jf g;{ x'g\ . pgLx¿n] b"u{d tyf las6 :yfgdf kl/jf/ lgof]hg ;DaGwL ;]jf k|bfg ub}{ cfPsf 5g\ . pgLx¿ cfkm}Fn] sfd ug]{ ufpF÷6f]nsf jfl;Gbf x'g\ . k/fdz{sf cltl/Qm pgLx¿n] dflyNnf s]Gb|df k|]if0f ;]jf klg k|bfg ub{5g\ . cNksfnLg ue{lg/f]wsf pkfox¿ ;d]t pknAw u/fpg] ePklg ljlw 3'DtL afXo ;]jfx¿ Long Acting Permanent Methods (LAPM) k|bfg ug]{ sfo{df s]lGb|t 5g\ . afXo 6f]nLdf :yfgLo ;d'bfosf cg'ejL cf}ifwf]krf/ tyf :jf:Yo k|jw{g;Fu ;DalGwt sd{rf/Lx¿ cfj4 /x]sf 5g\ . o;sf] æd]/f] ;fyLÆ gfds sn ;]G6/ klg 5 . g]kfn 6]lnsd / Pg;]nsf k|of]ustf{n] !!$# df lgMz'Ns ¿kdf kmf]g ug{ ;S5g\ . pQm sn ;]G6/df /x]sf cg'ejL / tflndk|fKt dlxnf k/fdz{bfn] cfˆgf] Ifdtfn] EofP;Dd kmf]gdf cfpg] s'g} klg lh1f;f jf rf;f]sf] ;Daf]wg ub{5g\ .