یونیسیف کے مطابق، کووِڈ وبائی مرض نے ہندوستان کے حفاظتی ٹیکوں کے پروگرام کو تہہ و بالا کر دیا، اندازے کے مطابق 30 لاکھ بچوں کو 2020 میں ڈی پی ٹی ویکسین کی پہلی خوراک نہیں ملی۔
اقوام متحدہ کی ایجنسی نے جمعہ کو ایک میڈیا ریلیز میں کہا کہ جن بچوں کو عالمی سطح پر خناق، تشنج اور پرٹیوسس (DTP3) کے خلاف ویکسین کی تین خوراکیں ملی تھیں، ان میں 2019 اور 2021 کے درمیان تنازعات اور وبائی امراض کی وجہ سے پانچ فیصد پوائنٹس کی کمی واقع ہوئی۔
تاہم، یونیسیف نے کہا کہ ہندوستان “کیچ اپ پروگراموں کے ساتھ مزید پیچھے ہٹنے سے روکنے کے لیے فوری” تھا جیسے کہ انٹینسیفائیڈ مشن اندرا دھنش 3، جس نے 2021 میں پہلی خوراک نہ لینے والے بچوں کی تعداد 3 ملین سے کم کر کے 2.7 ملین کر دی۔ 2019 میں، 1.4 ملک میں لاکھوں بچوں کو پہلی خوراک نہیں ملی۔
“بھارت کامیابی کے ساتھ کوریج میں کمی کو روکنے میں کامیاب رہا، جبکہ Covid-19 ویکسینیشن پر مسلسل توجہ کو یقینی بنایا۔ یونیسیف انڈیا کے ساتھ صحت کے ماہر مینک چٹرجی نے کہا کہ شواہد پر مبنی کیچ اپ مہموں کے ساتھ ساتھ معمول کی حفاظتی ٹیکوں کی خدمات کی تیزی سے بحالی نے ہندوستان کو معمول کے حفاظتی ٹیکوں کی کوریج پر پیچھے ہٹنے سے روکنے کے قابل بنایا۔
ڈی پی ٹی ویکسین کو تمام ممالک میں حفاظتی ٹیکوں کی کوریج کے لیے مارکر سمجھا جاتا ہے۔ اقوام متحدہ کی ایجنسی کے مطابق، اب 81 فیصد پر، یہ 30 سالوں میں “بچپن کی ویکسینیشن میں سب سے بڑی مسلسل کمی” کی نمائندگی کرتا ہے۔
ہر حاملہ عورت اور بچے کو حفاظتی ٹیکے لگانے کے مقصد سے، ہندوستان نے فروری 2022 میں Intensified Mission Indradhanush 4.0 کا آغاز کیا۔ یہ عالمی سطح پر چھوٹ جانے والے بچوں اور حاملہ خواتین تک پہنچنے والی سب سے بڑی ویکسینیشن مہم ہے۔ سالانہ، ہندوستان اپنے یونیورسل امیونائزیشن پروگرام کے ذریعے 30 ملین سے زیادہ حاملہ خواتین اور 27 ملین بچوں کو ویکسین کرتا ہے۔
عالمی سطح پر، صرف 2021 میں 25 ملین بچے ڈی ٹی پی ویکسین کی معمول کی حفاظتی خدمات کے ذریعے ایک یا زیادہ خوراک لینے سے محروم رہے۔ یہ 2020 میں ان سے محروم رہنے والوں سے 20 لاکھ اور 2019 کے مقابلے میں چھ ملین زیادہ ہے۔
“یہ کمی بہت سے عوامل کی وجہ سے ہوئی جس میں تنازعات اور نازک ماحول میں رہنے والے بچوں کی بڑھتی ہوئی تعداد شامل ہے جہاں حفاظتی ٹیکوں تک رسائی اکثر چیلنج ہوتی ہے، غلط معلومات میں اضافہ اور CoVID-19 سے متعلقہ مسائل جیسے کہ سروس اور سپلائی چین میں رکاوٹیں، ریسپانس کی کوششوں میں وسائل کا رخ، اور روک تھام کے اقدامات جو حفاظتی ٹیکوں کی خدمات تک رسائی اور دستیابی کو محدود کرتے ہیں،” یونیسیف کی ریلیز میں کہا گیا۔
ویکسین کی کوریج ہر خطے میں گر گئی، مشرقی ایشیا اور بحر الکاہل کے خطے نے DTP3 کوریج میں سب سے تیز الٹ ریکارڈ کیا، صرف دو سالوں میں نو فیصد پوائنٹس گر گئے۔ یونیسیف نے کہا کہ 2021 میں 25 ملین بچوں میں سے 18 ملین کا تعلق کم اور متوسط آمدنی والے ممالک سے ہے، جن میں بھارت، نائیجیریا، انڈونیشیا، ایتھوپیا اور فلپائن سب سے زیادہ تعداد ریکارڈ کر رہے ہیں۔ اقوام متحدہ کی ایجنسی نے مزید کہا کہ “2019 اور 2021 کے درمیان ایک بھی ویکسین نہ لینے والے بچوں کی تعداد میں سب سے زیادہ رشتہ دار اضافہ والے ممالک میں میانمار اور موزمبیق شامل ہیں۔”
یوگنڈا اور پاکستان نے اچھی کارکردگی کا مظاہرہ کیا، سابقہ نے کوویڈ 19 کے ٹارگٹڈ ویکسینیشن پروگراموں کو شروع کرتے ہوئے معمول کی اعلی سطح کی کوریج کو برقرار رکھا۔ حکومتی مداخلتوں جیسے کیچ اپ کی کوششوں کی بدولت پاکستان وبائی امراض سے پہلے کی کوریج کی سطح پر واپس آگیا۔
یونیسیف نے کہا کہ یہ “امیونائزیشن کی شرح میں تاریخی پسپائی” شدید شدید غذائی قلت کی تیزی سے بڑھتی ہوئی شرحوں کے پس منظر میں ہو رہی ہے۔
2021 میں خسرہ کی ویکسین کی پہلی خوراک کی کوریج 81 فیصد تک گر گئی، جو 2008 کے بعد سب سے کم ہے۔ 2021 میں 24 ملین سے زیادہ بچے خسرہ کی ویکسین کی پہلی خوراک سے محروم رہے، جو کہ 2019 کے مقابلے میں 5 ملین سے زیادہ ہے۔ مزید 14.7 ملین ان کی دوسری خوراک نہیں ملی. رپورٹ کے مطابق، اسی طرح، 2019 کے مقابلے میں، 6.7 ملین مزید بچے پولیو ویکسین کی تیسری خوراک سے محروم رہے اور 3.5 ملین ایچ پی وی ویکسین کی پہلی خوراک سے محروم رہے، جو کہ بچیوں کو بعد کی زندگی میں سروائیکل کینسر سے بچاتی ہے۔
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Альфред Адлер (1870–1937) – австрийский психотерапевт и психолог.
Одним из первых поддержал психоаналитические идеи Фрейда и начал с ним
сотрудничество в 1902 году. Соредактор ежемесячного «Центрального листка по психоанализу», президент Венского психоаналитического общества с марта 1910 по февраль 1911 года.
С группой единомышленников вышел из Венского психоаналитического общества, в 1911 году создал «Общество свободного психоанализа», впоследствии возглавил новое направление, получившее название индивидуальной
психологии. Основные принципы его учения о человеке базировались на центральной идее,
в соответствии с которой человеческое существо представляет из себя
единое целое, формирующееся в социальном контексте и наделенное творческой жизненной силой, которая проявляется в телеологичности,
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