Mipui Hriselna chu eng nge ni? Nang leh kei tan engtin nge a pawimawh?

I khuaa family health clinic hnuaia programme lian tak, kan in lama dengue rulhut enfiah tura lo kal Public Health Inspector (PHI) emaw, ram puma naupang tê tête hnena vaccination programme pekte hi eng nge ni tih i ngaihtuah ngai em? Heng zawng zawng hi field pawimawh tak pakhata mi an ni. Chu chu ‘Public Health’ a ni. Hei hi thumal mai a ni lo va, hei hi i nun, keimah leh kan nun zawng zawng direct-a nghawng thei thil a ni. Hemi chungchang hi awlsam takin han sawi ila.

Public Health chu eng nge ni, a awlsam zawngin?

A awlsam zawngin, vantlang hriselna chu mimal natna thlir ai chuan mipui pum pui, emaw khawtlang pakhat hriselna leh hamthatna ngaihtuah a ni.

Tunah chuan, "Engtin nge chu chu doctor-in natna a enkawl dan nen a danglam?" Ni e, a danglam vek. Khawsik i nei a, doctor hmu turin i kal ang tih han ngaihtuah teh. Doctor chuan a enfiah che a, i tan bik damdawi a pe che a, i natna chu a enkawl bawk. Chu chu regular healthcare tih awmzia chu a ni.

Mahse mipui hriselna chu chu aia zau zawk a ni. "Engvangin nge he mi hian flu hi a vei?" An en a "Engvangin nge he khua pumpuiah hian mite hian hripui hi an vei? Hei hi a darh loh nan khaw pum pui hian eng nge an tih theih?"

Entirna tha dang i la leh ang u. Ngaihtuah teh, data atanga a lan dan chuan hmun khatah naupangte zingah dengue a darh nasa zawk a ni. Tichuan doctor pakhatin damdawi inah naupang dengue vei chu a enkawl a. Mahse vantlang hriselna lama mithiamte chuan chu aia tam an ti thung. Chumi hmuna PHI mi fel leh khawtlang hruaitute an ko khawm a, dengue rulhut pianna hmun tihbo nan, mipuite zirtirna pe turin programme an buatsaih thin. In tin an kal a, "Tui khat tyre leh coconut shell te chu la chhuak rawh," an ti thin. A danglamna i hmu tawh em? Naupang pakhat chauh ni lovin, khawtlang pum puiin vawi khatah hlawkna an hmu a ni. Natna a lo thlen hma pawha inven nan kawngpui an siam thin.

He public health field-ah hian tute nge thawk?

Hemi hnuaiah hian mi tam tak an awm a. Ṭhenkhat chu kan hmu tawh a, ṭhenkhat chuan a hnung lamah hna an thawk nasa hle. A changtu berte chu tute nge an nih i en ang u.

Public Health Issue te hi engte nge ni?

Mipui hriselna lama harsatna hi kan dam chhung leh nunphung tichhe thei thil eng pawh a ni a, kan chhehvela eng pawh a ni thei bawk. Heng harsatnate hian mi zawng zawng a nghawng dan inang vek lo. Chuvangin mithiamte chuan region, kum leh hnam ang chi group hrang hrangte chu a hranin an zirchiang a ni. Tichuan, eng harsatna bik nge an neih leh tihchangtlun theih dan tur an hre thei ang.

Heng harsatnate hi a hun hunah a inthlak danglam thin. Tin, ram hrang hrangah pawh an inang lo bawk. Entirnan, kum 50 kalta khan kan rama mipui hriselna lama harsatna lian ber chu Malaria a ni. Mahse vawiinah chuan thunun a ni ta. Tunlai hian natna hrik kai theih loh, dengue, zunthlum, leh thisen sang te hi kan tan chuan harsatna lian tak a lo ni ta a ni.

Sri Lanka ang ram hian tuna mipui hriselna lama harsatna lian ber ber a hmachhawn mek thenkhat chu hengte hi an ni:

• Environment hlauhawm laka invenna: Hei hian boruak bawlhhlawh, tui thianghlim in tur tlakchhamna, bawlhhlawh sawngbawlna lama harsatna, leh leia chemical tha lo awm ang chi te a huam a ni.
• Accident leh Thihna venna: Hei hian nitin thil thleng, kawngpuiah lirthei chesual, in chhunga tlanchhia leh tlu, electric-a hliam, leh tuiah pil te a huam a ni.
• Hripui laka inbuatsaihna: COVID-19 hripui hian hei hi a hlutna min zirtir a. Nakin lawka hripui eng pawh hmachhawn turin ram anga inbuatsaih a pawimawh hle.
• Mi zawng zawng tana healthcare hmuh theihna tihchangtlun: Khaw hla tak tak thenkhatah chuan miten an damloh hunah damdawi in an thlen theih nan kilometer tam tak an kal a ngai thin. Chutiang harsatnate tihbo leh healthcare mi zawng zawng tana hman theih tura siam.
• Mite nun hrisel neihna atana an mamawh thilte hmuh theihna tura tanpui: Entirna atan ei tur tha tak tak leh exercise neihna hmun him (kea kalna tur kawng ang chi) hmuh theihna te hi a ni.
• Rilru hriselna tihhmasawn: Khawtlang nunah rilru hriselna chungchanga ngaihdan dik lo awmte tihbo a, mamawhtute tan counseling service awlsam taka hmuh theihna tur siamsak.

Kan rama public health system hian engtin nge hna a thawh?

Kan ramah hian he system hi a inrual em em a ni. United States angin CDC (Centers for Disease Control and Prevention) tih hming pu institution hran nei lo mah ila, chu hna chu hlen chhuak thei tur structure nghet tak kan nei a ni.

1. National level: Ram pum huap hriselna policy, plan, vaccination programme, etc. te chu Ministry of Health leh a hnuaia Epidemiology Unit ang institution ten an enkawl a.

2. Provincial leh District Level: A dawtah chuan heng programme te hi district level-a kalpui turin Regional Director of Health Services (RDHS) office a awm a.

3. Regional level (MOH division): Hei hi kan hnaih ber unit a ni. Region tin deuhthaw hian Medical Officer of Health (MOH) office an nei vek a . Hei hi chu biala mipui hriselna lama hmalakna hmunpui ber a ni.

4. Field level: He MOH office hnuaiah hian PHI mi fel tak tak leh family health service officer (midwife) kan hriat vek te hian hna an thawk thin. He system lian tak nunna ang mai an ni. An khaw in pakhatah kalin nu naupai, naupang tê tê an enfiah a, Dengue rulhut awm leh awm loh an enfiah a, dawr fai leh thianghlim loh an enfiah a, natna hrik kai theih a lo darh huna thunun tumin an thawk a ni.

He system hian a mah chauhin hna a thawk lo. Institution zawng zawng, sikul, biak in/kohhran, khawtlang pawl, damdawi in, leh police te nen an thawk ho thin.

Nang pawhin vantlang hriselna atan i thawhhlawk thei ang!

He thu i chhiar hian, "Hei hi doctor lian leh official-te tan chauh a ni a, engtin nge ka tih ang?" Chutiang chuan ngaihtuah suh. Mipui hriselna hi kan zavaia mawhphurhna a ni. Degree emaw special training nei lo mah la, midangte nun hrisel zawk siam turin i pui thei tho a ni.

Ngaihtuah teh...

• I huan leh a chhehvel thianghlim leh dengue rulhut laka fihlim hi engtiang chiahin nge a pawimawh ? I chhungte chauh ni lovin, veng pum pui a humhim a ni.
• I vengchhunga tar, doctor pan leh haw harsatna nei an awm a nih chuan, i car-ah chuan pui rawh.
• Zing tin i ṭhian emaw, i ṭhenawm emaw, exercise lak a ngai nia a hriat nen chuan kal ṭan rawh.
• Mahni chauha awm tlawh a, chaw tui tak tak, chaw tha tak tak pek.
• Hriselna chungchanga thu dik tak (entir nan he thuziak ang hian) i chhungte leh i thiante hnena insem.
• I awmna hmuna mipui hriselna lama harsatna (bawlhhlawh buaina, kawngpui chhe vanga accident) chungchang thuneitute hriattir.

Hetiang thil tenau te hian danglamna nasa tak a thlen thei a, a chhan chu vantlang hriselna hi kan zavaia, kan zavaia, kan tan chuan hmalam hun hrisel tak siam tura investment a ni.