Báo Cáo Tổng Kết Công Tác Y Tế Năm 2015, Phương Hướng Nhiệm Vụ Phát Triển Sự Nghiệp Y Tế Năm 2016 -Hậu Giang

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UY BAN NHAN DAN 
HUYEN HAI HAU

CONG HOA XA HOI CHU NGHIA VIFT NAM 
Doc lap - Ty' do - H#nh phac

S'& 002, /BC-UBND Hai Hau, ngay 08 thong 01 nom 2016

BAO CAO

Tiing ket cong tac y„te nom 2015, ,

phtrung huirng nhiem vu Oat trien sty nghiep y to nom 2016

Nam 2015, nom cuoi thirc hien ke hooch phat trien kinh to - xa hai 5 nom
(2010-2015); tiep tvc thkrc hien Chi thi so 06/CT-TW ngdy 22/01/2002 cua Ban Bi
thu Trung uong Dang ve ding co va hoan thien mang luai y to co. sO. Mac dU con
gap ,nhieu kho khan, thach thdc, duoc su quan tam dia. cac cap uY Dang, chinh
quyen ,va. cac don vi tap trung chi dao trien khai thtrc hien tot cac nhiem vv, cong
tac y to da c6 buck phat trien va co ban hoar' thanh cac mvc tieu de ra.

PhAn thin NhAt

KET QUA HOAT BONG Y TE NAM 2015 
I. KET QUA HOAT BONG

1. Cong tac y to dkr phong va phOng chtong dich:

- UBND huyen da chi dao phong chang dich, benh tich ckrc va chu

Trong nom qua nganh y to phi hop chat the voi cap uy, chinh quyen cac xa, thi

tran, cac to chirc chinh tri xa hai va huy clang sirc manh cong &Ong thkrc hien c6
hieu qua cong tac Truyen thong - Gido dvc sdc khoe, nang cao kien thirc ph6ng
chang benh, dich va bao ve mai tru6ng cho nhan dan.

- UBND huyen xay dung Ke hooch phong, chong mat so benh dich mOi noi,
nguy hiem, phan ra cac tinh hung cu the truck, trong va sau khi dich benh say ra,
de cac don vi chu clang giai quyet voi phuong cham phat hien som, bao vay dap 
dich kip thei, khong de lay lan thir phat, khong c6 tU vong. Tren co. s6 Ke hooch
cua huyen, UBND cac xa, thi tran xay dung ke hooch cu the phi' hop voi timg dia
phuong. DOng thoi thgc hien nghiern tuc the da thong tin, bao cao benh truyen
nhiem theo quy dinh tai Thong to so 48/2010/TT-BYT ngdy 31/12/2010 cua Bo Y

tre.

- Tich cuc, chu dang trien khai cong tac giam sat va ph6ng chang c6 hieu
qua mat so dich benh nguy hiem: tieu chay cap, cum A (H7N9), cum A (H1N1),
cum A (H5N1), benh tay - chan - mieng, sat phat ban sOi/Rubella, dich dau mat
d6,... khOng de dich xay ra tren dia ban. Trong nom c6 01 truOng hop mac ho ga,
01 tru&ng hop nhiem lien cau lon, 01 truong hop viem mang nao mu (do tuyen
teen bao ve), da &roc dieu tra, giarn sat kip thoi, khOng c6 lay lan thtir phat.

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Ket qua nam 2015 khong c6 dich benh, khong c6 vu ng9 d9c thirc pham
co mot vai vu ng9 d9c thtrc pham nho le phat hien sam, xtr 19 kip theri.

2. Thtrc hien chtrung trinh myc tieu quOc gia 
- Chtrung trinh Tiem chiing rOng:

Chi dao cac don vi y to tren dia ban ph6i hop vai SO. Y to trong cong tac chi
dao, theo doi, giam sat Tram Y to cac xa, thi tran chap hanh nghiem cac quy dinh
ve dam bao an toan trong tiem chUng. Trong thang 4 va thang 8, Phong Y to phi

hop Trung tam Y te, Benh vien Da khoa huyen tien hanh tham dinh, ra soat cac
diem tiem chung tren dia ban huyen; trong qua trinh ra,soat da htrOng dAn cac tram
y hoan thin ho so trinh SeY to tharn dinh vacap giay chirng nhan co sa du dieu
kien tiem chung cho 39 diem tiem vac xin Om: 37 diem tai tram Y to xa, thi trAn;
01 diem tai Trung tam Y to huyen; 01 diem tai khoa san Benh vien Da khoa huyen.
Ngodi ra, Trung tam Y to con phoi hop vai So Y to trien khai tap huAn kien thirc ye
an toan tiem chung, cap giAy chung chi cho 155 can b9 y te.

, Tang cuerng chi dao cac don vi, Tram Y xa, thi trAn chip hanh nghiem tUc
Quyet dinh 3029 ctia,B9 Y to ve ding tac an toan tiem Huang dan kham
sang 19c, chi dinh, chong chi dinh cho tre em trong buoi tiem chting. Dam bao tiem
vac xin khong vuot qua 50 tre/m9t buoi tiem.

Ngodi vac xin trong chuang trinh, de phong ch6ng dich benh cho cong d6ng 
tot han, ,Trung tam Y to da van d9ng cong dong dung vac xin to nguyen. Nam
2015 trier' khai them vac- xin Viem nao Nhat ban tiem chung thuerng xuyen. Ket
qua so tre em duoi 1 tuoi duoc tiem chung dAy du 8 loai vac xin la 5.641 chat' dat
99,3%, Viem nao Nhat Ban miii 3 cho 5.940 tre dat 99,1% ke hoach nam. Duy tri
ket qua thanh toan benh bai lies theo tieu chuan Viet Nam, loai trix u6n van so sinh
tren quy mo toan huyen.

- Chtrung trinh chant soc sire khoe sinh san va phong, chtmg suy dinh 
citron tre em:

COng the cham soc sire khoe sinh san, truyen thong gido dpc sire khoe ba me
- tre em tiep tpc duvc quan tam, cac bin phap k9 thuat duoc tang cueing, tai bien
san khoa giam clang ke, trung binh mot php nix mang thai duvc kham thai 3,5 Fan
trong thai k9; nam 2015 kham php khoa cho gAn 53.000 luot, php va cap thu6c
cho han 26.500 lugt doi Wong mac benh, dat 100% chi tieu ke hoach giao.

To chirc cho tre tir 6 den 36 thang tuoi &mg vitamin A hai d9t/nam trong
ngay vi chAt dinh &rang. Dieu tra danh gia tinh trang dinh &rang a tre em dtroi 5
tuoi da tien hanh 400 cap me con 10 xa thirc hien du an va 5 xa. T9 le tre em dtroi
5 tuoi suy dinh duOng the nhe can la 12,75%, giam 0,95%; thAp coi 15,46% giam
0,23% so veil nam 2014.

- Cac Chtrcrng trinh phong, chiing mot se; benh xa hOi:

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tri cho benh nhan, darn bao 100% ngtx6i dan trong cong dOng dugc huang lgi ich
tir Chuang trinh phong chong lao quoc gia.

Thugng xuyen giam sat dich to sot ret, chi d6ng trien khai cac hog d6ng
ph6ng chong sot ret; giam sat va tieu diet vec to truyen benh. Ket qua, nam 2015
phat hien c6 2 ca sinh trung sot ret ngoai lai, khong c6 sot ret ac tinh, khong c6
tir vong do sot ret.

Chuang trinh quan 1g, cham sac sirc khoe tarn than cong d -1g, ph6ng,
ch6ng phong tiep tpc dugc trien khai 6 35/ 35 xa, thi tran. Quart 1( chat the va.
dieu tri tot cho benh nhan tam than tai cong &rig, dam bao cung ung thuoc day
an toan theo &mg quy dinh; tang ctrong cong tac kham phat hien benh nhan
de dua vao quan lg va dieu tri. Phoi hop voi Benh vien Tam than Nam Dinh thgc
hien philc tra benh tarn than tai 14 xa, thi tran. Trong nam 2015, phat hien 35 benh
nhan m6i, nang so benh nhan tam than kinh dugc quan 1g va dieu tri tren dia ban
huyen len 1.814 ngu6i.

Thgc hien tot cong tac tuyen truyen cho nguei dan trong cong &Ong nhan
thirc dugc cac nguyen nhan va cach phong ngira, dieu tri benh ,cao huyet dai
thao du6ng, benh phoi tac nghen man tinh, ung g6p phan tang tS/ le phat
hien benh s6m va nang cao chat lugng dieu tri benh.

• --.Chtrung. trinh Mut tien - citiOC .gla phong chOng HIV/AIDS:

Trien khai cac dgt truyen thong long ghep, not chuyen sinh hoat chuyen de,
pho bien nhang kien thdc co ban ye cach phong, chong lay nhiem HIV/AIDS;
thgc hien hieu qua Chuang trinh can thiep giam thieu tac hai, charn soc ho trg
ngithi nhiem HIV/AIDS. Phat d6ng thang hanh d6ng ph6ng, chOng HIV/AIDS N/A
tang cuong cong tac phong chong ma tug, mai dam tren dia ban huyen
(10/11-10/12/2015). Phat hon 87.000 chiec born kim tiem cho d6i tugng nghien chich ma
tug, dat 157% chi tieu ke hoach nam; to van xet nghiem HIV cho 700 doi tugng,
tr6c dat 116,7% so v6i ding ky nam 2014.,TO chirc sang 19c, Oat hien doi tugng
nghien ma toy va nhiem HIV/AIDS cho gan 2.400 thanh nien kharn tuyen nghia
vu quan sg nam 2015 va nam 2016.

Thgc hien Dg an QuSi town cau theo &mg not dung quy dinh cua Ban dieu
hanh Dg an Trung Jiang de,ra. Dieu tri ARV cho 106 benh nhan, tri nghien
cac chat dang thuoc phien bang thuoc Methadone cho 147 benh nhan, c6 hieu qua.
GiUp cho benh nhan tap trung lao d6ng, san xuat xay dung kinh to gia dinh, g6p
phan darn bao an sinh )(a h6i.

- Chtrceng trinh 'nue tieu guile gia Dan so - KHHGD:

Trien khai &Ong b6; hoat d6ng truyen thong dugc day manh, cac dg an, de an
dan so btr6c dau da phat huy hieu qua.

Ket qua thgc hien nam 2015:

+ Tong so sinh: 3.702 chat' (giam 107 chat' so vgi nam 2014);
+ TS/ le sinh con thin 3+: 14,6% (giam 0,4% so v6i nam 2014);
+ Ty so gi6i tinh: 115 tre trai/ 100 tre gai;

+ Thgc hien cac bien phap KHHGD (Dung cu tu. cung, bao cao su, thuOc
tranh thai) dat 99,5% chi tieu ke hoach nam.

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tuyen truyen van Ong, phat hien, can .thiep seam tat, benh a thai nhi tinh_Nam
Dinh" theo dung ke hoach hirOng an cua tinh. Duy tri va mo r6ng mo hinh kiem
tra sire khoe va to van tien hon nhan tren dia ban huyen.

- Chtrcrng trinh Myc tieu qulic gia ve sinh an toan thirc

Cac don vi y t6 da thirc hien tot cong, tac tham muu quan 15/ Nha nuac ve
sinh an toan thkrc., (VSATTP), day manh cong tac truyen thong va tang
cuang cong tac kiem tra, giam sat, chi trong trong thang hanh Ong vi chat lugng
VSATTP (td ngay 15/4 den 15/5/2013), dip Tet Nguyen Dan, dip Qu6c khanh
2/9, Dai h6i

116 . huyen va dip don nhan danh hieu huyen Nong thon

DOng te; chdc ,kiem tra viec chap hanh cac quy, dinh ye VSATTP gan 770 co
so san xuat, the bien, kinh doanh thirc pham, cac bep an tap the o cac truang h9c
trong huyen; trong do 14p Hen., ban xd 15/ 06 co so, 16i vi pham yeu la chin
hoan chinh ho so phap 15r, voi tong so tien phat la 5,5 trieu dOng.

Tiep tvc trien khai hoat d6ng a cac don vi diem xay dung chuan ye quan 15/
VSATTP; to chilly tap huan kien thine VSATTP cho d6i Wong true tiep san xuat,
the Nen, kinh doanh thirc pham, tren dia ban huyen. ,Trong nam 2015, t5/ le cac co
so dich vu an uong dugc cap giay chimg nhan dU dieu kien VSATTP dat 70% chi
tieu ke hoach nam.

- Chuang trinh quart dan y phiii hyp

Chi dao thanh lap 03 H6i &rig kham tuyen sire khoe thirc hien nghia vu
quan sir va tuyen sinh quan six nam 2015. To chine kham tuyen sinh cho gan 200
hoc sinh Trung h9c pho thong tren dia ban va trien khai kham khoe luu d6ng

a

17 don vi cho 1.592 thanh nien trong tuoi thkrc hien nghia vv. CUng vai cac
don vi lien quan hoar' thien ho so cho 462 thanh nien du dieu kien nhap ngu va
lam tot cong tac to chine le giao quan nam 2015 theo ke hoach.

Thvc hien Luat Nghia vv quan sir so 78/ 2015/ QH13 ngay 19/ 6/ 2015,
UBND huyen ra guy& dinh s6 7372/QD-UBND ngdy 23/11/2015 ve viec thanh
lap H6i dOng kham sire khoe nghia vv quan sir nam 2016. TO chine kham sdc khoe
Nghia vu quan ski l'an thin 2 trong nam, nen viec quan 15/ va don d6c thanh nien len

tram con nhieu kho khan. Tong so thanh nien dieu kham tren, dia ban huyen la
1.640 thanh nien, so len tram lam 1.283 thanh nien, trong do so du dieu kien sire
khoe la 804 thanh nien, dat 62,7%.

3. Cong tac y to hyc duimg:

Co ban hoan thanh cac chi tieu ve sinh moi truang, ve sinh ph6ng hoc, ve
sinh an toan thirc pham va quan 15/ cham soc sire khoe h9c sinh.

Trung tam Y to phi hop voi PhOng Gido dvc- Dao tao ra dugc Quy the
phoi hop guar' 15/ chi dao hoat d6ng Y to truang hoc. Nam 2015 tien hanh tay giun
cho 22.080 em hoc sinh Tieu hoc, dam bao an toan va hieu qua. Thirc hien dir an
HKI tien hanh kham tat khuc xa cho 15 twang hoc tren dia ban huyen.

4. Cling tac kham china benh:

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trong kham, chan doan, nang cao chat luting dieu tri va cham sac toan dien, cong
tac thuang true cap ciru phyc vu nguai benh.

Trien khai thyc hien Quyet dinh 2151c6a Bo Truong BO Y to ye viec "Doi
moi phong each, thai do phyc vu cilia can bO y to huang tai six hai long ciia nguai
benh':; nham nang cao k9 nang giao tiep, irng xir, tinh than, thai do phyc vu, ding
co niem tin va six hai long cua nguai benh, giam dang ke phien ha cho benh nhan.
Thuc hien tot the dO chinh sach kham, chira benh cho ngithi ngheo, tre em duai 6
tuoi, nguai co the BHYT va cac d6i arcing chinh sach khac.

Trong nam 2015, chi dao Hoi Chu thap do huyen ph6i hap vai Benh vien
103 kham chira benh mien phi cho hcrn 500 nail nhan chit dOc da cam tren dia ban
huyen; cung voi link myc gido xir An Bai xa Hai San lap danh sach va giri 150
benh nhan di kham, chira dyc thug tinh the mien phi; to chirc 2 dgt hien mau nhan
dao vao dip 14 niem thanh lap Doan thanh nien cong san HO Chi Minh 26/3 va
ngay 04/8/2015, ket qua qua 02 dgt van dOng da thu dugc han 1.060 don vi mau.
Tich cuc van &Ong cong d6ng trong viec tham gia hien giac mac, trong nam 2015
tren dia ban xa Hai Van co 3 nguai hien giac mac va gan 30 nguai dang 14 hien
giac mac.

*Tram Y to cac x5, thi tr5n: Kharn, china benh cho 172.580 loot

dat 111,9% so vai ding k9 nam 2014. Kham du phOng cho 231.298 lugt nguai
lao dOng, nguai cao tuoi, hgc sinh, phgc hai chirc nang cho nguai tan tat... Dam
bao an toan, khong co tai Hen trong dieu tri.

* Benh vien Da khoa huy0: vai he th6ng trang thiet bi, hien dai va doi 
ngu nhan vien y có trinh chuyen mon tot, da trien khai nhieu ky thuat
hieu qua, an toan, nhu phau thuat mo not soi, chay than nhan tao,... da irng dung

thanh cong cong nghe thong tin trong guar' lg cong tae kham, chCra benh. Nam
2015, da kham cho gan 160.000 lugt nguai, trong do so lugt nguai kham chua
benh có BHYT chiem han 76%; thu but tren 20% nguai benh a huyen ngodi den
dieu tri; ding suat sir dung giirong benh dat tren 144,6%; thu dung dieu tri not trU
cho gan 28.000 loot benh nhan tao niem tin cho nguOi benh va nhan dan trong,
ngodi huyen.

Ben canh do, trong nam 2015 Benh vien Da khoa huyen Hai Hau ph6i hap
voi HOi d6rig huang huyen Hai HO tai HA NOi kham china benh mien phi cho 150
benh nhan; ding vari HOi thay thuoc Hai Hau tai Ha NOi kham benh mien phi cho
nguai c6 cong tren dia ban 03 xa: Hai Quang, Hai Phuang va Hai LS/.

- Cong tac thirang true cap ciru dugc tang cuang, khong de xay ra tai bien;
tinh than, thai do phyc vu nguai benh cua doi nga y bac si ngdy cang duce nang
cao. Tich cyc xay dung benh vien xanh - s4ch - dep, tong buoy dap irng nhu cau
cham soc sire khoe nhan dan. Xi:mg dang danh hieu benh vien anh hung lao
&Ong trong thai k9 doi

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5. Ciing tac Ban hiem y te:

- Chi dao cac nganh chirc nang phoi hop chat the voi cap uY, chinh quyen
dia phuong trong viec trien khai thirc hien chinh sach BHXH, BHYT tren dia ban 
huyen. Xay Ong ke hoach va trier' khai thirc hien De an 10 trinh tier' tOi bao hiem 
y to toan dan giai doan 2012-2016, tam nhin den nam 2020.

- Phong Gide) chic & DT da phoi hop voi Trung tam Y te, Bao hiem xa hOi 
huyen thirc hien cac giai phap ve phat trien, nang cao chat luting cong tac y to 
trugng hoc va xay dung ke hoach phat trien BHYT tai cac co so gido duc, me( 
r(k-ig BHYT doi vai h9c sinh theo quy dinh. Chi dao cac trugng hoc trien khai 
mua BHYT d6i vefi 100% hoc sinh cua nhA trugng, xac dinh viec thirc hien chinh

sach BHYT la nhiern vu nam hoc, dua tieu chi ve tY le tham gia BHYT la mot 
trong cac tieu chi danh gia thi dua hang nam trong cac nhA trui -ng va IA mot tieu
chuan de xay Ong trugng h9c dat chuan quOc gia.

- Cac doan the, cac to chin xa hOi theo chic nang, nhiem vu tuyen truyen, 
van Ong cac hOi vien tham gia BHYT, Ong thai tang cuong huy Ong cac ngu0n
luv cua xa hOi, cua m6i ca nhan de h0 trg cong Ong tham gia BHYT.

- Tich cgc tuyen truyen va trien khai Luat sfra doi, bo sung mot so diet' cua
Luat BHYT, trong do buck dau tap trung vao cong tac tuyen truyen nhang not
dung mai (Bat buk tham gia BHYT, thyv hien theo hO gia chinh, ma rOng quyen 
lqi, ma rOng thong tuyen kham, cern benh BHYT tie ngay 01/01/2016,...) de ngtreyi 
dan hieu ve chinh sach chia se rui ro vai cong Ong nharn tao six Ong thuan, tao
chuyen bin manh me ve y thirc trong can 1)0 va nhan dan.

- Chi dao Ph6ng y to ph6i hop vai Bao hiem xa hOi huyen va cac co quan
lien quantrien khai hoach lap danh sach HO gia dinh tham gia BHYT, ginp
nam bat tot han tinh hinh-tham-gia BHYT--tren-dia-ban huyen, gop phan trong
viec-thuc day tang tSi le tham gia BHYT, tien toi BHYT toan dan.

6. Kien toan m4ng hroi y to cu

- Tiep tpc thirc hien Nghi guy& so 05/NQ-CP cua Chinh phu ve day manh
xa hOi hod cac hoat Ong,gido duc, y t6, van hod va the duc the thao. Cong tac xa
hOi hod y‘ to dugc cac cap, cac dan vi quan tam chi dao: Tang cuang viec huy
Ong nguOn lixc nang cap co so ha tang, bo sung trang thiet bi, Wang cao hieu qua
cong tac (van lY va cham soc sac khoe nhan dan.

- Chi dao cac xa, thi tran tap trung cai tao, nang cap ca so ha tang, 17,0 sung
trang thiet bi phuc vu cong tac kham, china benh dap ang yeu cau cham soc sac

khoe nhan dan. Viec xay Ong cac tieu chuan nhu: ca so vat chat, kien toan he
thOng so sach, ding co vuan thuoc nam mau, dam bao canh quan mai trugng, xay
dung Tram Y to c6 nep song van hod.

- Xay dung mo hinh ,diem toan dan tham gia phong ch0ng HIV/AIDS tai
Ong gong dan cu tai thi tran Yen Dinh va xa Hai Nam, trong do Hai Nam hoat
Ong toan dien ve can thiep giam tac hai cua HIV/AIDS.

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- Thiet lap duerng day nong, horn thu g6p y phan anh tinh hinh cham soc sirc
khoe cua cac co so y to tai Trung tam Y te huyen va 35 tram Y to xa, thi tran.

7. Cong tic quin 17 hanh nghe y, dtro.c tir nhan:

- Tang cuong quail lY linh vkrc hanh nghe kham, china benh, hog dOng chain
soc sirc khoe nhan dao, tu van quang cao thuoc, thirc pham chic nang, ngan char'
kip thi cac hoat dOng khong hop phap, quang cao san pham, kinh doanh khong
lanh manh.

- Nam 2015 da giarn sat, quail ly toan huyen linh virc kham, china benh: c6 4
pheng kham da khoa, 4 phOng kham chuyen khoa Rang - Ham - Mat, 2 phong
kham not va 44 ca chan tri y hoc co truyen.

Linh vkrc kinh doanh trang thiet bi y te va thu6c chira benh cho ngueri tren
dia ban, g6m: 03 nha thu6c tu nhan, 63 quAy thu6c trirc thuOc 5 doanh nghiep, 31
dai lY trgc thuOc doanh nghiep va 35 quAy thuoc tai 35 Tram Y to xa, thi tran.
Thu6c phOng va chita benh tren dia ban huyen &roc cung Ong tuang doi day
dap Ong &roc nhu cau cham soc sirc khoe cua ngueri nhan dan trong huyen.

- Mang lueri cac ph6ng kham Da khoa, chuyen khoa tu nhan tren dia ban
huyen da co nhcing dOng gop tich circ trong cong tac kham chira benh cho nhan

dan. Voi nguon dau tu lern ye trang thiet bi y te hien dai va nhan 1irc y te la gan 100
can WO, trong do trinh dO dai h9c va tren dai h9c la 34 ngueri; ph6ng kham Da khoa,
chuyen khoa to nhan trong nam 2015 da kham cho tren 93.700 lugt ngueri; dieu tri
ngoai tru cho gan 52.000 Fuca benh nhan.

- Chi dao Ph6ng Y to phi hop SO Y te va cac dan vi lien quan to chgc hOi
nghi pho bien cac van ban quy pham phap luat Nies cong tac quail lY hanh nghe y,
dugc to nhan nam 2015 cho lanh dao cac xa, thi tran, truang tram Y to va lanh ciao
cac ca quan, don vi lien quan. Ben canh do, trong nam ph6i hop vOi Chi cpc An
toan Ve sinh thkrc pham tap huan va cap chirng chi cho gan 100 co so san xuat,
kinh doanh thkrc pham chirc nang tren dia ban huyen.

- Phong Y te phi h9p Thanh tra y te tien hanh thanh tra, kiem tra viec
chap hanh quy dinh cUa Phap luat trong linh vkrc hanh nghe y,dkroc tu nhan tai cac
nha thuoc, quAy thuoc tren dia ban huyen. Ket qua, doan kiem tra dugc 7 ca so
hanh nghe y, 01 ca soy kinh doanh thuoc tan dugc, trong do lap bien ban xd ly 02
co so hanh nghe y, dinh chi hoat &Ong 01 co s6 kham chila benh va nhac nher 04 co
soy hanh nghe y tu nhan.

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- Benh vien Da khoa huyen: V6i six he") trg cua cac Benh vien Trung ucmg,
Benh vien Da khoa huyen xay dung ke hoach cif can be) luan phien di dap tao, boi
dung cac chuyen khoa sau, de nang cao trinh do chuyen mon nghiep vv.

- Trung tam Y to huyen phi hop v6i truemg Trung cap Y to Nam Dinh va
cac don vi c6 lien quan to chirc ciao tao 123 h9c sinh tot nghiep Dieu &rang so cap
de bo sung cho mpg luai y to than x6m. Cu 08 Y sy tuyen huyen va xa di h9c lien
thong Bac s9 de nang cao nang lgc kham, chila benh cho tuyen co so..

- Doi ngfi can bO lam cong tac y to tix huyen den co so thuemg xuyen dugc
tang cuemg, cung c6 ca ve s6 luting va nang lixc chuyen mon. S6 luting can bO

tuyen huyen la 284 nguai, trong do co 72 bac s9, 4 dugc s9 dai h9c; 35/35 Tram Y
to xa, thi tran c6 y s9 san nhi hoac nit ho sinh trung cap. DOi ngu nhan vien y to
x6m, to dan phe') la 546/546 x6m = 100% tong so x6m, to dan ph6 c6 nhan vien y to
hoat dOng.

III. DANH GIA CHUNG
1. Nhfing ket qua cl#t dtrqc

- Hoan thanh tot nhiem vu cham soc sire khoe nhan dan, dat cac mgc tieu,
chi tieu ice hoach ve kham chCra benh, y hoc din phong, cac Chuang trinh mgc tieu
qu6c gia va cac chuang trinh y to khac.

- Chn dOng phi hgp veri cac co quan tuyen truyen;
to

cap fly clang, chinh
quyen huy dOng sir tham gia ciia cac ban, nganh, doan the, chirc chinh tri - xa hoi
tai dia phuong thgc hien truyen thong nang cao sirc khoe cho cong

- Trien khai tich circ, chU dOng cong tac giam sat,. phat hien dich benh, tang
cu6ng cac bien phap kiem soat VSATTP, thanh tra, kiem tra lien nganh, chuyen
nganh viec thirc hien quy dinh cua phap luat ve VSATTP. Nam 2015 khong c6
dich lem say ra, khong c6 vu ngO d'Oc thgc pham 16n teen dia. ban.

- TOng bulk nang cao chat luvng kham chira benh, giam tai bien dieu tri,
thgc hien tot cac the do, chinh sach, dam bao cong bang trong kham china benh,
cac dich vu y t6 doi vai ngueri ngheo, tre em dual 6 tuOi, gia dinh chinh sach va de;i 
tugng kham china benh bang BHYT. Thgc hien c6 hieu qua viec don gian hod cac
thii tpc hanh chinh trong kham china benh va ap dung cong nghe thong tin trong
quan ly tai benh vien huyen, giup giam bat six phien ha cho benh nhan va gia dinh

nguoi benh.

- Ket hgp y h9c hien dai v6i y hoc co truyen, chan doan va dieu tri benh dal
hieu qua tot. Dac biet la trong cong tac cham soc sire khOe ban dau tai co

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- Cung irng dU thuoc, dam bao thuoc c6 chat lacing, gia ca hop ly va on dinh
thi twang thu6c.

Trong nam Benh vien da khoa huyen vinh du duck Chu tich nuck phong
tang danh hieu anh hung lao dOng thoi ky d6i mai; Trung tam Y to huyen dat tap
the lao dOng gi6i xuat sac va cluvc Biz) Y to tang Bang khen c6 thanh tich trong 
chien dich tiem vac xin Seri/ Rubella; 100% cac xa, thi tran duy tri dal BTCQG ye
y to giai doan 2011-2020.

2. NM-mg ton tai va nguyen nhan

- Nhu cau kham china benh va cham soc sire khoe nhan dan ngay cang
cao ca ve so luting va chat luting; cac benh truyen nhiem, tai nan thuang,tich c6 xu
huang gia tang, mot benh truyen nhiem, benh dich nguy hiem meri noi, benh la
xuat hien veri din bien kh6 luting tac dOng xau den sue khoe con nguoi.

- Viec tuyen truyen gido due nang cao sire khoe cho nhan dan tren dia ban
chua thuong xuyen, hieu qua chua cao. Y thirc phOng chong benh tat etla mot 1)0
phan nhan dan con han the.

- Ty le dan s6 tham gia BHYT con thap so voi yeu cau, cac thu tic hanh chinh
con kilo khan, chua c6 Men phap kha.c phgc.

- Cong tac quart 1/, to chirc dieu hanh thkrc hien nhiem vu tai mot se) tram y
to chua linh hoat, hieu qua chua cao. Viec irng dung cac thanh tau khoa h9c, k5%

thuat, cong nghe y hoc tien tien vao viec kharn, chan doan, dieu tri con han che.

- He th6ng co son vat chat tai mot so Tram Y ste xu6ng cap, thieu phongchde
nang theo quy dinh va khong dam bao quy dinh ye phong ch6ng nhiemkhuan tai
co s6 y te. DOi ngu nhan lac y to thieu ca ve so luting, co cau chung loci.

- Cong tac dan so - KHHGD con kh6 khan, tjf le sinh con thin 3 cao.

- Cac co s& y to to nhan buoic dau phat trier' nhung viec quart ly hanh nghe
con gap kho khan.

PhAn thin Hai

PHU'OrNG HIXONG NHIEM VU CHU YEU NAM 2016

Phat huy nhung thanh tich dat &roc, khac phgc nhfing han che yeu kern,
nganh y to huyen Hai Kau tiep tuc thue hien Ket luan se) 42, 43, 44 cua 13(i Chinh
tri ve thirc hien Nghi quyet s6 46, Nghi quyet 47-NQ/BCT cUa BO chinh tri; trien
khai Ke hoach thirc hien chien luxe Quoc gia bao ve, cham soc va nang cao sire
khoe nhan dan giai doan 2011-2020, tam nhin den nam 2030; Ke hoach hanh dOng
trien khai thgc hien de an "phat trier' y to bien, ciao Viet Nam den nam 2020".

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y to toan dan giai doan 2015-2020". Thgc hien c6 hieu qua cac chimmg trinh y to
Quoc gia, t&ng biz& nang cao chat luting cong tac cham sec sirc khoe nhan dan, g6p
phan thang loi xay Ong huyen nong them mai ben v€rng va phat trien.

I. MUC TIEU, CHI TIEU 
1. Myc tieu chung:

Tiep tuc cung c6 va hoar' thien mang luai y t6 ca sec, chU d6ng ph6ng, ch6ng

dich benh, khong de cac dich benh 16n xay ra; tiep tuc thgc hien (tong cac bin
phap nang cao chit luting dich vu y giam dan tS/ chuyen tuyen; tang cuemg
thanh tra, kiem tra chat luting VSATTP, hoat Ong cua cac co so hanh nghe y,
dugc to nhan tren dia ban; kiem soar sinh, nang cao chit luting dan so va trien khai
cac float d6ng khac nham thgc hien tot cac nhiem vu &roc giao va cac chi tieu y to
den nam 2016.

2. Muc tieu cu the:

- Day manh cac hoat d6ng y to dg phong, khong che cac benh truyen nhiem,
phong ch6ng dich benh chu Ong va tich cac, giam sat dich chat che, dich kip
th6i, che t6i da so mac, tir vong va tac hai cua dich. Trien khai hieu qua cac not
dung hoat Ong Clummg trinh Y to - Dan s6.

- Phat trien va nang cao chit luting dich vu kham, chtra benh; coi tr9ng cham
sec sirc kh6e ban dau. Tang cuang cham sec sirc kh6e cho nguai cao tuoi, nguai
ngheo_va tre em duai .6 tu6i.

- Duy., tri t57 le sinh hang nam a mirc h9p giam tSf le sinh con thir ba tra
len, giamdiem tST so giai tinh khi sinh N/A nang cao chat lacing dan s6; dap ung du
nhu cau ve dich vu ke hoach h6a gia dinh cua nguai dan.

- Phat trien nguOn nhan lirc y to ca ve so luting va chat luting; nang cao tinh
than, thai do phuc vu nguai benh.

- Tang cuang nang lgc quan 1)", nganh y t6. Timg buck tang ty le so ngu6i
tham gia BHYT tien tai BHYT toan dan.

3. Chi tieu cu the: (Co phy lac clinh kern)

H. CAC NHIpi VU VA GIAI PHAP CHU YEU

Tang cuemg sg lanh dao cua cac cap uST clang, chinh quyen, sir phi hop
chat che cua cac ban, nganh, doan the, cac to chgc chinh tri - xa h6i, to chirc trien
khai thgc hien thuOng xuyen, lien tuc c6 hieu qua cac chinh sach cua Dang va
Nha nuac ve cong tac y te, Dan so - KHHGD, chu tr9ng mot so linh virc sau:

1. COng tac Truyen thong giao dyc sirc khoe:

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dOng ye cham soc sirc khoe, y thirc phong berth, bao ve moi truOng, ph6ng chong
suy dinh throng, tu' giac thuc hien KHHGD. Day mph phong trio xay di:mg x6m,
to dan phi khong c6 nguoi sinh con thin 3 tra len.

2. Y 4 dkr phong va phong, chong dich:

- Chfl dOng xay dung ke hoach phong ch6ng dich benh ngay tix dau nam,
tang cuing theo doi, giam sat, phat hien va nang cao nang lgc khang dinh benh
dich sem, khong

de

lay lan thin phat, khong c6 tin vong.

- Xay dkrng Trung tam Y te huyen c6 du nang lkrc giam sat Oat hien dich, c6
kha nang xet nghiem, nuoi cay mot s6 vi khuan khang dinh dich benh. Tang cuing
quart 1/ va dieu hanh Tram Y to cac xd, thi tran thtrc hien tot chirc nang nhiem vy
cham soc sirc khoe ban dau cho nhan dan.

- ThuOng xuyen giant sat, kiem tra An toan ve sinh thirc pham cac co so che
bien, kinh doanh thirc pham tren dia ban huyen. Tiep tuc day manh cong tic ve
sinh moi twang, nang cao ty le 110 gia dinh dung nuov sach, nha tieu hop ve sinh.

3. Tht.rc hien Chuang trinh Y 4 - Win

Tie!) tuc thirc hien c6 hieu qua cac not dung hoat &Ong chuang trinh Y te
-Dan s6: Chuang trinh tiem chung mo• ring, dam bao an town trong viec tiem phong
cac loaf vac xin. Trien khai c6 hieu qua cac du an phong ch6ng HIV/AIDS, tang
cuing cac hoat &Ong can thiep giam tic hai, nang cao hieu qua co so dieu tri
Methadone; ph6ng ch6ng suy dinh &rang, phOng ch6ng sot xuat huyet, phong
chOrig sot ret, y te truing h9c, cham soc sire khoe tam than cong dong, phong
chong lao, phong, cham soc sirc khoe sinh san, phong ch6ng dai thao doing va cac
chuang trinh chuyen khoa tai cong

4. Ging tic khim china benh:

- Tiep tuc to chirc thuc hien Luat kham, chila benh va cac van ban huang
dart Luat. Tang cuing giam sat viec thirc hien the dO thgeeng trkrc cap ciru, nang
cao chat luong kham, ch€ia benh; thirc hien tot not quy, quy the chuyen mon va
quy tic irng xin, giao tiep van minh trong cac co so y te.

- Thgc hien tot chinh sach kham china benh cho cac d6i tuvng nglrOi ngheo,
tre em duai 6 tuoi, nguoi c6 cong, nguai hoat &Ong khang chien, Bao hiem y

- Thirc hien Ke hoach so 44/KH-UBND ngay 18/7/2013 cua UBND tinh ve
thuc hien De an Bao hiem y to town dan, nang ty le BHYT nam 2016 dat > 70 %.

- Tiep tuc thuc hien co hieu qua De an 1816 cila BO Y te; cong tic chi dao
tuyen, 116 tro k-y thuat Tram y to theo chi dao cua nganh y te.

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5. Cong tic quin 1$, nha ntrov ve y duqc:

Tang cuong quail ly thanh kiem tra 100% ca so hanh nghe y, duvc to nhan
tren dia ban, huOng dan cho cac ca so chip hanh tot cac quy dinh cua Luat Kham
chira benh, Phap lenh Hanh nghe y dugc to nhan.

6. Cong tic Dan so - KHHGD:

Tie') tvc nang cao chit lugng dich vu cham soc sirc khoe sinh san, da clang
hod cac bien phap tranh thai, thkrc hien ke hoach hod gia dinh.

Phat Ong nhieu dot truyen thong long ghep Dan so - KHHGD tren pham vi
toan huyen. Tap trung chi dao trien khai thkrc hien chitin dich dat I ngay tir q4 1
nam 2016, nhit la tai cac xa kho khan, viing yen Hen, xa, thi trin c6 mirc sinh cao,
tSf le sinh con thin 3 cao; .

7. Cong tic y t6 ca s&:

Tiep tkic thirc hien Chi thi 06/TW ye ding co hoan thien mang lugi y to ca
so; Quyet dinh so 8079/QD-UBND ngay 09/12/2015 cua UBND huyen Hai Hau
ve Ban hanh De an "Nang cao chit luting bao ve, cham soc sirc khoe ban diu nhan
dan, day manh thirc hien lc) trinh Bao hiem y to toan dan giai doan 2015-2020"

Chu trong dau to ca so ha tang 6 mot so xa ca so vat chit da xu6ng cap va
bei sung trang thiet bi phvc vv cong tac kharn chila benh tai Tram Y te. Duy tri
35/35 xa thi trin dat BO tieu chi qu6c gia.

8. Cong tic xa hoi hoa ve y t6:

Tiep tvc chi dao cac don vi thirc hien xa h6i hod y te, huy d6ng ngu6n lkrc
nang cap ca so vat chit. Thirc hien Nghi dinh s6 69/2008/ND-CP vP chinh sach
khuyen khich xa h6i hod y te, tao dieu kien thuan lqi ve trinh tsr, thu tuc cho cac
tap the, ca nhan phat trien y to ngoai cong lap teen co. so. Luat Kham chila benh.

9. Nang cao 'tang Ityc quilt 1j1, to chtic thirc hien BHYT:

Chu dOng, tich circ trien khai Luat sira dOi, 66 sung mot se; dieu cua Luat
BHYT, trong d6 buoy Au tap trung vao cong tac tuyen truyen nhimg nOi dung mai
nham tao chuyen bier' mph me ve 3"/ thirc cda can b6 N/A nhan dan.

Thirc hien cac bien phap tang tS/ le ngu6i dan tham gia BHYT, phin diu
trong nam 2016 tST le BHYT dat tren 70%. Chi dao cac tru6ng hoc van dOng 100%
hoc sinh tham gia BHYT, tuyen truyen ve quyen lgi khi kham chfia benh bang
BHYT cho Ong d6rig nharn tang ty le ngue(i tham gia BHYT to nguyen.

10. Cong tic to chtic can bi) va dao tao:

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TM. 11) BAN NHAN DAN
VeitTi T1CH
'Q H ICH

0(0

TrAn Minh Hai

Tang cueing cong tac dao tao va dao tao lai, chi trong b6i dung kien thirc
chuyen, mon cho d6i ngil can b6 tram y te. Thkrc hien c6 hieu qua De an 1816 dm
B6 Y te, nham nang cao chat lugng kham chila benh ban dau cho nhan dan.

Phat huy nhirng thanh tich da dat dugc trong nam qua va, khac phgc nhimg
kilo khan, thach thirc tru6c mat, duai sir lanh dao, chi dao cua cap uy Dang, chinh
quyen, su phi hop cua cac ban, nganh, doan the, t6, chirc chinh tri - xa h6i huyen
ding voi tinh than doan ket, trach nhiem cua tap the cac thay thuoc, can b6 cong
nhan vien, nganh y to huyen Hai Hau nhat dinh se thqc hien thang lgi nhiem vu
chinh tri cua nganh, dat va vu9rt cac muc tieu, chi tieu ,ke hoach giao, nang cao sirc

khoe nhan dan va chat lugng dan so, g6p phan Oat trien kinh to - xa h6i huyen nha
va xay dung huyen nong thon m6i ben virng va phat trien./.

No'i

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PHU LUC

TT Chi tieu Nam 2016

Chi tieu dui vao

1 S6 bac sill van dan 4

2 S6 dupc si dai hoc/1 van dan 1,0

3 Ty le thon, x6m co than vien y to hoat d6ng (%) 100

4 Ty le tram y to xa co bac si (%) 80

5 Ty le tram y to xa c6 nit h6 sinh ho4c y si san nhi (%) 100

6 S6 gitrong benh/1 van dan 23,5

CM tieu h4W dOng

7 TS/ le tre < 1 tu6i tiem chi:mg day dU (V9) , 98
8 Ty le xa duy tri dat BTCQG ve y t6 giai Joan 2011-2020 (%) 100

9 Ty le dan s6 tham gia BHYT (%) > 70

10 S6 vu dich lan tren dia. ban Khong c6

11 TS/' le clap vg ch6ng ap dung cac bien phap tranh thai (%) 82
12 Phat hien benh nhan lao AFB(+)/100.000 dan 48

13 Giarn mac sot ret so vai 2015 (%) >5

14 TS/ le bao phii mu6i io't trong cong d6ng (%) 90 
15 Quail 1S/ va dieu tri benh nhan tam than kinh tai cong d6ng (%) 100

16 Ty le CSSX dat tieu chuin VSATTP (%) 85

17 Giam tY le sinh con thir 3 tra len so vai nam 2015 (%) 1,5
Chi tieu dau ra

18 Tu6i th9 trung binh (Tu6i) 74

19 TS/ suit chat me/100.000 tre de song < 40
20 Ty suit chat tre em duai 1 tu6i/1.000 tre de song (%o) 4,7
21 Ty suit chat tre em duai 5 tu6i/1.000 tre de song (%o) < 10
22 TS/ l'e phat trien dan s6 to nhien (%) 1,26

23 Mix giam tS/ suit sinh hang nam (%o) 0,2

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