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Gim st theo ba ng chm im cui nm: tp trung vo cng tc qun l thai nghn, khm thai 3 ln / 3 k, chm sc sn ph ti nh t 7- 42 ngy, khm ph khoa, iu tr ph khoa, tm sot d phng ung th c t cung. - T  chc kham sc kho e cho phu# n vung su, kho khn. - Trin khai thc hin k thut ly mu mu gt chn sng lc s sinh Phng chng tai bin sn khoa: Nng cao cht lng khm v qun l thai: pht hin thai sm trong 3 thng u, qun l thai, khm thai 3 ln trong 3 k, t vn chuyn tuyn kp thi v thc hin   an ton. Ch trng quy trnh v khun sn khoa Tham gia tp hun cc chuyn mn Cac di#ch vu# k hoa#ch hoa gia inh: Duy tr thng xuyn cc dch v KHHG ti cc c s y t. duy tr t l cp v chng p dng cc bin php trnh thai hin i Vic thanh ton cc dch v KHHG thc hin theo cng vn 584/BYT- TCDS Ngy 28/7/2016 v vic hng dn thu gi dch v DS- KHHG. 1.4 Cng tac ca i thi#n tinh tra#ng dinh dng tre  em : T chc cn tr < 5 tui thng 6/ 2016 Duy tr cn tr < 2 tui /quy v tr < 2 tui SDD /thang T chc thc hnh dinh dng cho i tng ph n mang thai v m lp t vn dinh dng ti cng ng 1.5 Cng tc truyn thng gio dc sc khe: Phi hp vi TTDS huy#n truyn thng thng xuyn ti a phng CSSKSS v chm sc sc khe cho ph n tui sinh sn. KT QU THC HIN TTNi dung hot ngVTKH 2016Nm 2015Nm 2016So Snh cng kCng kK hoch nm 1Qun l thai nghnT l qun l thai%9698.798(1909/1948)!0.7102TSPN c khm thai > 3 ln %9188.591.72(1761/1948)!3.22100.79T l tr  di 2.500gr%53.23.64(71/1948)!0.58T l ph n  v tr s sinh c chm sc sau sinh ti nh%8080.586.9 (2014/2316)!0.9108.6T l pn  c NVYT %9999.8100(1920/1920)T sut cht m/100000 trsng2037.50T sut t vong s sinh101.880.86(2/2316)!1.02T sut t vong < 1 tui122.261.7(4/2316)!0.56T sut t vong < 5 tui193.772.6(6/2316)!1.172Tai bin sn khoa:Bng huytM/c0201(th12/2015)!1 casSn gitM/c00V t cungM/c0Un vn s sinhM/c0Nhim khun hu sn M/c03Chm sc sc khe Tng s ln khm ph khoaNg165001618312776!340777.4%TS ngi iu tr ph khoaNg700064236230!193ca89%4Gia m ty  l# SDD th  nhe# cn tre  < 5 tu i ( Cn n#ng/tu i)%0.30.40.3tt III. 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Nhiu n v cha thc hin siu m sn ph khoa Nguyn nhn: Kinh ph d n 7.1 b ct gim nhiu, phn b chm. Phng tin trnh thai cung cp khng y , kp thi. Kinh ph khm qun l sc khe, phng chng vim nhim ng sinh sn khng c, Kinh ph chng trnh CTTTDDTE t v phn b tr nh hng n vic trin khai hot ng ca chng trnh, CTVDD khng c kinh ph h tr YTTB khng hot ng ti 2 n v th trn Nam Ban, inh Vn C s vt cht ti mt s n v khng   b tr phng B. PHN TH HAI K HOA#CH HOA#T #NG NM 2017 MC TIU: Hon thnh cc ch tiu k hoch v chng trnh chm sc sc khe sinh sn qun l thai nghn v gim tai bin sn khoa Nng cao cht lng hot ng duy tr t l cc cp v chng p dng bin php trnh thai hin i. C gii php thc hin vic trin khai ng b cc danh mc k thut tm sot d phng ung th c t cung Ci thin tnh trng suy dinh dng tr em ( CN/ tui, CC/ tui) II.CH TIU (km theo ph lc) T l ph n  c qun l thai: 96% T l PN  dc khm thai 3 ln/ 3 k: 91% Tng s ln khm ph khoa: 13000 lt Gim t l SDD th nh cn tr em di 5 tui( CN/T):11.9% Gim t l SDD th nh cn tr em di 5 tui( CC/T):14.3% III. PHN CNG NHIM V: 3.1 i CSSKSS: - Thng xuyn kim tra, gim st, ch o tuyn bo m cc hot ng thng xuyn, nng cao cht lng hot ng chng trnh ti YTCS - Tng cng kim tra gim sat cc hot ng lin quan n gim t vong m- t vong s sinh: qun l thai nghn,   an ton, thc hin v khun sn khoa  cc c s y t - Kim tra gim st dinh dng; cn o tr < 5 tui. - Tng hp bo co, phn b  va quyt ton kinh ph chng trnh 3.2 Trm y t x, TT: - Da trn k hoch hot ng ca TTYT xy dng k hoch c th cho trm v YTTB thc hin cc hot ng ca chng trnh - Qun l i tng ph n c thai, tr < 5 tui v tr SDD ti a phng. - Kim tra, gim st cc hot ng ca CTVDD. - Qun l tt i tng ph n 15-49, ph n cn can thip cc bin php trnh thai ch trng i tng c nh sinh con ln 3 tr ln. - Thc hin qun l thai v   an ton - T chc hp giao ban YTTB hng thng  phn cng thm sn ph ti nh, c bin php kim tra gim st vic thm khm v cht lng cc hot ng ca YTTB. - Tng hp bo co, quyt ton kinh ph chng trnh ng quy nh 3.3 Khoa sn, cc phng khm KKV: - Tng cng nng cao cht lng chuyn mn thc hin   an ton, gim t l chuyn tuyn, chn on v iu tr kp thi khng  xy ra tai bin sn khoa - Tham mu cho Ban Giam c thng bo chuyn mn, nhc nh cc sai st  tuyn YTCS kp thi chn chnh. - Ti phng khm pht hin cc trng hp thai nghn co nguy c t vn kp thi, phi hp vi tuyn YTCS, phng khm a khoa khu vc qun l thai k nguy c cao. Thc hin t vn xt nghim HIV, Protein niu cho thai ph. 3.4T truyn thng- i YTDP: Phi hp tuyn truyn trong cc t chin dch SKSS; Tun l nui con bng sa m; Tun l dinh dng v pht trin; Cn tr < 5 tui v iu tra ngu nhin tnh trng dinh dng. VI. KIN NGH: Vi TTCSSKSS: Cung cp kinh ph kp thi Tng cng gim st cc hot ng Tp hun thng xuyn kin thc chuyn mn cho CBYT Vi TTDS huyn: Cung cp phng tin trnh thai y  kp thi Hp ng v cung cp vt t sng lc s sinh sm Trn y l bo co nm 2016 v k hoch hot ng nm 2017 chng trnh CSSKSS ca TTYT Lm H. 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