ࡱ> _ hbjbj Dbb!#,  nnnnn8n4C^C`C`C`C`C`C`C$EHfC-n8^CnnC&&&"nn^C&^C&&:x< P;JCC0Cf;H@!zH,x<x<&Hn<&CC#CH 4: S Y T LM NG TRUNG TM Y T LM HCNG HA X HI CH NGH(A VIT NAM c lp  T do  Hnh phc S: 52/ KH - TTTYT Lm H, ngy 30 thng 03 nm 2017 K HOCH Trin khai hot ng can thip gim tc hi d phng ly nhim HIV/AIDS huyn Lm H nm 2017  Thc hin k hoch s 76/KH-AIDS ca Trung tm phng chng HIV/AIDS ngy 09 thng 03 nm 2017 v vic trin khai hot ng can thip gim tc hi d phng ly nhim HIV/AIDS nm 2017. Trung tm Y t huyn Lm H xy dng k hoch hng dn hot ng can thip gim tc hi nm 2017 vi ni dung sau: I . MC CH - Khng ch t l ngi nhim mi HIV trong nhm nghin chch ma ty xung 15%, nhm ngi bn dm xung 5%. II. CH TIU - 50% t l ngi nghin chch ma ty tip cn vi chng trnh bm kim tim. - 50% t l ngi bn dm tip cn vi bao cao su. III. I TNG CAN THIP Ngi mua dm, bn dm. Ngi nghin cht dng thuc phin. Ngi nhim HIV. Ngi c quan h tnh dc ng gii. Ngi thuc nhm ngi di bin ng. Ngi c quan h tnh dc vi cc i tng trn. IV. NI DUNG HOT NG 1. Hot ng truyn thng 1.1 Mc ch - Vn ng s tham gia ca cc ban ngnh on th v cng ng trong trin khai chng trnh can thip gim tc hi d phng ly nhim HIV. - Nng cao nhn thc thi  gp phn thay i hnh vi s dng bm kim tim trong tim chch ma ty v s dng bao cao su ng cch trong quan h tnh dc. - Qung b cc dch v can thip gim tc hi v cc dch v phng, chng HIV/AIDS khc. 1.2 i tng truyn thng - Ngi bn dm, ngi nghin chch ma ty, ngi nhim HIV v gia nh ca h, ngi c quan h tnh dc ng gii nam, ngi thuc nhm di bin ng. - Ngi dn trn a bn trin khai cng tc can thip gim tc hi. 1.3 Cc ni dung truyn thng - Tnh hnh ly nhim HIV trong nhm ngi NCMT, mi dm, nhng nguy c ly nhim qua tim chch ma ty v quan h tnh dc. - u tin tuyn truyn v li ch ca chng trnh iu tr thay th cc cht dng thuc phin bng Methadone. - Truyn thng v hiu qu ca cc bin php can thip gim tc hi d phng ly nhim HIV. - Li ch ca vic gim v khng ch t l ly nhim HIV ca ngi NCMT i vi s pht trin kinh t - x hi. - Nhng kh khn, thun li trong qu trnh thc hin cc hot ng can thip gim tc hi. - Gim k th v phn bit i x vi ngi nghin chch ma ty v mi dm. - Cc vn bn qui phm php lut quy nh v trin khai can thip gim tc hi d phng ly nhim HIV ni ring v phng chng HIV ni chung. 2. Xy dng v o to cho mng li cng tc vin, tuyn truyn vin ng ng, cn b thc hin chng trnh d phng can thip gim tc hi. - Duy tr mng li hot ng ca cng tc vin v nhm ng ng vin. - T chc tp hun o to li cho cng tc vin Y t thn bn, tuyn truyn vin ng ng thc hin chng trnh can thip gim tc hi  p ng c nhu cu v t ch tiu  ra. 3. Hoa#t #ng gio dc ng ng/tip cn cng ng 3.1 Mc tiu - Tip cn vi ngi nghin chch ma ty (NCMT), ngi bn dm (NBD)  cung cp kin thc d phng ly nhim HIV, hng dn k nng tim chch an ton v tnh dc an ton; - Cung cp, khuyn khch ngi nghin chch ma ty s dng bm kim tim sch trong mi ln tim chch, s dng bao cao su ng cch trong mi ln quan h tnh dc; - Chuyn tip ngi NCMT, NBD, v, bn tnh thng xuyn ca h ti dch v t vn xt nghim t nguyn HIV, iu tr Methadone, chm sc iu tr HIV, khm cha bnh ly truyn qua ng tnh dc. 3.2 Nguyn tc hot ng - m bo tnh t nguyn ca khch hng; - m bo gi b mt cc thng tin c nhn ca khch hng; - Tn trng khch hng; - m bo an ton v kim sot nhim trng i vi nhn vin tip cn cng ng. 3.3 Phng php tip cn cng ng ngi nghin chch ma ty, ngi bn dm. - Nhn vin tip cn cng ng trc tip tip cn vi tng ngi NCMT, NBD hoc nhm ngi NCMT, NBD  thc hin cung cp kin thc d phng ly nhim HIV, hng dn k nng tim chch an ton v tnh dc an ton, khuyn khch s dng BKT sch, BCS trong quan h tnh dc, gii thiu chuyn tip dch v t vn xt nghim t nguyn, iu tr Methadone, chm sc iu tr HIV/AIDS v cc dch v y t, x hi khc. - Cch thc trin khai: La chn theo ch tiu trung bnh c 15- 20 ngi NCMT/NBD la chn 01 nhn vin tip cn cng ng. - Hng thng nhm nhn vin tip cn cng ng t chc sinh hot nh k 01 ln/thng vi cn b ph trch chng trnh HIV  bo"@ & 2 ʼ󮢙vj^UIj=hh&pmHnHuhhmHnHuhmHnHuhh+SmHnHuhhPmHnHuhhmHnHuh 3mHnHsH uhNUhNUmHnHuhNUmHnHuhhu9mHnHujh6UmHnHuhh~>05mHnHuhhs5mHnHuhh~>05mHnHuh5mHnHsH uhh~>0mHnHu"N ` d f rr$dh`a$gdons$a$gddJxgdTVkd$$Ifl0L #q  t644 layt} $$Ifa$gd@ $$Ifa$gd} 2 8 F J T ` d j r z | ~ ´se^VNB6Bhh 55CJaJhh65CJaJhq_bh 5hq_bh 55 hPh,h4h~>0mHnHsH uhh~>06mHnHuhP'hP'6mHnHuh46mHnHsH uh 36mHnHuh 36mHnHsH uhNUhNU6mHnHuhNU6mHnHuhhp6mHnHuhh~>0mHnHuhhu9mHnHuhhTmHnHu  \ ^ ` b d f   ǸyiYL<<hgIhCJaJmHnHuhjCJaJmHnHuhgIhTCJaJmHnHuhgIhR^CJaJmHnHuhgIh_ CJaJmHnHuhjCJaJmHnHsH uhgIh 5CJaJmHnHuhpahQ5hpahR^5jh}5UmHnHuhh 5CJaJmH sH hhj5CJaJmH sH hhpa5CJaJhhHZ5CJaJ " 2 b h ²o]K9"hgIhR^5CJaJmHnHu"hgIh-5CJaJmHnHu"hgIhL$05CJaJmHnHu#hgIhwCJaJmHnHsH u#hgIh6CJaJmHnHsH uhgIh 5CJaJmHnHuhjCJaJmHnHsH uhgIhCJaJmHnHuhgIhCJaJmHnHuhgIhR^CJaJmHnHuhjCJaJmHnHuhgIh-CJaJmHnHu h0x.,fRNL, $dha$gdons$ & F5dh^5`a$gdons$dh`a$gdons   *hܽܮ܊yeSAe"hgIhJP5CJaJmHnHu#hgIhE2CJaJmHnHsH u&hgIhE25CJaJmHnHsH u hA5CJaJmHnHsH uhgIhjCJaJmHnHu&hAhq_b5CJaJmHnHsH uhA5CJaJmHnHuh;OCJaJmHnHsH uhgIhCJaJmHnHuhgIh,CJaJmHnHu&hAh-5CJaJmHnHsH uR^v(*bdRTXIJ|jXXjF#hgIh$CJaJmHnHsH u#hgIh CJaJmHnHsH u#hgIh:CJaJmHnHsH u#hgIhpaCJaJmHnHsH u#hgIh}CJaJmHnHsH u#hgIhmi5CJaJmHnHsH u#hgIhq CJaJmHnHsH u&hgIhq 5CJaJmHnHsH u&hgIh!e5CJaJmHnHsH u&hAhJP5CJaJmHnHsH u"N 6Vjl>D~J8:<>@dz}}kWE"hgIh8K5CJaJmHnHu&hgIh(6N5CJaJmHnHsH u#hgIh(6NCJaJmHnHsH u#hgIh+ CJaJmHnHsH u#hgIhF5CJaJmHnHsH u#hgIhp4CJaJmHnHsH u&hgIhF55CJaJmHnHsH u&hgIh0f5CJaJmHnHsH u#hgIh}CJaJmHnHsH u#hgIh0fCJaJmHnHsH u,:Z^B!"$P$$%N%%&)*FFFGhII$dh`a$gdons $dha$gdons@XZ^f0jlʺzjZJ::*hgIh{*CJaJmHnHuhgIh`0YCJaJmHnHuhgIhqCJaJmHnHuhgIhq_bCJaJmHnHuhgIh%?CJaJmHnHuhgIhCJaJmHnHuhgIhaqCJaJmHnHuhgIh LCJaJmHnHuhgIh(CJaJmHnHuhgIh8KCJaJmHnHu"hgIh4I5CJaJmHnHu"hgIh L5CJaJmHnHu"hgIhJP5CJaJmHnHu^`B!D!""$$ $$$N$P$R$$$%%N%P%%%%&&))**d+÷Ûxh÷hAh(6N5CJaJmH sH hA5CJaJhgIh(6NCJaJhgIhbCJaJmH sH hgIhb5CJaJmH sH hgIhs_5CJaJhgIh(6N5CJaJhgIhb5CJaJhgIhDCJaJmHnHuhgIhE"jCJaJmHnHuhgIhaqCJaJmHnHu&d+f++FFFHFFFFFFGGGGhIjIIIIȽsdVD"hgIh(6N5CJ\aJmH sH hgIh}5CJ\aJhgIhbCJaJmH sH hgIhdCJ\aJmH sH hgIhdCJ\aJhgIh(6NCJ\aJhgIhbCJ\aJmH sH "hAh(6N5CJ\aJmH sH hA5CJ\aJhgIh(6N5CJ\aJ"hgIhb5CJ\aJmH sH UhgIh(6NCJaJhgIhbCJaJ co kt qu v k hoch tip cn. 4. Hoa#t #ng cung cp, hng dn s  du#ng bm kim tim - Tri n khai hoa#t #ng phn phat bm kim tim ta#i 16/16 xa, th trn va nhm nhn vin tip cn cng ng. - T chc hot ng thu gom BKT  qua s dng: tin hnh thu gom qua mng li tuyn truyn vin ng  ng, c#ng tac vin v thu gom ti cc c s y t, tin hnh vic thu gom, x l BKT  qua s dng theo quy nh. 5. Hoa#t #ng cung cp, hng dn s  du#ng Bao cao su - Phn pht v hng dn s dng BCS thng qua cac i m cung cp di#ch vu# phong, chng HIV/AIDS ta#i 16/16 xa, th trn va nhm nhn vin tip cn cng ng. 6. Hot ng iu tr nghin cc cht dng thuc phin bng thuc Methadone - Tng cng truyn truyn, qung b v li ch ca iu tr nghin cc cht dng thuc phin bng thuc Methadone. - Phi hp vi cc cp chnh quyn, ban ngnh, on th c bit l y ban nhn dn cc x, th trn trong vic gii thiu bnh nhn tham gia iu tr Methadone. V. T CHC THC HIN 1. Cng tc tham mu Phi hp vi phng Y t tham mu UBND huyn ch o: - Cc thnh vin trong Ban ch o cp huyn duy tr trin khai tt cng tc can thip gim tc hi. - Ch o cc BC phng chng HIV/AIDS cc x, th trn trin khai hiu qu hot ng, chng trnh can thip gim tc hi, c bit l cng tc qun l, gim st vic thc hin ch tiu k hoch c giao, cng tc phi hp gia cc ban ngnh trong vic tuyn truyn can thip gim tc hi phng chng HIV/AIDS. 2. Phn cng nhim v 2.1. i YTDP - L b phn thng trc ca n v ch ng phi hp vi cc TYT x, th trn, khoa phng c lin quan, xy dng k hoch, trin khai thc hin cc hot ng  c BG ph duyt, n c kim tra gim st tnh hnh thc hin chng trnh ti cc TYT x, th trn. - T chc 01 lp tp hun cho cng tc vin Y t thn bn, tuyn truyn vin ng ng thc hin chng trnh can thip gim tc hi. - Duy tr sinh hot nhm ng ng nh k 1 thng/ln. - Tham mu BG phi hp vi i truyn thanh huyn  tuyn truyn cc ni dung v chng trnh can thip gim tc hi. - Nhn v cung cp cc ti liu truyn thng, trang thit b cho cc x, th trn thc hin trin khai chng trnh can thip gim tc hi. - Tng hp, thng k, bo co kt qu trin khai theo ng quy nh. 2.2. Trm Y t x, th trn - Phi hp vi i YTDP trin khai hot ng chng trnh can thip gim tc hi. - Xy dng v trin khai k hoch chng trnh can thip gim tc hi: Duy tr im cung cp dch v phng chng HIV/AIDS ti 16/16 TYT x, th trn cho cc i tng c hnh vi nguy c cao. - Hng thng bo co kt qu thc hin phn pht BKT, BCS v i YTDP. - Duy tr hot ng ca mng li cng tc vin, Y t thn bn v chng trnh can thip gim tc hi. - Phi hp Ban vn ha cc x, th trn tuyn truyn kin thc chng trnh can thip gim tc hi trn h thng loa pht thanh. - Phi hp vi UBMTTQ, on Thanh nin, Hi Ph n, Hi Nng dn, tuyn truyn kin thc chng trnh can thip gim tc hi - Nhn, cp pht cc ti liu truyn thng v cc trang thit b cho cng tc vin y t thn bn thc hin truyn thng can thip gim tc hi. - Cp pht ti liu tuyn truyn ti cc doanh nghip, c s vui chi gii tr trn a bn. - Ch o nhn vin Y t thn bn tuyn truyn, pht t ri, tranh nh v HIV/AIDS n tng h dn. - nh k bo co hot ng chng trnh theo thng, qu, nm vo ngy hp giao ban YTCS ca thng theo ng mu quy nh. VI. KINH PH - S dng ngun kinh ph cp cho cc hot ng chng trnh phng, chng HIV/AIDS nm 2017. Trn y l k hoch trin khai chng trnh can thip gim tc hi d phng ly nhim HIV/AIDS nm 2017 ca Trung tm Y t huyn Lm H.  ngh cc b phn trc thuc TTYT thc hin nghim tc cc ni dung trn trong qu trnh thc hin nu gp vng mc ln h vi i YTDP  kp thi gii quyt./. Ni nhn: GIM C - TTPC AIDS (b/c ); ( k) - UBND huyn (b/c); - Phng Y t huyn (b/c); - Ban Gim c ( ch o); - 16 TYT x,th trn (thc hin); - Lu: VT,CT. 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