UBND TINH CAO BANG Y TE

CONG HOA XA HOI CHU NGHIA VMT NAM Doc lap - Tty do - Hunh phtic

s6: 4yfy/KH-SYT Cao Bang, ngay thong 11 narn 2014

KE HOACH Trien khai chitin dich Wong bo sung vac xin Bai liet (OPV)

cho tre dtroi 5 tad tai 4 huy0 Ha Quang, Tra Linh, Bao Lam, Phu c Ilea cua tinh Cao Bang, nom 2015.

I/ SU' CAN THIET VA CAN Ct. XAY DUNG KE HOACH: 1. Str can thik tri'& khai chitin dich:

Blenh Bai Li;et (Poliomyelitis) la mot 13•11h truy'ri nhigm vi rut cap tinh lay truyen theo &rang tieu hOa do vi rut Polio (Poliovirus) gay nen, có the lan truyen thanh dich. Wnh dugc nhan Net qua bieu hien cua hOi chirng liet mem cap (Acute Flaccid Paralysis: AFP). Vi rut Polio sau khi vao co the se den hach bach huyet, tai day mot so it vi rut Polio xam nhap vao h" thong than kinh trung uong gay ton thuang o cac to boo sung truck toy song va to boo than kinh van Ong cu'a vo nab. Wnh Bai Li@ la Nnh thuOc nhom A trong Luat Phong, chong Nnh truyen nhiem.

VAcxin OPV (vAc xin uong phang Nnh Bai Li@) dugc uong mien phi tren toan quoc cho tre em luc 2, 3 va 4 thong tuoi trong chuong trinh Tiem chung ma rOng (TCMR). Tir nom 1993, ty le uong 3 lieu vac xin OPV hang nom cho tre clued 1 tuoi tren toan quew luon clot tren 90%. V* Nam da thanh toan blenh Bai Li@ vao nom 2000 lid tiep tuc boo ve thanh qua thank town trong suot hcm 13 nom qua mac tinh hinh bai tren the giai van dien bien phirc tap. Ca Nnh bai liet cuOi ding dugc ghi nhan a Vi@ Nam la nom 1997. Ngoai vic to chirc tiern, uong vac xin OPV thuang xuyen trong TCMR, chitin dich uong bo sung vac xin OPV da dugc trien khai tren quy mo lan trong nhieu nom qua: da có hon 9 tri@i tre dugc uong bo sung 2 lieu vac xin OPV trong cac hoat d(ing uong bo sung vac xin trong nom 2001 - 2006, 2011 - 2012. Ty le uong 136 sung vac xin OPV toan quo'c trong cac hoat Ong neu tren slat teen 95%.

Nam 2013, TO' claire Y to th6 giai (WHO) da ghi nhan 416 ca binh Bai Li@ hoang dai, trong do cho yeu a cac nuot Chau Phi nhu. Somali (194 truang hop), Pakistan (93 truang hop, Nigeria (53 truang hop), Syria (35 truang hop), Afghanistan (14 truang hop). Tinh den dau thong 6/2014, 94 ca Bai Li@ hoang dai da dugc ghi nhan, trong do chU y61.1 xay ra a Pakistan voi 75 truang hop. V* Nam va cac nu& trong khu Tay Thai Binh along chua ghi nhan ca benh Bai Liet hoang dai nao, tuy nhien kha nom ca benh Bai Liet hoang dai xam nh'ap tir nhung nuac nay la rat lan.

Tru6c dien bien phirc tap cim benh Bai Liet Polio hoang dai, thuc hien chi dao cua BO Y to va khuyen nghi cila WHO ye viec de chil Ong phong chung benh Bai Liet hoang hai xam nhla.p vao Viet Nam, song song viec tang chungcong tac tiem chung thuong xuyen, viec trien khai chien dich Ming bo sung vac xin OPV tai mot so yang nguy Ca cao la het sire quan trong va can thiet.

2. Can ct'• de xay dun ke hoach:

Lulat Phong, cht"mg benh truyen nhigm so 03/2007/QH12 ngdy 21/11/2007 cua Quoc HOi;

Quyet dinh so 4109/QD-BYT ngay 09/10/2014 dm BO Y t6 ve viec phe duyet " Ke hoach Ong 136 sung vac xin Bai Liet (OPV) cho tre dtreyi 5 tuoi tai mot so vUng nguy ca cao".

Thong to so 12/2014/TT-BYT ngay 20/3/2014 dm BO Y to ve viec Inrang dan quan 13'T sir dung vac xin trong tiem chimg.

II. MUC TIEU:

1.Muc tieu chung:

Bao ve thanh qua thanh toan benh Bai Liet da dat duot nam 2000 tai Viet Nam.

2. Muc tieu cu the":

- Tre em cluai 5 tuOi vimg nguy ca cao (13.650 tre) dugc uOng dii 2 lieu vac xin Bai Liet trong 2 yang chien dich, dat tj/ le tren 95% (12.968 tre).

- Dam bao chit luting va an toan tiem chimg theo quy dinh dia. BO Y III. NOI DUNG THIJC HIEN:

1. Doi tu•ng, pham vi, thi•i gian, hinh thIrc va pht•crng thirc trien khai: - DOi ttrong:, Toan,bO tre tir 1 5 tuOi tren dia ban 4 huyen,thuOc viing nguy

ca cao duos uong bo sung 2 lieu vac xin OPV, tong so dui tuong du kien 13.650 tre.

- Thoi gian: TO chirc 2 yang, moi \Tong 3 ngay va each nhau 1 thang. + Vong I: thang 4/2015.

+ \Tong II: thang 5/2015.

- Pham vi: 4 huyen Ha Quang, Tra Linh, Bao Lam, Phuc Floa.

- Hinh thirc: Trion khai chin dich.

- Phtrang thirc: Trion khai Ong boat tren dia ban 4 huyen.

* Med gian trien khai chin dich có the thay dOi tuy theo tin dO cung cap vac xin OPV cua trung mmg va tinh hinh thuc to tai dia phuang.

2. Thanh lap ban chi dao cac cap:

2.1. Ban chi ciao chin dich tuy6n tinh.

- Thanh phan Ban chi dao: Chu tich hoac Pho chu tich UBND tinh la Truang ban chi dao, Pho truang ban la Lanh dao S6 Y t6, cac thanh vien la ranh dap trung tam Y te du phong, Trung tam Truyen thong Giao duc sirc khoe, B enh vien da khoa tinh, Si tai chinh, So Giao duc va dao tao, Sa thong tin truyen thOng, 1-18i lien hiep phg nit, Mat tan to quoc tinh...

- Don vi thuc hien: Si Y to trinh UBND tinh ban hanh Quyet dinh thanh lap Ban Chi dao.

- Thai gian thgc hien: thang 3/2015.

2.2. Ban chi dao chief' dich tuyen huyen. - Thanh phan Ban chi dao: Chu tich hoac Pho chu tich UBND huyen la

Truemg ban chi dao, Pho truang ban IA Lanh dao Phong Y te, cac thanh vien la lanh dao trung tam Y te, Benh vien da khoa khu vuc, Phong tai chinh,,PhOng Giao due, Phong thong tin truyen thong, H6i lien hiep phu nil, Mat tran to quoc, Huyen doan thanh nien...

- Don vi thuc hien: PhOng Y to phi hop vai Trung tam Y to huyen tham muu cho UBND ban hanh Quye't dinh thanh lap Ban chi dao.

- Thai gian thgc hien: thang 3/2015.

2.3. Ban chi dao chief' dich tuyen xa. - Thanh phan Ban chi dao: Chu tich hoac Ph6 chu tich UBND xa. la Truang

ban chi dao, Pho truang ban la truang tram Y t6, cac thanh vien la Hieu truang cac truang mau giao, H6i phu nil, Van hoa xa, Mat tran to qu8c...

- Dan vi thirc hien: Tram Y to xa, phuang tham muu cho UBND ban hanh Quyet dinh thanh lap Ban chi dao.

- Thai gian thuc hien: thang 3/2015.

2.4. Nhiem vu ctia ban chi dao cac cap: - Ban hanh cac van ban chi dao va phe duyet ke hoach trien khai chien dich;

phan ding nhiem vu cho trung thanh vien trong ban chi dao.

- Thuc hien kiem tra giam sat truck, trong va sau chi& dich. - T6 chic hop thuang kST danh gia cong tac chudn bi va thuc hien chi& dich. 3. Hei nghi trien khai chien dich:

3.1. Irei thao phe bien va xay dtrng ke hoach chien dich cho tuyen huyen. - NOi dung: H6i ,nghi trien khai, neu nghia, tam quan trong chien dich,

thong qua du kien ke hoach trien khai tai tinh, tap huan chuyen m6n, an toan tiem chung.

- Thanh phdn: Si Y te, cac Ser, ban, nganh doan the lien quan, trung tarn Y t du phong, Trung tam Truyen th6ng - Giao duc sire kh6e, lanh dao Trung tam Y te, can I:16 phu trach tiem chung mar rOng tuyen huyen, Nnh vien da khoa tinh, huyn, thanh ph6, Phong Y t

- Dan vi thuc hien: Sa Y t6, Trung tam Y to du. phong.

- Thai gian thuc hien: thang 3/2015.

3.2. Tap huan xay dtrng ke hoach va chuy'en mon trien khai chitin dich cho can bo Y to tuyen

- N0i dung: Huang dAn xay dung ice hoach, tap hudn chuyen mon.

- Thanh phdn: BCD huyen, can b0 Tram Y to xa, phuang (moi huyen co 10 nguai dm ban chi dao huyen, moi xa 03 nguai) moi huyen 1 16p/1 ngay.

- Dan vi thuc hien: Trung tam Y to du ph6ng, Trung tam Y t6 huyen. - Thai gian thuc hien: thang 3/2015.

4. Dieu tra dOi tulyng: - Doi tixceng du kien: 13.650 tre.

- Thai gian du kien: tir ngay 20-30/03/2015. - Doi tugng dieu tra: tre sinh to 03/2010 den thang 03/2015. - Phuang thUc:

+ Vai d6i Wong a nha tre, mau giao: Phi hop ding nha tnxang de lap danh sach tat ca cac tre (thong ke theo lap).

+ Wei cac doi tuong tai cong d6ng: Dieu tra tai Ong d6ng do Y to thon ban va cac can b0 Y to xa thut hien

(th6ng Ice theo thon, x6m).

- Nhan luc dieu tra: Can 1)0 Y to thon ban, Y to xa. - Cong cu dieu tra: Theo bieu mau cua chuang trinh. - Giam sat cong tac dieu tra d6i tugng: + Dan vi thuc hien: BCD chitin dich tuyen tinh, BCD tuyen huyen. + Dia diem: Tinh giam sat 100% huyen, moi huyen 2 — 3 xa; Huyen giam sat

100% so xa.

5. Truyen thong:

5.1. Truck chitin dich: - N0i dung: Tuyen truyen ve muc dich, y nghia, tam quan trong va d6i tuo-ng,

muc tieu cua chitin dich uong bo sung vac xin OPV, tac dung, lgi ich cua vac xin va phan irng c6 the gap sau Ong vac xin.

- Doi tugng dich: Moi thanh vien lien quan trong t6 chirc thuc hien chitin dich, nguai dan.

- Hinh thirc:

+ Dang tai teen bap, dai phat thanh truyen hinh, loa truyen thanh dia phuang.

+ Truy'en, thong true tiep thong qua cac can Y te, Ong tac vien, cac to chirc clown the va cac giao vien twang mau giao.

+ Ta rai, tai lieu hoi dap ve Bai Liet.

5.2. Trong chitin dich: - NOi dung: Tuyen truyen ve lgi ich cua uOng vac xin OPV, cac phan irng c6

the gap sau khi sir dung vac xin.

- DOi Wong dich: Cac gia dinh co tre tir 1 — 5 tuOi a Ong clang, cac giao vien cua trtremg mau gido.

- Hinh fink:

+ Bang ran, to roi...

+ Phat thanh tai dia phirang bang tieng phO thong, tieng dan tOc.

6. Dtr tra vac xin, vat tir, tiep nhlan, bio quan, cap phat vac xin phuc vu chitin dich:

- Vi& tiep nhan, bao quan vac xin thuc hien theo dung cac quy dinh tai Thong tir so

vac ngay 20/3/2014 cua Y hu6ng dan viec quan

VT sir dung vac xin trong tiem chung.

- Vac xin, vat to phuc vu cho chitin dich dugc tiep nhan, bao quan tai Trung tam Y to du phong, Trung tam Y to huyen va Tram Y to trong chitin dich.

- Phan phOi, van chuyen vac xin, vat to phuc vu chitin dich tai ti mg huyen can cir vao thai gian trien khai cua huyen d6; Trung tam Y to du phong có trach nhiem van chuyen vac xin den cac huyen tru6c 2 tuan truck khi trien khai chitin dich, Trung tam Y to huyen c6 trach nhiem van chuyen vac xin cho cac xa fru& 1— 3 ngay trien khai chitin dich. Tuyen xa c6 trach nhiem phan phoi, van chuyen vac xin tai cac diem tiem chimg tru6c buoi tiem chting.

- Du trit vac xin, vat to tiem chung: + Vac xin: 32.000 lieu.

+ Phich vac xin: 214 cai. + Binh tich lath, da lanh: 2500 kg. + Khay, panh.

- Bieu mau bao cao, gidy mai, so ghi chop, mau bao cao...: + Tai lieu hu6ng dan trien khai chitin dich: 220 tap. + Mau thong ke danh sach dOi tugng:820 + Mau bao cao (bao cao ngay, bao cao tong ket chitin dich):500 ter. + Phieu xac nhan da dugc uOng vac xin Bai Liet:15.000 + Gidy mai tre den uOng vac xin:15.000 to.

+ SO ghi chep tre duai 5 tutii tai xa:156 quy6n.

7. To chf•c tiem

7.1.Ba tri nhan luc va cho tre uang tai cac diem: 207 diem, mai diem gam: + Can bo tram y to xa: 2 can ba ( trong do 01 can 1)6 kham phan loai, tu van,

chi dinh, ghi chep....; 01 canba cho tre uang).

+ Can ba y t6 thon ban , can ba ha tro. khac: 2 ngtr6i.

7.2. Uang vet: To chft uang vet tai cac diem tiem chung hoac uang vet vao cac ngdy trien khai tiem chUng thueng xuyen.

7.3. Dam bao an town tiem chUng:

Tai cac diem uang vac xin dam bao an town tiem chung theo Thong tu so 12/2014TT-BYT ngay 20/3/2014 dm BO Y

7.4. HIV vat tu sau khi 'tang vac xin: Dam bao an town theo dung quy dinh. 7.5. Bao cao, theo dai tien do:

Cap nhat sau moi bu6i,u6ng vac xin: tinh hinh sir dung Vac xin, cac pltan Ung sau &mg vac xin, vat tu, vac xin ton...

7.6. Kiem tra, giam sat trong chi& dich:

Ban chi dao cac tuyen,,TTYTDP tinh va huyen co ice hoach chtk giam sat chat the trong qua trinh trien khai chien dich.

7.7. Bao cao sau khi ket fink chi& dich:

- Sir dung cac bieu mAu bao cao do chuong trinh quy dinh.

- Tien hanh tang ket chi& dich tai cac tuyen, nhAm danh gia ket qua da dat duot, nhUng ton tai, bai hoc kinh nghiem...

8. Giam sat, bao cao:

- Giam sat: Ban chi dao chi& dich cac cap có ke hoach giam sat, kiem tra cac hoat clang truck, trong, sau tiem chimg.

+ Tuyen tinh: Giam sat 100% huyen, moi huyen 2 — 3 xa. + Tuyen huyen: Giam sat 100% so xa.

+ Tuyen xa: Giam sat 100% so diem tiem chting.

- Bao cao: Bao cao nhanh hang ngay trong qua trinh thuc hien chi& dich va ket thuc ti mg dot chien dich cac don vi bao cao cho don vi thuerng true ban chi dao va Trung tam Y to du ph6ng de tong hop bao cao ye So Y te, trung trong.

9. Kinh phi: (Co bang chi tilt dinh kern)

- Nguan kinh phi trung uong ho tro vac xin va ha tro. tien tong cho tre uang vac xin OPV (54.600.000 clang).

- Nguan kinh phi dia phtrang: Kinh phi cho cac hoat dang khac nhu dieu tra doi tuning, truyen thong, in an tai lieu bieu mau, kiem tra giant sat ... do dia phuang ho troy (100.000.000 clang).

IV. TO CHtfC THVC HIEN

I. So. Y te:

Phong Ke hoach — Tai, chinh; Phong Nghiep vu Y, Phong Nghiep vu Dugc tham mutt lanh dao S6. Y to ye xay dung ke hoach trinh lank dao UBND tinh phe duyet, to chirc trien khai thgc hien va tham gia giam sat chien dich tren pham vi toan tinh.

2. Trung tam Y to dv phong:

Tham mutt va chiu trach nhiem tuft Giam d6c Y t6 v'e to chirc thuc hien va giam sat chien dich teen pham vi toan tinh.

, T6 chirc H6i nghi trien khai chien dich va tap hudn chuyen mon cho can b6 y to tuyen huyen, xa.

Tiep nhan phan ph6i vat tu, vac xin; Kiem tra giam sat tru6c trong va sau chien dich tai huyen va cac diem tiem chomg.

Tang hop va bao cao k6t qua ding vac xin cua cac huyen len tuyen tren theo quy dinh.

3. Trung tam Truyen thong va Gila() duc stic khoe: Tuyen truyen den cac tang lop nhan dan ve lgi ich cua u6ng,vac xin Bai Liet.

Chi dao mang kith truyen,thong vien tuyen xa, phtrong, thi tran, thon ban tang cuong truyen thOng trgc tiep cho cac h6 gia dinh c6 tre nir 1 — 5 tuoi de cac ba me hieu va dua cac con di 'long vac xin.

Tham gia giam sat truck, trong va sau khi trien khai chien dich. 4. Benh vien Da khoa cac huyen, thanh phO: Kien toan Oi ch6ng soc km d6ng, sdn sang,phuong tien, vat tu tip nhan va

diet' tri chong soc kip than khi c6 truOng hop soc xay ra trong nhUng ngdy trien khai chiL dich.

5. Trung tam Y to huyen:

- Tham muu cho Ban chi dao xay dung ke hoach va chi dao cac xa, phuOng, thi tran to chirc thuc hien chien dich teen dia ban huyen.

- T6 chirc h6i nghi trien khai chiL dich va tap hudn chuyen mon cho can b6 thuc hien tiem chfing.

- Tip nhan, bao quan, phan ph6i, van chuyen vat tu, vac xin cho cac xa.

- T6 chirc kiem tra giam sat tnx6c, trong va sau khi trien khai.

- Thgc hien bao cao theo quy dinh.

6. Phong Y to huyen:

Chit tri phi hop voi Trung tam Y to huyen, tham muu cho Ban chi dao chiL dich cua,huyen xay dung ke hoach, to chirc trien khai, kiem tra giam sat hoat Ong chien dich tai cac xa, pluxong, thi tan.

KT.GIAM DOC PHO GIAM DOC

Nguyen Van Le

7. Cong tac phi hop:

nghi SO. Gido due va Dao tao, Sor Tai chinh, So Thong tin Truy'en thong, Dai Phat thanh — Truyen hinh tinh, Bao Cao Bang, Mat tr;an to quoc tinh, Hoi lien hiep phu nit tinh, Tinh doan thanh nien, Hoi chir" th'ap do... can,cir vao chirc nang nhiem vu tao diet' kien va phoi hop voi nganh y to trien khai chien dich teen dia ban tinh dat hieu qua.

V. KINH PH!

Giao Trung tam Y to du phong tinh phi hop ved Phong Ke hoach — Tai chinh 14p du town kinh phi cho hoat dOng chie'n dich trinh UBND tinh phe duyet.

Tren day la Ke hoach Trien khai chin dich uang b6 sung vac xin Bai Liet cho tre &Teri 5 tuoi tai yang nguy co cao cub tinh Cao Bang nam 2014 cub SO. Y to Cao Bang. Can cir Ke hoach nay, yeu cau cac don vi xay dung ke hoach cu the de trien khai thuc

Nal nh - B'O Y to (bdo cao); - Cpc Y to du phong (bdo cao); - Du an TCMRQG,MB (bdo cao); - Thlr6ng true Tinh tly (bdo cao); - Thu6ng truc HDND (bdo cao); - UBND tinh (bap cao); - UBND huyen: HA Quang, Bdo Lam, Phuc Hoa, TrA Linh; - PhOng Y to huyen: HA Quang, Bao Lam, Phuc H6a, Tra Linh; - TTYT huyen: HA Quang, BA° Lam, Phuc Hoa, Tra Linh; - BVDK,,huy'en: HA Quang, Bao Lam, Phut; Ma, Ira Linh; - Giam doc So Y t6; - Cdc Ph6 giant d6c So Y t6; - Cdc thanh vien BCD; - Trang Web Si Y to Cao BAng; - Cdc phOng chirc nang thu6c Sr: Nghiep vu y, Nghiep vu Duce, Ke ho?ch - TAi chinh;

- Ltru: VT, NVY.

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Phu 1uc 1

BANG DID' KIEN CHI TIEU UONG VAC XIN OPV TINH CAO BANG NAM 2015.

STT Don vi , SO xa SO diem

TC DOi

tugng Muc tieu Chi tieu

1 Ha Quang 19 57 3.250 95% 3.088 2 Tra Linh 10 30 2.000 95% 1.900 3 Phuc Hea 9 36 1.800 95% 1.710 4 Bao Lam 14 84 6.600 95% 6.270

TOng Ong 52 207 13.650 12.968

Phu luc 2

BANG DU' KIEN DIEM TIEM CHU' NG TRIEN KHAI CHIEN DICH UONG VAC XIN OPV TINH CAO BANG NAM 2015.

STT Dan vi S6 xa

D6i tuning

s6 tnrong So diem TC

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Tai tram

Ngoai tram

To' ng ,; ,: so diem TC

1 Ha Quang 19 3.250 19 64 19 0 57 2 Tra Linh 10 2.000 18 43 10 0 30 3 Phuc flOa 9 1.800 8 31 9 1 36 4 Bao Lam 14 6.600 12 170 14 26 84

TOng &Ong 52 13.650 57 308 52 27 207

Phu luc 3

BANG DU. TRU VAC XIN VAT TUPHUC VV. CHIEN DICH UONG BO SUNG VAC XIN OPV

STT Dan vi S6 xa s6

uong di ,''m

,:. Doi tuang •

L Vac xin

Phich.A. vc

xin 1 Ha. Quang 19 57 3.250 7.800 114 2 Tra Linh 10 30 2.000 4.800 60 3 Phuc Haa 9 36 1.800 4.320 72 4 Bao Lam 14 84 6.600 15.840 168

TOng Ong 52 207 13.650 32.760 414

Phu luc 4

DIY TRU CAC LOAI BIEU MAU PHUC VU CHO CHIEN DICH

STT Dan vi Doi tuvng

So xa.

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doi ttrang(to)

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Giay xac nhian (to)

So ghi thep

(quyen)

1 Ha Quang 3.250 19 195 182 3.560 3.560 57

2 Tra Linh 2.000 10 120 96 2.200 2.200 30

3 Phuc Hoa 1.800 9 109 86 1.980 1.980 27

4 IBA() Lam 6.600 14 396 135 7.260 7.260 42

TOng Ong 13.650 52 820 500 15.000 15.000 156