UBND TiNH LAo CAlSOYTE

S6 :o2JI,l(B c-sYT

CONG ROA XA HOI CHi) NGRIA VI~T NAMDQc l~p - Tl}'do - H~nh plnic

Lao Cai, ngay;.()thang 7 ndm 2018

BA.OCA.oCONG TA.C Y TE TRANG 7 NAM 2018

(Tit ngay 211612018din 201712018)

Thang 7 nam 2018, Nganh Y tS Lao Cai dii trien khai thuc hien cac heatdong cong tac chuyen man thea KS hoach thirc hien DS an s6 ? "phat trien Y tS,cham soc va bao v~ sire khoe nhan dan" nam 2018; chi tieu ke hoach nha nuocnam 2018 va Chuang trinh muc tieu Y tS - dan so, kSt qua cu th~ nhir sau:

I.TINH HINH THVC HItN CONG TAc Y TE THA.NG 7/20181.Chuong trinh muc tieu Y t~ - dan sBa) DV' an 1: Phong, chBng mQt sB b~nh truyen nhi~m nguy hi~m va cac

b~nh khdng lay nhiern ph6 bi~n- Phong chong lao, phong, s6t xu~t huyet:+ Phong chong benh lao: Kham sang IQc: 344 benh nhan, liiy kS:

2.124/4.326 BN dat 49,1% KH nam; BN lao cac th~ phat hien: 16 BN, liiy kS:180/277 BN dat 65% KE; liiy kS ty l~ diSu tri khoi: 62/86 dat ty l~ 72,1%.

+ Phong ch6ng b~nh phong: Kh6ng phat hi~n b~nh nhan phong maio S6 BNdang quan ly: 19 (giam sat sau diSu tri: 07; cham soc tan t~t: 12).

+ S6t xu~t huySt: Kh6ng co ca m~c mai; lUykS to~mtinh: 02 ca.. - Phong ch6ng s6t ret: M~c mai: 02 ca t~i huy~n Bat Xat, IllYkS toan tinh:

11 ca; t6ng s6 lam, test xet nghi~m: 1.150.- Phong ch6ng cac b~nh tang huySt ap, dai thao duo'ng va r6i Io~n nQi tiSt,

chuy~n hoa khac: T6ngs6 kham: 3.878, IllYkS: 26.039/35.000 1uQiBN (d~t 74,4%KH nam); trong do: Kham nQi vi~n: 3.600, 1uy kS: 22.550/30.000 (75,2% KH);kham ngo~i vi~n: 278, IllYkS kham ngo<;tivi~l1:3.489/5.000 IUQtnguai (70% KH).T6ng s6 BN dang quan Iy diSu tri: 3.484 (DTD: 1.901, basedow: 475, suy giap:259, BC dun thu~n: 51, b~nh tuySn giap khac: 798).

- Duy tri thl!C hi~n ho~t dQng bao 'V~ Stl'Ckhoe Himth~n cQng d6ng va tre emt<;ti1641164 xii, phuimg.

b) Dv' an 2: Tiem chung mo' rQngTiem chung thuang xuyen trong thang: S6 tre <1 tu6i oUQ'cTeDD: 1.240,

Iuy kS: 6.854/14.415 (o~t 47,5% s6 tre); tiem v~c xin sai mui 1 cho tre 09 thang:l.319, lfiy kS: 7.261114.415 (d<;tt50,4%); tiem v~c xin viem gan B trong 24 gia o~usau sinh: 735/853 (d<;tt86,2%) IllYkS: 4.705/5.582 (d~t 84,30/0); tiem u6n van choPNCT: 979, Iuy kS 5.293114.415 (d~t 51,5%).

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c) D\l' an 3: Dan s6 va phat tri~n

- Ho?t dong cong tic dan s6 - KHHGf):

Ti~p nhan, c~p phat cac phuong tien tranh thai, du tru thuoc, V?t tu dich vuKHHGf). Thuc hien sang 19Ctruce sinh cho 221 tnrong h9P, phat hien 03 tnronghop di t?t, aa nr van va dinh chi thai nghen (liiy k~: 1.080 tnrong hop, 39 di tat);sang 19Csa sinh 281 tre, co 07 tre nghi ngo m~c benh thiSu men G6PD (liiy kS:1.664 tre, 14 tre khang dinh mac benh).

Duy tri heat dong mo hinh giam tinh trang tao hon va kSt hon can huyet tai16 xa/ 07 huyen; tiep tuc khao sat s6 lieu a~u van 02 xa (San Chai/Si Ma Cai, TaVan/Sa Pa). Thirc hien hoat dong f)@an giam tinh trang m~t can bang gioi tinh khisinh tai 100% xa, phuong. Giam sat trien khai f)~ an Giam tinh tr?ng m~t can b~nggi&i t1nh khi sinh t?i 164 cau l?c b9.

BiSn a9ng dan s6 aSn hSt thang 06/2018: T6ng s6 tre sinh ra: 5.768, s6 nu:2.650, ty s6 gio-i tinh khi sinh: 117 tre traill 00 tre gai; s6 sinh con thu 3 tra len la858, ty 1~sinh con thu 3 (+): 14,88%.

- Ho?t a9ng cham soc suc khoe nguai cao tu6i: TriSn khai thllc hi~n quan 1ysue khoe nguai cao tu6i; t6ng s6 nguai cao tu6i (tl! 60 tu6i tra len): 55.575 nguai;s6 nguai cao tu6i co h6 sa quan 1y suc khoe: 19.983; t6 chuc kham StTCkhoe dinhky h~t thang 7: 4.584 a?t 102,5% KH nam.

- Ho?t a9ng cham soc SKSS: -S6 PN ae: 1.052, s6 PN de auqc quan 1y thai:916 (87%); s6 PN ae auqc kham thai 3 1~nl3 thai ky: 787 (75%); t6ng s6 ba myva tre sa sinh aU9·c cham soc sau sinh: 737 (70,3%); s6 PN de auqc can b9 y t~ do·:905 a?t 86%. Co 01 ca m~c tai biSn san khoa do bang huySt, khong co truong hqptu vong my.

- Ho?t a9ng cai thi~n tinh tr?ng dinh du5ng tre em: Can, ao va thea doi tangtnrang cho 11.339111.663 tre em <5 tu6i bi suy dinh duo·ng, s6 tre em <5 tu6i aathoat khoi suy dinh duong: 81; s6 PNCT auqc u6ng vien s~t/vien aa vi ch~t: 926.

d) Dt,I'an 4: An toan th\l'c phfim

Thvc hi~n ki~m tra 133 ca sa thvc ph~m, co 97/133 ca sa a?t TCVS (73%),xu 1yh~mh chinh 02 ca sa.

Test nhanh: 171 m~u, 170/171 m~u a?t TCVS (chiSm 911 %), 01 m~u khonga?t do (+) t1nh vo-i Phooc Mon.

C~p Gi~y chtmg nh?n ca so· au di~u ki~n ATTP cho 31 ca so·, ky cam kStdam bao ATTP a6i vai 33 co· sa dich Vl;lan u6ng, kinh doanh thuc an duo·ng ph6.Xac nh?n kiSn thtrc ATTP cho 276 ca nhan.

Trong thang ld10ng xay ra ng9 d9C thvc pham c~p tinh.

e) Dt,I'an 5: Phong, ch6ng HIV/AIDS

- Thong tin, giao dl;lCva truySn thong: PTTT a?i chung: 293 bu6il 2.051phllt; trvc ti~p t?i xa, phuo·ng tr9ng aiSm: 71 bu6i/2.0 19 nguai tham gia; t?i xa,phuong khac: 176 bu6i/4.725 nguo"i.

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- Can thiep giarn tac hai du phong lay nhiem HIV/AIDS: S6 luot nguoiNCMT duoc ti~p can: 4.651; s6 luot PNMD duoc tiep can: 198; cap phat: BKTsach: 73.689 chi~c.

- H6 tro di~u tri HIV/AIDS: sf> nguoi nhiern HIV/AIDS quan ly: 1.276, sf>benh nhan nhan thu6c: 858, liiy k~: 1.424. S6 phu n11mang thai diroc nr veln, xetnghiem va tro lai nhan k~t qua: 2.491.

DiSu tri thay th~ nghien cac chelt dang thuoc phien bang thu6c Methadonetai 07 co sa: S6 BN dang diSu tri: 1.427/1.785 (dat 80% KH).

- Tinh hinh dich HIV: S6 BN nhiem HIV moi phat hien: 12 (lily k~: 2.977ngiroi), s6 ngiroi nhiern HIV con song: 1.511; s6 benh nhan AIDS moi: 11 (liiy k~:2.469 nguoi), s6 benh nhan AIDS con song: 1.003; s6 BN AIDS nr vong: OS, liiyk~ s6 benh nhan AIDS nr vong: 1.466,

. f) Dl! an 6: Bao dam mall an toan va phong, chang m{>tsa b~nh ly huy~f hQcThvc hi~n an toan truySn mau, 100% dan vi mau dugc sang 19CHIV trll'ac

khi truySn. TriSn khai cac ho~t dQng phong ch6ng mQt s6 b~nh ly huy~t h9C.g) D\I' an 7: Quan dan y k~t hQ'p

Chi d~o, huang d&n02 don vi y te huy~n (Muang Khuang, Bao Yen) chu:lnbi cac diSu ki~n dap ling vS y t~ di~n t?P khu VlJC phong thu huy~n thea ke ho~ch.

h) D\l' an 8: Theo dOi, ki~m tra, gi~m sat, danh gia th\l'c hi~n chu'o'ngtrinh va trlly~n thong y t~.'; - Th\Ic hi~n thea doi, kiSm tra, giam sat cac tuy~n.

- TruySn thong - GDSK: TruySn thong gian tiep 66 tin, bai, anh; truySnthong trvc ti~p t~i cQng d6ng 37,530 l~n v6i 96.480 lU9t nguoi tham gia. NQi dungvS cong tac chi d,;10diSu hanh cua Sa Y te, tuyen truySn ki~n thuc dam bao ATTP,phong ch6ng dich b~nh, phong ch6ng tac h~i thu6c lao..

2. K~t qua cac cong tac chllyen mon, chuyen ngflllh2.1. Phong chang dich b~nh, thien ta~, tham hQaCong tac giam sat dich b~nh dugc duy tri thuang xuyen, chi d~o kip thai

ho~t dQng giam sat, kiSm tra va phong ch6ng cac dich b~nh noi chung, chu tr9ngdich b~nh luu hanh t<;lidia phuang, canh bao nguy cO' b~nh dich b~nh nguy hiSmkhac. Duy tri cac t6 giam sat dich b~nh, thucmg trvc cong tac phong ch6ng dichb~nh, thien tai dong 16c, mua da.

Tinh hinh dich b~nh trong thang 7: Khong xay ra cac dich b~nh nguy hiSm;mQt s6 b~nh truySn nhiem nhu cum mua, tieu chay, tay chan mi~ng, thllYd?u xay rarai rac t<;licac huy~n, thanh ph6 dll'gc giam sat phat hi~n, diSu tri kip tho'i kh6i b~nh.

B~nh S6'i t<;tiSa Pa: M~c mai trong thang 7: 172 ca, dang diSu tri 24 ca(BVDK huy~n Sa Pa: 20, BV San Nhi: 03, tr~m y te: 01), lUy ke: 327 ca (dakh6i: 303 ca, kh6ng co truong hgp til' vong). Lely 32 m~u xet nghi~m, lUyke: 83·m~u (am t1nh: 19 m&u, dll'ong t1nh: 63). Tiep tvc thvc hi~n chien djch tiem v~cxin sc)'i, rubella chb tre tu 01 - 10 tu6i tren dia ban toan t1nh, luy kS tiem:

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12.045112.426 tre; duy tri 20 can bQ h6 tro cong tac dap dich ttl Trung tamKiSm scat benh tat; duy tri giam sat, quan Iy benh nhan; t6 chirc truyen thongtrue tiep tai cac bu6i hop thon va gia dinh.

Ttr vong 02 ca do benh Dai: Benh nhan Giang Thi Tra, sinh ngay13/3/2014, tni tai Then Su6i H6, xa Sa Pa, huyen Sa Pa, thuoc hQ ngheo; benhnhan Nguyen Thi H~ng, tru tai Km8, xa Ban Phi~t, huyen Bao Th~ng. Cacbenh nhan bi cho can nhung khong tiern v~c xin phong benh, Liiy k~ nr vong:08 ca (Si Ma Cai: 01; Bao Yen 01; Bao Thang 03; Sa Pa 02; Bac Ha: 01).

S6 phoi nhiem da tiem v~c xin phong dai: 425 nguoi, lily k~: 2.265 nguoi;tiem huyet thanh khang dai: 148 ngiroi, liiy k~: 506 nguoi. '

(Th6ng ke cac b¢nh truy~n nhz'lm gay dfch chi ait tc;ziPh~Jl¥c s6 1).

2.2. Cong tac kham chu'a b~nh ,. I, , ~,

Cong tac kham chu'a b~nh duQ'cthvc hi~n tot t~i cac tuyen, dam bap che dQthuong tn,rc c~p clm 24/24 gio; s~n sang ti~p nh?n, di~u tri kip thai cac ca b~nh;thvc hi~n nghiem cac quy dinh v~ tinh th~n, thai dQ, trach nhi~m ph\lc V\lnhan dantrong cac cO'sa kham, chua b~nh cong I?p. ,

Cong tac KCB BHYT duQ'cdam bao; ph6i hQ'Pv61 BHXH thao gO'lcac khokhan,vu&ngm~c trong cong tac kham chua b~nhBHYT ~i cac cO'sa kham chU'ab~nh.

Cong su~t su dl:mggiuong b~nh binh quan trong toan tinh Ia 108,1%; trongdo t~i b~nh vi~n: 125,2%, t~i PKDKKV: 0,44% (do khong di~u tfi nQi tru)~

(Th6ng ke tinh hinh kha711chun b¢nh trang thang chi tiit tc;ziPh~, l¥c )2).

2.3. Ho?t dQng ki~m djch y t~ bien gio'i ,KiSm tra y t~: Phuang ti~n v?n chuySn hang hoa xu~t nh?P canh, (XNC):

14.609; khach XNC: 29.449 IUQi.Xu Iy y t~: 6.071 IUQiphuang ti~n nh?p canh;phun khu trung 33 I~n t~i klm vvc cua kh~u, khu kiSm hoa; 141 IUQinguoi qua I~ibien gi6i duQ'c ap d\lng bi~n phap dv phong b~nh s6t ret. Khong phat hi~n truonghQpm~c b~nh kiSm dich y t~ qu6c tS.

2.4. Cong tac Giam djnh y khoa va Phap y:Giam dinh y khoa, tropg thang nh?n 30 h6 sO',dang thvc hi~n giam dinh.Giam dinh phap y: ThuO'ng tich: 11 ca; tu vong: 07 ca.2.5. Cham soc su'c khoe can bQ di~n tlnh qmln ly:Kham thuang ky: 188 IUQi,VaGb~nh vi~n tinh di~u tri: 75, chuySn tuy~n

Trung uO'ng: 08 b~nh nhan.2.6. Cong tac du'Q'cThong bao cinh chi luu hanh 02 thu6c, rut gi~y dang ky lUll himh 02 thu6c,

thu h6i 01 san ph~m, thu h6i 04 s6 ti~p nh?n Phi~u cong b6 san ph~m my ph~mthea thong bao cua C1,lCQuan Iy DuQ'c.

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C~p 13 Giay chirng nhan dti di~u kien kinh doanh duoc, 13 Gi~y chirngnhan thuc hanh t6t GPP; 0 1 Giay CN thirc hanh t6t nha thuoc; 10 Chung chi hanhnghe diroc.

Dap irng nhu cau thuoc, V?t tir y tS cho kham chua benh, phong chong dichbenh va irng ciru thien tai tham hoa,

2.7. Cong tac ki~m nghi~mLay 27 mfru duoc pham. Cong tac ky thuat: Duoc pharn: 74 (47 mfru chuyen

tir thang 06) trong do: B~t ch~t hrong: 63, dang kiSm nghiem: 11.2.8. Cong tac thanh tra, giai quyet khi~u nai, ta cao va phong chang

tham nhfing

Thirc hien 02 cuoc thanh, kiSm tra chuyen nganh tai 28 co sa, 04 co sa vipham, xu 1yhanh chinh: 02 co sa; dang thuc hien 01 cuoc thanh tra hanh chinh.

Trong thang tiSp nhan 02 dan thir khiSu nai, t6 cao, dang giai quySt.II. cAc HOAT BONG KHAC. .Thvc hi~n xay"'dVngkS ho~ch cong tac y tS nam 2019.T6 chuc giao ban trvc tuySn cong tac y tS 06 thang d~u nam, phuong

huang nhi~m V\l06 thang cu6i nam.III. DANH GIA CHUNGThang 7 nam 2018, Nganh Y tS thvc hi~n d~y m~nh nhi~m V\l kS ho~ch

cong tac nam; cong tac chi d~o di§u hanh kip th9'i, C\l thS cho tung lInh vvc, cacdv an Chuang trinh m\lc tieu y tS - dan s6 va ho~t d<)ngchuyen mono

Tang cucmg cong tac giam sat dich b~nh nguy hiSm nhu: S6t xu~t huySt,viem nao virus, ta, sai, cum A1H5N1, cum A1H7N9, b~ch h~u, ... phong ch6ng dichb~nh thea mila; thvc hi~n t6t cong tac tiem v~c xin dinh ky cho tre em. B~y m~nhcong tac dan s6 - KHHGB, dam bao an toan thvc ph~m. S~n sang dap ung kipthai, d~y dti phuang ti~n, hoa ch~t, thu6c, nhan 1vc cho phong ch6ng dich b~nh,thien tai tham hQa.

Kham chua b~nh dugc duy tri t6t a cac tuySn; cong su~t su d\lng giuangb~nh binh quan t~i b~nh vi~n la 125,2%, PKBKKV 1a 0,44%. Kham chua b~nhBHYT dUQ'cquan tam, thu?n 1Q'icho nguai b~nh Slr d\lng dich V\ly tS.

Cong tac dang, doan thS duqc quan tam thvc hi~n; duy tri t6t cac phong traothi dua, giao d\lc y duc cho can b<)nhan vien trong toan nganh.

IV. NHI~M Vl) CHi) YEU THANG 8/2018 (til' 20/7 d~n 19/8/2018)1. B~y m~nh tiSn d<)KS ho~ch thvc hi~n B§ an s6 7 "Phat triSn y tS, cham

soc va nang cao suc khoe nhfm dan"; danh gia kSt qua 6 thang.

2. Roan thi~n xay dVng kS ho~ch cong tac y ts nam 2019.3. TiSp t\lCtang cuong cac bi~n phap giam sat, phong ch6ng dich b~nh nguy

hiSm, cac b~nh dich thea mua, S~n sang, chti d<)ngtrong phong ch6ng dich b~nh,phong ch6ng thien tai tham hQa mua mua Ill.

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4. Tap trung phat tri~n dich vu Y t~, tang cuong dich vu kham chua benhvung kh6 khan, nang cao chat lUQ11gdich vu Yt~.

5. D~y manh thirc hien Chuang trinh muc tieu Y t~ - dan s6; t~p trung hoatdong cham s6c sire khoe ba me- tre em, chi~n dich long ghep, tang cuong cac hoatdong truyen thong va cung c~p cac djch vu dan s6 - KHHGB.

6. Tang cuong kiem tra dam bao an toan VSTP tren dia ban tinh.

7. Dam bao h~u c~n, thuoc, v~t tir y t~ cho phong benh, chua benh va phongchong thien tai tham hoa,

8. Don d6c tien d9 cac du an d~u tu co sa vat chat, t~p chung hoan thanhxay dung Benh vien San nhi thea chi dao cua tinh.

9. Duy tri, d~y manh cac heat dong doan the, phong trao thi dua.

Not nhiin:- TT.TU, HDND, UBND tinh;- B(> Y ts;- Ban Tuyen giao Tinh uy;- Ban Dan v~n Tinh uy;- Ban VHXH (HDND tinh);- So' KH&DT; Cl,lCTh6ng ke;- Ban Giam d6c ;- Cae phong ban, don vi y tS (email);- C6ng thong tin di~n tu' SYT;-LuuKHTC,VT. ~~.~

KT. GIAM DOC

Nong Dinh Hung

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Phu l~~~~" hinh dich benh thang 7 nam 2018........... ~ . .-"r ~~ Thang 0712018 Lily k~ 07 thang 2018

TT "Ii S (J • .,~ fullif v,." • I M~c Ch~t M~c Ch~t

1 ~~ch h~u - /~ 0 0 0 0

2 \W~. ~y 0 0 0 0

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5 Cum 887 0 6,119 0

6 CumA(H5Nl) 0 0 0 0

7 Cum A (H7N9) 0 0 0 0

8 D:;ti(mac/chet) 1 1 8 8

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10 E-bo-Ia 0 0 0 0

11 Ho ga 6 0 21 0

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14 Ly A mip 7 0 29 0

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17 Quai bi 46 0 238 0

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19 Sci (sot phat ban) 172 0 327 0

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23 Ta 0 0 0 0

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