1

Thc hin: Nhm 31A-t 1Y08C i hc Y Dc Tp. H Ch Minh

Minh Chi
Rmah HBk
Tng V Hip
V Th Thy Hng
Mai B Lc
Phm Th Kim Ngc
H Th Xun Tho
ng T Trn
Trn Minh Tun (Nhm trng)

Li cm n
Chng em l nhm sinh vin Y3 thc tp ti trm Y T Trng Thnh, xin chn thnh gi li cm
n n:

Ban gim hiu H Y Dc Tp.HCM

Khoa Y, H Y Dc Tp.HCM
Khoa YTCC, H Y Dc Tp.HCM
Ban gim c TTYTDP Qun 9, Tp.HCM
UBND phng Trng Thnh
Tin s, bc s Trn Thin Thun Cn b ging
Bc s Nguyn Vn Tn Trng trm Y T Trng Thnh
Cc nhn vin ca TT Y T v Trm Y T
Thy GV gim st, GV hng dn
Cc c ch dn ng v cc h dn p ch Thnh

quan tm gip v tn tnh hng dn chng em hon thnh tt t thc tp cng nh n

ny.

LI M U
Nhm rn luyn k nng cng ng trong mc tiu o to BSK, khoa YTCC H Y Dc
Tp. HCM t chc v to mi iu kin thun li chng em, nhng sinh vin Y3 n
thc tp v lm vic ti trm Y T Trng Thnh v TT Y T D Phng Qun 9 trong thi
gian 2 tun (t ngy 14/02/2011 n 25/02/2011).
Trong thi gian thc tp, p dng cc kin thc thu c trong 3 nm hc va qua, chng em
tin hnh :
Tm hiu c im, tnh hnh Y T Qun 9 v phng Trng Thnh.
Kho st, thng k v tnh hnh phng chng st xut huyt phng Trng Thnh.
Di s hng dn ca gio vin b mn, vi s h tr ca cc ban ngnh v trm Y
T phng, xy dng v thc hin mt phn n can thip gio dc sc khe v vn
sc khe chn.
Mc d n lc ti a hon thnh n ny, nhng v khong thi gian hn hp nn
chng em khng th trnh khi nhng thiu st. V vy, rt mong nhn c nhng kin
ng gp v s hng dn ca cc thy c v cc bn. Chng em xin chn thnh cm n!
Nhm thc hin.

MC LC
Li cm n
trang
Li m u
Phn 1: TNG QUAN...................................................................................................................5
1.C IM A L HNH CHNH KINH T - VH XH..........................................
1. a l .............................................................................................................................
2. Hnh chnh...................................................................................................................5
3. Dn s..........................................................................................................................6
4. Kinh t phng.............................................................................................................7
5. Trm y t....................................................................................................................10
4.1.He thong y te tren a ban phng..............................10
4.2.Tram Y te phng.........................................................................10
4.3.Ngun lc.................................................................................................13
4.4.Hot ng ca trm...................................................................................13
4.5.Tnh hnh sc khe ngi dn...................................................................17
3.Nhn xt chung.............................................................................................................18
4.1.Tng quan hot ng.................................................................................18
4.2.Tnh hnh sc khe....................................................................................18
4.3.Vn sc khe ni cm..........................................................................19
Phn 2: Kt qu iu tra h gia nh
1. Kt qu-nhn xt........................................................................................................21
1.1.c tnh mu nghin cu...............................................................21
1.2.Ket qua kien thc cua ngi dan ve benh SXH
22
1.3.Thc hanh phong chong benh SXH........................23
1.4.Cac nguon thong tin trong phong chong SXH...24
1.5.Vic i tng u tin la chn cc dch v y t khm cha bnh SXH25
1. Kt lun......................................................................................................................25

N PHNG CHNG ST XUT HUYT.........................................................26

1. t vn , gii thiu:................................................................................................26
2. Tnh hnh kho st thc t:.........................................................................................26
3. Nhn xt tnh hnh:.....................................................................................................26
4. Chin lc, tm nhn, bin php khc phc................................................................27
5. Phng hng hnh ng c th................................................................................27
Phn 3: Nhn xt cui t thc tp
1.
2.
3.
4.

Ni dung thc tp.......................................................................................................32

nh gi v t thc tp............................................................................................32
Rt kinh nghim.........................................................................................................32
Nhn xt ca trm......................................................................................................32

TI LIU THAM KHO

Phn 1
TNG QUAN
1. c dim a l Hnh chnh Kinh t - VH XH:

1. a l:
Trng Thnh l mt trong 20 phng, x ngho ca thnh ph, i sng nhn dn cn
nhiu kh khn, thiu thn.
V tr v hng Nam cch TP. H Ch Minh khong 22km.
Tng din tch ton phng: 984,91 hecta
Ranh gii:
ng: gip phng Long Phc.
Bc: gip Trung Tm Qun 9.
Ty: gip phng Long Trng
Ty Nam: gip khu Cng Nghip Ct Li Qun 2.
ng Nam: gip vi ng Nai.
(s qun 9)

1.1.
1.2.Hnh chnh:
C cu t chc phng gm 3 khi:
Khi y ban:
Ch tch phng: Phan Hong u
Ph Ch Tch: Tng c Ha, Nguyn Thanh Lim
Ch tch mt trn T quc: H Th M Hnh

T php: qun l th trng, thu nh t, thu nng nghip, cng an phng i,

thng binh lao ng v x hi.
Khi ng: b th, ph b th, thng trc kim trng khi dn vn.
Khi on Th: hi cu chin binh, hi nng dn, on thanh nin, hi ngi cao tui,
hi lin hip ph n v chm sc tr em, chi hi ch thp .
Phng gm: 4 p, 30 t, 3756 h gia nh
p Tam a (7 t)
p Phc Hip (7 t)
p ch Thnh (9 t)
p Phc Lai (7 t)
S t chc y ban nhn dn phng Trng Thnh:

Ghi ch:
Cc chi hi bao gm: hi cu chin binh, hi lin hip ph n v chm sc bm m tr
em, hi nng dn, Hi ngi cao tui, Chi hi ch thp , Ban Dn S K Hoch Ha Gia
nh.
T php: Qun l th trng, thu nh t, thu nng nghip, cng an phng i, thng
binh lao ng v x hi.
1.1.
1.2.
1.3.Dn s: (nm 2010)

Tng nhn khu: 13269 ngi

Nam: 5911 ngi
N: 7358 ngi
Trong ph n tui sinh (15-49) l: 5150 ngi
Mt dn s: 1347 ngi/km2

Khi

Tng s sinh: 138

Tng s t: 17
S chuyn i ni khc sinh sng: 58
S chuyn n lm n ti a phng: 4763
Nhn xt:
T l pht trin dn s t nhin: 0.9%
T l tng dn s c hc: 35.5%
T l pht trin dn s chung: 36.4%
Phn b dn s theo tui:
Lp tui

S ngi (ngi)

T l (%)

<1 tui

311

2.3

1 5 tui

386

2.9

6 15 tui

1046

7.9

16 60 tui

11088

83.6

>60 tui

438

3.3

Tng

13269

100%

Nhn xt: Dn s trong nhm tui lao ng chim t l cao nht (83,6%): ngun lao ng
di do.
Dn tc:
Ngi Kinh: 13251 ngi, chim 99.86%
Ngi Hoa: 15 ngi, chim 0.11%
Khc: ( Kh-me ) 3 ngi, chim 0.03%
1.4.Kinh t phng:
C cu kinh t: thnh phn ch yu l cng thng nghip.
S ch: 01.
Din xa i gim ngho: 470 h
Tng s lao ng: 9780 lao ng. Trong :
Nam: 3912
N: 5853
Tht nghip (trong tui lao ng): 15
Din cu tr:
Ngi gi neo n: 44
Tr em ngho kh khn: 726

a phng thuc khu vc vng su vng xa ca qun 9 TP.HCM, c c im kinh t

ca mt vng nng thn bn thnh th.
Pht trin nng nghip l ch yu, i a s l dn lao ng lm thu, mt s t c dn
bun bn nh hoc cng nhn vin chc, cc loi hnh dch v km pht trin.

a s dn c thu nhp thp, mt s t h c thu nhp kh phn ln trung tm thnh ph

v nh c hoc do bn rung t.
1.5.Vn ha Tn gio:
1.
1.1.
1.2.
1.3.
1.4.
1.5.1.Tn gio:
S nh th: 0
S cha: 0
S nh: 3
S miu: 1
H

Tn gio

S lng (h)

T l (%)

Pht Gio

1541

41.03%

Thin Cha Gio

763

20.31%

Tin Lnh

23

0.61%

Cao i

19

0.51%

Ha Ho

0.03%

Hi Gio

0.08%

Tn gio khc

0%

Khng theo tn gio

1406

37.43%

Tng

3756

100%

Nhn xt: Thnh phn tn gio trong phng ch yu l Pht Gio.

1.5.2T im vui chi sinh hot: 4 vn phng khu ph & 1 nh vn ha.

T chc sinh hot h v cc ngoi kha cho thanh thiu nin.

C 4 cu lc b ng B Chu v mt cu lc b gia nh hnh phc ca hi ph n
ang hot ng.
Cc phng tin thng tin i chng:
Loa truyn thng.
Bo ch
Truyn thanh, truyn hnh.
Bng rn, p phch, pan, t ri, xe loa diu hnh.
Ni chuyn chuyn .
1.5.2Cc ban ngnh on th:
5 ban ngnh on th chnh: mt trn, thanh nin, ph n, nhn dn, cu chin
binh.

Cc ban ngnh on th ph: hi khuyn hc, CLB TT Khng Chin

1.6.Gio dc X hi:
1.6.1

Gio dc: Phng c mt trng mm non, mt trng tiu hc v mt trng trung

hc c s.

Trnh hc vn

S ngi (ngi)

T l (%)

M ch

42

1.8%

Cp 1

858

37.6%

Cp 2

744

32.7%

Cp 3

628

27.5%

i hc

0.4%

Trn i hc

0.0%

Tng

2280

100%

Nhn xt: S ngi bit ch chim a s.

1.6.2

T nn x hi:
S ngi nghin ht: 05
S u , hnh hung: 08 v, bt 13 i tng.
S v gia c: 03
S trm cp: 04, bt 06 i tng
S v cp git: khng c
1.6.V sinh mi trng
S h c in: 3756 h, chim 100%.
S h s dng nc my: 1126 h, chim 30%
S ln thng cng ton phng: 1 ln / qu
S ln thu gom rc: 1 ln/ 2 ngy
1.6.X hi:
Cc ban ngnh on th v cc hot ng gn vi y t.
Hi ph n: h tr chng trnh tim chng m rng, CSSKBM TE, vn ng
tuyn truyn nui con khe, dy con ngoan, xy dng gia nh hnh phc.
y ban BVBM TE, phng chng suy dinh dng.
on thanh nin: tuyn truyn nng cao kin thc s cp cu, hi tuyn truyn, vn
ng
Hi ch thp : chm sc sc khe ban u cho nhn dn, h tr cc chng trnh
y t, hin mu nhn o, t chc cc hi thi s cp cu cho nhn dn.
Cc chng trnh x hi:
Xa i gim ngho.
H tr vn cho dn.
Xy dng nh tnh thng, nh tnh ngha.
T nn x hi t xy ra trn a bn phng.

10
1

Trm Y T:

2.1 He thong y te tren a ban phng:

2.1.1 Y te nha nc:
So benh vien cong: 0.
So tram y te phng: 01.
2.1.1 Y te t nhan:
So phong xet nghiem: 0.
So phong kham y hoc dan toc: 01.
So c s ieu tr ong Y: 01.
So c s vat ly tr lieu (massage, phuc hoi chc nang):
0.
So phong mach t nhan: 02.
2.1 Tram Y te phng:
2.1.1 V tr, s o mat bang:
V tr: 163, ng Nguyen Duy Trinh - ap Tam a - Phng
Trng Thanh - Quan 9

11

S o mat bang:

N
H

2
Tng
560 m
BN
BN
HOA
C din tch s dng:
2
Din
tch nh kin c: 250 m
NC

Nc dng: nc ging cng nghip

C

S
N ging lu: 03

G
V

O
Phng
cp cu

Phng
trc

Phng
hnh
chnh

Phng
khm
ph
khoa

Phng
pht
thuc

Phng
hu sn

L
A
N
G

Phng
Khm
Bnh

Phng
Sanh
Nh V
Sinh

2.1.1 Ch c nang nhiem vu cua tram Y te:

Tram y te phng Trng Thanh co cac nhiem vu chu

yeu sau:
Xay dng ke hoach, chng trnh va cac giai phap
thc hien cong tac cham soc sc khoe nhan dan
tren a ban phng Trng Thanh va to chc
trien khai thc hien theo s ch ao va hng dan
cua S Y te va UBND quan 9.

Kham cha benh, cap cu, thc hien cac chng

trnh quoc gia ve y te, phuc hoi chc nang, d
phong, ket hp y hoc hien ai vi y hoc co truyen
dan toc, tiem chung, phong cong dch benh,
phong chong sot xuat huyet, bu co, quan ly
thai san, bao v sc khoe ba me, tre em va nhiem
vu chuyen mon, ky thuat ve ke hoach hoa gia nh;
cung ng thuoc, ac biet la thuoc thiet yeu cho
cong ong; hng dan cac hoat ong ve nghiep
vu chuyen mon cua cac n v y te cua cac cong
ty, x nghiep, c quan, trng hoc ong tren a ban
phng nham lam tot cong tac cham soc va bao
ve sc khoenhan dan, ac biet la nhiem vu
cham soc sc khoe ban au theo quy nh cua
nganh Y te.

Quan ly tot to chc bo may, can bo, kinh ph,

dc, vat t trang thiet b Y te.

12

Thc hien s ch ao va quyet nh cua UBND

phng ve ke hoach kiem tra, thanh tra viec chap
hanh Luat phap trong hoat ong y t Nha Nc va
cac c s hanh nghe y dc t nhan tren a ban
theo cac quy nh cua Nha nc va phan cap cua
thanh pho.

Giup UBND phng xay dng va co ke hoach boi

dng oi ngu can bo y te phng, am bao c
cau hp ly; thc hien ung cac che o chnh sach
oi vi oi ngu can bo y te trong phng va tong
ket viec ng dung nhng tien bo khoa hoc ky
thuat trong cong tac kham cha benh, d phong
va y te c s e pho bien, ap dung.

Chu tr phoi hp vi cac nganh , oan the trong

phng thc hien cong tac truyen thong giao duc
sc khoe va tham gia vao cac hoat ong cham
soc, bao ve sc khoe nhan dan.

Thc hien nhng nhiem vu, quyen han khac do Uy

ban nhan dan phng giao va hng dan cua S Y
te.

2.1.1 S o to chc:

P
2.1.2 S o nhan s:

Trng tram

PHNG S

Bac s Nguyen Van Tan.

Pho tram

Y s : Than Th Thuy.

13

Nhan vien:
Y s: Nguyen Thanh Trung.
Y s: Pham Th Hoa.
N ho sinh: Tran Th Thanh Thuy.
ong Y : Nguyen Van Tai.
2.1.3 Bang phan cong nhiem vu:

Bang 2.1: Nhiem vu cua tng nhan vien y te tai tram:

STT

H v Tn

Nguyn
Tn

Trnh
Vn Bc S

Chc V
Trng
trm

Nhim V

Thn Th Thy

Y s

Nguyn
Trung

Trn Th Thanh NHS

Thy

Thnh Y S

Phm Th Ha

Y s

Ph trm

Qun l trm
Khm cha bnh
Chng trnh HIV/AIDS
Chng trnh ARI
Chng trnh tiu chy
V sinh thc phm mi
trng
Phng chng lao
Phng chng suy dinh
dng
Gio dc truyn thng

Tim chng m rng

Phng chng dch
Chng trnh st rt
ORS
V sinh mi trng
Bo dch
Ti chnh

Nhn vin
trm

Dc
Ti chnh
Cp cu ti trm

Nhn vin
trm

CT chm sc sc khe
BMTE
CT da liu

Sc khe tr em
Tm thn
Hnh chnh

Nhn vin
trm

14
2.1 Ngun lc:
2.1.1 Nhn lc:

Trm y t: 6 nhn vin

Nhn vin sc khe cng ng: 10 nhn vin
2.1.1 Vt lc:

Din tch s dng ti trm: 560m2

Loi ngun nc ang s dng ti trm: nc my
Loi h x: t hoi
Trang thit b y t:
Bn lm vic.........................s lng................6 ci
Gh.......................................s lng................2 ci
Ging sn ph.....................s lng................2 ci
T.........................................s lng................3 ci
Ampli....................................s lng................1 ci
My vi tnh...........................s lng................1 ci
My o in tm ..............s lng................1 ci
My siu m Doppler s lng...........................1 ci
My xng..............................s lng................1 ci
My to oxy..........................s lng................1 ci
Dng c y t y
2.1.1 Ti lc:
Kinh ph hot ng ti trm y t (ngun kinh ph hot ng 2010):
Ngun kinh ph trung tm: 215.525.156 ng/ nm.
Ngun kinh ph h tr t y ban: 2.200.000 ng/nm.
Ngun kinh ph huy ng t cc c nhn, t chc mnh thng qun, dch v y t t
nhn: 0 ng/nm.
Ngun chi:
Lng 121.876.620 ng/nm.
Mua sm vn phng phm 182.000 ng/nm.
Ph cp, dch v, truyn thng 96.028.536 ng/nm.
2.1

Hot ng ca trm:
2.1.1 Tham mu cho y ban nhn dn phng v vic qun l y t:
Lp cc k hoch
Phi hp vi cc ban ngnh on th thc hin mt s nhim v c giao
2.1.1 Cng tc ti trm:

Khm cha bnh ng v Ty y

Cp cu
Chm sc sc khe b m tr em
H sinh
Tim chng

15

Gio dc truyn thng v sc khe

2.1.1 Cng tc ngoi trm:

Cng tc v sinh an ton thc phm

Gio dc truyn thng sc khe cng ng
Phng chng st xut huyt
Phng chng lao
Phng chng tm thn
Phng chng HIV-AIDS
T chc v sinh mi trng phng chng dch
Khm cha bnh trng hc
2.1.1 Lch cng tc ca trm y t:

Cng tc hng ngy:

T vn chm sc sc khe
Khm cha bnh hng ngy
Cp cu
Cng tc hng thng:
Gim st cc chng trnh sc khe mi thng 1 ln
Khm thai
Chch nga em b
Gio dc truyn thng ti khu ph
Kim tra v sinh an ton thc phm
V sinh mi trng, phng chng dch
Cp thuc
X l dch nh
Cng tc hng qu:
T chc hp ban ch o
Bo co nh gi hot ng ca qu
Lp k hoch phng hng qu mi
Cng tc hng nm:
Hp tng kt ban ch o
nh gi tnh hnh hot ng trong nm
Lm bo co tng kt cho nm
Lp k hoch cho nm mi
2.1.1 Kt qu khm-iu tr (nm 2010):

Bng 2.2: Kt qu khm iu tr ti trm

Khm cha bnh

n v

Ch tiu 2010

Thc hin 2010

Tng s lt CSSK

11800

9473

Tng s lt khm

11800

9473

16

Tng s lt khm v iu tr

(khng c)

9473

Ging lu

Ging

02

02

Bnh nhn

Ngi

11942

9258

Ngy iu tr

Ngy

93

Nhn xt: T l khm cha bnh thp do trm khng c chc nng khm bo him nn ngi dn a
s n tuyn trn.
2.1.2 Kt qu cc chng trnh sc khe:

a)

a)

a)

Chng trnh phng chng bnh x hi: lao, tm thn

Phng chng lao:
Bnh nhn b tr: ..................................... 0 bnh nhn.
Pht hin BK (+) mi:...........................................11 ca
t............122,22 %
Trong trm thc hin:.........................................8 ca
t................88,9 %
Tng s bnh nhn c qun l v iu tr:.........21 ca
Trong :
BK (+) mi:...............................................................11 ca.
BK(+) ti pht:.............................................................1 ca.
BK(-) :.........................................................................7 ca.
Lao mng phi:............................................................2 ca.
Bo v sc khe tm thn cng ng:
Bnh tm thn c iu tri ti trm: 8 ln/thng.
Trong nm pht hin mi:
ng kinh:...................................................4 ca.
Khc:...........................................................0 ca.
t................................................................100% ch tiu giao.
Qun l v iu tr bnh ti trm 8 ca. Trong :
Tm thn phn lit:......................................4 ca.
ng kinh:....................................................4 a.
Khc:...........................................................0 ca.
Chng trnh phng chng dch bnh:
Phng chng st rt:
C/ khng dch st rt ti a bn: khng.
Trong nm:
T vong do st rt:......................................0 ca.
S lam th st rt:............................................0 ca, chim 0%.
Phng chng st xut huyt:
C/ khng c dch SXH ti a bn: 0
S ca t vong do SXH: 0
Nm 2010:
S ca SXH (phng):..................................9 ca.
T chc GD PC SXH:............................12 bui.
Chng trnh chm sc sc khe tr em:

17

Tng s tr em c qun l:.................726 tr.

T l tr em di 2 tui c qun l c biu tng trng c ghi chp
ng v y :.........................................96 %.
Hng thng tr c mi ra tim chng, qun l sc khe nh k vi ch s t
c nh sau:96..............................................%
Nhn xt: Cng tc chm sc sc khe tr em thc hin tt, hu ht tr em c qun l v chm
sc ng, y .
Bng 2.3: Kt qu s tr ra trm khm theo di nm 2010

Tr

S ln theo di / nm

t so vi ch tiu giao

0-1 tui
>1-2 tui
>2-5 tui

1306
485
657

95%
91%
92%

Nhn xt: S tr ra trm khm theo di nm 2010 t so vi ch tiu c giao, t cho thy
thc cao ca cc b m trong vic chm sc sc khe cho con.
a)

Chng trnh tim chng m rng

Bng 2.4: Kt qu cc chng trnh tim chng m rng
Chng trnh

Qun l tr di 1 tui
Tim 7 mi
Tim ti trm

Ch tiu
163
163
163

t c nm 2010
178
155
178

Nhn xt: Kt qu t c trong nm 2010 cho thy thc cao trong vic chm sc sc khe b
m, tr em ca ngi dn v n v y t a phng
b) Cng tc v sinh an ton thc phm:
Ch tiu: 60 % c s ti phng t VSATTP.
Thc hin cng tc kim tra cc c s kinh doanh thc phm trn a bn phng 6 thng
1 ln, t: 100 %
S c s kinh doanh thc phm tham gia y cc lp tp hun AT-VS thc phm (2
ln/ nm/ c s) t: 100 %
S c s c phn cp qun l gm:
S c s n ung c kim tra:...............25 c s, t 41,66 %.
S c s gia kht c kim tra:..............22 c s, t 36,67 %.
Hng rong c nh c kim tra:.............13 c s, t 21, 67 %.
Tng s hng qun c kim tra:.............60 qun, t
100 %.
a) Phng chng HIV-AIDS:
C/ khng qun l v tham vn cho ngi nhim HIV/AIDS: c
Tng s ngi nhim HIV/AIDS (2000-2010): 12 ngi.
Cht do AIDS:.........................................05 ngi.
Khng r a ch:.....................................05 ngi.
Trng tri:................................................0 ngi.
Theo di chm sc ti a phng:..........02 ngi.
a) Chm sc sc khe sinh sn:
C/ khng c k hoch hot ng chng trnh:
C nm:..c
Tng nm: .c

18
T l ph n sinh ti c s y t c chuyn mn: .100%.
T l b m c NVYT chm sc tun l u sau sinh: 65 %.
T l ph n 15-49 tui khm, iu tr ph khoa ti trm: ...50 %.

Pht vin st cho b m trc sinh 3 thng:

Ti trm:....................................114 b m, t l:.100%.
Bng 2.5: Tnh hnh thc hin cc chng trnh sc kho sinh sn
Tn chng trnh

n v

Ch tiu 2010

Thc hin 2010

T l qun l thai
Trit sn
t vng trnh thai
Thuc tim nga thai
Trnh thai bng bao cao su
Tim VAT thai ph
Tim VRDL thai ph

%
%
%
%
%
%
%

120
2
90
60
200
120
90

114
2
155
106
246
114
114

Nhn xt: Cng tc k hoch ho gia nh v chm sc sc kho sinh sn c thc hin tt.
a)

Y hc c truyn:
C/khng phng khm chn tr y hc c truyn: C
C/khng lng y tham gia sinh hot tuyn y : C
Khm cha bnh (2010): 6 lt
Cp thuc (2010):18
Chm cu (2010):06
T l ngi dn s dng ng y: 0,06%

Nhn xt: a phng c s dn kh cao nhng t l khm v chm sc sc khe ca trm nm

2010 t 80,28%, qua cho thy s c gng v quan tm chm sc sc kho ca 2 pha trm v
ngi dn rt tt.
2.1 Tnh hnh sc khe ngi dn
Bng 2.6: Phn loi 10 bnh chim tn sut cao nht ca trm y t (2010)
STT

Tn bnh

M ICD

T l (%)

Vim hng

J31

20

Vim ph qun cp

J20

16

Ri lon tiu ha

K30

12

Vim d dy t trng

K29

Vim amian

J36

Vim xoang

J32

Vim nha chu

K05

Vim kt mc

H10

19

Vim mi d ng

J30

10

Vim i trng mn

K51

Tng

84

Nhn xt: a s bnh nhn n khm trm y t mc cc bnh ng h hp, tiu ha thng
thng, mang tnh ph bin nh vim hng, vim ph qun, vim d dy
Bng 2.7: Phn loi 10 nguyn nhn t vong thng gp trm y t (2010)
STT

Nguyn nhn t vong

T l (%)

Gi

58,8

Tai nn giao thng

18,2

Tai bin mch mu no

8,1

Ung th phi

5,2

Ung th i trng

3,1

Nhi mu c tim

1,9

Ung th gan

0,8

COPD

0,5

Suy thn mn

0,2

10

Khc

3,2

Nhn xt: Nguyn nhn t vong dn u l tui gi v tai nn giao thng. Cc nguyn nhn khc
chim t l t hn, c th do tnh cht phc tp ca bnh vt qu kh nng ca trm y t nn ngi
dn thng chn cc c s y t tuyn cao hn.
3.NHN XT CHUNG
3.1 Tng quan hot ng: Tnh hnh hot ng ca ngnh y t a phng kh ton din,
c th l cc cng tc thm khm, chm sc sc kho ban u, sc kho sinh sn, phng chng dch
trn a bn c thc hin tt. Song bn cnh vn cn tn ti mt s khuyt im cn xem xt,
rt kinh nghin, t ra k hoch hnh ng nm 2011.
3.2 Tnh hnh sc khe: Nhn chung cng tc chm sc thm khm phng v iu tr cc loi
bnh trn a bn phng Trng Thnh nm 2010 t kt qu tt. Qua cc s liu kho st cho thy
thc t bo v, quan tm n sc kho ca ngi dn c nng cao. Bn cnh s c gng v
trnh chuyn mn ca i ng cn b y t a phng gp phn ln vo kt qu ny. y l kt
qu ca nhng n lc t 2 pha trong lnh vc chm sc sc kho a phng.

20

3.3 Vn sc khe ni cm: Trong nm 2010, tuy cng tc phng chng v dp dch tng
i tt nhng tnh hnh SXH a phng trong qua vn cn din bin phc tp. T i hi
ngnh y t v cc ngnh hu quan cn tng cng cng tc tuyn truyn v vn ng nhn dn
phng chng SXH.

21

PHN 2
KT QU IU TRA H GIA NH
I.KT QU-NHN XT
1.1 c tnh mu nghin cu:
c tnh
Nhm tui

Bng 1: Phn b i tng theo nhm tui

Nhm
Tn s (n=100)

T l (%)

19-29

13

13

30-39

21

21

40-49

28

28

50-59

28

28

>59

20

20

Nhn xt: Theo kt qu kho st, nhm tui lao ng (19-29) chim t l thp hn cc la tui khc,
cc i tng cn li phn b ng u theo cc nhm tui.

Bng 2: Phn b i tng theo dn tc

c tnh

Nhm

Tn s (n=100)

T l (%)

Dn tc

Kinh

99

99

Hoa

Khc

Nhn xt: Hu ht cc i tng c kho st l ngi Kinh.

Bng 3: Phn b i tng theo tn gio

c tnh

Nhm

Tn s (n=100)

T l (%)

Tn gio

Pht gio

47

47

Thin Cha gio

Khng tn gio

51

51

22

Tn gio khc

Nhn xt: Cc i tng c kho st a s theo o Pht hoc khng theo tn gio no.

Bng 4: Phn b i tng theo trnh hc vn

c tnh

Nhm

Tn s (n=100)

T l (%)

Trnh hc vn

M ch

Cp I

35

35

Cp II

34

34

Cp III

25

25

Cao ng/i hc

Trn i hc

Nhn xt: Cc i tng c kho st c trnh hc vn phn b u theo cc bc hc I, II, III,

ring trnh Cao ng - i hc chim t l rt thp (4%).

Bng 5: Phn b theo i tng ngh nghip

c tnh

Nhm

Tn s (n=100)

T l (%)

Ngh nghip

Nh nc

T nhn

Lao ng t do

12

12

Bun bn

11

11

Ni tr

23

23

Hu/ gi

20

20

Tht nghip

Khc

20

20

Nhn xt: Cc i tng c kho st phn ln l ni tr hoc ngh hu/gi.

23

1.2 Ket qua kien thc cua ngi dan ve benh SXH:

Bang 5: Ty le ngi dan a tng nghe ve benh SXH

Nghe thong tin
ve SXH

Tan so ( n=100)

T le (%)

Co

97

97

Khong

Nhan xet: SXH l mt bnh ph bin trong cng ng nn ngi dn hu ht u bit v

SXH. Tuy nhin nhng hiu bit cha hon ton chnh xc. Cc c s y t cn ph cp thm kin
thc cho ngi dn v SXH v cc bnh x hi khc.

Bang 6: Ket qua khao sat kien thc cua oi tng ve benh SXH
Noi dung kien thc

ung

Sai

Tan
so
(n=100
)

Ty le
(%)

Tan so Ty le
(n=100) (%)

Mc o nguy hiem cua

benh

91

91

Thuoc chung nga

benh

51

51

49

49

Vect truyen benh

99

99

Loai muoi truyen benh

81

81

19

19

Trieu chng benh

22

22

78

78

Thi gian b muoi ot

51

51

49

49

Ni song cua muoi gay

benh

11

11

89

89

Ni e trng cua muoi

gay benh

10

10

90

90

24

Nhan xet: Cc i tng hu ht bit c mc nguy him v ngun ly truyn SXH, tuy
nhin hot ng sng, sinh sn ca mui v nhng biu hin ca bnh t c ngi dn bit n.
iu nhc nh ngnh y t cn ch trng cng tc gio dc tuyn truyn sc kho cho ngi dn.
Bang 7: Ket qua khao sat oi tng ve viec biet cac bien phap
phong chong benh SXH:
Biet ve cac BP
phong chong

Tan so (n=100)

T le (%)

Suc ra dung cu
cha nc

66

66

Tha ca bay mau

39

39

Hoa chat diet muoi

68

68

Ngu mung

85

85

Khong biet

Khac

59

59

Nhan xet: Bng s liu cho thy kin thc phng chng SXH ca ngi dn kh tt v cc
bin php v sinh mi trng, trnh mui, tuy nhin vn c s t khng bit.
1.3 Thc hanh phong chong benh SXH
Bang 8: Ket qua khao sat oi tng ve viec ap dung cac bien
phap phong chong SXH
S dung cac BP
phong chong

Tan so ( n=100)

T le (%)

Suc ra dung cu
cha nc

56

56

Tha ca bay mau

21

21

Hoa chat diet muoi

60

60

Ngu mung

81

81

Khong dung BP nao

Khac

56

56

Nhan xet: T l p dng cc bin php phng chng SXH trong cng ng l kh cao. Bn
cnh cho thy gia hiu bit v p dng vn cn khong cch nh. Ngi dn cha thc s phng
chng SXH mt cch trit .

25

Bang 9: Ket qua khao sat oi tng ve viec biet cac bien phap
phong chong khi ngi than b sot cao do SXH:
S dung cac BP khi
co ngi than b
sot cao do SXH

Tan so
( n=100)

T le (%)

Cao gio, cat le, giac

hi

Mi thay cung/ thay

phap

Mua thuoc t tr

24

24

Cho uong nhieu nc

27

27

ap nhieu men

Lau mat

29

29

a en cac c s y
te

29

29

Khong lam g het

96

96

Khac

Nhan xet: Hu ht cc i tng c thc cao v chm sc sc kho v s cu ban u v

SXH. Cc i tng hiu r cn a ngi bnh n c s y t cng nhanh cng tt l iu cn thit
nht.

Bang 10: Ket qua khao sat oi tng tham gia cong tac VSMT phong
chong benh SXH do a phng phat ong:
Tham gia cong
tac VSMT tai a
phng

Tan so ( n=100)

T le (%)

Co

51

51

Khong

49

49

26

Nhan xet: S i tng tham gia cng tc v sinh mi trng phng chng SXH ch t mc
trung bnh. iu cho thy hot ng v sinh mi trng ca a phng cha tht s thu ht s
quan tm ca cng ng.

Bang 11: Ket qua khao sat oi tng ve viec tham gia cac loai
hoat ong VSMT do a phng phat ong nhan phong chong benh
SXH
Cac loai hoat
ong

Tan so (n=51)

T le (%)

Phat quang bui ram 33

64,71

Suc ra vat cha

nc

30

58,8

Phun thuoc diet

muoi

29,4

Thau vet cong

ranh

16

31,4

Don rac, vat cha

nc ma ong
quanh nha

45

88,2

Khac

3,9

Nhan xet: Kt qu kho st cho thy tinh thn tham gia cc hot ng v sinh mi trng
nhm chng SXH ca ngi dn kh tt v c hiu bit v cc bin php v sinh.
1.4 Cac nguon thong tin trong phong chong SXH:
Bang 12: Ket qua khao sat oi tng ve viec tiep can cac nguon
thong tin trong phong chong benh SXH
Cac nguon thong
tin

Tan so (n=100)

T le (%)

Phng tien truyen

thong

78

78

Can bo y te

47

47

Gia nh

Ban be/ hang xom

27

Cong tac vien y te

a phng

43

43

Khong nh

Khac

Nhn xt: Kt qu iu tra cho thy cc phng tin truyn thng ng vai tr ch yu trong cng
tc tuyn truyn gio dc v SXH vi ngi dn, sau l cng tc ca ngnh y t ni chung v a
phng ni ring.
1.5 Vic i tng u tin la chn cc dch v y t khm cha bnh SXH
Bng 13: Kt qu kho st i tng v vic s dng cc dch v y t khm v cha bnh trong ln
la chn u tin
Loi dch v y t

Tn s (n= 100)

T l (%)

Trm y t

28

28

Bnh vin

71

71

Phng mch t

Khc

Nhn xt: Phn ln ngi dn chn bnh vin l c s y t a ngi nh n khm cha bnh
SXH.
2. KT LUN:

28

N PHNG CHNG ST XUT HUYT

1. t vn , gii thiu:

St xut huyt l mt trong nhng dch bnh ph bin trong cng ng v gy nguy him n tnh
mng nu khng cha tr kp thi. St xut huyt l mt bnh truyn nhim cp tnh do siu vi
Dengue gy ra. Bnh ly do mui vn ht mu truyn siu vi t ngi bnh sang ngi lnh. Loi
mui ny sng trong nh, ht mu c ngy ln m.

vn - trung gian truyn bnh st xut huyt

Vi tnh cht d mc, d nhim nh st xut huyt, cng tc phng v chng st xut huyt ng vai
tr quan trng trong y t cng ng. Cng tc ny phi c thc hin t cc n v y t cho n
tng a phng, tng h gia nh nhm m bo sc khe cho cng ng. Nhm 31A chng em
qua t kho st ti phng Trng Thnh, qun 9, TPHCM xin a ra n phng chng st xut
huyt nh sau:
2. Tnh hnh kho st thc t:

Nm trong chng trnh ging dy ca khoa y t cng cng HYD, nhm 31A c phn cng v
phng Trng Thnh, qun 9 nhm kho st kin thc, thc hnh ca ngi dn v st xut huyt
t ngy 14/2/2011 n ngy 25/2/2011.
Cch thc tin hnh kho st: t c chia lm 4 nhm, kho st ngu nhin 100 h gia nh ti khu
ph ch Thnh di s hng dn, dn ng ca ban qun l khu ph ti a phng. Thi gian
kho st: chiu th 6 v ngy th 7, ngy 18-19/2/2011.
3. Nhn xt tnh hnh:

Da vo kt qu kho st theo mu ca Trung thm thc hnh cng ng, chng em rt ra nhn xt
sau: Nhn chung, kin thc v phng chng st xut huyt ca ngi dn tng i cao. S hiu bit

29

ny c th hin qua nhng hnh ng nh: ng mng, sc ra cc vt dng cha nc Tuy

nhin vn c s t b phn ngi dn cha nm v hiu r v st xut huyt dn n khng s dng
nhng bin php phng chng st xut huyt. Do xy ra nhng ca st xut huyt v nhng t
bng pht dch ng tic a phng trong nm qua.
4. Chin lc, tm nhn, bin php khc phc tnh trng st xut huyt ti a phng:

Trc tin, cn lm tt hn na cng tc tuyn truyn v st xut huyt n vi mi tng lp dn c,

mi i tng. Ph bin c th vi ngi dn tng bin php phng trnh st xut huyt nh: ng
mng, dng nhang tr mui, thau vt cng rnh,Nng cao tinh thn, thc bo v sc khe ca c
nhn ni ring v ca cng ng ni chung, cho h thy r s nguy him ca st xut huyt. Cc cn
b y t phi tham gia cng ngi dn trong cng tc ny nh: t chc cc t v sinh mi trng ca
a phng, phun thuc dit mui, dit lng qung, Nn thng xuyn t chc cc t kim tra
cng tc phng chng ca tng h gia nh. Bn cnh , ta phi ph bin cho ngi dn cc
phng php x tr c bn khi mc bnh st xut huyt, khuyn khch h a ngi bnh n cc c
s y t cha tr ng thi bo ngay vi c quan y t ti a phng.
5. Phng hng hnh ng c th:
a) T chc tng nhm nh n tng h gia nh ph bin cc kin thc c bn v st xut

huyt, cch phng chng v x tr khi c ngi trong gia nh mc bnh st xut huyt nh:
St xut huyt l g?
V sao st xut huyt li nguy him?
V sao ngi ta b mc st xut huyt?
Lm sao bit b st xut huyt?
Lm g phng chng st xut huyt?
X tr th no khi b st xut huyt?

30

a) Pht t tuyn truyn, loa pht thanh kin thc v st xut huyt

T ri tuyn truyn phng chng st xut huyt pht

min ph ti trm y t phng Trng Thnh qun 9

31

T ri tuyn truyn phng chng st xut huyt pht min ph

ti trm y t phng Trng Thnh qun 9

CD pht thanh tuyn truyn

phng chng st xut huyt
(ngun: trm y t phng
Trng Thnh qun 9)

32
b) a kin thc v st xut huyt vo chng trnh hot ng ngoi kha trong trng hc

c)

Thng xuyn t chc nhng hot ng v sinh mi trng trong khu ph nh: pht quang bi rm, no
vt cng rnh, phun thuc dit mi, dn rc v sc ra vt cha nc,

Hat ng v sinh mi trng khu ph

Phun thuc dit mui

khu dn c

d) Thng xuyn t chc cc t kim tra v sinh ca tng h gia nh, hng dn cho ngi dn thc
hin cc bin php phng chng st xut huyt

33

Nhn vin y t n kim tra lng qung ti nh dn

e) Khuyn khch ngi dn tch cc tham gia vo phong tro phng chng st xut huyt, khuyn
khch ngi dn phn hi v ng gp phong tro ca a phng pht trin. ng thi cc cp
lnh o v cn b y t phi tch cc lng nghe kin ca nhn dn.

Lu c np y - mui khng c ni trng

Bng rn tuyn truyn phng chng st xut huyt ti trm y t phng Trng Thnh qun 9

34

PHN 3
NHN XT CUI T THC TP
1. Ni dung thc tp:

Qua t thc tp ny, nhm chng em hon thnh 3 ni dung chnh :

Tm hiu v t chc mng li Y t Qun 9 v hot ng ca Trm Y t Phng
Trng Thnh.
Chn on cng ng, xc nh vn sc khe u tin can thip cng ng.
1. nh gi v t thc tp:
1. Kt qu t c: Sau t thc tp ny, nhm chng em c kh nng:

Theo st tnh hnh thc t a phng: a hnh, a vt, dn c, kinh t

Tm hiu s b v c cu t chc, vn hnh b my y t ca phng.
K nng tho lun nhm, lm vic nhm, k nng phng vn v giao tip vi ngi
dn.
Kho st, nh gi tnh hnh dch bnh st xut huyt a phng.
Tuyn truyn, gio dc cng tc sc khe v bnh st xut huyt, phng chng
HIV/AIDS, sc khe ph n mang thai.
Vn dng nhng kin thc thu c p dng cho bn thn.
1. Nhng im cha t :

Ch tip xc vi mt b phn nh ngi dn nn cha th nh gi c ton din

kin thc v tnh trng st xut huyt ca ngi dn.
Cha thc s ch ng, tch cc trong cng tc tuyn truyn, gio dc sc khe.
Hot ng tuyn truyn, gio dc sc khe cn nhiu hn ch do thiu kin thc
chuyn mn.
Tho lun nhm t hiu qu cha cao.
1. Rt kinh nghim:

Nng cao kin thc chuyn mn v dch bnh.

C k hoch c th, chun b ni dung tho lun, phn cng nhim v hp l trc
khi kho st cng ng.

35
1. Nhn xt ca trng trm:

.....................................................................................................................................
.....................................................................................................................................
.....................................................................................................................................
.....................................................................................................................................
.....................................................................................................................................
XC NHN CA TRM Y T
(K tn, ng du Trm y t, ghi r h tn)

36

TI LIU THAM KHO

1. Bo co t thc hnh cng ng 2011-TRUNG TM THC HNH CNG NG
2. Ti liu Hng dn thc hnh cng ng 2011-TRUNG TM THC HNH CNG NG
3.Bo co kt qu hot ng Kinh t - Vn ha X hi An ninh quc phng n thng 12 nm
2010 ca phng trng Thnh
4.Bo co bin ng dn s phng Trng Thnh nm 2010
5.Bo co hot ng y t ca trm y t phng Trng Thnh 2010