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PHNG HNG TRONG TAM NAM 2008
II/KHO KHAN
tac kham cha benh va thu dung benh nhan noi, ngoai tru phan ln tap trung 3 thon gan tram la Hng Thanh, Hng Sn, Hng Thuy; Thuy; v vay phan au hoan thanh ch tieu ieu tr noi ngoai tru gap nhieu kho khan 2/ Tnh hnh dan c bien ong - Mot so thon co nhieu ho gia nh co ten nhng khong co mat thng xuyen, gay kho khan cho cong tac quan ly nhan ho khau trong lnh vc cham soc sc khoe - La xa ma 100% nhan dan c hng 100% che o kham cha benh mien ph; do o ph; mot so nhan dan i khoi a phng a lau luc au om nang hoac sinh e quay ve a phng xin ieu tr , chuyen vien gay kho khan cho cong tac quan ly, thong ke, bao
3/ i song cua nhieu y ta thon ban con kho khan, che o thap (100.000/thang) ma yeu cau cong viec 100.000/thang) nhieu nen phan ln van cha the sap xep hai hoa viec nha va viec tram y te giao. giao.
B .CAC CH SO Y TE
- So ho - Phu n 15 35 tuoi
1960 430 366 518 301 27 114 13, 13,2 chet tho
B .CAC CH SO Y TE (tt)
a/Cac nguyen nhan t vong -Suy kiet tuoi gia 2 -Chet uoi 1 -Benh tim mach 1 -T t 1 -Ung th 1 b/So trng hp mac 6 benh truyen nhiem tre em: em: khong co case benh
2/ Ch so sc khoe benh tat (tt) c /10 benh co t le mac cao nhat: nhat:
-NKHH tren
% -H/ da day % -Viem a day TK 4.6% -Benh c-xng-khp c-xng3.4% -Suy nhc c the 3.1% -Benh ve mat 2.8% -Benh rang mieng 2.5%
cap cu theo quy nh chuyen mon - To chc thc hien tot quy nh cua nha nc viec kham cha benh mien ph cho tre em di 6 tuoi, kham cha benh BHYT cho moi oi tng. tng. - Chat lng kham cha benh ngay mot nang cao, kham benh at 135,4% ch 135, tieu ke hoach (tang 21,6 % so vi nam 21, 2006) 2006). Bnh quan so lan kham benh la 2,1 lan / ngi/ nam. nam.
qui che dc -Bao am u thuoc phuc vu cho nhu cau kham cha benh mien ph tai tram. tram. -Nguon thuoc am bao tap trung vao mot au moi, khong e xay ra tnh trang mat mat, h hong.Thng xuyen luan hong. chuyen thuoc, khong e thuoc het han dung. dung. -Tong so tien thuoc s dung cho kham cha benh tai tram la: 44.321.361 . Trong la: 44.321. o: o: +Tien thuoc phuc vu cho oi tng BHYT : 39.154.379 39.154.379 +Tien thuoc phuc vu oi tng tre em < 6
I.NHNG MAT LAM C (tt)TAC D PHONG 3.CONG a/Cong tac phong chong dch benh Thanh lap mang li giam sat, bao dch
t thon ti xa, thanh lap oi x ly o dch nho. Thc hien tot cong tac bao nho. dch hang ngay, tuan va giam sat case benh au tien theo qui nh Trong nam khong xay ra vu dch nao tren a ban xa.So trng hp mac cac xa. benh truyen nhiem nh sau: sau: - Hoi chng l : 14 case ( nam 2006 2 case tang 12 case) - Tieu chay: chay: : 60 case ( nam 2006 41 case tang 19 case) - Sot xuat huyet : 01 case ( benh nhan nhiem t TP HCM )
b/Cac chng trnh y te *Chng trnh TCMR: TCMR: -So tre di 1 tuoi tiem phong ay u: 31/31 at100 % -So PNCT tiem VAT 2+ : 31 / 31 at 100 % -So PNTS tiem VAT 2 + : 27 / 26 at 103,8 % -So tre tiem VGSV-B < = 24h : 2 / 31 at VGSV7,7 % *Chng trnh vitamin A -Trien khai cho uong vitamin A vong I&II cho tre t 6 en 36 thang va ba me sau sinh 1 thang eu at 100% ke hoach 100%
I.NHNG MAT LAM C (tt) *Chng trnh phong chong sot ret: ret: -Trong nam khong co trng hp mac
benh sot ret -Tong so lam xet nghiem KSTSR : 602 lam Trong o + lam do y te xa lay : 347 lam + lam do YTTB lay : 255 lam - Tong so lieu thuoc s dung:86 (Cap t dung: ieu tr 74 ) Trong o + Do tram cap: 29 cap: + Do YTTB cap : 57
I.NHNG MAT LAM C (tt) *Chng trnh BVBMTE/KHHG -Tong so PNCT : 46 ngi -Tong so lan kham thai : 120 lan -Tong so phu n e : 26
ngi Trong o +e con th 3 tr len : 5 chiem 19, 19,2% (nam 2006 chiem 19.3% ) 19. +So e tai tram :14 at 53, 53,8% +So e tai c s y te : 26 at
*Chng trnh BVBMTE/KHHG (tt) -So mi ap dung cac bien phap tranh
thai hien ai +Vong mi :15( Trong o tram thc 15( hien 2 ) -Ty le CPR : 76,7% 76, -Phoi hp thc hien chien dch CSSKSS/KHHG tai tram vi ket qua +Tong so phu n c kham : 100 +Tong so phu n mac benh phu khoa c ieu tr: tr: 34
*Chng trnh ARI / CDD -So tre t 0 5 tuoi c quan ly: ly:
141 tre -So lt tre b benh c ieu tr: tr: 441 tre (Bnh quan 1 tre b benh 3,1 lan / nam. nam. Nam 2006 la 3,3 lan/nam ) -So tre b tieu chay, l : 17 tre -So tre c ieu tr bang ORS : 16 tre
*Chng trnh phong chong lao -Tong so benh nhan lao c quan ly &
ieu tr tai tram: 6 tram: -Tong so benh nhan lao c ieu tr khoi : 05 -Tong so benh nhan lao hien ang con ieu tr : 01 -So trng hp gi tuyen tren xet nghiem am : 9 Trong o so dng tnh : 01 chiem t le : 11, 11,1% *Chng trnh phong-da lieu phong-Khong phat hien benh nhan phong mi -So benh nhan phong tan phe o II c cham soc : 01
*Chng
trnh
phong
chong
TNTTTNTT-
XDCAT -Tong so case b TNTT c y te can thiep : 85 -Phan loai TNTT +TNGT : 12 .Chiem 14% 14% +Tai nan lao ong : 06 .Chiem 7% +Do bao lc-xung ot : 06 .Chiem 7 % lc+Tai nan khac : 61 .Chiem 71% 71% Ty le phan tch ch mang tnh tng oi, do co mot so loai tai nan benh nhan khai
*Chng trnh y te trng hoc Nam hoc 2006-2007 c s ho tr cua 2006nha trng nen cong tac y te trng hoc cung a co nhieu chuyen bien, mau so quan ly sc khoe hoc sinh c nha trng in an cho moi hoc sinh nen viec trien khai kham sc khoe gap nhieu thuan li. li.
*Chng trnh y te trng hoc (tt) Ket qua nh sau: sau: -Phoi hp vi tram y te xa a Lay to
chc tiem VAT cho n hoc sinh o tuoi 14 15 tai trng THCS Hng Lam at 100% 100% -Kham& lap ho s sc khoe cho 65/ 66 65/ hoc sinh mau giao at 98,5% 98, -Kham &lap ho s quan ly sc khoe cho hoc sinh cap I: 165/172 at 96% 165/ 96% -So hoc sinh c chai rang & suc mieng bang fluor la 170 em -Phoi hp vi xe nha lu ong t van sc khoe rang mieng cho hoc sinh cap I va nho 174 rang sau cho cac em
I.NHNG MAT LAM C (tt) *Chng trnh VSMT Di s ch ao cua trng ban ch
ao CSSKND, tram y te a to chc hoi thao chuyen e ve thc trang ve sinh moi trng va giai phap trien khai thc hien. hien. Tai buoi hoi thao cac thon trng a ang ky, cam ket van ong cac ho theo ch tieu giao, sau o thanh lap ban van ong cac thon gom thon trng, trng ban cong tac mat tran, can bo BC CSSKND va YTTB. YTTB. Ban van ong a i tng ho gia nh e van ong, ch ni ao, quy cach ao ho rac; tu sa ho x; ien hnh trong hoat rac; x; ong nay co hai thon Hng Sn va Hng Van 2. Ket qua cac cong trnh ve
31/48 64,5
32/47 68
32/41 78
27/33 81,8
62/82 75,6
88/108 81,5
c/Cong tac TTGDSK -Trien khai cac t chien dch truyen thong ve phong chong sot ret, phong chong dch cum A H5N1 ngi, phong chong cac roi loan do thieu hut iode, phong chong HIV/AIDS, phong chong benh tieu chay cap nguy hiem...So hiem...So lieu truyen thong nam 2007 nh sau: sau: +Tuyen truyen tren loa cong cong cua xa: xa: 77 lan +TTTT, thao luan nhom c :160 buoi vi 4730 lt ngi +Tham 1762 lt ho gia nh vi 4415 lt ngi -T van cham soc sc khoe, KHHG cho 1595 lt ngi -Trung bnh 1 ngi c giao duc sc khoe 4,6
d/Cong tac khac (tt) -Tnh hnh s dung kinh ph phan bo t ngan
sach xa: xa: Kinh ph phan bo t ngan sach cho hoat ong y te la 10.000.000 Tong kinh ph s dung trong nam 2007: 2007: 9.995.000 995.000 Trong o: o: +Chi ho tr can bo y te xa, thon : 4.660.000 +Tu sa c s vat chat , mua sam : 4.295.000
1/CONG TAC QUAN LY: LY: *Vai tro trng tram van con han che
nen: nen: - Cong tac tham mu vi chnh quyen a phng co luc con cha kp thi do o cha huy ong c het the manh cua cong ong trong xa hoi hoa cong tac y te, viec phoi hp vi ban nganh oan the mi ch dng lai moi khi trien khai cac chng trnh y te trong iem, cac t chien dch. dch. - Cong tac quan ly, giam sat can bo cha chat, dan en hoat ong cua tram
1/CONG TAC QUAN LY:( tt) LY: *Vai tro trng tram (tt): (tt): - Kiem tra, giam sat mang li YTTB cha
thng xuyen nen cha kp thi xac nh mot so ket qua va thao g kho khan cua c s. s.
2/CONG TAC IEU TR (tt) -Ve cong tac YHCT: Do thieu kinh ph
au t va cha c chu trong ung mc, nen mac dau la xa tien tien ve y hoc co truyen nhng hieu qua ieu tr bang thuoc nam- cham cu van cha cao -Do nhieu yeu to khach quan va chu quan cua tng ca nhan nen co luc van con tnh trang cha am bao thi gian lam viec tai tram, trong tiep xuc vi benh nhan oi khi con thieu niem n, va trnh o chuyen mon han che nen cha thc s tao c niem tin trong nhan dan
3/CONG TAC D PHONG (tt) + Chng trnh VSATTP: 90% hang quan con VSATTP: 90%
thieu hieu biet trong viec thc thi cac phap luat thng mai, phap lenh VSATTP nen tnh trang khong am bao cac yeu cau VSATTP van keo dai ( khong tham gia tap huan; huan; khong kham sc khoe nh ky; thieu ao ky; mu, tap de...) de...) @Nguyen nhan: nhan:
II/TON TAI-NGUYEN NHAN: (tt) TAINHAN: 3/CONG TAC D PHONG (tt) + Chng trnh phong chong SDD tre em: Co bao cao rieng
4/CONG TAC TTGDSK (tt) Nguyen nhan : + Kinh ph au t con han che. Kinh ph che.
tuyen truyen cua cac chng trnh thng tap trung vao mot hai t trong iem trong nam vi hoat ong chnh la bang ron va tuyen truyen tren loa cong cong + He thong loa cong cong xuong cap, cha bao phu khap cac thon, nhat la cac thon xa + Ky nang tuyen truyen, t van cua mot so can bo cha cao, nen cha co kha nang truyen at, dan en nhan dan khong lang nghe trong cac buoi truyen thong, t van
I/CONG TAC KHAM CHA BENH : @NOI DUNG: DUNG: 1/ Nang cao chat lng kham cha benh tai
tram, bao am che o thng trc theo quy nh. ac biet trong cac dp le, tet. nh. tet. 2/ Tch cc thu dung benh nhan ieu tr noi, ngoai tru, tang so ngay ieu tr noi tru, nang cong suat s dung ging benh. benh. 3/ Thc hien tot cong tac kham cha benh cho oi tng chnh sach, BHYT, tre em < 6 tuoi 4/ Cung co hoat ong YHCT, tng bc long ghep YHCT vi YHH at chat lng va hieu qua cao. cao.
I/CONG TAC KHAM CHA BENH (tt) @GIAI PHAP: PHAP: 1/ Thng xuyen kiem tra, giam sat che o
trc, thc hien giao ban chuyen mon nh ky nham nang cao chat lng chuyen mon trong ieu tr .Co ke hoach cu the ve ch tieu thu dung benh nhan noi ngoai tru cho tng quy, thang. thang. 2/ Trau doi va thc hien tot cac quy nh ve y c e c nhan dan tin yeu hn. hn.
I/CONG TAC KHAM CHA BENH (tt) @GIAI PHAP (tt) 3/ Tranh thu s au t ve c s vat chat,
trang thiet b cua tuyen tren e c s c hoan thien hn, phan nao ap ng c nhu cau kham cha benh cua nhan dan 4/ S dung hp ly cac nguon kinh ph c cap va tap trung thi gian e au t cho cong tac YHCT
II/CONG TAC D PHONG @NOI DUNG 1/ Chu ong giam sat tch cc cac benh
truyen nhiem, giam sat chat che case benh au tien theo quy nh, ac biet la giam sat tnh hnh cum A H5N1 ngi, benh tieu chay cap nguy hiem, cac benh dch la khac. Phat khac. huy mang li bao dch va phong chong dch cua YTTB
II/CONG TAC D PHONG (tt) @GIAI PHAP: PHAP: 1/ Tranh thu s ch ao cua cap uy
ang, cua BCCSSKND nham huy ong toi a s tham gia cua cong ong vao cong tac y te. ac biet la tham mu trong te. viec trien khai long ghep mot so hoat ong y te vao ngay VSMT hang thang
II/CONG TAC D PHONG (tt) @GIAI PHAP (tt) 2/ Xay dng ke hoach cu the cho tng
chng trnh y te, tham mu, bao cao kp thi vi trung tam y te, uy ban nhan dan, ban ch ao CSSKND e c ch ao, ho tr ve chuyen mon cua tuyen tren va ch ao ho tr ve nhan-tai- vat lc cua chnh quyen a nhan-taiphng 3/ Tang cng kiem tra, giam sat cac hoat ong cua can bo phu trach chng trnh va YTTB
hoat ong cua can bo phu trach cac chuan Quoc gia.Tiep tuc xin au t c s ha tang va gia. trang thiet b chuyen mon 2/ Thc hien qui che dc chnh theo qui nh, d tru thuoc theo danh muc ban hanh, khong e thieu thuoc, khac phuc cac sai sot trong cong tac ke toan dc
PHAN TH BA
KIEN NGH
3/ a mot so ch tieu y te quan trong vao ngh quyet cua cap uy ang nham nang cao hieu qua lanh ao va thc hien 4/ Nang cao chat lng hoat ong cua cac thanh vien trong ban ch ao 5/ Xem xet, boi dng cho can bo y te xa e sm co ngi c ng trong hang ngu ang. ang.
Tren ay la bao cao tong ket cong tac y te nam 2007 va phng hng, nhiem vu trong tam cua tram y te xa Hng Lam nam 2008. Knh mong s quan tam ch ao cua Chi bo ang, BG TTYT, cac khoa, phong, oi cung nh s ch ao cua cap uy ang-chnh quyen a phng cung cac hoat ong tham gia phoi hp cua ban nganh, oan the, cac to chc xa hoi e tram y te thc hien tot hn nhiem vu cham soc, bao ve sc khoe nhan dan trong nam ti.