iTY BAN NHAN DAN

CONG HOA XA HOI CHU NGHIA VIET NAM TINH BA RIA-VIING TAU

DO lip - Tv do - Hanh phic

s6: ,39 /KH-UBND Ba Ria-Viing Tau, ngay20 thong nam 2015

KE HOACH

Cling tic phong, chOng HIV/AIDS tinh Ba Ria-Viing Tau nam 2015

Phan I

THONG TIN CO BAN

1. Thong tin chung.

1.1. Dia Vf, dan so va kinh t6, xa hOi.

Ba Ria-Vung Tau la mot tinh ven bien thuOc mien Dong-Nam BO; tong dien tich to nhien: 1.982,660 km2; dan so: 1.064.000 nguai ( 2014), mat do dan s6 536 nguai/km2. Tinh BA Ria-Viing Tau c6 2 thanh pho va 6 huyen; 82 phtrang, xa, thi tan. Dan so thanh thi chiem 49,85%. Ba Ria-Viing Tau duac xac dinh la dia phuong nam trong viing tir gide kinh to trong diem phia Nam c6 ca sa ha tang, he thong giao thong thuan lgi va cac dich vu dap frng duac yeu can cua cac nha dau tu, kinh doanh dich vu ye dau khi, cang hien, du lich, khu c 'Ong nghiep tap tning.v...v..

Thuc to trong vai nam gan day, BA Ria-Viing Tau co so dan di hien dOng lon den tir cac dia phucmg khac trong ca mac, s6 dan di hien dOng quan ly clugc la 13.253 nguai, tap trung tai cac dia phtrcmg nhu: Thanh phoViing Tau, Long Dien, Tan Thanh, Con Dao. Tuy nhien con so nay kh6ng on dinh va thuemg xuyen dao Ong.

1.2. Tinh hinh nghi'en ma tuy, mai dam va to nan xa hei khac.

Toon tinh CO 2.457 d6i twang nghien ma tuy dang duac pan 1y. Trong s6 nay, co 691 &I Wong dang dtrot tap trung tai Trung tam Gido due lao dOng xa hOi va Day nghe Tinh (TT 06), 87 MI tuong trong cac trai giam, tam giam va phan lon so con lai dang song tai cong dong.

SO phu nu hanh nghe mai dam quan ly dtrac là 629. nguai, Nhom doi Wang nam quan tinh chic dong (MSM) uoy tinh 865 doi tuang.

2. Tinh hinh dich HIV/AIDS va cac yeu to lien quan.

2.1. With gia tinh hinh dich HIV/AIDS.

Tinh den 31/12/2014, tinh BA Ria-Vting Tau da ghi nhan so luy tich nguai nhiem HIV la 5.271 truemg hop, trong do so nhigm HIV con song tiep can duaci

la 3.354; S6 benh nhan chuyen AIDS la 2.185 va 1.460 truang hop tir vong do AIDS.

Rieng trong nam 2014, toan tinh pita hien 211 tn.rang hop nhiem HIV, 71 benh nhan AIDS va 49 nguai tir vong do AIDS. So vai ding lc-Si nam 2013, so tnrang hop nhiem HIV phat hien duac bao cao giam 1 (0,5%), so nguai chuyen AIDS tang 7 (11%), so nguai tir vong do AIDS tang 4 (9%)

TS, Fe hien nhiem HIV/AIDS dm tinh Ba Ria-Vting Tau la 300/100.000 dan (Cao han so vai binh quan ca were la 248/100.000 dan).

Ve hinh thai dich HIV, tS7 le nguai nhiem HIV la nam van chiem da so (69,19%) trong so cac tnrang hop dtroc phat hien trong nam 2014. D6i tirong nhiem HIV nhieu nhAt la nguai nghien chich ma .nly (43,6%), cac nhOm khdc chiem tS7 le thAp. TS, le nhiem HIV cila nhom tuoi 30-39 ( So vai tong so) tang rO trong nhfing nam gAn day

TS, re cac tnrang hop lay truyen HIV qua duang tinh due, duang mau, me truyen sang con trong nam 2014 lan lugt la : 51,50%, 43,08% va 5,42% (Nam 2013 cac tS, le nay la 58,2%, 38,2% va 1,89%)

TS, le nhiem HIV trong nh6m nghien chich ma toy theo din qua giam sat trong diem (GSTD) nam 2014 la 9,3% (thap so vai nam 2013 la 10% nhung cao so vai nam 2012 la 7,3 %); tS, re nhigm HIV trong nhom phi,' nu ban dam nam 2014 la 2,66% (tuong duang vai nam 2013 va cao han so von 2% nam 2012). Nam 2014 kh6ng trien khai GSTD trong cac nhOm phu nu mang thai, nam thanh nien kham sa tuyen nghia vu quan sit. Tuy nhien thong ke qua trien khai giam sat phat hien HIV cho thay tS, le nhiem trong nh6m phu na mang thai la 28/14.299 (0,19 %); Nh6m thanh nien kham tuyen nghia vu quart sr la 4/2.634 (0,15 %).

Dv kien din bien va xu htroing dich HIV/AIDS cita tinh Ba Ria-Vting Tau trong thai gian to'i:

- Dich HIV/AIDS tai tinh Ba Ria-Viing Tau van con trong giai doan dich tap trung. So nhiem HIV chit yeu nam trong cac nhom nguy co cao (Nghien chich ma toy (43,6%), Phu nit ban dam (1,42%), cac nhom nguy co thap (Phu nu mang thai, Thanh nien kham tuyen nghia vu quan sit) CO t5/ le nhiem dueri 1%. Tuy nhien s6 nguai nhiem HIV dm tinh van a mac cao so vai cac dia phuong trong toan quoc (Thin 12/63 tinh, thanh).

- T6c dO lay nhiem co xu huongs cham lai nhtmg chua thuc sit dinh va tiem an nguy co lan rang ra cOng dung, binh quail hang nam van ghi nhan khoang 200 nguai nhigm HIV mai.

- Duemg lay cho yeu van la clueing mdu va QHTD, trong do lay truyen theo duang QHTD se chiem tSr le ngay cang

- Ve d6i tuong, ben canh cac nhom co nguy co cao nhu nghien chich ma gai mai dam thi ban tinh cua nhUng nguai nay va nguai nhiem HIV la mate

nhom can ducic het sire quan tam do tam ly chir quan, it sir dung cac bien phap du phimg hieu qua.

- Ve dot tu6i: chiem tS, le cao la cac nhom tuei 30-39 va 20-29.

- Ve dia ban: Chiem s6 nguai nhiern nhieu nhdt la Thanh phe Wing Tau, tiep theo la huyen Tan Thanh va huyen Long Dien. Nguyen nhan la do nhang dia phuong nay có cau true dan cu nhieu thanh phan, dia ban phirc tap, to nan xa hOi kho kiem sodt, so dan di bien dOng lon....

2.2. Cac hoat dOng can thiep, du an ph6ng chong HIV/AIDS clang trien khai.

Trong nheing nam vim qua, vai sir ho trot cua Trung ucmg, cac du an quoe to va nguon lire tai dia phuang , tinh Ba Ria-Vang Tau da to chirc trien khai mOt each town dien cac hoat Ong can thiep ph6ng, chong_HIV/AIDS, tap trung vao cac dia ban tong diem có tap trung so cong nguai nhiem HIV, nghien ma tay

Cdc, hoat Ong, can thiep, du an phOng ch6ng HIV/AIDS khdc, trong do Nganh y to la ben ph6i hop, Om sat, ho trot ky thot:

- Tr( van xet nghiem HIV hru dOng tai Trung tam GDLD-DN Tinh (05-06), trai giam... tren dia ban tinh do Chuang trinh MTQG va cac du an VAAC-US.CDC, QTC ho try.

- Cham sac, dieu tri ARV cho pham nhan nhigm HIV tai Trai Giam Xuyen MOc (T345).

- Cdc hoat dOng he try nguai nhiem va nhfing nguai bi anh huang bai HIV tai huyen Tan Thanh do Lien hiep hOi khoa hoc kyr thuat Viet Nam (VUSTA) trien khai vai sir 116 trot cua Du an Quy todn cau ph6ng chong HIV/AIDS.

Phan II

DANH GIA 'CET QUA THTXC HItN CONG TAC PC HIV/AIDS NAM 2014

1. Ket qua trien khai.

1.1. Cong tic quan ly, to chirc, chi dao.

Nam 2014, cong tdc tham muu va trien khai cac van ban dm cap tren tiep tuc duac trien khai tich cue. UBND Tinh phe duyet va ban hanh Ke hoach trien khai "De an darn bdo tai chinh cho hoat dOng ph6ng, ch6ng HIV/AIDS giai doan 2014-2020"; T6 chirc cac sir kien lan vai quy mo toan tinh nhu: Thang hanh dOng ve Chuang trinh du phong lay truyen HIV tir me sang con, Thang chien dich truyen th8ng ye cong tic phong, cluing HIV/AIDS huang l'xng ngay quoc to phOng, chong HIV/AIDS 1/12

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Tham mtru, d xudt gap y kien, yr% BO y te, Cue phong chong HIV/AIDS trong viec, chudn bi ban hanh, sda ,doi cac van ban lien quan den cac linh Nix nhu to van xet nghiem HIV, dieu tri Methadone, chain sac nguai nhiem HIV/AIDS, to chin be may, chirc nang nhiem vu cua trung tam phong chong HIV/AIDS cap tinh,...

Ban hanh Quyet dinh so 2845/QD.UBND ngay 19/12/2013 ,cua Uy ban Nhan dan tinh Ba Ria-Viing Tau V/v giao chi tieu, ke hoach phat trien kinh to-xa hei va du toan thu chi ngan sach nha nuac nam 2014 cho cac Sec ban, nganh trong do co nhiem vu PC HIV/AIDS

1.2. Cong tac chuyen mon ky thuat:

1.2.1. Cong tic thong tin giao due truyen thong:

Trong nam 2014 hoat dOng truyen thong nye tiep ve thay doi hanh vi nguy ca lay nhiem HIV/AIDS da trien khai tai 117.694 loot nguOi. Trong dO, truyen th6ng tiep can nhieu nhat la nhOm phy nv trong dO tuoi sinh de 40.318 lugt nguai (34%) tiep den la nh6m nghien chich ma thy vai tong so 23.210 lugt nguai (chiem ty le 19,7% lugt nguai dugc tiep can hog dOng truyen thong).

Tien hanh cuOc dieu tra " Danh gia kien thirc, thai d4 va hanh vi cua nguai dan ye HIV/AIDS". K.& qua dieu tra cho thdy 75 % nguai dan c6 nhan thirc, thai dO dung ye HIV/AIDS, ty le nhan thirc dung Cr thanh thi la 82,5 %; nong them la 67,5 %.

1.2.2. Hog dOng can thiep giam tac hai:

Chuang trinh phan phat bao cao su mien phi &roc trien khai i 8/8 va Chuang trinh phan phat born kim tiem mien phi trien khai, a 2/8 huyen, thanh pho. S6 bao cao su phan phat mien phi la 262.670 chiec; so barn kim tiem phat mien phi dugc 100.698 chiec.

Chuang trinh dieu tri methadone dugc tiep tuc trien khai tai 2 don vi (Vung Tau, Long Dien). Tong so nguai nghien ma nay dang thuec phien dang clugc dieu tri methadone den 31/12/2014 la 479 tnremg.

Trong nam 2014 so benh nhan mai tham gia dieu tri la 242, cao hcrn so vai ding ky nam 2013 (183 benh nhan).

, 1.2.3. Hog dOng to van va xet nghiem HIV: tong so lugt nguai dugc to van va xet nghiem HIV mien phi la 15.503 tnremg hop trong da so tnrong hop co HIV (+) la 402 chiem ty le 2,67 % .

1.2.4. Cong tac giam sat dich HIV/AIDS:

Giam sat tong diem HIV: Nam 2014 thuc hien 300 mL (150 mL nhOm nghien chich ma toy , 150 mau nhom PNBD, dat 100% chi tieu ke hoach de ra).

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Giam sat phat hien HIV: dugc thuc hien thuang quy ten dia ban toan tinh

1.2.5. COng tic theo doi va danh gid:

He thong bao cao truc tuyen cac hoat deng chuang trinh phong cht)n HIV/AIDS (D28 online) tiep tut dugc duy tri tai 100% so huyen, thanh ph& SO lieu cap nhat kip thai va chat luting bao cao tirng buck dirge nang cao.

1.2.6. Cong tic dieu tri ARV: Tinh den 31/12/2014, tren toan tinh co 1.365 twang hop hien dang dugc dieu tri ARV trong do co 1.276 nguai lon va 89 tre em, se nguai nhie'm HIV dugc dieu tri ARV chiem ty le 40% (1365/ 3.354 ) so Alai tong so nguai nhie'm HIV hien con song dang quan ly tren dia ban. SO nguai dugc dieu tri du phong khan cap bang ARV do tai nan rui ro nghe nghiep trong nam 2014 la 13/13 ( 100%).

1.2.7.Cong tic du ph6ng lay truyen HIV tir me sang con: Trong nam 2014 toan tinh c6 14.299 PNMT dugc to van va xet nghiem HIV (chiem 86% trong so PNMT dtrac kham thai); trong do c6,10.401 ,xet nghiem trong thai gian mang thai va 3.898 xet nghiem thai ky chuyen da, so phu nu mang thai c6 xet nghiem HIV(+) la 28 (0,19%) va so tre sinh ra tir me nhiZm HIV la 36, trong do 100% tre dugc dieu tri du ph6ng bAng Cotrimoxazole trong vOng 2 thing sau sinh.

1.3. Cac hoat Ong khac:

1.3.1. Nang cao nang luc va kien toan mang ltrai pilling cheng HIV/AIDS.

Cung cap cac dich vu du phong, chin down, cham sac va dieu tri HIV/AIDS, long gild') cac dich vu ( Lao/HIV)...tao, dieu kien tiep can thuan lgi va de dang han cho nguai benh. 82/82 don vi tuyen xd phuang va huyen Con Dao dd dugc phe duyet Ong nhan la xd, phuang tong diem ye HIV/AIDS.

1.3.2. Xay dung ca sa vat chAt cho hoat dOng phOng cheng HIV/AIDS.

Try sa mai cua Trung tam ph6ng, chang HIV/AIDS dang dugc &au to xay dkmg du kien hoan thanh hoan thanh trong nam 2015 se gap phan tich clic trong viec trien khai cac dich vu trong ph6ng ch6ng HIV/AIDS cho cOng &Ong.

1.3.3. Cong tic dao tao, giam sat h8 trq tai eh&

Dei ngii can be chuyen trach, Ong tic vien Chuang trinh thuang xuyen dugc kien toan nham dam bao 100% cac xa, phtrang deu CO 01 can be ,chuyen trach va 02 Ong tic vien duy tri hog Ong. 100% can be tuyen ca deu dugc tap huan huang din ve chuyen mon theo linh vuc dugc phan cong.

1.3.4. Hoat Ong mua sAm dau thAu:

Hog Ong mua sAm dAu thAu dugc trien khai theo dung quy dinh ve thim quyen phe duyet cling nhu don vi trien khai time hien va sir dung, dam bao dung tien de ye thai gian va dap irng yeu cau muc dich sir dung.

2. Tinh hinh sir dung kinh phi nam 2014: 5

Chi tiet tai Phu luc 1

3. Kh6 khan va ton tai:

3.1. Kho khan:

- Tinh hinh dich va cac bien phap giam sat dich: Mac du dich HIV/AIDS tiep tic c6 xu huang giam, tuy nhien van chua dam bam tinh ben yang: S6 ngtrai nhiem HIV mai phat hien hang nam con cao ( Khoang 200 nguiyi), ty le hien mac cao (300/100.000 dan), ngu6n lay nhiem HIV trong Ong clang con cao (s6 dugc dieu tri ARV mai chi dat khoang 40% trong tong s6 ngtrai nhiem HIV/AIDS tiep can dugc).

- Kha nang tiep can, duy tri Chuang trinh a met s6 dia ban con han cite, nhat la tai nhang dia phtrang khong co Du an Quoc to tai trq hoac mai ngung tai tro;

- Tinh trang phan biet, IcS/ thi &Si xir doi v6i nrai nhiem HIV/AIDS va than than cua ho van can cao, lam anh huang clang Ice tie') can vai dich vu dieu tri cua ngued,nhiem HIV, rao can cho viec xet nghiem phat hien HIV sOm va chuyen giri den dich vu khac.

- Van 6 ngan sack va tinh ben yang chtrang trinh: Hien nay, tS7 trong ngan sach cho phong, chong HIV/AIDS do cac Du an ho to can kha lin (Nam 2014 la 77%), thOi gian tai nguon nay se bi cat giam. Mac du Tinh da co, ke hoach thuc hien "De an dam bao tai chinh cho hoat deng phOng, chong HIV/AIDS giai down 2015-2020", tuy nhien dO chi dimg a mire duy tri cac hoat deng, kho tao dugc su chuyen bien dat pha trong thai gian t6i.

- Nhan ltrc: chuong trinh phOng, ch6ng HIV/AIDS dang c6 su thieu on dinh dOi ngil can Kchuyen mon tai tat ca cac tuyen. Cac nham cong tac vien va tuyen truyen vien ?long dang kh6 duy tri, ma reng do nguon kinh phi ngay cang hart hcp.

3.2. Ten tai:

- Hoat dOng can thiep giam hai: Chuang trinh dieu tri Methadone mai chi c6 02 ca so, vai 479 benh nhan dang dieu tri (50% so vai tong so doi Mang).

- Dich vu dieu tri HIV/AIDS: S6 ngu?yi nhiem HIV dugc dieu tri ARV mai chi chiem 40% trong tong so nguai nhiem HIV con sang tiep can dugc.

- Van de lien ket dich vu: Tuy dugc quan tam nhung chua thuc su tao dugc chuyen bien tich cuc.

Phan III

ICE HOACH CONG TAC CONG TAC PC HIV/AIDS NAM 2015

I. Can cir xay dtyng ke ho#ch phong, chOng HIV/AIDS nam 2015.

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- Quyet djnh s6 2338/QD-UBND nsay 29/10/2014 dm Uy ban nhan dan tinh Ba Ria-Viing Tau V/v phe duyet Ke hoach thuc hien De an dam bao tai chinh cho cac hoat Ong phong, chong HIV/AIDS tai tinh Ba Ria-VOng Tau, giai clop 2015-2020";

- Quyet djnh se 2789/QD-UBND ngay 19/12/2014 dm Uy ban nhan dan tinh Ba Ria-Vung Tau V/v giao chi tieu-ke hoach phat tri'en kinh to-xd hei va du town thu chi ngan sach nha 'mac nam 2015;

- Cong van huang clan s6 930/BYT-UBQG50 ngay 09/02/2015 dm Ca quan thuong true phong, chong AIDS thuec BO y t6 y6 vies tri6n khai ke hoach phong, chong HIV/AIDS Mill 2015;

- Thong tu lien tich se 163/2012/TTLT-BTC-BYT ngay 08 thang 10 nam 2012 Quy dinh quan ly va sir dung kinh phi thuc hien Chucmg trinh muc tieu quoc gia phong, chong HIV/AIDS giai down 2012-2015;

- Th6ng tu se 125/2007/TT-BTC ngay 29 thang 10 nam 2007 dm Be Tai chinh Huang dan quan ly va s* dung kinh phi thuc hien cong tac quan ly, cham sac, tu van, dieu tri cho ngtrai nhigm HIV va phong lay nhiem HIV tai cac Ca so giao duc, tnrang giao duOng, ca so china benh, ca so bao trg xd hei, trai giam, trai tam giam;

- Ket qua cong tac phong, chong HIV/AIDS nam 2014 Nth nhu cdu tri6n khai trong nam 2015

II. Muc tieu.

1. Muc tieu chung:

Gap phdn thuc hien thank cong Chien luge Quec gia ph6ng, chong HIV/AIDS den nam 2020 va tam nhin 2030, kheng the ty le nhigm HIV trong Ong deng dan cu khong vuat qua 0,3%, giam tac Ong cira HIV/AIDS del vai su phat trien kinh to - xd hei.

2.Muc tient, chi tieu can dat dirqc nam 2015:

- 80% can be lam cong tac ph6ng chong HIV/AIDS dm dia phucmg bao gem cac Ban, nganh, down the dugs dao tao ye truyen th6ng phong ch6ng HIV/AIDS.

70% cac ca quan thong tin dai chung a dia phuong dux hien to chirc truyen th6ng phong, chong HIV/AIDS hang thang.

- 100% id, phrremg to chile hoat Ong truyen thong ve phOng, chong HIV/AIDS.

- 30% doanh nghiep (nhd va vira ) tr& len to chirc hog Ong ph6ng chong HIV/AIDS.

- 90% nguai nghien chich ma toy (NCMT) s* dung barn kim tiem sach.

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- 85% ngutri ban dam sir dung bao cao su trong quan he tinh duc

- 750 ngu6i duce dieu tri nghien cac chit clang thuc phien bang thuOc thay the Methadone.

- 14.000 tau giant sat phat hien HIV va 400 tau giam sat trong diem lOng ghep hanh vi (HSS+) dugc thuc hien dung quy trinh.

- 100% huyen, thanh phO thuc hien du bao cao dinh Ic.S7 va dam bao chit lugng so lieu ye t-57 nhiem HIV trong cac nhOm nguy ca cao, !thorn dai dien cho Ong Ong va 100% cac huyen giam sat dam bao chat luting so lieu bao cao.

- 1.311 nguoi nhiem HIV do tieu chudn dieu tri bang thuc ARV dugc tier) can vai dich vu dieu tri bang thuoc ARV ( Rieng 2015 la 202 nguad), trong do 1.220 nguoi lan va 91 tre em.

- 85% phu nu mang thai dugc to van, xet nghiem HIV va 90% Phu nu mang thai nhiem HIV dirge dieu tri du phOng lay truyen HIV to me sang con

- >95% tre sinh ra tir me nhiem va nghi nhiem HIV dugc lam xet nghiem than down sam nhiem HIV

- 90% ngtr6i nhiem HIV mac lao dugc dieu tri Ong thOi ca. Lao va ARV va 50% ngtrad nhiem HIV khong mac Lao tien trien dugc du phong bang INH

- Hoan thien va dua vao sir dung tru s6 mai cua Trung tam ph6ng, ch6ng HIV/AIDS Tinh.

3. N(ii dung hoat dOng:

3.1. Du an 1: Thong tin giao due truyen thong, thay doi hanh vi trong phong chOng HIV/AIDS.

Muc lieu 1: 80% can b0 lam cong ,tac ph6ng chOng HIV/AIDS dm dia phucmg bao cac Ban, nganh, down the dugc dao tao ve truyen thong phOng, chOng HIV/AIDS.

- T6 chirc cac lap tap huan' nang cao nang ltrc ve truyen thong phong chOng HIV/AIDS cho can by Ban, nganh, down the tuyen huyen.

- Tap hudn lai cho dpi tac vien, dOng Bang vien ve thong tin, giao duc truyen th6ng thay doi hanh vi phong, chong HIV/AIDS a tai cac xa, phtreng.

- Dinh lcS, to chirc cac hoat Ong theo d'Oi, giam sat va danh gia cac hoat dons thong tin, giao duc truyen thong thay doi hanh vi phong, ch6ng HIV/AIDS a tat ca cac cap, chit trong tuyen ca so.

Muc tieu 2: 70% cac ca quan thong tin dai chimg a dia phuong thuc hien to chirc truyen thOng phOng, chong HIV/AIDS hang thang.

- Cung cap, pho bien cac tin bai, chirping trinh, chuyen de...tren cac phuong tien thOng tin dai chimg dia phuong. Chu tong nOi dung chong IcS7 thi, phan bit doi xir doi vai nguoi nhiem va than nhan cua ho; Tang cuang quang ba cac

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dich vu du phong, cham soc dieu tri HIV hien CO tai dia phuong.

- Chia &Ong phi hop vbi Trung tam, truyen thong GDSK-S6 y to xay dung the cac tin, bai,n0i dung lien quan den quang dich vu , to chirc toa dam n6i dung ve phong chong HIV/AIDS tren Dai phat thanh-Truyen hinh Tinh.

Muc tieu 3: 100% xa, phirong to chirc hog d6ng truyen thong ve phOng, ch6ng HIV/AIDS.

- T6 chirc cac hinh thirc truyen th6ng ca nhan, truyen th6ng nh6 va tham gia dinh ket hop cung cap cac dich vu long ghep th6ng qua d6i ngu cong tac vien phong chong HIV/AIDS tai cong &Ong.

- Ho tro nhOm ngu6i c6 nguy ca lay nhiem HIV cao thanh lap/duy tri cac cau lac b6 phOng chong HIV/AIDS, rna.ng lu6i ngued de bi lay nhiem HIV tai cong dong dan cu.

-,T6 chirc dien dan, cac chitin dich truyen thong phOng ch6ng HIV/AIDS cho cac doi Wong dich, cong tac vien, tuyen truyen vien dOng dang. Chu trong cac thong tin, not dung ve chong kST thi, phan bit doi xi" dOi \Ted ngu6i nhiem va than nhan cua ho.

- T6 chirc cac thang chitin dich truyen thong nhan cac su kien trong nam, dac bit la vao Thang,hanh dOng quoc gia phOng chong HIV/AIDS, Thang cao diem du phong lay truyen HIV tir me sang con.

- T6 chirc danh gia viec trien khai thi diem mo hinh "Toan dan tham gia phong chong HIV/AIDS tai cong (Jong dan cu" tai Tp. Ba Ria va Vung Tau. Tren ca sa do rut kinh nghiem va trien khai tai the xa/phu6ng trong diem ve HIV/AIDS tren dia ban town tinh.

- Tang cueng cong tac trien khai cac boat d6ng phi hop phOng chong HIV/AIDS vai b6 d6i bien phOng, cac vimg sau, xa, hai dao ( Con Dao).

Muc tieu 4: 30% doanh nghi8p ( nho va vira ) tra len to chirc hog dOng phong chong HIV/AIDS.

Phi hop ved,cac doanh nghiep chirc cac hog d6ng thong tin gido due, truyen thong thay doi hanh vi phOng, cluing HIV/AIDS tai cac ca quan, to chirc, don vi, doanh nghiep.

- Phi hop yeti cac ca quan, don vi, to chirc trien khai cac hog dOng phOng chong HIV/AIDS cho ngu dan, cong nhan cac cong trinh xay dung, dan di bien d6ng,..

- Dinh icy te, chirc kiem tra, giam sat, h8 tro viec thuc hien cac van ban quy pham phap luat ve ph6ng chong HIV/AIDS.

3.2. Dg an 2: Giam sat dich HIV/AIDS, can thi0 giant hai phong ch6ng lay nhigm HIV/AIDS.

3.2.1. Can thi0 giant hal 9

Muc tieu 1: 90% nguai nghien chich ma tiny (NCMT) sir dung BKT sach

- Duy tri va ma rang hoat Ong mang ltrai nhan vien tiep can cong dOng (NVTCCD) trong nhOm NCMT ;

- Duy tri hoat Ong phan phat va huang clan sir dung born kim tiem sach qua mang luoi nhan vien tiep can cong long, cac co sa y to va cac hep c6 Nghien eau trien khai hoat dOng tiep thi xa hOi born kim tiem trong boi canh cac nguon kinh phi cho chuong trinh phan phat barn kim tiem mien phi dang giam;

- TO chirc dao tao va dao tao lai cho cac can b0, mang luai nhan vien TCCD thkrc hien chuong trinh can thiep giam hai trong du phong lay nhiem HIV to Trung uong den dia phuong ;

- Tie]) tic day manh truyen thong, van dOng lAnh dao chinh quyen dia phuong, cac ban nganh cac cap iing h0 cho chuong trinh barn kim tiem;

- Thiel ke, san xuAt va phan phat cac tai lieu truyen thong ve chuong trinh BKT;

- Thuc hien truyen thong true tiep cho nhom NCMT;

- Da clang hoa cac ma hinh cung cap born kim tiem sach ;

- Duy tri va ma rung hoat deng phan phat mien phi barn kim tiem sach, bao cao su th6ng qua mang luai NVTCCD;

- TO chirc thu gom barn kim tiem da qua sir dung thong qua mang luari NVTCCD, cong tac vien, co so y to

- Thong tin giao due truyen thong ve phong, chong HIV/AIDS va chuong trinh can thiep giam tac hai (CTGTH) cho cac hoc vien tai trong tam gido due, chaa benh, lao Ong xa hei, pham nhan tai cac trai giam, h9c vien tai trai gido duOng nganh LDTBXH va nganh cong an;

- Trien khai chuong trinh born kim tiem d'ang b0 vbi cac bien phap can thiep giam tac hai Ichac, clang thai long ghep vai cac hoat Ong phong ch6ng HIV/AIDS va ho trq xa hoi Ichac;

- Trien khai cac nghien ciru, clanh gia cac m6 hinh can thiep giam tac hai trong du phong lay nhiem HIV cho nhOrn ngivai NCMT va dp dung cac ma hinh hieu qua, phii h9p vai tang dia phuong;

Muc tieu 2: 85% nguai ban dam sir dung bao cao su trong quan he tinh due

- Duy tri va ma rung hog dOng ciia mpg ltroi nhan vien tiep can cong clang trong nham nguai ban dam: Doi vai xa, phuong thuec khu vac thanh thi, (tong bang lira chon so ltrong NVTCCD theo chi tieu: Trung binh cir 50-60 nguai ban dam lira chon met NVTCCD;

- Dinh IcSr to chirc dao tao va dao tao lai cho NVTCCD ve chuong trinh phan phat va huang dan sir dung bao cao su;

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- Duy tri va ma rOng hog dOng phan phat va huong dan sir dung bao cao su, chat boi tan thOng qua mang ltred NVTCCD, cac ca so y te, the hOp phan phat co

- Day manh hoat dOng tiep thi xa hOi bao cao su trong b6i canh cac ngu'on kinh phi cho chuong trinh phan phat bao cao su mien phi clang giam ;

- Tang cuemg thong tin giao duc truyen th6ng va truyen thong thay di hinh vi cho cac nhom doi urging co hanh vi nguy ca lay nhiem cao ye cac kien thirc phOng, ch6ng HIV/AIDS, can thiep giam tac hai du phOng lay nhiem HIV, chuong trinh phan phat va huang dan sir dung bao cao su;

- TO chirc the bu6i nOi chuyen vai nhom doi tugng c6 nguy ca cao, nhan vien, tiep vien nha hang, khach san va chit ca sa kinh doanh dich vu luu till, ben bai dau xe, ca so' kinh doanh du lich hoc dich vu van hoa, xa hOi khac;

- T6 chirc sinh hoat nhom dinh 1(57 gifra cac di tugng de cap nhat thong tin, chic se kinh nghiem va tiep can dugc vOi cac dich vu kham, dieu tri cac benh lay truyen qua duong tinh due ding nhu cac dich vu khac co lien quan;

- Van dOng sr ung 1-10, tao sit d6ng thuan cda chinh quyen dia phIrcrng cac cap, chit the nha nghi, khach san va Ong dong dan cu cho viec trien khai chuong trinh;

- San xuat va phan phat cac tai lieu truyen th6ng, huOng dan ve chuong trinh BCS

- Trien khai chuong trinh bao cao su d6rig bO voi cac bien phap can thiep giam tac hai khac, &rig thed long ghee vai cac hoat dOng phong, chong HIV/AIDS va h6" trg xa hOi khac;

- Trien khai cac nghien cuu, danh gia cac m6 hinh can thiep giam tac hai trong du phong lay nhiem HIV cho nh6m ngued ban dam va ap dung cac mo hinh hieu qua, phii hgp voi tin-1g dia phuang;

Muc tieu 3: 750 ngtred dugc dieu tri nghien cac chat dang thu6c phien bang thuoc thay the Methadone.

- Tuyen truyen, to chirc hei nghi, hOi, thao van deng chinh quyen dia phucmg, cac ban nganh,,doan the va Ong

trien dan cu nai trien khai dieu tri

thay the Ong 110 va tao kien cho viec trien khai chuong trinh;

- Truyen th6ng tren phucmg tien thong tin dai chung, truyen thong true tier) tai nai dat diem dieu ,tri Methadone va qua mang ltrai NCTCCD de nguoi nghien chich ma toy hieu va tham gia chuong trinh;

- Xay dung, in an va phan phat cac tai Lieu truyen thong nhu to rai, sach ming ve chuong trinh Methadone;

- Dau tit, me( rOng dieu tri theo chi tiou dugc giao:

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+ Xay dung, sira china, cung cap trang thiet bi can thiet cho cac ca sor mai trong nam 2015;

+ Dao tao cho can b6 lam viec tai ca sar dieu tri Methadone: Bac sy, dugc sy, to van vien;

- Xay dung he thOng ket nOi CAC ca sa dieu tri, ca the chuyen giri benh nhan gifla cac ca sa dieu tri Methadone va cac ca sor y t6 khac;

- Cung cap thuc Methadone cho cac co so' dieu tri theo ke hoach;

- Trien khai thu phi dich vu dieu tri Methadone;

- Dinh kS, kiem tra giam sat hog dOng tai cac ca sor dieu tri;

- Thanh lap, ding co he thOng bao cao qtgic gia v'd chuang trinh;

- Dan gian hoa thu tuc hanh chinh, tang tiep nhan ngtrari benh tai cac CSDT;

- Trien khai manh hoat dOng cap phat thuc Methadone tai xa, phurang ;

- Huy dOng y to to nhan tham gia cung cap dich vu dieu tri;

- Sap xep nhan luc hien co, ky hgp dOng, thuc hien the dO, chinh sach theo ND 96/2012/ND-CP.

3.2.2 Giim sat dich HIV/AIDS/STI

Muc tieu 1: 14.000 mau giam sat phat hien HIV va 400 mau giam sat trong diem long ghep hanh vi (HSS+) duorc thuc hien dung quy trinh.

- Quang ba dich vu to van xet nghiem HIV den cac nhom de)i tugng;

- Xay dung m6 hinh to van xet nghiem HIV thich hop vai trang nhom dOi M ang,

, trong xay dung hoach va trien khai tu van xet nghiem luu Ong tai

cac vang co nguy ca lay nhiem HIV cao, khu vurc dich HIV mori,noi, \ding sau \Tung xa.... Phoi ket hap vai cac to chic cOng dong, nhan vien y to them ban van dOng nguai có hanh vi nguy ca cao, vg cua ngtrai nghien chich ma My di lam xet nghiem HIV. Phoi ket hop vai cac ca quan lien quan trien khai to van, xet nghiem HIV trong the trai giam, trung tam chfra benh, giao due, lao dOng xa hOi.

- Trien khai tap hudri to van phong, chting HIV/AIDS cho cac nhan vien trong cac ca se y te. Nang cao chat luong tu van, xet nghiem HIV do nhan vien y to de xuat

- Tang cuang ket nOi dich vu tn.rac va sau to van XN, cham soc town dien;

- Hoan thien va dam bao chAt luong bao cao so sach ghi chep phan tich thong tin va sit dung phan mem quan ly so lieu

- Duy tri va ciing,cO chAt lugng giam sat trong diem HIV tai thanh pito \Ring tau va ma rOng den cac huyen CO nguy ca lay nhiem HIV cao tren dia ban tinh

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- Irian khai thuc hien giam sat tong diem HIV long ghep hanh vi cho hai nhom nghien chich ma Illy va phu nt ban dam tai thanh pho Viing Tau va huyen Long Dien trong nam 2015

- Thong nhat so lieu giam sat phat hien sau khi ra soat tai tuye'n xa, phu6ng.

- Trien khai cac hog deng giam sat dam bao chat luting giam sat dich HIV/AIDS dinh ky hang thang, quy dam bao de chinh xac, tin cay cao.

Muc tieu 2: ,100% huyen, thanh 016 thuc hien du bao cao dinh ky va dam bao chat luong so lieu ve tY le nhiem HIV trong cac nh6m nguy ca cao, nhOm dai dien cho cong dong va 100% cac huyen giam sat dam bao chat lacing so lieu bao cao.

- Trien khai tap huan cho can bO cac tuyen ve thu thap, bdo cao se lieu theo quy the va bieu mau No cao theo Th6ng to 03/2015/TT-BYT dm B6 y te.

: Quail ly thong tin hoat deng to van xet nghiem HIV va lc& not dich vu chuyen tiep hieu qua

- Bao cao so lieu HIV/AIDS qua he thong thong tin dien tit

- Tie') tuc he tro cac huyen, thanh ph6 then khai bao cao giam sat phat hien HIV/AIDS theo phan mem HIV INFO 3.0

- Trien khai bao cao se lieu chuong trinh theo cap huyen

- Xay dung ca s6 da lieu HIV/AIDS cho tat ca cac huyen, thanh phe lam can cir lap ke hoach va trien khai chuong trinh.

, - Ra soat then nhat s6 lieu ve HIV/AIDS tren toan tinh bao dam tinh thong nhat dong be dm so lieu chuong trinh ph6ng, chong HIV/AIDS.

- Thu thap se lieu danh gia gift ky chucmg trinh muc tieu quec gia phong, chong HIV/AIDS.

- Dinh k5/ to chdc giam sat he' tro tai cac huyen, thanh pile co chat luting so lieu bao cao han the

3.3. Dty an 3: Cham sec, dieu tri HIV/AIDS va du phong lay truyen HIV tie me sang con.

* Chant sec, dieu tri HIV/AIDS:

Muc tieu 1: 1.311 ngtrei nhiem HIV dil tieu chuan dieu tri bang thuoc ARV duqc tiep can vOi dich vu dieu tri bang thuoc ARV ( Rieng 2015 la 202 ngtr6i), trong do 1.220 ngu6i len va 91 tre em.

- so tam phong, chong HIV/AIDS hueng clan cac huyen, thanh phe ra

sok ngtrei nhiem HIV con song ten dia ban, xac, dinh cac dia ban co nhieu ngu6i nhiem HIV con song chtra dtroc tiep can v6i dieu tri

- Cac co s6 kham benh, cht?a benh co dieu tri HIV/AIDS thuc hien Icy hop

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deng va cung cap dich vv kham chira benh cho ngtroi nhiem HIV qua bao hiem y te.

- Danh gia nhu c'au tap huan va tap huan tang cung nang lvc cho can be dieu tri HIV/AIDS, can be quan ly va theo doi chucmg trinh dieu tri HIV/AIDS.

- Ca sb dieu tri HIV/AIDS thuc hien cung cap dich vv kham benh, chira benh cho ngtroi nhiem HIV theo cac nei dung dugc quy dinh tai Thong to so 09/2011/TT-BYT ngay 26/01/2011 cna Be Y to huOng dan dieu kien va pham vi chuyen mon dm ca so y to dieu tri bang thuoc khang HIV va Huang clan chin down, dieu tri HIV/AIDS dugc quy dinh tai Quyet dinh so 3003/QD-BYT ban hanh ngay 19/08/2009 va Quyet dinh so 4139/QD-BYT ban hanh ngay 02/11/2011. Cung cap cho ngtroi nhiem HIV bao cao su, barn kim tiem, dieu tri thay the bang Methadone My theo hanh vi nguy ca lay nhiem HIV dm ngtrOi benh.

- Timg buac phan cap dieu tri HIV.

- Thvc hien hoat dOng cai thien chat ltrong dieu tri va cham sac HIV tai cac ca sb dieu tri HIV/AIDS theo quy dinh tai Quyet dinh so 471/QD-BYT ngay 11/02/2014 dm Be tnrOng Be Y to ve viec ban hanh Huang dan thuc hien cai thin chat ltrang cham sac va dieu tri HIV/AIDS.

- Thanh lap Nhom giam sat va ho trg ky thua't dieu tri va cham sec HIV/AIDS, thuc ,hien viec giam ,sat ho trg thuat dieu tri va cham sac HIV/AID S tuyen tren xuong tuyen dtrOi.

- Ma reng cac xet nghiem h6 trg cho chan doan va dieu tri HIV/AIDS. Xet nghiem dem to bao T-CD4, xet nghiem tai lugng HIV.

- Xay clung va huong can cac ca s& dieu tri thuc hien quy trinh du trO, cap plat va bao cao tinh hinh s* dung thuoc ARV.

- Dinh kS/ theo dei ket qua chuyen tiep ngtrOi nhiem HIV dugc phat hien den ca dieu tri HIV va toe de tiep can dieu tri ARV. Thvc hien cac bien phap dieu chinh kip Mei trong viec tang cireng tiep can vai dieu tri ARV.

- Thu thap va phan tich se lieu ve tinh hinh duy tri, mat dau dieu tri tai tong ca tri HIV/AIDS va trien khai cac bien phap theo ca benh dieu tri HIV/AIDS.

Mvc tieu 2: >82% nguoi nhiem HIV dugc chain sac va ho trg dieu tri tai Ong thing.

- Can dr ten nhu cAu dieu tri dux to va chi tieu dieu tri dugc giao, xay dung ke hoach, 10 trinh dieu tri HIV cu the cho tong dia ban huy0, thanh pho , xa, phuong.

- Quy dinh trach nhiem, huong dAn cho cac don vi trong viec ket nei,sphan hoi, chuyen tiep ngtroi nhigm HIV tir ca xet nghiem den ca dieu tri HIV/AIDS, phei hop gift ca sa dieu tri HIV vai dan vi chuyen trach HIV tai i4

tuyen huyen, thanh ph6 va y t6 xa phtrong trong viec theo dai, 11'8 trq tuan thd dieu tri cho nguai nhiem HIV, cap phat thu6c ARV, thuOc dieu tri nhiem triing ca hOi va quail lY nguai nhiem HIV tai xa phuang.

- Giao nhiem vu dieu tri HIV bang van ban cho cac co. sa kham benh, chaa benh theo dia ban huye'n, thanh ph6.

Muc tieu 3: 90% nguai nhiem HIV mac lao duoc dieu tri dong thai ca Lao va ARV va 50% nguai nhiem HIV khong mac Lao tien then dtrac du phOng bang INH.

Chu tri, ph6i hop vai chuang trinh phOng, ch6ng Lao a tinh )(ay, dung Ice hoach phoi hop HIV/Lao theo cac nOi dung dtroc quy dinh tai Quyet dinh so 4297/QD-BYT ngay 18/7/201,2 ve khung Ice hoach ph6i hop gift Chuang trinh muc tieu qu6c gia phOng, ch6ng HIV/AIDS va Dv an phong, chong benh Lao thu6c Chuang trinh muc tieu quoc gia Y to giai doan 2012-2015 (sau day goi la Quyet dinh so 4297). Cac hoat,dOng plied hop HIV/Lao do chuang trinh HIV trien khai duoc long ghep vao ke hoach phong, ch6ng HIV cila tinh.

- Xay clung va ban hanh huang can trien khai cac can thiep giam tac dOn dm Lao ten nguai nhiem HIV theo cac nOi dung &roc quy dinh tai Muc tieu so 2, mix tieu so 3, 'nue tieu so 4, muc tieu so 5 Quyet dinh so 4297.

- Dieu tri ARV cho benh nhan Lao nhigm HIV: Phi hop vai chuang trinh phong, chong Lao tinh xay dung va trien khai quy trinh to van, theo dOi va dieu tri ARV cho benh nhan Lao c6 ket qua xet nghiem HIV throng tinh.

- Dieu tri Lao cho benh nhan nhiem HIV mac Lao: Ca s& HIV/AIDS, giai thieu benh nhan nghi,nger mac Lao den co sa phOng, chong Lao theo dOi dieu tri Lao trong tat ca cac lan benh nhan den tai kham, linh thuoc ARV.

- Dieu tri du phong Lao bang INH cho nguai nhigm HIV.

, - Tap hail ve quy trinh ph6i hap thvc hien HIV/Lao cho cac can b6 phong, chong Lao va cac can b6 dieu tri HIV/AIDS tren dia ban, cla.c biet tai cac dia ban c6 tinh hinh dich HIV cao.

- Phi hop vai chuang trinh phong, ch6ri Lao tinh va cac trai giam (long ten dia ban tinh thvc hien cung cap dich vv phoi hop cham sac dieu tri HIV/Lao cho nguai nhiem HIV/Lao trong trai giam.

- Phi hop hoac long ghep giant sat 110. try ky" thuat ph6i hop HIV/Lao vao cac dot giam sat oh mai chuang trinh tap trung cho cac chi tieu benh nhan Lao/HIV duct dieu tri dong thai ca INH va ARV, benh nhan HIV cluqc du phong Lao bang INH, benh nhan lao &roc to van xet nghiem HIV, benh nhan HIV nghi nga mac Lao duoc chan doan va dieu tri Lao, kiem sok nhiem khuan Lao tai cac co. Sa dieu tri HIV.

- Hop Ban dieu phoi HIV/Lao dinh ky.

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* Dtr 'Thong lay truyen HIV tit' mg sang con:

Muc tieu 1: 85% phu na mang thai dugc to vAn, xet nghiem HIV va 90% Phu nu mang thai nhiem HIV duoc dieu tri du phOng lay truyen HIV ter me sang con

- Trung tam phong, chOng HIV/AIDS phOi hop yori Trung tam cham soc sire khoe sinh san xay dung ke hoach du phong lay truyen HIV tit mg sang con, co ca the phoi hop va trach nhigm git?a Trung tarn phong, chong HIV/AIDS va Trung tarn cham sec sire khoe sinh san ye viec trien khai cac can thiep, chia se so lieu ye Du phong lay truyen HIV ter mg sang con.

- Xay dung va ban hanh Huang an phOi hop giita ca sa dieu tri va ca sa cham soc sirc khOe sinh san tren dia ban tinh trong viec thuc hien cac can thiep phong lay truyen HIV tit mg sang con theo cac n6i dung duqc ivy dinh tai Quyet dinh so 4361/QD-BYT ngay 07/11/2007 ye viec quy trinh trien khai dich vu cham soc va dieu tri du phong lay truyen HIV tir mg sang con, thuc hien dieu tri ARV cho phu nit mang thai nhiem HIV 'thong phu thuOc to bao T-CD4, thuc hien xet nghiem phat hien nhiem HIV cho tre sinh tit mg nhiem HIV theo cac nOi dung quy dinh tai Quyet dinh so 1053/QD-BYT ngdy 02/04/2010 ye viec ban hanh huong dan xet nghiem nhiem HIV cho tre duai 18 thang tuoi, thuc hien dieu tri cho tre nhiem HIV theo cac nei dung quy dinh tai Quyet dinh so 4139/QD-BYT ban hanh 02/11/2011 ye viec cap nhat met so nOi dung ye chan down dieu tri HIV/AIDS &roc ban hanh tai Quyet dinh so 3003/QD-BYT ban hanh ngay 19/08/2009.

- Ra soat so lieu ve tinh hinh dich HIV/AIDS, so php nit mang thai nhiem HIV va so tre nhiem HIV trong nhitng nam gan day, uu tien nguon lkrc xet nghigm HIV cho phu nu mang thai tai cac dia ban huyen, thanh pile' tong diem ye HIV. Xay dung ice hoach, phan b6 sinh pham va huy dOng cac nguon Ikrc ter cac du an, chirang trinh MTQG trong viec cung cap xet nghiem HIV cho phu na mang thai.

- Xay dung ke hoach trien khai than cao diem ph6ng lay truyen HIV to me sang con (6/2015)

-, Tap huAn cho can b0 y to trong he thong cham sec sirc khoe sinh san, ca se( dieu tri HIV/AIDS ye viec trien khai va phoi hop trien khai cac can thiep phong lay truyen HIV tit me sang con.

- Dam bao cung Ung thu6c ARV, dam bao dieu tri ARV kip thai cho mg va con, dac biet doi vOi cac tnrang hop phu na mang thai phat hien nhiem HIV lac chuyen da va a cac dia ban khong có ca so dieu tri HIV/AIDS.

- Thu thap so lieu, phan tich cac vAn a trong viec cung cap cac hog dOng can thiep, theo dOi, quan Vi phu nit mang thai nhiem HIV va con dm ho kip thai dam bao cac can thiep phong lay truyen HIV ter mg sang con duoc lien tuc.

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- Tiep tuc duy tri, hoan thien va ma rang cac diem cung cap dich vu du phOng lay truyen HIV tir me sang con.

Muc tieu,2: >95% tre sinh ra tir me nhigm va nghi nhiem HIV dugc lam xet nghiem chan dodn son nhie'm HIV

- Tiep 111C ma rOng phong to vin xet nghiem HIV (bao gom phong tu van xet nghiem tu nguyen, phOng tu van xet nghiem HIV dat tai cac ca sa y to do can 1)0 y to tu van va khuyen cao benh nhan lam xet nghiem)

- Tiep tic dau tu nang cap ca s& ha tang, dao tao nang cao nang ltrc can 1:10 phong xet nghiem.

- Quan ly nang cao chit luong ph6ng xet nghiem khang dinh cac tnrang hap nhigm HIV

- Trien khai ding tac PLTMC vai nhang dinh huang mai d6i vai cac can thiep ye PLTMC nhu sau: (1) Ttr van xet nghiem HIV cho phu nu mang thai (PNMT) sam, (2) thuoc ARV cho PLMTC sam tir tuan thai thir 14, dieu tri bang phdc do B+ cho PNMT tai Trung tam y to huyen Tan Thanh.

3.4. Dv an 4: Tang cuirng 'tang Ivc cho Trung tam phong, cluing HIV/AIDS.

Muc tieu 1: Hoan thien va dui vao s* dung tri sa mei cua Trung tam phong, ch6ng HIV/AIDS Tinh.

- Thuc hien Quyet dinh s6 1107/QD-TTg, ngay 28/7/2009 oh Thu tuong chinh phu ve viec phe duyet de an tang curing nang luc he thong phong, citing HIV/AIDS tuyen tinh, thanh ph6 giai doan 2010-2015

- T6 chirc thuc hien khong de phat sinh na ve kh6i luang xay dtmg ca ban Thuc hien dung tien dO du an va bdo cao viec sir dung von dau tu phat trien

theo quy dinh

- Theo dung yeu cau chuyen mon phong, ch6ng HIV/AIDS dam bao hieu qua clan tu Ichong mua trang thiet bi chong cheo, trang lap, clan trai.

Muc tieu 2: Nang cao hieu qua hoat dOng cua Trung tam phong citing HIV/AIDS.

- Tang cuang nang ltrc dOi ngu phOng, ch6ng HIV/AIDS. Xay dung Ice hoach tang ctrang ding tdc phong, chong HIV/AIDS giai dog' 2016-2020. Thiet lap he th6ng cung img thu6c, sinh pham y to cho hoat dOng phong, chong HIV/AIDS

- Tiep We day manh hop tdc qu6c te, nang cao nang ltrc nghien ciru khoa hoc ye phong, chong HIV/AIDS.

- Dau tu trang thiet bi cho Trung tam phong, ch6ng HIV/AIDS dam bao cac hoat dOng chuyen mon to van xet nghiem dieu tri HIV/AIDS.

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- CO quy dinh, huang dan ve sir dung va bao quan cac trang thiet bi xet nghiem.

- Lap du toan ket cau kinh phi bao tri, bac) clueing va hieu chuAn, hieu chinh dinh Icy cac trang thiet bi, may mac bang nguon kinh phi dia phucrng.

- Lap ke hoach xay dung nhu cAu trang thief bi, sinh phAm cho cac phong xet nghiem tuyen huyen co ke hoach xay dung thanh phong xet nghiem khang dinh.

- Duy tri va ma rang thuc hien chtrang trinh ngoai kiem tai cac ca sa xet nghiem HIV tren dia ban town tinh. Dam bao nguon tai chinh cho hog Ong bao tri, bao duang trang thiet bi xet nghiem, tham gia chlumg trinh nOi kiem, ngoai kiem, chi phi van chuyen mau benh pham.

- Dinh ky kiem tra, chu'An hem cac panel mau chuan, hoa chAt, sinh pham va thuoc dieu tri dac hieu khang vi rut HIV (ARV) theo quy dinh, dinh ky kiem dinh, hieu chuan cac trang thiet bi xet nghiem.

- CO so theo clOi ly lich may, thiet bi , nhat Icy boat dOng, kiem tra duy tri, bao clueing trang thiet bi dinh ky thuang xuyen.

- CO danh muc phu kien, hoa chAt, sinh phAm, thuac ARV, vat to tieu hao de pinic vu cho boat dOng phOng, chong HIV/AIDS

- Thuc hien Quyet dinh 3281/QD-BYT ngay 11/09/2012 ve viec ban hanh " Bang kiem tra Trung tam phong, chong HIV/AIDS tinh, thanh pho".

3.5. Cac thy an Quo'c to tai trq cho hoat dOng plying cluing HIV/AIDS tinh ba Rja-Vfmg Thu nam 2015:

3.5.1. Du an ha trq phong, chong HIV/AIDS tai Viet Nam-tinh BR-VT (VAAC-US.CDC):

Ho tra cho cac hoat dOng: Tiep can Ong clang, Tu van xet nghiem HIV, Dieu tri ARV, Du phong LTMC, Lao/HIV, Chi quan ly/Ichac.

Tang kinh phi a cam ket: 5.662.124.000 d.

3.5.2. Du an Quy town cAu ph6ng chong HIV/AIDS tinh BR-VT:

Ho tra cho cac hoat dOng: Thiel lap va ma Ong goi dich vu du phong HIV cho cac doi Wong c6 nguy cacao, Ma rOng va tang ctrang cac dich vu dieu tri, cham sac va ho trq HIV va toi fru hoa cac ich dieu tri va du phong ARV, Cang co he thong de dieu phoi, quail ly va giam sat cac hoat dOng doi phO vai HIV, Tong lap ke hoach va quan

Tang kinh phi du kien: 939.670.000 d.

3.6. Dia ban trien khai cac chuctng trinh, du an nam 2015.

18

TT Ten hot dCmg/chircrng trinh/dkr an , &le .z Dia ban n khai

A Chuang trinh MTQG phong, chting HIV/AIDS

Du an 1: Thong tin-Gido dvc-Truyen thong PC HIV/AIDS

8/8 huyen, thanh phi

Du an 2: Giam sat dich HIV/AIDS va CTGH 8/8 huyen, thanh ph6

Du an 3: Tu van, cham soc dieu tri HIV/AIDS va Dv phong LTMC 8/8 huyen, thanh ph6

B Dtr an hO trq phong, chimg HIV/AIDS tai Vqt Nam-tinh BR-VT (VAAC-

• US.CDC)

Tie') can Ong d6ng Ba Ria, \Tung Tau

Tu van xet nghiem HIV to nguyen Vling Tau, Ba Ria,

Long Dien

Phong kham ngoai tit , PLTMC Wing Tau, Ba Ria

Chuong trinh Lao/HIV \Tang Tau, Ba Ria,

Tan Thanh

C Dv an Quy toil) au pilling chiing HIV/AIDS tinh BR-VT

Can thiep giam tac hai-Dv phong lay nhfem HIV Long Dien, Tan Thank,

Con Dao

Dieu tri thay the bang methadone Viing Tau, Long Dien

Tu van xet nghiem to nguyen, Dv phong va dieu tri NTCH, ARV, Dv ph6ng lay truyen HIV tit me sang con, Hoat dOng CLB ngtro.i nhi6'm HIV

Tan Thanh

4. Ire ho#ch ngfin sach 2015.

T6ng nhu cAu kinh phi 2015: 11.956.784.000 VND.

Trong dó:

- 56 kinh phi da duvc cap/cam ket: 10.231.794.000 VND.

- S6 kinh phi de nghi UBND tinh cap b6 sung vao ngu6n CTMTQG cho

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nam 2015: 1.724.990.000 VNB.

Bang chii:MOt ty, bay tram hai mutli Mn trieu, chin tram chin muai nghin

Chi tit cu the tai Bang 1:

Bang 1. Bang tang hop kinh phi hoat dOng phong, chong HIV/AIDS tinh Ba Ria-Wing Tau nam 2015:

TT NiO dung/NgtiOn kinh phi SO tien (VNB) Ghi chi"'

TOng nhu call kinh phi 2015 11.956.784.000 Bang phu luc so 2

Trong do: 1

- Kinh phi cam ket oh cac du an tai to.

6.601.794.000 Bang phu luc so 3

- Kinh phi CTMTQG dã duac cap 3.630.000.000

Bang phu luc so 4 - So kinh phi a nghi Tinh cap ba

sung vao nguan CTMTQG nam 2015

1.724.990.000

2 Tang hop nhu cau Ira thieu but nguon luc

Bang phu luc so 5

5. Cac giai phip chinh trim khai

5.1. Cong tic to chirc chi dao:

Tiep tuc duy tri tlig,ctrOng su chi dao, ding ca he thong quan 15, giam sat dal vai Chuang trinh tai tat ca cac tuyen tit tinh den ca so.. Ban chi dao phong chong HIV/AIDS cac cap can thuOng xuyen &roc kien town va duy tri hoat dOng.

Thgc hien nghiem chinh cac quy dinh cua phap lust va cac van ban có lien quan ye cong tac phong chong HIV/AIDS.

5.2. Cong tic thong tin, tuyen truy&I va huy Ong Ong ding:

- Day manh cong tac tuyen truyen chong kS, thi, phan biet dai xir tren cac phuang tien thong tin dai chOng.

Ban chi dao phong chong HIV/AIDS cap huyen, xa• tang cuOng chi dao va trien khai phong trao "Toan dan tham gia phong chong HIV/AIDS tai cong

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Nganh y to tap trung trien khai mgt se hog dgng trong tarn:

- Xay dung va trien khai De an can thiep giam hai nham tier) nhan su chuyen giao tir cac du an tai trq va trial khai cac hoat dgng can thiep phi' hop. Tap trung vao viec duy tri, phat trien hgp ly mang luai dong clang vien;, Day manh, ma rOng diem dich ket hgp vai viec xa hOi hOa chuang trinh dieu tri Methadone, bao cao su, barn kim tiem.

- Duy tri, nang cao chit lugng hoat dgng Tu van xet nghiem HIV, Dieu tri ARV, Du phOng lay truyen tir me sang con.

- Day manh viec lien ket cac dich vu trong ph6ng cheng HIV/AIDS. Tien hanh quy hoach, long gild') cac dich vu vao cac diem tap, trung, thuan tin cho khach hang, nguei benh (vi Cung cap cac dich vu to van xet nghiem, dieu tri ARV, Du phong lay truyen me con, dieu tri Methadone ngay tai mgt ca so.).

5.4. Man sir:

,- On dinh nhan su tham gia cong tac phong cheng HIV/AIDS tai cac don vi y to ca sa va cac Si, ban nganh lien quan.

- Hinh thanh va on dinh mang ltrai Deng clang vien chuang trinh can thiep giam hg bang nguon kinh phi ho trq tir Trung trang va dia phuong.

5.5. Dim bio nguan luc cho hoat dOng dm Chuang trinh.

5.5.1. UBND Tinh cap kinh phi be sung cho cac hog dOng nam 2015 theo ngi dung "De an dam bao tai chinh trong ph6ng, cluing HIV/AIDS giai loan 2014-2020 va tam nhin den 2020".

5.5.2. Sir dung cg hieu qua su ho trq cua cac Du an quec to ten dia ban tinh nam 2015:

Ban quan ly cac du an phong cheng HIV/AIDS cua Tinh:

- Du an 116 tra phOng, cheng HIV/AIDS tai Viet Nam (VAAC-US.CDC): Tap trung he trq cho cac hog gong: Tiep can Ong dong, Tu van xet nghiem HIV, Dieu tri ARV, DPLTMC tai Tp. Ba Ria va Vang Tau.

- Du an Quy toan cau phong, cheng HIV/AIDS: Tap trung he' trq cho cac hog Ong: Can thiep giam hai (Vang Tau, Long Dien), Tu van xet nghiem HIV, Dieu tri ARV, DPLTMC (Tan Thanh).

5.6. Ting ctrtrng ding tic kiem tra, giim sat.

Ban chi dao phong cheng HIV/AIDS cac cap: Tang cuong ding tac kiem tra, giam sat h6 trq cac hoat dOng tai tuyen ca so. Darn bao viec sir dung kinh phi hieu qua, thiet thuc.

Phan IV

KIEN NGIII, DE XUAT

DOi voi Trung trcrng: 21

1. Doi mofri ca the quail 1y va cac chinh sach:

- Tang tS, le dau to ngan sach cho cac yang tong diem ve HIV/AIDS.

- Tang cuong trach nhiem, giao to chi' met phAn kinh phi thirc hien Chuong trinh cho tuyen ca sa ( Huyen, xa, ca quan,...).

- CO chinh sach dAu tu, hop lY han cho cong tac quan lY du bao dich HIV/AIDS (Trien khai cac dieu tra, danh gia dich HIV/AIDS va de xuat cac bien phap can thiep,...).

1.2. Huai' thien, dieu chinh cac van ban hulfrng

- COng vai viec trien khai thkrc hien Thong to se 02/2015/TT-BYT ngay 04/3/2015 dm B6 y te Quy dinh chirc nang, nhiem vu, quyen han va ca cau to chirc clxa Trung tam phang chong HIV/AIDS tinh, thanh pho trkrc thuOc Trunk uang, de xuat phoi hop vOi cac nha tai tro thong nhat trong viec huang clan to chirc trien khai cac, diem cung cap dich vu, long gild') dich theo tuyen cho &Mg nhat voi th6ng y te chung.

- De xuat ve viec nghien ciru dieu chinh cac van ban huOng dAn dua nguoi nghien vao cac ca sa dieu tri Methadone theo huang thuan tien, hieu qua.

- Timg birac van

bat cac tuc, quy dinh, trong thuc hien cong tac chuyen mon (Tu van xet nghiem HIV, quan dieu tri ARV...) theo hiving , thong nhat chung nhu quy dinh vai cac benh nhan khac, qua do gop phan tranh skr phan biet, ky thi, giam chi phi khong can thiet.

Sam co sir thong nhAt trong chi ciao, huang clan dua cac dich vu cham sec, dieu tri HIV/AIDS vao he thong chi tra ciia bao hiem y te.

Tren day la Ice hoach cong tac phOng, chung HIV/AIDS tinh BA Ria —Wing Tau nam 2015.

Noi nhOn :

- UB Qu6c gia 50-B0 Y t6; "b/c" - Cyc PC HIV/AIDS-BO Y te; - Chu tich UBND tinh; "b/c" - Thanh vien Ban chi dyo tinh; - Bao hi6m xd hOi tinh; - Trung tam PC H1V/AIDS tinh; - Chi cyc PC te; nyn xd hqi tinh; - UBND cac huye'n, thanh ph6; - Ltru: VT-TH. V3@11/5/2015

Le Thanh Dung

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