SCi Y FE CAO BANG ss: .

DEi\i Ngsay: THONG Ti' klite.eng dAn to van phOng, cluing HIV/AIDS tai so' y to

Chuyi; :

‘xi-okom

BO Y TE CONG HOA XA HO CHU NGHIA VIET NAM Dolic lap - Tv do - H#nh phut

St): 01/2015/TT-BYT Ha Ndi, /very 27 thong 2 nom 2015

Can cu Khoan 2 Dieu 22 cita Lucid phong, chong nhiim vi nit gay ra hdi cluing suy giam mien dich mac phai a ngu-61 (HIV/AIDS) ngay 29 thong 6 nom 2006;

Can ca. Nghi clinh so 63/2012/ND-CP ngay 31 thong 8 aim 2012 clia Chinh . phi quy dinh chic Wing, nhiem vu, quyen han va ca cOu to chic cua Bd Y re;

Xet cue nghi cua Cuc truang Cyc Phong, chOng HIV/AIDS; Bd truang Bd Y to ban hanh ThOng to huang can to van phong, chang

HIV/AIDS tai ca sa y to

Chiming I NHVNG QUY DINH CHUNG

Dieu 1. Pham vi dieu chinh Thong tu nay quy dinh nOi dung, t6 chdc hoat d6ng ttx van phong, ch6ng

HIV/AIDS, tu van truck va sau xet nghiem HIV tai co so y t6.

Dieu 2. Giai thick tir ngfr Trong Thong tu nay, cac tir ngtt duai day dugc hieu nhu sau:

1. Giai doan cera so la khoang th6i gian ma co the nguei da mang HIV, nhung chua sinh ra dd khang the a co phat hien dugc bang cac xet nghiem thOng thu6ng.

2. Kit qua xet nghiem HIV khong xac dinh la vi'ec chtra xac dinh dugc six co mat cda khang the khang HIV trong mau, co the kh6ng nhigm HIV hoac da nheem HIV giai doan cua s6.

3. Nhan vien to win la ngu6i da dugc dao tao ve HIV/AIDS tai cac co dao tao y khoa hoac dal dugc tap huan v6 to van ph6ng, cheing HIV/AIDS tai co soy ddo tao lien tic theo quy dinh tai 'Thong tu s6 22/2013/TT-BYT ngay 9 thong 8 nom 2013 dm B6 truang B6 Y to huang clan viec dao tao lien tic c o can b6 y to (sau day goi tat la Th6ng tu s6 22/2013/TT-BYT).

Dieu 3. Nguyen tAc chung 1. Bao dam tinh bi mat thong tin dm ngu6i dugc tu van.

2. Bao dam tu van theo dung not dung quy trinh theo quy dinh cua phap lust.

3. Viec thong bao ket qua xet nghiem &rang tinh thuc hien theo quy dinh tai Thong tu s6 01/2010/TT-BYT ngay 06 thong 01 nam 2010 dm BO truth-1g BO Y to quy dinh trach nhiem, trinh tu thong bao ket qua xet nghiem HIV dtrcrng tinh va ThO'ng tu. s6 09/2012/TT-BYT ngay 24 thong 5 nam 2012 dm BO truang BO Y to huang dAn giam sat dich d hoc HIV/AIDS va giam sat cac nhigm trung lay truy'en qua &rang tinh duc.

4. Bao dam giai thieu chuyen girl nguad co ket qua HIV throng tinh den dich vu cham soc, dieu tri va du phong lay nhiim HIV.

Chuang II NOI DUNG TI! VAN PHONG, CHONG HIV/AIDS

Dieu 4. Ni)i dung to van ye du phong trong phong, chOng HIV/AIDS NOi dung tu Van chung va tu van d6i vth mot s6 d6i ttrong cu th6 ve du

phong trong phong, ch6ng HIV/AIDS thuc hien quy dinh tai Dieu 5 va Dieu 6 Thong tu s6 06/2012/TT-BYT ngay 20 thong 4 nam 2012 oh BO trudeng BO Y to quy dinh ve dieu kien thanh lap va' not dung hoat dOng d6i vai t6 chirc to van ve phong, ch6ng HIV/AIDS.

Dieu 5. Ni dung tir van trulk va sau xet nghit'm HIV 1. Tu van tnrac xet nghiem: a) Gith thieu, thao luan1S, do tu van, xet nghiem HIV; b) Thao 'Wan cac nguy co. co kha nang lay nhiem HIV; c) Trao d6i, giai thich ve y nghla va lqi ich cua viec xet nghiem HIV va

biet ket qua xet nghiem HIV. 2. Tu van sau xet nghiem HIV: a) Tu van cho ngtrari co ket qua xet nghiem HIV am tinh:

- Giai thich lc& qua xet nghiem va y nglica cua giai 'Joan cira s6; - Huang clan, trao dth cac bien phap giam nguy car lay nhigni HIV; - Tu van six can thi6t tham gia cac dich vu ho tro. ve tinh thAn, tam 1Sr, xa

hOi, cha'm soc y te, du phong lay nhiem HIV.

b) Tu van cho nguth co ket qua khAng dinh HIV duang tinh: - Thong bao lc& qua xet nghiem HIV &rang tinh; - Tu van ht; tro. tinh thAn, tam 1Sr, - Huang dAn each b0c 10 tinh tang nhigm HIV yen vo., chong, nguari co

quan he tinh duc hoac sir dung chung bum kim tiem vai ngtrad dtro.c to van va

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khuyen khich ngtr6i &roc to vAn giai thieu cac doi trong nay va con dm ngtrOi &roc to van (neu c6) den tu van va xet nghiem HIV;

- Tu van ve cac bien phap phOng lay nhiem HIV cho ngtrOi khac va traCh nhiem phap 1Si doi voi viec phOng lay nhiem HIV cho ngutri khac;

- Tu vAn ve loi ich va su can thiet tham gia dich vu chain sac, dieu tri va du phOng lay nhiem HIV.

c) Doi vai ngutri co ket qua xet nghiem HIV khong xac dinh: - Giai thich y nghia cua lc& qua xet nghiem; - Danh gia lai thoi gian c6 nguy phoi nhiem HIV gAn nhk cua khach

hang va to vAn viec can thiet xet nghiem lai HIV sau 14 ngay.

Chuang HI TO CHirC HOAT BONG

Dieu 6. Dieu kin to chfrc hoat Ong tir van phong, cluing HIV/AIDS trong co. y to

I. Dieu kien ve nhan su: co it nhAt 01 nhan vien to vAn. 2. Dieu kien ve co. so. vat chk, trang thiet bi: a) Bao dam kin dao, thong thoang va dti anh sang. Tnrong hop that hien

tu vAn theo hinh thirc tu vAn nhOm thi phai bao dam du cho ng6i tuang irng vai so ngtrOi dugc to vAn;

b) CO trang thiet bi t6i thi6u can thiet cho hoat dOng to vAn, gom ban lAtn viec, ghe ng6i va tai lieu truyen thong phut vu cho viec tu van.

Dieu 7. Hinh thfrc ttr van 1. Hinh thirc to vAn a) Tu vAn nhOm; b) Tu vAn cap vg, ch6ng hoc hai ngtrei c6 quan he tinh duc vOi nhau; c) Tu vAn ca nhan. 2. Viec lua chon hinh thirc tir van tay thutic vao quy mo ngtr6i benh, nhu

cAu cu the cila m6i ngtroi benh. Khong ap dung to van nhOm cr6i voi tu van s u xet nghiem HIV cho ngtren benh c6 ket qua xet nghiem HIV ducmg tinh.

Dieu 8. Quy trinh to vAn phong, cluing HIV/AIDS 1. Tnraing hop doi Wong chu dOng de xuat:

, a) Dtrgc to vAn ve phOng trong phong, chting HIV/AIDS: nhan vien y to thuc hien to van cho ngtrori benh theo quy dinh tai Dieu 4 Thong to nay;

b) Dtroc xet nghiem HIV: nhan vien y to that hien tu vAn cho ngtreyi Nnh theo quy dinh tai Dieu 5 Thong to nay neu nhan vien dO dap img dit dieu kien theo quy dinh tai Khoan 3 Dieu 2 Thong to nay. Truong hop nhan vien y to thuc

hien to van chtra ddp irng du dieu kien theo quy dinh tai Khoan 3 Dieu 2 'Thong to nay thi phai giai thieu an nhan vien to van.

, 2. Trong qua. trinh kham benh, chita benh, nhan vien y t6 c6 trach nhiem to van hoac gi6i thieu an nhan vien to vAn de to van thuc hien xet nghiem HIV khi gap cac doi tugng sau:

a) NgtrOi c6 hanh vi nguy cu cao; b) Ngtroi mac benh lao; c) NgtrOi mac cac nhigm trUng lay truyen qua diningtinh duc; d) Ngtroi nhiem vi rut viem gan C; d) Phu nit mang thai; e) Con dm ngtrOi nhiem HIV; g) NguOi phi nhiem vai HIV; h) NguOi benh da dugc kham lam sang va xet nghiem can lam sang nhung

khong phdt hien dugc nguyen nhan gay benh hoac c6 cac trieu chimg lam sang nghi ng6 nhiem HIV theo cac quy dinh tai Quyet dinh so 3003/QD-BYT ngay 19 thang 8 nam 2009 dm BO truang BO Y to ve viec ban hanh Huang dAn char dodn va dieu tri HIV/AIDS.

3. Sau khi to van trtrac xet nghiem HIV, neu ngtrOi dugc to van d6ng thuc hien xet nghiem HIV thi htrang dan nguOi dugc to vAn: -

a) iq d6ng Si lam )(et nghiem HIV vao benh an neu ngtrai dugc to van la nguOi benh dang dugc dieu tri not tru;

b) Dien va kg, phieu xdc nhan ang y xet nghiem HIV theo mau quy dinh tai Phu luc ban hanh kern theo Thong to nay ai neu ngtrai dugc to vAn khOng thuOc doi Wong quy dinh tai Diem a Khoan nay.

4. D6i ngueri duai 16 tu61 ho4 mat nang luc hanh vi dan su thi phai to van- cho cha, me hoac ngtroi giam h0 hop phap cua nguOi d6 (sau day goi la ngtrai dai dien hop phap), tnrOng hop ngtrai dai dien hop phdp d6ng Si lam xet nghiem HIV thi hhong an ngtrai dOkSi giAy to theo quy dinh tai Khoan 3 Dieu nay.

5. Trong qud trinh to vAn, nhan vien to van c6 track_ nhiem giai thieu ngtr6i dugc to van an cac dich vu chain sac, diet' tri va du phong lay nhiem HIV phi' hop vai tinh trang thuc to cua ngtrOi &rot tu. vAn: -

a) Dich vu y than doan, diet' tri va dieu tri du phong nhiem I-rung co. hOi, dieu tri bang thuc khang HIV; du phong lay truyen HIV tir me sang con; char.' down va dieu tri lao; cac nhiem tang lay truyen qua duOng tinh duc; dieu tri nghien cac chat dang thuc phien bang thu6c thay the; cham sac sire khoe sinh san;

b) Ca.c dich vu can thiep giam tdc hai trong du phong lay nhigm HIV va h6" trg xa hoi khac.

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Chuang V TRACH NHIEM THI1C HIEN

Dieu 9. Trach nhiem cua Cue Phong, cluing HIV/AIDS

1. Huang clan trien khai hoat dOng tu van phong, chOng HIV/AIDS trong co so y te.

2. Xay dung va trinh cap có than quyen cac tai lieu chuyen mon phyc vu hog d'Ong tu van phOng, chOng HIV/AIDS.

3. De xudt danh sach cac clan vi chiu trach nhiem tap huan tu van phong, chOng HIV/AIDS cho nhan vien y to trong cac co sey y to tryc thuOc BO Y

4. TO chirc kiem tra, giam sat va danh gia ket qua thyc hien hoat dOng to van phong, chOng HIV/AIDS tren toan quOc dinh ky hocdOt xuat.

Dieu 10. Trach nhiem ciia So. Y 4 tinh, thanh ph() trtrc thuiic trung u.o.ng

1. Chi ciao cac co so y to tren dia ban tinh trien khai ding tac tu van phong, chOng HIV/AIDS trong co se y to theo dung huang clan dm Thong tu nay.

2. Chi dinh cac clan vi thuOc tham quyen quail 1T chiu trach nhiem tap huan tu van phOng, chOng HIV/AIDS bao dam dung quy dinh tai ThOng tu nay va Thong tu 22/2013/TT-BYT hoac d'e nghi cac don vi quy dinh tai Khoan 3 Dieu 9 Thong to nay t6 elide tap huan tu van phong, cheing HIV/AIDS cho cac nhan vien y to trong cac co sa y to tren dia ban quail 1T trong tnxemg hop can thi6t.

3. Kiem tra, thanh tra va so ket, tong ket tinh hinh thyc hien hoat dOng tu van phong, chang HIV/AIDS teen dia ban tinh.

Dieu 11. Trach nhiem cua cac co. y to

1. Cac ca so y to sau day có trach nhiem to eh& viec tu van ve dy phong trong phong, chOng HIV/AIDS cho cac to chdc, ca nhan khi có yeu cau:

a) CO so y to dy phong có chirc nang phong, chOng HIV/AIDS;

b) Co so khom benh, chira benh: benh vien da khoa, benh vien chuyen khoa có chirc nang dieu tri benh truyen nhigm, phong kham chuyen khoa ve phong, cheing HIV/AIDS.

2., Co soy y to neu có thyc hien k5", thug xet nghi'em HIV có trach nhiem: a) TO chirc viec tu van ye du phong trong phong, chang HIV/AIDS cho

cac to chirc, ca nhan khi có yeu cau; b) To chuc viec tu van truac va sau xet nghiem HIV;

c) Thyc hien day du the dO thOng ke bao cao theo quy dinh cho co quan dau mOi ve thu thap so lieu bao cao ve phong, chOng HIV/AIDS teen dia ban.

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KT. BO TRIM:NG TRU'ONG

n Thanh Long

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Chuang VI DIEU KHOAN THI HANH

Dieu 12. Dieu khofin tham chitu TruOng hqp cac van ban dugs dan chieu trong van ban nay bi thay the

hoac sira doi, bO sung se thuc hien theo van ban thay the hoc van ban da dugc sira doi, b6 sung.

Dieu 13. Hieu Itre thi hanh 1. Thong tu nay c6 hieu luc tir ngay 15 thang 4 nam 2015. 2. Bai 136 cac quy dinh sau day ke tir ngay Thong tu nay c6 hieu luc thi

hanh: a) Quyet dinh s6 647/QD-BYT ngay 20 thang 02 nam 2007 dm BO truong

BO Y to ve Huang clan tu van va xet nghiem HIV tu nguyen; b) Khoan 5 Dieu 1 va cum tir "Khoan 5" tai Khoan 2 Dieu 3 Thong tu so

33/2011/TT-BYT ngay 26 thang 8 nam 2011 dm BO truong BO Y to quy dinh viec xet nghiem HIV bat buOc trong mot s6 truong hqp can thiet de chan down va dieu tri cho benh.

Dieu 14. Dieu khofin chuyen tiep Cac ca se/ y to dang to chirc hoat clOng tu van phong, ch6ng HIV/AIDS

duvc tip tvc hoat dOng nhung phai ding hoan thin a dap Ung di'eu kien dm Thong tu nay truck ngay 01 thang 01 nam 2017.

Dieu 15. Trach nhiem thi hanh Chanh Van phong BO, Civic truong Cvc Phong, ch6ng HIV/AIDS, Vv

truong, Cvc truong, Tling cvc truong thuOc BO Y te, Thu truong cac ca quan, don vi true thuOc BO, Giam doc So Y to cac tinh, thanh pho truc thuOc trung uong va Thu truong co quan y to cac Bo, nganh chiu trach nhiem thi hanh Thong tu nay.

Trong qua trinh thuc hien, neu co kilo khan vuOng mac, cac don vi, dia phucrng bao cao ve BO Y to de nghien dru, giai quyet./.

Noi nhtin: - Van phong Chinh phii (Vv KGVX, Phdng C8ng bao,COng thong tin din tir CP); - BO Tu phap (Cvc Kim tra VBQPPL); - BO truong BO Y 4 (dt bap cad); - Cac Tit* truerng BO Y to Wet); - UBND tinh, thanh pho true thuOc TW; - Y 4 tinh, thanh phO tn,rc thuOc TW; - Cac don vi true thuOc BO Y 4; - Y to cac BO, nganh; - Cac Vv, Cvc, Ring cvc, ran phong BO, Thanh tra BO, COng thOng tin di8n tir BYT; - Luu: VT, PC, AIDS (05 ban).

Phu luc PHIEU XAC NHAN BONG Y XET NGHIEM HIV

(Ban hanh kern theo Thong to so 01/2015/TT-BYT ngay 27 thcing 02 nom 201 dia BO &Jiang Bo Y

Ten don vi chu quan Ten co' ser y to

PHIEU XAC NHAN BONG )"( XET NGHIEM HIV

Ho va ten nguOi clugc to van: So dien thoai (neu cO): St) CMND (hoac giAy to ti y than neu co): Dan tOc: Gied tinh: Nam sinh: Nai ding kSt h8 khAu thuOng Nai cu trii hien tai (neu khac nai clang 1ky h8 khAu thuOng till)• Nghe nghiep: D8i -Wong: Nguy ca lay truy6n HIV:

Sau khi duac to Van dAy du, rei rang ve nguy ca lay nhiem HIV va lgi ich cua viec lam xet nghiem HIV, t8i hoan toan d'8ng y tu nguyen lam xet nghiem HIV.

, ngay thong nom 20....

Hoi tuvng tu. van (Kf, va ghi r5 hp ten, truthig hop ngteeri boo ho can ghi r5 hp va ten ngueri clgi dien hop phap va

neu r5 mai quan he vai ngudei cluvc xet nghiem

HIV)

Can bi) y to va ghi hp ten)

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HU'ONG DAN GHI CHEP PHU LUC

1. Dia chi: Ghi day dit th6ng tin: (s6 nha; CO, x6m, Ap; xd, phtr6ng, thi trAn; huyen, quian, thi xd, thanh ph6 thu6c tinh; tinh, thanh ph6 trtrc thu6c trung trang).

2. Noi ctx Nal thu6ng tit IA not cong dan sinh song thtrong xuyen, on dinh, khOng

co thoi han tai mot cho. o nhAt dinh va dd clang kSi thuong Nai tam tru la not cong dan sinh song ngoai not clang IcSi thuting tru va dal

Bang ky tam tit.

3. Nghe n hie : Ghi ma so tuong ung nhtr sau. STT Nhom nghe nghi'e'p Ma se;

1 Nhan vien co s6 kinh doanh dich vu a bi loi dung a hog dOng mai dam

1

2 Lai xe 2 3 Ngtx dan 3 4 Ngtroi lam ming nghiep 4 5 Cong nhan 5 6 Can b6, chitin sy thu6c luc luting vu trang nhan dan 6 7 C6ng chirc, vien chirc, ngtr6i lao d6ng CO hop Ong lao Ong

theo quy dinh cila phap luat lao dOng 7

8 Hoc sinh, sinh vien 8 9 Tre em 9

10 Lao dOng to do 10 11 ThAt nghiep 11 12 Pham nhan 12

4. DOi tuvn : Ghi theo ma so tuong ung nhtr sau STT Doi A • tuvng xet nghiOn A Ma so

1 Ngtriyi nghien chich ma tit)/ 1 2 Phu nit ban dam 2 3 Phu MI mang thai 3 4 Ngtroi hien matt 4

Ngtx6i ban matt 4.1 Ngtreyi hien mau tinh nguyen 4.2 Ngtrai nha cho matt 4.3

5 Ngtreyi benh lao 5

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6 Nguai mac nhiem trung lay truy6n qua dung tinh duc 6 7 Thanh nien kham tuye'n nghia vu quan sir 7 8 Nam co quan he tinh duc dog giai 8 9 Cac d6i Wang khac 9

5. Hanh vi n uv co.: tir hanh vi nguv co cao den thA. STT Hanh vi nguy co lay nhiem MA so

1 Tiem chich ma My 1 2 Quan he tinh duc vori nguM ban dam hoac nguai mua dam (vi

tien hay ma tily) 2

3 Quan N tinh duc &rig giai nam 3 4 Quan he tinh duc vai nhieu ngtroi (khong vi tien hay ma tuy) 4 5 Nguy co khac dm ban than 5

6. Duem. la v: Ghi theo ma s6 tuong irng nhu sau STT Duirng lay truytn HIV MA s6

1 Lay qua dung mau 1 1.1 Lay qua &rang tiem chich ma tiny . 1.1 1.2 Truyen mau 1.2 1.3 Tai nun nghe nghiep 1.3 2 Lay qua throng tinh duc 2

2.1 Tinh duc d6ng giai 2.1 2.2 Tinh duc khac giai 2.2 3 Me truyen sang con 3 4 Khong it' 4

7. Ket aua xac minh hien trans tit ma so): STT Hien trang xac minh noi ar trti MA s6

1 Hien clang sinh song tai dia phuung 1 2 Chuyen di nai khac 2 3 Mat dau 3 4 Dia chi thu thap khong co tai dia phurang 4

8. H i chimp lam sang: Ghi theo ma s6 tuong irng nhu sau STT Trieu chfrng lam sang MA so

1 1 Sot keo dai 2 Dau &Au va cac Neu hien than kinh khac 2 3 Hach to 3

4 H6i chi:mg 116 hap 4 5 Nuot dau 5 6 Tieu chay man tinh 6 7 T6n thuong da 7 8 Suy man 8 9 Thieu mau 9

10 Chain phat trier' the chat a berth nhi 10

9. Nguyen nhan tir vong: Ghi theo ma so"' tuong irn nhtr sau STT vv Nguyen nhan tie vong A MA so

1 Giai loan cu6i dm AIDS 1 2 Do mac berth khac 2 3 S6c do sir dung ma tuST qua lieu 3 4 Tu dr 4 5 Tai nan 5 6 Khac (ghi r6) 6 7 Khong r6 7

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