Sd Y TE TINH K I E N G I A N G CHI e y e D S - K H H G D

CONG HOA X A HOI CHU N G H I A VIET N A M Boc lap - Tir do - Hanh pliiic

S6: /HD-CCDS Kien Giang, ngay 22 thdng 3 nam 2013

HlTONG DAN Sir clung kinh phi cong tac Dan s6 - K H H G D nam 2013

Can cu liuong dfm so 5I9 /BYT-TCDS ngay 24/01/2013 cua Bo Y te ve viec huang dan thuc hien ke hoach nam 2013 Chuang trinh M T Q G Dan s6 - ICITPIGD.

Can cu cong van s6^55/TCDS-KHTC ngay 24/01/2012 cua T6ng cue Dan s6-KTIHGD v l viec huang din chi tilt chi tieu, nhiem vu Chuang trinli M T Q G Dan s6 - K H H G D nam 2013.

Chi cue Dan so - K H H G D tinh liuang dan sir dung Ivinlr plii tliu'c liien cong tac Dan s6 - K H H G D nam 2013 nhu sau:

Phan thiV nhat CHI TIEU K E H O A C H V A DU' TOAN NGAN SACK NAM 2013

I. CHI TIEU K E H O A C H 1. Muc giam sinh:

Giam ty le sinh nam 2013 toan tinh la 0,22%o, giam ty le tang dan s6 tiv nhien con 10,3%. Giam ty le sinh con thu 3 tro len 0,20%.

2. Tong so nguoi inol su- dung BPTT hien dai: Tong so nguoi mai thuc hien cac bien phap tranh thai hien dai 120.760

nguai. Trong do: „.. ̂ , . + Dinh san; 200 nguai.

+ Vong tranh thai: 47.100 nguai; + Thuoc uong tranh thai: 32.800 nguai; + Thuoc tiem tranli thai: 6.500 nguoi; + Thuoc cay tranli thai: 160 nguoi; + Bao cao su: 34.000 nguai.

Tang ty le cap vg chong trong do tuoi sinh de su dung cac bien phap tranh thai hien dai dat 79;^'Vo

n. DU'TOAN NGAN SACH NAM 2013: 11.491.000.000tl 1. Chuong trinh muc tieu quoc gia DS-KHHGD:

LI Ngan sach trung iirmg: JO. 766.000.000d 1.2 Ngan sach dia phicongftgi van phong): 725.000.000d

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Phan thii' hai H i r d N G DAN THU'C HIEN K E H O A C H H O A T DONG N A M 2013 I. DlT AN 1- D A M BAO HAU CAN VA CUNG CAP DICH V U

KHHGD: r

1. Chi phi dich vu ke hoach hoa gia dinh: 1.1- Phivo'ng tien tranh thai: - Cac pliuong tien tranh thai (Vong, thuoc uong, thuoc tiem, thuoc cay tranh

thai va bao cao su) do T W cap dugc phan phoi qua liai kenli: Trung tam Cham soc SKSS tinh (phuang tien tranli thai lam-sang: Vong, thuoc tiem, thuoc cay tranli thai) va Trung tam Dan so - K H H G D cac huyen, thi, thanh pho (phuang tien tranli thai phi lam sang: thuoc uong ti'aiili thai va bao cao su).

•- Cap mien phi cho 100% doi tugng thugc hg ngheo su dung bao cao su de tranh thai a cac xa vung sau, vimg xa, vung hai dao. Doi vai cac xa vung khac va phuang, thi tran chi cap mien phi cho nhii'ng doi tugng la nguai ngheo co dang ky su dung Bao cao su de tranh thai; Doi tugng khac trien khai tiep thi xa hgi.

- Vien uong tranh thai: Cap mien phi cho 30% doi tugng c6 dang ky su dung •• Thuoc cay tranh thai: Cap mien phi 45%i doi tugng co dang ky su dung. - Thuoc tiem tranh thai: Cap mien phi 70% doi tugng co dang ky su dung. - Dung cu tu cung: Cap mien phi 70% doi tugng co dang ky su dung. 1.2- Thivc hien dich vu ky thuat y ti vk SKSS/KHHGB : - Kinh phi dam bao cac chi phi thuoc thiet yeu, vat lieu tieu hao chi phi ky

thuat va quan ly trong thuc hien theo Thong tu so 06/2009/TT-BYT ve dinh muc thuoc thiet yeu va cac vat Heu tieu hao trong cac dich vu, thu thuat cham soc SKSS.

- Phu cap phau thuat, thu thuat K H H G D va pha thai an toan thuc hien theo Quyet dinli s6 73/2011/QD-TTg ngay 28/12/2011 v6 viec quy dinli mot s6 ch§ do phu cap dac thu doi vai cong chuc, vien chuc, nguai lao dgng trong cac ca so y te cong lap va che do phu cap chong dich va theo quy dinh phan loai phau thuat, thu thuat va danh muc thu thuat dugc huang phu cap cua Bg Y te.

- Phuang thuc thuc hien la ky ket hgp dong trach nhiem giua Chi cue Dan so - K H H G D tinh vai Trung tam CSSKSS. Trung tam CSSKSS c6 trach nhiem lap k§ hoach theo huang d in de trien khai thivc hien va quyet toan vai co quan tai chinh theo quy dinh, dong thai thong bao cho Chi cue Dan s6 - K H H G D tinli d l t6ng hgp quyet toan cuoi nam.

2. Chinh sach ho tro': 2 J- H3 tra doi dich vu KHHGD iuu dong: •Chi phi hoat dgng cua dgi dich vu S K S S / K H H G D luu dgng den cac xa trien

khai trong cac dgt chiln dich, bao gom chi phi di lai, luu tru cua can bg, van chuyen trang thiet bi, dung cu y te, thuoc thiet yeu va vat tu, vat lieu tieu hao. Dinh muc ho

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trg dgi dich vu luu dgng tinh, huyen vai muc chi ho trg binh quan 500.000d/d6i/xa/ trong dgt chien dich.

2.2- Ho trg' doi twang thirc hien cac goi dich vu trong chien dich: - Kham phu Idioa: Dinh muc chi ho trg bao gom chi phi vat tu tieu hao, phu

cap tien cong va chi phi van chuyen cho Idiam phu Ichoa la S.OOOd/truang hgp. " Phet te bao am dao (pap's): lO.OOOd/cas (Truang hgp huyen nao khong doc

dugc pap's lien he Trung tam tu v4n, dich vii D S - K H H G D tinh va thoa thuan viec chi tra tien cong va hoa chat, tien cong lay mau va mua lam kinli).

2.3- Chi thu lao can bp tam cong tac DS ~ KHHGD van dong vd tw vCui trong chien dich:

- Nguai chap nlian dat dung cu tu cung: 10.000 dong/truang hgp chap nhan - Nguai chap nlian triet san: 30.000 dong/truang hgp chap nlian 2,4' Triet san: - Nguai dinh san: Dugc boi duang bang tien: SOO.OOOdong/nguai (trung

uong: 300.000dva dia phuang: 500.000d). - To chuc, van dgng dinh san bao gom: C T V , Can bg D S - K H H G D xa lap

danh sach doi tugng dang ky dinli san, to chuc van dgng, tong hgp doi tugng va chuan bi cac dieu kien can thiet; To chuc dua don nguai dinh san tu noi tap trung den nai thuc hien dinh san. Dinli muc 270.000d6ng/nguai (Trung uo'ng: TO.OOOd va dia phuang: 200.000d). Ngoai ra nham khuyen Idiich cho Y Bac sy van dgng m6 dinh san ca hgi, chi cho benli vien tinli, benh vien huyen tien van dgng mo dinh san CO hgi la 270.000d/cas (mo U nang + dinli san, thai ngoai tu cung + dinh san, sau khi sinh con + dinh san...). Chi ho trg cho can bg y te cap xa hoac To y te thuc hien cham soc nguai tir nguyen triet san tai nha sau phau thuat: 50.000d6ng/cas. (Tu nam 2013 khong c6 Bao hieni dinh san).

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2.4- Tro' cap tai bien: Ho trg thuoc thiet yeu, chi phi di lai cho nguai triet san, dat dimg cu tu cung,

thuoc cay, thuoc tiem tranli thai, neu bi tai bien va trg cap klio khan (neu co). 2.5- Phd thai an toan: Doi tugng dugc mien phi pha thai an toan la nguoi su dung BPTT lam sang

lien tuc nhung bi va ke hoach va co nhu cau pha thai an toan. Dinli muc phan bo chi phi pha thai an toan da bao gom que thu thai truac khi pha thai.

3. Hau can phuong tien tranh thai:

- Chi phi tiep nlian, bao quan, van chuyen PTTT theo quy dinh hien hanli. Kinl i phi phan bo cho tinh, huyen de thirc hien viec dam bao hau can pliuo'ng tien tranli thai tu tinh den ca sa cung cap dich vu K H H G D / S K S S .

- Thuc hien quan ly hau can PTTT theo Quyet dinh so 199/QD~BYT ngay 20/1/2009 cua Bg Y te ban hanh quy dinh ve quan ly hau can cac PTTT thugc Chuang trinh muc tieu D S - K H H G D .

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- Kinh phi phan bo de mua sam, sua chiia, bao duang trang thiet bi phuc vu Idio hau can PTTT tuyen tinh, huyen; dinh muc phan bo 25 trieu dong/tinli. Can cu thuc trang trang thiet bi cua cac kho hau can PTTT tuyen tinli, liuyen; Chi Cue lira chon bo sung trang thiet bi can thiet, kliong phan bo binh quan theo cac kho.

- Chi phi tiep nhan, bao quan, van chuyen PTTT theo quy dinh hien hanh. Kinh phi phan bo cho dia phuang de thuc hien viec bao dam hau can PTTT tu tinli den ca sa cung cap dich vu S K S S / K H H G D .

- Cung CO va hoan thien he thong thong tin quan ly hau can PTTT tuyen tinh. Quan ly PTTT bang phan mem L M I S . Chi phi phuc vu he thong thong tin quan ly hau can PTTT theo quy dinh.

4. Quan ly chuong trinh dan so:

Chi ho trg can bg lam cong tac D S - K H H G D cap xa theo Thong tu lien tich cua Bg Tai chinh va Bg Y te ve quy dinh va su dung kinh phi thuc hien Chuong trinh muc tieu qu6c gia D S - K H H G D giai doan 2012-2015.

- Phu cap cgng tac vien D S - K H H G D (CTV): Phu cap cho cgng tac vien: TW la: 100.000 d6ng/nguai/thang.

- Hoat dgng quan ly cua Ban chi dao D S - K H H G D xa, phuang, thi tran bao gom giao ban hang thang, van phong pham... Dinh muc 1.200.000d/xa /nam.

- Can bg D S - K H H G D cap xa da dugc tuyen dung thanli vien chuc Tram y te xa va nhung nguai dugc huang che do chinh sach nhu vien chuc: Ngan sach dia phuang chi luang va cac die do, chinh sach hien hanh.

5. Kiem tra, giam sat va quan ly chat luong dich vu KHHGD:

To chuc kiem tra, giam sat tinh hinh phan phoi va su dung BPTT, sir dung trang thia bi, tinh hinh thuc hien BPTT, chit lugng dich vu S K S S / K H H G D , quan ly tai chinh, thuc hien chinh sach, che do lien quan.

H. Dir AN 2- TAIVI SOAT C A C DI DANG, BENH, T A T B A M SINH VA K I E M SOAT M A T CAN BANG GICTI TINH KHI SINH:

I. Sang loc tru'o'c sinh, sang loc so' sinh:

- Tuyen truydn van dgng, kiem tra giam sat (g6m cac hoat dgng truyen thong, tu van, hgat dgng cau lac bg, d6i thoai, huang din, k i l m tra, giam sat tinh hinh thuc hien cua cap tinh, huyen, xa.

- Tap huln ky thuat, ky nang cho can bg huyen, xa: Tap huan ky nang truyen thong va ky thuat l l y mau got chan cho can bg ky thuat.

- In an so sach theo doi: theo muc chi thuc te

- Chi phi cho ky thuat sang Igc sa sinh bao g6m: Chi ho trg cong l l y mau got chan tre so sinh trong truang hgp sang Igc, chin doan sa sinh. Chi van chuyen mau mau. Chi thong bao ket qua sang Igc cho doi tugng.

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- Chi phi cho ky thuat sang loc truac sinli bao g6m; Chi phi Icham, sieu am sang loc, chan doan truac sinh: muc chi theo gia dich vu Idiam benh, chua benli hien hanh cua co' so Idiam, chCra benh cong lap.

- Chi boi duang can bo y te thuc hien tu van truac va sau sang loc, chin doan truac sinli va so sinh.

2. Tu' van va kham sue khoe tien hon nhan:

- To chuc cac hoat dong tuyen tmyen, tu van true tiep tai cong dong; truyen thong qua he thong truyen thanh xa, dai phat thanli truyen hinh tinh, huyen; tu v§n tai cac Trung tam tu van; giao due dong ding, cung cap cac san phim, tai lieu tuyen truyen ve cac BPTT, cham soc SKSS vi thanh nien, thanli nien;

- To chuc va duy tri hoat dong cau lac bo tien hon nhan tai cac xa; xay dung goc truyen thong cung cap kien thuc v^ D S / S K S S / K H H G D noi chung, nhin manh SKSS thanh nien, vi thanli nien tai cac truang pho thong co sa va ph6 thong trung hoc; cung cap thong tin cho nam nu thanh nien tai nai dang ky ket hon.

- Tap huan ky nang truyen thong, kien thuc va ky nang thuc hien cac hoat dong cho chu nhiem cau lac bo, can bo cap xa, huyen, tinh; To chuc kham sue Idioe va huang dan dieu tri cho thanli nien, vi thanh nien; tien hanh mot so xet nghiem ca ban nhu viem gan B , thu thai sam, benh lay truyen qua duang sinh san.

Phucng thu'c hoat dong

Chi phi kham sue Idioe, xet nghiem ca ban theo gia dich vu hien hanh cua co so kham, chija benh cong lap, Duy tri thuang xuyen cac hoat dong tai cac dia ban da trien khai, chu trong van dong tu van va giup da cac truang hop dugc xac dinh la CO nguy ca cao.

3. Can thiep tai dja ban trong diem:

- Truyen thong trirc tiep tai cgng dong: To chuc noi chuyen chuyen de cho cac nhom doi tugng nhu phu nu trong do tuoi sinh de va phu nu' mang thai, thanh nien va vi thanli nien, nam giai chu hg gia dinh, nguoi co uy tin trong cgng dong; cac xa, phuang c6 dong nguai lao dgng iiliap cu hoac lao dgng theo thai vu.

- Truyen thong, giam sat cap huyen: Xay dung cac chuyen muc ve DS-K H H G D tren dai phat thanh huyen. To chuc cac cuoc mit tinli, tga dam, hgi nghi chia se kinh nghiem giua cac ca nlian, tap the dien hinli, to chuc cac dgt truyen thong luu dgng nhan cac su kien nhu ngay Dan so The giai (11/7), Thang hanh dgng ngay dan so Viet Nam, lam mai, sua chua cac Pano, ap phich; Dinli muc: Huyen c6 duai 100.000 dan la 12,5 trieu dong; huyen co tu 100.000 den duai 150.000 dan la 15 trieu dong; huyen co tu 150.000 dan tra len la 17,5 trieu dong.

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- San xuat, nhan ban san pham truyen thong cho tuyen huyen, xa va doi tuong cu the nhu bang dia C D , V C D , to roi, ap phich, sach lat... Xay dung hoac sua clii^a pano, kliau hieu, ap phich tai cac diem chinh.

4. Giam tinh trang tao hon va ket hon can hiiyet thong: - Tuyen truyen tren cac phuang tien thong tin dai chung, dai truyen thanh xa;

to chuc hoi nghi, lioi thao, noi chuyen chuyen de vai cac nhom doi tugng; cung cap cac an pliam, tai lieu tuyen truyen ve luat hon nhan va gia dinli, nguy ca, hau qua cua tao hon va hon nhan can huyet thong.

- To chuc dua cac quy dinh cua Luat hon nhan va gia dinh va noi dung cham soc SKSS, sue khoe ba me, tre em...vao huong uac, quy uac cua tlion, ap, ban, lang, tieu chuan gia dinh van hoa.

Thanh lap cac diem truyen thong, tu van va to chuc cac nhom sinh hoat (uu tien thi diem tai mot so truang noi tni cua tinh, huyen); long ghep noi dung tuyen truyen vao cac hoat dgng van hoa xa hgi cua cgng dong, vao cac hoat dgng thuang xuyen cua chinh quyen, doan the trong xa.

- Ho trg hoat dgng tu phap xa thuc hien quan ly, cung cap thong tin, tu van cho cac doi tugng chuan bi ket hon, lam giay dang Icy ket hon va giay khai sinh cho tre em tai dia ban.

- H S trg, cung cap dich vu cham soc S K S S / K H H G D , SKSS vi tlianh nien, thanh nien, sue Idioe ba me tre em tai xa.

5. Giam thieii mat can bang gioi tinh khi sinh: - Tuyen tmyen, tu van true tiep va tren cac phuang tien thong tin dai chung,

dai tmyin thanli xa, cung cap thong tin, hgi thao, noi chuyen chuyen de vai lanli dao Dang, chinh quyen, ban nganh doan the, can bg D S - K H H G D xa, C T V dan so, nhan vien y t l , hg gia dinh, phu nil-, tre em gai va cac doi tugng ve quy dinli viec nghiem ckm cac hanh vi lira chgn giai tinh thai nhi, thuc trang va tac hai cua mat can bing giai tinh khi sinli, cac bien phap ngan chan phan biet giai, lua chgn giai tinh, kinh nghiem san xudt, xay dimg gia dinh van hoa cua phu i i i j sinh con mot be gai khong sinh con thu 3 hang nam; kinh nghiem hgc tap, ren luyen cua cac chau gai CO thanli tich hgc tap gioi.

- Bien scan, nhan ban va cung cap cac san phlm tmyln thong; xay dimg mai mot s6 pano, khhw hieu tuyen truyen v^ gioi tinli Iclii sinh tai dia diem trung tam.

- Xay dung va duy t i i hoat dgng cua cac cau lac bg phu nir Ichong sinh con thu 3 giup nliau phat trien kinh te gia dinh.

- Tap huln ky nang tmy6n thong, k i ln thuc va ky nang thuc hien cac hoat dgng cho chu nhiem cau lac bg, can bg xa, huyen, tinli; chu dgng tap huan cac quy dinh cua phap luat v§ ngliiem elm lua chgn giai tinh thai nhi dual mgi hinh thuc.

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- Thanh tra, kiem tra, giam sat dinh Icy va dot xuat cac ca so y te co dich vu sieu am, nao pha thai trong viec thuc hien cac quy dinh nghiem cam lua chon giai tinli thai nlii; cac ca so xuat ban, kinh doanh cac loai sach, bao, van hoa pham trong viec thuc hien cac quy dinh nghiem cam tuyen truyen pho bien phuang phap tao gioi tinh thai nhi.

III. Dir an 3- Nang cao nang luc, truyen thong va giam sat, danh gia thuc hien chuong trinh:

1. Chiiih sach khuyen khich: '̂ Kinh phi trung uong: Noi dung, hinh thuc, muc chi Idiuyen Idiich cong

dong va khuyen khich tap the va ca nhan theo cac huang dan hien hanli. Dinh muc phan bo kinli phi danh cho Idiuyen Idiich cgng dong, tap the va ca nhan c6 thanh tich xuat sac trong cong tac D S - K H H G D (Chi cue se co huang d in rieng v8 cong tac thi dua). I<d* Dia phuong: Thuc hien theo Quylt dinh s6 23/2009/QD-UBND

2. Xay du-ng chinh sach hu'O'ng dan: Xay dung cac chinh sach, tieu chuan, dinh muc, van ban huang dan cua dia phuang va tien hanh cac khao sat, danh gia phuc vu viec xay dimg chinh sach, van ban huong dan de thuc hien Chuang trinh D S - K H H G D . Cac Idioan chi dugc ap dung theo cac quy dinh hien hanh.

3. B6i du-o-ng nghiep vu co' ban ve Dan s6 - KHHGD: Chi cue D S - K H H G D to chuc cho nJiung can bg lam cong tac D S - K H H G D cap xa, can bg da dugc tuyen dung vien chuc a huyen, tinh de dat chuan vien chuc dan so; Chuang trinh muc tieu ho trg nigt phan hgc phi va tai lieu theo quy diidi.

4. Tap huan chuyen mon, nghiep vu:

To chuc tap huan nghiep vu D S - K H H G D can bg, C T V dan so xa: Tap huan doi vai can bg D S - K H H G D xa mai la 7 ngay va C T V dan so la 5 ngay; tap huan lai ve nghiep vu D S - K H H G D cho can bg xa la 2 ngay va C T V la 1 ngay. Can cu tinli hinli thuc te ve so lugng can bg D S - K H H G D xa, C T V chua dugc tap huan hoac da dugc tap huan tu nhung nam truac de lua chgn doi tugng va hinh thuc tap huan phu hgp vai so kinh phi dugc phan bo. Viec tap huan nghiep vu D S - K H H G D cho can bg D S - K H H G D xa va C T V dugc long ghep vai tap huan truyen thong, tap huan ghi chep ban dau va bao cao thong ke chuyen nganh, bang kiem vien uong tranh thai.

5. Duy tri va quan trj kho dfr lieu dien tii*: 5A- Thu thfip, cap nhat thong tin: Thuc hien che do ghi chep ban dau va bao cao thong ke dinh ky cua kho du

lieu dien tu' dung thai gian, du so lugng chi tieu va dam bao chat lugng theo Quyet dinh 437/QD-TCDS. Dinh muc phan b6 kinli phi T W ho ti-g C T V thu thap, cap nhat thong tin la 5.000 dong/phieu thu tin; ho trg can bg D S - K H H G D tham dinli so AQ va phieu thu tin la 500 dong/phieu thu tin bao gom ca chi phi gui phieu thu tin len cap

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huyen. Chi cap nhat thong tin mai ve DS-KHHGD cua ho gia dinli vao So ghi chep ban dau ve D S - K H H G D cua cong tac vien: Muc chi 1.500 dong/lio gia dinli.

5.2- Duy tri vd quan tri kho div lieu: Dinh muc phan bo kinh phi trung uong ho trg can bg huyen nhap thong tin la

1.000 dong/phieu thu tin. Chi phi in an bao cao thong ke D S - K H H G D cho cap xa, huyen theo che do hien hanh. Nang cap, sua chiia, bo sung mai trang thiet bi ket noi, truyen dCi lieu, mua ban quyen phan mem phong chong virut, bao tri he thong may va cac chi phi Ichac de klio du lieu dien tu hoat dgng.

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6. Truyen thong true tiep: - Truyen thong nhan cac sir kien duai nhieu hinh thuc (ngay Dan so the giai

(11/7), ngay Dan so Viet Nam (26/12), thang hanh dgng quoc gia ve dan so (thang 12), cac sir kien dac biet; dinli ky cung cap thong tin tinh hinh thuc hien cong tac D S - K H H G D , phat hien kip thai nhung van de mai nay sinh cho cac nha hoach dinli chinh sach, cac nha quan ly va cap uy Dang; dieu hanh, phoi hgp hoat dgng truyen thong cua cac ban, nganh, doan the cac cap.

- Cac ban nganh, doan the va co quan truyen thong dai chung cap tinh; Truyen thong nhan cac sir kien; tuyen truyen tren cac chuyen trang, chuyen muc cua dai phat thanh, truyen hinh, bao dia phuang; boi duang kien thuc ky nang cho can bg; huang dan, kiem tra, giam sat nganh, doan the cap duai.

7. Chien dich truyen thong long ghep: Cap tinh va cap huyen: phat dgng Chien dich; tuyen truyen tren cac phuang

tien thong tin dai chung; tuyen truyen tong hgp va thong bao ket qua thuc hien Chien dich; cung cap san pham truyen thong; dam bao phuang tien tranh thai, thuoc thiet yeu, vat tu tieu hao; to chuc dgi dich vu luu dgng va dam bao phuang tien, thilt bi, dung cu y te cho dgi dich vu luu dgng lam ky thuat dich vu S K S S / K H H G D tai xa; giam sat truac, trong Chien dich va giai quyet kip thai nhiang Idio khan, vuang mic ciia xa trong qua trinh trien khai Chien dich; sa ket, tong ket Chien dich.

Cdp xa: Huy dgng va phan cong cac nganh, doan the thuc hien cac hoat dgng cua Chien dich, bao gom: Tuyen tmyen tren dai truyen thanh; ke ve kliau hieu, ap phich, bang ron; to chuc c6 dgng trong thai gian Chien dich. Lap danh sach doi tugng tham gia cac hoat dgng cua Chien dich va doi tugng thirc hien cac dich vu S K S S / K H H G D ; van dgng tai hg gia dinh cac ddi tugng trong dien van dgng thuc hien K H H G D . Cung cap san pham truyen thong ve cac noi dung D S - K H H G D , to rai wh cac goi dich vu cung d p trong Chien dich va thai gian, dia diem tu van, cung cap dich vu S K S S / K H H G D . To chuc noi chuyen chuyen d§, chilu phim, chieu video, van nghe va tu v i n tai cac dia di lm theo cac nhom doi tugng cu the va tai cac dia diem lam ky thuat dich vu S K S S / K H H G D .

T6 chuc cung c4p cac dich vy S K S S / K H H G D tai cac dia diem bao gom dgi dich vu S K S S / K H H G D luu dgng cua huyen (ciia tinh n lu co) va tram y t l xa, bao

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dam du thuoc thiet yeu, vat tu tieu hao, trang thilt bi, dung cu y te, PTTT va tlruc hien ky thuat theo deu chuin "Huong din qu6c gia cac dich vii SKSS/[<Jrffl[GD" ban lianh kem tlieo Quy8t dinh sd 4620/QD-BYT ngay 25/11/2009 cua Bo Y xk Cap nhat thong tin, xay dung bao cao Icet qua thirc hien cac hoat dong cua Chi ln dich va s6 nguoi thuc hien cac dich vii SKSS/K.HHGD trong nhCmg ngay t6 chuc Chi ln dich tai xa va luu danli sach nguoi thuc hien cac dich vu SKSS/ICHHGD tai tram y te xa de quan ly. To chuc trien khai, so tong ket chien dich: Dinh muc phan ho la l.OOO.OOOd/huyen/dot va 500.000d/xa/dot. K i l m tra, giam sat, danh gia huyen, xa chi theo thuc te.

8. Kiem tra, tiianh tra, giam sat vd du dao dieu hanh: Chu dong kiem tra, giam sat viec thuc hien Chuang trinh do ca quan DS-

K H H G D cac cap true tiep quan ly, dieu hanhj phoi hgp vai cac nganh kiem tra, giam sat theo chuyen de, chu trong viec su dung kinh phi. Kiem tra, giam sat toan dien ve cong tac D S - K H H G D . Noi dung chi bao gom tien thu lao cho cac thanh vien Ban chi dao, nuoc uong, van phong pham va tai lieu phuc vii cac cuoc hgp cua Ban chi dao DS-KHHGD.

IV . De an " K i e m soat dan so cac vung bien, dao va ven bien": 1. Bap icng nhu cau cham soc SKBMTE/KHHGD LI- Dpi luu dpng Yte - KHHGD: Thuc hien cong tac truyen thong, tu van va cung cap dich vu cham soc

S K B M T E / K H H G D tai cac xa dao, xa ven bien, xa co dong nguai lao dgng nhap cu: - Dia diem cung cap dich vu tai Tram Y te xa hay cac co sa y te dam bao

dieu kien cung cap dich vu. - Hoat dgng cua dgi luu dgng: Nam 2013 dgi luu dgng den cac xa ven bien,

xa dao chia lam 2 dgt de cung cap cac loai dich vu cham soc S K B M T E / K H H G D . - Kinh phi hoat dgng cua dgi luu dgng bao gom 2 nguon: Chi phi ky thuat,

quan ly, thuoc thiet yeu, vat lieu tieu hao; phu cap thu thuat, ky thuat dugc bo tri trong Du an nang cao chat lugng dich vu KEIEIGD thugc Chuang trinh muc tieu quoc gia Dan so - K H H G D . (Do Trung tam Cham soc SKSS chi). Chi cong tac phi, ho trg khi di luu dgng, chi phi tu van; chi phi thirc hien cac dich vu cham soc S K B M T E / K H H G D ; kham, dieu tri cac benh nhiem khuan duang sinh san thong thuang dugc thanli toan tu nguon kinh phi cua De an 52

- T6 chuc trien Idiai, sa tong ket chien dich; Kiem tra, giam sat, danh gia: Chi xang xe cho ban chi dao chien dich cua huyen di giam sat xa,

L2. Xay dung vd ho trg' cac loai hinh cung cap dich vu CSSKSS/KHHGD

Duy tri va ma rgng viec cung cap bao cao su, thuoc tranh thai cho nguoi lam viec tren bien truac khi di bien dai ngay, khi cap ba va vao cac au thuyen tai cac xa ven bien co nhieu nguai lam viec tren bien. Dinh muc kinh phi phan bo la 5 trieu dong/xa va ma rgng la 8 trieu dong/xa.

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2. Nang cao chat lugng dan so khi sinh: 2A. Tw van, kiem tra sue khoe, kiem tra cac yeu to nguy ca cao anh hwong

trwc tiep den sw mang thai, sivphdt trien vd chat Iwffng bao thai:

- Chi Iciem tra sue Idioe, kiem tra yeu to nguy ca cao, xet nghiem kiem tra vi rut viem gan B va cac yeu to Idiac anh huang true tiep den su mang thai, su phat trien va cliat lugng bao thai cho nhiing cap nam nu chuan bi ket hon thugc hg gia dinh ngheo, c6 nguy ca sinli con di tat cao. Dinh muc kinh phi phan bo de duy tri hoat dgng la 15 trieu dong/xa, trien khai mai la 20 trieu dong/xa.

2.2. Cham soc SKBM khi mang thai, ho trg' khi sinh vd sau sinh doi v&i cac ba me co nguy ca cao den sw mang thai, swphdt trim vd chat Iwgng bao thai:

-Chi kham, kiem tra sue khoe cho cac ba me mang thai co nguy ca cao theo r r f 7

quy trinh chuyen mon cua Bg truang Bg Y te anh huang true tiep den su phat trien binh thuang cua bao thai do tac dgng cua mo truang bien thugc mo hinh thi diem can thiep bao dam su phat trien binh thuang bao thai va sue Idioe cho nguai mang thai dang sinh song va lam viec a Idiu vuc ngap man, dam pha, cua song, cua bien tai cac xa ven bien. Dinh muc kinh phi ho trg duy tri la 5 trieu dong/xa va trien khai mai la 9 trieu dong/xa, bao gom ca cac hoat dgng 6 tinh, huyen, xa.

3. Phong chong benh lay truyen qua dwong tinh due, phong ngwa mang r

thai ngoaiy muon, phd thai an toan: T6 chuc kham, kiem tra sue Idioe phong chong benh lay nhiem qua duang

tinh due, phong ngua mang thai ngoai y muon, pha thai an toan cho nguoi tu 15-24 tu6i chua ket hon, khong di hgc, chua c6 viec lam hoac co viec lam khong on dinli tai cac xa ven bien, xa c6 khu cong nghiep, kliu che xuat, khu du lich, khu kinh te, au thuyen, cang ca, ben ca, cang bien.

4. Xay dung vd hoan thien he thong thdng tin quan ly: Chi ho trg theo huang dan tai muc 5, du an 3.

5. Tang cwong vd nang cao hieu qua truyen thong:

Truyin thdng thwang xuy^en cap huyen: Trung tam D S - K H H G D cap huyen: Truydn thong nhan cac su kien; tuyen truyen tren Dai phat thanh; sua chua, lam mai Pano, ap phich; t6 chuc chieu phim, video, van nghe, noi chuyen chuyen de so ket cong tac truyen thong cua huyen.

Truyin thong tang cuang gan vai hoat dpng cua cac loai hinh cung cap dich vu cham soc SKBM/KHHGD tai xd: T6 chuc cac hoat dgng truyin thong tu v i n true tilp tai cgng d6iig nhu tuyen truyen tai cac diem trien Idiai cung cap dich vu cua dgi luu dgng, cac dia ban dac thu phu hgp vai vung bien; to chuc thao luan nhom, dac biet la d in tu v4n tai hg gia dinh, nai lam viec va noi tap ket cua ngu dan.

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6* Nang cao hieu qua quan ly Be an 52: 6.1- Can bp DS-KHHGB xa: Doi tugng dugc huong clie do, cliinh sach la can bg D S - K H H G D cap xa

thugc cac xa dao, xa thugc huyen dao, xa ven bien, bao gom: Chi ho trg can bg lam cong tac D S - K H H G D cap xa theo Thong tu lien tich

cua Bg Tai chinh va Bg Y te ve quy dinh va su dung kinh phi thuc hien Chuang trinh muc tieu qu6c gia D S - K H H G D giai doan 2012-2015.

Chi ho trg 01 can bg lam cong tac DS - K H H G D cap xa khong phai la vien chuc va Idiong thugc doi tugng huang che do phu cap hang thang theo quy dinh tai Nghi djnh s6 92/26o9/ND- CP ngay •22/10/2009 cua Chinh phu v§ chuc daiili, s6 lugng, mot so che do, chinh sach doi vol can bg, cong chuc a xa, phuang, thi tran va nhung nguai hoat dgng Idiong chuyen trach a cap xa. Doi vai xa dao, xa thugc huyen dao xa ven bien c6 dam pha, ngap man, dam lay, au thuyen, cang ca, van cliai, cira song, cua bien: 400.000 dong/nguoi/thang; Doi vai cac xa con lai: 300.000 d6ng/ngudi/thang.

6.2- Cpng tac vien dan so: Muc chi thu lao cho C T V dan so la 100.000 dong/nguoi/thang.

6.3- Kiem tra, gidni sat, danh gid tinh hinh thuc hien:Cap tinh, huyen to chuc kiem tra, giam sat, danh gia tinli hinh thirc hien De an 52 tai cac dan vi thugc huyen va dia ban cap xa. Dinh muc phan bo kinh phi binh quan theo huyen dao, ven bien la 3 trieu/huyen, bao gom pham vi la cap tinh, huyen kiem tra, giam sat, danh gia tinh hinh thuc hien De an 52.

Phan thii" ba T 6 C H L T C T H U C HIEN

I. GIAO K E H O A C H VA D U TOAN NGAN SACH NHA NU 6 C 1. U B N D tinh giao chi tieu ke hoach, du toan chi ngan sach Chuong trinh

M T Q G D S - K H H G D , dam bao xa hgi, su nghiep kinh te (Con nguoi va cong viec tai cac don vi sir nghiep) cho So Y te, Chi cue Dan so - K H H G D tinh quan ly, dieu phoi de thuc hien nhiem vu.

2. Chi cue Dan so - K H H G D tham muu So Y te giao ke hoach va du toan ngan sach nha nuac (chuang trinh M T Q G ) cho cac don vi du toan gom: Chi cue Dan so - K H H G D , Trung tam Cham soc sue khoe sinh san, Trung tam Tu van dich vu DS - K H H G D va Trung tam Dan so - K H H G D cac huyen, thi, thanh pho.

3. Chi cue Dan So - K H H G D tinh giao chi tieu ke hoach va ngan sach cap huyen cho Trung tam D^nso - K H H G D 15 huyen, thi, thanli pho, rieng ngan sach cap tinh de chi cho con nguai (bien che quan ly nha nuac) do So Y te phan bo.

II, CAP PHAT, SUDUNG VA THANH QUYET TOAN 1. D6i vo-i Trung tain tu- vdn dich vu DS - K H H G D tinh: Tren co sa chi

tieu ke hoach va kinh phi dugc giao don vi lap ke hoach chi, bao cao Sa Tai chinh

II

tham dinh de thuc hien thanh quyet toan vai Sa Tai chinh. Cuoi nam tong hgp bao cao quyet toan dugc duyet vai Chi cue Dan so - K H H G D tinh.

2. Doi vo-i Trung tam Cham soc sire Idioe sinh san tinh: Tren ca so ky ket hgp dong trach nhiem giii"a Chi cue Dan so - K H H G D va

Trung tam Cham soc sue khoe sinh san tinh; Trung tam lap ke hoach chi trinh Sa Tai chinh tham dinh de thuc hien va thanh quyet toan vai Sa Tai chinh. Cuoi nam tong hgp bao cao quyet toan dugc duyet vai Chi cue Dan so - K H H G D tinh de tong hgp chung va thanh ly hgp dong trach nhiem. Kinh phi trung uong phan bo cuoi nam chua su dung het thong bao cho Chi cue Dan so - K H H G D biet de kip dieu chinh chuyen sang nliiem vu Idiac.

3. Doi vo'i Trung tam DS-KHHGD cac huyen, thi, thanh pho: - Tren ca sa quyet dinh giao ke hoach, chi tieu kinh phi va ke hoach thuc hien

cua cac don vi . So Y te tinh cap han muc kinli phi cho cac Trung tam Dan so -K H H G D thuc hien. Hang quy cac Trung tam Dan so - K H H G D bao cao quyet toan vol So Y te va Chi cue Dan so - K H H G D tinh, cuoi nam tong hgp bao cao quyet toan theo quy dinh.

- Viec su dung va thanh quyet toan kinh phi do So Y te tinh cap bang han muc kinh phi phai dam bao thuc hien nghiem theo quy dinh cua luat ngan sach va cac van ban quy dinli hien hanli cua Nha nuac.

- D6i vai cac noi dung khong nam trong han muc kinh phi cap, Trung tam Dan so - K H H G D cac huyen, thi, thanh pho tam ung kinh phi tai Chi cue Dan so -K H H G D tinh dS thuc hien va thanh toan true tiep vai Chi cue theo huang dan.

Chi cue Dan s6 - PCHHGD tinh huong dan thuc Men ke hoach Chuong trinh muc tieu Qu6c gia D S - K H H G D nam 2013. Trong qua trinh thuc hien neu co Idio khan, vuang mSc, de nghi cac dan vi lien quan va cac Trung tam Dan so - KJ-IHGD phan anh blng van ban ve Chi cue Dan s6 - K H H G D tinh, dien thoai 3.812.777 (gap d/c Thu, PP T C - H C - K H & T V ) de ph6i hgp giai quylt.

Noi nhan: - LD Sa Y te, P KH-TC (d/c Nha); - BLD Chi cue; cac phong, TTTV; - S a T C ; K B i \ i N ; - Trung lam CSSKSS; - T.Tam DS-KHHGD huyen, thi,tp; - Luu VT,KH,KT.

C H I c u e T R U O ' N G

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