U Y B A N N H A N D A N TINH K I E N GIANG

CONG H O A X A HOI C H U NGHIA VIET N A M Boc lap - TIT do - Hanh phuc

S6: /KH-UBND Kien Giang, ?igay 05'thdng 4 nam 2012

K E H O A C H Hanh dong thuc hien Chien Iirpc Dan so va Sire khoe

sinh san Viet Nam giai doan 2011 - 2015 tren dia ban tinh Kien Giang

Eden Giang la tinh thuoc dong bang song Cuu Long, a phia Tay Nam cua to quoc; phia Tay giap vinh Thai Lan, phia Nam giap tinh Ca Mau, Bac Lieu, phia Dong va Bong Nam giap tinh A n Giang, Can Tho va phia Bac giap Vuong quoc Campuchia.

Kien Giang co he thong song ngoi chang chit, c6 ba bien dai gan 200 km ya tren 140 hon dao, lou nhit la dao Phu Qu6c,-xa nhat ladao Tho Chau, each dat lien 110 hai ly. Kien Giang co mang luai giao thong duong bg, duong song, duong bi§n va duong hang khong. Dien tich dat tu nhien cua tinh 6.348,53 km", dan so nam 2010 la 1.707.050 nguai, mat do dan s6 la 269 nguoi/km"; Dan cu song rai rac tren cac song, rach, chu yeu song bang nghe nong, danh bat hai san.

Kien Giang co 13 huyen va 01 thi xa, 01 thanh pho, trong do co 02 huyen dao (Phu Qu6c va Kien Hai), 02 huyen, thi xa, bien giai^(thi xa Ha Tien va huyen .Giang T;hanh),_ toan tinh co 145 xa, phuong, thi tran, 915 ap, khu pho.

Phan I Danh gia ket qua tbirc hien Chien lirpc Dan so - ke hoach hoa

gia dinh va Chien lug"c quoc gia ve Cham soc sue khoe sinh san giai doan 2001 - 2010:

L K E T Q U A D A T DlTOC:

- ChiSn luge Dan s6-KHHGD tmli Kien Giang giai doan 2001 - 2010 di ra d8n nam 2010 la giam ty suat sinh binh quan hang nam 0,40%o. Tong ty suat sinh (TFR) nam 2010 dat 2,1 conyOl phu nu, quy mo dan s6 khoang 1,83 trieu nguai. K i t qua thuc hien da vucrt chi tieu de ra: Ty suat sinli binli quan hang nam giani 0,43%o. T6ng ty suit sinh (TFR) nam. 2010 dat 1,84 con/01 phu nu, quy mo dan so Ichoang 1.707.050 trieu nguai. Ty le tang-dan-s6 tu nhien den nam 2010 la 10,90%o so chi tieu de ra la 13,22%o (phu luc 1).

- Cung voi viec thuc hien giam sinh, trong thai gian qua vol muc tieu phan diu m5i gia dinh co 01 hoac 02 con, ty le phu nij sinh con thu 3 tro len hang nam da giam trung binh 0 J3%/nam, toe do giam tuy co cham hon so vdi giai doan truac nam 2000, nhung cac hoat dong truySn thong co tac dong thay doi dan nhan thuc cua nhan dan ve quy mo gia dmh it con o cong dong.

- Ty le cac cap vg chong trong dien tuoi sinh de su dung cac bien phap tranh thai hien dai 78,4%, giai doan 2001 - 2010 tang trung bmli hang nam 0,9%. Co c4u cac bien phap tranh thai hien dai cung tang theo hudng tich cue, trong do

cac bien phap tranh thai co hien qua cao (vong tranh thai, tiiet san, thuoc tiem, thuoc cay) cliiem ty trong tren 72,9% tong so nguoi dang su dung.

Ket qua U'ong giai doan 2001 - 2010 cong tac Dan so - ke hoach hoa gia dinh dat dicac nhic sau:

- Quy mo dan s6 nam 2001 la 1.560.669 nguoi, nam 2010 la 1.707.050 nguoi (muc tieu de ra 1.834.002 nguoi), giam 126.952 nguoi so voi muc tieu.

- Ty suit sinh nam 2001 la 20,48%o, nam 2010 la 16,10%o (muc tieu 17,12%o). JN'IUC sinli giam hang nam kha tot, binh quan ca giai doan moi nam giam duac 0,43%o vupt so vai muc tieu.

- Ty le tang dan so tir nhien nam 2001 la 16,18%o, nam 2010 giam con 10,90%o (muc tieu de ra 13,22%o).

- Ty le sinh con thu 3 nam tro len nam 2001 la 14,3%, nam 2010 con 7,0% moi nam binh quan giam gan l%o.

- Ty le su dung bien phap tranh thai nam 2001 la 69,2%o, nam 2010 la 77,2%;

- Tong ty suat sinh (TFR - so con tnmg binh cua 01 phu nu trong do tuoi suih de) nam 2001 la 2,61 con. X u the giam sinh tiep tuc dupe duy tri va da dat muc sinh thay the som hon ke hoach (tong dieu tra dan so ngay 01/4/2009: Tong ty suat sinh la 1,84).

n. KET Q U A THirC H I E N C A C GLAI P H A P : 1. Truyen thong van dong chuyen doi hanh vi , truyen thong dai chung,

truyen thong chieu sau." "" - ... - - ^ — —

- Cong tac truyen thong - giao due chuyen doi hanh vi ve dan s6/SKSS -KEIHGf) da tac dong lam thay doi nhan thuc cua dai da so nhan dan ve viec thuc hien cham soc SKSS/KHHGD, xay dung quy mo gia dhih it con. Hau het cap uy Dang va chinh quyen cac dia phuong da xem viec thuc hien cong tac dan so -K H H G D la mot nhiem vii trong tarn trong chuong trinh phat trien kinh te - xa hoi a dia phuong. Cac hoat dong truyen thong be noi va chieu sau, da gop phan quan trong vao viec hoan thanh vuot muc chi rieu ma Chien luac Dan so Kien Giang giai doan 2001 -2010 da dSra.

- Duy tri tuyen triryen thuong xuyen tren 140 chuyen trang tren Bao Kien Giang va 170 song phat thanh - truyen hinh, tuyen truyen ve ngay 'Dan so Viet Nam", "Dan so the gidi","tren 20 dcrt tuyen truyen cho chien dich tang cuong dua dich vu cham s6c SKSS/KHHGD den vimg kho khan, w n g sau, vung xa; 6 cuoc truyen hmh trirc tiep "'Gap go va doi thoai"...

- K y hop dong trach nhiem phoi hop long ghep tuyen truyen hang nam tir 08 din 10 nganh, doan the. To chuc hoi nghi chuyen de cong tac truyen thong danh gia ket qua dat dupe, xay dung chuong trinh cong tac-truyen thong cho nam tdi.

- Tuyen truyen tren tap trung tren 120.000 doi tupng vi thanh nien, thanh nien, cong tac tmyen thong da gop phan cho thanh nien cd hanh vi nhan thuc dung din va trach nhiem ve dan s6/SKSS-KHHGD, phong ngiia quan he tinh due som,

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khong an toan va co thai ngoai y muon. Chu trong tuyen truyen vao cac nhom doi tuong dang di hoc o bac pho thong tnmg hoc va hoc sinh, sinh vien cac truong cao dang, trung hoc chuyen nghiep, thanh nien tre ngoai cong dong.

- Hoat dong truyen thong long ghep dich vu S K S S / K H H G D , tap tnmg quan tam tuyen truyen cho Idioang 1.200.000 lugt doi tupng la cap vp chong trong do tuoi suih de. thuoc vung sau, vung xa, vung bien gidi, hai dao, vung co dong dong bao dan tpc thieu so, cac doi tupng chua chap nhan sii dung cac bien phap tranh thai hien dai, gop phan rat Ion trong viec hoan thanh chi tieu cac bien phap tranh thai cua tinh.

- Ngoai ra da thuc Men mot so mo hinh, nham nang cao ddi song vat chat, tinh than cho nhan dan va xay dung doi song van hoa d co so, trong do noi bat la mo hinh ''Dua chinh sach dan so, gia dmh va tre em vao quy udc ap van hoa", "Xa, phuong phu hop vdi ne em", "Tin dung - gia dhih", xay dung dugc 85 cau lac bg vol 1.520 doi tucrng tham gia, cho vay phat trien kinh te 2,5 ty dong cho cac doi tugng thuc hien tot K H H G D . Phong trao xay dung cac cau lac bg (CLB) ve gia dinh nhu C L B "Gia dinh khong sinh con thu 3", "Gia dinh hanh phuc", "Gia dinh phat trien ben vimg" cua cac doan the phat trien tot va rgng khap d nhieu noi.

- D§.u tu trang thiet bi, san pham truyen thong gop phan tac dong den cac nhom d6i tugng thay ddi hanh vi dan s6/SKSS-KHHGD, trang bi trang thiet bi truySn thong cho 100% tuyen huyen va 65,5%o xa, phuong, thi tran.

- San xuat va nhan ban cac san phani truyen thong: to rai, to budm, tranh Lat, so tay tuyen truyin, ban tin, bang rol, bang cassettes. Xay moi va sua chua pano tuyen truyen, binh quan moi nam co^tren 150T000-an-pham, tai lieu dugc-phat hanh.-

2. IVIang luoi va chat luong cung cap dich vu: 2.1. Viec dap ung tot hon nhu cau va nang cao chat lugng dich vu

S K S S / K H H G D : - Toan tinh co 14 benh vien thuoc co so y te nha nude, 01 benh vien tai

trung tam thanli pho Rach Gia, 01 benh vien tu nhan, 13 benh vien huyen, 16 phong kham da khoa khu virc va 143/145 xa co tram y te, trong do co 127/143 tram y t6 dat chuin quoc gia, 100% tram y te co bac sy, nu hg sinh hoac y sy san nhi boat dong, trong do co 76 bac sy cong tac on dinh, cac co sd y te deu co dich vu CSSKSS/BCHHGD. Cac ca sd cung cap dich vxi dugc trang bi phuong tien tu nguon kinh phi cua du an Dan sd sue khoe gia dinh va Chuong truih muc tieu quoc gia, tao dieu kien thuan Igi phuc vii cho doi tuong dugc an toan, thuan tien.

- Mang ludi cung cap dich vu cham soc SKSS/KHHGD dugc cung co va phat triln, dgi ngu can bg dugc bo tri deu khap tu tiah den tan co sd; cong tac dao tao cho dgi ngu cung cap dich vu dugc chu trgng, ma rgng, da dao tao va dao tao lai dugc 5.263 Inert can bo Icy thuat dich vu, qua do da nang len ve Idia nang tu van, ky thuat CSSKSS/"KHHGD. Cong tac quan ly dieu hanh dugc tap trung, cac loai Mnh cung cap dich w dugc to chuc da dang, cac phuong phap, ky thuat cham soc SKSS mdi dugc dua vao ung dung.

- Cung cap dich vu ve cham soc trudc sinh tai cac tuyen deu dupe thuc hien day du. Khuynh huong cac ba me den sinh tai benh vien tuyen tren ngay cang cao, vi vay viec cham soc trudc sinh tai tram y te l<ch6ng duoc thuc hien thuong xuyen, cham soc sau sinh dugc quan tam va thuc liien tot. Tai bien san khoa thu thap thong tin ngay cang day du, theo thong ke hang nam ty le tai bien san khoa cd tang nhe, hien tai co 47 ca/36.441 tong so ca de, chiem 1,29%.

- Viec da dang hoa cac phuong tien tranh thai (PTTT) ngay cang dugc day manh, xu huong dinh san giam manh (tinh tir nam 2006 den 2010 dinh san tang manh tro lai). Vong tranh thai, tliuoc udng, thuoc tiem tranh thai va bao cao su tang, thuoc cay tranh thai mdi trien khai tu nam 2007 dugc su chap nhan cua nhieu cap vg chong, nliat la phu nu moi nam nhu cau deu tang. Bien phap dinli san, dat vona tranh thai co tac dons; nhat dinh den Chuona trinh Dan s6-KHHGD d dia phuong, vi day la bien phap tranh thai (BPTT) c6 hieu qua ddi vdi cac gia dinh song 0 vimg nong thon, dieu kien tiep xuc cac dich vu K H H G D con nhieu kho khan. Toan tinh co 2.379 cong tac vien tham gia cung cap thuoc uong tranh thai va bao cao su kip thdi, day du da trd thanh ne nep trong nhieu nam qua.

2.2. Nang cao chat lugng cham soc sue khoe ba me va tre em; - Thuc hien cac noi dung 'Dam me an toan" da dugc trien khai tdi co sd

thong qua cac mo hinh nhu van dong plui nil c6 thai kham thai va tiem VAT d cac CO sd y te, phong chong suy dinh duong cho ba me va tre em dudi 5 tuoi, chuong trinh phong chong thieu mau phu nir, phong chong 5 tai bien san khoa, ty le tai bi§n san khoa giam, ty le sinh tai co sd y te hoac cd nhan vien y te giup do cao

- -h-on. ... ..... _ . _ - T}' le nao hut thai nong doi tugng su dung BPTT giam dang ke tu 43,59%

nam 2001 xudng 13,5% nam 2010, binh quan hang nam giam 3,34%. Tinh hinh nao pha thai cd giam, song nao pha thai tuoi vi thanh nien, thanh nien co xu hudng tang.

- Cong tac cham soc sue Idide sinh san (SKSS) dugc quan tam, cac dich vu cham soc SKSS ngay cang cd chat lugng hon va gan dan hon, moi nam deu to chuc 02 dgt chiln dich tang cudng dua dich vii CSSKSS/KHHGD d6n vung kho khan tao dieu kien de ngudi dan vimg sau, vung xa tiep can dich vu. Cac van de ve SKSS dugc quan tam giai quyet, trong do viec phong chong cac benh nhiem khuan duong sinh san dugc chu trgng, dac biet la xet nghiem phat hien som ung thu co tu cung.

- Cac chi tieu ve cham soc sue khoe smh san (phu luc 2).

3. Thirc hien cac che do, chinh sach: Thuc hien tot chinh sach, che do nhu: - Chinh sach kliuyen l<hich cong dong; Khen thuong mo hmli ''Khong sinh

con thu 3 trd len" xay dung ke hoach phat dong thi dua, phan bo chi tieu khen thuong, ky giao udc thi dua.

- Chinh sach dinh san: Thuc hien che do boi duong true tiep cho ngudi dinh san, dua rude doi tugng dinli san, boi duong cho ngudi van dong.

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- Chinh sach cung cap dich vu cliam soc sue Idide sinh san - KHHGD mien phi, cap thuoc thiet yeu, vat tu tieu hao..., clii phu cap phau thuat, thu thuat cho can bo y te thuc hien.

- Cliinh sach phu cap clio can bp chuyen trach xa, che dp nglii viec, thu lao cho cong tac vien.

- Chinh sach chiic tho ngudi cao tuoi (tu 90 tuoi trd len) hang nam phoi hop vdi Mat tran to quoc va Hoi Ngudi cao tuoi thu:c hien vao dip tet Nguyen dan.

4. Ban tu kinh phi va su dung kinh phi: - Kinh pin dau tu cho cong tac dan so - K H H G D ngay cang tang, duoc phan bo

va sir dung co hueu qua tir nguon kinh plii Chuong trinh muc tieu quoc gia Dan sd - ke hoach hoa gia dhih va ngan sach tmh bo sung cd muc tieu.

- Kinli phi dau tu cho trang thiet bi thuc hien dich vu cham soc sue khoe sinh san, ke hoach hoa gia dinh va can lam sang cung dugc quan tam chii trong, dugc nang dan chat lugng nhu may sieu am, may soi co tu cung, kinh hien vi...

- Khih plh dau tu thuc tiien tu nam 2001 den 2010 (phu luc 3).

5. Xa hoi hoa va hoan thien chinh sach: - X a hoi hoa cong tac dan so la mot chu truong Idn cua Dang va Nha nude.

Trong thdi gian qua, viec buy dong su tham gia cua cac nganh, doan the, cac to chuc xa hoi thuc hien Chien luge Dan s6-KHHGD d timg cap kha tot, da mang lai hieu qua thiet thuc.

- Xa hgi hoa vS cung cap dich vu cham soc SKSS/KHHGD dugc thuc day phat "triin tdt. Viec buy dong nguon tai" chinhm'goai ngan-sach cho tlurc'hien Chien"lugc Dan s6-KHHGD d cac cap tir tinh den ca sd dau tu kha Idn nhu Hgi Bao trg benh nhan ngheo tinh ho tug kinh phi chi cho doi tugng la phu ntr mac benh hiem ngheo dugc phlu thuat va dieu tri tren 2 ty dong. Lien hiep Cac to chuc hiiu nghi 175 trieu.

- Ngoai ra con su dong gop cua cong dong chu yeu bang ngay cong lao dong nhu van dong doi tugng thu:e hien KHHGD, buy dong phuong tien dua rude ddi tugng den diem cung cap dich vu.. . Sir dong gop nay rat Idn khong the tinh cu the bang tien.

- Viec thu:e hien Chien luge Dan s6-KHHGD vdi cac muc tieu, giai phap trong thdi gian qua da giup cac doi tirgng eiia chuong trinh thu hudng cac Igi ich nhit la cac cap vg chong trong do tuoi sinh de, doi tugng nay ciing tham gia thuc then chuong trinh kha tot. Nlidm v i tlianh nien va thanh nien tre. nam aidi chii hd gia dinh ciing da tham gia tich cue va thu hudng Igi Ich tu chuong trinh.

6. Nang cao nang luc quan ly va to chuc thuc hien:

6.1. y § to chuc bo may, doi ngu lam cong tac dan so dan s6-KHHGD: - Uy ban nhan dan tinh da ra quyet dinh thanh lap Uy ban Dan so, Gia dhih

va Tre em tmh tir thang 7/2001. D6n thang 3/2008 Uy ban Dan sd, Gia dinh va Tre em tinh bi giai t h i thang 5/2008 thanli lap Chi cue Dan so - K H H G D tinh, to chuc bg may lam cong tac dan s6 - K H H G D tir tinh den co sd luon dugc kien toan; 15/15 Trung tam Dan sd - K H H G D tuyen huyen dugc bo tri day du 06 bien che,

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145 can bp chuyen trach dan so xa dugc chuyen ve tram y te, cd 2.379 cong tac vien tai cac ap, khu pho. Trinh do can bg tu xa tdi tinh nhu sau: Dai hgc, cao dang chi6m 9,82%, trung c4p 33,33%, so cip 19,23%, trinh do cip III 22,22%, con lai la trinh do trung hoc ca sd va tieu hgc.

- He thong to chuc boat dong DS-SKSS tung budc dugc kien toan va nang cao chat lugng, dac biet doi vdi he thong to chuc bg may hoat dong DS-KHHGD dugc sdm on dinh va van hanli tot, truih do quan ly dugc nang len.

6.2. Cong tac dao tao, tap huan chuyen mon nghiep vu: - Ngoai ngan sach tu chuong trinh muc tieu, ngan sach tinh dau tu dao tao,

boi duong can bg nganh dan sd, cd 15 can bg hgc cac Idp cao cap, trung cap chinh tri, trung cap chuyen mon, 10 can bg cap tinh, huyen tot nghiep cac lap dai hgc hanh chinh, kinh te, ke tdan, cong nghe thong tin, dai hgc xa hgi hgc. Cd 68 can bg tinh, huyen, xa dang tham gia hgc Idp cu nlian cong tac xa hgi.

- Viec dao tao boi dudng can bg ngtdep vu dan sd-KHHGD dugc thuc Men kip thdi va chu dong dap ung dugc nhu cau phuc vu tuyen ca sd. Hang nam chu dong bien soan tai lieu de dao tao, md cac Idp tap" huan ngan ngay cho can bg trudng, pho ban DS-KHHGD, cac cong tac vien va can bg y te ve chuyen mon nghiep vu, kien thirc ky nang tu van, cung cap dich vu SKSS/KHHGD. Mang ludi cong tac vien D S - K H H G D da phu kin cac khu dan cu va da dao tao trang bi kien thuc cho ban 2.500 cong tac vien mdi, vdi 30 lap tap huan ''bang kiem vien tranh thai" va tren 10.000 cong tac vien, can bg chuyen trach dan sd xa dugc nang cao trinh do nghiep vu, ky nang truyen thong, tu van thong qua dao tao, tap huan.

- T i t ca tram y texa;'phlrdhg ctetrc6mri' hg sinh v a y sy san Mil dam trach chuong trinh. Tuyen huyen va tlMi nguon nhan luc con ban che, tliieu bac sy, tai tinh khong cd nguon bac sy tre de dao tao cac chuyen khoa sau nhu: v6 sinh, nam khoa,...

- Cac huyen, thi xa, thanh pho deu cd dgi luu dong (5-7 ngudi) phuc vu trong cac dot kham phu khoa dinh ks' chng nliu cac dot chien dich cham s6c SKSS d cac xa vimg sau, xa, w n g Idid khan.

- Cac benh vien tinh, huyen, tmng tam y te va 100% xa, phuong, thi tran deu cd dgi ngu y, bac sy va nir hg sinh dugc dao tao chuyen khoa ve ky thuat dinh san, dat vong, thuoc tiem, thuoc cay tranh thai de phuc \ni doi urgng den kham va thuc Men cham s6c SKSS/KHHGD.

- Cong tac quy hoach, dao tao can bg dugc quan tam hon. Ngoai ke hoach dao tao chung hang nam, Sd Y te ciing dugc du an "Ho trg y te vimg dong bang song Cim Long" dau tu dao tao phat trien nguon nhan luc va du an da dugc trien kiiai thuc Men tot; Trung tam Cham soc SKSS tinh cd du an "Lam me an toan". Nhin chung, dgi ngu can bg vien chuc phuc \ai tren linh vuc DS-SKSS da dugc cap nhat va nang cao kien thirc hang nam, trinli do, nang luc cua can bg quan ly chirong trinh cac cap dugc nang len.

6.3. Nghien cxm, thong tin, so lieu, ca sd du lieu: - He thong thong tin dan so - SKSS dugc xay dimg va timg budc hoan thien.

-1- Cong tac quan ly dan cu theo hudng tin hoc hda tai tinh, huyen dugc dac biet quan tam va da trien khai tir nam 2001 cho den nay. Ve ca sd vat chat va ha tang cong nghe thong tin co ban da dugc kien toan tir tinh den cap huyen, dam bao phuc \ai cho viec quan ly, cap nhat va khai thac cac thong tin lien quan den dan cu va'linh'vue dan s6 - S K S S / K H H G B .

+ Mot so it tram y te xa, phuong dugc trang bi bg may vi tuih de phuc vu quan ly du lieu dan cu cua dia phuong minh va cong tac hanh chinh.

- He thong bao cao thong tin so lieu ve DS/SKSS dugc cap nhat, cung cap so lieu ngay cang day du hon.

- Cac CO sd y te da ung dung nhimg thanh tuu khoa hgc, ky thuat, cong nghe mdi trong linh vuc Idiam, phong va chiia benh (sieu am trang den den sieu am mau 3-4 D, may soi cd tir cung, xet nghiem phat hien sdm ung thu co tu cung, tiem phong ung thu cd tu cung).

- Qua trkih chi dao dieu hanh thuc hien chu truong chinh sach DS/SKSS dugc tot hon thong qua viec cung cap, thong tui sd lieu DS/SKSS.

6.4. Lanh dao. chi dao, thuc hien nhiem vu quan ly nha nude: - Da xay dung, tham mini UBiSD tinh phe duyet Chien luge Dan so-

K H H G D tinh Kien Giang giai doan 2001 - 2005, giai d o ^ 2006 - 2010 va to chirc hgi nghi trien kliai d cap tinh cho cac ban nganh, doan the. Trong qua tnnh to chuc triSn khai chien luge, tham muu U B N D tinh ra van ban chi dao day manh thuc hien cac muc tieu chien luge. Hang nam Tinh uy, HDNT) va U B N D tinh deu dua chi tieu thuc hien Chien luge Dan so-KHHGD vao ke hoach phat trien kinh te - xa hgi cua tuih. H4U het cac nganh, doan the co lien quan deu long ghep ngi dung thuc hien Chi ln luge Dan so-KHHGD vao chuong trinh cong tac nam.

- Viec xay dimg mdi trudng phap ly, dam bao thuc hien tot Chien luge Dan s6-KHHGD thdi gian qua co thuan Igi la.d Tmng uong chien luge dugc Chinh phu phe duyet, d dia phuong dugc U B N D tinli phe duyet nen cd gia tri phap ly cao. Phap lenh Dan sd ra ddi la co sd phap ly cho viec thuc hien Chien luge Dan sd-K H H G D CO k§t qua. Tuy nliien, kho Idian la viec thuc hien chien luge con dang thiiu giai phap che tai hanh chinh va tai chinh. Viec quy dinh quyen va nghia vii cua cap vg chong va ca nhan nhu trong Phap lenh Dan so (Dieu 10) tao su hieu biet khong dung va khong tao dugc mdi truong phap ly thuan Igi cho viec thuc hien muc tieu chien luge.

6.5. Cac van ban chi dao thuc hien Chien lupc D S - K H H G D : Nhin chung su cam ket cua cac cap iiy, chinh quyen doi vdi viec thuc hien

muc tieu, giai phap Chien luge Dan so-KHHGD tir tinh den co sd cac nam qua rat tdt va kip thdi nhu dau tu ngan sach, kien toan bg may lam cong tac dan so-K H H G D , chi dao su phoi hgp long ghep tren dia ban va ho trg kmh phi, phuong tien boat dong... Cac nganh, doan the theo chuc nang co su phoi hgp long ghep ngay cang cd chieu sau, the liien dugc trach nhiem cua nganh doi vdi cong tac dan s6-KHHGD theo chuc nang. Hang nam Chi cue Dan sd-KHHGD tinh da ky lien tich vdi tren 10 nganh, doan the cap tinh, Cac chuong trhili, ke hoach dugc xay

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dimg va to chiic trien Idiai thuc Men tot, dat chi tieu ke hoach hang nam va muc tieu dai han. Cong tac Idem tra. giam sat, daMi gia thuc Men tot hang nam.

m. N H L T N G RAN C H E , B A T C A P V A N G U Y E N imAi^: 1. Nhirng han che, bat cap;

- To chuc bo may lam cong tac D S - K H H G D con Miieu bat cap den nay chi CO ban on dinh. Bien che cap tinh it so vdi yeu cau (bien che 13/20), he thong to chuc nganh dan so - y te cap huyen con chong cheo, chua su dung dupe het sue manh nguon nhan lue (trung tam dan so-KHHGD tuyen huyen true thuoc CM cue Dan so-KHHGD tinh, can bp chuyen trach dan so-KHHGD xa la vien chuc tai tram y te, trong kM do tram y te lai thuoc ti'ung tam y te huyen). Phu cap cho cong tac vien con tliap cham thay doi, chua cd B H Y T lam co sd Idiuyen kMch.

- Dap ung dich vu ve cham soc SKSS, ba me tre em/KHHGD; Tram y te ve CO sd vat chat, trang thiet bi eon thieu va chua dong bp, chua du dieu kien cung cap dich vu nang cao chat luong vdi ky thuat cao (sieu am, xet ngMem...).

- Thuoc tMet yen: Dinh muc cM cho thlidc dieu tn beMi phu khoa, xet ngMem phat liien ung thu cd tu cung (pap's mear) chua hop ly.

- TriMi dp nang luc, ung dung cong nghe thong thi cua can bp chuyen trach xa con nhieu ban che.

2. Nguyen nhan:

2.1. Nguyen nhan dat dupe ket qua: - He thong cMMi sach ngay cang hoan thien, Dang, chinh quyen cac cap rat

quan tam chi dao, dau tu cho cong tac dan sd-EHHGD, eham soc SKSS.

- Su pli6i hgp dong bg ciia cac ban nganh, doan the tir tinh den ca sd trong chi dao va thuc Men cong tac dan so-KHHGD, cham soc SKSS.

- Can bg, cong chuc vien cliuc hoat dong tren Imh vuc dan so-KHHGD, cham soc SKSS, dugc quan tam dao tao, boi dudng ve chuyen mon, nghiep \ap tam huyet vdi nhiem vu dugc giao.

- Chat lugng cugc song dugc nang len, ngudi dan quan tam hon ve cham soc sue khoe sinli san, ke hoach hda gia dinh.

- Dugc su ho trg tir chuong ninh ciia Hgi Bao trg benh nhan ngheo va Lien Mep Cac to chuc hCai nghi tinh tao mgi dieu Men thuan tien de dieu tri benh hiem ngheo cho phu nu.

2.2. Nguyen nhan cua nhii*ng han che, bat cap:

- To chuc bg may dan so-KHHGD tuyen huyen, xa chua phu hgp, chong cheo tMeu tap trung trong quan ly, bien che tai tinh tMeu so vol yeu cau cong viec ngay cang nhieu.

- Cong tac dao tao phat trien nguon nhan luc chua dugc dau tu dung muc, ch6 do chinli sach tuy cd quan tam, nhung so vdi gia ca sinh boat tM chua tuong xung.

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- Trinli do nang lire, iing dung cong nghe thong tin chua dap ung yeu can, do nguon nhan luc con han che.

- He thong thu thap thong tin, so lieu DS/SKSS chua day du, cac nguon so lieu con khac nhau, kha nang du bao chua tot, chua cd danh gia day du thuc trang cong tac cung cap dich vu, tir do chua cd giai phap phu hop de nang cao chat luong.

- Dau tu kinh phi cua Chuong trinh muc tieu quoc gia chua thda dang, cham thay doi do ca che tir cac van ban phap quy, cac dinh muc lac hau so vdi thuc te.

P h i n l l ^ Ke hoach hanh dong thuc hien Chien lupc Dan so va Sire khoe

sinh san Viet Nam giai doan 2011 - 2015

1. C O sa P H A P L Y V A N H U N G V A N D E C A N iTU T I E N C A N GIAI Q U Y E T :

1. C o sd phap ly: - Can cu Nghi quySt s6 31/NQ-CP ngay 18/8/2010 cua Chhih phu vS viec

ban hanh K§ hoach hanh dong ciia Chinh phu giai doan 2010 - 2015 thuc hien Ket luan s6 44-KL/TW ngay 01/4/2009 ciia Bo Chinh tri v§ kSt qua 3 nam thuc hien Nghi quySt s6 47-NQ/TW ngay 22/3/2005 cua Bo Churh tri (khoa DC) vS "TiSp tuc diy manh thuc hien chinli sach dan so - ke hoach hoa gia dinh";

- Can cu QuySt dinh s6 2013/QD-TTg ngay 14/11/2011 ciia Thu tuong Chinh-phu v§ viec phe duyet Chien lupc Dan_sd va Sire khoe sinh san Viet Nam _ giai doan 2011 -2020;

- Can cu Cdna van s6 8S5-CV/TU ngay 23/6/2009 ciia Tinh uy v l viec lanh dao day manh thuc hien cong tac dan so-KHHGD;

- Can cu Nghi quySt sd 78/2009/NQ-HBNT) ngay 10/7/2009 cua Hpi d6ng nhan dan tinh v8 cong tac dan so - K H H G D den nam 2015 tren dia ban tinh Kien Giang;

- Can cu QuySt dinh s6 23/2009/QD-UBND ngay 26/8/2009 c i i a U B i ^ tinh ve viec ban hanh quy dinli ve cong tac dan so - ke hoach hda gia dinh den nam 2015 tren dia ban tinh Kien Giang;

2. Nhirng vdn de uu tien can giai quyet trong giai doan 2011 - 2015: NTiung v i n d6 mi tien ve dan so - sire Idioe shih san cita tinh can giai quyet

trong; eiai doan 2011 - 2015 tren dia ban tinh Kien Gians nhu sau: - KliSm soat dan sd va duy tii muc sinh thap, hcrp ly. - Giam toe dp gia tang ty sd gidi tinh khi sinh. - Cham soc sue kiide ba me va tre em. - Cham sde sue khoe sinh san vi thanh nien - thanh nien. - Nang cao chat luong dan so. - Nang cao chat luong cung cap dich vii DS/SKSS.

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3. Co' hoi va thach thu'c.

^ Co- hoi: - Cac cliu trucmg ciimh sach duag dan, phu hop, cd nghi quyet, dau tu co sd

vat chat, cac chuong trinh muc tieu dupe phe duyet. - Khil i te - xa hoi phat trien Iceo theo mrrc song ngudi dan nang len, nliu cau

ve cham soc siic khoe va nuoi day con cai dupe quan tam hon. - Bo may to ciiuc hoat dong DS/SKSS timg budc dupe kien toan va nang len

ve chat. Co sd ha tang phat trien, co sd vat chat nganh y te duoc dau tu, tao dieu kien cho do bao phii cua viec cung cap dich vu CSSKSS va kha nang tiep can cua ngudi dan tot hon.

" Thach thirc: - Do thi hda, di dan tir do gay Idid khan quan ly dan so va cung cap dich vu.

Nguon nhan luc chua dap ung dpi ngu cung cap dich vu con yeu, thieu. - Trong dieu kien kinh te phat trien, trong^ua truih hpi nhap nay sinh ra cac

v4n de xa hpi mdi (song thir, ly hon...) cung la nhirng thach thuc trong thuc hien Chuong trmh DS-SKSS.

- Do dieu kien dac thu cua tinh, nhieu gia dinh song ve nghe bien, nong nghiep muon cd nhieu con de cd nguon lao dong nhat la nong nghiep va hai san.

n. M U C T I E U : 1. Muc tieu tong quat; Cai thien tinli trang sdc_kh6e sinh san, nang cao chat lugng dan so, duy tri

muc sinh thap hgp ly, giai quyet tot van de ve co cau dan so, gop phan nang cao chat lugng eupe song va chat lugng nguon nhan lire xa hpi.

2, Cac muc tieu cu the: 2.1. Dap ung nhu cau ve K H H G D tren cac kenh phan phoi (mien phi va tiep

thi xa hgi) ve cac pliuong tien tranh thai cho cac cap vg chong trong do tuoi sinh de, duy tri muc sinh thap hgp ly, duy tri tong ty suat smh (TFR) on dinh d mue 1,7 con/lphu nu vao nam 2015; Quy mo dan so kliong qua 1.780.206 ngudi.

2.2. Ki6m soat toe do gia tang ty sd gidi tinli khi sinh, tap tnmg vao cac huyen, xa c6 tinh trang mat can bang ve gidi tinh khi sinh. Ty le gidi tinh khi smh khong qua 108 nam/lOO nu vao nam 2015.

2.3. Nang cao sire khoe, giam benh tat, tir vong d ba me va tre em: - Ket hop chat che giua dao tao nang cao nang lue can bg chuyen mon, cung

cip trang thiet bi, thuoc thiet yen, cai tao co sd vat chat nham tang tinh dong bg va chit luong dich vii L M A T va CSSKSS. Tang cudng giam sat ho trg, dac biet la giam sat hd trg sau dao tao, nham nang cao kien thirc va ky nang thuc hanh cho dgi ngh cung cap dich vii tU3^en co sd.

- Phat trien cac mo hinh can thiep cd hieu qua cao nhu eham soc ba me, tre so sinh tu gia dinh, cong dong den co sd y te, so sinh tai benh vien huyen... Ho trg cong ddng phat trien mo hinh giiip do ngudi dan vugt qua kho khan ve dia hinh va

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tai chiali de tiep can tdi cac dich vu CSSK ba me, tre em nhu: mo lilnh nhdm chuyen tuyen dua vao cong dong, cung cap the dich vu.

- Nam 2015: Giam ty' so chet me dudi 10/100.000 tre de ra song; Giam t>' suat chet so sinh dudi 5%o; Giam ty suat chet tre em < 1 tuoi dudi 3%o; Giam ty suat chet tre em < 5 tuoi dudi 4%o; Giam ty le pha thai xuong dudi 20/100 tre sinh song.

2.4. Cai tiiien sue klrde sinh san cua vi thanh nien va thanh nien; Xay dung diem cung cap dich vu cham soc SKSS, cd dich vu than thien cho v i thanh nien va thanh nien; Cd 80% tong so diem cung cap dich vu cham soc SKSS c6 dich vu than thien cho vi thanh nien va thanh nien vao nam 2015; Cung cap tai heu tuyen truyen sire khoe sinh san cho vi thanh nien - thanh nien trong cac trudng hoc.

2.5. Nang cao chat luong cung cap dich vu, dam bao moi ngudi dan deu dupe cung cap cac dich vn thiet yen ve DS-SKSS. Tang cudng ca sd vat chat, trang thiet bi phuc vu boat dong cham soc SKSS, nang cao ky nang chuyen mon va tliai dp ung xu doi vdi ngudi cimg cap dich vii. Den 2015 cd tren 90%o doi tucmg duac ti§p can cac dich vu DS-SKSS thiet yeu, tren 98% ca sd y te cong dat chuan quoc gia, 95%) can bp quan ly chuong trinh va ngudi cimg cap djch vu cham sde SKSS duac tap huin chuan quoc gia ve SKSS, 100% can bo chuyen trach va cong tac vien dan sd mdi dupe dao tao chuyen mon.

2.6. Nang cao he thong tui quan ly ve dan sd, sue tchde sinh san, dap ung yeu cau xay dimg quy hoach va ke hoach phat trien Idnh te - xa hpi cua cac cap, cac nganh, gop phan thuc day phan bo dan so phu hop vdi dinh hudng phat trien kinh te - xa hpi ciia tinh tren ca sd sir dungnac dii lieu dan-s6-(quy md, mat dp, co cau-dan sd) trong quy hoach va lap ke hoach phat trien kinh te - xa hpi gan vdi chinh sach nang cao chat luang dan so, chat luang cupc song cua ngudi dan. Tir 2015 trd di dam bao dp tin cay cua dir lieu dan cu tren 95% so thuc te d timg thdi diem.

2.7. Chii dong phong ngira, phat hien va dieu tri cac benh nhiem Idman dudng sink san, nhiem khuan lay taiyen qua dudng tinh due, phong ngira, phat hien sdm ung thu co tir cung cho phu nir trong dp tuoi sinh de (15 den 49 tuoi). So ngudi den kham phu khoa tang 0,5 Ian hang nam; Ty le mac benh phu khoa giam l%o so vdi cimg ky; Tren 80%o phu nir di kham phu khoa duoc sang Ipc ung thu co tir cung. Tang ty le tiep can dich vu va cai thien cham sde SKSS cho ngudi lao dong tai cac Idiu cong nghiep, Idiu che xuat, vimg bien, dao va ven bien, ngudi di bien dai ngay.

2.8. Dam bao nguon nhan luc phuc w cho Chuong trinli Dan s6-SKSS. Tiep tuc nang cao pham chat dao due, nang luc cho doi ngii can bp cong tac DS/SKSS dap ung yen cau nhiem vu. Den nam 2015 cd tren 90% dat chuan ve chuyen mon va nghiep vu quan ly.

m . G L I I P H A P C H U V i U T H I T C H E E N K E H O A C H :

1. Lanh dao, to chuc va quan ly:

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- Tang cncmg SIT lanh dao, chi dao cua cac cap uy Dang va chinh quyen. Long ghep van de dan so/sirc khoe sinh san vao ke hoach phat trien kinh te - xa hoi, huy dong su tham gia ciia cac to chuc trong he thong chinh tri.

- Hoan thien he thong to chuc bp may: Tiep tiic kien toan bp may hoat dong dan s6-SKSS tir cap tinh den ca sd, nang cao chat luang boat dong cua bp may, duy tri va nang cao hieu qua boat dong cua dpi ngu can bp y te, can bp chuyen trach dan sd xa, cong tac vien dan so, trong viec tuyen truyen van dong, quan ly doi tuong va cung cap cac dich vu thich hgp den tan hg gia dhih.

- Nang cao hieu luc, hieu qua quan ly cong tac dan s6-SKSS: + Hieu luc quan ly: Ban hanh van ban quy pham phap luat, xay dung

chuong trinh, ke hpach, thanh tra, kiem tra, giam sat thuc hien va thu thap, lap bao cao danh gia tinh hinh thuc hien.

-i- Tang cudng chat lirgng va hieu qua xay dung ke hoach, thuc hien xay dung k l hoach tir dudi len, tang tinh chu dong cua dia phuong trong xay dung, thuc hien ke hoach. Xac dinh muc tieu, giai phap phii hep vdi dae diem, tmh hinh cua timg vimg, tung dia phuong. Long ghep eo hieu qua cac boat dong trong cac chuong trinh, du an tren dia ban.

+ Tang cudng hieu qua chi dao, dieu hanh, giam sat, kiem tra, danli gia ket qua thuc hien cac chuong trinh, ke hoach ve dan so va SKSS tren co sd he thong tin quan ly chuyen nganh. Xay dung co che giam sat, danh gia chuyen nganh, lien nganli va cd su tham gia eua cong dong.

-r Thuc hien tdt cong tac kiem tra, danh gia theo dinh ky, cai tien quy trinh va nang cao chat lugng giam sat, dae biet la giam sat ho trg ky thuat.

+ Hieu qua quan ly chuong trhih, du an: Ngliien ciai thir nghiem, bao dam cac y lu td dau vao, giai quyet cac kho khan vudng mac, nghiem thu ket qua.

2. Truyen thong, giao due chuyen doi hanh v i : - Cung cip tliong tin cho lanh dao: Tiep tuc thuc hien cac hoat dong cung

cip thong thi cho lanh dao thong qua viec tang cudng cac boat dong tiep xuc, trao ddi, tga dam, cung cip tai lieu, sach bao lien quan ve DS-SKSS, nham cung cap thong tin vS cac chii truong cua Dang, chinh sach cua jSTha nude ve DS-SKSS kip thdi cho lanh dao Dang, chinh quyen cac cap, cac chuc sac ton giao, nhimg ngudi CO uy tin trong xa hgi, nham tao sir ung hg va ddng thuan trong trien khai thuc hien Chuong trinh DS- SKSS..

- Tmy6n thong n-en cac phuong tien thong tm dai chung: Phoi hgp vdi Dai Phat thanh ~ Truyen hinh va Bao Kien Giang thuc hien cac chuyen muc thuong xuyen va cac chuyen de, pho bien thong tin ve DS-SKSS. Duy tri va nang cao chat lugng, s6 lugng cac chuong trinh, tin, bai ve DS-SKSS, tang cac chuong truth, tin, bai vS cac chuyen d^ SKSS, dac biet la tren truyen hinh va sdng phat thanh. Nang chit website, td tui'^'Dan so", ban tin '^Sirc khoe" cua nganh Y te de cung cap thong tin, k i i n thuc, tao sir chuyen ddi hanh vi ve dan so va SKSS cho cac ddi tugng CO nhu can tim hieu qua sir dimg cac phuong tien nay.

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Tiep tuc pliat huy hieu qua cua cac mo hinh truyen thong hien co, ma rong hinh thirc truyen thong, cai tien noi dung truyen thong, thuc liien truyen thong phu hap vdi timg nhdm ddi tuong, timg vimg trong diem. Cac ngi dung tmyen thong chinh bao gom nang cao chat lugng dan so - K H H G D , binh dang giua con gal va con trai, ngan ngira lua chgn gidi tinh thai nhi, cham- sde S K B M T E , tre so sinh, vai trd cua nam gidi trong cham sde SKSS, sang Igc tmdc smb. va so sinh. Phong tranh nao pha thai, nhiem khuan dudng sinh san, cac benh lay tmyen qua dudng trnh due. Tang cudng tmyen thong giao due ve cham sde sue khoe sinh san vi thanh nien va thanh nien, tap tmng vao SKSS, SKTD, phong chong HIV/AIDS.

- Tuyen tmyen van ddng trirc tiep cua dgi ngU cong tac vien, can bg y te thon r r

ban, can bg tram y te, ca quan dan sd, cham sde sue khoe sinh san tinh, huyen, va cac nganh doan the. Tang cudng su phoi hgp vdi cac td chu*e chinh tri - xa hgi va to chuc xa hgi de thuc hien cac hoat dong tmyen thong, tu van ve dan so - SKSS.

Tiep tuc thirc hien va nang cao hieu qua tmyen thong true tiep thong qua mang ludi cong tac vien DS-KHHGD, nhan vien y te cong dong, long ghep vao sinh boat to nhan dan tu quan, cac td, nhdm, cau lac bg san cd cua cac to chirc trong he thong chinh tri - xa hgi, nham tao su thay doi hanh vi ben vung ve DS -SKSS, nhit la d dia ban nong thon, vimg sau, vimg xa, dan toe thieu so, bien, dao va ven bien. Phoi hgp vdi Lien doan Lao dong va Doan TNCS Ho Clii Minh td ehue trayen thong va eung cap dich vii DS-SKSS cho cong nhan lao dong d cae xl nghiep va khu cong nghiep. Chu trgng cac loai hinh tmyen thong phu hgp vdi cac nhom dac thii nhu naudi di bien dai ngay. Tang cudng ve so lugng va chat lugng cac boat dong tu van theo nhom, lam tot viec tu van tmdc va sau khi cung cap dich vu tai cac eo' sd eung cap dich vii DS - SKSS.

- M d rgng cac hinh thirc tir van ciia can bg cac ca sd dich vu, cac tnmg tam tu van tinh, huyen (tu van true tiep, dien thoai, thu, phat thanh tmyen hinh, internet va tu van tai cong ddng). Chu trgng viec dao tao ve kien thirc, ky nang tmyen thong DS - SKSS cho cac can bg tmyen thong cac cap, cac can bg y te tham gia true tiep trong linh virc cimg cap dich vu DS - SKSS de nang cao chat lugng tmyen thong va chat lugng dich vii hudng tdi khach hang, thoa man nJiu cau dich vu DS-SKSS cho mgi nhdm doi tirgng.

- Giao due gidi tinh trong va ngoai nha trudng, tnrdng chuyen nghiep, tmdng dan tgc ngi tru. Phoi hgp long ghep ngi dung giao due ve DS-SKSS vao cac tmdng trung hgc pho thong, trung hgc co sd, cao dang chuyen nghiep, cao dang nghe va tmdng chinh tri tren dia ban tinh.

- Cung cap trang thiet bi tmyen thong, san pham va tai lieu truyen thong: Cap bo sung va nang cao hieu qua sir dimg cac trang thiet bi nuyen thong. Xay dung va nhan ban cae san pham va tai lieu ti'uyen thong dam bao cho boat ddng tmyen thong chieu rgng va chieu sau dat hieu qua cao.

3. Dich vu dan so va sire khoe sinh san:

3.1. Dich vu dan so: a) M d rgng va kien toan mang ludi eung cap dich \ai dan so:

- Bo sung, nang cap co so ha tang, trang thiet bi, dung cu y te. Bo sung nhan luc, nang cao trrnh do chuyen mon nghiep vii, ky nang thuc hanh cho nhan vien cung cap dich vu DS - SKSS theo phan cap va phan tuyen ky thuat. Cung co, hoan thien mang ludi cung cap dich vu DS - SKSS dua vao cong ddng thong qua doi

r r F F

ngu cong tac vien dan so, y te ap. M d rong mang ludi cung cap dich vu, xay dung va ap dung cac mo hinli, phuong thuc cung cap dich vu rieng biet nham dam bao cac nhu cau thiet yeu ve dich vu DS - SKSS cho cac khu vuc thuoc vimg sau, vimg xa, vimg dac biet kho khan va khu vuc Icho tiep can.

- Tang cuong kha nang cung cap dich vu dan so cua doi ngh cong tac vien, y te ap.

- H§ trp va tao dieu kien cho cac co sd y te tu nhan, cac to chuc phi Chmh f r

phu tham gia cung cap dich vu dan so. - Tap tmng thuc hien de an sang loc trudc sinh va so sinh: M d rong mang

ludi sang loc trudc shih va so sinli tren co sd dao tao ky thuat, bo sung trang thiet bi va tliuc hien dimg quy trinh ky thuat da ban hanh. Ket hop viec ho tra dich khuyen khich doi tugng co Idia nang tii bd chi phi de sir dung dich vu, tung budc md rgng cimg cap dich vii tren dia ban tinh.

- M d rgng dich vii tu van va kiem tra sue Idide tien hon nhan. b) Hoan thien phuong thiic eung cap dich vu DS-KHHGD cho cac nhom doi

tugng dac thii: To chirc cac dpi luu dong eung cap dich vii D S - K H H G D tai dia ban chiSn dich d vimg sau, vimg xa, bien gidi, hai dao. To chirc cac hinii thuc cung cap dich vu D S - K H H G D cho ngudi nliap cu, khu cong nghiep va dae biet la cac hinh thuc than thien cho v i thanh nien va thanh nren.

c) Day manh tiep thi xa hgi eac bien phap tranh thai va dich vu KHHGD; Thir nghiem va tri§n khai md rgng tiep thi xa hgi ve dich vu EiHHGD.

d) Hoan thien he thong hau can: Nang cap klio hau can cac cap, dam bao bao quan thude thiet y6u va phuong tien tranh thai theo chuan, dap ung kip thdi nhu can sir dung cho cac tuyen, khong de ton klio vugt mire hay thieu hut, hu hong. Thuc Men quan ly, hau can pliuong tien tranh thai tren he thong LIVIIS.

3.2. Dich vu sue khoe sinh san; a) Lam me an toan bao gdm cham soc trudc, trong va sau siMi, cham sde so

sinh, phong lay tmyen HIV tir me sang con; - Cap nhat cac van ban chinh tliuc, quy chuan chuyen mon ky thuat (phan

tuyen ky thuat, hudng dan quoc gia ve dich vii cham soc SKSS, cac quy trinh, hudng dan ky thuat ve cham soc san klioa va so smh tMet yeu, cap cuu san khoa va so sinh).

- Kien toan mang ludi hg sinh tuyen xa, ap. Nhan rgng du an "Lam me an toan", nhini tang cudng Idia nang tiep can vdi dich \ cham sde sire khoe ba me va md rgng mo hiMi chuyen tuyen dua vao cong dong d eac xa dac biet Idio Idian.

- M d rgng va nang cao chat lugng cap ciai san klioa va cham sde san klioa tMet yeu tiiy theo timg tuyen huyen va xa (tuyen huyen thuc Men dugc day du chuc nang chain sde san Idioa thiet yeu toan dien: Mo de, truyen mau... Tuyen xa:

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Thuc hien cham soc san khoa thiet yeu co ban). Chu trong dam bao cac phuong tien van chuyen, trang thiet bi va dung cu y te de dua dich \ den tan ngudi dan, chuyen tuyen d nhung dia ban Idid khan ve giao thong.

- Tang cudng cong tac tuyen truyen giao due, tu van ve cham sde sue Ichde ba me va tre so sinh. Nang cao nhan thuc cua cong dong ve cham sde sue Ichde ba me trudc, trong va sau khi sinh.

b) Ke hoach hda gia dinh: - Tang cudng nang luc bd sung, nang cap co sd ha tang, trang thiet bi, dung

cu y te cho cac diem cung cap dich vu DS - SKSS, uu tien tuyen co sd va khu vuc kho khan. Thuc hien kiem tra, giam sat, danh gia viec thuc hien cae quy dinh chuyen mon, quy trinh ky thuat ciia mang ludi cung cap dich vu K H H G D tai tat ca cae tuyen, ke ca y te tu nhan. Chu trong boat dong cung cap thong tui, tu van cho khach hang trudc, trong va sau khi thuc hien dich vu, xae dinh tu van la mot budc quan trong phai thuc hien trong qua trinh cung cap dich vu K H H G D .

- Bo sung nhan lue, nang cao trinh dp chuyen mon nghiep vii, ky nang thu:c hanh cho nhan vien eung cap dich vu K H H G D . Dao tao va cap nhat kien thuc cho dpi ngil can bp cung cap dich vii, chu trpng Icy nang tu van va giao due sire khoe cho cong dong.

c) Pha thai an toan: - Bo sung cap nhat quy chuan ky thuat ve pha thai an toan. Khen toan mang

ludi cac CO sd cung cap dich vu pha thai an toan. - Nang cao chat lucmg dich vu thong qua viec cung cap dich vu pha thai an

toan va cung cap bien phap tranh thai sau pha thai de tranh pha thai tiep tuc. Dao tao can bp y te, cung cap trang thiet bi, thuoc thiet yeu, tang cudng quan ly, giam sat chuyen mon ky thuat ddi vdi cac co sd cd dich vu pha thai (ke ca tu nhan).

- Nang cao nlian thuc cong dong ve hau qua ed thai ngoai y muon va pha thai thong qua boat dong truyen thong giao diie chuyen doi hanh vi tdi cae ddi tupng.

d) D u phong va dieu tri nhiem Ichuan dudng sinh san, cac benh lay truyen qua dudng tinh due bao gom ca HIV/AIDS:

- T6 chirc mang ludi kb-aiii phat hien va xir ly sdm cac benh nhiem khuan dudng sinh san, cac benh nhiem Ichuan lay truyen qua dudng tinh due.

- Nang cao chat iupng dich vu, long ghep dich /u eham soc SKSS kham va dieu tri cac benh nhiem khuan la.}' truyen qua dudng tinh due.

d) Cham sde sue khoe cho vi thanh nien va thanh nien: - JVIO rong mo hinh cung cap dich vu than thien cho vi thanh nien va thanh

nien. - Tang cudng cong tac tuyen truyen giao due, tu van long ghep vdi eung cap

dich Yii cham soc sire Ichde than thien vdi vi thanh nien va thanh nien (md rong mo hhih gdi than thien V T N - TN). Trien Idiai cac boat ddng theo doi giam sat, danli gia dich vu sue khoe than thien V T N - TN.

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e) Dir phong, sang loc va dien tri ung thu dudng sinh san, du phong va dieu tri v6 sinh;

- Cap nhat chuyen mon ky thuat ve du phong phat hien va xu tri ung thu dudng sinh san. To chuc mang ludi Idaam phat hien va dieu tri sdm ung thu dudng sinh san. M d rgng mang ludi cung cap dich vu hd trg v6 sinh tai tinh (dao tao can

r r

bg, cung cap trang thiet bi). - Nang cao chat lucmg dich vii thong qua viec dua tam soat ung thu vu, ung

thu cd tu cung trd thanh thuong quy, dam bao nguon luc cho chan doan va dieu tri ung thu dudng shih san.

g) Cham sde sue klioe sinh san cho nam gidi, SKSS cho ngudi cao tuoi:

- Cap nhat cac quy trinh ky thuat cham soc SKSS ngudi cao tuoi. Trien khai dich vu cham sde SKSS ngudi cao tuoi; Tu van ve sue khoe tinh due, dieu tri cac roi loan tien man kinh, man kinh, man due nam.

- Long ghep tuyen tniyen giao due vdi cung cap dich vu cham sde SKSS cho ngudi cao tuoi.

4. Xay dung va hoan thien he thong chinh sach D^-^K^^: - Uy ban nhan dan tinh ban hanh ke hoach thuc hien Chien luge Dan sd -

Sue klioe suih san tinh Kien Giang giai doan 2011 - 2015. Phe duyet thuc hien cac chuong trinh nang cao chat lugng dan so giai doan 2011 - 2015 gom ed cac du an: 1) Sang Igc tiirde sinh va so sinh; 2) Can thiep giam thieu mat can bang gidi tinh khi shih; 3) Can thiep giam tinh trang tao hon va ket hon can huyet thong; 4) Tu van va kham sue khoe tien hon nhan. Tang cudng co sd vat chat, trang thiet bi phuc vu cho cong tac DS-SKSS. Xa hgi hda viec cung cap dich vu va long ghep muc tieu DS- SKSS vao chuong trinh phat trien kinh te - xa hgi d dia phuong.

- Tiep tuc thuc hien va ra soat hudng dan thuc hien chinh sach khuyen khich theo Ngln quyet sd 78/2009/NQ-HDND cua Hgi ddng nhan dan tinh va Quyet dinh s6 23/2009/UDNU) cua Uy ban nhan dan tinh v6 cong tac dan s6 - KHHHD din nam 2015 tren dia ban tinh Kien Giang.

5. X a hoi hoa va hoat dong phoi hpp lien nganh: •• Kihuyen khich md rgng dich vii y te tu tren linh vuc dan so - SKSS. ~ Huy dong sir tham gia ciia cong dong dan cu, ca nhan va cac to chuc phi

Chinh phu, to chuc chinh tri, xa hgi, nghe nghiep vao cong tac DS-SKSS. Day manh tiep thi xa hgi va xa hgi hda viec cung cap phuong tien tranh thai.

- Xac dinh 16 trinh giam muc do bao cap cua nha nude cho cac dich vu DS-SKSS.

- Tang cudng phoi hgp lien nganh, de cao trach nhiem tham gia cua timg nganli, linh vuc trong thuc hien cong tac DS-SKSS tir tinli tdi co sd, dae biet la giua cae nganh, linh vuc cd lien quan mat thiet den cac muc tieu va giai phap. Phat huy vai trd va su tham gia tich cue ciia cac doan the, td chuc quan ehiing, td chuc chinh tri xa hgi, xa hgi, nghe ngliiep, dac biet la cac hgi nghe nghiep trong viec thuc hien va giam sat chirong trinh DS-SKSS.

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- Tang cudng hop tac vdi cac to cliuc trong va ngoai nude trong cung cap dich vu DS-KEIHG©, thi diem md hinh, xay dung va thuc hien cac chinh sach, chuong trrnh, du an, de an.

6, Dao tao, nghien cuu Idioa hoc. thong tin so lieu va tai chinh: - Pho cap trinli do trung cap y te - dan so, cu nhan cong tac xa hpi: Dao tao

nang cao trinh dp cho can bp quan ly DS-SKSS d cac cap dat chuan la vien chirc dam nhan cong tac theo chuc nang nhiem vri theo yeu cau.

- Dao tao kien thuc co ban ve dan s6-SKSS: Doi tugng la can bp dan so tuyen huyen chua dugc dao tao, dirge dua di dao tao theo ke hoach cua Trung uong nham trang bi kien thuc, ky nang co ban ve dan so - SKSS.

- Tap huan nghiep vu: -r Thuc hien theo ke hoach chuong tiinJa, du an, to chuc tap huan nang cao

nghiep vu chuyen mon, quan ly cho can bg dan so huyen, xa. Tap huan cap nhat kien thuc, ky nang co' ban ve dan sd-SKSS cho can bg dan so co sd, cong tac vien DS-KHHGD, nhan vien y te ap, tinh nguyen vieMsuc-khde egng ddng.

+ Dao tao va dao tao lai ve chuyen mon, nghiep vu cho can bg lam cong tac truyen thong giao due, cung cap dich vu D S - K H H G D , cham sde sue khoe ba me, tre em, eham sde SKSS, sang Igc trudc suih va so sinh. Cd ke hoach dua di dao tao dai hgc, sau dai hgc ve dan sd, san khoa, nhi khoa, lao khoa, dam bao mdi huyen deu ed can bg dat trinli: do dai hgc ve nhirng linh vuc nay. Cac benh vien cd khoa nam khoa, lao khoa, timg budc hinh thanh dgi ngh can bg ed truih do cao ve DS-SKSS.

- Nghien cuu khoa hgc phuc vu quan ly: Day manh boat dong nghien cuu khoa hgc, sang Iden kinh nghiem tren ITnh vuc DS-SKSS. Coi trgng cac hoat dong pho bien, ung dung cac ket qua nghien cuu khoa hgc ve DS-SKSS da dugc thuc Men.

- Thong tin so lieu chuyen nganh tren co sd tm hgc hoa va van hanh kho du lieu dien tir:

-r Kien toan va day manh tin hgc hoa he thong tin quan ly, co sd dir lieu chuyen nganh tren co sd to chiic he thong thu thap thong tin bien dong day du, kip thdi va ngay cang tm cay. Nang cao chat lugng thu thap, cap nhat thong tm, luu giti, xic ly, tong hcrp va eung cap thong tin, so lieu DS-SKSS phuc vu yeu can quan ly va dieu hanh d timg cap.

+ Hoan tiiien eo che, md rgng cac hmli thuc trao ddi, chia se thong tin, sd lieu lien quan den DS-SKSS giiia cac co quan, to chuc. Tang cudng phoi hgp lien nganh trong viec sir dung thong tin, danh gia Men qua, tac dong cua DS-SKSS. l / u tien thuc Men cae dieu tra eo ban, phan tich va du bao ve DS-SKSS phuc vu cho viec hoach dinh chinh sach va quan ly chuong trmh.

- Huy dong cac nguon von: Tir ngan sach nha nude cap tinh, huyen, xa, von tir cac nganh, doan the long ghep thuc hien va von huy dong cua cong dong dan cu.

- Sir dung ed hieu qua nguon von dau tu: Viec quan ly, su dung Mnh pM cua chuong triMi d cac cap dung theo quy dinh cua nha nude. Thuc hien co che uy

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quyen doi vdi tuyen huyen va ky hop dong trach nhiem vdi cac don vi phoi hop thuc hien chuong trinh, dam bao sir dung co hieu qua nguon von dau tu cua chuong trinh.

IV. Q U A N L Y D I E U BLANH.

L Quan ly dieu hanh: 1.1. Kien toan Ban Chi dao cong tac D S - K H H G B tir tuih den co sd, bo

sung nliiem vu mdi phu hgp vdi giai doan thuc hien ke hoach dan so-suc khoe sinh san.

1.2. Ho trg-k}'thuat: - Ve chuyen mon, Icy thuat tiep nlian su hd trg tir Benh vien Tir Dii, cac benh

vien tinh, huyen va chuyen gia cua cac du an cd lien quan. - V6 dao tao, tap huan ky nang truyen thong van ddng va truyen thong

chuyen ddi hanh vi : Tong cue DS-KHHGD tiep tuc ho trg cho tuyen tuih; Chi cue DS-KHHGD va Trung tam cham soc SKSS tinh ho trg cho tuyen huyen va xa.

1.3. C o che phoi hgp trien khai: • Phdi hep vdi cac thanh vien Ban Chi dao qua quy che boat ddng cua Ban

Chi dao. Phoi hgp vdi eac don vi cd lien quan trong linh vuc truyen thong bang hgp dong trach nhiem. Trien idiai boat ddng cho co sd bang ke hoach hudng dan boat dong nam. Kinh phi thuc hien quan ly theo Luat Ngan sach va cac quy dinh hien hanh.

2. Thdi gian thuc hien; Thdi gian thuc hien tir 2011 - 2015.

3. K i n h phi: - Kinh phi thuc hien ke hoach hanli dong thuc hien Chien luge Dan so - Sue

khoe sinh san giai doan 2011 - 2015 tu nguon ngan sach Tamg uong, dia phuong dugc phan bo hang nam, tu nguon dau tu cua cac td chuc phi Chinh phii thong qua cac du an (neu cd), tir sir huy dong trong egng dong de tang hieu qua.

- Thuc hien phan bo cong khai ngan sach hang nam dau tu cho chuong trinh theo hudng tap trung cho eo sd, cho miic tieu trgng diem cua chuong trinh, vimg dac biet kho khan va viing kho khan, bien gidi, hai dao, dan tgc thieu so.

- Lfhu can kinh phi de tliuc Men Chien luge Dan so - SKSS giai doan 2011 -2015 nhu sau: Du: kien t6ng kmh phi dIu tu la: 108.227.000.000 ddng (mot tram le tam ty, hai tram hai muoi bay trieu dong). Trong do:

4- Nguon ngan sach Trung uong: Chuong trmh muc tieu quoc gia DS-K H H G D la 74.623.000.000 dong (bay muoi bon ty, sau tram hai muoi ba trieu ddng).

+ Ngudn ngan sach dia phuong: bo tri theo Nghi quyet so 78/2009/NQ-HDNT) cua Hgi ddng nhan dan tinh va Quygt dinh s6 23/2009/QD-UBND cua UBNT)tinh (phu luc 4).

V , T O CErtrC T H l T C H I E N ;

1. Trach nhiem ciia cac so', nganh:

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1.1. So* Y te: C M tri, phoi hgp voi So Ke hoach va Dau tu, Sd Tai chinli, cac sd nganh lien quan va Uy ban nhan cac huyen, tlii xa, thanh pho chi dao, td chuc thuc

r r

hien, Chien luge DS-SKSS vdi nhijng ngi dung da neu trong ke hoach tren pham vi toan tinh, dam bao gan ket chat che vdi cac chuong trinh khac cua nganh Y te va eac chuong trinh cd lien quan do cac sd, nganh khac chu tri thuc hien. Xay dung va to chuc thuc hien cac ke hoach hang nam phii hgp vdi ke hoach phat trien kinh te - xa hgi cua tinh nha. Hudng dan, theo doi, don doe, kiem tra, giam sat, tong hgp tinh lunh thuc hien ke hoach va dinh ky bao cao U B N D tuih. To chuc so ket viec thuc hien ke hoach nay vao nam 2013 va tong ket vao nam 2015.

Kien toan to chirc, bg may lam cong tac DS-SKSS tir tinh den co sd. Dao tao, boi duong chuyen mon nghiep vu, quan ly cho "dgi ngu. can bg lam cong tac DS- SKSS cae cap, dao tao va boi duong ky thuat cho nhirng ngudi cung cap dich vu eham soc SKSS. Thuc hien va img dimg nliirng nghien cuu khoa hgc lien quan, long ghep cac chi so dan sd vao cac chuong trhih, ke hoach phat trien nganh, linh vuc.

1.2. So K e hoach va Bau tir: Cd ti-ach nhiem phdi hgp vdi Sd Tai chinh bo tri cac nguon luc cho Chien luge DS-SKSS. Chu tri phdi hgp vdi eac co quan hen quan van dong cac nguon ho trg phat trien chmh thuc (CDA) cho cac chuong trmh, dy an ve DS-SKSS. Long ghep cac chi tieu dan so vao chirong trinh, ke hoach phat trien kinh tS - xa hgi, cac chuong trinh, ke hoach nganh, linh vuc... Kiem tra, giam sat ket qua thuc hien cae chi tieu dat ra trong ke hoach.

1.3. So Ta i chinh: Cd trach nhiem can ddi, bd sung kinh phi tir ngan sach dia phuong dam bao ebo cac muc tieu dau ra cua ke hoach. Kiem tra, giam sat viec sir dung kinh phi theo dung Luat Ngan sach va cac quy dinli hien hanh. Chii tri, phdi hgp vdi Sd Y te va cac co quan Hen quan xay dung cac chhih sach thiie day xa hgi hoa, Ichuyen kliich eac td dure, ca nhan dau tu vao linh vire DS-SKSS.

1.4. So Giao due va Dao tao: Co trach nhiem thuc hien cae ngi dung giao due DS-SKSS, gidi tiiih va binh dang gidi oho hgc sinh, sinh vien Dao tao, boi

f ^ r

dudng giao vien, can bg y te tnrdng hgc ve ngi dung dan so va sire khoe smh san, sue khoe tinh due, gidi tinh va buih dang gidi, phong chong HIV. Long ghep eac chi so dan sd vao quy hoach, ke hoach phat trien nganh.

1.5. So Lao dong - Thuong binh va X a hgi chu tri dao tao nghe va tao viec lam nhim sir dimg toi da lire lugng lao dong, phat huy Igi the cua giai doan ''co cau dan so vang". Thuc hien eac ngi dung giao due ve DS-SKSS trong cac co sd day nghe. Long ghep vdi ke hoach thirc hien Chien luge quoc gia ve Binh dang gidi, trien khai cac chmh sach phuc Igi cho ngudi cao tuoi.

1.6. So Khoa hgc va Cong nghe cd trach nhiem chu tri, phoi hep vdi Sd Y td xay dung, chi dao thuc hien boat dong nghien cuu khoa hgc ve DS-SKSS, dac biet la nhung nghien cun ve nang cao chat lugng DS-SKSS, ve tan dimg co hgi "dan so vang"...

1.7. So Van hoa, The thao va Du lich chii tri, phoi hgp vdi Sd Y te, Sd Giao due va Dao tao, eac sd, nganh lien quan, chi dao to chuc thuc hien chuong trinh nang cao tam vdc va the lire ciia ngudi Viet Nam. Td chuc thuc hien cac hoat

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dong phat trien gia dinh ben virng, phong chong bao luc gia dinh. Long ghep cac noi dung DS-SKSS vao cac thiet che van hoa hudng tdi muc tieu gia dinh it con, no am, binh dang, tien bo, hanh phiic va phat trien ben vimg.

L8. Sd Thong tin va Truyen thong cd trach nhiem to chuc, quan ly va huy dong cac CO quan truyen thong dai chung tliuc hien cac hoat dong cung cap thong tin, tuyen tmyen, giao due chuyen ddi hanh vi ve DS-SKSS, binh dang gidi. Ho trg cong dong, ngudi dan giam sat ket qua thi hanh phap luat va thuc hien chinh sach lien quan den dan so va phat trien,

L9. Cac so, nganh khac cd trach nhiem tham gia trien khai ke hoach thuc Men Chien lirgc DS-SKSS trong pham vi chirc nang, nhiem vu da dugc giao va trien khai thuc hien chinh sach DS-SKSS trong nganh.

2. Uy ban nhan dan cac huyen, thi xa, thanh pho cd trach nhiem to chuc trien khai ke hoach thiic Men Chien luge DS-SKSS giai doan 2011 - 2015 tren dia ban quan ly. Day manh phoi hgp lien nganh, dac biet la trong viec long ghep cac chi s6 dan sd trong cong tac ke hoach hda va hoach dinh chinh sach phat trien kinh te - xa hgi tai dia phuong.

3. B§ nghi Uy ban Mat tran td quoc Viet Nam tinh va cac to chuc thanh vien tich cue van dong cac tang Idp nhan dan tham gia cac hoat dong ve DS-SKSS thuoc linh vuc mmh phu trach. Hgi Lien hiep Phu nu tinh tham gia nhung boat dong nhim dam bao btnh dang gidi, tang cuong sire khoe va phuc Igi gia dinh. Doan Thanh nien Cong san Ho Chi M i M i tham gia cac boat dong lien quan den cham sde sire khoe ngudi chua thanh men va thanh men. Lien doan Lao dong tinh tham gia cac boat dong truyen thong giao due DS-SKSS hudng tdi doi tugng cong nhan, vien chuc lao dong, dac biet la luc lugng lao ddng di cu tai cac khu cong nghiep tap tmng. Hgi Ngirdi cao tuoi tham gia cac boat ddng cham sde ngudi cao tuoi. Hgi K H H G D tiMi tham gia cong tac dan so - SKSS cho cac nhdm doi tu'gng dac thu./TJ,^

Noi nhan: - Tong cue Dan s o - K H H G D : - H D N D tinh, Ban V H X H ; - Ban Tuyen giao T U ; - CT, cac P C X U B N D tinh: - TV. B C D . D S - K H H G D tinh; - U B N D cac huyen, T X , T P ; - Chanh, Pho V P ; - Phong V H X H ; - Liru: VT, pthtran.

- ^ " = ^ KT. C H U TICH, /f^l^MrrfmiO CHU f i q

Dang Cong Huan

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