UY BAN NHAN DAN CONG HOA XA HQI CHU NGH1A VICT NAM

THANH PHO UONG BI DOc Iap - Ttr do - Hanh ph&

(Jong Bi, ngayZ thong 11 nom 2018

KE HOACH Trien khai chitin dich tiem bO sung vie xin Soi - Rubella cho tre 1-5 tuOi tren dia ban thanh phO Uong Bi nom 2018

Thuc hien COng van s6 8466/UBND-VX3 ngay 14/11/2018 dm Uy ban nhan dan tinh Quang Ninh va Ke hooch so 2689/KH-SYT ngay 14/11/2018 dm Sa Y to tinh Quang Ninh ve viec trien khai chitin dich tiem b6 sung vac xin S6i-Rubella cho tre tir 1-5 tu6i tren dia ban tinh Quang Ninh nom 2018, Uy ban nhan dan thanh ph6 xay dkrng Ke hooch trien khai chitin dich tiem vac xin seri - rubella cho tre tir 1-5 tu6i tren dia ban thanh ph6 nhu sau:

I. MIX TIED 1. Muc tieu chung - Tre tir 1-5 tuoi tai 11 xa phu6ng ten dia ban thanh ph6 dugc tiem 1 mui

vac xin Seri - Rubella gop phan tang Cy le mien dich phong benh kri, rubella trong cong (long.

2. Muc tieu cu the. - £04t tS, le 95% tre tir 1-5 tu6i tai 11 xa phuerng dugc tiem b6 sung 01 mill

vac xin Sari - Rubella. - Dam boo an toan va chAt lugng tiem chUng theo Nghi dinh s6

104/2016/ND-CP ngay 01/7/2016 dm Chinh phu guy dinh ve hoot &Ong tiem chung va cac guy dinh cua BO Y to ve tiem chimg.

II. DOI TUONG, THdI GIAN, PHAM VI, H1NH THUG TRIEN KHAI 1. DOi tuvng. - D6i tugng: TAt Ca tre tir 1-5 tu6i tai 11 xa phuang ten dia ban thanh ph6 se

dugc tiem 01 mui vac xin Seri, rubella (MR) khong ke tien sir dugc tiem chimg vac xin phong benh seri hoac vac xin phong benh rubella truac do. Ngoai trir tre da tiem vac xin phong benh seri hoac vac xin ph6ng benh rubella trong th6i gian <1 thong truer( khi trien khai tiem b6 sung.

Du kien so lugng khoang 7.846 tre. - M6c tinh tu6i: Tre sinh tir 01/01/2014 - 01/11/2017

2. Phum vi trien khai: Trien khai tren dia ban toan thanh pho. 3. Thai gian: tir 10/12/2018 den 18/12/2018. 4. Hinh thirc trien khai: Trien khai chitin dich theo kieu cu'On chieu de dam

boo ve ngu6n nhan ltrc thuc hien.

S6:W.J-5/KH - UBND

III. NQI DUNG KE HOACH. 1. TO chirc tap huAn hurerng dan cho can b0 y to viec trien khai chien

dich tiem be sung vac xin Seri - Rubella. - Thai gian trier' khai: du ki6n tir 20/11-30/11/2018 (Theo lich dm Trung

tam Kiem soat benh tat tinh Quang Ninh). - Dan vi thgc hien: Trung tam Y to thanh pha phi hop ved Trung tam Kim

soat benh tat tinh Quang Ninh. - Doi tugng, so lugng: + Trung tam Y t6: 02 can ba + Tram Y te: rna'i tram dr 02 can ba - Nai dung trien khai: Huang an trien khai chi6n dich tiem ba sung vac xin

Sai - Rubella, giam sat va xir tri phan img sau tiem. 2. Truyen thong trurerc chien dich 2.1. Myc dich Dam bao cac dai tugng tham gia có lien quan va cong dang xa hai có hi6u

bit cu the, di rang ve chien dich tiem vac xin sai - rubella. 2.2. NOi dung - Six nguy hiem ciia benh sai va rubella d6i vai sire khoe va sir sang dm tre

em va cong dang. - Cac thong tin ve vac xin, dai tugng tiem va lgi ich dm tiem vac xin sai -

rubella. - Dia diem va ngay Oa chi6n dich dugc to chirc a dia phucmg. 2.3. DOi tuvng ciia hoat Ong truyen thong - Cac ca quan chi dao va to chirc tham gia co lien quan: lanh dao chinh

quyen, can bo,cac ban nganh, doan the, d'ac bit la he thong y t& gido dkic. - Cac doi tugng tham gia có lien quan a cong dang: cong tac vien ca se (y to

thon ban, truang thon/ban, to truang dan pha, cong tac vien, hai phki ni.1... - Cac gia dinh co doi tugng tre tir 1 - 5 tuai trong chi6n dich.

2.4. Hinh thirc - Hai nghi trien khai (van clang truyen thong ve chien dich de có cac tin bai

tren bao, truyen hinh, truyen thanh dm Thanh pha, he thong loa truyen thanh xa

phuang...). - Dang tai thong diep truyen thong ve tiem vac xin Sai-Rubella, chien dich

tiem vac xin Sai-Rubella tren trang facebook dm Trung tam Y to thanh ph& - Truyen thong truc tip thong qua cac can ba to khu, cac cong tac vien va

cac giao vien a cac twang... - Sir dung to rai, dp phich, bang zon. 3. Dieu tra, 14p danh sfich dOi tuvng

3.1. Doi

dinh nhom twang- Doi tugng tiem bo sung vac xin MR lA tat ca tre tir 1-5 tu6i dang có mat tai

dia *mg. - RA soat d6i tuvng ten phAn mem guar' ly thong tin tiem chung va trien

khai dieu tra lap danh sach d61 tucmg teen thuc to tai dia phuang. D8i vai nhOm d6i tucmg trong tn.rang hgc gem (dang hoc trtrgng marn non)

Huang clan tram Y to xa phoi hgp vai nhA twang, lap danh sach tat ca cac tre dang h9c tai twang theo timg lap, timg nhom tu8i theo bieu mh cua chin dich.

- D6i van d6i tugng khong di hgc: Tram Y to hugng clan d6i ngti Y to then, ban N/A to clan khu ph&.. lap danh sach town 13.6 tre trong d6 tu6i co mat tren dia ban khong di hgc theo Neu mh ctla chin dich (theo to, then, khu).

3.2. Nhein lint, cong cy thyv hien a. Nhan ltrc - Mang luai can b6 y te, Ong tac vien, y to thOn/ban, cong tac vien clan s6,

truamg thon/trtramg ban/t6 twang dan ph& can 13.6 dm h6i phi nix, doAn thanh nien, can b6 h6i cuu chien binh hoac...ph6i hop vai gido vien trong truamg h9c, y to tnrang h9c.

- Giant sat dieu tra d6i tugng: can b6 tuyen huyen thgc hien. - Tai moi xa/phtramg, tram Y to xalphtramg ding có the chit d6ng chgn lua va

to dieu tra ngau nhien & 1 vai them ban de xem d6i tugng có bi sot hay khong. b. Cong cy - Bieu mau "Dash sach d6i tugng can tiem vac xin Seri - Rubella trong chin dich". - Bang kiem phyc vu hoat d6ng giam sat ft-u& chin dich, ice ca giam sat

dieu tra dang ky d6i tugng theo quy dinh. 3.3. Ra soat dal twang: De dam bao khOng bo sot d6i tugng. a. Mc dinh nhiing yang nguy ca,cao - Xa phuamg có tS, tiem chung vac xin sari mui 1 va 2; tS, 1e tiem chting day

du duai 80%. - Dia bAn cc') nhieu tre yang lai. - Dia ban có cac nhom dan song biet lap, xa trung tam, kho tiep can. b. Win phi!) dieu tra Tap trung lam tot cong tac dieu tra d6i tugng, ra soat doi tugng tren phAn

mem, tang cuong giam sat ten thuc dia de tranh b6 sot d6i tuvng. Dieu tra vien thuc hien dieu tra, rA soat timg h6 gia dinh tai cac khu nhA trg, ben thuyen, khu di cu, vUng giap ranh, cym dan ctr thuc khu vac Net lap, he° lanh, nucmg ray... vac

xin Y: KHONG tiem vac xin MR cho nhang d6i tuvng dugc tiem vac

xin sari hoac MR hoac vac xin cal chua thanh phAn sari va/hoac rubella trong yang 1 thang truac ngay tiem.

4. Cung ting vie xin MR, bum kim tiem, hOp an toan Bao quan vac xin thuc hien theo Quyet dinh se; 1730/QD-BYT ngay

16/5/2014 dm B(5 Y to ve huang clan bao quan vac xin va Thong to s6 12/2014/TT-BYT ngay 20/3/2014 dm BO Y to

4.1. DF tra vac xin MR -, Vac xin MR sir dung trong hoach la vac xin do Trung tam Nghien ciru

san xuat vac xin, sinh pham y to san xuat, 19 10 lieu, clang gong kho kern dung mOi. - Dua ten so doi tugng can tiem chung, cac tuyen du tru nhu cau vac xin va

vat tu tiem chimg can thiet. SO vac xin MR (lieu) = So d6i tugng x TS, le tiem chimg du kien 95% x He

s6 sir dung 1,3 (Can cu Quyet dinh s6 11/QD-VSDTTLI ngay 03/01/2017).

4.2. Tip nhein, bao,quan, Win chuy'dn vac xin MR - Tnmg,tam Y to tip nhan vac xin tir kho Tinh kho Trung tam Y to de

bao quan va cap phat cho cac tram y to xa phuang. - Tuyen xa: Nhan vac xin tir kho Trung tam, bao quan va van chuyen vac xin

tai cac diem tiem 4.3. VIP tu. ,tiem chfing trac tinh so lugng bum kim tiem, hOp an toan:

- S6 BKT 0,5m1 (cai) = S6 d6i tugng x TS, le tiem chung du kien 95% x He

s6 sir dung 1,1. - S6 BKT 5m1(cai) = (S6 vac xin/10) x He so sir dung 1,1. - S6 hOp an toan (cai) = (t6ng s6 BKT /100) x He s6 sir dung 1,1. 5. Ti chirc tiem chting 5.1. Hinh that trien khai T6 chirc chien dich tiem chung 13.6 sung, trien khai tiem chung vac xin MR

d6ng loat tai cac truimg mau gido, mam non, nha tre va cac Tram y te. Thuc hien tiem vet cho nhiing tre bi sot ngay cuoi al& d9t hoac trong tiem chung throng xuyen.

5.2. To char buji tiem chfing a) So bu6i tiem chUng Lai m6i diem tiem phu thuc vao s6 d6i tugng ten dia

ban, khong qua 100 d6i tucmg/ban tiem/bu6i tiem.

b) T6 chirc bu6i tiem chimg theo dung quy dinh tai Nghi dinh so 104/2016/ND-CP ngay 1/7/2016 cua Chinh phu va Thong tu s6 12/2014/TT-BYT, ngay 20/3/2014 caa BO Y to ve viec huang clan quan l sir dung vac xin trong tiem chung.

c) RA soat va tiem vet Nhang tre thuc dien d6i tugng da dugc clang kji hoac chua dugc clang lc)", có

mat tai dia ban a thi7ri diem trien khai can dugc tiem vet. Tiem vet la host dOng bat buOc can dugc du kien trong ke hoach. De flan the so tre bi bo sot can thuc hien

cac not dung sau: - Trong buoi tiem: Phi hgp vai cac trueng mam non, mau gido, nhom ire

gia dinh; cac cong tac vien ca sa de thong bao va van dOng cha me dua tre den

tiem chung. 136 sung them vao danh sach cac tre yang lai va th6ng ke rieng theo mau ghi chop va bao cao.

- Vao cu6i moSi bu6i tiem: danh dau va xac dinh cac tre chua tiem trong danh sach da clang 14 ban dau cling nhu tre yang lai mai phat hi8.n. Kip then thong bao tren loa truyen thanh hoac tim cach thong bao cho gia dinh nhung tre chua &roc tiem de dua tre den.

- Cu6i dot: T6ng hop s6 lugng tre chua tiem can dugc tiem vet de b6 tri dOi tiem, xac dinh thai gian va hau can vat to cho tiem vet. Phan cong can 13,0 lien h8 vai cac hO gia dinh thong bao lai dia diem va thai gian tiem vet va huy dOng tre d6i tucmg ra tiem.

D6i veri cac truang hop tam hoan: can có ke hoach tiem vet vao ngay tiem chUng thuang xuyen trong thang.

Liru 5,: Sau chi& dich, nhang tre cid tiem 02 miii vac xin seri trong do co 01 mili vac xin phi hop MR thi khi du 18 thang tu6i khong tiem vac xin MR trong tiem chfing thuang xuyen.

6. Truyen thong trong chien dich - Trung tam Y th: Thgc hi8n truyen thong tren cac phucmg tin truyen thong

dai chung ...a nguai dan biet va chil dOng dua con em di tiem chtIng. , - Tuyen xa, phuang: Thong bao hang ngay tren h8 th6ng loa Oat thanh ve

doi tugng, tiled gian, dia diem to chirc buoi tiem chiing. Phoi hop \Teri cac truang hoc marn non, matt gido, nhorn tre gia dinh tren dia ban de to chirc tuy8n truyen den phu huynh cac chau.

7. Theo doi, giant sat va bat) cao - Trung tam Y to thanh ph6 lap ke hoach dr can be, 11.6 trg giam sat xa,

*rang trien khai cac hoat Ong trien khai chien dich. - Thirc hi8n bao cao ket qua tiem vac xin vao 15h hang ngay trong dial gian

to chirc ke hoach va bao cao tong hop trong vOng 7 ngay sau khi ket thfic. TTYT thanh ph6 tong hop va giri bao cao ket qua tiem vac xin MR tren dia ban toan ve Trung tam Kiem soat b'enh tat tinh de bao cao Ser Y te.

(btu fi khong dua vao bao also chii'n dich,clai vol nhang tru-Cmg hop thuO'c din tiem chung thu-Crag xuyen vao thOi gian trien khai chien dich de tranh trung lap clai turng, ki-t qua tiem chfmg).

8. Kinh phi thtrc hi0 8.1. Kinh phi Trung ming Sir dung ngu6n kinh phi Ngan sach Nha Nuerc danh cho Dkr an TCMR de

mua vac xin va vat to tiem chung (BKT, HAT). 8.2. Kinh phi cho cac hocg d'Ong trien khai k'j hogch tai dia phwang Kinh phi cho cac hoat dOng dieu tra va lap danh sach doi tugng, in sao bieu

mall, truyen thong van dOng Ong d6ng, ding thkrc hi8n miii tiem, giarn sat truot va trong khi trien khai se thkrc hi8n theo phan khai kinh phi dm Trung tam KSBT tinh.

Tram y,te cac xa phuemg xuat phucrng h6 tra kinh phi in Giay mori cho tre va Phieu dieu tra thong tin tiem chung.

IV. TO CHUt THVC HIEN 1. Trung tam Y to Thanh phO - Can cir ke hoach va htrang dan chuyen mon cua Trung tam Kiem soat benh

tat Tinh, xay dung ke hoach chi Wet cu the, dam bao cac nguin lirc dap irng cho cong tic tiem vac xin sai- rubella teen dia ban quan lSt, tap trung nguin ltrc dam bao dat muc tieu tiem chung; Phi hop chat the Nganh Gido chic de to chirc tot ke hoach chien dich dam bao dat muc tieu, chat luang va an toan tiem chting;

- Theo dOi, kie'rn tra, giam sat viec xay dkrng va thgc hien ke hoach cua cac tram y te.

- Phoi h9p vori khOi diet' tri to chirc san sang cap dru cac truang hap phan drig nang sau tiem chung;

- Thing Ice, bao cao theo quy dinh. 2. Phong Y te Thanh pho - Bao cao UY ban nhan dan Thanh phi ve ke hoach trien khai chien dich

ding thai tham muu UBND Thanh ph6 h6 trq kinh phi cho cac hog ding; Phil h9p vori Phing Gido chic va Dao tao Thanh ph6 trien khai chien dich tren dia ban.

- Phii h9p vori Trung tam Y t6' trong viec chi dao Tram Y to dieu tra dii tugng, cac hog ding truyen thong mt.& va trong Chien dich

- Chi dap cac Tram Y to trien khai Chien dich dung tier' do ke hoach de ra, thkrc hien nghiem tuc cong tac bao cao theo quy dinh.

3. Tram Y to cac xa, phtrirng - Lap ke hoach trien khai thkrc hien tiem vac xin sai- rubella tren dia ban xa

phuang; T6 chdc thuc hien dat muc tieu k'e hoach. Dam bao quan ly tot dii tuang, khong 136 sot; Phi hop chat the vii cac nha truing trong viec dieu tra, viet giay moi tiem chUng girl den phu huyng cac chat" va quan ly d6i Wang, theo d'Oi sire khoe h9c sinh trtroc va sau khi tiem chung, to chirc tiem vac xin sai- rubella dam bao dat muc tieu, chat luang va an wan tiem chUng;

- TO chirc diet' tra va giri so doi tucmg tre tiem, du kien so diem tiem, du tru Vacxin, BKT, HAT ve Trung tam Y to Thanh ph6 (qua Khoa KSBT&HIV/AIDS).

- Thu gom va xir lSr chat thai dung qui dinh dia BO Y te; - Thing ke, bao cao ket qua theo dung qui dinh. 4. Phong Giao duc va Dan t4o Thanh phO - Chi ciao cac truang mam non, mail gido, nh6m tre gia dinh phi hap chat

the vai cac dun vi y to trong viec dieu tra, lap danh sach doi thong tiem chting, bo tri thai gian, dia diem tiem chung tai cac twang phi' hap, dam bao an town theo yeu cau chuyen mon dm nganh y te, ding vai can bO y te theo dOi sUc khoe cac chat' sau tiem tai lop, tai truang.

- Chi ciao cac truemg phi hop voi tram y to ten dia ban to chirc tuy8n truyen, thong bao cho cha me h9c sinh,biet ve lich tiem dia. con em 119 a phi hop trong vi8c dua con em den twang, tram y to tiem chiing va theo doi sau tiem tai gia Binh.

- Ho trg nhan lkrc cho vi8c to chirc cac diem tiem chiing tai twang. 5. Trung tam Truyen thong-Van heia Thanh phO Phi hop voi Trung tam Y to thanh ph6 to chirc chi dao cong tic thong tin,

tuyen truyen ve cong tac trien khai chin dich tiem b6 sung soi - rubella tai cong dong; thkrc hi8n truyen thong tren he th6ng truyen thanh, truyen hinh cita Thanh ph6.

6. UBND cac xa, phtrimg Chi dao cac ban nganh, down the tai dia phucmg phi hop voi tram y to xa,

phuong trien khai, thkrc hi8n Chien dich tai xa, phkrOng; ht; tro kink phi thkrc hi8n Chien dich.

7. Rnh vien Vi't Nam -Thuy Dien UOng Bi, Trung tam y to than khu yip Mao Khe (co' so* Ving Danh)

Bo tri cac d6i cap ciru luu d6ng, trang bi day du nhan lkrc, phucmg tin cap ciru san sang h6 trq cho cac diem tiem chimg tren dia ban \fa xu ly kip theyi cac twang hop phan irng sau tiem chfing.

8. De nghi cac Doan the chinh tri - xa hoi thinh phO Ph6i hop voi Nganh Y to to chirc tuyen truyen ve cong tac & , trien khai chi

dich tiem Vac xin - rubella cho tre tir 1 den 5 tuoi trong cong Tong. Tren day la ke hoach trien khai chien dich tiem vac xin soi — rubella cho tre

tir 1 tu6i den 5 tu6i tren dia. ban Thanh ph6. UBND thanh ph6 yeu c'au cac don vi trien khai thkrc hi8n dat ket qua.

No'i nh'On: - Sa Y t6 (B/c);

- Thuong trtrc Thanh 6y, TT HDND ( B/c); - CHI tjch, cac Ph6 CT UBND TP (c/d); - Cdc doan the TP (p/h); - Phong Y te, Trung tam Y to TP, B'enh vien VNTD,

TTYT than KV Mao Khe-ca sa yang Danh (t/h); - Cac phang ban, nganh (t/h); - UBND cac xa, phtrong (t/h); - Cac Tru6ng h9c tren dia ban (t/h); - Tram y to xa, phu6ng (t/h); - Lau: VT.