Phan Thi Ngoc Lidn PGDSdYte Tdy Ninh Thufc hien Chifdng trinh muc tieu quo'c gia DS-KHHGD giai doan 2011- 2015, de tang cufdng hd trd cho viing khd khan, sau bien gidi va vung cd miJc
Trang 1• Tap san KHOA HOC & CONG NGHE 21
DOI MOll CUNG CAP DjCH VU KE HOACH HOA GIA DINH THICH Ul\IG Vdll GIAI DOAN MUC SINH THAY THE
• Ths Phan Thi Ngoc Lidn
PGDSdYte Tdy Ninh
Thufc hien Chifdng trinh muc tieu
quo'c gia DS-KHHGD giai doan
2011- 2015, de tang cufdng hd trd cho
viing khd khan, sau bien gidi va vung
cd miJc sinh cao, ty le sinh con thiJ ba
trd len cao, thdi gian qua, Trung ifdng
da dau tif cho tinh Tay Ninh thufc hien
md hinh "Tang cifdng tuyen truyen,
van ddng long ghep cung cap dich vu
cham sde slJc khde sinh san/ke' hoach
hda gia dinh (SKSS/KHHGD)" (ggi tat
la Chid'n dich), da gdp phan quan trgng
trong viec dat miic sinh thay the' tren
pham vi toan tinh va hoan thanh cac chi
tieu ha.ng nam ve chi tieu giam sinh va
cac bien phap tranh thai hien dai
Muc tieu cua viec trien khai Chie'n
dich la nham huy ddng suf tham gia cua
cac ca'p lanh dao Dang, Nha nufde, cua
cdng ddng va cam ket cua ngifdi dan
thifc hien tdt chinh sach DS-KHHGD
Cdc dia phifdng deu cd sif quan tam, coi
trgng viec thufc hien Chie'n dich hang
nam Ban chi dao cdng tac
DS-KHHGD cac cap deu tap trung chi dao
viec xay dufng, phe duyet va trien khai
Chie'n dich ddng bg Cdng tac tuyen
truyen, van ddng dufde trien khai bang
nhieu hinh thiJc, difdc sif hifdng iJng
To chtJc Marie Stopes Viet Nam td chiJc cung cap dich vu Cham sde SKSS/KHHGD tai xa PhUdc Ninh (DI^C)
nhidt tinh cua cac tang Idp nhan dan Cac boat dgng truyen thdng difdc tang cUdng tif tinh de'n cd sd qua cac nam trien khai Chie'n dich: mit tinh cd ddng;
Tu van tnfc tiep tai hd gia dinh; ChUdng trinh phdt thanh tai huyen, xa; Chuyen muc tin tiic, phdng suf tren Dai Phat thanh - Truyen hinh Tay Ninh; Phu trifdng tren Bao Tay Ninh; Ndi chuyen chuyen de trong cdng ddng
da gdp phan hd trd va dat ke't qua nhuf hien nay
Ngoai ngudn kinh phi ciia chie'n dich
do Trung ifdng dau tuf, cdn cd ngudn Ngan sach cua tinh ho trd them cho cac boat dgng cua Chie'n dich nham phuc
vu ngu'di dan td't hdn Cu the, kinh phi
hd trd Chie'n dich tif ca'p huyen va ca'p
xa qua c a c n a m : N a m 2008: ^
Trang 222 • Tap san KHOA HOC & CONG NGHE
m0l
cac dfcn vtj chim soc SKSS/ KHHGO t^l cic Jr^m Y tS'
diu c6 thi dip ling nhu ciu cua mgi dd'i tU0ng
^ 7 4 6 0 0 0 0 0 dd^ng; n a m
2009-140.785.000 d d n g ; n a m 2010:
126.151.000 ddng; nam 2011 (ddt I):
25.220.000 ddng (Trung binh hang
nam, kinh phi dia phifdng chie'm
khoang 30% so vdi kinh phi Trung
Ifdng dau tuf)
Theo ke't qua Tdng dieu tra Dan so'
va Nha d 01/4/2009, tdng dan sd:
1.066.513 ngu'di; mat do dan so': 264
ngifdi/ km La mdt trong 10 tinh cd
miie sinh tha'p nha't trong ca nufde, theo
ddCBR=15,8%0 (du'ngthiJ'10);TFR
= 1,78 con (diJng thiJ 5) Nam 2010, ty
sua't sinh thd cua Tay Ninh tiep tuc
giam cdn 15,30%0 (Nien giam thdng
ke 2010 Cue thdng ke tinh Tay Ninh)
Qua nhieu nam trie'n khai, Chie'n
dich cd nhifng tfu diem so vdi cung ca'p
dich vu cham soc SKSS/KHHGD
thu'dng xuyen Dd la ngu'di dan d cdc
vung sau viing xa, vung cd miJc sinh
cao difdc thu hifdng midn phi cac gdi
dich vu CSSKSS/KHHGD Phu nii
trong do tudi sinh dh difdc kham, dieu
tri cdc benh phu khoa thdng thu'dng vd phdt hidn chuydn tuyd'n cac tnfdng hdp bdnh du'dng sinh sdn ndng khi tham gia gdi dich vu phdng chdng vidm nhiem du'dng sinh sdn Khi thifc hien gdi dich
vu KHHGD se gdp phan thifc hien dat chi tieu ke' hoach hang nam Huy dgng manh me vd tap trung hieu qua moi ngudn life tif cac cap, cdc nganh, cdc td chu'c, ca nhan trong cdng ddng cho cdng tac DS-KHHGD Tranh thu difdc suf quan tam ciia cac cap lanh dao Dang
va Nha nifdc Thufc hien cam ket giiia chinh quyen va ngifdi dan trong thifc thi chinh sach DS-KHHGD Tap hdp difdc so' lifdng Idn ngifdi dan tham gia thifc hien cac muc tieu chie'n dich, gdp phan thifc hien ke' hoach cdng tdc DS-KHHGD hang nam
Tuy nhien, Chie'n dich ciing bgc Id mdt so' ban che' nha't dinh so vdi cung ca'p dich vu cham sde SKSS/KHHGD thifdng xuyen Cu the, Chie'n dich hang nam chi difdc trie'n khai cho mdt sd xa theo tieu chi nha't dinh, trong khi nhii'ng
xa nay lai khdng cd nhu cau trien khai Chie'n dich Thdi die'm trien khai Chie'n dich triing lap vdi vu mua (thu hoach thudc la vang, cao mu cao su) tai cac xa viing sau, bien gidi Nhan life tham gia cung ca'p cac dich vu ky thuat, dich vu cham sde SKSS/KHHGD tuyen tinh, huyen ra't bi dgng vi phai vifa dam^
Trang 3Tap san KHOA HOC & CONG NGHE 23
Cung cap dich vu chjm soc SKSS/ KHHGD
ChiS'n dich nam 2010 t^i Thi xa
^ nhiem cdng tdc chuyen mdn vifa bd' tri
thdi gian tham gia Chie'n dich trong
ciing 1 thdi diem Trang thid't bi phuc
vu Chie'n dich tai tuye'n huyen va xa da
dufde trang bi tnfdc day hien da hu'hdng
nang, cdn thieu va chifa dap iJng vdi
quy md cua Chie'n dich Cd sd vat chat
tai mdt so' cd sd y te' tuye'n xa chUa day
dii, chUa dat chuan qud'c gia Dinh miic
thud'c thiet ye'u, vat tU tieu hao, chi phi
ky thuat va quan ly theo Thdng tuf
06/2009/TT-B YT ngay 26 thdng 6 nam
2009 cua Bd Y te' hien nay khong phii
hdp vdi tinh hinh thifc te' va khdng the'
dap ling dufde nhu cau khdm va dieu tri
cdc benh viem nhiem dUdng sinh sdn;
thufc hien gdi dich vu cham sde SKSS/
KHHGD chtfa thu hut du'de ngu'di dan,
ngUdi dan viing ndng thon ehufa tha'y
dufde sif can thid't cua khdm phu khoa
dinh ky (cdn phdi di van dgng ra't
nhieu) Chi tieu dat vdng trong Chie'n
dich qua cao khdng phii hdp vdi thifc te'
nen cac dia phufdng khd thifc hien dat
Chi phi cho Chie'n dich Idn, dd bi gian doan do mang tinh cha't cua chie'n dich, phong trao; Cd ndi cdn mang tinh hinh thu'c hieu qud tha'p Hien tai, tai cdc cd
sd y te'tuye'n tinh, huyen va xa deu thifc hidn cung ca'p day dii cac dich vu cham soc SKSS/KHHGD thifdng xuyen Trong dd cung ca'p cac bien phap tranh thai mien phi theo quy dinh, rieng khdm va dieu tri cdc bdnh trong linh vifc CSSKSS vd dinh chi thai nghen thi dd'i tifdng phdi trd tien 100% tram y te'
cd y SI san nhi hoae ni? hd sinh trung hgc difdc phan cdng thifc hien dat vdng
va cung ca'p cdc dich vu tranh thai cho cac dd'i tufdng cd nhu cau 95/95 tram y te' cd can bg dan so' thifc hien cdng tac quan ly chifdng trinh DS-KHHGD Cac phufdng tien tranh thai du'de tuye'n tinh, huyen phan bd hang thang - qui cho tuye'n xa tren cd sd dam bdo tUdng dd'i day du, nhufng cd liic chifa kip thdi do phdi phu thudc vao ngudn cap ciia Trung Udng Cd sd vat chat mot so' it tram y te' hien da dufde xay difng mdi, tuy nhien cdn nhieu Tram Y te' da xud'ng cap, phdng dc chat hep Trang thid't bi da dufde dau tu" tnfdc day hien
da cu, hif hdng thifc te' hien nay, tai tram y te' rat thie'u bd dat vdng, kham phu khoa
Nham ddi mdi viec cung cap dich vu cham soc SKSS/KHHGD thich Ung vdi giai doan miic sinh thay the' ciia cd •
Trang 424 Tap san KHOA HOC & CONG NGHE
^ nifdc ndi chung hien nay, can c6 mdt so'
gidi phdp cu the' nhuf sau:
+ Ve Chie'n dich: Trung u-dng tid'p
tuc dau tif kinh phi chu'dng trinh muc
tieu duy tri Chie'n dich Tang them dia
ban Chie'n dich tren cd sd nhu cau thifc
te'cua dia phu'dng Thdi gian trie'n khai
Chie'n dich nen trien khai vao thdng 5
hang nam se phu hdp hdn vi cd the' chii
dgng thifc hien giam sinh cho nam sau
Thdi gian td chu'c cung ca'p dich vu
trong Chie'n dich tai moi dia ban nen
keo dai 10 ngay, de'ddm bdo ngufdi dan
thu hu'dng du'de day du va dat cha't
lifdng cao, cac gdi dich vu midn phi
Dau tuf trang thid't bi hien dai phu hdp
cho ddi khdm lUu dgng va tram y te' de'
dap ling difdc nhu cau ngay cang cao
cua ngifdi dan
-1- Ve cdc boat ddng cung cap dich vu
cham sde SKSS/KHHGD thufdng
xuyen: Tid'p tuc duy tri boat dgng cung
ca'p dich vu KHHGD phii hdp vdi cdc
tuye'n theo quy dinh Huy ddng va da
dang hod cac loai hinh cung ca'p dich
vu KHHGD khdng chi trong y te cdng
lap ma cd trong he thd'ng y te' tuf nhan
va thufc hien manh me tie'p thi xa hgi
cdc dich vu KHHGD cho cdc dd'i tu'gng
khdng dufde ca'p midn phi Dao tao va
tap hua'n, cap nhat thdng tin mdi cho
can bg cung ca'p dich vu cham sde
SKSS/KHHGD
Ridng tinh Tay Ninh da dat miic sinh thay the', day la mot thanh cdng ciia chufdng trtnh DS-KHHGD ciia tinh Tay Ninh trong thdi gian qua, tuy nhidn Cling dat ra nhiing vd'n de cin difdc giai quyd't de thich ling vdi giai doan miJc
sinh thay the', d6 la: Ddm bdo cung ed'p
dich vu ehdm soc SKSS/KHHGD theo yeu cau ngifdi suf dung Ddi vdi ngifdi
cd thu nhap cao: phuc vu theo hifdng dich vu thi trifdng Dd'i vdi ngifdi cd thu nhap tha'p (khdng thudc cdc ddi tifdng ngheo, ngufdi dan tdc, gia dinh chinh sach ) thifc hien tie'p thi cac bien phdp tranh thai nhif: Bao cao su, cdc loai thudc trdnh thai Cdc bien phap nhif Dinh san, dung cu tii cung cap mien phi Dd'i vdi cac dd'i tifdng la ngifdi ngheo, ngufdi dan toe, cac ddi tifdng chinh sach thifc hien cap midn phi todn
bg cac bien phap tranh thai khi cd ydu cau Ddm bdo yeu cau CSSKSS ciia ngifdi dan bang cac dich vu ky thuat cao nhtf: Md ndi soi, XQ ky thuat sd, sidu am 3D, 4D, chup nha dnh Qudn
ly thifc hien cac dich vu dinh chi thai nghen: Pha thai bang phifdng phap ndi khoa, hiit dieu boa kinh nguyet de ban che'pha thai lifa chgn gidi tinh khi sinh la nguyen nhan gay ra ma't can bang ve gidi, dang dufde xa hgi quan tam trong giai doan hien nay n