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Tgp chi THdNG TIN Y DlfOC S3 2 ndm 2012 THUC TRANG VE CONG TAC DAO TAO QUAN LY CHAT THAI Y TE TAI MOT SO CO SO Y TE THUOC TilH MNH BINH VA HA NOI Tran Dac Phu'''' TOM TAT Muc tiiu mo ta thUe trang ve con[.]
Tgp chi THdNG TIN Y DlfOC S3 ndm 2012 THUC TRANG VE CONG TAC DAO TAO QUAN LY CHAT THAI Y TE TAI MOT SO CO SO Y TE THUOC TilH MNH BINH VA HA NOI Tran Dac Phu' TOM TAT Muc tiiu: mo ta thUe trang ve cong tie dao tao quan ly chat thil y ti (CTYT) tal mgt so ed sd y ti thuoc dia ban tinh Ninh Binh va Ha Ngi Doi tUdng va phUdng phip: dieu tra dt ngang Phong van bang bg cau hoi thiit ki sin dc cin bg, nhan viin dang eong tie tal 12 edsdyticua Ha Ngi va tinh Ninh Binh, thing nim 2011 Kit qui: nhdm ed eong viee Hin quan din quan ly CTYT chiim ty li cao nhat la ngUdI trUc tlip lam phit sinh chat thai (45,2%) Ty le dUde tap huan nghlip vu ve quan ly CTYT la 97,6%, thdi glan tap huan ve quan ly CTYT dUdI chiim ty li eao, ty li nhan thdc dung ve khii niem CTYT la 100%, dd ty li nhan thdc dung ve nguy hai CTYT ehlim 97% Ket luan: hau hit ein bg, nhan viin y tiiam nhiim vu Hen quan din eong tie quin ly CTYT da dUde tap huan nghlip vu, nhUng thdi glan tap huan ft Da sded nhan thdc tdt ve eong tie phan loal, thu gom, van chuyin, Idu gid tam thdi, xdly, tieu huy CTYT Klin thdc ve quan ly CTYT eon chUa day du SUMMARY The situation of training for medical waste management establishments in Hanoi city and Ninh Binh province in some healtii Objectives: to describe the situation of training for medical waste management (MWM) In some health establishments In Hanoi city and Ninh Binh province Methods: a cross sectional study was performed using designed questions to Interview health workers In 12 health establishments In Hanoi city and Ninh Binh province In June 2011 Results: among MWM involved groups, ones who directly relate to waste generation were aeounted for the highest proportiion (45.2%) The rate of MWM trained workers was 97.6%, the training time under days accounted for high rate, the percentage of correct perception for the concept was 100% In which the proportion of corect perception on hazardous of medical waste was 97% Conclusions: most health care workers related to MWM was trained on professional management: time for training, however, was stIH short Most of them had good perception on tiie classification, collection, transporiiation, temporary storage, treatment or disposal of medical waste Knowledge on MWM was inadequate Binh, eung nhu' d Hi Ndi chUa cd mdt dinh gii cu the nio ve ITnh vife dao tao can bd quan ly CTYT Nham ed cd sd xay difng ke hoach, ehu'dng frinh dio tao, tap huan, chiing tdi tien hinh dieu tra dinh gii thu'e frang edng tic dio tao quin ly CTYT tai mdt sd cd sd y te thudc dja bin tinh Ninh Binh v i Hi Ndi vdi mue tieu: md ta thifc trang ve cdng tae dao tao quin ly CTYT tai mdt sd ed sd y te thudc dia bin tinh Ninh Binh va phd Ha Ndi nham xay duhg ke hoach dao tao phii hdp I GAT VAN OE Cin eu' vio Luat Bio ve mdi tru'dng, CTYT du'dc quy dinh la chat thii nguy hai can difdc quin ly triet de tif khiu phin loai, thu gom, lull giii', van chuyen den khau x\i ly, tieu hiiy dim bio khdng gay d nhilm mdi tru'dng Oe lam tdt du'dc cie nhiem vu tren, cin bd lam cdng t i c quin ly chit thai tal eae ed sd y te can du'dc dao tao, tap huan nim du'dc kien thu'e thifc hien nhiem vu niy Hien nay, cic nghien cifu ve quin ly CTYT edn rat it, die biet frong ITnh vife dio tao Tai tinh Ninh TS., Ci^ Quan ly moi trudng y te 35 So ndm 2012 Tgp chi THdNG TIN Y DlfOC -I- Nhdm I: Nhdm chiu trach nhiem chi dao, quan ly la linh dao benh vien, trung tim, fram y te, linh dao cac khoa phdng dang lam nhiem vu ve quin ly, td chut thUc hien, kiem fra giam sit II OOI TUONG VA PHUONG PHAP Ddi tUdng nghien cut/ Ddi tu'dng nghien aili l i eic cin bd, nhan vien y te ciia eic cd sd y te thudc tinh Ninh Binh v i Hi Ndi ed lien quan den edng t i c quin ly CTYT -I- Nhdm I I : la nhuhg ngUdi frife tiep lim phit sinh CTYT nhU bic sy, y t i dieu duQng, y sy, ky thuat vien cic phdng xet nghiem -I- Nhdm I I I : l i nhiing ngUdi tham gia viee thu gom, van chuyen chat thii rin y te nhU hd ly, y edng, nhin vien odng ty ve sinh - Nghien ciiU du'dc tien hanh tal 12 cd sd y te eiia thinh phd Ha Ndi v i ti'nh Ninh Binh, eu the gom: •I- Thinh phd Hi Npi: benh vien tuyen trung Udng (Benh vien Viet Du'c, Benh vien K, Benh vien nhiet ddi); benh vien tuyen tinh, quin (Benh vien Ddng Oa, Benh vien Thanh Nhin); Trung t i m y te dy phdng Ha Ndi; Tram y te phu'dng Giing Vd -I- Nhdm IV: l i nhiing ngUdi van hanh he thdng xii ly chat thii y te 2.3 dch thdc thu thap tiiong tin: Thu thip thdng tin dUdc thifc hien bing phdng van tafe tiep vdi bd phieu phdng van tiiiet ke sin eho tifng ddi tu'dng 2.4 Phan tfch so lieu: bing phan mem Epi Data 3.1 I I I KET QUA VA BAN LUAN Bang 1: Phan bd da tUting khao sat theo cong viec d liin quan dSi quan ly chat thai y te Tdng Ngi dung cong Hi Ninh Noi Binh SL 71% vl$c Quan ly/td chifc trien khai ttii/c 30 24,2 12 hien/kiem tra giam 18 sat cdng tac quan ly chat thii y te Tn/c tiep lam phit 34 22 56 45,2 sinhrachat ttiiiyte Lam edng tic thu 28 22,6 11 gom, van chuyen 17 chat thai y te Lam cdng tie van 8,0 10 hanh he thdng xif ly chat thai y te 124 100 49 75 Tdnq Ket qui bing cho thay ddi tu'dng nghien cull nhdm ed odng viec lien quan den quin ly CTYT chlem ty le cao nhat la ngUdi tiifc tiep lim phit sinh chat tiiii (45,2%), tiep ttieo l i nhdm quan ly/to ehu'c (24,2%) Trong dd cd 8% l i nhdm edng t i e van hanh he ttidng xif ly CTYT So sinh vdi WHO/EUROPE [4] cho ttiay d nhuhg dja ban nghien culj, nhdm ngu'di lam viee lien quan den ttiu gom, van chuyen v i van hinh xii ly CTYT la eao -1- Tinh Ninh B'nh gom: Benh vien Oa khoa tinh, Benh vien San Nhi tinh, Benh vien huyen Nho Quan, Tram y te phu'dng Bich Oio - phd Ninh B'nh Thdi glan nghien eifU: thing nam 2011 PhUdng phip nghien cUu 2.1 Th^tkinghlincdU: dieu tra dt ngang 2.2 Cdmau va dch chgn mau: Q n cii' vao cic ddi tUdng lam nhiem vu lien quan tdi cdng tie quin ly chat thii, chiing tdi tien hinh chpn mau cd chii dich: -I- Moi benh vien chpn 13 ngUdi gom: cin bd linh dao benh vien phu frich ve quin ly chat thii, cin bd lanh dao khoa/phdng dd ed Khoa Kiem soat nhiem khuan chju frich nhiem ve cdng t i e giim sit ve quan ly chat thil, cin bd lim edng t i e van hanh he thdng xii ly CTYT v i ngu'di la bic sy, y t i dieu dudng (tn/e tiep lim nhiem vu lien quan tdi phat sinh chat thii) v i ngu'di lim edng t i c thu gom van chuyen chat thii benh vien + Trung tam y te dif phdng tinh/thanh phd: moi trung t i m chpn ngu'di gom: ein bd lanh dao trung t i m , cin bd lanh dao khoa phdng v i can bo lam xet nghiem v i nguidi lim cdng t i c van hanh he thdng xii ly chat thai + Tram y te xa/phuidng: moi ti^m y te chpn ngufti gom: tiam tru'dng v i can bd tram - Odi tu'dng nghien cuU du'dc phan nhdm gom: 36 Tjip chi THdNG TIN YDlf(fC So ndm 2012 Bing 2: Phan bo ddi tUOng khao sit theo Chuyin nganh dUOc dao tao OoitU^ng Tong Chuyen Nhom I Nhom II Nhom III Nhom IV nginh dio tao Nganh y te 30 56 Nganh mdi frudnq 21 Nganh quan ly 10 SL TL% 93 75 21 17 10 Nganh khac 6,5 Khdng dUdc dao tao 1,5 Tdng 40 56 Ket q u i b i n g cho thay ddi tUdng nghien cifu ed chuyen n g i n h du'dc d i o tao chiem ty le eao nhat l i y te ( % ) , tiep theo la mdi tru'dng ( % ) Trong dd cd 1,5% so ddi tu'dng khdng du'dc d i o tao chuyen nganh m i la lao ddng phd thdng So s i n h vdi quy djnh cua Bd Y te [ ] , cho 10 100 28 124 thay rang ITnh vifc q u i n ly CTYT v i n tdn tal mdt sd can bd lam viec khdng Q^iric dao tao dung chuyen mdn h o i c ehUa dUdc d i o tao D i y l i van de can dUde quan tam va sdm x i y dUng ke hoach tap huan chuyen mdn eho nhifng ddi tUdng ndi tren de g i i m nguy cd d nhiem can bp gay Bang 3: Phan bdddl tUOng khao sit tiieo ti'nh hoc van ^~^~~~-.,^^^ Boi tupng Tong Truth