TCNCYH Phu truang 70 (5) 2010 Summary REVIEW OF THE STATUS OF MEDICAL EXAMINATION AND TREATMENT IN HEALTHCARE CENTER OF NGU HIEP COMMUNE, THANH TRI DISTRICT, HANOI CITY Medical Examination and Treatme[.]
TCNCYH Phu truang 70 (5) -2010 Summary REVIEW OF THE STATUS OF MEDICAL EXAMINATION AND TREATMENT IN HEALTHCARE CENTER OF NGU HIEP COMMUNE, THANH TRI DISTRICT, HANOI CITY Medical Examination and Treatment is one of emphasis missions of communal healthcare center and one of criteria for communal healthcare service in compliance with National Standards Objectives: (1) To report outcomes of diagnosis and care in healthcare center of Ngu Hiep commune, Thanh Tri district, Hanoi (2) To analyze some factors influencing on Medical Examination and Treatment at communal healthcare center Methods: Retrospective cross - sectional study combined with quantitative and qualitative for 130 sick people who came to healthcare center of Ngu Hiep commune within 04 weeks before the day of survey Results: The number of sick people in first six months of year 2009 at the healthcare center was 1560 Rate of patients going to the center for Medical Examination and Treatment with medical insurance enrolled at healthcare center of the commune took 29.5% Personnel of the healthcare center: healthcare officials/ center Medical equipments fails 33.3% Drugs fails 37.5% comparing with provision Conclusion: Based on result of researching, the authors have given some suggestions in order to be able to improve activities of Medical Examination and Treatment at healthcare center of commune Ngu Hiep, Thanh Tri, Hanoi Keywords: Medical Examination and Treatment, healthcare center THUC TRANG CUNG CAP N\J6C SACH VA VE SINH MOI TRUING • • • • d MOT SO XA CUA TINH DIEN BIEN, LAO CAI VA LAI CHAU NAM 2009 Tran Minh Hai, Tran Quynh Anh, Hoang Thj Thu Ha, Chu Van Thang, Vii Dien, Dang Ngoc Lan Trtfdng Dai hgc Y Ha Ngi Tiep can nguon ntfdc sach va nha tieu hgp ve sinh la mgt nhtfng yeu td quan trgng viec phdng chdng benh tat va nang cao stfc khde cua cdng dong, dac biet la cic cdng dong cd trlnh van bda thap, pbong tuc tap quin lac hau Muc tieu: md ta thtfc trang sff dung nguon ntfdc va cac cdng trlnh ve sinh cdng ddng dan ctf d mot sd xa cua rinh Dien Bien, Lao Cai va Lai Chau Doi ttfgng va phtfang pbap nghien cffu: nghien ctfu md ta cat ngang tiin hanh tai xa thudc tinh miin niii phia Bic Viet Nam Ket qua va ban luan: cac kit qua chinh thu dtfgc cho tha'y ty le hg gia dinh tiip can nguon ntfdc sach va cd nha tieu, chudng gia sue hgp ve sinh la rat tha'p Cac cdng tnnh cung cap ntfdc tap trung nha ntfdc diu ttf xay dtfng khdng phat huy dtfgc hieu qua thieu stf quan ly, giam sat vi chtfa huy dgng dtfgc stf tham gia ciia cdng dong Do ban cbi vi thdi gian va kinh phi nen nghien cifu chtfa khao sit dtfgc mdi lien quan gitfa diiu kien ve sinh mdi trtfdng va thtfc hanh ve sinh ci nhan kem den stfc kboe cdng dong Cic nghien ctfu tiep theo de tim bleu nguyen nhan chinh va ttf dd de xuat cic giai phap hgp ly nhim cai thien diiu kien ve sinb mdi trtfdng va thtfc hanb ve sinh ca nhan cdng ddng la thtfc stf cin thiit Td khoa: Ho gia dinh, sd dung nddc sach, nha tieu hop ve sinh, chudng gia sue hop ve sinh 130 TCNCYH Phil truang 70 (5) -2010 I DAT VAN DE Mo ta thffc trang cung cap ntfdc sach va ve sinh moi trffdng d mgt so' xa cua tinb Dien Sd dung nddc sach v l edng trinh ve sinh 11 Bien, Lao Cai va Lai Chau nhdng y l u td cd b i n nha't nham dam b i d sdc khde va chat Idcing cude sd'ng cua ngddi II DOI TU'ONG VA PHL/ONG PHAP Ngudn nddc va cdng trinh ve sinh cd lien quan NGHIEN CLfu trdc tiep tdi n h i l u benh djch nhd t l , ly, thddng han, rieu chay, n h i l m giun la nhdng benh cd ty le mac cao cdng ddng Theo so lieu cua Chddng trinh qud'c gia v l Dja diem nghien cu'u - Tinh Dien Bien: Xa Quai Cang, Pu Nhung, C h i i n g Sinh - Huyen T u i n Giao Nddc sach va Ve sinh mdi trddng ndng thdn, - Tinh Llo Cai: Xa Hop T h i n h , T l Phdi - hien cd hdn 70% dan so ndng thdn dang sd T h i n h phd Lao Cai, xa Trjnh Tddng - Huyen Bat dung nddc khdng d i p dng d e ehi sd ve sinh ed X l t , xa Xuan Quang - Huyen B i o T h i n g ban va cd den mdt nda so ho gia dinh d ndng - Tinh Lai Chau: Xa Mddng Than huyen Than thdn khdng ed nha ve sinh Mgc tieu eua Uyen va xa Mddng So huyen Phong Thd chddng trlnh d i n nam 2010 ed 85% dan sd Dd'i tddng nghien cii'u ndng thdn sd dgng nddc sach va den 2020, 100% dan sd ndng thdn sd dung nddc sach, - Dai dien ho gia dinh 70% sd hd gia dinh d ndng thdn ed nha tied - Trddng TYT xa, CB khuyen ndng xa hdp ve sinh - Sd sach eua TYT xa va UBND xa, TT YTDP Trong khudn khd Chddng trinh mgc tieu qud'c gia v l nddc sach v l ve sinh mdi trddng ndng thdn gia doan 2006 - 2010, td chdc SNV hd trc? cho rinh vung Tay Bae la Lao Cai, Lai huyen Cd mau va chon mau Gd mau Sd dgng cdng thdc tinh ed m l u hoc xa: Chau va Dien Bien nham nang eao nang ldc cda cac rinh viec trien khai cd hieu q u i , n = Z2 Px(l-p) nang sua't va b i n vdng e l c djeh vg nddc sach va cdng trlnh ve sinh Trong dd: Mgc tieu chddng trlnh nddc sach v l ve sinh n la sd miu cin cd: a = 0,05; Zn a/2) = 1,96; mdi trddng cua td chdc SNV la nham gdp phan p = 15%o (ffdc tinh ty le % sc3' hg cd ntfdc sach c i i thien rinh trang sdc khde va ddi sd'ng"cua quanh nam ciia xa cd ty le thap nhat sd ngddi dan ngheo thdng qua viee tiep can cd cac xa diiu hieu qua, nang sua't va b i n vdng vdi eae djch cd mau la 50 vu ve sinh, cdng trinh ve sinh va ngudn nddc an toan tra); d = 0,1; Thay vio cdng thffc V l y mdi xa se tie'n hanh d i l u tra 50 ho gia dinh De dat dddc mgc tieu cua chddng trinh, mpt Chgn mau: tai mdi xa, tien hanh lap danh died tra ed b i n nham thu thap cac sd' lieu ban sach cae hd gia dinh xa, td dd chon 50 ho d i u dda tren eac ehi sd cda chddng trinh se gia dinh dieu tra theo phddng p h l p chpn nglu dddc t i l n hanh d cae vung ndng thdn cua rinh nhien ddn Lao Cai, Lai Chau va Dien Bien Muc tieu: PhdOng phap nghien cud: md t l elt ngang 131 TCNCYH Phu truang 70 (5) -2010 Ky thuat va edng eg thu thap thdng rin xa, UBND xa, Trung tam Y te dd phdng huyen, - D i l u tra hd gia dinh bang bd edng eg thu Phdng Ndng nghiep huyen bang phieu thu thap thdng tin san ed thap sd lieu cua Chddng trlnh qudc gia nddc Xii ly so' lieu: sd lieu dddc lam sach v l sach - ve sinh mdi trddng Bd Ndng nghiep nhap vad may rinh va xd ly bang e l e p h i n va Phlt trien ndng thdn ban h i n h m l m EPI INFO, STATA - Quan sit ngudn nddc, edng trinh ve sinh, Thdi gian nghien ciifu: t h i n g 11/2009 chudng gia sue eua hd gia dinh bang b i n g kiem III K E T Q U A - Phdng van sau trddng TYT xa, CB khuye'n ndng xa v l rinh hlnb nddc sach - VSMT cda xa Thdc trang cung cap nddc sach va ve sinh va hoat ddng cua d e cdng trinh cap nddc d xa, mdi trddng d xa cda rinh Dien Bien, Lai sd dgng bang hddng d i n phdng van sau Chad v l L i d Cai dddc trinh b i y trdng e l c bang dddi day Thu thap Sd lieu thd cap td sd sleh eua TYT Bang Cbi sd ntfdc sach va ve sinh moi trtfdng tinb Dien Bien Xa Quai Cang Xa Phii Nhung Xa Chieng Sinh (n = 50) (n = 50) (n = 50) 20 56 b i n vdng nam qua (%) 0 Ty le hd gia dinh cd nha tieu hdp ve sinh theo TC08 eua Bd Y te (%) 20 18 0 Cac chi so TT Ty le sd dan xa sd dgng nddc sach theo TC09 cda Bd Y te (%) Ty le edng trinh cap nddc tap trung Ty le ho gia dinh cd chudng trai gia sue hop ve sinh (%) Nhan xet : ty le dan dtfdc sff dung nUdc sach theo TC 09 ciia Bd Y te cic xa diu rieng xa Chiing thi'p, Sinh ty le cao hdn mdi dtfdc xay dtfng them cdng trlnh cap ntfdc tip trung nam 2008 Bang Cbi sd ntfdc sach va ve sinb moi trtfdng tinb Lai Chau TT Cac chi so' Ty le so dan xa sd dgng nddc sach theo TC09 cua Bd Y te (%) Xa Mddng Than Xa Mddng So (n = 50) (n = 50) 0 0 Ty le cdng trinh cap nddc tap trung b i n vdng nam qua (%) Ty le hd gia dinh ed nha tieu hdp ve sinh thee TC08 eua Bd Y te (%) Ty le hd gia dinh ed chudng trai gia sue hcJp ve sinh (%) Nhan xet: ty le dan dtfgc sff dung ntfdc sach theo TC09 cua Bd Y te cac xa diu khdng cd hg gia dinh nao cd nha tieu hdp ve sinh 132 thap, TCNCYH PhiJ truang 70 (5) -2010 Bang Cbi sd ntfdc sach va ve sinb moi trffdng tinb Lao Cai TT Cac chf so Ty le sd dan xa sd dgng nddc sach theo TC09 cua Bd Y t l (%) Ty le edng trinh cap nddc tap trung b i n vdng nam qua (%) Xa Hdp Thanh Xa Ta Phdfi Xa Trjnh Tddfng Xa Xuan Quang (n = 50) (n = 50) (n = 50) (n = 50) 20 41 80 49 38 14 0 Ty le hd gia dinh cd nha tieu hdp ve sinh theo TC08 cua Bd Y te (%) Ty le hd gia dinh cd chudng trai gia sue hap ve sinh (%) Nhin xet: 34 ty le dan tai cac xa dffdc diiu tra cua Lao Gai dffgc sff dung nUdc sach theo TG09 cua Bd Y ti kha cao so vdi Dien Bien va Lai Chau nhidn ty le hd gia dinh cd nha tieu vi chudng gia siic hgp ve sinh vin cdn tha'p IV BAN L U A N Qua thdi gian khIo sit thdc dja d xa thude rinh Dien Bien, Lao Cai, Lai Chau chung tdi nhan thay nddc sach v l ve sinh mdi trddng la nhu c l u thdc sd thiet yeu va e i n thiet de c i i xa nhdng ehi sad mdt thdi gian ngan boat ddng da hdng hdc khdng cd he thd'ng quIn ly g i l m sat, su' tham gia eua edng ddng va khdng ed kinh phi eho b i o dddng sda chda HIU h i t eae hd gia dinh d i u khdng ed thien ddi sdng cho ngddi dan, dae biet la nhdng chudng gia sue hcJp ve sinh (trd xa Hgp ngddi dan sd'ng d e l e vung sau vung xa Trong eua Tinh Llo cai ty le d c he thdng y te ed sd boat ddng edn yeu thi chudng gia sue hdp ve sinh la 34%) hd gia dinh ed viec ngddi dan khdng dddc tiep can nddc sach Treng nghien edu dd gidi han v l thdi va ve sinh mdi trddng kem da thdc sd 11 mot gian va kinh phi nen chung tdi chda khIo sat thaeh thdc ldn eho cdng t i c y te dd phdng cda dddc ty le m l e ried c h l y , gidn s i n v l cac benh dja phddng Tai xa d i l u tra ty le cae ho dan dddng rieu hda k h i c edng ddng 11 cac chi dddc sd dgng nddc sach va cd nha tieu hdp ve so benh tat ehinh de d i n h gia I n h hddng cua sinh la rat tha'p, tham chf cd nhdng xa ty le n l y nddc sach va ve sinh mdi trddng tdi sdc khde la 0% (vi dg nhd xa Trjnh Tddng cua tinh Lao ngddi dan cai ty le cac hd gia dinh ed nha tieu hcJp ve sinh 11 0%, xa Quai Cang cua Tinh Dien Bien ty le ele hd gia dinh sd dgng nddc sach 0%) He thd'ng d c cdng trinh cap nddc tap trung V KET L U A N Qua d i l u tra khIo s i t tai xa thude rinh Dien bien, Lao eai va Lai chau k i t hdp dddc xay ddng ngan sleh eua nha nddc hau phddng p h l p nghien cdu djnh tinh v l nhd khdng p h l t huy t i c dgng mac du cac he lddng ehung tdi rut mdt so k i t luan chfnh sau: thd'ng cap nddc da dddc d i d td cho ta't c l djnh - Ty le Hd gia dinh tiep can dddc vdi nddc 133 TCNCYH Phu truang 70 (5) -2010 sach va cd nha tieu hdp ve sinh la rat tha'p ea nguy Cd cao thude Ha tay cu nam 2009 Lap ehi biet II cd nhdng xa ty le la 0% Y hoc thdc hanh sd 701 -i- 702, 96 - 99 Le Thj Tai (2005) Nghien cdu g i i i phap - Hau h i t e l e hp gia dinh d i u khdng ed can thiep nang cao k i l n thdc, t h i i dp, hanh vi chudng gia sue hdp ve sinh n h i n cdng thdc hanh v l SKMT eua ngddi dan tai mdt ddng la rat kem: h i u h i t ngddi dan d i u ud'ng phddng thudc thj xa Phu Ly dang dd thj h o i nddc la di lam va khdng rda tay bang xa Luan I n Tien sy chuyen nganh Ve sinh hoc xa phdng trddc an va sau di ve sinh hdi v l To chdc Y t l Trddng D H Y H N - Thdc h i n h ve sinh d - C l xa d i u dddc nha nddc d i u td xay Ngo Thj Thoa (2003) Thdc trang VSMT ddng edng trinh cap nddc tap trung nhdng d i u va k i l n thdc, t h i i dd, thdc hanh cua ngddi dan ngdng boat ddng sau - nam vl khdng cd xa Hdp Thanh, Phu Ly, On Lddng huyen Phu quan ly g i l m sat, sd tham gia eua cdng ddng va Lddng rinh Thai Nguyen nam 2003 Luan van thieu kinh phi sda chda td't nghiep Cd nhan YTCC Trddng D H Y H N Trddng Dai hoc Y Ha Noi, Bo mon Ve TAI LIEU THAM KHAO Vu Di6n, Tran Quynh Anh, D6 Thj Phiic (2007), Hieu qua boat ddng can thiep eung cap sinh Moi trddng Djch t i (2002) Ve sinh - Mdi trddng - Djeh t l Nha xuat b i n Y hoe, tap nddc sach va VSMT tai xa huyen Phu Iddng, Tinh Thai nguyen Tap ehi Y hpe thdc hanh se (2004) Water, Sanitation and Hygiene links to health Facts and firgures 585, 131 - 135 Dao Ngoc Phong, LuU Ngoc Hoat, Dao WHO related WHO (2004) diseases Water facts sheets, and Sanitarion http:// www Thj Minh An, Nguyin Van Huy (2009), D i n h whe.int/water_sanitatidn_health/diseases/ gia thdc trang ve sinh d c ngudn nddc tai xa diseasefact/en/index.html Summary THE ACCESSESIBILITY TO SAFE WATER AND HYGIENIC LATRINE IN SOME COMMUNES OF DIENBIEN, LAOCAI AND LAICHAU IN 2009 The aecessesibility td safe water and hygienic latrine is ene of the most important factor for improving sanitation in rural and remote area in Vietnam Low aeessesibility to safe water and unhygienic latrine is still a very big chanllange for Health care and Preventive Medicine service system This problem can be solved by health promotion Objectives: This study have main objectives to find out the aeessesibility to safe water and hygienic latrine of households in the remote areas of the Northwest of Vietnam Method: It was cross - secitional study using quantitative and qualitative method in communes of three mountainous provinces situated at the Northwest of Vietnam The collected data were analyzed and expressed as the percentage Rssult: The main findings showed that : more than 70 percent of househols can not access to safe water, in some commune even no household has aeessesibility to safe water, the number of hygienic latrine is also very low, less than 20 percent of house hold have hygenie latrine and in some commune this number is very low as no household has hygiennic latrine Conclusion: Most households can not access to safe water and hygienic latrine Further studies should explore the "root" reasons leading to poor aeessesibility to safe water and hygienic latrine and to find out an appropriate Health promorion to solve this problem Keywords: safe water, hygienic latrine, accessibility, household 134 ... I DAT VAN DE Mo ta thffc trang cung cap ntfdc sach va ve sinh moi trffdng d mgt so'' xa cua tinb Dien Sd dung nddc sach v l edng trinh ve sinh 11 Bien, Lao Cai va Lai Chau nhdng y l u td cd b i... i i n g Sinh - Huyen T u i n Giao Nddc sach va Ve sinh mdi trddng ndng thdn, - Tinh Llo Cai: Xa Hop T h i n h , T l Phdi - hien cd hdn 70% dan so ndng thdn dang sd T h i n h phd Lao Cai, xa Trjnh... 50) (n = 50) 20 41 80 49 38 14 0 Ty le hd gia dinh cd nha tieu hdp ve sinh theo TC08 cua Bd Y te (%) Ty le hd gia dinh cd chudng trai gia sue hap ve sinh (%) Nhin xet: 34 ty le dan tai cac xa