• 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 T hufc 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 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 viec dat miic sinh thay the' tren pham vi toan tinh va hoan 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 DSKHHGD 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 tai huyen, xa; Chuyen muc tin tiic, phdng suf tren Dai Phat - Truyen hinh Tay Ninh; Phu trifdng tren Bao Tay Ninh; Ndi chuyen chuyen de cdng ddng da gdp phan hd trd va dat ke't qua nhuf hien Ngoai ngudn kinh phi ciia chie'n dich 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 cac nam: Nam 2008: ^ 22 • Tap san KHOA HOC & CONG NGHE m0l 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 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 cac dfcn vtj chim soc SKSS/ KHHGO t^l cic Jr^m Y tS' manh me vd tap trung hieu qua moi diu c6 thi dip ling nhu ciu cua mgi dd'i tU0ng ngudn life tif cac cap, cdc nganh, cdc td ^ 0 0 dd^ng; n a m 2009- chu'c, ca nhan cdng ddng cho 140.785.000 ddng; n a m 2010: cdng tac DS-KHHGD Tranh thu difdc 126.151.000 ddng; nam 2011 (ddt I): suf quan tam ciia cac cap lanh dao Dang 25.220.000 ddng (Trung binh hang va Nha nifdc Thufc hien cam ket giiia nam, kinh phi dia phifdng chie'm chinh quyen va ngifdi dan thifc thi khoang 30% so vdi kinh phi Trung chinh sach DS-KHHGD Tap hdp difdc Ifdng dau tuf) so' lifdng Idn ngifdi dan tham gia thifc Theo ke't qua Tdng dieu tra Dan so' hien cac muc tieu chie'n dich, gdp phan va Nha d 01/4/2009, tdng dan sd: thifc hien ke' hoach cdng tdc DS1.066.513 ngu'di; mat dan so': 264 KHHGD hang nam ngifdi/ km La mdt 10 tinh cd Tuy nhien, Chie'n dich ciing bgc Id miie sinh tha'p nha't ca nufde, theo mdt so' ban che' nha't dinh so vdi cung ddCBR=15,8%0 (du'ngthiJ'10);TFR ca'p dich vu cham sde SKSS/KHHGD = 1,78 (diJng thiJ 5) Nam 2010, ty thifdng xuyen Cu the, Chie'n dich hang sua't sinh thd cua Tay Ninh tiep tuc nam chi difdc trie'n khai cho mdt sd xa giam cdn 15,30%0 (Nien giam thdng theo tieu chi nha't dinh, nhii'ng ke 2010 Cue thdng ke tinh Tay Ninh) xa lai khdng cd nhu cau trien khai Qua nhieu nam trie'n khai, Chie'n Chie'n dich Thdi die'm trien khai Chie'n dich cd nhifng tfu diem so vdi cung ca'p dich triing lap vdi vu mua (thu hoach dich vu cham soc SKSS/KHHGD thudc la vang, cao mu cao su) tai cac xa thu'dng xuyen Dd la ngu'di dan d cdc viing sau, bien gidi Nhan life tham gia vung sau viing xa, vung cd miJc sinh cung ca'p cac dich vu ky thuat, dich vu cao difdc thu hifdng midn phi cac gdi cham sde SKSS/KHHGD tuyen tinh, dich vu CSSKSS/KHHGD Phu nii huyen ra't bi dgng vi phai vifa dam^ Tap san KHOA HOC & CONG NGHE Cung cap dich vu chjm soc SKSS/ KHHGD ChiS'n dich nam 2010 t^i Thi xa 23 Chi phi cho Chie'n dich Idn, dd bi gian doan 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 linh vifc CSSKSS vd dinh chi thai 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 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, 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 ^ nhiem cdng tdc chuyen mdn vifa bd' tri thdi gian tham gia Chie'n dich ciing 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 26 thdng nam 2009 cua Bd Y te' hien 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 Chie'n Nham ddi mdi viec cung cap dich vu dich qua cao khdng phii hdp vdi thifc te' cham soc SKSS/KHHGD thich Ung vdi nen cac dia phufdng khd thifc hien dat giai doan miic sinh thay the' ciia cd • 24 Tap san KHOA HOC & CONG NGHE Ridng tinh Tay Ninh da dat miic sinh ^ nifdc ndi chung hien nay, can c6 mdt so' thay the', day la mot cdng ciia gidi phdp cu the' nhuf sau: + Ve Chie'n dich: Trung u-dng tid'p chufdng trtnh DS-KHHGD ciia tinh Tay tuc dau tif kinh phi chu'dng trinh muc tieu 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 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 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 cang cao cua ngifdi dan Ninh thdi gian qua, nhidn Cling dat 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 -1- Ve cdc boat ddng cung cap dich vu cham sde SKSS/KHHGD thufdng xuyen: Tid'p tuc 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 y te cdng lap ma cd 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 chinh sach thifc hien cap midn phi todn bg cac bien phap tranh thai 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 sinh la nguyen nhan gay ma't can bang ve gidi, dang dufde xa hgi quan tam giai doan hien n ... gidi Nhan life tham gia vung sau viing xa, vung cd miJc sinh cung ca'p cac dich vu ky thuat, dich vu cao difdc thu hifdng midn phi cac gdi cham sde SKSS/KHHGD tuyen tinh, dich vu CSSKSS/KHHGD Phu... dam^ Tap san KHOA HOC & CONG NGHE Cung cap dich vu chjm soc SKSS/ KHHGD ChiS'n dich nam 2010 t^i Thi xa 23 Chi phi cho Chie'n dich Idn, dd bi gian doan mang tinh cha't cua chie'n dich, phong trao ;... nhieu nam trie'n khai, Chie'n Chie'n dich Thdi die'm trien khai Chie'n dich cd nhifng tfu diem so vdi cung ca'p dich triing lap vdi vu mua (thu hoach dich vu cham soc SKSS/KHHGD thudc la vang,