1.

M t, nhn xt hot ng ca trm y t phng 1 qun 8:

o

o
o
o
o
o

1.1 c im tnh hnh phng:

a l:
L mt phng nm pha ng Bc ca qun 8,
bao quanh bi knh rch chng cht ( Knh T, Knh
i, Rch ng Ln, Rch Xng).
Pha Bc gip vi C Lao Nguyn Kiu (Qun 4).
Pha ng gip vi Qun 7.
Pha Nam gip vi Khu Trung Sn (H. Bnh Chnh).
Pha Ty gip vi phng 2 v 3 qun 8.
Din tch : 486.600 m2
Hnh chnh:

Khu ph

S t dn ph

S nc gia

20

1311

14

1234

17

934

12

852

21

1845

Tng

87

6176

 Dn s:
Tn KP

Din tch
(m2)

1
2
3
4
5
Tng

84.700
98.100
68.300
62.000
173.500
486.600

Dn s
thng
tr

4.564
5.543
3.608
3.297
8.901
25.913

Dn s
tm tr

299
121
344
249
1.110
2.123

Tng
dn s

4.863
5.664
3.952
3.546
10.011
28.036

Dn tc :

 Tn gio:

C s tn gio :
o 1 thnh ng Hi gio
o 1 cha
o 2 nhm Tin lnh
Kinh t:
o Thu nhp bnh qun u ngi : 20 triu/ngi/nm
o a s l lao ng ngho
o Khng cn h ngho (tng thu nhp di 16 triu/ngi/nm)
o 142 h cn ngho
Vn ha:
o C 3 t im bi-da c y ban cp php hot ng
o Khng c c s vn ha
o Khng c c s hot ng th dc th thao
o Khng c l hi truyn thng
X hi:
o 6 hi XH:
Hi ngi cao tui
Hi cu chin binh
Hi ch thp
Hi lin hip ph n
Hi lin hip thanh nin
Hi khuyn hc
3

o
o
o
o
o
o

Trung tm hc tp cng ng
Chnh sch qun l ngi hi gia sau cai nghin, c th v
Chnh sch cai nghin ti cng ng theo N 94 v N 111
Chnh sch tr cp cho ngi khuyt tt, gia nh thng binh lit s
Chnh sch tr cp lng hu
Cn mt s t nn x hi quy m nh : ma ty, trm cp...

Gio dc:

1 trng mu gio : Vn Hng

Lp

17

Hc sinh

580

Gio vin

32

1 trng Tiu hc : Nguyn Trung Trc

Lp

18

Hc sinh

668

Gio vin

24

2 nhm tr gia nh
47 ngi ang hc ph cp gio dc
100% tr 6 tui vo lp 1
100% tr 5 tui vo mu gio
T l ngi dn trn 6 tui bit ch t 100%
Tnh hnh v sinh mi trng:
T l h dn ng k ly rc 97%
Nh v sinh trn sng khng c , cn 42 h khng c nh v sinh t hoi ( cn thng ra
sng)
Nc sch 100 %
Trc nm 2015 c 4 im nhim ln n nay c gii quyt xong
Trm y t phng:
o S mng li y t:

TRM Y T PHNG

PHNG
KHM
BNH

PHNG
HNH
CHNH

PHNG
S CP
CU

PHNG
TRC

PHNG
NHA

PHNG
THAM
VN

PHNG
KHM
PH
KHOA
KHHG

PHNG
DC

PHNG
XT
NGHIM

PHNG
KHM
THAI

PHNG
KHM
NG Y

PHNG
SIU
M,IN
TIM

o S t chc trm y t:

Trng trm

BS. Nguyn Th Kim Cc

Qun l chung
Khm bnh

Ph trm

NHS. Trn Th Bo Chu

H tr trm qun l chung v vn
bn hnh chnh, hp TTYTDP
Sc khe SS
Phong Da liu
Y t cng cng
Dch khu ph 3
Gim st chng trnh Nhi

iu dng

BS
Sapiroh

- Phng dch
chung
- Khu ph
1,2
- Bnh mn
tnh

iu
dng

iu
dng

Nguyn
Xun Hn

Nguyn
Th Thanh
Hng

- Tim
chng
- Lao
- Dch KP2
- Cng cng

- Nhi
- Cng vn

YS

YS

Nguyn
Th Ngc
Trm

Nguyn
Quang Ha

- Truyn
thng
- Tm thn

- Dch
chung (KP3,
KP4, KP5)
- VSATTP

Ng Th
Hin

- Bo co
hot ng
thng
TTYTDP,
UB
- St rt
Phng cp
cu

Dc trung
hc
Th
Thm

- Qun l
dc, y
dng c
- Dch KP4

1.2 Tn cc CTSK ang thc hin:

Chng trnh Phng chng dch b nh

Chng trnh Tim chng m r ng
Chng trnh PC St rt
Chng trnh PC Lao
Chng trnh PC HIV
Chng trnh Chm sc sc khe b m
Chng trnh V sinh cng c ng
6

Chng trnh Chm sc sc khe tr em

Chng trnh Chm sc sc khe ngi cao tui v ngi khuyt t t
Chng trnh Truyn thng gio dc sc khe
Chng trnh V sinh an ton thc phm
Chng trnh Tm sot b nh mn tnh khng ly
1.3 M t, phn tch 1 chng trnh SK thc hin c lin quan n n trin
khai:
1.3.1

Tn chng trnh:

Chng trnh phng chng SXH phng 1, qun 8 t thng 1/2014 n 12/2014.
1.3.2 Tm quan trng ca chng trnh:
Ti Vit Nam, st xut huyt lu hnh hu ht cc tnh, thnh pha Nam. Trong nhng nm qua,
cc ca mc st xut huyt gim ng k, song vn cn mc cao v c nguy c bng pht
thnh dch gy nh hng n sc khe ca ngi dn. Bnh SXHD l bnh do mui truyn v
cha c thuc iu tr c hiu. Vcxin nga bnh SXHD hin ang c nghin cu v th
nghim lm sng.
(S LIU 2013 ?)
1.3.3

H thng mc tiu ca chng trnh:

Mc tiu tng qut :

Gim 10% s ca mc SXH so vi nm 2013.
D phng bnh SXH tch cc v ch ng
Pht hin, kim sot tng ca bnh
Hn ch bin chng v t vong do bnh gy ra.

Mc tiu chuyn bit:

GDSK cho 100% h gia nh ti cc khu ph, t dn ph trng im c kin thc ng v
phng nga bnh SXH
Vng gia tm vt cha nc c lng qung cho 100% h gia nh ti cc khu ph, t dn
ph trng im.
Vn ng 80% ngi dn ti khi ph, t dn ph trng im n d bui Mt-tinh v
phng chng SXH, tham gia chin dch Dit mui v lng qung
GDSK cho 80% ngi dn ti cc khu nh tr v cc khu c nguy c ti phng c
truyn thng v cch phng bnh st xut huyt.
1.3.4

i tng can thip

S lng:
+ h gia nh ti khu ph, t dn ph trng im

+ h gia nh ti khu nh tr v khu c nguy c

-

c im i tng:
+ Phng 1 qun 8 vn cn nhiu h cn ngho, a s l dn lao ng ngho, trnh
dn tr cha cao
+ NVYT lun tch cc truyn thng GDSK, c tp hun thng xuyn
1.3.5

STT

Cc hot ng :

Mc tiu

GDSK cho 80% h

gia nh ti cc khu
ph, t dn ph
trng im c kin
thc ng v phng
nga bnh SXH

Cc hot ng t mc tiu

Vng gia tm vt
cha nc c lng
qung cho 80% h
gia nh ti cc khu
ph, t dn ph
trng im.

Vn ng 80%
ngi dn ti khi
ph, t dn ph
trng im hng
ng ngy ASEAN,
n d bui Mttinh
v
phng
chng SXH, tham
gia chin dch Dit
mui
v
lng
qung,

Vng gia, truyn thng phng chng dch

b nh nh ky
Vng gia, truyn thng phng chng dch
b nh khi c ca b nh, chin dch
Gim st cc im c yu t nguy c, im
nguy c, vng nguy c nh k hng thng
V sinh mi trng ti cc khu ph, t dn
ph trng im nh ky

Tm vt cha nc c lng qung cho cc h

gia nh
Gim st cc im nguy c, truyn thng tnh
hnh dch b nh trong c ng ng ti cc khu
nh tr, khu t p trung ng dn c.

Ra qun vo cc bui cui tun trong thng 7

v sinh mi trng, di t mui, di t lng
qung, hng dn kh khun, gi gn v
sinh

T chc bui Mt-ting truyn thng GDSK v

phng nga bnh SXH, Dit mui v lng
qung

T chc cc lc lng nng ct n cc im

nguy c theo danh sch hng dn v cung
cp kin thc cho ngi dn hiu v thc hin:

Kt qu

S dng vt cha nc c np y kn.

Thng xuyn sc ra lu, vi, h, thay nc
bnh cm hoa.vv
y kn cc lu, vi cha nc khng cho
mui bay vo trong trng hay th c
8

STT

Mc tiu

Cc hot ng t mc tiu

Kt qu

by mu vo lu vi, h.
B mui vo cc chn nc chn chn
Thng xuyn qut dn rc, l cy ti
vng mng xi khng ng nc.

GDSK cho 80%

ngi dn ti cc
khu nh tr v cc
khu c nguy c ti
phng c
truyn thng v
cch phng bnh
st xut huyt.

1.3.6

Cp nht im nguy c mi im c nguy c

kp thi pht hin v hng dn ngi dn
cch x l trit khng tr thnh im
nguy c c th bng pht dch bnh

Tham mu y ban Nhn dn Phng x pht

cc h dn nhiu ln c hng dn nhng
khng chu thc hin

Lm cam kt 100% cc h dn c vt cha

nc c lng qung

T chc cc bui ni chuyn chuyn phng

trnh St xut huyt ti trm y t

Truyn thng trc tip tng h gia nh trong

khu vc thc hin chin dch

Pht t ri n tng h gia nh, dn t ri c

s din thoi ng dy nng d t vn v bo
dch ti khu vc nh tr

Ngun lc:

Nhn lc:
Nhn lc

Chc danh

Nhim v

Nguyn Th Kim Cc

BS Trng trm

Chu trch nhim chung v chng trnh

Trn Th Bo Chu

NHS Ph trm

Qun l chng trnh

Vt lc - Ti lc:
Vt t - Ngun kinh ph t TTYTDP, y Ban Nhn dn Phng 1 , Qun 8
1.3.7

S tham gia cng ng v phi hp lin ngnh:

Phi hp vi cc ban ngnh, on th c lin quan (hi ngi cao tui, hi cu chin binh, hi
ph n, chi on thanh nin, ban dn s phng, b th khu ph, t trng t dn ph..) ly
danh sch, thm hi, ng vin cc i tng
9

 Trung tm Y t D Phng Qun 8 ph trch, qun l chng trnh phng chng St xut
huyt; tham mu xy dng k hoch v phi hp vi cc n v lin quan trin khai cc hot
ng ca chng trnh.
1.3.8
STT

Kt qu so vi ch tiu:

Ni dung ch tiu

Thng s ch tiu

(theo mc tiu)

T l h c tr trn ton
a bn phng 1 c
vng gia phng trnh
SXH

T l im nguy c c
loi b

T l ngi dn ti cc
khu nh tr v cc khu c
nguy c ti phng c
truyn thng v cch
phng bnh st xut
huyt
1.3.9

Kt qu

nh gi

50%

65%

40%

42%

70%

Cha t

80%

Bn lun:

Tnh hnh nm 2014 c gia tng so vi nm 2013, tuy nhin s gia tng ny din ra vi quy m
ton thnh ph, v m t s nguyn nhn:
Theo chu ky dch bnh, khi cm nhim gia tng (nhng tr cha mc bnh).
Vic kim sot bnh st xut huyt n nh rt kh khn v cha c vaccin phng bnh cha
c thuc iu tr c hiu.
Do tc ng ca bin i kh hu, nhng cn ma tri ma, nhng h ngp nc cc cng
trnh ang thi cng dang d, nhng khu vc c nc t ng do triu cng hoc do s ngn
lp dng chy mt s a bn ven knh rch
Trc y b nh SXH Tr em, hi n nay g p nhiu ngi ln do bin ng dn s (chuyn
v t Bnh Chnh, Bnh in, Long An.) lm tng s ca thng bo.
Khu ph 5 l khu vc nguy c ca phng 1. B nh lun lu hnh trong nm, nm nay b nh
gia tng, dn c a s l dn lao ng, nc yu nn nhiu h dn cn d tr nc li s
dng, c nhiu khu nh tr, dn nh p c ng (38 khu nh tr). Nh ch t hp, nhiu, mi
trng m thp d gy pht sinh dch b nh.
C nhiu gia nh c m t hai v t cha nc nhng li nm ri rc ton khu ph.
Thun li:
-

c s h tr v phi hp ca cc ban ngnh, thun li cho vic thc hin chng trnh
c s hng dn v ch o v chuyn mn ca Trung Tm y t d phng qun 8.
10

Nhn vin SKC, cng tc vin tch cc tham gia trong cc bui truyn thng gio dc sc
khe, cng nh trong vic phun thuc dit mui, cng tc chuyn ha im nguy c

Kh khn:

Vic kim sot bnh st xut huyt n nh rt kh khn v cha c vaccin phng bnh cha c
thuc iu tr c hiu
Do tc ng ca bin i kh hu, nhng cn ma tri ma, nhng h ngp nc cc cng
trnh ang thi cng dang d, nhng khu vc c nc t ng do triu cng hoc do s ngn
lp dng chy mt s a bn ven knh rch
Khu ph 5 l khu vc nguy c ca phng 1. B nh lun lu hnh trong nm, nm nay b nh
gia tng, dn c a s l dn lao ng, nc yu nn nhiu h dn cn d tr nc li s
dng, c nhiu khu nh tr, dn nh p c ng (38 khu nh tr). Nh ch t hp, nhiu, mi
trng m thp d gy pht sinh dch b nh.
C nhiu gia nh c m t hai v t cha nc nhng li nm ri rc ton khu ph
1.3.10 Kt lun
Nhn chung, chng trnh c s hng dn v ch o v chuyn mn ca tuyn trn, h tr
ca cc ban ngnh, on th nn vic t chc thc hin kh thun li.Tuy nhin do ngi dn
cha thy c tm quan trng ca bnh, cha quan tm v cha hiu ng v SXH nn tham
gia cha c tch cc. Do cn tng thm cc bui tp hun cho cng tc vin c thm
nhn lc trin khai di a phng tt hn.
Cng vi nhng kh khn cng nh thun li nu, chng trnh phng chng SXH ti trm
cng t c nhng mc tiu ra
1.4 Nhn xt chung v c im tnh hnh phng v hot ng ca trm y t:
Phng 1 qun 8 l phng tp trung ng lao ng, i sng ngi dn tng i n nh.
Tnh hnh an ninh, trt t x hi c m bo tt. Tnh hnh v sinh trong nhng nm qua c
tin trin nhng vn cn nhiu knh rch nh ven knh cha c ci to gy nguy c
nhim cao
L phng c tng s dn cao nhng khi c dch bnh xy ra cng tc kim sot, ngn chn
c thc hin nhanh chng.
H thng y t trn a bn y nn phc v y nhu cu cho ngi dn.
Hiu bit v phng chng bnh mc trung bnh, kinh t cng pht trin hn v th cng tc
tuyn truyn v sc khe cng c hiu qu hn.
Trong nm 2014, Trm y t thc hin kh tt trong vic Chm sc sc khe ban u cho
ngi dn ti a phng, trong cng tc qun l hot ng y t trn a bn cng nh s dng
11

hiu qu ngun lc dnh cho y t. Trm y t cng hon thnh phn ln cc ch tiu ca cc
chng trnh sc khe ra v bo co thng tin y kp thi ln tuyn trn chnh xc.

12

2. K hoch trin khai:

2.1 Lp k hoch:
2.1.1

Tn n: Vng gia tm vt cha nc c lng qung kt hp gio dc sc

khe cho cc h dn ti t dn ph 57, 61, 64; khu ph 4 phng 1 Qun 8
c kin thc ng v phng nga st xut huyt t ngy 10/11/2015 n
19/11/2015.

Ban ph trch:
Ph ch tch UBND phng 1 : Huynh Anh Kit
BS. Nguyn Th Kim Cc Trng trm y t phng 1
NHS. Trn Th Bo Chu Ph trm y t phng 1
Nhn vin trm y t
SV. Huynh Hng Pht t trng
Tp th nhm sinh vin lp Y2010B thc tp ti phng 1 qun 8
Trng khu ph 4, B th chi b khu ph 4
T trng t dn ph 57, 61, 64
S t chc:

13

2.1.2

t vn :

L do chn ti
Trong qu III nm 2015, phng 1 ng hng th nht v s ca mc SXH. Hin
ti ng hng th 3 trong ton qun.
St xut huyt Dengue l bnh lu hnh quanh nm trn ton a bn qun 8,
c bit ti nhng khu vc c h thng sng ngi knh rch chng cht. S ca mc
thng tng cao trong khong thi gian t thng 6 n thng 11 hng nm. c
bit trong nm 2014 c 42 ca bnh tng 10 ca so vi nm 2013 v trong 11 thng
u nm 2015 c 48 ca trong thng 10 ch c duy nht khu ph 4 bo co c
4 ca bnh.
V sinh mi trng tuy c quan tm nhng cha m bo ( triu cng
nc ngp, nhiu cng trnh xy dng d dang, rc v vt ph thi vt ri rc
xung quanh nh dn ti nhiu khu vc, c bit l khu vc nh tr).
Thi quen cha nc trong rt nhiu h dn vn cn tn ti lm tng tnh
trng lng qung v mui t lm tng t l bnh SXH.
L do chn a im
Phng 1 qun 8 l phng gip ra vi kh nhiu knh rch, trong c bit
l khu ph 4 c 1 nhnh knh len li su vo bn trong, ni bt chnh l khu vc
Cu G, xung quanh l cc t dn ph 57, 61, 64. Vn cn rt nhu h dn sng
ven knh x rc hoc x nc thi sinh hot trc tip xung knh, gy ra tnh trng
nhim trm trng, nc knh t ng li v rc trn knh ng nc sch khi
ma xung chnh l ni sinh si ny n thun li cho mui vn gy bnh SXH.
Trong thng 10 khu vc ny ang c 4 ca SXH xut hin trong thi gian ngn.
Khu vc ny c nhu nh tr c vt cha nc c lng qung (cc im nguy
c)
Vi mong mun gp phn vo vic gii quyt 1 trong nhng vn sc khe
ni bt ti khu ph 4 phng 1, ng thi trau di thm kin thc v k nng lm
vic ti cng ng, nn n trin khai c xy dng.
2.1.3 H thng mc tiu:
- Mc tiu tng qut
Vng gia tm vt cha nc c lng qung kt hp gio dc sc khe cho >= 80% h dn
c kin thc ng v phng nga st xut huyt ti t dn ph 57, 61, 64; khu ph 4
phng 1 Qun 8 t ngy 10/11/2015 n 19/11/2015.
- Mc tiu chuyn bit
1. Tp hun cho >= 80 % cng tc vin ti t 57,61,64, khu ph 4 phng 1 qun 8 c kin
thc ng v phng nga st xut huyt t ngy 10/11/2015 n 11/11/2015.
2. Vng gia tm vt cha nc c lng qung cho >= 80% h dn ti t dn ph 57,61, 64;
khu ph 4 phng 1 Qun 8 t ngy 12/11/2015 n 16/11/2015.
14

3. Vng gia GDSK cho >= 80% h ti t dn ph 57,61, 64; khu ph 4 phng 1 Qun 8 c
c kin thc ng v phng nga st xut huyt t ngy 12/11/2015 n 16/11/2015.
4. Vng gia vt tm vt cha nc c lng qung kt hp GDSK t 100% h dn cn thiu
so vi mc tiu tng qut, c c kin thc ng v phng nga st xut huyt ti t
dn ph 57, 61, 64; khu ph 4 phng 1 Qun 8 t ngy 17/11/2015 n 18/11/2015.
i tng can thip:
Ton b 246 ch h hoc ngi i din cho 246 h dn ti t dn ph 57, 61, 64;
khu ph 4, P.1, Q.8
2.1.4

Phn tch cc mi quan h:

Trong ngnh: C rt nhiu thun li

c TTYTDP Q.8 to iu kin thun li, h tr thm cho nhm SV thc tp
c s gip , h tr nhit tnh ca ton th nhn vin trm y t phng 1 Q.8
to iu kin c s vt cht, hng dn tip cn cng ng, ng gp kin v
cung cp thng tin trong xy dng thc hin n.
S hng dn, gim st, h tr ca cc thy trong lin b mn y hc cng ng

Ngoi ngnh:
UBND phng 1 Q.8, cc t trng t dn ph ca khu ph 4 v cc cng tc vin,
nhn vin SKC nhit tnh gip , to mi iu kin thun li cho nhm SV
c th tin hnh n v t kt qu tt.
2.1.5

Nhng kh khn tr ngi v bin php khc phc:

Kh khn

Bi n php khc phc

Tham kho kin ca cc thy, TYT phng 1, Q.8, cng

tc vin, nhn vin SKC, t trng t dn ph v ni
dung truyn thng, cch trnh by, lng gi bui truyn
Thiu kinh nghim truyn thng GDSK
thng.
Hc tp kinh nghim t nhm SV thc tp trc, cc
nhm ca cc phng khc v k nng truyn thng
Nh t trng, CTV, NVSKC i cng v thc hin vng
Kh khn trong vic i vng gia do
ngi dn vng nh, khng chu tip SV, gia, i li nhiu ln vo nhng thi gian rnh ri ca ngi
khng tm ra nh
dn
Tham kho nhiu ti liu, kin ca thy c, TYT
Kh khn trong vic chun b ni dung
Thi gian thc hin n ko di thm 1 tun
truyn thng GDSK
Phn b thi gian v lch lm vic hp l

15

2.1.6
STT

K hoch hnh ng:

Tn hnh ng

Ngi
thc hin

a
im

Thi
gian

Ngi
gim
st

4/11

- Tho lun nhm, tho lun vi ch

Kim Cc
- Tham kho ti liu
Giy
BS Cc
- Tham kho ti li u l thuyt v ti bt
liu hng dn thc tp thc a ca
Lin BM YHC

Cch thc hin

Vt
t

Hnh ng chun b chung

- Lp k hoch trin khai

C nhm
- D tr kinh ph

TYT

- Trnh duyt k hoch SV.Pht

trin khai thng qua UB v SV.Lu Phng
TYT
SV.Cng

TYT
UBND

- Thu th p danh sch h SV.Tr

dn ti t dn ph 57, 61, SV.Qun
64
SV.S nguyn
SV.Lu Phng

TYT
Tr s
Khu
ph 4

5/11

68/11

16

- Trnh by n thc tp vi ch
Cc
- Ch Cc sa cha n, thng qua
n c sa, lin h PCT P.1
t lch hn trnh UB.
PCT
- SV trnh n thc tp trc PCT
UBND
Giy
P.1
P.1
bt
- PCT P.1 sa n thc tp
BS Cc
- SV trnh n thc tp c
sa trc PCT P.1
- PCT P.1 thng qua n thc tp,
k tn ng mc.
SV.
- Lin h anh Ha v ch Sapiroh
Lu
phng KSDB, xin danh sch trng
Phng khu ph 4, v t trng t dn ph
57, 61, 64

Giy
bt

Kinh ph
d tr

STT

Tn hnh ng

Ngi
thc hin

a
im

Thi
gian

Ngi
gim
st

Cch thc hin

Vt
t

Kinh ph
d tr

- Vi vn bn l n trin khai
trnh trc trng khu ph 4 v t
trng t dn ph 57, 61, 64
- Xin danh sch h dn ti t
57,61,64
- Xc nh li c phi 246 h dn.

SV.Trc

Mc tiu chuyn bit 1

- Lp danh sch gi th
SV. Tr
mi CTV ti t 57, 61, 64
SV. Hng Phng

- Chn a im v chun SV. Pht

b a im
SV. Thnh Nguyn

SV. Cng
SV. S Nguyn
SV. Tun
- Son ni dung tp hun
SV. Tn
v bng cu hi lng gi
SV. Pht
SV. Lu Phng
SV. Trc
- In ti li u tp hun v SV. Ch. Souksavarn
bng cu hi lng gi SV. Tr

TYT
T
57,61,
64 khu
ph 4

9/11

SV.
Pht

-Lin h trm y t, v bc t trng

danh sch CTV ti khu vc ( h v
tn , st, s nh)
- Lm th mi
- Ti tng nh gi th mi CTV

Giy
bt
Th
mi
Phong
b

9/11

SV.
-Lin h mn bn gh ti trm
Lu
-Lau dn bn gh, chun b nc.
Phng

Nc
ung

TYT

9/11

NHS
Chu

- Tham kho ti liu v tho lun

nhm
- Tham kho kin ch Cc
- Son n i dung tp hun v bng
cu hi lng gi

Giy
bt

Ti
nh

9/11

SV. Tr

TYT

17

- In ti li u v bng cu hi
- Photo

50.000

5.000

STT

Tn hnh ng

Ngi
thc hin

a
im

Thi
gian

Ngi
gim
st

Cch thc hin

Vt
t

Kinh ph
d tr

Giy
bt,
Qu

300.000

SV. Thnh Nguyn

-

Tin hnh tp hun

SV. Pht
SV. Lu Phng
SV. Cng
SV. Trc
SV. S Nguyn

TYT

1011/11

BS Cc
-

Mc tiu chuyn bit 2 v 3

18

Ch Cc gii thiu nhm SV vi

CTV khu vc
SV.Trc lng gi trc truyn
thng pht bng cu hi
SV Pht gii thiu tng quan v
tnh hnh dch bnh ti khu ph
4,
SV. Cng gii thiu tp qun
hot ng mui, cch nhn bit
lng qung SXH, cch m
dng c cha nc
SV.Lu Phng ni v cch
phng nga v c im ca
bnh SXH
SV. S Nguyn lng gi sau tp
hun, tr li thc mc
SV Pht tng kt

STT

Tn hnh ng

Ngi
thc hin

a
im

Thi
gian

Ngi
gim
st

Cch thc hin

- Tham kho ti liu v tho lun

nhm
- Tham kho kin ch Cc
- Son n i dung GDSK v bng cu
hi lng gi

SV. Cng
SV. S Nguyn
SV. Tun
- Son ni dung GDSK v
SV. Tn
bng cu hi lng gi
SV. Pht
SV. Lu Phng
SV. Trc

TYT

9/11

NHS
Chu

10

SV. Ch.Souksavarn
- In ti li u GDSK v
SV. Tr
bng cu hi lng gi
SV. Thnh Nguyn

Ti
nh

9/11

SV. Tr

11

- Vng gia GDSK t 57

12

- Vng gia GDSK t 61

SV. Tr
SV. Cng
SV. Tn
SV. V.Phayphomkong
SV. Thnh Nguyn
SV. Pht
SV. Qun
SV. Hng Phng
SV. Ch. Souksavarn
SV. Tun

T 57

T 61

1216/11
1216/11

19

Vt
t

Giy
bt

- In ti li u v bng cu hi
- Photo

BS
Sapiroh
T
trng
t 57
YS Ha
T
trng t 61

T trng t dn ph hoc nhn

vin trm y t gii thiu SV
SV cho hi ngi dn, xin
php truyn thng phng chng
SXH
SV c 10 cu hi lng gi
theo th t, SV ghi li im s
trc GDSK
1 SV GDSK cho ngi dn ( c
a km t ri ), 1 SV lic
nhanh khp nh tm dng c

Kinh ph
d tr

70.000
Giy
bt,
n
pin,
Qu

1.000.000

STT

13

Tn hnh ng

- Vng gia GDSK t 64

Ngi
thc hin

SV. Lu Phng
SV. Hnh Trc
SV. S Nguyn
SV. Kit. Sayyasan

a
im

T 64

Thi
gian

Ngi
gim
st

1216/11

NHS
Chu
T
trng
t 64

Cch thc hin

Mc tiu chuyn bit 4

14

15

- Vng gia GDSK vt

- Tng kt n

SV. Thnh Nguyn

SV. Qun
SV. V. Phayphomkong
SV. Tn
SV. S Nguyn
SV. Tun
SV. Hng Phng
SV. Tr
C nhm

-T
57,61,
64 khu
ph 4

1718/11

BS
Sapiroh
YS Ha

TYT

19/11
20

BS Cc

cha nc (Thng k s im
nguy c), ch cch x l DCCN
SV lng nghe v tr li thc mc
ngi dn
Lng gi kin thc sau vng
gia GDSK bng cch c li 10
cu hi theo th t ngu nhin .
Ghi nhn im s v nhc li
ngi dn nhng cu cn sai
Lp danh
ccnh
h k
giatip
nh
Cm
n vsch
i tip
cha hp
c kin
Tng
kt thc
qu. ng (tr li
sai > 20% s cu trong bng
lng gi sau vng gia GDSK)
v cc h cha c vng gia
GDSK.
Vng gia cc gia nh ln
danh sch t ch tiu.
Lng gi sau bui vng gia vt
Tng hp kt qu.

- Tng kt ton b qu trnh thc

hi n n

Vt
t

Giy
bt,
n
pin,
Qu

Kinh ph
d tr

300.000

STT

Tn hnh ng

Ngi
thc hin

a
im

Thi
gian

Ngi
gim
st

Cch thc hin

- nh gi t hay khng t ch
tiu ra
- Nhng m t thu n li v kh khn
- Rt kinh nghi m

21

Vt
t

Kinh ph
d tr

2.1.7

D tr ngun lc:

Nhn lc: Danh sch nhng ngi tham gia n

ST
T

H TN

CHC V

NHIM V
Gim st cc hot ng ca SV

BS Nguyn Th Kim Cc

Trng trm

Trnh duyt k hoch trin khai vi UBND

Tho lun, gp cho n
H tr SV khc phc kh khn

NHS Trn Th Bo Chu

Ph trm

Lin h CTV

BS Sapiroh
YS Nguyn Quang Ha

Nhn vin

H tr chuyn mn cho SV

Cc bc trng khu ph, t trng t dn ph

v cc CTV

H tr SV trong vng gia.

Huynh Hng Pht

c thc t vin lm ng tin

Nguyn Quang Cng

Trn S Nguyn

Phm Anh Tun

on Hng Phng

10

L Thnh Nguyn

11

Bi Minh Tn

12

Phm Hong Qun

13

Bi nh Tr

14

Mai Lu Phng

15

L Th Hnh Trc

16

Chanthavy Souksavarn

17

Kitsada Sayyasan

18

Vienglakhone Phayphomkong

T trng

Tt c SV u tham gia:
Lp k hoch trin khai
D tr kinh ph
Son ni dung GDSK

T vin

Vng gia GDSK v m s dng c cha nc

Lng gi
Vng gia vt
- Tng kt

Vt lc: Bng d tr vt t, trang thit b:

22

STT
1
2
3
4
5
6
7

NI DUNG

S LNG

Bng k hoch trin khai

Bng d tr kinh ph
Bng lng gi tp hun
Bng lng gi GDSK
Qu tng cho cc ch h, cc t
trng, trng khu ph v cc
cng tc vin
n pin
Xe my

4 b
4 b
10 b
420 b
260 phn
3 ci
9 xe

Ti lc: Bng d tr kinh ph:

STT

KHON CHI

1
2
3
4
5
6

Bng k hoch trin khai

Bng d tr kinh ph
Bng lng gi tp hun
Bng lng gi tp hun
Bng lng gi GDSK
Bng lng gi GDSK
Qu tng cho cc ch h,
cc t trng, trng khu
ph v cc cng tc vin
n pin
Xe my
Tng

7
8
9

2.1.8

S LNG
4 b
4 b
1 b
10 b
1 b
420 b
260 phn
6 ci
9 xe

S TIN (VN)

GHI CH

3.000 x 4 = 12.000
1.000 x 4 = 4.000
1.000
250 x 10 = 2.500
1.000
250 x 420 = 75.000

In mi
In mi
In mi
Photo
In mi
Photo

6.000 x 260 = 1.560.000

T trang b
1.655.500

K hoch lng gi:

23

Mc tiu, hot ng

MTCB 1

Tp hun cho >= 80 % cng tc vin

ti t 57,61,64, khu ph 4 phng 1
qun 8 c k nng truyn thng sc
khe cho ngi dn c kin thc
ng v cch phng chng bnh St
Xut Huyt t ngy 10/11/2015 n
11/11/2015.

Vng gia tm vt cha nc c

lng qung cho >= 80% h dn
MTCB 2 ti t dn ph 57,61, 64; khu ph
4 phng 1 Qun 8 t ngy
12/11/2015 n 16/11/2015.

Ch s lng gi

T l cng tc vin ti t
57,61,64, khu ph 4 phng 1
qun 8 c c kin thc ng v
phng nga st xut huyt.

T l h dn ti t dn ph 57,
61, 64; khu ph 4 phng 1
Qun 8 c vng gia tm vt
cha nc c lng qung sau
vng gia.

24

Phng php thu thp s liu

Thi
gian

Cch tnh

Ngi
thc
hin
- C
nhm

Tng hp s CTV tr li ng >

80% s cu trong bng lng gi sau
tp hun so vi s CTV ca t 57,
61, 64 KP.4 P.1 Q.8

S CTV tr li ng
> 80% s cu trong
11/11 bng lng gi sau
tp hun / Tng s
CTV

Tng hp s h dn c vng gia

tm vt cha nc c lng qung so
vi tng s h dn ti t 57, 61, 64
KP.4 P.1 Q.8 sau vng gia.

- C
S h dn c vng nhm
gia tm vt cha
- BS
16/11 nc c lng qung
Cc
sau vng gia / Tng
- NHS
s h dn
Chu

- BS
Cc
- NHS
Chu

Mc tiu, hot ng
Vng gia GDSK cho >= 80% h
ti t dn ph 57,61, 64; khu ph
4 phng 1 Qun 8 c c kin
MTCB 3 thc ng v phng nga st
xut huyt t ngy 12/11/2015
n 16/11/2015.

MTCB4

MTTQ

Vng gia vt tm vt cha nc

c lng qung kt hp GDSK t
100% h dn cn thiu so vi
mc tiu tng qut, c c kin
thc ng v phng nga st
xut huyt ti t dn ph 57, 61,
64; khu ph 4 phng 1 Qun 8
t ngy 17/11/2015 n
18/11/2015.
Vng gia tm vt cha nc c
lng qung kt hp gio dc sc
khe cho >= 80% h dn c kin
thc ng v phng nga st

Ch s lng gi

Phng php thu thp s liu

T l h dn ti t dn ph 57,
61, 64; khu ph 4 phng 1
Qun 8 c kin thc ng v
phng nga st xut huyt sau
vng gia GDSK.

Tng hp s h dn tr li ng >
80% s cu trong bng lng gi sau
vng gia GDSK so vi tng s h
dn ti t 57, 61, 64 KP.4 P.1
Q.8

T l h dn ti t dn ph 57,
61, 64; khu ph 4 phng 1
Qun 8 c vng gia tm vt
cha nc c lng qung sau
vng gia vt.

Tng hp s h dn c vng gia

tm vt cha nc c lng qung so
vi tng s h dn ti t 57, 61, 64
KP.4 P.1 Q.8 sau vng gia vt.

T l h dn ti t dn ph 57,
61, 64; khu ph 4 phng 1
Qun 8 c kin thc ng v
phng nga st xut huyt sau
vng gia vt.

Tng hp s h dn tr li ng >
80% s cu trong bng lng gi sau
vng gia vt so vi tng s h dn
ti t 57, 61, 64 KP.4 P.1 Q.8

T l h dn ti t dn ph 57,
61, 64; khu ph 4 phng 1
Qun 8 c vng gia tm vt
cha nc c lng qung sau

Tng hp s h dn c vng gia

tm vt cha nc c lng qung so
vi tng s h dn ti t 57, 61, 64
KP.4 P.1 Q.8 sau n.

25

Thi
gian

Cch tnh

S h dn tr li
ng > 80% s cu
16/11 trong bng lng gi
sau vng gia GDSK /
Tng s h dn

Ngi
thc
hin
- C
nhm
- BS
Cc
- NHS
Chu

S h dn c vng
gia tm vt cha
nc c lng qung - C
nhm
sau vng gia vt /
Tng s h dn
- BS
18/11
Cc
S h dn tr li
ng > 80% s cu
- NHS
trong bng lng gi Chu
sau vng gia vt /
Tng s h dn
19/11

S h dn c
vng gia tm vt
cha nc c lng
qung sau n /

- C
nhm
- BS

Mc tiu, hot ng

Ch s lng gi

Phng php thu thp s liu

n.
xut huyt ti t dn ph 57, 61,
64; khu ph 4 phng 1 Qun 8
t ngy 10/11/2015 n
19/11/2015.

Thi
gian

Cch tnh

Ngi
thc
hin

Tng s h dn

T l h dn ti t dn ph 57,
61, 64; khu ph 4 phng 1
Qun 8 c kin thc ng v
phng nga st xut huyt sau
n.

26

Cc
Tng hp s h dn tr li ng >
80% s cu trong bng lng gi sau
n so vi tng s h dn ti t 57,
61, 64 KP.4 P.1 Q.8

S h dn tr li
- NHS
ng > 80% s cu
Chu
trong bng lng gi
sau n / Tng s
h dn

2.1.9

Lch trin khai (S Gantt):

Gio dc sc khe cho cc h dn c kin thc ng v phng chng st xut huyt ti t dn ph 57, 61, 64; khu ph 4 phng 1 Qun 8
t ngy 10/11/2015 n 19/11/2015.
Thng 11/2015
H. ng

10

11

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
27

12

13

14

15

16

17

18

19

Ghi ch:
K hoch thc hin :
Tin thc hin :
Bang chu thich cac hnh ng:
STT

Hnh ng

STT

Lp k hoch trin khai, d tr kinh ph

Son ni dung GDSK v bng cu

hi lng gi

Trnh duyt k hoch trin khai thng

qua UB v TYT

10

In ti li u GDSK v bng cu hi
lng gi

Thu th p danh sch ngi dn

11

Vng gia GDSK, gim st dng c

cha nc t 57

Lp danh sch v gi th mi cho cc

CTV ti t 57, 61, 64

12

Vng gia GDSK, gim st dng c

cha nc t 61

Chn a im v chun b a im

13

Vng gia GDSK, gim st dng c

cha nc t 64

Son ni dung tp hun v bng cu hi

lng gi

14

Vng gia GDSK vt

In ti li u tp hun v bng cu hi
lng gi

15

Tng kt n

Tin hnh tp hun

28

Hnh ng

2.2 THC HIN N

2.2.1 M t thc hin n:
Tn n: Vng gia tm vt cha nc c lng qung kt hp gio dc sc khe cho
cc h dn ti t dn ph 57, 61, 64; khu ph 4 phng 1 Qun 8 c kin thc ng v
phng nga st xut huyt t ngy 10/11/2015 n 19/11/2015.
MTCB 1:
Tp hun cho >= 80 % cng tc vin ti t 57,61,64, khu ph 4 phng 1 qun 8 c k nng
truyn thng sc khe cho ngi dn c kin thc ng v cch phng chng bnh St Xut
Huyt t ngy 10/11/2015 n 11/11/2015.
M t c th bui tp hun cho cc cng tc vin:

T chc tp hun ti trm vo lc 9h ngy 11/11/2015, cc thnh vin c phn cng tp

hun 7h30 c mt ti trm qut dn, sp gh, n li ni dung truyn thng v chun b cc
bng lng gi. n 9h, ch c 6 cng tc vin (CTV) n, ch 20 pht sau vn khng c
CTV no n thm, nn quyt nh tin hnh tp hun lc 9h20. u tin, Bc s Nguyn Th
Kim Cc gii thiu nhm sinh vin ang thc tp ti trm, mi cc CTV hp tc vi cc bn
sinh vin c kin thc ng v phng nga SXH. Sau , SV Pht ng ra gii thiu bn
thn v cc bn sinh vin ang thc tp, gii thiu s lc v ni dung v mc ch ca bui
tp hun, cm n cc CTV n d, mi cc CTV theo di bui tp hun. a s cc CTV
u rt vui v v nim n, c mt CTV m theo con nh, nhm phn cng mt bn gi b
vic tp hun c thun li. Tip , SV Trc v SV S Nguyn pht bng cu hi lng
gi trc tp hun cho cc CTV lm, sau khi cc CTV lm xong th thu li v thng k kt
qu. Ni dung bng cu hi lng gi trc tp hun: (Ph lc 1)
Sau khi thu bng lng gi trc tp hun, SV Cng bt u tp hun, hng dn cch
kim tra cc dng c cha nc c lng qung bng n pin, nu c th nc i v dn
ngi dn phi thng xuyn sc ra t nht 1 ln/ tun v che y k cng. ( khc ny b
nha, ko cn na, v u c cn hng dn kim tra lu nc g na u, ch )
Tip n, SV Lu Phng truyn thng GDSK c im ca bnh SXH v cch phng nga.
Ni dung truyn thng: (Ph lc 2). Trong lc truyn thng, cc CTV u ch lng nghe,
c CTV t cu hi tr b st m da khng ni bng c phi chc chn khng b SXH khng,
c CTV hi sao khng thy trm phun thuc ht my ch c tr b SXH, vi cu hi ny, cu
ny nhm phi nh ch Cc- trng trm tr li, v cc CTV u ng vi cu tr li ca
ch.
Tip theo n phn thc hnh, nhm chia lm 2 t, mi t gm 3 cp. Mi cp gm 1 sinh
vin ng vai ngi dn v 1 CTV. Cc sinh vin s t ra mt s cu hi v tnh hung c
29

th CTV tr li chun b cho vic tip tc duy tr GDSK phng chng St xut huyt.
Cc cp ca t 1 s thc hnh trong 20 pht.
Trong khi cc cp thc hnh, nhm b tr cho 3 bn gim st qu trnh ng x tr li ca
CTV, qua , da vo bng chm im cho tng cp. ( Ph lc 3 ). Trong , mi SV gim
st s chm im cho mt cp ring, bm st theo tng tiu chun. Trong khi thc hnh, cc
sinh vin nu ln nhng cu hi trong ni dung GDSK, nht l nhng cu tng i kh nh,
gip cho CTV c thm mt ln na tip xc v vn dng kin thc c truyn t.
Sau khi c 3 cp thc hnh xong. Cc sinh vin s da vo nhng mc t v khng t
trong bng chm im va lm hng dn cho CTV cn b sung nhng k nng no gip
cho vic GDSK d dng v t hiu qu hn.
Sau khi t 1 thc hnh xong, t 2 s gm 3 cp : mi cp gm 1 sinh vin v 1 CTV
cha thc hnh. Nh vy sau 2 t s c 6 CTV thc hnh. ng thi, nhng cng tc
vin cha thc hnh trong t 1 s c ngi quan st nhng cp thc hin trc, rt kinh
nghim. ng thi, nhng cng tc vin thc hin trong t 1 s quan st nhng cp trong
t 2 thc hnh cng c li nhng k nng thc hnh. Va thc hnh va quan st
nh gi s gip cng tc vin lp li c nhng k nng, trnh qun.
Sau , SV Trc v SV S Nguyn pht bng cu hi lng gi sau tp hun cho cc CTV
lm. Sau khi xong th thu li. Ni dung bng cu hi lng gi sau tp hun: (Ph lc 4) .
Hu ht cc CTV nh p n rt nhanh do va mi c truyn thng.
Cui cng, nhm pht cho mi CTV 2 t bm v phng bnh SXH, SV Pht cm n cc
CTV ch lng nghe v t cu hi.

Chiu 11/11/15: Do cn thiu s lng CTV c tp hun so vi ch tiu, nhm n nh ca

nhng CTV c gi th mi nhng khng n d bui tp hun tp hun ti nh. (Cn
thiu 2 CTV so vi ch tiu ca MTCB1). Mt ch nhn vin ca trm cng i vi cc SV
ng ra tp hun bui sng n nh ca 2 trong s 4 CTV cha n trm vo bui sng. Cc
SV vo nh CTV, cho hi v tin hnh tp hun vi ni dung v hnh thc tng t nh
thc hin ti trm vo bui sng.

MTCB 2 :
Vng gia tm vt cha nc c lng qung cho >= 80% h dn ti t dn ph 57,61, 64; khu
ph 4 phng 1 Qun 8 t ngy 12/11/2015 n 16/11/2015.
MTCB 3 :

Vng gia GDSK cho >= 80% h ti t dn ph 57,61, 64; khu ph 4 phng 1 Qun 8 c
c kin thc ng v phng nga st xut huyt t ngy 12/11/2015 n 16/11/2015.

30

 M t c th mt bui vng gia ti mt h dn c

Cng i vi mi nhm 2 bn sinh vin l 1 nhn vin y t hoc 1 ngi dn ng ca cc t
dn ph (t trng, t ph, c, ch do t trng gii thiu). Tt c cc bn sinh vin u eo
th sinh vin, mc o s mi, qun ty, tc phong lch s. n trc ca nh mt h dn, nhn
vin y t t gii thiu bn thn, sau gii thiu 2 bn sinh vin ang thc tp ti trm, mi
c/ch ch h hp tc vi cc bn lm cc bn cu hi v nghe cc bn truyn thng GDSK
v phng nga SXH. Vi nhng nhm i cng anh/ch nhn vin y t, ngi dn ban u cn
e ngi, chn ch mt lc, c h dn khng m ca, ch giao tip qua hng ro, cn a s cc
nhm i cng c/ch t trng hoc ngi ca t dn ph th c ngi dn tip n nim
n hn, ly gh v nc mi cc bn ngi, c h bn nc gii kht mi cc bn ung
nc sm.
Sau , tng sinh vin gii thiu bn thn, pht cho ch h hoc ngi i din bng cu hi
lng gi trc vng gia v phng nga SXH v mi ch h nh vo bng tr li. khu
ny, c ch h khng bit ch, c ch h khi nh vo bng tr li hi sinh vin nh cho
ng, c ch h va nh vo bng tr li va gii thch cho sinh vin ti sao li chn nh
vy. Mt bn sinh vin thu li bng lng gi trc vng gia v bt u truyn thng GDSK
v phng bnh SXH theo ni dung (ph lc nh km), mt bn truyn thng v bnh SXH,
du hiu nguy him, mt bn truyn thng v cch phng bnh. Trong qu trnh truyn thng
gp rt nhiu tr ngi, c nhiu ch h bn chm con nh nn kh tp trung vo bi truyn
thng, cc bn khc phc bng cch mt bn xin gi b, bn cn li truyn thng, c b
khng chu m th bn ngi gin vi b, t b n ph b khng quy khc, bn cn
li truyn thng t hiu qu hn. C ch h bn bn hng nn khng th ngi yn mt ch,
do khng th bn thay nn hu ht cc bn chn cch ni li s phn ni trc
c/ch khng qun phn truyn thng. C ch h ng trong hng ro, c ch h khng
mun nghe nn khng tp trung, khin cc bn sinh vin khi truyn thng rt ht hn. C ch
h ch mun nghe v hi trc cc bn sinh vin luyn thi trung tm no cho con mnh
i hc, trn tinh thn cc bn u tr li cc cu hi ca cc ch h ly thin cm, nhng
khi b hi qu lu cc bn s xin php ch h truyn thng xong ri mi tr li tip. Mt vi
ch h khng mun nghe ht bi truyn thng do bi truyn thng kh di v ni nh
gi khng c lng qung, dng bn cha nc v c mi sinh vin v, cc bn nhanh
chng gt nhng chnh trong bi truyn thng, pht bng lng gi sau vng gia v mi
ch h tr li.
Sau khi truyn thng xong, mt bn sinh vin mi ch h nh vo bng lng gi sau vng
gia. Do va mi c truyn thng, cc ch h a s tr li rt nhanh v chnh xc. Sau khi
thu li bng lng gi sau truyn thng, mt bn sinh vin hi ch h rng trong nh c
nhng dng c cha nc no v xin php dng n pin soi tm lng qung, nu c lng
qung th ngay nc ang cha v hng dn ch h sc ra ti thiu 1 ln trong tun,
che y k v trnh ng nc lu ngy nu khng s dng. Cui cng mt bn pht 2 t
bm v phng bnh SXH, cm n ch h v xin php ra v.

MTCB 4:
31

Vng gia vt tm vt cha nc c lng qung kt hp GDSK t 100% h dn cn thiu so

vi mc tiu tng qut, c c kin thc ng v phng nga st xut huyt ti t dn ph
57, 61, 64; khu ph 4 phng 1 Qun 8 t ngy 17/11/2015 n 18/11/2015.
M t c th mt bui vng gia vt :

16g30 chiu ngy 17/11/2015, cng i vi mi nhm 2 bn sinh vin l 1 ngi dn ng

ca cc t dn ph (t trng, t ph, c/ch do t trng gii thiu) n nh nhng h dn
cha c vng gia bui sng do i lm, ca kha ngoi. Tuy 16h30 nhng a s cc nh
vn kha ca, nhm quyt nh v trm, hn cc c/ch dn ng 18h30 quay li do s ch
h va i lm v mt nh hng n cht lng bi truyn thng.
18h30 cc bn SV lin lc vi c/ch dn ng quay li cc a ch cha vng gia, mi
nhm nh 2 bn. c cc c/ch gii thiu, cc bn c cc ch h mi vo nh truyn
thng. Vn pht sinh l c rt nhiu ch h khng mun tip do bn vic nh, nu cm,
git gi... mun SV truyn thng nhanh gn, c ch h va nu cm va nghe truyn thng,
c nhng bn SV va truyn thng va lt rau ph, mt s ch h mun SV v nhanh v ni
nh khng c dng c cha nc, ch c bn cha nn khng cn kim tra lng qung, cc
bn SV hiu ch h, pht bng lng gi trc vng gia, mi lm, sau ni rt ngn gn
cc ni dung truyn thng. Sau , cc bn pht bng lng gi sau vng gia, mi ch h
lm, thy r khi truyn thng qu nhanh, hiu qu khng t, khi lm bng lng gi sau
vng gia, nhiu ch h thy rt kh khn v phi hi li. Cui cng, mt bn sinh vin pht 2
t bm ti trung tm cho ch h, cm n ch h v xin php ra v.

2.2.2

Kt qu thc hin n:

Kt qu MTCB 1:
S CTV mi

10

n tham d

60%

Sau bui tp hun, n nh ca 2 trong s 4 CTV cha n tham gia tp hun tp hun ti
nh
Tng cng c

80%

T l CTV tr li ng < 8
cu trong bng cu hi lng
gi

32

T l CTV tr li ng t 8
cu tr ln trong bng cu
hi lng gi

Trc tp hun

50% (4/8)

50% (4/8)

Sau tp hun

0%

100%

Nhn xt: t 80% cng tc vin ti t 57,61,64, khu ph 4 phng 1 qun 8 c kin thc
ng v phng nga st xut huyt (c 8 CTV c tp hun u tr li ng t 8 cu tr ln
trong bng cu hi lng gi sau tp hun trn 10 CTV c mi) => t mc tiu ra.

Kt qu MTCB 2 v 3:

S h dn tr li ng < 8 cu
trong bng cu hi lng gi

S h dn tr li ng t 8 cu tr
ln trong bng cu hi lng gi

Tng

Trc
vng gia

57

92

149

Sau
vng gia

145

149

33

Nhn xt:
- i vi MTCB 2 : t 60.6% h dn (149/246) ti t dn ph 57,61, 64; khu ph 4 phng
1 Qun 8 c vng gia tm vt cha nc c lng qung. Cn thiu 19.4% so vi ch tiu
ca mc tiu tng qut.
- i vi MTCB 3 : t 58.9% h dn (145/246) ti t dn ph 57,61, 64; khu ph 4 phng
1 Qun 8 c c kin thc ng v phng nga st xut huyt (145 h dn tr li ng t 8
cu tr ln trong bng cu hi lng gi sau vng gia). Cn thiu 21.1% so vi ch tiu ca
mc tiu tng qut.
=> Cn vng gia thm t nht 21.1% tng s h dn ca c 3 t dn ph 57,61, 64 t
c ch tiu ca mc tiu tng qut (t nht 52 h phi c vng gia vt).

Kt qu MTCB 4:
Tng s h vng gia vt

60

S h c vo tm vt cha nc c lng qung

60

S h c vt cha c lng qung (c lp danh sch Ph lc 4)

Nhn xt:

34

S h dn tr li ng < 8 cu
trong bng cu hi lng gi

S h dn tr li ng t 8 cu tr
ln trong bng cu hi lng gi

Tng

Trc
vng gia

17

43

60

Sau
vng gia

59

60

t thm 24.4% h dn (60/246) ti t dn ph 57,61, 64; khu ph 4 phng 1 Qun

8 c vng gia tm vt dng cha nc c lng qung.

t thm 24% h dn (59/246) ti t dn ph 57,61, 64; khu ph 4 phng 1 Qun 8

c c kin thc ng v phng nga st xut huyt. (59 h dn tr li ng t 8
cu tr ln trong bng cu hi lng gi sau vng gia vt).

Tng kt Kt qu MTTQ:

t 80% cng tc vin ti t 57,61,64, khu ph 4 phng 1 qun 8 c c kin thc

ng v phng nga st xut huyt.

t 85% h dn (209/246) ti t dn ph 57,61, 64; khu ph 4 phng 1 Qun 8 c

vng gia tm vt dng cha nc c lng qung.

t 83% h dn (204/246) ti t dn ph 57,61, 64; khu ph 4 phng 1 Qun 8 c

c kin thc ng v phng nga st xut huyt.

2.3 Lng gi:

35

Mc tiu, hot ng

MTCB 1

Tp hun cho >= 80 % cng

tc vin ti t 57,61,64, khu
ph 4 phng 1 qun 8 c k
nng truyn thng sc khe
cho ngi dn c kin thc
ng v cch phng chng
bnh St Xut Huyt t ngy
10/11/2015 n 11/11/2015.

Vng gia tm vt cha nc

c lng qung cho >= 80%
h dn ti t dn ph 57,61,
MTCB 2 64; khu ph 4 phng 1
Qun 8 t ngy 12/11/2015
n 16/11/2015.

Ch s lng gi

Phng php thu thp s

liu

T l cng tc vin ti t
57,61,64, khu ph 4 phng
1 qun 8 c c kin thc
ng v phng nga st
xut huyt.

Tng hp s CTV tr li ng
> 80% s cu trong bng
lng gi sau tp hun so vi
s CTV ca t 57, 61, 64 KP.4
P.1 Q.8

T l h dn ti t dn ph
57, 61, 64; khu ph 4
phng 1 Qun 8 c vng
gia tm vt cha nc c
lng qung sau vng gia.

Tng hp s h dn c
vng gia tm vt cha nc c
lng qung so vi tng s h
dn ti t 57, 61, 64 KP.4
P.1 Q.8 sau vng gia.

36

Ngi
thc
hin

Thi
gian

Cch tnh

- C
nhm

11/11

S CTV tr li
ng > 80% s
cu trong bng
lng gi sau
tp hun / Tng
s CTV
S h dn c
vng gia tm vt
cha nc c
lng qung sau
vng gia / Tng
s h dn

- C
nhm

16/11

- BS
Cc
- NHS
Chu

- BS
Cc
- NHS
Chu

Kt qu

Mc tiu, hot ng
Vng gia GDSK cho >=
80% h ti t dn ph
57,61, 64; khu ph 4
MTCB 3 phng 1 Qun 8 c c
kin thc ng v phng
nga st xut huyt t ngy
12/11/2015 n 16/11/2015.

MTCB4

Vng gia vt tm vt cha

nc c lng qung kt hp
GDSK t 100% h dn
cn thiu so vi mc tiu
tng qut, c c kin
thc ng v phng nga
st xut huyt ti t dn
ph 57, 61, 64; khu ph 4
phng 1 Qun 8 t ngy
17/11/2015 n 18/11/2015.

Phng php thu thp s

liu

Ch s lng gi

T l h dn ti t dn ph
57, 61, 64; khu ph 4
phng 1 Qun 8 c kin
thc ng v phng nga
st xut huyt sau vng gia
GDSK.

Tng hp s h dn tr li
ng > 80% s cu trong
bng lng gi sau vng gia
GDSK so vi tng s h dn
ti t 57, 61, 64 KP.4 P.1
Q.8

T l h dn ti t dn ph
57, 61, 64; khu ph 4
phng 1 Qun 8 c vng
gia tm vt cha nc c
lng qung sau vng gia vt.

Tng hp s h dn c
vng gia tm vt cha nc c
lng qung so vi tng s h
dn ti t 57, 61, 64 KP.4
P.1 Q.8 sau vng gia vt.

T l h dn ti t dn ph
57, 61, 64; khu ph 4
phng 1 Qun 8 c kin
thc ng v phng nga
st xut huyt sau vng gia
vt.

Thi
gian

Cch tnh

16/11

S h dn tr li
ng > 80% s
cu trong bng
lng gi sau
vng gia
GDSK / Tng
s h dn

18/11
Tng hp s h dn tr li
ng > 80% s cu trong
bng lng gi sau vng gia
vt so vi tng s h dn ti
t 57, 61, 64 KP.4 P.1 Q.8

37

Ngi
thc
hin
- C
nhm
- BS
Cc
- NHS
Chu

S h dn c
vng gia tm vt
cha nc c
lng qung sau - C
nhm
vng gia vt /
Tng s h dn - BS
S h dn tr li Cc
ng > 80% s
cu trong bng
lng gi sau
vng gia vt /
Tng s h dn

- NHS
Chu

Kt qu

Mc tiu, hot ng

MTTQ

Phng php thu thp s

liu

Ch s lng gi

T l h dn ti t dn ph
Vng gia tm vt cha nc 57, 61, 64; khu ph 4
c lng qung kt hp gio phng 1 Qun 8 c vng
gia tm vt cha nc c
dc sc khe cho >= 80%
h dn c kin thc ng v lng qung sau n.
phng nga st xut huyt
ti t dn ph 57, 61, 64;
T l h dn ti t dn ph
khu ph 4 phng 1 Qun 8 57, 61, 64; khu ph 4
t ngy 10/11/2015 n
phng 1 Qun 8 c kin
19/11/2015.
thc ng v phng nga
st xut huyt sau n.

Thi
gian

Tng hp s h dn c
vng gia tm vt cha nc c
lng qung so vi tng s h
dn ti t 57, 61, 64 KP.4
P.1 Q.8 sau n.
19/11
Tng hp s h dn tr li
ng > 80% s cu trong
bng lng gi sau n so
vi tng s h dn ti t 57,
61, 64 KP.4 P.1 Q.8

38

Cch tnh

Ngi
thc
hin

S h dn c
vng gia tm vt
cha nc c
lng qung sau - C
n / Tng s nhm
h dn
- BS
Cc
S h dn tr
li ng > 80% - NHS
s cu trong
Chu
bng lng gi
sau n /
Tng s h dn

Kt qu

Lng gia tin :

Gio dc sc khe cho cc h dn c kin thc ng v phng chng st xut huyt ti t dn ph 57, 61, 64; khu ph 4 phng 1 Qun 8
t ngy 10/11/2015 n 19/11/2015.
Thng 11/2015
H. ng

10

11

12

13

14

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Ghi ch:

39

K hoch thc hin :

Tin thc hin :

15

16

17

18

19

Bang chu thich cac hnh ng:

STT

Hnh ng

STT

Lp k hoch trin khai, d tr kinh ph

Son ni dung GDSK v bng cu

hi lng gi

Trnh duyt k hoch trin khai thng

qua UB v TYT

10

In ti li u GDSK v bng cu hi
lng gi

Thu th p danh sch ngi dn

11

Vng gia GDSK, gim st dng c

cha nc t 57

Lp danh sch v gi th mi cho cc

CTV ti t 57, 61, 64

12

Vng gia GDSK, gim st dng c

cha nc t 61

Chn a im v chun b a im

13

Vng gia GDSK, gim st dng c

cha nc t 64

Son ni dung tp hun v bng cu hi

lng gi

14

Vng gia GDSK vt

In ti li u tp hun v bng cu hi
lng gi

15

Tng kt n

Tin hnh tp hun

40

Hnh ng

2.4 Bn lun:
- Nhm gp nhiu thun li nh nhn c s gip nhit tnh ca cc nhn vin ca
Trm d bn rn cng vic vn sp xp dnh thi gian dn ng cho nhm i vng gia
nhiu ln. BS Cc- Trng TYT h tr nhm trong qu trnh lp n trin khai cng nh
thy c hng dn kp thi gip nhm thay i, sa cha n cho ph hp tnh hnh
thc t.
- Tuy nhin, sau khi chm dt n, chng ti nhn ra mt s vn cn c bn lun
nhm rt kinh nghim v xut bin php khc phc.
- Trong qu trnh vng gia GDSK nhm gp kh khn trong vic tip xc vi 1 s khu vc,
c th nh KP 61 a s dn c l dn lao ng, tiu thng nh, trnh hc vn thp,
nhiu nh tr ban ngy kha ca, khng c ngi nh, ng v nh tr hp, m t,
tm ti.
- Ni dung truyn thng ca nhm tng i phc tp cho mt s i tng, cng nh kh di,
khng thu ht c s ch ca i tng trong sut bui vng gia.
2.5 Kt lun:
- Trong qu trnh trin khai n u xut hin nhng kh khn hay thiu st ca nhm SV
thc hin n, cng nh kh khn trc tip t i tng can thip mang li. Nhng di
s h tr nhit tnh v mt kin thc, truyn t k nng v kinh nghim ca cc thy v
cc Y, Bc s ti Trm Y t phng 1 qun 8, n trin khai Gio dc sc khe cho cc
h dn c kin thc ng v phng chng st xut huyt ti t dn ph 57, 61, 64; khu
ph 4 phng 1 qun 8 t ngy 10/11/2015 n 19/11/2015 t mc tiu ra.
- Nu mun ci thin n tt hn na th iu quan trng nht cn b sung l mt hot ng
kho st gip tm hiu r hn v i tng can thip, cng nh v kh nng m nhng i
tng can thip ca n c th ng dng nhng kin thc c truyn t, th cn phi c
mt n ko di hn, nhng hnh thc lng gi ring bit, can thip su st hn, thi gian
ko di m khng th trin khai n ny.
3. Bi thu hoch:
Nhng iu tm c:

Bit c cch tip cn v to thin ch khi tip xc vi ngi l.

Thy c s gn gi ca nhn vin y t vi ngi dn, bit c mnh lun cn hiu r bnh
nhn ca mnh nu mun iu tr tt.
Hc c cch i x cng bng vi tt c i tng mnh cn can thip, khng v v b ngoi
m c thi tch cc hay tiu cc.
Mt s bn t tin, ni chuyn tri chy hn c khi ng trc c nhn hay tp th.

41

Hc c cch xy dng nhm, lm vic trn tru, hiu qu v vui v thng qua vic chia u
cng vic theo im mnh ca tng c nhn.
Hc c vic lp k hoch l ht sc quan trng trong lm tt c mi vic.
Hc c cch tuyn thng c nhn, so vi truyn thng nhm thc hin nm th nm.
D ch trong thi gian ngn, nhng cm thy trm y t nh ngi nh th hai, thy c s gn b
ca mnh vi n v mnh s hnh ngh sau ny.

Nhng im cn cha r:

Cha thc s nm r li sng cng nh thi quen giao tip ca dn c a phng

nn trong qu trnh truyn ti thng i p cn cha t c hi u qu mong mun.

Trong qu trnh thc hi n, g p nhiu vng mc trong vi c tm kim phng

php trnh by kt qu v qu trnh thc hi n chng trnh , c bi t l phn bn
lu n, sao cho sng t, rnh mch, ng thi phi m bo s thng nht gia bi
ging l thuyt v thc t trin khai.

Cha th t s nm r cch thc hot ng ca b my hnh chnh ti a phng

cng nh cch thc lin h , hp tc vi cc ban ngnh, on th khc (H i Ph n,
H i Ch Th p ) t n dng tri t ngun nhn lc, v t lc ti ch.

Nhn xt v hiu qua ca t thc tp:

- Nhm hon thnh n can thip: Gio dc sc khe cho cc h dn ti t dn ph
57,61,64 khu ph 4 phng 1 qun 8 c kin thc ng v phng chng SXH t ngy
10/11/2015 n ngy 19/11/2015, gp phn cng vi TYT phng 1 nng cao kin thc
ca ngi dn v cch phng chng bnh SXH, to iu kin trin khai cc chng trnh
sc khe khc c thc hin trong tng lai.
- Vi vic tham gia trin khai n di s hng dn ca cc nhn vin ti TYT, hiu
thm v cch t chc v nhn thc r vai tr ca TYT trong vic pht hin, phng chng
nhng tc hi ca bnh tt, cng nh chm sc sc khe ban u cho ngi dn.
- Nhm c gng s dng trit , hiu qu ngun lc, vt lc vn c hon thnh n
ra. Bn cnh , nm c k nng iu hnh cng vic ca mt nhm, cch thc phi
hp vi nhau, rn luyn c nhng k nng cn thit trong nghin cu khoa hc, trong
giao tip, truyn thng GDSK
- Vic ngi dn n nhn chng trnh ht sc tch cc khin cm thy vui v hnh phc
v cng vic ca mnh em li li ch cho cng ng cng nh gp phn t im thm hnh
nh ca ngnh y t i vi ngi dn.

42

 Kh khn v thun li :

Thun li:
-

Cc t trng t dn ph nhit tnh ch dn, dn i tng h gia nh.

Nhiu ngi dn tip n nim n, hp tc.
Nhn vin trm y t tn tnh gip , hng dn lm quen cc t trng t dn ph v h gia
nh, to c s vt cht thun li lm vic.

Kh khn v bin php khc phc:

-

Thi gian tm hiu phng khng lu, nn cng tc vin tp hun phi chn cc t trng t dn
ph v mt s ngi tch cc trong khu ph do ngi dn, trm y t cng nh cc t trng gii
thiu.
Bui tp hun c mt s ngi khng n nn phi i n nh mi thm; c ngi mang chu
nh n nhiu lc lm mt tp trung.
Trong thi im vng gia, nhiu nh i vng, mt s ngi khng tip, phi mt nhiu ngy, nh
t trng li v i thm bui ti mi thc hin xong.
Mt s nh ch c em nh hay ngi gi ra tip, ngi lng tai, ngi khng bit ch kh tip
xc, nn va c r tng cu hi, va cho h xem bng cu hi giy, mt s phi chn bui khc
vng gia.
Vi gia nh tr li cu hi qua loa cho c, nn kh nh gi c kin thc trc khi vng gia
ca h th no.
Vic kim tra cc c kh nng cha lng qung cng kh khn v nhiu nh khng mun cho
vo, phi xin nhiu ln v nh t trng, thy c trm y t ni gip.
Nhn lc t, thi gian khng nhiu, phi i thm bui ti.
ng hm chng cht, nhiu khu nh nh, cht chi, c nhng khu cha rc, nc ng nn
nhm cng tham gia dn dp.
Vic gi xe i li cng bt tin, v trm y t bn kia ng, cch xa khu vng gia.

43

Ph lc 1: Bng cu hi lng gi trc tp hun / trc vng gia

Cu hi

ng

St xut huyt l bnh cha c vc-xin phng nga, khng c thuc iu tr c hiu

St xut huyt l bnh ch xy ra vo ma ma ....

St xut huyt l bnh c th xy ra mi la tui

Con g truyn bnh st xut huyt

Du hiu nghi ng bnh st xut huyt l st cao lin tc 2 n 3 ngy, dng thuc h
st khng gim

Bin php ch yu phng St xut huyt l dit lng qung

Bin php ch yu phng St xut huyt l dit mui, phng chng mui t

Mui chch c ngy ln m

Mui gy bnh nc sch, trong

10 Mt ngi b st xut huyt c th b li st xut huyt ln na

44

Sai

Ph lc 2: Ni dung truyn thng

Bnh st xut huyt l g?
St xut huyt l bnh truyn nhim cp tnh do siu vi Dengue gy ra. Bnh ly do mui vn
ht mu truyn siu vi t ngi bnh sang ngi lnh.
Mui vn sng trong nh, chch ht mu c ngy ln m
V sao st xut huyt nguy him ?
St xut huyt xy ra quanh nm , c bit vo ma ma c th thnh dch.
Bnh c th tr nng bt ng, dn n t vong.
Bnh cha c thuc iu tr c hiu v thuc phng nga.
V sao ngi ta b mc st xut huyt?
Do mui vn t ngi bnh st xut huyt sau truyn bnh cho ngi lnh.
Mui vn truyn bnh st xut huyt c mu en trn thn v chn c nhng m trng nn c
gi l mui vn lin quan cht ch vi hot ng ca con ngi.
Mui vn tr u trong nh , trn qun o, chn, mn , dy phi v dng trong nh. Mui vn
ht mu ban ngy mnh nht l sng sm v chiu ti.
Mui vn trng trong cc dng c cha nc do chnh con ngi lm ra trong v xung
quanh nh nh b(bi), chum vi (lu khp), ging, phuy, cc vt ph thi(by kin) , lp xe, v
da...
Lm sao bit b st xut huyt ?
Khi thy nhng triu chng kh nghi sau:

St cao t ngt , lin tc trong 2-3 ngy t 39-40 , khng gim vi thuc h st.

Du hiu xut huyt : ni nhng chm ngoi da, chy mu cam, chy mu rng, au bng nn
i.
Du hiu nguy him cn phi a n ngay c s y t gn nht:

Ngi bnh bt rt, vt v, li b

Bn tay, bn chn lnh, v m hi, tim ti
Chy mu mi, chn rng, chy mu ng tiu ha bt thng
Nn i nhiu, au bng nhiu
45

Lm g phng bnh st xut huyt ?

- Loi b ni mui trng l dit lng qung trong v ngoi nh.

y kn cc vt cha nc trong v ngoi nh nh lu khp, phuy, h cha nc... ngn khng

cho mui vo trng.
i vi cc vt cha nc ngoi nh nhng khng s dng thng xuyn cn phi lt p,
khng ng nc. Lp ct cc chu cy, h nc ng.
Hnh tun phi thay nc , c ra vch cc lu khp dit lng qung v loi b trng mui
thng bm vo thnh bn trong.
Th c by mu vo cc dng c cha nc n lng qung
Thng xuyn thay cc bnh bng.
Khai thng mng xi nc mi nh.
Cho mui hoc du cn vo cc chn nc chng kin chn t ng thc n.
Thng xuyn dn dp cc vt c th ng nc quanh nh: ly chn, chai l b, lon hp, go
da...thu xp cc v xe c gn gng , c y trnh ng nc ngn khng cho mui c c
hi trng.
- Phng chng mui t nh

Ng mng k c ban ngy.

Mc qun di, o tay di.
Dng kem xua mui.
S dng vt dit mui, bnh xt mui, nhan mui
M cc ca khi cc nhn vn y t phun ha cht dit mui bn trong nh
Khng cho tr chi a ni tranh ti tranh sng, gm ging, gc kt trnh mui t.
Trong nh dn dp ngn np, sch thong khng treo o lm ch cho mui tr u.

46

Phn ni dung kin thc v St xut huyt

C
lm

Khng
lm

C
lm

Khng
lm

Cho hi v t gii thiu, nu l do truyn thng

Nu kin thc tng qut v bnh St Xut Huyt
Nu c im nhn dng ca mui vn
Nu cc du hiu nghi ng mc St Xut Huyt
Nu cc du hiu nguy him ca St Xut Huyt
Cc bin php phng nga St xut huyt
Lng gi
Cho tm bit sau khi truyn thng GDSK
Phn k nng truyn thng GDSK
u tin cho hi, t gii thiu, nu l do truyn thng
T th : ngi i din vi i tng cn truyn thng, t th thng, thoi mi, khi
ni cn hi nghing v pha ngi c truyn thng to cm gic d gn
Khi truyn thng phi bit ch lng nghe kin thc mc ca i tng c
truyn thng
Duy tr tip xc bng mt to s tin tng.
Thi thn thin, d gn, gt u, ci ng lc th hin mnh ang ch lng
nghe kin ca i tng, ng thi thu ht s ch .
Khi t cu hi, cn s dng cu hi lin quan, r rng, ngn gn, cc cu hi nn
dng cu hi m, trnh s dng cc cu hi
Ch s dng nhng t ng n gin, d hiu, ph hp a phng, trnh s dng
cc t chuyn mn, nu c s dng cn phi gii thch ngha ca t ngay.
Cu gii thch phi chm ri, d hiu, c v d minh ha cng tt
Sau khi gii thch, cn nh gi s tip thu ca i tng.
Lun khen ngi, khng ph phn
47

Trnh s dng cc t nh : sai, trt, dy

Ph lc 3 : Bng kim lng gi k nng CTV MTCB 1

Ph lc 4: Bng cu hi lng gi sau tp hun / sau vng gia

Cu hi

ng

1/ Du hiu nghi ng SXH: st cao lin tc 2-3 ngy, khng gim vi thuc h st.
2/ Du hiu nghi ng SXH: st nh tng cn vo ti im nht nh trong ngy, nht
l bui chiu.
3/ Mc bnh SXH lun ni chm li ti trn da.
4/ Mui vn chch ht mu ch hot ng vo ban m.
5/ Bnh SXH nguy him v din tin nng bt ng.
6/ Bnh nhn SXH khi nn i nhiu l phi n bnh vin.
7/ Bnh nhn SXH nu thy chy mu chn rng l chuyn bnh thng, khng cn
n bnh vin.
8/ Bnh nhn SXH ht st, tay chn lnh, v m hi l rt nguy him.
9/ Phi thay vt cha nc mi ngy d kim tra khng c ln qun.
10/ Khi nhn vin y t ti nh phun thuc th phi ng kn ca thuc gi trong
nh lu hn.

48

Sai

Ph lc 5: Danh sch cc h c vt cha nc c lng qung

49