Tgp chl Tai MQi Hpng Vigt Nam - Volume (57-12). N°6 - Dec, 2012
TH^rC T R ^ G C 6 N G TAC Y TE TRlTOfNG HQC TRONG CHAM S6C VA QUAN LY BENH TAI MUI HQNG TAI CAC TRl/dNG
TIEU HQC THANH PHO THAI NGUYEN
Trhn Vift Ddng*, Trdn Duy Ninh*
T6M TAT
Cong tdc chdm s&c site khoe cho lita tudi hgc sinh co y nghia rdt quan trgng ddi v&i mdi Quoc gia. Vi vdy, trong nhiing ndm qua Thu tu&ng Chinh phu, cdc Bg, Ban ngdnh liin quan dd ra cdc quyit dinh, chi thi va cdc vdn bdn hu&ng ddn thuc hien cong tdc Y ti tru&ng hgc. Tuy nhiin, cho din nay nhiing di tdi nghien cuu nhdm ddnh gid thuc trgng hogt dgng cua cong tdc ndy con rdt hgn chi. Muc tieu: De tdi nghien cuu tren 35 tru&ng tiiu hgc tgi thdnh pho Thdi Nguyen (trong do co 34 tru&ng cong ldp vd 01 tru&ng ddn lap) nhdm xdc dinh thuc trgng cong tdc y ti tru&ng hgc trong chdm sac vd qudn ly binh tai mHi hgng tgi ddy. Doi tugng vd phucmg phdp nghien curu: Bdng phucmg phdp phong vdn true tiip ket hgp v&i quan sdt thuc ti vd dua ra cdc tinh huong gid dinh doi v&i cdc cdn bg y te tru&ng hgc. Ket qua: 100% cdc tru&ng diu da nhgn dugc si^ quan tdm, chi dao cita cdc ngdnh huu quan; 100% cdc tru&ng cong lap da co cdn bg y ti tru&ng hgc ciing v&i ca s&
vdt chdt ban ddu. Tuy nhiin do mgt sd yeu td khdch quan vd chd quan nin thuc chdt hiiu qud cua cong tdc nay con rdt hgn che. Ket lugn: Di tdi cdn tiet tuc nghien cuu de dua ra nhiing gidi phdp can thiep phit hgp.
Tir khda: binh tai mdi hgng
ABSTRACT
Health care for child-en at school age is always important for all countries. Therefore, during the recent years the government and related organisations and associations have issued many documents related to school medicine. Objective: studies on the performance of health care system in schools. Material and method: We conducted a study on 35 primary schools in Thai Nguyen city (of which there were 34 public and 01 private schools) in order to investigate the status of health care system in general and ear nose throat care in schools.
Methods used were direct interviews, observation, and role play in proposed situations.
Results: We found that 100% ofthe schools have been of concerns and interests of related ministries and organisations; 100% of public schools had in-school health care staff and primary facility. However, the effectiveness of health care at schools was limited due to some reasons. Conclustion: We shall continue to study in this direction to recommend suitable solution to this aspect.
Key words: otorhinolaryngeals deseases
• Dai hpc Y Thdi Nguyen NhSn 15/10. Duyet in 25/10/2012
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Tgp chl Tai MOi Hpng Vigt Nam -Volume (57-12). N°6- Dec, 2012
\. D^T VAN Bt
Lua tuli hpc sinh chilm mpl ty Ip khd cao trong CO ciu ddn sl (tir hdn 1/4 tdi gin 1/3).
Lua tuli ndy chfnh Id tucmg lai cua m^t dan tpc, mpt quoc gia sau ndy, vi thi cdng tdc chdm sdc sdc khde cho lua tuoi ndy cd y nghTa rit thiet thyc vd gi& vai trd rit quan trpng ciia moi dit nude.
Hpc sinh Id Ida tuli dang trong giai dogn phdi triln vd Idn nhanh ve mpi mdt, vi thi muln cd mpl thi hp tucmg lai vira khde mgnh lgi vua thdng minh thi chung ta can phdi chu y den cdng tdc chdm sdc sue khde cho cdc em ngay tu tudi hpc dudng. D^c bipt Ida tudi hpc sinh tieu hpc cd ty Ip mdc cde bpnh ve tai miii hpng (TMH) rit cao, cd the gay dnh hudng din the chit vd kit qud hpc tap ciia cdc em.
Theo bdo cdo cua sd Gido dye thanh phd Thdi Nguyen (TPTN) hipn nay mgng ludi y tl frudng hpc (YTTH) dd duprc kipn todn cung vdi ca sd vat chat ban ddu. Tuy nhien thuc chdt ndng lyc can bp YTTH, ca sd vat chit vd kit qud hogt dpng ciia YTTH ndi chung vd ve TMH ndi rieng van chua dupe ddnh gid cy the.
De tai duprc tiln hdnh vdi cdc myc tieu:
1. Ddnh gid thuc trgng cong tdc y te tru&ng hgc trong chdm sdc vd qudn ly bgnh tai mUi hgng tgi cdc tru&ng tieu hgc thdnh phS Thdi Nguyen ndm 2012.
2. De xuat mgt so gidi phap can thigp.
2. Dli tupng vd phuong phdp nghiSn cijii 2.1. Thiit ki nghiin cuu
Phuang phdp md td 2.2. DSI tugng nghiin curu
Cdc vdn bdn phdp quy cua nhd nude licn quan din cdng tdc YTTH.
Cdc cdn bd qudn ly, cdn bp YTTH cua cdc trudng tilu hpc TPTN.
Ca sd vgt chit, trang thilt bj, thuoc...
phyc vy cho cdng tdc YTTH.
Ho so luu trd vl YTTH cua cdc trudng tieu hpc TPTN.
2.3. Dja diim vd th&i gian nghiin cuu Dja diem nghien cuu: tgi cdc dudng tilu hpc TPTN.
Thdi gian nghien cuu: 04/2012 10/2012
2.4. C8 mdu vd ky thugt chgn mdu nghien cuu
Chpn mau cd chu dich: chpn todn bd cdn bp qudn Iy (hipu trudng hodc hipu phd) vd cdn bp Idm cdng tdc YTTH ciia cdc midng tilu hpc TPTN.
2.5. Ngi dung nghiin ciru
- Ddnh gid thyc trgng cdng tac YTTH trong chdm sdc vd qudn Iy b^nh TMH tgi cdc trudng tilu hpc TPTN.
- Bh xuat mpt sd gidi phdp can thipp.
2.6. Cac chis6 nghien ciru
Ting qudt vl he thing YTTH tai TPTN.
Cdng tdc chi dao eiia nganh y te, gido
74
Tgp chl Tai MOi Hpng Vi^t Nam - Volume (57-12). N°6 - Dec, 2012 dye dia phuong vl YTTH.
Kit qud triln khai cdng tdc YTTH tgi cdc trudng tilu hpe.
Thyc h-gng vl nguIn lyc YTTH: nhdn lyc (sd lugng, tudi, gidi, trinh dp chuyen mdn... ), ca sd vgt chit (dyng cy, trang thiet hi, thude...).
Thyc trgng hogt dpng cua cdn bp YTTH trong chdm sdc vd qudn ly cdc bpnh TMH.
De xudt cua cdc trudng ve cdng tdc YTTH.
2.7. Phuffng phdp thu thgp vd ddnh gid thong tin
Phdng van vd phdng vdn sau cdn bp qudn Iy ve cdng tdc chi dao ciia ngdnh gido due vd ngdnh y te ddi vdi cdng tdc YTTH, kit hap xem xet cdc van bdn, hudng ddn thyc hipn, hd sa luu tru vd cac tdi lipu lien quan. Danh gia cua eac cdn bp qudn ly ve cdng tac chi dao ndy.
Phdng vdn vd phdng van sau ket hop quan sdt viec thyc hien cdng tdc YTTH.
Quan sdt vl ca sd vat chit YTTH cua timg trudng bao gim phdng y tl, dyng cy, trang thilt bi, tu thude.. .Dli chilu vd ddnh gid dua tren cdc thdng tu, quylt dinh, quy djnh vl vp smh trudng hpc vd YTTH ciia bp gido due vd bp y te ban hdnh.
Phdng vin vd dua ra cdc tinh hulng gid dinh vl xu ly mdt sd tinh hulng thudng gdp trong TMH d hpc sinh cho cdc cdn bO YTTH. Dua tren cde kit qua thu duprc de ddnh gid nang luc thuc hdnh chuyen mdn ciia cdn bp va phdn ra 2 mdc nhu sau: Dat
nlu trd Idi dung tren 50% tinh hulng, khdng dgt nlu trd Idi diing dudi 50% linh hulng.
Cdc ket qud phdng vin vd quan sdt duprc ghi vdo mau philu da thilt kl sdn.
2.8. Phuomg phdp phdn tich vd xu ly so lifu
Theo phuong phdp thing ke y hpc.
3. Ket qud nghien
Nghien eihi tren 35 trudng tieu hpc (trong dd cd 34 trudng cdng lap vd 1 trudng dan lap) de tai da thu ducrc mdt sd kit qud nhu sau:
3.1. H$ thSng y te tru&ng hgc tgi thdnh pho Thdi Nguyin
Ddi vdi cac tnrdng tieu hpc cdng lap:
34/34 tnrdng (100%), da cd can bd Idm cdng tdc YTTH va da cd nhung co sd vgt chat ban diu de phye vu cho cdng tdc YTTH.
Tai TPTN duy nhit chi cd 1 dirdng tilu hpc dan lap vd ddy cung Id trudng duy nhdt chua cd can bp lam cdng tac YTTH, ciing nhu chua cd ca sd vdt chat de phyc vu cho cdng tac nay.
Nghien cuu tren 34 hudng tieu hpc cdng lap, dl lai thu dupe nhihig kit qud dudi day:
3.1 Cdng tdc chi ^ cua ngdnh gido dye vdy
^ ^ phuang d6i v&i cong ^y ti truong hgc Kit qud phdng vin 34 cdn bp qudn Iy ciia cdc trudng tieu hpc ve cdng tdc chi dgo ciia cdc nganh him quan trong dia phuang dli vdi cdng tdc YTTH, 100% dli tupng diu thing nhit y kiln nhu sau: Hdng nam,
75
Tgp chl Tai MQi Hpng Vi$t Nam - Volume (57-12). N°6 - Dec, 2012 vdo dau ndm hpc phdng gido dye diu cung
cip cho cdc trudng kl hogch hogt d^ng vl YTTH vd tl chdc t§p huin cdng tdc ndy cho cdc cdn bp qudn \^ nhd trudng vd cdn bp YTTH 1-2 lin/l ndm. Ngodi ra nhd trudng cdn dupe cung cip ede tdi lipu chuyen mdn, idi li^u hudng dSn iruyin thdng va cd ke hogch tong kel cdng tdc ndy vao cudi ndm hpc. Doi vdi ngdnh y ll dja phuang: id chuc khdm sdc khde djnh kj*
Bdng 1 Nhdn djnh cua cdn bd qudn cua ngdnh gido dgc
cho hpc sinh 1 lin/ndm (thudng Id vdo diu ndm hpc). Trong ndm hpc ngdnh y tl vd ngdnh gido dye cd tiln hdnh kilm tra, gidm sdt. Culi ndm hpc cd ling kit, ddnh gid cdng tdc YTTH cda cdc trudng.
Khi phdng vin cdn bd qudn Iy "Vdi cdc hogt d^ng nhu trdn cua cdc ngdnh hthi quan cd ddp ung dupe nhu ciu cua nhd trudng khdng?", kit qud trd Idi duprc trinh bdy trong bdng 1 dudi ddy:
ly v6 cdng tdc chf dgo vd cung dng vd y t6 dja phuong
N$i dung Cung cSp tdl li$u
T$p hu^n chuy6n mOn, nghi$p vy Cung cap dgng cy, trang thi^t bj Cung cap thu6c
Cdng tdc kiSm tra, gidm sdt
C6, d^y du SL 11 22 0 0 24
%
32,4 64,7 0.0 0,0 70,6
C6 nhung rStIt SL 23 12 10 0 10
%
87,6 35,3 29,4 0.0 29,4
Khfing SL
0 0 24
0 0
%
0,0 0,0 70,6
0.0 0,0
TAng s6 SL 34 34 34 34 34
%
100,0 100,0 100,0 100,0 100,0 Nhdn xet:
Ve vipc cung cap tdi lipu: 67,6% sd trudng cho rdng tai lipu md hp dupe cung cap Id qua it, nhieu khi hp phdi tim kilm td nhimg ngudn khdc de cd dugc nhihig thdng tin cap nhgt Tuy nhien cd 32,4% so trudng lgi cho rdng vdi sl tai lipu dupe cung cap Id du.
Ddi vdi cdng tdc tap hudn chuyen mdn, nghiep vy: 64,7% sd trudng nhdn thdy nhu vdy Id du, nhung vdi 35,3% sl trudng lgi cho rang so lan tap huan nhu vgy cdn rit it, chua ddp ung duprc nhu cau cua hp dl thye thi cdng vipc.
Ve mdt cung cap dyng cy, trang thiet bj vd thuoc: 70,6% so trudng khdng nhgn duprc ngudn cung cip ndo cho hogt ddng YTTH, tuy nhien cd 29.4% so trudng cd dugc trang bi vdi mpt co sd toi thieu. Doi vdi thuoc, 100% cdc trudng phdi d; mua vdi nguon kinh phi it di dugc trich ra tir ngudn ddng gdp bdo hiem y tl cua hpc sinh.
Ddnh gid vl cdng tdc kilm ha, giam sdt cua cdc CO quan hihi quan vl YTTH: 70,6%
sd trudng nhgn thiy duprc kilm tra, gidm sdt day du, tuy nhien cd 29,4% tnidng khdc Igi ddnh gid nhu vgy Id qua it.
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Tgp chl Tai MOi Hpng Vijt Nam - Volume (57-12). N'6 - Dec, 2012
3.3. Ket qud triin khai cong Idcy ti trtrdng hgc
Bing 2. Vl^c lri4n khai cftng tdc y tk trip»ng h9c t«l cdc tru*ng N^l dung
LSp kS hoach hoat dOng YTTH Mua sdm trang thl4t tii, thu6c...
Khdm strc khde dinh ky Khdm, so ci>u ban ddu Truydn thSng gido due si>c khde Qudn ly sd y ba
Ki§m tra, gidm sdt, ddnh gid YTTH
C6 SL 34 34 34 34 34 34 34
%
100,0 100,0 100,0 100,0 100,0 100,0 100,0
Khdng SL
0 0 0 0 0 0 0
%
0,0 0,0 0,0 0,0 0.0 0,0 0,0
T6ng s6 SL 34 34 34 34 34 34 34
%
1000 10OO 100,0 100,0 100,0 100,0 100,0 Nhdn xet
100% so truong da Xnin khai dugc cac noi dung c a ban ciia cong tac YTTH trong nha trucmg.
3.4. Thtrc Irgng vi ngudn Itrc y ti tnrdng
3.3.1. Nhan lire
Tong hgp so Heu tren 34 can bp YTTH (deu thupc cac trudng cong lap), kit qua the hien trong bang 3 duoi day:
hoc
Bdng 3. Thdng tin ca ban vg cdn bp Idm cdng tdc y t^ truing hpc
Thong tin Ndi dung Sd lu>ffng T>i#(%)
Tuoi dd-i 20-29 30-39
23 11
67,6 32,4 I.Nam
2.NQ'
0 34
0.0 100,0 Trlnh dp
hpc vdn
1.Trung hpc cosd 2.Trung hpc pho thdng
0 34
0,0 100,0
Trlnh dp chuydn mdn
1. Trung hpc di^u du-O-ng 30 2. Cao dSng y t^ hpc dirdng 1 3. Cap ddng y td da khpa 3
4. Bdc sT 0 5. Khdc 0
88,2 2,9 8,9 0,0 0,0 Thdm nidn
cdng tdc
1-2 nam 3-4 ndm
>=5 ndm
11 22 1
32,4 64,7 2,9 ChCrc ndng
Idm v i ^
1. Chuydn trdch 2. Kidm nhidm
12 22
35,3 64,7
T6ng sd 100,0
Nhdn xet:
77
T^p chl Tai MOi Hpng Vidt Nam - Volume (57-12). N°6 - Dec, 2012 Tuoi din: dp tuoi 20 - 29 c6 67,6% vk
dp tuoi 30 - 39 14 32,4%.
Gidri tinh: 100% cdn bp YTTH 14 nO.
Trinh d0 chuyen mon: cdn b0 YTTH c6 trinh dp trung hpc dieu du&ng 88,2%, cao ddng y lc da khoa 8,9%, cao ding y t^ hpc duimg 2.9%.
3.3.2. Vglltrc
Tham nien cdng tia: h4u het cdn bp YTTH c6 tham nien c6ng tdc dudi 5 ndm (97,1 % ) , ty 1$ cong tdc trdn 5 ndm c6 2,9%.
Chiic ndng ldm vi$c: phAn ldn s6 cdn bp YTTH phdi ldm kiem nhifm cdc c6ng vi^c khdc (64,7%), ty 1$ cdn bp chuyen trdch ve cong tdc YTTH thap (35,3%).
Bdng 4. Trang thidt bi, dyng cy Thdng tin Ndi dung Cd phdng ddnh ndng cho hoat ddng I.Cd '''^^ 2. Khdng Co sd YTTH sach sd, gpn gdng 1. C6
2. Khdng Cdc trang thidt bi ddm bdo cdng tdc vd 1. Cd du
'™"9 2. Cd nhung khdng du 3. Khdng c6 Phuong tidn v$n chuydn bdnh nhdn 1. Cd ddy dii
2. Cd nhung khdng dii 3. Khdng cd Tdng sd
Sd lupng 29
5 29
5 0 17 17 0 34
0 34
%
85,3 14,7 85,3 14,7 0,0 50,0 50,0 0,0 100,0
0,0 100,0 Nhdn xet:
Ddi vdi phdng ddnh rieng cho hogt dpng YTTH: 85,3% sd trudng da cd phdng ddnh rieng cho hogt dpng YTTH, 14,7% so trudng hipn tai chua cd phdng rieng, hoat dpng YTTH dupfc dat chung vdi phdng hdnh chinh, tap vu, nhd kho...
Quan sdt sy sdp xep trong phdng YTTH: 85,3% sl phdng YTTH ducrc xip ddt, gpn gdng, ddm bdo trien khai cdng vipc thuan tien, 14,7% chua dam bdo.
Trang thiet bj ddm bdo cdng tac vd trung: 50% sl trudng dd cd nhihig trang thilt bj toi thieu nhu tu siy, ndi hip, ndi lupc dyng cy; 50% so frudng chua cd.
Phucmg tipn vgn chuyen bpnh nhdn:
100% sl trudng chua cd phuang tipn danh rieng de phyc vy cho cdng tdc vgn chuyen bpnh nhdn, khi can phdi huy dpng cdc phucmg tipn cua cd nhdn.
Tgp chl Tai MQi Hpng Vi^t Nam - Volume (57-12). N°6 - Dec, 2012 Bdng 5. Tu Ihudc vd dgng eg
Ndi dung Thudc cip ciru ndi chung Thudc dieu trj TMH
Dyng cy khdm TMH thdng thudng Trang thiet bj, dyng cy chdm sdc sire khde ban ddu vd TMH
Cddu SL
2 0 0 0
%
5,9 0,0 0,0 0,0
Cd nhung khdng du SL 18 32 32 2
%
52,9 94,1 94,1 5,9
Khdng cd SL 14 2 2 32
%
41,2 5,9 5,9 94,1
Tdng sd SL 34 34 34 34
%
100,0 100,0 100,0 100,0 Nhdn xet:
Thudc cap cuu chung: 58,8% sd trudng dd cd hpp thudc cap cuu, tuy nhien chi cd 5,9% la cd diy du cdc loai thudc cap cdu thdng thudng, 52,9% la cd nhung khdng du, cdn lai khdng cd hpp thudc cap cuu (41,2%).
Dli vdi cdc thudc dieu tri TMH thdng thudng: hdu het cdc trudng deu cd thudc diiu tri cde benh TMH nhung khdng du (94,1%), eon Igi khdng cd (5,9%).
Dung cy khdm TMH thdng thudng:
94,1% ca sd YTTH da cd mpt sd dung cu tdi thiiu phuc vy khdm TMH thdng thudng, tuy nhien cdn rat thieu vd dac biet 5,9% sd trudng khdng cd dung cu kham TMH thdng thudng.
Dung cy cham sdc sdc khde ban diu ve TMH: phin Idn cdc hudng khdng cd cac dyng cu cham sdc sue khde ban diu vl TMH (94,1%), cdn Igi 5,9% cd nhimg cdn rit han ch6.
3.5. Thifc trgng hogt dgng cua cdn bg y te tru&ng hgc Si v&i vigc cham sdc vd quan ly cdc b§nh vi tai mui hgng
Ket qud gidm sdt, trd Idi cdc cau hdi phdng van va xu ly cdc tinh hudng dgt ra ve cap cdu vd dieu tri benh TMH thdng thudng ciia cdc can bd YTTH duac the hipn trong bang 6 dudi day:
Bang 6. Thyc hdnh v^ chdm sdc vd quan 1^' b$nh tai mui hpng ciia cdn bp y te tru-dng hgc
Npi dung Cat Khdng dat
Tdng sd
Sd lirpng 12 22 34
Tyid(%) 35,3 64,7 100,0 Nhgn xet:
Cd tdi 64,7% cdn bd YTTH thyc hdnh chuyen mdn khdng dat yeu cau, sd dat chi chilm 35,3%.
Bang 7. Tham gia tniyln thdng phdng trdnh cdc b$nh ve tai mQi hpng Npi dung
Cd Khdng
Tdng sd
Sd lu-png 23 11 34
T9 Id (%) 67,6 32,4 100,0 Nhdn xet:
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Tgp chl Tai MQi Hpng Vi$t Nam - Volume (57-12). N''6 - Dec, 2012 Cd 67,6% so cdn bp YTTH dd tham gia
truyen thdng cac bpnh vl TMH, edn Igi 32,4% chua bao gid thyc hipn cdng vipc ndy.
3.6. Cdc kien nghj, de xudt cda cdc tru&ng ve cdng tdc y te tru&ng hgc v&i ngdnh gido dgc, y ti vd ca quan hihi quan khdc
Tgp hprp cde y kiln dl xuit ciia cdc trudng lieu hpc doi vdi cdc ca quan hdu quan ve cdng tdc YTTH cho kcl qud cy the nhu sau:
Doi v&i cdng tdc chi dgo:
Cd 6 trudng (17,6%) de nghj cdc ca quan hdu quan can tdng cudng hon nda trong cdng lac kilm tra, gidm sdt hoat dpng YTTH.
Doi v&i cong tdc ddo tgo:
Cd 15 trudng (44,1%) de nghj tdng cudng them cdc khda ddo tao, tap huin nham nang cao kien thuc chuyen mdn cho cdn bp YTTH.
Cd 11 trudng (32,4%) de nghj cin md nhung khda bdi dudng nham nang cao nang lyc td chuc, Igp kl hogch, cdng tdc trien khai, truyen thdng gido dye sue khde cho can bp YTTH.
Vi cong tdc ddm bdo:
Cd 14 trudng (41,2%) dl nghj duprc cung cap nhieu ban tdi lipu chuyen mdn, tdi lieu truyen thdng.
Cd II trudng kien nghi cdc ca quan hihi quan nghien cihi bd xung them nguIn ngan sach cho cdng tdc YTTH (32,4%).
Vdi nhOng trudng cd nhilu Idp hpc sinh, cin tdng cudng thSm s6 lupmg cdn bO YTTH, cd 1 trudng kiln nghj (2,9%).
vi cdng tdc thirc hiin che dg chinh sdch:
100% cdc trudng diu dl nghj cin thyc hipn phy cip uu ddi nghi cho cdn bp YTTH theo diing Quylt djnh sl 276/2005/QD- TTgngdy 1/11/2005 cua Thd hidng Chinh phu.
4. BAN LUAN
Nghien cdu tren 35 trudng tieu hpc (trong dd cd 34 trudng cdng Igp vd 1 trudng dan I$p) kit qud cho thay:
Hp thing YTTH tgi day ve ca bdn dd dupe kipn todn: 100% cdc trudng cong lap (^
cd cdn bp Idm cdng tdc YTTH vd dd cd nhihig CO sd vat chit ban diu de phyc vy cho cdng tdc YTTH. dd Id diu hipu ddng mung. Tuy nhien, duy nhat cdn 1 tnidr^ dan \sp chua trien khai cdng tdc ndy, cau hdi ddt ra doi vdi cde nha qudn Iy Id lam sao dl dam bao cho sue khde cua hpc sinh hpc t£q) tai day?
Ket qud phdng vdn 34 cdn bp quan Iy cua cdc trudng tieu hpc cdng Igp cho thiy vl cdng tdc chi dgo vd triln khai hogt dpng YTTH \is ede ngdnh hChi quan tdi cdc trudng tieu hpc Id nhu nhau, nhung tgi sao cd sy nhgn dinh khdc nhau giiia cdc trudng vl vin dl nay? (Bdng 1). Diiu dd dude hit phy thu^c vd sy nhdn thuc vd trinh dp cua ngudi qudn Iy dli vdi cdng tac YTTH, W day Id mpt hogt dpng khd mdi me ddi vdi nude ta. Sau niia la phy thupc vdo ndng luc va hinh dO chuyen mdn ciia cdn bp YTTH.
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Tgp chl Tai Mui Hpng Vi$t Nam - Volume (57-12). N°6 - D e c . 2012
Ve mdt bdng ehiing khach quan 100%
sd trudng cdng lap da triln khai dupe cdc ndi dung ca bdn cua cdng tdc YTTH trong nhd trudng (Bdng 2). Tuy nhien, kit qud nghien cdu tgi bdng 3 cho thiy: tuoi ddi cua cdn bd YTTH cdn rat tre (67,6% dudi 30 tuli); 100% la nd; 88,2% cd trinh dp trung hpc; tham nien cdng tdc chua nhieu (97,1% cdng tdc dudi 5 ndm) vd 64,7%
phai kiem nhipm them cdng vipc khdc.
Diiu dd chdc chdn sg khdng tranh khdi nhung khd khdn md hp se g§p phdi trong qua trinh thuc thi cdng viec. Ngodi nhung khd khdn tu moi ca nhan, hp cdn thiiu thon ve ca sd vgt chat dam bdo cho boat ddng nghi nghiep (Bdng 4 vd 5): 14,7% sl trudng hien tai chua cd phdng rieng; ca sd vat chit, trang thilt bi cdn rat han che...
Nhung vdn dl tren gay dnh hudng tieu cue tdi hieu qud cdng tac tdi mdc ndo dd Id van de cdn dupe tilp tyc nghien cuu.
Mpt trong nhung nhiem vu cua can bp YTTH Id chdm sdc vd quan ly cdc benh ve TMH, mdt nhdm benh thudng gap nhilu nhit d Ida tuli hpc smh. Tuy nhien, cd tdi 64,7% can bp YTTH thuc hdnh chuyen mdn khdng dgt yeu ciu, sd dgt chi chiem 35,3% (Bang 6). Trong qud hinh boat dpng nghi nghiep cua hp cd tdi 32,4% cdn bp YTTH chua hing ed 1 lin tham gia diiyln thdng gido dye phdng tranh cac benh ve TMH do la vdn dl rit ddng duac quan tam.
Cd Id cung vi rit nhilu nhdng Iy do ndu hen md cdc can bp qudn ly vd cdn bp YTTH da ky vpng nhilu d cde co quan hdu
quan: hp mong dpri dupe tham gia nhieu han nda cdc khda ddo tgo nham nang cao trinh dp chuydn mdn, nghipp vy. Hp mong mudn dupe cung cap nhieu han cac tdi lidu chuyen mdn. Hp ciong mong muon dupe cung cip bl sung them ngdn sdch va tham chf edn ed trudng mong muon ed them bien chl cdn bp YTTH dl dam bdo md rpng phgm vi hogt dpng. Ngodi ra mpt de nghi rat chinh ddng ciia can bp YTTH Id duprc hudng phu cip uu ddi nghe theo dung Quyet djnh sl 276/2005/QD-TTg ngdy 1/11/2005 cua Thu drdng Chinh phu nhdm tao diiu kien cho hp yen tam phan khdi trong cdng viec.
5. KET L U ^
Cho din nay he thing y tl trudng hpc da duac kipn toan tai cde trudng tieu hpc cdng lap, tuy nhien, do trinh dp chuyen mdn cda cdn bd cdn hgn che, trong khi co sd, trang thilt bi cdn nhieu thieu thdn, che dp dai ngd chua thyc hidn kip thdi... vi vdy chua phdt huy dupe cdng tdc qudn ly va chdm sdc sdc khde ban ddu ve tai miii hpng.
6. KIEN NGHI
Cdc ca quan hiiu quan can cd sy quan lam chi dgo sau sat hon nua ddi vdi cdng tdc y tl hudng hpc. Mdt khdc cdn tang cudng md cac ldp tap huin ndng cao trinh dp cho dpi ngQ cdn bp y tl trudng hpc. Cung e ^ diy du tdi Ueu chuyen mdn vd cd che dp ddi ngd kip thdi cho can bp y tl trudng hpe giup hp yen tam va phat huy hieu qud trong cdng tde.
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Tgp cht Tai MQi Hpng Vi^l Nam - Volume (57-12). N°6 - Dec. 2012
TAI LI?U THAM K H A O . Bp Gido dye vd ddo tgo (2007), Quyit
djnh ban hdnh Quy dfnh vi hogt dgng Y ti trong cdc tru&ng tiiu hgc, tru&ng trung hgc ca s&, tru&ng trung hgc phd thong vd tru&ng pho thong c& nhiiu cdp hgc, s l 73/2007/QD-BGDD, HdNpi.
, Bp Y tl - Cyc y tl dy phdng (2010). Tdi liiu hu&ng ddn ky thudt vi sinh tru&ng hgc, Hd Npi.
, Bp Y te (2008). Quyit dinh vi vi(-c ban hdnh Danh m{ic trang thiit bi, thuoc thiit yeu dung trong Phong y ti hgc du&ng cua
cdc tru&ng tiiu hgc, trung hgc ca s&, trung hgc phd thdng, tru&ng phd thdng co nhiiu cdp hgc, Sl 1221/QD-BYT, Hd Npi.
4. Thu hrdng Chinh phii (2005), "Quyet dfnh so 276/2005/QD-TTg ngdy 1/11/2005 cua Tha tu&ng Chinh phu vi viic quy dfnh chi dg ph^i cdp uu ddi theo nghi ddi v&i cdn bd, vien chuc tgi ca s&y ti cua Nhd nu&c."
5. Thil tudng chinh phu (2006), "Chi thf vi viic tdng cu&ng cong tdc y te trong cdc tru&ng hgc". sd 23/2006/CT - TTg Hd Npi.
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