44 TAP CHI PHONG C H 6 N G BENH SOT RET VA CAC B £ N H KY SINH TRUNG SO 3 - 2011
DANH GIA KIEN THlTC VA KY NANG THVC HANH PHONG CHONG BENH SOT RET CUA Y TE THON BAN 6 HUYEN A Lirdl, TINH THlTA THIEN HUE (2009-2010)
Vo Dai Phu, Tran Ba Nghia, Nguyen Vo Hinh, Hoang V3n H6i va cs.
Trung tam ph6ng chong sot r6t ky sinh trung-c6n triing tinh Thira Thign Hul.
Tom tdt
Khdo sdt kiin thuc vd ky ndng thuc hdnh bien phdp phong chdng muoi truyin benh sot ret ciia 92 nhdn vien y ti thon bdn thugc I4xd& huyen A Lu&i, tinh Thira Thien Hui nhgn thdy:
- Sau khi tap hudn cong tdc phdng chdng muoi truyen benh sot ret cho nhdn vien y te thon bdn CO 86,9 % xep logi gioi, 13,1 % xep logi khd.
vi ky ndng thuc hdnh bien phdp tdm mdn: tdt cd nhdn vien y ti thdn bdn deu thycc hien tot cong tdc truyen thong truac tdm mdn vd ghi chep so sdch day du. 92,39-96,74% YTTB dong pha hoa chdt dung lieu lugng; 94,56% nhoi mdn diing ky thugt; 88,04% co quan tdm nhac nha ngtt&i ddn cdch phai vd bdo qudn mdn sau khi tdm vd 95,65 % YTTB quan tdm din cdng tdc an todn v? sinh lao dong khi tdm mdn.
1. DAT VAN DE
Trong he th6ng y tS a nuac ta, tram y tS xa la ca sa thap nhit vk gSn nguai dan nhat.
Tuy vay, dk viec theo doi vh. cham soc sue khoe dSn gSn nguai dSn han niia, nha nuac da cho xSy dung mot mang luai ve sinh vien ngay trong cac thon, ban, t6 dSn ph6 gpi Ik y xk th6n ban (YTTB). Trong nhiSu nam qua mang luai nky da phkt huy hieu qua trong viec bao ve cham s6c siic khoe ban dau, trong c6ng tkc phong chong sot ret (PCSR) cho nhSn dan. Hien nay, Chfnh phu va Bp y te da c6 nhiing van ban quy dinh ve viec phdt trien mang luai nay vai nhiing tiSu chuan, nhiem vu cu the kem theo diiu kien vat chdt nhSm duy tri su 6n dinh ciia mang luai. Chuang trinh PCSR Quoc gia cung tang cuang dau tu, thSm sue hoat dong cho doi ngii YTTB nhSm dua doi ngii nay vao cdc hoat dong PCSR long ghep vai cdc chuang trinh y tS khdc.
Trong cdc nghiSn ciiu ve benh sot ret thuang chi tap trung ve cdc giai phdp chuySn moii ky thuat nhu di8u tri, dich t l hpc, con trung hoc..., cdc hoat dpng ciia dpi ngii YTTB chua dupe chii y nhiSu, vi vay chiing ta can quan tam nghien cuu ve t6 chiic, hoat dpng li8n quan dSn YTTB, quan tdm den viec dao tao va dao tao lai, gidm sdt ndng cao chat luang cong tdc cua YTTB dh giiip hp c6 dii nang luc thuc hien tot cdc chuang trinh y te qu6c gia noi chung va chuang trinh PCSR n6i ri8ng.
Toan tinh Thira ThiSn Hue hien co 264 y te thon ban, ngoai chi dp phu cap quy dinh theo quySt dinh s6 75/2009/QD- TTg cua Chinh phu, chuang trinh ph6ng chdng s6t r6t qu6c gia con cdp kinh phf hoat dpng cho cong tdc phong chdng muoi truySn benh. Hdng ndm, chuang trinh nay da cdp cho tinh Thira ThiSn Hul khoang 550 trieu d6ng (g6m tiln mua hod chdt, c6ng phun, tdm mdn va sinh hoat phf cho y tl thon ban), trong d6 50% so kinh phf ndy da dupe ddu tu cho cong tdc phong chong muoi truyin benh s6t r6t a huyen A Luai.
D I tai "Ddnh gid kien thiic vd ky ndng thuc hanh phong chong muoi truyin benh s6t r6t ciia y tl thon ban a huyen A Luai, tinh Thira Thien Hul ndm 2009-2010" dupe thuc hien
S63-2011 TAP CHI PHONG CHONG BENH S6T RET VA CAC BJNHKY SINH TRUNG 45
nhdm ddnh gid kiln thuc vd ky ndng thuc hdnh ciia dpi ngii YTTB ve c6ng tdc nay, theo doi, gidm sdt hoat d6ng ciia ho, kip thai phdt hien thilu s6t dl c6 kl hoach dao tao vd dao tao lai nham ndng cao nang luc c6ng tdc chuyen mon, g6p phdn dam bdo hiSu qua PCSR lau dai, ben vung la vdn dh hit sue cdn thilt.
2. D 6 I TirONG VA FHlTOfNG PHAP NGHIEN CUtJ 2.1.Doi tu(mg nghiin ciru:
Y tl thon bdn a huyen A Luai, tinh Thira Thien Hul 2.2. Thiet ke nghien cuu:
Phuang phdp nghiSn ciiu diiu tra diiu tra cdt ngang m6 td (diiu tra tai cong dong).
2.3. Thai gian nghiin ciiu:
Tu thdng 3/2009 din 11/2010.
2.4. Phuang phdp chgn mdu:
Mau chilm. Chpn ngau nhien 14/21 xa, tilp d6 chpn todn bp y tl th6n bdn ciia 14 xa ( 92/133 y tl th6n ban cua huyen A Luai) dl diiu tra phong vdn, ddnh gid.
2.5. Ky thuat thu thdp so lieu:
Truac khi tap huan, YTTB duac ldm bdi test kiim tra kiln thiic vl ph6ng chIng muoi s6t r6t. Sau tap hudn hpc viSn ldm bai kiim tra trdc nghiem Idn thii hai dl ddnh gid miic d6 tiep thu ciia hpc viSn.
- Diiu tra viSn phong vdn vd quan sdt ky nang thuc hdnh cua YTTB tai thuc dia, diln cdc thdng tin vdo bilu mlu in sdn.
2.6. Tieu chudn ddnh gid:
Kiln thiic phbng vl chdng muoi truyen benh sdt r6t dugc xip thdnh 4 lo^i: gidi, khd, trung binh vd yiu . (xIp loai: gidi 9-10 d, khd 7-8 d, trung binh 5-6 d, yiu < 5 d). Tinh ty le % YTTB theo cdc loai trudc vd sau khi tdp hudn..
Ky ndng thuc hdnh: tfnh ty le % YTTB thuc hanh dung cdc thao tdc ky thuat tdm mdn tai thuc dia.
2.7. Kitlysd lieu:
Su dung phan mim Stata 8.0 dk md td vd phan tfch sd lieu.
3. KET QUA NGHIEN ClTU
3.1. Thong tin chung ve y te thon ban (YTTB) huyen A Luroi:
Qua khdo sdt 92 y tl thdn ban thudc 14 xa ciia huyen A Ludi kit qua cho thay:
- Vi gi&i tinh: nam: 47 ngudi (chilm 51,09%), nii: 45 ngudi chilm 48,91%.
Vi do tudi:
46 TAP CHI PHONG CHONG BENH SOT RET VA CAC BENH KY SINH TRUNG s 6 3 - 2011
Dp tudi ciia y t l thdn ban huyen A Luai (4/2010) Nhdm tudi
>30 30-39 40-49 50-60 Cdng
Sd luomg 17 44 28 03 92
Tv le (%) 18,48 47,83 30,43 3,26 100,00
Dpi ngu nhdn viSn y t l thdn ban cua huyen A Ludi cd dp tudi trung binh 36 + 8 tudi, nhd nhdt: 20 tudi, Idn nhdt 60 tudi. Nhdm tudi tii 30-49 chilm ty le cao nhdt 78,26%.
Ve trinh do hoc vdn:
Trinh dp hpc vdn ciia y t l thdn bdn huyen A Ludi (4/2010) Trteh do hoc vdn Sd luomg Tv le (%)
Cdp 1 06 6,52 Cdp 2 57 61,96 Cip 3 29 31,52 Cdng , - ' 92 100,00
Trinh dp hpc van ciia y te thdn ban hien tai chii yeu la cap 2 (61,96%) vd cdp 3 (31,52%). (bang 3.1.2).
3.2. Kien thuc ve cdng tac phong ch6ng muoi truyen benh sot ret Bang 1. Kien thiic vl phdng chdng muoi truyin benh ciia nhdn viSn y te thdn bdn trudc vd sau khi tap huan (4/2009)
STT 1 2 3 4 5 6 7 8 9
Thoi gian 15/4/09 15/4/09 16/4/09 17/4/09 20/4/09 20/4/09 21/4/09 21/4/09 22/4/09
Xa H-Thiiy Hong van
A R o ^ g H. Trung Hong Kim TT.ALuoi Hong Bdc H.Quang
A Ngo
S6HV 06 07 09 06 05 08 06 06 10
TRl/dCTAPHUAN Gioi
*3 (50,0)**
2 (28,6)
4 (44,5)
2 (33,3)
3 (60,0)
5 (62,5)
4 (66,7)
1 (16,7)
8 (80,0)
Khd 2(33,3) 3(42,8) 3 (33,3) 3 (50,0) 1 (20,0) 2(25,0) 2(33,3) 4(66.6) 2(20,0)
TB 1 (16,7) 1 (14.3) 1 (11,1) 1 (16,7) 1 (20,0) 1 (12,5)
0 1 (16,7)
0
Yiu 0 1 (14,3) 1 (11.1)
0 0 0 0 0 0
SAU T. HUAN Gioi
5 (83,3) 6(85,7) 9(100,0)
5 (83,3) 4(80,0) 8 (700,0)
5 (83,3) 5 (83,3)
\0 (100,0) khd 1 (16,7) 1 (14,3)
0 1 (16,7)
1 (20.0)
0 1 (16,7) 1 (16,7)
0
s o 3 - 2011 TAP CHI PHONG CHONG BENH SOT RET VA CAC BENH KY SINH TRUNG 47
10
11
12 13
14
23/4/09
23/4/09 24/4/09 28/4/09
29/4/09 Tong cong
RThai
Nham H.ThuQng
RLSm
H Nguyen 14 xa
07
07 03 06
06 92
2 (28,6)
1 (14,3)
0 3 (50,0)
2 (33.3) 40(43,5)
3 (42,8)
5(71,4) 2(66,7) 2(33,3)
4(66.7) 38(41,3)
1 (14,3)
1 (14.3) 1 (33,3) 1 (16.7)
0 11(11,9)
1 (14,3)
0 0 0
0 3(5,5)
6(S5,7j
5 (71,4) 3 (100,0)
5 (83,3)
4(66,7) 80(86,9)
1 (14,3)
2(28.6) 0 1 (16.7)
2(33,3) 12(13,1)
Trudc khi tap hudn, cdc hpc vien YTTB dupe lam bai test kiem tra. Ket qua cd 43,50%
dat loai gidi, 41, 30% dat loai khd, 11,90% dat loai trung binh va 3,33% dat loai yeu. Sau tap hudn, 86,90% dat loai gidi, 13,10% dat loai khd, khdng con loai trung binh va yeu.
Sau khi dupe tap hudn, kien thiic ve cdng tdc phong chdng mudi truyen benh sdt ret cua nhan viSn y te thdn ban tai huyen A ludi dupe nang len rd ret cd y nghia thdng ke (phep thii X2=37,5912; P<0,001). (bang 1).
3.3. Ky nang thu-c hanh bien phap phong chong muoi truyen benh sot ret.
Ve cong tdc truyen thong truac khi tdm mdn.
Bang 2. Thuc hien cdng tdc truyin thdng trudc khi tam mdn cua YTTB
Noi dung
Trudc khi tam man, YTTB cd dieu tra sd hd, sd ddn sd mdn hien cd trong thdn minh phu trdch
Trudc khi tam man, YTTB cd van ddng nhdn dan gidt sach man, phai khd trudc khi tdm
Thuc hien Cd
92
92
%
100,0
100,0
Khdng 0
0
%
0
0
Cdng 92
92
%
100,0
100,0
Trudc chiln dich tdm mdn phdng chdng muoi truyen benh sdt ret 100% nhan vien y te thdn bdn dupe khdo sdt d huyen A Ludi dIu thuc hien tdt cdng tdc truyin thdng, ndm chdc sd lupng mdn can tam hda chat trong thdn, bdn cua minh phu trdch; van ddng nhan dan gidt man sach, phai khd trudc khi tdm. (bdng 2).
48 TAP CHI PHONG C H 6 N G BENH SOT RET VA CAC BENH KY SINH TRUNG s6 3 - 2011
Ve thuc hiin ky thugt dong, pha hoa chdt tdm mdn
Bang 3. Thuc hien dong, pha hda chdt ciia YTTB
Noi dung
Trudc khi pha hda chdt, cd ldc ky chai thudc ft nhdt 5 lan
Dong hda chat diing lieu lupng quy dinh cho 1 mdn (ddi/dan)
Dong lupng dung dich da pha dung quy dinh cho 1 mdn (ddi/dan) Su dung dung cu dong hda chat, dong dung dich chudn theo quy dinh
Thuc hien Cd^iing
75 85 89 92
%
81,52 92,39 96,74 100,0
Khdng/Sai 17
7 3 0
%
18,48 7,61 3,26 0,00
Cdng 92 92 92 92
%
100,0 100,0 100,0 100,0 Doiig hda chdt, pha dung dich la mot khdu rdt quan trpng ciia bien phdp tdm mdn.
Mac du tdt cd YTTB dIu dupe cung cdp dung cu dong hda chdt, dung cu chudn dk dong dung dich thudc nhung qua khdo sdt thuc hdnh bien phdp ky thuat cua 92 y te thdn bdn tai thuc dia nhdn thdy:
- Chi cd 81,52% nhdn vi8n YTTB cd ldc ky chai thudc ft nhdt 5 Idn trudc khi dong hda chdt; cdn lai 18,48 % quSn hoac khdng thuc hien thao tdc ndy.
- Chi cd 92,39 % nhan vign YTTB dong diing lilu lupng hda chdt ICON 2,5SC cho mdt mdn (13,2 ml/ man ddi hoac 7,2 ml/man dan); cdn lai 7,61 % dong chua diing lilu lupng quy dinh.
Cd 96,74% nhan viSn YTTB dong diing dung dich thudc cdn tdm cho mdt mdn, vd 3,26 % chua thuc hien diing. (bdng 3).
Vi tliao tdc tdm mdn
Bang 4. Thuc hien thao tdc tdm man ciia YTTB
Ndi dung Nhdi man diing ky thuat
Hudng ddn ngudi ddn cdch phai vd bdo qudn man sau khi tam
Thuc hien Cd/Diing
87 81
%
94,56 88,04
Khdng/Sai 5 11
%
5,44 11,96
Cdng 92 92
%
100,0 100,0 Nhdi mdn va phai man diing ky thuat cung gdp phan ndng cao hieu qua diet muoi ciia man tdm hda chat. Qua khdo sdt nhdn thdy:
- 94,56% nhdn vien YTTB nhdi man ky, cdn than, mdn udt deu; nhdi den khi nhac mdn len khdng cdn nude gipt. Tuy vay van cdn 5,44% YTTB chua thuc hien tdt thao tdc ndy.
- 88,04% nhdn vien YTTB cd nhdc nhd, hudng dan ngudi ddn cdch phoi vd bdo qudn mdn sau khi tam hda chdt, 11,96 % cdn lai chua hoac quSn thuc hien v^n de ndy. (bdng 4).
s o 3 - 2011 TAP CHI PHONG CHONG BENH SOT RET VA CAC BENH KY SINH TRUNG 49
Vi an todn lao dong vd ghi chep so sdch
Bang 5. Su dung bdo hd lao dpng va ghi chep sd sdch
Ndi dung
Su dung day du bdo hd lao ddng Cd sd sdch ghi chep day du
Thuc hien Cd
88 92
%
95.65 100,0
Khdng 4 0
%
4,35 0
Cdng 92 92
%
100,0 100,0 Viec ghi chep day dii sd man tam, sd hd, sd dan dupe tam man ciia YTTB giiip nam chinh xdc tien dp thuc hien, kip thdi van ddng nhan dan tham gia tdm man dam bdo ke hoach de ra. Qua khdo sat nhdn thdy 100% YTTB deu cd sd sach ghi chep sd lieu cu the trong chien dich tam man d thdn minh phu trdch.
Dam bao an todn ve sinh lao ddng cho nhan vien true tiep tiep xiic vdi hda chat tdm man la vdn dl cdn thilt. Tuy vay chi cd 95,65 % nhan vien YTTB chdp hanh tdt viec su dung bdo hd lao ddng (gang tay, khdu trang, kfnh mdt...) va 4,35% YTTB cdn lai chua thuc hien tdt quy dinh nay. (bang 5)
BAN LUAN
Hien nay, 78,26% nhan vien YTTB d huyen A Ludi ndm trong dp tudi tir 30-49, trinh dp hpc van tuang ddi tdt, 93,48 % cd trinh dp cdp 2 va cdp 3, nlu dupe dao tao va dao tao lai thuong xuyen, dpi ngii nay se cd du ndng luc de hoan thanh nhiem vu cham soc va bao ve siic khde nhdn dan ndi chung vd cdc hoat dpng phdng chdng sdt ret ndi rieng trong cdng ddng dan cu.
Ddi vdi cdng tdc phdng chdng sdt ret, viec thuc hien bien phdp diet muoi va phdng chdng muoi ddt la mdt khdu rdt quan trpng. Vi vay, trudc moi chiln dich tdm man bdng hod chdt diet mudi, chuang trinh thuong cd kl hoach tap hudn lai ve kien thiic va ky nang thuc hdnh cdc bien phdp cho mang ludi y tl xa, YTTB dl kip thdi udn ndn nhiing thilu sdt trong nhiing chiln dich trudc dd. Trudc khi tap hudn, cdc hpc vien YTTB dupe lam bai test kiim tra. Kit qud cd 43,50% dat Ipai gidi, 41, 30% dat loai kha, 11,90% dat loai trung binh vd 3,33% dat loai yiu. Sau tap hudn hpc vien dupe lam lai bai test kiim tra dl ddnh gid kiln thiic thu nhdn dupe. Kit qua nhan thdy cd 86,90% dat loai gidi, 13,10% dat loai kha, khdng cdn loai trung binh va yiu. Nhu vay, sau khi dupe tap hudn, kiln thiic vl cdng tac phdng chdng muoi truyin benh sdt ret cua nhan vien y tl thdn ban tai huyen A ludi dupe ndng len rd ret cd y nghia thdng ice. (phep thii ^2=37,5912; P<0,001).
YTTB da duac trang bi va ciing cd kiln thiic qua cac Idp tap hudn, nhung trong chien dich tdm man viec thuc hien bien phdp nhu thi nao d thuc dia cung la van dl cdn quan tam de dam bdo hieu qua kinh tl vd chuyen mdn ky thuat.
Ky nang thuc hanh phdng chdng muoi truyin benh cd nhiing vdn dl cdn phdi theo ddi gidm sat nhu cdng tac truyin thdng trudc khi tdm; ky thuat dong, pha hod chat, dong dung dich thudc; thao tdc nhdi man; an toan ve sinh lao ddng khi tdm man va viec ghi chep sd sdch.
v l cdng tdc truyin thdng trudc chiln djch tdm man phdng chdng muoi truyen benh sot T6t nhdn thdy 100% nhdn vien YTTB dupe khdo sdt deu thuc hien tdt cdng tdc nay, ndm chdc sd lucmg mdn cdn tdm hda chdt trong thdn, ban cua minh phu trdch bdo cdo cho tram y te xa
50 TAP CHI PHONG CHONG BENH SOT RET VA CAC BENH KY SINH TRUNG SO 3 - 2011
dk lap kl hoach phan bd chinh xdc luomg hod chat, bd tri luomg thdi gian hop ly. Tat ca YTTB dupe khdo sdt da van dpng nhan dan gidt man sach, phai khd trudc khi tdm, dam bdo thdi gian su dung man sau tam duac lau dai.
Vdn dl dong hda chdt, pha dung dich tdm man la mdt khdu ky thuat rdt quan trpng cua bien phdp tdm man. ICON 2,5CS la hda chdt d dang dung dich vi nang (CS: capsulated suspension) tuomg ddi ddc, vi vay trong quy trinh tam mdn cd quy dinh trudc khi pha hod chdt phdi ldc chai ky ft nhdt 05 Idn dl hod chdt phdn tan dIu trong chai thudc, ddm bdo lilu lupng hod chdt quy dinh trong khi pha dung dich .Qua khdo sdt tai thuc dia nhan thdy chi cd 81,52%
nhan viSn YTTB cd ldc ky chai thudc ft nhdt 5 Idn trudc khi dong hda chdt; cdn lai 18,48 % quen hoac khdng thuc hien thao tdc nay. Vdn de nay, cdn bd chi dao, gidm sdt can quan tdm nhdc nhd trong nhiing chien dich sau.
Ve ky thuat dong pha lieu lupng hod chat, lilu lupng dung dich thudc diing quy dinh la rdt quan trpng de ddm bdo hieu qua diet mudi, trdnh gdy ngd ddc hoac di ling cho ngudi su dung, ciing nhu ddm bdo tmh kinh te. Tuy vay, trong khi thuc hien tdm mdn, mac dii tat cd YTTB deu dupe cung cdp dung cu dong hda chat, dung cu chuan de dong dung dich thudc nhung khi thuc hanh bien phdp ky thuat ghi nhdn dupe:
- Chi cd 92,39 % nhan vien YTTB dong dung lilu lupng hda chdt ICON 2,5SC cho mdt man (13,2 ml/ man ddi hoac 7,2 ml/man dan); cdn lai 7,61 % dong chua diing lieu lupng quy dinh.
- Cd 96,74% nhdn vi8n YTTB dong dung dung dich thudc cdn tdm cho mdt mdn, vd 3,26 % chua thuc hien dung. Trong cdng tdc chi dao, cdn bp gidm sdt can quan tam them vl vdn de lieu lupng thudc.
Nhdi man vd phai man dung ky thuat ciing gdp phdn ndng cao hieu qud diet muoi cua mdn tdm hda chdt. Tuy vay, chi cd 94,56% nhan vign YTTB nhdi man cdn than timg chile mot, mdn udt dIu; nhdi den khi nhac man len khdng cdn nude gipt, van cdn 5,44% YTTB chua thuc hien tdt thao tdc ndy.
Loai hda chdt nhdm pyrethroid tdng hpp dimg trong tdm mdn thudmg de bi phdn huy dudi dnh sdng true tilp cua mat trdi. Vi vay, nha sdn xudt da khuyin cdo n8n phai mdn tdm thudc trong im mdt, trdnh dnh sdng true tilp dk giii dn dinh lilu luomg hod chdt tren man.
Thuc te theo ddi nhdn thdy chi cd 88,04% nhdn vien YTTB cd quan tam nhdc nhd, hudng dan, dan dd ngudi ddn cdch phoi vd bdo qudn man sau khi tdm hda chdt, 11,96 % cdn lai chua hoac quen thuc hien vdn de nay.
Viec ghi chep sd sdch ddy dii giiip ndm dupe tiln dp thuc hien dk kip thdi van dpng nhdn ddn tham gia tdm mdn ddm bdo kl hoach dl ra. Thuc t l cho thdy tdt cd YTTB dIu cd sd sdch ghi ch6p sd liSu cu thi: sd man tdm, sd hd dupe tam, sd dan duac bdo ve nhdm ddnh gid dupe miic dp bao phii cua man tdm hda chdt trong cdng ddng thdn, bdn.
Ddm bdo an toan ve sinh lao ddng cho nhdn vi6n true tilp tilp xiic vdi hda chdt t4m mdn Id vdn dk cd tfnh nguySn tdc khi su dung hda chdt. Tuy vay chi cd 95,65 % nhan viSn YTTB chdp hdnh tdt viec su dung bdo hd lao dpng (gdng tay, khau trang, kfnh mdt...) vd 4,35%
YTTB cdn lai chua thuc hien tdt quy dinh ndy.
s o 3 - 2011 TAP CHI PHONG CHONG BENH SOT RET VA CAC BENH KY SINH TRUNG 51
Nhin chung, vdi trinh dp hpc vdn cua nhdn vien YTTB d huyen A Ludi cd thi tilp thu tdt kien thiic chuy6n mdn vl y t l khi hp dupe tham du cac Idp tap hudn. Tuy nhien, viec tilp thu kien thiic tdt vd thuc hdnh tai thuc dia vdn cdn chua tuomg ling vi nhilu yiu td bSn ngodi tdc ddng, vi vay, trong cdc chiln dich tdm mdn phdng chdng mudi truyin benh sdt ret vdn ludn ludn cdn cd can bp tuyIn tren chi dao, gidm sat thuc hdnh dl bien phdp ndy dat dupe hieu qud kinh t l va chuyen mdn.
4. KET LUAN
Kiln thiic vl cdng tdc phdng chdng mudi truyin benh sdt ret ciia nhan vien y tl thdn ban d huyen A Ludi sau khi tap huan cd 86,9 % xIp loai gidi, 13,1 % xIp loai khd.
Ve ky ndng thuc hdnh bien phdp tdm mdn: tdt cd nhan vien y te thdn bdn deu thuc hien tdt cdng tdc truyin thdng trudc tdm man vd ghi chep so sdch day du. 92,39-96,74% YTTB dong pha hda chdt diing lilu lupng; 94,56% nhdi mdn diing ky thuat; 88,04% cd quan tdm nhdc nhd ngudi dan cdch phai vd bdo quan man sau khi tdm vd 95,65 % YTTB quan tdm din cdng tdc an todn ve sinh lao ddng khi tdm mdn.
KIEN NGHI
Hdng nam trudc khi thuc hien bien phdp tam mdn, can cd ke hoach tap hudn lai ve ehuySn mdn ky thuat dk ciing cd kien thiic phdng chdng muoi truyin benh cho mang ludi y te xa, y tl thdn bdn. Khi triln khai bien phdp, cdn bd cdn triing tuyIn tinh cdn phdi hop vdi dpi y te du phdng tuyen huyen dk chi dao vd gidm sdt chat che viec tam man ciia y te xd vd y te thdn
W f \ f t
bdn, kip thdi udn nan nhiing sai sdt trong qud trinh thuc hien nhdin ddm bdo ke hoach va chdt lupng chuyen mdn ky thuat phdng chdng sdt r6t.
TAI LIEU THAM KHAO
1. Nguyln Vo Hinh, Bui Thj Lpc, Hodng Thj Di?u Hucmg v^ cs (2008), Ddnh gia ket qua x6t nghi?m k^
sinh trung sot r6t a cdc diSm kfnh hiln vi ca so tai tinh Thira Thien Hue, Tgp chi phong chdng b?nh sdt ret vd cdc b?nh ky sinh triing, ViSn sot r6t ky sinh trung con trung trung uong, so 6,2008, tr: 22-31.
2. Nguyen Tuyen Quang, Ron P. Marchand, Nguyln Ngoc Duong, Hodng Thi Bich Lien, LS Xuan Tam (2008), Vai tr6 cua mang ludi y tl thon ban trong phong chong s6t r6t tai xa Khdnh Phii, huyen Khdnh VTnh, tinh Khdnh Hok, Tgp chi phong chdng b?nh sdt ret vd cdc b^nh ky sinh triing, Vien sot r^t ky sinh triing c6n triing trung uong, s6 4, 2008, tr: 11-17.
3. Nguyln Diic Thao, Nguyen Van Binh (2009), Hifu qua c6ng tdc phong ch6ng s6t rit cua s\r phoi hgrp quan ddn y tai tinh Thira ThiSn Hul, Tgp chi phong chong b^nh sot rit vd cdc benh ky sinh triing, Vi?n sot r6t ky sinh triing c6n trung trung uong, s l 4, 2009, tr: 03-08.
4. L6 Thu^n vh. cs (2002), Phdt triln y tl thon ban: mgt yiu t l bin vihig trong cong tdc ph6ng chong sit rdt a Nghf An, Tgp chtphdng chdng b?nh sdt ret vd cdc b?nh ky sinh triing, Vien s6t r6t ky sinh triing con tr&ng trung uong, so 1, 2002, tr: 18-26.
S.Trung tSm Phdng chIng Sot T6U Ky sinh triing-C6n triing Thira ThiSn Hul (2009), Bdo cdo kit qud cong tdc phdng chong b^nh sot r6t vd ph6ng chong b?nh giun sdn ndm 2008, kl ho?ich nhi?m vy cong tdc ndm 2009 tinh ThiJra Thien Hul. Hul, thdng 01 ndm 2009.
52 TAP CHI PHONG CHONG BENH SOT RET VA CAC BENH KY SINH T R O N G SO 3 - 2011
KAP SURVEY OF VILLAGE HEALTH WORKERS IN A LUOI DISTRICT, THUA THIEN HUE PROVINCE (2009-2010).
Vo Dai Phu, Tran Ba Nghia, Nguyen Vo Hinh, Hoang Van Hoi et al.
Abstract
After a training course on malaria vector control for village health workers, its participants from 14 communes of A Luoi district, Thua Thien Hue province were
investigated. They were found to have significantly improved their KAP of vector control with 86.9% ranked "Excellent" and 13.1% "Good". All of them were found to have properly been able to implement lEC and recording activities in bednet treatment campaigns. Almost all (92.39 - 96.74%) correctly measured the amount of insecticide; 94,56% properly displayed dipping technique; 88,04% kept reminding the ITNs owners of drying and maintaining ITNs, arui 95,65% strictly followed the safety instructions.