CONG TAG PHONG CHONG SUY DINH DlTONG QT TRE EM D t l ^ 5 TUOI TAI HUYEN BACH THONG, TINH BAC KAN
TRAN VAN TUYEN -TTYtSBach Thong, Bic Kan PHAM TRUNG KIEN, TRINH HOANG HA - Khoa YDupc DH Qu6c gia HiNdi
TOM T A T
Muc tidu: dinh gii (hyc trang hpat ddng phdng chong suy dinh dwdng tre em dwdi 5 tudi t$i huyin Bach Thdng. Bic K$n nam 2011. D6I twcng va phwang phip.
nghiin ciru hoi ctJu vi mang iwdl cdng tic phdng chong suy dmh dwdng tre em (cin bd y te, lanh deo chlnh quyin, doan the. ) va cic phu ni> cd thai vi bi me cd con dwdi 5 tudi. Kit qua: Ti le SDD tre em the nhe cin li 20.6 %; mang twdi PCSDD dwryc xiy dimg tie huyin, xa den thdn bin. Thiit bj phuc vu chuong trinh twang ddi diy du lir huydn din thdn ban, DS /dp huin chwang trinh PCSDD cho can bp chuydn trich va cdng tic vidn dinh dwdng Kit qui hpat dpng PCSDD- dn trd d$t 95.7
%, udng VTM A cua tre 6 din 60 thing d&t 96.3 %, tay giun cho tre 24 din 60 thing tJg/ 95,2 % vi tidm chiing diy du cho tre em dudi 1 tudi dat 95,6 %. Kit luin: li 1$
SDD tre em dwdi 5 tu6i t^i Bach Thdng thip hon so vdt ti 1$ chung cua tinh Bic Ken Hpat ddng phong chSng SDD tre em tii Bich Thdng li twang ddi tdt.
Tif khoa: phdng chong suy dinh dwdng, tre em dwdi 5 tuoi
SUMMARY
Prevent malnutrition in children under 5 years of age in Bachthong, Backan province
Objective: To assess activity of prevention malnutriSon in children under 5 years old Bach Thong district, Bac Kan in 2011. Subjects and Methods:
retmspective study was conducted on network of prevention of malnourished children (health wori<ers.
government leaders, unions ,.). the pregnant women and mothers with children under 5 years. Results: The rate of malnutrition in children was 20.6%. Networi< of pmvention of malnourished children was built from districts lo villages In Bachthong. Equipment and healthworifcrs for the program was relatively complete from district to village Collaborators of prevention of malnourished program have participated training courses. Activities of program- weight infants reached 95 7%. taking vitamin A for child 6 to 60 months was 96.3%, de-worming for children 24 to 60 months was 95.2% and full immunization for children under 1 year to reach 95.6%.
Conclusion: The rate of malnutrition of children under 5 years old in Bach Thong lower than the overall incidence of Bac Kan province. Prevention activities among children in Bach Thong SDD is relatively good.
Keywords. Prevent malnutrition, children under 5 years
BAT V A N Dt
Suy dinh dudng (SDD) d tre em dudi 5 tudi la mgt chi sd ddnh gia ehat lypng cupc va cdng tdc chdm sdc sfre khde eua moi qudc gia vd khu vye [2], Theo thdng ke ciia Td chdc Y t l The gidi, hign nay Irgn the gidi cd khoang 200 trigu tre em SDD ngng vd rat ndng. Tgi Vigt
Nam, Chyang trinh Phdng chdng suy dmh dydng Qudc gia dd dgt dyac thdnh cdng trong vigc hg thip li Ig suy dinh dy&ng trd em xudng cdn dudi 20%. Tuy nhien, vln d l dmh dy&ng vd sdc khoe tre em d miln nut, viing cao, viing sdu, viing ddng bdo ddn tge thilu sd vln Id v l n de sdc khde yu tien. Ble Kgn Id mgt trong 8 tinh cd ti Ig SDD trd em cao nhlt trong todn qudc. Theo kit qua nghien cfru eua Vign Dinh dydng ndm 2009, ti Ig tre em SDD nhg can cua tre em dydi 5 ludi tgi tinh Ble Kgn Id 27,7%, Bgch Thdng Id mgt huygn nam gidp thj xa Bac Kgn, ti lg SDD tre em cdn cao, Vgy thyc trgng thyc hign chyong trinh phdng chdng suy dinh dydng (PCSDD) tgi huygn Bgch Thdng, tinh Ble Kgn ra sao? Giai phdp ndo de triln khai cd higu qua chyang trinh phdng chdng suy dmh dy&ng cho tre em dudi 5 tudi? Dk tra Idi cdu hdi ndy, Chung tdi tiln hdnh nghien cfru d l tdi Thyc tr^ng cdng tic phong chdng suy dinh dwong tre em dwdi 5 tuoi tei huy$n Bach Thong. Bic Ken nam 2011" nhdm eac myc lieu sau
Md ta Ihyc trgng cdng lac phdng chdng suy dinh dy&ng d tre em dydi 5 tudi tgi huygn Bgch Thdng, tinh Bic Kgn nam 2011.
D 6 | TU'Q'NG, PHU'O'NG PHAP NGHIEN Ct>U 1. Ddi Iu'png nghien cfru
- Ddi tupng nghien cfru:
+ Mang lydi cdng tde phdng chdng suy dinh dy&ng tre em (cdn bp y t l . lanh dgo chinh quyen, dodn the. .).
+ Phu nfr cd thai vd ba mg cd con dydi 5 tudi, - Dia diem nghidn cfru: huygn Bgch Thdng. tinh Bac Kgn,
- Thdi gian nghien cfru' tfr thdng 04 den thdng 12 ndm 2011
2. Phyang phap nghien cfru - Thilt k l nghidn cfru: nghidn cdu hdi cdu - Mau nghien cdu chgn mdu todn bg.
- Chi tidu nghign cfru: chi tieu van hda xa hpi, ti Ig SDD tre em, trinh dp chuyen mdn cdn bg, trang thilt bj cho hogt dgng phdng chdng SDD,
- Ky thugt Ihu thgp thdng Im: tdng hap sd ligu thu elp tgi Ihdn, xa, huygn tfr sd sdch ciia chuang trinh dinh dydng bdng m l u philu thill k l san. Danh gid hogt dgng cdn tre, thyc hanh dinh dudng vd truyin thdng ciia CTVDD bdng bang kilm,
- Xy ly so ligu: Iheo phyong phdp thdng ke y hpc, sd dyng phan mem EPI-lNFO6,04
KET QUA NGHIEN CU'U
Bang 1 Ti Ig tre suy dinh dy&ng tre em dudi 5 tudi T h i suy dinhdu'fi'nq
Nhg cdn (W/A) T h i p cfii (H/A) G i y cfim (W/H)
Tfinq sfi tre 2 206 2.206 2.206
Sfi tre SDD 454 834 212
T i l | % 20,6 37,8 9,6 Nhsn x a : Ti I? SDD t h i nhe can la 20,6 %, the thap c6i la 37,8 % va the gay com la 9,6 %.
Y HOC THirC HANH (806) - S6 2/2012
B a n q 2 M g n q l u d i p h d n q c h C i c chl s6 BDH phfinq c h i n q SDD huygn CSn b | phy tr^ch chu'ong trinh
PCSDD h u v l n BDH p h i n g chfing SDD xd C5n bfi phy [ r i c h chu'ong Irlnh
S D D x f l CTVDD thfin b^n
dnq suy dinh dy&ng n 1 2 15 17 155
TI I I % 100 100 88,2 100 100 Nhgn xdt: huygn cd BDH phdng chdng SDD vd cdn bd ehuydn trdch chyang trinh PCSDD. Cd 15/17 xd cd BDH phdng chdng SDD, 100% sd xd cd cdn bg phy trdeh ehyang trinh PCSDD, 100% thdn ban cd CTVDD,
Bang 3 Trinh dg chuydn mdn ciia cdn bd y t l huygn Iham gia PCSDD
cac chi s6~
BAc sy Bilu du'fi'ng _ Y sy da khoa Nfr h | sinh va cdn bfi kh^c
Tfing sfi
TI lg % 30,0
Nhgn xdt: cdn bg tham g;a cdng tdc phdng chdng suy dinh dy&ng tuyin huygn chij y l u ed trinh dg dudi dgi hpc, bdc s? ed 30%, dieu du&ng 30%,
Bang 4 Tranq thill bj, dyng ci^ chuang trinh PCSDD STT
1
2
3
Dgnq cu Cdn di^nq h i T u y i n h u y | n T u y i n xS Thfin, ban Thu'fi'c do T u y i n h u y i n
T u y i n xS Thfin, b i n BQ dyng cy thij'c hdnh dinh
dyfi'nq Tuyfin huygn
T u y i n xd Thon, ban
n 174
2 17 155 174 2 17 155 176 4 17 155
T i I I % 100 1,1 9,8 89,1 100 1,1 9,8 89,1 100 2,3 9,7 88,0
STT 1
2
3
Cdc chl sd T i p h u l n k i l n Ihfrc dmh
dirfi-nq T | p h u l n cdn bfi phy
trdch CTDD xa T | p h u l n c | n g tdc v i l n
thfin ban T | p h u l n ky ndng
TTGDSK Tdp h u l n cdn b | phy
trdch CTDD xd T i p hudn c | n g ldc v i l n
thfin ban T i p h u l n cdn, do tre Tdp h u l n cdn b l phy trdch CTDD xd Tap huan cpng tdc vidn
thfin ban Sdli^p
6 1 5 6 1 5 4 1 3
Sfi ngu'fi'i d y
17 151
17 145
17 128
T I I | %
100 97.4
100 93,5
too
82,6 Nhgn xel: tgp huln kiln Ihfrc PCSDD, kj? ndng TTGDSK va edn do tre cho 100% cdn bg phg trdeh
chyang Irlnh dinh dy&ng xd, ldp huln kiln thfrc v l di dy&ng cho 97,4% CTVDD, l&p huln ky ndng TTGD!
eho 93,5% CTVDD vd tgp huln edn do tre eho 82,6 CTVDD.
Bdng 6 K i t qud hogt ddng PCSDD Ire em Stt
1 2 3 4
Cdc chl s6 T r i dyfi'i 1 t y l i Oirac tifim
chyng d l y du T r i 24-60 t h i n g d y ^ c ufing
t h u i e tdy giun T r i 6 t h i n g dSn 60 thdng
d y a c udnq V T M A T r i dyfi'i 5 tudi d i r a c cdn vd theo dfii b i l u dd tdng t r y d n g
Tfing sfi t r i 520 1 287 2 026 2.304
Sfi trd sfr dyng
497 1,225 1.951 2.206
TJIl
%
95, ( 9S.'4
fl6,;
95,/
Nhgn xet: Trang thigt bj, dyng eg PCSDD dypc trang bj dly du tfr huygn d i n thdn ban trong dd luyin xd vd thdn ban cd tdi Ihieu 1 edn, thyde do va dyng eg thyc hdnh dmh dy&ng.
Bang 5 Cdng tdc ddo tgo, tgp huln chyang trinh PCSDD
Nhgn xdt: Ty Ig Ird dudi 1 ludi dypc ligm ehung dl dO, t l y giun vd udng VTM A dgi Irdn 95%, 100% ( dydi 5 ludi dyyc edn vd theo ddi bilu dd Idng trydng.
B A N LUAN
Kit qud bing 1 eho thiy ti Ig SDD trdn d|a bi huygn t h i nhg cdn Id 20,6%, I h l cdi cgc Id 37,8%, tl gdy cdm Id 9,6%. TI Ig ndy cao han ti Ig SDD chung ci todn qudc f17,5%), nhyng thip ban so vdi khu v^
trung du mien niii phia b l e vd tinh Ble Kgn [1]. Huy(
Bgch Thdng dd thdnh lgp Ban dilu hdnh phdng chofi SDD vd phdn cdng cdn bp chuydn trdch chyong Irlr PCSDD qudc gia. Cd 15/17 xd cd BDH phdng chfir SDD (88,2%) vd 100% s l xd cd edn bp phg trdc chyang trinh PCSDD. 100% sd thdn ban cd CTVDE Nhy vdy mgng lydi PCSDD dype triln khai tyang d tdt td huygn den thdn ban.
Dyng cy PCSDD nhy edn, thydc do vd bg dyng c thyc hdnh dinh dy&ng dypc trang bj d l y du tfr huyS d i n thdn b i n , moi xd vd thdn d i u cd 1 bg edn. Ihirc 6 vi bp dyng cy thye hdnh dinh dy&ng. Tuy nhidn thi dinh dy&ng vd bp TTBTT thi Irang bj ehya dypx; dly dl todn huygn mdi ed 13 thdp dinh dydng vd 8 bd TTBTT.
Mgng lydi ldm edng ldc PCSDD huygn, xd cd trin dd chuyen mdn dgi hpc cdn It. luyin huygn cd 109 tuyin xd cd 11,4%, cdn lgi Id cdn bd cd trinh d$ dudi Q hge Mdt khdc cdc cdn bd ndy mdi dypc lgp huln i thyc hign chyong trinh, chya dypc ddo tgo chuy6n s j v l dinh dy&ng. Cdng tdc ldp huln trien khai chuc^
trinh PCSDD hdng ndm dypc thyc hign eho ca cdn b phy trdch chyang trinh dinh dy&ng xd vd CTVDD thfl bin d l thdng nhdt triln khai cac hogt dgng trong ndn tdp huln cho CTVDD Ihdn ban ky ndng TTGDSK v cdch edn do tre. chim bilu dd tdng trydng theo hudn d i n ciia chyang trinh PCSDD qudc gia. Cdc xd dd cd k hogch eua BDH vd eiJa Trgm Y le xa de Irien khai thif hign, cd 15/17 xd thj trln ed k l hogeh cua BDH, 6 xd c phdn cdng nhigm vy thdnh vign BDH, 17 Trgm Y l l c k l hogch triln l<hai chyang Irinh vd 9 Trgm Y l l cd phi edng phy Irdch dja bdn cho cdn bg.
Hogt dgng TTGDSK dype triln khai da dgng bin nhilu hinh thdc vd phong phii v l ndi dung, tong cpng c 228 bull TTGDSK ctJa cdn bd phy irach chyang trlti dinh dy&ng x3, thj trln vdi 4.456 l y p i ngydi Uiam di, 923 buoi TTGDSK cua CTVDD Ihdn ban vdi 9.2471u(
ngydi Iham dy. Tdng hpp so buoi TTGDSK cia,'xi ngdnh thdnh vidn BDH chuang Irinh PCSDD tuyin,|
cd 238 budi vdi 6.017 ngudi tham dy. TTGDSK b ^ cdc hinh thdc gidn tilp cung dypc triln khai thudr
i
Y HOC THVC HANH (806)-s62fi
xuyen nhir cap td roi cho ba me co con dirdi 5 tudi, l^m Pano, bang ron tuyen truydn, clip tranh Igt cho CTVDD, hpi thi va tuyen truyen trdn dii phat Ihanh truyen hinh huyen va hp thdng loa truyen thanh x§,
Trong nSm 2011, tre du-oi 1 tudi diriyc tidm chCing d^y du la 95,6%, Ire 24 den 60 thang du'iyc udng thudc lay giun \i 95,2%, tre 6 den 60 th^ng tudi du'O'c udng VTM A \i 96,3% v^ sd tre du'6'i 5 tudi dup'c theo dfii cSn nang va bieu do ISng tru'dng la 95,7%.
Tong kinh phi trien khai hogt dpng PCSDD tren dja ban huydn nam 2011 li 410.000 000 ddng trong d6 kinh phi chien lu'oc qudc gia dmh du'ang Id 13.500 000 ddng (3,3%), kinh phi PCSDD tre em \i 55,500.000 ddng (13,5%), Kinh phi cham soc sire khde smh san Id 41000 000 ddng (10%), kmh phi NGO tdi Ir^ la 300,000 000 ddng (73,2%)
K^T LUAN
- Ti Ip SDD tre em huypn Bach Thdng, thd nhp cdn, 20,6 %, the thap c6i: 37,8 %; thd gdy cdm: 9,6 %,
- Mgng lu'di PCSDD du'p'c xay dyng ICr huypn, xa den thdn ban Huypn cd Ban didu hdnh Chyong trinh PCSDD, 15/17 xa, th| tran cd BDH chu'ong trinh PCSDD ^
- Thiet bj phgc vg chuong trinh lu'ang ddi day dCi tir huy#n den llidn ban.
- Can bo chuyen trach vd c$ng tdc vien dinh dy&ng da dyp'c tap huan vd chyong trinh.
- Ket qua hpat dpng PCSDD: cdn tre dai 95,7 %, udng VTM A cua Ire 6 den 60 Ihdng dgt 96,3 %. tay giun
cho tre 24 ddn 60 thdng dgt 95,2 %; ti Ip tre em dyoi 1 tudi tiem chung ddy du la 95,6 %,
TAI LIEU THAM K H A O
1. Hd Huy Khoi (2006), "Thoi diem m6i cua chyong trinh phdng chdng suy dmh dy&ng tre em d nu&c ta", Thdngtin Ydwqrc, (7), 12-14.
2, L§ Danh Tuygn, Le Thj Ho'p, Nguyin C6ng Khan, Hd Huy Khdi (2010). "Xu hyang tidn trien suy dinh dy&ng th^p cdi vd yu lien trong chidn lyoc Qudc gia vd dinh du'&ng glal dogn m6'l 2011 - 2020", Dinh dwdng vi T/)(JC phJm. 6 (3+4),, 5-8,
3 Mann,J,l (2006). Evidenced-Based nutrition recommendations for the treatement and prevention of type 2 diabetes and the metabolic syndrome. Food and Nutntion buletln vol 27, (2), 161-167,
4 Pietinen P et al (2001), Nutrition and Cardiovascular diseases in Finland sinceth early 1970s, a success story, The joumal of Nutrition, health and ageing,{3), 150-154.
5. Popkin B. et al (2001), The Nutrition transition and prevention of diet related diseases in Asia and the Pacific, Food and nutrition bulletin, no 4. vol 22.
6, WHO (2007), World health statistics 2007 presents the most recent health statistics for WHO's 193
Member states, htlp-//www.who,inl/nutgrowthdb/print,htm,
1 WHO (2009), Global database on child growth and malnutrition, WHO, Geneva paper, 75-80,
NGHIEN CQU ism DUNG KY THUAT CAT DICH KINH TAI MOT SO T I N H , THANH PHd'
DO NHU HON - B$nh vien Mat TW
TOM TAT
Muc tidu: nghiin cOU ifng dung ky thuat cat dich kinh (CDK) tai s6 tfnh, thanh pho. Danh gia hieu qua cua viec chuySn giao ky thuat CDK tai cac dia phudng nay.
Doi tuang phuang phap nghien cCfu: nghien cCfu trin 6 ca sa nhan: Ha Ndi, 108, Hai Phong, Thanh Hda, Nam dinh, Phii Tho vdi 7 hoc vien. Thdi gian dao tao tai Benh vien MSt TW 3 thing gdm giang I'jr thuyet, thuc harih Wetlab, kem cSp tren benh nhan sau dd se kiim tra cap chCfng chi Hoc vien trd v4 nai cdng tac bit dau triin khai ky thuat cat dich kinh vdi sugiup dd cQa_ giao vien den tCi cd sd dao tao. Danh gia ket qui phiu thuat cOa hoc vien thdi gian 2 nim.
Kit qua nghien cUu: ca 7 hoc vien deu dat ket qui hoc tap tdt dat loai gidi khi kiim ta cuoi ky. Khi ve dia phuong cd 5 cd sd da tnin khai mo thanh cdng kit qua tot gin nhu kit qua m6 tai cd sd dao lao, t} Id biin chimg thip, rieng Nam dinh chua triin khai md duac.
Nhu vay da chuyin giao thanh cdng hoan toan cho 5 co sd nhan khoa va 6 bac sT chuyen khoa vi ky thuSt dich kinh vdng mac.
Kit luan: ky thuat dich kinh vdng mac cd thi chuyin giao thanh cdng cho cac ca sd nhan khoa ldn cd tinh chat vung, cd diiu kien v4 con ngudi va ca sd vat chat.
Tif khoa: Ong dung ky thuat dt dich kinh.
SUMMARY
Objectives: To evaluate the possibility and effectiveness of transfernng the vitrectomy in some cities and provinces.
Subjects and methods: the study was conducted in 6 ophthalmic institutions with 7 trainees: Ha Noi eye hospital; 108 hospital, Hai Phong eye hospital, Thanh Hoa eye hospital. Nam Dinh eye hospital, Phu Tho eye department. After the 3 month training course at VNIO (including lectures, wet lab practice, hand-on training) all trainees returned to their home hospital to complement the trained technique under the supervision of qualified surgeons from VNIO. The result was evaluated after 2 years.
Result: all 7 students have successfully completed the course (with ^rst-class honors). 5 over 6 provinces (except Nam Dinh) have successfully complemented the vitrectomy technique with good result, low complication rate. So that the transferring has been done to 5 ophthalmic facilities with 6 well trained vitreo- retinal surgeons.
Conclusion: The vitrectomy technique is transferable to some regional ophthalmic facilities with sufficient human and infrastructure resource
Keywords: vitrectomy DAT VAN Di
Hien nay, benh iy dich kinh (DK) vong mac (VM)
Y HOC THUC HANH (806) - SO 2/2012
