THUpC AN QU6C K^T HOAT OONG TRUYDN

- TjDkP CHf NGHIEN Cl^U Y HQC

K^T QUA HOAT OONG TRUYDN THONG PHONG C H 6 N G UNG THU" THUpC DU" AN PHONG C H 6 N G UNG THU" QU6C GIA,

GIAI DOAN 2008-2010

B u i D i e u \ N g u y i n Hoai N g a \ Ngd Van T o d n ^ N g u y i n Ngpc H i I n g ^ Vu Thi V y n g ^ N g u y i n Thj Q u j n h M a i ^ Hodng Y i n ^ T r i n Thi Hao^ Biii Vdn Nhon^

' B$nh vidn K. 'Trudng Dgi hgc Y Hd N0i Ngtiien ciru nhim ddnh gid kit qud hogt d^ng tmyin thdng phdng ching ung thu thudc ctiuong trinh mgc lieu quic gia phdng ching ung thu giai dogn 2008 - 2010. Kit qua cho thiy 16 khoa ung budu dugc thanh l$p vd xay dung dugc mgng ludi POUT d Vigt Nam. Dw dn bidn sogn dugc nhiiu tdi lidu truyin thdng.

voi cdc hinh thirc tmyin thdng da dgng- td roi (15 logi td mi vdi mii logi 10000 - 20000 td/ndm. tmyin hlnh trung uong vd dia phuang Du dn ddo tgo. tdp huin nhieu lugt CBYT vi truyen thdng POUT vd ti chirc ttidnh cdng 2 hgi thdo quic gia POUT 10/2008 va 10/2010 Mgng ludi PCUT dugc thanh Igp tir ffnh den huydn va xi, tuy nhidn vin gdp rit nhiiu khd khdn vi nhdn luc. kinh phi trong qud trinh triin khai. Tir dd co thi ket ludn. tgi 6 tinh da xdy dgng dugc mgng ludi PCUT tir tmng uong din tinh/huygn/xa Tuy nhidn vin chua cd chiin luge cu thi, thieu vi nhan luc vd kinh phi.

TtJkhoa: phong c h i n g ung thip, truyin thong, danh gia

1. OAT

V A N

Dt

Nam 2008, d u an Phdng c h i n g Ung thu Quic gia duoc t n i n khai vdi hai muc tieu chinh la tirng b u d c giam ty Id mde, ty le c h i t do bdnh ung thu vd cai thidn c h i t luong cudc sing cho bdnh nhdn ung t h u d' Vidt Nam Chuong trlnh da t i i n hdnh hoat ddng truyin thong tai 6 tinh/thdnh p h i Hd Npi, Hai Phdng, Thai Nguyen. Thira Thidn Hue, C i n Tho va thdnh p h i H i Chi Minh Ndi dung chlnh la tdp trung truyin thdng phdng bdnh va khdm sdng Ipc phat hidn sdm ung t h u tgi cdng dong, nhdm cung cdp cho ngudi dan nhCrng k i i n thirc can thiit phdt hien cde d i u hidu sdm eua benh, cdc bidn phap phdng benh ung thu, cung nhu chdm sde giam nhe tridu chirng [2].

Qua mdt thdi gian hoat dpng, chuong trinh (Td dgt duoc mdt s i k i t qua nhdt djnh, tuy nhidn vdn chua nghien c u u ndo ddnh gid ve hieu qua cua cac hoat ddng truyen thdng vd tir 36 Idp k i hoach cho giai doan t i i p theo Vi vay, vide t i i n hanh nghidn eiru nhdm ddnh gid

k i t qua hoat dong truyin thdng phdng chong ung thu thudc chuong trinh myc tieu q u i c gia phdng c h i n g ung thu giai doan 2008 - 2010 Id r i t can t h i i t

II. D6\ TU'gNG VA PHU'aNG PHAP

1. Ddi tu'O'ng

Can bd Idnh dao eua chuong trinh muc tieu q u i c gia Phdng chong ung thu (PCUT) t u y i n trung uong/tinh/huydn K i hogch hoat ddng, bdo cdo, tdi lidu truyin thdng cua d y an phdng c h i n g ung thu giai doan 2008 - 2010

2. Phu'ong phdp

Nghidn ciru dinh tinh vdi cdc ky thuat thu thap s i lidu Id thu thap s i lieu cd sdn, phdng van sdu vd quan sdt. Phdng v i n sdu 18 edn bd idnh dao chuong trlnh PCUT: 6 can bd . t u y i n tinh vd 12 cdn bo t u y i n huyen Quan sat hogt dpng t r u y i n thdng, xem sd lieu bao cao va tdi lieu truyin thdng tgi cdc so sd phdng chdng ung thu thude chuong trinh muc tieu q u i c gia

133

TAP CHl NGHIEN Cl>U Y HQC •

ML K £ T QUA NGHIEN CLTU

L V i t i chu'C

Dy dn phdng ching ung thy quic gia dd cCing vdi Bi Y t i thdnh ldp dup'c 16 khoa ung budu vd xdy dyng dup'c quy hogch mgng ludi PCUT d Vidt Nam. Tgi Hd Nfii mgng lydi PCUT tgi CO sd y t i (CSYT) qudn/huydn vd cdc bdnh viin (BV) thdnh phi, BV huydn dd dup'c xdy dyng. Oin ndm 2010, Hd Ndi dd phdt tnin dup'c 60 mgng ludi PCUT co sd, dgt 100%. chl tidu Tgi Thira Thidn Hui dd thdnh ldp Ban chi dgo diiu hdnh PCUT tuyin tinh vd xdy dyng mgng lydi cdn b i phg trdch qudn ly chuong trinh PCUT tgi tuyin huydn/thj xd/thdnh phi. Tgi Hdi Phdng thdnh ldp dup'c ban chu nhi$m chuong trinh dud-i sy chi dgo tn,j'C tiip cua Sd Y t i . Vide gidm sdt vd kiim tra thuc hidn chuong trinh tai d|a phuong ehdt Che vd eu thi. Tai Thdi Nguydn dd thdnh l$p Ban diiu hdnh dy dn Phdng ching Ung thu cap tinh, Cdc don vj tryc tiip triin khai gim:

bdnh vidn 0a khoa Trung uong Thdi Nguydn, Trung tdm Truyin thdng, Gido dgc sCrc khde (TTGDSK) vd mit s i don vi khdc. Cdc trung tdm y t i (TTYT) huydn chi dgo cde xd ciing phii hop thyc hidn cdc nOi dung hogt ding cua dy dn Kit qua nghidn cCru cho thiy mgng lydi truyin thdng tuong dii giing nhau d cip tinh. diu do TTGDSK phii hp-p b$nh vi$n/

trung tdm/khoa ung budu Nhung d cip huydn thi ed mOt s i noi thudc TTYT qudn/

huydn, mdt s i noi thudc trung tdm Y t i Dy phdng (TTYTDP) qudn/huydn. Xuing din cip xd/phudng thi hiu hit Id khdng cd cdn bO truyin thdng chuySn trdch

2. Kdt q u i thirc hi^n cdc hogt d$ng truydn thong

Tdi lidu truydn thdng: Theo bdo edo cOa dy dn phdng chong ung thu cdc cip, cdc tdi

hdu truyin thdng dd dup'c bidn sogn dud-i hlnh thirc cdc td roi, cdc bdn tin, phdng sy, chuydn myc, ndi chuydn gidi ddp thdc mic trdn truyin hlnh, trdn ddi phdt thanh vd cdc bdi bdo dup'c ddng tdi trdn cdc bdo vd tgp chl.

Phvong thu'c truyin thdng: Td roi Id hlnh thu'C mang thdng didp truyin thdng din vd'i ngudi ddn nhanh, d i ddng vd smh ding [3]. Chuong trinh dS phdt tnin 15 loai td roi khdc nhau vdi mii logi ttr 10 000 - 20 000 td/

ndm. Bdn cgnh cdc td roi cua chuong trinh,

nhiiu dja phuong dd chu dOng bidn sogn

thdm td roi cho dja phuong minh Vi dy d

thdnh phi H i Chi Minh. Thdi Nguydn dd xdy

dyng thdm td roi. Kdnh truyin thdng qua sdng

phdt thanh, truyin hlnh cQng Id mOt lya chpn

uu tidn. Dy dn PCUT quic gia dd dua thdng

tin Idn sdng truyin hinh cua tit cd cdc kdnh ed

s i lup'ng ngu'di xem ddng dao nhat nhu

VTV1, VTV2, VTV3 vd kdnh truyin hlnh sire

khde 02TV. Trdn kdnh VTV1 dd cd trdn 20 lan

phdt sdng/ndm vdi thdi luong trung binh 45

phiit/lin cho cde ban tin ve PCUT. Kdnh VTV2

dd xdy dyng cdc phdng sy vd'i thd'i luyng 15

phOt/phdng sy x 7 - 10 phdng su/ndm. Kdnh

VTV3 eung dua tin PCUT vdi 15 lin phdt

sdng/ndm x 45 phOt/lin. Ode bidt, kdnh 02TV

dd xdy dyng chuydn myc "Chiin thdng ung

thu" vd'i 52 gid phdt sdng/ndm. Bdn cgnh dd,

cdn cd chuydn myc "Ngdy mai tuoi sdng" phdt

sdng 1 thdng/lin, > 70 cuic ndi chuydn gi3i

ddp thdc mdc mii ndm. Cdc bdi tuydn truyen

PCUT cOng ducc phdt trdn kdnh tnjyin hlnh

cua cde tfnh. Cf thdnh phi H i Chi Minh, cdn

b i bdnh vidn Ung bud-u thdnh phi dd tham

gia ndi chuydn trdn kdnh "Chdo buol sdng'

cua Odi truyin hinh thdnh phi, Tai mit si ca

sd y t i tuyin huydn/xd cd gdc truyin thdng,

cdc tdi lidu duyc trung bay nhu- poster, td roi,

sdch nhd... Tuy nhidn, do dy dn mdi thuc

hidn nhiiu Trgm Y t i (TYT) xd vdn chua cd tdi

TCNCYH 79 (2) - 2012

lieu tuydn truyen PCUT [1],

Ho?t ddng dao tao, tdp h u i n : Ddo tao can bd y t i (CBYT) lam cdng tdc truyin thdng phdng chdng ung thu la hogt dpng quan trpng nhim ndng cao chat lup'ng hoat ddng truyin thdng Dy an PCUT da ho tro ddo tgo eho ede CBYT dudi nhiiu hlnh thire da dgng: ddo tgo lien tuc, ddo tgo Igi, hd trp' ky thudt vd c h u y i n giao cdng nghd [3] D y dn dd to chirc d u o c 3 ldp tdp h u i n ve ung thu co ban cho bdc s^/

tinh/ndm Vdi bde sy Idm vide tai cdc khoa ung budu, Idp hpc v i chdm sdc giam nhe tridu chirng da dup'c t i chirc d i cdp nhdt k i i n thirc vdi t i n s u i t 2 Idp/ndm, trong dd cd 2 Idp da mdi chuyen gia quoc t i d i n trinh bdy Tmng binh mdi ndm cd 2 Id'p tgp huan ve ung thu' nhi khoa duoc to chire, 1 Idp ddnh cho bac sy va 1 Idp ddnh cho dieu dudng Ngoai ra, cdn cd cae Idp tap huan v i ky ndng truyin thfing ghi nhdn ung thu... Hai hoat ddng tmyin thong quy md Idn n h i t la Hdi thao q u i c gia PCUT da duoc td chirc thdnh cdng vao thang 10/2008 vd thang 10/2010 vdi s y cd mat ciia nhiiu dai bieu trong va ngodi nude [4] Mdc dii vdy, nhu c i u dao tao cua CBYT con rat Idn, k i t qua phdng v i n sau CBYT d cac tfnh cho'thiy khd khan Idn la t h i i u can bd CO dii ndng lue chuyen mdn, n h i t Id d t u y i n huyen va xa 0 mdt so dia phuong (Thira Thldn Hui, thanh p h i H i Chi Minh, Can Tho), CBYT cho biit ho cd ky ndng truyen thdng tot dodirpctdp huan hdng ndm, nhung Igi thieu kien thire v i PCUT, hg phal t y hoe tap md chira duoc qua Idp tdp h u i n ndo

Thu|in Ip'i: Mang ludi PCUT duac thanh lap tir tinh d i n huyen va xd. Budc d i u cac hoat ddng PCUT da d u o c t r i i n khai, cd mpt so dja phuong da t n i n khai d u o c nhiiu hoat dong nhu TP. Hd Chi Minh, Thdi Nguyen, Thira Thien H u i , . . , H i u h i t cac cdn bd tir tuyen tinh/huyen/xd d i u da dup-c tap h u i n it

TAP CHf NGHIEN Cl>U Y HQC n h i t 1 lan, Cdc CBYT deu ed mong mudn rat Idn dup'c t i i p tye tham d y cdc Idp tdp huan v i chuydn mdn PCUT cQng nhu v i k? ndng truyin thdng, H i u h i t cde dja phuong d i u chu d i n g , tieh eye trong vide t n i n khai cdc cdng vide lidn quan den cdng tdc truyin thdng

K h d khan

Khd khdn ve nhan It^c: Thiiu cdn bd chuydn trdch v i truyin thdng, hidn nay nhiiu edn b i ehua dup'c tdp h u i n , dao tao day du, n h i t Id t u y i n huydn vd xd

Khd khan ve kinh phi: Tai mdt s6 dia phuong, kinh phi cho hoat ddng truyin thdng d u o c giao cho S d Y t i va Trung tam Y t i Du phdng tinh hode Trung tdm Giao due sire khoe tinh, ndn d cae eo sd dieu tri khdng cd kinh phi cho hogt ddng nay, Tai thanh p h i Hd Chi Minh, mac dii benh vidn Ung budu duoc c i p hon 2 ty ding/nam 2011, can bd Idnh dao d ddy cho r i n g "Kinh phi di tuyen truyin do benh vien la dau moi x u i n g cdc tinh nen giao cho benh vien khdng nen giti' tren thdnh p h i " . Can bd Idnh dao d Trung tdm Ung budu Thai Nguydn cung cho b i i t "Kinh phi phdn bo cho hoat ddng truyin thdng Id khd phii hop".

Khd khan trong qua trinh triin khai: Cac hoat ddng nhu truyin thdng, kham sdng loc chu y i u tdp trung vdo ung thu vu, ung thu co tCr cung, thudng d u o c l i n g ghep vdi chuong trinh chdm sde sire khoe sinh san, chua tnen khai rdng sang cdc benh ung thu khdc Tgi mdt so noi, s i lup'ng t d roi chua ddp irng duoc theo nhu cau (can bp y te tgi Thai Nguydn) Khd khdn v i ddo tao ky ndng t u vdn, trang t h i i t bi (khdng cd xe di cdc tuyin) Chua cd c h i i n luoc PCUT ey the, each lam vide edn manh miin, ehua ed tai lidu ehuan qude gia, vide s u dyng kinh phi ehua chu ddng, chua cd k i hoach (edn bd y t l tai thanh p h i H u i )

TAP CHl NGHIEN CU'U Y HQC

Gidm sdt

Tgi Hui, hogt ding gidm sdt theo co chi ttr tinh din huyin, xd vd thdn bdn, thdng thudng Id gidm sdt ling ghdp, Tuy nhidn, theo nhiiu ^ kiin cua cdc cdn b i dup'c phdng vin, nhldm vy gidm sdt hi$n nay chua rfl rdng, "di nghi giao nhidm vv gidm sdt cdc hogt dOng phdng chdng ung thu cho ai, n^i dung gidm sdt cdi gl, quy dinh dan vi ndo Id ddu mil. ai bdo cdo vd phdi hgp nhu- ihi ndo cdn c6 hudng din cy thd" (edn b i y t i tgi bdnh vidn Ung budu thdnh phi H i Chi Mmh).

IV. BAN LUAN

Tgi 6 tinh dd xdy dyng duyc mgng ludi PCUT tir trung uong din tinh/huydn/xd. Hogt ddng truyin thdng dup'c giao cho trung tdm truyin thdng Gido dye sire khde tinh phii hp'p Sd Y t i Dy dn da xdy dyng dup-c cdc tdi lidu PCUT nhu cdc td roi, cdc ban tin, phdng sy, chuydn muc, ndi ehuydn giai ddp thic mic trdn truyin hinh, tren ddi phdt thanh vd cdc bdi bdo duoc ddng tai trdn ede bdo vd tgp ehi Td roi Id hlnh thirc mang thdng didp truyin thdng din vd-i ngudi ddn nhanh, d i ddng vd sinh ddng [3] Chyong trinh dd phdt tnin 15 logi td roi khdc nhau vdi mii log! tir 10.000 - 20 000 td/ndm. Bdn cgnh cdc td roi cua chuong trinh, nhiiu dja phuong dd chu ddng bidn sogn thdm td roi cho dja phuong minh.

Odo tao cdn b i y t i (CBYT) Idm cdng tdc tnjyin thdng phdng ching ung thu Id hogt ddng quan trpng nhdm ndng cao chit iup-ng hoat ddng truyin thdng [4] Dy dn PCUT dd ho try ddo tgo cho ede edn bd y t i dyd-i nhiiu hinh thirc da dgng: ddo tgo lidn tgc, ddo tgo lai, ho trp' ky thudt vd chuyin giao cdrig nghd, da t i chirc dup-c mit s i Id-p tdp huin cho cdn bp Tgi mOt s i dia phuong dd chu ddng triin

khai cdng vide cdn b i dd cd ky ndng co ban v i truyin thdng. Tuy nhidn, vin chua cd chiin lup-c cg thi; thiiu v i nhdn lyc vd kinh phi;

hogt ddng truyin thdng chu yiu tdp trung vdo ung thu vii vd ung thu c i tir cung Tdi lidu truyin thdng chua ddp irng du nhu ciu; hlnh thirc chua da dgng, chu yiu Id truyin thdng gidn tiip (qua truyin hlnh, td roi, sdch nho, loa truyin thanh ..), truyin thdng tryc tiip cdn hgn chi [3], Hogt ding truyin thdng 6- tuyin xd cdn yiu

Tgi thdnh phi H i Chi Minh, bdnh vidn Ung budu thdnh phi dd thdnh ldp dup'c t i truyin thdng gido dye sire khde cua bdnh vidn (gpi tit Id T3G) vd d i xuit thdnh Idp md hinh ndy d tirng khoa diiu trj (T2G), do dd cdng tdc truyin thdng ir ddy dup-c thyc hi$n rit hidu qua T i truyin thdng - Gido dgc sue khde cip bdnh vidn Id T3G gim Ban gidm doc benh vidn, trud-ng phdng Ke hoach ting hop, Trudng/Phd phdng Oiiu du&ng, cdc Bdc sT/

Oiiu dud-ng trud'ng cdc khoa T6 T3G c6 trdch nhidm tham muu cho Ban gidm doc trong xdy dyng k i hogch tnin khai hogt dpng tu vin vd truyin thdng gido dye su-c khde tai bdnh vidn. Trdn co sd' dd thdnh ldp T3G ndu trdn, bdnh vl$n dd d i xuat thdnh ldp T2G de tnin khai hogt dOng truyin thdng gido dye sO-c khde xuing tirng khoa diiu tn [1]. Ody cd the Id mdt md hinh tit d i cdc eo sd khde hpc tgp.

D i cdc chuong trinh sdng Ipe tnin khai c6 hi$u qua, ngudi ddn cin phai dup'c tuydn truyin cung cip- kiin thu-c, Tgi Hui, dd thy-c hidn "Xdy di/ng thdng di$p truyin hlnh" ph^t trdn truyin hinh, sdng kiin xdy dyng chuydn mgc "m0t phOt truyin thdng gid vdng" phat trdn khung gid vdng cua ddi truyin hinh [I].

Hiu hit cdc edn bd dyyc phdng van sdu

diu cho ring tuydn truyin trdn tivi Id tdi nhieu

TCNCYH 79 (2)-2012

ngu-di biit nhit, cae tuyen truyin ndn Idp di lap lai nhieu l i n va phdt trong gid vdng Id t i t nhat vd dd gdy i n tuong nhat Tgi cdng d i n g ndn truyin thdng theo hinh thirc tryc t i i p hdi dap Cac npi dung nen tgp trung vdo phdt hidn sdm (7 dau hidu nghi ngd), phdng trdnh ung thu- Tgi cdc bdnh vidn Ung budu, phdn logi doi tup'ng thdnh cdc nhdm: bdnh nhdn ehua sin sdng t i i p nhdn cdc thdng tin v i ung thu, benh nhan dd sdn sdng t i i p nhdn thdng tin, than nhan duye t u v i n v i ede y i u t i nguy co va cdch PCUT [3, 4] Bdnh vidn phoi hop vdi cac Cdng ty Duoc d i t i chire edu Igc bd cho benh vidn vd ngudi nhd (cdn bd y t i tai bdnh vidn Ung budu thdnh p h i H i Chi Minh)

MOt s i hoat ddng mang tlnh dai chiing cao, c^n du'oc chi dao thyc hien todn didn tir trung u-ang d i n dia phuong nhu mit tmh nhdn ngdy phdng ching ung t h u the gidi. Bd Y t i e i n ed van ban chi dao cac Dy ban nhan ddn thdnh phi, Sd Y t i cdc thanh p h i vd cdng tdc tuyen truyen phdng c h i n g ung t h u (cdn bd y t i tai benh vien Ung b u d u thdnh pho H i Chi Minh) Ben canh dd, d i ndng cao hieu qua va da dang cdc hinh thirc t r u y i n thdng, cd the to chirc cdc cudc thi tai cdng dong "Cin xdy dung hanh ddng cho hoat ddng phdng chdng ung thu theo khung thdi gian, 5 ndm vd tO-ng nam mdt, cd su phdi hgp ehdt chd, trao ddi kint} nghidm, su hd tra cua chuydn gia qude ti" (cdn bp y t i tai thdnh p h i H u i ) [1 ]

Cdc can bd y t i d cdc t u y i n t?nh/huydn/xd

^LTOc Cdn bd y t i d i u bdy td mong m u i n duoc tap huan ndng cao ky ndng truyin thdng nhiiu ho-n nCf-a. "Nen td chOc d co s d huydn, ft nhit ndn 1 lin/nam, cd thanh phdn cOa tuyin y ti xd nim" (cdn bd y t i , trung tam y t i Thi xd Sdng Cong - Thai Nguydn).'Vi ddo tao, dn tiin

T ^ P CHl NGHIEN Cl>U Y HQC hdnh md nhiiu han cdc Idp ToT cho cdn bd tuydn tinh" (cdn bd y t i tai thdnh p h i Hue) [1]

V. K^T LUAN

Dy dn phdng chong ung thu q u i c gia da ei/ng vdi BO Y t i thdnh ldp dugc 16 khoa ung budu vd xdy dyng dupe quy hogch mang ludi PCUT d Vidt Nam Tgi 6 tinh dd xdy dyng d u y c mgng ludt PCUT tir trung uong den tinh/huy§n/xd Hogt ddng truyen thdng duoc giao eho trung tdm truyin thdng gido due sire khde tinh phoi hep S d Y t i ,

Du dn dd bidn sogn duoc cdc tdi lidu truyen thdng PCUT dudi hinh thirc nhu ede td roi, cae ban tin, phdng sy, ehuydn muc, nd;

ehuydn giai dap t h i c m i e tren truyin hlnh, trdn dai phdt thanh vd cac bai bdo duoc ddng tai tren cdc bdo vd tgp chi

Dy an cOng dd hd tro ddo tgo eho cde can bd y t i d u d i nhiiu hinh thirc da dang; ddo tao lien tye, dao tao lai, hd tro ky thudt va chuyen giao cdng nghe, dong thdi da to chirc duoc mdt s6 Idp tap huan cho can bd Tai mdt s6 d|a phuong da chii dgng triin khai cdng vige, cdn bp da cd ky ndng c o ban v i truyin thdng

TAI LIEU THAIVI KHAO

1. Benh vien K (2010). Bao eao tong k i t Du an quoc gia v i phdng chdng ung thu tgi Vidt Nam giai doan 2008-2010, Hd Noi

2. Bdnh vien K (2008). Tdi lidu d y an quoc gia v i phdng c h i n g ung thu giai dogn 2008- 2010, Ha Ndi

3. Health Bridge (2010). Bao edo ddnh gia nhu edu truyin thdng thay doi hdnh vi lidn quan phdng c h i n g ung thu eua ngudi ddn tai Hd Ndi, H u i va thdnh pho Ho Chi Minh Bdo cdo danh gid Hd NOi-

TAP CHl NGHIEN cO'U Y HQC —

Summary

CANCER PREVENTION COMMUNICATION EFFECTS OF THE NATIONAL PROJECT ON CANCER PREVENTION

DURING 2008 TO 2010

The study was carried out to perform the reviews and assessments on the activities regarding to cancer prevention by the national target program on cancer prevention during 2008 to 2010, The results showed that 16 Oncology Depts founded and cancer prevention networi< developed in Vietnam; many materials, documents compiled for various communication types like leaflets (15 different forms with 10 000 to 20,000 pieces/year, advertisements on the national and local TV channels The project also organized a lot of training courses for health workers on CP including two national workshops in October of the two years 2008 and 2010. Although the cancer preven- tion network was set up from provincial level to grass root level, it Is still m difficulties on person- nels, budget for operation and development maintenance In conclusions, cancer prevention network operation was ranged from the national to local levels in the 6 selected provinces However, the personnels and budget supports were in needs It was shown that it is needed to develop a comprehensive action stragegy.

Key words: cancer prevention, communication, assessments

THI^U MAU, THI^U KEM VA MOT S6 Y^U T 6 LIEN QUAN 6 TR^ EM Oyai 5 TU6l TAI HUYEN LAC SON, T I N H HOA BJNH

NAM 2009

Le Danh Tuyen Vign Dinh duong Nghidn cuu nhdm ddnh gid tinh trgng thiiu mdu. thiiu kdm vd xdc dinh mdt s6 yiu ti lidn quan a tii dudi 5 tudi huydn Lgc Son, Hda Binh. Kit qui cho thiy ty Id thiiu mdu (38,6%) d trd em tgi aa phuang dugc nghidn cOv sdt vdi ngudng cao cd y nghTa sue khde cdng ding theo phdn logi cua To choc YtilU gidi; thiiu kdm d muc n$ng (85.8%). Thiiu mdu lidn quan ehdt chd vdi tinh trgng suy dinh dudng thip cdi;

thiiu kdm hdn quan ehdt chd vdi thiiu vitamin A.

TCr khda: thiiu mdu, thiiu kSm

I. D A T V A N D t *^^^* '^^"^- ''"^ ^^- ^^ ^^^' ^^^ ^^" ^^^ ®"^

dinh dud'ng (SDD) protein ndng lup'ng. vi chirt Thiiu mdu vin dang Id vin d^ sire khoe (vitamin vd khodng chit) din tdi thiiu mOt s6 cOng ding quan trpng d cdc nud'c dang phdt vi chit ddc hi$u hode ca.hai [1]. Ty Id mdc cdc tnin, ddc bidt d cdc nyd'c OOng Nam A vd b§nh ky sinh triing dud-ng ruOt vd nhiim chdu Phi Chi dd dn eua quin thi sinh sing d khuan cao gdp phin Idm tdng t9 Id SDD vS cdc nudc ndy thudng xuydn thiiu da chit thiiu mdu. Trdn t h i gid'i, cd khoang 2 ty ngu*i

TCNCYH 79 (2)-W^ ^