Y BAN NHAN DAN CONG HOA XA HOI CHU NGHIA VIET NAM TINH SON LA Doc lap - fir do - Hanh phuc

S6:193/KH-lJBND ^om La, ngay 16 thang 11 nam 2018

K E H O A C H "rien khai cac boat dong Thang hanh dong Quoc gia phong, chong

H I V / A I D S , nam 2018

Thirc hien Cong van so 6062/BYT-UBQG50 ngay 11/10/2018 cua Bo Y te (Ca quan thudng true phdng, chong AIDS cua Uy ban Quoc gia phdng, chdng AIDS va phdng, chdng te nan ma tuy, mgi dam) ve viec trien khai Thang hanh dong Iqudc gia phong, chdng fflV/AIDS nam 2018. Chii tich Uy ban nhan dan tinh ban hanh Ke hoach trien khai cac hoat dong Thang hanh ddng Quoc gia phong, chdng HIV/AIDS, nam 2018 tren dia ban tinh nhu sau:

I . M U C T I E U

1. Tang cucmg cac hoat ddng du phdng, xet nghiem phat hien HIV, bao hiem y te cho ngudi nhiem HIV cho nhung ngudi de tdn thuong, ngudi co hanh vi nguy co cao, ngudi dan sdng d vung sau, vung xa, ddng bao dan toe it ngudi.

2. Giam ky thi va phan biet ddi xii vdi ngudi nhiem HIV va anh hudng bdi HIV/AIDS, tang cudng sir hd trg cua gia dinh, xa hoi vdi ngudi nhiem HIV/^IDS va trach nhiem cua ngudi nhiem HIV AIDS vdi gia dinh, xa hdi, dac biet la trong du phdng lay nhiem HIV va tham gia cac hoat ddng phdng, chdng HIV/AIDS.

3. Md rdng do bao phu, nang cao chat lugng cua cac dich vu du phdng, xet ngliiem HIV, bao hidm y td va dieu tri HIV/AIDS den mgi ngudi dan.

I I . T H Q i G I A N V A P H A M V I T R I E N K H A I

I . Thdi gian: Tu ngay 16/11/2018 den ngay 15/12/2018.

l. Pham vi trien khai: Tren pham vi toan tinh.

I I I . C H U D E V A K H A U H I E U

1. Chu de: "Hay hanh dong de hudng tdi muc tieu 90 - 90 - 90 vao nam 2020!".

. Khau hieu Thang hanh ddng: Tai Phu luc I I kem theo.

V. CAC HOAT DONG CHU YEU X. Can cu Ke hoach trien khai cac hoat ddng Thang hanh ddng phdng,

chdng ^ V / A I D S " nam 2018 cua UBND tinh, UBND cac huyen, thanh pho chi dao cacj: ban, nganh, doan the, UBND cac xa, phudng, thi tran, cac co quan, don

dia ban trien khai thuc hien cho phu hgp vdi dieu kien cua dia phuong. V I tren don vi.

2. To chuc cac hoi nghi, hoi thao, tap huan Cac so, nganh lien quan, Uy ban nhan dan cac huyen, thanh pho tuy dieu

kien cu thd to chuc cac hoat dong sau: - To chuc gap mat, sinh hoat, hoi thao voi nhung ngudi nhiem HIV, ngudi

de hi ton thuong vdi HIV. - To chuc cac buoi truydn thong du phdng lay nhidm HIV, lgi ich cua tu

van xet nghiem sdm, lgi ich cua dieu tri sdm HIV, lgi ich cua bao hiem y te vdi ngudi nhidm HIV, van dong ngudi nhidm HIV chu dong tham gia va su dung the bao hidm y td...

- Hoi thao chuydn dd chia se kinh nghiem, cac mo hinh hieu qua nhu: Mo hinh trong du phdng, cham soc, dieu tri HIV va chong ky thi phan biet doi xu, cac md hinh, cac guong dien hinh ma ngudi nhiem HIV hoac ngudi cd hanh vi nguy CO cao da chi ddng tham gia phdng, chong HIV/AIDS, vuon Idn lam chu, tao cdng an vide lam, tao thu nhap va giup nhau trong cudc sdng.

3. To chu-c cac hoat dong truyen thong, van dong hirdng ung Thang hanh dong quoc gia phdng, chong HIV/AIDS va Ngay The gidi phdng, chong AIDS

a) Li mit tinh, dieu hanh hudng ung Thang hanh dong Quoc gia phong, chong HIV/AIDS va Ngay The gi&iphong, chong AIDS

- Td chuc Le phat ddng Thang hanh ddng Qudc gia phdng, chdng HIV/AIDS nam 2018 cua tinh vao budi sang ngay 29/II/20I8 tai thanh pho Son La.

- Noi dung truyen thdng trudc, trong thdi gian didn ra Ld mit tinh thuc hien theo hudng dan cua Uy ban Qudc gia phdng, chdng AIDS va phdng, chdng td nan ma tuy, mai dam, Bd Y td.

9 f y f

- Uy ban nhan dan cac huyen, thanh phd: Tuy didu kien thuc td tai dia phuong, chi dao Uy ban nhan dan cac xa, phudng, thi tran, cac don vi cd lidn quan td chuc cac cudc mit tinh hoac cac su kien thich hgp tai xa, phudng, thi tran, don vi.

- Thdi gian td chuc Hdi nghi, hdi thao hoac Ld phat ddng cap huyen, cap xa tu ngay 20/11/2018 ddn ngay 10/12/2018.

b) To chuc cac hoat dong truyen thong y y

- Ndi dung truydn thdng can chu trong cac ndi dung sau:

+ Lgi ich cua tu van xet nghiem sdm HIV va xet nghiem dinh ky vdi nhom cd hanh vi nguy co cao.

+ Didu tri bang thudc ARV: Lgi ich cua didu tri bing thudc ARV, Lgi ich tidp can sdm vdi cac dich vu cham sdc va didu tri HIV/AIDS; quang ba cac dich vu didu tri ARV tai dia phuong v.v....

2

+ Bao hiem y t l cho ngirdi nhidm fflV/AIDS: Su can thiet, quyen lgi, mire dong, muc hudng va thu tuc tham gia cung nhu each sii dung bao hidm y te khi ijham chua bdnh bao hidm y te.

+ Cac bien phap du phdng lay nhiem fflV: Lgi ich ciia du phdng sdm lay nhidm HIV, su dung bom kim tidm sach, bao cao su, dieu tri nghidn cac chit dan^ thuoc phidn bing Methadone va dieu tri du phdng trudc phoi nhiem HIV.

+ Du phdng lay truyen HIV tu me sang con.

+ Dam bao tai chfnh cho chuong trinh phdng, chdng HIV/AIDS.

+ Luat Phdng, chdng HIV/AIDS cin nhin m p h ve quyen va nghia vu cua ngudi nhidm HIV, nhung didu khoan lidn quan den quyen tidp can dieu tri va chani sdc sue khde cho ngudi nhidm HIV/AIDS.

+ Khdng ky thi va phan biet ddi xu vdi ngudi nhidm HIV/AIDS.

- Vd hinh thuc: Can linh hoat va trien khai da dang phong phu cac hinh thuc jmydn thdng phu hgp vdi ngudn luc san cd cua timg dia phuong:

+ Truydn thdng dai chung: Xay dung chuydn trang, chuydn muc vd Thang hanh ddng qudc gia phdng, chong HIV/AIDS, l / u tidn vd thdi diem, thdi lugng phat sdng trdn Dai Phat thanh - Truydn hinh Son La, cu thd: Xay dung 02 chuydn muc x 15 phut/chuydn muc phat sdng trong thang 11 va dau thang 12/2018.

+ Tang cudng truydn thdng vd phdng, chdng HIV/AIDS trdn cac trang thdng tin didn t i i ciia ca quan, don vi.

+ Truydn thdng lun ddng: Su dimg khau hieu tuydn truydn bang xe d td 02 ngay, trudc Le mit tinh hudng ung Thang hanh ddng va Ngay Thd gidi phdng, chon^ HIV/AIDS (ngay 29, 30/11/2018).

+ Phat trien va phd bidn cac phuong tidn va tai lieu truyen thdng: Khiu hieu, treo bang rdn tai cac dia diem cdng cdng cd ddng ngudi qua lai nhu cac true dudng giao thdng chinh, cac ben xe, cdng vidn, cua ngo thanh pho, xa phudng, thdn, ban va cong cac ca quan, don vi, trudng hgc, bdnh vidn; Phd bidn cac In phim truyen thdng phdng, chong HIV/AIDS khac nhu ap phich, tranh gip, td rai, sach mdng vd phdng, chdng HIV/AIDS.

+ San xuat va cung cap 24 dia CD truydn thdng vd phdng chdng mV/AlDS cung d p cho trung tam y te 12 huyen, thanh phd.

26/10, phan

4. Trien khai thuc hien cac hoat dong phong, chong fflV/AIDS khac - Sd Y te to chuc tap huln thuc hien Chi thi sd 10/CT-BYT ngay '2017 ciia Bd trudng Bd Y td vd tang cudng cac hoat ddng giam ky thi va Diet ddi xii lidn quan den HIV va tap huln truydn thdng phdng, chdng

HIV/ .^^S cho cac hgc vidn thudc cac bdnh vidn, trung tam y te cac huyen, thanh pho; tap huln cho nhan vidn y td thdn ban ve truydn thdng phdng chdng

fflV/AIDS dam bao do bao p M kidn thuc tai ngudi dan sdng d vung sau, vung xa, ddng bao dan toe it ngudi (Thai gian thuc hien tic 16/11 din 20/12/2018).

- Gidi thieu, quang ba rdng rai vd lgi ich cua vide tidp can sdm cac dich vu xet nghiem HIV; du phdng, cham sdc, dieu tri HIV/AipS va gidi thieu chi tiet cac ca sd cung cip cac dich vu du phdng, cham sdc, didu tri HIV/AIDS san cd tai dia phuang, dan vi , bao gom ca cac dich vu chuydn tiep, chuyen tuydn dd mgi ngudi dan, dac biet la nhung ngudi dd tdn thuang, ngudi nhidm HIV va bdnh nhan AIDS dd dang tiep can va su dung.

- Td chuc md rdng vide cung d p cac dich vg phdng, chong HIV/AIDS nhu xet nghiem HIV dua vao cdng ddng; Didm cap phat thudc Methadone; Diem cap phat thudc ARV tai cac tram y td xa cung nhu cung d p cac dich vu du phdng trudc phoi nhidm HIV.

- Td chuc cac hoat ddng truydn thdng van ddng chdng ky thi phan biet ddi xu vdi ngudi nhiem HIV nhat la vdi tre bi anh hudng bdi HIV.

- Tang cudng cac hoat ddng phdng, chdng HIV/AIDS khu vuc bidn gidi, vung sau, vung xa, vung ddng bao dan tdc thidu sd.

- Kien toan, cung cd he thdng chuyen tiep, chuydn tuydn, dac biet la dich vu cung cap cac phuang tidn du phdng lay nhidm HIV nhu bao cao su, bam kim tidm sach cho mgi ngudi dan c6 nhu cau tai cdng ddng.

- Ra soat, chan chinh, giam sat hd trg nham nang cao chat lugng cac dich vu, dam bao tinh san cd, tinh dd tidp can cua cac dich vu du phdng, cham sdc va dieu tri HTV/AIDS, dac biet la cac dich vu can thidp giam thieu tac hai du phdng lay nhidm HIV cung nhu vide cung cap cac dich vu didu tri HTV/AIDS tai cac ca sd y td.

- Van ddng nhung ngudi tieu bidu, ngudi cd uy tin trong cdng ddng dan tdc thidu sd, ddng hg (gia Icing, truang ban, truang ho, truang toe.) tich cue tham gia cac hoat ddng phdng, chdng HIV/AIDS.

- Van ddng cac td chuc va mang ludi ngudi nhidm HIV tai dia phuang tich cue tham gia va td chuc cac hoat ddng nhan thang hanh ddng.

- Td chuc giam sat, danh gia vide thuc hien cdng tac phdng, chdng HIV/AIDS cua cac cap, cac nganh, cac dia phuang, dan vi .

V. KINH PHI THlTC HIEN

- Ngudn kinh phi d p Chuomg trinh phdng, chdng HIV/AIDS nam 2018.

- Kinh phi ho trg ciia dia phuang cho cdng tac phdng, chdng HIV/AIDS.

- Kinh phi huy ddng, hd trg hgp phap ciia cac du an, td chiic, dan vi.

Vide sir dung kinh phi thuc hien ydu cau thuc hien theo diing cac quy dinh hien hanh.

4

dan qua

cac chon^

tinh va truac tinh cac hoi thanh

VI. TO CHlfC THlTC HIEN 1. So- Y te

- Chu tri to chuc, huang dan cac sd, ban, nganh lien quan; Uy ban nhan ac huyen, thanh phd td chuc trien khai thuc hien kd hoach va bao cao kdt

heo thdi gian ydu cau.

- Chu tri, phoi hgp vdi cac sd, nganh, UBND thanh pho San La chuan bi didu kien to chuc Le mit tinh hudng ung Thang hanh ddng Quoc gia phdng, g mV/AIDS va Ngay The gidi phdng, chdng AIDS nam 2018: Xay dung chuang trinh, giay mdi dai bieu du, bai phat bieu ciia lanh dao d mit tinh hudng ung Thang hanh ddng Qudc gia phdng, chong HIV/AIDS

N|gay The gidi phdng, chong AIDS tinh Son La (gin Van phdng UBND tinh ngay 24/11/2018); Thanh phan mdi du: Dai didn lanh dao: Ban Dan van

liy. Ban Tuydn giao tinh liy, Bao San La, Ban Van hda - xa hdi HDND tinh, sd, ban, nganh ciia tinh, UBND thanh phd San La, cac to chiic chinh tri - xa cqp tinh, ca quan, dan vi lidn quan; lanh dao cac dan vi y td trdn dia ban

phd San La; luc lugng tham gia mit tinh, dieu hanh.

Chi dao Trung tam Kiem soat bdnh tat tinh chii tri, phdi hgp vdi Uy ban nhan dan thanh phd San La, cac ban, nganh, doan thd, cac ca quan, dan vi lidn quan chuan hi ndi dung, huy ddng luc lugng tham gia mit tinh, didu hanh, dia

7 ' A * \ r ' t 1 ' ' r>l *

didm va cac didu kien can thidt de td chuc thanh cdng, an toan Ld mit tinh hudng ungThang hanh ddng va "Ngay Thd gidi phdng, chong HIV/AIDS" nam 2018 cua tinh San La to chuc tai thanh pho San La (08h ngay 01/12/2018).

- Chuin bi tai lieu, thdng didp truydn thdng cua Thang hanh ddng nam 2018 va gui cho cac ca quan thdng tin, truydn thdng.

- Chi dao cac dan vi y td phdi hgp vdi cac dan vi lidn quan tham muu Uy ban nhan dan cac huyen, thanh pho td chiic Thang hanh ddng Qudc gia phdng, chdng HTV/AIDS nam 2018 dam bao phu hgp vdi ydu clu va didu kien thuc td ciia d a phuang.

7 r f f t

- Tdng hgp, bao cao Bd Y td, Uy ban nhan dan tinh, kdt qua tridn khai thuc liidn cac hoat ddng Thang hanh ddng Qudc gia phdng, chdng HIV/AIDS trdn 4a ban toan tinh.

2. Sd Thdng tin va Truyen thdng chi dao cac ca quan truydn thdng xay dung va trien khai cac ndi dung tuydn truydn, phd bidn kidn thiic vd: Lgi ich ciia tu van xet nghiem sdm HIV va xet nghiem dinh ky vdd nhom cd hanh vi nguy ca cao; Lgi ich ciia dieu tri bing thuoc ARV, lgi ich tidp can sdm vdi cac dich vu cham sdc va didu tri HIV/AIDS; Cac bidn phap du phdng lay nhidm HIV; Didu tri nghien cac chit dang thudc phidn bing Methadone va didu tri du phdng trudc phoi lihidm HIV; Du phdng lay truydn HIV tu me sang con; ...(nguon thong tin chinh tie SaYti).

5

3. Sd" Giao due va Dao tao chi dao cac co sd giao due, dom vi trudng hgc phoi hgp vdi cac dcm vi lien quan tren dia ban tham gia cac hoat dong truyen thong, cac hoi nghi/li phat dong Thang hanh dong.

4. Bao Sun La; Dai Phat thanh - Truyen hinh tinh

Tang cudng xay dung chuong trinh, thdi lugng dua tin, bai ve cac hoat dong hudng ung Thang hanh dong d cac huyen, thanh phd cac dorn vi , dac biet la thdng tin vd Ld phat ddng Thang hanh ddng Quoc gia phong, chdng HIV/AIDS nam 2018 cua tinh tai thanh pho Son La.

f / t

5. Cac sd, ban, nganh lidn quan cd trach nhidm phdi hgp vdi nganh y td td chuc thuc hien cac hoat ddng Thang hanh ddng Qudc gia phdng, chong mV/AIDS trdn dia ban toan tinh.

6. Uy ban nhan dan cac huyen, thanh pho Xay dimg Kd hoach to chuc "Thang hanh ddng quoc gia phdng, chong

HIV/AIDS" nam 2018 trdn dia ban va chi dao cac xa, phudng, thi t r in tridn khai thuc hien cho phu hgp vdi tinh hinh thuc td tai dia phuang.

7. Uy ban nhan dan thanh pho Son La phoi hgp vdi Sd Y te, cac dan yi lidn quan huy ddng luc lugng tham gia mit tinh, didu hanh, dia didm va cac didu kidn cIn thidt dd td chuc thanh cdng, an toan Le mit tinh hudng ungThang hanh ddng va ''Ngay The gi&i phong, chong HIV/AIDS" nam 2018 cua tinh San La td chuc tai thanh phd San La (08h ngay 01/12/2018).

8. De nghi Uy ban Mat tran to quoc Viet Nam tinh Sun La phdi hgp tuydn truydn, phd bidn ddn Mat tran td qudc cac cap phdi hgp vdi cac ban nganh lidn quan, cac td chiic thanh vidn kidn thiic vd phdng, chdng HTV/AIDS gan vdi chii dd Thang hanh ddng la " Hay hanh dong de hu&ng t&i muc tieu 90-90-90 vao nam 2020" cho doan vidn, hdi vidn va cac tang Idp nhan dan d cdng ddng dan cu.

9. De nghi Hoi Lien hiep Phu nu tinh, Doan TNCS Ho Chi Minh tinh xay dung kd hoach tridn khai thuc hien va phdi hgp vdi cac ban, nganh, doan the tham gia cac hoat ddng hudng ling Thang hanh ddng qudc gia phdng, chdng HIV/AIDS va Ngay Thd gidi phdng, chdng HIV/AIDS trdn dia ban./.

Noi nhan: KT. CHU TICH - Bo Y t6 (b/c); PHO CHU TICH - Cue PC HIV/AIDS - Bo Y te; - C M tich UBND tinh (b/c); - Cac d/c Pho Chii tich UBND tinh; - Ban Tuyen giao tinh liy; - Cac to churc chinh tri - xa hgi cap tinh (p/h); - Cac SOT, ban, nganh; - UBND cac huyen, thanh pho (t/h); - Chanh Van phong UBND tinh; - Liru: V T , K G V X . N Q , 19 ban.

Pham Van Thuy

6

Phuluc 1:

(flAI THICH CHU DE THANG HANH DONG QUOC GIA PHONG, CHONG HIV/AIDS NAM 2018

Tai lieu giai thich chu de: "Hay hanh dong de hu&ng t&i muc tieu 90-90-90 vao nam 2020! "

Muc tieu 90-90-90 la gi?

Tai hoi nghi AIDS toan clu d Uc thang 7 nam 2014, Lien Hgp quoc da dua ra cac muc tieu ddn nam 2020 co 90% s6 ngudi nhidm HIV bidt dugc tinh trang nhiem HIV cua minh; 90% s6 ngudi da chan doan nhidm HIV dugc didu tri ABN va 90% sd ngudi dugc dieu tri ARV kidm soat dugc tai lugng vi nit d muc thap dd sdng khoe manh va lam giam nguy co lay truydn HIV cho ngudi khaq. Ba muc tidu nay dugc ggi la Muc tidu 90 - 90 - 90 ciia Lidn hgp quoc.

Tai sac muc tieu 90-90-90 lai quan trong vdi phong, chong HlV/AIDS?

Cac muc tidu 90-90-90 la hdt sue quan trgng, cd tinh chidn luge trong phdiig, chdng HIV/AIDS ndi chung cung nhu dd cd thd kdt thiic dich HIV/AIDS vao nam 2030 bdi vi :

muc kha(

- 90% sd ngudi nhiem HTV biet dugc tinh trang nhiem HTV cua minh: Ndu mot ngudi nhidm HIV ma khdng bidt minh nhidm thi cd thd vd tinh

lay nhidm HIV cho ngudi than va cho ngudi khac trong cdng ddng. Hom ndu ngudi nhidm HIV khdng bidt dugc tinh trang nhidm HIV thi hg cung

lam nua khd4g tiep can cac dich vu du phdng, cham sdc va didu tri HIV/AIDS va ngudi

cap dich vu cung khdng tidp can va cung cap cac dich vu phdng, chdng 'AIDS cho hg. Khi khdng bidt dugc sd ngudi nhidm HIV thuc td trong cdng

cung mv ddn^ cung se gay khd khan trong vide lap kd hoach phdng, chdng HIV/AIDS.

- 90% so ngudi da chan doan nhiem HIV dugc dieu tri ARV: Vide dieu tri sdm bIng thudc ARV se giup cho ngudi nhidm HIV tidp tuc keo dai cudc sdng khde manh, giam cac nhidm trung ca hdi. Han nua, hien nay cac nha khoa hgc da chung minh "Khdng phat hien = Khdng lay truyen" tuc la neu mot nguci nhidm HIV dugc dieu tri sdm bIng thudc ARV, tuan thu didu tri tot thi thdng thudng sau 6 thang didu tri ARV se cd tai lugng vi nit dudi ngudng phat hien (200 ban sao/ml mau) se khdng lam lay truydn HIV cho ban tinh qua quan he trih due, lam giam lay truydn HIV tir me sang con.

- 90% so ngudi dugc dieu tri ARV kiem soat dugc tai lugng vi rut d thap de song khoe manh va giam nguy cu lay truyen HIV sang ngudi :Vidc kidm soat tai lugng vi rut HIV d muc thap dudi nguong phat hien la

chi bao quan trgng lidn quan ddn chat lugng va tuan thii didu tri bang thudc k h a i j g m v ^ "

1

Nhu vay, cac muc tieu nay c6 lien quan mat thiet vdi nhau. Tu tiep can vdi nhimg ngudi cd hanh vi nguy ca cao dd tu van, du phdng lay nhidm HIV va tao ca hoi cho ho tidp can cac dich vu xet nghiem HIV. Khi mot ngudi dugc chin doan nhiem HIV cIn dugc kdt noi vdi dich vu didu tri ARV va duy tri tot vide tuan thu dieu tri. Neu dat dugc 3 muc tidu quan trgng nay thi chung ta cd

7 \ r rv A , A ,

thd phat hien dugc hau hdt nhimg ngudi nhidm HIV trong cong dong; didu tn dugc hlu het nhimg ngudi nhiem HIV vdi kdt qua didu tri tot, giam toi da kha nang lay nhidm HIV cho ngudi khac, ngudi da nhidm HIV cd cugc song khde

7

manh, khi cac muc tidu 90-90-90 dat dugc vao nam 2020 se tao da dd tu dd cd the dat dugc muc tidu to Idn han la ket thuc dai dich HIV/AIDS vao nam 2030.

Tai sac nam 2018, Viet Nam lai chon chu de "Hay hanh dong de hirdng tdi muc tieu 90-90-90 vao nam 2020!"?

Nhieu ngudi nhiem HIV van chua biet tinh trgng nhiem HIV r

Mac du xet nghiem HIV quan trgng, chi c6 xet nghiem HIV mdi bidt mot ngudi cd bi nhiem HIV hay khong va dich vu xet nghiem HIV hien nay da dugc tridn khai rgng rai vdi han 1.300 ca sd y td cung d p dich vu tu v in va xet nghiem HIV sang Igc d 100% cac huyen; ca nude cd 138 phdng xet nghidmkhing dinh HlVd t i t ca cac tinh va mot so huyen vung sau, vung xa.

Ngoai cac ca sd y td, xet nghiem HIV tai cong dong thong qua cac can bg y td thuc hien hoac do cac nhan vidn tidp can cong dong (la nhung ngudi khong chuydn) dugc tap huln hudng din cung cd thd thuc hien xet nghiem sang Igc

A 7 A

HTV.Xet nghiem dua vao cong ddng cung dang dugc tridn khia tai nhidu tinh thanh phd. Vdi ky thuat ngay cang dan gian, xet nghiem HIV hien nay tham chi

7 r A 7

cd thd dugc tu thuc hien qua lay mau dau ngdn tay dd xet nghiem hoac tu xet nghiem bIng dich midng.

Tuy nhidn van nhidu ngudi nhidm HIV van chua bidt tinh trang nhidm m v cua minh. Theo udc tinh, Viet Nam hien cd khoang 250.000 ngudi nhidm m V hien cdn sdng, tuy nhidn chi cd khoang gin 200.000 ngudi nhidm fflV biet dugc tinh trang nhidm HTV cua minh.

Nhu vay van cdn han 50.000 ngudi nhidm fflV chua bidt tinh trang nhidm HTV. Hg se cd thd "vd tinh" la ngudn lay nhidm m V cho cdng ddng do khdng dugc tu van va tidp can cac dich vu du phong, hg cung khdng dugc tidp can cac dich vu dieu tri ARV sdm dd bao vd sue khde cho chinh ban than hg va lam giam lay truydn HTV ra cdng ddng.

Ciing dua trdn udc tinh, hien Viet Nam mdi chi cd gan 80% ngudi nhidm fflV bidt tinh trang nhidm m V cua minh, trong khi chi con 2 nam dd dat tdi muc tidu 90% thii nhat, dd la khoang each Idn can su nd luc ciia ca cdng ddng.

2

ARV

tron.

Nhieu ngu&i dugc chan doan nhiem HIV van chua tham gia dieu tri

Viec didu tri ARV hien nay da dugc md rgng tdi t i t ca cac tinh, thanh phd f y r f y

toan qudc vdi 470 co sd didu tri ARV d tat ca cac tinh thanh phd va hau hdt dac huyen, cd tdi 652 co sd d p phat thuoc ARV tai tram y te xa. Thudc ARV hien nay dang dugc cac du an cap midn phi va se dugc cap thdng qua bao hidm y td trong nhung nam tdi. Vide didu tri ARV da dugc Bd Y te md rdng cho

r ^ t iv y

tat ca mgi ngudi dugc chan doan nhidm HIV se didu tri ngay ma khdng phu thudc vao sd lugng te bao CD4 va giai doan lam sang. Tuy nhidn hien nay mdi chi c;6 khoang gin 130.000 ngudi nhidm HIV dugc didu tri bIng thudc ARV, dat dugc khoang 65% sd ngudi chan doan nhidm HIV dugc didu tri bang thudc AR^''. Nhu vay van cd khoang 60.000 ngudi dugc chin doan nhiem HIV chua

A

than) gia didu tri ARV. Nhieu ket qua dat dugc nhung khd khan thdch thuc van rat l&n do vay

tang cu&ng hanh dong f r 1

Nam 2018 la nam thu 5 lidn tidp, Viet Nam tidp tuc theo dudi va thuc hien muc tidu 90-90-90. Mac du trong nhung nam qua, Viet Nam da dat nhidu thanh

can

ca 3 sang soat nhu muc

tuu ijrong phdng, chdng HIV/AIDS nhu 10 nam lidn dich HIV dugc kidm soat d tidu chi: Giam sd ngudi nhidm mdi HIV hang nam; giam sd ngudi chuydn

r r 7

AIDS va giam sd ngudi tu vong do HIV/AIDS. Viet Nam da tidp tuc kidm soat^ugc ty Id nhidm HIV trong cdng ddng dan cu d muc dudi 0,3%. Tuy nhidn,

da dd cap trdn, cac chi tidu hien tai cua Viet Nam cdn kha xa so vdi cac r A

tidu 90-90-90 ma Lidn Hgp qudc dd ra. A A «•/ A 7

Nhidu khd khan thach thuc dang tdn tai: Dich HIV van dang tidm an nguy CO b|ung phat vi van cdn nhidu ngudi nhidm HIV trong cdng ddng chua dugc

hien dac bidt khu vuc mien nui, vung sau trong khi ty Id nhidm HIV trong A

nhdm ngudi nghidn chich ma tuy cd xu hudng tang trd lai; lay truydn HIV trong nhom nam quan he tinh due dong gidi (MSM) cd xu hudng tang nhanh, dac bidt

t f 7

trong nhdm MSM tre tudi; Su gia tang sd ngudi su dung ma tuy tdng hgp; Su ddi vd td chuc va su cat giam cac ngudn luc vidn trg qudc td se anh hudng :uc den cdng tac phdng, chong HIV/AIDS.

A t r r

Hanh lang phap ly ciia Viet Nam kha day dii, dugc cac td chiic qudc td gia cao. Cac cam kdt chinh tri cho phdng, chdng HIV/AIDS cung d miic

cao Id ca d p trung uong va dia phuong. Tuy nhidn dd dat dugc muc tidu 90-90-90 chi cam ket khdng la khdng dii ma can phai cd hanh ddng manh me hon

ciia moi ngudi lanh dao, moi ngudi dan trong vide phdng, chdng HIV/AIDS. Nd cung ddi hdi chuang trinh phdng, chdng HIV/AIDS can phai cd nbiing didu chinh thich hgp vdi tinh hinh mdi dd dat dugc muc tidu 90-90-90. Day la nhimg muc tidu hdt siic tham vgng va rat thach thiic. Tuy nhidn

dgt dugc nhimg muc tidu nay, khdng chi la bao vd siic khde tinh mang

thay tidu

danh

neu ciia con ngudi ma cdn la su dn dinh va phat tridn ciia qudc gia. Trong bdi

canh dich HIV mang tinh toan can va tac dong toan can, neu Viet Nam lam " / 7 f

tot cong tac phong, chong HIV/AIDS noi chung va thuc hien thang lgi cac muc tieu 90-90-90 thi no khong chi co y nghia thidt thuc ddi ydi ngudi dan Viet Nam ma ca vdi cdng ddng qudc td va didu quan trgng do la tidn dd dd tidn tdi kdt thuc dai dich AIDS vao nam 2030.A.^j^/^

4

Phu luc 2:

K H A U H I E U T H A N G H A N H D O N G Q U O C G I A P H 6 N G , C H O N G A I D S N A M 2018

1. Xet nghiem Id each duy nhdt de biet tinh trgng nhiem HIV ciia bgn!

2. Xet nghiem HIVsam la de bao ve chinh minh vd nguai thdn!

3. Nguai CO hdnh vi nguy ca cao nen xet nghiem HIV dinh ky 6 thdng 1 Idk

4. Dieu tri ARV som giup ngudi nhiem HIV song khoe mgnh vd giam Idy nhiiip HIV cho ngudi khac!

5. Tham gia bao hiem y te Id each tot nhdt de nguai nhiem HIVduac dieu tri HlV/AIDS lien tuc suSt dai!

6. Phu nit mang thai cdn xet nghiem HIV trong 3 thdng ddu de du phdng Idy ti^uyen HIV tit me sang con!

7. Hay sic dung bao cao su de bao ve cho bgn vd nguai thdn!

8. Dung rieng bam kim tiem sgch giup phdngldy nhiem HIV!

9. Methadone - Lieu thudc vdng cho nguai nghien ma tuy!

10. Khdng ky thi vd phdn biet ddixie vai nguai nhiem HIV/AIDS!

11. Nhiet Het huang ungNgdy The gidi phdng, chdng AIDS 01/12/2018!

12. Nhiet Het hudng icng Thdng hdnh ddng qudc gia phdng, chdng HIV/AIDS nam 2018!.