nO V Tit

S6:"Il\&4 /QD-BYT

CONG HOA XA HOI CHO NGHiA YIJ):T NAMDQc I~p - TI}'do - I-I:}nh phllC

Ha NQi, ngaylJ, tIlling 4 /lam 2014

QUVETD!NHY~ vi~c phe duy~t "Ka ho:}ch tielll llti sung vilc xin so'i mi~n phi cho tre tir 2

tutii dan du'O'i 10 tutii t:}i IIIQtsAHnh nguy cO'cao"

nO TRUONG nO v TE

Can cu Nghi dinh s6 63/2012/ND-CP ngay 31/8/2012 cua Chinh phu quydinh v~ chuc nang, nhi~1IIV\l, quyen h\ln va C(J cAu t6 chuc CllaBQ V t~;

Xct d~ nghi cua C\lC truong C\lCV t~ dl! phong,

QUVETD!NH:

. D,iau 1. Phe dU,Y~t"K~ ho~ch tiem b6 sung vilc xin soi mi~n phi cho tre tlr2 tuoi den duai 10 tuoi t\li mQt so tinh nguy C(J cao".

mau 2. K~ hO\lch nay la can cu d~ cac dan vi xiiy d~rng "K~ hO\lch tiemb6 sung vilc xin sai mi~n phi cho tre tlr 2 tu6i d~n duai 10 tu6i t\li mQt s6 tinhnguy co cao" t\li cac dia phuong.

mau 3. Quy~t dinh nay co hi~u l~rck~ tlr ngay ky ban hanh.

Diau 4. Cac Ong, Ba: Chanh Van phong BQ, Chanh Thanh tra BQ, C~ICtruang cac C\lc: C\lC Y t~ dl! phong, C\lC Qmin ly kham, chua b~nh, C\lC QuanIy DuQ'c, Y\l tmang Y\l K~ hO\lch - Tai chinh, Y\l tmang Y\l Truyen thong vaThi dua, khen thuang, Tmang ban quan Iy DI! an Tiem chung ma rQng qu6c gia,khu VI!Cva Thu tmang cac dan vi co lien qutln chiu trach nhi~m thi hanh Quy~tdjnh nay.!.

Neri II/UIII:- Nhl1l)i~u 4;- BT. Nguy~n Thj Kim Ti~n (d~ bao eao);- UBND cae Iinh, thanh ph6 (d~ th\fe hi~n);- Sir Y t~ cae Iinh, thanh ph6 (d~ th\fe hi~n);- Cae C\fe: QLD, KCD (d~ th\fe hi~n);- Cae VI': KH-TC, TT-KT (d~ th\fe hi~n);- Cae Vi~n VSDT, Vi~n Pasteur (d~ lh\fe hi~n);- TTYTDP cae tinh, th!U1hph6 (d~ lh\fe hi~n) ;- Luu: VT, DP, Long

KEHOACHTRIEN KHAI TIEM 80 SUNG VAi: XIN sill MIEN PHi CHO TRE

TlJ 2 TUOI DEN mrm 10 TUOI T~I cAc TiNH, THA.NH PRO NGUY CO CAO(Ban hGnh kern thea Quylit ainh sciHWQD-B YT ngay .if, /1/2014

eua B(j tru611g B(j Y tli)

I. sv CAN THIET xAY Dl/NG KE HO~CH

Thl,Jchi~n Quy~t djnh s6 60 I/QD-8YT ngay 20/2/20 14 v~ vi~c thl,Jchi~n K~hO;;lChtri~n khai tiern v~c xin phong ch6ng djch so; va tiern vet v~c xin sai cho tretu 9 thang tu6i d~n 2 tu6i, d~n ngay 25/4/2014 dii co 63/63 tinh, thanh ph6 tri~nkhai tiern chung cho cac d6i tugng co nguy CCJ cao trong 6 djch sai theo chi djnh vacho tre em tu 9 thang d~n 2 tu6i, d;;ltty l~ 74%. M~c du h~u h~t cac tinh, thanh ph6co tinh tr~g rn~c rai rac nhung t;;lirnQt s6 dja phuong vfrn ghi nh~n s6 truemg hqprn~c rn6i cao, chu y~u t~p trung a lua tu6i du6i 10 tu6i.

Ngay 16/4/2014, Thu tuang Chinh phu dii ban hanh Cong di~n s6 477/CD-TTg v~ vi~c phong ch6ng djch sai. Ngay 24/4/2014, 8Q truang 8(> Y t~ dii banhanh Chi thj s6 03/CT-8YT v~ vi~c dAy rn;;lnhcong tac phong ch6ng djch sai vatri~n khai k~ hO;;lchtiern v~c xin phong ch6ng djch sai va tiern vet v~c xin sai.

D~ nhanh chong d~p djch sai trong thffi gian sam nh~t theo chi d;;lOcua Thutuang Chinh phu, 8(> Y t~ tri~n khai k~ hO;;lchtiern b6 sung v~c xin sai rni~n phicho tre tu 2 tu6i d~n du6i 10 tu6i t;;licac tinh, thanh ph6 nguy CCJ cao.

II. MT)C niCH vA YEU cAu CUA KE HO~CH

1. Tri~n khai tiern v~c xin sai cho cac d6i tugng sau:

- T~t ca tre em tu 2 tu6i d~n du6i 10 tu6i t;;licac khu Vl,JCtr9ng di~rn (xii,phuemg) thuQc tinh, thanh ph6 nguy C(J cao: T6 chuc tiern chi~n djch, d;;ltty l~ tren95%.

- Tre em tu 2 tu6i d~n du6i 10 tu6i chua dugc tiern ho~c tiern chua du rnuiv~c xin sai theo Ijch tiern chung ho~c khong ro ti~n Slr tiern chung t;;li cac tinh,thanh ph6 nguy CCJ cao: T6 chuc tiern b6 sung rni~n phi.

2. Dam bao ch~t lugng va an toan tiern chUng theo quy djnh cua 8(>Y t~.

3. K~ hO;;lchtiern chi~n djch v~c xin sai - rubella (MR) cho tre tu 1 d~n 14tu6i tren ph;;lffivi toan qu6c se dugc phe duy~t k~ hO;;lChrieng.

III. TH(n GIAN vA. PH~ VI TRIEN KHAI

1. Thffi gian: Thang 5 d~n thang 7/2014.

2. Ph;;lrnvi: Cac tinh, thanh ph6 dap trng rnQttrong cac tieu chi sau:

+ Co s6 truang hgp milc mai cao trong thang 4/2014.

+ Co m~t ~<)giao luu trong nuac va qu6c tS cao, t6c d<)di biSn d<)ngdan cuIan, t~p trung nhieu khu cong nghi~p Ian ...

Tinh dSn cu6i thang 4/2014, cac tinh, thanh ph6 nguy co cao dn tri~n khaikS hOl;lChnay pam: Ha N<)i,TP.Ha Chi Minh, Hai Duang, Quang Ninh, Hai PhOng,Hung Yen, Bac Giang, Vinh Phuc, NgM An, Thanh Hoa, Binh Duang.

Cac tinh, thanh ph6 khac ciin cu theo di~n biSn tinh hinh dich sai tai diaphuang d~ xu~t vai B<)Y t~ xay d\lI1gk~ hOl;lChtri~n khai tiem b6 su~g vilc xin s6-icho tre tiT 2 tu6i dSn duai 10 tu6i tren dja ban.

IV. NQI DUNG Kt HO~CH

1.L~pdanh sach (fai ttrlfllg

Ciin cu tinh hinh djch, b~nh sai tl;lidja phuang, Sa Y tS bao cao Uy ban nhandan tinh, thanh ph6 quySt djnh lila chQn khu VIlCtrQng di~m dn tri~n khai chiSndjch tiem chung vaJho~c cac khu VIlCcdn tiem chung b6 sung vilc xin sai mi~n phitren dja ban:

- Tl;licac xii, phuang t~p trung dong diin cu, tinh hinh djch di~n bi~n phuctl;lP:tiem 0 I mui vilc xin trong chiSn djch cho toan b<)tre tiI 2 tu6i dSn duai 10 tu6i.

- Tl;licac khu VIlCco biSn d<)ngdiin cu, cac khu cong nghi~p, vimg giap ranh,vimg co tY I~ tiem chung thuang xuyen th~p: tiem 01 mUi vilc xin b6 sung cho tretiI 2 tu6i dSn duai 10 tu6i chua duQ'c tiem ho~c tiem chua du mUi vilc xin sai theoIich tiem chung ho~c khong ro ti~n sir tiem chUng.

- Trl;ll11Y tS xii, phuang vai Sll he; trQ'cua Y t~ thon ban, c<)ng tac vien dans6, truang thon ra soat danh sach d6i tuqng dn duQ'c tiem chung tren dja ban k~ cad6i tuqng viing lai. Trl;ll11Y t~ xii, phuang t6ng hgp bao cao Trung tam Y tS huy~n.Trung tam Y t~ huy~n bao cao Trung tam Y t~ d\l phong tinh va Sa Y t~. Trung tamY t~ d\l phong tinh t6ng hgp bao cao D\l an Tiem chung rna r<)ngkhu V\lCva qu6cgia.

2. Cung .rng vic xin va v~t ttr tiem chung

- D\la tren s6 d6i tuqng cdn duQ'c tiem chung, cac tinh, thanh ph6 I~p dll trl!nhu du vilc xin va v~t tu tiem chung cdn thik

- D\l an Tiem chung rna r<)ngqu6c gia va khu V\lCth\lc hi~n phan b6 vilc xin.v~t tu tiem chung cho cac tinh, thanh ph6 d~ tri~n khai K~ hOl;lch.

- vilc xin sai se duQ'c v~ chuy~n tai cac Vi~n V~ sinh djch t~, Vi~n Pasteurkhu VIlC.Cac Vi~n khu VIlCse v~n chuy~n vilc xin tai kho Trung tam YTDP cactinh, thanh ph6.

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- Trung tam YTOP tinh, thanh ph6 tiSp nh?n va bilOquim vilc xin sai tai khotinh, dp phlit vilc xin cho Trung tam Y tS qU?n, huy~n it nh~t 3 ngay truac khi t6chuc tiem.

- Trung tam Y tS qu?n, huy~n ti~p nh?n v~c xin til kho tinh, thanh ph6 v~ khoqu?n, huy~n dS bao quan va dp phat cho cac xa, phuOng 1 ngay truac khi tiemchung ho~c ngay truac bu6i tiem.

- TuySn xa, phuOng nh?n vilc xin til tuySn qU?n, huy~n, bao quan v~c xin vav?n chuYSn cho cac diSm tiem ngay truac bu6i tiem.

2. TB chuc tiem chung

- T6 chuc tiem v~c xin hang ngay t~i cac diSm tiem chung c6 dinh va luud9ng ngay til thang 5/2014 dS hoan thanh trong thang 7/2014.

- 86 tri nhan h!c: T~i m6i diSm tiem chung cAn it nh~t 2 can b9 y t~ duqc t?Phu~n (kham sang lQc, tiem vilc xin). U6i vo; diSm tiem chung t~i truOng hQc, c~nph6i hqp vo; nha truOng.

- Cu6i m6i bu6i tiem chung, tiSn hanh thu gom va xu Iy bom kim tiem, racthai y tS t~i diSm tiem theo quy djnh cua 89 Y tS.

- Th,!c hi~n an toan tiem chung theo huang din cua 89 Y t~.

3. Truy€n thOng

TuySn tinh, huy~n: Th,!c hi~n truy~n thong tren cac phuong ti~n truy~n thongd~i chUng: dai phlit thanh, truy~n hinh, dai truy~n thanh, bao chi... dS nguai danbiSt va chu d9ng dua con em di tiem chung.

TuySn xa, phuOng thong bao hang ngay tren loa, dai v~ d6i tuqng, thai gian,dia diSm t6 chuc tiem chung. Thong bao cho gia dinh n~u tn~co tri~u chUng s6t, ho,kho tha, phlit ban khong nen dua tre dSn diSm tiem chung rna dua tre d~n co sa y t~dS duqc kham, chAn doan va di~u trj kip thai.

4. Theo doi giam sat va bao cao

- Cac tuySn qu6c gia, khu VlJC, tinh, huy~n chu d9ng cu cac doan kiSm tra,giam slit ho~t d9ng truac, trong va sau khi triSn khai KS ho~ch. Can b9 giam sat cotrach nhi~m theo d6i giam sat va h6 trq co sa tiem chung th,!c hi~n dung cac quydjnh cua 89 Y t~, dam bao ch~t luqng va an toan tiem chung.

- Th,!c hi~n bao cao k~t qua tiem v~c xin hang ngay cho tuySn tren. Ngay saukhi kSt thuc ho~t d9ng, Trung tam Y t~ d,! phong tinh, thanh ph6 t6ng hqp va guibao cao kSt qua tiem cho O,! an Tiem chung rna r9ng khu V,!C,Tiem chung rnar9ng qu6c gia va C\lCY tS d,! phong - 89 Y t~.

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5.Kinh phi thl}'c hi~nK~hOl}ch:

- VAcxin va v~t tu tiem chung: do D\I an Tiem chung rna rQng qu6c gia cungcdp tit ngu6n cua D\I an.

- Kinh phi tri~n khai tiem chung tlitidia phuong va cac chi phi khac: do Oyban nhan dan tinh, thanh ph6 chiu trach nhi~m cung cdp tren co sa dS xudt cua SaYt~.

v. T6 CHlJC THVC HI¥N

I. Uy ban nhiin diin tinh, thanh ph6 t\Ucac dja phuong co nguy co cao co trachnhi~m phe duy~t K~ holitchva chi dlitocac don vi lien quan t6 chuc th1!Chi~n K~ holitchtri~n khai tiem b6 sung vAcxin sm miSn phi cho tre tit 2 tu8i d~n dum 10 tu8i tlilidjaphuong, hoan thanh trong thang 7/2014. Dam bao ngu6n 11!ccho vi~c tri~n khai k~holitchnay. Huy dQng S1!tham gia cua cac ban, nganh, doan th~ va nguai dan th1!chi~n co hi~u qua cac holitt dQng cua K~ hOlitch.Chi dlitovi~c tuyen truySn vS tiemchung va phong ch6ng djch b~nh.

2. Sa Y t@co nhi~m V\lxay dl,l'fig,trinh UBND tinh, thanh ph6 phe duy~t K@hOlitchva t6 chuc tri~n khai K@holitch tlitidja phuong, b6 tri day du nhiin 11!c,trangthi@tbi cho di~m tiem chung bao g6m ca cac dQi cdp cUu luu dQng, t6 chuc bu6itiem chling va theo doi, xu trl cac 1ruang hqp phan ling sau tiem chung. Chi d\locac don vi lien quan tang cuang giam sat ch(lt chi'!tinh hinh, diSn bi@ncua b~nh sai,phat hi~n sam cac 6 dich t~p trung, t6 chuc diSu tra va xu Iy kip thai, tri~t d~.

3. Trung tam Y t@d1! phong tinh, thanh ph6; Trung tam Y t@qu~n, huy~n;TrlitmY t@xii, phuang, thi trdn chiu trach nhi~m t6 chuc th1!c hi~n K@hO\lch, ki~mtra, giam sat, t6ng hqp tinh hinh tht,rehi~n va bao cao theo quy djnh.

4. Cac b~nh vi~n da khoa tinh, thanh ph6, b~nh vi~n huy~n chiu trach nhi~m b6 trican bQph6i hqp vm co sa tiem chling thl,lChi~nvi~ kham sang IQcwac tiem chling, cdpcUuva xu tri cac wang hqp phan ling sau tiem chling.

5. Cac Vl,l,C\lCthuQcBQY t@co nhi~m VI,l:

- C\lCY t@dt,rphong chi dIlotri~n khai K@hO\lch,chi dIlocac don vi lien quan tri~nkhai th1!Chi~n vi~ giam sat, theo doi va bao cao thuang xuyen k@tqua th1!Chi~n.

- O,lCqulin Iy Duqc hun dau m6i ph6i hqp vai Vi~n Ki~m dinh qu6c gia vAcxin,sinh phfun y t@chiu trach nhi~m bao dam chdt luqng vAcxin sm.

- C\lCQuan Iy kham, chUab~nh co trach nhi~m chi d\lo cac co sa kham, chUa~nhph6i hqp 16 chlic tht,rchi~n vi~c kham sang IQCwac tiem chling, cdp CUuva xu tri kipthm cac phan ling sau tiem chling.

- V\l Truy~n thong va Thi dua khen thuang co nhi~m VI,l thong tin, tuyen truy~n,ph6 bi@nKShO\lchtren cac phuong ti~n thong tin dlitichUng.

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- v\! KS ho?ch Hi chinh co nhi~rn V\l ph6i hQ'Pvo; D\f an Tiern chUng rna rQngqu6c gia va cac dan vi lien quan b6 tri dti kinh phi th\fChi~nKS ho?ch.

6. Vi~n Ki~rn diM qu6c gia vile xin va sinh phfun Y tS co tnlch nhi~rn ki~rn djnh,Clipgidy phep xudt xuang timg 10 v~c xin dam bilOdUngtiSndQva giarn sat chdt lugng v~c. '. ~xm U;U cac tuyen.

7. Cac Vi~n V~ sinh djch t~,Vi~n Pasteur co nhi~rnV\l giarn sat h61rQ"kYthu~t chocac dja phuong thuQckhu Y\ICph\! tnlch trong qua trioo tri~nkhai KS ho?ch, ~c bi~ttrongvi~ di~u tra, xli tri cac wOng hQ'Pphan ling sau tiern chUng.

8. D\f an Tiern chUngrna rQngqu6c gia va khu Y\ICco tnlch nhi~rnph6i hQ'Pvo; djaphuong I~pkS ho?Chva h6 IrQ"t6 chtic tri~nkhai KS ho?ch. Bam bao cung ling dti v~c xinso; va V?ttu tiern chUngcho cac tinh, thanh ph6, tiSpoo~, bao qulin,Clipphat v~cxin, v~ttu tiern chUng dl,Iavao h~ th5ng Tiern chUng rna rQng til Trung uang dSn dja phuang.Ki~rntra, giarn sat, don d5c vi~c th\fChi~n cac ho?t dQngtheo KSho?ch, t6ng hQ'Ptioo hinhth\fChi~nva bao cao theo quy diM.

9. Trung tam Truy~n thong Giao d\!c suc khoe Trung uang, tinh, thanh ph5 ~ptrung tuyen truy~n v~vi~ tri~n khai KS ho?ch d~ngum dan dua con em di tiern chUng.

Long

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