CHU TICH

! 41 thaa:krici • \:-nai-tg //cc: 4 - 0 0

11)Y BAN NHAN DAN

CONG, HOA XA HQI CHU NGHIA VItT NAM TiNH HAT WONG

No 1'4 - Ti; do - Hanh phtic

SO: a6 /QD-UBND

Hai atom, ngay thang 6 nail? 2018

QUYET DINH Phe duyet Ke hoAch hot &Ong Dv An an than au phong chOng HIV/AIDS tinh Hai Throng dam 2018

CHU TICH IN BAN NHAN DAN TiNH

Can dr Lula Te chirc Chinh quyen dja phuang ngay 19 thang 5 Mm 2015;

Can dr. Quyet dinh sa 302/QD-1Tg ngay 13/3/2018 tha Thu tuang Chinh phit va chit truong dau tu Du an do Quy toan can phong thong AIDS, Lao va siSt ret tai trot;

Can dr cOng van so 286/AIDS-VP ngay 26/4/2018 cila Cvc phong chong HIV/AIDS - BO Y ta ve viec trien khai dv an QTC-HIV giai doan 2018-2020;

Xet d nghi. cita Ban quail IY Dv an QuY toan cau pheng ch6ng HIV/AIDS tinh Hâi Ducmg tai T& trinh sa 159 /TTr - BQL ngay 08/6/2018,

QUYET DIN!!:

Dieu 1: Phe duyet Ka hoach hoat dOng Dv an Quy toan cau phong cheng HIV/AIDS tinh Hai Throng Mm 2018 (co Ka' hogch chi trAt kern theo).

DIM 2: Quyat dinh nay c6 hieu lye k tü ngay ky.

Dieu 3:: Chanh Van ph6ng UBND tinh, Giam dc Se( Y tá, Giam dick BQL Dv an Qu'y toan can phong chang HIV/AIDS tinh Hai Dining va Thu

truemg cao ca quan, dan 14, cá nhan c6 lien quan chiu trach nhiem thi hanh

Quyat dinh nay./.

Arai nhOn: - Nhu dMu 3; - Chu tich UBND tinh; - Phó Chu tich UBND tinh (0. Cau); - BQL Dv an; - Um VT, VX(01). Ph(20)4

Nguyen During Thai

tY BAN NH IAN DAN TiNH HAI DUONG

ICE HOACH HOAT ONG NAM 2018

DV AN PHONG CHONG HIV/AIDS Do Quy Toan au phong thong AIDS, Lao va Sait ret tai tray

(Kern theo Quyect dinh s6491,6 /QD-UBND ngay /If / ,4 /2018 cita (Iy ban nhan dan tinh Hai Dtrang)

Hii Dtrong, thing 6/2018

MVC LVC

I. THONG TIN CHUNG VE inc AN .4

II. MVC TIEU CHUNG C1JA DV AN 5

III. ICE HOACH HOAT DQNG DIY AN QTC PHONG, CHONG 6 HIV/AIDS TiNH HAI DU'ONG NAM 2018

1. Co. s& xay dying ke hoych 6

2; Chi tieu thtyc hien chii yeu nam 2018 6

3. Ni dung hot Ong nham thtyc hien myc tieu 7

3.1 Myc tieu 1: Duy tri, cai thian cac &Si dich vi thiat yau can thiap du phong tap trung \Tao cac nhom doi tugng dich va ban tinh cna nguiyi nhigm HIV trong Ong clang g6p phan giam 25% sa truang hgp nhigm HIV do tiem 7 chich ma toy va 20% sa nguai nhietm .HIV do quan he tinh due so voi nam 2015 • 3.1.1. Dv phOng cho nhOnt nguiti TCMT va bgn tinh cfia h9 7

3.1.2. Dy pitting trong nhOnt PNMD, MSM va bçrn finh cfia hp 8

3.2. Myc tieu 2: Mb rang chan &loan sam th6ng qua cac hinh thirc xet nghi'am HEY tai ca se( xet nghiam, xet -nghiam HIV tai cOng clang cho cac

9 ithean qu'An tha dich va ban tinh cüa ngued nhiam HIV g6p phan dg muc tiêu 90% sa ngueri con sang nhigm HIV NC& dirge tinh trang HIV cna minh

3.2.1. X& nghiem HIV tgi ca thy ta, tai Ong dang, xit nghrem HIV va 9 xit nghient HIV khong chuyen

3.2.2. Tip huan va 1w van xit nghient HIV cho CBO, CTV y le 11

3.2.3. Trian kiwi EQUAS cho cdc phOng xet nghLent HIV 11

3.3. Myc tieu Mb rOng, cai thin chat lugng diau tri thuac Ichang vi rut 11 (ARV) da tai da Ma lgi ich v diau tri, du phOng giarn lay truyan HIV va giam tü Vong do AIDS Op phan dat mu° tiOu 90% ngueri nhigm HIV dirge diau tri ARV va 90% sa nguai diau tri ARV c6 tai lugng vi rUt HEY thap dual ngu6ng ire cha, dang thai dam bad qua trinh chuyan sang ca eh& ha" trg

• tai chinh trong nuore thong qua bao him y th dirge thuan In nhat

3.3.1. Diau tri ARV 12

3.3.2. DF pheng lay truyan HIV ter nig sang con 14

3.3.3: Dr van zit nghiern va cham the diau 14 HIV/AIDS cho tit nhan 15

3.4. Myc tieu 4: Cfing co ha thong thong tin de c6 chian huge, giai phop hiau 15 qua ung ph6 vbi dich HIV/AIDS

3.4.1. He Ira cang tdc theo döi, giant scit cfia tuyan tinh 15

3.4.2. kJ tre' nheip sa lieu ePMS 15 3.4.3. Tap halm v theo dUl, giam sat do PPMU t'a chirc 16 3.4.4. Ta char hOi tha o &inn khai divan nom 2018 16 IV. KINH THVC HItN 16 V. TO CHI:TC THIet EON. 17 Phy lyc 18

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DANH MVC CAC TV VIET TAT

AIDS : Hi chung suy giam min dich mac phal er nguiyi ARV : Thuac khang vi rut

BCS : Bao caO su

BQL : Ban quan 15T du an

BKT : Barn kim tiem

CB0 : Cac t chirc dva vao Ong dang CTV : Cong tac viten HIV : Vi rut gay suy. giant min dich ngtrai ISDS : Vin nghien cult phat trien xa. hOi NCMT : Nghien chich ma toy. .

MSM : Quan h tinh dpc dang giori nam

OPC : Phong kham ngoai tra/ca ser di'eu tri ARV PNBD : Php nit ban dam PPMU : Ban quan 1 dy an tinh VUSTA : Lien hip cac hai khoa hoc k thuat Viet Nam

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I. THONG TIN CHUNG YE DU AN 1. Ten thy an

Ten tieng Dr an Quy Toan eau phOng chang HIV/AIDS (Giai doan 2018-2020) Ten ti&tg Anh: The Global Fund supported project on HIV/AIDS

2.Ma dty an Ma di; VNM-H-VAAC

3. Ten nha tãi thy Quy, Toan cu phông ch6ng AIDS, Lao va Sot ret

4.Ten caquan chit quilt, chit dkr in Co quan chit quan: UY ban nhan dan tinh Hai Duang

Dia chi: S6 45 Quang Trung - P. Quang Trung - TP. Hai Ducmg Sa din thoai: 0220.3837 444; Fax: 0220.3853 601 Chii thy fin: Ser Y t6 - Ban Quan 1 du an Quy Toan eau phong chang HIV/AIDS tinh Hai Dtrung

Dia chi: Sa 42 Quang Trung - P. Quang Trung - TP. Hai Ducmg

Sa di@-ithoai: 0220.3852 216; Fax: 0220.3852 216 5. Thai gian b•A't dAu Ira thyt dty an

3 narn (-Ur 01/01/2018 — 31/12/2020) 6. Hinh that vin trcy: ODA Ichang hoan lai

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II. MI.JC TIEU GOA DV AN

1. Myc tieu chung

G6p phan dive hien myc tieu Chin lugc quac gia phong chang HIV/AIDS tai Viet Nam, khang cha lay nhiam WV trong quan tha dan cu mei chung duoi 0,3% va giam tac ding cna HIV/AIDS dai vei phat trian lcinh xa hOi.

2. Mire filen cy tka

Myc trey' 1: Duy tri, cal thin cac gad dich vv thiat yau can thiep du phong tap trung vao the nhom dai tugng dich va ban tinh cüa ngueri nhiam HIV trong Ong (long g6p phan giam 25% sa trueng hgp nhiam HIV do tiem chich ma thy va 20% sa ngirei nhiam HIV do quan h tinh dye so vai nam 2015;

Myc tieu 2: MO rang chan doan sem HIV thong qua cac hinh tithe xet nghiem HIV tai co sO xet nghiem, xet nghiem HIV tai cOng (long cho cac nhorn quan tha dich \fa ban tinh cua nguei nhiam HIV g6p phan dat myc flail 90% sa nguei con sang nhiatm HIV biat dugc tinh trang HIV cila mirth;

Myc fiat' 3: MO rang, cai thin chat lucmg diau tri thuac khang vi rat (ARV) da tai da Itha lgi ich va diau tri, du phong giam lay truyan HIV va giam tCr vong do AIDS gap phan dat myc flail 90% nguei nhiam HIV dugc diau tri ARV .va 90% sa nguOri diau tri ARV c6 tai lugng vi rut HIV thap clued nguang fro che, &Ong tiled dam bao qua trinh chuyan sang co ch'a h6 trg tai chinh trong nuec thong qua bao him y tá dirge thuan lgi nhat;

Myc tieu 4: Clang c h thang thong tin da ca chin lugc, giai phap hieu qua frng ph6 vOl dich HIV/AIDS.

III. ICE HOACH HOAT BONG DIX AN - QUI TOAN CAU PHONG CHONG HIV/AIDS TiNH HAI DUONG NAM 2018

1. Cci see xay dtyng k hcqch

Quyat dinh sá 302/QD-TTg tha Thu tuang Chinh pith ngay 13/3/2018 phe duyet chit truing dau tu Dy an do Quy Toan cu phong chang AIDS, Lao \la sat ret tai trg;

Quyat dirt sa 2287/QD-BYT ngay 05/4/2018 dm BO throng Ba Y ta va viec phe duyet Van kin du an "Quy toan cu phong chang WV/AIDS giai doan 2018-2020" do Quy toan eau Phang chang AIDS, Lao va Sat ret tai trg; •

Quyat dinh sá 2291/QD-BYT ngay 05/4/2018 dm Ba throng BO Y t va viec phe duyet Ka hoach hoat &Ong vã kinh phi nam 2018 tha Du an "Quy Toan cau ph6ng chang HIV/AIDS giai doan 2018-2020" do Quy toan cu Phong chang AIDS, Lao va Sat rot tai trg;

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Theo Ichung chi sa cam ket voi nha tai trg va phan ha chi tieu cea BO Y te dai vei cac tinh tham gia dg an.

2. Chi tieu k hoach nam 2018

,Theo Ichung chi sa cam ket nha tai trg va phan bá chi lieu dm BO Y te, cac ket qua che yeu can dal dugc tai tinh flint sau:

TT __Chi s6 Chi .tieu

nam 2018

1 Sa nguei nghi'en chich ma My tip can chuong trinh can thiep dtr phong

1.550

2 So gai mai dam tiep can chuang trinh can thiep dg phong 0

3 Sa nguei nghien chich ma thy dugc tu van xet nghiem HIV 4.068

4 Sa gai mai dam dugc tu van xet nghiem HP! 1.050

5 Sa ngued quan N tinh dye dang giai nam dugc tu van xet

1.166 nghiem HIV

6 S6 te than dugc tu van xet nghiem HIV 1.500

7 Sa benh than HIV dirge dieu tri ARV , 1.625 8 Sa phn nil mang thai HIV (+) dirge dieu tri ARV trong thai

k$i mang thai 18

9 TS, le % b'enh than HIV sau 12 thang dieu tri ARV cO tai lucmg vi rut dued 1.000 ban/ml . _ 90

3. Ni dung hot dang

3.1 Myc tieti 1: Duy tri, cai thin cac gni dich vy thiet yeu can thiep thy phong tap trung vao cac nh6m dai dich vã ban tinh cüa ngtrati nhiem 111V trong Ong dOng Op Oat) giam 25% sa truirng hqp nhiem HIV do tiem chich ma ttly vã 20% s6 nguti nhiem BIV do quan he tinh dyc so voi nam 2015

3.1.1 Dtr phong cho nhem nguti tiem chich ma thy (TCMT) vã ban tinh ciia hy

a) Phan phat born kim tiem vã twit cat cho ngtrai TCMT

Chucmg trinh barn kim tiem IA chin lucre quan tong trong cong tac chi phong lay nhiem HIV trong thorn nghien chich ma tit)/ (NCMT). Mgc fiat qu'ac gia IA 55% sá nguei NCMT &rot tiep can veri barn kim tiem sach trong nam 2018. De gOp phAn dat dirge mgc tieu nay, Ban QLDA tinh thong qua mang luori clang 'Tang vien/tiep can vien Ong dang de phan that mien phi barn kim tiem va nuerc cat cho ngued NCMT.

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- Thong qua the mang lured nh6m deng ding dm du an ISDS ha trg tren cae dia ban: TX. Chi Linh, huyen Gia LOc, huyen Kim Thanh, huyen Thanh Ha, huyen Tá KS', huyen Thanh Mien, huyen Kinh Mon ,va huyen Ninh Giang tier) can va cung cap mien phi bum kim tiem, mak cat cho nguiyi nghien chich ma thy. Gied thieu ngued nghien chich ma thy ket nei den cac co sof chain see va dieu tri dieu tri ARV va Methadone, ...

- Thong qua mang lued flap can vien Ong ding, dOi ngü cOng tac vien, can b0 y to lam viec tai tram y te, tai then, khu dan cu cap phi barn kim tiem tai hp co dinh cho ngtred nghien chich ma thy.

b) HO try kinh phi htiy bum kim tiem (BKT) d5 qua sfr dcmg trong lib an toan (HD 37).

Burn kim tiem ban dung trong hp an toan duce thu gom va chuyen ve Trung tam phong chong HIV/AIDS hoac cac Trung tam y te huyen theo cac nguen:

- Deng dang vien thu gom BKT ban va dung trong hp an toan

- COng the vien thu gom hop an toan dat tai the diem tieing a thu thap cac BKT oda dirge sir dung.

Du an he trg kinh phi tieu Hy 2600 hOp an tan dung BKT ban da qua sir dung, du kien se lugng hp an toan dirge thu gom tai m6i dia ban nhu sau:

Bang I. Dv kiln sa hap BKT dd qua sit dyng dirac thu gom va tiêu heiy

TT Huyen se hp TT Huyen Se hp

1 Chi Linh 300 7 Kim Thanh 300

2 Gia Lec 300 8 Ninh Giang 150

3 Thanh Ha 200 9 Thanh Mien 150

4 Kinh M6n 300 10 Tir KST 150

5 TP. Hai Duong 300 11 Binh Giang 150

6 Nam Sad' 150 12 Cam Giang 150

TOng cOng: 2600 hp

c) Cung cAp trang thiet hi cho cix sift dieu tri Methadone (HD 44)

Nam 2018, tinh Hai Duong hien khai mer moi 01 co sof dieu tri Methadone tai huyen Ninh Giang. Du an tinh he trg kinh phi mua trang thiet bi thiet yeu cho cor sae dieu tri nay a phue Iry cong tac chuyen mon (danh myc bi chi tilt tgi phy lyc 2 kern theo).

Nam 2018, tinh co chit' trirang sat nhap cac don vi y tá tuyen huyen lam mot dau mOi la Trung tam Y te huyen tong qu3r7 2/2018. VI vay, viee cung cap

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thiat bi dugc thgc hien ngay khi cac don vi n dinh tã chgc sau sat nhap, clg kin thgc hien trong quY 3/2018.

3.1.2 Dn• phong trong nh6m phuL nir m4i dam (PNMD), nhom quan he tinh dye demg gioi nam (MSM) vã b#n tinh cüa hy

a) Phan phat Bao cao su vã chat bôi trcrn .

Nam 2018, Du an Trung 'rang se -dap We cap mien phi .cho tinh Hai Throng bao cao su, chat boi trcm de phat cho cac cMi Wang dich la ngueri hanh nghe mai dam va quan h tinh dye dang giai nam. •

Ban quan l du an tinh Hai Dmmg cap cac vat dung can thiep nhu bao cao su, chat boi ton cho nh6m dOng dang cüa Dg an VUSTA dang trien khai teen dia ban. Du an dam ban tinh san c6 va mô rOng dc bao phd chuang trinh bao cao su cho di tucyng gai ban dam, vg hoc chang nguoi nghien ma nay, nguai nhigm HIV teen dia ban tinh Trong do, chit tang cac dia ban c6 nhom MSM hog &Ong la TX. Chi Linh va TP. Hai Duong.

b) Thue kho bcio quan vat dyng can thiep (HD 58)

Ban quan ly du an tinh nhan vat dung can thiep giam tac hai nhu BCS, BKT, nuot chat, chAt boi trcm va mOt sa vat dung khac tit Ban quan ly dg an Trung ucmg d'e cap cho cho nh6m dang clang, cOng tac vien tai cac dia ban khi c6 thu cau.

Chi phi thue kho d bao quan vat dung can thiep nhu bao cao su, chat boi tran, BKT, nuerc cAt va mot sa vat clung khac se dirge Du an Trung ucmg h trg. Ban quan 1 du an tinh chiu tech nhiem thue kho bao quan phü hap.

c) Lap ban d diem Hong nh6m nguy co' cao (HD 60) Lap ban a dim ruing voi mue dich thu thap thong tin chinh xac ve vi tri

vanac lugng sa_NCMT, PNMD va MSM tai cac tu diem.

Ban quan l dkr an tinh có trach nhiem trien khai hoat &Ong lap ban da diem n6ng tai 03 huy'en/TX/TP: TP. Hai Dining, TX. Chi Linh va huyen Kinh Mon. NOi dung thgc hien gam: Lap ra cac nham dieu tra thgc dia d ra soat, cap nhat danh sach cac tg diem ten toan bo dia ban huyen; lien hanh flap can, dieu tra toan b0 tu diem; xac dinh, thu thap thong tin dia diem mai; temg hap sa lieu, lap khung chgn mk va tik hanh trot lugng sa

Thai gian thuc hien trong quY 111/2018 cimg \Teri giam sat tang diem HIV.

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3.2. Myc tieu 2: Mo. Ong chan doin seem theong qua cac hinh thirc xet nghiem HTV tai co. sa• xet nghiem, xet nghiem HIV tai cQng dQng cho the nhom quAn the dich và ban tinh cita ngtrei nhrem HIV gap plan dat myc tieu 90% so ngtroi con sOng nhiem HIV biet duvc tinh trang HIV cfia minh

3.2.1. Xet nghiem HIV tai co. sor y te, ti Ong dig, tty xet nghiem HIV ya xet nghiem HIV khong chuyen (HD 72, HD 73, HD 74 & HD 75)

CO 2 hinh thUc thgc hien xet nghiem HIV:

- Xet nghiem HIV tai cac ca s& y tec do nhan vien y ta hoac d6i Wong chit dOng de xuat, xet nghiem do nhan vien y ta thip hien;

- Xet nghiem tai cOng Ning bao gam:

+ Tv xet nghiem (Iv 1y mau, tg lam xet nghiem \Ta nr doe ket qua)

+ Xet nghiem HIV khong chuyen do nhan vien y t cOng dOng/nhan vien y te' thon ban thgc hien (xet nghiem km dOng).

Mac du le& qua xet nghiem tai cOng dOng khong duce sir dung a chin doan nhietm HIV. Tuy nhien, ket qua thi di'ena trien khai tu van xet nghiem HIV dga vao cOng dang tai 6 tinh, thanh phi Mm 2016 dã chung minh rang xet nghiem WV khong chuyen va tg xet nghiem HIV cling la each hi'eu qua de pilaf hien cac truemg hop nhlem HIV mai.

'Nam 2018, chr an h-6 trg trien khai tren dia ban tinh cá hai hinh thirc veri s6 luong ngtreri dugc tu van xet nghiem HIV tai cac dia ban nhu sau:

Bang 2. S a ngteeti duvc he van xet nghiem HIV tai cac cc thy t

TT Huyen NCMT PNBD MSM DOi tuvng

khic

1 TP. Hai Ducmg 500 150 150 350 2 TX. Chi Linh 350 100 100 _200 3 huyen Kinh Mon 400 50 50 200 4 huyen Kim Thanh 300 50 50 200 5 huyen Cam Giang 200 100 0 150 6 huyen Nam Sach 150 50 0 100 7 buyer' Ninh Giang 75 50 0 100 8 huyen Binh Giang 75 50 0 100 9 huyen Thanh Mien 75 50 0 100 10 huyen Thanh Ha 400 50 0 200 11 huyen TIT KY 75 50 0 100 12 huyen Gia 10c 300 50 100 200

'Ding &Ong 2.900 800 450 2000 * Xet nghiem 2 lan/nam d6i \raj cac d6i tucmg NCMT, PNBD va MSM, 1 lan voi Mi tugng khac (vg/ ch6ng/ ban tinh cua ngued NCMT, PNBD, MSM va ngueri nhigm HIV)

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Bang 3. sd ngufri cluvc his win xOt nghiem HIV lusu dang

TT Huy0 NCMT PNBD MSM A ttryng Doi khic

1 TX. Chi Linh 70 50 50 50 2 huyen Kinh Mon 20 10 0 50 3 huyen Kim Thanh 30 10 0 50 4 huyen Ninh Giang •20 0 0 20 5 huyen Binh Giang 20 0 0 30 6 huyen Thanh Mien 20 0 0 50 7 huyen Thanh Ha 70 0 0 50 8 huyen Tit KS/ 20 0 0 50 9 huyen Gia 10c 30 30 50 50

Timg cling 300 100 100 400 * Xet nghiem 2 lan/nam di vai cac dal tugng NCMT, PNBD va MSM, 1 In veri di tugng khac (vg/ cheng/ ban tinh cua nguoi NCMT, PNBD, MSM va ngued nhi re'm HIV)

Bang 4. SJ ngtral 4r xet nghiem HIV

TT Huy0 NCMT PN13D MSM ,

D6i tilling khac 1 TP. Hai Ducmg 0 50 382 0 2 TX. Chi Linh 320 50 234 0 3 huyen Gia LOc 320 0 0 0 4 huyen Kinh Mon 275 50 0 0 5 huyen Kim Thanh 144 0 0 0

Wong Ong 868 150 616 0

3.2.2. T4p huAn v fir vAn xet nghil'In HIV cho CBO, CTV y t (Ill) 77)

treen khai tu van xet nghiem HIV khong chuyen, dva vao Ong deng dam bao theo quy dinh dm BO Y tá. Dv an he' trg Idnh phi te chirc 01 Ichoa tap huan 5 ngay cho cac can b0 y th, nhan vien y tá va cOng the vien y tie then ban,

phuang, (long clang viOn cüa CB0 v8 tu vAn va xet nghiem HIV. Dv kin dao tao cho Ichoang 25 hoc viOn.

Ban quail 1ST dv an tinh chiu trach nhi dem te chit° lerp tap huan tai tinh, gian dv kin ta chi:re lerp tap huan vao QuY III/2018.

3.2.3. Trien khai EQUAS cho cac pining xet nghi@rt HIV (HD 80) EM quan 157 dam bao chat lucmg xet nghiem WV, phat hi'en khac phuc 16i

trong qua trinh xet nghiem cho cac phong xet nghiem sang loc va khang dinh ten dia ban tha dv an, dv an h6 trg trian khai EQUAS (ngoai kiem) thong qua

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viec thvc hien be) mu death gia nang lye cua Phong xet nghiem tham chiau Quac gia gui cac ca se'r xet nghiem.

Ban quan 1 dy an tinh së chit' dng IcY hop clang ved Vien ve sinh dich fg Trung uang de thvc hien hoat Tang ngoai kiem nay cho cac phang xet nghiem HIV cita cac don vi trien Ichai dv an tren dia ban tinh.

3.3. Myc tieu 3: Mo. rang, cat thien chat luqng dieu tri thuOc khang vi rut (ARV) aMi da hoa lçi ich v dieu tri, thy phong giam lay truyen HIV va giam tfr vong do AIDS Op phAn dyt myc tieu 90% ngtricri nhiem HIV dtryt dieu tri ARV va 90% s ngtroi dieu tri ARV co tai Itrying vi rut IIW thap duti ngtreing frc che, &Ong thin dam bao qui trinh chuyen sang co' che het try. tai chinh trong nut thong qua bao hiem y t dirqc thuan lqi nhat

3.3.1. Dieu tri ARV a) Mua thutIc ARV, chi tra cac Chi phi van chuyen, phan bao

cyan va hüy thmic ARV (HD 1, HD 2, HD 3 & IID 112)

Nam 2018, dv an tip tic has try thuloc ARV a diau tri cho 1620 benh nhan nhiam HIV teen dia ban tinh.

Mvc dich diau tri bang thutic Ichang HTV (thu6c ARV) er ngued nhiam HIV la ngan chan Mi da va lâu dai qua trinh nhan len dm HIV trong ca tha, dong thed phvc hoi chirc nang min dich cho nguesi b'enh.

Du Ician se> bOh than nhiam HIV tai in& dia ban dirge diau tri bang thuOc ARV nhu sau:

Bang 5. Sa benh nhan cittqc ho trq thu ac ARV

TT Huyen SO benh nhan

1 TP. Hai Ducmg (Trung tam phOng cluing HIV/AIDS) 1000

2 TX. Chi Linh 250

3 buyer' Kinh Mon 125

4 huyen Kim Thanh 80

5 huyen Cam Giang 60

6 Trai giam Hoang Tian 110

Tong &Ong 1.625

b) Mua the BHYT va 118 try' &Ong chi tra BHYT (HD 4)

Theo 10 trinh Dv an QTC se giam dan vie hat try thu6c ARV trong nhang nam tip theo. Vi vay, ngued benh sê dirge Ichuyen khich tv mua the BHYT da &rot .cdp thuac ARV thong qua BHYT. Da dam bao 100% benh nhan du dirge di'au tri ARV. Nam 2018, Dv an QTC së ha try kinh phi mua the BHYT cho

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nhirrng nguai nhiem HIV khong c6 kha nang mua the BHYT trong khi tinh chua tri kinh phi dia phmmg da mua the BHYT cho cac den tugng nay.

Theo thong ke tren dia ban tinh Hai along c6 khoang 200 benh nhan nhiem HIV dang dieu tri ARV tai ode ca s& yt chua c6 the BHYT. Ban quan ly dv an tinh se Icy hop clang vori Bao him xã hQi tinh a thvc hien viec mua the bao him y M cho cá nhan ngued nhiem HIV tham gia theo h0 gia dinh.

c) Ha try xet nghiem tin kryng HIV van chuyen mau xet nghiem va lay mciii xet nghi"On tái hryng HIV (HD 6, Hi) 8 & HD 9)

Theo khuyen cap cilia TO chirc y t the giai (WHO), xet nghiem do tai lugng HIV hien dugc coi la tieu chuan yang d khang dinh that bai diau tri va theo dOi dinh lcY hieu qua diau tri ARV cho ngued nhiem

Trong nam 2018, dt; an tip tvc he; trg xet nghiem do tai lugng vi rat thuemg quy cho ngued b'enh tai then diem 6 thang, 12 thang sau khi bL du dieu tri ARV. Vien ye sinh dich t Trung uang chiu tech nhiem xet nghiem do tai lucmg vi rut HIV cho bfrenh nhan tai tinh Hai Duang, kinh phi do BQL Dv an Trung ucmg chi tra trvc tip.

Ban,quan ly dv tinh chiu tech nhiem huong dan cac phong kham diau tri ARV lay mu va chuyen s8 mu xet nghiem len Trung tam phong thong HIV/AIDS. Trung tam phong chang HIV/AIDS tang hop va chuyan man len Vien ye sinh dich t Trung ucmg de flan hanh xet nghiem.

Dv an QTC tinh thanh toan tian ding lay mu xet nghiem, tin van chuyan mu xet nghiem tir cac ph6ng Icham len Trung tam phong chong WV/AIDS va tu Trung tam phOng chang HIV/AIDS len Vien ve sinh dich Trung ucmg theo quy dinh.

d) H trcy xet nghqm CD4, WO try v4n chuyen mau xet nghitOn vã ding xet nghi?In CD4 (III) 7, HD 8 & HD 9)

Nam 2018, Dv an se- h trg thgc hien xet nghiem CD4 cho benh nhan nhiem HIV. Viec thvc hien xet nghiem CD4 sé theo each boat sau:

(i) Ban quan d‘r an tinh sir dvng sa sinh pham xet nghiem CD4 dirge Trung ucmg cap tit giai doan tnrac thi dirge hai trg ding lay mau, clang xet nghiem, chi phi van chuyen mu benh pham tir dia phuong dan ca so xet nghiem.

(ii) NM sa sinh pham xet nghiem CD4 dirge Trung =mg cap sir dung hat thi Dv an se h trg kith phi chi tra dich vv xet nghiem CD4 theo dinh mire quy dinh tai Thong tu sa 37/2015/TTLT-BYT-BTC ngay 29/10/2015 quy dinh thang nhat gia dich vu kham b'enh, club. benh BHYT Oita cac benh vien cimg hang ten toan quac cho các ca sâ xet nghiem tai tuyen tinh vã huy'en.

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(iii) Oct an 110 trg chi phi da van chuyan mkt xet nghim tir OPC dan Trung tam phong chang 1-BV/AIDS.

d) Tap huan ye chain sec dieu tri HIV/AIDS do PPMU to ethic (HD 13)

Dv An he6 trg kinh phi ta chirc 01 lop tap huan 3 ngaY va diau tri cho cac can b y M tuyan huyen (bac sy tai khoa kham b'enh, dieu duOng, dirge sycüa berth vin tuy6n huyen va can b0 chuyen trach HIV cüa TTYT huyen). Nei dung khoa tap gam cac kin thirc ca ban va HIV, mo hinh chain sec va diau tri theo huong cian mai BO Y ta ban hanh, mOt sa tac dung phu cüa thuac ARV thuong gap va tucmg tac thu0c, dieu tri cac benh nhigm tang ca hi thusamg gap teen nguoi nhigm HIV, dv phOng nhi'em tang ca hi va tient cluing vac xin phong benh khac,cho ngm'yi nhigm HIV, cham soc tai nha va tai cOng dang,,giam sat he; trg va cai thin chat lugng, quan 15, va; cung irng thuoc, t chile trien khai hoat dOng va gnarl 1 chucmg trinh Du kin so h9c vien tham gia tai thieu 25-26 ngtrai/lop.

BQL Dr an tinh chiu trach nhiem t6 chile lop tap huan tai tinh. Tuy nhien, do tinh co chit tnrang sat nhap cac don vi y te tuyan huyen trong quy 2/2018 nen thoi gian trian khai tap huan du kin dugc thuc hien trong qu)if 3/2018.

3.3.2 Dkr phong lay truyen HIV to' mc sang con a) Xet nghiam HIV cho phy nil' mang thai (PNNIT) (HI) 21) Da co thet . thuc hien muc fiat' loai be' lay truyan HIV tir me sang con vao

nam 2020, dich vu xet nghiem WV cho phu nft mang thai phai la phan thiat yau trong goi cham sec tnrore sixth thuong quy va dan dirge phan cap cho tuyen xä.

Nam 2018, du an se 118 trg xet nghiem HIV cho tat cã phu nü mang thai Or 04 huyen/TP/TX c6 t 1 nhiam HIV cao ten dia ban tinh gam: TP Hai Dtrcmg, TX. Chi Linh, huy'en Kinh Mon, Kim Thanh. Tat ca phi,' nit mang thai dugc chan doan nhiam HIV trong qua trinh cham sac thai nghen sê dirge kat n6i dan OPC da throe diau tri ARV lau dai. Truang hop phu nit mang thai chan doan HIV muOn hoac trong khi chuyan da se dirge diau tri khoi liau ARV ngay tai cac ea sO san khoa.

b) HO try' viac quanlSrva theo dai PNNIT nhiem HIV ye tre sinh ra to' mc nhiem HIV (HD 15)

Ca ser chant Sac sue kh6e sinh san vai ca se( dieu tri HIV/AIDS c6 tech nhiem quan 15/ va theo doi PNMT nhiam HIV va tre sinh ra me nhiam HIV.

c4p mg con dirge quan l va theo dOi dieu tri phong lay truyen me con se duce h trg kinh phi theo quy dinh caa du an a dam bag phu nit mang thai nhigm HIV va con dia. hg &rot cham sac thai san va dieu tri ARV dung quy dinh.

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Ban quan din an tinh nhan kinh phi tir Trung trcmg ya chi tra frac tip cho Ichoang 18 cap me con nhigm HIV.

c) H trq yn chuyen mOu xet nghilem MD ya cOng xet nghiem EID (HD 19 & HD 20)

Nham xac dinh tinh trang nhiem HIV dm tre sinh ra tir me nhigm HIV sau sinh 4 tuan bang phucmg phap gigt mau kilo. Dv an QTC ho try thvc hien xet nghiem nay tai Vi'en ye sinh dich tg Trung wing.

- Can b0 phOng OPC My mu benh pham (gi9t mau kho) ya chuy'en ten Trung tam pheng °hang HIV/AIDS sau do tap hgp ya tip tyc van chuyen tOi ca sey xet nghiem cua. Vien Ve sinh dich t Trung uung d tin hanh xet nghiem.

- Dv an h6t try chi phi van chuyen tit cac OPC tai ca so: xet nghiem dva tren chung tir tai chinh hgp le dia cac phong OPC.

-Dy kin sO lucmg xet nghiem EID dugc h6 try nam 2018 la 25 mu.

3.3.3. TDr van xet nghiem ya cham soc dieu tri HIV/AIDS cho tñ nhan

a) HO trq xer nghiaem HIV, van chuyen mu xet nghiem HIV, cOng xet nghiem HIV ya ho trq xet nghiem co' ban dieu frit ARV cho tñ nhan (HD 25,110 26, HD 27 & BD 30)

. Hien tai Trung tam ph6ng chOng HIV/AIDS phi hop yed Trai Giam Hoang lien dieu tri ARV cho tren 100 tO nhan nhigm HIV.

Nam 2018, Quy Toan cau h6 try thvc hien 2 loai xet nghiem cho tà nhan tai Trai giam Hoang tien nhu sau:

(i) cac xet nghiem HIV (bao gem chi phi van chuyen) cho 1.500 di nhan; (ii) cac xet nghiem co: ban a h-6 try dieu tri ARV cho 217 tit nhan.

Trung tam ph6ng chang HIV/AIDS Hai Duang phi her vied Trai Giam Hoang Tien thvc hien My mu, xet nghiem HIV ya cac xet nghiem co ban khac cho ta nhan theo you can caa Dv an.

3.4. Mtic hen 4: Cling cif) he thong thong tin de co chien line, giai phap hien qua ting pho yei dich HIV/AIDS.

3.4.1. HO trq &Ong tac theo dôi, giam sat cila tuyen tinh (HI) 89)

Trong nam 2018, Ban quan l dv an tinh thvc hien giam sat 100% so huyen huang thy Dv an. NOi dung giam sat se tap trung \Tao:

(i) Tinh hinh quart 1, cap phat, bao pan, phan phOi thuOc ARV, cac vat dyng can thiep

(ii) Mua sam, lap dal, quanlY, sir ding cac TTB da dugc cung cap; (iii) Bao cao sO lieu, chi tieu cüa dy an, cong tac ra sok dam bao chat

lugng so lieu,

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(iv) Cac quy trinh lien quan dan tu van xet nghiem HIV, cham sOc dieu tri HIV/AIDS,

(v) C8ng tac quan 1Y, tai chinh, giai ngan va thanh quyat toan,

(vi) T chirc và trien khai cac lop tap huan, hei nghi, hei thao, (vii) Viec thvc hien cac khuy'an nghi cña kiam toan, cUa nha tai trg, co

quan quan ly quy dia phucmg, CCM va cling tac quan dv an chung... 3.4.2. HO trq nh'ap so lieu ePMS (HD 91) Phan mm quan lY b'enh nhan dieu tri ARV (ePMS) dirge xay dvng yeti

cac chic nang don gian, d cal dat va sir dyng. Mai co sor OPC dã dirge dv an trang bi may vi tinh cá nhan va yeu can toan be der lieu cilia ha so benh an diau tri ARV dm benh nhan dirge nhap tai cac co ser dieu tri ARV dang be len may chü khi co mang internet. Viec nhap lieu dirge can be phong OPC thvc hien ngay.sau khi Dv an QTC Trung uongcai dat phan mm va huong clan nhap

Dv h6 trg kinh phi cho can be nhap lieu vao phan mm ePMS dam bao 100 % sa ha so benh nam 2018 dirge nhap vac phan mm, dv kin la 1.675 ha so b'enh dirge nhap.

3.4.3. TOp huAn theo giam sat do PPMU tO chtic (HD 93) Dv an ha trg ta chirc 01 lop tap huAn ngan han 2 ngay va theo doi, danh gia

WV cho cac can be thuec cac trung tam phong chang trung tam Iciam scat benh tat tuyan tinh,‘can be chuyen trach tuyen huyen. Nei dung oh tap hu'An nham huong clan ve each bao cao so"' lieu, cac chi 58 dm boat deng pheng ehang HIV/AIDS. Lop tap huan dv kin vai 40-42 hgc vien.

Do tinh co chü trucmg sat nhap cac don vi y th tuyan huyen va tuyan tinh trong quY 2/2018. VI vay, Ban quan 15T dv an to chire lop tap huan vao dau quy 3/2018 ngay sau khi cac don vi _an dinh ta chirc sau sat nhap.

3.4.4. TO chat hi)i thao trien khai dig an nam 2018 (HD 109) Dv an QTC ha trg t6 chile hal nghi trian khai dv an nam 2018 cho cac

don vi tuyan huyen a huang dan viec trian khai (Iv an. BQL Dv an tinh dv kign ta chirc hei nghi nay trong thang 6/2018 ngay sau khi ká ,hoach dirge UBND tinh k.

IV. KINH PH! THVC HIEN 1. Kinh phi hO trq tin thy an QTC (vent ODA khong hoan Jai) - Tang van ODA vien trg kh8ng hoan laitu QTephong chang AIDS, Lao

va Sat ret cho tinh Hai Throng nam 2018 IA 98.874USD, quy dal ra dang Viet Nam la 2.235.640.014 VND (1USD = 22.611 dang).

- Kinh phi chi fiat cho timg boat deng tai phi lye 1 kern theo

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2. Kinh phi dei ring cria tinh Hai Dtrang:

- Kinh phi (lei ring dry kin : 208 trieu deng-(Kinh phi chi tit chi cho tang hoat dOng ti phy lyc 1 kern theo).

3. Thed diem va dinh mot chi

- Thai dim bat dath chi tra cho cac heat dOng trial khai tai Hai Duong duge tinh tit khi Van kin Dv an duge BO Y t phe duyet ngay 05/4/2018);

- Mire chi cho timg clang hog dong duOc áp ding theo dinh mire elm Dv an QUST tom n cAu va cac van ban quy dinh hien hanh dm NM nuorc.

V. TO CHITC Tact IIISN hoan thanh mve tieu, chi tieu va tin dO cac hoat dOng trong k'a hoach,

UBND tinh giao nhiem vv cho cac dan vi nhu sau:

1. So' Y t - Ban quan Dry an Quy- toan an phong cheng HIV/AIDS tinh Hai During:

- Chi dap, phi hop \Teri cac dun vi lien quan (cac don vi, cac huyen thu hue:mg dv an) triAn khai k hoach dam bao ding mvc tieu, flan dO, dat hieu qua;

- Lap dv toan chi fiat cac nOi dung chi theo quy dinh cila nha tai tra va cac quy dinh hien hanh cüa Nha nuarc, dang thin dam bao thvc hien ding cac quy dinh v quanlYtai chinh cüa Dv an va quy dinh hien hanh cua Nha nuoc;

- Chi dao Trung tam phong chang HIV/AIDS long ghop cac hog dOng dm Dv an vai cac hog dOng phong chang HIV/AIDS, cac chuemg trinh y dia phuong da trian khai hoat dOng dm Dv an nham dat hieu qua cao nhL.

- Xay dvng dv toan kinh phi di Ang trinh cap tham quyan phe duyet.

- Theo dal giam sat va danh gia viec thve hien cac hoat dOng, ta chirc sor kat, tang kat dang thai thvc hien cac cha do bao cao dinh ky va dOt xuat theo yeu câu dm BO Y fa, Cac cu quan quan lY cila .Nha nuot va cilia./ an.

2. Cac dot vi, dia phrnmg thy hifing dry in thut)c tuyen huyen:

chirc trian khai hoat dOng tai don vi, dia phuang theo huang dan cira Ser Y t - Ban quan 1Y Dv an QTC phong chang HIV/AIDS tinh.

Trong qua trinh thvc hien nu có kb:5 khan vuong mac bao cao va Ser Y ta - Ban quan ly Dv an Qu9 toan eau tinh Hai Duang da tang hop bao cao UBND tinh kip thai giai quyat./.

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Phu inc 1: ICE HOACH 1CINH PHI NAM 2018

1. Kinh phi vi0 ' Quy toan au

HD . o,yr05 g USD VND

4 Mua the BHY it, 6*birtii ieu tri ARV 11.705 264.661.755

7 Xet nghiem CD ;(0----01 1.765 39.908.415

8 Van chuyen rnau xet nghiem tai lugng vi rat va CD4 2.514 56.844.054

9 C8ng xet nghiem tai lugng vi rat va CD4 1.406 31.791.066

13 Tap huan ve cham s6c di eu tri HIV/AIDS do PPMU ,

th chirc 5.382

121.692.402

15 Ho try viec quan 1, theo clai PN MT nhiam HIV va tre sinh ra tir mg nhigm HIV

239 5.404.029

19 Van chuyen mu xet nghiem BID 62 1.401.882

21 Xet nghiem HIV cho PNMT 9.740 220.231.140

25 Xet nghiem HIV cho t8 nhan 3.933 88.929.063

26 Van chuyen rnau xet nghiem HIV cho .18 nhan 663 14.991.093 27 Cong xet nghiem HIV cho ta nhan 663 14.991.093

30 Xet nghiem co ban ha try dieu tri ARV cho tit nhan 1.480 33.464.280

37 H6 try kinh phi fifty BKT da qua sir dung trong hOp an toan

1.716 38.800.476

44 Cung cAp trang thiet 1)1 cho co set dieu tri Methadone mai

6.798 153.709.578

58 Thue kho bao quan vat dung can thiep 2.740 61.954.140

60 Lap ban da diem ming 2.926 66.159.786

72 Xet nghiem HIV tai co sa" y te 11.981 270.902.391

73 Xet nghiem HIV tai cOng dang 4.768 107.809.248

75 Cong xet nghiem HIV khong chuyen 1.807 40.858.077

77 Tap huAn ve tu vAn xet nghiem HIV cho can b0

, CB0 va cOng tac vien y tie

6.189 139.939.479

80 Trien khai EQUAS cho gag phong xet nghiem HIV 1.590 35.591.490

89 H6 try ding tac theo deli, giam sat tuyen tinh 7.430 167.999.730

91 H6 trg nhap sO lieu ePMS 2.168 49.020.648

93 Tap huAn ve theo dal, danh gia do PPMU to chire 5.222 118.047.642

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HD Ten hot demg USD VND 109 H9p, hei thao dm BQLDA tinh 3.988 90.172.668

Tang Ong "11 • ./ 98.874 2.235.640.014 1.) Tinh quy doi 1USD = 22.611 VND

• • al 2. Thy toan kinh phi doi um' g cu' a tinh Hai DthrX

TT Ten hoat gong A-:.; So hen

(VND)

Nguan kinh phi

1 Tra phi,' cap cho can be Chinh phu 72.000.000 Se( Y t6 - BQL Du an QTC tinh Hai Ducmg lap du than de nghi UBND tinh cdp

Viet Nam lam viec kiem nhiem cho du an

2 Chi phi duy tri hoat clang van phOng BQLDA tinh (flan din, nuot, van phong pham, in an tai lieu...)

36.000.000 Sir dung kinh phi dã dugc UBND tinh cAp hang nam cho Trung tam pining chong HIV/AIDS.

3 Tra cho cac khoan chi phi lchac killing thanh than dugc tit ngu6n ODA (Cling My mau, cong xet nghiem, cang van chuyen mk...).

100.000.000 Su dung kinh phi da dirge UBND tinh cap hang nam cho boat Ong phong chong HIV/AIDS

TOng 208.000.000

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DANH MUC THIE

Phy Inc 2: 0 SU DIEU TRI METHADONE

TT 4.„ 3 - 1

Danh myc thie t , ie 1 SO hoyng (bOichiec)

1 Phong hAnh chin 'to *— BO may tinh ban 1

May fax va dien thoai ban 2

Gia dung tai lieu 1

May dieu Ilea nhiet dO 1

2 PhAng tit van TA dung he sa 1

TA trtmg bay (tai lieu, BCS, BKT...) 1

3 Phong kham BO may firth bon 1 TA dung his so 2

TA thuOc cap cfru 1 Ong nghe, may do huyet ap, nhiet ke 1

Can do 1 May dieu hea nhiet dO 1

4 Phong phat thaw Ket sat dtmg thuac 1 Tildtmghe so 1 BO may tinh ban 1 Barn chia lieu thuOc Methadone 2

Giadtmg born chia lieu 2

Maydieu hem nhiet do 1

5 Kho thmic He thang baodOng 2 May hilt am 1 Maydieu Itha nhiet dO 1

TA sat dung thuOc Methadone 2

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