tiTY BAN NHAN DAN CONG HOA XA HOI CH1J NGHiA VItT NAM TiNH HA! D1U'ONG DOc Ip - Ty' do - Hph phtic

S6: 653 /QD-UBND Hcii During, ngay ote thang 02 nom 2019

QUYET DINH V'e vice Phe duyet k ho#ch hot dcmg nfim 2019 Dtt an phong cluing HIV/AIDS do Qu'S, toan an phong dieing AIDS, Lao va s'Ot ret tai tro:

CHU TICH IN BAN NHAN DAN TINH

Can cd Luat T6 chirc chinh quyen dia phuang ngay 19/6/2015; Can cfr Quyet dinh s6 302/QD-TTg ngay 13/3/2018 cUa Thu Wong Chinh

pH ye chit truang dau tu Du an do Quy toan cau ph6ng chang AIDS, Lao ya Sot ret tai try;

Can cu Quyet dinh 193/QD-BYT ngay 18/01/2019 dm B Y t v yiec phe duyet,ke hoach hog dOng va kinh phi nam 2019 cim Du an "Quy toan cau phong chong HIV/AIDS giai doan 2018-2020" do Quy toan cau phong chong AIDS, Lao va Sot ret (QTC) tai trg;

Can cir Quyet dinh 1552/QD-UBND ngay 22/5/2018 cUa UBND tinh Hai Duang ve viec thanh lp BQL Du an Quy toan cau phong ch6ng HIV/AIDS tinh Hai Duang giai doan 2018-2020;

Xet de nghi cilia Ban quail 131, Du an Quy toan cu phong ch6ng HIV/AIDS tinh Hai Ducmg tai Ter trinh s6 50/TTr - BQL ngay 15/02/2019,

QUYET DINH: Diu 1. Phe duyetkE hoach hog Ong nam 2019 Dg an ph6ng chong

HIV/AIDS do Quy toan cau phong chong AIDS, Lao va Sot ret tai trg (06 Ke hooch chi tie't kern theo).

Dieu 2. Quyet elinh nay c6 hieu hit ke tir ngay 1(57, ban hanh.

Dieu 3. •Chanh Van ph6ng UBND tinh, Gam dc cac so: Y te, Tai chinh; Giam d6c BQL Du an Quy toan cau ph6ng chong HIV/AIDS tinh Hai Ducmg ya Thu truang cac ca quan, don vi lien quan chiu trach nhiem thi hanh quyet dinh nay].

Noi nhein: - Nhu• dieu 3; - BOY tet; - Chu tich UBND tinh; - PCT. UBND tinh (0 Cau); - Chanh VP. UBND tinh; - Pho Chanh VP. UBND tinh (0. Khuyen); - am VT, VX (01). Ph(15)Pv

KT. CH1J TICH PHO CH1J TICH

BAN QUAN L UYaANHAN DAN TiNH HAI DUC5NG

TOAN CAU PHONG CHONG HIV/AIDS 0)0.3N 2018 - 2020

Kt HOACH HOAT BONG NAM 2019 DV AN PH6NG CHONG HIV/AIDS

Do Quy toan eau phong chtnig AIDS, Lao va &1St ret tai try (Kern theo Quy etinh so' 651 /QD-UBND ngay thcing 02 nehn 2019

eaa (1y ban nhdn cldn tinh Hai Throng)

Hai Dtrung, thing 02/2019

MIJC LIJC

DANH MIX CAC It VIET TAT 4 I. THONG TIN CHUNG VE DV AN 5

1. Ten clg an 5 2.Ma di; an 5 3. Ten nha tai trg 5 4.Ten ca quan chü quan, chn dg an 5 5. Thai gian bat au va th9c hien dy an 5 6. Hinh thdc vien trg 5

II. McC TIEU CIJA Dc AN 6 1. Mpe. tieu chung 6 2. M9c tieu cu the 6

HI. CAC CHI TIEU CHfJ YEU NAM 2019 6 IV. TONG KINH PHI CiJA pv AN 7

1. Dg kin kinh phi ODA khong hoan1ai cna QTC 7 2 Kinh phi d6i erng cüa tinh Hai Ducmg: 7

V. Kt HOACH HOAT BONG NAM 2019 7 1. Ca so: xay dung va nguyen tac thcc hien Ice hoach 7 1.1. Ca ser xay ihmg Ica hoach 7 1.2. Nguyen tac thgc hien ke hoach 8 2. Ka hoach hoat Ong nam 2019 8 2.1 Muc tieu 1: Duy tri, cai thi'en cac goi dich vi thiat yau can thiep dr pile:111g tap trung vao cac nh6m d6i tugng dich va ban tinh cüa nguai nhiem HIV trong cOng &nig gop phan giam 25% so' truang hgp nhiem HIV do tiem chich ma thy va 20% s6 ngtroi nhiem HIV do quan h tinh duc so v6i nam 2015 8 2.1.1 Dr phong cho nh6m nguai TCMT va ban tinh cüa h9 8

Phan phat barn kim tiem va nuot d.t cho ngtrai TCMT 8 HD 37. He trg lcinh phi hely BKT a qua sir dung trong 116p an toan 9 HD 44. Cung cdp trang thiat bi cho ca s& dieu tri Methadone 9

2.1.2 Dv phong trong nhom PNMD, MSM va ban tinh cna h9 10 HD 58. Thu& kho bao quan vat dung can thiep 10

HD 56. Cung cap so ghi chop cho TTVDD PNMD 10 HD 57. H6 try phi cap cho TTVDD PNMD tham gia hoat dicing can thiep 10 HD 60. Lap ban do diam nong nhem nguy ca cao 11

2.2. Muc fiat 2: MO rOng chan' doan sam thOng qua cac hinh thug xet nghiem HIV tai Ca ser xet nghiem, xet nghiem HIV tai Ong clang cho cac nh6m quail the dich va ban tinh cna ngual nhiem HIV gop ph'an dat. mic tieu 90% s6 nguai con song nhthm HIV biet dugc tinh trang HIV cila minh 11

I-IE) 72. Xet nghiem HIV tai ca set y te 11 HD 73 Xet nghiem HIV luu dOng 12 HD 75. H6 try tian ding xet nghiem HIV khong chuyen 13 HD 76. Tap huan v tu van xet nghiem HIV cho can 1)0 y tã 14 HD 77. Tap huan v tu van xet nghiem HIV cho CBO, CTV y t 14 HD 80. Trian khai EQUAS cho cat phong xet nghiem HIV 14

2.3. Mix lieu 3: MO reng, cãi thin chat lugng diau tri thuOc kháng vi rut (ARV) a tai (la h6a lgi ich va (Eau tri, di; phong giam lay truyan HIV va giam tit vong do AIDS g6p phan dat muc tieu 90% ngued nhiem HIV duyc diau tri ARV \TA 90% sa nguti diau tri ARV co tai lutng vi rut HIV -dial) clued ngu'er-ng

cha, dong dial dam bao qua trinh chuyan sang ca che had try tai chinh trong nu& thong qua bao him y th &rot thuan lyi nhAt 15 2.3.1 Diau tri ARV 15

HD 4. Mua the BHYT va h6 try clang chi tra BHYT 15 FED 6, HD 8 & HD 9. H6 try xet nghiem tai lugng HIV, van chuyan mu xet nghiem va lay mu xet nghiem tai lutng HIV 18 HD 7, HD 8 & HD 9. H6 try xet nghiem CD4, 116 try van chuyan mu xet nghiem va cong xet nghiem CD4 18 HD 13. Tap huan va tham s6c diau tri HIV/AIDS do PPMU tO chirc 19

2.3.2 Dg phong lay truyan HIV tit mg sang con 19 HD 21. Xet nghiem HIV cho PNMT 19 HD 15. H6 try viec quan 1)2 va theo clai PNMT nhiem HIV vá tre sinh ra tit mg nhiam HIV 20 HD 19. H6 try van chuyan mau xet nghi'em BID 20

2.3.3 Tu vAn xet nghiem va chain sac diau tri HIV/AIDS cho tü nhan 20 RD 25, HD 26, HD .27. H6 try xet nghi'em HIV, van chuyan mu xet nghiem

cong xet nghiem HIV cho tO nhan 20 2

HD 30. WO try xet nghiem ca ban dieu tri ARV cho tü nhan 21 2.4. Mix tieu 4: Cling eah thOng thong tin a c6 chin lugc, giai phap hieu qua Ung ph6 vol dich HIV/AIDS. 21

HD 89. H8 try cong tac theo dôi, giam sat dm tuyen tinh 21 HD91.Htrcvnhaps1ieuepMS 21 HD 93. 'Flap hudn ve theo clOi, giant sat do PPMU t6 chac 22 HD 109. T6 chire hgi -Mao tang ket nam 2018 va trien khai ke hoach nam 2019 dm Ban QLDA tinh 22 HD 122. Hi thao \Can deng chinh sach dam bac) phan b6 ngan sach dia phuang cho libx try mua the BHYT va ciang chi tra thu6c ARV 22

VI. TO ClItiC THVC mEN 22 VII. Kt HOACH KINH PHi NAM 2019 23 1. Kinliphi vin try 23 2. Kinh phi dloi ung 25

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DANH MVC CAC TV VIET TAT AIDS Hi chirng suy giaM min dich mAc phai .6( ngtrai ART Dieu tri bang thuoc lchang vi rift ARV Thu& khang vi rut , ATS Ngued sir dung ma tily tong h9p BCS Bao cap su ,

. BHYT Bao hiem y te BKT Barn kim tiem BQLDA Ban quan ly clg an BQLDA TU Ban quail ly du an Trung trang BY Benh vien BVDK Benh vien da khoa BYT B6 Y te CBO Cac to eh& clua vao cOng dang CCM Ban dieu phai quizic gia CDC Trung tam kiem soat benh dich CPMU Ban quail ly du an Trung trang CPT Cap phat thu6c DDV Wang dang vier' EQAS I-1 th6ng dam bao chAt luang ben ngoai GMD Gai mad darn HIV Vi rut gay suy giam mien dich 6( ngued [NH Thu6c dieu tri Lao Isoniazid M&E Theo dOi va danh gia , MMT Dieu tri nghien cac chat clang thuac phien bang thu6c

thay the Methadone MSM Quan N tinh due (Tong giai nam NCMT Nghi'en chich ma tuY OPC Phong kham ngoai trd/Ca se( dieu tri OST Lieu phap thuec thay the PLTMC .Phong lay truy'en me con

. PNMD Phu nil' mai dam PNMT Phu nit mang thai . PPMU Ban quan ly du an tinh/TP PrEP Dieu tri civphong truck phai nhiem QTC Quy toan cau TCMT Tiem chich ma tily TTYT Trung tam y te TVXN Tu van xet nghiêm VCT Tu van xet nghiem tv nguyen VUSTA Lien hip cac hOi Khoa h9c va ky thu4t Viet Nam

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I. THONG TIN CHUNG VE DAN I. Ten,dy an Ten tieng Viet: Du an Quyf Toan cau phong chOng HIV/AIDS (Giai doan 2018-2020) Ten tieng Anh: The Global Fund supported project on HIV/AIDS 2.Ma dy an Ma du an: VNM-H-VAAC 3. Ten nha tai try , Qu'y Tann cu ph6ng ch11g AIDS, Lao va Sot ret 4.Ten co quan chit quan, chti dy an Ccr quan chit quan: UST ban nhan clan tinh Hai Duang Dia chi: S6 45 Quang Trung - P. Quang Trung - TP. Hai Ducrng S6 dien thoai: 0220.3837 444; Fax: 0220.3853 601 Chu dy an: Ban Quan I du an Qug, Toan cau phong chang HIV/AIDS tinh Hai Ducmg Dia chi: S6 241 - &rang Nguygn Luang Bang - phuong Thanh Binh - TP Hai Duang - tinh Hai Duang. SO dien thoai: 0220.3896571; Fax: 0220.3896570 5. Thai gian bat din va thyc hien dy an 3 nam (tir 01/01/2018 — 31/12/2020) 6. Hinh that vin try

ODA khong hoan lai

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IL MQC TIEIJ CI7JA DV AN

1. Myc tieu chung

Gop phan tittle hien, mpc tieu Chien lugc quac gia phong chang HIV/AIDS tai Viet Nam, kheng che tS, le lay nhiem HIV trong quAn th6 clan cu noi chung clued 0,3% va giam tac deng dm HIV/AIDS di vOi ph& then kinh xa

2.Myc tieu cy the

Myc tieu 1: Duy tri, cai thin cac god dich vi thiet yeu can thiep di phong tap trung vao cac nhom di thong dich va ban tinh caa ngued nhiem HIV trong cOng (Ring gOp phan giam 25% so trueng hop nhigm HIV do tiem chich ma thy va 20% sa ngtrad nhiem HIV do quan h tinh dpc so vai nam 2015;

Myc tieu 2: Ma ring chan doan son thong qua, cac hinh thdc xet nghiem HIV tai ca sei xet nghiem, xet nghiem HIV tai Ong dong cho the nh6m quart the .dich va ban tinh cüa nguti nhiem HIV gop phan dat mpc tieu 90% sa nguoi con sOng nhiem HIV Mat dugc tinh trang HIV cua minh;

Myc tieu 3: Ma rOng, cai thin chat lugng dieu tri thuOc khang vi rut (ARV) a ti da h6a lgi ich va diAu tri, dv phong giam lay truyAn HIV va giam tà vong do AIDS g6p phan ag mpc lieu 90% ngueri nhigm HIV duyc dieu tri ARV vã 90% sS nguti diu tri ARV c6 tai lugng vi rut HIV thAp duai nguang ire cha, ding tiled dam bao qua trinh chuyen sang ca cite hei trg tai chinh trong nuot thong qua bao him y t dugc thujn lyi nhat;

Myc ti'eu 4: Cting co he thong th6ng tin de co chin lugc, giai phap hieu qua Ung ph6 veri dich HIV/AIDS.

III. CAC di TIEU CHIJ YEU NAM 2019

Theo khung chi so cam ket vOi nha tai try va phan bo chi tieu dm BO Y cac ket qua chit yau can dat dugc nhu sau:

TT Chi sO 2019

1 sa ngtrosi nghien chich ma thy (NCMT) tip cjn chucrng trinh can thiep dtr phong 1.550

2 SO gai mai darn (GMD) tier) can chtrang trinh can thiep dy pilot-1g 350

3 SO luyt nguOi NCMT dugc tu van xet nghiem HIV 5.195

4 SO lugt ngtrai GMD duge tu van xet nghiem HIV 800

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5 Se ngued nam quan he tinh due ding gioi (MSM) dugc tu van xet nghiem HIV 2.500

6 Se tit nhan dirge tu van >cot nghiem HIV 2.000 7 Se benh nhan HIV duce clieu tri ARV 1.211

8 Ty le phv na mang thai HIV (+) dirge dieu tri ARV trong thai ky mang thai 100

9 Ty le % benh nhan HIV sau 12 thang dieu tri ARV cet tai lugng vi rat dugi 1.000 ban/ml 90

IV. TONG KINH Pill GOA DV AN 1. Dy kin kinh phi ODA kitting hoar' Jai ciia QTC

- Tang kinh phi ODA vin trg không hban lai tilt QTC phong cheng AIDS, Lao va Set ret cho tinh Hâi Throng nam 2019 la 190,197 USD, quy dei ra deng Viet Nam la 4,300,544.367 (4,300,544,000) VND (1USD = 22.611 dang).

- Kinh phi chi tit cho tang hoat ding tai mix 1, phan VII dm k hoach nay 2. Kinh phi dei frng cüa tinh Hai Dtrung:

. - Kinh phi dei ung kien: 3,50 trieu deng (Kinh phi chi tik chi cho timg hoat deng tai mix 2, phari VII cUa ká hoach nay).

V. Kt HOACH HOAT DQNG NAM 2019

1. Cos 6'14 dtyng va nguyen fAc thtyc hien ke houch 1.1. Co' so' xay dtyng k hoach

- Quyet dinh s 302/QD-TTg cda Thu Wang Chinh phU ngay 13/3/2018 phe duyet chit throng du tu Dv an do Quy Toan cau phong cheng AIDS, Lao va Set ret tai trg;

- Quyet dinh se 2287/QD-BYT ngay 05/4/2018 cilia B6 truerng Be Y vice phe duyet Van kien dv an "Quy toan cau ph6ng cheng HIV/AIDS giai doan 2018-2020" do Quy toan can PC AIDS, Lao va Set ret tài trg;

- Quyet dinh se 193/QD-BYT ngay 18 thang 01 nam 2019 cita Be truemg Bei Y ta ve vice phe duyet Ká hoach hoat Ong va kinh phi nam 2019 dm Dv an "Quy Toan eau ph6ng cheng HIV/AIDS giai cloan 2018-2020" do Quy toan eau phong, cheng AIDS, Lao \fa Set ret tai trg;

- Nang lye thvc hien dv an tai Ban QLDA tinh.

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1.2. Nguyen tac thtyc hien ke hoach

- Du an áp dung dinh mire chi tieu va quy cha tai chinh theo Quyat dinh 7098/QD-BYT ngay 27/11/2018 ciia BC) tnremg BO Y t v viec ban hanh dinh mire chi tieu va quy che tai chinh áp dung cho du an Quy toan can phong chiOng FIIV/AIDS giai doan 2018-2020 va cac van ban cap nhat, sira doi (nail co) va dinh mix chi tieu va quy cha tai chinh dm Ban QLDA Ms.

- Cac hog Ong dm du an dugc thut hien theo cac van ban, tai lieu huong dgn dm Ban QLDA Trung 'rang.

- Viec dieu chinh ka hoach va ngan sach cac boat Ong thuc hien theo Quyat clinh se') 2287/QD-BYT ngay 05/4/2018 dm BO truerng BO Y tá v viec phe duyet Van kin du an "QuY" toan cu ph6ng chOng HIV/AIDS giai doan 2018-2020" va quy cha tai chinh coa du an.

- Cac hoat Ong trong ka hoach nam 2019 dugc till:re hien va thanh toan ká tü ngay 01/01/2019.

2. Ke hoach hot clOng nam 2019

2.1 Myc tieu 1: Duy tri, &Ai thin cac goi dich vy thiet yeu can thiep dty phong tp trung vao cac nhom di firm dich va ban tinh ctia ngtroi nham HIV trong cOng 'long gop phan giam 25% sO truirng hqp Want HIV do hem chich ma tay va 20°/o so ngtroi nhiem HIV do quan hç tinh dyc so voi nam 2015

2.1.1 Day phOng cho nhom ngtreci TCMT va ban tinh ctia hy

Phan Oat bum kim tiem va nut cat cho nguiri TCMT

Chucmg trinh BKT la chian ltrgc quan trgng trong cong tac du phong lay nhigm HIV trong nh6m nghien chich ma thy (NCMT). D'a dam bao ngueyi ngued chich ma thy dap can ved Chucmg trinh chiam tY l'e cao nhat, Ban QLDA tinh se' thong qua mang luài deng clang vien/tiap can vien Ong dang de phan phat mien phi bum kim tiern, nuarc cat va Bao cao su cho nguoi NCMT. •

Thong qua cac mang nh6m ding dang do VUSTA (Lien hiep cac hOi khoa h9c va k thuat Viet Nam) hr5 try tren cac dia ban: TX. Chi Linh, huyen Gia LOc, huyen Kim Thanh, huyen Thanh Ha; huyen Tir KY, huyen Thanh Mien, huyen Kinh Mon va huyen Ninh Giang d tip can va cung cap min phi BKT, mot cdt va bao cao su cho nguti nghien chich ma thy. Gieri thieu nguti nghien chich ma thy kat noi den cac ca ser cham sac va dieu tri dieu tri ARV va Methadone, ...

Thong qua mang lued tiop can vien Ong dOng, di nga cOng tac vien, can bO y te lam viec tai tram y tá, tai th8n khu dan cu cap phat barn kim tiem qua hp c dinh tai Tram Y te va cac diem nong cho ngtred nghien chich ma tuy.

Thai gian thuc hien: Ql- Q4/2019

HD 37. HO try kinh phi hilly BKT dã qua sir dyng trong hp an toin

Barn kim tiem ban dimg trong hp an toan dugc thu gom va chuyenve Benh vin Benh nhiet -deri tinh Hai Duang hoc cac Trung tam y ta huyen/TP/TX theo cac nguan:

- Deng dang vien thu gom BKT ban va dung trong hp an toan - COng tac vien thu gom hop an toan dat tai cac diem ruing d thu thap cac

BKT da dugc sü dung.

Du an h6 try kinh phi tiou hdy 5.510 KT an toan dung BKT bAn Ida qua sit dung, du kien so, lugng hp an toan &rye thu gom tai m6i dia ban nhu sau:

Bing 1. KO hoych h try kinh phi hfly BKT dã qua sir dune

TT HuyQn So hQp TT HuyQn

. -

SO hp

1 Chi Linh 600 7 Kim Thanh 510 2 Gia Lec 500 8 Ninh Giang 350 3 Thanh Ha 500 9 Thanh Mien 350 4 Kinh M8n 500 10 Tir K 350 5 TP. Hai Throng 700 11 Binh Giang 350 6 Nam Sach 400 12 Cam Giang 400

Tang Ong: 5.510 hOp

. yp huän can film) glum tic hyi cho TTVDD \TA NVYTTB

Nam 2019, du an h6 try than khai hoat deng tier) can nhOm gai mai dam thong qua kenh tiep can vien dOng ding. BQLDA tinh ta chirc 01 16p tap huan ngan han (3 ngay) cho cac TTVDD nhom mai dam. Du kin tap huan cho 18 h9c vien/lop, Nei dung tap huan lien quan den truyen th6ng, can thiep du ph6ng lay nhigna HIV, viem gan C va. STI; phan phat vat phAm can thiep (BCS/BKT); thong tin ve lgi ich cüa viec chdn doan HIV va dieu tri ARV serm; dich vv xet nghi'em HIV tai cOng Tong vã tu xet nghiem; 116 try thong bao cho ban tinh; chuyen gUi va lien ket \Teri cac dich \Tv y te bao gem cã xet nghiem khang dinh HIV va cac dich vu dieu tri va chain sac HIV va 116 try cho tuan thn dieu tri ARV.

Thal gian thuc hien: Q1/2019 9

HD 44. Cung cap trang thiet Jai cho ser dieu trj Methadone

Nam 2019, BQLDA tinh be sung met se trang thiet bi cho Methadone ma mai tai huyen Ninh Giang nam 2018 nhu tivi va camera.

Thai gian thuc hien: Q2/2019

Bing 2. Danh myc TTB du fir cho co • dieu tri Methadone TT Danh myc thiet hi SO Itryng(beichiec)

1 Camera 02 2 Ti vi 01

2.1.2 Dy phong trong nhOm PNMD, MSMva bin tinh ctia hy

Nam 2019, Dv an Trung uang së tiep tvc cap mien phi cho tinh Hai Throng bao cao su, chat bed tran de ph& cho cac .dei tugng dich la ngueri hanh nghe mai dam va quan he tinh dvc dang gied nam. Dang thôi m& rOng me hinh can thiep cho nit mai dam thong qua hinh thgc ha trg nhom 'long dang mai dam tren 4 dia ban : TP. Hai throng, TX. Chi Linh, huyen Kinh M6n va huyen Cam Giang.

HD 58. Thue kho bio quin vit dung can thiep

BQL Du an tinh than vat dvng can thiep giam tac hai nhu BCS, BKT, nu& cat, chat bei trcm và met se vat dvng khac tit BQL Dg an Trung uang de cAp cho cho nhorn deng clang, cang tac vien tai cac dia ban khi c6 nhu cau.

Chi phi thue kho da bao quan vat dvng can thiep nhu bao cao su, chat boi tron, BKT, nuot cat lid mOt se vat dvng khac se dugc Dg an Trung uang h6 trg. BQLDA tinh chiu trach nhiem thue kho bao quart phn h9p.

- Thai gian thuc hien: Q1 - Q4/2019 HD 56. Cung capse ghi cher) cho TTVDD PNMD

Ban QLDA tinh/TP chiu tech nhiem mua sant va cung cap sa ghi. cite') cho TTVDD PNMD de tham gia cac hoat (tang can thi'ep.

Thal gian thuc hi8n: Q1/2019 HD 57. H-6 try phi; cap cho TTVDD PNMD tham gia hoit deng can dub

Ban quan 1? dg an tinh tap huan cho cac nhan vien tier, Can, Ong dang nhom mai dam dtr kian trong quY 1/2019 va cap cacthiet bi bao ha can thiet, vat dvng can thiep nhu bao cao su, chat boi tran va ha trg phv cap cho nhom dang dang tai cac dia ban duce h trg then khai. Bang alai cap cac vat dvng Bao cao su va chat boi tran cho nh6m (long dang cüa VUSTA dang trien khai ten dia. ban. Dg an dam bao tinh s'an c6 va ma reng d bao phn chucmg trinh bao cao su

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cho dai ttrgng chi em phv nit ban dam, vg chang ngtrol nghi'en ma thy, ngueri nhiam HIV tr'en dia ban tinh.

Thin gian thuc hien: Q1 - Q4/2019

Bang 3. Ke hoach h try' phy cap hang thing TTVDD PNMD TT Huyen SO TTVDD PNMD

1 TP. Hai Ducrng 4 2 TX. Chi Linh 4 3 Kinh Mon 3 4 dm Giang 3

, TOng Ong 14 HP . L p ban do diem nong nhom nguy co. cao

Lap ban 6 diem nong vei mpc dich thu thap thong tin chinh xac va vi tri va trot lugng sa NCMT, PNMD va MSM tai the ty diem.

BQLDA tinh c6 tacit nhiem trian Ichai hoat deng lap ban da dim ruing tai 03 huyen/TX/TP: TP. Hai Duong, TX. Chi Linh va huyen Gia L'ec. Nei dung time hien gam: Lap ra cac nhom diau tra thvc ciia d ra soar, cap nhat danh sach cac tv dim teen toan b dia ban huyen; tin hanh flap can, diau tra toan be tv diam; xac dinh, thu thap thong tin dia dim moi; tang hop so lieu, lap khung ch9n mau va tian hanh trete luong so lieu

Theri gian thuc hien: Q3/2019

2.2. Myc tieu 2: Met reng chan &An soln thong qua cac hinh that xet nghiem HIV ti co' so. xet nghiem, xet nghiem HIV tai Ong dOng cho cac nhom plan the dich va ban tinh caa ngurol nhil-ein HIV gap phan dat myc lieu 90% sO nguiti con sting nhigm HIV biet dirat tinh trang HIV ciia minh HD 72. Xet nghiem HIV tai co. see y

Nam 2019, BQLDA tinh tang cueing va ma rang cac hinh thüc xet nghiem sang 19e HIV, trong do tip tvc thvc hien xet nghiem HIV tai cac ca so' y tá do nhan vien y tá hoac dal thong che clang de xuat, xet nghim do than vien y tá thvc hien;

Dirr an 1-16 trg kinh phi mua dich vij xet nghiem HIV theo huong BQLCDA h6 trg phong, chang HIV/AIDS tai ceng van se 343/QTC-GS ngay 02/11/2018. Trong tnr6ng hgp sà dung sinh pham cna QuyT toan eAu, cly an he' trg ding My mau, ding xet nghiem, cang tu van theo Quyat dinh s 7098/QD-BYT

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ngay 27/11/2018 va viec ban hanh dinh mirc chi nen va quy cha tai chinh áp dung cho Dv an Quy toan cku ph6ng chang HIV/AIDS giai doan 2018-2020.

Thad gian thuc hien: Q1 — Q4/2019

Bang 4. Ke hoach trien khai xet nghiem HIV tai cac co so' y te

DVT: nauôi

TT Huy en NCMT PNBD MSM

_

DOI twang • —

khic 1 TP. Hai Duong 700 50 150 2000

2 TX. Chi Linh 350 50 100 1000

3 huy'en Kinh Mon 200 50 50 750

4 huyen Kim Thanh 200 50 50 750 5 huyen Cam Giang 150 0 50 500

. __. Temg cong

. , 1.600 200 400 5.000

et ng lem 2 lan dOi vai cac doi tugng NCMT, PNBD vã MSM, 1 Fan voi d6i tugng khac (vg/ chang/ ban tinh cna nguoi NCMT, PNBD, MSM va nguen nhiam HIV)

HD 73. Xet nghiem HIV lull Ong

Dv an dap tic h trg friar' khai xet nghiem HIV luu Ong teen dia ban • tinh. Benh vin benh nhiet doti tinh se ph& hop \Teri cac Trung tam y ta huyen/TX/TP va cac trai tam giam, Trung tam cai nghien, the CBO cüa dv an VUSTA da thvc hien. Mai nhOm tu van xet nghiem HIV luu dicing gam 3 ngued, thvc hien t6i thiau 30 mau/ngay, dugc ha trg tin clang tac phi vã chi phi di lai. Neu sir dung sinh pham cUa dv an, can ba dugc ha trg cong lay mau, cong xet nghiem, ding Ui va'n theo Quyat dinh sa 7098/QD-BYT ngay 27/11/2018 va viec ban hanh dinh mite chi tieu va quy cha tai chinh áp dvng cho D an Quy toan eau giai doan 2018-2020. Trueng hop hat sinh pham va chua dugc cap sinh phath be sung, dv an ha- trg mua dich vv xet nghi'em WV theo Throng dan cüa BQLCDA h trg phong, chang HIV/AIDS tai cong van se .343/QTC-GS ngay 02/11/2018.

Bang 5. Ke hoach trien khai xet nghiem HIV ItrudOng

DVT: n

TT Huyen NCMT PNBD MSM

— PM tuvng

khac

12

TT Huyen NCMT PNBD MSM DOi tuvng

khac 1 huyen Ninh Giang 350 50 50 200 2 huyen Binh Giang 250 0 50 200 3 huyen Thanh Mien 350 50 100 200 4 huyen Thanh Ha 450 100 150 150 5 huyen Tit KY 300 100 150 150 6 huyen Nam Sach 300 200 100 100

Tong cOng 2.000 500 600 1.000 Mt ng iem 01 Ian döi voi c c doi tugng NCMT, PNBD va MSM, 1 In vai d6i

tugng Ichac (vg/ chgng/ ban tinh cüa nguai NCMT, PNBD, MSM va nglayi nhigrn HIV).

HD 75. H8 tiv tien &Ong xet nghiem HIV killing chuyen

Dv an se h6 trg tin cong xet nghiem khong chuyen cho ode tinh thugc du any tie theo dinh mire tai Quyet dinh sg 7098/QD-BYT ngay 27/11/2018 ve viec Ban hanh dinh mire chi tieu va quy che tai chinh áp dung cho Du. an Quy toan cu phong ellen-1g HIV/AIDS giai doan 2018-2020.

Thai gian thut hien: Q1 — Q4/2019

Bang 6. Ke hoach trien khai XN HIV khOng chuyen va tty xet nghiem: Dkr an Y te

TT Huy'en NCMT PNBD MSM

. _ cr_

Doi tuvng khic

1 TP. Hai Ducmg 200 100 300 2 TX. Chi Linh 250 3 huyen Gia Lgc 251

TOng cOng 200 100 501 300 ' xet ng im 1 länlnärn the dgi tugng NCMT, PNBD, MSM, di tugng

khac (vg/chgng/ban tinh cüa nguefi NCMT, PNBD, MSM va nguti nhiem HIV

Bang 7. Ke hoach trien khai XN HIV khOng chuyen vã ttr xet nghiem: di; an VUSTA

DVT: ngued.

13

Huyan TT DOi NCMT PNBD MSM tuvng 'iliac

1 TP. Hai Duong 0 0 600 0 2 TX. Chi Linh 400 0 399 0 3 huyen Gia Lec 450 0 0 0 4 huyen Kinh Mon 350 0 0 0 5 huyen Kim Thanh 195 0 0 0

Tong Ong 1.395 0 999 0 et m nam ot vat cac dôi Wong NCMT, PNBD, MSM, di tugng

khac (vg/cheng/ban tinh cüa nguti NCMT, PNBD, MSM va nguti nhigm HIV HD 76. Tap huan ye ttr van xet nghiam HIV cho can ba y te

Nam 2019, Can be thgc hien xet nghiem HIV có sr thay d6i va be sung can be -mad khi he thang y ta tuyan huyen sat nhap thanh met don 4 BQLDA tinh së t6 chdc 01khoa tap huan ve tu van va xet nghiem HIV, lop tap huan dg kin trong 5 ngay, cho cac can be y th thy trach hoat deng,tu vAn xet nghiem tai Trung tam y th huyen/TX.TP va cac can be mei thuec tuyen huyen vá tuyen xã. Du kin ciao tao cho 55 h9c vi'en/khoa tap hutn. BQL Du an tinh chju trach nhiem te chat 16p tap huan tai tinh.

Thai gian time hien: Q2/2019. HD 77. Tap huan v &Van xet nghiam HIV cho CBO, CTV y te

Da trian khai Pr van xet nghiem HIV khong chuyen, dga vao Ong dang dam bao theo quy dinh cüa Be Y ta. Ban quail IY Di; an tinhte chat 01 khoa tap huan 5 ngay cho cac can be y te, than vien y te va Ong tao vien y ta then, xa, phtfong, dong cling vien cüa CBO ve tu van va xet nghiem HIV. Dg kin dao tao cho 50-55 hgc vien/khoa tap huan. BQL Dg an tinh chju trach nhiem te elide 16p tap huan tai tinh.

Theci gian thuc hien: Q2/2019.

HD 80. Trien khai EQUAS cho cac phong xet nghiam HIV

Da quan ly dam bao chat lutng xet nghiem HIV, phat hien khac phgc trong qua trinh xet nghiem cho cac placing xet nghiem sang 190 va khang dinh ten dia ban dm dg an, dg an se he" trg trian khai EQUAS (ngoai kiam) thong qua viec thgc hien be ingu danh gia nang Igc cüa PhOng xet nghiem tham chiau Quec gia gth cac co so. xet nghiem.

14

BQLDA tinh se chia Ong 1c5T hgp dgng yoi Vin ye sinh dich tg Trung ucmg d thgc hien boat Ong ngoai kiem nay cho 12 phong xet nghiem HIV cila cac don Id teen dia ban tinh.

• Theri gian thuc hien: Q2-Q4/2019.

Bing 8. Kt hoich trien khai EQUAS cho phông XN HIV

TT Huy0 St, phong XN TT Huy0 S6 plying XN

1 Chi Linh 1 7 Kim Thanh 1 2 Gia Lgc 1 8 Ninh Giang 1 3 Thanh Ha 1 9 Thanh Mien 1 4 Kinh Mon 1 10 Tir Ky 1 5 TP Hai throng 1 11 Binh Giang 1 6 Nam Sach ' 1 12 cam Giang 1

Tang Ong: 12 .3. yc : r &Ai thi0 chat luvng then tri thtfac khang vi rut

(ARV) ife tai da h6a lyl ich v dieu tri, dty phOng giam lay truyen HIV Ara giim vong do AIDS gip phan dit muc tieu 90% nguiri nhiem HIV duvc dieu tri ARV vã 90% sei dieu tri ARV c6 tii hrçrng vi nit HIV that) duti ngerng Ut che, dOng theri dim bio qui trinh chuyen sang cos che try tai chinh trong ntrot thong qua bio him y t dime thuan lçri nhit 2.3.1 Dieu tri ARV .

HD 4. Mua the BHYT va ha tro• dung chi tri BHYT .

Nam 2019, nguti nhigm WV dugc khuyen Ichich tg mua the BHYT. Trong trugng h9p, nguori nhigm HIV kW:Mg cg kha nang mua the BHYT, Ban quan dg an se h6 trg kinh phi de mua the BHYT cho nguti nhigm HIV. Ngoai yiec mua the BHYT, QTC se lig trg dgng chi tra BHYT cho thuac ARV cho nguai benh. •

- HE tro' mua the BHYT

D61 tugng dirge h trg mua the BHYT: ngtred nhigm HIV chua cg the BHYT la dui tugng thugc nhgm 5 quy dinh tai Dieu 12 dm Luat BHYT (Nhgm tham gia BHYT theo hg gia dinh). Ngueon dg an lig trg 100% mirc thing BHYT cho ngtroi nhiem HIV tham gia BI-WT theo hg gia dinh.

Quy trinh mua the BHYT thgc hien theo quy trinh sau: Cac co ser dieu tri ARV tren dia ban tinh lap danh sach nheing b'enh nhan dt1 tieu chuan dugc hu trg

15

(4)

(3)

41111MILMOIMIMS011

moon

(1)

Bac) hie'm hOi tinh

sa nes Ban QUM tinh/thanh phO

mua the BHYT trong nam 2019 giri v& Benh vien benh nhiet deli a tang h9p. Benh vien benh nhiet dâi thong bao *xi BQLDA tinh de lap du toan kinh phi dang thai k9 hgp dang mua the vói BHXH. Benh vien benh nhiet Uri c6 trach nhiem flap nhan va gun the BHYT cho cac ca s& diau tri ARV da cap phat cho benh nhan.

BQLDA tinh tang hop va hoan thien chimg tir thanh toan cho mua the bao him y t cho nguai nhigm HIV nhu sau:

I. Hop dong va thanh I licip dong Icy/ gilia Ban quan 19 du an Qu9 than cau tinh, thanh pha vã Bao hiam xã hi tinh, thanh ph;

2. Phigu thu hgp le (nau thanh toan bang tin mat) 3. Bang ke danh sach cac so' the BHYT da cap, dugc xac nhan cüa Bao

hiam xã hal tinh, thanh pha.

4. Bang k9 xac nhan nhan the BHYT tü benh nhan tham gia diau tri ARV - HE Ire (tang chi trii thuec ARV

Quy trinh h trg phAn ding chi tra thuac ARV cila benh nhan c6 the BHYT nguan dv an QTC:

DAu nam Sir Y t lap du toan ngan sach h trg kinh phi dang chi tra thuac ARV cho cac CSDT. Truang hop dia phuang khong ba tri áü ngan sach, Sof Y tE thong bao cho Ban quan 1 du an tinh/thanh ph a lap du toan da nghi Ban quail 19 du an TW tang hgp xin phe duyet h trg tit nha tai trg.

, (1) Sau khi c6 kat qua ,giam dinh, ca quan bao him xã hOi th6ng bac quyet toan chi phi sir dung thu6c khang HIV clua qu9 tru6c cho ca say ta.

16

(2) Sau khi c6 ket qua giam dinh caa cor quan bao him xã hOi d& vOl guy& toan chi phi sir dung thuoc lchang HIV caa quy truck, trong \Tong 10 ngay lam vie, ca s& y te tong hop chi phi cling chi tra thuoc khang HIV giri Ser Y to.

(3) Trong \Tong 10 ngay k tir ngay nhan dugc van ban de nghi cUa ca so. y th, So Y te chiu tech nhiem ra soot tong hop va thanh toan chi phi phan ding chi tra thuac khang HIV truc dap cho ca quan Bao him xa hOi cap tinh.

(4) Dan hat nam tai chinh, SO Y te' c6 trach nhiem tang hop chi phi h8 try phAn cang chi tra thu'ac ARV dm tat cà cac ca sO diau tri HIV/AIDS tren dia ban trong nam do va thuc hien quyat toan ngan such dOi vori phAn du toan ngan sach ha' try phan cling chi tra thuoc ARV dugc giao trong nam.

(5) Truang hop nguan ngan sach dia phucrng khong can dal da, can dr ten tang hop chi phi (long chi tra thuac ARV caa Qu'y trong nam, SO Y t thong bao cho Don vi chuyen trach phong, cheing HIV/AIDS de th8ng bao cho Ban quan ly du an tinh phan ngan sach con thieu cAn h8 try tit ban quan ly du an tinh.

(6) Ban quan l du an tinh, thanh ph a can cir theo th8ng bao kinh phi con thieu tir SO Y tá thue hien chuyan tin cho BHXH tinh/thanh ph ei theo nhu du toan kinh phi.da duct Ban quail lY du an TW phe duyet tit dan nam.

Theo th8ng Ice tren dia ban tinh Hai Duang nam 2019 co khoang 200 benh nhan nhiem HIV dang diau tri ARV tai cac ca ser y t chua c6 the BHYT. BQLDA tinh sê kY hop ding vol Bao hiam xã hi tinh d thuc hien viec mua the bao him y t cho cá nhan ngtrori nhiem HIV tham gia theo ho gia dinh.

Nam 2019, ca sO diau tri tai Trung tam y th TX. Chi Linh se thue hien thanh toan thuOc ARV thong qua nguan BHYT, theo thOng ke c6 khoang 180 nguin can dugc ha- try &Mg chi tra thul6c ARV, trong do 80 nguari thuOc hO c'an ngheo va 100 nguari thuOc din khac.

Bang 9, Ke hoach h try mua the BHYT va Ctng chi tra BHYT

TT Huy0 _

SO nguiri dime ha try the BHYT

-, SO nguiri dirge hil" try ang

chi tra thu6c ARV

Can ngheo Khic 1 TP. Hai Duang 85 0 0 2 Kinh Wm 35 0 0 3 Kim Thanh 25 0 0 4 TX. Chi Linh 55 80 100

Tng Ong 200 80 100 17

Thad gian thuc hien: Q1 — Q4/2019

HD 6, HO 8 & HO 9. HO trc• xet nghrem tãi luvng HIV, y4n chuyen man xet nghiem yA 1Ay mAu xet nghiem tãi luvng HIV

Nam 2019, toan 1)8 benh nhan dang dieu tri ARV dà tieu chuan theo quy dinh ciaa 138 Y t ti cac ca s& dieu tri HIV/AIDS tren dia ban tinh se dugc xet nghiem do tai luang virut HIV va thanh toan qua nguen bao him y tá (bao gm xet nghi'em thuong quy va xet nghiem cho benh than nghi ng& that bai dieu tri). Ban quail 117 dirt an tinh së 116 try chi phi dong chi tra cüa benh nhan khi thuc hien xet nghiem nay.

Vied nhang benh than kh8ng tip can dugc xet nghiem tai krang HIV qua ngtu'in BHYT (benh nhan ngoai tinh, benh than tai trai giam, trai tam giam, benh than chin c6 the BHYT,...), Du an se' tip tpc 116 try xet nghiem tai luglig HIV theo hinh that mua dich vv d6ng thOi h6 try &Ong My mu (bao gôm tach chit huyet tuang — nêu c6), cong van chuyen tit ca so dieu tri den phong xet nghiem.

BQLDA tinh phi hop ved 01 Benh vin tren dia ban tinh d dip hien cac xet nghiem do tai Itrong HIV, chiu trach nhiem huong dan cac phOng kham dieu tri ARV My matt va chuyen s6 mL . xet nghiem len Benh vin benh nhiet doi tinh. Hai Duang tong hop gun di.

Du an QTC thanh toan tien ding My mu xet nghiem, tin van chuyen mau xet nghiem tir cac phOng khan len Benh vin benh nhiet ded tinh Hai Ducmg.

Thin gian thuc hien: tit Q1 — Q4/2019

HD 7, HD 8 & HD 9. H6' try xet nghiem CD4, h tiv y4n chuyen mu xet nghiem vã &Ong xet nghiem CD4

Nam 2019, Dg an se 11-6 try BQLDA tinh thisc hien xet nghiem CD4 cho benh nhan nhigm

Du an se ho try kinh phi chi tra dich vu xet nghiem CD4 theo clinh mire quy dinh tai Th8ng ttr s6 39/2018/TT-BYT ngay 30/11/2018 quy dinh th6ng nhat gia dich vii kham benh, chin benh BHYT glib cac b'enh vin cling hang ten toan quoc. Du an 118 try chi phi de van chuyen mu .xet nghim tir OPC tuyan huy'en den Benh vin Benh nhiet dói tinh Hai Duang.

Thai gian flux hien: Q1-Q4/2019.

18

HD 13. T4p huin ye cham soc dieu tri HIV/AIDS do PPMU t6 chtic Nam 2019, mOt sa can 1)0 phong kham ARV,thay meri do sat nhap cac

don vi tuyan huyen va tap hu'dn Ii can 1DO dã tap hudn nam 2018. Du an ha trg kinh phi tã chirc 01 16p tap huAn 3 ngay v dieu tri cho cac can 1)0 y to tuyan huyen (bac sy tai khoa kham benh, dieu &rang, dugc s51 va can b0 chuyen trach HIV dm TTYT huyen). NOi dung gam cac kin tithe co ban va HIV, mO hinh cham sac va diau tri theo huemg dan m611307 ta ban hanh, mOt sa tic dung php cOa thuocARV thuong gap va Wong tac thu8c, dieu tri cac benh nhiam trimg co 110i thuerng gap tren ngtrai nhiam HIV, du pile:011g nhiam trung ccr hOi va flan.' chUng vac xin cho nguoi,nhiam HIV, chain s6c tai nha va tai cOng dong, giam sat ha trg va cal thin chat -lugng, quan 15T va cung Ung thu6c, t6 claim trian khai hoat dOng va quan l chuong trinh. So lugng hoc vien du kin 50 h9c vien/lop tap hudn. BQL Dv an tinh chui trach nhiem t6 chirc lop tap huan tai tinh

Thai gian time hien: Q3/2019

2.3.2 Thy phong My truyen HIV tir me sang con

HD 21. Xet nghiem HIV cho PNMT

Da co tha thgc hien mix tieu loai be lay truyen HIV tir me sang con vao nam 2020, dich vu xet nghiem HIV cho phu nit mang thai phai la phan thiat yau trong g6i cham s6c tn.rerc sinh thuerng quy va ddn &lye phan cap cho tuyen xa.

Nam 2019, du an flap tic ha trg xet nghiem HIV dm tAt ca phu nit mang thai 0' 04 huy'en/TX/TP co tY I nhiam HIV cao tren dia ban tinh gam: TP Hai Duang, Chi Linh, Kinh Mon, Kim Thanh. rAt ca phy nit mang thai dirge char' doan nhiam HIV trong qua trinh cham sec thai nghen se dugc kat nal dan OPC a dugc diau tri ARV ldu,dai. Truerng hop phu nit mang thai chAn doan HIV muOn hoc trong khi chuyen da se dirge (lieu tri kheri lieu ARV ngay tai cac ccr ser san lchoa.

BQLDA tinh se chi tra cho cac ca so xet nghiem cac kinh phi lien quan clan hog Ong nay.

Theri gian time hien: tit Q1 — Q4/2019

Bang 10. Danh sach cac .huyen dirge h try' xet n hi m HIV cho PNMT TT Ten huyen

1 TP. Hai Ducmg

2 TX. Chi Linh

3 huyen Kinh Mon

4 huyen Kim Thanh

19

HD 15. HO &cc viec quan Iy vã theo d6i PNMT nhiem HIV vã tre sinh ra me nhiem HIV

Co kr cham s6c süc kh6e sinh san veri ca so' dieu tri HIV/AIDS c6 trach nhiem quan 13'T va theo dai PNMT nhigm HIV va tre sinh ra tit mc nhigm M6i cap mc con duyc quan 15T va theo dai dieu tri PLTMC se dugc h6 try kinh phi (300.000d/cap mc con) a dam bao ph9 n& mang thai nhigm HIV va con dm h9 duyc chAm sec thai san va dieu tri ARV dung quy dinh.

BQLDA tinh/TP s'e nhan kinh phi tir Trung yang va chi tra cho cac can b8 y tg quan15, va theo dOi khoang 15 cap me con.

Then gian thuc hien: Q1 — Q4/2019 HD 19. HO try v4n chuyen mu xet nghiern EID .

Nham xac dinh tinh trang nhigm HIV cilia tre sinh ra tit mc nhigm HIV sau sinh 4 tuan bang phuong phap giot mau kilo. Dv an QTC hei try thvc hien xet nghiem nay tai Vin VSDT Trung wing.

- Can 13,8 phong OPC lay mgli benh pham (gigt mau kilo) va chuyen tad B'enh vien benh nhiet tinh Hai Throng sau do tap hyp va tier) tyc van chuyan tied cor xet nghiem cüa Vin Ve sinh dich tg Trung wing de tign hanh xet nghiem.

- Dv an 116 try chi phi van chuyen t& cac OPC tai ca xet nghiem dva tren chimg tit tai chinh hop le dm cac phong OPC:

Dv kin se luyng xet nghiem LID dirge 116 try nam 2019 la 20 mu. Then gian thue hien: Q1 — Q4/2019

2.3.3 Tir vAn xet nghiem vã chant sew diet' tri HIV/AIDS cho tit nhan HD 25, HD 26, HD 27. He try. xet nghiem HIV, in chuyen mu xet nghiem HIV, ding xet nghiem HIV cho tn nhan

Dv an se dugc 116 try kinh phi cho hog Ong xet nghiem HIV cho tü nhan trong trai giam Hoang Tien. D loi xet nghiem sang 19c, dv an se cap sinh pham, h6 try lien van chuyen sinh pham tit Ban QLDA tinh den tad giam Hoang Tien, h6 try trai giam mua vat fir tiêu hao (gang tay, khau trang) va 116 try tin cling tu van, c8ng lay man, c6ng xet nghiem HIV cho can 1)8 y tg trong trgi giam theo dinh mite tai Quyet dinh sa 7098/QD-BYT. D6i vied xet nghiem khang dinh, dv an h6 try tin van chuyen mu Ira mua dich v9 xet nghiem khang dinh.

Thoi gian thuc hien: tit Q1 — Q4/2019

20

HD 30. HO try xet nghiem cif ban dieu tri ARV cho tit nhan

Hien tai Ban quail 132 dv an tinh phi h9p vei Trai Giam Hoang tin dieu tri ARV cho tren 120 ta than nhiem HIV. Nam 2019, Dv an se hat trg cac xet nghiem ca ban de dieu tri ARV cho cac th nhan dang dieu tri ARV va tü than mot Cac xet nghiem ca ban ha trg dieu tri ARV bao gam: cong thirc mau, Creatinin, AST, ALT, HbsAg, anti-HBsAg, anti-HCV., Tan suat xet nghiem thvc hien theo Quyet dinh 5418/QD-BYT ngay 1/12/2017 cUa Be Y tiev viec ban hanh Huang dan dieu tri va cham sac HIV/AIDS.

Thai gian time hien: tit Q1 — Q4/2019

2.4. Myc tieu 4: Cling cO h thong thong tin de co chin ltryt, giai phi') hien qua ting phé veri dish HIV/AIDS.

HD 89. H8 try' c8ng tac theo doi, giant sat cfia tuyen tinh

Trong nam 2019, BQLDA tinh .se thvc hien giam sat 100% se huyenva 50% so xä huong thu Dv an. Nei dung giam sat se tap trung vao:

(i) Tinh hinh quail 1Y, cap that, bao quan, phan ph& thuac ARV, cac vat dung can thiep

(iii) Bao cao sa lieu, chi tieu cüa du an, c8ng tac rã sok dam bao chat lugng sa lieu,

(iv) Cac quy trinh lien quan den tu van xet nghiem HIV, cham s6c di'eu tri HIV/AIDS,

(v) &Ong tac quail 1 tai chinh, giai ngan va thanh guy& toan, (vi) Ta chire va trien khai cac lop tap huan, hei nghi, hei thao, (vii) Viec thvc hien cac khuyen nghi cua kiem toan, cüa nha tai trg, ca

quan quan 1 quy dja phuang, CCM va &Ong tac quail 1 dv an chung... Thai gian thuc hien: Q1 — Q4/2019

HD 91. H8 try' nhlap sot liu ePMS

Phan mm quail 1 b'enh nhan dieu tri ARV (ePMS) dugc xay Ong ved cac chat nang don gian, d cai dat va sfr dung.

Mai ca so. OPC da dugc clv an trang bi may vi tinh cá than va yeu can toan be clit lieu cilia ha so benh an dieu tri ARV dm benh than dugc nhap tai cac co so dieu tri ARV dang be len may chit Ichi co mang intemet. Viec. nhap lieu duet can be phong OPC thvc hien ngay sau lchi Dv an QTC Trung uong cai dat phan mm va huerng clan nhap lieu.

Nam 2019, QTC tip the ha trg kith phi cho can be nhap lieu vao phan mm ePMS \Teri s tien la 3.000 vnd/be ha sa b'enh an. Dv kien 100% ha so b'enh

21

an bfrenh nhan dieu tri ARV tren dia ban tinh dugc nhap va cap nhat chi lieu hang thang.

Thai gian thuc hien: tir Ql — Q4/201

HD 93. Tap huan ye theo dot, giam sat do PPMU to chat

Du an M trg th chirc 01 16p tap huan ngan han 02 ngay va theo dOi, danh gia WV cho cac can b'a thuac Benh vin benh nhiet dói tinh, can b0 chuyen tech HIV va can ba tham gia giam sat hoat clang HIV caa tuyen quan, huyen. Mai dung cila tap huan nhAm huong datn v cach bao cao so lieu, cac chi so cUa hoat dQng phong chang HIV/AIDS. Du kin tap huan cho 55-60 Mc vien. BQL Du an tinh chiu tech nhiem ta chirc lop tap huan tai tinh.

Thai gian thuc hien: Q2/2019.

HD 109. TQ chat hQi thao tong k6t nam 2018 vã triQn khai kec hoach nam 2019 dm Ban QLDA tinh

Di; an QTC h6 trg to chat hôi nghi tang ket nam 2018 va trien khai du an nam 2019 cho cac dun vi tuyen huyen de huong dan viec trien khai du an.

BQL Dr an tinh du kien ta chat hi nghi nay trong Q1/2019 ngay sau khi Ice hoach dugc UBND tinh phe duyet.

HD 122. HOi thao vQn dQng chinh sach dam bao phan bQ ngan sach dia phtrung cho h try mua the BHYT va dtmg chi tra thaw ARV

Nam 2019, Du an hat trg kinh phi dã M chirc hai that) van dang chinh sach dam bao phan b6 ngan sach dia phmmg cho ha trg mua the BHYT va dang chi tra thuc ARV. Thanh phan dv kin gam Lanh dao SYT, So' Tai chinh, BHXH tinh, van phang UBND tinh, di din hi (tang nhan dan, Benh vin Benh nhiet dad tinh, cac co so. diu tri HIV/AIDS tren clia ban.

Thai gian thuc hien: Q2/2019

VI. TO CHIYC THIX HIEN

hoan thanh 'nue tieu, chi ti8u va fi len da cac hoat dang trong ke hoach, UBND tinh giao nhiem vu cho cac don vi nhu sau:

1. So. Y t - Ban quan IST Dtr an QuSi toan an phong chifing HIV/AIDS tinh - Chi dao,,phai hep cac don vi lien quan (cac dun vi, cac huyen thu

huong du an) trien khai ke hoach dam bao diang muc tieu, tin do, dat hieu qua; - Lap du toan chi tiet cac nai dung chi theo quy dinh cüa nha tai trg va cac

quy dinh hien hanh cüa Nha nu6c, clang thai dam bao thgc hien dung cac quy dinh ve quaribi tai chinh cfn Du an va quy dinh hien hanh cfia Nha ntrot;

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- Chi ciao Benh vi'en benh nhiet dui tinh Fang ghep cac hog Tang dm Dtx an \lei cac boat dOng phong chang HIV/AIDS, cac chuang trinh y te cüa dia phuang d trian khai hog Ong cüa Dr an nham dat hieu qua cao nhat.

- Chi dao Benh vin Benh nhiet dad phai h9p VOl CO quan BHXH thtrc hien viec mua the BHYT va thu ttic thanh toan dang chi tra cho ngtrai nhiem HIV dang diau tri tai cac ca sO dieu tri ARV tran dia ban tinh.

- Ban QLDA tinh xay dung dtr toan kinh phi dal frng trinh cap tham quyan phe duyet.

- Theo d'Oi giam sat va danh gia vi'ec thgc hien cac hoat dOng, to chirc kat, tang kat dang thai thtrc hien cac cha dO bao cao dinh kY va dOt xuat theo you cu cila BO Y te, Cac ca quan quan 1 ctia Nha nuot va cda Dv an.

2. Cac dun vi, dia phtrung thy hirfrng (Iv an:

Ta chgc trian khai hoat dong tai don vi, dia phuang theo hutng dan cüa. SO Y t - Ban quan 132 Du an QTC phong chang HIV/AIDS tinh.

Trorig qua trinh thuc hien nau c6 kh6 khan vuemg mac bac, cao vaSO Y t6 - Ban quan I Dr an Quy toan cau tinh Hai Duang de tang h9p bao cao UBND tinh kip thin giai quyet./.

VII. Kt HOACH KINH PH! NAM 2019

1. Kinh phi vin trçr cho cac hoat dng trong k" hoach nam 2019

HD Ten hoat d'Og Ngan

sach 2019 (USD)

VND

4 Mua the BHYT va 'Tang chi tra diau tri ARV 9.399 212.520.789 6 Xet nghiem tai lugng vi rut 8.741 197.642.751 7 Xet nghiem CD4 8.513 192.487.443

8 Van chuyan mu xet nghiem tai lugng vi rut va CD4 2.285

51.666.135

9 C 'Ong xet nghiem tai lugng vi rut va CD4 608 13.747.488 13 Tap hutn dieu tri do tuy'en tinh ta chirc 6.936 156.829.896

15 QuanlY, theo doi PNMT nhiem HIV va tre sinh ra dr x me nhiem HIV 199

4.499.589

19 Van chuyan mu xet nghiem EID 12 271.332 21 Xet nghiem HIV cho PNMT 28.948 654.543.228 25 Xet nghiem HIV cho tn nhan 484 10.943.724

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HO Ten hot d(ing Ngfin

sach 2019 (USD)

VND

26 Van chuyen mu xet nghiem HIV cho ta nhan 659 14.900.649 27 Cong xet nghiem HIV cho ta nhan 3.190 72.129.090

30 Xet nghiem co ban ho trg dieu tri ARV cho tit

nhan 2.269 51.304.359

37 Hay BKT da qua sir dung 3.655 82.643.205

42 Tap huan can thiep giam tac hai cho TTVDD va CTV 3.237

73.191.807

44 Trang thiet bi cho ca sa dieu tri Methadone mai 619

13.996.209

56 Dung cu bao 110, so ghi chep cho TTVDD GMD 805

18.201.855

57 146 trg tuyen truyen vien dang clang (TTVDD) GMD tham gia hog clOng can thiep 6.241 141.115.251

58 Chi phi thue kho bao quail vat dung can thiep 3.715 83.999.865 60 Lap ban da diem n6ng 2.926 66.159.786 72 Xet nghi'em HIV tai ca sa y ta 29.192 660.060.312 73 Xet nghiem HIV tai cang clang 12.786 289.104.246 75 Cang xet nghiem HIV khOng chuyen 1.613 36.471.543

76 Tap huan tu van xet nghiem HIV cho can b0 y •

te 15.414 348.525.954

77 Tap huan tu van xet nghiem HIV cho can b0 LBO va cangtacvienyte 13.487

304.954.557

80 Trien khai EQUAS cho cac ph6ng xet nghiem

HIV 1.804 40-.790.244

89 Theo d'Oi, giam sat tuyen tinh (can thiep, xet nghiem, dieu tri, TB/HIV, so lieu bao ...) 7.430 167.999.730

91 Ha' trg nhap sa lieu ePMS 2.229 50.399.919

93 Tap huan theo dOi, danh gia do tuyen tinh tã

chirc 6.166 139.419.426

109 H9p, 110i thao caa BQLDA tinh 3.980 89.991.780

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HD Ten hog ging Ngfin

sae!' 2019 (USD)

VND

122 HOi thao tuyen truyen van clang a dam bao ngan sach dia phuong cho phi ban him y te va dang chi tra

2.654 60.009.594

Tang Ong 190,197 4.300.544.367

2. Kinh phi clai ting

TT Ten hog dang s6 tin

(VND) Nguan kinh phi

1 Tra phi cap cho can 1)6 Chinh phil Viet Nam lam viec kiem nhiem cho du an

120.000.000 Sfr dgng kinh phi -Ur ngu6n ngan sach tinh

x cap cho chtrcmg trinh Phong chang HIV/AIDS nam 2019 (Theo Thong tu 26/2018/TT-BTC ngay 21/3/2018 dm BO Tai chinh)

2 Chi phi duy tri hog &Ong van phong BQLDA tinh (tion dien, nuoc, van phong pham, in an tai lieu...)

60.000.000

3 Tra cho cac Ichoan chi phi khac khong dugc thanh toan tir nguon vien trg dm QTC (bao tri thiet bi bao quan thuoc ARV, sinh pham...)

170.000.000

Tang 350.000.000

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