PROPOSAL ITEMS TO CALL FOR SUPPORT IN THE PREVENTIVE MEDICINE AREA ADMINISTRATION OF PREVENTIVE...
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Transcript of PROPOSAL ITEMS TO CALL FOR SUPPORT IN THE PREVENTIVE MEDICINE AREA ADMINISTRATION OF PREVENTIVE...
PROPOSALITEMS TO CALL FOR SUPPORT IN THE
PREVENTIVE MEDICINE AREA
ADMINISTRATION OF PREVENTIVE MEDICINEADMINISTRATION OF PREVENTIVE MEDICINE
1. SITUATION OF COMMUNICABLE DISEASES2. SITUATION OF HUMAN RESOURCE FOR THE
PREVENTIVE MEDICINE AREA3. INFRASTRUCTURE AND MEDICAL DEVICES4. ORGANIZATION AND STRUCTURE5. PROPOSAL
NỘI DUNG TRÌNH BÀY
SITUATION OF COMMUNICABLE DISEASES
Nguồn: Niêm giám thống kê bệnh truyền nhiễm
SITUATION OF SOME COMMUNICABLE DISEASES, 2006 - 2011
Influenza A H5N1(2003- 4/2012)
Year 2003
2004 2005 2006 2007 2008 2009 2010 2011 4/2012 Total
Cases 3 29 61 0 8 6 5 7 0 2 121
Death
s
3 20 19 0 5 5 5 2 0 2 61
HEMORRHAGE
Malaria
Meningitis
TẢ
TETANUS
CHALLLENGES IN THE COMMUNICABLE DISEASES AND EMERGING DISEASES
Impacts of climate change, immigration, urbanizations, changes of micro bacteria types, have made favorable condition for new epidemics and re-occurrence of the restricted diseases (SARS, HI A H5N1..)
Some diseases do not have vaccines and specific remedy, rate of healthy people bringing germs are high
NCD has the symptoms of increasing (diabetes, hypertension….), in 2012 there is occurrence of symptom “Hội chứng viêm da dầy sừng’” (which has not been defined the causes of this disease)
CHALLLENGES IN THE COMMUNICABLE DISEASES AND EMERGING DISEASES
1. Reporting system is not adequate due to shortage of infrastructure, equipments, human resource and budget.
2. Human resource: lack of both quantity and quality3. Budget: shortage or delay4. Community:
Lack of knowledge and perception Not active in monitoring and prevention
HUMAN RESOURCE FOR PREVENTIVE MEDICINE AREA
HUMAN RESOURCE FOR PREVENTIVE MEDICINE AREA (2011)
No Health staff category CentralProvincia
lDistrict Total
1Doctor (of all categories)
884 1715 828 3427
2University – trained Pharmacist KBC 63 KBC 63
3Bachelor of Public health 198 391 589
4College medical staff 187 148 335
5Secondary medical staff 109 2215 5548 7872
6Other categories 150 740 890
Total 1.193 4.717 7.264 13.172KCB: Ko có báo cáo
DISTRIBUTION OF HUMAN RESOURCE BY EDUCATION LEVEL
Bác sĩ (bao gồm các chuyên
ngành) 26.0%
Dược sĩ đại học
0.5%
Cử nhân y tếcông cộng
4.5%
Cao đẳng y 2.5%
Trung cấp Y 59.7%
Chuyên ngành y khác 6.8%
TT Category
Preventive medicine
AIDSFood safety
Labor health and environmental health
Malaria
Border quarant
ine TotalRate
%63* 63* 63* 8* 27* 13*
I Medical staff 4.717 68.11 Doctors 867 360 195 47 178 68 1.715 24.82 University trained
pharmacist47 6 9 0 1 0 63 0.9
3 Bachelor of Public health
110 65 21 31 119 45 391 5.6
4 College medical staff
63 20 6 16 59 23 187 2.7
5 Secondary medical staff
1.222 506 112 60 225 86 2.211 31.9
6 Other categories 96 42 12 150 2.2II Other specialities 2.212 31.91 Other universities 608 199 392 32 35 30 1.296 18.72 Other colleges 66 29 63 4 22 12 196 2.83 Other secondaties
school160 82 60 8 23 22 355 5.1
4 Other staffs 218 77 56 3 6 5 365 5.3Total 3.455 1.386 925 201 668 291 6.926 100
SITUATION OF HUMAN RESOURCE AT PROVINCIAL LEVEL IN 2011
SITUATION OF HUMAN RESOURCE AT PROVINCIAL LEVEL IN 2011
Bác sĩ, 26%
Dược sĩ đại học, 1%
Cử nhân y tế công cộng, 6%
Cao đẳng y, 3%Trung cấp Y, 34%
Chuyên ngành y khác, 2%
Đại học khác, 20%
Cao đẳng khác, 3% Trung cấp khác, 5%
SITUATION OF HUMAN RESOURCE AT DISTRICT LEVEL IN 2011
Bác sĩ 11.2%
Trung cấp Y 74.9%
KTV Xét nghiệm 10.0%
Cử nhân tài chính 2.0%
HUMAN RESOURCE NEEDS OF UNIVERSITY TRAINED STAFF BY 2020
SpecialitiesRate
/10.000 pop
2012 2013 2014 2015 2016 2017 2018 2019 2020
Preventive medicine
1,25 10,967 11,099 11,232 11,367 11,503 11,641 11,781 11,922 12,065
Bachelor of Public Health
0,32 2,843 2,877 2,911 2,946 2,982 3,017 3,054 3,090 3,127
Total 1,57 13,810 13,975 14,143 14,313 14,485 14,658 14,834 15,012 15,193
COMPARISON BETWEEN THE NEEDS AND CAPACITY OF TRAINING
9905
2756
12661
4782
1113
58945123
1643
6767
0
2000
4000
6000
8000
10000
12000
14000
BS YTDP CN YTCC Tổng
Nhu cầu bổ sung đến năm 2020 Dự kiến số ra trường làm việc cho YTDP đến 2014
Số còn thiếu so với số ra trường
INFRASTRUCTURE AND EQUIPMENT
INFRASTRUCTURE AND EQUIPMENTS AT PROVINCIAL LEVEL
Infrastructure: • Survey in 44 provinces: Almost exist 1-3 building blocks, 10 provinces have the buildings which were constructed more than 10 years, 16 provinces have the degraded 75% houses. Number of buildings need to be repaired is 59%. •Average square is 1065,3 m2, less than standard. The provinces meet only 52,1 % standards. The used rooms of provinces are lower than average. •The average number of labs for each unit is 11, reach the national standard. The provinces have only met 75%. •Used square of labs in provinces have large discrepancy. The provinces have only reach 62,6%
Source: Evaluation of preventive medicine - 2009
INFRASTRUCTURE AND EQUIPMENT AT PROVINCIAL LEVEL
Transportation:Statistic from 44 provinces, 100% provinces have cars, 56.8% have motobikes. Average of 2,6 cars/provinces not met the standar (4 cars/province). However there are many broken cars, only 4 provinces in good condition, 29 units under 50%. Computer connecting with Internet:•Average number of computers is 17/provinces. The provinces have from 14-20 ones. In comparison with, no province met standard, 17 provinces have these computers in good condition, the others have 50% which were broken. •100% provinces have internet connection, 26 units have more than 51% computers connected with internet. 8 units have less than 25% those conneted with internet.
Nguồn: Đánh giá hệ thống YTDP - 2009
INFRASTRUCTURE AND EQUIPMENT AT PROVINCIAL LEVEL
. Lab equipmentNo provinces met the standard of equipments. Quang tri have 76% of new equipment. 31% provinces have less than 35% equipments, 12 have 36-70%; The existing equipments are almost ruined, only 26/100 of equipments in good condition in all preventive medicine centers in survey.
Nguồn: Đánh giá hệ thống YTDP - 2009
INFRASTRUCTURE AND EQUIPMENT AT DISTRICT LEVEL
The Prime Minister has issued the Decision 1402/QĐ-TTg to approve the Projects of Development of Preventive medicine at district level for the period 2007-2010
Evaluation of the VAHIP project 2011 As the statistic in 30 provinces, there are 123/249 districts do not have separate preventive medicine center ( 49%)
In survey of 20 provinces/Cities: almost district health centers have 20% equipment less than standards (Decision of 2367/QĐ-BYT)
ORGANIZATION SYSTEM
63 TTYTDP tỉnh/ thành phố
63 Chi cục ATVSTP
63 Trung tâm Phòng chống HIV/AIDS
712 TTYT quận/huyện
11.112 Trạm Y tế xã
27 Trung tâm phòng chống sốt rét
-Viện VSDT TƯ-Viện Pasteur TP. HCM-Viện VSDT Tây Nguyên-Viện Pasteur Nha Trang
-Viện YHLĐ & VSMT-Viện Vệ Sinh YTCC -Viện Dinh dưỡng-Viện Kiểm nghiệm An Toàn Vệ sinh TP
-Viện sốt rét- KST -côn trùng Trung ương-Viện sốt rét- KST -côn trùng TP. HCM- Viện sốt rét- KST -côn trùng Quy Nhơn
-Viện kiểm định quốc gia vắc xin và sinh phẩm y tế-Viện vắc xin Nha Trang
Bộ Y tếCục Y tế dự phòng, Cục ATVSTPCục PC HIV/AIDS, Cục QLMTYT
13 Trung tâm kiểm dịch và y tế biên giới
08 Trung tâm SKLĐ & VSMT 23 Trung tâm
PC BXH
DIFFICULTIES
1. Function and task are not unique and stable.
2. So many focal points in implementing the preventive medicine areas leading to the decrease of the resources and overlap in function and tasks.
PRIORITIES TO PROPOSE
1.1. SRENGTHEN CAPACITY FOR PREVENTIVE MEDICINE IN EMERGING SRENGTHEN CAPACITY FOR PREVENTIVE MEDICINE IN EMERGING COMMUNICABLE DISEASE PREVENTION: COMMUNICABLE DISEASE PREVENTION: 183.649.850 USD183.649.850 USD
2.2. SUPPORT FOR THE HUMAN RESOURCE FOR PREVENTIVE MEDICNINE: SUPPORT FOR THE HUMAN RESOURCE FOR PREVENTIVE MEDICNINE: 42 42 MIL USDMIL USD
3.3. SUPPORT FOR THE FIELD EPIDEMIOLOGY TRAINING PROGRAME FOR THE SUPPORT FOR THE FIELD EPIDEMIOLOGY TRAINING PROGRAME FOR THE PREVENTIVE MEDICINE STAFF: PREVENTIVE MEDICINE STAFF: 7.810.800 USD7.810.800 USD
TOTAL: 233.460.650 USDTOTAL: 233.460.650 USD
1.1. SRENGTHEN CAPACITY FOR PREVENTIVE MEDICINE IN SRENGTHEN CAPACITY FOR PREVENTIVE MEDICINE IN EMERGING COMMUNICABLE DISEASE PREVENTION EMERGING COMMUNICABLE DISEASE PREVENTION
1. Country level prevention
2. Strengthen capacity of monitoring and responding to the communicable epidemics
3. Improve the diagnostic capacity of laboratories
4. Consolidate the treatment and prevention capacity.
5. Improve the knowledge, behavior change communication and risk communication.
6. Strengthen the researchs (epidemiology, influenza virus, drug resistance, vaccine, intervention evaluation…)
1.1. SRENGTHEN CAPACITY FOR PREVENTIVE MEDICINE IN SRENGTHEN CAPACITY FOR PREVENTIVE MEDICINE IN EMERGING COMMUNICABLE DISEASE PREVENTION EMERGING COMMUNICABLE DISEASE PREVENTION
COMPONENTSCOMPONENTS
1. Improve capacity of communicable diseases monitoring system
2. Strengthen the capacity of treatment and responding to the epidemics and out breaks
3. Improve the behavior change communication and risk communication about the emerging Communicable diseases
4. Improve the preventive medicine capacity through multiplying the district preventive medicine model
5. Coordination, monitoring, evaluation, research and project management
BUDGET: 183.649.850 USDBUDGET: 183.649.850 USD
Activity State budget ODA Total
Improve capacity of communicable diseases monitoring system
14,283,250
74,146,600
88,429,850
Strengthen the capacity of treatment and responding to the epidemics and out breaks
13,850,000
7,600,000
21,450,000
Improve the behavior change communication and risk communication about the emerging Communicable diseases
2,985,000
2,985,000
5,970,000
Improve the preventive medicine capacity through multiplying the district preventive medicine model
24,000,000
24,000,000
48,000,000
Coordination, monitoring, evaluation, research and project management
12,250,000
7,550,000
19,800,000
Total 67,368,250
116,281,600 183,649,850
1. Increase the number of enrollment of doctors for the preventive medicine.
2. Improve the capacity for the training places. Build up the system of advanced, modern, diversifying training facilities and training programe for country and global level;
3. Strengthen the policy to attract staff and improve the professional capacity in the preventive medicine
2.2. SUPPORT FOR THE HUMAN RESOURCE FOR SUPPORT FOR THE HUMAN RESOURCE FOR PREVENTIVE MEDICNINEPREVENTIVE MEDICNINE
2.2. BUDGET: BUDGET: (TOTAL 853.368 MIL VND= 42 MIL USD)(TOTAL 853.368 MIL VND= 42 MIL USD)
Year Training category Target KP 2012 KP 2013 KP 2014 KP 2015
2012 6 year preventive medicine doctors 454 22,700 22,700 22,700 22,700
4 year preventive medicine doctors 970 48,500 48,500 48,500 48,500
Bachelor of Public Health 386 19,320 19,320 19,320 19,320
2013 6 year preventive medicine doctors 499 24,970 24,970 24,970
4 year preventive medicine doctors 809 40,434 40,434 40,434
Bachelor of Public Health 386 19,320 19,320 19,320
2014 6 year preventive medicine doctors 549 27,467 27,467
4 year preventive medicine doctors 651 32,546 32,546
Bachelor of Public Health 386 19,320 19,320
2015 6 year preventive medicine doctors 549 27,467
4 year preventive medicine doctors 633 31,663
Bachelor of Public Health 386 19,320
Total90,520 175,244 254,577 333,027
3.3. SUPPORT FOR THE FIELD EPIDEMIOLOGY SUPPORT FOR THE FIELD EPIDEMIOLOGY TRAINING PROGRAME FOR THE PREVENTIVE TRAINING PROGRAME FOR THE PREVENTIVE MEDICINE STAFFMEDICINE STAFF
Short terms: (3 weeks and 3 months) in order to meet the needs of urgent training needs on investigating and responding to the epidemics for the staff at district and provincial level.
Long terms: (2 years) International standards, Field epidemiology Master; First specialization on Field epidemiology.
By 2015, 2900 graduates from short term training, 50 from long terms
BUDGET: 7.810.800 USDBUDGET: 7.810.800 USD
Activities/year
Details
Total2012 2013 2014 2015
Short term training 1,320,200 1,220,200 1,220,200 1,220,200 4,980,800
Long term training
654,500
654,500
654,500
654,500 2,618,000
Management 53,000
53,000
53,000
53,000 212,000
Total 2,027,700 1,927,700 1,927,700 1,927,700 7,810,800
THANK YOU VERY MUCH FOR YOUR ATTENTION