UBND HUY$N DVONG MINH CHAU C<)NG HOA XA H<)I CHU NGHiA VI)::T NAM BAN CHi D~O PCTP, TNXH D9c ~p-ti}:' do- H~nh phuc VA THPT TOA..N DAN BAO VJ:: ANTQ S6S~/KH-BCD Huyen Duong Minh Chau, ngay )k thang Jf nam 2018 KEHO~CH TB chirc Thang hanh d9ng qu6c gia phong, chbng HIV/AIDS nam 2018 (Tir ngay 10/11/2018-10/12/2018) Can cu KS hoach s6 320/KH-BCD AIDS ngay 30 thang 10 nam 2018 cua Ban chi O?O phong, chong t(h pham, t~ nan xa h9i va xay dung phong trao toan dan bao v~ an ninh t6 quoc tinh Tay Ninh vs viec t6 chirc Thang hanh dong quoc gia phong, chong HIV/AIDS nam 2018. Ban chi O?O phong, chong t9i pham, t~ nan xa hoi va thirc hien phong trao toan dan bao v~ an ninh T6 quoc huyen Duong Minh Chau xay dung ks hoach t6 chirc Thang hanh dong quoc gia phong, chong HIV I AIDS nam 2018 tren dia ban huyen, noi dung c1,.1 ths nhu sau: I. MVC TIEU 1. Tang cuong cac heat dong du phong, xet nghiem phat hien HIV, bao hi~m y tj cho ngiroi nhiem HIV nh.t la cho nhfrng nguoi ds tf>n thirong, ngiroi co hanh vi nguy cacao, nguoi dan song a vung sau, vung xa, d6ng bao dan t9c it nguoi. 2. Giam ky thi va phan biet d6i XU voi nguoi nhiern HIV va nguoi anh huong boi HIV/AIDS, tang cuong su h6 tro cua gia dinh, xa hoi voi nguoi nhiem HIV/AIDS va trach nhiem cua nguoi nhism HIV/AIDS voi gia dinh, xa hoi, d?c biet la trong du phong lay nhiem HIV va tham gia cac hoat d9ng phong, chong HIV/AIDS. 3. Ma rong d9 bao phu, nang cao ch.t luong cua cac dich vu du phong, xet nghiern HIV, bao hiem y ts va disu tri HIV/AIDS dsn moi nguoi dan. II. CHU DEV A KHA.U mtu HA.NH D(>NG 1. Chu d~ hanh d9ng Chuang trinh phoi hop cua Lien hop quoc vs HIV/AIDS (UNAIDS) phat dong toan c~u huong irng cac muc tieu 90-90-90 ( 90% nguoi nhiem HIV bist duce tinh trang nhiern HIV cua minh, 90% ngiroi chfui dean nhiem HIV diroc disu tri bing thuoc khang vi rut va 90% nguoi nhiern HIV da duce disu tri bing thuoc khang vi rut kiern scat duoc sa luong vi rut a mire thap nh&t cts song khoe manh va lam giarn nguy co lay truyen HIV cho nguoi khac) va hu6ng toi kst thuc dich HIV/AIDS a Vi~t Nam vao nam 2030. Nam 2018, se t~p trung vao chu ds " Hay hanh dong ds huong toi muc tieu 90-90- 90 vao nam 2020" (Van ban giai thich chu ds - Phu luc s6 1 kem theo ).
2. Khfiu hi?u hanh d9ng (Kem theo Phu luc 2). III. THOl GIAN TRIEN KHAI Thai gian trisn khai Thang hanh dong quoc gia phong, chong HIV/AIDS nam 2018 (Tu ngay 10/11/2018-10/12/2018) IV. cac HO,;. T D<)NG CHU YEU TR ONG THANG HANH D<)NG 1. Ban hanh van ban hurrng d n chi d~o Ban chi dao phong, chong t<)i pham, t~ nan xa hoi va thuc hien phong trao toan dan bao v~ an ninh T6 quoc cac xa, thi tnin ban hanh cac van ban chi dao, huong d~n dia phuong tang cuong trien khai cac heat dong trong Thang hanh dong quoc gia phong, chong HIV I AIDS phu hop voi disu kien va nhiem V1) Cl) ths. 2. T6 clnrc cac hqi ngh], h()i thao - T6 chirc hoi thao cho nhan vien nganh y t tir huyen d n xa voi noi dung: ph6 bien k hoach t6 clnrc thang hanh dong quoc gia phong chong HIV/AIDS nam 2018, huong toi muc tieu 90-90-90 ds k t thuc dich AIDS vao nam 2030 va mot s6 chuyen ds phu hop voi thuc tisn dia phuong theo huong d~n tai K hoach s6 320/KH-BCD AIDS cua tinh, chia se kinh nghiem, cac mo hinh c6 hieu qua nhtr xet nghiem HIV tai cong dong do can be) y t va nhan vien cong d6ng thuc hien, mo hinh trong du phong, cham s6c, di~u tri HIV I AIDS va chong ky thi phan biet d6i XU, cac mo hinh, cac girong di Sn h l nh ma nguoi nhiem HIV hoac nguoi c6 hanh vi nguy ca cao da chu dong tham gia phong, chong HIV I AIDS, viron lcn lam chu, tao cong an viec lam, tao thu nhap va giup nhau trong cuoc song. - T6 chirc gap mat, sinh hoat, hoi thao voi nhfrng nguoi nhiern HIV, nguoi ds bi t6n thuong voi HIV; truyen thong du phong lay nhiem HIV tiep tuc thuc hien hanh vi an toan, tiep can sorn cac dich V\1 du phong; loi ich cua tu v~n xet nghiem HIV sorn; lei ich disu tri sorn HIV/AIDS; loi ich cua bao hiem y t voi nguoi nhiem HIV, V?n dong nguoi nhiem HIV chu dong tham gia va SU dung the bao hism y t trong kham chira benh ccin_g nhu cac hoat dong giam ky thi va phan biet d6i xir lien quan d n HIV trong ca SO' y te. 3. T6 chirc cac hoat d9ng truyen thong, v~n d9ng trong Thang hanh d()ng qu6c gia phong, chong HIV/AIDS a) T6 chtrc L~ mit tinh va di~u hanh huxrng irng Thang hanh d()ng qu6c gia phong, ch6ng HIV/AIDS va Ngay Th~ gi6'i phong, ch6ng AIDS t~i cac xa, th] trfin - LS mit tinh va disu hanh duce t6 chirc tai 08/11 xa, thi tran c6 ten sau: Thi tr~n DMC, xa Su6i Da, Bau Nang, Ciu Khoi, Truong Mit, L<)c Ninh, Phuoc Minh, Phuoc Ninh. - T~t ca cac cuoc mit tinh va disu hanh a ca SO' duce t6 chirc dong loat vao cung mot thoi ctism luc 6 gi<y 30 phut, ngay 01 thang 12 narn 201s. - Dia diem: do dia plnrong chon. 2
- Thanh phan tham du: Ban chi dao phong, chong t9i pham, t~ nan xa h9i va thuc hien phong trao toan dan bao v~ an ninh T6 quoc xa, thi, tdn moi thanh phdn du LS mit tinh sao cho dam bao huy dong sir tham gia cua ca h~ thong chinh tri tai dia phuong, - T6 clnrc xe loa tuyen truyen (neu co). - Thuc hien treo bang rol tai Trung tam Y ts huyen va Tram Y ts cac xa, thi tran. b) Tang cuong cac hoat dqng truyen thong va v~n dqng hufrng irng Thang hanh dqng qu6c gia phong, ch6ng HIV/AIDS va Ngay Th~ gi6'i phong, chong AIDS - VS n9i dung truyen thong cfin chu trong vao cac noi dung sau: + Loi ich cua tu van xet nghiem sorn HIV va xet nghiem dinh ky voi nhorn co hanh vi nguy ca cao. + DiSu tri bing thuoc ARV: Loi ich cua disu tri bing thu6c ARV, loi ich tisp can sorn voi cac dich vu cham soc va disu tri HIV/AIDS; quang ba cac dich V\1 disu tri ARV + Bao hism y ts cho nguoi nhiem HIV/AIDS: Sµ cfin thiet, quyen loi, mire dong, mire huong va thu tuc tham gia ciing nhtr each SU dung bao hism y ts khi kharn chira benh bao hism y ts. + Cac bien phap du phong lay nhiem HIV: Loi ich cua du phong sorn lay nhi~m HIV, su dung barn kim tiem sach, bao cao su, dieu tri nghien cac chat dang thuoc phien bing Methadone va disu tri du phong truce phai nhiem HIV. + Dµ phong lay truyen HIV tu me sang con. + Luat Phong, chong HIV I AIDS can nh.n manh vs quyen va nghia V\1 cua nguoi nhiem HIV, nhfrng disu khoan lien quan dsn quyen tiep can disu tri va cham soc sue khoe cho ngiroi nhiem HIV/AIDS. + Dam bao tai chinh cho chuong trinh phong, chong HIV/AIDS. + Khong ky thi va phan biet d6i XU voi nguoi nhiem HIV/AIDS. - vs hinh thirc: Cfin linh heat va trien khai da dang phong phu cac hinh thirc truyen thong phu hop voi nguon hrc sin co cua dia phirong, + Truyen thong true tiep nhir truyen thong voi ca nhan, truyen thong nhom, tharn gia dinh nguoi nhiem HIV hoac nguoi co hanh vi nguy cacao; tu v.n tai cac ca soy ts; t6 chirc sinh hoat cua cac cau lac b9 phong, chong HIV/AIDS, cac nhorn tu Ive, cac nhom giao due dong ding (hru y cfin huy dong su tham gia cua nguoi nhiem HIV va nhtrng ngiroi co hanh vi nguy ca cao tham gia cac hoat dong truyen thong). + Truyen thong dai chung: tr u tien vs thoi di Sm, thoi hrong phat song tren dai truyen thanh trong Thang hanh dong quoc gia phong, chong HIV/AIDS; Xay dung chuyen trang, chuyen muc, dang tai tin, bai viet tren cac phuong tien thong tin dai chung,
+ Tang cuong truyen thong vs phong, chong HIV I AIDS tren h~ thong mang xa hoi va cac trang thong tin dien tu cua ca quan, don vi. + Truyen thong luu dong, t6 clnrc giao luu van nghe, cac cuoc thi tim hieu vs phong, chong HIV I AIDS tai xa, thi tran, ftp, khu ph6 + Cac sir kien truyen thong nen co sir tham gia cua nguoi nhiern HIV va gia dinh; lanh dao dia phuong va nhtrng nguoi dan co tam anh huong trong cong df>ng, duce moi nguoi tin nhiem. + Xay dung cac cum pano, kh~u hieu, treo bang roll tai cac dia dism cong cong co dong nguoi qua lai nhir cac true duong giao thong chinh, bsn xe, cong vien; cira ng5 xa, thi tran, :lp, khu ph6 va cong cac ca quan, don vi, tnrong hoc, benh vien; Ph6 bisn cac frn pham truyen thong phong, chong HIV/AIDS khac nhu ap phich, tranh g:lp, to roi, sach mong vs phong, chong HIV/AIDS. c) Tri~n khai thuc hi~n cac hoat d<)ng phong, chong HIV/AIDS khac - Gioi thieu, quang ba rong rai vs loi ich cua viec tiep can som cac dich vu xet nghiem HIV; du phong, cham soc, disu tri HIV/AIDS va gioi thieu chi tist cac ca so cung cfrp dich vu du phong, cham soc, disu tri HIV/AIDS, bao gf>m ca cac dich vu chuyen tiep, chuyen tuyen ds moi nguoi dan, dac biet la nhfmg nguoi ds t6n thuong, nguoi nhiem HIV va benh nhan AIDS ds dang tisp c~n va SU' dung. - T6 chirc viec cung cfrp cac dich vu phong, chong HIV I AIDS nhu xet nghiem HIV dua vao cong dong; dism cap phat thuoc Methadone; diem c:ip phat thuoc ARV tai cac tram y ts xa ciing nhu cung cap cac dich vu du phong truce phoi nhiem HIV. - T6 chirc cac hoat dong truyen thong van dong chong ky thi phan biet d6i XU' voi nguoi nhiern HIV nhat la voi tre bi anh huong boi HIV. - T6 clnrc van dong cac doanh nghiep tham gia cac hoat dong phong, chong HIV I AIDS cho nguoi lao dong, nhan nguoi lao dong la nguoi nhiem HIV, nguoi sau cai nghien, nguoi dang duce disu tri nghien cac ch:lt dang thuoc phien bing thu6c thay ths. - T6 chirc cac chirong trinh van dong cac t6 chirc, ca nhan va gia dinh tich cue tham gia cac hoat dong phong, chong HIV I AIDS, ung h9 gay quy h6 tro nguoi nhiem HIV, mua the bao hi Sm y ts cho nguoi nhiem HIV va t6 chirc tham hoi nguoi nhiern hoac nhorn nguoi nhiem HIV va benh nhan AIDS tai dia phirong. - Tang cuong cac heat dong phong, chong HIV I AIDS khu vuc vung dong bao dan toe thi~u s6. - Kien toan, cung c6 h~ thong chuyen tiep, chuyen tuyen, dac biet la dich vu cung cfrp cac phuong tien du phong lay nhiem HIV nhu bao cao su, barn kim tiem sach cho moi ngiroi dan co nhu cau tai cong dong. - Thuc hien ra soat, chan chinh, giam sat, h6 tro tai cac ca soy ts tu huyen dsn xa nham nang cao ch:lt hrong cac dich v1,1, dam bao tinh s~n co, tinh ds tiep c~n cua cac dich vu du phong, charri soc va disu tri HIV/AIDS, dzic biet la cac dich vu can thiep 4
giam thisu tac hai du phong lay nhiem HIV ciing nhir viec cung cfip cac dich vu disu tri HIV/AIDS. - Van dong nhfmg nguoi tieu bieu, nguoi c6 uy tin trong cong dong dan t9c thisu s6, ton giao, dong ho (gia lang, chirc site ton giao, tnrong ho, tnrong t9c... ) tich eve tham gia cac heat dong phong, chong HIV/AIDS trong dong bao vung dan toe thieu s6. - - V~n dong cac t6 chirc ton giao, t6 chirc phi chinh phu, cac t6 chirc xa h9i dan SlJ khac va mang hroi nguoi nhiem HIV tai dia phirong tich eve tham gia va t6 chirc cac hoat dong nhan Thang hanh dong. - Lanh dao cac cfip tham gia thuyet trinh, danh gia va lam r5 trach nhiem cua cac t6 chirc, cac ca nhan trong cong tac phong, chong HIV I AIDS tai cac cuoc hop, hoi ngh i, cac sir kien truyen thong phong, chong HIV I AIDS, di tham hoi, dong vien cac t6 chirc, ca SO' cham s6c, h6 tro va disu trj benh nhan AIDS, cac cau lac b9 phong, chong HIV I AIDS, cac nh6m tu Ive va ca nhan, gia dinh benh nhan AIDS giup do nguoi nhiern HIV I AIDS hoa nhap cong d6ng. - T6 chirc cac heat dong giam sat, danh gia viec thuc hien cong tac phong chong HIV I AIDS cua cac cap, cac nganh, cac dia phuong, don vi. V. TO CHUC THl/C HitN 1. Phong Y t~ huyen - Thuong true Ban chi d;w phong, chdng t<)i pham, t~ nan xa h<)i va thuc hi~n phong trao toan dfin bao v~ an ninh T6 qu6c huyen - Tham rmru Ban chi dao t6 chirc trien khai thirc hien Thang hanh dong quoc gia phong, chong HIV/AIDS nam 2018; chu tri huong d~n chuyen mon, phoi hop thanh vien BCD huyen, Trung tam Y ts huyen huong d~n cac cac xa, thi trfin t6 chirc mit tinh, disu hanh dam bao vs thoi gian, noi dung; t6 chirc chien dich truyen thong va cac hoat dong thist thuc hirong irng Thang hanh dong quoc gia phong, chong HIV/AIDS phu hop voi disu kien cua dia phuong. - T6ng hop bao cao kst qua thirc hien vs UBND huyen va Ban chi dao phong, chong t9i pham, t~ nan xa hoi va xay dung phong trao toan dan bao v~ an ninh T6 quoc tinh. 2. Truog tam Y t~ huyen Chi dao khoa Y ts du phong, can b9 chuyen trach, tram y ts xa, th] tran phoi hop voi cac phong, nganh lien quan, UBND nhan dan xa, thi tr~n t6 chirc trisn khai Thang hanh d9ng quoc gia phong, chong HIV/AIDS dung theo tinh th~n chi dao Cua nganh c.p tren, 3. Ban chi d~o phong, ch6ng t<)i pham, t~ nan xa h<)i va thuc hi~n phong trao toan dan bao v~ an ninh T6 qu6c cac xa, th] trio - Xay dung ks hoach tri~n khai Thang hanh dong quoc gia phong, chong HIV I AIDS narn 2018, t6 chirc chi Sn dich truyen thong va boat dong thiet thirc hirong irng Thang hanh dong quoc gia phong, chong HIV/AIDS phu hop voi disu k ien cua dia phuong. 5
- Ban chi dao phong, chong t(>i pham, t~ nan xa hoi va thuc hien phong trao toan dan bao v~ an ninh T6 quoc cac xa, thi trfrn: xa Su6i Ba, Thi tran DMC, Bau Nang, C.u Khoi, Truong Mit, Loe Ninh, Phuoc Minh, Phuoc Ninh t6 chirc LS phat dong, mit tinh, diju hanh tai dia phuong dung thoi gian va n(>i dung theo quy dinh, VI. BAO CAO KET QUA. THljC HitN KSt thuc Thang hanh dong quoc gia phong, chong HIV/AIDS nam 2018, ct~ nghi cac phong, ban, nganh huyen, UBND cac xa, thi trfrn bao cao kst qua thuc hien v~ BCD huyen (thong qua Phong Y ts huyen) d~ tong hop bao cao v~ BCD tinh dung thoi gian guy dinh. Tren day la ks hoach t6 chirc Thang hanh dong quoc gia phong, chong HIV I AIDS nam 2018 tren dia ban huyen Duong Minh Chau.'. No'i nh~ng - BCD tlnh::j-. -TT HU; - Lanh d,:10 UBND huyen.; - Thanh vien BCD huyen; - Cac Phong, Ban, Nganh huyen; - BCE) cac xa, th] tran; - Luu VT, VP HDND va UBND huyen. PHO~llllTJ<:H UBND HUYtN Tr n Thj Kim Doyen 6
Ph1,1 luc 1. GIAI THICH CHU DE THANG HANH D<)NG QUOC GIA PHONG, CHONG HIV/AIDS NAM 2018 (Tai lieu giai thich chu tm) "Hay hanh d<}ng d~ hurrng toi muc tieu 90-90-90 vao nam 2020!" M1,1c tieu 90-90-90 la gi? Tai hc)i nghi AIDS toan c~u a Uc thang 7 nam 2014, Lien Hop quoc da dira ra cac muc tieu dsn nam 2020 c6 90% s6 nguoi nhiem HIV bist duce tinh trang nhiern HIV cua minh; 90% s6 nguoi da ch~n dean nhiern HIV duce di~u trj ARV va 90% s6 nguoi duce disu tri ARV kism soat duce tai hrong vi rut a mire thap ds song khoe manh va lam giam nguy ca lay truyen HIV cho nguoi khac. Ba muc tieu nay duoc goi la M1,1c tieu 90-90 - 90 cua Lien hop quoc. Tai sao muc tieu 90-90-90 lai quan trong v6'i phong, chbng HIV/AIDS? Cac muc tieu 90-90-90 la hst sue quan trong, c6 tinh chisn hroc trong phong, chong HIV/AIDS n6i chung ciing nhu ds c6 ths kst thuc dich HIV/AIDS vao nam 2030 boi vi: - 90 /o sb nguo'i nhi~m HIV bi~t dmyc tinh trang nhi~m HIV ciia minh: NSu mot nguoi nhiem HIV ma khong biet minh nhiem thi co ths VO tinh lam lay nhiem HIV cho nguoi than va cho nguoi khac trong cong d6ng. Han nira neu nguoi nhiem HIV khong bist duce tinh trang nhiem HIV thi ho ciing khong tiep can cac dich vu du phong, cham s6c va di Su tri HIV I AIDS va nguoi cung cfip dich V\J ccing khong tiep c~n va cung cfip cac dich vu phong, chong HIV/AIDS cho ho. Khi khong bist duce s6 nguoi nhiern HIV thuc ts trong cong d6ng cfing se gay kh6 khan trong viec l?p ks hoach phong, chong HIV/AIDS. - 90 /o sb ngrroi da ch~n doan nhi~m HIV drrgc di~u tr] ARV: Viec disu tri sorn bang thuoc ARV se giup cho nguoi nhiem HIV tisp tuc keo dai CUQC song khoe manh, giam cac nhiem trung ca hoi. Han nira, hien nay cac nha khoa hoc da clnrng minh "Khong phat hien = Khong lay truyen" rue la nsu mot ngiroi nhiem HIV duce disu tri som bang thuoc ARV, tuan thu disu tri t6t thi thong tlnrong sau 6 thang disu tri ARV se co tai hrong vi rut duoi nguong phat hien (200 ban sao/ml mau) se khong
lam lay truyen HIV cho ban tinh qua quan h~ tinh due, lam giam lay truyen HIV tu my sang con. - 90 /o s6 ngmri dmrc di~u tr] ARV ki~m soat dm)'c tai Irrgng vi rut o mire thfip d~ s6ng khoe rnanh va giam nguy co lay truyen HIV sang nguot khac: Viec kiem scat tai luong vi rut HIV 6 rmrc thap duoi ngirong phat hien la chi bao quan trong lien quan dsn chat hrong va tuan thu disu tri bing thu6c khang HIV. Nhir V?Y, cac muc tieu nay c6 lien quan mat thiet voi nhau. Tu tiep can voi nhirng nguoi c6 hanh vi nguy ca cao de tu viln, du phong lay nhiem HIV va tao ca hoi cho ho ti Sp can cac dich vu xet nghiem HIV. Khi mot nguoi duce ch~n doan nhiern HIV cfin duoc kst n6i voi dich vu disu tri ARV va duy tri t6t viec tuan thu disu tri. NSu dat duce 3 muc tieu quan trong nay thi chung ta c6 ths phat hien duce hfiu hst nhfrng nguoi nhiern HIV trong cong d6ng; di Su tri duce h.u hst nhirng nguoi nhiern HIV voi kst qua disu tri t6t, giam t6i da kha nang lay nhism HIV cho nguoi khac, nguoi da nhiem HIV c6 CUQC song khoe manh, khi cac muc tieu 90-90-90 dat duce vao nam 2020 se tao da de tu d6 c6 the dat duce muc tieu to Ion hon la kst thuc dai djch HIV/AIDS vao nam 2030. Tai sao narn 2018, Vi~t Nam l~i chon chu d~ "Hay hanh d«}ng d~ huong toi muc tieu 90-90-90 vao narn 2020!"? NhiJu nguiri nhiim HIV van chua biit tinh trang nhiim HIV Mac du xet nghiem HIV quan trong, chi c6 xet nghiern HIV moi bist mot nguoi c6 bi nhiern HIV hay kh6ng va dich vu xet nghiern HIV hien nay da duce trisn khai rong rai voi hon 1.300 ca so y ts cung cilp dich vu tu viln va xet nghiem HIV sang loc 6 100% cac huyen; ca nuoc c6 13 8 phong xet nghiem khang dinh HIV 6 tilt ca cac tinh va mot s6 huyen vung sau, vung xa. Ngoai xet nghiem tai co SO' y t, xet nghiern HIV tai cong d6ng thong qua cac can be) y ts thuc hien hoac do cac nhan vien tiep can cong dong (la nhtrng nguoi kh6ng chuyen) duce t?p huiln, huong dftn ciing c6 ths thuc hien xet nghiern sang loc HIV. Xet nghiern dua vao cong d6ng ciing dang duce trien khai tai nhisu tinh thanh pho. V oi ky thuat ngay cang don gian, xet nghiern HIV hien nay tham chi c6 the
duce tu thirc hien qua 1.y mau dfiu ng6n tay ds xet nghiern hoac tu xet nghiern bing dich mieng. Tuy nhien nhisu nguoi nhiem HIV vftn chua bist tinh trang nhiern HIV cua minh. Theo uoc tinh, Viet Nam hien co khoang 250.000 nguoi nhiern HIV hien con song, tuy nhien chi co khoang gfin 200.000 nguoi nhism HIV biet duce tinh trang nhiem HIV cua minh. Nhu vay vftn con hon 50.000 ngiroi nhiem HIV chua biet tinh trang nhiem HIV. H9 se co ths "vo tinh" la nguon lay nhiem HIV cho cong d6ng do khong duce tu v.n va tiep can cac dich vu du phong, ho cling khong duce tiep can cac dich vu disu tri ARV sorn ds bao v~ sue khoe cho chinh ban than ho va lam giarn lay truyen HIV ra cong d6ng. Cung dua tren iroc tinh, hien Viet Nam moi chi co gfin 80% nguoi nhiem HIV biet tinh trang nhiem HIV cua minh, trong khi chi con 2 nam ds dat toi muc tieu 90% thir nhat, do la khoang each Ion cfin sir n6 hrc cua ca cong dong. NhiJu nguoi tlu!)'c ch Jn dodn nhiffm HIV van chuu tham gia ttiju tri ARV Viec disu tri ARV hien nay da duce ma rong toi t.t ca cac tinh, thanh ph6 trong toan quoc voi 470 ca SO' disu tri ARV a t.t ca cac tinh thanh pho va hfiu hst cac huyen, co toi 652 ca so c.p phat thuoc ARV tai tram y ts xa. Thu6c ARV hien nay dang duce cac du an c.p mien phi va se duce c.p thong qua bao hism y ts trong nhirng nam toi. Viec disu tri ARV da duce B9 y ts ma rong cho t.t ca rnoi nguoi duoc chan doan nhiern HIV se dieu tri ngay ma khong phu thuoc vao s6 hrong ts bao CD4 va giai doan lam sang. Tuy nhien hien nay moi chi co khoang g~n 130.000 nguoi nhiem HIV duce dieu tri bing thu6c ARV, dat duce khoang 65% s6 nguoi ch.n dean nhiem HIV duce disu tri bing thuoc ARV. Nhu v~y vftn co khoang 60.000 nguoi duce ch.n doan nhiem HIV chua tham gia di Su tri ARV. NhiJu kit quii tl(lt tlu!)'c nhung kho khiin thtich thtrc van rfit fun do v~y cfm tiing cuong hanh tl~ng Nam 2018 la narn thir 5 lien ti Sp, Viet Nam ti Sp tuc theo du6i va thirc hien muc tieu 90-90-90. Mac du trong nhtrng narn qua, Viet Nam da dat nhieu thanh tiru trong phong, chong HIV/AIDS nhu 10 nam lien dich HIV duoc kism soat a ca 3 tieu
chi: Giam s6 nguoi nhiem moi HIV hang nam; giam s6 nguoi chuyen sang AIDS va giam s6 nguoi tu vong do HIV/AIDS. Viet Nam da tiep tuc kiem scat duce ty l~ nhiern HIV trong cong dong dan cu 6 mire duoi 0,3%. Tuy nhien, nhir da ds c~p tren, cac chi tieu hien tai cua Viet Nam con kha xa so voi cac muc tieu 90-90-90 ma Lien Hop quoc ds ra. NhiSu kh6 khan thach thirc dang t6n tai: Dich HIV v~n dang tiern ~n nguy ca bung phat vi v~n con nhisu ngiroi nhiem HIV trong cong d6ng chua duce phat hien d~c biet khu vuc misn nui, vung sau trong khi ty l~ nhiem HIV trong nh6m nguoi nghien chich ma tuy co xu huong tang tro lai; lay truyen HIV trong nh6m nam quan h~ tinh due dong gioi (MSM) c6 xu huong tang nhanh, dac biet trong nh6m MSM tre tuoi; Sµ gia tang s6 ngiroi SU' dung ma tuy t6ng hop; Su thay d6i vs t6 chirc va sir d.t giam cac nguon lire vien tro quoc ts se anh huong tieu ClJC dsn cong tac phong, chong HIV/AIDS. Hanh lang phap ly cua Viet Nam kha d~y du, duce cac t6 chirc quoc ts danh gia cao. Cac cam kst chinh tri cho phong, chong HIV/AIDS cfing 6 mire cao 6 ca cap trung irong va dia phirong. Tuy nhien ds dat duce muc tieu 90-90-90 chi cam kst khong la khong du ma c~n phai c6 hanh dong manh me hon ntra cua m6i nguoi Hinh dao, m6i nguoi dan trong viec phong, chong HIV/AIDS. N6 cfing doi hoi chuong trinh phong, chong HIV I AIDS c~n phai c6 nhirng di Su chinh thich hop voi tinh hinh moi ds dat duce muc tieu 90-90-90. Day la nhfrng muc tieu hst sue tham vong va rftt thach thirc. Tuy nhien neu dat duce nhirng muc tieu nay, khong chi la bao v~ sue khoe tinh mang cua con nguoi ma con la su 6n dinh va phat trien cua quoc gia. Trong b6i canh dich HIV mang tinh toan d.u va tac dong toan c~u, neu Viet Nam lam t6t cong tac phong, chong HIV/AIDS n6i chung va thuc hien thing lei cac muc tieu 90-90-90 thi n6 khong chi c6 y nghia thi t thuc d6i voi nguoi dan Viet Nam ma ca voi cong dong quoc ts va disu quan trong d6 la tisn ds ds tisn toi kst thuc dai dich AIDS vao nam 2030./.
Phi} Ive 2. KHAU nrsu CUA THA.NG HANH DQNG QUOC GIA PHONG, CHONG AIDS NAM 2018 1. Xet nghiem la each duy nh~t ds bist tinh trang nhiem HIV cua ban! 2. Xet nghiem HIV sorn lad~ bao v? chinh minh va nguoi than! 3. Nguoi c6 hanh vi nguy cacao nen xet nghiem HIV dinh ky 6 thang I l~n. 4. DiSu tri ARV som giup nguoi nhiem HIV song khoe manh va giam lay nhiem HIV cho ngiroi khac! 5. Tham gia bao hiem y ts la each t6t nhat ds ngiroi nhiem HIV duce dieu tri HIV/AIDS lien tuc suot doi! 6. Phu nfr mang thai c~n xet nghiem HIV trong 3 thang d~u ds du phong lay truyen HIV tu me sang con! nam 2018! 7. Hay SU dung bao cao SU d~ bao v? cho ban va nguoi than! 8. Dung rieng barn kim tiem S?Ch giup phong lay nhiem HIV! 9. Methadone - LiSu thuoc vang cho ngiroi nghien ma tuy! 10. Khong ky thi va phan biet d6i xtr voi nguoi nhiem HIV/AIDS! 11. Nhiet li?t huong (mg Ngay ThS gioi phong, chong AIDS 01/12/2018! 12. Nhiet liet huong (mg Thang hanh dong quoc gia phong, chong HIV I AIDS