Quyết định số: 40/2015/QĐ-UBND tỉnh Long An

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Quyết định số: 40/2015/QĐ-UBND về việc ban hành Kế hoạch thực hiện Đề án "Bảo đảm tài chính cho các hoạt động phòng, chống HIV/AIDS tỉnh Long An giai đoạn 2015-2020; căn cứ Luật Tổ chức HĐND và UBND ngày 26/11/2003; căn cứ Luật Ngân sách nhà nước 16/12/2002;... Hy vọng tài liệu là nguồn thông tin hữu ích cho quá trình học tập và nghiên cứu của các bạn.

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Nội dung Text: Quyết định số: 40/2015/QĐ-UBND tỉnh Long An

tY BAN NHAN DAN LONG HOA XA HQI CHU NGHIA VIET NAM TiNH LONG AN D(1c1;ap - Ty do - 14.nh phtic So: IO /2015/QD-UBND Long An, ngay/Pvthcing 8 nam 2015 QUYET DINH Ve AO ban hanh Ke ho#ch thirc hifn De an "Bao dam tai chinh cho cac boat &Ong phimg, chOng HIV/AIDS tinh Long An giai (loan 2015-2020" UY BAN1\111AN DAN TINH LONG AN Can cir Lu4t T6 chirc HDND va UBND ngay 26 thang 11 nam 2003; Can cir Lust Ngan sach nha nuac ngay 16/12/2002; , Can Luat Phong, ch6ng vi rift gay ra chimg suy giam miZri dich mac phai o nguoi (HIV/AIDS) ngay 29/6/2006; Can cir Luat Kharn benh, chita benh ngay 23/11/2009; Can cir Nghi dinh s6' 108/2007/ND-CP ngay 26/6/2007 dm Chinh phu quy dinh chi det thi hanh mot so dieu cua Luat Phang, chong nhiem vi rift gay ra hOi chimg suy giam mien dich mac phal u nguoi (HIV/AIDS); Can cir Quyet dinh s6 608/QD-TTg ngay 25/5/2012 dm Thir Wang Chinh phil ye viec phe duyet Chien ludic Qu6c gia phong, ch6ng HIV/AIDS den nam 2020 va tam nhin 2030. Can dr ThOng to lien tich s6 163/2012/TTLT-BTC-BYT ngay 08/10/2012 cila Lien B4) Tai chinh - BO Y to quy dinh quan ISrva sir dung kinh phi thuc hien Chuang trinh muc tieu quoc gia phong, chong HIV/AIDS giai down 2012 - 2015. Can cir Quyet dinh s6 1899/QD-TTg ngay 16/10/2013 dm Thin tue,ing Chinh phe duyet De an "Bao dam tai chinh cho cac hog dOng phong, chong HIV/AIDS giai down 2013-2020". Can cir Nghi quy& so 203/2015/NQ-HDND ngay 15/7/2015 dm HO i d,Ong nhan dan tinh khOa VIII IcSi hop thir 13 ye phe duyet hoach thuc hien De an "Bao dam tai chinh cho cac hoat dOng phOng, chong HIV/ALDS tinh Loag An giai (loan 2015-2020"; Xet de nghi cua Su Y to tai to trinh s6 1524/SYT-KHTC ng4 04/8/2015, QUYET DINH: Dieu 1. Ban hanh Ke hoach thut hien De an "Bao dam tai chinh cho cac hog (lOng phong, ch6ng HIV/AIDS tinh Long An giai down 2015-2020" (dinh kem), voi cac not dung chinh nhu sau: 1. Muc tieu ke hoach a) AffiC lieu chung:
Dam bao nun tai chinh ben yang cho viec thuc hien cong cac muc tieu dm Chien lugc quoc gia phong, chongHIV/AIDS den denna'm 2020 va tam nhin den nam 2030. b) 3.1(1C thk - Tang dart t-ST le chi tieu cho ding tac phong, ch6ng HIV/AIDS tir npn sach dia phuong bao dam ducic nhu cau kinh phi cho hog Ong phong chOng HIV/AIDS tai tinh. - Bao dam 80% doanh nghiep chii Ong b6 tri kink phi de trien khai cac hog c115ng phong, chong HIV/AIDS tai doanh nghiep. - Bao dam 80% s6 benh nhan nhi6m HIV có the bao hiem y to dugc chi tra theo quy dinh vao nam 2016 va dat 100% vao nam 2020. - Tang ngutin thu tir mOt s6 dich vu phong, ch6ng HIV/AIDS to can a coi thu - chi cho cac hog Ong dm cac (Lich vu nay. 2. Kinh phi th hien Dkra teen cac s6 lieu ve xu huang lay nhie'm HIV den nam 2020, n'L kinh phi Chucmg truth muc tieu quOc gia phong, ch6ng HIV/AIDS khong con, de can thiep phong, chong HIV/AIDS cO hieu qua, dia phucmg can cap kinh giai doan 2015-2020 la 24,584 tS7dOng chi'em ty tong 24,71% trong tong chi. Kinh phi phan b6 chi tik theo timg nam nhu sau: Dan TO' clang x Tang (%) Nguon nen sach/Nam 2015 2016 2017 2018 2019 2020 cong - Ngan sach Trung yang 0,709 - - - - - 0,709 0,71 - Ngan sach dia phuong 1,153 2,984 3,849 4,258 5,564 6,776 24,584 24,71 - Ngan sach cac der an 7,838 6,825 5,557 4,303 2,912 2,286 29,721 29,88 - Thu ter bao hiem y to 0,644 0,987 1,325 1,709 2,146 2,644 9,455 9,51 - Thu viOn phi va cac 3,124 4,734 6,955 8,541 9,671 35,001 35,19 1,976 ngulin khac Tang nhu cau 12,320 13,920 15,465 17,225 19,163 21,377 99,470 100,00 Truong hop kinh phi phong chOng HIV/AIDS duqc cap 16ng gh6p vao Chucmg trinh muc tieu queic gia giam ngheo ben vimg va xay dung nong them dia phuong can cap kinh phi giai doan 2015-2020 la 8,975 tS, dOng (ngan sach Trung ucmg nam 2015 da phan b6 0,709 t-Sr dtmg), chiem tS7 trong 9,02% trong timg chi. Kinh phi phan b6 chi tit theo timg ram nhu sau:
Don vi: clang Tang Nguan nein sich/Nim 2015 2016 2017 2018 2019 2020 A (°A) c9ng - Ngan sitch Trung uang 0,709 1,721 2,463 2,732 3,881 4,812 16,318 16,40 - Ngan sach dia phucmg 1,153 1,263 1,386 1,526 1,683 1,964 8,975 9,02 - Ngan sach cac dtr an 7,838 6,825 5,557 4,303 2,912 2,286 29,721 29,88 - Thu tir bio hiem y to 0,644 0,987 1,325 1,709 2,146 • 2,644 9,455 9,51 - Thu vin phi va the 1,976 3,124 4,734 6,955 8,541 9,671 35,001 35,19 nguo),n khac Tang nhu cau 12,320 13,920 15,465 17,225 19,163 21,377 99,470 100,00 Dieu 2. Giao Ser Y to chu tri, phi hop vOi ser nganh lien quan va UBND cac huyen, thi xa Kien Tuimg, thanh phO Tan An to chi:re trien khai thkrc Ke hoach ban hanh kern theo Quyet dinh nay. Quyet dinh nay co hieu tkrc thi hanh sau 10 ngay Ice tir ngay 147. Dieu 3. Chanh VAn phong UBND tinh; Giam d6c cac ser: Y te, Tai chinh, Ke hoach va Dau tu; Chu tich UBND cac huyen, thi xa Kien Tirerng, thanh phO Tan An va Thu truang cac don vi lien quan can dr Quyet dinh thi hanh./. Noi nh0n: - Cdc Be: Y 4, Tai chinh, KH&DT; - Bb Tu phip (Cue kiem tra VBQPPL); - TT.TU, TT.HDND tinh; - CT, cac PCT. UBND tinh; - Dai Neu QH tinh Long An; - Dai bleu HDND tinh khoa VIII; - TT. UBMTTQVN tinh va cac down the tinh; - Cac set, nganh thuOc UBND tinh; - BHXH Long An; - UBND cac huyen, thi xa, thanh phti; - Nhu Dieu 3; Do Hfru Lam - Phbng: NCVX; NCKT; - Ltru: VT, MT. 3
tY BAN NHAN DAN CQNG HOA X.A HQI CHU NGHIA VItT NAM TINH LONG AN DOc rap - Ttr do - Hanh phtic Long An, ngay A thing 8 nam 2015 KE HOACH Thtrc hien De an "Wfio dam tai chinh cho cac hoat Ong phong, chOng HIV/AIDS tinh Long An giai doan 2015 - 2020" Thuc hien chi dao cua Thu tuang Chinh phit tai Quyet dinh s6 1899/QD- TTg ngdy 16/10/2013 ve viec xay chmg Ke hoach thuc hien De an "Bao dam tai chinh cho cac hog diing phOng, chting HIV/AIDS giai doan 2013-2020", 1.113ND tinh xay dung Ice hoach thuc hien vii cac not dung chinh nhu sau: PhAn I KHAI QUAT TINH HINH PHONG, CHONG HIV/AIDS THOI GIAN QUA I. TINH HINH DICH HIV/AIDS TINH LONG AN DEN THANG 912014 Sau 21 nam phat hien benh nhan (BN) nhigin HIV d'A.0 tien vao thing 8/1993, den cu6i thing 9 nam 2014, town tinh có 4.167 BN nhijn HIV, 2.421 chuye'n AIDS, 1.320 ca ter vong, s6 BN con song clang quan 15T la 1.501, trong do 1.351 BN hien song O. dia phuang va 150 BN a Tnrang, Trai clung ten dia ban tinh, trong do a Trung tam Chita benh - Gido due lao dOng xa hOi có 24 BN (dieu tri ARV 19) va Trai giam Thanh Hoa-Tong cue VIII-BO Cong an co 116 BN (dieu tri ARV 56). Ca tinh hien có 15/15 huyen, thi, thanh pho vii 185/192 xa, phuaing, thi trap phat hien BN nhigm HIV chiem tST le 96,4%. Tai Long An s6 BN nhigm HIV cao deu tap trung tai 4 huyen Oa)) ranh thanh ph6 Ho Chi Minh Om Dire Hoa (626), Ben Lex (554 ca), Can Giui)c, (457 ca) va Can Duetc (230 ca), ngoai ra 2 huyen, thanh ph6 nam doc truc quOc le) 1 A di ve cac tinh Tay Nam b(13 so BN nhigrn HIV,cang kha cao, thanh ph6 Tan An (372) va Thira (174). Cac huyen yang Dong Thap Mu&i vagiap bier' giai Campuchia so BN nhigm HIV phat hien it hail tir 30-60 BN moi huyen gOm: Disc Hue, Tan Hung, Vinh Hung, Mocic Hoa, Tan Thanh, Thanh Hoa (Bang 1). Dich HIV trong tinh giai doan (2001-2004) trung binh phat hien 300-500 BN moi nam, giai doan (2005-2012) tinh hinh dich on dinh trung binh 180-280 BN moi nam, tuy nhien tir nam 2009 -2012 dich có xu huong tang deu va lien AK, den nam 2013 dich lai co xu huang giam. II. DAC DIEM DICH HIV/AIDS Ui LONG AN Dich HIV trong tinh lay lan chtit y6u qua duang mau teen d6i tuon€, benh nhan nghien chich chi6m t:ST le 64,2%, duang tinh due chiem 34,2% va me nhigm HIV truyen sang con chiem 1,5%. Trong 2 nam (2011-2012) dich HIV có xu 4
huong dich chuyen qua dtthmg tinh duc rat nhanh, tuy nhien den nam 2013-2014 s6 BN nhigm HIV do hanh vi tiem chich tang tra Ket qua xet nghiem HIV (XN HIV) giam sat trong diem (2009-2014) cho thdy sau 5 nam (2009-2013) tSr le nhigm HIV ten nhom doi tucmf benh nhan nghien chich ma tuy (BN NCMT) giam deu va lien ty.c, tuy nhien den nam 2014 tST le nhigrn HIV ten nhom d6i tuqng nay tang cao d(it bien (cao horn 2013 den 10,5%). D6i vori nhom phu nit ban dam (PNBD), t-ST le nhiem HIV din bien Bong on dinh, giai down (2007-2009) dao gong tir 2-2,3%, giai (loan (2010-:2011) chiem 0,6%, den nam 2012 tang cao dt)t bien 2,5%, trong 2 nam 2013-2014 tSr le nhiem HIV ten nhom PNBD giam din con 0,5%. Trong ding s6 BN nhigm HIV phat hien den thing 9/2014, ty le BN nam chiem 73,8% va nit chiem 26,2%, tuy nhien tir nam 2006 tST le BN nit tang deu NIA lien tuc hang nam, den thing 9 nam 2014 tST le BN nam-nu la 6.8/3.2; ding th&i so thai phu nhigm HIV ding tang theo, trong 4 nam (2010-2013) Mai nam phat hien him 30 truing hap. KET QUA HUY BONG VA Sil''DVNG KINH PHI (2008-2013) 1. Tinh hinh huy dOng kinh phi cho PC HIV/AIDS (Bang 2 va 3) i Warn 2012,‘ngu6n kinh phi trien khai hoat dOng PC HIV/AIDS cLo cac Ti Du an tai trg giam dan, (long thin nguOn ngan sach dm Chuang truth muc tieu quOc gia thieu but tram trong. a) Nguan ngan sack Nha ludic dtryc cap tir Trung !rang: Nr6r. kinh phi dugc cap to Trung uang thong qua Chuang trinh muc tieu Quoc gia PC REV/AIDS tir nam 2009-2013, mild nam tren 2 tS, ding. Day la ngu6n lcirth phi (hinha trien khai Ke hooch nharn slat chi tieu quific gia PC HIV/AIDS hang nam cua tinh, bao g6m kinh phi phan b6 cho tuyen huyen, xa va cac nganh, down the. Den nam 2014 kinh phi dugc cap giam 70%, do thieu kinh phi nen nhieu hoat ding PC HIV/AIDS a tuyen ca so, nhdt la cong tic truyen thin bi cat bó, cong tic du phong va dieu tri. HIV/AIDS dugc duy tri bang cac nguon kinh phi Du an tai trg. b) Ngun ngan sack Nha nwo'c duic diet phuang cap: Ngu6n kinh phi dugc cap tir ngan sach dia phuang chu yeu la kinh phi hoat dont thutmg xuyen va luong, phu cap. Ngoai ra hang nam kinh phi dia phuang cap de trier" khai cong tic XN HIV va Heroin cho thank nien kham tuyen nghla vu quan sir khoang 400 trieu, tir nom 2012 cap them mai nam khoang 580 trieu chi phu cap can b0 PC HIV/AIDS tuyen xa phu&ng theo Thong to lien tich so 163/2012/TTLT-BTC-BYT. Ve kinh phi hoat dOng thuang xuyen mai nam duce cap khoang 180 trieu ding, yen kinh phi nay Trung tam PC HIV/AIDS tinh khong du chi dien, nuac, bao tri bao quasi may mac de xet nghiem HIV va CD4 phuc vu dieu tri BN AIDS, kinh phi cung khong du chi tra cac hog Ong thuOng xuyen va tra lucmg cho bien the hqp (long theo Nghi dinh s6 68/2000/ND-CP cua Chinh 5
c) Nguan vign tr Y nu* ngoai thong qua cac Du. Tinh c6 3 ngu6n kinh phi Dv an chinh Dv an LIFE-GAP (nam 2013 dOi ten la Du an VAAC-US-CDC trien khai tir nam 2004), Dv an Quy town cau PC HIV'AIDS (2009) va Dv an PC HIV/AIDS khu vuc tieu vimg Me Cong ma rOng (ADB tai trot tix nam 2013). Kinh phi cac nguOn Dv an da Ong gop cho cong tic PC HIV/AIDS tai tinh rat 16n trong viec trien khai de dat cac muc tieu ve cham sac, dieu tri HIV/AIDS, can thiep giam tac hg du phong lay nhiem HIV (CTGTH), du phong lay truyen me con, to van XN HIV to nguyen. Tuy nhien, ke tix nam 2013 kinh phi cac Dv an da bat diu giam dan trong khi nhu cau mop rOng cac dich vu PC HIV/AIDS ngay cang tang, Dv an Qu'S'T toan cau cling giam mot phan kinh phi va se ket thiic vao nam 2015, Dv an VAAC-US.CDC ket thiic nam 2016. Vi v'ay, n6u khong c6 giai phap bao dam tinh ben \ding ye tai chirh, sau nam 2015 hoat Ong PC HIV/AIDS se gap khO khan, nhdt la linh vu.c chtm soc va dieu tri ARV cho ngoai nhiem HIV/AIDS d) Nguan bao hiam y to chi tra: BHYT chua chi tra cho cac dich vu XN HIV cho thai phu va linh vtrc XN, cham soc va dieu tri ARV cho ngoai nhiem HIV/AIDS, ngoai ra da so BN nhiem HIV a tinh chua quan tam mua FIHYT, phan nhieu trong so ho thuOc gia dinh gap kho khan ye tai chinh. Nguan dong gop cfia Apr& set dung dick vu, ngoai nhiem HIV: Cac BO, nganh Trung yang chua c6 chinh sach thu phi BN nhiem HIV tir XN den chain soc va diet' tri ARV, dieu tri Methadone, day la thach thirc 16.n tong thai gian ton khi cac nguon vien trg va Chuang trinh muc tieu quoc gia bi cat giam, Ong then BHYT ding chua c6 chinh sach chi tra Oi vai dich vu du phong, cham soc va dieu tri HIV/AIDS. e) Nguan khdc: Moi nam, Trung tam PC HIV/AIDS dugc giao chi tieu thu phi XN HIV va XN CD4 tir 30-50 trieu, chinh sach thu phi nay ding chua phii hop vi thu., khong dpi chi ve cac khoan dien, bao tri bao quan may trick, chi phi sinh pham va hao but sinh phdm, hoa chat. 2. Tinh hinh sir dung kinh phi PC HIV/AIDS tinh Long An Vai nguon kinh phi huy Ong tir cac Dv an, Chuang trinh muc tieu quOc gia va neon b6 sung ciia dia phucmg ten 10 tS, hang nam de trien khai cac hog Ong nham dat dugc cac muc tieu PC HIV/AIDS dkra theo Hop d6ng trach nhiem yen nha tai trg va chi tieu BO Y to giao hang nam. Viec sir dung kinh phi ten nguyen tac phi hap cac host dOng de ctat cac muc tieu de ra ten tinh than hieu qua, tiet kiem va tuan thu nguyen tac tai chinh hien hanh. Dinh ky deu c6 kiem town de bao dam sir dung kinh phi dimg nguyen tic tai chinh va not dung hog Ong cac Du an yeu cau. Ngoai ra, cac host Ong PC HIV/AIDS deu dugc giam sat ho trg, kiem tra nhim dam bao cac hog Ong dugc trien khai dung thed gian NIA dg hieu qua. TS, le giai ngan cac nguim kinh phi dugc cap tir Chuang trinh muc tieu qu'Oc gia, kinh phi dia phuang va cac nguon von tai trot deu dat tir 80-100% hang nam. Tuy nhien, c6 mot so nam do tinh hinh 1(57 ket Hop Ong trach nhiera gift Tinh va Trung ucmg tien hanh cham tre lam anh huong den cong the 14p ke hoach, cap kinh phi va trien khai hog Ong nen ding tac giai ngan chua dat chi tieu. 6
Tnrac nam 2004, cac hoat dOng PC HIV/AIDS tinh chu yeti tap trung giai phap truyen thOng thay dOi hanh vi nhung chua char, caz thorn dOi Wong dich CO hanh vi nguy ca a lay nhiem HIV trong cong clung nhu BN NCMT, PNBD. Vi \Tay, tinh hinh dich HIV trong giai doan nay luon a mire cao va su anh hu&ng cua dich doi vai the nhom nguy Ca thap chua kiem soat dugc. Den nam 2005 va nhimg nam tiep theo, su ho trot kinh phi va ky thuSt tir cac Du an ding nhu Chuang trinh muc tieu quoc gia, nhieu Chuang trinh du phong, chain soc va dieu tri dugc trien khai, dO bao phi]. ngay cang rung rai. Vi vSy, so lugng ngue.i c6 nguy ca de lay nhiem HIV dugc tiep can van cac d:ch vu ngay cang tang nhu phan phat bao cao su (BCS), barn kim tiem (BKT), tu van XN HIV to nguyen, cham soc va diet' tri ARV. Cac giai phap can thiep PC HIV/AIDS then khai trong nhang nam qua da c6 tic dOng rat lan den viec nang cao hieu biet va thvc hanh hanh vi an toan PC HIV/AIDS, tir d6 giam mirc do anh huong cUa dich HIV trong cong dong. 3. Tfic dOng cua viec sir dung kinh phi den viec thyc hien cac foe an thuOc Chien kw quec gia PC HIV/AIDS - COng tic truyen thong, thay d6i hanh vi PC HIV/AIDS va CTGT13 ten cac nhom doi tuong nguy ca cao da gOp phL on dinh tinh hinh lay nhiem HIV trong cong dung. Cong tic giam sat, theo dal HIV/AIDS ngay cang dugc cai thien, gop phan quan trong trong viec clank gia tinh hinh dich HIV/AIDS dugc chirth xac, tix d6 xac dinh nhu cau va miric tieu PC HIV/AIDS hang nam phu hop va sat vai thvc te. - Cong tic tu van, XN HIV gap phL phat hien sam cac tnrerng hop HIV duang tinh, chuyen tiep den cac ca soy dieu tri ARV, qua d6 g6p phan cai thien sirc kh6e brih than, giam ding ke truerng hop tir vong do AIDS va giam nguy ca lay truyen HIV trong cong doing. - Chuang trinh du phong lay truyen HIV tir me sang con dugc trien khai rung khap 15/15 huyen, thi, thanh pho g6p phan giam ding ke su lay nhiem HIV tir me sang con. Vai su dau tu ngu6n kinh phi hang Warn tir cac Dv an da gop phL chat cac mkic tieu cila De an thueic chien lugc qu6c gia qua tirng nam tiz dO g6p phan cimg vai ca ntrac tien tai thiyc hien tam thin "Ba khong" dia Lien Hiep Quoc: Khong con ngueri nhiem HIV mai, khong con nguoi tir vong do AIDS va lchong con phan biet d6i xir v6ri ngueri nhiem Phan II Kt HOACH KINH PHI TRIEN KHAI CAC HOAT BONG PHONG, CHONG HIV/AIDS TiNH LONG AN GIAI DOAN 2015-2020 I. CO SO XAY DVNG Kt ROACH - Lust phong, ch6ng vi rat gay ra hei chung suy giam mien dich phai nguei (HIV/AIDS) ngay 29/6/2006. - Lt.* Kham benh, chua benh ngay 23/11/2009. 7
Nghi dinh s6 108/2007/ND-CP ngay 26/6/2007 ciia Chinh phu quy dinh chi tiet thi hanh mot so dieu dm Lust Phong, ch6ng nhigm vi rut gay ra hOi chimg suy giam mien dich mac phai e nguai (HIV/AIDS). - Thong to lien Lich se; 163/2012/TTLT-BTC-BYT ngay 08/10/2012 caa Lien BO Tai chinh - BO Y t6 quy dinh quan 13", va sir dung kinh phi thin:, hien Chuang tfinh muc fieu quoc gia phong, ch6ng HIV/AIDS giai down 2012 - 2015. - Quyet dinh s6 608/QD-TTg ngay 25/5/2012 dm Thu tuang Chinh phu ve viec phe duyst Chien hive Qu6c gia phong, ch6ng HIV/AIDS den narri 2020 va tam nhin 2030. - Quyet dinh s6 1899/QD-TTg ngay 16/10/2013 &la Thu tuang Chinh phu phe duy* De an "ado dam tai chinh cho cac hoat dOng phong, ch6ng HIV/AIDS giai (loan 2013-2020". - Huang dan s6 999/HD-BYT ngay 18/12/2013 cila BO Y t.6 ye viec htrang dan trien khai thuc hien De an Bao dam tai chinh cho cac boat dOng phOng, ch6ng HIV/AIDS giai down 2014-2020 tai cac tinh, thanh ph6 true thuOc Trung ucmg. - Chi thi s6 23/CT-TTg ngay 05/8/2014 dm Thu tuang Chinh phit ye viec lap Ke hoach d'Au to cong trong han 5 nam 2016-2020. - Quyet dinh s6 1632/QD-UBND ngay 28/5/2012 cua UBND tinh ban hanh ve viec thanh lap Ban chi dao phong, chong AIDS, va phong ch6ng ma nay, mai dam tren dia ban tinh Long An theo Quyet dinh so 61/2001)/QD- TTg cua Thu Wang Chinh - Quyet dinh s6 5031/2005/QD-UBND ngay 23/12/2005 dm UBND tinh ban hanh ye vi'c thanh1Sp Trung tam Phong, ch6ng HIV/AIDS film thuOc ser Y te. - Quyet dinh s6 99/QD-SYT ngay 13/02/2014 cila Soy Y to ve v* ban hanh chic nang, nhiem vu, quyen han va ca cau to chic cua Trung tam Phong, chOng HIV/AIDS tinh Long An; - Quyet dinh s6 861/QD-SYT ngay 04/9/2013 cua Sa Y to ban hanh ve viec thanh lap Ph6ng dieu tri Methadone thuOc Trung tam Phong, chemg HIV/AIDS. II. NHAN DINH TINH HiNH DICH HIV/AIDS TINH LONG AN DEN NAM 2020 Tir nam 1993-2013 tong s6 BN nhigm HIV mai phat hi0 la 3.994, t& nam 2013, dich HIV trong tinh Ichong gia tang so ca nhiem mai nhung co nhimg yeu to nguy ca tic dOng den su bimg phat dich tra lai. TS/ le nhiem HIV tren nhom phu nit tang lien tic va nhat la s6 thai phu phat hien nhiem HIV hang nam van con cao. Neu duy tri tat ca cac hoat &Ong phong, chiing HIV/AIDS (PC HIV/AIDS) nhu hien nay nhu: tang cuang ding tac truyen thong, tang bao phi]. Chuang truth CTGTH, dieu tri ARV aim cho BN nhigm HIV, dieu tri du phong lay nhiem HIV tir me sang con va mop rang dich vu dieu tri Methadone thi có the giam s6 BN nhiem HIV mei hang nam khoang 10%, trac tinh so luong BN nhigm HIV ca tinh den nam 2020 han 5.000 BN. 8
QUAN DIEM VE BAO DAM TAI CHiNH CHO CAC BOAT BONG PHONG, CHONG HIV/AIDS, GIAI DOAN 2015-2020 - Bao dam dau tu cac nguOn hit cho PC HIV/AIDS phis hgp vori din bien tinh hinh (Lich HIV/AIDS, Icha nang va dieu kien phat trien kinh to - xa tinh, &zing th6i day manh xa hOi,h6a cong tac PC HIV/AIDS, trong d6 tap trung dau tu cho cac hog dOng thiet yeu, mang tinh ben vimg, lau dai, co hieu qua cao bao g6m du phong va cham s6c, dieu tri HIV/AIDS la chu dao. - Chu dOng b6 tri ngan sach thich hgp nh&'m bao dam tai chinh cho cac hog dOng PC HIV/AIDS tai Tinh. - Xay dung, then khai cac me hinh cung cap dich vu, cac hog dOng PC HIV/AIDS theo hung chi phi - hieu qua. A - PC HIV/AIDS la mot nhiem vu quan tong, lau dai, can co su phi i hop lien ngarth cua tat ca cac cap fry Dang, the s6 nganh, chinh quyen cac cap va la bon ph4n, trach nhiem cua moi ngu6i clan, m8i gia dinh va cong dOng. IV. MUC TIEU CUA ICE ROACH 1. Muc tieu chung Bao dam ngu6n tai chinh ben vcing cho viec thuc hien thanh cong cac mix lieu dm Chien lugc quoc gia PC HIV/AIDS den nam 2020 va tam nhin den nam 2030. 2. Muc tieu cu the - Tang dart tS7 le chi tieu cho cong tic PC HIV/AIDS tir ngan sach dia phucmg bao dam dugc nhu eau kinh phi cho hoa, t dOng PC HIV/AIDS tai tinh. - Bao dam 80% doanh nghiep chu dOng b6 tri kinh phi de trien khai cac "hog citing PC HIV/AIDS tai doanh nghiep. - Bao dam 80% s6 BN nhiem HIV c6 the BHYT dugc chi tra theo quy dinh vao nam 2016 va dat 100% vao nam 2020; - Tang nguizin thu tir mot s6 dich vu PC HIV/AIDS de tu can d6i thu - chi cho cac hog dOng cua cac dich vu nay. V. NHU CAU KINH PHI TRIEN KHAI HOAT DQNG PC HIV/AIDS GIAI DOAN 2015-2020 (Bang 4) Tai Long An, Oa tren cac so lieu ve xu hue:mg lay nhigm HIV den nam 2020, de can thiep PC HIV/AIDS c6 hieu qua, kinh phi ugc tinh can hog dOng la 99,470 tS7 doting, trung binh m6i nam teen 16,578 t57. Ngutm kinh phi huy dOng tit ngan sach Trung ucmg 16,318 tS7 dong, chiem tS7 le 16,40%, ngu6n kinh phi dia phucmg 8,975 ty (9,02%), ngan sach cac du an (chic yeu ho trot thu6c men) 29,721 tS7 (29,88%), thu tir bao hiem y to 9,455 tS7 (9,51%), thu vien phi 17a cac ngu'on khac 35,001 tS7 (35,19%). VOi tong nhu cau kinh phi 99,470 tS7, trong d6 trac tinh chi cho De an du phong lay nhiem HIV la 46,584 tS7 dong, chiem 47%; cham soc dieu tri 49,366 tS7 d6ng chiem 50%; Tang cubing nang luc he th6ng phong, chol ng HIV/AIDS 0,703 tS7 dOng, chiem 1%; Theo doi, giam sat, danh gia HIV/AIDS 2,E17 tS7 dong, chiem 3%. 9
Thuc ye, cong tac xay clung Ke hoach thuc hien De an "Bao dam tai chinh cho cac hoat d6ng phong, chong HIV/AIDS tinh Long An giai doan 2015-2020" ducc trien khai to nam 2013 theo Quyet dinh so 1899/QD-TTg ngay 16/10/2013 dm Thu Wang Chinh phis ve viec xay dung Ke hoach thuc hien De an Bao dam tai chinh cho cac hoat &Ong phong, ch6ng HIV/AIDS giai clop 2013-2020. Ngay 05/8/2014, Thu Wang Chinh phu tiep njc ban hanh Chi s6 23/CT-TTg ye viec lap Ke hoach dau to cong trung Ilan 5 nam 2016-2020, theo dO giai doan 2016-2020 chi thuc hien 2 Chuang trinh muc tieu qu6c gia Giam ngheo b8n vimg va Xay dung nOng them moi. Vi vay, neu kinh phi Chuang trinh muc tieu quoc gia phOng, chong HIV/AIDS khOng con, de can thiep phong, ch6ng HIV/AIDS CO hieu qua, clic phuang can cap kinh phi giai doan 2015-2020 la 24,584 tST clOng, chie'm tS, trong 24,71% trong tong chi. Kinh phi phan b6 chi tiet theo timg nam nhu sau: Dan Ty' clang x Nguon ngfin sach/NAm 2015 2016 2017 Tim; 2018 2019 2020 (%) Ong - Ngan sach Trung trong 0,709 - - - - - 0,709 0,71 - Ngan sach dia. phucmg 1,153 2,984 3,849 4,258 5,564 6,776 24,584 24,71 - Ngan sach cac du an 7,838 6,825 5,557 4,303 2,912 2,286 29,721 29,88 - Thu tir bao him y to 0,644 0,987 1,325 1,709 2,146 2,644 9,455 9,51 -Thu vin phi va cac 1,976 3,124 4,734 6,955 8,541 9,671 35,001 35,19 ngu8n khac Tang nhu au 12,320 13,920 15,465 17,225 19,163 21,377 99,470 100,00 Truong hop kinh phi phong ch6ng HIV/AIDS dugc cap 16ng ghep vao Chucmg trinh muc tieu quOc gia giam ngheo ben viing va xay dung ming, thon phucmg can cap kinh phi giai doan 2015-2020 la 8,975 tS, tiOng (ngan sach Trung uung nam 2015 da phan b6 0,709 tST dOng), chiem ty trong 9,02% trong tong chi. Kinh phi phan b6 chi ti6t theo timg nam nhu sau: Dan T.).. clang , Tang Nguon ngan sach/Nam 2015 2016 2017 2018 2019 2020 (%) cong - Ngan sach Trung uang 0,709 1,721 2,463 2,732 3,881 4,812 16,31:3 16,40 - Ngan sach dia. phuong 1,153 1,263 1,386 1,526 1,683 1,964 8,975 9,02 - Ngan sach cac du an 7,838 6,825 5,557 4,303 2,912 2,286 29,72 l 29,88 - Thu to bao hiem y to 0,644 0,987 1,325 1,709 2,146 2,644 9,455 9,51 - Thu vi0 phi va cac 1,976 3,124 4,734 6,955 8,541 9,671 35,001 35,19 nguoA n khac Tang nhu can 12,320 13,920 15,465 17,225 19,163 21,377 99,470 100,00 10
Plain IV GIAI PHAP VA TO CHITC THIX HItN I. DINH 1TIY6NG CAC NHOM GIAI PHAP CHU YEU I. Nhom giai phip ve huy dOng kinh phi -,Tang cuOng dau to ngan sach Nha nuac dia phuong cho cac hoat d6ng thiet yeu, co hieu qua de bao dam tinh ben \Tang cua cac hoat dOng PC HIV/AIDS. - Tang tinh chu diing cua cac s& nganh, down the trong viec huy dOng va can d6i, phan b6 kinh phi cho cac hoat dOng PC HIV/AIDS thucpham vi quan l$/. - Phat huy vai tro chu d6ng va trach nhiem cua dia . phucmg trong dau to cho PC HIV/AIDS. + Xem xet ban hanh cac ca che chinh sach ve vai tro, trach nhiem cua tinh trong viec lap Ice hoach va phan b6 ngfin sach cho cac hog d6ng PC HEV/Al[DS. + Xem xet ban hanh cac co the chinh sach ve vai tro, trach nhiem cua cac doanh nghiep trong viec lap Ice hoach va phan bo kinh phi hang nam cho cac hog Ong PC HIV/AIDS doi ngubi lao d6ng cua doanh nghiep. - Dua muc tieu, nhiem vu PC HIV/AIDS la mot trong nhang !nue tieu uu tien phat trien kinh to - xa h6i cua tinh, tien tai dua cac hoat dOng PC HIV/AIDS thanh cac hog d6ng thuong xuyen, lien tkic trong cac chucmg trinh, ke hoach phat trien kinh to - xa h6i cua tinh. - Tang cuang tuyen truyen, ph6 bien, kiem tra, giam sat viec thuc hien cac quy dinh cua phap luat ve PC HIV/AIDS tai nai lam viec. - Ra soat va de nghi sira d6i, b6 sung van ban c6 lien quan, nhu huang dan thu nhap chiu thue, de xuat not dung chi, mire chi cila cac hog gong PC HIV/AIDS tai nai lam viec. - Tang cuarng chi tra cac dick vuPC HIV/AIDS bang ngu6n dong g6p cua ngu&i sir dung dich vu chain soc, diet' tri HIV/AIDS. + Xay dung he th6ng cung cap dich vu dieu tri HIV/AIDS theo huang day manh su tham gia cua BHYT doi vai cac dich vu &Km cung cap. + Xay dung ke hoach thuc hien BHYT nham tang tinh chu dOng trong viec ma r6ng d6 bao phu caa BHYT dOi vai cac dich vu PC HIV/AIDS. + D'ay manh tuyen truyen, van doting va ho trq BN nhiem HIV tharn gia BHYT. + Trien khai thi diem tiep thi xa hOi BCS, BKT va timg buck m& rOtig dO bao phu & cac vimg tr9ng diem ve tinh hinh lay nhiem + Day math cong tac xa h6i hoa Chuang trinh dieu tri Methadone theo Nghi dinh s6 96/2012/ND-CP, trong do ngan sach Nha nu&c chi hO' trq cho mot s6 BN quy dinh tai Khoan 2 Dieu 23, phan cap to chirc chuong trinh vii chil d6ng b6 tri nguOn kinh phi tir ngan sach clic pluming va cac nguon khac. 11
+ Tang cuOng cong tac kiem tra, giam sat xir phat vi pham hanh chinh trong cong tac PC HIV/AIDS theo quy dinh va de xuat ca che sir dung :ngu6n thu tir hog d6ng nay. 2. Nhom giii phip quin 17 va sir dung hieu qui ngutin kinh phi - Hoan thien ca the dieu phOi, phan 136 nham kiem soat hieu qua itigu6n kinh phi huy demg &roc. + Day manh tinh chit d6ng cua tinh trong viec dieu ph6i, phan b6 va sir dung nguon + Tap trung ru tien kinh phi phan b6 cho cac nhiem vu du phong va dieu tri HIV/AIDS. + Tang cuong ca the trao doi thong tin gifra cac Ca quan dau mOi ve PC HIV/AIDS, cac sa nganh, cac nha tai troy va lien tuc cap nhat ve cac Dinh yuc, dia ban va doi ttrong can iru tien can thiep nham chit d6ng bo tri va dieu ph8i :aguOn luc ca trong ngan han, trung han va dai han. - Day manh cong tac kiem tra, giam sat sir dung hieu qua cac ngu6n kinh + Tang cueyng,vai tro giam sat dm Ban chi dao PC AIDS va PC to nan ma tity, mai dim tinh do v6i viec thuc hien cac giai phap huy d6ng, quan 1$r va sir dung cac ngu6n tai chinh cho PC HIV/AIDS; + Sa Y to phi hop voi cac ca quan lien quan tien hanh kiem tra, giam sat dinh kST cong tac quan 17 tai chinh cua cac Chuang trinh, Du an va cua cac ca quan, dan vi tham gia PC HIV/AIDS. - Thuc hien cac giai phap quan l5f Chuang trinh nham tOi uu h6a hieu qua sir dung nguon luc. + Cimg co, kien toan bO may va nang cao nang luc cac ca quan &au m6i ve PC HIV/AIDS tai cac tuyen nham tang cueng dieu phoi tap trung va hieu qua cac nguOn kinh phi cho cac hog Ong PC HIV/AIDS tai cac cap, cac nganh. + Dinh ICS, nghien ciru xac dinh cac au tien trong PC HIV/AIDS de c6 sit phan bo kinh phi hop VT. + Thuc hanh tiet kiem chi tieu trong PC HIV/AIDS, thuong xuyen kiem tra, giam sat viec thuc hanh fiat kiem chi lieu trong PC HIV/AIDS. + Ra soat va de nghi b6 sung, sira dOi, ban hanh moi cac co cite, chirih sach va cac huong din dua cong tic PC HIV/AIDS thanh nhiem vu thuong xuyen. + Thiet lap va m6 r6ng cac mo hinh cung cap dich vu c6 tinh chi phi - hieu qua. Ma rOng cac hinh thirc cung cap dich vu PC HIV/AIDS, tao dieu kien cho BN nhiem HIV duac tiep can sorra v6i cac dich vu, dac biet la dieu tri va cham soc HIV/AIDS. + Huy d6ng cac to chirc xa hOi, ,cac chirc dva vao cong (fang tham gia cung,cap cac dich vu PC HIV/AIDS bang nguon kinh phi to huy d6ng dirge (tir cac to chirc qui:3c te, cac doanh nghiep, cac nha tai tra khac); 12
+ Long ghep cac hog Ong PC HIV/AIDS vao cac he thong, thi'et the kinh to hien có, dac biet la he thong y to va cac Chuang trinh, Du an phk trial kinh t6' - xa hoi, cac phong trao, cac cu9c van O'ng vans chimg cua tinh. 3. Nhom giii phap ve Wang cao Hang luc (pan 1Sr Chiming trinh nham boa hien qua sir dung ngutin kinh phi - Tang arang nang luc to chirc, dieu hanh va phan tich chinh sash. + Giao ban dinh kSr nharn cung cap thong tin, chia se kinh nghiem ve to chirc dieu hanh, quan 1YT hog Ong PC HIV/AIDS cho thanh vien Ban chi dap PC AIDS cac cap. + To chirc cho cac thanh vien kiern tra, giam sat viec thuc hien cac hog d'ecg va sir dung nguOn luc cho cong tac PC HIV/AIDS tai cac tuyen theo nganh doc. + Tap huan nang cao rang luc tham muu, to chirc, dieu hanh va phan tich chinh sach cho cac co quan, can b9 truc tiep giup viec cho Ban chi dan cac cap. - Tang cuiyng nang luc dam bao nguOn tai chinh cho viec thuc hieri muc tiou chitin lugc. + TO chirc hoi nghi va hoi thao chuyen de ve nhu cAu nguOn luc tong the cho cac hog Ong PC HIV/AIDS thuc pham vi quan ly va de xuat giat phap huy dOng nguon luc tai chinh. + To chirc cac lap dao taos ngan han, lop tap huan chuyen nang luc lap ke hoach, xac dinh nhu cau nguon luc dua vao bang chimg, Wang luc huy Ong va sir dung hieu qua nguon tai chinh. + Hoi thao/h9i nghi chuyen de ve huy dung nguOn rue to cac to chirc xa hOi, cac doanh nghiep trong va ngoai nuerc, cac to chirc ton gido va nha'n clan de dam bao nguim lkrc thuc hien chitin lugc. + Tap huan cho cac co s& cung cap dich vu lien quan HIV/AIDS ve cac chinh sach BHYT cho BN nhigm HIV, truyen thong cho BN va than than tham gia BHYT. - Hoan thien quy trinh quyet town, giam sat ho trg qua trinh quyet town kinh phi tai cac don II. TO CHOC THI1C HIEN SiirY te - Chu tri, phi vai cac s& nganh có lien quan nghien eau, xay dung, ban hanh theo tham quyen hoac trinh cap có tham quyen ban hanh cac Wm ban huOng an, chi dao thuc hien De an nay. - Chu tri, phi hop vOi SO Ke hoach va Dau tu, SO Tai chinh de xuat tong du town ngan sach Nha nuac hang nam cho hog d9ng PC HIV/AIDS, than muu UBND tinh trinh H9i d'ong nhan dan theo l9 trinh tang dAn ngan sach dia phircmg qua cac nam de bao dam thuc hien muc tieu, nhiem vu ciia Chien lugc qutic gia PC HIV/AIDS den nam 2020. - Chu tri, phOi,hop vai SO Ke hoach va DAu tu, Tai chinh va cac s& nganh có lien quan tiep tuc nghien ciru, de xuat cac giai phap huy Ong tai chinh 13
cu the cho cac hoat dOng PC HIV/AIDS, bao gam ca viec huy dOng cac nguon vien trg - Chu tri, phai hop vai cac soi nganh la thanh vien cua Ban chi daD PC AIDS va PC to nan,ma tuy, mai dam va cac ca quan quan chirc trier) khai cac not dung cila De an trong pham vi nhiem vu, quyen han dirge giao. - Chi dao, huong dan, theo doi va giam sat viec trien khai,i) an; dinh IcS7 bao cao dong nhan dan, UBND tinh tinh hinh trien khai va ket qua thuc hien De an. - Theo doi, giam sat, danh gia, kiem tra tinh hinh thgc hien De an dm cac so. nganh, loan the tai tinh. 2. SO. Tai chinh - Can cu chirc nang, nhiem vu dirge giao va kha nang can dai ngan sach tham muu UBND tinh bo tri kinh phi hang nam de thuc hien ice no4ch. - Phai hap Sa Y to to chirc kiem tra, giam sat dinh kST, dOt xudt tinh hinh huy dOng, quail 1S, va sir dung kinh phi PC HIV/AIDS dm cac don vi bao dam dung muc tieu, nhiem vu; sir dung có hieu qua kinh phi va tuan thu cac quy dinh tai chinh, ke toan hien hanh. 3. So. Ke hoach va Dau tu. Phi hqp vai Sa Y te, Se/ Tai chinh nghien cfru, de xudt cac giai phap nham tang cueing, huy dOng nguon von cho cac hoat &Ong PC HIV/AIDS. - Chu tri, phi hop vai Si Tai chinh, Soi Y to tham muu UBND tinh phan ba von Chuang trinh muc tiou quac gia PC HIV/AIDS va van du to phat trien phuc vu cho hog dOng PC REV/AIDS teen dia ban tinh. - Chu tri ph6i hop vii Sa Y t6 va cac soy nganh lien quan trien khai cong tic xtiic tien dau to cho cac hoat dOng PC HIV/AIDS. tri, phi hop vai cac co quan lien quan tham muu UBND tinh thuc hien lOng ghee vai cac hoat dOng PC HIV/AIDS khi xay dung ke hoach cac chuong trinh, ke hoach phat trier' kinh to-xa hOi cua tinh, dam bao theo &mg cac nguyen tdc dugc quy dinh tai Dieu 19 Nghi dinh so 108/2007/ND-CP ngay 26 thang 6 nam 2007 cua Chinh phu ve ,viec long ghep boat dOng PC HIV/AIDS yeti cac Chuang trinh phat trien kinh to - xa hOi. 4. Si Thong tin va Truyen thong - Chu tri, phi harp vai Soy Y te, cac sa nganh lien quan va cac dia phacmg xay dung co che, giai phap cu the huy d'O'ng tai chinh cho cong Lac thong tin, giao due, truyen thong ye PC HIV/AIDS teen cac phucmg tien thong tin dai chUng va thOng tin tuyen truyen & co sey theo tham quyen. - Chi dao, huong dan cac co quan thong tin, bao chi trong tinh thuc hien thong tin, truyen thong ve PC HIV/AIDS nhu mot boat Ong thuZyng xuyen, lien tuc cUa co quan, don vi va bang nguon ngan sach hang nam cua cac co quan, don vi nay. - Chu tri, phi hop vii Si Tai chinh xay dung va ban hanh co che, chinh sach tai chinh, chi lieu cho truyen thong PC HIV/AIDS ten phirong tien truyen 14
thong dai chimg Wang cac ngu6n kinh phi thu6r1g xuyen cua ca quan, don vi truyen thOng. - Ph6i hop vii Tai chinh xay dung ca che sir dung ngui;sn kinh phi xa h6i hoa trong hoat ding tuyen truyen ye PC HIV/AIDS giai doan 2015 - 2020. 5. Sii& Giáo duc va Dio tao - Chi dao hu6ng dan xay dung ke hoach huy dOng ngu'on kinh phi trien khai cac hoat ding PC HIV/AIDS trong truCing hoc. - Chit tri, phi hop yen Sir Tai chinh xay dung va ban hanh ca che, chinh sach tai chinh, chi tieu cho PC HIV/AIDS trong cac nha truing bang ngu6n kinh phi thuong xuyen cua cac nha truing theo tham quyen. 6. Sr Lao gong - Thuvng binh va Xi hei - Chu tri, phi hgp voi Ngan hang Nha nuoc Viet Nam Chi nhanh tinh Long An, SO Tai chinh, Ngan hang Chinh sach xa h6i Chi nhanh tinh Long An va cac ca quan lien quan nghien cau xay dung, trinh cac cap co tham .uyen ban hanh ca che, chinh sach hO trg cho vay von, to chirc tao viec lam doi vori BN nhiem HIV, ngu6i bi anh huong bori HIV/AIDS va BN dieu tri Methadone; tao dieu kien cho ho c6 the to chi tra mot phan chi phi dich - Hux!mg dan cac dia pinrcmg, dan vi tao dieu kien cho BN nhiem HIV/AIDS va nguoi bi anh huong beri HIV/AIDS tiep can dugc cac chinh sach xa h6i hien hanh. 7. Bfio hiem xi hei tinh - Chu tri, ph& hop vai Sir Y to huong dan cac ca quan truc thuc thuc hien chi tra mot so dich vu PC HIV/AIDS qua he thong BHYT. - Day manh va mar r6ng viec cung cap dich vu kham chila benhe6i BN nhiem HIV/AIDS thong qua he th6ng BHYT. 8. Cfic so. nganh, ca quan khfic cua tinh - Chiu trach nhiem sir dung kinh phi PC HIV/AIDS dung muc dich, co hieu qua, thanh quyet town theo dUng quy dinh hien hanh. - Ngoai ngu6n kinh phi dugc giao, chu dOng huy d6ng ngu6n kinh phi hap phap khac theo quy dinh cua phap luat de b6 sung nguan tai chinh cho PC HIV/AIDS. - CO ca che, chink sach, quy dinh dua boat cling PC HIV/AIDS theo quy dinh Luat phong, chong nhiem vi nit gay ra h6i chi:mg suy giam mien dich mac phai & nguairi (HIV/AIDS) vao ke hoach cong tac, bao gom ke hoach kinh phi thuZmg xuyen dm s& nganh, doan the, ca quan, dan vi. 9. De nghi Uy ban M4t trin TO quOc Viet Nam tinh va cac to chirc thinh vien - Chu cling tham gia trien khai thuc hien De an nay theo chirc nhiem vu va pham vi hoat ding dugc phan cong. - Tang cuing su ph6i hop gifra cac cap, cac nganh doan the trong tinh nham tuyen truyen, van ding thilc day phong trao "Toon dein tham gia PC 15
HIV/AIDS tai cong eleing dein cle". Xay dung va nhan rQng cac mo hinh hieu qua trong PC HIV/AIDS or dia phucm§. Tham gia hog dOng PC HIV/AIDS bang nguon kinh phi to huy dOng va nguon kinh phi hop phap khac. - Tip tuc nang cao nhan thirc cua nguoi dan v" cong tac PC HIV/AIDS nham khuyen khich moi ngubi dan to giac tham gia cac hoat dOng PC HIV/AIDS tai dia ban dan cu thong qua cuOc van dOng "Toon dan tham gra PC HIV/AIDS cong gong dan cw"va cac phong trao thi dua yeu meek cua cac tang lop nhan dein 10. UBND cac huyn, thi x'fi Kien Turirng, thanh phO Tan An - Chi dao fling ghep, ph6i hop va di'eu hanh thuc hien cac muc tieu, giai phap cita De an nay voi cac chtfong trinh, du an khac ten dia ban do dia phuang quan UT. - Chiu trach nhiem ve viec sir dung kinh phi hieu qua, khong a that thodt, that hien thanh town, quyet town theo quy dinh ye tai chinh hien hanh. - TO chirc ki6m tra, giam sat trien khai thgc hien cac muc tieu, nhiem vu, giai phap cila De an tren dia ban huyen, thi, thanh pho. Thuc hien ch6 dO bao cao dinh ky von HOi dOng nhan dan cap huyen va Su Y to de" tong hop bao cao UBND tinh tinh hinh thuc hien De an nay. , 1. Ngutn kinh phi: Kinh phi that hien cac hoat dOng trien khai thuc hien ke hoach nay dugc sir dung dr nguon: - Chuang trinh muc tieu qu6c gia PC HIV/AIDS. - Ngan sach chi thireng xuyen cua dan vi. - Ngan sach dia phuong cap bo sung de trien khai cac hoat Ong PC HIV/AIDS. - NguOn vin try va cac nguOn hop phap khac. 2. Sir dung kinh phi: Cac dan vi duot Phan cong lap ke hoach thuc hien nhiem vu va du Wan ngfin sach girl ye Sa Y to de tong hop va phoi hop voi Sa Tai chinh thong nhat trinh lanh dao UBND tinh phe duyet theo cac quy dinh hien hanh./. TM. in( BAN NHAN DAN CHU TICH Do Hfru Lam 16
Bang 1: SO truo'ng hop HIV/AIDS tinh Long An (8/1993-9/2014) Ring SO b?nh SO xi phat Tfr nitin con Dia pinrcrng HIV AIDS hifn HIV VONG song gang quan157 1. Dire Hoa 20/20 626 334 181 354 2.136n Lfrc 15/15 554 306 179 275 3. CAn Giu0c 17/17 457 271 154 177 4. TP Tan An 14/14 372 235 151 140 5. CAn Du& 17/17 230 148 97 116 6. Thu Tiara 12/13 174 96 56 - 78 7.Chau Thanh 13/13 136 93 46 71 8. Tan Try 11/11 88 70 51 34 9. Dim Htt' 11/11 79 46 28 21 10. Vinh Hung 10/10 55 34 14 18 11. TX Kie'n Thong 07/08 49 39 21 20 12. Tan Hung 10/12 42 24 17 15 13. Tan Th4nh 13/13 36 20 11 11 14. Thanh 116a 08/11 33 25 19 13 15. Meic Ma 07/07 16 11 4 8 TS BN Long An 2.947 1.752 1.029 1.351 TS BN ngoai tinh 1.220 669 291 TT CB GD LD XEI 34 TWO GIAM TC VIII 116 'D6ng cong 185/192 4.150 2.418 1.320 1.501 17
Bang 2: 'Ding kinh phi huy Ong dtrov giai dokin 2008-2013 (theo ngutn) Dan vi tinh: xl. 090 citing x Nguon NS/Nam 2008 2009 2010 2011 2012 2013 CTMTQG (*) 1.422.000 2.973.000 2.760.000 2.042.000 2.507.000 2.175.000 NS dia. phircmg 1.047.069 1.267.265 1.482.041 1.908.138 2.250.632 2.662.870 Du an vin trq 1.609.155 3.269.295 7.231.929 9.947.620 12.213.199 5.692.836 Bao hi6m y tt - - - Thu phi dich vki - - - 219.551 203.142 54.280 TONG CONG 4.078.224 07.509.560 11.473.970 14.117.30910.584.986 17.173.973 _ , (*) Nguon: Quyet dinh phoin bo kinh phi Chuang trinh muc tieu quc gia phone c ong HIV/AIDS tit 2008 din 2013 olio Ser Y to Bing 3: Kinh phi huy dOng duve giai doan 2008-2013 (theo 4 Dean) Dan vi tinh: xl. 090 citing 7 " 1 ,....-, , N'of, -__, ,_, k. : .4 .4. Dy phong lay nhigm 2.636.099 4.640.609 7.284.116 2.580.792 1.309.375 1.700.830 HIV Chain sOc va dii‘u tri 996.310 2.123.380 4.789.437 5.746.723 5.781.989 4.398.741 Theo dpi giam sat va 1.568.195 2.042.021 2.151.970 1.900.287 987.150 1.239.750 danh gia Tang cuOing nang hire 785.389 2.445.600 2.480.239 1.687.956 1.955.898 1.705.166 TONG CONG 4.078.224 7.509.560 11.473.970 14.117.309 17.173.973 10.584.98:. Bang 4. TOng ngfin sach can huy thing tfr cac ngulin de trien khai cac Di. an Chien hrqc paw gia phong, chting HIV/AIDS giai (loan 2015-2020 tinh Long An Dan vi: -, ' - n ' '-, ' r %" ; ' „., . .'``, ■ ' - 1 ' ' 2619 ' ' :,As.. lin 2020 A '" ' (%:' bA '. ' O1 ' . " *.'.,i-,, - #,.-,, RQ#4.• h 4 ,' , ., 44. ,,,,, , - TOng nhu cAu 12,320 13,920 15,465 17,225 19,163 21,377 9'9,523 10G - Ngan sach trung uang 0,709 1,721 2,463 2,732 3,881 4,812 15,317 16, - Ngan sach dia phuang 1,153 1,263 1,386 1,526 1,683 1,964 E,975 9,0 - Ngan sach cac du an 7,838 6,825 5,557 4,303 2,912 2,286 29,721 29,9 - Thu tir bao hi em y to 0,644 0,987 1,325 1,709 2,146 2,644 9,455 9, A -Thu vi0 phi va cac 6,955 8,541 9,671 35,001 35. . 1,976 3,124 4,734 nguosn khdc 18