Đánh giá hiệu quả mô hình giám sát an toàn vệ sinh thực phẩm dựa vào mạng lưới y tế dự phòng - Chính quyền địa phương và y tế cơ sở tại Biên Hòa

Lang Thuong school. Two examiners were used ,

Examination of tooth decay, gum disease by observation

of the WHO standard (extra exminers Kappa coefficient:

0,82)

Results: The rate Of primary caries were 78 %.The

rate Of parmanent caries were 12 %.Percentage of

children with gingival bleeeding were 8%.84 % children

reported brushing twice a day

Keywords: 9-year-old student, tooth decay, gum

disease

TAI LleU THAM KHaO

1. Dao Thj Dung (2007),(Dinh gii hipu qua can

thiep chuong tnnh Nha hgc duong tai mgt so truong tieu

hgc quan Dong Da Ha Ngi), Ludn an tiln sy y hpe,

Trudng Dgi hpe Y Ha Npi, tr.8.

2. Tran Thj My Hgnh (2006), Nhin xgt tanh hanh

sdu rang vi viem Igi a hgc sinh lira tuoi 7-11 tpi tnr&ng

tliu hgc Thanh Liet, Lupn van thpc sy y hgc, tr34-52.

3. Hodng Trpng Hiing (2000), "Tinh hinh dy phdng

siu rang hipn nay", Cgp nhgt Nha khoa, tgp 5, sd (2), tr.

29-37.

4. Tran Van Trudng, Lam Ngpc an, Trjnh Oinh Hai

(2002). Diiu tra suo khoe rang mipng toin quoc. , Nha

xudt ban Y hpe, tr. 23-70

5. WHO (1997), Oral health surveys basic methos,

4'^ Edition, Geneva, pp.25-28.

6. WHO (1997). Goals for the year 2000, Geneva,

pp. 5-8.

7. Zhu L (2003). Oral Health Knowledge, Attitude

and behaviour of Children and adolescents in China, Int

Dent.}, 2003 Oet;53(5);289-298

DANH GIA HIEU QUA MO HINH GIAM SAT AN TOAN VE SINH THOC PHAM DUA VAO

MANG LirOTl Y TE DlT PHONG - CHINH QUYEN DIA PHllUNG VA Y TE CU SOT TAI BIEN HOA

HOANG CAO SA - Benh vien Da khoa thanh pho Nam Djnh

NGUYI N VAN CHUYEN, PHAM NGOC CHA U - Hgc vien Quany

OAT VAN oe

Mpt trong nhO'ng myc tieu quan trpng ciia cac no lyc

trong cdng tdc bao dam an toan vp sinh thyc pham

(ATVSTP) Id kilm sodt d nhilm thyc pham d l phdng

ngu'a ngp dpe thyc pham vd bpnh truyln qua thyc pham.

Trong nhO'ng nam qua (nhat Id tu' khi triln khai chuong

trinh myc tieu qudc gia), cdng tdc bao dam ATVSTP da

gat hai dupc nhilu thdnh tuu ddng khich lp, trong dd ed

vipc gidm sdt, phdt hipn, xir ly ngp dpc thyc pham cap

tinh. Trong 9 nam (2000-2008) da cd 1820 vy ngp dpc

thyc phim dupe ghi nhdn vdi 49.726 ca mde va 497 ea

tu' vong . Nguyen nhdn ehu yeu la vi sinh vat (chiem

38,4%), dpe td tu nhien Id 23,7%, hod chit Id 13,1%.

Tuy nhien vin cdn din 24,9% sd vy ngp dpc khdng xae

djnh dupc nguyen nhdn gay ngp dpc [2],[6]. Vipc hgn

chi tinh trgng ngp dpc vd bpnh truyln qua thyc pham

cdn rit khd khan, nhit Id trong bdi canh toan eau hod,

mpt mdn dn cd thi bj d nhiem rit phirc tgp ca v l khong

gian va thdi gian.

D I hgn ehi duoc tdi da tinh trgng d nhiem thyc pham

thi edn kilm sodt chat che tat ca eae khdu trong chudi

cung cap thue pham tir trang trgi tdi bdn dn [9],[10]. Ngodi

vipc kilm soat tdt cdc khau chi biln, vgn chuyin vd kinh

dognh thyc pham thi mpt giai phdp rat hipu qua va ed tinh

cpng ddng rat cao dd la xa hpi hda cdng tdc ATVSTP; huy

dpng tit ea cac ban nganh tham gia cdng tdc dam bao

ATVSTP [3],[4],[5],[7]. Mpt trong nhu'ng md hinh xa hpi

hda cong tdc gidm sat ATVSTP Id dya vdo hp thdng y t l

dy phdng vd ehinh quyln dja phuong cung tham gia phdi

hpp. Viee triln khai md hinh "Giim sat ATVSTP dt/a vao

mpng luoi y ti dy phdng - chinh quyin dia phirang vp y ti

CO s&' la mpt trong nhu'ng giai phdp giup cdng tac giam

sat ATVSTP cd hipu qua hon.

Myc tieu nghien eiru; Danh gia hipu qua md hinh

gidm sat ATVSTP dya vao mgng ludi y t l dy phdng

chinh quyln dja phuong va y te co sd.

06l TU'Q'NG VA PHLCaNG PHAP NGHIEN CU'U

2.1. Odi tu'O'ng, dja diem va tho'i gian nghien ciru

+ 06i tu'p'ng nghien ciru:

Ngudi tieu dung thyc pham: ngudi npi trp nau

nudng thirc an eho gia dinh sii' dyng.

Cde eo sd san xuit, ehi biln, kinh doanh thyc

pham tgi cde diem nghien eiru.

Cae miu thue pham va miu nude dupc thu thgp

d l kilm nghipm cdc chi tieu an toan, vp sinh.

+ Oja dilm nghien cii'u: nghien ciru dupc tiln hdnh

tgi thanh phd Bien Hda:

Nhdm can thipp: phudng An Binh va xa Hipp Hda

Nhdm ddi chu'ng: phudng Biru Hda va xa Long

Hung

+ Thd-i gian nghien ciru : 8/2009 - 8/2010

2.2. Phu'Ong phap nghien cii'u: Nghien cu'u can

thipp

* Cd" mlu va chpn mlu

- C6' mau vdn ngwdi tieu dung:

Ap dyng cdng thu'c tinh eo mau cho nghien ciru can

thipp:

+ z

0,05,

{\-al2)4lpq (l-;3W(Pi?i+P2g2)J

^ (^1-^2) ^

n; Id CO miu dilu tra trudc va sau can thipp

Z(i-a/2); dp tin cgy liy d' ngudng xae suit a

tuong U'ng Z(i-o,/2) = 1,96

Z(i.p): dp tin egy liy d ngudng xae suit p = 0,05,

tuong U'ng Z(i-p)= 1,645

p = (pi+P2)/2; q = 1-p

pi; Id ty lp ngudi tieu dung thyc pham dgt v l kiln

thu'c, thdi dp, thyc hanh ve ATVSTP trudc can thi$p,

udc tinh dgt 0,65.

60 Y HOC THirC HANH (755) - SO 3/2011