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PHC Laboratory system strengthening in Georgia saqarTvelos laboratoriaTa Sefaseba debrifingi (pirveladi mignebebi) antuan pirsoni Mmamuka jibuti 21/10/05.

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Presentation on theme: "PHC Laboratory system strengthening in Georgia saqarTvelos laboratoriaTa Sefaseba debrifingi (pirveladi mignebebi) antuan pirsoni Mmamuka jibuti 21/10/05."— Presentation transcript:

1 PHC Laboratory system strengthening in Georgia saqarTvelos laboratoriaTa Sefaseba debrifingi (pirveladi mignebebi) antuan pirsoni Mmamuka jibuti 21/10/05

2 PHC Laboratory system strengthening in Georgia mokle istoria ivlisi, 2002: laboratoraTa diagnostikuri SesaZleblobebis Sefaseba, vaqcinaciiT marTvad daavadebebze fokusiT (USAID-PHRplus proeqti) maisi, 2003: marTvadi daavadebebis laboratoriuli diagnostirebis xarisxis uzrunvelyofis saxelmZvanelo (USAID- PHRplus proeqti) dekemberi, 2004: laboratoriaTa qselis ganxorcieleba saqarTveloSi (USAID-PHRplus proeqti) agvisto- dekemberi, 2005: sjc laboratoriaTa gaZliereba saqarTveloSi

3 PHC Laboratory system strengthening in Georgia 2004 wlis dekembris ZiriTadi rekomendaciebi aRniSnuli sakonsultacio momsaxurebis rekomendaciebi aris mimdinare samuSaos bazisi: laboratoriaTa sakoordinacio erTeulis Seqmna (rolebisa da misiiis gansazRvris CaTvliT) xarisxis uzrunvelyofis erovnuli programa da misi koordinacia sakanonmdeblo CarCos gadaxedva –licenzirebis kriteriumebi da xangrZlivoba, xarisxis uzrunvelyofis sqemaSi monawileoba –inspeqtirebis/zedamxedvelobis sakiTxebi –analizi, meTodologia da aRWurviloba doneebis mixedviT, adamianuri resursebi laboratoriaTa gadajgufebis strategiis momzadeba: –laboratoriebis detaluri Sefaseba qveyanaSi –gaerTianeba/gadajgufeba/daxurva/trasformireba nimuSTa momzadeba/monacemTa dineba …da SeTavazebis momzadeba partniorebisTvis da donori saagentoebisTvis

4 PHC Laboratory system strengthening in Georgia 2004 wlis dekembris misiis saboloo produqtebi saboloo angariSi, pirveladi da daskvniTi Sexvedrebi (inglisur- qarTul enaze) warsulSi Catarebul samuSaoTa istoria laboratoriis sferoSi CarTuli sxva partniorebi dokumentebi, meToduri miTiTebebi, normebi da standartebi sxva qveynebis kanonmdeblobebisa da aqtebis nimuSebi goris laboratoriaTa Sefasebis angariSi qarTuli rukebi da fontebi

5 PHC Laboratory system strengthening in Georgia Mmimdinare sakonsultacio momsaxurebis Sejameba mosamzadebeli faza (agvisto, 2005) faza 1: reprezentatiuli raodenobis laboratoriaTa Sefaseba (seqtemberi/oqtomberi) oqtombris bolo faza 2: masterplanis winaswari varianti noembris bolo konsesusis Sexvedra 7-8 dekemberi faza 4: saboloo masterplani dekembris bolo

6 PHC Laboratory system strengthening in Georgia pirveli saerTaSoriso viziti b-ni sebastian kognati, 29/08 – 10/09/2005 ZiriTadi RonisZiebebi: –erovnuli eqspertebis brifingi(amocanebi da saangariSgebo produqtebi) –erovnul eqspertTa swavleba (Teoriuli da praqtikuli) –Sefasebis procesSi gamoyenebuli saqarTvelos laboratoriaTa Sefasebis instrumentis (GLAT) gaumjobeseba –laboratoriaTa winaswari Sefaseba/imereTis lanoratoriaTa rukaze datana –tuberkulozis nimuSTa trasportirebis qselis Sefaseba

7 PHC Laboratory system strengthening in Georgia Sefasebuli laboratoriebi SerCeva moxda licenzirebuli laboratoriebis siidan imereTSi - 34 da aWaraSi - 27, sul 61 laboratoria Sefasebul laboratoriaTa tipebi: –regionuli –raionuli (saavdmyofoebis, bavSvTa saavadmyofoebis, poliklinikebis da a.S.) –ambulatoriebis –sisxlis banki –tub baciloskopia –sanitaruli –qalTa konsultaciebi –sggd

8 PHC Laboratory system strengthening in Georgia saqarTvelos laboratoriaTa Sefasebis instrumenti (GLAT) inglisur-qarTuli cxrili Excel-Si 9 sxvadasxva moduli: 1.Senoba da komunaluri momsaxureba 2.biousafrTxoeba, higiena da daculoba 3.nimuSTa Segroveba da aRricxvianoba 4.aRWurviloba 5.reaqtivebi da momarageba 6.Sesrulebuli analizebi da testebi 7.laboratoriis personali da samuSao dro 8.saerTo xarisxi 9.angariSgeba, analizi da komunikacia TiToeuli moduli Seicavs 1-12 indikators sul 54 indikatori (saSualod 6/ 1 modulze)

9 PHC Laboratory system strengthening in Georgia GLAT cxrili/ekrani

10 PHC Laboratory system strengthening in Georgia indikatorTa gamoangariSebis meTodi TiToeuli indikatori mTel rig SekiTxvebTan aris dakavSirebuli rogorc wesi, mosalodneli pasuxia diax martivi gaangariSebis Sedegad pasuxebi ase transformirdeba: –diax udris 100 procents –ara – 0 procents indikatori procentuli monacemebis saSualo maCvenebelia aRWurvilobis indikatorisTvis, arsebuli aRWurvilobis sia dardeba idealur sias (laboratoriis tipidan gamomdinare)

11 PHC Laboratory system strengthening in Georgia TiToeuli Sefasebuli laboratoriis saangariSgebo produqti 6 sxvadasxva produqti: Sevsebuli GLAT cxrili indikatorebis CaTvliT orgverdiani Sejameba, sabaziso informacia da komentarebi 3 ZiriTadi rekomendacia laboratoriaTa kompiuterizebuli ruka zusti GPS pozicia TiToeuli laboratoriisaTvis cifruli fotoebis kompleqti

12 PHC Laboratory system strengthening in Georgia instrumentis polivalenturoba SesaZlebelia mxolod 3 pasuxi: –diax (« Y ») –ara (« N ») –Seusabamoa (« na ») Sefasebis instrumenti SesaZlebelia gamoyenebul iqnas nebismieri donis/tipis laboratoriisTvis (ramdenadac konkretul SekiTxva, pasuxiT Seusabamoa, saerTo maCveneblis gamoTvlisas gamoiricxeba) magaliTi: tub baciloskopiis laboratoria (inkubatoris gareSe) «gaqvT Tu ara temperaturis amsaxveli cxrilebi inkubatorebisTvis? » Pasuxi - Seusabamoa

13 PHC Laboratory system strengthening in Georgia indikatoris nimuSi indikatori profilaqtikuri SekeTebis warmoeba (moduli 8: jamuri xarisxi) sul 5 SekiTxva, «diax»= 100%, «ara»= 0% indikatori = 5 procentuli monacemis saSualo maCvenebli SesaZlo maCvenebeli = 0%, 20%, 40%, 60%, 80%, 100%

14 PHC Laboratory system strengthening in Georgia kompiuterizebuli ruka TiToeuli laboratoriisTvis magaliTi: tatiSvilis laboratoria, Tbilisi (pirveladi treiningi)

15 PHC Laboratory system strengthening in Georgia cifruli fotoebi laboratoriis amsaxveli 4-5 foto

16 PHC Laboratory system strengthening in Georgia indikatorTa geografiuli gamosaxva # Sample per day

17 PHC Laboratory system strengthening in Georgia indikatorTa geografiuli gamosaxva Equipment availability

18 PHC Laboratory system strengthening in Georgia laboratoriebis Zlieri mxareebi maRali kvalifikaciis TanamSromlebi monacemTa da analizis registracia (saregistracio Jurnalebi) saqmianobebisa da sinjebis registracia, dezinfeqcia/xelebis dabana/sanitrebi Sinjebis xarisxi (magram ara transportireba)

19 PHC Laboratory system strengthening in Georgia sisusteebi Senobebi (Zveli/wyali da kondicireba) aRWurviloba (ararseboba/siZvele/ SekeTeba) xarisxis uzrunvelyofa da procedurebi xarisxis Sida da gare kontroli biousafrTxoeba ganmxoloebiT muSaoba (ar arsebobs qseli, tubBlab qselis garda) arasakmarisi supervisia

20 PHC Laboratory system strengthening in Georgia yvela moduli erTad

21 PHC Laboratory system strengthening in Georgia Senoba

22 PHC Laboratory system strengthening in Georgia biousafrTxoeba

23 PHC Laboratory system strengthening in Georgia nimuSTa aReba

24 PHC Laboratory system strengthening in Georgia aRWurviloba

25 PHC Laboratory system strengthening in Georgia reaqtivebi

26 PHC Laboratory system strengthening in Georgia testebi (laboratoriebis/testebis raodenoba)

27 PHC Laboratory system strengthening in Georgia testebi (laboratoriaTa muSaoba)

28 PHC Laboratory system strengthening in Georgia personali

29 PHC Laboratory system strengthening in Georgia xarisxi

30 PHC Laboratory system strengthening in Georgia angariSgeba

31 PHC Laboratory system strengthening in Georgia indikatorebis saerTo jami saSualo: 46% mediana: 43% SD: 16% umaRlesi qula: wyaltubos imunologiisa da alergologiis in-i (82%) yvelaze mniSvnelovani problema: dioknises poliklinika, xulo (11%)

32 PHC Laboratory system strengthening in Georgia Sefasebis saboloo saangariSgebo produqti interaqtiuli kompaqt-diski orenovani angariSi TiToeuli laboratoriisTvis Semdegi dokumentebi: –Sefaseba –nagebobis dizaini –fotoebi TiToeuli Sefaseba unda moicavdes –cxrilebsa da grafikebs –indikatorebis geografiul gamosaxulebas –GIS failebi

33 PHC Laboratory system strengthening in Georgia momavali masterplanis ZiriTadi koncefcia pjd done: (ix. detalebi danarTSi) –bazisuri analizi (test-Cxirebi) –sinjis Segrovebis centrebi daSorebul ambulatoriebSi) –sinjebis transportireba adgilobrivi transportis gamoyenebiT raionuli done: –erTi kargi polivalenturi laboratoria raionSi (iq sadac darCeba raisaavadmyofo) –sinjebis miReba pjd-dan –Sinjebis transportireba regionul laboratoriaSi regionuli done: –ufro specializirebuli analizi –Sinjebos miReba raionuli donidan

34 PHC Laboratory system strengthening in Georgia gmadlobT!


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