Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam
Background Vietnam’s network of commune health centers (CHCs) have historically managed acute infectious diseases and implemented national disease-specific vertical programs. Vietnam has undergone an epidemiological transition towards non-communicable diseases (NCDs). Limited data exist on Vietname...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2019-03-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/article_3562_4eee0fcfd25e09f4778d098f9dc8083c.pdf |
| _version_ | 1829143890358173696 |
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| author | David B. Duong Hoang Van Minh Long H. Ngo Andrew L. Ellner |
| author_facet | David B. Duong Hoang Van Minh Long H. Ngo Andrew L. Ellner |
| author_sort | David B. Duong |
| collection | DOAJ |
| description | Background
Vietnam’s network of commune health centers (CHCs) have historically managed acute infectious diseases and implemented national disease-specific vertical programs. Vietnam has undergone an epidemiological transition towards non-communicable diseases (NCDs). Limited data exist on Vietnamese CHC capacity to prevent, diagnose, and treat NCDs. In this paper, we assess NCD service readiness, availability, and utilization at rural CHCs in 3 provinces in northern Vietnam.
Methods
Between January 2014 and April 2014, we conducted a cross-sectional survey of a representative sample of 89 rural CHCs from 3 provinces. Our study outcomes included service readiness, availability of equipment and medications, and utilization for five NCD conditions: hypertension, diabetes, chronic pulmonary diseases, cancer, and mental illnesses.
Results
NCD service availability was limited, except for mental health. Only 25% of CHCs indicated that they conducted activities focused on NCD prevention. Patient utilization of CHCs was approximately 223 visits per month or 8 visits per day. We found a statistically significant difference (P < .05) for NCD service availability, medication availability and CHC utilization among the 3 provinces studied.
Conclusion
This is the first multi-site study on NCD service availability in Vietnam and the first study in a mountainous region consisting predominately of ethnic minorities. Despite strong government support for NCD prevention and control, Vietnam’s current network of CHCs has limited NCD service capacity. |
| first_indexed | 2024-12-14T20:57:17Z |
| format | Article |
| id | doaj.art-32fdbe8e4c29428d8a48a9fa720e0662 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-14T20:57:17Z |
| publishDate | 2019-03-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-32fdbe8e4c29428d8a48a9fa720e06622022-12-21T22:47:39ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392019-03-018315015710.15171/IJHPM.2018.104Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern VietnamDavid B. Duong0Hoang Van Minh1Long H. Ngo2Andrew L. Ellner3Department of Medicine, Brigham and Women’s Hospital, Center for Primary Care, Harvard Medical School, Boston, MA, USAHanoi University of Public Health, Hanoi, VietnamDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USADivision of Global Health Equity, Brigham and Women’s Hospital, Center for Primary Care, Harvard Medical School, Boston, MA, USABackground Vietnam’s network of commune health centers (CHCs) have historically managed acute infectious diseases and implemented national disease-specific vertical programs. Vietnam has undergone an epidemiological transition towards non-communicable diseases (NCDs). Limited data exist on Vietnamese CHC capacity to prevent, diagnose, and treat NCDs. In this paper, we assess NCD service readiness, availability, and utilization at rural CHCs in 3 provinces in northern Vietnam. Methods Between January 2014 and April 2014, we conducted a cross-sectional survey of a representative sample of 89 rural CHCs from 3 provinces. Our study outcomes included service readiness, availability of equipment and medications, and utilization for five NCD conditions: hypertension, diabetes, chronic pulmonary diseases, cancer, and mental illnesses. Results NCD service availability was limited, except for mental health. Only 25% of CHCs indicated that they conducted activities focused on NCD prevention. Patient utilization of CHCs was approximately 223 visits per month or 8 visits per day. We found a statistically significant difference (P < .05) for NCD service availability, medication availability and CHC utilization among the 3 provinces studied. Conclusion This is the first multi-site study on NCD service availability in Vietnam and the first study in a mountainous region consisting predominately of ethnic minorities. Despite strong government support for NCD prevention and control, Vietnam’s current network of CHCs has limited NCD service capacity.http://www.ijhpm.com/article_3562_4eee0fcfd25e09f4778d098f9dc8083c.pdfnon-communicable diseasesprimary careprimary healthcaredisadvantaged populationsvietnam |
| spellingShingle | David B. Duong Hoang Van Minh Long H. Ngo Andrew L. Ellner Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam International Journal of Health Policy and Management non-communicable diseases primary care primary healthcare disadvantaged populations vietnam |
| title | Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam |
| title_full | Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam |
| title_fullStr | Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam |
| title_full_unstemmed | Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam |
| title_short | Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A Cross-Sectional Survey of 3 Provinces in Northern Vietnam |
| title_sort | readiness availability and utilization of rural vietnamese health facilities for community based primary care of non communicable diseases a cross sectional survey of 3 provinces in northern vietnam |
| topic | non-communicable diseases primary care primary healthcare disadvantaged populations vietnam |
| url | http://www.ijhpm.com/article_3562_4eee0fcfd25e09f4778d098f9dc8083c.pdf |
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