Journal articles: 'Primary health care Vietnam'

1

Murphy, Jill, Elliot Goldner*, Kitty K. Corbett, Marina Morrow, Vu Cong Nguyen, Dang Thuy Linh, and Pham Thi Oanh. "Conceptualizing depression in Vietnam: Primary health care providers’ explanatory models of depression." Transcultural Psychiatry 55, no. 2 (February 6, 2018): 219–41. http://dx.doi.org/10.1177/1363461517748846.

Full text

Abstract:

The purpose of this qualitative study was to elicit the explanatory models (EMs) of primary healthcare providers (PHPs) in Vietnam in order to (a) understand if and how the concept of depression is understood in Vietnam from the perspective of nonspecialist providers and community members, and (b) to inform the process of introducing services for depression in primary care in Vietnam. We conducted semistructured interviews with 30 PHPs in one rural and one urban district of Hanoi, Vietnam in 2014. We found that although PHPs possess low levels of formal knowledge about depression, they provide consistent accounts of its symptoms and aetiology among their patient population, suggesting that depression is a relevant concept in Vietnam. PHPs describe a predominantly psychosocial understanding of depression, with little mention of either affective symptoms or neurological aetiology. This implies that, with enhanced training, psychosocial approaches to depression care would be appropriate and acceptable in this context. Distinctions were identified between rural and urban populations in both understandings of depression and help-seeking, suggesting that enhanced services should account for the diversity of the Vietnamese context. Alcohol misuse among men emerged as a considerable concern, both in relation to depression and as stand-alone issue facing Vietnamese communities, indicating the need for further research in this area. Low help-seeking for depression in primary care implies the need for enhanced community outreach. The results of this study demonstrate the value of eliciting EMs to inform planning for enhanced mental health service delivery in a global context.

APA, Harvard, Vancouver, ISO, and other styles

2

Bloom, Gerald. "Primary health care meets the market in China and Vietnam." Health Policy 44, no. 3 (June 1998): 233–52. http://dx.doi.org/10.1016/s0168-8510(98)00019-0.

Full text

APA, Harvard, Vancouver, ISO, and other styles

3

Pham, M., P. Trung, H. Dinh, and V. Bui. "Strengthening Pharmacy Services to Improve Primary Health Care in Vietnam." Research in Social and Administrative Pharmacy 8, no. 6 (November 2012): e46. http://dx.doi.org/10.1016/j.sapharm.2012.08.107.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Gellert, G. A. "The influence of market economics on primary health care in Vietnam." JAMA: The Journal of the American Medical Association 273, no. 19 (May 17, 1995): 1498–502. http://dx.doi.org/10.1001/jama.273.19.1498.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Gellert, George A. "The Influence of Market Economics on Primary Health Care in Vietnam." JAMA: The Journal of the American Medical Association 273, no. 19 (May 17, 1995): 1498. http://dx.doi.org/10.1001/jama.1995.03520430034035.

Full text

APA, Harvard, Vancouver, ISO, and other styles

6

Quyen, Bui Thi Tu, Nguyen Thanh Ha, and Hoang Van Minh. "Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015." Health Psychology Open 8, no. 1 (January 2021): 205510292110151. http://dx.doi.org/10.1177/20551029211015117.

Full text

Abstract:

Patient satisfaction has implications for resource distribution across primary, secondary, and tertiary care, as well as accessibility of quality services and equity of service delivery. This study assessed outpatient satisfaction with health services and explored the determinants at the individual and contextual levels in Vietnam. Data on 4372 outpatients were extracted from the Vietnam Health Facility Assessment survey 2015. Three levels of logistic regression were applied to examine the association between outpatient satisfaction and three types of explanatory variables. Outpatients satisfied with their community health center or district hospital accounted for relatively high proportions (85% and 73%, respectively). Patients’ age, occupation, and individual characteristics were significant predictors of patient satisfaction, whereas provincial level factors were not significantly associated with the dependent variable. When individual-level characteristics were controlled, outpatients who had a longer waiting time for health services were less likely to report being satisfied. Interventions for improving outpatient satisfaction should pay attention to simplifying the health procedure at health facilities to reduce patients’ waiting time and increase their examining time.

APA, Harvard, Vancouver, ISO, and other styles

7

Nguyen, Nguyen-Lan D., D. Daniel Hunt, and Craig S. Scott. "Screening for Depression in a Primary Care Setting in Vietnam." Journal of Nervous and Mental Disease 193, no. 2 (February 2005): 144–47. http://dx.doi.org/10.1097/01.nmd.0000152811.72059.d3.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

McKelvey, Robert S., David L. Sang, and Hoang Cam Tu. "Is There a Role for Child Psychiatry in Vietnam?" Australian & New Zealand Journal of Psychiatry 31, no. 1 (February 1997): 114–19. http://dx.doi.org/10.3109/00048679709073807.

Full text

Abstract:

Objectives:(i) To describe the need for child psychiatric services in Vietnam; (ii) to review child psychiatry's present role within the Vietnamese health care system; (iii) to identify cultural, economic and manpower obstacles to the development of child mental health services; and (iv) to recommend a course for the future development of child psychiatry in Vietnam. Method:The existing literature relevant to the Vietnamese health and mental health care systems, traditional practices and beliefs regarding health and mental health, and the current status of psychiatry and child psychiatry in Vietnam was reviewed. In addition, discussions regarding these topics, and the future of child psychiatry in Vietnam, were held with leading Vietnamese health and mental health professionals. Results:The current role of child psychiatry in Vietnam is limited by the health care system's focus on infectious diseases and malnutrition, and by cultural, economic and manpower factors. Treatment is reserved for the most severely afflicted, especially patients with epilepsy and mental retardation. Specialised care is available in only a few urban centres. In rural areas treatment is provided by allied health personnel, paraprofessionals and community organisations. Conclusions:While the present role of child psychiatry in Vietnam is limited, it can still make important contributions. These include:research defining the need for child and adolescent mental health services, identifying priority child psychiatric disorders and assessing the effectiveness of priority disease treatment; and training to enhance the skills of primary health care providers in the treatment of priority disorders.

APA, Harvard, Vancouver, ISO, and other styles

9

Duong, Dat V., Colin W. Binns, and Andy H. Lee. "Utilization of delivery services at the primary health care level in rural Vietnam." Social Science & Medicine 59, no. 12 (December 2004): 2585–95. http://dx.doi.org/10.1016/j.socscimed.2004.04.007.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Nguyen, Thi Hoai Thu, Fiona McDonald, and Andrew Wilson. "Health Workers’ Perspectives on Infrastructure to Support Maternal Health Services in Rural Areas of Vietnam." Asia Pacific Journal of Health Management 12, no. 2 (July 25, 2017): 55–61. http://dx.doi.org/10.24083/apjhm.v12i2.81.

Full text

Abstract:

Background: One common governance issue faced by developing countries is the establishment and maintenance of infrastructure to support the delivery of primary health services. This qualitative study explores the perspective of maternal health workers on how infrastructure impacts the provision of maternity services in rural areas in Vietnam. Methods: Forty-one health workers and health managers at the commune, district and provincial levels of the Vietnamese public health system were interviewed. Questions focused on the impact of various organisational factors, including the impact of infrastructure on the performance of the health workforce, which provides publicly funded primary care. All interviews were recorded, transcribed and coded for thematic analysis. Findings: Participants noted that infrastructure directly affected their ability to perform certain tasks and could both directly and indirectly negatively impact their motivation. In general, participants noted a lack of investment in infrastructure for the provision of primary care services in rural areas. They identified that there were deficits in the availability of utilities and the adequacy of facilities. Conclusion: This research contributes to understanding the barriers to the provision of primary care in developing countries and in particular. The current inadequacy of facility buildings and inadequacy of clean water supply are issues for health workers in meeting the technical requirements of the standards as set out in the National Guidelines on reproductive health, and lead to safety concerns for the quality of maternal health services provided in commune health centres and District Health Centres. Abbreviations: CHC – Commune Health Centres; DHC – District Health Centre; HW – Health Worker.

APA, Harvard, Vancouver, ISO, and other styles

11

Hoa, Nguyen Thi, Anselme Derese, Wim Peersman, Jeffrey F. Markuns, Sara Willems, and Nguyen Minh Tam. "Primary care quality in Vietnam: Perceptions and opinions of primary care physicians in commune health centers – a mixed-methods study." PLOS ONE 15, no. 10 (October 29, 2020): e0241311. http://dx.doi.org/10.1371/journal.pone.0241311.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Khe, N. D., N. V. Toan, L. T. T. Xuan, B. Eriksson, B. Höjer, and V. K. Diwan. "Primary health concept revisited: Where do people seek health care in a rural area of Vietnam?" Health Policy 61, no. 1 (July 2002): 95–109. http://dx.doi.org/10.1016/s0168-8510(01)00198-1.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Duong, David B., Hoang Van Minh, Long H. Ngo, and Andrew L. Ellner. "Readiness, Availability and Utilization of Rural Vietnamese Health Facilities for Community Based Primary Care of Non-communicable Diseases: A CrossSectional Survey of 3 Provinces in Northern Vietnam." International Journal of Health Policy and Management 8, no. 3 (November 4, 2018): 150–57. http://dx.doi.org/10.15171/ijhpm.2018.104.

Full text

Abstract:

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.

APA, Harvard, Vancouver, ISO, and other styles

14

Giang, Kim Bao, Hoang Van Minh, Nguyen Van Hien, Nguyen Minh Ngoc, and Nguyen Duc Hinh. "Knowledge of primary health care and career choice at primary health care settings among final year medical students – Challenges to human resources for health in Vietnam." Global Public Health 10, sup1 (December 6, 2014): S120—S130. http://dx.doi.org/10.1080/17441692.2014.986157.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Meiqari, Lana, Thi-Phuong-Lan Nguyen, Dirk Essink, Pamela Wright, and Fedde Scheele. "Strengthening human and physical infrastructure of primary healthcare settings to deliver hypertension care in Vietnam: a mixed-methods comparison of two provinces." Health Policy and Planning 35, no. 8 (July 1, 2020): 918–30. http://dx.doi.org/10.1093/heapol/czaa047.

Full text

Abstract:

Abstract In Vietnam, the overall prevalence of hypertension (HTN) was 21%, with lower estimates for the prevalence of HTN awareness and treatment. The health systems, like other low- and middle-income countries, were designed to provide acute care for episodic conditions, rather than a chronic condition where patients need long-term care across time and disciplines. This article describes the delivery and organization of HTN care at primary healthcare (PHC) settings in both urban and rural areas at Hue Province of Central Vietnam in comparison with Thai Nguyen province in Northern Vietnam based on the infrastructure capacity and patients’ and providers’ perspectives and experiences We used mixed-methods design that included in-depth semi-structured interviews with patients and healthcare providers at purposively selected PHC facilities in two districts of each province and a modified version of the service availability and readiness assessment inventory at all PHC facilities. We found that HTN patients in both provinces can access healthcare services to diagnose, treat and control their HTN condition at the PHC level with a focus on district facilities. Health services in Hue have allowed commune health stations (CHSs) to provide routine monitoring and prescription refills for HTN patients while maintaining periodical visits to a higher level of care to monitor the stability of the disease. Such provision of care at CHSs remained restricted in Thai Nguyen. Further improvements are necessary for referral procedures, information system to allow for longitudinal follow-up across levels of care and defining a basic health insurance or benefits package, which meets patients’ preferences with a monthly timespan for prescription refills.

APA, Harvard, Vancouver, ISO, and other styles

16

Zadran, Amanullah, An V. D. Ho, Layma Zadran, Irene J. Ventura Curiel, Tang-Tung Pham, Duong Thi Bich Thuan, and Gerald J. Kost. "Optimizing Public Health Preparedness for Highly Infectious Diseases in Central Vietnam." Diagnostics 12, no. 9 (August 24, 2022): 2047. http://dx.doi.org/10.3390/diagnostics12092047.

Full text

Abstract:

Our primary objectives were (a) to determine the need for and the availability of point-of-care testing (POCT) for infectious diseases and (b) to recommend point-of-care testing strategies and Spatial Care PathsTM (SCPs) that enhance public health preparedness in the regional districts of Thua Thien Hue Province (TTHP), Central Vietnam, where we conducted field surveys. Medical professionals in seven community health centers (CHCs), seven district hospitals (DHs) and one provincial hospital (PH) participated. Survey questions (English and Vietnamese) determined the status of diagnostic testing capabilities for infectious diseases and other acute medical challenges in TTHP. Infectious disease testing was limited: six of seven CHCs (86%) lacked infectious disease tests. One CHC (14%, 1/7) had two forms of diagnostic tests available for the detection of malaria. All CHCs lacked adequate microbiology laboratories. District hospitals had few diagnostic tests for infectious diseases (tuberculosis and syphilis), blood culture (29%, 2/7), and pathogen culture (57%, 4/7) available. The PH had broader diagnostic testing capabilities but lacked preparedness for highly infectious disease threats (e.g., Ebola, MERS-CoV, SARS, Zika, and monkeypox). All sites reported having COVID-19 rapid antigen tests; COVID-19 RT-PCR tests were limited to higher-tier hospitals. We conclude that infectious disease diagnostic testing should be improved and POC tests must be supplied near patients’ homes and in primary care settings for the early detection of infected individuals and the mitigation of the spread of new COVID-19 variants and other highly infectious diseases.

APA, Harvard, Vancouver, ISO, and other styles

17

Kassai, Ryuki, Chris van Weel, Karen Flegg, Seng Fah Tong, Tin Myo Han, Sairat Noknoy, Myagmartseren Dashtseren, et al. "Priorities for primary health care policy implementation: recommendations from the combined experience of six countries in the Asia–Pacific." Australian Journal of Primary Health 26, no. 5 (2020): 351. http://dx.doi.org/10.1071/py19194.

Full text

Abstract:

Primary health care is essential for equitable, cost-effective and sustainable health care. It is the cornerstone to achieving universal health coverage against a backdrop of rising health expenditure and aging populations. Implementing strong primary health care requires grassroots understanding of health system performance. Comparing successes and barriers between countries may help identify mutual challenges and possible solutions. This paper compares and analyses primary health care policy in Australia, Malaysia, Mongolia, Myanmar, Thailand and Vietnam. Data were collected at the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) Asia–Pacific regional conference in November 2017 using a predetermined framework. The six countries varied in maturity of their primary health care systems, including the extent to which family doctors contribute to care delivery. Challenges included an insufficient trained and competent workforce, particularly in rural and remote communities, and deficits in coordination within primary health care, as well as between primary and secondary care. Asia–Pacific regional policy needs to: (1) focus on better collaboration between public and private sectors; (2) take a structured approach to information sharing by bridging gaps in technology, health literacy and interprofessional working; (3) build systems that can evaluate and improve quality of care; and (4) promote community-based, high-quality training programs.

APA, Harvard, Vancouver, ISO, and other styles

18

Thi, Le Minh. "Integration of domestic violence services into the health care system: Which model does Vietnam select?" Tạp chí Y học Dự phòng 32, no. 4 (August 1, 2022): 5–11. http://dx.doi.org/10.51403/0868-2836/2022/678.

Full text

Abstract:

Domestic violence (DV) is a significant health problem. Integration of domestic health services into the health system is essential, and many models of integration DV services into the health system exist. In this paper, we discuss the types of integration models/levels of DV services into the health system, and how DV services integrate into the health system in Vietnam. The system - level model of integration in Vietnam was also reported. However, the current health system model only focuses on secondary prevention or supportive care once violence has occurred. The health system has not oriented to primary prevention or long - term support. The three themes that delayed the implementation DV services within the current health system include lack of clinical care pathway for DV survivors, limited services delivery, and a weak referral network. In addition, the social work service for domestic violence within the health system is still inadequate. It is recommended that a clear clinical care pathway for DV survivors should be established, health workers should be trained on DV screening and referrals, and the health system should collaborate with other supported services (within and between the health system and other DV-supported services) to cover long - term support of DV survivors and also DV primary prevention.

APA, Harvard, Vancouver, ISO, and other styles

19

Jiang, Nan, Nina Siman, Charles M. Cleland, Nancy Van Devanter, Trang Nguyen, Nam Nguyen, and Donna Shelley. "Effectiveness of Village Health Worker–Delivered Smoking Cessation Counseling in Vietnam." Nicotine & Tobacco Research 21, no. 11 (October 29, 2018): 1524–30. http://dx.doi.org/10.1093/ntr/nty216.

Full text

Abstract:

Abstract Introduction Smoking prevalence is high in Vietnam, yet tobacco dependence treatment (TDT) is not widely available. Methods We conducted a quasiexperimental study that compared the effectiveness of health care provider advice and assistance (ARM 1) versus ARM 1 plus village health worker (VHW) counseling (ARM 2) on abstinence at 6-month follow-up. This study was embedded in a larger two-arm cluster randomized controlled trial conducted in 26 community health centers (CHCs) in Vietnam. Subjects (N = 1318) were adult patients who visited any participating CHC during the parent randomized controlled trial intervention period and were self-identified as current tobacco users (cigarettes and/or water pipe). Results At 6-month follow-up, abstinences rates in ARM 2 were significantly higher than those in ARM 1 (25.7% vs. 10.5%; p < .001). In multivariate analyses, smokers in ARM 2 were almost three times more likely to quit compared with those in ARM 1 (adjusted odds ratio [AOR] = 2.96, 95% confidence interval [CI] = 1.78% to 4.92%). Compared to cigarette-only smokers, water pipe–only smokers (AOR = 0.4, 95% CI = 0.26% to 0.62%) and dual users (AOR = 0.62, 95% CI = 0.45% to 0.86%) were less likely to achieve abstinence; however, the addition of VHW counseling (ARM 2) was associated with higher quit rates compared with ARM 1 alone for all smoker types. Conclusion A team approach in TDT programs that offer a referral system for health care providers to refer smokers to VHW-led cessation counseling is a promising and potentially scalable model for increasing access to evidence-based TDT and increasing quit rates in low middle-income countries (LMICs). TDT programs may need to adapt interventions to improve outcomes for water pipe users. Implications The study fills literature gaps on effective models for TDT in LMICs. The addition of VHW-led cessation counseling, available through a referral from primary care providers in CHCs in Vietnam, to health care provider’s brief cessation advice, increased 6-month biochemically validated abstinence rates compared to provider advice alone. The study also demonstrated the potential effectiveness of VHW counseling on reducing water pipe use. For LMICs, TDT programs in primary care settings with a referral system to VHW-led cessation counseling might be a promising and potentially scalable model for increasing access to evidence-based treatment.

APA, Harvard, Vancouver, ISO, and other styles

20

Thi Thuy Nga, Nguyen, Gerard FitzGerald, and Michael Dunne. "Family-Based Health Insurance for Informal Sector Workers in Vietnam: Why Does Enrolment Remain Low?" Asia Pacific Journal of Public Health 30, no. 8 (October 20, 2018): 699–707. http://dx.doi.org/10.1177/1010539518807601.

Full text

Abstract:

Providing financial protection to the whole population is a top health policy priority of many countries. However, expanding social health insurance coverage to the “informal sector worker” is a challenge in many developing countries. This study analyzed the reasons for the limited coverage of health insurance for informal sector workers. Direct interviews were carried out with 391 uninsured households in Vietnam, followed by in-depth interviews with 11 key stakeholders. The study offers several possible explanations for the low enrollment in family-based health insurance scheme at both the demand and supply sides, such as inability to pay the premium, lack of information, perceived poor quality of primary health care services, and complicated enrollment procedures. The study suggests that a partial government subsidy and improvement in the quality of primary health care are crucial strategies for health insurance expansion for the informal sector workers and their families.

APA, Harvard, Vancouver, ISO, and other styles

21

Nguyen, Ba Tuan, Toi Lam Phung, Thi Hong Hanh Khuc, Van Anh Thi Nguyen, Christopher Leigh Blizzard, Andrew Palmer, Huu Tu Nguyen, Thang Cong Quyet, and Mark Nelson. "Trauma Care Training in Vietnam: Narrative Scoping Review." JMIR Medical Education 8, no. 1 (January 24, 2022): e34369. http://dx.doi.org/10.2196/34369.

Full text

Abstract:

Background The model of trauma in Vietnam has changed significantly over the last decade and requires reforming medical education to deal with new circumstances. Our aim is to evaluate this transition regarding the new target by analyzing trauma and the medical training system as a whole. Objective This study aimed to establish if medical training in the developing country of Vietnam has adapted to the new disease pattern of road trauma emerging in its economy. Methods A review was performed of Vietnamese medical school, Ministry of Health, and Ministry of Education and Training literature on trauma education. The review process and final review paper were prepared following the guidelines on scoping reviews and using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart. Results The current trauma training at the undergraduate level is minimal and involves less than 5% of the total credit. At the postgraduate level, only the specialties of surgery and anesthesia have a significant and increasing trauma training component ranging from 8% to 22% in the content. Trauma training, which focuses on practical skills, accounts for 31% and 32% of the training time of orientation courses for young doctors in “basic surgery” and “basic anesthesia,” respectively. Other relevant short course trainings, such as continuing medical education, in trauma are available, but they vary in topics, facilitators, participants, and formats. Conclusions Medical training in Vietnam has not adapted to the new emerging disease pattern of road trauma. In the interim, the implementation of short courses, such as basic trauma life support and primary trauma care, can be considered as an appropriate method to compensate for the insufficient competency-related trauma care among health care workers while waiting for the effectiveness of medical training reformation.

APA, Harvard, Vancouver, ISO, and other styles

22

Meiqari, Lana, Thi-Phuong-Lan Nguyen, Dirk Essink, Marjolein Zweekhorst, Pamela Wright, and Fedde Scheele. "Access to hypertension care and services in primary health-care settings in Vietnam: a systematic narrative review of existing literature." Global Health Action 12, no. 1 (January 1, 2019): 1610253. http://dx.doi.org/10.1080/16549716.2019.1610253.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

DO, MAI. "UTILIZATION OF SKILLED BIRTH ATTENDANTS IN PUBLIC AND PRIVATE SECTORS IN VIETNAM." Journal of Biosocial Science 41, no. 3 (May 2009): 289–308. http://dx.doi.org/10.1017/s0021932009003320.

Full text

Abstract:

SummaryThe private sector in health care in Vietnam has been increasingly competing with the government in primary health care services. However, little is known about the use of skilled birth attendance or about choice of public and private sectors among those who opt for skilled attendants. Using data from the Vietnam 2002 Demographic and Health Survey, this study examines factors related to women’s decision-making of whether to have a skilled birth attendant at a recent childbirth, and if they did, whether it was a public or private sector provider. The study indicates that the use of the private sector for delivery services was significant. Women’s household wealth, education, antenatal care and community’s wealth were positively related to skilled birth attendance, while ethnicity and order of childbirth were negatively related. Order of childbirth was positively associated with skilled birth attendance in the private sector. Among service environment factors, increased access to public sector health centres was associated with an increased likelihood of skilled birth attendance in general, but a lowered chance of that in the private sector. Further studies are needed to assess the current situation in the private sector, the demand for delivery services in the private sector, and its readiness to provide quality services.

APA, Harvard, Vancouver, ISO, and other styles

24

Luong-Thanh, Bao-Yen, Lan Hoang Nguyen, Linda Murray, Manuel Eisner, Sara Valdebenito, Tuyen Dinh Hoang, Huyen Phuc Do, and Thang Van Vo. "Depression and its associated factors among pregnant women in central Vietnam." Health Psychology Open 8, no. 1 (January 2021): 205510292098844. http://dx.doi.org/10.1177/2055102920988445.

Full text

Abstract:

To date, little attention has been given to prenatal depression, especially in low and middle-income countries. The aim of this research was to assess the prevalence of depression and its associated factors amongst pregnant women in a central Vietnamese city. This cross-sectional study included 150 pregnant women from 29 to 40 weeks of gestation, from eight wards of Hue city, via quota sampling from February to May 2019. We employed the Patient Health Questionnaire (PHQ-9) to assess depression. Findings suggest the need to provide routine screening of pregnant women in primary care for depressive symptoms and other mental health problems.

APA, Harvard, Vancouver, ISO, and other styles

25

Thi Thuy Nga, Nguyen, Bui Thi My Anh, Nguyen Nguyen Ngoc, Dang Minh Diem, Vu Duy Kien, Tran Bich Phuong, Tran Quynh Anh, and Hoang Van Minh. "Capacity of Commune Health Stations in Chi Linh District, Hai Duong Province, for Prevention and Control of Noncommunicable Diseases." Asia Pacific Journal of Public Health 29, no. 5_suppl (July 2017): 94S—101S. http://dx.doi.org/10.1177/1010539517717020.

Full text

Abstract:

The primary health care system in Vietnam has been playing an important role in prevention and control of diseases. This study aimed to describe the capacity of commune health stations in Chi Linh district, Hai Duong province for prevention and control of noncommunicable diseases (NCDs). A mixed-methods (quantitative and qualitative approaches) approach was applied to collect data in 20 commune health stations. The participants, including health workers, stakeholders, and patients with NCDs, were selected for the study. The findings reported that the main activities of prevention and control of NCDs at commune health stations (CHSs) still focused on information-education-community (IECs), unqualified for providing screening, diagnosis, and treatments of NCDs. The capacity for prevention and control of NCDs in CHSs was inadequate to provide health care services related to prevention and control of NCDs and unmet with the community’s demands. In order to ensure the role and implementation of primary care level, there is an urgent need to improve the capacity of CHSs for prevention and control of NCDs, particularly a national budget for NCDs prevention and control, the essential equipment and medicines recommended by the World Health Organization should be provided and available at the CHSs.

APA, Harvard, Vancouver, ISO, and other styles

26

Hammarberg, Melvyn, and Steven M. Silver. "Outcome of treatment for post-traumatic stress disorder in a primary care unit serving Vietnam veterans." Journal of Traumatic Stress 7, no. 2 (April 1994): 195–216. http://dx.doi.org/10.1002/jts.2490070204.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Van Minh, Hoang, Young Kyung Do, Mary Ann Cruz Bautista, and Tran Tuan Anh. "Describing the primary care system capacity for the prevention and management of non-communicable diseases in rural Vietnam." International Journal of Health Planning and Management 29, no. 2 (April 4, 2013): e159-e173. http://dx.doi.org/10.1002/hpm.2179.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Van Huy, Nguyen, You-Seon Nam, Nguyen Van Thanh, Ngo Tri Tuan, Nguyen Thi Thu Ha, Luu Ngoc Hoat, Nguyen Minh Hoang, and Do Mai Hoa. "WHO's Service Availability and Readiness Assessment of primary health care services of commune health centers in a rural district of Northern Vietnam." International Journal of Health Planning and Management 33, no. 1 (June 14, 2017): 202–11. http://dx.doi.org/10.1002/hpm.2429.

Full text

APA, Harvard, Vancouver, ISO, and other styles

29

Cypel, Yasmin, Paula Schnurr, Robert Bossarte, William Culpepper, Aaron Schneiderman, Fatema Akhtar, Sybil Morley, and Victoria Davey. "The Mental Health of Older Veterans Ages 58-99 Years: 2016-2017 VE-HEROeS Findings." Innovation in Aging 4, Supplement_1 (December 1, 2020): 170. http://dx.doi.org/10.1093/geroni/igaa057.551.

Full text

Abstract:

Abstract Mental health and its correlates were examined in U.S. Vietnam War veterans approximately fifty years after the War. The 2016-2017 VE-HEROeS (Vietnam Era Health Retrospective Observational Study) was a mail survey of the health of U.S. Vietnam War veterans who served between February 28, 1961 and May 7, 1975 and matched US non-veteran controls. ‘Veteran status’ represented wartime experience for three cohorts: ‘theater’ veterans with service in Vietnam, Cambodia, or Laos, non-theater veterans with service elsewhere, and non-veterans with no military service. Veterans and non-veterans, aged 58-99 years, were randomly selected from a veteran sampling frame (n=9.87 million) derived from the Department of Veterans Affairs’ USVETS dataset and a commercial address database, respectively. Questionnaires were mailed to 42,393 veterans and 6,885 non-veterans; the response rate for veterans was 45% (n=18,866) and 67% (n=4,530) for non-veterans. Weighted bivariate and multivariable analyses were conducted to examine poor overall mental health, via the SF-8TM Mental Health Component Summary score (MCS), and other mental health measures by veteran status and socioeconomic, health, and other military characteristics. Nearly 50% of all theater veterans reported poor overall mental health (MCS<50). Prevalence of mental health measures was greatest for theater veterans and successively decreased for non-theater veterans and non-veterans. Key correlates significantly (P< 0.02) associated with poor MCS included veteran status, race/ethnicity, income, physical health, health perception, trauma, distress, depression, posttraumatic stress disorder (Primary Care DSM-5 PTSD screen), and drug use. Results indicate a high burden of poor mental health among those who served in-theater.

APA, Harvard, Vancouver, ISO, and other styles

30

Biggs, Joseph R., Ava Kristy Sy, James Ashall, Marsha S. Santoso, Oliver J. Brady, Mary Anne Joy Reyes, Mary Ann Quinones, et al. "Combining rapid diagnostic tests to estimate primary and post-primary dengue immune status at the point of care." PLOS Neglected Tropical Diseases 16, no. 5 (May 4, 2022): e0010365. http://dx.doi.org/10.1371/journal.pntd.0010365.

Full text

Abstract:

Background Characterising dengue virus (DENV) infection history at the point of care is challenging as it relies on intensive laboratory techniques. We investigated how combining different rapid diagnostic tests (RDTs) can be used to accurately determine the primary and post-primary DENV immune status of reporting patients during diagnosis. Methods and findings Serum from cross-sectional surveys of acute suspected dengue patients in Indonesia (N:200) and Vietnam (N: 1,217) were assayed using dengue laboratory assays and RDTs. Using logistic regression modelling, we determined the probability of being DENV NS1, IgM and IgG RDT positive according to corresponding laboratory viremia, IgM and IgG ELISA metrics. Laboratory test thresholds for RDT positivity/negativity were calculated using Youden’s J index and were utilized to estimate the RDT outcomes in patients from the Philippines, where only data for viremia, IgM and IgG were available (N:28,326). Lastly, the probabilities of being primary or post-primary according to every outcome using all RDTs, by day of fever, were calculated. Combining NS1, IgM and IgG RDTs captured 94.6% (52/55) and 95.4% (104/109) of laboratory-confirmed primary and post-primary DENV cases, respectively, during the first 5 days of fever. Laboratory test predicted, and actual, RDT outcomes had high agreement (79.5% (159/200)). Among patients from the Philippines, different combinations of estimated RDT outcomes were indicative of post-primary and primary immune status. Overall, IgG RDT positive results were confirmatory of post-primary infections. In contrast, IgG RDT negative results were suggestive of both primary and post-primary infections on days 1–2 of fever, yet were confirmatory of primary infections on days 3–5 of fever. Conclusion We demonstrate how the primary and post-primary DENV immune status of reporting patients can be estimated at the point of care by combining NS1, IgM and IgG RDTs and considering the days since symptoms onset. This framework has the potential to strengthen surveillance operations and dengue prognosis, particularly in low resource settings.

APA, Harvard, Vancouver, ISO, and other styles

31

Mendis, S., Igbal Al Bashir, Lanka Dissanayake, Cherian Varghese, Ibtihal Fadhil, Esha Marhe, Boureima Sambo, et al. "Gaps in Capacity in Primary Care in Low-Resource Settings for Implementation of Essential Noncommunicable Disease Interventions." International Journal of Hypertension 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/584041.

Full text

Abstract:

Objective.The objective was to evaluate the capacity of primary care (PC) facilities to implement basic interventions for prevention and management of major noncommunicable diseases (NCDs), including cardiovascular diseases and diabetes.Methods.A cross-sectional survey was done in eight low- and middle-income countries (Benin, Bhutan, Eritrea, Sri Lanka, Sudan, Suriname, Syria, and Vietnam) in 90 PC facilities randomly selected. The survey included questions on the availability of human resources, equipment, infrastructure, medicines, utilization of services, financing, medical information, and referral systems.Results and Conclusions.Major deficits were identified in health financing, access to basic technologies and medicines, medical information systems, and the health workforce. The study has provided the foundation for strengthening PC to address noncommunicable diseases. There are important implications of the findings of this study for all low- and middle-income countries as capacity of PC is fundamental for equitable prevention and control of NCDs.

APA, Harvard, Vancouver, ISO, and other styles

32

Chu, Loan Thi, Tran Que Nguyen, Phuong Thu Thi Pham, and Truc Thanh Thai. "The Effectiveness of Health Education in Improving Knowledge about Hypoglycemia and Insulin Pen Use among Outpatients with Type 2 Diabetes Mellitus at a Primary Care Hospital in Vietnam." Journal of Diabetes Research 2021 (August 27, 2021): 1–14. http://dx.doi.org/10.1155/2021/9921376.

Full text

Abstract:

Background. Patients with type 2 diabetes mellitus (T2DM) who have limited knowledge about hypoglycemia and insulin pen use are likely to have hypoglycemia and other complications. Objective. This study aimed to evaluate the effectiveness of health education on knowledge about hypoglycemia and insulin pen use among outpatients with T2DM at a primary care hospital in Vietnam. Methods. A pretest–posttest study was conducted among 80 patients with T2DM at District 11 Hospital in Ho Chi Minh City, Vietnam. At baseline, patients were interviewed through a predefined, structural questionnaire to assess their knowledge about hypoglycemia and insulin pen use. After that, patients underwent an individual health education session about hypoglycemia and insulin pen. One month and two months after this intervention, knowledge about hypoglycemia and insulin pen use were recorded again. Results. The majority were males (65.0%) and the mean age was 59.6 (standard deviation 8.1, range 35-75) years. Very few patients had good knowledge and proper insulin pen use, with percentages ranging from 13.8% to 60%. There was a significant improvement of knowledge and practice after the intervention. Such improvement remained high one month and two months after the intervention. Conclusions. The health education intervention is effective in improving knowledge and practice in this population. There is a pressing need for such intervention at primary care hospitals to optimize treatment for patients with T2DM, possibly focusing on those who had characteristics to have the best effectiveness found in this study.

APA, Harvard, Vancouver, ISO, and other styles

33

Umenai, Takusei, Akira Hamada, and Momoe Takeuchi. "A New Light on the Community Health Fund- Effective Political Support for a Community Essential Drug Project in Vietnam." Asia Pacific Journal of Public Health 12, no. 1 (January 2000): 50–52. http://dx.doi.org/10.1177/101053950001200111.

Full text

Abstract:

This report sheds new light on the development of a community health fund through the implementation of a community essential drug project, and its impact on the improvement of primary health care at the community level. The experience of community drug funds in Vietnam, supported by a strong government commitment, in which full delegation of authority on the management of drugs and finances is given to the community along with a measure for tax exemptions for drug fund revenues, provides a significant example of an autonomous community with active participation of people and effective resource mobilization, that is leading to the improvement of community health. Asia Pac J Public Health 2000;12(1):50-52

APA, Harvard, Vancouver, ISO, and other styles

34

MINH THANG, NGUYEN, and VU THU HUONG. "CHANGES IN CONTRACEPTIVE USE IN VIETNAM." Journal of Biosocial Science 35, no. 4 (October 2003): 527–43. http://dx.doi.org/10.1017/s0021932003005923.

Full text

Abstract:

This analysis used data, primarily from the 1997 Vietnamese Demographic and Health Survey (VN-DHS 1997), to determine the changes in contraceptive use in Vietnam. A descriptive analysis of individual, household and community characteristics was made to obtain a general description of contraceptive use. Multinomial logistic regression analyses were also performed on the currently married in (a) a sample of all women and (b) only those women who live in rural areas, to identify the strength of association that each variable has with the use of modern contraceptives. The use of any contraceptive method and the use of modern methods increased from 1988 to 1997. The primary contraceptive method utilized is the IUD and its use has increased substantially from 1988 to 1997. Younger women (aged 15–24) were less likely to use any contraceptive method. Women not desiring additional children were significantly more likely to use contraceptive methods than those desiring more children. Education has a clear impact on both contraceptive knowledge and use by women, with higher educated women being more likely to use a contraceptive method. Illiterate women with no formal education were significantly less likely to use modern methods of contraception. Differentials in contraceptive use exist regarding place of residence. Urban women are more likely than rural women to use contraception, but the difference is not large. Women living in mountainous areas are less likely to use contraception, compared with women living in the lowlands. Living standards, especially the availability of electricity in the community, have a large effect on the methods of contraception adopted by women. Religion is not strongly related to the contraceptive behaviour of women. There were significant differences in the use of contraceptives in communities with good quality of care, with increased contraceptive use corresponding to the increase in availability of family planning workers at communes, provision of counselling services at health facilities, and the volume of mass media family planning messages.

APA, Harvard, Vancouver, ISO, and other styles

35

Carr, Christopher, Lora Kahn, Mansour Mathkour, Erin Biro, Cuong J. Bui, and Aaron S. Dumont. "The shifting burden of neurosurgical disease: Vietnam and the middle-income nations." Neurosurgical Focus 45, no. 4 (October 2018): E12. http://dx.doi.org/10.3171/2018.7.focus18297.

Full text

Abstract:

OBJECTIVEThe Global Burden of Disease (GBD) is an international collaboration and the largest comprehensive investigation of global health disease burden ever conducted. It has been particularly insightful for understanding disease demographics in middle-income nations undergoing rapid development, such as Vietnam, where 6 of the top 10 causes of death are relevant to the neurosurgeon. The burden of stroke—the number one cause of death in Vietnam—is particularly impressive. Likewise, road injuries, with a disproportionate rate of traumatic brain injury, continue to increase in Vietnam following economic development. Low-back and neck pain is the number one cause of disability. Simultaneously, more patients have access to care, and healthcare spending is increased.METHODSIt is imperative that neurosurgical capital and infrastructure keep pace with Vietnam’s growth. The authors searched the existing literature for assessments of neurosurgical infrastructure or initiatives to address neurosurgical disease burden. Using GBD data, the authors also abstracted data for death by cause and prevalence of years of life lost due to disability (YLD) for common neurosurgical pathologies for Vietnam and comparison nations.RESULTSInterventions aimed at primary prevention of risk factors for neurosurgical disease and focused on the transference of self-sustainable technical skills were found to be analogous to those that have been successful in other regions. Efforts toward stroke prevention have been focused on causal risk factors. Multiple investigators have found that interventions aimed at increasing helmet use were successful in preventing traumatic brain injury. Government-led reforms and equipment donation programs have improved technical capacity. Nevertheless, Vietnam lags behind other nations in neurosurgeons per capita; cause-attributable death and YLD attributable to neurosurgical disease are considerably higher in Vietnam and middle-income nations compared to both lower-income nations and upper-income nations.CONCLUSIONSMore than two-thirds of deaths attributable to neurosurgical pathologies in Vietnam and other middle-income nations were due to stroke, and one-fifth of both cause-attributable death and YLD was associated with neurosurgical pathologies. Vietnam and other middle-income nations continue to assume a global burden of disease profile that ever more closely resembles that of developed nations, with particular cerebrovascular, neurotrauma, and spinal disease burdens, leading to exponentially increased demand for neurosurgeons that threatens to outpace the training of neurosurgeons.

APA, Harvard, Vancouver, ISO, and other styles

36

Nguyen, Trang, and Sue Levkoff. "“What Will Come Will Come”: The Journey of Adjustment and Acceptance on the Path of Dementia Care Among Vietnamese Family Caregivers." Qualitative Health Research 30, no. 10 (May 25, 2020): 1529–45. http://dx.doi.org/10.1177/1049732320919390.

Full text

Abstract:

In this article, we explore the psychological process through which Vietnamese family caregivers adjust to their role as primary caregivers for their relatives with dementia. The study adopted a constructivist grounded theory approach to collect data with 30 face-to-face, semi-structured interviews with 20 self-identified primary caregivers of older adults with dementia in Vietnam. The core adjustment process, consisting of four stages ( Experience, Acknowledgment, Experiment, and Acceptance [ EAEA]), to caregiving role emerged from the data. The EAEA process highlights the importance of self-perception, self-perception focused strategies, and acceptance of caregivers and suggests an adjustment process to their “becoming self” in caregiving. The EAEA process was reflected in the transactional relationship with caregiver personal factors (demographic and relational characteristics with care recipients, personal beliefs in and commitments to caregiving, and personal history of caregiving and coping with past adversity) and structural factors (cultural values and norms, social support, and social pressure).

APA, Harvard, Vancouver, ISO, and other styles

37

Chu, Dinh-Toi, Hoang-Long Vo, Dang-Khoa Tran, Hao Nguyen Si Anh, Long Bao Hoang, Phong Tran Nhu, Khanh Nguyen Ngoc, et al. "Socioeconomic Inequalities in the HIV Testing during Antenatal Care in Vietnamese Women." International Journal of Environmental Research and Public Health 16, no. 18 (September 4, 2019): 3240. http://dx.doi.org/10.3390/ijerph16183240.

Full text

Abstract:

Although HIV (human immunodeficiency virus) testing for all women has been promoted by Vietnam’s Ministry of Health since 2000, test acceptance rates in this country were reported to be less than 30% in the community. This country has been facing the barriers to approach the national services towards transmission prevention from mother to child including HIV testing during antenatal care (ANC) towards mothers. Here, we aim to assess the socioeconomic inequalities in HIV testing during ANC among Vietnamese women. This study used available data from the Vietnam Multiple Indicator Cluster Survey 2014. Overall, the prevalence of HIV testing during antenatal care was 30% and the concentrate index (CCI) was 0.1926. There was significant inequality between women classified as poor and rich, and when stratified by social characteristics, inequality was found in women aged 15–49 years (CCI: 0.4), living in rural areas (CCI: 0.3), belonging to ethnic minorities (CCI: 0.5) and having primary or less education (CCI: 0.4). In the multivariate logistic regression analysis, ethnicity and socioeconomic status were significant factors associated with HIV testing during ANC. We found the prevalence of HIV testing during ANC was low, and its inequalities were associated with age, living area, ethnicity, education, and economic status.

APA, Harvard, Vancouver, ISO, and other styles

38

Jenkins, C., T. T. Ngan, N. B. Ngoc, T. B. Phuong, L. Lohfeld, M. Donnelly, H. V. Minh, and L. Murray. "Strengthening Screening and Detection Services for Breast Cancer in Vietnam." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 52s. http://dx.doi.org/10.1200/jgo.18.39100.

Full text

Abstract:

Background: The incidence of breast cancer has increased consistently in Vietnam over the past two decades. Data from 2012 indicates an increase from an age-standardized rate of 16.2 per 100,000 in 2002, to 23.0 per 100,000 in 2012. Despite this, and consistent studies indicating late diagnosis, there has been a lack of empirical studies on what breast cancer services exist and how they function across different levels of the Vietnamese health system. Aim: Our project sought to examine the accessibility, affordability, and appropriateness of breast cancer services in Vietnam with the objective of making recommendations to strengthen service delivery. Methods: The project used a mixed-methods approach, collecting data through self-administered questionnaires (n=69) and in-depth interviews (n=23) with health professionals working at facilities across all four levels of the Vietnamese health system (national, provincial, district, & commune). We completed in-depth interviews with women (n=12) diagnosed with breast cancer, focusing on their experiences of accessing and using services. Our study was located across three provinces, representing the northern, central, and southern regions of the country. Results: Our results show that screening activities for breast cancer in the community are not systematically organized or provided. There are no stand-alone screening campaigns for breast cancer and facility-based opportunistic screening is limited. There is scope for strengthening the primary and secondary levels of the Vietnamese health system to detect, diagnose and treat breast cancer. Increased autonomy and support for commune-level health stations to conduct screening activities, the systematic incorporation of opportunistic screening, and the extension of breast cancer-specific training for commune and district level health care staff are potential areas for strengthening. Conclusion: Our study suggests that there should be concerted efforts to implement the Ministry of Health's strategic objectives to decentralise and strengthen commune and district levels of the health system in relation to detection, diagnosis and treatment of breast cancer. No studies have been conducted that pilot interventions to provide systematic and comprehensive breast cancer services at the lower levels of the health system. Specific attention should be given to increasing autonomy and support for commune level health stations to conduct screening activities; for the systematic incorporation of opportunistic screening; and the extension of breast cancer-specific training for commune and district level health care staff.

APA, Harvard, Vancouver, ISO, and other styles

39

Älgå, Andreas, Thi Dang, Dell Saulnier, Gia Nguyen, and Johan von Schreeb. "Hope for the Best, Prepare for the Worst—An Assessment of Flood Preparedness at Primary Health Care Facilities in Central Vietnam." International Journal of Environmental Research and Public Health 15, no. 12 (November 29, 2018): 2689. http://dx.doi.org/10.3390/ijerph15122689.

Full text

Abstract:

Background: Floods affect over 85 million people every year and are one of the deadliest types of natural disasters. The health effects of floods are partly due to a loss of access to health care. This loss can be limited with proper flood preparedness. Flood preparedness is especially needed at the primary health care (PHC) level. Flood preparedness assessments can be used to identify vulnerable facilities and help target efforts. The existing research on PHC flood preparedness is limited. We aimed to assess the flood preparedness of PHC facilities in a flood-prone province in central Vietnam. Methods: Based on flood experience, the PHC facilities in the province were grouped as “severe” (n = 23) or “non-severe” (n = 129). Assessments were conducted during monsoon season at five facilities from each group, using a pre-tested, semi-structured questionnaire. Data were checked against official records when possible. Results: Nine of the ten facilities had a flood plan and four received regular flood preparedness training. Six facilities reported insufficient preparedness support. Half of the facilities had additional funding available for flood preparedness, or in case of a flood. Flood preparedness training had been received by 21/28 (75%) of the staff at the facilities with severe flood experience, versus 15/25 (52%) of the staff at the non-severe experience facilities. Conclusions: Our results suggest that the assessed PHC facilities were not sufficiently prepared for the expected floods during monsoon season. PHC flood preparedness assessments could be used to identify vulnerable facilities and populations in flood-prone areas. More research is needed to further develop and test the validity and reliability of the questionnaire.

APA, Harvard, Vancouver, ISO, and other styles

40

McKinn, Shannon, Duy Hoang Trinh, Dorothy Drabarek, Thao Thu Trieu, Phuong Thi Lan Nguyen, Thai Hung Cao, Anh Duc Dang, Thu Anh Nguyen, Greg J. Fox, and Sarah Bernays. "Drivers of antibiotic use in Vietnam: implications for designing community interventions." BMJ Global Health 6, no. 7 (July 2021): e005875. http://dx.doi.org/10.1136/bmjgh-2021-005875.

Full text

Abstract:

IntroductionAntimicrobial resistance is a global challenge that threatens our ability to prevent and treat common infectious diseases. Vietnam is affected by high rates of antimicrobial resistant infections, driven by the overuse of antibiotics and the Vietnamese government has recognised antimicrobial resistance as a health security priority. This study aimed to understand how people in Vietnam use antibiotics in community settings, and the factors that impact their practices and decision-making regarding antibiotics.MethodsWe conducted 43 qualitative in-depth interviews with 50 community members in two urban and two rural sites in Vietnam. We conducted iterative, inductive thematic analysis alongside data collection through a process of systematic debriefings based on detailed interview summaries. Through this process, we developed a coding framework that was then applied to transcribed interview data.ResultsFrequent and indiscriminate use of antibiotics was driven by the powerful appeal that antibiotics held for many Vietnamese consumers. Consumers were discerning in making decisions in their purchase and use of antibiotics. Consumers’ decisions were affected by perceptions of what constitutes high-quality medicine (effective, strong, accessible and affordable); privileging symptom control over diagnosis; social constructions of antibiotics as a trusted remedy with embodied evidence of prior efficacy, which is reinforced by advice from trusted sources in their community; and varied, generally incomplete, understanding of the concept of antibiotic resistance and its implications for individuals and for public health.ConclusionAntibiotic use at the community and primary care level in Vietnam is driven by community members’ social and economic response to what constitutes effective healthcare, rather than biomedical logic. Community-based interventions to reduce unnecessary antibiotic use need to engage with the entangled socio-structural factors that ‘resist’ current public health efforts to ration antibiotic use, alongside biomedical drivers. This study has informed the design of a community-based trial to reduce unnecessary antibiotic use.

APA, Harvard, Vancouver, ISO, and other styles

41

Toi, Phung Lam, Olivia Wu, Montarat Thavorncharoensap, Varalak Srinonprasert, Thunyarat Anothaisintawee, Ammarin Thakkinstian, Nguyen Khanh Phuong, and Usa Chaikledkaew. "Economic evaluation of population-based type 2 diabetes mellitus screening at different healthcare settings in Vietnam." PLOS ONE 16, no. 12 (December 23, 2021): e0261231. http://dx.doi.org/10.1371/journal.pone.0261231.

Full text

Abstract:

Introduction Few economic evaluations have assessed the cost-effectiveness of screening type-2 diabetes mellitus (T2DM) in different healthcare settings. This study aims to evaluate the value for money of various T2DM screening strategies in Vietnam. Methods A decision analytical model was constructed to compare costs and quality-adjusted life years (QALYs) of T2DM screening in different health care settings, including (1) screening at commune health station (CHS) and (2) screening at district health center (DHC), with no screening as the current practice. We further explored the costs and QALYs of different initial screening ages and different screening intervals. Cost and utility data were obtained by primary data collection in Vietnam. Incremental cost-effectiveness ratios were calculated from societal and payer perspectives, while uncertainty analysis was performed to explore parameter uncertainties. Results Annual T2DM screening at either CHS or DHC was cost-effective in Vietnam, from both societal and payer perspectives. Annual screening at CHS was found as the best screening strategy in terms of value for money. From a societal perspective, annual screening at CHS from initial age of 40 years was associated with 0.40 QALYs gained while saving US$ 186.21. Meanwhile, one-off screening was not cost-effective when screening for people younger than 35 years old at both CHS and DHC. Conclusions T2DM screening should be included in the Vietnamese health benefits package, and annual screening at either CHS or DHC is recommended.

APA, Harvard, Vancouver, ISO, and other styles

42

Nam, Dang Thanh, Nguyen Thi Thuy Duong, Phan Le Thu Hang, and Tham Chi Dung. "Current situation and capacity to deliver healthcare services at grassroots level in Minh Hoa district, Quang Binh province." Tạp chí Y học Dự phòng 30, no. 4 (April 28, 2021): 27–34. http://dx.doi.org/10.51403/0868-2836/2020/247.

Full text

Abstract:

Strengthening the health care system at grassroots level is a top priority of the Vietnam Government agenda at the present. Recently, the overall system has been improved, however the capacity to deliver healthcare services, especially primary health care was still facing to many shortcomings. The study aimed to assess the current situation and capacity to deliver health care services at grassroots level. All health care facilities in the Minh Hoa district, Quang Binh province in 2018 were selected, included Minh Hoa District Hospital (DHs) and 16 Commune Health Center (CHCs). The results showed that the disease patterns tended to primarily concentrate on the illness which weres related to the human lifestyle and health behaviors such as living habits, eating unhealthy food, stress and also natural environment. Utilization of the curative services increased over the year, especially the laboratory testing and health examination services. However, the facility infrastructures did not meet the national standard. The function rooms in the facilities being degraded and damaged remained at high proportion which were required to renovate. The facilities lacked of large number of essential equipment and materials. In order to strengthen the capacity to deliver the health care services, the study recommended to invest to standardize infrastructure, provision of essential equipment, materials and drugs in correspondent to the disease pattern.

APA, Harvard, Vancouver, ISO, and other styles

43

Anh Hien, Ho, Nguyen Minh Tam, Vo Tam, Huynh Van Minh, Nguyen Phuong Hoa, Stefan Heytens, Anselme Derese, and Dirk Devroey. "Estimation of the cardiovascular risk using world health organization/international society of hypertension risk prediction charts in Central Vietnam." PLOS ONE 15, no. 11 (November 23, 2020): e0242666. http://dx.doi.org/10.1371/journal.pone.0242666.

Full text

Abstract:

Introduction Cardiovascular disease (CVD) being the leading cause of the morbidity and mortality in Vietnam, the objective of this study was to estimate the total 10-year CVD risk among adults aged 40–69 years by utilizing World Health Organization/International Society of Hypertension (WHO/ISH) risk prediction charts in Central Vietnam. Materials and methods In this cross-sectional study, multi-staged sampling was used to select 938 participants from a general population aged from 40 to 69. The CVD risk factors were then collected throughout the interviews with a standardized questionnaire, anthropometric measurements and a blood test. The cardiovascular risk was calculated using the WHO/ISH risk prediction charts. Results According to the WHO/ISH charts, the proportion of moderate risk (10–20%) and high risk (>20%) among the surveyed participants were equal (5.1%). When “blood pressure of more than 160/100 mmHg” was applied, the proportion of moderate risk reduced to 2.3% while the high risk increased markedly to 12.8%. Those proportions were higher in men than in women (at 18.3% and 8.5% respectively, p-value <0.001, among the high-risk group), increasing with age. Male gender, smoking, ethnic minorities, hypertension and diabetes were associated with increased CVD risk. Conclusions There was a high burden of CVD risk in Central Vietnam as assessed with the WHO/ISH risk prediction charts, especially in men and among the ethnic minorities. The use of WHO/ISH charts provided a feasible and affordable screening tool in estimating the cardiovascular risk in primary care settings.

APA, Harvard, Vancouver, ISO, and other styles

44

VanDevanter, Nancy, Milkie Vu, Ann Nguyen, Trang Nguyen, Hoang Van Minh, Nam T. Nguyen, and Donna R. Shelley. "Qualitative Assessment of Factors Influencing Implementation Effectiveness and Sustainability of Strategies for Increasing Tobacco Use Treatment in Vietnam Health Centers." JCO Global Oncology 6, Supplement_1 (July 2020): 28. http://dx.doi.org/10.1200/go.20.23000.

Full text

Abstract:

PURPOSE Effective strategies are needed to increase the implementation and sustainability of evidence-based tobacco dependence treatment (TDT) in public health systems in low- and middle-income countries. Our cluster randomized controlled trial (VQuit) found that a multicomponent implementation strategy was effective in increasing provider adherence to TDT guidelines in community health centers (CHCs) in Vietnam. In this paper, we present findings from a postimplementation qualitative assessment of factors that influence implementation effectiveness and program sustainability. METHODS We conducted semistructured qualitative interviews (N = 52) with 13 CHC medical directors (ie, physicians), 25 CHC health care providers, and 14 village health workers (VHWs) in 13 study sites. Interviews were transcribed and translated into English. RESULTS Facilitators of implementation effectiveness included training that increased confidence and skill, satisfaction with point-of-service tools, increasing patient demand for TDT, and, for the intervention arm, the value of a VHW referral system that reduced provider burden. The primary challenge to sustainability is the competing priorities driven by the Vietnam Ministry of Health, which may result in fewer resources for TDT compared with other health programs. However, providers and VHWs described several options for adapting the implementation strategies to address challenges and increase the engagement of local government committees and other sectors to sustain gains. CONCLUSION Our findings offer insight into how a multicomponent implementation strategy influenced changes in the delivery of evidence-based TDT. In addition, these results illustrate the dynamic interplay between barriers to and facilitators of sustaining TDT at the policy and community/practice level, particularly in the context of centralized public health systems, like that of Vietnam. Sustaining gains in practice improvement and clinical outcomes will require strategies that include ongoing engagement with policymakers and other stakeholders at the national and local level, as well as planning for adaptations and subsequent resource allocations, to meet Article 14 goals.

APA, Harvard, Vancouver, ISO, and other styles

45

Jegatheesan, Brinda. "Cross-Cultural Issues in Parent-Professional Interactions: A Qualitative Study of Perceptions of Asian American Mothers of Children with Developmental Disabilities." Research and Practice for Persons with Severe Disabilities 34, no. 3-4 (September 2009): 123–36. http://dx.doi.org/10.2511/rpsd.34.3-4.123.

Full text

Abstract:

This study investigated the perspectives of 23 first-generation Asian American mothers of children with developmental disabilities. The intent was to explore the working relationships between the mothers and professionals in health care and special education in the United States. The participants in this study were from China, Taiwan, Vietnam, Korea, Japan, and India. Data were drawn from semi-structured interviews conducted over 16 months of field-work. The study revealed that mothers endured significant hardships because of communication and cultural barriers. Levels of English proficiency and acculturation as well as a variety of cultural factors were found to be the primary determinants of their perceptions of interactions with the professionals. Implications for professional practice and support for Asian American mothers are discussed.

APA, Harvard, Vancouver, ISO, and other styles

46

Nguyen, P., D. Bich Hanh, M. R. Lavergne, T. Mai, Q. Nguyen, J. F. Phillips, J. Hughes, and H. Van Thuc. "The effect of a poverty reduction policy and service quality standards on commune-level primary health care utilization in Thai Nguyen Province, Vietnam." Health Policy and Planning 25, no. 4 (December 28, 2009): 262–71. http://dx.doi.org/10.1093/heapol/czp064.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Rapoud, Delphine, Catherine Quillet, Khue Pham Minh, Vinh Vu Hai, Binh Nguyen Thanh, Thanh Nham Thi Tuyet, Hong Tran Thi, et al. "Towards HCV elimination among people who inject drugs in Hai Phong, Vietnam: study protocol for an effectiveness-implementation trial evaluating an integrated model of HCV care (DRIVE-C: DRug use & Infections in ViEtnam–hepatitis C)." BMJ Open 10, no. 11 (November 2020): e039234. http://dx.doi.org/10.1136/bmjopen-2020-039234.

Full text

Abstract:

IntroductionIn Vietnam, people who inject drugs (PWID), who are the major population infected by hepatitis C virus (HCV), remain largely undiagnosed and unlinked to HCV prevention and care despite recommended universal hepatitis C treatment. The data on the outcomes of HCV treatment among PWID also remain limited in resource-limited settings. The DRug use & Infections in ViEtnam–hepatitis C (DRIVE-C) study examines the effectiveness of a model of hepatitis C screening and integrated care targeting PWID that largely uses community-based organisations (CBO) in Hai Phong, Vietnam. In a wider perspective, this model may have the potential to eliminate HCV among PWID in this city.Methods and analysisThe model of care comprises large community-based mass screening, simplified treatment with direct-acting antivirals (DAAs) and major involvement of CBO for PWID reaching out, linkage to care, treatment adherence and prevention of reinfection. The effectiveness of DAA care strategy among PWID, the potential obstacles to widespread implementation and its impact at population level will be assessed. A cost-effectiveness analysis is planned to further inform policy-makers. The enrolment target is 1050 PWID, recruited from the DRIVE study in Hai Phong. After initiation of pan-genotypic treatment consisting of sofosbuvir and daclatasvir administrated for 12 weeks, with ribavirin added in cases of cirrhosis, participants are followed-up for 48 weeks. The primary outcome is the proportion of patients with sustained virological response at week 48, that will be compared with a theoretical expected rate of 70%.Ethics and disseminationThe study was approved by Haiphong University of Medicine and Pharmacy's Ethics Review Board and the Vietnamese Ministry of Health. The sponsor and the investigators are committed to conducting this study in accordance with ethics principles contained in the World Medical Association's Declaration of Helsinki (Ethical Principles for Medical Research Involving Human Subjects). Informed consent is obtained before study enrolment. The data are anonymised and stored in a secure database. The study is ongoing. Results will be presented at international conferences and submitted to international peer-review journals.Trial registration numberNCT03537196.

APA, Harvard, Vancouver, ISO, and other styles

48

Dat, Vu Quoc, Tran Tat Dat, Vu Quang Hieu, Kim Bao Giang, and Satoko Otsu. "Antibiotic use for empirical therapy in the critical care units in primary and secondary hospitals in Vietnam: a multicenter cross-sectional study." Lancet Regional Health - Western Pacific 18 (January 2022): 100306. http://dx.doi.org/10.1016/j.lanwpc.2021.100306.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Murphy, Jill, Pham Thi Oanh, Charles H. Goldsmith, Wayne Jones, and Vu Cong Nguyen. "Introducing supported self-management for depression to primary care in Vietnam: A feasibility study in preparation for a randomized controlled trial." Families, Systems, & Health 36, no. 2 (June 2018): 210–15. http://dx.doi.org/10.1037/fsh0000337.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

Fritzen, Scott A. "Legacies of primary health care in an age of health sector reform: Vietnam's commune clinics in transition." Social Science & Medicine 64, no. 8 (April 2007): 1611–23. http://dx.doi.org/10.1016/j.socscimed.2006.12.008.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Primary health care Vietnam'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles