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

Duong, David B.; Minh, Hoang Van; Ngo, Long; Ellner, Andrew

doi:10.15171/ijhpm.2018.104

Cited by 38 publications

(50 citation statements)

References 18 publications

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“…According to a study on NCD service availability in Vietnam that focuses on ethnic minorities living in a mountainous area, community health centers play a significant role in NCD care and risk factor management, but they have limited NCD preventive and treatment services, and have limited medication availability; they are also underutilized [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Kim

Park

et al. 2020

IJERPH

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The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and the associated factors among people living in rural Vietnam. This cross-sectional study was conducted with 233 participants in a rural area. The methods included face-to-face interviews using a structured questionnaire, and anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs. Of the participants, 18% (n = 43) had unmet healthcare needs, for reasons like transportation (30%), a lack of available doctors or medicine (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that living in a rural area, having stage 2 hypertension, and having insurance were associated with unmet healthcare needs. To better meet the healthcare needs in rural or suburban areas of Vietnam, allocation of adequate healthcare resources should be distributed in rural areas and insurance coverage for personalized healthcare needs might be required. Efforts should focus on availability of medicine, improvement of transportation systems, and communication skills of healthcare providers to improve access to healthcare services.

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Section: Introductionmentioning

confidence: 99%

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Kim

Park

et al. 2020

IJERPH

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“…As a result, about 183 thousand men, more than half of whom in the bottom income group, would avoid falling into extreme poverty. In contrast to the distribution of health benefits, the extra revenue generated from men in the top income group would be about 3.8 times that from the bottom income group (3,137 vs 827 billion VND).…”

Section: Executive Summarymentioning

confidence: 90%

Impact of Cigarette Price Increase on Health and Financing Outcomes in Vietnam

2019

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“…This study is further unique in that it focuses on resource-limited settings in LMICs. The four countries – China, Nepal, Vietnam, and Kenya – share various similarities, notably an increasing burden of CMDs and related risk factors [24–27], and the inequity of health care resources and outcomes within the country [25, 38–40]. They are also distinct, however, with respect to population demographics, healthcare system structure, economic development, and so on.…”

Section: Discussionmentioning

confidence: 99%

Feasibility assessment of invigorating grassrooTs primary healthcare for prevention and management of cardiometabolic diseases in resource-limited settings in China, Kenya, Nepal, Vietnam (the FAITH study): rationale and design

Gong

Shao

et al. 2019

glob health res policy

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BackgroundCardiometabolic diseases are the leading cause of death and disability in many low- and middle-income countries. As the already severe burden from these conditions continues to increase in low- and middle-income countries, cardiometabolic diseases introduce new and salient public health challenges to primary health care systems. In this mixed-method study, we aim to assess the capacity of grassroots primary health care facilities to deliver essential services for the prevention and control of cardiometabolic diseases. Built on this information, our goal is to propose evidence-based recommendations to promote a stronger primary health care system in resource-limited settings.MethodsThe study will be conducted in resource-limited settings in China, Kenya, Nepal, and Vietnam using a mixed-method approach that incorporates a literature review, surveys, and in-depth interviews. The literature, statistics, and document review will extract secondary data on the burden of cardiometabolic diseases in each country, the existing policies and interventions related to strengthening primary health care services, and improving care related to non-communicable disease prevention and control. We will also conduct primary data collection. In each country, ten grassroots primary health care facilities across representative urban-rural regions will be selected. Health care professionals and patients recruited from these facilities will be invited to participate in the facility assessment questionnaire and patients’ survey. Stakeholders – including patients, health care professionals, policymakers at the local, regional, and national levels, and local authorities – will be invited to participate in in-depth interviews. A standard protocol will be designed to allow for adaption and localization in data collection instruments and procedures within each country.DiscussionWith a special focus on the capacity of primary health care facilities in resource-limited settings in low- and middle-income countries, this study has the potential to add new evidence for policymakers and academia by identifying the most common and significant barriers primary health care services face in managing and preventing cardiometabolic diseases. With these findings, we will generate evidence-based recommendations on potential strategies that are feasible for resource-limited settings in combating the increasing challenges of cardiometabolic diseases.

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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

Cited by 38 publications

References 18 publications

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

Impact of Cigarette Price Increase on Health and Financing Outcomes in Vietnam

Feasibility assessment of invigorating grassrooTs primary healthcare for prevention and management of cardiometabolic diseases in resource-limited settings in China, Kenya, Nepal, Vietnam (the FAITH study): rationale and design

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