29. STUDY ON SERVICE AVAILABILITY AND READINESS OF COMMUNE HEALTH STATIONS IN MANAGEMENT OF NON-COMMUNICABLE DISEASES IN THUA THIEN HUE PROVINCE
Main Article Content
Abstract
Background: Vietnam is currently facing a heavy burden of disease and mortality due to non-communicable diseases (NCDs). Controlling NCDs is a top priority in healthcare.
Objectives: Describe the situation of NCDs management and assess the service availability and readiness of commune health stations (CHSs) in Thua Thien Hue province.
Methods: A cross-sectional descriptive study was conducted on 46 CHSs. Data were collected using a structured questionnaire, developed and calibrated according to the Service Availability and Readiness Assessment (SARA) and current regulations.
Results: Most CHSs offered available services for diagnosis/treatment/management of NCDs (>80%). The mean readiness index in the management of hypertension, diabetes, asthma and chronic obstructive pulmonary disease, breast cancer and cervical cancer was 79.4, 63.8, 50.3, and 67.6 respectively.
Conclusion: Readiness in managing NCDs at CHSs was not high, especially for bronchial asthma-chronic obstructive pulmonary disease, breast cancer and cervical cancer. The health sector needs to implement appropriate policies and solutions to ensure adequate supply of essential equipment and medication; and to strengthen the organization of training courses and continuous education for health workers on NCDs.
Article Details
Keywords
Service availability Readiness, Management, Non-communicable diseases, Commune health station
References
[2] Bộ Y tế (2022), Chuyển đổi đáp ứng với bệnh không lây nhiễm tại Việt Nam, truy cập ngày 25/03/2024, tại trang web https://moh.gov.vn/hoat-dong-cua-dia-phuong/-/asset_publisher/gHbla8vOQDuS/content/chuyen-oi-ap-ung-voi-benh-khong-lay-nhiem-tai-viet-nam.
[3] Hoàng Hải Nam và các cộng sự. (2023), "Chi phí trực tiếp cho bệnh phổi tắc nghẽn mạn tính (COPD) tại Bệnh Viện Đa Khoa Sơn Tây năm 2021", Tạp chí Y học Việt Nam. 527(2).
[4] Nguyễn Thị Mai Lan (2020), "Nghiên cứu tỉ lệ mắc mới ung thư vú ở phụ nữ Hà Nội giai đoạn 2014–2016", Luận án tiến sỹ, Đại Học Y Hà Nội.
[5] World Health Organization (2015), "Service Availability and Readiness Assessment (SARA)".
[6] Bộ Y tế (2021), Hướng dẫn hoạt động dự phòng, sàng lọc, phát hiện sớm và quản lý ung thư vú, ung thư cổ tử cung tại cộng đồng thuộc Đề án 818 đến năm 2030, chủ biên.
[7] Hasina Akhter Chowdhury et al. (2022), "Assessing service availability and readiness of healthcare facilities to manage diabetes mellitus in Bangladesh: Findings from a nationwide survey", PLoS One. 17(2), p. e0263259.
[8] Thang Nghia Hoang et al. (2023), "Assessment of availability, readiness, and challenges for scaling-up hypertension management services at primary healthcare facilities, Central Highland region, Vietnam, 2020", BMC Primary Care. 24(1), p. 138.
[9] Võ Đức Toàn và Nguyễn Nam Hùng (2019), "Thực trạng quản lí bệnh đái tháo đường tại các trạm y tế xã, phường, thị trấn thuộc tỉnh Thừa Thiên Huế", Tạp chí Y Dược học Trường Đại học Y Dược Huế, tập. 9.
[10] B. T. Seboka, T. M. Yilma & A. Y. Birhanu (2021), "Awareness and readiness to use telemonitoring to support diabetes care among care providers at teaching hospitals in Ethiopia: an institution-based cross-sectional study", BMJ Open. 11(10), p. e050812.
[11] Umesh Ghimire et al. (2020), "Health system’s readiness to provide cardiovascular, diabetes and chronic respiratory disease related services in Nepal: analysis using 2015 health facility survey", BMC Public Health. 20(1), p. 1163.
[12] Theodros Getachew Theodros Getachew et al. (2018), "Service availability and readiness for major non-communicable diseases at health facilities in Ethiopia", Ethiopian Journal of Health Development. 31(Special Issue), p. 384–390.
[13] Ashraful Kabir, Md Nazmul Karim & Baki Billah (2022), "Readiness of primary healthcare facilities for non-communicable diseases in Bangladesh".