To access the relationship between job satisfaction and turnover intention of preventive medicine workers in Vietnam, we conducted a cross-sectional study using a purposive convenience sample of 12 preventive medicine centers in 3 provinces of northern Vietnam (Hai Duong, a plain province, Yen Bai, a mountainous province, and Hanoi, the capital of Vietnam). Overall, 400 preventive medicine staff were invited to participate, and 383 questionnaires were analyzed (153 from 3 provincial centers and 230 from 9 district centers). All eligible participants completed the questionnaire, which included questions relating to general information, job satisfaction, intention to quit. We identified significant associations between turnover intention and personal factors, including age, marital status, education level, professional degree, and length of employment at the current center. The bivariate analysis also indicated that job satisfaction had an inverse relationship with turnover intention, as expected. The correlations varied between facets and overall job satisfaction, from −0.19 for community support to −0.37 for overall job satisfaction. These correlations remained significant after controlling for personal factors using hierarchical multiple regressions. The results indicated that facet and overall job satisfaction were significant predictors of turnover intention, while overall job satisfaction was the strongest predictor (β = 0.37, P < .001). This study could contribute to local system development and the international understanding of job satisfaction and turnover intention among preventive medicine workers. Addressing the aspects of job satisfaction that were found to have the lowest scores may help the preventive medicine system to retain staff.
The COVID‐19 pandemic has aggravated the obstacles for HIV/AIDS programs in limited‐resource countries like Vietnam to achieve the HIV/AIDS‐related Sustainable Development target. The paper aims to evaluate the impact of the COVID‐19 pandemic on the provision of HIV/AIDS services—a pathway to achieving universal health coverage for key populations (KPs). Employing mix‐methods, we conducted a desk study, one focus group discussion, and ten in‐depth interviews with participants from the Ministry of Health, Provincial Centres for Disease Control, and HIV/AIDS‐related facilities. The results showed the reduced coverage of KPs with access to prevention (i.e., harm‐reduction services, counselling), testing, and treatment services (i.e., antiretroviral therapy, isoniazid preventive therapy). It also showed the reduced coverage of quality essential services, mainly in skipping consultation and testing, delaying un‐emergency services, and redirecting KPs to non‐HIV‐specialised facilities. There was a gap in providing support for mental health, violence/abuse, and reproductive health. Financial risk protection for KPs was reduced due to uncertain local budget allocation; decreasing their ability to pay for HIV/AIDS‐related services and social health insurance premiums; and increased out‐of‐pocket payments to comply with the COVID‐19 control measures. This paper provides recommendations for strategic planning to ensure universal health coverage for KPs in the post COVID‐19 era, especially for limited‐resource countries like Vietnam.
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