Introduction Community engagement (CE) is an effective public health strategy for improving health outcomes. There is limited published knowledge about effective approaches to CE in ensuring effective responses to COVID-19 throughout lockdowns, travel restrictions and social distancing. In this paper, we contribute to bridging this gap by highlighting experience of CE in Vietnam, specifically focusing on migrant workers in Vietnam. Methods A cross-sectional qualitative study design was used with qualitative data collection was carried out during August-October 2020. Two districts were purposefully selected from two large industrial zones. Data was collected using in-depth interviews (n = 36) with individuals and households, migrants and owners of dormitories, industrial zone factory representatives, community representatives and health authorities. Data was analyzed using thematic analysis approach. The study received ethics approval from the Hanoi University Institutional Review Board. Results The government’s response to COVID-19 was spearheaded by the multi-sectoral National Steering Committee for the Prevention and Control of COVID-19, chaired by the Vice Prime Minister and comprised different members from 23 ministries. This structure was replicated throughout the province and local levels and all public and private organizations. Different activities were carried out by local communities, following four key principles of infection control: early detection, isolation, quarantine and hospitalization. We found three key determinants of engagement of migrant workers with COVID-19 prevention and control: availability of resources, appropriate capacity strengthening, transparent and continuous communication and a sense of trust in government legitimacy. Discussion and conclusion Our results support the current literature on CE in infection control which highlights the importance of context and suggests that future CE should consider five key components: multi-sectoral collaboration with a whole-of-community approach to strengthen governance structures with context-specific partnerships; mobilization of resources and decentralization of decision making to encourage self-reliance and building of local capacity; capacity building through training and supervision to local institutions; transparent and clear communication of health risks and sensitization of local communities to improve compliance and foster trust in the government measures; and understanding the urgent needs ensuring of social security and engaging all parts of the community, specifically the vulnerable groups.
Objectives: The study aims to describe and analyze some factors influencing the working motivation of nurses at Krong Pac District Hospital, Dak Lak Province in 2019. Methods A cross-sectional study of qualitative and qualitative research was conducted through interviews with 65 health workers. 10 in-depth interview and 5 group discussions from April to August 2019 at Krong Pac District Hospital, Dak Lak Province. Results: The proportion of nurses with working motivation were relatively high, about 88.7%. The working motivation with job satisfaction factor was 4.08 ± 0.7 points, organizational commitment factor was 4.17 ± 0.62 points, dedicated factor was 4.41 ± 0,58 points. Some positive factors were working conditions, relationships with colleagues and managers, appropriate job placement, and a rating system. The negative factor was low salary and allowances. Conclusion: The hospital needs to implement measures to maintain and promote nursing motivation based on research results to enhance the efficiency of providing services to patients. Key words: Motivation, influenced factors, nurses.
Objective: Describe the satisfaction of primary caregiver of under 6 years-old inpatients and determine some related factors at Cai Lay district hosptial, Tien Giang province in 2020. Methods: A cross-sectional study was conducted in 2020 with a total of 360 caregivers for under 6 children inpatients. The research measurement utilized a standardized tools developed by the Ministry of Health, Vietnam. Results: The main findings showed that the percentage of general satisfaction among caregivers of under 6 years-old inpatients was 67.6%, the satisfaction with infrastructure and equipment with a lowest rate with 63.2%. The factors related to patient satisfaction include economic situation, marital status, age, education level, health insurance, number of medical check-ups in the past 12 months and length of stay in hospital. Conclusion: In order to further improve the satisfaction of caregivers for under 6 children inpatients with treatment services, the attitude of medical staff with patients should be improving. Moreover, strengthening a process of maintain and upgrade infrastructure and equipment in Pediatric department and hospital. Also, there is a need of improving the quality of medical examination and treatment services covered by health insurance. Keywords: Satisfaction; primary caregiver; inpatient; pediatric patient,…
Unhealthy diet behavior contributed to a risk factor for the reasons of non-comunicable diseases. Increasing in unhealthy eating habits among adolecenses such as skipping breakfast, consumption of soft drinks and fast food can cause for the situation of obesity in young people group that is a concerning problem nowadays. Objectives: the study aim to describe the situation of unhealthy diet behaviors and its related factors among adolecenses in Hanoi in 2019. Methods: a cross-sectional study design was conducted from July 2019 to May 2020. A total of 1770 adolescenses aged from 16 to 18 at 15 high schools in 5 districts in Hanoi were selected in this study. Results: The results showed that a half of participants in this study had a reasonable and healthy diet. Approximately one fouth of adolecenses had a behaviors of drinking milk 4 times per week, only 45% of adolecenses had a daily breakfast. Gender and smoking behaviour were found a significant related to healthy diet behaviour among adolecense. Conclusions: In order to maintain a healthy diet behaviour in young people group, it is necessary to enhance the IEC campaign for adolecenses to follow and keep a reasonable and health diet such as having a daily breakfast, eating vegetables, reducing salty and fatty in their meals. Keywords: Risk behaviour, healthy/unhealthy diet, adolecenses, Vietnam…
A descriptive study was employed by using desk-studyapproach, focused on the reports and policies of the human resources for health in Vietnam, especially for the ethnic minority group. This study aimed to describe the status of the healthcare workforce in Vietnam and some outcomes of implementating the health workforce policies on the healthcare indicators among the ethnic minority group. The results of this study based on the data of health indicators for the period of 2013-2018. The main findings showed that the quantity and quality of the health workforce had increased gradually and also the health status and healthcare services utilization in the ethnic people had improved. However, the health workforce still had an imbalance in both quantitative and qualitative dimensions. While comparing to the general population, the inequity in healthcare services utilization and health indicators of ethnic minorities group still remained. Therefore, the Government and Ministry of Health need to review and develop the specific policies of the healthcare workforce to attract and maintain the health workers in the remote areas for ethnic minorities group. At the local health level, it is necessary to take the initiative in advising on develop the policies of the healthcare workforce; Strengthen the collaboration with all the stakeholders in the policy implementation; Monitoring and evaluation of the policy implementation to suggest the appropriate recommendations and solutions in the upcoming period. Keywords: Health workforce, human resources for health, ethnic minorities, health policy, health care, healthcare service utilization,…
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