Embedding viral hepatitis into primary healthcare: results of a strategic landscape analysis in Vietnam and the Philippines

Holt, Bethany; Fernandez, Martin; Nguyen, Dang; Delima, Danica; Duy, Lam Dam; Gaspar, Manu; Hamoy, Geohari; Le, Bao Ngoc; Llevado, Jan; Manlutac, Joseph Michael D.; Mendoza, Jhaki; Mercado, Timothy; Nguyen, Hoang; Nguyen, Huyen Thu; Ong, Janus; Rombaoa, Mary Cris; Florendo, Jan; Dela Cruz, Jose Mateo; Pham, Thuy; Thai, Pham Nam; Truong, Pham Xuan; Pollack, Todd; Duong, David

doi:10.1016/j.lanwpc.2023.100990

The Lancet Regional Health - Western Pacific

2024

DOI: 10.1016/j.lanwpc.2023.100990

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Embedding viral hepatitis into primary healthcare: results of a strategic landscape analysis in Vietnam and the Philippines

Bethany Holt,

Martin Fernandez,

Dang Nguyen

et al.

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Barriers and enablers to people‐centred viral hepatitis care in Vietnam and the Philippines: Results of a patient journey mapping study

Holt,

Mendoza,

Nguyen

et al. 2024

Journal of Viral Hepatitis

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In Vietnam and the Philippines, viral hepatitis is the leading cause of cirrhosis and liver cancer. This study aims to understand the barriers and enablers of people receiving care for hepatitis B and C to support both countries' efforts to eliminate viral hepatitis as a public health threat by 2030. Retrospective, semi‐structured interviews were conducted with a purposive, quota‐based sample of 63 people living with hepatitis B or C in one province of Vietnam and one region of the Philippines. A rapid deductive approach to thematic analysis produced key findings among the three phases of care: (1) pre‐awareness and testing, (2) linkage and treatment initiation and (3) ongoing treatment and recovery. The research found that participants followed five typical journeys, from a variety of entry points. Barriers during the pre‐awareness and testing phase included limited awareness about hepatitis and its management, stigma and psychological impacts. Enablers included being familiar with the health system and/or patients benefiting from social connections within the health systems. During the linkage and treatment initiation phase, barriers included difficult physical access, complex navigation and inadequate counselling. In this phase, family support emerged as a critical enabler. During the ongoing treatment and recovery phase, the cost of care and socially and culturally informed perceptions of the disease and medication use were both barriers and enablers. Exploring peoples' journeys with hepatitis B and C in Vietnam and the Philippines revealed many similarities despite the different cultural and health system contexts. Insights from this study may help generate a contextualized, people‐centred evidence base to inform the design and improvement of primary care services for hepatitis in both research sites.

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Barriers and enablers to people‐centred viral hepatitis care in Vietnam and the Philippines: Results of a patient journey mapping study

Holt,

Mendoza,

Nguyen

et al. 2024

Journal of Viral Hepatitis

Self Cite

View full text Add to dashboard Cite

show abstract

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Embedding viral hepatitis into primary healthcare: results of a strategic landscape analysis in Vietnam and the Philippines

Cited by 1 publication

References 24 publications

Barriers and enablers to people‐centred viral hepatitis care in Vietnam and the Philippines: Results of a patient journey mapping study

Barriers and enablers to people‐centred viral hepatitis care in Vietnam and the Philippines: Results of a patient journey mapping study

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