Primary care development in Southeast Asia: Building an essential foundation for health systems

Abstract

report, a presenter will share an interesting patient case that is open for both groups of residents to discuss and work through. Outcomes & Evaluation: In this setting, Haitian residents can learn about the diagnostic and therapeutic process in patients who have often been referred from outside hospitals for higher level tertiary care. During the Haiti resident cases, Dartmouth-Hitchcock residents can learn the value of more basic investigative practices and what the best diagnostic and treatment strategies are when resources are scarce. Both parties can learn a great deal from each other in recognizing the vast differences in medical systems and how geo-political and socioeconomical factors play large roles in healthcare delivery. However, perhaps one of the most valuable lessons gained from these conferences is that despite so many differences in our backgrounds and resources, there are countless aspects of good patient care that are universal to all healthcare providers. Going Forward: This pilot project has had to withstand several challenges in its early years of development. The language barrier between residents was an initial concern and hindered the free flow of discussion between groups. Having bilingual presentation slides and a Funding: There is currently no funding required for this initiative.

Access to hypertension care and services in primary health-care settings in Vietnam: a systematic narrative review of existing literature

“…Almost half of the studies investigated HTN as a primary outcome, while most of the system's peer-reviewed articles and official documents had information on HTN as part of NCDs or their risk factors. For the 26 peer-reviewed articles, 13 (50%) described dimensions related to the accessibility for the health system [32][33][34][35][36][37][38][39][40][41][42][43][44], 10 (39%) described dimensions related to the abilities of the population to access care [45][46][47][48][49][50][51][52][53][54], and 3 (11%) on the MoH intervention to control HTN which described dimensions of both domains [55][56][57]. The cross-sectional design was the most used one among peer-reviewed articles (n = 10; 39%), the majority of which looked at aspects of the abilities of the population (n = 7).…”

“…Several opportunities are still ongoing to train health workers at district and commune levels on the prevention and management of HTN [39][40][41]. For example, the MoH Decision number 1816, dated 2008, stated the responsibility of staff from higher-level facilities to support staff from lowerlevel facilities by providing in-service training [19].…”