Strengthening local health systems for hypertension prevention and control: the Communities for Healthy Hearts program in Ho Chi Minh City, Vietnam

Tran, Tuan Anh; Hoang, Van Minh; Adler, Alma J; Shellaby, Jason Thatcher; Bui, Van Truong; McGuire, Helen; Lê, Thị Thu Hiền; Nguyen, Thanh Van; Hoang, Thao Anh; Le, Minh Dat; Hoang, Hong Hanh; Bui, Phuong Linh; Khuong, Quynh Long; Nguyen, Bao Ngoc; Tran, Thu Ngan; Nguyen, Thi Ngoc Phuong; Vuong, Van

doi:10.35500/jghs.2020.2.e15

Cited by 5 publications

(5 citation statements)

References 24 publications

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“…The CH2 model 18 (Fig. 2) was designed with Ho Chi Minh City health authorities and was based on findings from a targeted audience assessment 19 .…”

Section: Methodsmentioning

confidence: 99%

“…After the volunteers' training, CH2 supported the continuation of their consistent, high-quality hypertension screening and referral services through ongoing supportive supervision, job aids, and guidelines. Monthly monitoring and data quality assurance processes by CHS staff showed that collaborators and BP checkpoints continued to correctly measure BP 18,22 .…”

Section: Methodsmentioning

confidence: 99%

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Improving hypertension awareness and management in Vietnam through a community-based model

McGuire

Vân²,

Thu³

et al. 2022

Sci Rep

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Hypertension prevalence in Vietnam is high, but few people are aware of their disease status. Detection, diagnosis, and treatment are limited, so new approaches are needed to improve awareness and manage the condition, especially at the primary health care level. The Communities for Healthy Hearts programme operated in four districts of Ho Chi Minh City, with the aim of increasing awareness and ensuring linkage to care. Interventions focused on extending services beyond health facilities to convenient community locations; training cadres of community volunteers to screen, refer, and follow up with clients; training health workers in facilities to diagnose, educate, and manage patients referred from the community; and supporting the process with digital case tracking. Community-based blood pressure screenings took place in client homes, commune health stations, and non-traditional sites such as coffee shops, dentists’ offices, marketplaces, neighbourhood watch/security posts, and tailor shops. In total, 121,273 adults aged 40 and older were screened. Of these, 25.1% had elevated blood pressure or a previous hypertension diagnosis and were referred to health facilities. Of those referred, 56.2% were confirmed to have hypertension, and of those confirmed, 75.2% were treated. Of those treated, 51.0% achieved blood pressure control, a favourable outcome over past programmes.

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“…The CH2 model 18 (Fig. 2) was designed with Ho Chi Minh City health authorities and was based on findings from a targeted audience assessment 19 .…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Improving hypertension awareness and management in Vietnam through a community-based model

McGuire

Vân²,

Thu³

et al. 2022

Sci Rep

Self Cite

View full text Add to dashboard Cite

show abstract

“…Challenges to effective NCD prevention and control in Vietnam include limited awareness of NCD within communities, regional disparities in medical services, healthcare staff shortages, and poor NCD surveillance [7]. Improving staff competency in collecting and using NCD data in CHS can potentially improve NCD prevention and management in Vietnam [8]. Currently, over 11,000 CHS exist-with CHS staff working with more than 100,000 village health workers and community collaborators who play a crucial role in the preventive medicine system [5].…”

Section: Introductionmentioning

confidence: 99%

Putting non-communicable disease data to work in Vietnam: an investigation of community health surveillance capacity

Nguyen¹,

Nguyen

Tran

et al. 2023

BMC Public Health

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Introduction Despite the public health system’s critical role in non-communicable disease (NCD) surveillance in Vietnam, limited evidence exists on the implementation of NCD surveillance activities within these systems and the need for capacity building across different system levels to meet expected NCD surveillance goals. This study aimed to evaluate the status of and describe factors affecting the implementation of NCD surveillance activities and to identify the NCD surveillance capacity building needs of the public health system in Vietnam. Methods We used a mixed-methods approach in four provinces, conducting self-completed surveys of staff from six Preventive Medicine Institutes (PHI), 53 Centres for Disease Control (CDC) and 148 commune health stations (CHS), as well as 14 in-depth interviews and 22 focus group discussions at four PHI, four CDC, and eight district health centres and CHS. Results Study findings highlighted that although Vietnam has a well-functioning NCD surveillance system, a number of quality issues related to NCD surveillance data were salient. Multifactorial reasons were identified for incomplete, unconfirmed, and inaccurate mortality data and current disease surveillance data. Data on NCD management and treatment were reported to be of better quality than data for screening, targeted treatment, and counselling communication. Main factors affected the effective implementation of NCD surveillance, namely lack of complete and specific guidelines for NCD surveillance, limitations in human resource capacity within NCD departments, and shortage of funding for NCD surveillance activities. Conclusion Study findings provide practical strategies for strengthening health system capacity for NCD surveillance through developing policies, guidelines, and standardised tools to guide NCD surveillance and a road map for integrated NCD surveillance, developing training packages and manuals for all levels of the health system, and conducting utilisation-focused surveillance training programs.

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“…Challenges to effective NCD prevention and control in Vietnam include limited awareness of NCDs within communities, regional disparities in medical services, healthcare staff shortages, and poor NCD surveillance [10]. Improving staff competency in collecting and using NCD data in CHS can potentially improve NCD prevention and management in Vietnam [11]. Currently, over 11,000 CHS exist-with CHS staff working with more than 100,000 village health workers and community collaborators who play a crucial role in the preventive medicine system.…”

Section: Introductionmentioning

confidence: 99%

Putting non-communicable disease data to work in Vietnam: An investigation of community health surveillance capacity

Nguyen¹,

Nguyen

Tran³

et al. 2022

Preprint

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IntroductionDespite the public health system’s critical role in non-communicable disease (NCD) surveillance in Vietnam, limited evidence exists on the implementation of NCD surveillance activities within these systems and the need for capacity building across different system levels to meet expected NCD surveillance goals. This study aimed to evaluate the status of and describe factors affecting the implementation of NCD surveillance activities and to identify the NCD surveillance capacity building needs of the public health system in Vietnam.MethodsWe used a mixed-methods approach in four provinces, conducting self-completed surveys of staff from six Preventive Medicine Institutes (PHIs), 53 Centres for Disease Control (CDCs) and 148 commune health stations (CHS), as well as 18 in-depth interviews and 26 focus group discussions at four PHIs, four CDCs, and eight district health centres and CHS. ResultsStudy findings highlighted that although Vietnam has a well-functioning NCD surveillance system, a number of quality issues related to NCD surveillance data were salient. Multifactorial reasons were identified for incomplete, unconfirmed, and inaccurate mortality data and current disease surveillance data. Data on NCD management and treatment were reported to be of better quality than data for screening, targeted treatment, and counselling communication. Main factors affected the effective implementation of NCD surveillance, namely lack of complete and specific guidelines for NCD surveillance, limitations in human resource capacity within NCD departments, and shortage of funding for NCD surveillance activities. ConclusionStudy findings provide practical strategies for strengthening health system capacity for NCD surveillance through developing policies, guidelines, and standardised tools to guide NCD surveillance and a road map for integrated NCD surveillance, developing training packages and manuals for all levels of the health system, and conducting utilisation-focused surveillance training programs.

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Strengthening local health systems for hypertension prevention and control: the Communities for Healthy Hearts program in Ho Chi Minh City, Vietnam

Cited by 5 publications

References 24 publications

Improving hypertension awareness and management in Vietnam through a community-based model

Improving hypertension awareness and management in Vietnam through a community-based model

Putting non-communicable disease data to work in Vietnam: an investigation of community health surveillance capacity

Putting non-communicable disease data to work in Vietnam: An investigation of community health surveillance capacity

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