Vietnam strives to provide primary health care to all people

Because the grassroots medical systems are unable to meet people’s treatment demand, the Prime Minister has approved the project to improve the system’s quality in districts in an effort to provide primary health care to all people.

The project which will be carried out from 2016 to 2025 aims to re-structure operating mechanism, financing mechanism, personnel growth to improve service quality of district medical clinics to ensure provision of primary health care service, examination and treatment for local residents. Besides, it strives to link all-round services and preventive medicine and treatment; work closely with hospitals helping reduce pressure for big hospitals.

Noticeably, the project will ensure that most of doctors in commune medical facilities can treat patients with insurance cards and provide primary health care as well as perform 90 percent of technique services by 2025.

In the other hand, most of medical workers in institutes in district can also perform 90 percent of more complicated technique services; communes will have enough medical facilities as per the national
norms. Medical clinics in communes should provide primary all-round health care for each inhabitant and consultation of health matters as well as rehabilitation, taking care of the elderly people, mothers, children and preventing contagious and non-communicable diseases.

According to the World Health Organization, medical clinics in districts and communes can meet 70 percent of health care demand. Yet medical workers’ skills in district clinics are still limited.

As per the Health Strategy and Policy Institute’s study, 750 doctors in 78 clinics in districts and over 250 physicians and nurses in 250 medical centers in communes have knowledge of five normal diseases including pneumonia in kids, diarrhea in kids, tuberculosis, high blood pressure, and diabetes. While, also the institute’s study showed the rate of wrong diagnosis of high blood pressure is 19 percent, of diabetes type 2 is 14 percent, of diarrhea in kids is 12 percent, of tuberculosis is 9 percent and pneumonia in kids is 3 percent.

By Nguyen Quoc – translated by Uyen Phuong

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