Viet Nam pp

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  • References:Central Intelligence Agency. (2012). The world factbook: East and Southeast Asia: Viet Nam. Retrieved April 17, 2012, from https://www.cia.gov/library/publications/the-world-factbook/geos/vm.html
  • Most Vietnamese seek initial and rudimentary medical treatment at public hospitals clogging an already overcrowded systemHigh child mortality and other national health issues – HIV/Aids, Hepatitis B & C infections, liver cirrhosis, lung disease and asthma are all on the riseHigh incidence of deaths related to road accidentsOvercrowded facilities (particularly in pediatric wards)Outdated medical equipmentLow salaries for healthcare professionalsInsufficient government subsidyVietnam’s healthcare system remains largely underdeveloped and both the number and quality of hospitals, clinics, and doctors have not kept pace with Vietnamese society’s needs or expectationsReferences:World Health Organization. (2008). Country health profiles: Viet Nam. Retrieved April 17, 2012, from http://www.wpro.who.int/countries/vnm/36VTNpro2011_finaldraft.pdf
  • The following examples of quality improvement issues in health care cover both macro and microsystem level issues.Ratio of patients to nurse(1:30):Too many patients and not enough health care workersShortage of beds in hospitals: 2-4 patients per bedSalary: Health care workers are not paid well: first two years out of nursing school get no pay for full time work then start at $100/month. Amount you get depends on your relationship with the leader and if you bribe themPatient satisfaction: Approximately 50% of patients are unhappy with the medical care due to: long waiting hours, poor physician/nurse-patient relationshipsEducation and practice: Large gap between what is taught about safe practice and what is actually carried out Tropical country so there is a lot of bacteria and viruses. Due to lack of beds and nurses there is a high amount of inter-patient infection transmissionHealth workers only wear mask when dealing with infectious diseases.The national insurance policy of Vietnam only covers a small section of the population so the poor cant access healthThe health care systems are not easily accessible ; the biggest concern of the Vietnamese government is to make healthcare universal and affordable to its populaceservice delivery: poor quality of services delivery at lower levels of ( e.g clinics) cause overload in hospitalsPolicy and strategies are not synchronize: there is lack of overall policy framework to serve as a base for development of specific health strategies and policies. the policy –making process has not been fully supported with adequate information and sound scientific evidence. there is shortage of policy of expects within and outside the sectorReferencesAustralian Nursing Journal. (2001). Volunteering in Viet Nam. Australian Nursing federationHien, T. T et al. (2005). Viet Nam’s war of flu. Nature Publishing Group.Respondek , A., Hao T. T., & Nguyet, N. H N.(2010). Viet Nam’slegal aspect of health care system. Ho chi Minh City: Respondek and Fan Ltd. Richards J. R. (1996). Emergencyin Viet Nam. American College of Emergency Physicians. CaliforniaSchmidt, W. et al. (2011). Population density, water supply and the risk of dengue fever in Viet Nam: Cohort study and spatial analysis. Pub Med, 8(8)
  • Every year Vietnam suffers from a number of natural disasters such as typhoons, tropical storms, floods, drought, seawater intrusion, landslides, forest fires and earthquakes. Typhoons, one of the most common natural disasters to occur, happen 8 months of the year between May and December. They are usually followed by storm surges, bringing salt water onto the land and destroying crops and vegetation as a result. These disasters result in the loss of human lives, property, social structure, culture, and environmental degradation.Unfortunately, natural disasters in Vietnam are increasing in severity and frequency leading to an increase in loss with each disaster and a harder time to rebuild. Between 1980 to 2009 there were approximately 15 917 deaths caused by natural disasters. 69 700 028 were affected and the damage was equivalent to US$ 7 356 350 000. ReferencesPartnerships for Disaster Reduction – South East Asia. (2008). Monitoring and reporting progress on community-based disaster risk management in Viet Nam. Retrieved April 17, 2012, from http://www.adpc.net/v2007/programs/CBDRM/INFORMATION%20RESOURCE%20CENTER/CBDRM%20Publications/2008/final_crvietnam_23nov.pdfWorld Health Organization. (2008). Country health profiles: Viet Nam. Retrieved April 17, 2012, from http://www.wpro.who.int/countries/vnm/36VTNpro2011_finaldraft.pdf
  • The effect of a natural disaster depends on its severity, duration and location. These are some of the many issues that often result from a natural disaster. In Vietnam they experience this multiple times a year and have to rebuild their lives over and over again. ReferencesPartnerships for Disaster Reduction – South East Asia. (2008). Monitoring and reporting progress on community-based disaster risk management in Viet Nam. Retrieved April 17, 2012, from http://www.adpc.net/v2007/programs/CBDRM/INFORMATION%20RESOURCE%20CENTER/CBDRM%20Publications/2008/final_crvietnam_23nov.pdfWorld Health Organization. (2008). Country health information profiles: Viet Nam. Retrieved April 17, 2012, from http://www.wpro.who.int/countries/vnm/36VTNpro2011_finaldraft.pdf
  • World Health Organization. (2008). Country health profiles: Viet Nam. Retrieved April 17, 2012, from http://www.wpro.who.int/countries/vnm/36VTNpro2011_finaldraft.pdf
  • Partnerships for Disaster Reduction – South East Asia. (2008). Monitoring and reporting progress on community-based disaster risk management in Viet Nam. Retrieved April 17, 2012, from http://www.adpc.net/v2007/programs/CBDRM/INFORMATION%20RESOURCE%20CENTER/CBDRM%20Publications/2008/final_crvietnam_23nov.pdfSocialist Republic of Viet Nam. (2007). National strategy for natural disaster prevention, response, and mitigation to 2020. Retrieved April 17, 2012, from http://www.isgmard.org.vn/VHDocs/NationalPrograms/National%20Strategyfordisasterprevention2020.pdf
  • Socialist Republic of Viet Nam. (2007). National strategy for natural disaster prevention, response, and mitigation to 2020. Retrieved April 17, 2012, from http://www.isgmard.org.vn/VHDocs/NationalPrograms/National%20Strategyfordisasterprevention2020.pdf
  • Socialist Republic of Viet Nam. (2007). National strategy for natural disaster prevention, response, and mitigation to 2020. Retrieved April 17, 2012, from http://www.isgmard.org.vn/VHDocs/NationalPrograms/National%20Strategyfordisasterprevention2020.pdf
  • Viet Nam pp

    1. 1. Vietnam : A Quality Improvement Application Thuy Trang Nguyen Thi Hloliphani Juta Jasmine Paul Lara Kesteloo
    2. 2. An Introduction Population: 91,519,289 Most common diseases: 1. Diarrhoea Average life 2. Avian influenza expectancy: 72.41 years Vietnam 2.Dengue and dengue hemorrhagic fever 3. Hand foot and mouth Hospital bed density: 2.87 beds/1,000 population
    3. 3. Challenges in Vietnam’s healthcaresector include Most Vietnamese seek  Outdated medical initial and rudimentary equipment medical treatment at  Low salaries for public hospitals clogging healthcare an already overcrowded professionals system  Insufficient government High child mortality and subsidy other national health issues – Vietnam’s healthcare HIV/Aids, Hepatitis B & C system remains largely infections, liver underdeveloped and cirrhosis, lung disease both the number and and asthma are all on the quality of rise hospitals, clinics, and High incidence of deaths doctors have not kept related to road accidents pace with Vietnamese society’s needs or Overcrowded facilities expectations
    4. 4. Overview of Quality Issues in HealthCare • Country Macrosystem governance Level • Hospital system • Intra-hospital unit • Individual patient Microsystem or health care worker
    5. 5. Quality Improvement: A Focus on Natural Disasters
    6. 6. Impact of Natural Disasters Drought  Financial hardship Famine  Loss of family or Water contamination friends Disease  Increase in hospital Loss of property access in an already crowded system Loss of income  Injury  Mental health disorders
    7. 7. Vietnam Disaster Preparedness According to the World Health Organization (2011), Viet Nam is one of the most disaster prone countries in the world – natural disasters such as typhoons, tropical storms, floods, drought, landslides, forest fires, and earthquakes occur frequently between May to DecemberQuestion: How does Viet Nam prepare for these frequentdisasters?
    8. 8. Viet Nam’s disaster preparedness planning The Viet Nam National Strategy for Natural Disaster Prevention Response and Mitigation from 2007 to 2020Goal: “Mobilize all resources to effectively implement disasterprevention and response from now up to 2020 in order tominimize the losses of human life and properties, the damage ofnatural resources and cultural heritages, and the degradation ofenvironment, to ensure the country sustainable
    9. 9. Goals and Achievements Goals Achievements Increase the early warning of storms  Legal documents: Law on up to 72 hours in advance Dykes, Water Resources Law, Law on Forest Protection and Development, and Law on Ensure 100% of local staffs who Environment Protection to guide directly work in the field of disaster appropriate action prevention and response to be trained  Annual allocation from donors for Promote community awareness to ensure preparedness at an individual emergency relief and prompt damage level recovery e.g. Vietnam Fatherland Front, Trade Union, Youth and Women Associations Protect water system by improvement of flood discharge for rivers and  Application of new materials and canals, construction of sea dykes for salinity prevention, and fresh water technologies to construct several preservation. disaster prevention structures.
    10. 10. Areas for ImprovementInfrastructure built is usually poor and vulnerable to disasterForecast and warning systems are not advanced enoughEmergency relief, damage recovery, and rehabilitation services are limitedSearch and rescue activities are limited due to lack of equipment and little collaboration between healthcare professionalsTraining and raising community awareness of disaster prevention and response are infrequent and unsystematic; disaster preparedness training programs have not been included in school curriculumInvestment in natural disaster prevention, response and mitigation has been minimal and has not metrequirementsLack of strong leader(s) to seriously implement plans and invest money
    11. 11. References Australian Nursing Journal. (2001). Volunteering in Viet Nam. Australian Nursing federation Central Intelligence Agency. (2012). The world factbook: East and Southeast Asia: Viet Nam. Retrieved April 17, 2012, from https://www.cia.gov/library/publications/the-world-factbook/geos/vm.html Hien, T. T et al. (2005). Viet Nam’s war of flu. Nature Publishing Group. Partnerships for Disaster Reduction – South East Asia. (2008). Monitoring and reporting progress on community- based disaster risk management in Viet Nam. Retrieved April 17, 2012, from http://www.adpc.net/v2007/programs/CBDRM/INFORMATION%20RESOURCE%20CENTER/CBDRM% 20Publications/2008/final_crvietnam_23nov.pdf Respondek , A., Hao T. T., & Nguyet, N. H N.(2010). Viet Nam’s legal aspect of health care system. Ho chi Minh City: Respondek and Fan Ltd. Richards J. R. (1996). Emergency in Viet Nam. American College of Emergency Physicians. California Socialist Republic of Viet Nam. (2007). National strategy for natural disaster prevention, response, and mitigation to 2020. Retrieved April 17, 2012, from http://www.isgmard.org.vn/VHDocs/NationalPrograms/National%20Strategyfordisasterprevention2020.pdf Schmidt, W. et al. (2011). Population density, water supply and the risk of dengue fever in Viet Nam: Cohort study and spatial analysis. Pub Med, 8(8) World Health Organization. (2008). Country health profiles: Viet Nam. Retrieved April 17, 2012, from http://www.wpro.who.int/countries/vnm/36VTNpro2011_finaldraft.pdf
    12. 12. Search Strategy General Google search for orientation and introduction to Vietnam as a country, and their health care issues. Searched UVic and other peer reviewed source databases according to our individual focal point. Used search terms such as: “Vietnam + health care”, “ Vietnam + nurse+ working conditions” or “Vietnam + disasters”
    13. 13. Collaboration We met up three times as a group. 1) To decide on a topic and split research responsibility for finding quality improvement issues with relation to health care. 2) To bring together our findings, decide on an issue to focus on and split the research responsibilities accordingly. 3) To pull the individual parts together in a way all four of us were satisfied and the presenter felt supported
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