Assessment of availability, readiness, and challenges for scaling-up hypertension management services at primary healthcare facilities, Central Highland region, Vietnam, 2020

BMC Primary Care

Research

Chaisiri Angkurawaranon¹  Mai Phuong Pham²  Thuy Phuong Nguyen³  Hue Kim Le Nguyen⁴  Hieng H⁵  Tram Dinh Le⁶  Y Dech Buonya⁷  Thang Nghia Hoang⁸ 

[1] Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand;Global Health and Chronic Conditions Research Group, Chiang Mai University, Chiang Mai, Thailand;Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam;Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia;Provincial Centers for Diseases Control of Dak Lak, Dak Lak, Vietnam;Provincial Centers for Diseases Control of Dak Nong, Dak Nong, Vietnam;Provincial Centers for Diseases Control of Gia Lai, Gai Lai, Vietnam;Provincial Centers for Diseases Control of Kon Tum, Kon Tum, Vietnam;Tay Nguyen Institute of Hygiene and Epidemiology, Dak Lak, Vietnam;

关键词: Cardiovascular diseases;    Community health services;    Community health workers;    Hypertension;    Non-communicable disease;    Preventive medicine;    Primary health care;   

DOI  :  10.1186/s12875-023-02092-8

 received in 2022-09-19, accepted in 2023-06-22,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionVietnam aims for 95% of commune health stations (CHSs) to have functional hypertension management programs by 2025. However, limited resources may impede the Central Highland region health system from achieving this goal. We assessed the availability and readiness of hypertension management services at CHSs in the Central Highland region and identified challenges to facilitate evidence-based planning.MethodsWe used a mixed-methods cross-sectional design to assess hypertension management services using WHO’s service availability and readiness assessment (SARA) tools in all 579 CHSs in the region, combined with twenty in-depth interviews of hypertension program focal points at communal, district, and provincial levels in all four provinces. We descriptively analyzed quantitative data and thematically analyzed qualitative data.ResultsHypertension management services were available at 65% of CHSs, and the readiness of the services was 62%. The urban areas had higher availability and readiness indices in most domains (basic amenities, basic equipment, and essential medicines) compared to rural areas, except for staff and training. The qualitative results showed a lack of trained staff and ambiguity in national hypertension treatment guidelines, insufficient essential medicines supply mechanism, and low priority and funding limitations for the hypertension program.ConclusionThe overall availability and readiness for hypertension diagnosis and management service at CHSs in the Central Highland region were low, reflecting inadequate capacity of the primary healthcare facilities. Some measures to strengthen hypertension programs in the region might include increased financial support, ensuring a sufficient supply of basic medicines, and providing more specific treatment guidelines.

【 授权许可】

CC BY   
© The Author(s) 2023

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