The Operational Readiness Capacities of the Grassroots Health System in Responses to Epidemics: Implications for COVID-19 Control in Vietnam

Overview

Journal J Glob Health

Specialties Health Services
Public Health

Date 2020 Jun 23

PMID 32566168

Citations 23

Authors

Bach Xuan Tran

Men Thi Hoang

Hai Quang Pham

Chi Linh Hoang

Huong Thi Le

Carl A Latkin

Cyrus Sh Ho

Roger Cm Ho

Affiliations

Soon will be listed here.

Abstract

Background: There is a paucity of data on the operational readiness capacities of the grassroots health system in Vietnam while it plays a vital role as a first-line defense against health emergencies, including the coronavirus disease (COVID-19). This study, therefore, aims to assess the operational readiness capacities of the grassroots health system in response to epidemics and provides implications for controlling COVID-19 in Vietnam.

Methods: An online cross-sectional study using the respondent-driven sampling technique was conducted with 6029 health professionals and medical students in Vietnam from December 2019 to February 2020. The operational readiness capacities of the health system were assessed by the sufficiency of health professionals, administrative and logistics staffs, equipment and facilities, and general capacity of health professionals. Kruskal-Wallis test, Fisher exact test and χ test were employed to identify the differences among variables. Tobit and censored regression models were operated to determine associated factors.

Results: The operational readiness capacities of the grassroots health system for four assessed criteria were at moderate levels, ranging from 6.3 to 6.8 over 10. In Vietnam, the grassroots health system in rural areas, in the South, and at the district level were more likely to be vulnerable compared to their counterparts.

Conclusions: According to empirical data, this study reveals the vulnerability of the grassroots health system in Vietnam and provides the rationality of prompt and vigorous actions of the Vietnamese Government against COVID-19. Findings also offer useful insights for effective strategies to strengthen the grassroots health system in the long term. In the short term, practicing precautionary measures and mobilizing human resources, as well as medical equipment, are needed to successfully contain COVID-19 in Vietnam.

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References

Paterlini M . On the front lines of coronavirus: the Italian response to covid-19. BMJ. 2020; 368:m1065. DOI: 10.1136/bmj.m1065. View

Wang C, Horby P, Hayden F, Gao G . A novel coronavirus outbreak of global health concern. Lancet. 2020; 395(10223):470-473. PMC: 7135038. DOI: 10.1016/S0140-6736(20)30185-9. View

Oji M, Haile M, Baller A, Tremblay N, Mahmoud N, Gasasira A . Implementing infection prevention and control capacity building strategies within the context of Ebola outbreak in a "Hard-to-Reach" area of Liberia. Pan Afr Med J. 2019; 31:107. PMC: 6462381. DOI: 10.11604/pamj.2018.31.107.15517. View

Tan B, Chew N, Lee G, Jing M, Goh Y, Yeo L . Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore. Ann Intern Med. 2020; 173(4):317-320. PMC: 7143149. DOI: 10.7326/M20-1083. View

Emanuel E, Persad G, Upshur R, Thome B, Parker M, Glickman A . Fair Allocation of Scarce Medical Resources in the Time of Covid-19. N Engl J Med. 2020; 382(21):2049-2055. DOI: 10.1056/NEJMsb2005114. View

Wang C, Pan R, Wan X, Tan Y, Xu L, McIntyre R . A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun. 2020; 87:40-48. PMC: 7153528. DOI: 10.1016/j.bbi.2020.04.028. View

Ranney M, Griffeth V, Jha A . Critical Supply Shortages - The Need for Ventilators and Personal Protective Equipment during the Covid-19 Pandemic. N Engl J Med. 2020; 382(18):e41. DOI: 10.1056/NEJMp2006141. View

Dinh L, Dinh P, Nguyen P, Nguyen D, Hoang T . Vietnam's response to COVID-19: prompt and proactive actions. J Travel Med. 2020; 27(3). PMC: 7184391. DOI: 10.1093/jtm/taaa047. View

Minh H, Anh T, Rocklov J, Giang K, Trang L, Sahlen K . Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam. Glob Health Action. 2014; 7:23007. PMC: 4265642. DOI: 10.3402/gha.v7.23007. View

10.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho C . Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020; 17(5). PMC: 7084952. DOI: 10.3390/ijerph17051729. View

11.

Gilbert M, Pullano G, Pinotti F, Valdano E, Poletto C, Boelle P . Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study. Lancet. 2020; 395(10227):871-877. PMC: 7159277. DOI: 10.1016/S0140-6736(20)30411-6. View

12.

Bemah P, Baller A, Cooper C, Massaquoi M, Skrip L, Rude J . Strengthening healthcare workforce capacity during and post Ebola outbreaks in Liberia: an innovative and effective approach to epidemic preparedness and response. Pan Afr Med J. 2019; 33(Suppl 2):9. PMC: 6675930. DOI: 10.11604/pamj.supp.2019.33.2.17619. View

13.

Maves R, Jamros C, Smith A . Intensive Care Unit Preparedness During Pandemics and Other Biological Threats. Crit Care Clin. 2019; 35(4):609-618. PMC: 7134984. DOI: 10.1016/j.ccc.2019.06.001. View

14.

Phan L, Nguyen T, Luong Q, Nguyen T, Nguyen H, Le H . Importation and Human-to-Human Transmission of a Novel Coronavirus in Vietnam. N Engl J Med. 2020; 382(9):872-874. PMC: 7121428. DOI: 10.1056/NEJMc2001272. View

15.

Kenny A, Hyett N, Sawtell J, Dickson-Swift V, Farmer J, OMeara P . Community participation in rural health: a scoping review. BMC Health Serv Res. 2013; 13:64. PMC: 3583801. DOI: 10.1186/1472-6963-13-64. View

16.

Tong M, Hansen A, Hanson-Easey S, Xiang J, Cameron S, Liu Q . China's capacity of hospitals to deal with infectious diseases in the context of climate change. Soc Sci Med. 2018; 206:60-66. PMC: 7116943. DOI: 10.1016/j.socscimed.2018.04.021. View

17.

Kandel N, Chungong S, Omaar A, Xing J . Health security capacities in the context of COVID-19 outbreak: an analysis of International Health Regulations annual report data from 182 countries. Lancet. 2020; 395(10229):1047-1053. PMC: 7271261. DOI: 10.1016/S0140-6736(20)30553-5. View

18.

Nguyen T, C Vu D . Summary of the COVID-19 outbreak in Vietnam - Lessons and suggestions. Travel Med Infect Dis. 2020; 37:101651. PMC: 7146658. DOI: 10.1016/j.tmaid.2020.101651. View

19.

Torales J, OHiggins M, Castaldelli-Maia J, Ventriglio A . The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020; 66(4):317-320. DOI: 10.1177/0020764020915212. View

20.

Anderson M, Mckee M, Mossialos E . Covid-19 exposes weaknesses in European response to outbreaks. BMJ. 2020; 368:m1075. DOI: 10.1136/bmj.m1075. View