The operational readiness capacities of the grassroots health system in responses to epidemics: Implications for COVID-9 control in Vietnam
The operational readiness capacities of the grassroots health system in responses to epidemics: Implications for COVID-9 control in Vietnam
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DOI：
10.7189/jogh.10.011006
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发表时间：
2020-06-01
影响因子：
7.2
通讯作者：
Ho, Roger C. M.
中科院分区：
文献类型：
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作者：
Bach Xuan Tran;Men Thi Hoang;Ho, Roger C. M.
背景越南基层卫生系统的运营准备能力缺乏数据，而基层卫生系统作为应对包括冠状病毒病（COVID-19）在内的突发卫生事件的第一线防御发挥着至关重要的作用。因此，本研究旨在评估基层卫生系统应对流行病的运营准备能力，并为越南控制COVID-19提供启示。方法2019年12月至2020年2月，对越南6029名卫生专业人员和医学生进行了一项使用响应者驱动抽样技术的在线横断面研究。通过卫生专业人员、行政和后勤人员、设备和设施的充足性以及卫生专业人员的一般能力来评估卫生系统的业务准备能力。采用Kruskal-Wallis检验、Fisher精确检验和卡方检验来确定变量之间的差异。Tobit和删失回归模型进行操作，以确定相关factors.Results的业务准备能力的基层卫生系统的四个评估标准是在中等水平，从6.3到6.8超过10。在越南，农村地区、南部和地区的基层卫生系统比其他地区更容易受到影响。结论根据实证数据，本研究揭示了越南基层卫生系统的脆弱性，并为越南政府迅速采取有力行动应对COVID-19提供了合理性。研究结果还为长期加强基层卫生系统的有效战略提供了有益的见解。在短期内，越南需要采取预防措施，动员人力资源和医疗设备，以成功遏制COVID-19。
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 staff's, equipment and facilities, and general capacity of health professionals. Kruskal-Wallis test, Fisher exact test and chi(2) 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.