Asia Pacific Journal of Public Health
Frontiers in Tropical Diseases
Introduction: The rapid spread of SARS-CoV-2, the varying vaccine coverage, and the appearance of new variants posed a significant threat during the pandemic, especially in LMIC countries. Hospitals in Vietnam at both central and local levels have had cross-infection of patients and healthcare workers. Therefore, providing a safe and secure environment for staff and patients was a major focus for all healthcare institutions. Methods: We conducted a cross-sectional study, using both quantitative and qualitative methods, to answer the question of how hospital safety during the COVID-19 pandemic in Vietnamese hospitals was implemented and what the challenges were. Secondary data from a recent national survey of safety in 1,398 hospitals conducted by the Vietnam Ministry of Health (MOH) were extracted and analyzed. In-depth interviews of key health managers and health staff in four selected hospitals were performed to further explore challenges in implementing Decision 3088/QD-BYT. Results: The proportion of hospitals classified as “safe hospital”, “safe hospital with moderate level”, and “unsafe hospital” was 91.7%, 7.3%, and 1.0%, respectively. The rate of “safe hospital” was highest in the central level hospitals (96.1%), followed by private hospitals (94.4%), provincial hospitals (94.2%), specialized hospitals (93.1%), regional hospitals (93.0%), and district hospitals (89.9%), while “safe hospital” rates were lowest in the ministerial level hospital group (82.2%). Challenges in ensuring hospital safety in public and private hospitals related to COVID-19 transmission, such as lack of preparedness before COVID-19 and other pandemics, limited hospital facility, limited space and equipment, shortage of human resources, inadequate training and knowledge transfer, poor patient compliance in declaring health conditions, and lack of patient understanding of infection prevention methods, were explored. Conclusion: Most hospitals in Vietnam successfully met the classification of “safe hospitals” according to Decision 3088/QD-BYT, a key tool for hospitals to self-assess preparedness and responsiveness to the COVID-19 pandemic. The MOH should adapt the criteria in Decision 3088/QD-BYT to be more suitable Frontiers in Tropical Diseases 01 frontiersin.org OPEN ACCESS EDITED BY Harapan Harapan, Syiah Kuala University, Indonesia REVIEWED BY Olushayo Oluseun Olu, World Health Organization, South Sudan Abhay Machindra Kudale, Savitribai Phule Pune University, India *CORRESPONDENCE Bui Thi My Anh buithimyanh@hmu.edu.vn SPECIALTY SECTION This article was submitted to Disease Prevention and Control Policy, a section of the journal Frontiers in Tropical Diseases RECEIVED 10 May 2022 ACCEPTED 24 August 2022 PUBLISHED 06 October 2022 CITATION Thu NTH, Anh BTM, Khanh LB, Anh PT and Luong DH (2022) Hospital safety preparedness during the COVID-19 pandemic: Lessons learned from Vietnam. Front. Trop. Dis. 3:940268. doi: 10.3389/fitd.2022.940268 COPYRIGHT © 2022 Thu, Anh, Khanh, Anh and Luong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. TYPE Original Research PUBLISHED 06 October 2022 DOI 10.3389/fitd.2022.940268 for the new phase of the pandemic as we move towards “living with COVID”. Furthermore, we recommend that the MOH work to develop mechanisms or regulations that require hospitals to regularly report on disease preparation and responses for future pandemic preparedness.
Tạp chí Khoa học nghiên cứu sức khoẻ và phát triển
Objectives: Hospitals at both central and local levels in Vietnam have had cross-infection of patients and healthcare workers especially during COVID-19 pandemic. Decision No. 3088/QD-BYT was issued by the Minister of Health (MOH) of Vietnam to promulgate the set of criteria for safe hospitals to prevent COVID-19 and other acute respiratory infections. This study aims to describe the implementation of criteria for safety to prevent COVID-19 among public hospitals in Vietnam in 2020. Methods: A cross-sectional study, applied quantitative based on secondary data were extracted and analyzed from a recent survey of hospital safety conducted by MOH. Total of 1220 public hospitals were selected in this study. The study received ethics approval from the Hanoi Medical University. Results: The proportion of public hospitals classified as “safe hospital” was 91.3%, “safe hospital with moderate level” was 7.8% and “unsafe hospital” was 0.9%. The rate of “safe hospital” was lowest in the ministerial hospital group (82.2%), followed by district hospital (89.9%) and regional hospitals (93.0%). The rate of “safe hospital” was highest in the central level group (96.1%), provincial hospital (94.2%) and specialized hospitals (93.1%). Conclusions: Most hospitals in Vietnam had met the standards of safe hospitals according to Decision 3088/QD-BYT. This criteria was only one of the tools to help assess the ability of hospitals to prepare and respond to the COVID-19 pandemic. Ministry of Health should improve the criteria in Decision 3088/ QD-BYT to be more suitable with the emerging new situation and threat of the pandemic and develop mechanisms and regulations that require hospitals to regularly report on disease preparation and response.
Nguyen Thi Huyen Trang, Le Thi Huong, Le Thi Thanh Xuan, Do Thi Thanh Toan, Ngo Van Toan, Phan Thanh Hai, Vu Thu Giang, Nguyen Huu Tu, Phung Tri Dung, Nghiem Hong Son, Vu Thi Thuc Minh, Nguyen Thu Ha, Tran Trung Dinh, Do Nam Khanh, Truong Van Dat, Le Thanh Tuan, Tran Xuan Bach, Carl A. Latkin, Rogẻ C.M.Ho, Cyrus S.H. Ho
Frontiers in Public Health
Nguyễn Thị Huyền Trang, Lê Thị Thanh Xuân, Trang Huyen Thi Nguyen, Huong Thi Le, Toan Thanh Thi Do, Toan Van Ngo, Hai Thanh Phan, Giang Thu Vu, Tu Huu Nguyen, Dung Tri Phung, , Son Hong Nghiem, Thuc Minh Thi Vu, Thu Ha Nguyen, Trung Dinh Tran, Khanh Nam Do, Dat Van Truong, Thanh Tuan Le, Bach
Frontiers in Public Health Public Health
This study aimed to describe mental health service utilization and examine associated factors among students in Vietnam. Data were collected at eight universities in Hanoi, Vietnam, in 2018 using an administered questionnaire. The total number of participants was 9,120 (95.1% response rate). Among stu dents participating in our survey, 12.5% (95% CI: 10.9–14.1) with depression and/or anxiety symptoms used mental health service in the last 12 months. In the multivariable regression models, significant factors associated with mental health ser vice utilization were marital status, types of housemate, men tal health problems, physical activity, smoking status, and alcohol drinking. Our study made recommendations to stake holders for improving mental health services utilization among students in Vietnam. These findings had important implica tions for future research on factors associated with mental health service utilization among university students.
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