1. Vietnam : A Quality Improvement Application Thuy Trang
Nguyen Thi Hloliphani Juta Jasmine Paul Lara Kesteloo
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. Challenges in Vietnams 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Vietnamese seek Outdated medical initial and rudimentary equipment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 Vietnams 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
societys needs or Overcrowded facilities expectations
4. Overview of Quality Issues in HealthCare Country Macrosystem
governance Level Hospital system Intra-hospital unit Individual
patient Microsystem or health care worker
5. Quality Improvement: A Focus on Natural Disasters
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. 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. Viet Nams 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. 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. 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. 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 Nams 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 Nams 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. 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. 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