Individual and occupational differences in perceived organisational culture of a central hospital in vietnam
- Nguyen, Huy, Nguyen, Au, Nguyen, Thu, Nguyen, Ha, Bui, Hien
- Authors: Nguyen, Huy , Nguyen, Au , Nguyen, Thu , Nguyen, Ha , Bui, Hien
- Date: 2018
- Type: Text , Journal article
- Relation: BioMed Research International Vol. 2018, no. (2018), p.
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- Description: Many hospitals in developing countries, including Vietnam, are facing the challenges of increasingly noncommunicable diseases and the financial autonomy policy from the government. To adapt to this new context requires understanding and changing the current organisational culture of the hospitals. However, little has been known about this in resource-constrained healthcare settings. The objectives of this study were to examine the four characteristics of the organisational culture and test selected individual and occupational differences in the organisational culture of a Vietnam central hospital. In a cross-sectional study using the Organisation Culture Assessment Instrument (OCAI) with the Competing Value Framework (CVF), including 4 factors, Clan, Adhocracy, Hierarchy, and Market, health workers currently working at Quang Nam General Hospital were interviewed. The results indicated the current cultural model was more internally focused with two dominant cultures, Clan and Hierarchy, while, for the desired model, the Clan culture was the most expected one. Comparing between the current and desired pattern, the down trend was found for all types of culture, except the Clan culture, and there were significant differences by domains of organisational culture. Furthermore, the current and desired models were differently distributed by key individual characteristics. These differences have raised a number of interesting directions for future research. They also suggest that, to build a hospital organisational culture to suit both current and future contexts as per employees' assessment and expectation, it is important to take individual and institutional variations into account. © 2018 Huy Nguyen Van et al. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
- Authors: Nguyen, Huy , Nguyen, Au , Nguyen, Thu , Nguyen, Ha , Bui, Hien
- Date: 2018
- Type: Text , Journal article
- Relation: BioMed Research International Vol. 2018, no. (2018), p.
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- Description: Many hospitals in developing countries, including Vietnam, are facing the challenges of increasingly noncommunicable diseases and the financial autonomy policy from the government. To adapt to this new context requires understanding and changing the current organisational culture of the hospitals. However, little has been known about this in resource-constrained healthcare settings. The objectives of this study were to examine the four characteristics of the organisational culture and test selected individual and occupational differences in the organisational culture of a Vietnam central hospital. In a cross-sectional study using the Organisation Culture Assessment Instrument (OCAI) with the Competing Value Framework (CVF), including 4 factors, Clan, Adhocracy, Hierarchy, and Market, health workers currently working at Quang Nam General Hospital were interviewed. The results indicated the current cultural model was more internally focused with two dominant cultures, Clan and Hierarchy, while, for the desired model, the Clan culture was the most expected one. Comparing between the current and desired pattern, the down trend was found for all types of culture, except the Clan culture, and there were significant differences by domains of organisational culture. Furthermore, the current and desired models were differently distributed by key individual characteristics. These differences have raised a number of interesting directions for future research. They also suggest that, to build a hospital organisational culture to suit both current and future contexts as per employees' assessment and expectation, it is important to take individual and institutional variations into account. © 2018 Huy Nguyen Van et al. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
Factors associated with depression among the elderly living in urban Vietnam
- Dao, An, Nguyen, Van, Nguyen, Huy, Nguyen, Lien
- Authors: Dao, An , Nguyen, Van , Nguyen, Huy , Nguyen, Lien
- Date: 2018
- Type: Text , Journal article
- Relation: BioMed Research International Vol. 2018, no. (2018), p.
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- Description: The proportion of elderly people in big cities of developing countries, including Vietnam, is rapidly increasing during the age of rampant urbanization. This is being followed by a sustained rise of illnesses, especially mental health issues. The objective of this study was to analyze the association between depression and the factors associated with depression among the elderly. In a cross-sectional study, 299 elderly living in Hanoi, Vietnam, were approached for data collection. Self-reported depression among the elderly was 66.9% (32.8% mild, 30.4% moderate, and 3.7% severe cases). In multivariate analysis, there were significant associations between age, number of physical activities, number of medicine intake, and 3 domains of quality of life (physical health, psychological health, and environmental health) and depression. Age and the number of medicine intake are positively correlated with depression, accounting for 57.94% and 58.93%, respectively. On the contrary, the number of physical activities and the 3 domains of quality life mentioned above are negatively correlated with depression. In the urban setting of a developing country like Vietnam, the elderly have experienced common depression. Recognizing depression among the elderly - which is individual and social - helps us design public health programs. Screening for early depression, joining social programming, and participating in physical activities may improve the mental life of the elderly. © 2018 An T. M. Dao et al.
- Authors: Dao, An , Nguyen, Van , Nguyen, Huy , Nguyen, Lien
- Date: 2018
- Type: Text , Journal article
- Relation: BioMed Research International Vol. 2018, no. (2018), p.
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- Description: The proportion of elderly people in big cities of developing countries, including Vietnam, is rapidly increasing during the age of rampant urbanization. This is being followed by a sustained rise of illnesses, especially mental health issues. The objective of this study was to analyze the association between depression and the factors associated with depression among the elderly. In a cross-sectional study, 299 elderly living in Hanoi, Vietnam, were approached for data collection. Self-reported depression among the elderly was 66.9% (32.8% mild, 30.4% moderate, and 3.7% severe cases). In multivariate analysis, there were significant associations between age, number of physical activities, number of medicine intake, and 3 domains of quality of life (physical health, psychological health, and environmental health) and depression. Age and the number of medicine intake are positively correlated with depression, accounting for 57.94% and 58.93%, respectively. On the contrary, the number of physical activities and the 3 domains of quality life mentioned above are negatively correlated with depression. In the urban setting of a developing country like Vietnam, the elderly have experienced common depression. Recognizing depression among the elderly - which is individual and social - helps us design public health programs. Screening for early depression, joining social programming, and participating in physical activities may improve the mental life of the elderly. © 2018 An T. M. Dao et al.
HIV/AIDS in Vietnam : a gender analysis
- Authors: Nguyen, Huy , Saikia, Udoy
- Date: 2008
- Type: Text , Journal article
- Relation: Asian Social Science Vol. 4, no. 1 (2008), p. 89-123
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- Description: Global statistics of HIV/AIDS infection reveals the disastrous effects of discrimination against women in the area of human health. Women’s vulnerability to HIV/AIDS reflects their wider social, economic and sexual disadvantages compared to their male counterpart. Although the gender context of HIV/AIDS has received a considerable attention recently, however, in case of Vietnam gender aspects of the epidemic have still been a neglected area of research. Little is known about how gender affects the epidemic as well as how the epidemic affects the life of women. This paper reveals that the gender context of HIV/AIDS epidemic in Vietnam has a much complex reality. Institutions, social norms and opportunity structures, of which “Doi Moi” [Renovation] has become an integral part, combine to create new norms and conditions put women more vulnerable to HIV/AIDS. A gendered strategy is crucial in order to successfully fight against the growing HIV/AIDS epidemic
- Authors: Nguyen, Huy , Saikia, Udoy
- Date: 2008
- Type: Text , Journal article
- Relation: Asian Social Science Vol. 4, no. 1 (2008), p. 89-123
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- Description: Global statistics of HIV/AIDS infection reveals the disastrous effects of discrimination against women in the area of human health. Women’s vulnerability to HIV/AIDS reflects their wider social, economic and sexual disadvantages compared to their male counterpart. Although the gender context of HIV/AIDS has received a considerable attention recently, however, in case of Vietnam gender aspects of the epidemic have still been a neglected area of research. Little is known about how gender affects the epidemic as well as how the epidemic affects the life of women. This paper reveals that the gender context of HIV/AIDS epidemic in Vietnam has a much complex reality. Institutions, social norms and opportunity structures, of which “Doi Moi” [Renovation] has become an integral part, combine to create new norms and conditions put women more vulnerable to HIV/AIDS. A gendered strategy is crucial in order to successfully fight against the growing HIV/AIDS epidemic
Risky behaviors and associated factors among the elderly in rural Vietnam
- Le Mai, Dinh, Nguyen, Huy, Thanh, Nguyen, Staar, Henning
- Authors: Le Mai, Dinh , Nguyen, Huy , Thanh, Nguyen , Staar, Henning
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Aging Science Vol. 5, no. 2 (2017), p.
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- Description: Background: The number of older people in Vietnam has increased substantially for recent years and leading to more aging health problems. The purpose of this study was to assess risky behaviors and their associated factors among the elderly in rural Vietnam.
- Authors: Le Mai, Dinh , Nguyen, Huy , Thanh, Nguyen , Staar, Henning
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Aging Science Vol. 5, no. 2 (2017), p.
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- Description: Background: The number of older people in Vietnam has increased substantially for recent years and leading to more aging health problems. The purpose of this study was to assess risky behaviors and their associated factors among the elderly in rural Vietnam.
Factors associated with job satisfaction among district hospital health workers in Northern Vietnam : a cross-sectional study
- Nguyen, Huy, Duong, Huong, Vu, Toan
- Authors: Nguyen, Huy , Duong, Huong , Vu, Toan
- Date: 2017
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 32, no. 2 (2017), p. 163-179
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- Description: Background: In many developing countries, including Vietnam, little is known about job satisfaction among lower level-health staff. The purpose of this study was to assess job satisfaction and its determinants among district hospital health staff. Methods: In a cross-sectional quantitative study, 128 health staff from a rural district hospital in Northern Vietnam were approached for data collection. Regression techniques were adopted to assess factors associated with several types of job satisfaction. Results: Overall job satisfaction was moderately high, ranging from 69% to 91%. Across all dimensions, health workers showed their highest satisfaction with co-worker relationships, while, in comparison, it was much lower for their supervisor's style and relationship. However, they claimed their lowest satisfaction with compensation and benefits. In final multivariate models, females and those satisfied with knowledge, skills and job performance were most likely to be satisfied with relationships with co-workers. Staff who were married, received a low pay, who were not satisfied with supervisor style and relationships and who were not satisfied with staff training, development opportunities were least likely to be satisfied with compensation and benefits. Conclusions: The study findings highlight an important need for designing an intervention program that considers organizational factors. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
- Authors: Nguyen, Huy , Duong, Huong , Vu, Toan
- Date: 2017
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 32, no. 2 (2017), p. 163-179
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- Description: Background: In many developing countries, including Vietnam, little is known about job satisfaction among lower level-health staff. The purpose of this study was to assess job satisfaction and its determinants among district hospital health staff. Methods: In a cross-sectional quantitative study, 128 health staff from a rural district hospital in Northern Vietnam were approached for data collection. Regression techniques were adopted to assess factors associated with several types of job satisfaction. Results: Overall job satisfaction was moderately high, ranging from 69% to 91%. Across all dimensions, health workers showed their highest satisfaction with co-worker relationships, while, in comparison, it was much lower for their supervisor's style and relationship. However, they claimed their lowest satisfaction with compensation and benefits. In final multivariate models, females and those satisfied with knowledge, skills and job performance were most likely to be satisfied with relationships with co-workers. Staff who were married, received a low pay, who were not satisfied with supervisor style and relationships and who were not satisfied with staff training, development opportunities were least likely to be satisfied with compensation and benefits. Conclusions: The study findings highlight an important need for designing an intervention program that considers organizational factors. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Patient satisfaction with health care services at a National Institute of Ophthalmology
- Nguyen, Huy, Dung, Nguyen, Thang, Cao, Hanh, Le
- Authors: Nguyen, Huy , Dung, Nguyen , Thang, Cao , Hanh, Le
- Date: 2018
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 33, no. 1 (2018), p. e251-e262
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- Description: Little is known about how patients in developing countries, such as Vietnam, are satisfied with eye care services. The purpose of this study was to assess the satisfaction with health services and its associated factors among patients attending a national institute of ophthalmology in Vietnam. In a cross-sectional study utilizing quantitative methods, 500 inpatients and their relatives attending a national institute of ophthalmology in Vietnam were approached for data collection. The results indicated that under 50% of the patients were satisfied with eye care services. However, when classified by level of satisfaction, only 6.8% were very satisfied with all domains of care. There was no significant difference in satisfaction by gender and income, while significant differences by department, residence, and education were found. Patients who were from rural areas, were better educated, and used the services of the glaucoma department, were more satisfied with eye care than those from urban areas, were less educated, and used the services of treatment-on-demand department. Multivariable regression detected 2 main factors, gender and location, associated with patient satisfaction. Patients who were female and came from rural and remote areas were more likely to be satisfied than patients who were male and living in urban areas. The study suggests that to continue to improve health care quality, it is important to eliminate differences in providing eye care services regardless of whether patients are male or female, and whether they come from a rural or urban area. Copyright © 2017 John Wiley & Sons, Ltd.
- Authors: Nguyen, Huy , Dung, Nguyen , Thang, Cao , Hanh, Le
- Date: 2018
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 33, no. 1 (2018), p. e251-e262
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- Description: Little is known about how patients in developing countries, such as Vietnam, are satisfied with eye care services. The purpose of this study was to assess the satisfaction with health services and its associated factors among patients attending a national institute of ophthalmology in Vietnam. In a cross-sectional study utilizing quantitative methods, 500 inpatients and their relatives attending a national institute of ophthalmology in Vietnam were approached for data collection. The results indicated that under 50% of the patients were satisfied with eye care services. However, when classified by level of satisfaction, only 6.8% were very satisfied with all domains of care. There was no significant difference in satisfaction by gender and income, while significant differences by department, residence, and education were found. Patients who were from rural areas, were better educated, and used the services of the glaucoma department, were more satisfied with eye care than those from urban areas, were less educated, and used the services of treatment-on-demand department. Multivariable regression detected 2 main factors, gender and location, associated with patient satisfaction. Patients who were female and came from rural and remote areas were more likely to be satisfied than patients who were male and living in urban areas. The study suggests that to continue to improve health care quality, it is important to eliminate differences in providing eye care services regardless of whether patients are male or female, and whether they come from a rural or urban area. Copyright © 2017 John Wiley & Sons, Ltd.
Measuring the progress of the timeliness childhood immunization compliance in Vietnam between 2006-2014 : a decomposition analysis
- Thuy, Do Thi, Nguyen, Quang, Nguyen, Huy, Thomas-Agnan, Christine, Trinh, Thi-Huong
- Authors: Thuy, Do Thi , Nguyen, Quang , Nguyen, Huy , Thomas-Agnan, Christine , Trinh, Thi-Huong
- Date: 2018
- Type: Text , Technical report , Report
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- Description: Vietnam launched the national Expanded Program on Immunization in 1981. Since then, this program has contributed signi cantly to the improvement of child health and to the reduction of child mortality rate. Despite of the fact that the coverage of the national EPI keeps expanding, the number of children who complied with the recommended immunization schedule remains low. This article studies the progress of the timeliness childhood immunization compliance among children between 0-5 years of age in Vietnam from 2006 to 2014 and analyzes the socio-economic factors that account for the changes of the compliance rate during this period. The dataset is extracted from the Multiple Indicator Cluster Survey in 2006 and 2014. We rst identify the socio-economic factors that impact on the vaccination compliance rate using a logistic regression model. Next, we apply the decomposition method to determine the contribution of each factor on the evolution of the timeliness childhood immunization compliance. The progress of the timeliness childhood immunization has been positive and the major contribution comes from the structure e ect (unmeasured e ect). Rural areas show a stronger improvement as of 2014. Among the socio-economic factors, mother education and birth order are the ones that have the larger in uence on the childhood immunization compliance rate. However, these factors have di erent implications in urban and rural areas. These findings are critical to the current context of Vietnam where the government is designing a strategy focusing on the effectiveness rather than the traditional coverage indicator.
- Authors: Thuy, Do Thi , Nguyen, Quang , Nguyen, Huy , Thomas-Agnan, Christine , Trinh, Thi-Huong
- Date: 2018
- Type: Text , Technical report , Report
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- Description: Vietnam launched the national Expanded Program on Immunization in 1981. Since then, this program has contributed signi cantly to the improvement of child health and to the reduction of child mortality rate. Despite of the fact that the coverage of the national EPI keeps expanding, the number of children who complied with the recommended immunization schedule remains low. This article studies the progress of the timeliness childhood immunization compliance among children between 0-5 years of age in Vietnam from 2006 to 2014 and analyzes the socio-economic factors that account for the changes of the compliance rate during this period. The dataset is extracted from the Multiple Indicator Cluster Survey in 2006 and 2014. We rst identify the socio-economic factors that impact on the vaccination compliance rate using a logistic regression model. Next, we apply the decomposition method to determine the contribution of each factor on the evolution of the timeliness childhood immunization compliance. The progress of the timeliness childhood immunization has been positive and the major contribution comes from the structure e ect (unmeasured e ect). Rural areas show a stronger improvement as of 2014. Among the socio-economic factors, mother education and birth order are the ones that have the larger in uence on the childhood immunization compliance rate. However, these factors have di erent implications in urban and rural areas. These findings are critical to the current context of Vietnam where the government is designing a strategy focusing on the effectiveness rather than the traditional coverage indicator.
Health service utilization among people with noncommunicable diseases in rural Vietnam
- Van Minh, Hoang, Oh, Juhwan, Giang, Kim, Nguyen, Bao, Nguyen, Huy
- Authors: Van Minh, Hoang , Oh, Juhwan , Giang, Kim , Nguyen, Bao , Nguyen, Huy
- Date: 2018
- Type: Text , Journal article
- Relation: Journal of public health management and practice : JPHMP Vol. 24, no. (2018), p. S60-S66
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- Description: CONTEXT: Chronic noncommunicable diseases (NCDs) have been shown to be major causes of morbidity and mortality in hospitals for the whole country. OBJECTIVE: This study aims to describe the situation of health service utilization among people with NCDs in a rural area and identify association between the situation of health service utilization among people with chronic diseases and their socioeconomic status. DESIGN: This was a cross-sectional study. SETTING: A rural district located in the North of Vietnam. PARTICIPANTS: People 15 years of age and older. Health service utilization was analyzed only among people who reported having NCD. MAIN OUTCOME MEASURES: Data were collected through a personal household interview conducted by 12 trained field workers. The dependent variable is health care service utilization among people with chronic NCDs. The explanatory variables include both household attributes such as household economic conditions, and so forth, and individual characteristics. RESULTS: Eighteen percent of the adults and 51% of the elderly respondents reported having at least 1 of the NCDs. The proportions of people with NCDs who used at least 1 outpatient service and used at least 1 inpatient health service during the last 12 months were 68.1% and 10.7%, respectively (the nonutilization rates of 31.9% and 89.3%, respectively). The statistically significant correlates of health care service utilization among people with NCDs were ethnicity (ethnic minority was significantly associated with a lower odds of health care service utilization) and health insurance (no health insurance was significantly associated with lower odds of health care service utilization). CONCLUSION: Given the evidence from this study, actions to improve access to health care services among people with NCDs are clearly needed. The capacity of primary health care system for the prevention and control of NCDs should be ranked a top priority. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
Vietnam’s healthcare system decentralization : how well does it respond to global health crises such as COVID-19 pandemic?
- Nguyen, Huy, Debattista, Joseph, Pham, Minh, Dao, An, Gilmour, Stuart
- Authors: Nguyen, Huy , Debattista, Joseph , Pham, Minh , Dao, An , Gilmour, Stuart
- Date: 2021
- Type: Text , Journal article , Review
- Relation: Asia Pacific Journal of Health Management Vol. 16, no. 1 (2021), p.
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- Description: This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medica
- Authors: Nguyen, Huy , Debattista, Joseph , Pham, Minh , Dao, An , Gilmour, Stuart
- Date: 2021
- Type: Text , Journal article , Review
- Relation: Asia Pacific Journal of Health Management Vol. 16, no. 1 (2021), p.
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- Description: This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medica
Physical exercise and health-related quality of life in office workers: A systematic review and meta-analysis
- Nguyen, Thi, Nguyen, Huy, Kim, Jin
- Authors: Nguyen, Thi , Nguyen, Huy , Kim, Jin
- Date: 2021
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 18, no. 7 (2021), p.
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- Description: Office workers are at high risk for many chronic diseases, lowering their health-related quality of life (HRQOL). This systematic review and meta-analysis aimed to summarize the effects of physical exercise on HRQOL in office workers with and without health problems using data obtained from randomized controlled trials (RCTs), quasi-experimental, and observational studies. We searched PubMed, Web of Science, Scopus, Cochrane Library, and several grey literature databases, and identified 26 relevant studies for the synthesis. Overall, physical exercise significantly improved general (standardized mean difference (SMD) = 1.05; 95% confidence interval (CI): 0.66 to 1.44) and mental (SMD = 0.42; 95% CI: 0.19 to 0.66) HRQOL in office workers. Compared with healthy office workers, unhealthy office workers experienced greater improvements in general (unhealthy, SMD = 2.76; 95% CI: 1.63 to 3.89; healthy, SMD = 0.23; 95% CI: −0.09 to 0.56) and physical (unhealthy, SMD = 0.38; 95% CI: 0.17 to 0.58; healthy, SMD = −0.20; 95% CI: −0.51 to 0.11) HRQOL. Unsupervised physical exercise significantly improved general and mental HRQOL, while directly supervised physical exercise significantly improved only general HRQOL. Although physical exercise, especially unsupervised physical exercise, should be encouraged to improve HRQOL in office workers, detailed recommendations could not be made because of the diverse exercise types with different intensities. Therefore, further studies are needed to determine the optimal exercise for office workers with different health conditions. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
- Authors: Nguyen, Thi , Nguyen, Huy , Kim, Jin
- Date: 2021
- Type: Text , Journal article , Review
- Relation: International Journal of Environmental Research and Public Health Vol. 18, no. 7 (2021), p.
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- Description: Office workers are at high risk for many chronic diseases, lowering their health-related quality of life (HRQOL). This systematic review and meta-analysis aimed to summarize the effects of physical exercise on HRQOL in office workers with and without health problems using data obtained from randomized controlled trials (RCTs), quasi-experimental, and observational studies. We searched PubMed, Web of Science, Scopus, Cochrane Library, and several grey literature databases, and identified 26 relevant studies for the synthesis. Overall, physical exercise significantly improved general (standardized mean difference (SMD) = 1.05; 95% confidence interval (CI): 0.66 to 1.44) and mental (SMD = 0.42; 95% CI: 0.19 to 0.66) HRQOL in office workers. Compared with healthy office workers, unhealthy office workers experienced greater improvements in general (unhealthy, SMD = 2.76; 95% CI: 1.63 to 3.89; healthy, SMD = 0.23; 95% CI: −0.09 to 0.56) and physical (unhealthy, SMD = 0.38; 95% CI: 0.17 to 0.58; healthy, SMD = −0.20; 95% CI: −0.51 to 0.11) HRQOL. Unsupervised physical exercise significantly improved general and mental HRQOL, while directly supervised physical exercise significantly improved only general HRQOL. Although physical exercise, especially unsupervised physical exercise, should be encouraged to improve HRQOL in office workers, detailed recommendations could not be made because of the diverse exercise types with different intensities. Therefore, further studies are needed to determine the optimal exercise for office workers with different health conditions. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Adherence to highly active antiretroviral therapy among people living with HIV and associated high-risk behaviours and clinical characteristics: A cross-sectional survey in Vietnam
- Le, Phuong, Nguyen, Phuong, Nguyen, Huy, Bui, Duc, Vo, Son
- Authors: Le, Phuong , Nguyen, Phuong , Nguyen, Huy , Bui, Duc , Vo, Son
- Date: 2021
- Type: Text , Journal article
- Relation: International Journal of STD and AIDS Vol. 32, no. 10 (2021), p. 911-918
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- Description: Although Vietnam has promoted the utilisation of highly active antiretroviral therapy (HAART) towards HIV elimination targets, adherence to treatment has remained under-investigated. We aimed to describe high-risk behaviours and clinical characteristics by adherence status and to identify the factors associated with non-adherence. We included 426 people living with HIV (PLWH) currently or previously involved in HAART. Most participants were men (75.4%), young (33.6 years), with low income and low education levels. Non-adherent PLWH (11.5%) were more likely to have a larger number of sex partners (p-value = 0.053), sex without condom use (p-value = 0.007) and not receive result at hospital or voluntary test centre (p-value = 0.001). Multiple logistic regression analysis showed that demographic (education levels), sexual risk behaviours (multiple sex partners and sex without using condom) and clinical characteristics (time and facility at first time received HIV-positive result) were associated with HAART non-adherence. There are differences in associated factors between women (education levels and place of HIV testing) and men (multiple sex partners). Gender-specific programs, changing risky behaviours and reducing harms among PLWH may benefit adherence. We highlight the need to improve the quantity and quality of HIV/AIDS services in Vietnam, especially in pre- and post-test counselling, to achieve better HAART adherence, working towards ending AIDS in 2030. © The Author(s) 2021. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
- Authors: Le, Phuong , Nguyen, Phuong , Nguyen, Huy , Bui, Duc , Vo, Son
- Date: 2021
- Type: Text , Journal article
- Relation: International Journal of STD and AIDS Vol. 32, no. 10 (2021), p. 911-918
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- Description: Although Vietnam has promoted the utilisation of highly active antiretroviral therapy (HAART) towards HIV elimination targets, adherence to treatment has remained under-investigated. We aimed to describe high-risk behaviours and clinical characteristics by adherence status and to identify the factors associated with non-adherence. We included 426 people living with HIV (PLWH) currently or previously involved in HAART. Most participants were men (75.4%), young (33.6 years), with low income and low education levels. Non-adherent PLWH (11.5%) were more likely to have a larger number of sex partners (p-value = 0.053), sex without condom use (p-value = 0.007) and not receive result at hospital or voluntary test centre (p-value = 0.001). Multiple logistic regression analysis showed that demographic (education levels), sexual risk behaviours (multiple sex partners and sex without using condom) and clinical characteristics (time and facility at first time received HIV-positive result) were associated with HAART non-adherence. There are differences in associated factors between women (education levels and place of HIV testing) and men (multiple sex partners). Gender-specific programs, changing risky behaviours and reducing harms among PLWH may benefit adherence. We highlight the need to improve the quantity and quality of HIV/AIDS services in Vietnam, especially in pre- and post-test counselling, to achieve better HAART adherence, working towards ending AIDS in 2030. © The Author(s) 2021. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
Difference in quality of life and associated factors among the elderly in rural Vietnam
- Nguyen, Tien, Nguyen, Huy, Nguyen, T., Nguyen, P.
- Authors: Nguyen, Tien , Nguyen, Huy , Nguyen, T. , Nguyen, P.
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Preventive Medicine and Hygiene Vol. 58, no. 1 (2017), p. E63-E71
- Full Text:
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- Description: Background. In Vietnam today, many generations remain living together in a family. With escalating urbanization and population aging, mental health disorders and the quality of life (QoL) among the elderly are gradually presenting themselves as of great concern. The objective of this study was to examine gender differences in QoL and some associated factors among the elderly in rural Vietnam using the QoL scale of WHO (WHOQOL-BREF). Methods. A cross-sectional study using quantitative methods. Results and Conclusions. The proportion of the elderly men having higher level of QoL in physical health, psychological health and environment was higher than that of their women counterparts. Reversely, of those having medium and lower QoL, females made up a larger proportion than males. The overall QoL score in elderly men (75.32) was higher than that of women (72.32) and the same pattern was witnessed in all four domains of QoL. While higher QoL in elderly men was significantly correlated with 5 factors, aged ≥ 80 years, following Buddhism and Christianity, having better connection and without illness in the past 6 months, these among female counterparts are aged ≥ 80 years, completing secondary level or above, having medium and high socioeconomic status and without illness in the last 6 months. © 2017, Pacini Editore S.p.A. All rights reserved.
- Authors: Nguyen, Tien , Nguyen, Huy , Nguyen, T. , Nguyen, P.
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Preventive Medicine and Hygiene Vol. 58, no. 1 (2017), p. E63-E71
- Full Text:
- Reviewed:
- Description: Background. In Vietnam today, many generations remain living together in a family. With escalating urbanization and population aging, mental health disorders and the quality of life (QoL) among the elderly are gradually presenting themselves as of great concern. The objective of this study was to examine gender differences in QoL and some associated factors among the elderly in rural Vietnam using the QoL scale of WHO (WHOQOL-BREF). Methods. A cross-sectional study using quantitative methods. Results and Conclusions. The proportion of the elderly men having higher level of QoL in physical health, psychological health and environment was higher than that of their women counterparts. Reversely, of those having medium and lower QoL, females made up a larger proportion than males. The overall QoL score in elderly men (75.32) was higher than that of women (72.32) and the same pattern was witnessed in all four domains of QoL. While higher QoL in elderly men was significantly correlated with 5 factors, aged ≥ 80 years, following Buddhism and Christianity, having better connection and without illness in the past 6 months, these among female counterparts are aged ≥ 80 years, completing secondary level or above, having medium and high socioeconomic status and without illness in the last 6 months. © 2017, Pacini Editore S.p.A. All rights reserved.
Trends in, projections of, and inequalities in reproductive, maternal, newborn and child health service coverage in Vietnam 2000-2030 : a Bayesian analysis at national and sub-national levels
- Nguyen, Phuong, Rahman, Shafiur, Le, Phuong, Nguyen, Huy, Vu, Kien
- Authors: Nguyen, Phuong , Rahman, Shafiur , Le, Phuong , Nguyen, Huy , Vu, Kien
- Date: 2021
- Type: Text , Journal article
- Relation: The Lancet Regional Health - Western Pacific Vol. 15, no. (2021), p.
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- Description: Background: To assess the reproductive, maternal, newborn and child health (RMNCH) service coverage in Vietnam with trends in 2000−2014, projections and probability of achieving targets in 2030 at national and sub-national levels; and to analyze the socioeconomic, regional and urban-rural inequalities in RMNCH service indicators. Methods: We used national population-based datasets of 44,624 households in Vietnam from 2000 to 2014. We applied Bayesian regression models to estimate the trends in and projections of RMNCH indicators and the probabilities of achieving the 2030 targets. Using the relative index, slope index, and concentration index of inequality, we examined the patterns and trends in RMNCH coverage inequality. Findings: We projected that 9 out of 17 health service indicators (53%) would likely achieve the 2030 targets at the national level, including at least one and four ANC visits, BCG immunization, access to improved water and adequate sanitation, institutional delivery, skilled birth attendance, care-seeking for pneumonia, and ARI treatment. We observed very low coverages and zero chance of achieving the 2030 targets at national and sub-national levels in early initiation and exclusive breastfeeding, family planning needs satisfied, and oral rehydration therapy. The most deprived households living in rural areas and the Northwest, Northeast, North Central, Central Highlands, and Mekong River Delta regions would not reach the 80% immunization coverage of DPT3, Polio3, Measles and full immunization. We found socioeconomic, regional, and urban-rural inequalities in all RMNCH indicators in 2014 and no change in inequalities over 15 years in the lowest-coverage indicators. Interpretation: Vietnam has made substantial progress toward UHC. By improving the government's health system reform efforts, re-allocating resources focusing on people in the most impoverished rural regions, and restructuring and enhancing current health programs, Vietnam can achieve the UHC targets and other health-related SDGs. Funding: The authors did not receive any funds for conducting this study. © 2021 The Author(s)
- Authors: Nguyen, Phuong , Rahman, Shafiur , Le, Phuong , Nguyen, Huy , Vu, Kien
- Date: 2021
- Type: Text , Journal article
- Relation: The Lancet Regional Health - Western Pacific Vol. 15, no. (2021), p.
- Full Text:
- Reviewed:
- Description: Background: To assess the reproductive, maternal, newborn and child health (RMNCH) service coverage in Vietnam with trends in 2000−2014, projections and probability of achieving targets in 2030 at national and sub-national levels; and to analyze the socioeconomic, regional and urban-rural inequalities in RMNCH service indicators. Methods: We used national population-based datasets of 44,624 households in Vietnam from 2000 to 2014. We applied Bayesian regression models to estimate the trends in and projections of RMNCH indicators and the probabilities of achieving the 2030 targets. Using the relative index, slope index, and concentration index of inequality, we examined the patterns and trends in RMNCH coverage inequality. Findings: We projected that 9 out of 17 health service indicators (53%) would likely achieve the 2030 targets at the national level, including at least one and four ANC visits, BCG immunization, access to improved water and adequate sanitation, institutional delivery, skilled birth attendance, care-seeking for pneumonia, and ARI treatment. We observed very low coverages and zero chance of achieving the 2030 targets at national and sub-national levels in early initiation and exclusive breastfeeding, family planning needs satisfied, and oral rehydration therapy. The most deprived households living in rural areas and the Northwest, Northeast, North Central, Central Highlands, and Mekong River Delta regions would not reach the 80% immunization coverage of DPT3, Polio3, Measles and full immunization. We found socioeconomic, regional, and urban-rural inequalities in all RMNCH indicators in 2014 and no change in inequalities over 15 years in the lowest-coverage indicators. Interpretation: Vietnam has made substantial progress toward UHC. By improving the government's health system reform efforts, re-allocating resources focusing on people in the most impoverished rural regions, and restructuring and enhancing current health programs, Vietnam can achieve the UHC targets and other health-related SDGs. Funding: The authors did not receive any funds for conducting this study. © 2021 The Author(s)
The validation of organisational culture assessment instrument in healthcare setting : results from a cross-sectional study in Vietnam
- Nguyen, Huy, Thu, Nguyen, Anh, Nguyen, Au, Nguyen, Phuong, Nguyen
- Authors: Nguyen, Huy , Thu, Nguyen , Anh, Nguyen , Au, Nguyen , Phuong, Nguyen
- Date: 2020
- Type: Text , Journal article
- Relation: BMC Public Health Vol. 20, no. 1 (2020), p.
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- Description: Background: Organisational culture (OC) has increasingly become a crucial factor in defining healthcare practice and management. However, there has been little research validating and adapting OCAI (organisational culture assessment instrument) to assess OC in healthcare settings in developing countries, including Vietnam. The purpose of this study is to validate the OCAI in a hospital setting using key psychometric tests and confirmatory factor analysis (CFA). Methods: This is a cross-sectional study. Self-administered structured questionnaire was completed by 566 health professionals from a Vietnamese national general hospital, the General Hospital of Quang Nam province. The psychometric tests and CFA were utilized to detect internal reliability and construct validity of the instrument. Results: The Cronbach's alpha coefficients (α-reliability statistic) ranged from 0.6 to 0.8. In current culture, the coefficient was 0.80 for clan and 0.60 for adhocracy, hierarchy and market dimension, while in expected culture, the coefficient for clan, adhocracy, hierarchy, and market dimension was 0.70, 0.70, 0.70 and 0.60, respectively. The CFA indicated that most factor loading coefficients were of moderate values ranging from 0.30 to 0.60 in both current and expected culture model. These models are of marginal good fit. Conclusions: The study findings suggest that the OCAI be of fairly good reliability and construct validity in measuring four types of organisational culture in healthcare setting in resource-constrained countries such as Vietnam. This result is a first step towards developing a valid Vietnamese version of the OCAI which can also provide a strong case for future research in the field of measuring and managing organisational culture. © 2020 The Author(s). **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Nguyen Huy” is provided in this record**
- Authors: Nguyen, Huy , Thu, Nguyen , Anh, Nguyen , Au, Nguyen , Phuong, Nguyen
- Date: 2020
- Type: Text , Journal article
- Relation: BMC Public Health Vol. 20, no. 1 (2020), p.
- Full Text:
- Reviewed:
- Description: Background: Organisational culture (OC) has increasingly become a crucial factor in defining healthcare practice and management. However, there has been little research validating and adapting OCAI (organisational culture assessment instrument) to assess OC in healthcare settings in developing countries, including Vietnam. The purpose of this study is to validate the OCAI in a hospital setting using key psychometric tests and confirmatory factor analysis (CFA). Methods: This is a cross-sectional study. Self-administered structured questionnaire was completed by 566 health professionals from a Vietnamese national general hospital, the General Hospital of Quang Nam province. The psychometric tests and CFA were utilized to detect internal reliability and construct validity of the instrument. Results: The Cronbach's alpha coefficients (α-reliability statistic) ranged from 0.6 to 0.8. In current culture, the coefficient was 0.80 for clan and 0.60 for adhocracy, hierarchy and market dimension, while in expected culture, the coefficient for clan, adhocracy, hierarchy, and market dimension was 0.70, 0.70, 0.70 and 0.60, respectively. The CFA indicated that most factor loading coefficients were of moderate values ranging from 0.30 to 0.60 in both current and expected culture model. These models are of marginal good fit. Conclusions: The study findings suggest that the OCAI be of fairly good reliability and construct validity in measuring four types of organisational culture in healthcare setting in resource-constrained countries such as Vietnam. This result is a first step towards developing a valid Vietnamese version of the OCAI which can also provide a strong case for future research in the field of measuring and managing organisational culture. © 2020 The Author(s). **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Nguyen Huy” is provided in this record**
Factors associated with high-risk behaviors of people newly diagnosed with HIV/AIDS : results from a cross-sectional study in Vietnam
- Nguyen, Phuong, Gilmour, Stuart, Le, Phuong, Nguyen, Trung, Tanuma, Junko, Nguyen, Huy
- Authors: Nguyen, Phuong , Gilmour, Stuart , Le, Phuong , Nguyen, Trung , Tanuma, Junko , Nguyen, Huy
- Date: 2021
- Type: Text , Journal article
- Relation: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV Vol. 33, no. 5 (2021), p. 607-615
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- Description: Towards the elimination of this global epidemic, understanding the high-risk behaviors of people newly diagnosed with HIV/AIDS (PNDWH) is essential. This study aimed to describe the general characteristics and high-risk behaviors of PNDWH and identify associated factors for adopting high-risk behaviors. A cross-sectional survey was conducted in Vietnam to explore the high-risk behaviors of 506 PNDWH. Associated factors were identified using multivariable logistic regressions. 83.2% of participants had sex without using a condom, and 27.9% had more than two sex partners. Among injected drug users, 44% had shared needles with an average number of 2.1 shared partners. Male, Kinh ethnicity (Vietnamese), high income, and high educational level were risk factors for high-risk behaviors. Our findings revealed the first time a comprehensive picture of PNDWH and emphasized the high prevalence of STIs, including untreated STIs and the long delay since the early HIV diagnosis. Also, our model found much higher risk behaviors among participants who were non-adherent to ART and those currently enrolled in ART. By better managing newly-diagnosed cases, better integrating STI management services and prevention consultants, as well as improving ART adherence programs, Vietnam can make better progress towards the complete control of HIV for its most vulnerable populations. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
- Authors: Nguyen, Phuong , Gilmour, Stuart , Le, Phuong , Nguyen, Trung , Tanuma, Junko , Nguyen, Huy
- Date: 2021
- Type: Text , Journal article
- Relation: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV Vol. 33, no. 5 (2021), p. 607-615
- Full Text:
- Reviewed:
- Description: Towards the elimination of this global epidemic, understanding the high-risk behaviors of people newly diagnosed with HIV/AIDS (PNDWH) is essential. This study aimed to describe the general characteristics and high-risk behaviors of PNDWH and identify associated factors for adopting high-risk behaviors. A cross-sectional survey was conducted in Vietnam to explore the high-risk behaviors of 506 PNDWH. Associated factors were identified using multivariable logistic regressions. 83.2% of participants had sex without using a condom, and 27.9% had more than two sex partners. Among injected drug users, 44% had shared needles with an average number of 2.1 shared partners. Male, Kinh ethnicity (Vietnamese), high income, and high educational level were risk factors for high-risk behaviors. Our findings revealed the first time a comprehensive picture of PNDWH and emphasized the high prevalence of STIs, including untreated STIs and the long delay since the early HIV diagnosis. Also, our model found much higher risk behaviors among participants who were non-adherent to ART and those currently enrolled in ART. By better managing newly-diagnosed cases, better integrating STI management services and prevention consultants, as well as improving ART adherence programs, Vietnam can make better progress towards the complete control of HIV for its most vulnerable populations. © 2020 Informa UK Limited, trading as Taylor & Francis Group.
Human resources for commune health centers as per national standards : the case of Vietnam
- Nguyen, Huy, Hieu, Tran, Mai, Nguyen, Thang, Nguyen, Nga, Tran
- Authors: Nguyen, Huy , Hieu, Tran , Mai, Nguyen , Thang, Nguyen , Nga, Tran
- Date: 2019
- Type: Text , Journal article
- Relation: Family Medicine and Medical Science Research Vol. 8, no. (2019), p. 1-7
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- Description: Vietnam is among a few countries which have established a model of Commune Health Centers (CHCs) to serve primary health care for all people. Using quota sampling technique, 30 CHCs per each among nine provinces nationwide were equally selected for data collection to assess human resources for CHCs as national standards in Vietnam. A total of 239 CHCs finally completed the survey. Overall, the average number of Health Care Workers (HCWs) in each CHC was 6.3 ± 1.7, which met the national standards (at least five HCWs per CHC). However, only 24.4% of CHCs had 5 required job positions, and 59.7% of CHCs had at least one doctor. These shortages were more emerging in mountainous and remote areas. Further, mountainous and remote areas have been underrepresented of female HCWs, as compared to those in rural and urban areas. Our data provide a quite strong case for policy makers and health managers to improve human resources structure for CHCs. Keywords: Human resources for health (HRH); Commune health center (CHC); Community health services; Healthcare workers; National standards; Vietnam. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
- Authors: Nguyen, Huy , Hieu, Tran , Mai, Nguyen , Thang, Nguyen , Nga, Tran
- Date: 2019
- Type: Text , Journal article
- Relation: Family Medicine and Medical Science Research Vol. 8, no. (2019), p. 1-7
- Full Text:
- Reviewed:
- Description: Vietnam is among a few countries which have established a model of Commune Health Centers (CHCs) to serve primary health care for all people. Using quota sampling technique, 30 CHCs per each among nine provinces nationwide were equally selected for data collection to assess human resources for CHCs as national standards in Vietnam. A total of 239 CHCs finally completed the survey. Overall, the average number of Health Care Workers (HCWs) in each CHC was 6.3 ± 1.7, which met the national standards (at least five HCWs per CHC). However, only 24.4% of CHCs had 5 required job positions, and 59.7% of CHCs had at least one doctor. These shortages were more emerging in mountainous and remote areas. Further, mountainous and remote areas have been underrepresented of female HCWs, as compared to those in rural and urban areas. Our data provide a quite strong case for policy makers and health managers to improve human resources structure for CHCs. Keywords: Human resources for health (HRH); Commune health center (CHC); Community health services; Healthcare workers; National standards; Vietnam. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
WHO's service availability and readiness assessment of primary health care services of commune health centers in a rural district of Northern Vietnam
- Nguyen, Huy, Nam, Yo-Seon, Van Thanh, Nguyen, Tuan, Ngo, Ha, Nguyen, Hoat, Luu, Hoang, Nguyen, Hoa, Do
- Authors: Nguyen, Huy , Nam, Yo-Seon , Van Thanh, Nguyen , Tuan, Ngo , Ha, Nguyen , Hoat, Luu , Hoang, Nguyen , Hoa, Do
- Date: 2018
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 33, no. 1 (2018), p. 202-211
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- Description: The objective of this study was to assess the availability and readiness of the primary health care (PHC) services of commune health centers (CHCs) in Quoc Oai, a rural district of Northern Vietnam based on the World Health Organization's Service Availability and Readiness Assessment (SARA) tool. The study was done in 2 steps. First, the heads of the 21 CHCs of Quoc Oai district were interviewed using SARA, a quantitative survey, and the responses were then validated by direct observations of each facility. The results showed that although the average number of health staffs in each CHC met the national standards (at least 5 staffs per CHC), its allocation within each CHC was not properly met because some CHCs had only 2 health staffs. Several health equipment and facilities were not fully available in many CHCs, and although the majority of the PHC services were available at the CHCs, their readiness remained limited. Several significant correlates between the availability of health care workers and the availability of the facilities and the PHC services were observed, suggesting that they depend upon and affect one another in the health system. Using the SARA-based inventory, the study helps health managers and policy makers to prioritize efforts and allocate resources more appropriately. To be effective, attention should be given to how to make facilities, services, and human resources for health ready for PHC activities—more investment and support from the system (from higher to lower level) and the government. Copyright © 2017 John Wiley & Sons, Ltd.
- Authors: Nguyen, Huy , Nam, Yo-Seon , Van Thanh, Nguyen , Tuan, Ngo , Ha, Nguyen , Hoat, Luu , Hoang, Nguyen , Hoa, Do
- Date: 2018
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 33, no. 1 (2018), p. 202-211
- Full Text:
- Reviewed:
- Description: The objective of this study was to assess the availability and readiness of the primary health care (PHC) services of commune health centers (CHCs) in Quoc Oai, a rural district of Northern Vietnam based on the World Health Organization's Service Availability and Readiness Assessment (SARA) tool. The study was done in 2 steps. First, the heads of the 21 CHCs of Quoc Oai district were interviewed using SARA, a quantitative survey, and the responses were then validated by direct observations of each facility. The results showed that although the average number of health staffs in each CHC met the national standards (at least 5 staffs per CHC), its allocation within each CHC was not properly met because some CHCs had only 2 health staffs. Several health equipment and facilities were not fully available in many CHCs, and although the majority of the PHC services were available at the CHCs, their readiness remained limited. Several significant correlates between the availability of health care workers and the availability of the facilities and the PHC services were observed, suggesting that they depend upon and affect one another in the health system. Using the SARA-based inventory, the study helps health managers and policy makers to prioritize efforts and allocate resources more appropriately. To be effective, attention should be given to how to make facilities, services, and human resources for health ready for PHC activities—more investment and support from the system (from higher to lower level) and the government. Copyright © 2017 John Wiley & Sons, Ltd.
Smoke-free environment policy in Vietnam : what did people see and how did they react when they visited various public places?
- Nguyen, Huy, Do, D., Do, T., Dao, T., Kim, B.
- Authors: Nguyen, Huy , Do, D. , Do, T. , Dao, T. , Kim, B.
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Preventive Medicine and Hygiene Vol. 60, no. 1 (2019), p. E36-E42
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- Description: Introduction. Since Vietnam has signed WHO framework on tobacco control (FCTC) in 2003 and has issued tobacco control law in 2013, there has been little research concerning about what impacts smoke-free regulations have had on public compliance. The objective of this study was to assess public exposure to secondhand smoke and reaction toward smoke-free policy regulations in Vietnam and the associated factor. Methods. Using the design of GATS (Global Adult Tobacco Survey), a nationally representative sample of 8,996 adults were approached for data collection. Logistic regression was used to examine the associated factor. Results. The study revealed that the prevalence of respondents exposed to secondhand smoke was much higher in bars/café/tea shops (90.07%) and restaurants (81.81%) than in any other public places, universities (36.70%), government buildings (31.12%), public transport (20.04%), healthcare facilities (17.85%) and schools (15.84%). 13.23% of respondents saw smokers violate smoke-free regulations. Among those who saw them violate smoke-free regulations, just onethird cautioned them to stop smoking. Strikingly, a higher rate of cautioning smokers to stop smoking was observed among the older, married, and better educated respondents. Respondents who were married, better educated and in lower economic status were more likely to remind smokers to stop smoking. Conclusions. The study has called for strengthening two of the six MPOWER (Monitor, Protect, Offer, Warn, Enforce and Raise) components of the tobacco free initiative introduced by WHO, Monitoring tobacco use and prevention policies and Protecting people from tobacco smoke. © 2019 Pacini Editore SPA. All rights reserved. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
- Authors: Nguyen, Huy , Do, D. , Do, T. , Dao, T. , Kim, B.
- Date: 2019
- Type: Text , Journal article
- Relation: Journal of Preventive Medicine and Hygiene Vol. 60, no. 1 (2019), p. E36-E42
- Full Text:
- Reviewed:
- Description: Introduction. Since Vietnam has signed WHO framework on tobacco control (FCTC) in 2003 and has issued tobacco control law in 2013, there has been little research concerning about what impacts smoke-free regulations have had on public compliance. The objective of this study was to assess public exposure to secondhand smoke and reaction toward smoke-free policy regulations in Vietnam and the associated factor. Methods. Using the design of GATS (Global Adult Tobacco Survey), a nationally representative sample of 8,996 adults were approached for data collection. Logistic regression was used to examine the associated factor. Results. The study revealed that the prevalence of respondents exposed to secondhand smoke was much higher in bars/café/tea shops (90.07%) and restaurants (81.81%) than in any other public places, universities (36.70%), government buildings (31.12%), public transport (20.04%), healthcare facilities (17.85%) and schools (15.84%). 13.23% of respondents saw smokers violate smoke-free regulations. Among those who saw them violate smoke-free regulations, just onethird cautioned them to stop smoking. Strikingly, a higher rate of cautioning smokers to stop smoking was observed among the older, married, and better educated respondents. Respondents who were married, better educated and in lower economic status were more likely to remind smokers to stop smoking. Conclusions. The study has called for strengthening two of the six MPOWER (Monitor, Protect, Offer, Warn, Enforce and Raise) components of the tobacco free initiative introduced by WHO, Monitoring tobacco use and prevention policies and Protecting people from tobacco smoke. © 2019 Pacini Editore SPA. All rights reserved. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
Knowledge and determinants of health consequences of cigarette smoking among Vietnamese adults, 2015
- Minh Dao, An, Nguyen, Huong, Kim, Giang, Phan, Hai, Nguyen, Huy
- Authors: Minh Dao, An , Nguyen, Huong , Kim, Giang , Phan, Hai , Nguyen, Huy
- Date: 2019
- Type: Text , Journal article
- Relation: Asia-Pacific Journal of Public Health Vol. 31, no. 5 (2019), p. 463-475
- Full Text: false
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- Description: Background. Vietnam was one of 16 countries that implemented the second round of the GATS (Global Adult Tobacco Survey) in 2015. Aims. To assess knowledge and determinants of health consequences of different types of cigarette smoking among Vietnamese adults. Methods. A cross-sectional study among adults aged 15 years combined with using 15% of the master sample from the national sampling frame of the population and housing census was conducted. Multilevel analysis using Poisson regression was undertaken. Results. Knowledge on the health consequences of cigarette smoking has not significantly improved in the GATS-2015. Adults believe that active smoking had more of an impact on health than secondhand smoking and 24.5% and 43% of them answered that smoking light and e-cigarettes, respectively, causes less harm than regular cigarettes, and 17.3% and 18.1% of adults are not aware of the difference between them, respectively. Conclusion. Household and community’s role had little impact in the adult knowledge of smoking health consequences. It is necessary to disseminate information on the “other tobacco product” and to improve public knowledge on specific health consequences, to enhance household and community’s role in conveying health education messages to individuals. © 2019 APJPH. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
Adherence to antiplatelet therapy after coronary intervention among patients with myocardial infarction attending Vietnam National Heart Institute
- Luu, Ngoc, Dinh, Anh, Nguyen, Thi, Nguyen, Huy
- Authors: Luu, Ngoc , Dinh, Anh , Nguyen, Thi , Nguyen, Huy
- Date: 2019
- Type: Text , Journal article
- Relation: BioMed Research International Vol. 2019, no. (2019), p.
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- Description: Adherence to antiplatelet therapy is critical to successful treatment of cardiovascular conditions. However, little has been known about this issue in the context of constrained resources such as in Vietnam. The objective of this study was to examine the adherence to antiplatelet therapy among patients receiving acute myocardial infarction interventions and its associated factors. In a cross-sectional survey design, 175 adult patients revisiting Vietnam National Heart Institute diagnosed with acute myocardial infarction were approached for data collection from October 2014 to June 2015. Adherence to antiplatelet therapy was assessed by asking patients whether they took taking antiplatelet regularly as per medication (do not miss any dose at the specified time) for any type of antiplatelet (aspirin, clopidogrel, ticlopidine.) during the last month before the participants came back to take re-examinations. The results indicated that the adherence to antiplatelet therapy among patients was quite high at 1 month; it begins to decline by 6 months, 12 months, and more than 12 months (less than 1 month was 90.29%; from 1 to 6 months 88.0%, from 6 to 12 months 75.43%, and after 12 months only 46.29% of patients). Multivariable logistic regression was utilized to detect factors associated with the adherence to antiplatelet therapy. It showed that patients with average income per month of $300 or more (OR=2.92, 95% CI=1.24-6.89), distance to the hospital of less than 50km (OR=2.48, 95% CI: 1.12-5.52), taking medicine under doctor's instructions (OR=3.65; 95% CI=1.13-11.70), and timely re-examination (OR=3.99, 95% CI=1.08-14.73) were more likely to follow the therapy. In general, the study suggested that to increase the likelihood of adherence to antiplatelet therapy it is important to establish a continuous care system after discharging from hospital. © 2019 Ngoc Minh Luu et al.
- Authors: Luu, Ngoc , Dinh, Anh , Nguyen, Thi , Nguyen, Huy
- Date: 2019
- Type: Text , Journal article
- Relation: BioMed Research International Vol. 2019, no. (2019), p.
- Full Text:
- Reviewed:
- Description: Adherence to antiplatelet therapy is critical to successful treatment of cardiovascular conditions. However, little has been known about this issue in the context of constrained resources such as in Vietnam. The objective of this study was to examine the adherence to antiplatelet therapy among patients receiving acute myocardial infarction interventions and its associated factors. In a cross-sectional survey design, 175 adult patients revisiting Vietnam National Heart Institute diagnosed with acute myocardial infarction were approached for data collection from October 2014 to June 2015. Adherence to antiplatelet therapy was assessed by asking patients whether they took taking antiplatelet regularly as per medication (do not miss any dose at the specified time) for any type of antiplatelet (aspirin, clopidogrel, ticlopidine.) during the last month before the participants came back to take re-examinations. The results indicated that the adherence to antiplatelet therapy among patients was quite high at 1 month; it begins to decline by 6 months, 12 months, and more than 12 months (less than 1 month was 90.29%; from 1 to 6 months 88.0%, from 6 to 12 months 75.43%, and after 12 months only 46.29% of patients). Multivariable logistic regression was utilized to detect factors associated with the adherence to antiplatelet therapy. It showed that patients with average income per month of $300 or more (OR=2.92, 95% CI=1.24-6.89), distance to the hospital of less than 50km (OR=2.48, 95% CI: 1.12-5.52), taking medicine under doctor's instructions (OR=3.65; 95% CI=1.13-11.70), and timely re-examination (OR=3.99, 95% CI=1.08-14.73) were more likely to follow the therapy. In general, the study suggested that to increase the likelihood of adherence to antiplatelet therapy it is important to establish a continuous care system after discharging from hospital. © 2019 Ngoc Minh Luu et al.