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Engaging village health workers in non-communicable disease (NCD) prevention and control in Vietnam: A qualitative study
journal contribution
posted on 2019-12-17, 00:00 authored by H Long, Z Ma, TTD Hanh, HV Minh, Lal RawalLal Rawal, DS Urmi, TH Jafar, S Tang, AS AbdullahThe burden of non-communicable diseases (NCDs) continues to grow in Vietnam, and reducing the burden of NCDs is a national priority. This study explored perspective of community health workers (CHWs), known as Village Health Workers (VHWs) in Vietnam, and public health leaders towards potential of expanding VHWs’ role to deliver NCDs prevention and control services, and determined barriers and facilitators. We conducted focus group discussions (FGDs) with VHWs (n = 24) and in-depth interviews (IDIs) with public health administrators (n = 13). The findings show that VHWs in Vietnam deliver multiple public health services, including several NCDs related services. Perceived barriers include lack of policy support, shortages of trained health personnel, lack of training, imbalanced workload and inadequate remuneration. Perceived barriers include lack of policy support, shortages of trained health personnel, lack of training, imbalanced workload and inadequate remuneration. Facilitators include government commitment to NCDs prevention and control, priority on capacity building, professional recognition and provision of incentives with availability of appropriate resources. While additional quantitative studies are needed to supplement the current qualitative findings, the current results inform the policy and intervention development in engaging VHWs in the delivery of community-based NCDs prevention and control initiatives in Vietnam.
Funding
Category 2 - Other Public Sector Grants Category
History
Volume
15Issue
4Start Page
611End Page
625Number of Pages
15eISSN
1744-1706ISSN
1744-1692Publisher
Taylor & Francis (Routledge)Publisher DOI
Peer Reviewed
- Yes
Open Access
- No
Acceptance Date
2019-09-28External Author Affiliations
Boston University School of Medicine, Duke University, USA; Guangxi Medical University, Duke Kunshan University, China; c Hanoi University of Public HealthEra Eligible
- Yes