家庭医学と医療科学の研究
オープンアクセス

概要

Human Resources for Commune Health Centers as per National Standards: The Case of Vietnam

Nguyen Van Huy, Tran Trung Hieu, Nguyen Thi Mai, Nguyen Huu Thang, Tran Thi Nga, Nguyen Dao Huy Nam, Nguyen Hoang Long

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.