Preventive Medicine System Reform: studying the establishment process of Provincial Center for Disease Control in Viet Nam

Tóm tắt

Objectives: To study the development of the center for disease control (CDC) model at the provincial level from 2015 to the present, and to analyze pros and cons of the implementation of this model.

Methods: The study applied a descriptive cross-sectional design, combining quantitative and qualitative methods. Quantitative study applied self-administered questionnaires in 63 provinces across the country from April to July 2019, and qualitative study was conducted with 52 key informants through 15 in-depth interviews (IDIs) and 4 focus group discussions (FGDs) in Ha Noi, Lao Cai, Dak Nong, and Ba Ria-Vung Tau. Quantitative data was analyzed by SPSS while qualitative data was transcribed, coded and analyzed using Mindjet Mindmanager software.

Results: Preparation for CDC agenda setting and policy development was from 2012-2016, and the pilot was in 2017. By July, 2019, as many as 52/63 provinces have established CDC model, while 7 provinces were in process of approval, and only 4 provinces have not developed project proposal. In general, the implementation of the CDC model in provinces was on track of Vietnam Ministry of Health’s roadmap. The implementation process was relatively quick, especially after the issuance of Circular No. 26/2017/BYT. Some of the initial difficulties in implementation included a surplus of administrative personnel, unavailability of a head office, and financial management.

Conclusion: The implementation of the CDC model is relatively smooth and ensures the roadmap set by the Ministry of Health. The study recommends exchanges among provinces that have completed or going to have establishment of the CDC model to learn from each other and share experience for more effective task assignment, management and performance.