Showing posts with label MoH. Show all posts
Showing posts with label MoH. Show all posts

Sunday, January 27, 2013

Vietnam - Health sector to help overstrained hospitals


The Hanoitimes -  Prime Minister Nguyen Tan Dung urged the health sector to help overstrained hospitals and improve the quality of treatment when addressing the sector’s video conference to launch its 2013 tasks in Hanoi .

He asked the sector to concentrate on deploying a nation-wide health insurance programme to enable poor and near-poor people to get insured when going to hospital, and reforming administrative procedures to make treatment easier for everyone.

The Government leader also requested that the sector should address gender imbalance and improve public awareness of family planning and disease prevention.

In 2012, the health sector made improvements in caring for people’s health. A Vietnamese person now enjoys a lifespan of 73 years. Vietnam is among a few countries that achieved its millennium development goals, including those relating to the reduction of under-1 and under-5 fatalities and malnutrition ahead of schedule.

The healthcare system has so far been expanded to all levels, from the State to grassroots. To date, 100% of communes and over 90% of hamlets have medical workers with 72% of communes being cared by doctors. Up to 95% of communal healthcare centres have midwives or pediatric physicians.
Around 68% of the population had health insurance in 2012, which doubled the number recorded in 2001.

The number of healthcare workers for 10,000 people rose from 29.2 in 2001 to 34.4 in 2012.

In addition, high technologies have been applied successfully, making the healthcare system comparable to developed countries in the region.

However, overcrowded hospitals, unsound policies to get various economic sectors involved in public healthcare programmes and high hospital fee still remain, posing difficulties for the sector to overcome

Sunday, November 11, 2012

Vietnam - Health officials call for more sex education


VietNamNet Bridge – Nguyen Thi Lan, a worker in Ha Noi's Bac Thang Long Industrial Zone, has had three abortions.

The only birth-control measure that she uses is the rhythm method, where previous menstrual cycles are calculated to estimate the chances of fertility. Scientists have shown that the method is not reliable.

She explained that she is afraid of other contraceptive measures as she has heard they have negative side-effects.

"Many old people told me that inserting a coil would be dangerous and cause backache, stomach ache and affect my menstrual cycle, while using morning-after pills would worsen my skin."

Lan (not her real name) is not alone in her beliefs. A survey released by the city's Health Department on Monday shows that only 43 per cent of 1,120 surveyed female workers said they are using birth-control measures. Of these women, more than 15 per cent admitted that the measures they do use are withdrawl before ejaculation or the rhythm method, which have both been proven to be unsafe.

Meanwhile, nearly 60 per cent of the surveyed people said they have never heard about morning-after pills.

Nguyen Thi Van Anh, a health department official, said that thousands of female workers are at a high risk of suffering from reproductive health and sexual problems.

The surveyed people, who are mainly are under the age of 30 years and have graduated from high-school, still wrongly assume that contraceptive measures would bring negative impacts to their health, she said.

Vu Thi Thanh Huong, director of the city's Reproductive Health Care Centre said that females working in industrial zones are more likely to be subject to sexual diseases or unexpected pregnancy than those working in other sectors.

More than 13 per cent of the surveyed people have had abortions.

Their situation becomes more dangerous when they have abortions at illegal health clinics or treat themselves using some kinds of drugs, she said.

The survey also showed that many female workers are victims of sexual abuse by their husband or partner, and nearly 45 per cent claimed to have never heard about the law on domestic violence prevention and control.

Tran Thanh Thuy (not her real name), a 28-year-old worker in Soc Son Industrial Zone said that she still feels terrified when recalling the first time having sex with her husband, which made her feel like she was being cut by a knife.

She later divorced from her husband, who was violent, and has since stayed away from men because of her fears.

More checks needed

Experts have said that female workers need to seek specific consultancy from health services when facing reproductive health and sexual related problems.

However, the only health workers who are available in emergency cases in the industrial zones have no expertise in the area of sexual health and are unable to give necessary support to female workers, she said.

It is often difficult for women living in industrial zones to receive this support because their employers do not organise consultancies or reproductive health checks to take place in their factories.

"They are afraid that these activities will disrupt product management and working time, reducing their turnover," said Huong.

Vu Thi Hoa, a worker in Dong Anh Industrial Zone said it was impossible for foreign employers to allow workers to use their working time to get information about reproductive health. Their main priority is making a profit.

Lan agreed, and said she and other workers get one general health check a year, and nothing more.

Nguyen Ngoc Quyet, director of Duc Giang Consultancy Centre, said these employers should offer sufficient health checks as if their employees have any worries about their reproductive health their lack of certainty about the problem can obsess their mind, distracting them from their work and negatively affecting their labour productivity.

According to female workers and experts, many women believe that reproductive health and sexual problems are private and sensitive, and this is another cause preventing them from getting the right knowledge about the issues that affect them.

Lan said that they often just confide their problems with close friends, or secretly check at illegal clinics. "It is too shameful to speak about these things publicly."

Anh said that the health department is going to hold conferences for employers and health workers in industrial zones in a bid to change their attitudes towards reproductive health and sexual problems so that they can facilitate visits from relevant officials who give free consultancy advice to their workers.

It is planned that nearly 2,000 female workers will be given the chance to discuss these issues with an experienced and qualified health professional in the next three months.

Workers have suggested that these services should be made compulsory in employment regulations in order for the scheme to take effect. They added that they believe the consultancy meetings should be held in residential areas, not at places of work.

VietNamNet/VNS

Saturday, November 10, 2012

Singapore - Health Ministry to conduct national survey


SINGAPORE: The Health Ministry will be conducting a national survey from this month till June next year to gather information on the general health status and lifestyle practices of Singaporeans.

The results will be used to track the health of the population and the progress that has been made in reaching national health targets.

The information will also be used for planning and evaluating health promotion programmes and healthcare services.

A ministry statement said 18,000 households will be randomly selected to take part in the survey.

These households will receive a letter informing them of the arrangements.

Participants will be interviewed about their health and lifestyle habits, and have their height and weight measurements taken in their homes.

The ministry said individual information collected in the survey will be kept confidential and only aggregated data will be published.

It urged the selected households to support the survey, which independent research company Market Probe Asia-Pacific Pte Ltd has been commissioned to carry out.

- CNA/ms

Monday, July 16, 2012

Cambodia - Cambodia Increases Effort To Stop Hand, Foot And Mouth Disease Outbreak


Cambodia has begun nationwide surveillance for a severe form of hand, foot and mouth disease since the deaths of more than 50 children from an April 2012 outbreak.

Cambodia has begun nationwide surveillance for a severe form of hand, foot and mouth disease (HFMD), a common viral illness that usually affects infants and children younger than five years old and is rarely life-threatening, health officials confirmed on July 13.

Since April more than 50 children have reportedly died from the “mysterious” disease which was first diagnosed on July 9. Health experts cite Enterovirus 71 (EV-71), one of a group of enteroviruses that results in the disease, as the cause.

“The surveillance system had not been geared up to detect hand, foot and mouth disease, and the country lacked the capacity for testing for its severe form,” Dr. Nima Asgari, head of the emerging disease surveillance and response unit of the World Health Organization (WHO) in Phnom Penh, the capital, told IRIN.

Sentinel sites for severe HFMD have been established at five hospitals and health centers have been instructed to inform the Cambodian Ministry of Health about mild cases of HFMD, ministry officials said of the effort which began earlier this week.

Asgari noted that it was likely more cases of the disease would be detected in the coming weeks as surveillance increased in Cambodia.

So far in 2012, there have been 890,000 cases of mild and severe HFMD in China, with 242 deaths, and Vietnam has recorded 58,000 cases and 29 deaths, WHO reported.

“EV71 seems to be rising and causing a number of situations where there are a lot of deaths,” Asgari said. In Cambodia the cases occurred in 14 of the country’s 23 provinces, which did not add up to an “outbreak” because they were not linked, health ministry officials said.

In its mild form HFMD mainly affects children, causing fever, sores in the mouth, and rashes with blisters on the feet, hands and buttocks. Children generally recover from the disease within seven to 10 days without medical treatment.

But in severe cases, especially those with the presence of EV-71, patients can have neurological and respiratory symptoms, including convulsions, jerking of the hands and feet and shortness of breath.
HFMD virus is contagious and is spread from person to person by direct contact with nose and throat discharges, saliva, fluid from blisters, or the stool of infected persons.

Infected individuals are most contagious during the first week of the illness, but the period of communicability can last for several weeks, as the virus persists in stool, said a WHO fact sheet.
In nearly all of the most severe cases reported in Cambodia, the children died within one day of hospitalization and within four days of the onset of symptoms, an investigation by the health ministry and WHO revealed.

About 80 percent of the cases had been treated with steroids, most at privately run clinics, before they were hospitalized, the investigation found. Treating severe cases of HFMD with steroids increases the likelihood of fatality in patients, health officials said.

To address this issue, along with enhanced surveillance, health officials are launching a public awareness campaign about the disease and the need to avoid using steroids to treat it. However, the surveillance system covers only the public sector and does not include private clinics and practitioners.

Cambodia’s fledgling healthcare system comprises a poorly funded state-run system of health centers and hospitals, and privately run clinics which, though unregulated, are often the first choice of many people.

Public health experts have long urged the government and its international donors to strengthen healthcare services to offset the rise of unregulated clinics, where staff are often untrained and poorly equipped to diagnose illness and provide the correct treatment.

According to WHO, outbreaks of HFMD occur every few years in different parts of the world, but in recent years these have occurred more frequently in Asia, including China, Japan, Hong Kong (China), Republic of Korea, Malaysia, Singapore, Thailand, Taiwan, and Viet Nam.
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Source: IRIN