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dc.contributor.authorDuong, David B.en_US
dc.date.accessioned2015-05-20T18:37:32Z
dc.date.created2015-05en_US
dc.date.issued2015-05-13en_US
dc.date.submitted2015en_US
dc.identifier.citationDuong, David B. 2015. Understanding the Service Availability for Non-Communicable Disease Prevention and Control at Public Primary Care Centers in Northern Vietnam. Doctoral dissertation, Harvard Medical School.en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:15821581
dc.description.abstractBackground: Non-Communicable diseases (NCDs) are currently responsible for over 60% of global deaths, 80% of which are in low-and-middle-income countries. In Vietnam, a low-middle income country, between 1986 and 2008, the proportion of all hospital admissions attributable to NCDs increased from 39% to 69%, and mortality attributed to NCDs rose from 42% to 63%. Methodology: This mixed methods study involved a critical review of published and unpublished literature, and government documents to understand the current situation of NCDs service delivery. Additionally, from December 2013 until April 2014, 89 CHCs were surveyed in three provinces in northern Vietnam on NCD service availability using the World Health Organization Service Availability and Readiness Assessment (SARA) tool, adapted for the Vietnam context. Results: There is strong government support for NCD prevention and control at the highest levels, however, implementation of NCD programs have not resulted in substantial population health gains. In the current situation, Vietnam’s network of CHCs do not have adequate NCD service availability for either prevention or control, which can be explained by a vertical, disease specific program implementation model, a lack of medications, non-standard payment mechanisms, and low patient volume visiting the CHCs.en_US
dc.format.mimetypeapplication/pdfen_US
dc.language.isoenen_US
dash.licenseLAAen_US
dc.titleUnderstanding the Service Availability for Non-Communicable Disease Prevention and Control at Public Primary Care Centers in Northern Vietnamen_US
dc.typeThesis or Dissertationen_US
dash.depositing.authorDuong, David B.en_US
dc.date.available2015-05-20T18:37:32Z
thesis.degree.date2015en_US
thesis.degree.grantorHarvard Medical Schoolen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Medicineen_US
dc.type.materialtexten_US
dash.identifier.vireohttp://etds.lib.harvard.edu/hms/admin/view/143en_US
dc.description.keywordsNon-Communicable Diseases; Primary Care; Vietnam; Service Availability; Service Readinessen_US
dash.author.emailduongdb@gmail.comen_US
dash.identifier.drsurn-3:HUL.DRS.OBJECT:25170821en_US
dash.identifier.orcid0000-0002-5386-4502en_US
dash.contributor.affiliatedDuong, David
dc.identifier.orcid0000-0002-5386-4502


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