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1. Full name; Nguyen Thi Hoai An 2. Sex: Female
3. Date of birth: 03-04-1975 4. Place of birth: Ha Noi
5. Admission decision number: 1384 dated: 26th, December, 2012
6. Changes in academic process:
Change thesis title: decision number 737, dated 28th, October , 2015
Extension training time: One year, 2016
7. Official thesis title: Capacity of health facilities at grassroots level in meets the people’s needs in health care in Thanh Hoa province (Case study in Ha Trung district, Thanh Hoa province)
8. Major: Sociology 9. Code: 62.22.03.01
10. Technical Advisor: Professor. Doctor. Le Thi Quy and Doctor. Mai Thị Kim Thanh
11. Summary of the new findings of the thesis:
The capacity of health facilities at grassroots level were still weak and uniformity of service provision capacity, human resources, information and technical capacity, pharmaceutical technology, financial capacity and governance capacity . Survey data shows that 77% of medical staffs think that hospital provides adequate of medicines; only 37% of health workers believe that there is a mismatch between professional training and current positions, only 29% of health workers at the district hospital have university degrees. 65% of staffs assess the patient reception procedures are satisfactory. Evaluation of the people on facilities and medical equipment at the health commune level is still low. 72% of respondents said that health commune centers are still inadequate, only 5% rated as good at. District hospital was rated better by people in Ha Trung district, 53% said that is at good level. In terms of administrative procedures in health care and treatment is still largely inadequate accounting for 60% and 20% rated the undergraduate level. Regarding health workers, people rated with 13.2% at good, 54.2% assessed at the average level, 32.6% said it is not good. Lacking of pharmaceutical staff in both quantity and quality in all commune health centers and district hospitals. Capacity on both technical and pharmaceutical aspect have strong relationship with human resources, lack of manpower led to the ability to provide the techniques and pharmaceutical poor also follow.
Organizational capacity and insufficient trained and therefore entail major operational functions yet powerful medical facility is inadequate. Technical staff at the health facility at grassroots level is not enough. There are highly technical but no appropriate personnel to train and use. Equipment at health facilities is not enough as principle of Ministry of Health and need in reality.
Financial capacity has been improved but especially at the district level. However, budget at commune health center is still very limited to meet the functions and duties of the current request. Capacity of service delivery has a lot of difficulties of such as environmental pollution, medical waste disposal, and clean water. The behavioral culture at health center at grassroots level has not yet been paid attention and strengthened. Ability to treat the disease should remain weak therefore implementations of functional health facility still many challenges.
There are many factor affected on capacity of health facilities at grassroots level such as policies, management mechanism, environmental conditions, climate change, factor perspective of local leaders, wages, allowances and evaluation of people about the current service medical facility, as well as the needs of the people related to health care. The needs of people in Ha Trung district is mostly basic needs such as essential medical equipment, people can check health and treatment at commune health center or where people can initial medical examination and easy to access to correct medical treatment and convenient services. In addition, other group of needs as the attitude and good behavior of the medical staffs and counseling to help patients understand the disease is also important needs that most people are referring to.
12. Practical applicability, if any:
Findings help policy makers, leaders, researchers, staff in the health sector; social studies can be used to determine the direction and the appropriate solutions in order to strengthen the role of the medical facilities in the health care of people.
13. Further research direction, if any:
The relationship between health staff and patients at the health facilities at grassroots level. Consequence factors on these relations.
Some modern medical sociological theories application in research
14. Thesis-related publications
- Nguyen Thi Hoai An (2016), "Some difficulties and orientation in improving and protecting the health of people in the primary health care system, currently " the Viet Nam Journal of Social Science Manpower , number (09), pp. 43-50.
- Nguyen Thi Hoai An (2016), " Research on capacity of health facilities at grassroots level through overview of some countries and Vietnam ", The Journal of Social Sciences and Humanities, (02), pp.180-192
- Nguyen Thi Hoai An (2017), “Research on the capacity of grassroots health center in responding to the needs of people in Thanh Hoa province”, Year Book on health care and social issues. Social Work, Ministry of Labor, Invalids and Social Affairs, Social Protection Department, National University, College of Social Sciences and Humanities, pp. 202-215.
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