The situation of health education at district level in 4 provinces in Viet Nam during 2006

Background: The health education system has been established in Viet Nam since the early part of the 21st century from district to central level. In 2002, Health education has been considered as a first standard out of 10 national health standards for communal level. But there are few studies assessed the situation of health education activities at district level. Objectives: To discover the situation and identify possibilities to improve the health education activities at district level. Subjects and method: The cross-sectional study was conducted in 4 provinces: Yen Bai, Thai Nguyen, Ha Tay and Thai Binh. The questionnaires were used for interviewing health workers in preventive health centers at district and provincial levels of these provinces. Results. The health education activities have been carried out at district level with different methods, but 35.4% of respondents noted that these activities were not good enough. The significant number of health workers, who were responsible for health education at district level did not possess the proper knowledge and skills to meet the task requirements. The management of health education remained a limitation. 76.1% interviewed health workers said that the plans of health education activities have not been made properly, a lack of equipment and materials for these activities. Most of the respondents believed that the health education activities can be improved with better implementations.Conclusion: The health education management and activities at district level of the 4 investigated provinces has not achieved levels of expectation. The knowledge and skills of health workers had not met the task requirements. Therefore, it is important to strengthen both knowledge and skills for health workers to improve the health education activities at district level.

Evaluating the acceptance of the community on field training of medical students

Background: Training community-oriented general practitioners with the aims to provide the medical knowledge and skills of working in the community for medical students is appropriate with the socioeconomic context in Vietnam. Objectives: To evaluate the acceptance of the community in two districts Kim Bang (Ha Nam province) and Dong Hy (Thai Nguyen province) on field training for medical students. Subjects and method: The cross - sectional study was carried out on 300 households that were chosen randomly from 2 rural districts on April 2006. The heads of households were interviewed by open - ended questionnaires. Another 120 key informants from these two districts were invited to participate in a focus group discussion. Results: 81% of households voluntarily participated in the organization of field training for the medical students. More than 97% households paid attention to the medical students\u2019 information about health care and environmental hygiene. With medical community-based education, the people from communities receives\u2019 improvement in their knowledge of child care and personal hygiene in order to prevent diseases. Conclusion: Being exposed to health problems in communities, medical students can enhance their working and communication skills. People in the communities had a chance to improve their knowledge of disease preventions.

Changing KAP on environmental sanitation/three hygiene constructions of people in Pham Kha commune, Thanh Mien district, Hai Duong province after one year

Background: Environmental sanitation/three hygiene constructions are always concern of the health because they have strong influence on health in the community. To achieve better results of the environmental sanitation/three hygiene constructions, communication and health education are still the most effective solutions. However, study of how do the health education and communication affect change in knowledge, attitude and practice on environmental sanitation/three hygiene constructions is necessary to have the basis for planning a better health education and communication program. Objectives: To describe knowledge, attitude and practice (KAP) and changing of KAP on environmental sanitation/three hygiene constructions of people in Pham Kha commune after one year. Subjects and method: A cross \ufffd?sectional study had been carried out on people in Pham Kha commune by questionnaire at two points of time in November 2001 and November 2002. Results:The KAP of people on environmental sanitation/three hygiene constructions were lower than expected levels and there was no significant differences between two point times of surveys. Conclusion: The KAP on environmental sanitation/three hygiene constructions of people in Pham Kha commune after one year were not much changed, therefore need to priority health education activities on this subject for improving situation of environmental sanitation/three hygiene constructions to enhance community health.

Laboratory test for the optimal infective dosage of poliovirus in production of OPV from Sabin attenuate strains

3 types the results were evaluated according to the efficacy of obtained vaccines have shown that the mininal infective dosages of poliovirus in production of oral live poliovirus vaccine in the renal cells of monkey which given the highest efficacy were 103 TCID 50 /bottle of Roux, 104TCID/bottle of Roux and 103 TCID/ bottle of Roux for type I (strain: WHO-IS-C), type II (strain: IIS-90A) and type III (IIIs-79A), respectively