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An adaptive model of health system organization and responses helped Vietnam to successfully halt the Covid-19 pandemic: What lessons can be learned from a resource-constrained country.
Van Nguyen, Huy; Van Hoang, Minh; Dao, An Thi Minh; Nguyen, Hoa L; Van Nguyen, Tien; Nguyen, Phuong The; Khuong, Long Quynh; Le, Phuong Mai; Gilmour, Stuart.
  • Van Nguyen H; Graduate School of Public Health, St. Luke's International University, Tokyo, Japan.
  • Van Hoang M; Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Dao ATM; Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Nguyen HL; Department of Health Economics, Hanoi University of Public Health, Hanoi, Vietnam.
  • Van Nguyen T; Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Nguyen PT; Department of Epidemiology, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
  • Khuong LQ; Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
  • Le PM; Department of Epidemiology, Baylor Scott and White Research Institute, Dallas, Texas, USA.
  • Gilmour S; Department of Health Organization and Management, Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Int J Health Plann Manage ; 35(5): 988-992, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-812746
ABSTRACT
Coping with the COVID-19 pandemic has been painful and no single model for such a purpose is perfect. However, sharing experiences is the best way for countries to learn real-time lessons and adapt to this rapidly changing pandemic. This commentary shares with the international community how an adaptive model of health system organization and responses helped Vietnam to break transmission of coronavirus. We find that an effective model is adaptive to time and context, and mobilizes and engages the wider society. We identify merging of different health system units into Center for Diseases Controls as a health system organization that saved massive resources. The early establishment of a formal committee responding to the pandemic helped unify every public health strategy. The mobilization of different stakeholders and communities added resources and facilitated a synchronous implementation of response strategies, even where those strategies involved significant personal or financial sacrifice. National training on Covid-19 treatment for healthcare professionals across the entire hospital system was useful to expand the health service availability. Quickly published response guidelines helped to activate every level of the health system and involve every sector of society. A strategy of keeping high alert and preemptive action is also essential for coping with the pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Delivery of Health Care / Developing Countries / Pandemics Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Int J Health Plann Manage Journal subject: Health Services Research / Health Services Year: 2020 Document Type: Article Affiliation country: Hpm.3004

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Infection Control / Coronavirus Infections / Delivery of Health Care / Developing Countries / Pandemics Type of study: Observational study / Prognostic study / Qualitative research Limits: Humans Country/Region as subject: Asia Language: English Journal: Int J Health Plann Manage Journal subject: Health Services Research / Health Services Year: 2020 Document Type: Article Affiliation country: Hpm.3004