Preventive Medicine System Reform: studying the establishment process of Provincial Center for Disease Control in Viet Nam

Objectives: To study the implementation of the center for disease control (CDC) model at the provincial level from 2015 to the present, and to analyze pros and cons of the implementation of this model.

Methods: The study applied cross-sectional design, combining quantitative and qualitative. Quantitative study applied self administration questionaires in 63 provinces across the country from April to July 2019, and qualitative research conducted with 52 key informants through 15 in-depth interviews and 4 focus group discussions in Hanoi, Lao Cai, Daknong, and Ba Ria Vung Tau. Quantitative data was analysed by SPSS. Qualitative data was transcribed, coded and analysed using Mindjet Mindmanager.

Results: Preparation for CDC agenda setting and policy development was from 2012-2016, and the pilot was in 2017. By July, 2019, there were 52/63 provinces have established CDC model, 7 provinces were in process of approal, and only 4 provinces have not developed project proposal. In general, the implementation of the CDC model in provinces was on track of Vietnam Ministry of Health’s roadmap. The implementation process was relatively quick. Some of the initial difficulties in implemention included a surplus of administrative personnel, not having a head office, and financial management.

Conclusion: The implementation of the CDC model is relatively smoothy and ensures the roadmap of the Ministry of Health. The study recommends learning exchanges among provinces that have and going to implement the CDC model to learn from experience in assigning tasks and management more effectively.

 

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