PREVENTIVE MEDICINE- PHC, NATIONAL TARGET PROGRAMS

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PREVENTIVE MEDICINE- PHC, NATIONAL TARGET PROGRAMS
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NEW POLICIES

• Eleventh Party Congress on Socio-economic
  development Strategy 2011 2020
• Food Safety Law 2010
• Prime Minister approved 15 National Target
  Programs in 2011 (4 NTPs managed by the MOH)
• 3 Health NTPs in preventive medicine (total of 17
  component projects)
• Food safety
• Control of social diseases and epidemics
• HIV/AIDS Control
• 5-year Health sector plan 2011-2015

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2010

• Prime Minister signed 6 decisions and decrees on
  preventive medicine
• Minister of Health issued 33 circulars guiding
  implementation of preventive medicine work
• Drafted and submitted to the Prime Minister for
  approval
• Strategy for the Protection, care and promotion
  of the peoples health 2011-2020 and vision to
  2030
• Project for medical waste treatment 2010 2015
  and orientation to 2020
• Tobacco control law to be passed in 2011 or 2012

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REVIEW OF IMPLEMENTATION in relation to tasks
assigned
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Develop preventive medicine, prevent epidemics

• Results
• MOH has directed localities to undertake disease
  surveillance, detection, treatment of any cases
  of influenza A(H1N1), influenza A(H5N1)
• Directed the NIHE and Pasteur Institute to
  undertake epidemiological investigations of any
  reported cases.
• Direct border gates to strengthen surveillance
  for people entering from epidemic regions.
• Collaborate with the Veterinary administration of
  the MARD to prevent an epidemic of influenza
  A(H5N1)

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Develop preventive medicine, prevent epidemics (2)

• Difficulties, limitations
• Some areas have low awareness of epidemic
  prevention, grassroots preventive health is
  understaffed, has weak performance.
• When ill, some people delay seeking care at
  health facilities
• Recommended solutions
• Strengthen capacity for surveillance, detection
  of disease by grassroots health care and district
  health center.
• Strengthen IEC on prevention of influenza and
  other communicable disease.

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Improve quality and ensure food safety

• MOH issued 23 national standards in 2010 and 11
  more in 2011 related to hygiene and quality of
  many foodstuffs.
• Established Central inter-sectoral steering
  committee on food safety.
• Collaborated with the Central Party Committee to
  strengthen leadership in food safety in the new
  situation.
• Difficult to control all small and scattered food
  processing and distribution establishments.
• Food prices are rising, peoples food consumption
  habits are unmindful of the dangers, the
  penalties for violations lack severity.
• Strengthen capacity for surveillance, control of
  the food safety system from the central to the
  local areas
• Strengthen inter-sectoral collaboratoin,
  international cooperation in food safety

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Environmental health, responding to emergencies
and natural disasters, and emerging diseases

• Inter-sectoral collaboration has improved
  considerably, especially between the health
  sector and the MARD, between military and
  civilian medical establishments, between the
  health sector and education sector.
• UNICEF is supporting MARD and MOH to implement
  the National strategy for clean water and
  sanitation in rural areas to 2020.
• Many legal documents related to environmental
  health have been issued in a timely manner by the
  Government..
• The MOH has established the Administration for
  environmental health management (5/2010)
• Many issues are inter-sectoral in nature, require
  effective coordination from the central and local
  areas. Many problems require investments of
  substantial amounts of money.
• Increase resources to respond to new tasks,
  long-term developments.
• Increase international cooperation
• Find ways to resolve situations using local
  resources, with reinforcment from the Central and
  provincial levels.

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Coordinate with other agencies and strengthen
activities to improve environmental, occupational
health and safety, prevent traffic accidents and
injuries

• MOH has developed a comprehensive project for
  medical waste treatment 2011-2015.
• Issued Joint Circular 01/2011/BYT-BLÐTBXH guiding
  organizatoin and implementation of labour safety.
• Developed 2011 plan for the program to build a
  new rural area and healthy cultural villages.
• Awareness, practice of government workers, the
  people on these issues remain low, without any
  major changes..
• Economic profits often impede implementation of
  responsibilities.
• Make even more concrete the regulations on
  inter-sectoral collaboration.
• Promote IEC to improve knowledge of the people,
  personal responsibility, and responsibility of
  the community and local authorities.

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Strengthen health information and education

• Knowledge, practice of the people, government
  leaders at all levels on protection of health,
  prevention of disease, environmental sanitation,
  adopting healthy lifestyles have been improved.
• Preventive medicine administration has
  collaborated with the Central and local
  television and radio to develop attractive IEC
  messages on health protection, prevention of
  disease in communities.
• Joint Circular 20/2010/TT-BTTTT-BYT guiding
  priority in broadcasting on radio and TV and
  printed mass media on HIV/AIDS control.
• Modes of IEC have not been deeply developed, and
  have not reached all difficult to reach target
  groups.
• Investments in health education and communication
  are inadequate for achieving the goals or
  implementing the assigned tasks.
• Strengthen inter-sectoral collaboration.
• Diversify forms of health IEC

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Other tasks

• Strengthen school health activities, care of
  mother and child health, health care of the
  elderly
• Prevent TB, malaria, leprosy, dengue fever,
  implement EPI.
• Prevent and control HIV/AIDS.
• Complete a model of organization and strengthen
  the grassroots health network

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• Thank hou!