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Health Service Quality

06/07/2016 14:59

The EU has been supporting the Ministry of Health since many years in improving and operationalizing the quality management system. Circular No. 19 on the Introduction of the Quality Indicators in Hospitals was developed and launched in 2013 with the support of the EU funded Health Sector Capacity Support Project. It is hoped that sufficient funds from the SCR 2 budget support will be allocated for quality improvement at district and grassroots levels to improve to quality health services in communes and districts and also to overcome the overcrowding of higher level hospitals. Along with the financial support, the technical assistance will be provided in two areas:

1.     Health Service Quality at grass root level

 
The grassroots level of services, historically, has received comparatively less attention and inputs than the hospital level and at the same time the ageing of the population and the rising burden of Non Communicable Diseases (NCD) requires a reorientation. The EU is engaged to provide support to this in several aspects:
·         Early Detection of NCDs at the PHC level, producing Draft Guidelines for the early detection of three priority NCDs (Diabetes M, HBP, chronic respiratory disease); cancers in women (Breast, Cervical, Thyroid) cancers in men: (Mouth, Prostatic); cancers in women and men (Colorectal) and mental health disorders
·         Periodic Health Examination, preparing guidelines for the frequency and contents of a periodic health examination of the general population, making use of guidelines for early detection of NCDs, producing an instrument to record the results, and finally, testing the guidelines and recording instrument in a sample of Primary Health Care units
·         Quality in Primary Health Care,developing simple guidelines, templates, indicators and monitoring tools for the overall assessment the quality of PHC services, organizing two events of Training of Trainers in Quality Improvement in Primary Health Care, and outlining a monitoring and evaluation plan on the implementation of Quality Improvement Management Plans at district level
 

2.     Health Service Quality in hospitals

The support will be focused in two areas:
  • Quality demonstration projects in two district hospitals: Aimed atimproving hospital safety and service quality using available hospital funds. First,a team of three international experts (nurse, technician and hospital manager) together with the hospital management team will perform a safety check in each hospital (based on international quality and accreditation standards). The Action plan for Improvement will be developed using only resources available in the hospital or available at district people’s council (to fill the gaps). It is planned that after one year two participating hospitals will be able to share their practical experience to the other hospitals and compile a tool kit for health services quality improvement and patient safety;
  • Improvement of the exchange of good practices in Viet Nam: so far achieved by several hospitals.During assessment visits to the hospitals, management teams underlined the need for training in quality management, hygiene and patient safety. In this respect organizing the exchange of good practices among different hospitals and creating the platform for such exchange is a good opportunity to use the knowledge and practices already available for a wider number of the hospital management teams. The EU will support organization of the National Quality Forums in 2016 and 2017 as well as publication of the booklets / handbooks for the hospital management teams.  The National Quality Forum in 2016 will be organized on 18th-19th of August in Hanoi and 23rd-24th of August in Ho Chi Minh City. 
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