Title:
A review on the effectiveness of the Vietnam national diabetes mellitus screening program from 2009 to 2015
Authors:
Ngoc, Nguyen Thi Bich
Year:
2016
Subject:
Health and Poverty
Keywords:
Diabetes, diseases, Vietnam
Abstract:
Background: Diabetes in Vietnam is one of 4 main non-communicable diseases with high morbidity and mortality after cardiovascular diseases, chronic respiratory diseases, and cancer. The national diabetes mellitus control project has been implemented to respond to the disease starting from 2008. There was a need to review the achievement of the first and most important objective of the project which deals with screening, clinical management and intervention on high-risk population in Vietnam. The results from the review will help for a better understanding of the status of management and intervention of Type 2 Diabetes (T2D) in Vietnam and to provide recommendations for the national diabetes mellitus control project. Methodology: Literature review on coverage and systematic review to find evidence for the effectiveness of the program. Results: In the period 2009-2015, only 14.7% of people 45 years and above who had high risk of diabetes had access for screening. This result showed a gap between the demand for screening and utilization. There was evidence that the diabetes screening program, with management and treatment, reduced the prevalence of diabetes and pre-diabetes after 1 and 2 years follow-up. The intervention on diabetes also showed the good impact on the improvement of diabetes awareness and reduction of harmful lifestyles. However, there were inconsistencies in the results of lifestyle changing such as smoking, eating fatty food and physical inactivity. Conclusion: In the context of a limited budget, there is a need to use risk assessment form to calculate risk score for the purpose of an increased coverage. Guidelines for the cooperation between treatment and prevention should be established and implemented with regular monitoring and prevention. For a substantial intervention, studies with long-term follow-up are needed.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Development, Policy and Practice
Country:
Vietnam, Socialist Republic of
Region:
Southeast Asia
Training:
Master of Public Health/International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2016 Ngoc
Document type:
Thesis/dissertation
File:
GoPvxZE7Zn_2017050416055830.pdf