Hope for the Best, Prepare for the Worst—An Assessment of Flood Preparedness at Primary Health Care Facilities in Central Vietnam
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Setting
2.2. Assessment Questionnaire
2.3. Study Sites
2.4. Data Collection
2.5. Data Analysis
2.6. Ethical Consideration
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Coverage and Flooding History | Severe (n = 5) | Non-Severe (n = 5) | All (n = 10) |
---|---|---|---|
Coverage | |||
Total number of villages/citizen groups | 54 | 73 | 127 |
Total catchment population | 45,165 | 50,073 | 95,238 |
Average number of patients seen per month (range) | 820 (350–1250) | 458 (120–850) | 639 (120–1250) |
Experienced flooding, number of facilities | |||
2007 | 5 | 2 1 | 7 |
2008 | 5 | 2 1 | 7 |
2009 | 5 | 4 | 9 |
2010 | 5 | 3 | 8 |
2011 | 5 | 3 | 8 |
2012 | 3 | 2 | 5 |
2013 | 5 | 0 | 5 |
Flood-related deaths | |||
Total between 2007 and 2013 | 9 | 6 | 15 |
Human Resources, Flood Preparedness, and Funding | Severe (n = 5) | Non-Severe (n = 5) | All (n = 10) |
---|---|---|---|
Human resources | |||
Doctors per facility, mean (range) | 1.2 (1–2) | 1.0 (1–1) | 1.1 (1–2) |
Assistant doctors 1 per facility, mean (range) | 2.0 (2–2) | 2.2 (1–3) | 2.1 (1–3) |
Nurses or midwives per facility, mean (range) | 1.8 (1–3) | 1.4 (1–2) | 1.6 (1–3) |
Facilities with staff trained in flood preparedness | |||
Doctors | 3 | 3 | 6 |
Assistant doctors 1 | 4 | 2 | 6 |
Nurses or midwives | 3 | 2 | 5 |
Facility has a flood plan | 5 | 4 | 9 |
Routine flood preparedness training provided by government ornon-governmental organization | 3 | 1 | 4 |
Separate funding available annually for flood preparedness or in case of a flood | 5 | 0 | 5 |
Current flood preparedness training and funding is sufficient | 0 | 0 | 0 |
Current flood preparedness guidelines are sufficient | 5 | 5 | 10 |
Current flood preparedness support is sufficient | 3 | 1 | 4 |
Facility coordinates with another primary health care facility | 2 | 0 | 2 |
Facility coordinates with a district or city health center | 5 | 5 | 10 |
Resources | Severe (n = 5) | Non-Severe (n = 5) | All (n = 10) |
---|---|---|---|
Facility-wide resources | |||
Electricity | 5 | 5 | 10 |
Toilets | 5 | 5 | 10 |
Pharmacy | 5 | 5 | 10 |
Emergency food supply for staff | 4 | 2 | 6 |
Emergency water supply for staff | 5 | 2 | 7 |
Car for rescue and relief | 1 | 0 | 1 |
Power generator | 1 | 1 | 2 |
Communication set 1 | 5 | 5 | 10 |
Autoclave for sterilization | 4 | 3 | 7 |
Wound and fracture management supplies | |||
Cleansing solution, dressing materials | 5 | 5 | 10 |
Basic splints | 5 | 4 | 9 |
Plaster of Paris | 0 | 0 | 0 |
Laboratory resources | |||
Glucometer | 0 | 2 | 2 |
Hemoglobinometer | 0 | 0 | 0 |
Microscopy or rapid detection for malaria | 0 | 1 | 1 |
Urinalysis | 4 | 4 | 8 |
Drug supplies | |||
Oral analgesics | 5 | 5 | 10 |
Local analgesics | 4 | 3 | 7 |
Antibiotics for respiratory tract infection | 5 | 5 | 10 |
Antibiotics for diarrheal disease | 5 | 5 | 10 |
Tetanus prophylaxis | 0 | 0 | 0 |
Malaria treatment | 1 | 2 | 3 |
Treatment for hypertension | 5 | 5 | 10 |
Treatment for asthma | 5 | 5 | 10 |
Insulin | 0 | 0 | 0 |
Diazepam | 3 | 1 | 4 |
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Älgå, A.; Dang, T.A.T.; Saulnier, D.D.; Nguyen, G.T.; Von Schreeb, J. Hope for the Best, Prepare for the Worst—An Assessment of Flood Preparedness at Primary Health Care Facilities in Central Vietnam. Int. J. Environ. Res. Public Health 2018, 15, 2689. https://doi.org/10.3390/ijerph15122689
Älgå A, Dang TAT, Saulnier DD, Nguyen GT, Von Schreeb J. Hope for the Best, Prepare for the Worst—An Assessment of Flood Preparedness at Primary Health Care Facilities in Central Vietnam. International Journal of Environmental Research and Public Health. 2018; 15(12):2689. https://doi.org/10.3390/ijerph15122689
Chicago/Turabian StyleÄlgå, Andreas, Thi Anh Thu Dang, Dell D. Saulnier, Gia Thanh Nguyen, and Johan Von Schreeb. 2018. "Hope for the Best, Prepare for the Worst—An Assessment of Flood Preparedness at Primary Health Care Facilities in Central Vietnam" International Journal of Environmental Research and Public Health 15, no. 12: 2689. https://doi.org/10.3390/ijerph15122689