An adaptive model of health system organization and responses helped Vietnam to successfully halt the Covid-19 pandemic: What lessons can be learned from a resource-constrained country
Van Hoang, Minh
Dao, An Thi Minh
Nguyen, Hoa L.
Van Nguyen, Tien
Nguyen, Phuong The
Khuong, Long Quynh
Le, Phuong Mai
UMass Chan AffiliationsDepartment of Population and Quantitative Health Sciences
low-middle-income countries (LMIC)
Health Services Administration
International Public Health
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AbstractCoping with the COVID-19 pandemic has been painful and no single model for such a purpose is perfect. However, sharing experiences is the best way for countries to learn real-time lessons and adapt to this rapidly changing pandemic. This commentary shares with the international community how an adaptive model of health system organization and responses helped Vietnam to break transmission of coronavirus. We find that an effective model is adaptive to time and context, and mobilizes and engages the wider society. We identify merging of different health system units into Center for Diseases Controls as a health system organization that saved massive resources. The early establishment of a formal committee responding to the pandemic helped unify every public health strategy. The mobilization of different stakeholders and communities added resources and facilitated a synchronous implementation of response strategies, even where those strategies involved significant personal or financial sacrifice. National training on Covid-19 treatment for healthcare professionals across the entire hospital system was useful to expand the health service availability. Quickly published response guidelines helped to activate every level of the health system and involve every sector of society. A strategy of keeping high alert and preemptive action is also essential for coping with the pandemic.
Van Nguyen H, Van Hoang M, Dao ATM, Nguyen HL, Van Nguyen T, Nguyen PT, Khuong LQ, Le PM, Gilmour S. An adaptive model of health system organization and responses helped Vietnam to successfully halt the Covid-19 pandemic: What lessons can be learned from a resource-constrained country. Int J Health Plann Manage. 2020 Jun 18. doi: 10.1002/hpm.3004. Epub ahead of print. PMID: 32557815. Link to article on publisher's site