Non-communicable diseases account for 73% of the annual deaths
The downside of industrialization, urbanization is causing serious consequences, including living environment pollution, lifestyle and behaviors that are increasing the risk of disease,disability and premature death due to illness, especially non-communicable diseases.
This information was addressed by Dr. Truong Dinh Bac, Deputy Director of General Department of Preventive Medicine (Ministry of Health) at the conference on preliminary review of the Target Program of Health and Population in the period of 2016 - 2020 held by the Ministry of Health on April 11 in Hanoi.
According to Dr. Truong Dinh Bac, in Vietnam, non-communicable diseases are cardiovascular diseases, cancer, blood pressure, diabetes and chronic respiratory diseases. These diseases are top "killers", accounting for 73% of the annual deaths. The control rate of non-communicable diseases in the community is still low
In 2015, 86.4% of people with hypertension were not treated, and that figure in diabetes was 71.7%. Meanwhile, the management of treatment at the grassroots level is neglected. Only 19% of patients received anti hypertensive drugs and 8% of diabetes received medicine at commune medical stations. Most of them went to the higher level for medical examination and treatment. Very few commune medical stations can manage non-communicable diseases.
In addition, there are limited services for non-communicable diseases at the commune level, such as dispersed service systems, lack of connectivity. Less than 15% of commune medical stations manage hypertension treatment while less than 5% of stations manage diabetes treatment. Most have not provided cancer services, lack both the quantity and type of special treatment drugs while the capacity of grassroots health staffs is limited.
In fact, one of the reasons why this disease still becomes such a burden in Vietnam that the commune medical stations did not manage and treat non-communicable diseases . For every 10 deaths, up to 8 people are infected by non-communicable diseases. 424 thousand out of 548 thousand deaths in 2016 due to non-communicable diseases, the number of infected people is increasing day by day. .
So, Dr. Truong Dinh Bac emphasized the need to strengthen and improve the capacity of commune medical stations in preventive and effective management and treatment of non-communicable diseases through 4 groups of solutions.
Firstly, strengthening the network of non-communicable disease prevention from provincial to district levels. At the provincial level, disease control centers (or preventive medicine centers) must become focal points to advise and assist the Department of Health on the prevention of non-communicable diseases in the province. At the district level, it is necessary to have a hospital or a clinic that is capable of directing specialized medical examination and treatment, and management of non-communicable diseases, in order to sign health insurance contracts for commune medical stations. Commune medical stations implement prevention, early detection and management of non-communicable diseases.
Secondly, well implementing mechanisms and policies on scope of practioner , health insurance, regulations, professional guidance, and the list of drug supply for commune medical stations.
Thirdly, strengthening the capacity of local medical staff. The higher level periodically provides technical assistance, monitoring and hand-outs for commune medical stations...
Fourthly, implementing the task of non-communicable diseases at the grassroots level. In which, focusing on implementing health communication and education c, changing lifestyle behaviors, early detection for risk assessment, screening for disease detection at medical facilities /.