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2. Assessment of COVID-19 Preventive Practice and Associated Factors Among Educators in Vietnam

Author

An,Pham Le, Huynh,Giao, Nguyen,Han Thi Ngoc, Binh,Pham Duong Uyen, Tran,Tam Thao Tuyet, Nguyen,Tuong Vy, Vu,Huong Thi Thu, Tran,Tuan Diep, An,Pham Le, Huynh,Giao, Nguyen,Han Thi Ngoc, Binh,Pham Duong Uyen, Tran,Tam Thao Tuyet, Nguyen,Tuong Vy, Vu,Huong Thi Thu, and Tran,Tuan Diep

Abstract

Pham Le An,1,2 Giao Huynh,3 Han Thi Ngoc Nguyen,4 Pham Duong Uyen Binh,5,6 Tam Thao Tuyet Tran,1 Tuong Vy Nguyen,2 Huong Thi Thu Vu,3 Tuan Diep Tran7 1Family Medicine Training Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 2Grant and Innovation Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 3Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 4Infection Control Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam; 5Department of Educational Quality Assurance, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 6Graduate School of Medicine, International University of Health and Welfare, Tokyo, Japan; 7Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamCorrespondence: Giao Huynh, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang, District 5, Ho Chi Minh City, Vietnam, Tel +84 90 860 8338, Email hgiaoytcc@ump.edu.vnBackground: Educators play a critical role in offering knowledge that is vital to preventing the spread of the COVID-19 in educational settings. This study aims to assess the proportion of preventive practices towards COVID-19 and associated factors among educators in Vietnam.Methods: A cross-sectional study was conducted on educators at the University of Medicine and Pharmacy at Ho Chi Minh City (UMP) using a self-administered questionnaire between June and August 2020. Online surveys and a multivariable logistic regression analysis were used to determine factors associated with practices. Adjusted odds ratio (AOR) and 95% confidence interval (95% CI) were performed using Stata 14.Results: A total of 779 eligible participants were approached, most of them under 50 years (84.1%), around three-fifth were female (61.0%) and lecturers (61.1%), with

Published
2022

3. Health Science Students’ Perspective on Quality-of-Care-Relating Medical Professionalism [Corrigendum]

Author

Binh,Pham Duong Uyen, An,Pham Le, Nguyen,Nghia An, Nguyen,Dan Van, Huynh,Giao, Gomi,Harumi, Yoshida,Motofumi, Binh,Pham Duong Uyen, An,Pham Le, Nguyen,Nghia An, Nguyen,Dan Van, Huynh,Giao, Gomi,Harumi, and Yoshida,Motofumi

Abstract

Binh PDU, An PL, Nguyen NA, et al. J Multidiscip Healthc. 2021;14:2229–2238. Table 4 Mean Scores of Professional Attributes Across Academic Years and Between Two Faculties Page 2231, Data Analysis section, first sentence, the text “Statistical analysis was performed using SPSS Statistics (SPSS Statistics Inc., Chicago, US) version 20.0” should read “Statistical analysis was performed using SPSS Statistics (SPSS Statistics Inc., Chicago, US) version 20.0 and STATA version 16.0”. Pages 2232 and 2234, Differences in Students’ Perception of Professional Attributes Relating to QOC Between the Two Faculties section, text has been deleted from paragraphs 2 and 3, the text should read as follows: “In both faculties, the trait Self-Awareness was reported as the most important attribute, the next being Quality of Care and Professional Habit in each year. Social Duty received the lowest mean scores, which made it the least important trait in both faculties almost at all years. Students’ perception in most attributes did not differ significantly between the two faculties in their clinical years (4th - 6th year). However, significant differences were found in the pre-clinical phase. 2nd year medical students 15significantly assigned higher scores for Self-Awareness and Social Duty over 2nd year TM students (t(356) = −3.12, p=0.002; t(356) = −3.53, p < 0.001).” Page 2235, errors have been found in Table 4. The correct Table 4 is shown in Download Article. Page 2236, Discussion section, left column, text has been deleted from paragraph 2, the text should read as follows: “This is the first study in Vietnam to reveal both Medical and TM students’ perceptions on QOC-relating to professional attributes. No differences were found between the faculties in the order of these 4 attributes, being from the most to the least important, which was Self-Aware

Published
2022

4. No time for change? Impact of contextual factors on the effect of training primary care healthcare workers in Kyrgyzstan and Vietnam on how to manage asthma in children - A FRESH AIR implementation study

Author

Kjærgaard, Jesper, Nissen, Thomas Nørrelykke, Isaeva, Elvira, Quynh, Nguyen Nhat, Reventlow, Susanne, Lund, Stine, Sooronbaev, Talant, Le An, Pham, Østergaard, Marianne Stubbe, Stout, Jim, Poulsen, Anja, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, van Boven, Job F.M., Brakema, Evelyn A., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Chavannes, Niels H., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, van Gemert, Frederik A., Hedrick, Ben, Hong, Le Huynh Thi Cam, Hopkinson, Nick, Jones, Rupert, de Jong, Corina, van Kampen, Sanne, Katagira, Winceslaus, Kirenga, Bruce, van der Kleij, Rianne Mjj, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Luan, Nguyen Huy, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, and Pinnock, Hilary

Subjects
medicine.medical_specialty, Contextual factors, Health Personnel, Physical examination, 1110 Nursing, Health informatics, Pediatrics, Health administration, 1117 Public Health and Health Services, Time for consultation, 03 medical and health sciences, 0302 clinical medicine, Health care, Medicine, Humans, Training, 030212 general & internal medicine, Child, Kyrgyzstan, Asthma, Low- and middle-income countries, Under-five, medicine.diagnostic_test, Primary Health Care, business.industry, Health Policy, Public health, Nursing research, lcsh:Public aspects of medicine, Quality of care, FRESH AIR collaborators, lcsh:RA1-1270, medicine.disease, 3. Good health, Knowledge, 030228 respiratory system, Vietnam, Family medicine, Health Policy & Services, business, 0807 Library and Information Studies, Research Article
Abstract

Background Training is a common and cost-effective way of trying to improve quality of care in low- and middle-income countries but studies of contextual factors for the successful translation of increased knowledge into clinical change are lacking, especially in primary care. The purpose of this study was to assess the impact of contextual factors on the effect of training rural healthcare workers in Kyrgyzstan and Vietnam on their knowledge and clinical performance in managing pediatric patients with respiratory symptoms. Methods Primary care health workers in Kyrgyzstan and Vietnam underwent a one-day training session on asthma in children under five. The effect of training was measured on knowledge and clinical performance using a validated questionnaire, and by direct clinical observations. Results Eighty-one healthcare workers participated in the training. Their knowledge increased by 1.1 Cohen’s d (CI: 0.7 to 1.4) in Kyrgyzstan where baseline performance was lower and 1.5 Cohen’s d (CI: 0.5 to 2.5) in Vietnam. Consultations were performed by different types of health care workers in Kyrgyzstan and there was a 79.1% (CI 73.9 to 84.3%) increase in consultations where at least one core symptom of respiratory illness was asked. Only medical doctors participated in Vietnam, where the increase was 25.0% (CI 15.1 to 34.9%). Clinical examination improved significantly after training in Kyrgyzstan. In Vietnam, the number of actions performed generally declined. The most pronounced difference in contextual factors was consultation time, which was median 15 min in Kyrgyzstan and 2 min in Vietnam. Discussion and conclusion The effects on knowledge of training primary care health workers in lower middle-income countries in diagnosis and management of asthma in children under five only translated into changes in clinical performance where consultation time allowed for changes to clinical practice, emphasizing the importance of considering contextual factors in order to succeed in behavioral change after training.

Published
2020

8. Health Science Students’ Perspective on Quality-of-Care-Relating Medical Professionalism

Author

Binh,Pham Duong Uyen, An,Pham Le, Nguyen,Nghia An, Nguyen,Dan Van, Huynh,Giao, Gomi,Harumi, Yoshida,Motofumi, Binh,Pham Duong Uyen, An,Pham Le, Nguyen,Nghia An, Nguyen,Dan Van, Huynh,Giao, Gomi,Harumi, and Yoshida,Motofumi

Abstract

Pham Duong Uyen Binh,1,2 Pham Le An,3 Nghia An Nguyen,3 Dan Van Nguyen,4 Giao Huynh,5 Harumi Gomi,2 Motofumi Yoshida2 1Department of Educational Quality Assurance, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 2Department of Social Medical Sciences, Graduate School of Medicine, International University of Health and Welfare, Tokyo, Japan; 3Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 4Faculty of Traditional Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 5Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamCorrespondence: Pham Duong Uyen BinhDepartment of Social Medical sciences, Graduate School of Medicine, International University of Health and Welfare, Tokyo, JapanTel +84 961156505Email p.d.uyenbinh@gmail.comPurpose: Health science students need to be professional to improve quality of care (QOC) in the current Vietnamese healthcare system. Therefore, we aim to evaluate medicine and traditional medicine (TM) students’ perception of the professional attributes relating to QOC for improving inter-disciplined professionalism training that promotes QOC in Vietnam.Methods: The cross-sectional study was carried on 2039 students of 6 years at the University of Medicine and Pharmacy at Ho Chi Minh City (HUMP) from the medical and TM faculty in March, 2021. The Vietnamese American Board of Internal Medicine (ABIM) questionnaire (2011) was used as the survey instrument. The confirmatory factor analysis (CFA) was performed to confirm the validity of the scale in TM students. Mean, Min–Max, standard deviation and sample paired t-test were performed for Likert scale. The one-way ANOVA was used for inferential statistics.Results: The CFA demonstrated the validity of the Vietnamese questionnaire in measuring 4 QOC-relating professional attributes, previously fou

Published
2021

9. Let's stop dumping cookstoves in local communities. It's time to get implementation right

Author

Brakema, Evelyn A., Van der Kleij, Rianne Mjj, Vermond, Debbie, Van Gemert, Frederik A., Kirenga, Bruce, Chavannes, Niels H., An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, Van Boven, Job F. M., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, Hedrick, Ben, Thi Cam Hong, Le Huynh, Hopkinson, Nick, Isaeva, Elvira, Jones, Rupert, De Jong, Corina, Van Kampen, Sanne, Katagira, Winceslaus, Kjaergaard, Jesper, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, Pinnock, Hilary, Pooler, Jillian, Poot, Charlotte C., Postma, Maarten J., Poulsen, Anja, Powell, Pippa, Quynh, Nguyen Nhat, Reventlow, Susanne, Sifaki-Pistolla, Dimitra, Singh, Sally, Sooronbaev, Talant, Correia de Sousa, Jaime, Stout, James, Stubbe ostergaard, Marianne, Tabyshova, Aizhamal, Tsiligianni, Ioanna, Tuan, Tran Diep, Tumwine, James, Van, Le Thanh, Vinh, Nguyen Nhu, Walusimbi, Simon, Warren, Louise, Williams, Sian, Brakema, Evelyn A., Van der Kleij, Rianne Mjj, Vermond, Debbie, Van Gemert, Frederik A., Kirenga, Bruce, Chavannes, Niels H., An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, Van Boven, Job F. M., Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E., Cragg, Liza, Dang, Tran Ngoc, Dautov, Ilyas, Emilov, Berik, Ferarrio, Irene, Hedrick, Ben, Thi Cam Hong, Le Huynh, Hopkinson, Nick, Isaeva, Elvira, Jones, Rupert, De Jong, Corina, Van Kampen, Sanne, Katagira, Winceslaus, Kjaergaard, Jesper, Kocks, Janwillem, Lan, Le Thi Tuyet, Linh, Tran Thanh Duv, Lionis, Christos, Loan, Kim Xuan, Mademilov, Maamed, McEwen, Andy, Musinguzi, Patrick, Nantanda, Rebecca, Ndeezi, Grace, Papadakis, Sophia, Pinnock, Hilary, Pooler, Jillian, Poot, Charlotte C., Postma, Maarten J., Poulsen, Anja, Powell, Pippa, Quynh, Nguyen Nhat, Reventlow, Susanne, Sifaki-Pistolla, Dimitra, Singh, Sally, Sooronbaev, Talant, Correia de Sousa, Jaime, Stout, James, Stubbe ostergaard, Marianne, Tabyshova, Aizhamal, Tsiligianni, Ioanna, Tuan, Tran Diep, Tumwine, James, Van, Le Thanh, Vinh, Nguyen Nhu, Walusimbi, Simon, Warren, Louise, and Williams, Sian

Published
2020

10. The socioeconomic burden of chronic lung disease in low-resource settings across the globe - an observational FRESH AIR study.

Author

Brakema, Evelyn A., Tabyshova, Aizhamal, van der Kleij, Rianne M. J. J., Sooronbaev, Talant, Lionis, Christos, Anastasaki, Marilena, An, Pham Le, Nguyen, Luan Than, Kirenga, Bruce, Walusimbi, Simon, Postma, Maarten J., Chavannes, Niels H., van Boven, Job F. M., On behalf of the FRESH AIR collaborators, Le An, Pham, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, and Burges, Dennis

Subjects
LUNG diseases, CHRONIC diseases, RESPIRATORY diseases, AIR pollution, INDOOR air pollution
Abstract

Background: Low-resource settings are disproportionally burdened by chronic lung disease due to early childhood disadvantages and indoor/outdoor air pollution. However, data on the socioeconomic impact of respiratory diseases in these settings are largely lacking. Therefore, we aimed to estimate the chronic lung disease-related socioeconomic burden in diverse low-resource settings across the globe. To inform governmental and health policy, we focused on work productivity and activity impairment and its modifiable clinical and environmental risk factors.Methods: We performed a cross-sectional, observational FRESH AIR study in Uganda, Vietnam, Kyrgyzstan, and Greece. We assessed the chronic lung disease-related socioeconomic burden using validated questionnaires among spirometry-diagnosed COPD and/or asthma patients (total N = 1040). Predictors for a higher burden were studied using multivariable linear regression models including demographics (e.g. age, gender), health parameters (breathlessness, comorbidities), and risk factors for chronic lung disease (smoking, solid fuel use). We applied identical models per country, which we subsequently meta-analyzed.Results: Employed patients reported a median [IQR] overall work impairment due to chronic lung disease of 30% [1.8-51.7] and decreased productivity (presenteeism) of 20.0% [0.0-40.0]. Remarkably, work time missed (absenteeism) was 0.0% [0.0-16.7]. The total population reported 40.0% [20.0-60.0] impairment in daily activities. Breathlessness severity (MRC-scale) (B = 8.92, 95%CI = 7.47-10.36), smoking (B = 5.97, 95%CI = 1.73-10.22), and solid fuel use (B = 3.94, 95%CI = 0.56-7.31) were potentially modifiable risk factors for impairment.Conclusions: In low-resource settings, chronic lung disease-related absenteeism is relatively low compared to the substantial presenteeism and activity impairment. Possibly, given the lack of social security systems, relatively few people take days off work at the expense of decreased productivity. Breathlessness (MRC-score), smoking, and solid fuel use are potentially modifiable predictors for higher impairment. Results warrant increased awareness, preventive actions and clinical management of lung diseases in low-resource settings from health policymakers and healthcare workers. [ABSTRACT FROM AUTHOR]

Published
2019
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11. Let's stop dumping cookstoves in local communities. It's time to get implementation right.

Author

Brakema, Evelyn A, van der Kleij, Rianne Mjj, Vermond, Debbie, van Gemert, Frederik A, Kirenga, Bruce, Chavannes, Niels H, FRESH AIR collaborators, An, Pham Le, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, Binh, Pham Duong Uyen, van Boven, Job F M, Burges, Dennis, Cartwright, Lucy, Chatzea, Vasiliki E, Cragg, Liza, Dang, Tran Ngoc, and Dautov, Ilyas

Abstract

We most welcome the comment by Thakur, van Schayck and Boudewijns[1] on our article on the effects and acceptability of implementing improved cookstoves.[2] Adoption rates of improved cookstoves by local communities are often strikingly low. Furthermore, funders, non-governmental organisations, and development institutions such as the World Bank should exclusively grant support for proposals and project plans with adequate implementation strategies that address the implementation factors in the tool. However, until clean fuels such as electricity are affordable and available for everyone (or until long-term research into well-implemented stoves proves us differently), we should strive for improved, evidence-based implementation of improved cookstoves, to ultimately improve environmental and health outcomes. 13 Quansah R. Effectiveness of interventions to reduce household air pollution and/or improve health in homes using solid fuel in low-and-middle income countries: a systematic review and meta-analysis. [Extracted from the article]

Published
2020
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12. Publisher Correction: Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study.

Author

Brakema, Evelyn A., van Gemert, Frederik A., Williams, Sian, Sooronbaev, Talant, Emilov, Berik, Mademilov, Maamed, Tabyshova, Aizhamal, Le An, Pham, Quynh, Nguyen Nhat, Hong, Le Huynh Thi Cam, Dang, Tran Ngoc, van der Kleij, Rianne M. J. J., Chavannes, Niels H., de Jong, Corina, The FRESH AIR collaborators, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, and Binh, Pham Duong Uyen

Abstract

An amendment to this paper has been published and can be accessed via a link at the top of the paper. [ABSTRACT FROM AUTHOR]

Published
2020
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13. Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study.

Author

Brakema, Evelyn A., van Gemert, Frederik A., Williams, Sian, Sooronbaev, Talant, Emilov, Berik, Mademilov, Maamed, Tabyshova, Aizhamal, An, Pham Le, Quynh, Nguyen Nhat, Hong, Le Huynh Thi Cam, Dang, Tran Ngoc, van der Kleij, Rianne M. J. J., Chavannes, Niels H., de Jong, Corina, The FRESH AIR collaborators, Anastasaki, Marilena, Akylbekov, Azamat, Barton, Andy, Bertsias, Antonios, and Binh, Pham Duong Uyen

Abstract

Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally. [ABSTRACT FROM AUTHOR]

Published
2020
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