PMID- 11414410
OWN - NLM
STAT- MEDLINE
DCOM- 20011025
LR  - 20151119
IS  - 0125-1562 (Print)
IS  - 0125-1562 (Linking)
VI  - 31
IP  - 4
DP  - 2000 Dec
TI  - Development of ARI case management at primary and secondary level in southern 
      Vietnam.
PG  - 674-8
AB  - In southern Vietnam it is not uncommon that children under 5 years of age die 
      from pneumonia. Reduction of severity and mortality has to rely on proper case 
      management by mothers and health workers on both grass root level and referral 
      level. The responsibility of training of clinical skills of ARI case management 
      in the southern provinces of Vietnam has been delegated to Pediatric Hospital N1 
      (PHN1) Ho Chi Minh City (HCMC) by Ministry of Health. A pilot project was carried 
      out by the Danish-Vietnamese Study Group. The immediate objects were: to provide 
      basic epidemiological information about ARI in southern Vietnam, to develop 
      training modules and case management intervention modules at primary and 
      secondary level in order to enable mothers, village workers, health post staff 
      and district hospital emergency department staff to treat moderate and severe 
      pneumonia and acute bronchitis in accordance with the WHO management guide for 
      ARI and to evaluate the effect of those modules after implementation in a limited 
      number of communes. The modules were developed at PHN1. Ten commune health 
      stations were carefully selected. The purpose of the project and the conditions 
      for taking part had been explained to the health workers. The doctors and other 
      commune health workers from the 10 commune health stations and doctors from the 
      connected district hospitals attended the training courses at PHN1, HCMC and also 
      at the belonging provincial hospitals. Essential equipment was provided and a 
      pharmacy with essential drugs established. The registered health statistics was 
      collected yearly during on site visits. The local doctors and commune health 
      workers gave seminars for mothers in the villages of the 10 project communes. The 
      mothers' knowledge, attitude and practice (KAP) was tested in interviews before 
      and two months after the seminars had taken place. The spread of KAP was measured 
      by random interviews of mothers six month later. In the interviews information on 
      social conditions was obtained. The mothers' KAP had risen by 25% two months 
      after attending the seminars. A further increase of KAP by 5-10% within the 
      untrained group appeared in a survey 4-6 months later. It was not possible to 
      obtain reliable statistics on morbidity or mortality of ARI in the project area.
FAU - Anh, N T
AU  - Anh NT
AD  - Pediatric Hospital No 1, Su Van Hanh, Ho Chi Minh City, Vietnam.
FAU - Tram, T T
AU  - Tram TT
FAU - Tri, L
AU  - Tri L
FAU - Huu, T N
AU  - Huu TN
FAU - Pedersen, F K
AU  - Pedersen FK
FAU - Mogensen, K
AU  - Mogensen K
FAU - Andersen, E
AU  - Andersen E
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Thailand
TA  - Southeast Asian J Trop Med Public Health
JT  - The Southeast Asian journal of tropical medicine and public health
JID - 0266303
SB  - IM
MH  - *Case Management
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Inservice Training/organization & administration
MH  - Mothers/psychology
MH  - Respiratory Tract Infections/epidemiology/*therapy
MH  - Surveys and Questionnaires
MH  - Vietnam/epidemiology
EDAT- 2001/06/21 10:00
MHDA- 2001/10/26 10:01
CRDT- 2001/06/21 10:00
PHST- 2001/06/21 10:00 [pubmed]
PHST- 2001/10/26 10:01 [medline]
PHST- 2001/06/21 10:00 [entrez]
PST - ppublish
SO  - Southeast Asian J Trop Med Public Health. 2000 Dec;31(4):674-8.