Abstract
Introduction: Cardiovascular diseases (CVDs) take the lives of 17.9 million people every year, 31% of all global deaths. Most patients with CVDs can be diagnosed, treated and managed by health-care practitioners at the primary health care system. Strengthening CVDs patients management and continuity of care in Commune health centres (CHCs) play an important, sustainable and cost-effective solutions. Objectives: To describe the current situation of CVDs management at commune health centers in Thua Thien Hue province. Methods: A cross-sectional study was conducted in the total 152 CHCs in Thua Thien Hue province. Service availability and readiness assessment (SARA-WHO) instrument was used to assess CVDs management of CHCs. Results: CVDs diagnosis and/or treatment were available at 97.4% of CHCs surveyed. Most CHCs were fully builted in equipments for screening and early detection of CVDs (>99%). Most CHCs delivered prevention services regarding risk factors of CVDs. More than 85% of CHCs weren’t equipped with adequate medicines for CVDs management prescribed by the Ministry of Health. Calcium channel blockers (90,8%) and angiotensin converting enzyme inhibitor (77%) were offered at the CHCs. Conclusion: CVDs prevention and management services at grassroots level have been fully and widely deployed throughout the province. It’s strongly recommended to enhance the availability of medication for CVDs, especially in mountainous area. The service readiness indicator of CVDs management in Thua Thien Hue Province is 67.9 points. Key words: Cardiovascular diseases management, commune health center, primary care, SARA
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