Abstract
Background: Vietnam’s network of commune health centers (CHCs) have historically managed acute infectious
diseases and implemented national disease-specific vertical programs. Vietnam has undergone an epidemiological
transition towards non-communicable diseases (NCDs). Limited data exist on Vietnamese CHC capacity to prevent,
diagnose, and treat NCDs. In this paper, we assess NCD service readiness, availability, and utilization at rural CHCs in
3 provinces in northern Vietnam.
Methods: Between January 2014 and April 2014, we conducted a cross-sectional survey of a representative sample
of 89 rural CHCs from 3 provinces. Our study outcomes included service readiness, availability of equipment and
medications, and utilization for five NCD conditions: hypertension, diabetes, chronic pulmonary diseases, cancer, and
mental illnesses.
Results: NCD service availability was limited, except for mental health. Only 25% of CHCs indicated that they
conducted activities focused on NCD prevention. Patient utilization of CHCs was approximately 223 visits per month
or 8 visits per day. We found a statistically significant difference (P<.05) for NCD service availability, medication
availability and CHC utilization among the 3 provinces studied.
Conclusion: This is the first multi-site study on NCD service availability in Vietnam and the first study in a mountainous
region consisting predominately of ethnic minorities. Despite strong government support for NCD prevention and
control, Vietnam’s current network of CHCs has limited NCD service capacity