The author presented the situation of staff performance assessment at Ministry of Health and provided some solutions to improve this performance such as grasping principles leader and manager performance assessment; renovating of assessment (about ethical and political virtue, lifestyle, professional level, ability of management and leading, results of activities in his section, his responsibilities and tasks); choosing methods of assessment (based on the criteria and score, the contracts, and the judgments); the duration for organizing of comment, assessment, and grading staffs; improving system and process of leader and manager performance assessment
Medical Staff ; Medical Staff, Hospital ; Nursing Staff

Background: Smoking in health staffs is a essential issue to be concerned. In Europe, the rate of smoking in male and female doctors were 30 - 54% and 40%, respectively. Because of the high rate of smoking in health staffs, the prevention programs should focus on promoting interventions to reduce smoking rate in healthstaffs because they are people who cause negative effects to patients and community. Objectives: To investigate smoking patterns, compare knowledge, beliefs and attitudes and identify predictors of smoking status among health staffs in Bach Mai hospital. Subjects and method: This was a cross-sectional described epidemiological study by using the questionnaire of a global survey (modified accordance with Vietnam's conditions) on tobacco use among health staffs was adapted for data collection on a sample of 656. Data was analyzed by SPSS 10.0 software. Results and Conclusion: Overall smoking rate is fairly high (~21%), dominantly among males. Physicians and dentists display a greater smoking proportion than nurses, in among over \ufffd?30 \ufffd?year \ufffd?old cohort than among less \ufffd?30 \ufffd?year \ufffd?old cohort. One main predictor of smoking is belief of health staffs on their role as non \ufffd?smoking exemplary.
Medical Staff ; Hospital ; Smoking ;

Strengthen the health staff for local level is a practicable and humanitarian campaign in the people protection and care in community, concurrently helps local training for both strengthened staffs and local staffs. In answer to the campaign, the health sector actively sends the health staff for lower levels to contribute the enhancement of quality of health services for people health protection and care, overcoming of the natural accident, flood and epidemic control.
Medical Staff ; Altruism

The knowledge and practice of mothers and CHWs will strengthen quality of antenatal care. Objectives: To describe knowledge, practice of mothers and practice of CHWs on antenatal care in Tien Du district, Bac Ninh province in 2003. Methods: 150 mothers and 16 CHWs were included in a cross-sectional study using interviews and check lists. Results: (a) The knowledge of mothers on antenatal care including: the necessary of antenatal check up is 63.1%; vaccination of tetanus: 61.3%; use acid folic and iron: 37.3%; good nutrition: 58.7%. (b) The practice of mothers on prenatal care: get antenatal check up 3 times or more are 70.7%; vaccination of tetanus is 98.7% but the pregnant women who completed two doses get up 90.7%. The mothers had been provided iron supplementation is 64%. 62% of mothers had been supplied a good nutrition during pregnancy. 36.7% pregnancies had decrease in working time and 36% had withdrawn from work just before delivery. (c) The quality and practice skills of CHWs is no attained yet according to the National Standard on RH servies, in particular all pregnant women had not tested for proteinuria. Conclusion: It is needed to strengthen knowledge, practice of mothers and practice of CHWs on antenatal care according to the National standard on RH servies.
Medical Staff, Knowledge, Mothers

A study on nurses and technicians who working at the clinical and para-clinical departments in the Medical Center of Thanh Oai District in 2005. In the clinical department, time spent for measuring pulse, temperature and blood pressure is 10 minutes/patient/day and for intravenous injection and following up are 20 minutes/patient. Time spent for changing bandage and taking out stitches in surgical patient is 15 minutes/patient and time for a labor delivery is 2 hours/pregnant woman. Time spent for hematological and biological tests is 5 minute/specimen and for microbiological and parasite tests is 10minutes/specimen. Daily meeting of department for nurses, technicians and midwives is 15minutes/day, total cleaning in department is 1 hour/week.
Medical staff ; Nurses

A study on nurses and delivers were carried out at 14 hospitals, Medical Centers belong to Ha Noi Department of Health and 14 National Hospitals, Hospital belong to some ministries that located in Ha Noi. The results showed that: in these hospitals, the number of nurses and delivers don’t meet the requirements of the Ministry of Health‘s rule. The index of doctor/nurse and deliver: 1/1.49; Professional qualification: most of them are secondary school (nurses: 92%, delivers: 90.48%), low rate in nurse and deliver whom hold university or junior college bachelor: in 3 facilities, a few nurses who are university bachelor (0.7%); in 7 facilities, there are nurses who graduated from junior colleges (1.9%). There is not any hospital among 14 hospitals which the number of doctor/nurse get the standard as the ministry of health rule.( the highest rate in Viet Duc hospital:1/1,9, Pediatric hospital:1/1,8. Most of them graduated from secondary school (71.7% to 94.4%), 1.6% nurses are university bachelor and 6.9% nurse are junior college bachelor, 9 hospitals have nurse with elementary qualification.
Medical staff ; Health Facilities

Intervew 590 medical staffs (73.1% female, 26.9% male) in 14 clinical departments and institutes of the Bach Mai Hospital by using direct WHO’s questionnaires. Rate of obtaining questionnaires was 91.4%. The smoking rate of male medical staffs was 40.7%. Over 80% of health professionals agreed with the facts concerning the knowledge about harmful effects of active and negative smoking, control measures on publicity, distribution and smoking in enclosed public places. Nevertheless, there were some health professionals disagreed with the fact that negative smoking associated with infant death (18.5%), maternal smoking during pregnancy increased the risk of sudden infant death syndrome (16.3%), health professionals who smoke are less likely to advise people to stop smoking (15.5%), the price of tobacco products should be increased sharply (6.8%), there should be a complete ban on the advertising of tobacco products (5.7%).
Smoking ; Medical Staff

Study was carried out on 123 health workers involved in investigating, managing, treating, and care for leprosy patients at Daklak, in the year 2004. Results: 35.5% female health workers had good knowledge of leprosy prevention and 47.9% female health workers had good practice of leprosy prevention, while among male health workers, the rates was 58.7% and 65.3%, respectively (p<0.05). The rate of good knowledge of leprosy prevention was 34.1% and good practice of leprosy prevention was 34.1% among ethnic minority health workers, which were lower than those among Kinh ethnic health workers. The knowledge and attitude of health workers who had more than 3 times of training were better than those had less than 3 times of training. Among trained health workers, 56% achieved moderate knowledge and 66% achieved moderate practice. Among senior health workers, 61.3% had good knowledge and 64.5% had good practice.
Leprosy ; Medical Staff

Study on 1,596 medical workers working in both central hospitals, district-health stations, the persons, who were researching, teaching in the Institutes without patients, pharmaco-medical universities and colleges and preventive centers of Health Offices. The results showed that, only 26.7% subjects received professional allowances. A average of month, surgeons operated between 11,43 and 12,68 patients and received surgical allowances between 71,480 and 156,900 VND per month, depended on the kinds of surgery. 3.8% subjects received mobile allowances and only 3.6% subjects received anti-epidemic allowances and the mean of its allowances was 328,740 VND per year
Medical Staff ; hospitals ; surgery

OBJECTIVE: This study evaluates the effectiveness of the Medical Pool Placement and Utilization Program (MedPool PUP) of the Philippine Department of Health whose purpose is to augment the medical resource requirements of public hospitals. 

METHOD: Mix method was used to gather data through a questionnaire survey sent by fax, email or postal mail. Beneficiary hospitals were selected and key informant interviews done to both the executive officers and the deployed medical pool physicians to further gain insights on the results of the survey. 

RESULTS: A total of 75 public hospitals were beneficiaries of the MedPool PUP covering all hospital categories- Level 1, Level 2, Level 3 and Level 4 hospitals. Fifty-one hospitals responded to the survey. Justifications for requesting deployment include: a) need for additional physicians (43%), b) need for a medical specialist of a given clinical specialty (23%), c) need for accredited specialists to maintain a residency training accreditation (23%), d) need for substitute doctors while their regular doctors undergo training (8%) and e) need for a trainer of a specific medical specialty (2%). Almost all deployed doctors have finished a residency training program belonging to a medical specialty. Although the work descriptions covering the deployment of the MedPool doctors are focused on providing medical care to the patients, the contributions to the achievements of the hospitals s by the MedPool doctors go beyond these. They are also involved in medical training of other doctors, many are also given additional assignments in clinical administration and researches. Some also get involved in outreach services. Many exceptional contributions to the hospitals were given by the deployed doctors. In 12 out of 16 (75%) hospitals visited, the doctors deployed were able to introduce new clinical services such as heart surgery, ophthalmology, renal transplant, hepato-biliary surgery, automation of clinical laboratory procedures, among others. This is the primary basis for this study to conclude that the MedPool PUP is effective.

CONCLUSION: The effectiveness of the MedPool PUP has been shown to go beyond augmenting the medical staffs of public hospitals in providing services. The doctors it deployed have contributed significantly in improving the clinical services by introducing new specialty services and enhancing existing ones. It is recommended that MedPool PUP be continued and strengthened to fill the needs of public hospitals based on a system of priorities.