Investigation human resources at 23 commune health stations in Yen Dung district, Bac Giang province from 2-5/2003. The result showed that: the human resource at the commune healths is relatively good. The average of health worker of commune health station is 5.2. Doctors is distributed in 82.6% of commune health station, assistant physician of pediatrics or obstetrics in 100%. Health staff in present in 100% of hamlets, population collaborator is in over 90%
Health Manpower ; Health ; Medical Staffs

This study was to evaluate the effect of technical support in terms of providing training on integrated management of childhood illness (IMCI) to commune health centers of Quynh Phu district and Hung Ha district of Thai Binh province. The results of a comparison between the baseline survey in 2002 and the follow-up survey in 2004 showed that case management of health workers in 2 districts had improved significantly and were more comprehensive in terms of assessment, classification, treatment and counseling mothers. The proportion of correct assessment of cases on general danger signs increased by 47.5%. The proportion of correct assessment of cases on main symptoms (cough, diarrhea and fever) increased by 63.4%, on the correct classification of cases increased by 72,5% and the correct drug use increased by 46.7%. Th proportion of caregivers/mothers received proper advice on drug use, proper feeding and follow-up increased by 43.5%, 34.9% and 41.1%, respectively
Health ; epidemiology ; child ; health staffs

In remote, mountainous, sea island and frontier areas, there are various shortcomings in health service domain because of the difficulties to access, the under developed transportation and communication, the thinly populated distribution, the low educated level of the people, the lacking and low qualifying of medical personel staff. Some solutions are recommended: To organize the forms of civil and military in combination, to establish intercommunal polyclinic consultation rooms, to make actively the politics of training, attracting and well treated medical manpowers, to enlarge the health insurance with multiform and flexible models
Health ; Health Services ; Ediucation ; Medical Staffs