Statement of Dr Kidong Park on Non-communicable disease management at Commune Health Station applying basic Family Medicine Principles

Dr Kidong Park
08 March 2018

I welcome you to the consultation workshop on NCD management at Commune Health Station applying basic Family Medicine Principles.

NCDs are increasing fast and causing huge health and economic burden in Viet Nam. NCDs already accounted for 73% of all deaths in Viet Nam.

Hypertension and diabetes are two most prevalent NCDs both in Viet Nam and globally. Hypertension and diabetes could be diagnosed easily at primary care level. If diagnosed at early stage, it is not so difficult to manage hypertension and diabetes at primary care level. If properly managed from early stage, we could prevent severe complication and even early death from hypertension and diabetes.

However, data tells different stories.
The 2015 STEPS survey report says that one in two hypertension patients do not know their blood pressure status. Two in three diabetes patients do not know their blood glucose status.

Same report says that only one in eight hypertension patients are receiving management service at health care facility. Less than 30% of diabetes patients are receiving management service at health care facility. These probably are the main reasons why cardiovascular diseases that hypertension and diabetes are key risk factors are responsible for up to 33% of total deaths in Viet Nam.

Ladies and gentlemen!
We can address this issue. We should tackle this issue.
We have a strong commitment from the top.
The party resolution 20 set the goal that by 2025, 95% of commune, ward and township health stations perform preventive measures, management and treatment of some NCDs; and by 2030, 100%. The party resolution 20 also identified major tasks to achieve these goals. Major task 3 is to enhance the capacity of disease prevention and control associated with reform of local health facilities. Detailed tasks included the followings: Development of family medicine. Synchronously implement prevention and control of non-communicable diseases; focus on preventive medicine, improve capacity for screening, early detection and control of diseases; promote the management and treatment of non-communicable diseases, chronic diseases, long-term care at local health facilities.

Ladies and gentlemen!
WHO is committed to support the Ministry of Health in implementing the party resolution 20.
We have already enough evidence of success in quality management of hypertension and diabetes at local health facilities, commune health station, by applying Family Medicine principle. Our experience says that NCD management requires two key elements:

One: the capacity of the health workers at primary care level.

Two: a supportive environment for it to be done in an effective and sustainable way. The supportive environment includes the availability of medicine and consumables, a supportive financial mechanism and proper incentives for workers at primary healthcare level.

Today we get together to focus on the first element that is to strengthen capacity for the health workers at primary level.

By the end of this meeting I look forward to having an agreement on the training program and clear plan to conduct training for health care workers from all 11,000 commune health stations in Viet Nam in the coming years.

I also look forward to see each of the university and public health institute participating today will be a future hub for NCD trainings for Health Care Workers at primary healthcare in Viet Nam.

I wish everyone good health and a successful meeting!

Thank you.

Dr Kidong Park