Statement of Dr Kidong Park on the occasion of the The Roll-out Workshop on new Circular on Infection Control in Viet Nam

Dr Kidong Park
31 July 2018

Let me first congratulate you on the successful implementation of the 2009 Circular No 18 titled “Guidelines on the Implementation of Infection in Health Care Institutions”. Over the last 9 years, we have observed several important achievements and gains on Infection Prevention and Control (IPC) in Viet Nam:

  • The organizational structure for IPC has been established at more than 80% of hospitals with 150 or more hospital bed;
  • Commitment and investment for IPC from leaders have been increased at all levels of the health care; and
  • IPC activities in the National Action Plan on IPC, period 2016-2020, such as hand hygiene practices, HAI surveillance, AMR surveillance, and controlling spread of communicable disease outbreaks have been implemented systematically and effectively in health care facilities.

As we confirmed at the National Conference on Strengthening Infection Control, Preventing and Controlling Disease Transmission in Hospitals in March this year, four month ago, though Viet Nam is on the right way to fight health care associated infections, IPC practice in healthcare facilities is not yet at a satisfactory level.

Dr Kidong Park giving speech at the workshop

At the March meeting, we committed that by 2020

  • 40% of central hospitals and provincial hospitals will implement hospital-based surveillance on healthcare associated infections; and
  • 95% of hospitals will organize hand-hygiene campaign

Colleagues and friends

In November 2016, WHO released revised Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level. The revised guidelines updated the 2009 WHO guidelines based on new evidence generated through systematic reviews, country experience and expert consensus. Those were reported to the World Health Assembly in 2017.

The revised WHO global guideline reaffirmed the following core components:

  • An IPC programme with a dedicated and trained team should be in place in each acute health care facility;
  • Evidence-based guideline should be developed and implemented for the purpose of reducing HAI and AMR;
  • IPC education should be in place for all health care workers by utilizing team- and task-based strategies;
  • Facility-based HAI surveillance should be performed to guide IPC interventions and detect outbreaks, including AMR surveillance with timely feedback of results to health care workers and stakeholders through national networks.

The revised WHO global guideline also recommended the following new core components:

  • IPC activities using multimodal strategies should be implemented to improve practices and reduce HAI and AMR;
  • Regular monitoring/audit and timely feedback of health care practices according to IPC standard should be performed to prevent and control HAI and AMR at the health facility level and the national level;
  • The following elements should be adhered to reduce the risk of HAI and the spread of AMR: 1) bed occupancy should not exceed the standard capacity of the facility, and 2) health care worker staffing levels should be adequately assigned according to patient workload; and
  • Materials and equipment to perform appropriate hand hygiene should be readily available at the point of care.

Colleagues and friends

The revised Circular 16/2018 on IPC at healthcare facilities in Viet Nam which we are launching today updated the 2009 Circular based on critical reviews of nine years’ of experience and expert consensus.
It incorporates the revised WHO global guidelines.
It will provide effective guidance to achieve the goals and objectives set by the National Action Plan on IPC 2016–2020 and our commitment made at the March National Conference.

However, we all know that a successful launch today is only the first step of long journey. We all know that there will be many difficulties and challenges ahead.

But I strongly believe that with your strong commitment expressed at the March national IPC conference as well as reconfirmed today’s meeting, we are being on the right track to move forward HAI free hospitals. WHO is also firmly committed to continue supporting to achieve IPC goals in Viet Nam.

Finally, I would convey my sincere appreciation and congratulation to those who will receive awards today for outstanding achievement in implementing the 2009 Circular 18.

Thank you