Preventing and controlling the spread of noncommunicable diseases is a national health priority for the social and economic development of Vietnam (Vietnam MOH, 2016).
To support the Government of Vietnam in this effort, the Abundant Health project is designed to increase the proportion of people who are aware of the risk factors of such diseases and to increase the proportion of eligible patients who are screened, risk stratified and treated for diabetes and hypertension. This community-based, integrated prevention and control program is being implemented in 11 public commune health stations in the Tan Phu District in Ho Chi Minh City, Vietnam.
FHI 360 leads the project with the Ho Chi Minh City Department of Health and other local stakeholders. The project uses a Collaborative Improvement model to integrate prevention, screening, treatment and management of hypertension and diabetes into the workflow of commune health station (CHS) staff and community collaborators. In addition to hypertension (HTN) and diabetes (DM) screening at community outreach events, the project supports routine screening for all adults meeting the established criteria at commune health stations, no matter the reason for their visit.
The CHS team risk stratifies and diagnoses patients, prescribes first-line treatment for HTN and DM and provides ongoing management. For patients with complicated cases/co-morbidities, they are referred for specialist care.
Other activities of the program include: 1) Training CHS staff on quality improvement, and HTN and DM service provision. It also includes supportive supervision visits to CHS staff and clinical case reviews 2) Development of a data management system for HTN and DM services which is linked with existing platforms in the Department of Health system. Note that from March 2016 through May 2017, the pilot phase included five commune health stations.Beginning in June 2017, six additional sites were added.
The Pfizer Foundation provided grant funding to FHI360 to support implementation of this project. The Pfizer Foundation is a charitable organization established by Pfizer Inc. It is a separate legal entity from Pfizer Inc. with distinct legal restrictions.
References: Vietnam Ministry of Health. Plan for People’s Health Protection, Care, and Promotion: 2016-2020. Hanoi, March 2016.