Nghe An: Need to 'reheat' all grassroots medical activities
(Baonghean.vn) - Reviewing and re-evaluating all grassroots health activities after the Covid-19 pandemic, Nghe An Department of Health organized 2 working groups to inspect all district and commune health facilities in the province.
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| On the afternoon of May 6, Nghe An Department of Health held an online conference to deploy grassroots health activities in 2022. Attending the conference were representatives of leaders of provincial health units; specialized departments of the Department of Health; medical centers and district general hospitals; heads of commune, ward and town health stations; VNPT Nghe An and Viettel Nghe An. Photo: Thanh Chung |
Many problems and limitations
Review and re-evaluate all primary health care activities after the pandemicCovid-19, Nghe An Department of Health has organized 2 working groups to inspect all medical facilities at district and commune levels in the province. Through the inspection, the group found that the activities of the grassroots medical facilities have many shortcomings and limitations that need to be promptly overcome, namely:
Most units have not yet based on Plan No. 559/KH-UBND dated October 5, 2021 of the Provincial People's Committee on strengthening grassroots medical capacity atmedical stationcommune level in Nghe An province, period 2021-2025 to advise the District People's Committee to issue a Plan to implement the contents at the unit.
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| Many medical equipment at the medical station were damaged. Photo: Thanh Chung |
The management of non-communicable diseases is not good. Specifically, the detection and updating of the management of patients with diabetes and hypertension in the communes is low. The types of health insurance drugs provided to treat hypertension are not guaranteed, and there is no connection of examination and treatment data between levels and the monitoring system, leading to the number of patients with non-communicable diseases at the commune health station being lower than the actual number of patients.
In medical examination and treatment, the list of techniques deployed at the health stations has not met the planned targets and is poor. Most health stations have not proactively reviewed the list of techniques approved by the health department for implementation. The list of drugs is monotonous. The arrangement and storage of drugs at some commune health stations is not in accordance with regulations. Health stations lack first aid and emergency equipment. Many broken devices cannot be used.
Regarding infection control, many medical staff do not have knowledge in this field. Most medical stations do not have procedures and instructions related to infection control; handling of instruments does not meet requirements. In particular, some medical stations reuse gloves for obstetric examinations, which poses a very high risk of gynecological infections.
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| Some medical stations reuse gloves for obstetric examinations, leading to a high risk of gynecological infections. Photo: Thanh Chung |
The office, duty room, and patient room are still messy, untidy, and have not been cleaned for a long time, and are dusty. The model medicinal herb garden has few plants, lacks variety, and many damaged plants have not been replanted.
In addition, the information technology infrastructure is still lacking and not synchronized, combined with limited human resources... so the application of information technology in management and medical examination and treatment for people still faces many difficulties. In particular, the rate of Covid-19 booster vaccination has not met the set target, the progress of issuing vaccine passports is too slow...
Need to change thinking to develop
Speaking at the conference, Associate Professor, Dr. Duong Dinh Chinh - Director of Nghe An Department of Health highly appreciated the contributions of grassroots health care in recent times, especially in the prevention and control of Covid-19. Associate Professor, Dr. Duong Dinh Chinh stated: Covid-19 has disrupted many activities and tasks of grassroots health care. At this time, grassroots health care needs to be "warmed up", activated, and innovated to perform well the assigned tasks.
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| Leaders of Nghe An Department of Health inspect the operation of the medical station. Photo: Trung Thanh |
First of all, the heads of district and commune health units need to promote exemplary roles; for the self-esteem of the unit and themselves to change and develop. Units need to continue to improve medical ethics, service spirit, aiming for people's satisfaction; focus on building green-clean-beautiful health facilities, so that entering a health facility must be like entering a park, school or hotel; strengthen administrative reform, reduce inconvenience to patients.
For medical centers and district hospitals, it is necessary to promote the development of technical expertise through increasing attention to training, utilizing all resources to purchase equipment; performing well the advisory work in the field of prevention and synchronously deploying solutions to implement the national target program; strengthening the combination between medical centers and hospitals; focusing on doing well the work of rotating staff and training for medical stations; enhancing the development of information technology.
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| Nghe An Health Department requires units to continuously improve medical examination and treatment techniques to serve the people. Photo: Thanh Chung |
For medical stations, it is necessary to do a good job of medical examination and treatment, ensuring emergency and first aid for people; review the list of specialized techniques; manage non-communicable diseases such as high blood pressure and diabetes well; advise on prevention work well; pay attention to reviewing vaccinations; promote communication work on food safety, environmental sanitation, population, etc.
The Director of the Department of Health requested: Medical stations must innovate their thinking and working processes to meet the requirements of digital transformation in the entire industry. In particular, it is necessary to thoroughly apply information technology to the management and health care of the people. Accordingly, within the next 3 months, all 460 medical stations must proficiently use the basic medical information connection software - Vnpthis abbreviated as V20 at the Medical Station; fully update information into the health records of people in the area.