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Doctor Nguyen Thi Tuyet Phuong gives multi-vaccine to a baby for protection against tuberculosis, hepatitis B, whooping cough and measles in southern Can Tho City. — VNA/VNS Photo Thanh Vu |
CA MAU — The establishment of drugstores meeting the Good Pharmacy Practices (GPP) standard has not made much headway in Cuu Long (Mekong) Delta provinces, according to health officials.
At a conference on strengthening State management of medicine distribution last Friday, held in southernmost Ca Mau Province, representatives of health departments from the delta said they had not been able to achieve much success in encouraging pharmaceutical companies and drugstores to adopt the GPP standard.
Only 12 drugstores in these provinces had reached the GPP standard, and most of them were the drugstores in the provinces’ general hospitals.
Dong Thap Province has the most strongly developed pharmaceutical sector with seven GPP standard drugstores.
The Mekong Delta region in general suffers from inadequate development of the health sector, with its network of hospitals and clinics requiring significant upgrades, the Southwest Region Steering Committee said at the conference.
While Prime Minister Nguyen Tan Dung had approved a project to build and upgrade the network of hospitals and clinics in the Mekong Delta provinces using State capital and other sources for the 2008-10 period, implementation had been very slow, the committee said.
Hospitals in Tra Vinh Province’s Cang Long, Cau Ke and Duyen Hai districts and Bac Lieu Province’s Gia Rai, Vinh Loi and Phuoc Long districts have only completed the first phase of the project including ground clearance and setting up bids.
These hospitals will not be ready to open as scheduled by 2010.
Slow disbursement, complicated procedures and time spent in adjusting plans to increase in-patient capacity to meet increasing demand were blamed for the delay.
The committee also found that the training needed to improve professional skills of health officials in order to use new equipment effectively had not been provided because the Ministry of Health had not yet co-operated with localities to get this done.
Market shortage
Kien Giang’s Health Department said that hospitals in its districts and communes were facing a marked shortage of specialised doctors and equipment including diagnostic machines like the ultrasound scanner, X-ray machines and electrocardiograph Ecg machine.
Nguyen Van Phuoc, deputy head of the general health clinic in An Phu District’s Quoc Thai Commune, said that even masks and clothing to prevent A/H1N1 flu as well quarantining facilities to respond to an outbreak of the flu had not been provided.
In Hau Giang Province’s Long My District, where swine flu has broken out, there was still no place to quarantine patients.
Officials said the capital allotted for upgrading health clinics and hospitals in the province’s communes and districts was too little.
Kien Giang plans to completely upgrade its health network by 2015.
It envisages all hospitals and clinics in communes and districts will invest in needed infrastructure and equipment and attract paramedical staff with tertiary level education to work there.
However, the province does not have the VND300 billion (US$16 million) needed to implement the plan.
The health sector in Can Tho Province needs VND3 trillion ($168 million) to upgrade and build more new hospitals including the Can Tho City General Hospital, the Can Tho Pediatric Hospital, general hospitals and specialty hospitals in districts by 2015.
The provincial People’s Committee has asked the Government for funding.
Currently, most hospitals in the province are overloaded. The Can Tho General Hospital has 700 beds while around 2,000 patients come to the hospital every day. In the Can Tho Pediatric Hospital, two or three patients are forced to share the same bed.
Many other Mekong Delta provinces share Can Tho’s plight.
According to the Ministry of Health, the doctor-patient ratios in several Mekong Delta provinces are among the lowest in the country.
Pham Minh Cong, Secretary of the Party Committee in Nam Du Commune of Kien Giang Province’s Kien Hai District, said that the commune has more than 4,000 residents and around 6,000 fishermen from other provinces who are served by just six doctors and nurses.
Pham Minh Hue, deputy head of Kien Giang Province’s Health Department, said that hospitals in districts and communes struggled to get doctors and nurses because of low remuneration and the lack of preferential policies.
This had not improved for many years now, he said.
He said many doctors were ready to repay the State to get out of commitments to work in rural areas made before joining medical universities. They need to be encouraged to fulfill their commitment with better salaries and many preferential policies, Hue added. —
Source: vietnamnews.vnagency.com.vn