Study on current situation of basic occupational health service in vietnam

Saturday, 02/12/2023, 09:59(GMT +7)

PhD. Trần Thị Ngọc Lan, PhD. Nguyễn Thị Liên Hương
Cục Y tế dự phòng và Môi trường, Bộ Y tế
ABSTRACT
Background: In Vietnam, small and medium scale enterprises constitute more than 95%. During past years, occupational diseases (ODs) tended to increase in both number of suffering workers and types of ODs. Although basic occupational health services (BOHS) already exists in Vietnam, their capacity is in doubt.
Study objectives: Assess an existing BOHS system in Vietnam, and propose a plan of capacity building for improvement of BOHS in Vietnam
Study methods: Collect and analyse existing information sources on occupational health and safety.
Results: Every year, only 20% of managed enterprises (approximately 3% of total enterprises) monitored working environment; 15% of managed enterprises organized periodic medical check-up for employees; and only 5-8% employees exposing to occupational risk factors were checked for occupational diseases. Work-related accident morbidity was 2.1 per 100,000 population. It is underreported number. Vietnam has a comprehensive network of occupational health from central level to grass root level. BOHS are provided by centers for preventive medicine at provincial, district levels and health bodies at enterprises. However, they are mainly provided in large scale and state enterprises. There has been a lack of human and material resources for providing BOHS.
Action plan for capacity building: Activities of BOHS development in Vietnam are including strengthening IEC activities, development of intervention models for occupational disease prevention, fostering capacity of occupational disease diagnosis, re-examination, treatment and rehalibitation, completion and supplementation of occupational health related legislation. The Action plan is also towards to preparation for ratification of 161 Convention on occupational health services in Vietnam.

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