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Saf Sci. 2020 Oct;130:104867. doi: 10.1016/j.ssci.2020.104867. Epub 2020 Jun 05.

Capacity of local authority and community on epidemic response in Vietnam: Implication for COVID-19 preparedness.

Safety science

Bach Xuan Tran, Hien Thi Nguyen, Hai Quang Pham, Huong Thi Le, Giang Thu Vu, Carl A Latkin, Cyrus S H Ho, Roger C M Ho

Affiliations

  1. Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Viet Nam.
  2. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
  3. Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Viet Nam.
  4. Faculty of Nursing, Duy Tan University, Da Nang 550000, Viet Nam.
  5. Faculty of Medicine, Duy Tan University, Da Nang 550000, Viet Nam.
  6. Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Viet Nam.
  7. Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore.
  8. Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
  9. Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore.
  10. Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Viet Nam.

PMID: 32834512 PMCID: PMC7274590 DOI: 10.1016/j.ssci.2020.104867

Abstract

Local authority's response and community adaptive capacity are critically important for the prevention and control of infectious diseases, especially for the disease with an astonishing speed of spreading like COVID-19. This study aims to examine the perception on the capability of local authority's response and community adaptation among core workforces in responding to acute events in Vietnam. Health professionals, medical students, and community workers in all regions of Vietnam were invited to participate in a web-based survey from December 2019 to February 2020. The snowball sampling technique was utilized to recruit respondents. The Tobit multivariable regression model was used to identify associated factors. The results showed that based on a 0-10 numeric rating scale, the mean scores of the capacity of local agencies and community adaptation were 6.2 ± 2 and 6.0 ± 1.8, respectively. Regarding local authority competencies, the lowest score went to "Adequate equipment, infrastructures and funding for disease prevention". For community adaptation, the respondents evaluated the capacity on "Periodic training, equipment and drills to prepare for epidemic and disaster response" competency" with the lowest mark (5.2 ± 2.5). Overall, there were significant differences in the assessment of community adaptive capacity between urban and rural areas (p < 0.01). This study indicated the moderate capacity of the local authority and community adaptation on epidemics and disasters in Vietnam. It is critically necessary to develop the action plan, response scenario and strategies to optimize the utilization of equipment and human resources in combating epidemics for each setting.

© 2020 Elsevier Ltd. All rights reserved.

Keywords: COVID-19; Community adaptive capacity; Epidemic control; Local authority; Preparedness; Response

Conflict of interest statement

None.

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