TY - JOUR
T1 - Community health needs assessment
T2 - a nurses’ global health project in Vietnam
AU - Cho, S.
AU - Lee, H.
AU - Yoon, S.
AU - Kim, Y.
AU - Levin, P. F.
AU - Kim, E.
N1 - Funding Information:
This study was supported by the Korea Office International Cooperation Agency (Grant No. 2014-00120-1). The authors wish to thank all CHS workers, community residents and community leaders who participated in this needs assessment study. Special thanks were given to Mrs. Thanh Loan Bui and Nguyen Thi Xuan Nhan Loan who assisted data collection.
Publisher Copyright:
© 2018 International Council of Nurses
PY - 2018/12
Y1 - 2018/12
N2 - Background: Global health has been directed to providing solutions to various health issues cross-nations, and nurses have received wide recognition as a key health workforce to reduce health disparities globally. Nurses involved in global health research are required to implement evidence-based global nursing practices based on the assessments of local health needs. Aim: To assess health needs and to suggest future interventions in rural communities of Vietnam. Methods: A multifaceted rapid participatory appraisal with information pyramid was used applying mixed methods from six sources: existing record review, surveys of community residents, surveys of healthcare providers, focus group discussions with community leaders, informal discussions with governmental health administrators and observations of community health station (CHS) facilities. Results: The majority used the CHSs as primary health facilities with high satisfaction for services currently provided. However, there were needs for the stations to provide more comprehensive services including chronic diseases, and for healthcare providers to improve their competences. Community leaders showed high interest in health information for chronic diseases and strong commitment to involvement in the activities for health of their communities. The findings suggest future interventions in the areas of the enhancement of CHS’ functions, human resources and the self-care capacity of community residents. Conclusion and policy implications: The rapid participatory appraisal approach emphasizing community participation and partnership was a useful tool to compile accurate information about the current needs of the community on health, the preparedness of healthcare services to meet community's demands and about community capacity. This process is fundamental to nurses, who initiate global health projects in resource-limited international countries, to generate evidences regarding practice, research and policy for taking responsibilities in promoting the sustainable development goals.
AB - Background: Global health has been directed to providing solutions to various health issues cross-nations, and nurses have received wide recognition as a key health workforce to reduce health disparities globally. Nurses involved in global health research are required to implement evidence-based global nursing practices based on the assessments of local health needs. Aim: To assess health needs and to suggest future interventions in rural communities of Vietnam. Methods: A multifaceted rapid participatory appraisal with information pyramid was used applying mixed methods from six sources: existing record review, surveys of community residents, surveys of healthcare providers, focus group discussions with community leaders, informal discussions with governmental health administrators and observations of community health station (CHS) facilities. Results: The majority used the CHSs as primary health facilities with high satisfaction for services currently provided. However, there were needs for the stations to provide more comprehensive services including chronic diseases, and for healthcare providers to improve their competences. Community leaders showed high interest in health information for chronic diseases and strong commitment to involvement in the activities for health of their communities. The findings suggest future interventions in the areas of the enhancement of CHS’ functions, human resources and the self-care capacity of community residents. Conclusion and policy implications: The rapid participatory appraisal approach emphasizing community participation and partnership was a useful tool to compile accurate information about the current needs of the community on health, the preparedness of healthcare services to meet community's demands and about community capacity. This process is fundamental to nurses, who initiate global health projects in resource-limited international countries, to generate evidences regarding practice, research and policy for taking responsibilities in promoting the sustainable development goals.
KW - Community Intervention
KW - Global Health
KW - Health Needs Assessment
KW - Rapid Participatory Appraisal
KW - Rural
KW - Vietnam
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U2 - 10.1111/inr.12443
DO - 10.1111/inr.12443
M3 - Article
C2 - 29574755
AN - SCOPUS:85044359148
SN - 0020-8132
VL - 65
SP - 505
EP - 514
JO - International Nursing Review
JF - International Nursing Review
IS - 4
ER -