12. CURRENT STATUS AND DEMAND OF OBSTETRICIANSGYNECOLOGISTS WORKING IN PROVINCIAL AND DISTRICT HOSPITALS IN VIETNAM ECOLOGICAL REGIONS

Tran Danh Cuong1, Tran Thi Thu Hanh1, Nguyen Duy Hung1, Nguyen Le Minh1, Do Tuan Dat1, Doan Quoc Hung1, Le Minh Giang1, Tran Thi Hao1, Do Nam Khanh1, Nguyen Thi Thu Huong1, Le Dinh Luyen1, Nguyen Thi Thu Ha1, Do Thi Thanh Toan1
1 Hanoi Medical University

Main Article Content

Abstract

Background: Obstetric health care was always an important problem in countries where human
resources are decisive. The research carried out was the basis of innovation and training for obstetrical
human resources, meeting people’s needs.
Objectives: Describe the current situation and needs of obstetricians working at provincial and
district hospitals in representative ecological regions in Vietnam.
Methods: A cross-sectional descriptive study in 7 provinces/cities, including 27 hospitals.
Results: The situation and demand for human resources specialized in obstetrics and gynecology
were mostly in the Red River Delta (>40%), mainly at the provincial level (>54%). By 2025, the
Central Coast and South Central region will have the highest demand for human resources for
obstetricians (from 15.5% in 2020 to 30.3%). The Obstetrician-Gynecologist’s human resources are
still lacking in number, causing overcrowding. The need for specialized training support in technical
knowledge and skills, procedures and surgery is closely related to the local situation.
Conclusion: The situation and demand for obstetrical human resources in 2020-2025 are concentrated
in the Red River Delta at provincial hospitals. The number of obstetrician human resources has not
been able to fully and promptly respond to patients. However, the quality of staff is guaranteed, and
the capacity is enough to meet the service.

Article Details

References

[1] Bệnh viện Phụ sản Hà Nội, Bệnh viện Phụ
sản Hà Nội và hơn 40 năm khẳng định vị thế,
2021. Truy cập ngày 15/10/2022 tại http://
benhvienphusanhanoi.vn/bao-chi-noi-ve-chungtoi/
benh-vien-phu-san-ha-noi-va-hon-40-nam
khang-dinh-vi-the-32131.html
[2] Hà Văn Đạo, Nhiều chính sách cởi mở, thu hút bác
sĩ ở Tây Nguyên, 2020. Truy cập ngày 27/10/2022
tại https://suckhoedoisong.vn/nhieu-chinh-sachcoi-mo-
thu-hut-bac-si-o-tay-nguyen-169180816.htm
[3] Liên hiệp quốc Việt Nam, Báo cáo quốc gia: Kết
quả 15 năm thực hiện các Mục tiêu phát triển
Thiên niên kỷ của Việt Nam, 2015.
[4] Nguyễn Hoa, Nâng cao chất lượng nguồn nhân
lực y tế, 2022. Truy cập ngày 15.10.2022. http://
www.soytequangninh.gov.vn/gd_ws/Tintuc_
Chitiet.aspx?NewsId=13942
[5] Phương Chi, Ngành Y tế Bình Dương: 25 năm
chuyển mình mạnh mẽ và vượt qua thách thức.
2022. Truy cập ngày 27/10/2022 tại https://
www.binhduong.gov.vn:443/thong-tin-tuyentruyen/
2022/01/879-nganh-y-te-binh-duong-
25-nam-chuyen-minh-manh-me-va-vuot-quathach-thu
[6] Bajwa S, Kaur J, Critical care challenges in
obstetrics: An acute need for dedicated and
co-ordinated teamwork. Anesth Essays Res.
2013;8:267-269. doi:10.4103/0259-1162.143107
[7] Cometto G, Boerma T, Campbell J et al., The Third
Global Forum: framing the health workforce
agenda for universal health coverage. Lancet
Glob Health. 2013;1(6):e324-325. doi:10.1016/
S2214-109X(13)70082-2.
[8] GBD 2016 DALYs and HALE Collaborators.
Global, regional, and national disability-adjusted
life-years (DALYs) for 333 diseases and injuries
and healthy life expectancy (HALE) for 195
countries and territories, 1990-2016: a systematic
analysis for the Global Burden of Disease Study
2016. Lancet Lond Engl. 2017;390(10100):1260-
1344. doi:10.1016/S0140-6736(17)32130-X
[9] Hoyler M, Finlayson SRG, McClain CD et
al., Shortage of doctors, shortage of data: a
review of the global surgery, obstetrics, and
anesthesia workforce literature. World J Surg.
2014;38(2):269-280. doi:10.1007/s00268-013-2324-y
[10] Petroze RT, Nzayisenga A, Rusanganwa V et al.,
Comprehensive national analysis of emergency
and essential surgical capacity in Rwanda. Br J
Surg. 2012; 99(3):436-443. doi:10.1002/bjs.7816.