Physicians' perceived barriers to management of sexually transmitted infections in Vietnam

Do, Khoi, Minichiello, Victor, Hussain, Rafat and Khan, Asaduzzaman (2014) Physicians' perceived barriers to management of sexually transmitted infections in Vietnam. Bmc Public Health, 14 . doi:10.1186/1471-2458-14-1133


Author Do, Khoi
Minichiello, Victor
Hussain, Rafat
Khan, Asaduzzaman
Title Physicians' perceived barriers to management of sexually transmitted infections in Vietnam
Journal name Bmc Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2014-11
Year available 2014
Sub-type Article (original research)
DOI 10.1186/1471-2458-14-1133
Open Access Status DOI
Volume 14
Total pages 10
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2015
Language eng
Formatted abstract
Background
Sexually transmitted infections (STIs) are a public health problem in Vietnam with sub-optimal care in medical practice. Identifying practitioners’ perceived barriers to STI care is important to improve care for patients with STIs.

Methods
A cross-sectional survey was conducted among 451 physicians. These physicians were dermatology and venereology (D&V) doctors, obstetrical/gynaecological (Ob/Gyn) doctors, general practitioners, and assistant doctors working in health facilities at provincial, district and communal levels in three provinces in Vietnam.

Results
Almost all (99%) respondents mentioned at least one barrier to STI care. The barriers were “lack of STI training” (57%), “lack of professional resources” (41%), “lack of time” (38%), “lack of reimbursement” (21%), “lack of privacy/confidentiality” (17%), “lack of counselling” (15%), and “not the role of primary care provider” (7%). Multivariable logistic regression analysis showed that “lack of professional resources” was associated with respondents being in medical practice for ten years or under (vs. 11–20 years), and working at district or communal health facilities (vs. provincial facilities); “lack of time” were associated with respondents being female, seeing more than 30 patients a week (vs. <15 patients/week); and “lack of privacy/confidentiality” was associated with physicians’ seeing more than 30 patients a week (vs. <15 patients/week).

Conclusion
The study has identified several barriers to STI care in medical practice in Vietnam. Results of the study can be used to improve areas in STI care including policy and practice implications.
Keyword Sexually transmitted infection
Physician
Barrier
Vietnam
Female Sex Workers
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
 
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