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Challenges in Integrating Mental Health into Primary Care in Vietnam

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Innovations in Global Mental Health

Abstract

In order to alleviate the burden of mental health problems in low- and middle-income countries, the World Health Organization has developed a guideline to integrate mental health into primary health care. The framework was used to assess the Vietnam mental health system and the progress of integrating mental health into primary care. Vietnam has a weak mental health system governance with no mental health policy and legislation and an ineffective action plan. Like other developing countries, Vietnam is having institutional approach in providing formal mental health services such as psychiatric hospitals and social protection centers. Informal community care providers which care for most of people with mental disorders were ignored by the government. In addition, mental health human resource is facing shortage in terms of quantity and limited quality.

Based on the context, four main key challenges were discussed including the lack of mental health policy and legislation; inappropriate service organization and planning; human resource shortage; and lack of evidence-based interventions. Recommendations are raised to address these challenges to promote the implementation of the primary mental health care in Vietnam.

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References

  • Abbo C. Profiles and outcome of traditional healing practices for severe mental illness in two districts of Eastern Uganda. Glob Health Action. 2011;4:7117.

    Article  Google Scholar 

  • Amstadter AB, Acierno R, Richardson L, Kilpatrick DG, Gros DF, Gaboury MT, et al. Post-Typhoon prevalence of post-traumatic stress disorder, major depressive disorder, panic disorder and generalized anxiety disorder in a Vietnamese sample. J Trauma Stress. 2009;22(3):180–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • APEC. Life Sciences Innovation Forum (LSIF) Executive Board. Canada: The APEC Digital Hub for Mental Health.

    Google Scholar 

  • Bank TW, Vietnam MoPaIo. Vietnam 2035: toward prosperity, creativity, equity and democracy; 2016.

    Google Scholar 

  • Bruckner TA, Scheffler RM, Shen G, Yoon J, Chisholm D, Morris J, et al. The mental health workforce gap in low – and middle – income countries: a needs-based approach. Bull World Health Organ. 2011;89(3):184–94.

    Article  PubMed  Google Scholar 

  • Center for Information and Documentation. Reforms on public service supply in Vietnam Hanoi; 2006.

    Google Scholar 

  • Chatterjee S, Pillai A, Jain S, Cohen A, Patel V. Outcomes of people with psychotic disorders in a community-based rehabilitation programme in rural India The British. J Psychiatry. 2009;195:433–9.

    Article  Google Scholar 

  • Chatterjee S, Naik S, John S, Dabholkar H, Balaji M, Koschorke M, et al. Effectiveness of a community-based intervention for people with schizophrenia and their caregivers in India (COPSI): a randomised controlled trial. Lancet. 2014;383:1385–94.

    Article  PubMed  PubMed Central  Google Scholar 

  • Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the world health organization world mental health surveys. JAMA. 2004;291(21):2581–90.

    Article  PubMed  Google Scholar 

  • Duong T. Challenges in the social work training info net 22/10/2015.

    Google Scholar 

  • Duong DB, Minh HV, Ngo LH, Ellner AL. Readiness, Availability and utilization of rural Vietnamese health facilities for community based primary care of non-communicable diseases: a cross-sectional survey of 3 provinces in Northern Vietnam. Int J Health Policy Manag. 2019;8(3):150–7.

    Article  PubMed  Google Scholar 

  • General Statistical Office Vietnam. Vietnam multiple indicator cluster survey 2011. Hanoi, Vietnam; 2011.

    Google Scholar 

  • General Statistics Office. The 1/4/2014 Vietnam intercensal population and housing survey: major findings Hanoi; 2015.

    Google Scholar 

  • Harpham T, Tuan T, et al. Bulletin of the World Health Organization. 2006;84(8):664–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lee K, Zappelli R, Goldner EM, Vu NC, Corbett KK, Murphy J. The political economy of mental health in Vietnam: key lessons for countries in transition. Asia and the Pacific Policy Studies. 2015;2(2):266–79.

    Article  Google Scholar 

  • Lund C, Tomlinson M, Silva MD, Fekadu A, Shidhaye R, Jordans M, et al. PRIME: a programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Med. 2012;9(12):e1001359.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lund C, Waruguru M, Kingori J, Kippen-Wood S, Breuer E, Mannarath S, et al. Outcomes of the mental health and development model in rural Kenya: a 2-year prospective cohort intervention study. Int Health. 2013;5:43–50.

    Article  PubMed  Google Scholar 

  • Minas H, Edington C, La N, Kakuma R. Mental health in Vietnam. In: Minas H, Lewis M, editors. Mental health in Asia and the Pacific: historical and cultural perspectives. Boston: Springer; 2017.

    Chapter  Google Scholar 

  • Ministry of Health, Affairs MoH. Joint circular: functions, tasks and structure of provincial or district health departments. Hanoi;2015.

    Google Scholar 

  • Ministry of Health, Hanoi Medical University, General Statistics Office, Centers for Disease Control, World Health Organization. Global Adult Tobacco Survey (GATS). Hanoi; 2010.

    Google Scholar 

  • Murphy J, Goldsmith CH, Jones W, Oanh PT, Nguyen VC. The effectiveness of a Supported Self-management task-shifting intervention for adult depression in Vietnam communities: study protocol for a randomized controlled trial. Trials. 2017;18:209.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy J, Oanh PT, Goldsmith CH, Nguyen VC. Introducing supported self-management for depression to primary care in Vietnam: a feasibility study in preparation for a randomized controlled trial families. Systems & Health. 2018;36(2):210–5.

    Google Scholar 

  • National Institute of Mental Health. Collaborative Hubs for International Research in Mental Health.

    Google Scholar 

  • Nemi M, Thanh HT, Tuan T, Falkenberg T. Mental health priorities in Vietnam: a mixed-methods analysis. BMC Health Serv Res. 2010;10:257.

    Article  Google Scholar 

  • Ng CH, Than PT, La CD, Than QV, Dieu CV. The national community mental health care project in Vietnam: a review for future guidance. Australas Psychiatry. 2011;19(2):143–50.

    Article  PubMed  Google Scholar 

  • Nguyen T, Tran T. Women with positive deviance approach in mental health care, Hanoi; 2015.

    Google Scholar 

  • Organization WH. WHO-AIMS report on mental health system in Vietnam Geneva; 2006.

    Google Scholar 

  • Organization WH. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings. Geneva: World Health Organization; 2011.

    Google Scholar 

  • Patel V. Mental health in low- and middle- income countries. Br Med Bull. 2007;81 and 82:81–96.

    Article  Google Scholar 

  • Quy LT. Social work in Vietnam: the history and the future Hanoi, Vietnam Thang Long University; 2015.

    Google Scholar 

  • Research and Training Center for Community Development. Situation analysis of the social protection centres for people with severe mental disorders under the management of the Ministry of Labour Invalids and Social Affairs; 2011a.

    Google Scholar 

  • Research and Training Center for Community Development. Assessment of the mental health care models operated by non-governmental organizations in Vietnam; 2011b.

    Google Scholar 

  • Research and Training Center for Community Development. Setting up mental health counseling for people living with HIV/AIDS in CDC-supported Hanoi and Ho Chi Minh city out-patient clinics (2011–2012). Hanoi, Vietnam Research and Training Center for Community Development; 2012.

    Google Scholar 

  • Research and Training Center for Community Development. Baseline survey on mental health care system for people with mental illness in Thanh Hoa and Ben Tre provinces Hanoi; 2014a.

    Google Scholar 

  • Research and Training Center for Community Development. Evaluation on mental health system for people with mental disorders Hanoi, Vietnam Research and Training Center for Community Development; 2014b.

    Google Scholar 

  • Richardson LK, Amstadter AB, Kilpatrick DG, Gaboury MT, Tran TL, Trung LT, et al. Estimating mental distress in Vietnam: the use of the SRQ-20. Int J Soc Psychiatry. 2010;56(2):133–42.

    Article  PubMed  Google Scholar 

  • Saxena S, Lora A, Morris J, Berrino A, Esparza P, Barrett T, et al. Mental health services in 42 low and middle income countries: a WHO-AIMS cross-national. Analysis Psychiatric Services. 2011;62(2):123–5.

    Article  PubMed  Google Scholar 

  • Semrau M, Evans-Lacko S, Alem A, Ayuso-Mateos JL, Chisholm D, Gureje O, et al. Strengthening mental health systems in low- and middle-income countries: the Emerald programme. BMC Med. 2015;13:79.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shanaya R, Narsimha P, Muhammed I, Paul G, Pranay R, Lina G, et al. Mental health service provision in low and middle income countries. Health Services Insights. 2017;10:1–7.

    Google Scholar 

  • Somanathan A, Tandon A, Huong DL, Hurt KL, Fuenzalida-Puelma HL. Moving toward Universal Coverage of Social Health Insurance in Vietnam: assessment and options. Washington DC: The World Bank; 2014.

    Book  Google Scholar 

  • Steel Z, Silove D, Giao NM, Phan TTB, Chey T, Whelan A, et al. International and indigenous diagnoses of mental disorder among Vietnamese living in Vietnam and Australia. Br J Psychiatry. 2009;194:326–33.

    Article  PubMed  Google Scholar 

  • Takashima K, Wada K, Tra TT, Smith DR. A review of Vietnam’s healthcare reform through the Direction of Healthcare Activities (DOHA). Environ Health Prev Med. 2017;22:74.

    Article  PubMed  PubMed Central  Google Scholar 

  • The Association of Southeast Asian Nations Secretariat. ASEAN Mental Health System Jakarta; 2016.

    Google Scholar 

  • Tran CV. Mental health care in Vietnam Taiwanese. Journal of Psychiatry. 2017;31(4):287–99.

    Google Scholar 

  • Tran T, La B, Nguyen T. Evaluation of national community mental health care project Vietnam Research and Training Center for Community Development; 2007.

    Google Scholar 

  • UNICEF Vietnam, Overseas Development Institute. Mental health and psychosocial wellbeing among children and young people in selected provinces and cities in Viet Nam. Vietnam; 2011.

    Google Scholar 

  • van Ginneken N, Tharyan P, Lewin S, Rao GN, Meera S, Pian J, et al. Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low and middle-income countries. Cochrane Database Syst Rev. 2013;2013(11):CD009149.

    Google Scholar 

  • Vietnam General Statistics Office. Statistics. In. Hanoi, Vietnam General Statistics Office; 2017.

    Google Scholar 

  • Vietnam Ministry of health. Decision: National standard criteria of commune health stations in the period of 2011–2020. 2014;4667/QĐ-BYT.

    Google Scholar 

  • Vietnam Ministry of Health. Circular: functions, tasks and structure of district health centers 2016;37/2016/TT-BYT.

    Google Scholar 

  • Vietnam Ministry of Labour Invalids and Social Affairs, Vietnam Ministry of Home Affairs. Describing functions, tasks and organization of public social work centres 2013;Joint Circular No. 09/2013/TTLT-BLĐTBXH-BNV.

    Google Scholar 

  • Vietnam Prime Minister. Adding targets for the national target program to prevent and combat some social diseases, dangerous epidemic. 1998; Decision No. 196/1998/QD-TTg.

    Google Scholar 

  • Vietnam Prime Minister. Approving the program on preventing and combating some non-contagious diseases in the 2002–2010 period. 2002; Decision No. 77/2002/QD-TTg.

    Google Scholar 

  • Vietnam Prime Minister. Approval on the project “Investment on building, upgrading, renovating specialized hospitals of psychiatry, tuberculosis, cancers, paediatry, and some provincial general hospitals in the disadvantage, mountainous areas using Government fund and other legal funding sources in the period of 2009–2013”; 2009.

    Google Scholar 

  • Vietnam Prime Minister. Provides social support policies for social support subjects 2013; Decree No. 136/2013/ND-CP.

    Google Scholar 

  • Vietnam Prime Minister. Draft of the National mental health strategy for the period of 2016–2025. In Hanoi, Vietnam Ministry of Health; 2015.

    Google Scholar 

  • Vietnam Prime Minister. Describing conditions and procedures for setting up, organization operation and dissolution of social protection centres 2017; Decree No. 103/2017/NĐ-CP.

    Google Scholar 

  • Vietnam Veterans of America Foundation. Mental health programs In. United States: Vietnam Veterans of America Foundation; 2019.

    Google Scholar 

  • Vuong DA, Ginneken EV, Morris J, Ha ST, Busse R. Mental health in Vietnam: burden of disease and availability of services. Asian J Psychiatr. 2011;4(1):65–70.

    Article  PubMed  Google Scholar 

  • Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007;370:841–50.

    Article  PubMed  PubMed Central  Google Scholar 

  • World Health Organization. Mental health: new understanding, new hope World Health Organization; 2001.

    Google Scholar 

  • World Health Organization. Organization of services for mental health. Mental health policy and service guidance package. Geneva: WHO Press; 2003a.

    Google Scholar 

  • World Health Organization. Mental health legislation and human rights Geneva, Switzerland: department of mental health and substance abuse; 2003b.

    Google Scholar 

  • World Health Organization. Mental health policy, plans and programme. Geneva, Switzerland: department of mental health and substance abuse; 2005.

    Google Scholar 

  • World Health Organization World organization of family doctors. Integrating mental health into primary care: a global perspective World Health Organization, 20 Avenue Appia, 1211 Geneva 27; 2008a.

    Google Scholar 

  • World Health Organization. Task shifting: global recommendations and guidelines. Geneva: World Health Organization; 2008b.

    Google Scholar 

  • World Health Organization. Mental health systems in selected low- and middle-income countries: a WHO-AIMS cross-national analysis. Geneva: World Health Organizaton; 2009.

    Google Scholar 

  • World Health Organization. mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings. Geneva: World Health Organization; 2010.

    Google Scholar 

  • World Health Organization. Mental Health Atlas 2011. Geneva, Switzerland: department of mental health and substance abuse; 2011.

    Google Scholar 

  • World Health Organization. WHO qualityrights tool kit – assessing and improving quality and human rights in mental health and social care facilities. Geneva: World Health Organization; 2012.

    Google Scholar 

  • World Health Organization. Mental health action plan 2013–2020. Geneva: World Health Organization; 2013.

    Google Scholar 

  • World Health Organization. Mental health atlas country profile 2014. Geneva, Switzerland: department of mental health and substance abuse; 2014.

    Google Scholar 

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Authors and Affiliations

  1. School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia

    Trang Nguyen, Thach Duc Tran & Jane Fisher

  2. Research and Training Centre for Community Development (RTCCD), Hanoi, Vietnam

    Tuan Tran & Ha Tran

  3. Research and Training Centre for Community Development, Hanoi, Vietnam

    Trang Nguyen

Authors
  1. Trang Nguyen
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  2. Tuan Tran
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  3. Ha Tran
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  4. Thach Duc Tran
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  5. Jane Fisher
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Corresponding author

Correspondence to Trang Nguyen .

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Editors and Affiliations

  1. Center for Health, Culture, and Society, Nashville, TN, USA

    Samuel O. Okpaku

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Nguyen, T., Tran, T., Tran, H., Tran, T.D., Fisher, J. (2021). Challenges in Integrating Mental Health into Primary Care in Vietnam. In: Okpaku, S.O. (eds) Innovations in Global Mental Health. Springer, Cham. https://doi.org/10.1007/978-3-030-57296-9_74

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  • DOI: https://doi.org/10.1007/978-3-030-57296-9_74

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