Building an Emergency Management Program in Vietnam; A Cost Analysis of the Strength of Global Health Capacity Open Access

Jonesteller, Christine (2015)

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Social disparities, infectious diseases, and climatic stresses illustrated the necessity for increased efficiency and communication within the public health and emergency management systems in Vietnam, including its Ministry of Health (MoH). With support of global partners the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), and as a consequence of potential public health emergencies, there is a requirement to build and implement the capabilities and strategies for the development of an Emergency Management Program (EMP). This requirement is set by the core capacities of the International Health Regulations, 2005. In 2013, the CDC performed a demonstration project in Vietnam, which included as one of its three goals, the development of an EMP. The intent of this project, as part of the federally supported Global Health Security Agenda (GHSA), was to prepare an analysis of how this demonstration project has been shown to increase emergency preparedness and response efforts in order to prevent, detect, and respond to disease threats on a local and global scale. By measuring the impact of building an EMP in Vietnam, this project aims to address the following questions,

- Is the enhancement of global emergency preparedness and response systems a beneficial commitment of the workforce to the security of international public health?

- Is the cost investment, of developing an international EMP, including the global commitment and partnerships, a solid investment for the sake of increased global health security?

A cost analysis and of the cost components associated with workforce, travel, surveillance, and resources was conducted to measure the financial commitment of developing an EMP in Vietnam. The 13 qualitative interviews conducted with essential CDC personnel involved in this project provide a measure of the EMP's impact, as well as resulting lessons, challenges and recommendations. The results of this cost analysis present a comprehensive overview of the financial costs and workforce hours needed for project success, as defined by increased health security and improved cooperation. The qualitative interviews described specific successes, challenges, and recommendations for further progress of this work in Vietnam and for the future of international EMP development. The CDC's demonstration project in Vietnam enhanced and strengthened relationships within the existing facilities and workforce in Vietnam. It also improved Vietnam's health security, but left room for improved IHR compliance. Overall, this project was a success for emergency preparedness and global security because it created a framework of a system that may potentially be implemented in other countries in the future.

Table of Contents

Acronym List & Definitions. 8

Chapter I. Introduction. 9

Chapter II. Research Questions. 14

Chapter III. Review of Literature. 15

Chapter IV. Methodology. 25

Chapter IV. Results. 25

Table 1. Hours and Average Salary per CDC role during the Vietnam demonstration project, 2013. 26

Figure 1. Hours spent/functional role during Vietnam demonstration project, 2013. 26

Table 2. Combined travel data for CDC personnel to and from Vietnam, 2013. 27

Table 3. Qualitative Interview questions with corresponding and summarized answers (March 2015). 29

Chapter V. Conclusions, Implications and Recommendations. 31

References. 35

Appendix. 37

1.1 EMP Diagram

1.2 Vietnam personnel interview template

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