Improving the health care response to gender-based violence: Phase II

In 2009, the Population Council/Vietnam in collaboration with the Hanoi Health Service carried out an evaluation survey among Duc Giang Hospital staff to assess the extent to which awareness and perceptions of gender-based violence (GBV) had changed since the project commenced in 2005. The survey also assessed the extent to which the response of the hospital and Women’s Center for Counseling and Health had been strengthened, and made recommendations on changes to improve the situation. Overall, this project has been effective in raising awareness and willingness to integrate GBV screening into health services. The project conducted its training program at a time when the community was also becoming increasingly aware, with the result that younger health practitioners are more sensitive to GBV issues. These two actions were complementary and reinforced one another. The result is that health staff are more willing to screen and help GBV victims. This final project evaluation report states that to map out where GBV is most prevalent, who is most vulnerable, and how can it be most effectively addressed, high-quality population-based GBV surveys should be a priority for Vietnam

Improving the health care response to gender-based violence: Project evaluation report

Consistent with previous studies, this study provides evidence that gender-based violence (GBV) remains a problem in Viet Nam with indications that it may be on the increase. In 2009 the Population Council Viet Nam in collaboration with the Hanoi Health Department, carried out an evaluation among the staff of Duc Giang Hospital to assess the extent to which awareness and perceptions of GBV had changed since a pilot intervention project commenced in 2005. Overall the project has been very effective in raising awareness and willingness to integrate GBV screening in the health services. This report documents the results and lists a number of recommendations for moving forward. Implementing the recommendations will allow for an increased level of quality of services to be provided

Improving quality of health care for gender-based violence victims at health facilities in Viet Nam

This report presents the results of the May 2009 baseline (pre-intervention) assessment among health care providers (HCPs), and the July 2010 pre- and post-Training of Trainers assessments among HCPs, in Ho Chi Minh City (HCMC) and Da Nang, regarding the issue of quality of care for victims of gender-based violence (GBV) at health facilities in Vietnam. The views of HCPs detailed in this report represent an important foundation for project development and implementation in the study locations. The pre- and post-Training of Trainers questionnaire aimed to assess the HCPs on the topics covered in the training course. The results showed that basic knowledge of hospital staff about GBV improved significantly as an immediate result of training. After the training all the participants were aware of the GBV Laws and related regulations. Many HCPs in Vietnam seek information independently to help them better serve patients who are victims of GBV. Results of this report encourage continuing support of additional training, hospital protocols, and a network of referral agencies

DEVELOPMENT OF HIGH-PERFORMANCE AND LARGE-SCALE VIETNAMESE AUTOMATIC SPEECH RECOGNITION SYSTEMS

Automatic Speech Recognition (ASR) systems convert human speech into the corresponding transcription automatically. They have a wide range of applications such as controlling robots, call center analytics, voice chatbot. Recent studies on ASR for English have achieved the performance that surpasses human ability. The systems were trained on a large amount of training data and performed well under many environments. With regards to Vietnamese, there have been many studies on improving the performance of existing ASR systems, however, many of them are conducted on a small-scaled data, which does not reflect realistic scenarios. Although the corpora used to train the system were carefully design to maintain phonetic balance properties, efforts in collecting them at a large-scale are still limited. Specifically, only a certain accent of Vietnam was evaluated in existing works. In this paper, we first describe our efforts in collecting a large data set that covers all 3 major accents of Vietnam located in the Northern, Center, and Southern regions. Then, we detail our ASR system development procedure utilizing the collected data set and evaluating different model architectures to find the best structure for Vietnamese. In the VLSP 2018 challenge, our system achieved the best performance with 6.5% WER and on our internal test set with more than 10 hours of speech collected real environments, the system also performs well with 11% WE

Criblage virtuel sur grille de composés isolés au Vietnam

Criblage virtuel sur grille de composés isolés au Vietna

Burden of diarrheal diseases from biogas wastewater exposure among smallholder farmers in Ha Nam province, Vietnam

Livestock production has developed rapidly in Vietnam in recent years, particularly at the small-scale which account for 65% of the total livestock production. Biogas systems are commonly used to treat livestock waste, however, the health risks from biogas wastewater exposure at smallholder farms are not yet well understood. A quantitative microbial risk assessment approach was applied to estimate the burden of diarrheal diseases from biogas wastewater exposure among 451 smallholder farmers using biogas systems in Ha Nam province. A total of 150 biogas wastewater samples were collected and analysed for E. coli, Giardia, and Cryptosporidium. The study showed that farmers faced diarrheal disease risks due to exposure to biogas wastewater at different exposure scenarios. The calculated annual risk of diarrheal disease by E. coli ranked from 0.15 to 0.21; by Giardia ranked from 0.022 to 0.095; and by Cryptosporidium ranked from 0.006 to 0.015. The estimated diarrheal diseases burden from pathogens in all exposure scenarios largely exceeded the reference level of health outcome target of 10-6DALYs loss per person per year recommended by WHO. The results suggest the importance in reducing concentrations of pathogens in biogas wastewater before use in the fields as a means for mitigating public health impacts

A community participatory intervention model to reduce the health risks from biogas wastewater in Hanam Province, Vietnam

In Vietnam, using biogas to treat livestock waste is common, in particular on small holder farms. However, most small holder farms do not know how to use biogas correctly and wastewater can affect health and the environment. Using a participatory approach with farmers and other stakeholders we developed and implemented a set of interventions in Hanam province to reduce health risks from biogas wastewater. Twenty-four pig farmers were selected as a "core group" to be instrumental in developing the interventions and training other farmers to correctly use biogas. The intervention model was piloted for 6 months. Several outputs were obtained including i) approval and enforcement of a "huong uoc - village law" on environmental protection; ii) training of 24 farmers from the core group in communication skills to share information on using biogas; iii) development of a 6-step program of pig cage cleaning to limit waste loaded to biogas to improve the efficiency of biogas production; iv) a health monitoring books for humans and animals for use by families in the community. The results provided evidence that applying the participatory approach can lead to improved knowledge and practices of farmer using biogas and can reduce the health risks from biogas wastewater

Host Transcription Profile in Nasal Epithelium and Whole Blood of Hospitalized Children Under 2 Years of Age With Respiratory Syncytial Virus Infection.

BACKGROUND: Most insights into the cascade of immune events after acute respiratory syncytial virus (RSV) infection have been obtained from animal experiments or in vitro models. METHODS: In this study, we investigated host gene expression profiles in nasopharyngeal (NP) swabs and whole blood samples during natural RSV and rhinovirus (hRV) infection (acute versus early recovery phase) in 83 hospitalized patients <2 years old with lower respiratory tract infections. RESULTS: Respiratory syncytial virus infection induced strong and persistent innate immune responses including interferon signaling and pathways related to chemokine/cytokine signaling in both compartments. Interferon-α/β, NOTCH1 signaling pathways and potential biomarkers HIST1H4E, IL7R, ISG15 in NP samples, or BCL6, HIST2H2AC, CCNA1 in blood are leading pathways and hub genes that were associated with both RSV load and severity. The observed RSV-induced gene expression patterns did not differ significantly in NP swab and blood specimens. In contrast, hRV infection did not as strongly induce expression of innate immunity pathways, and significant differences were observed between NP swab and blood specimens. CONCLUSIONS: We conclude that RSV induced strong and persistent innate immune responses and that RSV severity may be related to development of T follicular helper cells and antiviral inflammatory sequelae derived from high activation of BCL6

An open label randomized controlled trial of tamoxifen combined with amphotericin B and fluconazole for cryptococcal meningitis

Background: Cryptococcal meningitis has high mortality. Flucytosine is a key treatment but is expensive and rarely available. The anti-cancer agent tamoxifen has synergistic anti-cryptococcal activity with amphotericin in vitro. It is off-patent, cheap, and widely available. We performed a trial to determine its therapeutic potential. Methods:Open label randomized controlled trial. Participants received standard care - amphotericin combined with fluconazole for the first two weeks - or standard care plus tamoxifen 300mg/day. The primary end point was Early Fungicidal Activity (EFA) - the rate of yeast clearance from cerebrospinal fluid (CSF). Trial registration https://clinicaltrials.gov/ct2/show/NCT03112031 . Results: 50 patients were enrolled, (median age 34 years, 35 male). Tamoxifen had no effect on EFA (- 0.48log10 colony-forming units/mL/CSF control arm versus -0.49 tamoxifen arm, difference - 0.005log10CFU/ml/day, 95%CI: -0.16, 0.15, P=0.95). Tamoxifen caused QTc prolongation. Conclusion: High dose tamoxifen does not increase the clearance rate of Cryptococcus from CSF. Novel, affordable therapies are needed. Funding:The trial was funded through the Wellcome Trust Asia Programme Vietnam Core Grant 106680 and a Wellcome Trust Intermediate Fellowship to JND grant number WT097147MA