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The intervention strategy included extensive consultation with community leaders and village, commune, district and provincial health staff, and training for village health workers.
Of 1850, commune, district, and province centers nationwide, 60%% were found to be located in nonflooding areas, whereas 10%% were located in areas with potential flooding of less than 2 m, and 30%% located in areas with potential flooding of more than 2 m.
Secondly, it was highlighted that the percentage of health units at commune, district and province level having weekly data reported were 26.6, 83.8, and 76.9%, respectively.
Sources and methods were triangulated by interviewing HWs and their managers at the commune, district, provincial and central levels in order to assure the trustworthiness of data [ 28].
An overarching theme of collaboration between sectors and across the four principal levels of the Vietnamese health system (commune, district, provincial, and national) was probed through an additional series of questions.
The study consisted of a survey using a self-administered questionnaire of 240 health workers in five districts across two Vietnamese provinces and in-depth interviews with 43 health workers and health managers at the commune, district and provincial level to explore external factors that influenced motivation.
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In addition, certain cities (or communes, districts) at the administrative level did change their boundaries over time, creating a bias or Modifiable Area Unit Problem (MAUP).
During the demonstration project, VHWs, commune and district staff in the two districts received a small monthly payment from project funds.
These insurance systems would give them free health care and free prescribed drugs at the commune and district levels, and reimbursement at higher levels corresponding to the cost at the district level.
It was sufficient for the commune and district levels, as they were at least familiar with "community-oriented" programmes.
The crowds then started vandalizing public buildings belonging to village, commune and district authorities, causing unspecified damage and disturbing social stability, it said.
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