By the end of 2008, 99% of all communes (the local administrative unit in Vietnam) in the country had a communal health station (CHS), including the northern mountainous communes inhabited by ethnic minorities [ 1].
One of the recommendations from the first compliance survey in July 2006 was that stronger project promotion was required in mountainous communes with high proportions of ethnic minority groups.
Ensuring a continuum of care for vulnerable children in Viet Nam Mua A-Dung lives in a small thatched house on a mountain in Hua Ngai Commune of Dien Bien, a northern mountainous province of Viet Nam.
A study, by Eross et al., identified one patient with CH and one with HC in a series of 100 subjects who believed they had sinus headache [11] while Sjaastad & Bakketeig interviewed 1838 inhabitans (from 18 to 65-year-old) of the Vågå commune in the mountainous area of southern Norway.
The highest rates occurred within Andean mountainous areas, mainly Palena and Cochamó communes (350 and 364 cases per 100,000 inhabitants, respectively).
A selected sample of disadvantaged communes, mostly in the remote mountainous areas with high proportion ethnic minorities was targeted.
FGD, Health workers in Nam Xuan and Hien Kiet communes, Quan Hoa district, Thanh Hoa province, mountainous Health staff emphasized that introduction of a new vaccine required greater investment in communication activities and training to deliver the first dose, leading to significant changes in their workload, which decreased for the second and third doses.
On October 22, cholera cases were notified in 14 additional communes, most of them in the mountainous regions bordering the Artibonite plain and in Port-au-Prince.
(Commune level_Manager_1) Health workers at CHCs, especially in scattered mountainous areas, report that they often feel that they are poor performers, when the service target (at least 70 80 % of pregnant women have prenatal checks) is continually not achieved.
The mountainous Muong Lat district (850 km; 35959 inhabitants; 1 town and 7 communes) is located in Thanh Hoa province in the North Central Coast region of Vietnam, bordering Son La province, where an outbreak of human trichinellosis occurred in 2008, and Lao PDR.
