Đánh giá kiến thức về sức khỏe của sinh viên năm nhất đại học viên chăn_LàoMeasuring Health Literacy in First Year University Students in Vientiane, Lao PDR

Đánh giá kiến thức về sức khỏe của sinh viên năm nhất đại học viên chăn_LàoMeasuring Health Literacy in First Year University Students in Vientiane, Lao PDRLaina Runk, University of Queensland, Australia Viengnakhone Vongxay, University of Health Sciences, Lao PDRDr. Vanphanom Sychareun, University of Health Sciences, Lao PDRDr. Joanne Durham, University of Queensland, AustraliaObjectives:To measure health literacy in this population groupTo document the recurring gaps in health literacy in this population groupTo identify common themes in health literacy in this population groupTo suggest improvements to the health literacy measurement tool, if needed.Lao PDR Context:Singleparty, socialist republicMinistry of Health virtually only health care providerHealthcare comprises only 4.1% (2011) of the nation’s GDP Poor financial and geographical access to services a large issue for the population63% of nation’s health care expenditure is outofpocket patient expensesSystem focused on communicable disease and maternal neonatal and child healthMaternal mortality rate is 405 deaths 100 000 live births Infant mortality rate is 54 1 000 live birthsData Collection:HLSAsia Questionnaire244 students completed the questionnaireStudents sampled at random from Faculty of Environmental Sciences and Faculty of Economics and Business Administration Vignettestyle Interviews 17 students interviewed

Measuring Health Literacy in First Year

University Students in

Vientiane, Lao PDR

Laina Runk, University of Queensland, Australia Viengnakhone Vongxay, University of Health Sciences, Lao PDR

Dr Vanphanom Sychareun, University of Health Sciences, Lao

PDR

Dr Joanne Durham, University of Queensland, Australia

Presented by: Viengnakhone Vongxay, MD; MPH

• To measure health literacy in this population group

• To document the recurring gaps in health

literacy in this population group

• To identify common themes in health

literacy in this population group

• To suggest improvements to the health

literacy measurement tool, if needed

Lao PDR Context

• Single-party, socialist republic

• Ministry of Health virtually only health care provider

• Healthcare comprises only 4.1% (2011) of the nation’s GDP

• Poor financial and geographical access to services a large issue for the population

• 63% of nation’s health care expenditure is out-of-pocket patient expenses

• System focused on communicable disease and maternal neonatal and child health

• Maternal mortality rate is 405 deaths/ 100 000 live births*

• Infant mortality rate is 54/ 1 000 live births*

* According to the 2005 national census

Data Collection

• HLS-Asia Questionnaire

Environmental Sciences and Faculty of

Economics and Business Administration

• Vignette-style Interviews

HLS Questionnaire

• 47-question measure of health literacy

reflecting four dimensions and three

domains of health literacy

• Health literacy index score calculated based

on European comparative study

Findings

Mean Standar

d Deviatio

n

Minimu

m Maximu m

Disease Prevention

HL 25.23 6.73 7.78 47.78 Health Promotion

HL 27.94 6.23 9.38 50.00

• Students scored poorly on questions not reflective of the Lao context

• Finding information on health screenings and judging which screenings one should have

• How to prevent/manage chronic conditions

• Finding information on political changes that may affect

health

• Difficulty in calling an ambulance

• Students scored strongly on questions less reliant on context

• The ability to understand instructions from the doctor or about prescription use

• Qualitative interviews reflect a higher level

of health literacy if considered in the

context of the Lao health system

information

doctor may be necessary

from scenarios

• Consideration of context is crucial when

measuring health literacy

• HLS-Asia measurement tool may require some revision when used in the context of Lao PDR and other developing nations with less comprehensive health systems

create a more accurate picture of health

literacy in the context of Lao culture

THANK

YOU