Barriers and facilitators to the integration of depression services in primary care in Vietnam: a mixed methods study.

摘要: Although the prevalence of depression in Vietnam is on par with global rates, services for are limited. The government has prioritized enhancing care through primary healthcare (PHC) and efforts currently underway to test scale-up psychosocial interventions throughout country. With these initiatives progress, it important understand implementation factors that might influence successful integration into PHC. As implementers new interventions, providers (PHPs) well placed provide insight affecting This mixed-methods study examines at individual, organizational structural levels may act as barriers facilitators PHC from perspective PHPs. Data collection took place Hanoi, 2014. We conducted semi-structured interviews PHPs (n = 30) commune health centres outpatient clinics one rural urban district Hanoi. Theoretical thematic analysis was used analyse interview data. administered an online survey n = 150 randomly selected communes across N = 226 responded survey. descriptive statistics describe variables acting a chi-square independence indicate statistically significant (p < .05) associations between profession, location gender Individual-level include low level knowledge familiarity among Organizational resource availability managerial discretion. Barriers limited mental training all existing programmatic structure Vietnam, which sets apart general services. Facilitators individual positive attitudes towards people interest undergoing enhanced service delivery. While facilitating encouraging, considerable must be addressed ensure Vietnam.