Vietnam's Nationwide Free Health Screenings Aim for Early Detection and Prevention

Ho Chi Minh City is vigorously promoting a free health screening program for all citizens, aiming to enhance early detection and preventive healthcare. This initiative is a significant step towards raising health awareness among residents and improving access to medical services. Ms. Hien, 65, along with two neighbors, visited the People's Gia Dinh Hospital early in the morning. They expressed their hope to "check if there are any unknown illnesses" through the free health check-up. The hospital's health screening and triage area, set up separately from the regular outpatient department, was already bustling with people from just after 6 AM. While some districts had scheduled mobile clinics at schools for the following week, Ms. Hien and her friends learned about the "non-geographic" option, allowing them to receive check-ups at any participating medical facility regardless of their residence. They chose the People's Gia Dinh Hospital, which offers services throughout the week and is conveniently located. "It's more enjoyable with company and a good chance to know my health status. It's truly a blessing for us elderly people that the city provides free check-ups," Ms. Hien remarked. Previously, Ms. Hien had used health insurance for her acid reflux treatment, but she still had to pay several hundred thousand Vietnamese Dong out-of-pocket for medications not covered by insurance. She had hesitated to undergo a comprehensive health check-up due to the cost. However, the free program has removed that barrier. Ms. Hien's health screening results showed her blood sugar levels and liver and kidney functions were within the normal range, bringing her relief. In contrast, one of her companions was diagnosed with high blood pressure and high cholesterol, despite having no prior symptoms. Beyond hospital-based examinations, the program also includes mobile clinics organized by wards and towns at schools, cultural centers, and public facilities. Residents can choose locations or adhere to local schedules. According to the Head of the Outpatient Department at People's Gia Dinh Hospital, both facilities handle an average of 100-150 patients daily, with abnormal cases being referred for specialized examinations and treatment under health insurance. The primary challenge for medical staff is not just personnel but also data processing. Entering information into the electronic health record system often extends beyond regular working hours. On weekends, even with about 20 staff working continuously, processing 500 records is the limit. Ho Chi Minh City is implementing a 150-day intensive campaign with the goal of achieving universal health coverage and establishing a unified electronic health record system by 2026. To date, approximately 1.5 million people have undergone screenings, with many districts exceeding 50% population coverage. However, challenges remain, including low participation rates in some areas. Additionally, at some screening sites, manual registration and call-out systems lead to long waiting times, particularly for the elderly. Efforts to raise awareness and encourage participation also vary by locality, with some individuals not participating due to work commitments or a belief that they are still healthy.