Privacy? None. New patients just walk in to the doctors office and take a seat while she's still talking to the current patient. HIPPA monitors would have a fit! I'll be in the middle of sticking a patient and someone will reach over and drop their papers on the desk. There's really no sense of a line or waiting their turn but it doesn't seem to bother anyone else, just me!
Gloves? With known hepatitis patients? None. But they insisted I wear a mask for everything, even a vaccination which has very low splash risk.
Rabies- Very few people get the vaccines to prevent rabies as they cost 210,0000 dong ($10) each for three and they don't understand the need. But if bit by any of the gazillion stray dogs roaming the streets, they're treated based on the dog (if known or stray, dead or alive after 2 weeks) and that is when a visit to the clinic happens. Vi told me there is no concept of trying to prevent it by rounding up stray dogs or educating the public on the health risks (guess that's my public health mindset thinking!).
Diabetes- The doctor manages a shockingly large number of cases she told me. Approx 90% are type 2 which surprised me since it's a pretty thin country and with a diet of rice, veggies, noodles and fruit (and only 1 store sells m&ms), they seem to eat pretty healthy. The clinic stocks home glucose monitors even.
HPV vaccines- Gardasil and cervicax are given to women in their teens and 20s (90% of women 9-25) and older women who want it even. Women get paps every 6 months though Vi says most women don't actually do it that often. They start at 18 regardless of any other factors. I was happy to hear that women seem to be getting their health needs met for the most part.
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