World Development Power Reinforcement Business, Vietnam
The Study Training Experience-based Report in Bach Mai Hospital
Kobe University of Occupational Therapy Department
Natsumi Uejo

《First》
Vietnam does not have schools of the occupational therapy yet and Japan Overseas
Cooperation Volunteers (JOCV) are dispatched from 2004, but do not lead to the subject
establishment. Though Vietnam reaches an aging society at the speed that is faster than Japan,
and there are a lot of voices to expect occupational therapy by the medical care. There aremany places with the occupational therapy room in a hospital, but it is the present conditions
that physical therapists and nurses perform occupational therapy. So, I conducted a fieldsurvey about consciousness to occupational therapy for the rehabilitation staff who belongs toa hospital in Hanoi as the graduation study.
Research and training of this time in two weeks of September 11 to 24 days, was indebted to
the Bach Mai hospital with Kayoko Hayashi of another trainees. I got the chance to experience
not only questionnaire survey implementation but also the occupational therapy room tourand a training. Also, I presented a rehabilitation staff of the Back Mai hospital about Japanesework therapy.

《About questionnaire survey》
Questionnaire contents were divided into five large, that is ①occupational therapy content②the target disease in occupational therapy ③the evaluation used in occupational therapy④the training tool used in occupational therapy ⑤the way of obtaining the information aboutoccupational therapy. Especially ① ~ ④ is that I question the two patterns of the actual
content and the thinking for each, and investigate the awareness and actual situation withrespect to occupational therapy of the medical staff of Vietnam. I do not know the results ofthe survey yet because it is currently in the analysis, but no answer has been found moreparticularly for the question of thinking. As the cause, I think that not only abundance ofquestionnaire items and alternatives but also lack of information and knowledge aboutoccupational therapy would be a cause.

《About presentation》
The Bach Mai hospital has an occupational therapy room, awareness of occupational therapy
is high, but information about occupational therapy is insufficient. So, we had a presentation
about the Japanese occupational therapy towards the rehabilitation staff, thought that theunderstanding help for occupational therapy. I carried out presentation with Ms. Hayashi, andtranslator told the staff in Vietnamese that we were talking in English. We made threecontents, that is ①the overview of occupational therapy ② the flow of occupational therapy
implementation ③the case of occupational therapy. After the presentation, we received theimpressions, such as it was very interesting. I am happy if they could get a better opportunity
to understand occupational therapy.

Presentation in Vietnam

With staff after presentation《About hospital visits and practical training》
Occupational therapy room of the Bach Mai hospital is operated by 5 to 10 interns and twostaff. Interns has come from nursing schools that are juxtaposed to Bach Mai hospital andcolleges, and had done occupational therapy with staff. In one hour per patient in theoccupational therapy, a staff is in charge of four patients in one hour. Because staff cannot see
only one patient in an hour all, the staff responsible for the 15 minutes per one patient, internis in charge the 45 minutes of the rest. Because more than 40 patients came to occupational
therapy room in one day, the staff was a lack of overwhelming number of people, so interns
had been seen as immediate use. From the middle of the first week, I and Ms. Hayashi werein charge of some of the patients.

Training equipment was different, such as chopsticks, spoons and pegboard. There weremany handmade things. For example, the chopsticks mounting a pair of tweezers, the spoon
thickening the handle part by inserting to straw and so on.
What it is decisively different from Japan was to not make the work of such as leather workand embroidery in occupational therapy. Also, the cooperation of patient’s family is very large,
and I saw many family waiting in front of every morning early hospital. Assistance of meals
and move in the hospital is performed by the family, I saw a lot of patients who were brought
to the occupational therapy room by the family.

(left)occupational therapy room in Bach Mai hospital(right)training tool used in occupational therapy《About life in Vietnam》
・TrafficVietnam is heavier traffic volume than Japan, especially bike was seen everywhere. Traffic
rules not been protected, for example, not wearing a helmet, signal ignored and overtaking. I
look at the traffic conditions in Vietnam, so I convinced the fact that head trauma due to traffic
accidents went up to the top of the cause of death.

・Food
Noodles such as Pho and Bun Cha was abundant in Vietnam, but there were many good
foods such as bánh xèo (Vietnam-style pancake), bánh mì (sandwich with French bread) andspring roll.
Fruit is also delicious. There were many fruits which I had not eaten, such as papaya anddragon fruit, but any fruits were very delicious.

・PricesVietnam prices are cheaper than in Japan. Vietnam money is the Dong, 20,000 dong = about
100 yen. From the hotel to the hospital I had to take a taxi every time, it was cheap because ofabout 500 yen at a distance of about 15 minutes by car.

State of the traffic

Dragon fruit

Bun Cha and Fried spring rolls

Lunch cafeteria

《Finally》
There was a short period of two weeks, but I had a very valuable experience. I was allowed toexperience to perform the occupational therapy to patients in the place that does not put ingeneral of the National Hospital. I thought strongly would like to take advantage in the futurefrom this experience

Thanks for everyone concerned of the Bach Mai hospital, Kobe University and everyone who
supported me for this program.](left)In front of the rehabilitation center in Bach Mai hospital(right)With staff and interns in Bach Mai hospital