Knowledge about Universal Health Coverage among TB-related community-based organizations in Vietnam and associated factors

Objectives: This study aims to access the knowledge about Universal Health Coverage (UHC) among members of Tuberculosis (TB)-related community-based organizations in Vietnam and several associated factors.

Methods: A cross-sectional study was conducted in 2024 across three provinces in Vietnam: Hai Phong, Gia Lai, and Nghe An. A total of 301 key members of TB-related CBOs.

Results: The majority of participants (79.4%) had heard of UHC, with 63.6% obtaining information through community meetings.  Only 34.2% provided a correct definition of UHC. Leadership roles were significantly associated with better knowledge [AOR=0.26, 95% CI = 0.08-0.80]. Misconceptions included equating UHC with free healthcare services or mandatory health insurance. Members aged 41–50 and outreach workers were less likely to correctly define UHC compared to younger members and leaders [AOR=0.40; 95%CI=0.18—0.91 and AOR=0.48, 95%CI=0.25-0.94, respectively].

Conclusions: Although the number of participants having heard of UHC is relatively high, the comprehensive knowledge of UHC remains limited among CBO members, impeding their advocacy capacity. Targeted educational interventions are essential to bridge knowledge gaps, particularly among outreach workers and less-educated members, to strengthen CBOs' roles in advancing Vietnam’s UHC goals toward better support for TB-affected populations.

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