Maternal health care utilization in Viet Nam: increasing ethnic inequity

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Fältnamn	Indikatorer	Metadata
000		03223naa a2200301 4500
001		oai:DiVA.org:uu-198183
003		SwePub
008		130410s2013 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-1981832 URI
024	7	a https://doi.org/10.2471/BLT.12.1124252 DOI
040		a (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Målqvist, Mats,d 1971-u Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH),Internationell barnhälsa och nutrition/Persson4 aut0 (Swepub:uu)matma534
245	1 0	a Maternal health care utilization in Viet Nam :b increasing ethnic inequity
264	1	c 2013
338		a print2 rdacarrier
520		a ObjectiveTo investigate changes that took place between 2006 and 2010 in the inequity gap for antenatal care attendance and delivery at health facilities among women in Viet Nam.MethodsDemographic, socioeconomic and obstetric data for women aged 15–49 years were extracted from Viet Nam’s Multiple Indicator Cluster Survey for 2006 (MICS3) and 2010–2011 (MICS4). Multivariate logistic regression was performed to determine if antenatal care attendance and place of delivery were significantly associated with maternal education, maternal ethnicity (Kinh/Hoa versus other), household wealth and place of residence (urban versus rural). These independent variables correspond to the analytical framework of the Commission on Social Determinants of Health.FindingsLarge discrepancies between urban and rural populations were found in both MICS3 and MICS4. Although antenatal care attendance and health facility delivery rates improved substantially between surveys (from 86.3 to 92.1% and from 76.2 to 89.7%, respectively), inequities increased, especially along ethnic lines. The risk of not giving birth in a health facility increased significantly among ethnic minority women living in rural areas. In 2006 this risk was nearly five times higher than among women of Kinh/Hoa (majority) ethnicity (odds ratio, OR: 4.67; 95% confidence interval, CI: 2.94–7.43); in 2010–2011 it had become nearly 20 times higher (OR: 18.8; 95% CI: 8.96–39.2).ConclusionInequity in maternal health care utilization has increased progressively in Viet Nam, primarily along ethnic lines, and vulnerable groups in the country are at risk of being left behind. Health-care decision-makers should target these groups through affirmative action and culturally sensitive interventions.
700	1	a Lincetto, Ornellau World Health Organization, Hanoi, Viet Nam4 aut
700	1	a Huy Du, Nguyenu United Nations Children’s Fund, Hanoi, Viet Nam4 aut
700	1	a Burgess, Craigu United Nations Children’s Fund, Hanoi, Viet Nam4 aut
700	1	a Hoa, Dinh Thi Phuongu Hanoi School of Public Health, Hanoi, Viet Nam4 aut
710	2	a Uppsala universitetb Internationell mödra- och barnhälsovård (IMCH)4 org
773	0	t Bulletin of the World Health Organizationg 91:4, s. 254-261q 91:4<254-261x 0042-9686x 1564-0604
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-198183
856	4 8	u https://doi.org/10.2471/BLT.12.112425

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Av författaren/redakt...: Målqvist, Mats, ...; Lincetto, Ornell ...; Huy Du, Nguyen; Burgess, Craig; Hoa, Dinh Thi Ph ...

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Av lärosätet: Uppsala universitet

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