The Association Between Gender Inequalities and Women's Utilization of Maternal Health Services: A Cross-Sectional Survey in Eight South Central Coast Provinces, Vietnam

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Bui, Ha Thi ThuHanoi Univ Publ Hlth, Fac Social Sci Behav & Hlth Educ, Hanoi, Vietnam (author)

The Association Between Gender Inequalities and Women's Utilization of Maternal Health Services : A Cross-Sectional Survey in Eight South Central Coast Provinces, Vietnam

Article/chapterEnglish2018

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2018
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LIBRIS-ID:oai:DiVA.org:uu-358207
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-358207URI
https://doi.org/10.1097/PHH.0000000000000728DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Background: Gender inequalities influence the utilization of maternal health services in Vietnam, but little research has been published. This study, therefore, aimed to explore the association between gender inequalities and women's utilization of maternal health services in Vietnam.Methods: The study was conducted in 8 provinces in the South Central Coast region of Vietnam during August 2013 to May 2014. A total of 907 women who delivered a year prior to the date of interview participated in the study. A multiple logistic regression model was used to examine the association between gender inequalities (including sociodemographic determinants of health) and utilization of 4 or more antenatal care (ANC4+) services, institutional delivery, and ever used contraceptive methods.Results: The utilization rate of maternal health services was varied, from 53.9% for ANC4+ to 87.7% for ever used a contraceptive method and 97% for institutional delivery. Ethnicity was identified as the most influential variable out of all sociodemographic determinants of health. Regarding gender inequalities, couple communication was the only variable having significant association with women's utilization of maternal health services.Conclusion: Women's equal role within context of their daily life and relations with their husbands (discussing maternal care with husband and having equal income to husband) supported their use of maternal health services. Therefore, there should be concerted efforts from all relevant stakeholders including the health system to focus on disadvantaged women in planning and delivery of maternal health services, especially to ethnic minority women. Male involvement strategy should be implemented to promote maternal health care, especially during the prenatal and postpartum period. To provide more culturally sensitive and right-based approaches in delivery of maternal health services to disadvantaged women in Vietnam, interventions are recommended that promote male involvement, that is, to engage men in service delivery to adapt and ensure the most appropriate and effective maternal health care.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
couple communication
ethnic minority
gender equality
maternal health care
South Central Coast region
Vietnam

Added entries (persons, corporate bodies, meetings, titles ...)

Le, Thi MinhHanoi Univ Publ Hlth, Fac Social Sci Behav & Hlth Educ, Hanoi, Vietnam (author)
Pham, Tac VanMinist Hlth, Hanoi, Vietnam (author)
Doan, Duong Thi ThuyHanoi Univ Publ Hlth, Fac Social Sci Behav & Hlth Educ, Hanoi, Vietnam (author)
Nguyen, Duy AnhHanoi Obstet & Gynecol Hosp, Hanoi, Vietnam (author)
Nguyen, Canh ChuongHanoi Obstet & Gynecol Hosp, Hanoi, Vietnam (author)
Duc, Duong Minh,1984-Uppsala universitet,Internationell barnhälsa och nutrition,Hanoi Univ Publ Hlth, Fac Social Sci Behav & Hlth Educ, Hanoi, Vietnam(Swepub:uu)ducdu655 (author)
Hanoi Univ Publ Hlth, Fac Social Sci Behav & Hlth Educ, Hanoi, VietnamMinist Hlth, Hanoi, Vietnam (creator_code:org_t)

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In:Journal of Public Health Management and Practice24:2, s. S19-S271078-46591550-5022

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