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Multiple vulnerabilities and maternal healthcare in Vietnam: findings from the Multiple Indicator Cluster Surveys, 2000, 2006, and 2011
- Source :
- Global Health Action, Global Health Action, Vol 9, Iss 0, Pp 1-8 (2016), Global Health Action; Vol 9 (2016): incl Supplements
- Publication Year :
- 2016
- Publisher :
- Informa UK Limited, 2016.
-
Abstract
- Background: Knowledge of the aggregate effects of multiple socioeconomic vulnerabilities is important for shedding light on the determinants of growing health inequalities and inequities in maternal healthcare.Objective: This paper describes patterns of inequity in maternal healthcare utilization and analyzes associations between inequity and multiple socioeconomic vulnerabilities among women in Vietnam.Design: This is a repeated cross-sectional study using data from the Vietnam Multiple Indicator Cluster Surveys 2000, 2006, and 2011. Two maternal healthcare indicators were selected: (1) skilled antenatal care and (2) skilled delivery care. Four types of socioeconomic vulnerabilities – low education, ethnic minority, poverty, and rural location – were assessed both as separate explanatory variables and as composite indicators (combinations of three and four vulnerabilities). Pairwise comparisons and adjusted odds ratios were used to assess socioeconomic inequities in maternal healthcare.Results: In all three surveys, there were increases across the survey years in both the proportions of women who received antenatal care by skilled staff (68.6% in 2000, 90.8% in 2006, and 93.7% in 2011) and the proportions of women who gave birth with assistance from skilled staff (69.9% in 2000, 87.7% in 2006, and 92.9% in 2011). The receipt of antenatal care by skilled staff and birth assistance from skilled health personnel were less common among vulnerable women, especially those with multiple vulnerabilities.Conclusions: Even though Vietnam has improved its coverage of maternal healthcare on average, policies should target maternal healthcare utilization among women with multiple socioeconomic vulnerabilities. Both multisectoral social policies and health policies are needed to tackle multiple vulnerabilities more effectively by identifying those who are poor, less educated, live in rural areas, and belong to ethnic minority groups.Keywords: healthcare; skilled antenatal care; skilled delivery; multiple socioeconomic vulnerabilities; inequity; inequality(Published: 29 February 2016)Citation: Glob Health Action 2016, 9: 29386 - http://dx.doi.org/10.3402/gha.v9.29386This paper is part of the Special Issue: Millennium Development Goals in Vietnam: the Progress and Social Determinants. More papers from this issue can be found at www.globalhealthaction.net
- Subjects :
- Rural Population
Program evaluation
inequality
Ethnic group
0302 clinical medicine
Pregnancy
Surveys and Questionnaires
Health care
Ethnicity
Medicine
030212 general & internal medicine
Socioeconomics
media_common
education.field_of_study
Multiple Indicator Cluster Surveys
lcsh:Public aspects of medicine
Health Policy
healthcare
Public Health, Global Health, Social Medicine and Epidemiology
multiple socioeconomic vulnerabilities
Vietnam
Female
Original Article
Public Health
0305 other medical science
Adult
Inequality
media_common.quotation_subject
Population
Developing country
03 medical and health sciences
Environmental health
Humans
Maternal Health Services
Healthcare Disparities
education
Socioeconomic status
030505 public health
skilled antenatal care
business.industry
Public Health, Environmental and Occupational Health
skilled delivery
inequity
lcsh:RA1-1270
Patient Acceptance of Health Care
Delivery, Obstetric
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Cross-Sectional Studies
Socioeconomic Factors
Special Issue: Millennium Development Goals in Vietnam: the Progress and Social Determinants
business
Subjects
Details
- ISSN :
- 16549880 and 16549716
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Global Health Action
- Accession number :
- edsair.doi.dedup.....7e72f8c681568cb2afb6f0929e10a572