Socioeconomic Factors Relevant to the Inequity in Antenatal Care Accessibility in Vietnam

Mami Wakabayashi

Abstract


Introduction: To inform maternal health improvements, the purpose of this study was to identify the socioeconomic factors affecting access to basic antenatal care (ANC).
Methods: 1,360 women (aged 15-49 years) from the Multiple Indicator Cluster Survey were classified according to the frequency of ANC and the health assessments completed.
Results: Low education was the strongest determinant for refusal to use ANC (OR: 9.2-39.3; p < .01) and frequency of use below the three recommended visits (OR: 6.9-39.3; p < .01). In terms of quality of care, low income (OR: 5.6-25.6; p < .01) and living in the Northern Midland and Mountain area (OR: 5.9-8.1; p < .01) were associated with incomplete care.
Conclusions: Different approaches are needed for each group, including measures such as improving health literacy and advocating for better services in low-income regions.


Keywords


Antenatal care accessibility; Cross-sectional survey; Education levels; Health care inequity; Maternal mortality; Socioeconomic status; Vietnam

Full Text:

PDF

References


Central Population and Housing Census Steering Committee. (2010). The Vietnam population and housing census: Major findings.

Dat, V. D., Binns, C. W., & Lee, A. H. (2004). Utilization of delivery services at the primary health care level in rural Vietnam. Soc Sci Med, 59, 2585-2595.

Duong, D. V., Lee, A. H., & Binns, C. W. (2005). Measuring preferences for delivery services in rural Vietnam. Birth, 32(3), 194-202.

Finlayson, K., & Downe, S. (2013). Why do women not use antenatal services in low- and middle-income countries? A meta-synthesis of qualitative studies. Retrieved from PLoS Med website: http://dx.doi.org/10.1371/journal.pmed.1001373

General Statistics Office, Ministry of Health, and Ministry of Labor. (2012). Invalids, and social affairs: Monitoring the situation of children and women (Vietnam Multiple Indicator Cluster Survey: Final report) .

Goland, E., Hoa, D. T. P., & Målqvist, M. (2012). Inequity in maternal health care utilization in Vietnam. Int J Equity Health, 11(1), 24.

Hoa, H. T., Toan, N. V., Johansson, A., Hoa, V. T., Hojer, B., & Persson, L. A. (1996). Child spacing and two child policy in practice in rural Vietnam: cross sectional survey. BMJ. Retrieved from http://dx.doi.org/10.1136/bmj.313.7065.1113

Karlsen, S., Say, L., Souza, J. P., Hogue, C. J., , Calles, D. L., A Metin Gülmezoglu, A. M., & Raine, R. (2011). The relationship between maternal education and mortality among women giving birth in health care institutions: Analysis of the cross sectional WHO Global Survey on Maternal and Perinatal Health. BMC Public Health, 11, 606.

Kickbusch, I. S. (2001). Health literacy: Addressing the health and education divide. Health Promot Int, 16(3), 289-297.

Målqvist, M., Lincetto, O., Do, N. H., Burgess, C., & Hoa, D. T. (2013). Maternal health care utilization in Vietnam: Increasing ethnic inequity. Bull World Health Organ, 91(4), 254-261.

Målqvist, M., Nga, N. T., Eriksson, L., Wallin, L., Hoa, D. P., & Persson, L. A. (2011). Ethnic inequity in neonatal survival: A case-referent study in northern Vietnam. Acta Paediatr, 100(3), 340-346.

McDonald, P. (2000). Gender equity in theories of fertility transition. Popul Dev Rev, 26(3), 427-439.

McDonald, P. (2013). Societal foundations for explaining fertility: Gender equity. Demogr Res., 34, 981-994.

Ngo, A., & Hill, P. (2011). The use of reproductive healthcare at commune health stations in a changing health system in Vietnam. BMC Health Serv Res., 11(1), 237.

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int, 15(3), 259-267.

Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R., & Hafizur, R. M. (2008). Poverty and access to health care in developing countries. Ann N Y Acad Sci, 1136, 161-171.

Irwin, A., Valentine, N., Brown, C., Loewenson, R., Solar, O., Brown, H., …, Vega, J. (2006). The commission on social determinants of health: Tackling the social roots of health inequities. PLoS Medicine, 3(6), e106.

Saha, S. (2005). Dynamics governing women's decision on reproductive health matters: Reflections from a qualitative study in central India. Online J Health Allied Scs, 4(2), 5.

Simkhada, B., Van Teijlingen, E. R., Porter, M., & Simkhada, P. (2008). Factors affecting the utilization of antenatal care in developing countries: Systematic review of the literature. J Adv Nurs., 61(3), 244-260.

Thanh, C. B., Markham, C. M., Ross, M. W., Williams, M. L., Beasley, R. P., Tran, L. T., …, Le, T. N. (2012). Dimensions of gender relations and reproductive health inequity perceived by female undergraduate students in the Mekong Delta of Vietnam: A qualitative exploration. Int J Equity Health, 11(1), 63.

The World Bank. (2009). Country social analysis: Ethnicity and social development in Vietnam (Summary report). Washington.

Tran, T., Nguyen, C., Nguyen, H., Eriksson, B., Bondjers, G., Gottvall, K., …, Petzold, M. (2011). Urban-rural disparities in antenatal care utilization: A study of two cohorts of pregnant women in Vietnam. BMC Health Services Research, 11(1), 120.

Tran, T. K., Gottvall, K., Nguyen, H. D., Ascher, H., & Petzold, M. (2012). Factors associated with antenatal care adequacy in rural and urban contexts-results from two health and demographic surveillance sites in Vietnam. BMC Health Serv Res., 12, 40.

Trinh, L. T., Dibley, M. J., & Byles, J. (2007), Antenatal care procedures and information reported by women in three rural areas of Vietnam. Southeast Asian J Trop Med Public Health, 38(5), 927-935.

Trinh, L. T., Dibley, M. J., & Byles, J. (2007). Determinants of antenatal care utilization in three rural areas of Vietnam. Public Health Nurs, 24(4), 300-310.




DOI: http://dx.doi.org/10.3968/%25x

Refbacks

  • There are currently no refbacks.


Copyright (c) 2014 Mami Wakabayashi

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


Share us to:   


Remind

We are currently accepting submissions via email only.

The registration and online submission functions have been disabled.

Please send your manuscripts to [email protected],or  [email protected]  for consideration. We look forward to receiving your work.

 

 Articles published in Cross-Cultural Communication are licensed under Creative Commons Attribution 4.0 (CC-BY).

 CROSS-CULTURAL COMMUNICATION Editorial Office

Address: 1055 Rue Lucien-L'Allier, Unit #772, Montreal, QC H3G 3C4, Canada.
Telephone: 1-514-558 6138 
Website: Http://www.cscanada.net; Http://www.cscanada.org 
E-mail:[email protected]; [email protected]

Copyright © Canadian Academy of Oriental and Occidental Culture