Decades of Redefinition: Reflections on Gender Roles in China

Croll, Elisabeth

doi:10.1007/978-1-349-12622-4_5

Cited by 2 publications

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly to many developing countries, the prevalence of hypertension was generally lower in women than in men [11,12,22] but it reversed in some socially less privileged groups in Ba-Vi area, such as among women with lower occupational or economic status [11]. Vietnamese women possibly tolerate hardships better and sacrifice more for their families in traditional Confucian-based gender ideologies with a culture of female subordination [23]. Perhaps this tradition tends to make women neglectful of chronic diseases (including hypertension) until complications happen.…”

Section: Discussionmentioning

confidence: 99%

Implementing a hypertension management programme in a rural area: local approaches and experiences from Ba-Vi district, Vietnam

et al. 2011

View full text Add to dashboard Cite

BackgroundCostly efforts have been invested to control and prevent cardiovascular diseases (CVD) and their risk factors but the ideal solutions for low resource settings remain unclear. This paper aims at summarising our approaches to implementing a programme on hypertension management in a rural commune of Vietnam.MethodsIn a rural commune, a programme has been implemented since 2006 to manage hypertensive people at the commune health station and to deliver health education on CVD risk factors to the entire community. An initial cross-sectional survey was used to screen for hypertensives who might enter the management programme. During 17 months of implementation, other people with hypertension were also followed up and treated. Data were collected from all individual medical records, including demographic factors, behavioural CVD risk factors, blood pressure levels, and number of check-ups. These data were analysed to identify factors relating to adherence to the management programme.ResultsBoth top-down and bottom-up approaches were applied to implement a hypertension management programme. The programme was able to run independently at the commune health station after 17 months. During the implementation phase, 497 people were followed up with an overall regular follow-up of 65.6% and a dropout of 14.3%. Severity of hypertension and effectiveness of treatment were the main factors influencing the decision of people to adhere to the management programme, while being female, having several behavioural CVD risk factors or a history of chronic disease were the predictors for deviating from the programme.ConclusionOur model showed the feasibility, applicability and future potential of a community-based model of comprehensive hypertension care in a low resource context using both top-down and bottom-up approaches to engage all involved partners. This success also highlighted the important roles of both local authorities and a cardiac care network, led by an outstanding cardiac referral centre.

show abstract