Health policy processes in maternal health: A comparison of Vietnam, India and China

Green, Andrew; Gerein, Nancy; Mirzoev, Tolib; Bird, Philippa K; Pearson, Stephen; Anh, Le Vu; Martineau, Tim; Mukhopadhyay, Maitrayee; Qian, Xu; Ramani, K. V.; Soors, Werner

doi:10.1016/j.healthpol.2010.11.016

Cited by 30 publications

(32 citation statements)

References 9 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, sexual relations and activities of today’s young males and females had changed beyond the decree of Confucian gender norms[3, 4, 33]. Despite various programs or policies that pertain to adolescent reproductive health (ARH) had been developed in China and Vietnam, ARH process were affected by social sensitivities [34]. Provision of contraceptions or other reproductive health services were not routinely provided to adolescents, despite included in few ARH programs [4, 35].…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Adolescent Premarital Sexual Permissiveness in Three Asian Cities: Effects of Gender-Role Attitudes

Zuo

Lou

Gao

et al. 2012

Journal of Adolescent Health

109

View full text Add to dashboard Cite

Purpose Gender is an important factor in understanding premarital sexual attitudes and behaviors. Many studies indicate that males are more likely to initiate sexual intercourse and have more permissive perceptions about sex than females. Yet few studies have explored possible reasons for these gender differences. With samples of unmarried adolescents in three Asian cities influenced by Confucian cultures, this paper investigates the relationship between underlying gender norms and these differences in adolescents’ premarital sexual permissiveness. Methods 16,554 unmarried participants aged 15–24 were recruited in the Three-City Asian Study of Adolescents and Youth, a collaborative survey conducted in 2006–2007 in urban and rural areas of Hanoi, Shanghai and Taipei, with 6204, 6023 and 4327 from each city respectively. All of the adolescents were administered face-to-face interviews, coupled with Computer Assisted Self Interview (CASI) for sensitive questions. Scales on gender-role attitudes and on premarital sexual permissiveness for both male and female respondents were developed and applied to our analysis of the data. Multi-linear regression was used to analyze the relationship between gender-role attitudes and sexual permissiveness. Results Male respondents in each city held more permissive attitudes towards premarital sex than did females with both boys and girls expressing greater permissiveness to male premarital sexual behaviors. Boys also expressed more traditional attitudes to gender roles (condoning greater inequality) than did girls in each city. Adolescents’ gender-role attitudes and permissiveness to premarital sex varied considerably across the three cities, with the Vietnamese the most traditional, the Taiwanese the least traditional, and the adolescents in Shanghai in the middle. A negative association between traditional gender roles and premarital sexual permissiveness was only found among girls in Shanghai and Taipei. In Shanghai, female respondents who held more traditional gender role attitudes were more likely to exercise a double standard with respect to male as opposed to female premarital sex (OR=1.18). This relationship also applied to attitudes of both girls and boys in Taipei (OR=1.20 and OR=1.22, respectively). Conclusions Although with variation across sites, gender differences in premarital sexual permissiveness and attitudes to gender roles among adolescents were very significant in each of the three Asian cities influenced by Confucian-based values. Traditional gender norms may still be deeply rooted in the three cities, especially among females, while it is important to advocate gender equity in adolescent reproductive health programs, the pathway of traditional gender norms in influencing adolescent reproductive health outcomes must be understood, as must differences and similarities across regions.

show abstract

Section: Discussionmentioning

confidence: 99%

Gender Differences in Adolescent Premarital Sexual Permissiveness in Three Asian Cities: Effects of Gender-Role Attitudes

Zuo

Lou

Gao

et al. 2012

Journal of Adolescent Health

109

View full text Add to dashboard Cite

show abstract

“…In each country, three case studies were selected corresponding to: a) an area of international prominence, b) a generally neglected area and c) an aspect of the health system. This enabled comparing health policies of different technical and social nature, in recognition that the nature of policy issue can affect health policy processes (Green et al, 2011), and thus generate findings which are more representative of the country context as compared with focusing on just one area. The choice of prominent, neglected and health systems areas was guided by their likely differences in availability of resources and technical complexity, which affect availability, quality and accessibility of evidence to inform policy development.…”

Section: Methodsmentioning

confidence: 99%

Contextual influences on the role of evidence in health policy development: what can we learn from six policies in India and Nigeria?

Mirzoev

Das

Ebenso

et al. 2017

Evidence &Amp; Policy

Self Cite

View full text Add to dashboard Cite

Abstract:This study explored macro, meso and micro-level influences on the role of evidence in the development of six health policies in India and Nigeria. Macro-level influences included adoption of international agreements, movement towards evidence-informed policymaking, committed country leadership and resource environment. At meso level, national actors drove policy processes with support from the international actors. Micro-level influences included individual values, interests and evidence preferences. Factors at three levels are interrelated. Greater understanding of contextual influences can provide a platform for adapting to, or managing, these influences to improve evidence-informed nature of health policymaking.

show abstract

Section: Methodsmentioning

confidence: 99%

“…9,10 The research analyzed all stages of policy processes: policy agenda-setting, development and implementation. 9 In Vietnam, the NPSM 2003-2010 was selected to study the policy on skilled birth attendance (SBA). 10 The data collection was undertaken between December 2006 and July 2008, using in-depth interviews and focus group discussions with key policy actors and document review, as we set out next.…”

Section: Methodsmentioning

confidence: 99%

Shaping the Health Policy Agenda: The Case of Safe Motherhood Policy in Vietnam

Ha¹,

Mirzoev²,

Mukhopadhyay³

2015

Int J Health Policy Manag

Self Cite

View full text Add to dashboard Cite

Implications for policy makers• The available evidence will help to justify the severity of health problem • The perceived quality of evidence is not always meet all criteria (credibility, generalisability, reliability, objectivity, and rootedness) • Advocacy skills are important for getting attention from policy-makers to health problem. Implications for publicHigh maternal mortality remains a central policy concern in Vietnam. With great efforts from Ministry of Health (MoH) and other international development partners, safe motherhood (SM) policy aiming to reduce maternal mortality, was received attention from government and became a national health target program with annual government funding since 2008.

show abstract

Health policy processes in maternal health: A comparison of Vietnam, India and China

Cited by 30 publications

References 9 publications

Gender Differences in Adolescent Premarital Sexual Permissiveness in Three Asian Cities: Effects of Gender-Role Attitudes

Gender Differences in Adolescent Premarital Sexual Permissiveness in Three Asian Cities: Effects of Gender-Role Attitudes

Contextual influences on the role of evidence in health policy development: what can we learn from six policies in India and Nigeria?

Shaping the Health Policy Agenda: The Case of Safe Motherhood Policy in Vietnam

Contact Info

Product

Resources

About