Sex Ratio at Birth in Vietnam: Results From Data in CHILILAB HDSS, 2004 to 2013

Le, Vui Thi; Duong, Duc Minh; Nguyen, Anh Duy; Nguyen, Chuong Canh; Bui, Ha Thi Thu; Pham, Cuong; Le, Thi Minh Chau; Tran, Bich Huu

doi:10.1177/1010539517718334

Cited by 6 publications

(2 citation statements)

References 24 publications

(33 reference statements)

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“…Health professionals in Nepal have described the di culty of determining which patients are seeking abortion because of sex selection, as they are aware of the pressure some women feel to bear a son and the risk that they therefore may seek unsafe abortion services instead [65]. The imbalanced sex ratio is a great problem in Vietnam [66]. However, the legal ban for sex-selective abortions does not seem to be su cient to prevent these abortions, and it places a heavy burden on health professionals.…”

Section: Discussionmentioning

confidence: 99%

Midwives Experiences and Views of Their Working Conditions in Vietnamese Maternity Care – A Qualitative Study

Holmlund¹,

Lan²,

Edvardsson³

et al. 2020

Preprint

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Background There is a global need to extend the midwifery workforce in order to improve maternal and newborn health. On the other hand, a significant number of midwives experience work-related psychological distress, present work-related burnout symptoms and are considering leaving the profession due to work strain. This study explores Vietnamese midwives’ experiences and views of their working conditions in maternity care.Methods Four focus group discussions with midwives (n=25) working within maternity care at three hospitals in the Hanoi area, Vietnam, were undertaken. Data were analysed using qualitative content analysis. Results The overall theme, “Practising midwifery requires commitment”, represents midwives’ views of the need to always being alert and flexible as their work continually shifts. The first category “Being the central link in the web of care”, describes midwives having a key role in maternity care although collaborations with other health professions were important to be able to provide high quality maternity care. Counselling of patients was reported as a central component of midwives’ duties. Challenges related to working within different healthcare levels were described, with regard to the Vietnamese context of crowded upper level hospitals. In the second category “Rewarding role but also vulnerable”, positive aspects of midwifery were expressed although the great pressure of the work was prominent. High workload, patients’ demands, and being negatively exposed and vulnerable when adverse events occurred, were reported. In the third category, “Morally challenging tasks”, ultrasound examinations to reveal fetal sex and working with abortions were described as emotionally stressful. In addition, non-medically indicated caesarean sections were reported to be performed to please patients. Conclusions Although midwifery basically includes positive aspects, Vietnamese midwives are exposed to significant workload pressures, ethically demanding work and may be negatively affected when adverse obstetric events occur. Interventions to inform Vietnamese citizens about reproductive issues may increase the understanding of evidence-based maternity care and complications that may occur during pregnancy and birth. To further improve Vietnamese midwives’ working conditions, legal protection of health professionals is needed when adverse obstetric events occur.

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Section: Discussionmentioning

confidence: 99%

Midwives Experiences and Views of Their Working Conditions in Vietnamese Maternity Care – A Qualitative Study

Holmlund¹,

Lan²,

Edvardsson³

et al. 2020

Preprint

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show abstract

“…3 The national average of household size was 3.64 and gender composition was 49.3 male/50.7 female. 4 However, Vui et al 5 indicate that sex ratio at birth in Chi Linh dramatically increased to the imbalance of 114 boys to 100 girls. It was higher than the national data of 112.2 boys/100 girls reported in 2013.…”

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confidence: 99%

Health and Health Care Transitions in Vietnam: Evidence From the CHILILAB Health and Demographic Surveillance System (CHILILAB HDSS)

Minh

Dung

Nguyen-Viet

et al. 2017

Asia Pac J Public Health

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An important factor for monitoring health transition is the collection of valid and reliable population data over time. 1 However, given the weaknesses of the national health information systems in low-and middle-income countries such as Vietnam, especially in the area of generating highquality population-based information, health and demographic surveillance systems (HDSSs) have been shown to generate high-quality population-based data and scientific evidence on the levels, patterns, and trends in health and health care transitions in a country.

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Population policy, family size and child malnutrition in Vietnam – Testing the trade-off between child quantity and quality from a child nutrition perspective

Chen

2021

Economics & Human Biology

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Sex Ratio at Birth in Vietnam: Results From Data in CHILILAB HDSS, 2004 to 2013

Cited by 6 publications

References 24 publications

Midwives Experiences and Views of Their Working Conditions in Vietnamese Maternity Care – A Qualitative Study

Midwives Experiences and Views of Their Working Conditions in Vietnamese Maternity Care – A Qualitative Study

Health and Health Care Transitions in Vietnam: Evidence From the CHILILAB Health and Demographic Surveillance System (CHILILAB HDSS)

Population policy, family size and child malnutrition in Vietnam – Testing the trade-off between child quantity and quality from a child nutrition perspective

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