Utilization of delivery services at the primary health care level in rural Vietnam

Duong, Dat; Binns, Colin; Lee, Andy H.

doi:10.1016/j.socscimed.2004.04.007

Cited by 114 publications

(136 citation statements)

References 26 publications

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“…We located few studies of high or moderate quality, and eight studies 19,35,36,41,43,45,48,49 had sample sizes of less than 500 women, restricting the ability to draw conclusions. In some instances, the population in need of health care was not identified accurately because data were collected for other purposes, such as the evaluation of child health; for example, in one study, the population was restricted to married women younger than 35 years with at least one child younger than 5 years.…”

Section: Methodological Issuesmentioning

confidence: 99%

“…29 The low-quality studies tended to report either an association between higher economic status and increased use, 27,32,[42][43][44][45] or no difference with increasing wealth. 19,[46][47][48][49] Antenatal care in the first trimester Urban-rural differences Five studies, one of high quality and three of moderate quality, examined the effect of urban-rural residence on antenatal care during the first trimester of pregnancy (Table 3, available at: http://www.who.int/bulletin/volumes/ 85/10/06-035659/en/index.html). The high-quality study showed that urban women in Jamaica were significantly less likely (P < 0.05) than rural women to attend antenatal care during this period.…”

Section: Economic Differencesmentioning

confidence: 99%

“…16 The costs, 17 location 7,18 and quality of health services are also important. 19 These factors interact in different ways to determine use of health care. For example, rural women in northern India and those in KwaZulu Natal, South Africa, do not use antenatal care adequately, but for different reasons.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context

Say

Raine

2007

Bull. World Health Organ.

472

377

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Two decades after the Safe Motherhood campaign's 1987 launch in India, half a million women continue to die from pregnancy-related causes every year. Key health-care interventions can largely prevent these deaths, but their use is limited in developing countries, and is reported to vary between population groups. We reviewed the use of maternal health-care interventions in developing countries to assess the extent, strength and implications of evidence for variations according to women's place of residence and socioeconomic status. Studies with data on use of a skilled health worker at delivery, antenatal care in the first trimester of pregnancy and medical settings for delivery were assessed. We identified 30 eligible studies, 12 of which were of high or moderate quality, from 23 countries. Results of these studies showed wide variation in use of maternal health care. Methodological factors (e.g. inaccurate identification of population in need or range of potential confounders controlled for) played a part in this variation. Differences were also caused by factors related to health-care users (e.g. age, education, medical insurance, clinical risk factors) or to supply of health care (e.g. clinic availability, distance to facility), or by an interaction between such factors (e.g. perceived quality of care). Variation was usually framed by contextual issues relating to funding and organization of health care or social and cultural issues. These findings emphasize the need to investigate and assess context-specific causes of varying use of maternal health care, if safe motherhood is to become a reality in developing countries.

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Section: Methodological Issuesmentioning

confidence: 99%

Section: Economic Differencesmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context

Say

Raine

2007

Bull. World Health Organ.

472

377

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show abstract

“…Adverse pregnancy outcomes such as spontaneous abortions and stillbirths exert an impact on a woman's present and future reproductive health [1][2][3]. Important risk factors for adverse pregnancy outcomes are closely linked with individual factors such as previous reproductive history, intercurrent morbidity, and socioeconomic conditions and to contextual factors such as the quality of and access to maternal health care [2,[4][5][6][7][8][9][10][11][12][13][14][15]. Contextual factors are of particular importance in lowincome countries such as Vietnam where this study was conducted.…”

Section: Introductionmentioning

confidence: 99%

“…The national health care system in Vietnam is organized on the basis of community health stations (CHS), which are responsible for primary health care including family planning, surgical abortions, and delivery services. A national plan for safe motherhood, running from 2003 to 2010, has been developed to address the issues of quality and access to delivery services [6]. In the Red River Delta where the current study was performed, almost all deliveries (98.7%) take place at a health facility and 98% of expectant mothers attend antenatal care [25].…”

Section: Introductionmentioning

confidence: 99%

The Panorama and Outcomes of Pregnancies Within a Well-Defined Population in Rural Vietnam 1999–2004

et al. 2009

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Background Pregnancy outcomes in the general population are important public health indicators. Purpose The overall aim of this study was to investigate the outcomes of reported pregnancies within a well-defined population, to identify risk groups for adverse pregnancy outcomes, and to suggest preventive measures. Method A prospective population-based cohort study of pregnant women in Bavi district, Vietnam between 1 January 1999 and 30 June 2004. Results Pregnancy outcome was reported for 5,259 cases; 4,152 (79%) resulted in a live birth, 67 (1.3%) in a stillbirth, 733 (14%) in an induced abortion, and 282 (5.4%) in a spontaneous abortion. There was an increased risk of home delivery for women from ethnic minorities (OR=1.85; 95% CI=1.06-3.24) or with less than 6 years of schooling (OR= 7.36;). The risk of stillbirth was increased for ethnic minorities (OR=6.34; 95%CI=1.33-30.29) and women delivering at home (OR=6.81; 95%CI= 2. 40-19.30). The risk of induced abortion increased with maternal age. Conclusion Our findings emphasize the public health significance of access to adequate family planning, counselling, and maternal health care for all women. Policies should specifically target women from high-risk groups.

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The effect of distance on maternal institutional delivery choice: Evidence from Malawi

2021

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In many low‐ and middle‐income countries, geographical accessibility continues to be a barrier to health care utilization. In this paper, we aim to better understand the full relationship between distance to providers and utilization of maternal delivery services. We address three methodological challenges: non‐linear effects between distance and utilization; unobserved heterogeneity through non‐random distance “assignment”; and heterogeneous effects of distance. Linking Malawi Demographic Health Survey household data to Service Provision Assessment facility data, we consider distance as a continuous treatment variable, estimating a Dose‐Response Function based on generalized propensity scores, allowing exploration of non‐linearities in the effect of an increment in distance at different distance exposures. Using an instrumental variables approach, we examine the potential for unobserved differences between women residing at different distances to health facilities. Our results suggest distance significantly reduces the probability of having a facility delivery, with evidence of non‐linearities in the effect. The negative relationship is shown to be particularly strong for women with poor health knowledge and lower socio‐economic status, with important implications for equity. We also find evidence of potential unobserved confounding, suggesting that methods that ignore such confounding may underestimate the effect of distance on the utilization of health services.

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Utilization of delivery services at the primary health care level in rural Vietnam

Cited by 114 publications

References 26 publications

A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context

A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context

The Panorama and Outcomes of Pregnancies Within a Well-Defined Population in Rural Vietnam 1999–2004

The effect of distance on maternal institutional delivery choice: Evidence from Malawi

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