Delivery care utilisation and care-seeking in the neonatal period: a population-based study in Vietnam

Annals of Tropical Paediatrics
Mats MålqvistL-A A Persson

Abstract

If millions of neonatal deaths each year are to be prevented, one crucial component that must be improved is adequate care-seeking behaviour and effective use of existing health care systems. We have investigated these factors in relation to delivery and the neonatal period in a province in Northern Vietnam, a setting currently in socio-economic transition. Information on births and neonatal deaths between January and December 2005 in Quang Ninh province was collected. Narratives of the neonatal deaths were gathered and information about care-seeking in relation to delivery and illness was extracted. This information was then compared with the time and place of delivery and death. We registered 17,519 births and 284 neonatal deaths occurring between January and December 2005. The neonatal mortality rate varied from 7.5/1000 to 38/1000, depending on the place of delivery. A quarter of the neonatal deaths had no contact with the health-care system at the time of death. Neonatal death within 24 hours of birth was more likely when the mother did not seek care at the time of delivery, or did so at the lowest level of the system (chi2=35.5, p<0.001). Mothers of ethnic minorities were more likely to exhibit this care-seeking behaviour...Continue Reading

References

May 5, 2001·Journal of Tropical Pediatrics·S Ahmed Barkat-e-Khuda
Aug 23, 2003·BMC International Health and Human Rights·Natasha MeskoAnthony M de L Costello
Mar 9, 2005·Lancet·Joy E LawnUNKNOWN Lancet Neonatal Survival Steering Team
Mar 16, 2005·Lancet·Gary L DarmstadtUNKNOWN Lancet Neonatal Survival Steering Team
Dec 21, 2005·Seminars in Fetal & Neonatal Medicine·Giovanni ZanconatoMassimo Franchi
Jun 8, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·Opiyo Newton, Mike English
Oct 10, 2006·Lancet·Oona M R CampbellUNKNOWN Lancet Maternal Survival Series steering group
May 29, 2007·Health Policy and Planning·Rachel A HawsGary L Darmstadt
Apr 1, 2008·BMC International Health and Human Rights·Mats MålqvistLars-Ake Persson

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Citations

Aug 14, 2012·BMC Public Health·Mats MålqvistSarah Thomsen
Mar 23, 2011·Global Health Action·Mats Målqvist
Mar 7, 2013·Global Health Action·Mats MålqvistSarah Thomsen
Dec 17, 2008·Worldviews on Evidence-based Nursing·Lars Wallin
Oct 21, 2010·Acta Paediatrica·Mats MålqvistLars Åke Persson
Jun 10, 2010·Acta Paediatrica·Nguyen T NgaUwe Ewald
Jul 19, 2017·Asia-Pacific Journal of Public Health·Duc Minh DuongHa Thi Thu Bui

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