Inequity in maternal health care utilization in Vietnam.

International Journal for Equity in Health
Emilia GolandMats Målqvist

Abstract

Vietnam has succeeded in reducing maternal mortality in the last decades. Analysis of survey data however indicate that large inequities exist between different segments of the population. We have analyzed utilization of antenatal care and skilled birth attendance among Vietnamese women of reproductive age in relation to social determinants with the aim to reveal health inequities and identify disadvantaged groups. Data on maternal health care utilization and social determinants were derived from the Multiple Indicator Cluster Survey (MICS) conducted in Vietnam in 2006, and analyzed through stratified logistic regressions and g-computation. Inequities in maternal health care utilization persist in Vietnam. Ethnicity, household wealth and education were all significantly associated with antenatal care coverage and skilled birth attendance, individually and in synergy. Although the structural determinants included in this study were closely related to each other, analysis revealed a significant effect of ethnicity over and above wealth and education. Within the group of mothers from poor households ethnic minority mothers were at a three-fold risk of not attending any antenatal care (OR 3.06, 95% CI 1.27-7.41) and six times more ...Continue Reading

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Citations

Oct 16, 2012·International Journal for Equity in Health·Cecilia BenoitSarah Berry
Apr 20, 2013·Bulletin of the World Health Organization·Mats MålqvistDinh Thi Phuong Hoa
Dec 26, 2015·Journal of Rural Medicine : JRM·Nguyen Huu Chau DucMosiur Rahman
Aug 25, 2015·International Journal of Public Health·Zafer ÇalışkanEmre Atılgan
Aug 5, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Tsung-Hsien YuKuo-Piao Chung
Mar 17, 2015·Women & Health·Thomas N O Achia, Lillian E Mageto
Jul 15, 2017·The International Journal of Health Planning and Management·Hong LiangYimin Zhang
Nov 8, 2017·Health Care for Women International·Thi-Thuy-Dung NgoAnnie Robert
Jun 25, 2019·Asia-Pacific Journal of Public Health·Vu Duy KienTham Chi Dung
Apr 22, 2017·International Journal for Equity in Health·Yanting LiHua Fu
Jul 14, 2019·BMC Pregnancy and Childbirth·Shannon McKinnKirsten McCaffery
Oct 10, 2017·Health Literacy Research and Practice·Shannon McKinnKirsten McCaffery
Jan 26, 2018·Journal of Public Health Management and Practice : JPHMP·Duong Thi Thuy DoanHa Thi Thu Bui
Jul 12, 2019·Health Literacy Research and Practice·Shannon McKinnKirsten McCaffery
Aug 7, 2020·Journal of Racial and Ethnic Health Disparities·Doan Thi Thuy DuongBui Thi Thu Ha
May 24, 2018·International Journal for Equity in Health·Aye Nyein Moe MyintEspen Bjertness
Jan 9, 2021·BMC Pregnancy and Childbirth·Francis AppiahEdward Kwabena Ameyaw

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