Analysis of socio-political and health practices influencing sex ratio at birth in Viet Nam

Pham, Bang Nguyen; Hall, Wayne; Hill, Peter S; Rao, Chalapati

doi:10.1016/s0968-8080(08)32412-4

Cited by 30 publications

(22 citation statements)

References 34 publications

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“…Our analysis shows the SRB to be significantly high among births at the secondary and tertiary health services, which is consistent with previous studies that suggest that the recently rising SRB in Viet Nam is associated with increased access to ultrasound and abortion services (Pham et al 2008). Most tertiary maternity hospitals provide pre-natal screening activities for early detection of congenital anomalies, and the use of such services may have contributed to sex selection practices.…”

Section: The Review Of Data Sourcessupporting

confidence: 90%

Assessing the Quality of Data for Analysing the Sex Ratio at Birth in Viet Nam

Pham¹,

Rao²,

Adair³

et al. 2010

Asian Population Studies

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Despite widespread concern about high sex ratio at birth (SRB) in Viet Nam, little attention has been given to the quality of the data sources on which SRB estimates are based. This paper reviews the key data sources available for SRB analysis in Viet Nam. A standard assessment framework is developed and used to assess the quality of three national-scale datasets from a population change survey, the health information system and the vital registration system. A comparative triangulation analysis is conducted to determine the consistencies and differentials in SRB estimates at the national, regional and provincial levels. A map of SRB at the provincial level is developed to demonstrate geographical variations. The analyses show the differentials in SRB estimates across the three datasets, and identify six northern provinces centred in the Red River Delta region that appear to have consistently high SRBs.

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Section: The Review Of Data Sourcessupporting

confidence: 90%

Assessing the Quality of Data for Analysing the Sex Ratio at Birth in Viet Nam

Pham¹,

Rao²,

Adair³

et al. 2010

Asian Population Studies

Self Cite

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“…According to the teachings and traditions of Confucius, it is the son of the family who will inherit family resources and preserve the family line in the future. It is also the son who is allowed to make sacrifice to the ancestors and looks after their graves [45]. Thus, a son has the responsibility of looking after the well-being of deceased relatives, and failing to have a son is considered disrespectful to one’s ancestors.…”

Section: Resultsmentioning

confidence: 99%

Causes and determinants of inequity in maternal and child health in Vietnam

2012

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BackgroundInequities in health are a major challenge for health care planners and policymakers globally. In Vietnam, rapid societal development presents a considerable risk for disadvantaged populations to be left behind. The aim of this review is to map the known causes and determinants of inequity in maternal and child health in Vietnam in order to promote policy action.MethodsA review was performed through systematic searches of Pubmed and Proquest and manual searches of “grey literature.” A thematic content analysis guided by the conceptual framework suggested by the Commission on Social Determinants of Health was performed.ResultsMore than thirty different causes and determinants of inequity in maternal and child health were identified. Some determinants worth highlighting were the influence of informal fees and the many testimonies of discrimination and negative attitudes from health staff towards women in general and ethnic minorities in particular. Research gaps were identified, such as a lack of studies investigating the influence of education on health care utilization, informal costs of care, and how psychosocial factors mediate inequity.ConclusionsThe evidence of corruption and discrimination as mediators of health inequity in Vietnam calls for attention and indicates a need for more structural interventions such as better governance and anti-discriminatory laws. More research is needed in order to fully understand the pathways of inequities in health in Vietnam and suggest areas for intervention for policy action to reach disadvantaged populations.

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“…Further, a living newborn who has died before it has been registered as a birth might not be reported as a death. Even if there has been a relaxation in the Vietnamese family planning laws that are now advocating a ‘small family size’ policy, the norm of one to two children may be a cause for the third and subsequent children to go unreported (49). If, instead, the reporting of births and deaths was fully the responsibility of the health system, our results indicate that the level of accuracy would increase considerably.…”

Section: Discussionmentioning

confidence: 99%

Neonatal mortality: an invisible and marginalised trauma

Målqvist

2011

Global Health Action

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Neonatal mortality is a major health problem in low and middle income countries and the rate of improvement of newborn survival is slow. This article is a review of the PhD thesis by Mats Målqvist, titled ‘Who can save the unseen – Studies on neonatal mortality in Quang Ninh province, Vietnam,’ from Uppsala University. The thesis aims to investigate structural barriers to newborn health improvements and determinants of neonatal death. The findings reveal a severe under-reporting of neonatal deaths in the official health statistics in Quang Ninh province in northern Vietnam. The neonatal mortality rate (NMR) found was four times higher than what was reported to the Ministry of Health. This underestimation of the problem inhibits adequate interventions and efforts to improve the survival of newborns and highlights the invisibility of this vulnerable group. The findings of the thesis also point at an inequity in survival chances based on ethnicity of the mother. Newborns of ethnic minority mothers were at a twofold risk of dying within the first 4 weeks of life compared to their peers belonging to the hegemonic group of Kinh (OR 2.08, 95% CI: 1.39–3.10). This increased risk was independent of maternal education and household economic status. Neonatal mortality was also associated with home deliveries, non-attendance to antenatal care and distance to the health care facilities. However, ethnic minority mothers still had an increased risk of experiencing a neonatal death even if they attended antenatal care, delivered at, or lived close to a health facility. This example of ethnic inequity highlights the importance to target those most in need.

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Analysis of socio-political and health practices influencing sex ratio at birth in Viet Nam

Cited by 30 publications

References 34 publications

Assessing the Quality of Data for Analysing the Sex Ratio at Birth in Viet Nam

Assessing the Quality of Data for Analysing the Sex Ratio at Birth in Viet Nam

Causes and determinants of inequity in maternal and child health in Vietnam

Neonatal mortality: an invisible and marginalised trauma

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