Quality of reproductive health services at commune health stations in Viet Nam: implications for national reproductive health care strategy

Ngô, Anh Dung; Hill, Peter S

doi:10.1016/s0968-8080(11)37555-6

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Our data support earlier studies that found a low use of CHS delivery services, with most women preferring district hospital-based delivery because of the perceived better quality of services for both mothers and newborn [7,8]. The data also support the qualitative study in these provinces that noted the 2-child population control policy has made couples more cautious about outcomes for their baby, choosing hospital-based delivery where they are more confident in provider's expertise and equipment, and life saving emergency care is readily available [4]. …”

Section: Discussionsupporting

confidence: 56%

“…Population collaborators conduct regular outreach communication activities, providing RH counseling and contraceptives (e.g. condoms, pills), and referring couples to the CHS for further FP and RH services such as IUD insertion, gynecological and antenatal check-ups [4]. …”

Section: Introductionmentioning

confidence: 99%

“…People in districts bordering with Can Tho city may seek RH services at the Can Tho central hospital. Almost all CHSs in the 2 provinces are staffed by a doctor [4]. …”

Section: Introductionmentioning

confidence: 99%

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The use of reproductive healthcare at commune health stations in a changing health system in Vietnam

Ngô

Hill

2011

BMC Health Serv Res

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BackgroundWith health sector reform in Vietnam moving towards greater pluralism, commune health stations (CHSs) have been subject to growing competition from private health services and increasing numbers of patients bypassing CHSs for higher-level health facilities. This study describes the pattern of reproductive health (RH) and family planning (FP) service utilization among women at CHSs and other health facilities, and explores socio-demographic determinants of RH service utilization at the CHS level.MethodsThis study was based on a cross-sectional survey conducted in Thua Thien Hue and Vinh Long provinces, using a multi-stage cluster sampling technique. Questionnaire-based interviews with 978 ever-married women at reproductive age provided data on socio-demographic characteristics, current use of FP methods, history of RH service use, and the health facility attended for their most recent services. Multiple logistic regression analyses were used to identify socio-demographic determinants of their use of CHS RH services.ResultsEighty nine percent of ever-married women reported current use of birth control with 49% choosing intra-uterine device (IUD). Eighty nine percent of pregnant women attended facility-based antenatal care (ANC) with 62% having at least 3 check-ups during their latest pregnancy. Ninety one percent of mothers had their last delivery in a health facility. Seventy-one percent of respondents used CHS for IUD insertion, 55% for antenatal check-ups, and 77% gynecological examination. District and provincial/central hospitals dominated the provision of delivery service, used by 57% of mothers for their latest delivery. The percentage of women opting for private ANC services was reported at 35%, though the use of private delivery services was low (11%). Women who were farmers, earning a lower income, having more than 2 children, and living in a rural area were more likely than others to use ANC, delivery, and/or gynecological check-up services at the CHS.ConclusionsWomen choice of providers for FP and RH services that help them plan and protect their pregnancies is driven by socio-economic factors. While the CHS retains significant utilization rates, it is under challenge by preferences for hospital-based delivery and the growing use of private ANC services.

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Section: Discussionsupporting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

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The use of reproductive healthcare at commune health stations in a changing health system in Vietnam

Ngô

Hill

2011

BMC Health Serv Res

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“…The need for higher-quality ANC and delivery services resulted in crowding in the DH and PCs and bypassing CHSs. Only two studies captured the early stage of such changes in MNCH service utilization [17,18]. The studies suggested quality improvement of CHSs after they found that many women were turning to PCs and public hospitals, especially in urban areas, due to the fact that CHSs were falling short in meeting patient expectations in terms of service quality.…”

Section: Discussionmentioning

confidence: 99%

Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam

Heo

Kim²,

et al. 2020

BMC Health Serv Res

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Background: Vietnam has been successful in increasing access to maternal, neonatal, and child health (MNCH) services during last decades; however, little is known about whether the primary MNCH service utilization has been properly utilized under the recent rapid urbanization. We aimed to examine current MNCH service utilization patterns at a district level. Methods: The study was conducted qualitatively in a rural district named Quốc Oai. Women who gave a birth within a year and medical staff at various levels participated through 43 individual in-depth interviews and 3 focus group interviews. Results: Primary MNCH services were underutilized due to a failure to meet increased quality needs. Most of the mothers preferred private clinics for antenatal care and the district hospital for delivery due to the better service quality of these facilities compared to that of the commune health stations (CHSs). Mothers had few sociocultural barriers to acquiring service information or utilizing services based on their improved standard of living. A financial burden for some services, including caesarian section, still existed for uninsured mothers, while their insured counterparts had relatively few difficulties. Conclusions: For the improved macro-efficiency of MNCH systems, the government needs to rearrange human resources and/or merge some CHSs to achieve economies of scale and align with service volume distribution across the different levels.

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“…district [16]. The lowest level of Vietnam's healthcare system, commune health stations were not included in these surveys.…”

Section: Plos Onementioning

confidence: 99%

Determinants of patient satisfaction: Lessons from large-scale inpatient interviews in Vietnam

Nguyễn

Nguyen

Dang³

2020

PLoS ONE

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Patient satisfaction, a healthcare recipient's reaction to salient aspects of their service experience, has been considered an important metric of the overall quality of healthcare in both advanced and developing countries. Given the growing number of studies on patient satisfaction in developing and transitioning countries, publications using high-quality patient surveys in these countries remain scarce. This study examines factors associated with inpatient satisfaction levels using nationwide, large-scale interview data from 10,143 randomized and voluntary patients of 69 large and public hospitals in Vietnam during 2017-2018. We find that older patients, poor patients, female patients, patients with lower levels of education, patients not working for private enterprises (or foreign enterprises), and rural patients reported higher levels of overall satisfaction. Health insurance is found to have positive influence on overall patient satisfaction, primarily driven by limiting patient concerns about treatment costs, as well as increasing positive perceptions of hospital staff. We further find that patients who paid extra fees for their hospital admission expressed higher scores for hospital living arrangements and medical staff, but were mostly dissatisfied with treatment costs. These findings have important policy implications for current policy makers in Vietnam as well as for other countries with limited healthcare resources and ongoing healthcare reforms.

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Quality of reproductive health services at commune health stations in Viet Nam: implications for national reproductive health care strategy

Cited by 9 publications

References 17 publications

The use of reproductive healthcare at commune health stations in a changing health system in Vietnam

The use of reproductive healthcare at commune health stations in a changing health system in Vietnam

Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam

Determinants of patient satisfaction: Lessons from large-scale inpatient interviews in Vietnam

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