The evolution of domestic violence prevention and control in Vietnam from 2003 to 2018: a case study of policy development and implementation within the health system

Le, Thi Minh Chau; Morley, Christine; Hill, Peter S.; Bui, Quyen; Dunne, Michael P.

doi:10.1186/s13033-019-0295-6

Cited by 17 publications

(33 citation statements)

References 23 publications

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“…IPV has become a topic of national concern in Vietnam [36]. However, certain policies tend to increase gender-related violence towards women [37] despite the adoption of recent laws in favor of gender equity and against violence towards women [38]. As a consequence, underlying gender and power imbalances lead to IPV [39], and women have little "possibility to make independent decisions about their own reproductive health" in rural areas [40].…”

Section: Discussionmentioning

confidence: 99%

Women’s empowerment and elective cesarean section for a single pregnancy: a population-based and multivariate study in Vietnam

Loenzien

Mac

Dumont

2021

BMC Pregnancy Childbirth

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Background Women’s empowerment, and maternal and neonatal health are important targets of the Sustainable Development Goals. Our objective is to examine the relationship between women’s empowerment and elective cesarean section (ECS), focusing on Vietnam, a country where the use of CS has increased rapidly in recent decades, which raises public health concerns. Methods We hypothesized that in the context of the developing biomedicalization of childbirth, women’s empowerment increases the use of ECS due to a woman’s enhanced ability to decide her mode of delivery. By using microdata from the 2013–2014 Multiple Indicator Clusters Survey, we conducted a multivariate analysis of the correlates of ECS. We studied a representative sample of 1343 institutional single birth deliveries. Due to higher ECS rates among multiparous (18.4%) than primiparous women (10.1%) and the potential interaction between parity and other correlates, we used separate models for primiparous and multiparous women. Results Among the indicators of women’s external resources, which include a higher level of education, having worked during the previous 12 months, and having one’s own mobile phone, only education differed between primiparous and multiparous women, with a higher level among primiparous women. Among primiparous women, no resource indicator was significantly linked to ECS. However, considering women’s empowerment facilitated the identification of the negative impact of having had fewer than 3 antenatal care visits on the use of ECS. Among multiparous women, disapproval of intimate partner violence (IPV) was associated with a doubled likelihood of undergoing ECS (odds ratio = 2.415), and living in an urban area also doubled the likelihood of ECS. The positive association with living in the richest household quintile was no longer significant when attitude towards IPV was included in the model. In both groups, being aged 35 or older increased the likelihood of undergoing ECS, and this impact was stronger in primiparous women. Conclusions These results underline the multidimensionality of empowerment, its links to other correlates and its contribution to clarifying the influence of these correlates, particularly for distinguishing between medical and sociocultural determinants. The results advocate for the integration of women's empowerment into policies aimed at reducing ECS rates.

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Section: Discussionmentioning

confidence: 99%

Women’s empowerment and elective cesarean section for a single pregnancy: a population-based and multivariate study in Vietnam

Loenzien

Mac

Dumont

2021

BMC Pregnancy Childbirth

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“…This is related to the management of sexual violence against children in almost all health facilities. Some studies have shown that although health sector nancing is decentralised from state funds, the health sector did not plan a speci c budget allocated to DV-related activities [41].…”

Section: Discussionmentioning

confidence: 99%

Domestic Violence in Mozambique: From policy to practice

Jethá

Keygnaert

Martins³

et al. 2021

Preprint

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Background: To reduce the impact of domestic violence (DV), Mozambican governmental and non-governmental entities are making efforts to strengthen the legislative framework and improve the accessibility of care services for survivors of violence. Despite this remarkable commitment, the translation of policies and legislation into actions remains a huge challenge. Therefore, this paper aims to identify gaps in the implementation of existing national policies and laws for DV in the services providing care for survivors of DV.Methods: This study, using a qualitative approach had two components. The first was content analysis of guidelines and protocols for DV care provision. The second consisted of in-depth interviews with institutional gender focal points. The analysis of the document content was based on a framework developed according to key elements recommended by international agencies (PAHO and UN) for DV policies and strategies design. Data from the in-depth interviews, where analysed in accordance with study objectives.Results: Eleven (11) guidelines/protocols of care provision and innumerable brochures and pamphlets were identified and analysed. There is a standardised form highlighting the integrated approach incorporating fields for police and the health sector but excludes Civil Society Organisations. However, there is no national DV database specifically for DV. Although the focal points recognised the relevance of the reviewed documents, many identified gaps in implementation. This is related to the weaknesses of the offender’s penalisation and to the scarcity of care providers. And, many providers who do exist often lack appropriate training. They also recognised their performance is negatively influenced by socio-cultural factors.Conclusion: Within services providing care to survivors of DV, a scarcity of guidelines and protocols exist, compromising the quality and standardisation of care. Recognition of the relevance of care guidelines and protocols is a strength, there are challenges that governmental and non-governmental entities must address in order to ensure DV prevention and control strategies have the desired results.

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“…This is related to the management of sexual violence against children in almost all health facilities. Some studies have shown that although health sector financing is decentralised from state funds, the health sector did not plan a specific budget allocated to DV-related activities [34].…”

Section: Documents Alignment With National Policiesmentioning

confidence: 99%

Domestic Violence in Mozambique: From policy to practice

Jethá¹,

Keygnaert

Martins³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: To reduce the impact of domestic violence (DV), Mozambican governmental and non-governmental entities are making efforts to strengthen the legislative framework and improve the accessibility of care services for survivors of violence. Despite this remarkable commitment, the translation of policies and legislation into actions remains a huge challenge. Therefore, this paper aims to identify gaps in the implementation of existing national policies and laws for DV in the services providing care for survivors of DV. Methods: This study, using a qualitative approach had two components. The first was content analysis of guidelines and protocols for DV care provision. The second consisted of in-depth interviews with institutional gender focal points. The analysis of the document content was based on a framework developed according to key elements recommended by international agencies (PAHO and UN) for DV policies and strategies design. Data from the in-depth interviews, where analysed in accordance with study objectives.Results: Eleven (11) guidelines/protocols of care provision and innumerable brochures and pamphlets were identified and analysed. There is a standardised form which highlights the integrated approach incorporating fields for police and the health sector but excludes Civil Society Organizations. However, there is no national DV database. Although the focal points recognised the relevance of the reviewed documents, many identified gaps in implementation. This is related to the weaknesses of the offender’s penalisation and to the scarcity of care providers. And, many providers who do exist often lack appropriate training. They also recognised their performance is negatively influenced by socio-cultural factors.Conclusion: Within services providing care to survivors of DV, a scarcity of guidelines and protocols exist, compromising the quality and standardisation of care. Recognition of the relevance of care guidelines and protocols is a strength, there are challenges governmental and non-governmental entities must address in order to ensure DV prevention and control strategies have the desired results.

show abstract

The evolution of domestic violence prevention and control in Vietnam from 2003 to 2018: a case study of policy development and implementation within the health system

Cited by 17 publications

References 23 publications

Women’s empowerment and elective cesarean section for a single pregnancy: a population-based and multivariate study in Vietnam

Women’s empowerment and elective cesarean section for a single pregnancy: a population-based and multivariate study in Vietnam

Domestic Violence in Mozambique: From policy to practice

Domestic Violence in Mozambique: From policy to practice

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