Factors that Influence the Utilization of Maternity Services and Breastfeeding Practices in Rural Vietnam
Factors that Influence the Utilization of Maternity Services and Breastfeeding Practices in Rural Vietnam

Author: Dat Van Duong

Publisher:

Published: 2005

Total Pages: 552

ISBN-13:

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The overall objective of this thesis is to investigate factors that influence the utilization of maternal services, infant feeding and postpartum contraception practices in rural Vietnam. Field studies were carried out in a rural district of Thanh Hoa, a province located in North Central Vietnam. Willingness-to-pay for maternal preferences was measured in a sample of 200 postpartum and 196 pregnant women, as well as 196 men using the payment card technique. An association was found between satisfaction with the quality of maternal services and willingness-to-pay. There were no significant differences in willingness-to-pay values between prenatal and postpartum groups, and between male and female subjects. The feasibility, reliability and validity of a 20-item scale for measuring perceived quality of maternal services provided at commune health centres, were examined based on a sample of 200 postpartum and 196 pregnant women. The instrument was found to have good inter-rater reliability and internal consistency. Maternal status of clients (prenatal vs. postnatal) was found to influence the perceived quality of maternal services. Determinants of the utilization of maternal services at the primary health care level were investigated in a sample of 200 postpartum women together with sixteen focus group discussions and 16 in-depth interviews. The results showed that client-perceived quality of services and socio-cultural, and economic factors, rather than geographical access, could affect the utilization of maternal services. Factors affecting infant feeding practices were measured in a longitudinal study of 463 women at weeks one, 16 and 24 postpartum. Within the first week after delivery, the initiation and exclusive breastfeeding rates were relatively high at 98.3% and 83.6% respectively, but the premature introduction of complementary food was a great concern.

How Important are Individual, Household and Commune Characteristics in Explaining Utilization of Maternal Health Services? The Case of Vietnam?
How Important are Individual, Household and Commune Characteristics in Explaining Utilization of Maternal Health Services? The Case of Vietnam?

Author: Ardeshir Sepehri

Publisher:

Published: 2015

Total Pages: 0

ISBN-13:

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Using Vietnam's latest National Household Survey data for 2001-2002 this paper assesses the influence of individual, household and commune-level characteristics on a woman's decision to seek prenatal care, on the number of prenatal visits, and on the choice between giving birth at a health facility or at home. The decision to use any care and the number of prenatal visits is modeled using a two-part model. A random intercept logistic model is used to capture the influence of unobserved commune-specific factors found in the data regarding a woman's decision to give birth at a health facility rather than at home. The results show that access to prenatal care and delivery assistance is limited by observed barriers such as low income, low education, ethnicity, geographical isolation and a high poverty rate in the community. More specifically, more prenatal visits increase the likelihood of giving birth at a health facility. Having compulsory health insurance increases the odds of giving birth at a health facility for middle and high income women. In contrast, health insurance for the poor increases the likelihood of having more prenatal visits but has little effect on the place of delivery. These results suggest that the existing safe motherhood programs should be linked with the objectives of social development programs such as poverty reduction, and that policy makers need to view both the individual and the commune as appropriate units for policy targeting.

Contraceptive Use and Controlled Fertility
Contraceptive Use and Controlled Fertility

Author: National Research Council

Publisher: National Academies Press

Published: 1989-02-01

Total Pages: 172

ISBN-13: 0309040965

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These four papers supplement the book Contraception and Reproduction: Health Consequences for Women and Children in the Developing World by bringing together data and analyses that would otherwise be difficult to obtain in a single source. The topics addressed are an analysis of the relationship between maternal mortality and changing reproductive patterns; the risks and benefits of contraception; the effects of changing reproductive patterns on infant health; and the psychosocial consequences to women of controlled fertility and contraceptive use.

Women's Bodies, Women's Worries
Women's Bodies, Women's Worries

Author: Tine Gammeltoft

Publisher: Routledge

Published: 2012-12-06

Total Pages: 288

ISBN-13: 1136112901

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The first fully-fledged ethnography on health-related issues to come out of contemporary Vietnam, Women's Bodies, Women's Worries is a study of women's lives in a rural commune in Vietnam's Red River delta. Starting as an examination of the impact of Vietnam's ambitious family planning policy on the health and lives of rural women, the study explores historical and contemporary socio-cultural forces which influence the lives of Vietnamese women. What begins as an investigation of contraceptive side effects becomes an inquiry into the daily lives of rural women, an examination of the moral ideologies by which women's lives are circumscribed, and an exploration of the ways women themselves manage and negotiate the moral demands and social relations which constitute daily lives. In addition, the book provides a sympathetic account of the everyday lives and concerns of rural women while also including theoretical considerations of the social grounding of bodily experience, the cultural meanings of health and illness, and the everyday politics of emotional expression.

Maternal and Perinatal Health in Developing Countries
Maternal and Perinatal Health in Developing Countries

Author: Julia Hussein

Publisher: CABI

Published: 2012

Total Pages: 256

ISBN-13: 1845937457

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The promotion of maternal health and mortality reduction is of worldwide importance, and constitute a vital part of the UN Millennium Development Goals. The highest maternal mortality rates are in developing countries, where global and regional initiatives are needed to improve the systems and practices involved in maternal care and medical access. Taking a practical policy approach, this book covers the background and concepts underlying efforts to improve maternal and perinatal mortality, the current global situation and problems that prevent progress. It includes case studies and examples of successful strategies, recommends good practices, and provides a critical analysis of knowledge gaps to inform areas for future research.

The State of the World's Children 2009
The State of the World's Children 2009

Author: UNICEF.

Publisher: UNICEF

Published: 2008

Total Pages: 168

ISBN-13: 9280643185

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Having a child remains one of the biggest health risks for women worldwide. Fifteen hundred women die every day while giving birth. That's a half a million mothers every year. UNICEF's flagship publication, The State of the World's Children 2009, addresses maternal mortality, one of the most intractable problems for development work.The difference in pregnancy risk between women in developing countries and their peers in the industrialised world is often termed the greatest health divide in the world. A woman in Niger has a one in seven chance of dying during the course of her lifetime from complications during pregnancy or delivery. That's in stark contrast to the risk for mothers in America, where it's one in 4,800 or in Ireland, where it's just one in 48,000. Addressing that gap is a multidisciplinary challenge, requiring an emphasis on education, human resources, community involvement and social equality. At a minimum, women must be guaranteed antenatal care, skilled birth attendants and emergency obstetrics, and postpartum care. These essential interventions will only be guaranteed within the context of improved education and the abolition of discrimination.