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Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam
ABSTRACT: 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...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003413/ https://www.ncbi.nlm.nih.gov/pubmed/32024537 http://dx.doi.org/10.1186/s12913-019-4874-7 |
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author | Heo, Jongho Kim, Seung Yun Yi, Jinseon Yu, Soo-Young Jung, Da Eun Lee, Sangmi Jung, Ju Youn Kim, Hyunsuk Do, Ngan Lee, Hwa-Young Nam, You-Seon Hoang, Van Minh Luu, Ngoc Hoat Lee, Jong-Koo Tran, Thi Giang Huong Oh, Juhwan |
author_facet | Heo, Jongho Kim, Seung Yun Yi, Jinseon Yu, Soo-Young Jung, Da Eun Lee, Sangmi Jung, Ju Youn Kim, Hyunsuk Do, Ngan Lee, Hwa-Young Nam, You-Seon Hoang, Van Minh Luu, Ngoc Hoat Lee, Jong-Koo Tran, Thi Giang Huong Oh, Juhwan |
author_sort | Heo, Jongho |
collection | PubMed |
description | ABSTRACT: 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. |
format | Online Article Text |
id | pubmed-7003413 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-70034132020-02-10 Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam Heo, Jongho Kim, Seung Yun Yi, Jinseon Yu, Soo-Young Jung, Da Eun Lee, Sangmi Jung, Ju Youn Kim, Hyunsuk Do, Ngan Lee, Hwa-Young Nam, You-Seon Hoang, Van Minh Luu, Ngoc Hoat Lee, Jong-Koo Tran, Thi Giang Huong Oh, Juhwan BMC Health Serv Res Research Article ABSTRACT: 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. BioMed Central 2020-02-05 /pmc/articles/PMC7003413/ /pubmed/32024537 http://dx.doi.org/10.1186/s12913-019-4874-7 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Heo, Jongho Kim, Seung Yun Yi, Jinseon Yu, Soo-Young Jung, Da Eun Lee, Sangmi Jung, Ju Youn Kim, Hyunsuk Do, Ngan Lee, Hwa-Young Nam, You-Seon Hoang, Van Minh Luu, Ngoc Hoat Lee, Jong-Koo Tran, Thi Giang Huong Oh, Juhwan Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam |
title | Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam |
title_full | Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam |
title_fullStr | Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam |
title_full_unstemmed | Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam |
title_short | Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam |
title_sort | maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in vietnam |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003413/ https://www.ncbi.nlm.nih.gov/pubmed/32024537 http://dx.doi.org/10.1186/s12913-019-4874-7 |
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