Abstract：
INTRODUCTION:Vietnam has succeeded in reducing maternal mortality in the last decades. Analysis of survey data however indicate that large inequities exist between different segments of the population. We have analyzed utilization of antenatal care and skilled birth attendance among Vietnamese women of reproductive age in relation to social determinants with the aim to reveal health inequities and identify disadvantaged groups. METHOD:Data on maternal health care utilization and social determinants were derived from the Multiple Indicator Cluster Survey (MICS) conducted in Vietnam in 2006, and analyzed through stratified logistic regressions and g-computation. RESULTS:Inequities in maternal health care utilization persist in Vietnam. Ethnicity, household wealth and education were all significantly associated with antenatal care coverage and skilled birth attendance, individually and in synergy. Although the structural determinants included in this study were closely related to each other, analysis revealed a significant effect of ethnicity over and above wealth and education. Within the group of mothers from poor households ethnic minority mothers were at a three-fold risk of not attending any antenatal care (OR 3.06, 95% CI 1.27-7.41) and six times more likely not to deliver with skilled birth attendance (OR 6.27, 95% CI 2.37-16.6). The association between ethnicity and lack of antenatal care and skilled birth attendance was even stronger within the non-poor group. CONCLUSIONS:In spite of policies to out rule health inequities, ethnic minority women constitute a disadvantaged group in Vietnam. More efficient ways to target disadvantaged groups, taking synergy effects between multiple social determinants into consideration, are needed in order to assure safe motherhood for all.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Goland E,Hoa DT,Målqvist Mdoi
10.1186/1475-9276-11-24subject
Has Abstractpub_date
2012-05-15 00:00:00pages
24issn
1475-9276pii
1475-9276-11-24journal_volume
11pub_type
杂志文章abstract：BACKGROUND:In 2002 Afghanistan's Ministry of Public Health (MoPH) and its development partners initiated a new paradigm for the health sector by electing to Contract-Out (CO) the Basic Package of Health Services (BPHS) to non-state providers (NSPs). This model is generally regarded as successful, but literature is scar...
journal_title：International journal for equity in health
pub_type： 杂志文章
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
pub_type： 杂志文章
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2016-08-19 00:00:00
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journal_title：International journal for equity in health
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更新日期：2013-04-02 00:00:00
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journal_title：International journal for equity in health
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更新日期：2014-09-06 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2019-09-05 00:00:00
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2012-12-29 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2018-05-18 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2015-02-19 00:00:00
abstract：BACKGROUND:Aboriginal women are frequently called upon to support their families and other community members. At times, such supporting roles can be burdensome for these women. Many Aboriginal women live with chronic conditions. We explored the ways in which the women's caring roles impacted on how they maintained thei...
journal_title：International journal for equity in health
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journal_title：International journal for equity in health
pub_type： 杂志文章,评审
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更新日期：2013-11-15 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2017-02-22 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0411-z
更新日期：2016-08-02 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
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更新日期：2014-08-09 00:00:00
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journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-8-36
更新日期：2009-10-24 00:00:00
