Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam.
BMC Health Serv Res
; 20(1): 90, 2020 Feb 05.
Article
en En
| MEDLINE
| ID: mdl-32024537
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 Quoc 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.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Población Suburbana
/
Urbanización
/
Servicios de Salud Materno-Infantil
/
Utilización de Instalaciones y Servicios
Tipo de estudio:
Qualitative_research
Límite:
Child
/
Female
/
Humans
/
Newborn
/
Pregnancy
País/Región como asunto:
Asia
Idioma:
En
Año:
2020
Tipo del documento:
Article