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Inequality in health in Vietnam

Inequality in health in Vietnam. Objective. To describe and analyze inequality in some aspects of health in Vietnam: Health services delivery: family planning, MCH, EPI Health outcomes: IMR, U5MR. Methods . Data sources: DHS (1997, 2002), MICS (2006, 2010) Process:

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Inequality in health in Vietnam

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  1. Inequality in health in Vietnam

  2. Objective • To describe and analyze inequality in some aspects of health in Vietnam: • Health services delivery: family planning, MCH, EPI • Health outcomes: IMR, U5MR

  3. Methods • Data sources: DHS (1997, 2002), MICS (2006, 2010) • Process: • Descriptive data in Excel files to see the differences between groups and trend • Used HDCal software to estimate specific inequality measures, both absolute (range difference) and relative measures (Theil index and its % change/ RCI) • Did not include some indicators because small sample size (care seeking for pneumonia, ORS) or only one survey (malnutrition), or data may not be accurate (NMR) • Discussed to give priority for HE actions by also looking at current coverage and national targets

  4. Data available

  5. Results

  6. Family planning

  7. Family planning

  8. Contraceptive methods

  9. Contraceptive methods

  10. Antenatal care : at least 1 visit

  11. Antenatal care : at least 1 visit

  12. BIRTH ATTENDED BY SKILLED HEALTH PERSONNEL

  13. BIRTH ATTENDED BY SKILLED HEALTH PERSONNEL

  14. BIRTH ATTENDED BY SKILLED HEALTH PERSONNEL

  15. EARLY BREASTFEEDING

  16. DPT

  17. DPT

  18. DPT

  19. DPT

  20. IMR Slope Index : -31.3 -34.1 Theil index: 0.04-0.078 Policy: In 2002, Vietnam launched decision 139 about health care fund for the poor, decision 135 to support health care for people in the remote areas

  21. IMR

  22. IMR

  23. IMR Policy: Vietnam gave more priorities to central highland and northern uplands, red river delta and southeast regions are more developed. North central received less priority

  24. U5MR Policy: Similar impact to all groups. Success of EPI, nutrition, CDD, ARI programs and socioeconomic development in VN could help to the improvement

  25. U5MR

  26. U5MR

  27. U5MR

  28. U5MR

  29. Conclusion • Low priority for health equality regarding FP, contraceptive use, measles immunization, initial breastfeeding, skilled birth attendance. • Medium priority should be given to ANC, DPT3 • High priority should be given to improve mortality among infant and U5 children • Inequality is more likely among wealth, education and regional groups • National coverage was good but inequality remained among wealth, and educational groups (ANC, birth attendance) • Improvement in health equality between wealth, educational and regional groups was not as good as that between sexes, areas • Vietnam is among countries with medium level of health inequality

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