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Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam

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dc.contributor.authorHeo, Jongho-
dc.contributor.authorKim, Seung Yun-
dc.contributor.authorYi, Jinseon-
dc.contributor.authorYu, Soo-Young-
dc.contributor.authorJung, Da Eun-
dc.contributor.authorLee, Sangmi-
dc.contributor.authorJung, Ju Youn-
dc.contributor.authorKim, Hyunsuk-
dc.contributor.authorDo, Ngan-
dc.contributor.authorLee, Hwa-Young-
dc.contributor.authorNam, You-Seon-
dc.contributor.authorHoang, Van Minh-
dc.contributor.authorLuu, Ngoc Hoat-
dc.contributor.authorLee, Jong-Koo-
dc.contributor.authorTran, Thi Giang Huong-
dc.contributor.authorOh, Juhwan-
dc.date.accessioned2020-09-01T00:46:58Z-
dc.date.available2020-09-01T09:48:09Z-
dc.date.issued2020-02-05-
dc.identifier.citationBMC Health Services Research. 2020 Feb 05;20(1):90ko_KR
dc.identifier.issn1472-6963-
dc.identifier.urihttps://hdl.handle.net/10371/168779-
dc.description.abstractBackground
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.
ko_KR
dc.description.sponsorshipThis research was financially supported by the JW LEE Center for Global Medicine of Seoul National University College of Medicine, Seoul, South Korea. Vietnam Health System Strengthening project is part of a collaborative project by and JW LEE Center for Global Medicine of Seoul National University College of Medicine, Seoul, South Korea and University of Hanoi, University of Medicine and Pharmacy of Ho Chi Minh City. The funding source had no role in study design, data collection and analysis, interpretation of data, or preparation of the manuscript.ko_KR
dc.language.isoenko_KR
dc.publisherBMCko_KR
dc.subjectAccess, MNCH-
dc.subjectQuality of service-
dc.subjectUrbanization-
dc.subjectAntenatal care-
dc.subjectDelivery-
dc.titleMaternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnamko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor허종호-
dc.contributor.AlternativeAuthor김승윤-
dc.contributor.AlternativeAuthor이진선-
dc.contributor.AlternativeAuthor유수영-
dc.contributor.AlternativeAuthor정다은-
dc.contributor.AlternativeAuthor이상미-
dc.contributor.AlternativeAuthor정주윤-
dc.contributor.AlternativeAuthor김현숙-
dc.contributor.AlternativeAuthor이화영-
dc.contributor.AlternativeAuthor남유선-
dc.contributor.AlternativeAuthor이종구-
dc.contributor.AlternativeAuthor오주환-
dc.identifier.doidoi.org/10.1186/s12913-019-4874-7-
dc.citation.journaltitleBMC Health Services Researchko_KR
dc.language.rfc3066en-
dc.rights.holderThe Author(s).-
dc.date.updated2020-06-17T13:14:45Z-
dc.citation.number1ko_KR
dc.citation.startpage90ko_KR
dc.citation.volume20ko_KR
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
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