- Authors: Earl, Catherine
- Date: 2020
- Type: Text , Journal article
- Relation: Ethnos Vol. 85, no. 3 (2020), p. 454-470
- Full Text: false
- Reviewed:
- Description: Practices of environmental sustainability in Vietnam are not new, although these may align to managing austerity and rural living. In Ho Chi Minh City, tactics deployed by middle-class professionals shaping their futures involve conscious choices about transport, manual labour, consumption, and relations with the natural world for a more sustainable city. Such choices are constrained by frictions, such as lacking capital or rejecting globalised phenomena. Drawing on sensory anthropology and new mobilities, firstly, I argue that focusing on place-specific values may overlook pervasive influences of rurality and globalisation on relations that transform urban living unevenly and unequally. Secondly, I propose that it is not simply the ‘hard’ built environment that offers a resource in articulation and materialisation of transitions to more sustainable and liveable urban places. The discussion reveals that middle-class desires to experience comfortable living shape tactics that, while mitigating uncertainty or demonstrating resilience, are not simply individual choices. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
Developing culturally competent reflective practitioners. Part 1. Cultural reflections
- Authors: Stockhausen, Lynette
- Date: 2007
- Type: Text , Journal article
- Relation: Asian Journal of Nursing Vol. 10, no. 4 (2007), p. 212-217
- Full Text: false
- Reviewed:
- Description: Reflective practice is principally a widely recognised Euro-western concept that has been used to promote inquiry; however, explanations of the natures and use of reflective practice in its present form may not be easily transferable to some Asian cultures. The cultural significance of introducing an educational practice as unfamiliar as reflective practice to experienced nurse practitioners and undergraduate nursing students in Japan and Vietnam are highlighted. Part 1 of this 2 part article on developing culturally competent reflective practitioners reflects on previous research studies, the literature, and the author's experiences as a teacher and consultant in Japan and Vietnam. © 2007 Scientific Communications International Limited.
- Description: C1
- Description: 2003005860
Why winning a war is no longer necessary : modern warfare and the United States of America through the prism of the wars of Vietnam and Iraq
- Authors: Driver, Strobe
- Date: 2010
- Type: Text , Thesis , PhD
- Full Text:
- Description: This thesis explores the role of warfare and the United States of America (US) in contemporary times. Prior to this, however, pre-modern warfare is examined to illustrate its dynamics prior to the emergence of the nation-state... This thesis is original because it steps beyond the boundaries of what war research has focussed on, which directly postulates victory or defeat in war is what provides unambiguous power-stakes. The thesis addresses why it is no longer necessary to win a war in order for power to be unambiguous and I contend, not needing to win a war, in the traditional sense of the term is the new objective of the US military, and the way in which this is accomplished is examined in detail."
- Description: Doctor of Philosophy
- Authors: Driver, Strobe
- Date: 2010
- Type: Text , Thesis , PhD
- Full Text:
- Description: This thesis explores the role of warfare and the United States of America (US) in contemporary times. Prior to this, however, pre-modern warfare is examined to illustrate its dynamics prior to the emergence of the nation-state... This thesis is original because it steps beyond the boundaries of what war research has focussed on, which directly postulates victory or defeat in war is what provides unambiguous power-stakes. The thesis addresses why it is no longer necessary to win a war in order for power to be unambiguous and I contend, not needing to win a war, in the traditional sense of the term is the new objective of the US military, and the way in which this is accomplished is examined in detail."
- Description: Doctor of Philosophy
Audit education in a socialist oriented market economy – the case of Vietnam
- Dang, Ky
- Authors: Dang, Ky
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: The objective of the research project is to contribute to the understanding of the auditing profession in Vietnam. In particular, it provides information on the challenges facing auditors in an emerging economy where economic transformation is in progress and where auditing, as a profession, is under development. Auditors operate in an environment of conflicting priorities where they must maintain independence and objectivity in discharging their responsibilities to stakeholders and society. In Vietnam, the audit profession only came into existence in 1986 when the country embarked on its new economic model. Whilst studies have been conducted on the status of current accounting practice in Vietnam, studies regarding the audit profession have been limited. In this research project an examination of the issues affecting audit quality in Vietnam are investigated and suggestions for changes to address the deficiencies are made. In particular, the project focuses on the relevance and appropriateness of the education of auditors. A national survey of accountants, auditors and accounting academics in Vietnam was undertaken. The survey results indicate that in Vietnam there are deficiencies in audit practices over and above those commonly observed in other countries. These deficiencies are the result of the unique history of Vietnam, the current stage of economic development and the education system for auditors. From an auditing perspective, the slow adaptation of the education system to the new economic environment is having negative effects on accounting graduates and their employment prospects. Although inadequate training was identified as the single most important factor affecting audit quality, the ineffective enforcement regime was also a contributing factor. This research project indicates that there is a need for an overhaul of the current education system in Vietnam and for universities to develop an accounting and auditing curriculum that meets the needs of employers while complying with government’s education objectives and international standards of auditing and accounting.
- Description: Doctor of Philosophy
- Authors: Dang, Ky
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: The objective of the research project is to contribute to the understanding of the auditing profession in Vietnam. In particular, it provides information on the challenges facing auditors in an emerging economy where economic transformation is in progress and where auditing, as a profession, is under development. Auditors operate in an environment of conflicting priorities where they must maintain independence and objectivity in discharging their responsibilities to stakeholders and society. In Vietnam, the audit profession only came into existence in 1986 when the country embarked on its new economic model. Whilst studies have been conducted on the status of current accounting practice in Vietnam, studies regarding the audit profession have been limited. In this research project an examination of the issues affecting audit quality in Vietnam are investigated and suggestions for changes to address the deficiencies are made. In particular, the project focuses on the relevance and appropriateness of the education of auditors. A national survey of accountants, auditors and accounting academics in Vietnam was undertaken. The survey results indicate that in Vietnam there are deficiencies in audit practices over and above those commonly observed in other countries. These deficiencies are the result of the unique history of Vietnam, the current stage of economic development and the education system for auditors. From an auditing perspective, the slow adaptation of the education system to the new economic environment is having negative effects on accounting graduates and their employment prospects. Although inadequate training was identified as the single most important factor affecting audit quality, the ineffective enforcement regime was also a contributing factor. This research project indicates that there is a need for an overhaul of the current education system in Vietnam and for universities to develop an accounting and auditing curriculum that meets the needs of employers while complying with government’s education objectives and international standards of auditing and accounting.
- Description: Doctor of Philosophy
Internationalisation of higher education curriculum : a case study in Vietnam
- Authors: Luong, Thi Phuong
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: This thesis investigated how the process of internationalisation of the curriculum (IoC) was perceived as taking place at a non-western university, namely Foreign Trade University (FTU) in Vietnam, through the development and offering of a number of jointly run programs, labelled Foreign Undergraduate Programs (FUPs). Two specific programs were examined, both of which were developed in partnership with two western universities – Colorado State University (FTU-CSU program) and London Metropolitan University (FTU-LMET program). These programs provide a range of opportunities for Vietnamese university students to experience an education that aims to reflect an international and therefore ‘broader’ context. The relationship between globalisation and internationalisation is explored and linked with the development of curriculum in higher education and internationalisation trends and strategies. Internationalisation of the curriculum, which is one of the internationalisation strategies employed by educational institutions, is investigated in terms of its interrelationship with student learning, the disciplines and academics. Engeström’s (2001) third generation Activity Theory was used as the theoretical lens for analysis of the data, which was collected via a mainly qualitative case study. Two cohorts of participants provided data through 24 interviews (seven including a joint one with program leaders/course coordinators, and 17 with academics) and 34 surveys completed by academics. The interviews/survey investigated participants’ perceptions about internationalisation and particularly IoC in relation to the two programs. Part of the significance of this study lies in the use of a number of conceptual and theoretical frameworks to extend the current body of literature beyond the main context of western higher education. An innovation in this study was the evaluation of the level of curriculum internationalisation at FTU, which was conducted using the model of curriculum internationalisation proposed by Huang (2017). Findings suggested that program managers and course coordinators worked collaboratively with their western partners to provide programs that they perceived as worthwhile in meeting the needs of the institution and the Vietnamese government agenda for internationalisation. However, academics were not generally well informed about the broader goals relating to IoC and found it challenging to accommodate the expectations with limited resources and lack of appropriate training.
- Description: Doctor of Philosophy
- Authors: Luong, Thi Phuong
- Date: 2020
- Type: Text , Thesis , PhD
- Full Text:
- Description: This thesis investigated how the process of internationalisation of the curriculum (IoC) was perceived as taking place at a non-western university, namely Foreign Trade University (FTU) in Vietnam, through the development and offering of a number of jointly run programs, labelled Foreign Undergraduate Programs (FUPs). Two specific programs were examined, both of which were developed in partnership with two western universities – Colorado State University (FTU-CSU program) and London Metropolitan University (FTU-LMET program). These programs provide a range of opportunities for Vietnamese university students to experience an education that aims to reflect an international and therefore ‘broader’ context. The relationship between globalisation and internationalisation is explored and linked with the development of curriculum in higher education and internationalisation trends and strategies. Internationalisation of the curriculum, which is one of the internationalisation strategies employed by educational institutions, is investigated in terms of its interrelationship with student learning, the disciplines and academics. Engeström’s (2001) third generation Activity Theory was used as the theoretical lens for analysis of the data, which was collected via a mainly qualitative case study. Two cohorts of participants provided data through 24 interviews (seven including a joint one with program leaders/course coordinators, and 17 with academics) and 34 surveys completed by academics. The interviews/survey investigated participants’ perceptions about internationalisation and particularly IoC in relation to the two programs. Part of the significance of this study lies in the use of a number of conceptual and theoretical frameworks to extend the current body of literature beyond the main context of western higher education. An innovation in this study was the evaluation of the level of curriculum internationalisation at FTU, which was conducted using the model of curriculum internationalisation proposed by Huang (2017). Findings suggested that program managers and course coordinators worked collaboratively with their western partners to provide programs that they perceived as worthwhile in meeting the needs of the institution and the Vietnamese government agenda for internationalisation. However, academics were not generally well informed about the broader goals relating to IoC and found it challenging to accommodate the expectations with limited resources and lack of appropriate training.
- Description: Doctor of Philosophy
HIV/AIDS in Vietnam : a gender analysis
- Authors: Nguyen, Huy , Saikia, Udoy
- Date: 2008
- Type: Text , Journal article
- Relation: Asian Social Science Vol. 4, no. 1 (2008), p. 89-123
- Full Text:
- Reviewed:
- Description: Global statistics of HIV/AIDS infection reveals the disastrous effects of discrimination against women in the area of human health. Women’s vulnerability to HIV/AIDS reflects their wider social, economic and sexual disadvantages compared to their male counterpart. Although the gender context of HIV/AIDS has received a considerable attention recently, however, in case of Vietnam gender aspects of the epidemic have still been a neglected area of research. Little is known about how gender affects the epidemic as well as how the epidemic affects the life of women. This paper reveals that the gender context of HIV/AIDS epidemic in Vietnam has a much complex reality. Institutions, social norms and opportunity structures, of which “Doi Moi” [Renovation] has become an integral part, combine to create new norms and conditions put women more vulnerable to HIV/AIDS. A gendered strategy is crucial in order to successfully fight against the growing HIV/AIDS epidemic
- Authors: Nguyen, Huy , Saikia, Udoy
- Date: 2008
- Type: Text , Journal article
- Relation: Asian Social Science Vol. 4, no. 1 (2008), p. 89-123
- Full Text:
- Reviewed:
- Description: Global statistics of HIV/AIDS infection reveals the disastrous effects of discrimination against women in the area of human health. Women’s vulnerability to HIV/AIDS reflects their wider social, economic and sexual disadvantages compared to their male counterpart. Although the gender context of HIV/AIDS has received a considerable attention recently, however, in case of Vietnam gender aspects of the epidemic have still been a neglected area of research. Little is known about how gender affects the epidemic as well as how the epidemic affects the life of women. This paper reveals that the gender context of HIV/AIDS epidemic in Vietnam has a much complex reality. Institutions, social norms and opportunity structures, of which “Doi Moi” [Renovation] has become an integral part, combine to create new norms and conditions put women more vulnerable to HIV/AIDS. A gendered strategy is crucial in order to successfully fight against the growing HIV/AIDS epidemic
Risky behaviors and associated factors among the elderly in rural Vietnam
- Le Mai, Dinh, Nguyen, Huy, Thanh, Nguyen, Staar, Henning
- Authors: Le Mai, Dinh , Nguyen, Huy , Thanh, Nguyen , Staar, Henning
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Aging Science Vol. 5, no. 2 (2017), p.
- Full Text:
- Reviewed:
- Description: Background: The number of older people in Vietnam has increased substantially for recent years and leading to more aging health problems. The purpose of this study was to assess risky behaviors and their associated factors among the elderly in rural Vietnam.
- Authors: Le Mai, Dinh , Nguyen, Huy , Thanh, Nguyen , Staar, Henning
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Aging Science Vol. 5, no. 2 (2017), p.
- Full Text:
- Reviewed:
- Description: Background: The number of older people in Vietnam has increased substantially for recent years and leading to more aging health problems. The purpose of this study was to assess risky behaviors and their associated factors among the elderly in rural Vietnam.
Factors associated with job satisfaction among district hospital health workers in Northern Vietnam : a cross-sectional study
- Nguyen, Huy, Duong, Huong, Vu, Toan
- Authors: Nguyen, Huy , Duong, Huong , Vu, Toan
- Date: 2017
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 32, no. 2 (2017), p. 163-179
- Full Text:
- Reviewed:
- Description: Background: In many developing countries, including Vietnam, little is known about job satisfaction among lower level-health staff. The purpose of this study was to assess job satisfaction and its determinants among district hospital health staff. Methods: In a cross-sectional quantitative study, 128 health staff from a rural district hospital in Northern Vietnam were approached for data collection. Regression techniques were adopted to assess factors associated with several types of job satisfaction. Results: Overall job satisfaction was moderately high, ranging from 69% to 91%. Across all dimensions, health workers showed their highest satisfaction with co-worker relationships, while, in comparison, it was much lower for their supervisor's style and relationship. However, they claimed their lowest satisfaction with compensation and benefits. In final multivariate models, females and those satisfied with knowledge, skills and job performance were most likely to be satisfied with relationships with co-workers. Staff who were married, received a low pay, who were not satisfied with supervisor style and relationships and who were not satisfied with staff training, development opportunities were least likely to be satisfied with compensation and benefits. Conclusions: The study findings highlight an important need for designing an intervention program that considers organizational factors. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
- Authors: Nguyen, Huy , Duong, Huong , Vu, Toan
- Date: 2017
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 32, no. 2 (2017), p. 163-179
- Full Text:
- Reviewed:
- Description: Background: In many developing countries, including Vietnam, little is known about job satisfaction among lower level-health staff. The purpose of this study was to assess job satisfaction and its determinants among district hospital health staff. Methods: In a cross-sectional quantitative study, 128 health staff from a rural district hospital in Northern Vietnam were approached for data collection. Regression techniques were adopted to assess factors associated with several types of job satisfaction. Results: Overall job satisfaction was moderately high, ranging from 69% to 91%. Across all dimensions, health workers showed their highest satisfaction with co-worker relationships, while, in comparison, it was much lower for their supervisor's style and relationship. However, they claimed their lowest satisfaction with compensation and benefits. In final multivariate models, females and those satisfied with knowledge, skills and job performance were most likely to be satisfied with relationships with co-workers. Staff who were married, received a low pay, who were not satisfied with supervisor style and relationships and who were not satisfied with staff training, development opportunities were least likely to be satisfied with compensation and benefits. Conclusions: The study findings highlight an important need for designing an intervention program that considers organizational factors. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.
Patient satisfaction with health care services at a National Institute of Ophthalmology
- Nguyen, Huy, Dung, Nguyen, Thang, Cao, Hanh, Le
- Authors: Nguyen, Huy , Dung, Nguyen , Thang, Cao , Hanh, Le
- Date: 2018
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 33, no. 1 (2018), p. e251-e262
- Full Text:
- Reviewed:
- Description: Little is known about how patients in developing countries, such as Vietnam, are satisfied with eye care services. The purpose of this study was to assess the satisfaction with health services and its associated factors among patients attending a national institute of ophthalmology in Vietnam. In a cross-sectional study utilizing quantitative methods, 500 inpatients and their relatives attending a national institute of ophthalmology in Vietnam were approached for data collection. The results indicated that under 50% of the patients were satisfied with eye care services. However, when classified by level of satisfaction, only 6.8% were very satisfied with all domains of care. There was no significant difference in satisfaction by gender and income, while significant differences by department, residence, and education were found. Patients who were from rural areas, were better educated, and used the services of the glaucoma department, were more satisfied with eye care than those from urban areas, were less educated, and used the services of treatment-on-demand department. Multivariable regression detected 2 main factors, gender and location, associated with patient satisfaction. Patients who were female and came from rural and remote areas were more likely to be satisfied than patients who were male and living in urban areas. The study suggests that to continue to improve health care quality, it is important to eliminate differences in providing eye care services regardless of whether patients are male or female, and whether they come from a rural or urban area. Copyright © 2017 John Wiley & Sons, Ltd.
- Authors: Nguyen, Huy , Dung, Nguyen , Thang, Cao , Hanh, Le
- Date: 2018
- Type: Text , Journal article
- Relation: International Journal of Health Planning and Management Vol. 33, no. 1 (2018), p. e251-e262
- Full Text:
- Reviewed:
- Description: Little is known about how patients in developing countries, such as Vietnam, are satisfied with eye care services. The purpose of this study was to assess the satisfaction with health services and its associated factors among patients attending a national institute of ophthalmology in Vietnam. In a cross-sectional study utilizing quantitative methods, 500 inpatients and their relatives attending a national institute of ophthalmology in Vietnam were approached for data collection. The results indicated that under 50% of the patients were satisfied with eye care services. However, when classified by level of satisfaction, only 6.8% were very satisfied with all domains of care. There was no significant difference in satisfaction by gender and income, while significant differences by department, residence, and education were found. Patients who were from rural areas, were better educated, and used the services of the glaucoma department, were more satisfied with eye care than those from urban areas, were less educated, and used the services of treatment-on-demand department. Multivariable regression detected 2 main factors, gender and location, associated with patient satisfaction. Patients who were female and came from rural and remote areas were more likely to be satisfied than patients who were male and living in urban areas. The study suggests that to continue to improve health care quality, it is important to eliminate differences in providing eye care services regardless of whether patients are male or female, and whether they come from a rural or urban area. Copyright © 2017 John Wiley & Sons, Ltd.
Measuring the progress of the timeliness childhood immunization compliance in Vietnam between 2006-2014 : a decomposition analysis
- Thuy, Do Thi, Nguyen, Quang, Nguyen, Huy, Thomas-Agnan, Christine, Trinh, Thi-Huong
- Authors: Thuy, Do Thi , Nguyen, Quang , Nguyen, Huy , Thomas-Agnan, Christine , Trinh, Thi-Huong
- Date: 2018
- Type: Text , Technical report , Report
- Full Text:
- Description: Vietnam launched the national Expanded Program on Immunization in 1981. Since then, this program has contributed signi cantly to the improvement of child health and to the reduction of child mortality rate. Despite of the fact that the coverage of the national EPI keeps expanding, the number of children who complied with the recommended immunization schedule remains low. This article studies the progress of the timeliness childhood immunization compliance among children between 0-5 years of age in Vietnam from 2006 to 2014 and analyzes the socio-economic factors that account for the changes of the compliance rate during this period. The dataset is extracted from the Multiple Indicator Cluster Survey in 2006 and 2014. We rst identify the socio-economic factors that impact on the vaccination compliance rate using a logistic regression model. Next, we apply the decomposition method to determine the contribution of each factor on the evolution of the timeliness childhood immunization compliance. The progress of the timeliness childhood immunization has been positive and the major contribution comes from the structure e ect (unmeasured e ect). Rural areas show a stronger improvement as of 2014. Among the socio-economic factors, mother education and birth order are the ones that have the larger in uence on the childhood immunization compliance rate. However, these factors have di erent implications in urban and rural areas. These findings are critical to the current context of Vietnam where the government is designing a strategy focusing on the effectiveness rather than the traditional coverage indicator.
- Authors: Thuy, Do Thi , Nguyen, Quang , Nguyen, Huy , Thomas-Agnan, Christine , Trinh, Thi-Huong
- Date: 2018
- Type: Text , Technical report , Report
- Full Text:
- Description: Vietnam launched the national Expanded Program on Immunization in 1981. Since then, this program has contributed signi cantly to the improvement of child health and to the reduction of child mortality rate. Despite of the fact that the coverage of the national EPI keeps expanding, the number of children who complied with the recommended immunization schedule remains low. This article studies the progress of the timeliness childhood immunization compliance among children between 0-5 years of age in Vietnam from 2006 to 2014 and analyzes the socio-economic factors that account for the changes of the compliance rate during this period. The dataset is extracted from the Multiple Indicator Cluster Survey in 2006 and 2014. We rst identify the socio-economic factors that impact on the vaccination compliance rate using a logistic regression model. Next, we apply the decomposition method to determine the contribution of each factor on the evolution of the timeliness childhood immunization compliance. The progress of the timeliness childhood immunization has been positive and the major contribution comes from the structure e ect (unmeasured e ect). Rural areas show a stronger improvement as of 2014. Among the socio-economic factors, mother education and birth order are the ones that have the larger in uence on the childhood immunization compliance rate. However, these factors have di erent implications in urban and rural areas. These findings are critical to the current context of Vietnam where the government is designing a strategy focusing on the effectiveness rather than the traditional coverage indicator.
Health service utilization among people with noncommunicable diseases in rural Vietnam
- Van Minh, Hoang, Oh, Juhwan, Giang, Kim, Nguyen, Bao, Nguyen, Huy
- Authors: Van Minh, Hoang , Oh, Juhwan , Giang, Kim , Nguyen, Bao , Nguyen, Huy
- Date: 2018
- Type: Text , Journal article
- Relation: Journal of public health management and practice : JPHMP Vol. 24, no. (2018), p. S60-S66
- Full Text: false
- Reviewed:
- Description: CONTEXT: Chronic noncommunicable diseases (NCDs) have been shown to be major causes of morbidity and mortality in hospitals for the whole country. OBJECTIVE: This study aims to describe the situation of health service utilization among people with NCDs in a rural area and identify association between the situation of health service utilization among people with chronic diseases and their socioeconomic status. DESIGN: This was a cross-sectional study. SETTING: A rural district located in the North of Vietnam. PARTICIPANTS: People 15 years of age and older. Health service utilization was analyzed only among people who reported having NCD. MAIN OUTCOME MEASURES: Data were collected through a personal household interview conducted by 12 trained field workers. The dependent variable is health care service utilization among people with chronic NCDs. The explanatory variables include both household attributes such as household economic conditions, and so forth, and individual characteristics. RESULTS: Eighteen percent of the adults and 51% of the elderly respondents reported having at least 1 of the NCDs. The proportions of people with NCDs who used at least 1 outpatient service and used at least 1 inpatient health service during the last 12 months were 68.1% and 10.7%, respectively (the nonutilization rates of 31.9% and 89.3%, respectively). The statistically significant correlates of health care service utilization among people with NCDs were ethnicity (ethnic minority was significantly associated with a lower odds of health care service utilization) and health insurance (no health insurance was significantly associated with lower odds of health care service utilization). CONCLUSION: Given the evidence from this study, actions to improve access to health care services among people with NCDs are clearly needed. The capacity of primary health care system for the prevention and control of NCDs should be ranked a top priority. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
Vietnam’s healthcare system decentralization : how well does it respond to global health crises such as COVID-19 pandemic?
- Nguyen, Huy, Debattista, Joseph, Pham, Minh, Dao, An, Gilmour, Stuart
- Authors: Nguyen, Huy , Debattista, Joseph , Pham, Minh , Dao, An , Gilmour, Stuart
- Date: 2021
- Type: Text , Journal article , Review
- Relation: Asia Pacific Journal of Health Management Vol. 16, no. 1 (2021), p.
- Full Text:
- Reviewed:
- Description: This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medica
- Authors: Nguyen, Huy , Debattista, Joseph , Pham, Minh , Dao, An , Gilmour, Stuart
- Date: 2021
- Type: Text , Journal article , Review
- Relation: Asia Pacific Journal of Health Management Vol. 16, no. 1 (2021), p.
- Full Text:
- Reviewed:
- Description: This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medica
Adherence to highly active antiretroviral therapy among people living with HIV and associated high-risk behaviours and clinical characteristics: A cross-sectional survey in Vietnam
- Le, Phuong, Nguyen, Phuong, Nguyen, Huy, Bui, Duc, Vo, Son
- Authors: Le, Phuong , Nguyen, Phuong , Nguyen, Huy , Bui, Duc , Vo, Son
- Date: 2021
- Type: Text , Journal article
- Relation: International Journal of STD and AIDS Vol. 32, no. 10 (2021), p. 911-918
- Full Text:
- Reviewed:
- Description: Although Vietnam has promoted the utilisation of highly active antiretroviral therapy (HAART) towards HIV elimination targets, adherence to treatment has remained under-investigated. We aimed to describe high-risk behaviours and clinical characteristics by adherence status and to identify the factors associated with non-adherence. We included 426 people living with HIV (PLWH) currently or previously involved in HAART. Most participants were men (75.4%), young (33.6 years), with low income and low education levels. Non-adherent PLWH (11.5%) were more likely to have a larger number of sex partners (p-value = 0.053), sex without condom use (p-value = 0.007) and not receive result at hospital or voluntary test centre (p-value = 0.001). Multiple logistic regression analysis showed that demographic (education levels), sexual risk behaviours (multiple sex partners and sex without using condom) and clinical characteristics (time and facility at first time received HIV-positive result) were associated with HAART non-adherence. There are differences in associated factors between women (education levels and place of HIV testing) and men (multiple sex partners). Gender-specific programs, changing risky behaviours and reducing harms among PLWH may benefit adherence. We highlight the need to improve the quantity and quality of HIV/AIDS services in Vietnam, especially in pre- and post-test counselling, to achieve better HAART adherence, working towards ending AIDS in 2030. © The Author(s) 2021. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
- Authors: Le, Phuong , Nguyen, Phuong , Nguyen, Huy , Bui, Duc , Vo, Son
- Date: 2021
- Type: Text , Journal article
- Relation: International Journal of STD and AIDS Vol. 32, no. 10 (2021), p. 911-918
- Full Text:
- Reviewed:
- Description: Although Vietnam has promoted the utilisation of highly active antiretroviral therapy (HAART) towards HIV elimination targets, adherence to treatment has remained under-investigated. We aimed to describe high-risk behaviours and clinical characteristics by adherence status and to identify the factors associated with non-adherence. We included 426 people living with HIV (PLWH) currently or previously involved in HAART. Most participants were men (75.4%), young (33.6 years), with low income and low education levels. Non-adherent PLWH (11.5%) were more likely to have a larger number of sex partners (p-value = 0.053), sex without condom use (p-value = 0.007) and not receive result at hospital or voluntary test centre (p-value = 0.001). Multiple logistic regression analysis showed that demographic (education levels), sexual risk behaviours (multiple sex partners and sex without using condom) and clinical characteristics (time and facility at first time received HIV-positive result) were associated with HAART non-adherence. There are differences in associated factors between women (education levels and place of HIV testing) and men (multiple sex partners). Gender-specific programs, changing risky behaviours and reducing harms among PLWH may benefit adherence. We highlight the need to improve the quantity and quality of HIV/AIDS services in Vietnam, especially in pre- and post-test counselling, to achieve better HAART adherence, working towards ending AIDS in 2030. © The Author(s) 2021. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Huy Nguyen” is provided in this record**
Predictors of condom use behaviour among male street labourers in urban Vietnam using a modified Information-Motivation-Behavioral Skills (IMB) model
- Van Huy, Nguyen, Dunne, Michael, Debattista, Joseph
- Authors: Van Huy, Nguyen , Dunne, Michael , Debattista, Joseph
- Date: 2016
- Type: Text , Journal article
- Relation: Culture, Health and Sexuality Vol. 18, no. 3 (2016), p. 321-336
- Full Text:
- Reviewed:
- Description: HIV risk in vulnerable groups such as itinerant male street labourers is often examined via a focus on individual determinants. This study provides a test of a modified Information-Motivation-Behavioral Skills (IMB) model to predict condom use behaviour among male street workers in urban Vietnam. In a cross-sectional survey using a social mapping technique, 450 male street labourers from 13 districts of Hanoi, Vietnam were recruited and interviewed. Collected data were first examined for completeness; structural equation modelling was then employed to test the model fit. Condoms were used inconsistently by many of these men, and usage varied in relation to a number of factors. A modified IMB model had a better fit than the original IMB model in predicting condom use behaviour. This modified model accounted for 49% of the variance, versus 10% by the original version. In the modified model, the influence of psychosocial factors was moderately high, whilst the influence of HIV prevention information, motivation and perceived behavioural skills was moderately low, explaining in part the limited level of condom use behaviour. This study provides insights into social factors that should be taken into account in public health planning to promote safer sexual behaviour among Asian male street labourers. © 2015 Taylor & Francis.
- Authors: Van Huy, Nguyen , Dunne, Michael , Debattista, Joseph
- Date: 2016
- Type: Text , Journal article
- Relation: Culture, Health and Sexuality Vol. 18, no. 3 (2016), p. 321-336
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- Description: HIV risk in vulnerable groups such as itinerant male street labourers is often examined via a focus on individual determinants. This study provides a test of a modified Information-Motivation-Behavioral Skills (IMB) model to predict condom use behaviour among male street workers in urban Vietnam. In a cross-sectional survey using a social mapping technique, 450 male street labourers from 13 districts of Hanoi, Vietnam were recruited and interviewed. Collected data were first examined for completeness; structural equation modelling was then employed to test the model fit. Condoms were used inconsistently by many of these men, and usage varied in relation to a number of factors. A modified IMB model had a better fit than the original IMB model in predicting condom use behaviour. This modified model accounted for 49% of the variance, versus 10% by the original version. In the modified model, the influence of psychosocial factors was moderately high, whilst the influence of HIV prevention information, motivation and perceived behavioural skills was moderately low, explaining in part the limited level of condom use behaviour. This study provides insights into social factors that should be taken into account in public health planning to promote safer sexual behaviour among Asian male street labourers. © 2015 Taylor & Francis.
Determinants of early childhood morbidity and proper treatment responses in Vietnam : results from the multiple indicator cluster surveys, 2000-2011
- Lee, Hwa-Young, Van Huy, Nguyen, Choi, Sugy
- Authors: Lee, Hwa-Young , Van Huy, Nguyen , Choi, Sugy
- Date: 2016
- Type: Text , Journal article
- Relation: Global Health Action Vol. 9, no. 1 (2016), p.
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- Description: Background: Despite significant achievements in health indicators during previous decades, Vietnam lags behind other developing countries in reducing common early childhood illnesses, such as diarrhea and respiratory infections. To date, there has been little research into factors that contribute to the prevalence and treatment of childhood morbidity in Vietnam. Objective: This study examines the determinants of diarrhea and 'illness with a cough' and treatments for each of the conditions among young children in Vietnam, and describes trends over time. Design: Data from the Vietnam Multiple Indicator Cluster Surveys in 2000, 2006, and 2011 were used. Multivariable logistic regressions were undertaken to investigate factors associated with these childhood illnesses and proper treatment patterns. Results: Between 2000 and 2011, the prevalence of diarrhea among children under the age of five declined from 11 to 7%, while having illness with a cough increased to 40% in 2011 after falling from 69 to 28% between 2000 and 2006. During the same period, the prevalence of oral rehydration therapy (ORT) for treating diarrhea increased from 13 to 46%, whereas the rate of seeking formal treatment for illnesses with a cough fell from 24 to 7%. Multivariable models indicated that children who were older than 2 years (odds ration [OR]: 0.44, 95% confidence interval [CI]: 0.37-0.53, p <0.001), male (OR: 1.21, 95% CI: 0.64-2.37, p <0.05), living in rural areas (OR: 1.28, 95% CI: 1.00-1.64, p <0.05), or of Kinh ethnicity (OR: 0.70, 95% CI: 0.56-0.87, p <0.01) were more likely to suffer from diarrhea. Ethnic differences and higher household wealth were factors significantly associated with having illness with a cough. In particular, the effect of level of wealth on illness with a cough varied in each wave. Mothers with higher levels of education had higher odds of seeking ORT compared with mothers with the lowest level of education. Seeking formal treatment for children who have illness with a cough was associated with being in a household in the richest wealth quintile (OR: 0.56, 95% CI: 0.34-0.91, p <0.05). Conclusions: This study demonstrates the importance of identifying different risk factors for these two illnesses and also factors associated with healthcare-seeking behaviors in order to reduce the burden of childhood morbidity in Vietnam. Policies aimed at tackling childhood morbidities should include comprehensive strategies that impact on socioeconomic and environmental factors. © 2016 Hwa-Young Lee et al.
- Authors: Lee, Hwa-Young , Van Huy, Nguyen , Choi, Sugy
- Date: 2016
- Type: Text , Journal article
- Relation: Global Health Action Vol. 9, no. 1 (2016), p.
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- Description: Background: Despite significant achievements in health indicators during previous decades, Vietnam lags behind other developing countries in reducing common early childhood illnesses, such as diarrhea and respiratory infections. To date, there has been little research into factors that contribute to the prevalence and treatment of childhood morbidity in Vietnam. Objective: This study examines the determinants of diarrhea and 'illness with a cough' and treatments for each of the conditions among young children in Vietnam, and describes trends over time. Design: Data from the Vietnam Multiple Indicator Cluster Surveys in 2000, 2006, and 2011 were used. Multivariable logistic regressions were undertaken to investigate factors associated with these childhood illnesses and proper treatment patterns. Results: Between 2000 and 2011, the prevalence of diarrhea among children under the age of five declined from 11 to 7%, while having illness with a cough increased to 40% in 2011 after falling from 69 to 28% between 2000 and 2006. During the same period, the prevalence of oral rehydration therapy (ORT) for treating diarrhea increased from 13 to 46%, whereas the rate of seeking formal treatment for illnesses with a cough fell from 24 to 7%. Multivariable models indicated that children who were older than 2 years (odds ration [OR]: 0.44, 95% confidence interval [CI]: 0.37-0.53, p <0.001), male (OR: 1.21, 95% CI: 0.64-2.37, p <0.05), living in rural areas (OR: 1.28, 95% CI: 1.00-1.64, p <0.05), or of Kinh ethnicity (OR: 0.70, 95% CI: 0.56-0.87, p <0.01) were more likely to suffer from diarrhea. Ethnic differences and higher household wealth were factors significantly associated with having illness with a cough. In particular, the effect of level of wealth on illness with a cough varied in each wave. Mothers with higher levels of education had higher odds of seeking ORT compared with mothers with the lowest level of education. Seeking formal treatment for children who have illness with a cough was associated with being in a household in the richest wealth quintile (OR: 0.56, 95% CI: 0.34-0.91, p <0.05). Conclusions: This study demonstrates the importance of identifying different risk factors for these two illnesses and also factors associated with healthcare-seeking behaviors in order to reduce the burden of childhood morbidity in Vietnam. Policies aimed at tackling childhood morbidities should include comprehensive strategies that impact on socioeconomic and environmental factors. © 2016 Hwa-Young Lee et al.
Secular trends in HIV knowledge and attitudes among Vietnamese women based on the multiple indicator cluster surveys, 2000, 2006, and 2011 : what do we know and what should we do to protect them?
- Van Huy, Nguyen, Lee, Hwa-Young, Nam, You-Seon, Van Tien, Nguyen, Huong, Tran Thi, Hoat, Luu Ngoc
- Authors: Van Huy, Nguyen , Lee, Hwa-Young , Nam, You-Seon , Van Tien, Nguyen , Huong, Tran Thi , Hoat, Luu Ngoc
- Date: 2016
- Type: Text , Journal article
- Relation: Global Health Action Vol. 9, no. 1 (2016), p.
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- Description: Background: In Vietnam, women are at risk of HIV infection due to many factors. However, there is limited evidence about what women know and how they behave to protect themselves from HIV. Objective: The objective of this study was to investigate the trends in comprehensive HIV/AIDS knowledge, attitude, and associated factors among Vietnamese women from 2000 to 2011. Design: Data from three waves of the Vietnam Multiple Indicator Cluster Surveys (years 2000, 2006, and 2011) were used. Logistic regression methods examined factors associated with each of two dependent variables, HIV/AIDS knowledge and attitude toward HIV/AIDS. Results: Although there was an increasing trend in basic HIV/AIDS knowledge and positive attitude toward the disease, in Vietnamese women in the general population over the survey years, the prevalence of women with basic HIV/AIDS knowledge and positive attitude toward HIV/AIDS was low. Multivariable models indicated that women who had higher levels of education, lived in urban areas, had higher economic status, and knew about places of HIV-related services were more likely to have good HIV/AIDS knowledge (e.g. in 2011, AOR's±3.01; 1.27; 1.88; 2.03, respectively). Women with higher educational attainment, knew about HIV services, and had better HIV knowledge were more likely to report positive attitude toward HIV/AIDS (e.g. in 2011, AOR's±2.50; 1.72; 2.23, respectively). Conclusions: This study recommends that public health programs for the control of HIV, such as behavioral change communication campaigns or social policies for women, should focus not only in improving the quality of existing HIV/AIDS counseling and testing services but also on expanding coverage to increase accessibility to these services for women in rural areas. In addition, efforts to raise the level of knowledge about HIV/AIDS and improve attitude toward the disease should be undertaken simultaneously. The results of this study can help inform HIV control policies and practices in other developing countries. © 2016 Nguyen Van Huy et al.
- Authors: Van Huy, Nguyen , Lee, Hwa-Young , Nam, You-Seon , Van Tien, Nguyen , Huong, Tran Thi , Hoat, Luu Ngoc
- Date: 2016
- Type: Text , Journal article
- Relation: Global Health Action Vol. 9, no. 1 (2016), p.
- Full Text:
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- Description: Background: In Vietnam, women are at risk of HIV infection due to many factors. However, there is limited evidence about what women know and how they behave to protect themselves from HIV. Objective: The objective of this study was to investigate the trends in comprehensive HIV/AIDS knowledge, attitude, and associated factors among Vietnamese women from 2000 to 2011. Design: Data from three waves of the Vietnam Multiple Indicator Cluster Surveys (years 2000, 2006, and 2011) were used. Logistic regression methods examined factors associated with each of two dependent variables, HIV/AIDS knowledge and attitude toward HIV/AIDS. Results: Although there was an increasing trend in basic HIV/AIDS knowledge and positive attitude toward the disease, in Vietnamese women in the general population over the survey years, the prevalence of women with basic HIV/AIDS knowledge and positive attitude toward HIV/AIDS was low. Multivariable models indicated that women who had higher levels of education, lived in urban areas, had higher economic status, and knew about places of HIV-related services were more likely to have good HIV/AIDS knowledge (e.g. in 2011, AOR's±3.01; 1.27; 1.88; 2.03, respectively). Women with higher educational attainment, knew about HIV services, and had better HIV knowledge were more likely to report positive attitude toward HIV/AIDS (e.g. in 2011, AOR's±2.50; 1.72; 2.23, respectively). Conclusions: This study recommends that public health programs for the control of HIV, such as behavioral change communication campaigns or social policies for women, should focus not only in improving the quality of existing HIV/AIDS counseling and testing services but also on expanding coverage to increase accessibility to these services for women in rural areas. In addition, efforts to raise the level of knowledge about HIV/AIDS and improve attitude toward the disease should be undertaken simultaneously. The results of this study can help inform HIV control policies and practices in other developing countries. © 2016 Nguyen Van Huy et al.
Medical students need a core curriculum based on CEFR (Common European Framework of Reference for Languages)
- Nguyen Thi, Nguyen Van Huy, Nguyen Manh, Gallup, John, Debattista, Joseph, Hoat, Luu
- Authors: Nguyen Thi , Nguyen Van Huy , Nguyen Manh , Gallup, John , Debattista, Joseph , Hoat, Luu
- Date: 2016
- Type: Text , Journal article
- Relation: Asian Journal of Educational Research Vol. 4, no. 5 (2016), p. 14-23
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- Description: Literature Review: The traditional approach to teaching English in Vietnamese medical schools prioritises grammar over communication skills, the effectiveness of which is increasingly under consideration. The objective of this study was to assess undergraduate medical students' satisfaction and needs with their current English training in order to evaluate the appropriateness of a training program based on CEFR. Methods: In a crosssectional survey utilizing a self-reported structured questionnaire, a sample of 487 students was selected from the students of Hanoi Medical University. Results: Forty-two percent of students reported they were not satisfied with the existing English curriculum with 77.2% and 55.4% of students identifying a disproportionate focus on medical terminology and grammar respectively, rather than on listening and communication skills. Most (83%) preferred a CEFR-based English program with extra course focusing on medical disciplines in active manners (pair work, group work, role play). All undergraduate student groups preferred CEFR-based training (ranging from 77.92% among general medical doctors up to 94.44% among bachelor of public health). The perceived need for English language skills was high with almost 60% of students wanting English courses focusing on the communication skills of reading, listening, speaking and writing. Conclusions: The results of this study highlight the need for a review and revision of the English language curriculum as taught within Vietnamese Medical Schools with an emphasis on the design of new teaching materials that meet the needs of both medical students and society. The curriculum should prioritize the communication skills of reading, listening, speaking and writing. It should cover topics related to medicine such as human anatomy, surgery and medical advances and offer learners a wide range of exercises including true/false, matching, multiple choice and gap-filling questions.
- Authors: Nguyen Thi , Nguyen Van Huy , Nguyen Manh , Gallup, John , Debattista, Joseph , Hoat, Luu
- Date: 2016
- Type: Text , Journal article
- Relation: Asian Journal of Educational Research Vol. 4, no. 5 (2016), p. 14-23
- Full Text:
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- Description: Literature Review: The traditional approach to teaching English in Vietnamese medical schools prioritises grammar over communication skills, the effectiveness of which is increasingly under consideration. The objective of this study was to assess undergraduate medical students' satisfaction and needs with their current English training in order to evaluate the appropriateness of a training program based on CEFR. Methods: In a crosssectional survey utilizing a self-reported structured questionnaire, a sample of 487 students was selected from the students of Hanoi Medical University. Results: Forty-two percent of students reported they were not satisfied with the existing English curriculum with 77.2% and 55.4% of students identifying a disproportionate focus on medical terminology and grammar respectively, rather than on listening and communication skills. Most (83%) preferred a CEFR-based English program with extra course focusing on medical disciplines in active manners (pair work, group work, role play). All undergraduate student groups preferred CEFR-based training (ranging from 77.92% among general medical doctors up to 94.44% among bachelor of public health). The perceived need for English language skills was high with almost 60% of students wanting English courses focusing on the communication skills of reading, listening, speaking and writing. Conclusions: The results of this study highlight the need for a review and revision of the English language curriculum as taught within Vietnamese Medical Schools with an emphasis on the design of new teaching materials that meet the needs of both medical students and society. The curriculum should prioritize the communication skills of reading, listening, speaking and writing. It should cover topics related to medicine such as human anatomy, surgery and medical advances and offer learners a wide range of exercises including true/false, matching, multiple choice and gap-filling questions.
Difference in quality of life and associated factors among the elderly in rural Vietnam
- Nguyen, Tien, Nguyen, Huy, Nguyen, T., Nguyen, P.
- Authors: Nguyen, Tien , Nguyen, Huy , Nguyen, T. , Nguyen, P.
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Preventive Medicine and Hygiene Vol. 58, no. 1 (2017), p. E63-E71
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- Description: Background. In Vietnam today, many generations remain living together in a family. With escalating urbanization and population aging, mental health disorders and the quality of life (QoL) among the elderly are gradually presenting themselves as of great concern. The objective of this study was to examine gender differences in QoL and some associated factors among the elderly in rural Vietnam using the QoL scale of WHO (WHOQOL-BREF). Methods. A cross-sectional study using quantitative methods. Results and Conclusions. The proportion of the elderly men having higher level of QoL in physical health, psychological health and environment was higher than that of their women counterparts. Reversely, of those having medium and lower QoL, females made up a larger proportion than males. The overall QoL score in elderly men (75.32) was higher than that of women (72.32) and the same pattern was witnessed in all four domains of QoL. While higher QoL in elderly men was significantly correlated with 5 factors, aged ≥ 80 years, following Buddhism and Christianity, having better connection and without illness in the past 6 months, these among female counterparts are aged ≥ 80 years, completing secondary level or above, having medium and high socioeconomic status and without illness in the last 6 months. © 2017, Pacini Editore S.p.A. All rights reserved.
- Authors: Nguyen, Tien , Nguyen, Huy , Nguyen, T. , Nguyen, P.
- Date: 2017
- Type: Text , Journal article
- Relation: Journal of Preventive Medicine and Hygiene Vol. 58, no. 1 (2017), p. E63-E71
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- Description: Background. In Vietnam today, many generations remain living together in a family. With escalating urbanization and population aging, mental health disorders and the quality of life (QoL) among the elderly are gradually presenting themselves as of great concern. The objective of this study was to examine gender differences in QoL and some associated factors among the elderly in rural Vietnam using the QoL scale of WHO (WHOQOL-BREF). Methods. A cross-sectional study using quantitative methods. Results and Conclusions. The proportion of the elderly men having higher level of QoL in physical health, psychological health and environment was higher than that of their women counterparts. Reversely, of those having medium and lower QoL, females made up a larger proportion than males. The overall QoL score in elderly men (75.32) was higher than that of women (72.32) and the same pattern was witnessed in all four domains of QoL. While higher QoL in elderly men was significantly correlated with 5 factors, aged ≥ 80 years, following Buddhism and Christianity, having better connection and without illness in the past 6 months, these among female counterparts are aged ≥ 80 years, completing secondary level or above, having medium and high socioeconomic status and without illness in the last 6 months. © 2017, Pacini Editore S.p.A. All rights reserved.
Trends in, projections of, and inequalities in reproductive, maternal, newborn and child health service coverage in Vietnam 2000-2030 : a Bayesian analysis at national and sub-national levels
- Nguyen, Phuong, Rahman, Shafiur, Le, Phuong, Nguyen, Huy, Vu, Kien
- Authors: Nguyen, Phuong , Rahman, Shafiur , Le, Phuong , Nguyen, Huy , Vu, Kien
- Date: 2021
- Type: Text , Journal article
- Relation: The Lancet Regional Health - Western Pacific Vol. 15, no. (2021), p.
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- Description: Background: To assess the reproductive, maternal, newborn and child health (RMNCH) service coverage in Vietnam with trends in 2000−2014, projections and probability of achieving targets in 2030 at national and sub-national levels; and to analyze the socioeconomic, regional and urban-rural inequalities in RMNCH service indicators. Methods: We used national population-based datasets of 44,624 households in Vietnam from 2000 to 2014. We applied Bayesian regression models to estimate the trends in and projections of RMNCH indicators and the probabilities of achieving the 2030 targets. Using the relative index, slope index, and concentration index of inequality, we examined the patterns and trends in RMNCH coverage inequality. Findings: We projected that 9 out of 17 health service indicators (53%) would likely achieve the 2030 targets at the national level, including at least one and four ANC visits, BCG immunization, access to improved water and adequate sanitation, institutional delivery, skilled birth attendance, care-seeking for pneumonia, and ARI treatment. We observed very low coverages and zero chance of achieving the 2030 targets at national and sub-national levels in early initiation and exclusive breastfeeding, family planning needs satisfied, and oral rehydration therapy. The most deprived households living in rural areas and the Northwest, Northeast, North Central, Central Highlands, and Mekong River Delta regions would not reach the 80% immunization coverage of DPT3, Polio3, Measles and full immunization. We found socioeconomic, regional, and urban-rural inequalities in all RMNCH indicators in 2014 and no change in inequalities over 15 years in the lowest-coverage indicators. Interpretation: Vietnam has made substantial progress toward UHC. By improving the government's health system reform efforts, re-allocating resources focusing on people in the most impoverished rural regions, and restructuring and enhancing current health programs, Vietnam can achieve the UHC targets and other health-related SDGs. Funding: The authors did not receive any funds for conducting this study. © 2021 The Author(s)
- Authors: Nguyen, Phuong , Rahman, Shafiur , Le, Phuong , Nguyen, Huy , Vu, Kien
- Date: 2021
- Type: Text , Journal article
- Relation: The Lancet Regional Health - Western Pacific Vol. 15, no. (2021), p.
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- Description: Background: To assess the reproductive, maternal, newborn and child health (RMNCH) service coverage in Vietnam with trends in 2000−2014, projections and probability of achieving targets in 2030 at national and sub-national levels; and to analyze the socioeconomic, regional and urban-rural inequalities in RMNCH service indicators. Methods: We used national population-based datasets of 44,624 households in Vietnam from 2000 to 2014. We applied Bayesian regression models to estimate the trends in and projections of RMNCH indicators and the probabilities of achieving the 2030 targets. Using the relative index, slope index, and concentration index of inequality, we examined the patterns and trends in RMNCH coverage inequality. Findings: We projected that 9 out of 17 health service indicators (53%) would likely achieve the 2030 targets at the national level, including at least one and four ANC visits, BCG immunization, access to improved water and adequate sanitation, institutional delivery, skilled birth attendance, care-seeking for pneumonia, and ARI treatment. We observed very low coverages and zero chance of achieving the 2030 targets at national and sub-national levels in early initiation and exclusive breastfeeding, family planning needs satisfied, and oral rehydration therapy. The most deprived households living in rural areas and the Northwest, Northeast, North Central, Central Highlands, and Mekong River Delta regions would not reach the 80% immunization coverage of DPT3, Polio3, Measles and full immunization. We found socioeconomic, regional, and urban-rural inequalities in all RMNCH indicators in 2014 and no change in inequalities over 15 years in the lowest-coverage indicators. Interpretation: Vietnam has made substantial progress toward UHC. By improving the government's health system reform efforts, re-allocating resources focusing on people in the most impoverished rural regions, and restructuring and enhancing current health programs, Vietnam can achieve the UHC targets and other health-related SDGs. Funding: The authors did not receive any funds for conducting this study. © 2021 The Author(s)
Clustering lifestyle risk behaviors among Vietnamese adolescents and roles of school : a Bayesian multilevel analysis of global school-based student health survey 2019
- Long, Khuong, Ngoc-Anh, Hoang, Phuong, Nguyen, Tuyet-Hanh, Tran, Van Huy, Nguyen
- Authors: Long, Khuong , Ngoc-Anh, Hoang , Phuong, Nguyen , Tuyet-Hanh, Tran , Van Huy, Nguyen
- Date: 2021
- Type: Text , Journal article
- Relation: The Lancet Regional Health - Western Pacific Vol. 15, no. (2021), p.
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- Description: Background: Adolescence is a vulnerable period for many lifestyle risk behaviors. In this study, we aimed to 1) examine a clustering pattern of lifestyle risk behaviors; 2) investigate roles of the school health promotion programs on this pattern among adolescents in Vietnam. Methods: We analyzed data of 7,541 adolescents aged 13–17 years from the 2019 nationally representative Global School-based Student Health Survey, conducted in 20 provinces and cities in Vietnam. We applied the latent class analysis to identify groups of clustering and used Bayesian 2-level logistic regressions to evaluate the correlation of school health promotion programs on these clusters. We reassessed the school effect size by incorporating different informative priors to the Bayesian models. Findings: The most frequent lifestyle risk behavior among Vietnamese adolescents was physical inactivity, followed by unhealthy diet, and sedentary behavior. Most of students had a cluster of at least two risk factors and nearly a half with at least three risk factors. Latent class analysis detected 23% males and 18% females being at higher risk of lifestyle behaviors. Consistent through different priors, high quality of health promotion programs associated with lower the odds of lifestyle risk behaviors (highest quality schools vs. lowest quality schools; males: Odds ratio (OR) = 0·67, 95% Highest Density Interval (HDI): 0·46 – 0·93; females: OR = 0·69, 95% HDI: 0·47 – 0·98). Interpretation: Our findings demonstrated the clustering of specific lifestyle risk behaviors among Vietnamese in-school adolescents. School-based interventions separated for males and females might reduce multiple health risk behaviors in adolescence. Funding: The 2019 Global School-based Student Health Survey was conducted with financial support from the World Health Organization. The authors received no funding for the data analysis, data interpretation, manuscript writing, authorship, and/or publication of this article. © 2021 The Author(s)
- Authors: Long, Khuong , Ngoc-Anh, Hoang , Phuong, Nguyen , Tuyet-Hanh, Tran , Van Huy, Nguyen
- Date: 2021
- Type: Text , Journal article
- Relation: The Lancet Regional Health - Western Pacific Vol. 15, no. (2021), p.
- Full Text:
- Reviewed:
- Description: Background: Adolescence is a vulnerable period for many lifestyle risk behaviors. In this study, we aimed to 1) examine a clustering pattern of lifestyle risk behaviors; 2) investigate roles of the school health promotion programs on this pattern among adolescents in Vietnam. Methods: We analyzed data of 7,541 adolescents aged 13–17 years from the 2019 nationally representative Global School-based Student Health Survey, conducted in 20 provinces and cities in Vietnam. We applied the latent class analysis to identify groups of clustering and used Bayesian 2-level logistic regressions to evaluate the correlation of school health promotion programs on these clusters. We reassessed the school effect size by incorporating different informative priors to the Bayesian models. Findings: The most frequent lifestyle risk behavior among Vietnamese adolescents was physical inactivity, followed by unhealthy diet, and sedentary behavior. Most of students had a cluster of at least two risk factors and nearly a half with at least three risk factors. Latent class analysis detected 23% males and 18% females being at higher risk of lifestyle behaviors. Consistent through different priors, high quality of health promotion programs associated with lower the odds of lifestyle risk behaviors (highest quality schools vs. lowest quality schools; males: Odds ratio (OR) = 0·67, 95% Highest Density Interval (HDI): 0·46 – 0·93; females: OR = 0·69, 95% HDI: 0·47 – 0·98). Interpretation: Our findings demonstrated the clustering of specific lifestyle risk behaviors among Vietnamese in-school adolescents. School-based interventions separated for males and females might reduce multiple health risk behaviors in adolescence. Funding: The 2019 Global School-based Student Health Survey was conducted with financial support from the World Health Organization. The authors received no funding for the data analysis, data interpretation, manuscript writing, authorship, and/or publication of this article. © 2021 The Author(s)