塑造卫生政策议程：以越南母婴安全政策为例。
Shaping the Health Policy Agenda: The Case of Safe Motherhood Policy in Vietnam.
机构信息
Hanoi School of Public Health, Hà Nội, Vietnam.
Nuffield Centre for International Health and Development, University of Leeds, Leeds, UK.
出版信息
Int J Health Policy Manag. 2015 Aug 16;4(11):741-6. doi: 10.15171/ijhpm.2015.153.
BACKGROUND
Maternal health remains a central policy concern in Vietnam. With a commitment to achieving the Millennium Development Goal (MDG) 5 target of maternal mortality rate (MMR) of 70/100 000 by 2015, the Ministry of Health (MoH) issued the National Plan for Safe Motherhood (NPSM) 2003-2010. In 2008, reproductive health, including safe motherhood (SM) became a national health target program with annual government funding.
METHODS
A case study of how SM emerged as a political priority in Vietnam over the period 2001-2008, drawing on Kingdon's theory of agenda-setting was conducted. A mixed method was adopted for this study of the NPSM.
RESULTS
Three related streams contributed to SM priority in Vietnam: (1) the problem of high MMR was officially recognized from high-quality research, (2) the strong roles of policy champion from MoH in advocating for the needs to reducing MMR as well as support from government and donors, and (3) the national and international events, providing favorable context for this issue to emerge on policy agenda.
CONCLUSION
This paper draws on the theory of agenda-setting to analyze the Vietnam experience and to develop guidance for SM a political priority in other high maternal mortality communities.
背景
孕产妇健康仍然是越南的一个核心政策关注点。为了实现到 2015 年将孕产妇死亡率（MMR）降低到 70/100000 的千年发展目标（MDG）5 目标的承诺，卫生部（MoH）发布了 2003-2010 年国家母婴安全计划（NPSM）。2008 年，生殖健康（包括母婴安全）成为了一个有政府年度资金支持的国家卫生目标规划。
方法
本研究采用金登的议程设置理论，对 2001-2008 年期间母婴安全如何成为越南政治优先事项进行了案例研究。本研究采用混合方法对 NPSM 进行了研究。
结果
三个相关的流促使母婴安全在越南成为优先事项：（1）高质量的研究正式确认了高孕产妇死亡率的问题，（2）卫生部的政策拥护者在倡导降低孕产妇死亡率方面的强有力作用，以及政府和捐助者的支持，（3）国家和国际事件为这个问题在政策议程上的出现提供了有利的背景。
结论
本文运用议程设置理论分析了越南的经验，并为其他高孕产妇死亡率地区将母婴安全作为政治优先事项提供了指导。
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