Vu Lan Thi Hoang, Nguyen Ngan Thi Kim, Tran Hanh Thi Duc, Muhajarine Nazeem
Department of Epidemiology and Biostatistics, Hanoi School of Public Health, Hanoi, Viet Nam.
Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Canada.
Reprod Health. 2016 May 14;13(1):55. doi: 10.1186/s12978-016-0172-6.
Socio-economic development in Vietnam has resulted in increased internal migration particularly among young women seeking employment opportunities in cities. Vietnamese female migrants who enter new environments often encounter the loss or neglect of their right to access sexual and reproductive health services. To address this, a mobile health (mHealth) intervention model was implemented over 12 months (2013-2014) in a factory in the Long Bien industrial zone of Hanoi, Vietnam.
The intervention provided sexual and reproductive health services for female migrants through text messaging, information booklets accompanied maps, and free counseling via a hotline. To evaluate the impact of the intervention, pre- and post-intervention data were collected to measure changes in women's knowledge and practices related to sexual and reproductive health. Qualitative data in the form of personal interviews were also collected. The sample size for the baseline survey was 411 women, and for the post-intervention survey it was 482 women (the intervention involved an open cohort). The majority of women were unmarried and under the age of 25.
Results indicate that there was high uptake of the intervention services and that most women found the services important and useful. In addition, there was evidence that the intervention (1) increased women's knowledge of sexual and reproductive health (e.g., proper use of condoms, identification of high-risk behaviors such as having unprotected sex), and (2) fostered improved practices related to sexual and reproductive health (e.g., increased gynecological check-ups and use of condoms).
The study demonstrated the feasibility of implementing a multi-faceted intervention for migrant women working in an industrial zone in Hanoi, Vietnam as well as its successful uptake and some early positive effects. This can be used to inform future design and implementation of mHealth/eHealth intervention models for migrant and other vulnerable/hard to reach population.
越南的社会经济发展导致国内移民增加，尤其是年轻女性到城市寻找就业机会。进入新环境的越南女性移民经常面临获得性健康和生殖健康服务的权利丧失或被忽视的情况。为解决这一问题，2013年至2014年期间，在越南河内龙边工业区的一家工厂实施了为期12个月的移动健康（mHealth）干预模式。
该干预通过短信、附有地图的信息手册以及热线免费咨询为女性移民提供性健康和生殖健康服务。为评估干预的影响，收集了干预前后的数据，以衡量女性在性健康和生殖健康方面的知识和行为变化。还收集了个人访谈形式的定性数据。基线调查的样本量为411名女性，干预后调查的样本量为482名女性（干预涉及一个开放队列）。大多数女性未婚且年龄在25岁以下。
结果表明，干预服务的接受度很高，大多数女性认为这些服务重要且有用。此外，有证据表明该干预（1）增加了女性的性健康和生殖健康知识（例如，正确使用避孕套、识别无保护性行为等高风险行为），（2）促进了与性健康和生殖健康相关的行为改善（例如，增加妇科检查和避孕套的使用）。
该研究证明了在越南河内工业区为移民女性实施多方面干预的可行性，以及其成功的接受度和一些早期积极效果。这可为未来为移民及其他弱势群体/难以接触到的人群设计和实施移动健康/电子健康干预模式提供参考。
