Hanoi Medical University, No1. Ton That Tung Street, Hanoi, Vietnam.
Hanoi Obstetrics and Gynecology Hospital, No. 929 La Thanh Street, Ba Dinh District, Hanoi, Vietnam.
Int J Equity Health. 2019 Aug 16;18(1):128. doi: 10.1186/s12939-019-1029-8.
The newborn and child death associated with inadequate post-natal health checks continued to be a significant issue across the world. This study aimed to assess the socioeconomic inequalities in post-natal health checks for the newborn in Vietnam in 2014.
We used the secondary data from the Multiple Indicator Cluster Survey in 2014. We included women aged 15-49 years who had a live birth within two years of the time of the interview. We estimated the concentration index to measure socioeconomic inequalities post-natal health checks for the newborn. We conducted multiple logistic regression analysis to identify factors associated with post-natal health checks for the newborn.
Overall, the proportion of post-natal health checks for the newborn in Vietnam was 89.1%. The concentration index of post-natal health checks for the newborn was positive at 0.06. It indicated that the newborns in the rich households were more likely to get post-natal health checks as compared to in the poor households. The common factors significantly associated with the higher percentage of post-natal health checks for the newborn were women belonging to the Kinh and Hoa ethnic, higher education, and wealthier groups.
Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam were not strong, but it still existed. Thus, we recommended that policy efforts to increase access to post-natal health services for poor women. In addition, there is a need to improve access to post-natal health services for women belonging to minor ethnic group and low education.
全球范围内,新生儿和儿童死亡率仍然与产后健康检查不足有关。本研究旨在评估 2014 年越南新生儿产后健康检查的社会经济不平等情况。
我们使用了 2014 年多指标类集调查的二级数据。我们纳入了在访谈前两年内分娩的 15-49 岁女性。我们估计了集中指数,以衡量新生儿产后健康检查的社会经济不平等情况。我们进行了多因素逻辑回归分析,以确定与新生儿产后健康检查相关的因素。
总体而言,越南新生儿产后健康检查的比例为 89.1%。新生儿产后健康检查的集中指数为正 0.06,这表明与贫困家庭相比,富裕家庭的新生儿更有可能接受产后健康检查。与新生儿产后健康检查比例较高显著相关的常见因素包括:属于京族和华族的女性、较高的教育程度和较富裕的群体。
越南新生儿产后健康检查的社会经济不平等程度不高,但仍然存在。因此,我们建议政策努力增加贫困妇女获得产后健康服务的机会。此外,还需要改善少数民族和低教育程度妇女获得产后健康服务的机会。