Lakin Kimberly, Huong Nguyen Thu, Kane Sumit
Nossal Institute for Global Health, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC, Australia.
University of Social Sciences and Humanities, Vietnam National University of Hanoi, Hanoi, Viet Nam.
Community Health Equity Res Policy. 2025 Jul;45(4):447-457. doi: 10.1177/2752535X241277678. Epub 2024 Aug 27.
Scholars have long argued that the care experience is shaped by context, and by evolutions in this context. Using Vietnam as a case, we critically interrogate the literature on women's experiences with maternity care to unpack whether and if it engages with the major social, economic, and health system impacts of the Doi Moi reforms in Vietnam and with what consequences for equity. We conducted a critical interpretive synthesis of this literature in light of the social, economic, and health system transformations driven by the Doi Moi reforms. We offer three critiques: (1) an overwhelming focus on public maternity care provision in rural/mountainous regions of Vietnam, (2) a narrow focus on women's ethnic identity, and (3) a misplaced preoccupation with women's limited autonomy and agency. We argue that future research needs to consider the impact of Vietnam's shift towards market-oriented care provision, and the broader societal and health system changes impacting both rural and urban areas, as well as ethnic minority and Kinh majority populations.
长期以来，学者们一直认为护理体验受环境及其演变的影响。以越南为例，我们对有关妇女孕产护理经历的文献进行批判性审视，以剖析该文献是否以及如何涉及越南革新开放（Doi Moi）改革对主要社会、经济和卫生系统的影响，以及对公平性产生了何种后果。鉴于革新开放改革推动的社会、经济和卫生系统变革，我们对该文献进行了批判性解释性综合分析。我们提出三点批评：（1）压倒性地关注越南农村/山区的公共孕产护理服务；（2）狭隘地关注妇女的民族身份；（3）对妇女有限的自主权和能动性的关注错位。我们认为，未来的研究需要考虑越南向市场化护理服务转变的影响，以及影响农村和城市地区以及少数民族和京族多数群体的更广泛的社会和卫生系统变化。
