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Nhan đề: Urban - rural disparities in antenatal care utilization: a study of two cohorts of pregnant women in Vietnam
Tác giả: Toan, Tran Khanh
Chuc, Nguyen Thi Kim
Eriksson, Bo
Bondjers, Goran
Gottvall, Karin
Ascher, Henry
Petzold, Max
Hinh, Nguyen D
Từ khoá: Antenatal care
urban comparison
Rural comparison
Viet Nam
Tùng thư/Số báo cáo: BMC Health Services Research, May 23, 2011;Volume 11, Issue 1, 120 Pages
Tóm tắt: Background The use of antenatal care (ANC) varies between countries and in different settings within each country. Most previous studies of ANC in Vietnam have been cross-sectional, and conducted in rural areas before the year 2000. This study aims to compare the pattern and the adequacy of ANC used in rural and urban Vietnam following two cohorts of pregnant women. Methods A comparative study with two cohorts comprising totally 2132 pregnant women were followed in two health and demographic surveillance sites, one rural and one urban in Hanoi province, Vietnam. The women were quarterly interviewed using a structured questionnaire until delivery. The primary information obtained was the number and the content of ANC visits. Results Almost all women reported some use of ANC. The average number of visits was much lower in the rural setting (4.4) than in the urban (7.7). In the rural area, 77.2% of women had at least three visits and 69.1% attended ANC during the first trimester. The corresponding percentages for the urban women were 97.2% and 97.2%. Only 20.3% of the rural women compared to 81.1% of the urban women received all core ANC services. As a result, the adequate use of ANC was 5.2 times in the urban than in the rural setting (78.3% compared to 15.2%). Nearly all women received ultrasound examination during pregnancy with a mean value of 6.0 scans per woman in the urban area and 3.5 in the rural. Most rural women used ANC at commune health centres and private clinics while urban women mainly visited public hospitals. Expenditure related to ANC utilization for the urban women was 7.1 times that for the urban women. Conclusion The women in the rural area attended ANC later, had fewer visits and received much fewer services than urban women. The large disparity in ANC adequacy between the two settings suggests special attention for the ANC programme in rural areas focusing on its content. Revision and enforcement of the national guidelines to improve the behaviour and practice of both users and providers are necessary.
Định danh:*~hmac=1b2a09901da85b2087214b40e540508ecec5919731a252d311dcaa127ad33d0b
ISSN: 1472-6963
Appears in Collections:Health care

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