ArticleBMC health services research2011
The use of reproductive healthcare at commune health stations in a changing health system in Vietnam.
Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 27 citations in OpenAlex.
- Lessons learned from stakeholders in a facilitation intervention targeting neonatal health in Quang Ninh province, Vietnam.BMC pregnancy and childbirth · 2013Trial
- Effect of Facilitation of Local Maternal-and-Newborn Stakeholder Groups on Neonatal Mortality: Cluster-Randomized Controlled Trial.PLoS medicine · 2013Trial
- Bypassing primary healthcare facilities for maternal and child health services in low- and middle-income countries: a scoping review.Reproductive health · 2026Article
- Utilization of Sexual and Reproductive Healthcare Services Among Young Women in Two Districts of Hanoi, Vietnam.International journal of MCH and AIDS · 2026Article
- Health systems responsiveness towards needs of pregnant women in Vietnam.BMC health services research · 2024Article
- Understanding the barriers to integrating maternal and mental health at primary health care in Vietnam.Health policy and planning · 2024Article
- Preference and willingness to pay for reproductive health services among adults in Urban-Rural transition settings of a developing country: evidence from a cross-sectional study in a rural district of Hanoi, Vietnam.BMC health services research · 2023Article
- Evaluating COVID-19 vaccine hesitancy: A qualitative study from Vietnam.Diabetes & metabolic syndrome · 2022Article
- Maternal, neonatal, and child health systems under rapid urbanization: a qualitative study in a suburban district in Vietnam.BMC health services research · 2020Article
- How Could Private Healthcare Better Contribute to Healthcare Coverage in Vietnam?International journal of health policy and management · 2017Article
- Synthesizing qualitative and quantitative evidence on non-financial access barriers: implications for assessment at the district level.International journal for equity in health · 2015Review
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith health sector reform in Vietnam moving towards greater pluralism, commune health stations (CHSs) have been subject to growing competition from private health services and increasing numbers of patients bypassing CHSs for higher-level health facilities. This study describes the pattern of reproductive health (RH) and family planning (FP) service utilization among women at CHSs and other health facilities, and explores socio-demographic determinants of RH service utilization at the CHS level.
methodsThis study was based on a cross-sectional survey conducted in Thua Thien Hue and Vinh Long provinces, using a multi-stage cluster sampling technique. Questionnaire-based interviews with 978 ever-married women at reproductive age provided data on socio-demographic characteristics, current use of FP methods, history of RH service use, and the health facility attended for their most recent services. Multiple logistic regression analyses were used to identify socio-demographic determinants of their use of CHS RH services.
resultsEighty nine percent of ever-married women reported current use of birth control with 49% choosing intra-uterine device (IUD). Eighty nine percent of pregnant women attended facility-based antenatal care (ANC) with 62% having at least 3 check-ups during their latest pregnancy. Ninety one percent of mothers had their last delivery in a health facility. Seventy-one percent of respondents used CHS for IUD insertion, 55% for antenatal check-ups, and 77% gynecological examination. District and provincial/central hospitals dominated the provision of delivery service, used by 57% of mothers for their latest delivery. The percentage of women opting for private ANC services was reported at 35%, though the use of private delivery services was low (11%). Women who were farmers, earning a lower income, having more than 2 children, and living in a rural area were more likely than others to use ANC, delivery, and/or gynecological check-up services at the CHS.
conclusionsWomen choice of providers for FP and RH services that help them plan and protect their pregnancies is driven by socio-economic factors. While the CHS retains significant utilization rates, it is under challenge by preferences for hospital-based delivery and the growing use of private ANC services.
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