ArticleBMJ global health2024
Progress towards health equity in Vietnam: evidence from nationwide official health statistics, 2010-2020.
Article in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Global burden of fall-related injuries attributable to low bone mineral density in women aged 50-69 years: inequalities, projections to 2050, and Mendelian randomisation.Journal of global health · 2026Article
- A "paradox of progress" shapes the social determinants of infectious diseases in Vietnam, 1975-2025.Nature communications · 2026Article
- Is equitable access to health and social care possible for Vietnamese older adults? Care providers' perspectives.International health · 2026Article
- Assessing health system and service delivery capacity in responding to changing disease patterns in the Philippines: an analysis using national health information system longitudinal data.Human resources for health · 2026Article
- Health system efficiency and equity in ASEAN: an empirical investigation.Cost effectiveness and resource allocation : C/E · 2024Article
- Addressing health inequities in Southeast Asia: challenges and opportunities.The Lancet regional health. Southeast Asia · 2024Article
- Bayesian spatio-temporal modelling of environmental, climatic, and socio-economic influences on malaria in Central Vietnam.Malaria journal · 2024Article
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7 authors.
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Abstract
introductionOne of the ultimate goals of strengthening the health system is to achieve health equity. Vietnam is considered one of the 'fast-track countries' to achieve the health-related Millennium Development Goals, but research on its equity strategies remains inadequate.
methodsUsing Vietnamese official health statistics, we investigated inequity in four dimensions including health resources, service delivery, service utilisation and residents' health status from the perspectives of income levels, poverty rates and subnational regions. The Slope Index of Inequality, concentration curve/Concentration Index, absolute difference and Theil Index were used.
resultsFour indicators showed 'pro-poor' inequality in health resources, including the per capita health budget, per capita health personnel, per capita health personnel at the community level and per capita hospital beds at the community level, while provincial hospital beds showed 'pro-rich' inequality. Two health service delivery indicators (delivery of antenatal care ≥3 times and proportion of community health service centres with medical doctors) show 'pro-rich' inequality, although two health status indicators, mortality and malnutrition rates for children under five, showed 'pro-poor' inequality. The Northern Midlands and Mountain Areas, and the Central Highlands were disadvantaged regarding service delivery and health status. Intraregional differences were the main factors contributing to the inequalities in delivery of antenatal care ≥3 times, provincial hospital beds and percentage of community health centres with medical doctors, with the Red River Delta and the South East region experiencing the greatest inequalities.
conclusionThe overall level of health equity in Vietnam has increased over the past decade, although inequality in health service delivery has hindered progress towards health equity based on income, poverty and subnational regions. Targeted policies need to be introduced to reduce inequities relating to the health workforce and service delivery capacity.
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