Utilization of delivery services at the primary health care level in rural Vietnam.
The objective of this study is to investigate factors that influence the utilization of delivery services at the primary health care level in rural Vietnam. A quantitative survey was conducted amongst 200 women who had given birth within the past 3 months. Focus group discussions and in-depth-interviews were then undertaken using the attitudes--social influence--self-efficacy model to obtain complementary information on the delivery decision. The results show that client-perceived quality of services and socio-cultural and economic factors, rather than geographical access, can affect the utilization of delivery services. It is therefore important to improve the cost-efficiency of the health care network, and delivery services should be provided in a client-oriented manner taking into account economic, social and cultural factors.
Program for Appropriate Technology in Health, 5th Floor, 57 Quang Trung Street, Hanoi, Viet Nam. dat@unfpa.org.vn
Dat V
DV
Duong
Colin W
CW
Binns
Andy H
AH
Lee
D000328:Adult; D003469:Culture; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility; D006302:Health Services Research; D006801:Humans; D016015:Logistic Models; D008427:Maternal Health Services / Q000592:standards / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011247:Pregnancy; D011320:Primary Health Care / Q000592:standards / Q000706:statistics & numerical data*; D036301:Qualitative Research; D019035:Rural Health Services / Q000592:standards / Q000706:statistics & numerical data*; D014744:Vietnam