دورية أكاديمية
Quality of reproductive health services at commune health stations in Viet Nam: implications for national reproductive health care strategy.
| العنوان: | Quality of reproductive health services at commune health stations in Viet Nam: implications for national reproductive health care strategy. |
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| المؤلفون: | Ngo AD; Viet Nam Evidence for Health Policy Project, School of Population Health, University of Queensland, Health Strategy and Policy Institute, Hanoi, Viet Nam. n.anh@sph.uq.edu.au, Hill PS |
| المصدر: | Reproductive health matters [Reprod Health Matters] 2011 May; Vol. 19 (37), pp. 52-61. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 9420826 Publication Model: Print Cited Medium: Internet ISSN: 1460-9576 (Electronic) Linking ISSN: 09688080 NLM ISO Abbreviation: Reprod Health Matters Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017-2018 : London : Taylor & Francis Original Publication: London, England : Reproductive Health Matters, |
| مواضيع طبية MeSH: | Patient Acceptance of Health Care*, Community Health Services/*standards , Midwifery/*standards , Quality of Health Care/*standards , Reproductive Health Services/*standards, Community Health Services/organization & administration ; Female ; Health Services Accessibility/organization & administration ; Humans ; Midwifery/organization & administration ; Poverty/statistics & numerical data ; Private Sector/organization & administration ; Public Sector/organization & administration ; Qualitative Research ; Quality of Health Care/organization & administration ; Reproductive Health Services/organization & administration ; Rural Population/statistics & numerical data ; Vietnam ; Women's Health |
| مستخلص: | This paper presents a qualitative study conducted in 2009 of provider and patient perceptions of primary level reproductive health services provided by commune health stations (CHSs), and the implications for Viet Nam's 2011-2020 National Strategy for Reproductive Health Care. In the three provinces of Thai Nguyen, Thua Thien Hue, and Vinh Long, we interviewed the heads of CHSs, held focus group discussions with midwives and women patients, and observed facilities. Half the 30 CHSs visited were in poor physical condition; the rest were newly renovated. However, the model of service delivery was largely unchanged from ten years before. Many appeared to fall short in meeting patient expectations in terms of modern medical equipment and technology, range of drug supplies, and levels of staff expertise. As a result, many women were turning to private doctors and public hospitals, at least in urban areas, or seeking medication from pharmacies. To make CHS clinics sustainable, promotion of access to reproductive health services should be undertaken concurrently with quality improvement. A responsive payment scheme must also be developed to generate revenues. Efforts should be made to reduce the unnecessary use of more costly services from private clinics and higher level public facilities. (Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20110511 Date Completed: 20110829 Latest Revision: 20110510 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1016/S0968-8080(11)37555-6 |
| PMID: | 21555086 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1460-9576 |
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| DOI: | 10.1016/S0968-8080(11)37555-6 |