Change search
ReferencesLink to record
Permanent link

Direct link
Causes and determinants of inequity in maternal and child health in Vietnam
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell barnhälsa och nutrition/Persson)
Hanoi School of Public Health, Hanoi, Vietnam.
Division of Global Health (IHCAR), Department of Public Health, Karolinska Institutet, Solna, Sweden.
2012 (English)In: BMC Public Health, ISSN 1471-2458, Vol. 12, 641- p.Article in journal (Refereed) Published
Abstract [en]


Inequities in health are a major challenge for health care planners and policymakers globally. In Vietnam, rapid societal development presents a considerable risk for disadvantaged populations to be left behind. The aim of this review is to map the known causes and determinants of inequity in maternal and child health in Vietnam in order to promote policy action.


A review was performed through systematic searches of Pubmed and Proquest and manual searches of "grey literature." A thematic content analysis guided by the conceptual framework suggested by the Commission on Social Determinants of Health was performed.


More than thirty different causes and determinants of inequity in maternal and child health were identified. Some determinants worth highlighting were the influence of informal fees and the many testimonies of discrimination and negative attitudes from health staff towards women in general and ethnic minorities in particular. Research gaps were identified, such as a lack of studies investigating the influence of education on health care utilization, informal costs of care, and how psychosocial factors mediate inequity.


The evidence of corruption and discrimination as mediators of health inequity in Vietnam calls for attention and indicates a need for more structural interventions such as better governance and anti-discriminatory laws. More research is needed in order to fully understand the pathways of inequities in health in Vietnam and suggest areas for intervention for policy action to reach disadvantaged populations.

Place, publisher, year, edition, pages
2012. Vol. 12, 641- p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-180464DOI: 10.1186/1471-2458-12-641ISI: 000313821100001PubMedID: 22883138OAI: diva2:550432
Available from: 2012-09-07 Created: 2012-09-07 Last updated: 2013-07-22Bibliographically approved

Open Access in DiVA

fulltext(608 kB)80 downloads
File information
File name FULLTEXT01.pdfFile size 608 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Målqvist, Mats
By organisation
Department of Women's and Children's Health
In the same journal
BMC Public Health
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 80 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 198 hits
ReferencesLink to record
Permanent link

Direct link