Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam

Int J Equity Health. 2019 Aug 16;18(1):128. doi: 10.1186/s12939-019-1029-8.

Abstract

Background: The newborn and child death associated with inadequate post-natal health checks continued to be a significant issue across the world. This study aimed to assess the socioeconomic inequalities in post-natal health checks for the newborn in Vietnam in 2014.

Methods: We used the secondary data from the Multiple Indicator Cluster Survey in 2014. We included women aged 15-49 years who had a live birth within two years of the time of the interview. We estimated the concentration index to measure socioeconomic inequalities post-natal health checks for the newborn. We conducted multiple logistic regression analysis to identify factors associated with post-natal health checks for the newborn.

Results: Overall, the proportion of post-natal health checks for the newborn in Vietnam was 89.1%. The concentration index of post-natal health checks for the newborn was positive at 0.06. It indicated that the newborns in the rich households were more likely to get post-natal health checks as compared to in the poor households. The common factors significantly associated with the higher percentage of post-natal health checks for the newborn were women belonging to the Kinh and Hoa ethnic, higher education, and wealthier groups.

Conclusion: Socioeconomic inequalities in post-natal health checks for the newborn in Vietnam were not strong, but it still existed. Thus, we recommended that policy efforts to increase access to post-natal health services for poor women. In addition, there is a need to improve access to post-natal health services for women belonging to minor ethnic group and low education.

Keywords: Concentration index; Health checks; Inequalities; Newborn; Post-natal; Vietnam.

MeSH terms

  • Adolescent
  • Adult
  • Ethnicity / statistics & numerical data
  • Family Characteristics
  • Female
  • Health Services Accessibility*
  • Healthcare Disparities*
  • Humans
  • Infant, Newborn
  • Logistic Models
  • Middle Aged
  • Postnatal Care*
  • Poverty*
  • Social Class*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Vietnam
  • Young Adult