Hanoi School Of Public Health

About: Hanoi School Of Public Health is a education organization based out in Hanoi, Vietnam. It is known for research contribution in the topics: Population & Public health. The organization has 182 authors who have published 266 publications receiving 23330 citations.

Mainstreaming Health Insurance for People with Disabilities: Lessons from Vietnam

Abstract: Many low- and middle-income countries have introduced public health insurance schemes to increase access to health care and provide financial protection against the costs of care for disadvantaged groups. Using national health household survey data from Vietnam and an appropriate two-part model, this paper examines the targeting effectiveness of public health insurance schemes and their impact on health care utilization for persons with disabilities. Results suggest that current community-based targeting methods are not effective, and that insurance mechanisms are an unsatisfactory buffer for inpatient-related costs to which persons with disabilities are prone. A higher level of disability targeting is recommended, both in terms of eligibility and benefits

629 From provincial pilots to national drink driving enforcement policy in viet nam

Abstract: Background Drink driving is a major risk factor for road crashes in Viet Nam. Studies have shown up to 36% motorcycle riders and 66.8% car drivers admitted to hospital had a BAC above the limit. Activities This program partnered with National Traffic Safety Committee (NTSC), Global Road Safety Partnership (GRSP) implemented pilot enhanced enforcement of drink driving in 5 provinces of Viet Nam. Senior traffic police were trained overseas on this model followed by extensive trainings for police officers in program provinces. Police operations were supplemented by international standard breathalysers, and an intensive social marketing campaign on national and provincial media. Implementation results in different time periods were periodically briefed to senior leaders of NTSC, and General Department of Police for decision making. Independent monitoring was provided by Hanoi School of Public Health (HSPH). Results The enforcement campaign was implemented from 2010 to December 2013. More than 200,000 road users were breath tested during high alcohol times (12 pm – 2 pm and 6 pm – 9 pm). The efficiency of enforcement improved dramatically. The number of tests given in 2013 in Quang Ninh was 22 times higher than in Bac Ninh where the new practice was not implemented. Enforcement results showed a declining trend of violations from over 30% to less than 10% in intervention provinces. Public’s awareness on drink driving has been maintained at over 90%. Monitoring results from HSPH showed a declining mortality trend between 2010 and 2013. Having shown high efficiency and high public acceptance of the new enforcement model, in June 2014, the General Department of Police issued a decision to implement the new enforcement practice nation-wide. In 45 days of implementation of the national enforcement campaign applying the new practice between mid-December 2014 and February 2015, traffic police penalised 35,370 drivers for violations of drink driving regulation compared with virtually none before the program. Conclusions It’s essential to design and implement solid pilot program so good quality data could be produced and presented to senior Government leaders to advocate for policy change. It’s also crucial to link pilot interventions to national priorities to ensure large program impact and sustainability – an important factor for a problem that requires long term interventions.

Sex ratio at birth and the ideal family in chi linh district, vietnam.

Abstract: Chi Linh district, which locates in the Red Delta River region, has been recognized as the "hot pot" of high sex ratio at birth in Vietnam. This paper used community-based periodic Demographic-Epidemiologic Surveillance System (CHILILAB) to describe sex ratio at birth (SRB) and identify social - economic factors that related to the SRB. A total 5,940 births born from August 1, 2004 to August 31, 2011 was included in analysis. The SRB of 116.6 boys/100 girls (CI: 110.7 - 122.5) was significantly higher than normal. SRB were found high among second child having only older sister(s), among third child and higher birth order, among mothers who were 35 years and older, running small business or homemakers. Interestingly, a SRB of 91.4 boys/100 girls (CI: 81.8 - 102) was found among second children having an older brother, this is significantly lower than the normal level. Further research should be done to assert if abortion is practiced both to have a son and to have a daughter.

Knowledge and Attitude Towards Tobacco Smoking among 13-15 Year-Old School Children in Viet Nam - Findings from GYTS 2014.

Abstract: Studies have shown that smoking is a learnt behavior, often initiated during adolescence. This paper aims to describe tobacco-related knowledge, attitude and associations among school adolescents aged 13-15 with exposure to anti-smoking information. Using data from the Global Youth Tobacco Survey (GYTS) in Viet Nam, 2014, knowledge was measured through 4 questions about tobacco use, and attitude was assessed through 3 questions on personal, social and environmental aspects. Students giving most anti-tobacco responses to all questions were considered as having correct knowledge or appropriate attitude or both. Access to anti-smoking information was determined by exposure to any media messages on tobacco control during the past 30 days and teaching in school about the danger of tobacco use during the past 12 months. A substantial percentage of students thought that being near others who smoke might be harmful to them and smoking is harmful to health (89.4% and 89.6% respectively). However, only 46.4% reported that it is definitely difficult to quit smoking and 66.9% thought that smoking for only 1 or 2 years, once stopped, is harmful to health. Slightly more than half of the respondents reported appropriate attitude that young smokers have fewer friends than others and smoking makes them less attractive and less comfortable at social events. Noticing anti-smoking messages in the media together with having lessons in school about the dangers of tobacco substantially increased the likelihood of having correct knowledge, appropriate attitude and both. Despite relatively high awareness about smoking harms, effective educational communication is still highly needed to improve the level of comprehensive knowledge and an appropriate attitude regarding tobacco use.