Handbook on Maternal and Child Health (MCH) - toward Its Nationwide Use in Vietnam
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概要
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In Vietnam, health care is of great concern to society, and special attention is given to maternal and child health (MCH) care. Many difficulties and challenges stand in the way of further improving the country's MCH, particularly for minority peoples living in mountainous areas. Especially in those areas, difficult access to medical care and in some cases low quality of obstetric and newborn care contribute to high rates of neonatal mortality, which now accounts for about 70 per cent of infant mortality and more than 50 per cent of under-five mortality. Many mothers and health care providers are confused by the many kinds of cards and the thin handbooks used to record MCH information, which also vary among areas and projects. Families, especially those with low levels of education, sometimes lose their cards and thin handbooks. Vietnam's Ministry of Health (MoH) is working to overcome those problems. A comprehensive MCH Handbook was first introduced in Vietnam in 1998, in the Mekong delta province of Ben Tre, by a Japanese NGO, The Support of Vietnam Children Association (SVCA). By 2004, all the communes in that province were using the MCH Handbook. In the 5th International Symposium on MCH Handbook, organized in that province in 2006, many Vietnamese people participated and discussed that progress and related issues and opportunities with international guests. MoH representatives and other Vietnamese participants in the symposium, after learning of the successful MCH Handbook experiences in that province and in several other countries, were very interested in possible nationwide use of a MCH Handbook in Vietnam. In 2008, the MoH developed plans to use the MCH Handbook nationwide, and in 2009 it is preparing projects for nationwide implementation. The MoH expects that several international organizations will collaborate in those efforts, especially since the MCH Handbook is a tool expected to help achieve Millennium Development Goals (MDG) 4 and 5 in Vietnam.
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