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Search Results: 1 - 10 of 25421 matches for " Chuc Kim Thi Nguyen "
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Changes of Food Expenditure and Food Consumption of People Living in Ba Vi District, Hanoi, Vietnam from 1999 to 2013  [PDF]
Huong Le Thi, Phuong Le Hong, Thanh Nguyen Hoang, Giang Nguyen Thu, Xuan Le Thi Thanh, Chuc Nguyen Thi Kim, Nga Thi Thu Vu
Health (Health) , 2015, DOI: 10.4236/health.2015.712184
Abstract: Background: During the nutrition transition period which began in the early 1990s in Vietnam, dietary intake had been changed significantly because of changes in lifestyle and living standard. Objectives: This paper aims to describe the trend for food expenditure and the frequency of meat consumption in households in Ba Vi district, Hanoi, Vietnam from 1999 to 2013. Methods: This is a longitudinal study conducted in Ba Vi district, Hanoi. Semi-annual, face-to face interviews were conducted by well-trained interviewers with 11,922 households to collect data of the household’s income, spending for food and meat consumption. Chi-square test for trend was performed to evaluate the changes of food expenditure over the years. P-value under 0.05 was considered statistically significant. Results: There were ten times increase in household’s mean income and five times increase in mean food expenditure from 1999 to 2013. The percentage of household food expenditure per total family expenditure was really high (55% in 2013). The percentage of rice expenditure per total food expenditure decreased dramatically from 59.9% in 1999 to 33.1% in 2013 while spending for other animal-based, high-protein food was an upward trend, particularly meat (10.7% in 1999 to 24.2% in 2013). The percentage of rice expenditure in well-off households was lower than poor households (55% vs. 61.8% in 1999 and 31.4% vs. 36.5% in 2013). However, the percentage of spending for meat in well-off households were much higher than that of poor households (>10%). Conclusion: Our finding indicated that mean income and food expenditure, particularly meat intake, of households had increased dramatically from 1999 to 2013. The increase of meat intake requires reallocation and direction of Vietnam public health funding and strategy.
Household out-of-pocket payments for illness: Evidence from Vietnam
Nguyen Thi Bich Thuan, Curt Lofgren, Nguyen Thi Kim Chuc, Urban Janlert, Lars Lindholm
BMC Public Health , 2006, DOI: 10.1186/1471-2458-6-283
Abstract: The study was performed by twelve monthly follow-up interviews of 621 randomly selected households. The households are part of the FilaBavi project sample – Health System Research Project. The heads of household were interviewed at monthly intervals from July 2001 to June 2002.For the population in the Bavi district, communicable illnesses predominate among the episodes of illness and are the reason for most household health care expenditure. This is the case for almost all groups within the study and for the study population as a whole. However, communicable illnesses are more dominant in the poor population compared to the rich population, and are more dominant in households that have very large, or catastrophic, health care expenditure, compared to those without such expenditures.The main findings indicate that catastrophic health care spending for a household is not usually the result of one single disastrous event, but rather a series of events and is related more to "every-day illnesses" in a developing country context than to more spectacular events such as injuries or heart illnesses.Ill health can have a significant economic impact on a household. Such an impact can trigger a spiral of asset depletion, indebtedness and reductions of essential consumption [1]. Health services may impose a regressive cost burden on households, especially in developing countries[2,3]. However, facing high user fees the poor may also restrict their utilisation of health services even to the extent that health expenses for the poor constitute a smaller share of income than for the rich[4]. The risk for very large (catastrophic) health expenditure has in some studies found to be larger for the rich The economic burden has two effects: first, the immediate loss of income due to absence from work; and second, large out-of-pocket expenses to cover the necessary medical care. Costly health care also deters people from using health services thereby generating prolonged or worsened hea
The evolution of HIV policy in Vietnam: from punitive control measures to a more rights-based approach
Pham Nguyen Ha,Anastasia Pharris,Nguyen Thanh Huong,Nguyen Thi Kim Chuc
Global Health Action , 2010, DOI: 10.3402/gha.v3i0.4625
Abstract: Aim: Policymaking in Vietnam has traditionally been the preserve of the political elite, not open to the scrutiny of those outside the Communist Party. This paper aims to analyse Vietnam's HIV policy development in order to describe and understand the policy content, policy-making processes, actors and obstacles to policy implementation. Methods: Nine policy documents on HIV were analysed and 17 key informant interviews were conducted in Hanoi and Quang Ninh Province, based on a predesigned interview guide. Framework analysis, a type of qualitative content analysis, was applied for data analysis. Results: Our main finding was that during the last two decades, developments in HIV policy in Vietnam were driven in a top-down way by the state organs, with support and resources coming from international agencies. Four major themes were identified: HIV policy content, the policy-making processes, the actors involved and human resources for policy implementation. Vietnam's HIV policy has evolved from one focused on punitive control measures to a more rights-based approach, encompassing harm reduction and payment of health insurance for medical costs of patients with HIV-related illness. Low salaries and staff reluctance to work with patients, many of whom are drug users and female sex workers, were described as the main barriers to low health staff motivation. Conclusion: Health policy analysis approaches can be applied in a traditional one party state and can demonstrate how similar policy changes take place, as those found in pluralistic societies, but through more top-down and somewhat hidden processes. Enhanced participation of other actors, like civil society in the policy process, is likely to contribute to policy formulation and implementation that meets the diverse needs and concerns of its population.
Expanding HIV Testing Efforts in Concentrated Epidemic Settings: A Population-Based Survey from Rural Vietnam
Anastasia Pharris,Nguyen Thi Kim Chuc,Carol Tishelman,Ruairí Brugha,Nguyen Phuong Hoa,Anna Thorson
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0016017
Abstract: To improve HIV prevention and care programs, it is important to understand the uptake of HIV testing and to identify population segments in need of increased HIV testing. This is particularly crucial in countries with concentrated HIV epidemics, where HIV prevalence continues to rise in the general population. This study analyzes determinants of HIV testing in a rural Vietnamese population in order to identify potential access barriers and areas for promoting HIV testing services.
Patterns of health status and quality of life among older people in rural Viet Nam
Hoang Van Minh,Peter Byass1,Nguyen Thi Kim Chuc,Stig Wall
Global Health Action , 2010, DOI: 10.3402/gha.v3i0.2124
Abstract: Background: To effectively and efficiently respond to the growing health needs of older people, it is critical to have an indepth understanding about their health status, quality of life (QoL) and related factors. This paper, taking advantage of the INDEPTH WHO-SAGE study on global ageing and adult health, aims to describe the pattern of health status and QoL among older adults in a rural community of Viet Nam, and examine their associations with some socio-economic factors. Methods: The study was carried out in the Bavi District, a rural community located 60 km west of Hanoi, the capital, within the Epidemiological Field Laboratory of Bavi (FilaBavi). Face-to-face household interviews were conducted with people aged 50 years and over who lived in the FilaBavi area. The interviews were performed by trained surveyors from FilaBavi using a standard summary version SAGE questionnaire. Both descriptive and analytical statistics were used to examine the patterns of health status and QoL, and associations with socio-economic factors. Results: Higher proportions of women reported both poor health status and poor QoL compared to men. Age was shown to be a factor significantly associated with poor health status and poor QoL. Higher educational level was a significant positive predictor of both health status and QoL among the study subjects. Higher economic status was also associated with both health status and QoL. The respondents whose families included more older people were significantly less likely to have poor QoL. Conclusion: The findings reveal problems of inequality in health status and QoL among older adults in the study setting by sex, age, education and socio-economic status. Given the findings, actions targeted towards improving the health of disadvantaged people (women, older people and lower education and economic status) are needed in this setting.
Willingness to use and pay for options of care for community-dwelling older people in rural Vietnam
Le Van Hoi, Nguyen Thi Kim Tien, Nguyen Van Tien, Dao Van Dung, Nguyen Thi Kim Chuc, Klas Goran Sahlen, Lars Lindholm
BMC Health Services Research , 2012, DOI: 10.1186/1472-6963-12-36
Abstract: In 2007, people aged 60 and older and their family representatives, living in 2,240 households, were randomly selected from the FilaBavi Demographic Surveillance Site. They were interviewed using structured questionnaires to assess dependence in activities of daily living (ADLs), willingness to use and to pay for day care centres, mobile care teams, and nursing centres. Respondent socioeconomic characteristics were extracted from the FilaBavi repeated census. Percentages of those willing to use models and the average amount (with 95% confidence intervals) they are willing to pay were estimated. Multivariate analyses were performed to measure the relationship of willingness to use services with ADL index and socioeconomic factors. Four focus group discussions were conducted to explore people's perspectives on the use of services. The first discussion group was with the elderly. The second discussion group was with their household members. Two other discussion groups included community association representatives, one at the communal level and another at the village level.Use of mobile team care is the most requested service. The fewest respondents intend to use a nursing centre. Households expect to use services for their elderly to a greater extent than do the elderly themselves. Willingness to use services decreases when potential fees increase. The proportion of respondents who require that services be free-of-charge is two to three times higher than the proportion willing to pay full cost. Households are willing to pay more than the elderly for day care and nursing centres. The elderly are more willing to pay for mobile teams than are their households. Age group, sex, literacy, marital status, living arrangement, living area, working status, poverty, household wealth and dependence in ADLs are factors related to willingness to use services.Community-centric elderly care will be used and partly paid for by individuals if it is provided by the government or associa
Klebsiella pneumoniae Oropharyngeal Carriage in Rural and Urban Vietnam and the Effect of Alcohol Consumption
Trinh Tuyet Dao, Dror Liebenthal, Toan Khanh Tran, Bich Ngoc Thi Vu, Diep Ngoc Thi Nguyen, Huong Kieu Thi Tran, Chuc Kim Thi Nguyen, Huong Lan Thi Vu, Annette Fox, Peter Horby, Kinh Van Nguyen, Heiman F. L. Wertheim
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0091999
Abstract: Introduction Community acquired K. pneumoniae pneumonia is still common in Asia and is reportedly associated with alcohol use. Oropharyngeal carriage of K. pneumoniae could potentially play a role in the pathogenesis of K. pneumoniae pneumonia. However, little is known regarding K. pneumoniae oropharyngeal carriage rates and risk factors. This population-based cross-sectional study explores the association of a variety of demographic and socioeconomic factors, as well as alcohol consumption with oropharyngeal carriage of K. pneumoniae in Vietnam. Methods and Findings 1029 subjects were selected randomly from age, sex, and urban and rural strata. An additional 613 adult men from a rural environment were recruited and analyzed separately to determine the effects of alcohol consumption. Demographic, socioeconomic, and oropharyngeal carriage data was acquired for each subject. The overall carriage rate of K. pneumoniae was 14.1% (145/1029, 95% CI 12.0%–16.2%). By stepwise logistic regression, K. pneumoniae carriage was found to be independently associated with age (OR 1.03, 95% CI 1.02–1.04), smoking (OR 1.9, 95% CI 1.3–2.9), rural living location (OR 1.6, 95% CI 1.1–2.4), and level of weekly alcohol consumption (OR 1.7, 95% CI 1.04–2.8). Conclusion Moderate to heavy weekly alcohol consumption, old age, smoking, and living in a rural location are all found to be associated with an increased risk of K. pneumoniae carriage in Vietnamese communities. Whether K. pneumoniae carriage is a risk factor for pneumonia needs to be elucidated.
Risk Factors for Chronic Disease Among Rural Vietnamese Adults and the Association of These Factors With Sociodemographic Variables: Findings From the WHO STEPS Survey in Rural Vietnam, 2005
Hoang Van Minh, MD, PhD,Peter Byass, PhD,Dao Lan Huong, MD, PhD,Nguyen Thi Kim Chuc, PhD
Preventing Chronic Disease , 2007,
Abstract: IntroductionChronic diseases have emerged as a major health threat to the world’s population, particularly in developing countries. We examined the prevalence of selected risk factors for chronic disease and the association of these risk factors with sociodemographic variables in a representative sample of adults in rural Vietnam.MethodsIn 2005, we selected a representative sample of 2000 adults aged 25 to 64 years using the World Health Organization’s STEPwise approach to surveillance of chronic disease risk factors. We measured subjects’ blood pressure, calculated their body mass index (BMI), and determined their self-reported smoking status. We then assessed the extent to which hypertension, being overweight (having a BMI ≥25.0), smoking, and various combinations of these risk factors were associated with subjects’ education level, occupational category, and economic status.ResultsMean blood pressure levels were higher among men than among women and increased progressively with age. The prevalence of hypertension was 23.9% among men and 13.7% among women. Sixty-three percent of men were current smokers, and 58% were current daily smokers; less than 1% of women smoked. Mean body mass index was 19.6 among men and 19.9 among women, and only 3.5% of the population was overweight. Education level was inversely associated with the prevalence of hypertension among both men and women and with the prevalence of smoking among men. People without a stable occupation were more at risk of having hypertension than were farmers and more at risk of being overweight than were farmers or government employees. Hypertension was directly associated with socioeconomic status among men but inversely associated with socioeconomic status among women.ConclusionRural Vietnam is experiencing an increase in the prevalence of many risk factors for chronic diseases and is in urgent need of interventions to reduce the prevalence of these risk factors and to deal with the chronic diseases to which they contribute.
Peer support and improved quality of life among persons living with HIV on antiretroviral treatment: A randomised controlled trial from north-eastern Vietnam
Tam Van Vu, Mattias Larsson, Anastasia Pharris, Bj?rn Diedrichs, Hoa Phuong Nguyen, Chuc Thi Kim Nguyen, Phuc Dang Ho, Gaetano Marrone, Anna Thorson
Health and Quality of Life Outcomes , 2012, DOI: 10.1186/1477-7525-10-53
Abstract: A sub-sample study of a randomised controlled trial was implemented between October 2008 and November 2010 in Quang Ninh, Vietnam. In the intervention group, participants (n?=?119) received adherence support from trained peer supporters who visited participants’ houses biweekly during the first two months, thereafter weekly. In the control group, participants (n?=?109) were treated according to standard guidelines, including adherence counselling, monthly health check and drug refills. Basic demographics were measured at baseline. QOL and internal stigma were measured using a Vietnamese version of the WHOQOL-HIVBREF and Internal AIDS-related Stigma Scale instruments at baseline and 12?months. T-tests were used to detect the differences between mean values, multilevel linear regressions to determine factors influencing QOL.Overall, QOL improved significantly in the intervention group compared to the control group. Among participants initiating ART at clinical stages 3 and 4, education at high school level or above and having experiences of a family member dying from HIV were also associated with higher reported QOL. Among participants at clinical stage 1 and 2, there was no significant effect of peer support, whereas having children was associated with an increased QOL. Viral hepatitis was associated with a decreased QOL in both groups. Lower perceived stigma correlated significantly but weakly with improved QOL, however, there was no significant relation to peer support.The peer support intervention improved QOL after 12?months among ART patients presenting at clinical stages 3 and 4 at baseline, but it had no impact on QOL among ART patients enrolled at clinical stages 1 and 2. The intervention did not have an effect on Internal AIDS-related stigma. To improve QOL for PLHIV on ART, measures to support adherence should be contextualized in accordance with individual clinical and social needs.
Seroprevalence of Mycoplasma bovis Infection in Dairy Cows in Ho Chi Minh, Vietnam  [PDF]
Dung Van Nguyen, Chau Kim Thi Truong
Open Journal of Veterinary Medicine (OJVM) , 2015, DOI: 10.4236/ojvm.2015.55016
Abstract: A cross-sectional study was carried out to investigate the seroprevalence of M. bovis. A total of 606 serum samples were randomly collected from dairy cows in Ho Chi Minh City, Vietnam. Commercial ELISA kit was used for detection of antibody to M. bovis. The results indicated that overall seroprevalence was 80.2% (486/606). There were no significant differences between regions or age categories (P > 0.05). Degree of infection to M. bovis commonly distributed at positive degree 1 (68.5%) and 2 (24.1%). Seroprevalence at highest positive degree 4 were found in District 9, District 12 and Thu Duc (6.7%, 6.3% and 1.6%, respectively). This study is the first report of seroprevalence of M. bovis in Vietnam. The results suggested that M. bovis was spreading among dairy cow populations although degree of positivity was low. It should be considered as a high risk pathogen to dairy cows in Vietnam.
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