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2/3/2011 IMPROVED FAMILY PLANNING AND MATERNAL HEALTH CONTRIBUTE TO POVERTY REDUCTION IN VIETNAM By Dinh Huy Duong The General Office for PFP, MOH PCC, Vietnam Contents of Presentation Part I. Achievements of the Population and Reproductive

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IMPROVED FAMILY PLANNING AND MATERNAL HEALTH CONTRIBUTE TO POVERTY REDUCTION IN VIETNAM

By Dinh Huy Duong The General Office for PFP, MOH PCC, Vietnam

Contents of Presentation

Part I. Achievements of the Population and Reproductive Health Programme in Vietnam Part II. Family Planning and Maternal Health Integrated into Poverty Alleviation Strategies

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Part I. Achievements of the Population and Reproductive Health Programme in Vietnam Population of Vietnam, 1979-2009

52.74 64.38 76.32 85.79

10 20 30 40 50 60 70 80 90

1979 1989 1999 2009 Million

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Annual Increase of Population (.000) 1999-2009

1163.4 1194.7 946.7

200 400 600 800 1000 1200

1979-1989 1989-1999 1999-2009

1.2 1.7 2.1 2.2 1 2 3 1979 1989 1999 2009

Population Growth Rate 1979-2009

An annual population growth rate bewteen 1999 and 2009 is only 1.2%.

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2.25 2.28 2.12 2.23 2.11 2.09 2.07 2.08 2.03

2009 2008 2007 2006 2005 2004 2003 2002 2001

Total Fertility Rate, 2001-2009

17.6 17 17.9 16 16.9 17.5 17.6 19.6 21.9

Toàn quốc Thành thị Nông thôn Đồng bằng sông Cửu Long Bắc Trung bộ và Duyên hải miền Trung Đông Nam bộ Đồng bằng sông Hồng Trung du và miền núi phía Bắc Tây Nguyên

Crude Birth Rate (CBR), 2009

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Crude Death Rate (CDR) 1979-2009

1979 2009 6.3 7.3 5.6 6.5 1999 1989

Maternal Mortality

MMR sharply decreased from 233/100,000 live births in 1990 to 80/100,000 in 2005. However, throughout the 2006-2009 period, MMR declined little. A big challenge to reach MDG of 58.3.

233 130 85 80 75.1 75 76 69 58.3 50 100 150 200 250

1990 2001 2004 2005 2006 2007 2008 2009

MDG 2015

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Pregnancy Management

This increase reflects better prenatal maternal health care; better attitude and behavior of mothers towards health care during their pregnancy; better RH services.

84.6 89.9 93.1 94.6 78 80 82 84 86 88 90 92 94 96

2006 2009 2008 2007

Prenatal Checks- up

Three prenatal checks-up – 88.3% . An important factor contributing to safer deliveries, reduction of obstetrical complications, maternal mortality and neonatal death.

84.6 84.3 86.2 86.4 88.3 82 83 84 85 86 87 88 89

2005 2006 2007 2008 2009

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Births Attended by Trained Health Workers

Increased births attended by trained health workers is

  • ne of the main reasons for reduction of MMR

93.3 93.9 94.3 94.8 94.8 92.5 93 93.5 94 94.5 95

2005 2006 2007 2008 2009

Post-partum Care

Over 60% of maternal mortality & more than 70% of infant mortality take place during delivery and 1st week. It is obvious that postpartum care is extremely important.

86 87 87.5 86.9 89.1 84 84.5 85 85.5 86 86.5 87 87.5 88 88.5 89 89.5

2005 2006 2007 2008 2009

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Obstetrical Complications

Declined obstetrical complications significantly contribute to lowering MMR

2.8 2.5 2.2 0.5 1 1.5 2 2.5 3

2007 2008 2009

Steady Increase of CPR of Married Couples at Reproductive Age

73.9 76.8 79.5 61.1 65.7 68.8 12.8 11.1 10.7 10 20 30 40 50 60 70 80 90

CPR Modern Traditional CPR

2001

CPR Modern Traditional CPR

2005

CPR Modern

Traditional

CPR

2008

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Method Mix is Increasingly Diversified

55.7% 1.3% 5.4% 13.2% 10.9% 13.2% 0.3%

IUD Others Traditional methods methods Pill Condom Steriliza-tion Injection,implant

2008 61.6% 0.5% 8.9% 5.9% 5.6% 16.6% 0.9%

IUD Traditional methods methods Pill Steriliza-tion Condom Injection,implant Others

1998 61.6% 0.5% 8.9% 5.9% 5.6% 16.6% 0.9%

IUD Traditional methods methods Pill Steriliza-tion Condom Injection,implant Others

1998

Challenges of the Population and Reproductive Health Programme in Vietnam

Sustain an appropriate level of fertility;

Deal with unbalanced SRB (SRB is 111 in 2009);

Capitalize demographic bonus ;

Cope with issues of “ageing population” (9.9% over 60 yrs. and 7.5% over 65 in 2009)

Improve maternal health (prenatal, neonatal and postnatal), especially in mountainous, remote and isolated areas;

Supply and distribute adequate, good quality contraceptives commodities suitable to clients’ needs;

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Challenges of the Population and Reproductive Health Programme in Vietnam (cont.)

Provide good quality FP services and

infertility treatment;

Reduce abortion incidence and eliminate

unsafe abortion;

Reduce STIs, RTIs, HIV and reproductive

tract cancer;

Better meet SRH needs of special groups of

population (adolescents, disabled people and old people etc.).

Part II. Family Planning and Maternal Health Integrated Poverty Alleviation Strategies

Poverty and P-RH/FP and maternal health are inter-related.

Poverty Unemployment, low income

Lack of

  • pportunities & low

education level

Hunger, disease, mortality

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In Vietnam, based on MDGs and the country’s

  • wn aspirations, Viet Nam has also established

its own 12 development goals (referred to as Vietnam’s Development Goals or VDGs), which include poverty reduction targets. The Government has issued many documents to guide the implementation of MDGs and VDGs. These include the Comprehensive Poverty Reduction and Growth Strategy. In these documents, population, RH/FP and maternal health are taken into account and recommended to be integrated into various programmes/projects, especially for the purpose of poverty reduction.

“A model of integrated groups of communication on P-RH and savings, credit, agricultural extension”

  • 1. Characteristics of group members:
  • Members at reproductive age and from poor

households.

  • Living in the same area.
  • Voluntary participation in the group.
  • The group size: Between 25 - 35 people
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2.Objectives

 To help members to learn more about RH, FP,

maternal and child health care;

 To help them to have good behavour for their own

health, their families and communities;

 To share information on RH, FP, maternal health

with their family, friends, neighbors;

 To learn and apply technical advances in

agricultural production, cattle raising and small business; to support each other to properly use loans to increase their income; and to contribute to socio- economic development in hamlets/ villages.

  • 3. Agenda of a Monthly Meeting

Session 1: Presentation and discussion on

P-RH, maternal health and family planning.

Session 2: Introduction of knowledge, skills

and technical advances in agricultural production, cattle/fish raising, small business etc.

Session 3: Discussion on how to obtain loans

from banks; how to best use loans.

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Why is the Model Successful?

1.

Hundreds of thousands groups have been established throughout the country. This model is sustainable because group members can get real benefits.

2.

Group members acquire new knowledge and skills on RH/FP and maternal and child health care. They are able to improve their own health status and that of their family

  • members. Women and men know how to properly practice

FP and space births.

3.

Group members find it useful to learn and apply production knowledge and skills, and technical advances in agricultural production, cattle raising, handicraft or small business etc.

4.

They feel happy and proud to contribute to socio- economic development in their hamlets/villages.

5.

Activities of the group create the solidarity and friendship in a community.

Thank you for your attention!