Dinh Thi Phuong Hoa1
1 Hội Nhi khoa Việt Nam


Tóm tắt

Equity in health care is ensuring everybody
to have chance to reach the health care services. Equity also involves ethical principles at all levels within and outside of health care with the goal to optimal health for all, especially those in need, vulnerable and disadvantage subjects [1]. Children are vulnerable group and need to be prioritized attention in society. Therefore, child health care has always been put at the top priority in the strategies and policies on people’s health care in our country. The comprehensive health system, covering the whole country from
the central to local levels, all health care services are free for children under 6 years old [2]. Results of the implementation of the
Millennium Development Goals for the period
1990 - 2015, Viet Nam was identifi ed by the
international community as a bright spot in the
group of low- and middle-income countries. The under-5 mortality rate (U5MR) decreased from 58‰ (in 1990) to 22.1‰ (in 2015), very close to the target of 19,3‰. Despite remarkable achievements in improving children’s health, Viet Nam still faces a number of challenges on the way towards to
achieving of the Sustainable Development Goals (SDGs) to end, by 2030, preventable deaths of newborns and children under 5 years of age, aiming to reduce neonatal mortality. These challenges include human, fi nancial, health service quality, etc. of which the most important  is to reduce the diff erence in children’s health status between regions as well as in economic and social conditions.


Tài liệu tham khảo

1. W C Chang. The meaning and goals of equity
in health. J Epidemiol Community Health 2002;
56: 488–491.
2. Ministry of Health. Decision of Government
number 36/2005/ND-CP. Ha No, 2005.
3. General Statistics Offi ce - UNICEF. Multiple
Indicator Cluster Survey (MICS2006, 2011, 2014,
4. General Statistics Offi ce – UNICEF. Multiple
Indicator Cluster Survey (MICS2006, 2011, 2014):
5. General Statistics Offi ce - UNICEF- UNFPA.
Viet Nam SDG indicators on Children and Women
Survey 2020-2021. December 2021.
6. Prime minister. The National Nutrition Strategy
for 2011-2020, with a Vision toward 2030. Decision
No: 226 /QÐ-TTg.
7. UNICEF Viet Nam – Nutrition Program.
8. UNICEF Viet Nam – Expanded Immunization
9. Van de Walle D, Gunewardena D. Sources
of ethnic inequality in Viet Nam. Journal of
Development Economics 2001; 65:177–207.
10. Hoa DP, et al. Persistent neonatal mortality
despite improved under - five survival: a retrospective
cohort study in northern Vietnam. ActaPaediatrica
2008;97(2): 166–70.41.
11. Malqvist M, et al. Ethnic inequity in neonatal
survival: a case referent study in northern Vietnam.
Acta Paediatrica2011;100(3): 340–46.
12. The Health Strategy and Policy Institute.
Joint Annual Health Review 2015. Strengthening
grassroots health care towards universal health care.
13. Ministry of Health 2019. Support to
improve maternal and newborn health care
services in districts with high maternal/newborn
mortality in Viet Nam.
14. Decree 34/2019/ND-CP dated April 24,
2019 of the 34/2019/NĐ-CP of the Government.
15. Harper BD, et al. Where are the pediatricians?
An international survey to understand the global
pediatric workforce. BMJ Pediatrics Open 2019; 3:
e000397. doi: 10.1136/bmjpo-2018-000397.
16. The Health Strategy and Policy Institute.
Report on assessment of hospital overload at all
levels. Ha Noi, Viet Nam: HSPI, 2009.17. Department of Medical Examination and
Treatment - Ministry of Health. Results of medical
examination and treatment in 2011 and solutions
to improve the quality of medical examination
and treatment in 2012. Ha Noi, Viet nam 2012.
18. World Health Organization & United Nations
Children’s Fund (UNICEF). (2018). A vision for
primary health care in the 21st century: towards
universal health coverage and the Sustainable
Development Goals. World Health Organization. https://apps.who.int/iris/handle/10665/328065.
License: CC BY-NC-SA 3.0 IGO.
19. WHO-UNICEF. Declaration of Alma-Ata -
International Conference on Primary Health Care,
Alma-Ata, USSR, 6-12 September 1978.
20. Government. Decree on specifi c policies in
recruiting, training, fostering and creating sources
of cadres and civil servants of ethnic minorities.
Will be issued.