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Peoples’ Expectations of Responsive Health Systems: Insights from Maternity Care in Vietnam
Peoples’ Expectations of Responsive Health Systems: Insights from Maternity Care in Vietnam
- Publication Year :
- 2024
-
Abstract
- Health systems responsiveness is the “health system’s ability to meet the population’s legitimate expectations”. Despite growing recognition of the importance of responsiveness in recent years, several theoretical and empirical gaps remain. Theoretically, there is limited explicit engagement with and understanding of what corresponds to a legitimate expectation of care. Moreover, current analytical frameworks of responsiveness and resultant empirical work do not yet sufficiently consider the broader contextual conditions which define what people expect from their health systems. Such a consideration is particularly important given the political, economic, and health system transitions and changes experienced by low- and middle-income countries (LMICs) in recent decades. Vietnam has experienced rapid economic growth in the last two decades, spurred on by the Doi Moi reforms. Within the health system, the Doi Moi reforms saw the official recognition of the private sector, as well as the covert privatisation of the public health system. These social, economic, and health system transformations are insufficiently reflected in the current scholarly literature on women’s encounters with maternity care. In light of the social, economic, and health system evolutions occurring in post-Doi Moi Vietnam, this qualitative study aimed to unpack women’s expectations and experiences of their health system interactions during pregnancy and childbirth. Drawing on in-depth interviews with 28 pregnant and postpartum women in rural Bac Giang province, this study reveals how expectations are powerful determinants of women’s care-seeking choices and decisions, motivating their actions and interactions with the Vietnamese health system during pregnancy and childbirth. Drawing on key theoretical literature on the concepts of expectations and legitimacy, it critically and comprehensively examines women’s legitimate expectations of the Vietnamese health system. By adopting a translocational l
Details
- Database :
- OAIster
- Publication Type :
- Electronic Resource
- Accession number :
- edsoai.on1456026978
- Document Type :
- Electronic Resource