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Making rational choice in utilizing maternal service: a qualitative study in Lao PDR
( Ngan Kim Do ),( Minah Kang ),( Chaeun Lee ),( Sychareun Vanphanom ) 한국정책학회 2013 한국정책학회 학술대회 Vol.2013 No.2
Lack of knowledge and understanding of women and their family members on the benefit of maternal care services is presumed to be a major determinant of mothers` decision to utilize health facilities and skilled birth attendants. This study investigated the perspective of women and their family on maternal health services in Lao PDR to determine their rationality in service utilization ignorance. A qualitative study (n=99) was conducted in Xiengkhouang province, located in the North-East of Lao PDR. Data was collected through 36 semi-structured individual interviews and 24 focus group interviews with mothers, spouses and elderly women from both rural and non-rural areas. Not only women and their spouses but also the elderly recognize the benefit of modern maternal services compared to traditional practices. However, the maternal health services are not well utilized in Lao PDR. The main deterrent factor is not poor recognition but low quality and availability of services at the community level, and low level of satisfaction when utilizing services.
바우처 제도가 라오스 임신부의 모성?신생아?아동 건강서비스 관련 지식, 태도, 실천에 미치는 영향
허종호 ( Jong Ho Heo ),반파놈시카륜 ( Vanphanom Sychareun ),오주환 ( Ju Hwan Oh ) 한국보건경제정책학회 2014 보건경제와 정책연구 Vol.20 No.4
To provide better access to maternal, newborn, and child health (MNCH) services by lowering the physical and financial barriers, the Lao People`s Democratic Republic implemented a voucher scheme in pilot districts as a supplementary component of the already implemented “Integrated Package of MNCH Services.” We examine whether the voucher scheme implementation brought about changes in knowledge, attitude, and practice of MNCH services among pregnant women in Heuamuang and Vienthong district in Huaphan province. Based on pre- and post-voucher surveys, we constructed a dataset consisting all the mothers who gave birth in the 12 months at the time of the pre-voucher survey (N=137) and pregnant women during the pre-voucher survey (N=74) who became mothers within 12 months at the time of the post-voucher survey. Our results from regression analyses show that antenatal care (ANC) visits were not significantly associated with the voucher scheme implementation after controlling for women`s socio-demographic characteristics although more knowledge and favorable attitude to the voucher scheme were associated with the implementation. The implementation was also associated with more knowledge and favorable attitudes towards delivery and postnatal care (PNC) but not to ANC. The women exposed to the voucher scheme were less likely to recognize transportation problems and their opportunity costs of a round-trip to a health center (HC) as existing barriers to MNCH services in HCs. Further study is needed to examine the effects of the voucher scheme on delivery and PNC services in health facilities.
Chaleunvong, Kongmany,Kamsa-ard, Supot,Suwanrungruang, Krittika,Wiangnon, Surapon,Sychareun, Vanphanom,Alounlangsy, Phetsamone,Durham, Jo,Promthet, Supannee Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.9
Background: Recent estimates suggest that in the Lao People's Democratic Republic (Lao PDR) the burden of cancer in terms of DALYs lost is amongst the highest in South East Asia. As such, increasingly cancer is becoming an important public health concern in the country. Lao PDR however has no population-based cancer registry and only one hospital-based registry. Cancer treatment within the country is extremely limited. Patients who can, may travel to neighboring countries for treatment, but little information about this is available in the country. The aim of this study was to estimate some of the otherwise largely unknown parameters of the cancer burden in Lao PDR. Materials and Methods: This is a retrospective, descriptive study based on the records of 847 Lao cancer cases treated with surgery, radiation and chemotherapy at Srinagarind Hospital, Khon Kaen University, in Thailand between 1988 and 2010. Results: The annual rate of registration of Lao cancer cases fluctuated, but showed an increasing trend. Most cancers were diagnosed by histology (65.2%), and a combination of endoscopy and radiology (15.6%). In most cases (70.2%) the stage of cancer at diagnosis could not be determined. In those whose stage could be identified, 54.0% were at the final stage (Stage IV). Among males, the commonest cancer sites were the liver (16.1%), blood (12.3%) and nasopharynx (10.6%). Those in female patients were the cervix (22.2%), breast (14.6%) and blood (8.1%). Conclusions: This study indicates that despite some fluctuations, the number of Lao cancer patients presenting at Srinagarind Hospital, Khon Kaen, gradually increased between 1988 and 2010. The unfavorable pattern of late-stage cancer diagnosis among male and female patients suggests a need for cancer control interventions and the establishment of cancer registration and treatment facilities within Lao PDR.