Summary of Doctoral thesis Medicine: Research on some related factors to Dao women health care services in socio-cultural aspects in Bach Thong district, Bac Kan province

Study objectives: to describe and analyze the needs, supply and utilization status of health care services to Dao women on cultural, ethnic and social aspects in some communes in Bach Thong district, Bac Kan province.
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Summary of Doctoral thesis Medicine: Research on some related factors to Dao women health care services in socio-cultural aspects in Bach Thong district, Bac Kan province 1 BACKGROUND Health of women and children are the top concerns of countries around the world including Vietnam. In Vietnam, women health care have remarkablly achieved results, many indicators related to reproductive health care has reached and exceeded objectives. However, economic, cultural, social development in mountainous areas are still much lower than other areas affected to the healthcare services for people. Besides factors such as low educational level, low living standards, traffic difficulties there are cultural elements such as backward customs, worship the Ghost when sickness that would affect health services utilization and approach, especially ethnic minorities including Dao ethnic. Therefore, analyzing the impact of cultural and social factors to health services of Dao in general and of Dao women in particular are necessary to contribute solutions in protection and health care for ethnic minority women. In Vietnam, many related rerearchs have been conducted. However, systematic researches concerning health services for Dao people in general and for Dao women in particular on socio-cultural aspects have not been carried out. Due to reasons above, we choose Bac Kan province (province has large number of Dao ethnic that only behind Tay ethnic) to research topic: Research on some related factors to Dao women health care services in socio-cultural aspects in Bach Thong district, Bac Kan province Study objectives 1. To describe and analyze the needs, supply and utilization status of health care services to Dao women on cultural, ethnic and social aspects in some communes in Bach Thong district, Bac Kan province. 2. To analyze some related factors concering to supply and utilization for the existing mother health care services in local areas. 2 NEW CONTRIBUTIONS OF THESIS 1. The first research in Viet Nam studied systematicly and depthly analyzied about some socio-cultural aspects relating to the supply and utilization of reproductive health care services of Dao women. 2. The first time using the combination of classic research Methods, Qualitative Research (PRA) and evaluation methods based on five indicators by chart CBM logic, along with samples of cases tracked consecutive 12 months to identify the factors related to health care Dao woman, as prerequisite for strengthening the activities of health services for Dao women on some cultural – society aspects. . IMPLICATION OF THE THESIS 1. Identified the needs, supply and utilization status of Dao women health care services. A base from which the proposed activities strengthen health services in the province. 2. Analyzed the factors related to supply and use health services of Dao women. Among them, cultural - society factors have much influence to women health. Local activities to enhance health services reached some initial results based on the identification of factors related above, a base for operations orientation strengthening health services for Dao ethnic in particular and for ethnic minorities in general. LAYOUT OF THE THESIS Thesis includes 105 pages. Introduction 02 pages Chapter 1: Literature review 23 pages Chapter 2: Methodology 14 pages Chapter 3: Results of the study 40 pages Chapter 4: Discussion 23 pages Conclusions and recommendations 03 pages 107 deferences were used in the thesis (84 in Vietnamese, 23 in English), 37 tables, 7 graphs, 29 photos, 4 pictrures. 3 Chapter 1 OVERVIEW OF DOCUMENTS 1.1. Cultural definition Culture is a broad concept with many connotations different interpretation, involving all aspects of material life and the human spirit. In 2002, UNESCO has offered this definition of culture: Culture should be addressed as a set of characteristics in mind, physical, and emotional knowledge of a society or group in society and it contains, in addition to the literature and the arts, both living and modes of living together, value systems, traditions and beliefs . In summary, organic cultural attachment to people, we can understand an aspect of culture that is the custom, customs, habits, lifestyles of the people are formed, survive and development of human life. The elements of culture include nine basic content: language, food, accommodation, clothing, beliefs, rituals, folk art, folk knowledge and the different traditions (funeral, marriage, the new house, healing, family...). 1. 2. Some culture charecteristics of Dao ethnic related to the health 1.2.1. Language Voice of the Mongolian - Daolanguage group, the number of people fluent in the language of literature is not much. Due to the nature of language, in the process of communicating health officials face many difficulties because of language barrier. 1.2.2. Housing Houses of the Dao is mainly a ground. House has a low roof, small windows, always low humidity, lack of air and low light. The vast majority of households do not use the bathroom and toilet. 1.2.3. Eating, drinking After delivery, women having a personal food, food is mainly meat, pork and chicken are cooked with herb drugs. Dao people drink tea and some leaves have an aromatic cool, easy to drink and used to treat diseases. More common type of drinking is alcohol made from yeast leaves. 1.2.4. The practice of reproductive and take care children In the past, ...