During July 2002 to December 2003, there were 1618 eligible pregnant women attending to delivery at National Hospital for Obstetric and Gynecology recruited for the study. The rate of CS was 32.4% (16.5% elective CS and 15.8% emergency CS). There is an increase in the rate of having minor wound infection and higher in emergency CS (9.4%). The rate of maternal death was also higher in the group of emergency CS of 3.9/1000, while those rates in elective CS and vaginal were zero. No significant difference of neonatal complications was found among three groups (p>0.08). Medical cost occupied a large part of total bill spent for a delivery (78.1%)
Delivery, Obstetric

The e-Health created new opportunities and challenges to the traditional health care in Korea by introducing information and communication technology. Many countries have been establishing e-Health vision and goals at the government level, however Korea has been establishing it with uncooperative vision and goals among numerous government offices since 2003. A single e-Health policy from these numerous government offices cannot cover all the aspects of the e-Health, which further hinders development of e-Health in Korea. OBJECTIVE: The objectives of this study were to review e-Health policies in various Government offices of Korea and to discuss the ways of policy integration among them and the role of each office. METHODS: Recent polices of e-Health in the MOHW, MOCIE, MIC, and MOST were reviewed and compared. RESULTS: The related departments in the MOHW, MOCIE, MIC, and MOST have been working on not only traditional health care systems but also e-Health including industrial and technological aspects. However, e-Health policies from these related departments has been only focusing on contents, infrastructure, method, and technology without any collaborative road map for the e-Health. CONCLUSION: There should be a balanced and collaborative strategy among government departments with a close relationship for the development of e-Health in Korea.
Delivery of Health Care ; Korea*

No abstract available.
*Delivery of Health Care ; Humans

No abstract available.
Delivery of Health Care* ; Education*

No abstract available.
Delivery of Health Care*

The Party and Government interested in health care for poor ethinic people, therefore ensure equitableness and equality in all aspects for ethnics of Vietnam. The poor ethnic people still have many difficulties in term of accessibility to health care services, especially to hospital. The major causes were uncomfortable traffic, lack of budget for moving, low education and awareness of people, less accessibility to communication and information means. Health facilities in the mountainous and remote areas had not met the need in health care services of the people due to poor infrastructure, old equipment, inadaquate drugs, lack human and financial resources
Delivery of Health Care ; Poverty

The cross - sectional survey on 500 private medical units at Ha Noi (300) and Da Nang (200) in 2003 showed that the average amount of times providing with health care by unit is 1095; the private medical installation having greatest times providing with heath care have realized 11.650 times/year. Each unit has in average 1139 times for medical consult, the case of emergency is 5.023 times, in average is 61 times by unit; each gyneco–obstetrical clinic has in average consult with pregnant women in 361 cases, the ultrasonic service is 1.118-1.200 times by unit and in average 855 times for biological examine by unit
Delivery of Health Care ; Health

Study on 1801 households with the population of 8418 persons at 30 communes which were chosen by some steps of random method from 3 districts in Can Tho province (Chau Thanh A, Thot Not, Phung Hiep). The results showed that: with regard to the approach of medical units and medical insurance, the more poor people, the more lower they had medical insurance, especially the required medical insurance. With regard to the use of services of health care: the households approached the services of public health (medical stations and hospitals) relative equivalently. When being ill, the poor group went to hospital more frequently than the rich people.
Delivery of Health Care

The month age is a very important index in the health care for children. There are many factors affect to the information of children’s birthday. A common main factor is the confusion of lunar with solar calendar. The data of birth date collected from 547 children in Thanh Hãa province showed that a significant number of children have the birth date that were recorded by lunar calendar, result in errors in determining their age of month. The authors have proposed computer software that could change automatically the lunar day to the solar day.
Child ; Delivery of Health Care

Background: Maternal and child healthcare is a leading priority in the health care strategy of Viet Nam. Motherhood safety is amongst contents of reproductive healthcare strategy to ensure safe delivery, reduce maternal and neonatal morbidity as well as mortality. Aims: To discover the utilization of delivery care and related factors to women in selecting location for delivery. Subjects and method: The study was carried out in Chillilab \u2013 Demographic and Epidemiological Surveillance was set up in Chi Linh district, Hai Duong province by the School of Public Health. A combination of quantitative and qualitative methods was used in collecting the data. Results: 97% of pregnant women chose public health facilities as their delivery place and 2.5% of pregnant women had homebirths. The main reasons for delivery in hospitals were trust on care quality and sufficient equipment for emergency care. The complicated delivery rate was 14% and Cesarean section delivery was 12%. Hospitalized deliveries were more common in the women with higher education and/or better economic status. Conclusion: There should be improved healthcare communications to encourage all women to give birth at health facilities. Improving the quality of delivery care in community health stations is important to give opportunities for deprived women to receive safer deliveries.
Delivery ; Reproductive health