developing urban health indicators for low income countries: a case study

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Case Study: Vietnam Developing Urban Health Indicators for Low Income Countries Stephanie Steels University of Manchester

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These slides are from a quest lecture given at the Institute for Sustainable Futures at the University of Technology Sydney, Australia (2012). It gives an overview of my PhD study which was centred on investigating the potential health implications of urbanisation in Vietnam, in addition to exploring NGO engagement with policy makers and government authorities in implementing public health policy.

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Page 1: Developing Urban Health Indicators for Low Income Countries: A Case Study

Case Study: Vietnam

Developing Urban Health Indicators for Low Income Countries

Stephanie SteelsUniversity of Manchester

Page 2: Developing Urban Health Indicators for Low Income Countries: A Case Study

Presentation Outline

• My PhD study• Some results• Challenges of collecting data in Vietnam• Conclusion

Page 3: Developing Urban Health Indicators for Low Income Countries: A Case Study

My PhD study

• Split into two parts:

Part one: to explore the feasibility of using the EURO-URHIS data collection tools in Vietnam.

Part two: to explore the types of data used by NGOs in Vietnam, the barriers to using them, and NGO relationships with multi-sectoral stakeholders.

Page 4: Developing Urban Health Indicators for Low Income Countries: A Case Study

Vietnam

Page 5: Developing Urban Health Indicators for Low Income Countries: A Case Study

Existing data collectionName of indicator Availability Name of indicator Availability

1. Population by age and gender

12. Low birth weight Different definition

2. Population Projections X 13. Mothers’ age distribution Different definition

3. Marital status 14. Causes of death X

4. Birth rate 15. HIV/AIDS incidence Different definition

5. Total fertility rate 16. Lung cancer incidence X

6. Population density 17. Breast cancer incidence X

7. Population by education 18. Diabetes prevalence X

8. Unemployment rate 19. Communicable diseases Some

9. Life expectancy at birth 20. GPs employed X

10. Infant mortality 21. Preventive actions – Vaccinations

Some

11. Perinatal mortality Different definition

Page 6: Developing Urban Health Indicators for Low Income Countries: A Case Study

Total Population

Page 7: Developing Urban Health Indicators for Low Income Countries: A Case Study

Life Expectancy at Birth

Page 8: Developing Urban Health Indicators for Low Income Countries: A Case Study

Infant MortalityIn

fan

t d

eath

s p

er

1000 liv

e

bir

ths

Page 9: Developing Urban Health Indicators for Low Income Countries: A Case Study

Population density by urban area

Page 10: Developing Urban Health Indicators for Low Income Countries: A Case Study

Challenges with the Vietnamese study

• Ethical approval is a lengthy process in Vietnam

• Cultural and Political issues– No longer able to collect data in Hanoi

• Change in Adult data collection methodology– No reliable postal system – Face-to-face interviews

Page 11: Developing Urban Health Indicators for Low Income Countries: A Case Study

Conclusions

• It has been possible to collect data using the Existing data collection tool

• Ethical approval process is close to completion• Challenges with conducting the study in

Vietnam have led to:– Delay in data collection– Changes to the adult survey data collection

methodology

• NGO study is still ongoing

Page 12: Developing Urban Health Indicators for Low Income Countries: A Case Study

Thank you for listening.