Establishment of Women’s Health Center and Capacity Development of Community Midwives
|Project Strengths||Emphasize the importance of supporting lifetime health of women|
|Implementing Partners||Maternal and Child Health Department, Ministry of Health, Vietnam
People’s Committee, Thua Thien Hue province
Department of Health, Thua Thien Hue, Quang Tri and QuangBinh provinces
Vietnamese Association of Midwives (VAM)
Japanese Midwives Association (JMA)
|Supporting Agencies||Government of Japan
The Federation of Electric Power Related Industry Workers Unions of Japan
|Project Period||3 years (Mar. 2015 – Mar. 2018)|
Description of SRHR Needs
With SDGs 3 and 5 in the horizon, the widening gap of reproductive health (RH) service access between urban and rural areas has become a critical issue for Vietnam in achieving universal health coverage (UHC).
People living in remote and hardship area are facing challenges in health services, such as insufficient skill of health staff and coverage of service contents, difficult access to the advanced health facilities, lack of knowledge and information among community people.
As many people seek better health care with latest technology, the advanced hospitals in urban areas are usually overcrowded and the health staffs are too busy to fully accommodate all of the clients’ needs. Thus, it tends to be difficult for clients to receive appropriate care with due respect to their dignity and comfort.
|Goal||To establish a model Women’s Health Center (WHC) that is a focal point to provide quality, comprehensive lifetime RH services to the women in the project area. The ultimate goal is to provide quality RH services to women according to a lifecycle approach, regardless where the women reside.|
|Target Area and Population||15 selected districts of Thua Thien Hue, Quang Tri and Quang Binh provinces (population: 400,000)|
|Uniqueness in the Approach||As the WHC as the base of operations, present client friendly RH service model in the urban area, while promoting outreach activities to provide quality comprehensive RH services for women who live in rural and remote areas. Project activities are implemented in partnership with VAM, which has a registered membership of more than 6,000 midwives from all over Vietnam. The project models for protecting women’s lifetime health will be disseminated nationwide through the VAM’s network in the future.|
The 3 main pillars to improve RH services both in urban and rural-remote area are;
- As a model facility to provide RH service to ensure the lifetime health of women, care and services provided at the WHC are covered by the national insurance system. The WHC midwives have been trained on adolescent RH, breast care, menopause, client friendly services, etc. in addition to pregnancy care training.
- A total of 60 provincial and district trainers from project areas have been trained from 2015 to 2017.
- As of March 2017, a total of 139 community midwives were trained by the above mentioned trainers at the WHC during a two-year period (2015 to 2016), with an average accomplishment of 91% for post-test, while pre-test knowledge level was 34%.
- As of March 2017, the WHC mobile clinic team has reached out to 5,600 rural women providing gynecological care, ultrasound check-ups, and counseling and 1,600 villagers received health education during a two-year period (2015 to 2016).